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1000-6.-2-1
i ,,^ m 5N5ni 94 550 f \\ m• r u"• •O !I 0Q '. o . Op W p '9 _ S5 e' I PETER P N/TZE Ij a o E . VV T A VF It LOTES c� •Y x /, ��' V���T : '( r N 66.69 5 . W3072.85 \ \ •.f,. monument `0 - .0 d 5 4,4 00 UTILITIES \ \ EASEMENTKey i-i ^ p \ \ 6 230. O monument 5 \ \ \ •.� --I„ n 6oT� Jr •o Op f zes<z. x N \ �,'- L o �.. � � , I m p � v �I� �41�FSfp A A Cc \ �i GD II-o 152 . 60 monument 1 � / y / G) S50° 02'10°W •,\ 23.4' ' ' \ \ � uENUE sr. so• ,„;.:.r / Opole f � • v �— v°G P � fio � O 0 v � Z SUBJECT FROPEKTY SCALE too A N APPROVED BY m �a�� �o ETE;9 P �' s� m PLANNING BOARD \ � o S 50°02'10°W TOWN OF SOUTHOLD 6 0 0 169. 53 2A AE FEB 141994 NOTES: Q TYP I. COORDINATE D15TANOE5 ARE MEASURED FROM \ o \ \ \ 5751.30 to U.S. COA5T AND 6EODETIC SURVEY TRIANGULATION a °5¢o.,/a� monumerff SS I N L STATION "PROS" W ID / \ \ a0 W 3215.60 pl✓' 5 4 � \ \ 2. 51TE 15 IN THE TOWN OF SOUTHOLD, COUNTY OF p) • �O ��� \ O SUFFOLK, TAX MAP 1000, SECTION 0011 BLOCK 2, LOT AS I o / C- \ O E � 1 LOT I SCHOOL DISTRICT 4 \ \ monument 5. TOTAL AREA: 5.91 +/- ACRES uV LtiHOs 2. 01 e ' i'\� LOT 2 �.<S A`;'Qo �'- 8• S p / �. 517E 15 TO BE SERVICE BY MUNIGIP/-� WATER '.JE"t\./�NuS 0 .-10 I o / \ 2.77 t gCRES ����g To e� '1'?�1' / • o I monumenp' T� u 6°\�00 12. 19' AND ON 51TE 5EPgASE DI`. P05AL SYSTEM. 70TA\-, Q. -7'1 pcczEq 5. 51TE 15 IN R-2+0 ZONE \2o qC, LOT 1 LIMIT of A aE/- - • 6J b. OWNER: Annette Zabahonskl c SUI9T ECT -ro ]`r�� ai, • 20 /' monumen _ UPL-tiNUS 3 O.11. I W EST21CT Ne\ SUBJECT TO COVEIJANTS& RESTRICTIONS LIBER /& Fishers Island, NY 06390 :• .I I �'fs \ 'f. BASE FOR LEVELS NGVD \A.Iac�c NQS o.lo 1 }I O 30-1 ti Tor A..` 3 . IA4 :>cxES , or O ' wet area 00 di PAGE tG o\1 M� / �o��/ BENCH MARK TOP OF MONUMENT e•-s" • • /f / %\ j ELEV. 22.25 (Mean low water) KNOCKOUT INLET AND - o �� ``\\ OUTLET OPENINGS - .9Y,_ \v / % /�� 'T �� m �V A� _/ • . - % / SUFFOLK COUNTY D RTF HEALTH SERVICES RIBS INSIDE Z yWy_ � - LOT I \ iP�1 MFpIy,� 6 2a" DIA COVER 1 -- ----- • ��` 3, 14 -ACRES\, Hauppaul NOW Yolk FEB ' 1-RI e o + po This Is to Oedl proposed aaangements for water supply n monument � � � a o 0 0 _ _ \ le h that the (4) B" CIA KNOCKOUTS ? •,� - �% � �' - �� �ry,C / Iand60Wat�dl�spoa`a�l°forANNEn'� Culvert N ' • _ y - ---�- with a total of — - lots °/8 �' //' - - a" . " / Were approved on the above date, These facilities must con orm to ? ,� / aaflefalC#on standards In effect at the time of construction. This CAST ^ a \ F �o � r/ 1/ 'rS• _ __ o aPPMVal Shia# be valid only in the event said Subdivisionldevel, CONCRETE COVERS ', o 0 0 0 0 .� • p ^, i - —�� J, / etRrlBat plan Is duly flied with the County Clerk wlihin one year of IU11t or-lily j•' .,� `7 I �� „ this date. Consent is hereb wen for the filing of this map oil a"--{ I- ° e'-a" DIA � • �sg N DID1 -rte Y 9 rU �� r- —, N \ • RFClerk Sl 42� • IV A H / n accordance wwhich [his rith provisiOMent onsaOf the rs In tile PublIicI Health Lawce of the andthe c t 1994 W 3468.03 "� - �NT • �,- I� " / Sullolk utfty Sanllary Code. J4N •. LOCKING CASTING TO GRADE GRY WELL - D , CROSS BECTON oPaSE �: JOSEPHH BAIEFt FE FINISHED GRADE Q / PR VE S.C. USE&VICES NOT TO SCALE 1 \ /J H.y_ Director, DivfFon of Environmental Quality FIFALTH CHIMNEY 4E126/126 GA. WIRE MESH •11 • \ _ _ _, pole ax 12" 6 x 6 6/6 GA. WIRE MESH TLST I- OL-b I �� • i• /I \ 00 Q `, la X60, _ 301=GoBKo L- ayg w��i Tl� c` _ - \..�\ • _ 8•! 3\ i, \ 'n �l :PR �ee°J1c�° , ? .\ V FORON LAN \a \D MINOR SUBDIVISION P INLET g' vENTJr Y �ENr OUTLET y t \ - MADE LIONIO LEVEL I I .S'M.al.•L STONL..S \•. \ \ /</ . 1 CDN NUDD6 HDT a F T i , - 1-I— COARS 6RoVl° �� /ar `�s ANNETTE M ZABOHONSKI I ASPHALT SEAL LINED vmN r . V./ITH col-l55 I hereby certify that this map was made from y SCHEDULE r4G /s' vIm 'i actual surveys completed April 15, 1991 and monuments _ INLET BAFFLE 9G' GAS CRESCENT AVENUE 4 1 GErI<cTaB T L= c T H CP L-1, 2 are sat m shown. "Declaratlom of covenmts end restrictiore (/F ,, affecting the lots In the subdivision have been filed In the rood \ FISHERS ISLAND , NEW YORK 5• B" j � 12 - 34° YULIow/plzoww SutS;olL, office of the SuFfolk County Clerk M Liber 11624 Page SIT' _ ��` S)2 90,...-- Wt a r 3' �¢"- 65" 51 -TT SAND and Liber 11646 Page 202. mo�menr� CROSS SECTION 50" - 1t St -TT sCN GKAv1l y✓OI Rpo� - SCALE 111 50feef CHANDLER, PALMER, 6KING am Familiar with the standards for approval and construction (� N4Tee\ _ -------% 2S 0 25 50 /00 NORWICH, CONN. TEST I4L v-ES -ouy A•/I1�91 of subsurface sewage disposal systems for single family PNSIa.y .•. 3\' CHA.NULER �h.I MF.R t K�NCj residence and will abide by ttho conditions set forth therein po e r 1000 GALLON and on the permit to construct. D/�T L I °J APRIL, 15°� I 9 COMPARTMENT p B ' ole 049521 1/25/94 AL-C rr oiI : 2.G Aury�si 1 ,391 FEB 141 SEPTIC TANK 2 p SURVEYOR ND DATE A��ITIONS TlEVIS10tiS_ I }_A.UCTUST 1992 NOT TO SCALE APPILIGANT ADDITIOI�IS S~P.EV15IONS 3 SEPT 1992 ADDITIONS f REVISIONS 2 FEB, 1993 e q ADDITIONS ( RCVIelaNS 25 JAN 1774 SZ-✓�� 1 'i PLANNING BOARD MEMBERS ` cap Richard G.Ward, Chairman Town Hall,53095 Main Road � ' �` '� George Ritchie Latham,Jr. P. O.Box 1179 Bennett Orlowski,Jr. Southold,New York 11971 Mark S.McDonald Fax(516)765-3136 Kenneth L. Edwards Telephone{516)765-1936 PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 15, 1994 ' Stephen L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Minor Subdivision for Annette Zabohonski SCTM* 1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at'a meeting held on Monday, February 14, 1994: BE IT RESOLVED, that the Southold Town Planning Board authorize the Chairman to endorse the final surveys dated January 23, 1994. Conditional final approval was granted on January 31, 1994. All conditions have, been fulfilled. Enclosed please find a copy of the map which was endorsed by the Chairman. The mylar maps, which were also endorsed by the Chairman, must be picked up at this office and filed in the office of the County Clerk. Any plat no so filed or recorded within sixty (60) days of the date of final approval, shall` become null and void. 4 Please contact this office if you have any further questions. Sincerely, I Richard G. Ward Chairman ` enc. cc: Building Department Tax. Assessors / 116240 t r` di DECLARATION � /�hAKt tF DECLARATION., made the 6 T" day of , 1993 , by t � f' ANNETTE ZABOHONSKI, now residing at Crescent Avenue (no #) , } Fishers Island, New York, hereinafter referred to as theta {� I Declarant. WHEREAS, the Declarant is the owner of certain rea1G �dli itproperty situate at Fishers Island., Town of Southold, Suffolk jCounty, New York, as shown on the map entitled "Minor Subdivision Plan Made for Annette Zabohonski" , prepared by Chandler, Palmer & � King, dated 19 April 1991, revised 26 August 1991, 14 August 19921 i ,DI'STRICT and 3 September 1992 , which map, is to befiled in the Office of i 1000 . .i j SECTION ii the Suffolk County Clerk (the "Minor Subdivision Map") , said real 006 .00 } property. being, more particularly described on Schedule A hereto; It BLOCK It ante f 02.00 f LOT WHEREAS, - the Declarant '.has :made =application to the j 001. i 000Planning Board of the Town of. Southold for approval of a minor subdivision as shown on the above referred to map to create two 1 q acg� separate parcels shown as Lots 1 and, 2 thereon., said Lots being ilmore particularly described on Schedules B and C hereto; and Q�wl WHEREAS, for and in consideration of said granting of , approval, the Planning Board of the Town of Southold has deemed it pito be inthebest interests of the Town of Southold and the owner ] #land prospective owners of said Lots that the within covenants and ! $i restrictions be imposed on said Lots, and as a condition of said 1, _ i approval, -` said Planning Board has required that the within } Declaration be "recorded in the Office of the Suffolk -County Clerk; and � n 0 � s WHEREAS, the Declarant has considered the foregoing and �. Page 2 of b ( determined` "Chat the same mill be for the best interests , of f Declarant and subsequent owners of said Lots; i NOW, THEREFORE, THIS DECLARATION WITNESSETH:: i li _ That the Declarant, for the purpose of carrying out ti intentions above expressed, does hereby make known, admit }publish, covenant and agree that the said Lots described c ii j jt Schedule B and Schedule C hereto shall hereinafter be subject' t 1 ,the following covenants which shall run with the land and shall 'b ,t H binding upon all purchasers of said premises, their heirs, !$ executors, legal representatives, distributees, successors ane assigns, to wit: 1. That prior to excavation for a foundation on either i jof the Lots, the exact building site must be inspected by a ,,professional archaeologist. In addition, during any excavation, a ;! professional archaeologist shall be present. i; 2 . That the area designated "Area Subject to Restrictive ' ' Covenants" as indicated on the Minor Subdivision Map shall forever remain in its natural state and no structure or building shall be i1placed within this area. '! 3. That the Town of Southold or any of its designated ' representatives and all adjoining property owners shall have the ;( continuing right in perpetuity to enforce the covenants andi ` restrictions of this Declaration and to take any legal action they ; may deem necessary to enforce this Declaration. i 4. This Declaration can be modified only at the request ] { of the then owner of either of the Lots, with the approval of a majority plus one of the Planning Board of the Town of Southold ',' 1 H after a , public hearing. Adjoining property .owners shall be 1 1 #� i 6 Page S of 5 li entitled to notice of such public hearing, but their consent to! � `,J-any such modifications shall not be required. i IN WITNESS WHEREOF, the Declarant above named hasi executed the the foregoing Declaration as of the day and year first I f above written. Annette Zabohonski STATE ,OF NEW YORK ' ) ss.. : I " jfCOUNTY OF SUFFOLK ) s On the h day of T�, 1993 , before me personally: ;+ appeared Annette Zabohonski, to me known and known to me to be the ' t, individual described in and who executed the foregoing instrumerai f; and she to me that she exec ed the same. } N�ary Public i STATE OF NEW YORK County of Suffolk ss.: I, EDWARD P. ROMAINE,Clerk Of the County Of Suffolk and Clerk of the Supreme Court of the State of New York in and for said County(saidCq�rtb ingaC urfofRecord)DOHEREBY CERTIFY that I ve co pa ed the a Hexed copy of fJ and that it is a�and copy of uchoriginal (/ ��j� of the whole thereof. and IN TESTIMONY WHEREOF,Ihaveherqu�nttos/eetmyhandandaffixedthesealofsaidCounty and Court this `7 day of 67o""'e' 19 013 . . . . . . . . . . . Form No. 104 Clerk. � 12-iae..�aaecs 1 �j I� I � i Page 40£ 6 SCHEDULE A DESCRIPTION OF ENTIRE ZABOHONSKI SUBDIVISION ikll that certain plot, piece or parcel of land situate, lying anj ( being at Fishers Island, Town of Southold, County of Suffolk aim }State of New ' York, more particulary bounded and described a- follows, 1$�BEGINNING at a monument set on the Easterly line of Crescent }Avenue, said monument being 5751.30 feet North of a point which iso 03215. 6;0 feet West of another monument marking the United States" {Coast and Geodetic Survey Triangulation Station "PROS", and RUNNING. THENCE along said Avenue line the following five courses nd distances: (1) North 36 degrees 16 minutes 00 seconds West 78. 00 feet tol+ a monument; (2) North 63 degrees 30 minutes 40 seconds West 388.52 feet to a monument; (3) North 14 degrees 18 minutes 00 seconds East 572.90 feet to a monument; ( (4) North 84 degrees 36 minutes 00 seconds East 289.49 feet to i1 a point; and 1 (5) South 88 degrees 17 minutes 50 seconds East 107. 03 feet to L a monument on the Southerly line of said Crescent Avenue; THENCE South 5 degrees 44 minutes 00 seconds West 230. 00 feet to a monument; {{ ! i IfTHENCE North 84 degrees 16 minutes 00 seconds West 150.00 feet to ja monument; !'+THENCE South 5 degrees 44 minutes 00 seconds West 258.50 feet to a }imonument; I j!THENCE South 38 degrees 17 minutes 00 seconds East 310. 80 feet to ,'a monument, ! ! THENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to i the monument set on the Easterl line of said Crescent Avenue at ,:' Y tithe point or place of BEGINNING. f, ! 1 f IY ! j c i Page 5 of 6 itt SCHEDULE 'B DESCRIPTION OF LOT 1 ;01:1 that certain plot, piece or parcel of land situate; lying an being at Fishers Island, Town of Southold, County, of Suffolk an State of New York, more particulary bounded and descrlIted, al. {follows: l,�BEGINNING at a monument set on the Easterly line of Crescenf , I ,Avenue, said monument being 5751.30 feet North of a point which id 3215.60 feet West of another monument marking the United Stated Coast and Geodetic Survey Triangulation Station "PROS"; and RUNNING THENCE along said Avenue line the following three courses (i) .North 36 degrees 16 minutes 00 seconds West 78.00 feet to ;111111 a monument; (2) North 63 degrees 30 minutes: 40 seconds West 388.52 feet to , f a monux$ent; and f (3) North 14 degrees 18 minutes 00 seconds East 303.48 feet to a point; € ,TEHENCE South 84 degrees 16 minutes 00 seconds East 127.63 feet to. point; !THENCE South 38 degrees 17 minutes 00 seconds East 531.43 feet to a monument; iEHENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to r ; the monument set on the Easterly line of said Crescent Avenue at he point or place of BEGINNING. If }� I R� s it it {{ i xi y j " i - — +GYIb� ( Page 6 of 6 U if ��"✓� SCHEDULE C DESCRIPTION OF LOT 2 r. All that certain plot, piece or parcel of land situate, lying an" being at Fishers Island, Towne of Southold, County of Suffolk ant TState of New York, more particulary bounded and described a csllows BEGINNING at a monument set on the Southerly line of Crescent, ;'Avenue, said monument being 6566.69 feet North of a point which iso 3072.85 feet West of another 'monument marking the United states Coast and Geodetic Survey Triangulation Station "PROS" . and. (RUNNING THENCE South 5 degrees 44 minutes 00 seconds West 230.00' feet to a monument; �fTHENCE North 84 degrees 16 minutes 00 seconds. West 150.00 feet to a monument; tHENCE South 5 degrees 44 minutes 00 seconds West 258.50 feet to a l 'monument; THENCE North 38 degrees 17 minutes 00 seconds West 220. 63 feet to �l is point; THENCE North 84 degrees 16 minutes 00 seconds West 127.63 feet to a poimt on the Easterly line of said Crescent Avenue; THENCE the following three courses and distances along said Avenue line: (1) North 14 degrees 18 minutes 00 seconds East 269.42 feet to r a monument; (2,) North 84 degrees 36 minutes 00 seconds East 289.49 feet to i a point; and (3) South 88 degrees 17 minutes 50 seconds East 107. 03 feet to the monument set on the Southerly line of said Crescent Avenue at the point or place of BEGINNING. �l F _ pae {, n t, SCOTT L. HARRIS ',k ANN'INC ..(� .:c "1lBERS ', Supervisor 12kh, :I G. l " o Gro,{+r ii:, 1 r, 1 .Jr-, � ��, '^tjtj Tovm Hall,53095 Main Road < 1k mt, l) L, a. R O.Box I179 . ...' '. Mark ti. .1.!)o%. !;i Southold.New York 11971 PLANNING BOARD OFFICE Fax(516)765- 182.3 TOWN OF SOUTHOLD Fchr ;at-. " , 1994 �{ Stephen L. Ham, III IKatthews & Ham 5 , 45 Hampton Rd. I Southampton, NY 11968 1 } Re; Minor Subdivision for 4 Annette Z'abohonski SCTM# 1000-6-2-1 t Dear Mr. Ham: The following took place at a meeting of the Southold Town ' i . . Planning Board on Monday, January 31, 1994: The final public hearing which was held at 7:30 P.M. was closed. The following resolution was adopted. WHEREAS, Annette Zabohonski is the owner of the property known and 'designated as SCTM# 1000-6-2-1, located on Crescent +I Ave. on Fishers Island; and WHEREAS, this minor subdivision is for 2 lots on 5.91 acres; and {J WHEREAS, the Southold Town Planning Board, pursuant to the IT State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on l October 19, 1992; and WHEREAS, aspart of the subdivision approval the Planning Board required the filing of certain covenants and restrictions which have been recorded in the office of the County Clerk; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on January. 31, 1994; and Page 2 Annette Zabohonski - Minor Subdivision February 1, 1994 I' ' WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, � I { RESOLVED, that the Southold Town Planning Board grant conditional final approval on the surveys dated February 2, IP931 and authorize the. Chaitman ,to endorse the final surveys I subject to fulfillment of the following conditions: jAll conditions must be met within six (6) months of the date of this resolution. 1,. Submission of two (2) paper prints and five ( 5) mylars, all containing a valid stamp of Health Dept. approval and a notation that a Declaration of Covenant and Restrictions has been filed. ! Please contact this office if you have any further questions. I Sincerely, Richard G. Wardf t Chairman { enc. i i T1iIS IINOR St'TBDIVISION IS FOR LOTS ON ACRES OCATED ON I iXgt, QN FESheds �slgYuri SC_1„I� 000 T - - - 1 MINOR SUBDIVISION (NO ROAD) l Complete application received ✓. 2°'0�0n0' 1.,51P I 1,X'es� 11p�¢y.0 #�ppiication reviewed at work session + OK ;r, u�oi OK u; kt t�l}I t - Applicant advised of necessary revisions j °. �K. Revised submission receive +ate. ' d �^ P&7 QK Sketch plan approval . 713 -with conditions Lead Agency Coordination 5 rimed ! 4� SEQRA determination z �" l4T- ,eo s(4ks Sent toFireCommissioner Alk E ' Receipt of fireweii location Notification to applicant to include on final map Sent to County Planning Commission07K If [ f Receipt of County Report , ++ro.` KK :Review of SCPC report + Draft Covenants and Restrictions received 1�� aro` ox j (t 1 hi l �f ' OK Draft Covenants and Restrictions reviewed �..�„,�S�r via- +a2i Filed Covenants and Restrictions received Receipt of mylars and paper prints With Healthapproval . Final Public Hearing (Sa4 Approval-of subdivision I+la I' I -with conditions _kzrn. �l 1°� •4 I� .d` Endorsement Of sub division I ji r , I � 7(1( � iv -Tr„SiePs J�c re,ucew weA _ K L�Lrlvrr�Q ✓ a -Trus � m 'moo h.V?Al— V(d I,it i i MATTSEWS HAM j ATTORNEYS AND CouNSELLORS AT LAW \ 45 HAMrTox ROAD i SOUTHAMPTON,N.Y.11968 7j/1 516-283-2400 Z PitrrMP B.M,uzIrEw$ TELECOPIER.516-287-1076 rSTEPHEN L-$AM,III - a July 19, 1991 Planning Board Town of Southold Main Road i Southold, NY 11971 i Re: Minor Subdivision of Annette Zabohonski (SCTM # 1000 - 6 - 2 - 1 Dear Board Members: In connection with the referenced minor subdivision of ; premises at Fishers Island, I have enclosed the following: 1. Application for Approval of Plat, together with copy of deed. (The deed covers a significantly larger, tract than the 5.91-acre parcel that is the subject of this Application. The applicant no longer owns any contiguous property. The subject premises constitute a portion of Parcel II as described in the deed. ) i 2. Questionnaire, duly acknowledged, together with copy of Certificate of occupancy for existing structures. 3 . Letter re grading, roads, etc. 4. Full Environmental Assessment Form, with Part I completed and signed. 5. Check to the Town of Southold in the amount of $2, 000. 6. Twelve prints of a survey showing the proposed lots. 7. Letter of authorization, signed and acknowledged by Annette Zabohonski. Please advise me immediately if any further information or documentation is required before you can commence the review process for this application. rn Very truly' yours, „ r a 7` , 3 Stephen Ham, III SLH:ja Enclosures V r Pf,A-JYNIN OMD TOiV b SOU ,H LD SFOL�'^� QJ TY Southold, N.Y. 11971 765-1938 QUESTIONNAIRE'TO BE COMPLETED AND SUBMITTED WITH-YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete; sign and return to the Office of the Planning Board with your completed applications forms. If your answer- to any of the following questions is yes, please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are there any wetland grasses on this parcel? Yes No (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) r 2. Are there any other premises under your ownership abutting this parcel? Yes No 3 . Are there any building permits pending on this parcel? Yes No 4. Are there any other applications pending concerning this property before any other department or agency? (Town , State, County, etc. ) - Yes No 5. Is there any application pending before any other agency with regard to a different project on this parcel? Yes No 6 . Was this property the subject of any prior application to the Planning Board? Yes No 7. Does this property have a valid certificate of occupancy, if yes please submit .a copy of same Yes No u� 1 V7 3 I certify that the above statements are true and'w�ll b� xelied ; +,' on by the Planning Board in considering this application. L, 4` ^ JU2 9 f9oi July 1 ; 1 991 Signature of° property owner or authorized agent k date Stephen L. Ham, III , as authorized agent of Annette Zabohonsk ' ! - Attachment n t to u q estionnaire for. the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the 19tb day of July7. 119 91, before me personally I came Stephen T . Ham, III to me known to be the individual described in who executed the foregoing instrument, and acknowledged that he executed the same. 8#U3w 5�A� rt YCA' Notary. `Public taush qt ss FS,Ow nbO M SSS j i ii 'I IIS , APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: authorized agent of the The undersigned/appTicaut hereby applies for (tentative) (£incl) approval of a subdivision plat in + accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 3 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.); 2. The name of the subdivision is to be Minor..Subdivision .of. Annettp—Zp )oh0iski i . .................... .... ........ ............. . . .... .. .. .... .. .. .. .... ............... ....... . 3. The entire land under application is described in Schedule"A"hereto annexed. (Copy of deed III suggested.) 4. The landis held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber .52.43. . . .. ........ . . .. . Page . .. .. .43.2. . . . . . . .. .. . On October..9,.. 196. .. . ; Liber . ...... .......... .... ... Page On . .... ... . ........ .. . . . . ; Liber .... . .. .. .. .. ...... . . .. . Page . .. .. .... .... .... .. ... On . .. .. . . ... . .... , Liber . .. .... .. .. .. .. .. .... . . . Page On Liber . .. ........ .. .... ...... . Page . .. .. .. .. .. .. .. xs�xs€�kxxxi� xXasx r�xx . .. . . . . .. .... . . .... .. .. .. .. .. . . .. .. ... . mac Cci 4 . . . .. .... .. :. .. . . ....... .. .. .. .. .... .. .. .. .. .... .. .... .............. . . ... ...... .. .. .. .. .. .. . . ...... ....... .......... . . . . . . . I . . . . .. .. . . .. ....... ..... .. .. .. . . 5. The area of the land is . .. ...5-9.1. .. .. . acres. 6. All taxes which are liens on the land at the date hereof have been paid.my-Wx. ...... .. . . . . . . .. .. .... . .. ... .. .... .. .. . ..... . .. . ...... . . .. . . .. . . . . . . . . .. . . . . . . . . . . .. . .. . .. ..._ .. . .. . . .. . . . 7. The land is encumbered by, . .. .. .. .n o.. .. . . .. . . . . .. . . .. . . . ... . . . .. . .... . ..... ... .. . . . ... mortgage (s) as €al=leivs: a 1. . . . . . . 1 .... .. .. . . • • .. .. .. • T• a of $. . .. . . . .. .. .. . unpaid amount $ . . . .. . . . . . . :. . . . . . .. . held by . . 1 , . .. .. .. .. . . . address (b) Mortgage recorded in Liber . . . ... . Page . . . . . . . . . .. .. ..... . . .. . in original amount of aid amount $. .. . ., . . . . . h Id b� y r CC x' r r . ( T� e�tg�e-reEeeded-lar- s>3 l'ab� int e�bi t� mR. . I of. ... ...... .... . unpaid amount $. . . ... ..... .. . . .. . e y . .. ... . ...... .... ..... & There are no other encumbrances or liens against the land.exeept ..... .... .. .... ... ... .. . ....... . ...... .. .... ..... . . . . . . . .. . . . . .. . . .. ... . .. . . .. .. . ....... .. ......... . . ....... ... 9. The land lies in the following zoning use districts . .... R-SO... .......... .. .. .......... ...... .. ...... ...... .... .. . .. ... ..._ .. ....... 1 � i 10. No part of the land lies under water whether tide water, stream, pond water or, otherwise, ex• ceptwetlands..f? agge ::and .noted•,on ,map• •submitted, herewith .. .. . . . . .-. . . ... . i 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (obxxxanF lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . .. .. . . .F18h('gq. I$larid. l i 13. Water mains will be laid by . ..N/A . (2xlStin). . .. .. .. . . .. .. . . .... . .. .. . . .. ...... and (a) (no) charge will be made for installing said mains. 4 14. Electric lines and standards will be installed by .-•N/A• exiStlri ) and (a) (no) charge will be made for installing said lines. i 15. Gas mains will be installed by . .. X/A..... . .. . . . . . .. . . . . .. . . .. .. .... ........ . ....... . . . . . i and (a) (no) charge will be made for installing said mains. l 16. If streets shown on the plat are claimed by the applicant to be existin5 public streets in the Suffolk Comity Plighway system, annex Schedule "B" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold IIighway system, annex Schedule "C" hereto to show same. 13. There are no existin' buildings or structures on the land which are not located and shown on the plat. 19. Where the plat shows proposed streets which are extensions of streets on adjoining sub- division inaps heretofore filed, there are no reserve strips at the end of .the streets: on said pxisting malls at their conjunctions with the proposed streets. 20. In the course of these proceedings, the applicant will offer proof of title as required by Sec. '535 of the Ileal Property Law. 21. Submit a copy of proposed deed for lotsshowing all restrictions, cotenants, etc. Annex Schedule "D" lil i 22. The applicant estimates that the cost of grading and required public improvements will be , $..Q....... as itemized in Schedule "E hereto annexed and requests that the maturity of the Performance Bond be fixed at ..N.A. ... .. .: years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE ...July 19.. ... ... .. .. .... 19. 91 ... . Annette Zabohonski (Name of Applicant) By L' !moi . ....author:;zed.age"ht (Signa�nd Title)Stephen L. Ham, III 45 Hampton Road Southampton, NY 11968 .................. . (Address) STATE OF NEW PORK, COUNTY OF . .. .. ..SUFFOLK, ,, ,,,, ,, ,,,,,, „ ss On the ... 19th.. .... ., . day of. .. ., ,July .,19.91. ., before me personally came , ,, ,, ,, ,, ,, ,,, , , to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . .. .be.... . executed the same. JANE AU .1 MTAiBY l�wc,Ste@ of mtw r," Notar}"Public Na 62492,M" tpiified rn SeHe 4 tbun(y �xprfes t3zc;am9er 28 ts� 9 t STATE OF NEW YORK, COUNTY OF . .... ... . . . . . . . .. ... . .. .... . ss: On the . . . .... . . .. . ... . day . .. . . . . .... . of . . . . . .. .... . ... 19. .. ..., before me personally came i l .. . . . . .. ... . ... . to me known, who being by me duly sworn did de- pose and say that . . . . . . . .. .. . resides at No. . . . .. .. .. .. .. .. . . .. .. . . .. . . .... . . ....... .. . ... . . . .. . . . . . .. . . . . . . .. . . . . .. . .. .. . . . . . . that . .. . . . . .. .. .. . . . . .,., .... . is the . .. .. .. ... of . . . .. .. . . ...... .. . . . .. . .. .. . . . . . . . . . . . . . . .. .. .. .... .. .. .. ..... . . ... . . . . . . . i the corporation described in and which executed the foregoing instrument; that . .. .... . . .. . knows jthe seal of said corporation; that the seal affixed by order of the board of directors of said corporation. and that . . . . . . . . . . . . signed . .. . . . . .. . . .. . name thereto by like order. . . . . . . . . . . . .. .. .. . . .. .... . .. . .. . . . . . .. . . :Notary Public I { i July 19, 1991 Southold Town Planning Board Town Hall Southold, New York 11971 ) Re: Minor Subdivision. for Annette Zabohonsk (5CTM # 1000 - 5 - 2 1) Gentlemen: ( ) The following statements are offered for your consideration j in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: 3 I , (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, Gy L I"fa YL I` Stephen L. Ham, III , as authorized agent of Annette Zabohonski f i i w j 14-16-2 (21$7)-7c �. 87.21 SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant,The question of whether an action may besignificant is notalways easy to answer. Frequent- ty, there are aspects of'a project that are subjective or unmeasureable. It is also understood that those who`determine signjficance may have little or no forma! knowledge of the environment or may be technically expert in environmental analysis. In addition,many who have knowledge in one particulararea may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants andagencies can be assured that the determination process-has beenbrdedy;comprehensive in nature,yet flexible to allow introduction of`information'to fit a project or action. Full EAF Components: The full EAF'is comprised of three parts: _ 4; P,'art 1:,Provides objective data and information about A given projectand,jfs site. By identifying basic project -data, ifuassists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on.identifying the•range of possible impacts that may occur from a project or action. It provides `guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- fa{ge impact. Tice form also.identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate,whether or:not the impact is actually important, DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions { Identify the Portions of EAF completed for this project:. ❑ Part 1 ❑ Part 2 OPart 3 Upon review of the informationrecorded.on this EAF(Parts 1 and 2.and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared, Cl B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, �1 . therefore a CONDITIONED negative declaration will be.prepared.* El C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions i i,. Name of Action I Name of Lead Agency I , V Print or Type Name of Responsible Officer in.Lead Agency Title of`R,o'sponei Signature of Responsible Officer in Lead Agency Signature of Pre arer If different from is l i P ( sponsibfe officer) Date 1 i , 1 PART 1—PROJECT INF (URMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entireform, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring suchadditional work is unavailable, so indicate and specify each instance. NAME OF ACTION Minor Subdivision of Annette Zabohonski LOCATION OF ACTION(Include Street Address,Municipality and County) Crescent Avenue Fishers Island, Suffolk County, New York NAME OF APPLICANTISPONSOR BUSINESS TELEPHONE Annette Zabohonski C/O Stephen L. Ham, III 516) 283-2400 ADDRESS - 45 Hampton Road CITYIPO STATE ZIP CODE Southampton NY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/PO - - STATE ZIP CODE DESCRIPTION OF ACTION Applicant proposes to divide a 5.91-acre parcel into two building parcels of 2.77 acres and 3.14 acres, respectively. The applicant or donees or legatees will construct a single-family residence, gravel drive and sanitary system on each parcel so divided. Setbacks of 100 feet from the freshwater wetlands will be maintained. i Please Complete Each Question-Indicate N.A. if not applicable A. Site Description i' Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ❑Residential (suburban) ®Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 5.91 acres. - ' APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural)- 5_1 1 acres 4.6o acres Forested 0 acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.80 acres Mo acres I Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surfaces 0 acres 0.095 acres Other (Indicate type)_ 0 acres 0 acres 3. What is predominant soil type(s) on project site? coarse sand with small stones a. Soil drainage: R]Well drained inn % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY Land Classification System? N/A acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes END * of construction of two a. What is depth to bedrock? c. 6o0 (in feet) residences at the ;site 2 I� 1005. Approximate percentage of Proposprct site with slopes: ' 7A, 011 -15% % 1:115% or.greater % 6. Is project substantially contiguous to, or contain a bualdF"rggsite; or district, listed;on the State or the National Registers of Historic Places? If Yes IMNo Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? Dyes ['7No 8. What is the depth of the water table? > 17 (in feet) 9, Is sit%,located over a primary, principal, or sole source aquifer? IYes ONo 16:'D6 hunting, fishing orsheff fishjhg opportunities presently exist in the project area? CXYes ONo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? 1 i Dyes ' EKNo According to J.M.O. Consulting (Glenn Just). Identify each species 12. Are there an unique or unusual land forms on the project site? y q p l (i.e., cliffs, dunes, other,geological formations) I; Oyes ENo Describe _ I' 13, Is the project site presently used',by the community or neighborhood as an open space or recreation area? Dyes ❑No If yes, explain unknown 14. Does the present site include scenic views known to be important to the community?, Dyes MNo 15. Streams within Or contiguous to project area: NSA a. Name of Stream and name of River to which it is tributary t I 16. Lakes, ponds, wetland areas within or contiguous to projecf area: a. Name Ridgway Pond and swamp b. Size (In acres) NFA ,l 17. Is the site served by existing public utilities? ®Yes ONo a) If Yes, does sufficient capacity exist to allow connection? Eyes ❑No b) If Yes,will improvements be necessary to allowconnection? VIYes ❑No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes L)No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? 1EKYes ONo 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes 1ANo B. Project Description 1. Physical dimensions and scale of project(fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.91 acres. b. Project acreage to be developed: C.' 0,51 acres initially; C. 0.51 acres ultimately. c. Project acreage to remain undeveloped 5.40 acres. d. Length of project, in miles: N/A (if appropriate) �I e.. If the project is an.expansion, indicate percent of expansion..proposed NIA %; f. Number of off-street parking spaces existing 0 proposed 0 g. Maximum vehicular trips generated per hour 0 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one per lot Ultimately one per lot i_ Dimensions (in feet) oflargest proposed structure. 35 height; 22 width; 75, length. j. Linear feet of frontage along a public thoroughfare projectwill occupy is? 0 ft. 3 L _. 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? 0 tons/cubic yards, 3. Will disturbed areas be reclaimed? Dyes ❑No INN/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) willbe removed from site? 0.51 acres * on develppment. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? Dyes Z1No 6. If single phase project: Anticipated period of construction 6 months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including,demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? Dyes ❑No 8. Will blasting occur during construction? Dyes ❑No 9. Number of jobs generated: during construction 14 after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? Dyes [NNo If yes, explain 12. Is surface liquid waste disposal involved? Dyes [XNo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount --- b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? Eyes ❑No Type sewage 14. Will surface area of an existing water bodyincrease or decrease..by proposal? Dyes '®NO Explain 15. Isprojector any portion of project located in a 100 year flood plain? Dyes ®No 16. Will the project generate solid waste? IIZYes ❑No it a. if yes, what is the amount per month 0.35 tons per house b. If yes, will an existing solid waste facility be used? Dyes EXNo c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? 1SYes ❑No e. If Yes, explain Fishers Island Transfer Station will be used 17. Will the project involve the disposal of solid waste? 13Yes ❑No a. If yes, what is the anticipated rate of disposal? 0.35 tons/month./residence b. If yes, what is the anticipated site life? ? years. 18. Will project use herbicides or pesticides?, Dyes MNo 19. Will project routinely Produce odors (more than one.hour per day)? Dyes %]No 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes IM No 21'. Will project result in an increase in energy use? IDYes ONO If yes , indicate type(s) el-ctriral and home heating oil 22.. If water supply is fromwells, indicate pumping capacity N/A gallons/minute. 23. Total anticipated water usage per day 300 gallons/day. t 24. Does project involve Local, State or Federal funding? Dyes ®Na' If Yes, explain 3� . 3 s 25..Approvals Required: Submittal Type Date City, Town,n Villa e Board OYes ,®N o City, Town, Village PlanningBoard L$Yes ONO minor subdivision July 19, 1991 ' City, Town-Zoning Board ❑Yes MNo li upon ske e approva City, County Health Department IZYes ONO Artioip h planniag BO rd-.. Other Local Agencies Dyes IUNo Other Regional Agencies ❑Yes ONO n State Agencies ❑Yes 1ZNo y i R Federal Agencies ❑Yes ONO i C. Zoning and Planning Informations 1. Does proposed action "involve a planning or zoning decision? IZYes El No If Yes, indicate decision required- ❑zoning amendment ❑zoning variance ❑special use permit CNsubdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R-80 3. What is the maximum potentialdevelopment of the site if developed as permitted by the present zoning? two single-family.dwellings, 4. What is the proposed zoning of the site? N/A 5,' What is the maximum .potential development of the site if developed as permitted by the proposed zoning? N/A (same as present) . C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? 1XYes ONO 7.,What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? single-family residential 8. 15 the proposed action compatible with adjoining/surrounding land uses within a 1/4 mile? I�Yes ONO 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 2.77 10. Will proposed action require any authorization(s)forthe formation of sewer or water districts? Dyes ONO 11.. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? MYes ONO ('insignificant) a. If yes, is existing capacity sufficient to handle Projected demand? f7Yes ONO 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes MNo a. If yes, is the existing, road network adequate to handle the additional traffic? ❑Yes ONO D. Informational Details Attach any additional information as may be needed to clarify your project. if there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification - - I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name Annette Zabohonski Date July 19, 1991 Signature B Title authorized agent Stephen . Ham, II1 If the action is''in the Coastal Area, and you area state agency, complete the.Coastal Assessment Form before proceeding. with this assessment. 5 i. r_,:i 2-PROJECT IMPACTS AND 'k-, EIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for.a.Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds anYexample provided, check column 2.,If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By Impact impact Project Change 1 . Will the proposed action result in a physical change to the project site? ONO AYES VI Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes ❑No € 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ Dyes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1: year or involve more ❑ ❑ El Yes ❑No than.one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock orsoil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designatedfloodway.. Q ❑ ❑Yes ❑No. p • Other impacts ❑. ❑ []Yes ❑No 2. Will there be an effect tr. _.. y un.que or unusual land forms found on the site?(i.e., cliffs dunes, geological formations, etc.)ONO DYES • Specific land forms. ❑ ❑ ❑Yes ❑No g Small, to Potential Can Impact Be IMPACT ONt\h'1AT"1=R=1 "k" ' '�' P 3, Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under,Articles Impact Impact Project Chan 75, 24,25 of the Environmental f 9e _ ental Con servation Law ECL ONO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ Dyes ❑'No t". • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ EJ Yes El No I` �rotocfe�"stream. • Extension of utilitiy distribution facilities through a protected water body. ❑ ❑ QYes []No • Construction in a-designated freshwater or tidal wetland. ❑ ❑ El Yes ❑No ' • Other impacts: ❑ ❑ ❑Yes ❑No 9 4. Will proposed action affect any non-protected existing or new body f ' of water? ONO DYES fl A Examples ,that would apply to column 2 A+10,'% increase or decrease in the surface area of any body of water ❑ ❑ El Yes El No o� raare than a'10 acre increaseor decrease: • Const11 1,ruction of`a body of water that exceeds10 acres of surface area. ❑ ❑ �� • Other. impacts: ❑Yes ❑No❑ ❑r ❑Yes ❑No 5. Wild Proposed Action affect surface or groundwater quality or quantity? ONO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes []No • Proposed Action requires use ofa source of water that does. not ❑. 11 Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ El Yes ❑No g+ llons per minute pumping capacity. • Construction.or operation causing anycontamination of a.water - ❑ ❑ 1:1 Yes ❑No suppl system. • Proposed Action will adversely affect groundwater. ❑ ❑ 13 Yes ❑No • Liquid effluent will be conveyed off the site ddi 1 to to facilities which presently El El El Y6 ❑No hot exist or have inadequate capacity. • Pr p ❑ Elday. osed Action would use water in excess of 20,000 .gallons per ❑Yes ❑No • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the exte:it that there will be an obvious visual co{�trast to natural conditions. • Proposed Action will require the,storage of petroleum or chemical ❑ ❑ Dyes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water El El ❑yes ❑No and(or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ Oyes ❑No require new or expansion,of existing waste treatment and/or storage _ facilities. • Other impacts: ❑ ❑ ❑Yes ❑No I_14( 6 i1P proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES E mpies that.would apply to column 2 • Proposed Action-would change flood water flows. ❑ ❑ ❑Yes ❑No 7 i< y' Small to Potential Can impact Be Moderate 'Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns.. ❑ ❑ El Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ONO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ Eyes ❑No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ El Yes []No — refuse per hour. w • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ Eyes ❑No .heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ C]Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ 11 Yes ENO development within existing industrial areas. • Other impacts: ❑ ❑ Eyes ❑No IMPACT ON PLANTS AND ANIMALS $. Will Proposed Action affect any threatened or endangered species? ❑NO. DYES Examples,that would apply to column 2 Reduction of one or more species listed on the New York or Federal ❑ ❑ Eyes ❑No list, using the site, over or near site or found on the site. Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ Eyes ❑No Application of pesticide or herbicide more than twice a year, other ❑ ❑ ED Yes []No than for. agricultural. purposes. ' Other impacts: ❑ ❑ Eyes ❑No 1Will Proposed Action substantially affect non-threatened or non-endangered species? ONO DYES S Examples that would apply to column 2 j Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes ONO migratory fish, shellfish or wildlife species. I," Proposed Action requires the removal of more than 10 acres ❑ ❑ Eyes ❑No - of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? ONO DYES Examples that would apply to column 2 . The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No - iand (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 2 3 Small to Potential.,'Can Impact Be 3' ' Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ [I Yes L]No agricultural land. •, The proposed 'action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes 1:1No g of agricultural,land or, if located in an Agrincultutal District, more than2'-5acres of agricultural land. • The proposed actionwoulddisrup`torprevent installation ofagricultural ❑ ❑ El Yes ❑No land management systems (e.g.,' subsurface drain,lines, outlet ditches, strip cropping); or create a need'for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Otlher, impacts: ❑ El Dyes, ❑No. i 1. IMPACTON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? ONO DYES (if necessary, use the:Visual EAF Addendum in Section 617.21, Appendix B) Examples that would apply to column 2 • Proposed land;uses, or project components obviously different from ❑ Q ❑Yes -]No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed landuses,' or project components visible to users of ❑. ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enlioyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of.scenic views known to be important to the area. • Other impacts:_ ❑ ❑ `Eyes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Wiif Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ONO DYES Examples that would apply to column 2 �" • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of (historic places. • An, impact to an archaeological site or fossil bed located within the ❑ ❑ []Yes ❑No project,site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ []Yes ❑No atchaeological sites on the.NYS Site Inventory. Other impacts: ❑ ❑ Dyes ' ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spacesor recreational opportunities? Examples that would apply to column 2 ONO DYES The;permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑'No A major reduction of an open space important.to.the community. ❑ ❑ ❑Yes ❑No Other impacts:' ❑ ❑ ❑Yes ❑No 9 i 1 2 3 IMPACT ON TRANSPORTATION Small to Potential Can',Impact Be 14. Will there be an effect to existing transportation systems? Moderate' Large Mitigated By ONO [-]YES Impact Impact Project Change, Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ El Yes ONO • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes ONO IMPACT ON ENERGY 15. Will proposed action affect the community'ssources of fuel or energy supply? 0 N DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ONO any form of energy in the municipality. _ • Proposed Action will require the creation or extension of an energy ❑ ❑ 1:1 Yes ONO Q'== transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. n • Other impacts: ❑ ❑ ❑Yes ONO NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ONO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ El Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes ONO • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑No ambient noise levels for noise outside of structures. Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ONO noise screen. - ' Other 'impacts: ❑ ❑ ❑Yes ONO IMPACT ON PUBLIC HEALTH 7. Will Proposed Action affect public health and safety? ONO DYES Examples that would apply to column 2 Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e. oil, pesticides,chemicals, radiation, etc.)in the event of L accident or upset conditions; or there may be a chronic low level discharge or emission. Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑, ❑Yes ONO form (i.e, toxic, poisonous, highly reactive, radioactive, irritating,. i r infectious, etc.) Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ONO ,as or other flammable liquids. Proposed action may result in the excavation or other disturbance ❑ ❑ Dyes ONO _ within 2;000 feet of a site used for the disposal of solid or hazardous waste. Other impacts: ❑ ❑ ❑Yes ❑No ' 10 i 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential , Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project-Change ONO OYES Examples that would apply to column 2 j • The permanent population of .the city, town or village in which the ❑ ❑ ❑Yes []No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services O ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. El ❑Yes []No ? • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No l • Proposed Action will replace or eliminate existing facilities,structures ❑ ❑ ❑Yes ❑No os areas of historic importance to the community. • De glapment will create a demand for additional community services ❑ ❑ ❑Yes ❑filo fe g.schools police and,fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes (:]No t • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑'No • Othec impacts ❑ ❑ 11 Yes ❑No 19. is there, or is there likely to be, public controversy related to t potential adverse environmental impacts? ONO OYES itIf Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part`3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: + 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s), ` 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: ii • Theprobability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) - I ; 11 ^ I II ,a to tr t�s�l 9� 617.2.1 SEAR III Appendix B'� t .4 'Statez Environmental Quality Review' ' Visual EAF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead'Agency) Distance Between { Visibility Project and Resource (in Miles) 1, Would the project be visible from: 0-1/a 1/a-1/2 1/2-3 3.5- 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or-,man-made scenic qualities? « An overlook or parcel, of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural r or man-made ,scenic qualities? I •` A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ ' The State Forest Preserve? El El 11 El ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ r natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ r or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate'System, or Amtrak? li • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal ark or designated open ace? E] El El El P P 9 P P •' County road? ❑ ❑ ❑ ❑ ❑ • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screeried by summer foliage, but visible during other seasons) ❑Yes ❑No I 3. Are any of the resources checked in, question 1 used by the public during the time of year during which the project will be visible? II . 1:1 Yes ❑No 1 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the'surrounding environment. Within *'/a mile *1 mile Essentially undeveloped ❑ ❑ Forested 4 ❑ ❑ Agricultural ❑ El Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑' Urban ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ r NOTE: add attachments as needed p 5. Are there visually similar projects within: "/2 mile ❑Yes ❑No *1 miles El Yes ❑No *2 miles ❑Yes ❑No *3 miles El Yes ❑No ' Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number of viewers Likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. i; CONTEXT n: 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY xt Holidays/ Ir Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ' Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ Ata residence ❑ ❑ ❑ ❑ '; At worksite ❑ ❑ ❑ ❑ , Other ❑ Q ❑ ❑ i E 2 R �r r if Annette Zabohonski Fishers Island, New York 06390 May 1991 Planning Board Town of Southold Main Road 1"Southold, NY 11971 Re: Minor Subdivision of Premises at Crescent Avenue, Fishers Island, New York (SCTM # 1000-6-2-1) Dear Sirs: Please be advised that Stephen L. Ham, III of Matthews & Ham, 45 Hampton Road, Southampton, New York, is authorized to act as my agent concerning all matters relating to the referenced minor subdivision involving my property at Fishers Island, New York, including the execution by him of all documents and the taking by him of all other required actions on my behalf in connection with the application for such minor r subdivision approval. Very truly yours, I Annette Zabohonski ACKNOWLEDGMENT STATE OF NEW YORK ) 2 2 ca; ss. . � COUNTY OF SUFFOLK ) On the I,3 day of May, 1991, before me personally came Annette Zabohonski, to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that she executed the same. ea.+5srv.G. cof N* NMs'Y. Pubic of State rr 'Ywb N. 52-95^5135 �. :... QualiFed .aik Qov fY0, Nota 1 Publc fano Ezatr«s 4me-h 3?, t4_!Z— "s 4.. : PlIONE:852-2000 SUFFOLK COUNTY CLERK'S OFFICE Edward P. RpmairiP, COUNTY CLERK i1VFR11EAb. NEW YORK. 11901 Town of Southold Assessor Town of Southold Planning Board Chief Deputy County Treasurer I To Whom This May Concern: The Subdivision Map of: flnne--fte, Z-abohons6 Was Filed , , MOUrCh 30i 1961`♦ i Filed Number, If 81 l At-stract Number, 12INZ Township , Southold - I IShM5isb-nc' r Owner: I Very truly yours, I : P County Clerk f I Map Department I rrn No. 49 T, �5 SUBMISSION WITHOUT COVER LETTER DATE: Z '�OIW SENDER: �C Y� J tkS SUBJECT• Z 6 hm\SIC SCTM#: COMMENTS: j my jaAS i ,y" FEB 1 4 1994 X05 .. COG JUDITH T. TERRY Town Hall, 53095 Main Road Z P.O. Box 1179 TOWN CLERK { Southold, New York 11971 REGISTRAR OF VITAL STAnsnCS • Fax (516).765=1823 MARMAGE OFFICER ...j' Q Telephone (51-6);7,65-1801 j RECORDS MANAGEMENT OFFICEK '. ��� IFREEDOM OF INFOIZMATIO14 OFFICE13 �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD i i, THIS is TO CERTIFY,`THAT THE FOLLOWING RESOLUTION WAS ADOPTED. BY THE SOUTHOLD TOWN, BOARD AT A REGULARMEETINGHELD ON JANUARY, 25,, 1994: WHEREAS, Annette Zabohonski has an application before the Planning Board to subdivide her 5.9 acre parcel (SCTM# 1000-6-2-1 Fishers. Island) into two lots, and a final 'public hearing is 'scheduled for same before the Planning Board on January 31, 1994; and WHEREAS, Annette Zabohonski was the prior owner of the property on which the Walsh. Park Affordable Housing Project was built on Fishers fIsland, and the Planning Board and Town Board feel she provided a service to the community by selling her property at an equitable price; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes the waiver of the Park and Playground Fee for the Minor Subdivision of Annette Zabohonski, all in accordance with the recommendation of the Southold Town Planning Board. A�� Judith T. Terry Southold Town Clerk January 26, 1994 ? S VU ea.t JAN 2 7 R94 - 1.A, £ EL V UDt:� '.k PUBLISHER'S CERTIFICATE State of Connecticut County of New London, ) ss. New London On this 24th day of January jA.D. 19 94,personally appeared before the undersigned, a Notary Public, within and for said County and State, 1. J . L . Zielinski , Legal Advertising Clerk I ;;•, of THE DAY, a daily " Town o1 Soulhold t,. I Y newspaper published at New London, County. of New k. d: New London, State of Connecticut, who being duly sworn, states on oath,that the Order of Notice Mi the case of t. nv TI 1vPeis 0ataerdon the l L e g'a l Adv . 1 #455 �noM%;Cf6 fit Asie';aon the east 6v,Yand�mo°ri at�fogdeclW of Yeter1)fe=500th by CKe'scenT ANC 21Jtl On Wkie WGsf bvc�esantnN� pr a true copy of which heCuftl appear&,' aYro�e.inaft, Arta Pensort daswn9 `tb be ard- onj .at JhC Yiai'e antl- t-fted: ianuarY 74,7994 &YaOrcleraft�e SouhCtd,i wn p�aS:Funy9eard: h is hereunto annexed, was published in said newspaper in W" �iVar.'tl�Chah'mart_ its issues of the 20th daysof January A.D. 1994 Subscribed and sworn to before me this 24th r A. ^` day of January' D 19� 94• ki Notary Public. SaaUV E44 B? 4'�9C I �✓ Cf�UNTY OF SUFE, tLK ,�. t�4`:n+2's,ta.l' "ss: . • z ' . ;`^.. b r,4' ,'fC.z,l :', .. , .,.f Tir'� rr. nc rviF YORK.. 55:. t.75�:: lig �: �:,Noticc lil' Public Hearin,!. ' ': >d,' bring duly sworn, says that she is. the NUNC'E IS llf•.IALM' LONG„JSLAND TRAVELER-1NATCHMAN, g�TGIv6N rha1. puri IL10 Sec- aper, pctn"ed af.Southold, in Suffolk County; rion 276 0l' fhe loin Law, a + i�+r.publichearing\ull'bolieldb\ Aice of whJch the orinted annexed Is pcopy .p file Southold Rn}'n Plannin" h old .1_olTg,Isluic( 71 rvelti�xW 74elI1111an d ' l •Iioaid,atrlieTbhn' Hall,Main Road.Southold. yew Yol k in said lb\cn on file 31.41. day of mmencriig on the . January, Imo,on rile queNdon of Ills following:. e " 'A"' w°'•.r' ,�,t 7:30RM..I�liial appro\al of •'�.; `.' e'� ' � � ,99 nry��'� � 4 p �.'t : ry h• r x {. p .y. ,v a ^yi J� / x ` t fi jl llc nllllOr tiaf)dl\I\14)11 lot-All- i,;,0' ot-All.¢ Fislund . in. the Toun, of ., f N\ �,�oufholslj{.x)enityxoiSri�folk ' : r �s . , '� t 7Srak 'T)f;Neil York SET llf.lk ',ir T" K11.p Numbcf. i ( 1 »1(1110 6'11 ,w I ;1 y, Thepmpt,tn rsbordcre4lon fir', l,1. ole•,ml flhis , day of th�nor1.h,b\,C.ra,een74a on NJr: a y rl n 9 y k i r3 M1 t, A 'ylhe CUM by; land now or ;y'' . la;Iihe Soli1.lt by', t nnrh'ol'I'ererl. Wiic on 9 a 'and on the-wesl b\ Clescom•' 7:35 P.41.'Pinsl ipproval.ol' / I, �ftie'::nlinor 'Subdndsiorlglor fhom:,m.1.wlcCarrh\ u.'N,w ' NotaryPublic irl'folk; in rhe Tliw'd:'•ol, 'Sanofi ILI,' .`tin ifyyl':Stiffirlk, . BARBARA A. SCHNEIDER [DEC,cil'•;.N%%%`York: Su'f `Folk NOTARY PUBLiC, St9te of Ne,,v York r:ounq Tex: R1ali,'Nitailicr No. -2 46 �I'100-II t-7-8QMified In Suffolk County ihc'p�operL) r,borllc'ttIon;' Cominssion FzPires $/3t/gy "hc •nonli by: land no, -or'' formerly'of Willialri&'•Sotirr hihley. and land. now o.r formerly., or Richard It. ' I'rey'herr.;on the ca,Cloy land how or :form erl) of .lance hire NtcQow;an;on Hit:courll y King. SINCE; and limtilic' ;wci, by Futirlh Strew r:T' ?i Any person dctidlitgJici'^Lie' a.. . 'hcard 'oil 1.hc Ibo%c,,inah& could qip}urn iheuatcemd Eplade above..' d, C1at�d lanuars I� I9,94 t t, t i o- 1.-'�" ,4"` a .13Y'ORDL.RC)I-.'iIIE . `•.': SUIrTFIUI.D 'lC)R'V ! n i t ` 1'1.:\h VIN(.; W.) 1) '} Rl -I, IT G. Nord ' ( billin'In H� , y�'y*P (P e '«.b r{� M Y•4 6f''. Fx�t-1. a F nL d PLANNING BOARD MEMBERS Richard G.Ward, Chairman c Town Hall,53095 Main Road George Ritchie Latham,Jr. s P. 0. Box 1179 ¢" , Bennett Orlowski,Jr. ��� ^sem Southold,New York 11971 ' Mark S. McDonald w Fax(916)765-3136 Kenneth L, Edwards Telephone(516)765-1938 ,PLANNING BOARD OFFICE TOWN OF SOUTHOLD SOUTHOLD TOWN PLANNING BOARD MINUTES JANUARY 31 1994 P , resent• Richard G Ward, Chairman Mark McDonald Kenneth Edwards G. Richie Latham Bennett Orlowski Valerie Scopaz, Town Planner Melissa Spiro, Planner Robert Kassner y � Martha Jones Laury Dowd, Town Attorney t I r i j Mr. Ward: Good evening. I'd like to call the January 31, 1994 Southold Town Planning Board meeting to order. The first order of business is the setting of the next Planning Board meeting. The Board to set Monday, February 14, 1994 at 7:30 P.M. at the Southold Town Hall, Main Rd. , South-- old, as the time and place for the next regular Planning Board meeting. s Mr. Latham: Move it. { Mr. Orlowski: Second. Mr. Ward: Seconded. All in favor? i I Ayes: Mr. McDonald, Mr. Edwards, Mr. Latham, Mr. Orlowski, Mr. Ward Mr. Ward: Opposed? Motion carried. �I PUBLIC HEARINGS Subdivisions -- Final 7c _ 3U P.M ?.'Annette Zabohonski --`This minor subdivision is for 2 lots on 5.91 acres located on Crescent Ave. on Fishers Island. SCTM# 1000-6-7--1 . i Is there anybody here this evening that would like to address the Board on this application? i � Southold Town Plann '5g Board 2 January 331, 1994 Mr. Ward: If not, what is the pleasure of the Board? Mr. McDonald: Mr. Chairman, I'd like to make a motion to close the hear- ing IMr. Latham: Second. � 1 Mr. Ward: Motion seconded. All in favor? Ayes: Mr. McDonald, Mr. Edwards, Mr. Latham, Mr. Orlowski, Mr. Ward ' :Mr. Ward: Opposed? Motion carried. Mr. McDonald: Mr. Chairman, I'd like to make a further motion. WHEREAS, Annette Zabohonski is the owner of the property known and desig-- Hated as SCTM #r 1000--6-2--1 , located on Crescent Ave. on Fishers Island; and WHEREAS, this minor subdivision is for 2 lots on 5.91 acres; and 'WHEREAS, the Southold Town Planning Board, pursuant to the State Environ-- mental Quality Review Act, (Article 8), Part 617; declared itself lead agency, and issued a Negative Declaration on October 19, 1992; and WHEREAS, as part of the final subdivision approval the Planning Board required the filing of certain covenants and restrictions which have been recorded in the office of the County Clerk; and WHEREAS, a final public hearing was closed on said subdivision application at Town Hall, Southold, New York on January 31 , 1994; 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 grant conditional final approval on the surveys dated February 2, 1993, and authorize the Chair- man to endorse the final surveys subject to fulfillment of the following conditions: All conditions must be met within six (6) months of the date of this 1 resolution. 1 . Submission of two (2) paper prints and five (5) mylars, all contain- ing a valid stamp of Health Dept. approval and a notation that a Declaration of Covenant and Restrictions has been filed. Mr. Edwards: Second the motion. -Mr. Ward: All in favor? L) JUDITH T. TERRY _^ Town0all, 53095 Main Road TOWN CLERK - P.O. Box 1179 - s Southold, New York 11971 REGISTRAR OF VITAL STATISTICSFax (516) 765-1823 MARRIAGE OFFICER `" ".1+� ,� � Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER { FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY,THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JANUARY 25, 1994:_ i i WHEREAS, Annette Zabohonski has an application before the Planning Board i to subdivide her 5.9 acre parcel (SCTM# 1000-6-2-1 - Fishers _Island) into two lots, and a final public hearing is scheduled for same before the Planning Board on January 31, 1994; and WHEREAS, Annette Zabohonski was the prior owner of the property on which the Walsh Park Affordable Housing Project was built on Fishers 1 Island, and the Planning Board and Town Board feel she provided a service to the community by selling her property at an equitable price; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes the waiver of the Park and Playground Fee for the Minor Subdivision of Annette Zabohonski, all in accordance with the recommendation of the Southold Town Planning Board. I ut�-eoyid �`T Southold Town Clerk January 26, 1994 I - I. T a _ y -� PLANNING BOARD MEMBERSSCOTT L. HARRIS h Supervisor Richard.G.Ward,Chairman George:Ritchie Latham,Jr. ,, t Town Hal 53095 Main Road Bennett Orlowski,Jr. P.O.BuX 1179 Mark&,McDonald Sonthald,New York 11971. Kenneth L.Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE eax(516)7s5 1823 t } TOWN OF SOUTHOLD i TO, Judith T. 'Perry, Town Clerk I FROM: Melissa Spiro, Planner io RE; Park and Playground Fee for the j .� Minor Subdivision of 4 Annette Sabohonski SCTM# 1000-6-2-1 DATE: January 20, 1994 Anisette Zabohonski has an application before the Planning Board to subdivide her 5.. 9 acre parcel into two lots. The final public ,hearing is scheduled for the Board's January 31, 1994 meeting, ' Mrs. Zabohonski was the prior owner of the property on which the Walsh Park Affordable Housing Project was built. The Planning Board feels that Mrs . Zabohonski provided a service to the community by selling her property for the affordable housing project at an equitable price. For this reason, the Board recommends that the Park and Playground fee for the Annette Zabohonski minor subdivision be waived. Please let me know if you require any additional information in regard to the above. 1 enc. I f . 1 I Iii " T MINOR SUBDIVISION PLAN MADE FOR ANNETTE_ ZABO HONSKI CRESCENT AVENUE 3 FISHERS ISLAND NEW YORK. SCALE I"= 50feet CHANDLER,PALMER,EKING j T 9g Nf,SA§— r—L- NORWICH,CONN. zs , I } ° D 25 50 /00 ° # w}ovz e� ,. "z $5"94 00 W � A i E I a 1y w T'j�"�� ,•p' I m p.m•d .. L .`� S%e f 2,77 AC OT— PES AC tau, .%Oa ,. c ��_ ..r-` �� `h�o�a �`�e•o, PO p 26902. 2 �• � /r P ' gyV6e.W _` F.. .. , e.• 3o.I spj,l. 6F '.1 �. AbfNve 3Tp 1 _ > U� 1rCT i' rOPFF _ _ STY CALE / " =A00 I Q vq Ar_s , EIo` % r t III i � i 9 - tTmS - ' / - ` q.. O I l - j • 8 1 I � I i r � PLANNING BOARD MEMBERS r�k, SCOTT L. HARRIS , supervisor Richard G.Ward.Chairman Geor$e,Ritchie Latham,Jr.. .. '3a,r,rf' sTown Hall.53095 gain Road Bennett oriowski.Jr. P,6.Bax 1179 .Mark S.McDonald. Southold.New York 11971 Kenneth L. Edwards Telephone(516)7Si`S-1938 PLANNING BOARD OFFICE Fax(516)765 1623 TOWN OF SOUTHOLD January 11, 1994 Stephen L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Minor Subdivision. for Annette Zabohonski SCTM# 1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Pla.ning,Board at a meeting held on Monday, January 10, . 1994: BE IT RESOLVED that the Southold Town Planning Board set January 31, 1994 at 7: 30 P.M. for a, final public hearing on the maps dated February 2, 1993. Sincerely, Richard G. Ward1 `Chairman i MATT=WS & IMAM ATTORNEYS AND COUNSELLORS AT LAw j 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 5 516-283-2400 PHILIP B.MATTIIEP'S TELEOOPIER 516-287-1076 SDIE-1DB21 � 9TEPHEr'1..HAH111 December 14, 1993 s ' BY HAND j Planning Board E Town of Southold Main Road € Southold, NY 11971 r hAttn. : Melissa Spiro Re: Minor Subdivision for Annette Zabohonski; ' (SCTM # 1000-6-2-1) t Dear Melissa: i I am delivering herewith a print of the referenced Minor Subdivision Plan containing the endorsement of the Suffolk County Department of Health Services. Please place this matter on your calendar to set a date for the final public hearing and advise me of that date. Also, please let me know what the park and playground fee will be for this subdivision. I understand that there was some lobbying at one point to have it waived or reduced based upon Mrs. 1' Zabohonski' s contributions to Fishers Island. Finally, I will provide mylars and additional paper prints bearing the endorsement of the SCDHS in due course and in k, advance of the final public hearing. I� Sincerely, Stephen L. Ham, III 'i Enclosure i T i a $ 3 U1, kms' P PLANNING BOARD MEMBERS ` g SCOTF L. HARRIS Bennett Orlowski, Jr., Chairman b "r �� 'Supervisor George Ritchie Latham, Jr. Richar&G. Ward Town Hall,53095 Main Road I Mark S McDonald P.O. Box 1179 I Kenneth L. Edwards PLANNING BOARD OFFICE Southold.; New York 11971 t Telephone,(516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 i s July 13 , 1993 Steven L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 E Re: Minor subdivision for Annette Zabohonski SCTM# 1000-6-2-1 Dear. Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on July 12, 1993: BE IT RESOLVED that the Southold. Town Planning Board grant a six month extension of sketch approval from July 13 , •1993 to January 13 , 1994. The Planning Board has granted this additional extension to allow your client the additional time required to obtain Health Department approval. Please contact this office if you have any questions regarding the. above. Sincerely, I(Idol 6 . It/�,5 Richard G. Ward Chairman 5 i J � , suBFt MATTII ws & HAM' ATTORNEYS AND COUNSELLOES AT LAw 45 HAMPTON ROAD SO UTHAMPTON,N.Y.11968 516-283-2400 - PHILIP S M==w5 . - TELECOPIER 516-287-1076. usax-asszr. ST"PH L.HAm,III } June 29, 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohonski a , CTM # 1000-6-2-1) Dear Board Members: I am writing to request a further six-month extension of sketch plan approval for the referenced minor subdivision. The current extension expires on July 13 , 1993 . As you can see from the enclosed certified copy of a recorded Declaration containing the covenants and restrictions you requested, we have been making progress. However, the Suffolk County Department of Health Services has required a further Declaration as a condition to its approval, one requiring the extension of public water to the site upon development. I have had discussions and correspondence with County representatives concerning the wording and have now worked out acceptable language for that Declaration. I will have my client sign the Declaration and cause it to be recorded if a further extension is granted. I appreciate your concern in having final maps submitted as soon as practicable. I trust you appreciate the difficulties and delays inherent in dealing with the various governmental authorities in connection with an application of this sort and in explaining the myriad requirements to my client and having her respond. i If you anticipate any problem in allowing the, further extension Ihave requested in this letter, please let me know immediately. Very truly yours, e J 3 0 1 t Stephen L. Ham, III Enclosure 1 n 4[ PLANNING BOARD MEMBERS s. �s � � SCOTT L. HARRIS Bennett Orlowski, Jr.,Chairman - -. Supervisor George.Ritchie Latham; Jr. P fid' Richard G. WardTown Hall, 53095 Main Road Mark,S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 12, 1993 Stephen L. Ham III Matthews & Ham 45HamptonRoad Southampton, New York 11968 RE: Annette Zabohonski f SCTM#1000-6-2-1 +f Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, January 11, 1993 . BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from January 13, 1993 to July 13 , 1993. Please note that this will be the last extension that the Planning Board will be' granting. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward -M,5 Chairman i Su �c� Ms M-i=AEWS & HAM ATTORNEYS AND COUNSELLORS AT LAw 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PH nF B.AgrTmws TELEGOPiE$516-287-1076 usv�.ieaa -STEPIfEY L.IIAITIII January 5, 1993 Planning Board ' Town of Southold Main Road Southold, NY 11971 i Re: Minor Subdivision for Annette Zabohonski; i' (SCTM # 1000-6-2-1) i i Dear Board Members: The most recent extension for sketch plan approval of the referenced minor subdivision expires on January 13, 1993. As you are aware, substantial delays were encountered as a result of your requirement for a Stage I Assessment. At present, application has been made to the Suffolk County Department of Health Services for its approval and I am awaiting approval of the form of Declaration of Covenants and Restrictions that I submitted last month. Based upon the foregoing, I respectfully request that you extend your sketch plan approval for an additional six months. f , Very truly yours, Stephen L. Ham, III se�ab �s�Aw s s9AW y' � h PLANNING BOARD MEMBERS m SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman. „ .a,^ "' "� h Supervisor 11 George Ritchie Latham, Jr. � 3 a Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P1O. Box 1179 KermethL. Edwards Southold, New York 11971. PLANNING BOARD OFFICE: Telephone.(516).765-.1938 TOWN OF SOUTHOLD. Fax (516) 765-1923 TO: Harvey A. Arnoff, Town Attorney FROM: Bennett Orlowski, Jr. , Chairman RE: Declaration of Covenants and Restrictions Minor Subdivision AnnetterZabohonski SCTM4 `1000-6-2-1 DATE: December 16, 1992 Attached please find a copy of the draft Covenants and Restrictions for the above mentioned subdivision for your legal review. All requirements of the Planning Board have been incorporated into the document. I: K.c�ti/ S SU&MISSION WITHOUT COVER LETTER SENDER SUBJECT: l �✓ Ps �.. SCTM# '. 2 COMMENTS: 15 119,92 r.: sol,3Ficim .vas II •.� DECLARATION �, DEC 1` 5 G92 N DECLARATION, made the day ceS9x�� '�fi 992, y' P k? NU� . ANNETTE ZABOHONSKI, now residing . at Crescent Avenue (no #} , Fishers island, New York, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owner of certain real property situate at Fishers Island, Town of Southold, Suffolk ' County, New York, as shown on the map entitled "Minor Subdivision Plan Made for Annette Zabohonski", prepared by, Chandler, Palmer & King, dated 19 April 1991, revised 26 August 1991, 14 August 1992 and 3 September 1992, which map is to be filed in the office of the ,Suffolk County Clerk (the "Minor Subdivision Map") , said real property being more particularly described on Schedule A hereto; is and H WHEREAS, the Declarant has made application to the Planning Board of the Town of Southold for approval of a minor subdivision as shown on the above referred to map to create two separate parcels shown as Lots 1 and 2 thereon, said Lots being more particularly' described on Schedules B and C hereto; and WHEREAS, for and in consideration of said granting of - approval, the Planning Board of the Town of Southold has deemed it . to be in the best interests of the Town of Southold and the owner ` and prospective owners of said Lots that the within covenants and restrictions be imposed on said Lots, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the office of the Suffolk County Clerk; and WHEREAS, the Declarant has considered the foregoing and I i i determined that the same will be for the best interests of the Declarant and subsequent owners of said Lots; NOW, THE$EFORE, THIS DECLARATION WITNESSETH, That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said Lots described on Schedule B and:.. Schedule C hereto; shall hereinafter, be subject to the following covenants which shall run with the land and shall be binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successorsand assigns, to wit: 1. That prior to excavation for a foundation on either of the Lots, the exact building site must be inspected by a professional archaeologist. In 'addition, during any excavation, a professional archaeologist shall be present. 2 . That the area designated "Area Subject to Restrictive �. Covenants" as indicated on the Minor Subdivision Map shall forever remain in its natural state and no structure or building shall be placed within this area. 3 . That the Town of Southold or any of ,its designated representatives and all adjoining property owners shall have the continuing right in perpetuity' to enforce the covenants and restrictions of this Declaration;and to take any legal action they may deem necessary to enforce this Declaration. 4. This Declaration can be modified only at the request of the then owner of either of the Lots, with the approval of a majority plus one of the PlanningBoard of the Town of Southold after a public hearing. Adjoining property owners shall be entitled to notice of such public hearing, but their consent to any such modifications shall not be required. IN WITNESS WHEREOF, the Declarant , above named has executed the foregoing Declaration as of the day and year first above written. Annette Zabohonski STATE OF NEW YORK p ' ss. . COUNTY OF SUFFOLK ) on the day of December, 1992, before me personally appeared Annette Zabohonski, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the, same. Notary Public 1 i i i i SCHEDULE A DESCRIPTION OF ENTIRE ZABOHONSKI SUBDIVISION All that certain plot, piece or parcel of land situate, lying and being at Fishers: Island, Town of Southold, County of Suffolk and State of New York, more particulary bounded and described as follows: , BEGINNING at a monument set on the Easterly line of Crescent Avenue, 'said monument being 5751.30 feet North of. .a, point which is 3215.60 feet West of another monument marking the United States Coist: and Geodetic Survey Triangulation Station "PROS", and RUNNING THENCE along said Avenue line the following five courses and distances: (1) North 36 degrees 16 minutes 00 seconds West 78.00 feet to j a monument;, (2) North 63 degrees 30 minutes 40 seconds West 388.52 feet to 'a monument; (3) 96rth' 14 degrees 18 minutes 00 seconds East 572. 90 feet to a; monument; (4) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and (5) South 88 degrees 17 minutes 50 seconds East 107.,03 feet to a, monument on the Southerly line of said Crescent Avenue; THENCE South 5 degrees 44 minutes 00 seconds West 230.00 feet to a monument;. THENCE North 84 degrees 16 minutes 00 seconds West 150.00 feet to a monument; THENCE South 5 degrees 44 minutes 00 seconds West 258.50 feet to a monument; THENCE South 38 degrees 17 minutes 00 seconds East 310.80 feet to a monument;. . THENCE South 53 degrees 49 minutes 15 seconds West 170.00 feet to the monument set on the Easterly line of said Crescent Avenue at the 'point or place of BEGINNING. II aaM GCHEI?TJLE B bESCRIPTION OF LOT 1 All that',certain _plot,; piece or parcel of land-situate., lying and being, at 'giishers' Island, Town of Southold, County of Suffolk and State of New York, more particulary bounded and described as follows: BEGINNING at a monument set on the Easterly line of Crescent Avenue, said monument being 5751.30 feet North of a point which is i 3215;6A feet West of 'another monument marking, the United States Coast and Geodetic Survey Triangulation Station "PROS"; and RUNNING THENCE, along said Avenue line the following three courses and ,distances: (1) North 36 degrees 16 minutes 00 seconds West 78.00 feet to a monument; (2) North 63, degrees 30 minutes 40 seconds West 388.52 feet to a monument; and (3) North 14 degrees 18 minutes 00 seconds East 303.48 feet to a point; THENCE South 84 degrees 16 minutes 00 seconds East 127. 63 ,feet to la point, THENCE South 38 degrees 17 minutes 00 seconds East 531.43 feet to ( a monument; THENCE South 53 degrees 49 minutes 15 seconds West 170.00 feet to the 'monument set on the Easterly line of said Crescent Avenue at the point or place of BEGINNING. i i I is ! SCHEDULE C DESCRIPTION OF LOT 2 All that certain plot,, piece or parcel of landsituate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of Neta York, more particulary bounded- and described ' as follows: BEGINNING at a monument set on the Southerly line of Crescent Avenue, said monument being 6556.69 feet North of a point which is 3072:85, feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS° ; and RUNNING THENCE South 5 degrees 44 minutes 00 seconds West 2.30.00 feet to a monument; ' THENCE, North 84 degrees 16 minutes 0o seconds West 150.00 feet to a monument: THENCE South 5 degrees 44 minutes 00 seconds West 258.50 feet to a monument.' THENCE North 38 degrees 17 minutes 00 seconds West 220. 63 feet to a point; THENCE North 84 degrees 16 minutes 00 seconds West 127. 63 feet to -- - a paint, on the Easterly line of said Crescent Avenue; THENCE the following three courses and distances along said Avenue line (1) North 14 degrees 18 minutes 00 seconds East 269 .42 . feet to a monument; (2) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and (3) South 88 degrees 17 minutes 50 seconds East 107.03 feet to the monument set on the Southerly line of said Crescent Avenue at the point or place of BEGINNING. �I PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr— Chairman � ��� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S': McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone(516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 9,, 1992 Stephen L. Ham, III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision for Annette Zabohonski Fishers Island SCTM9 1000-6-2-1 Dear Mr. Ham: The Planning Board has received the draft copy of the Declaration of Covenants and Restrictions for the above mentioned subdivision. The following must be added to the Declaration in order for it to be accepted by the Planning Board: l. The terms for the "area subject to restrictive covenants" as indicated on the subdivision map shall be as follows: a) The entire area shall remain in its natural state. b) No structure or building shall be placed within this area. 2. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives and to all adjoining property owners to enforce the conditions and restrictions of the covenants and to take any legal action it deems necessary to enforce the conditions and restrictions of the covenants. These rights of inspection and enforcement shall be binding upon declarant, their heirs, executors, legal representatives, distributees, successors, assigns and transferees. 3 . These covenants and restrictions can be modified only at the request of the then owner of the premises, with the approval of a. majority plus one of the Planning Board of the Town of Southold, after a public hearing. Adjoining property owners shall be entitled i I to notice of such preliminary hearing, but their consent to such modifications shall not be required. ,,:Upon receipt of a revised draft in accordance with the above, the Planning Board will forward it to the Town Attorney. far his review, Please contact this office if you have any questions regarding the above. 9 j Very truly yours, Bennett Orlowski, Jr.' �nf Chairman MIS MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD Ij SOUTRAMPTON,N.Y.11968 516.283.2400 PBILIPBlMATT8BW5" TELECOPIER 516-287-1076 ueMATS STEPHB.v L.H.Lx,111 November 12, 1992 Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivisions for Guest and Zabohonski Dear Melissa: I have enclosed a copy of a proposed Declaration relating to each of the referenced minor subdivision j applications. Please review them with the Town Attorney at your earliest convenience and let me know whether I should make any changes or additions or send them to my clients for signature. I have also enclosed a letter to the Planning Board requesting an extension of the sketch plan approval for the Guest subdivision. I would appreciate it if you would see that this request is placed on the calendar for the next hearing. Best regards. Sincerely, Stephen L. Ham, III SLH:ja Enclosures -- Nov Is �w pF 4 1 6 1992 d DECLARATION DECLARATION, made the day of November, 1992, by ANNETTE ZABOHONSKI, now residing at Crescent Avenue (no #) , j Fishers Island, New. York, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owner of certain real !property situate at Fishers Island, Town of Southold, Suffolk i County, New York, as shown on the map entitled "Minor Subdivision Plan Made for Annette " Zabohonski", prepared by Chandler, Palmer & King, dated 19 April 1991, revised 26 August 1991, 14 August 1992 and 3 September 1992, which map is to be filed in the Office of the Suffolk County Clerk, said real property being more 1 DISTRICT particularly described on Schedule A hereto; and -1000 WHEREAS, the Declarant has made application to the SECTION S b Planning Board of the Town of Southold for approval of a minor BLOCK subdivision as shown on the above referred to map to create two 2 separate parcels shown as Lots 1 and 2 thereon, said Lots being LOT 1more particularly described on Schedules B and C hereto; and — WHEREAS; for and in consideration of said granting of r approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the 'Town of Southold and the owner Iand prospective owners of said Lots that the within covenants and restrictions be imposed on said Lots, and as a condition of :said approval', said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; ` I f and WHEREAS, the Declarant has considered the foregoing, and determined that the same will be for the best interests of the ii I L� i Declarant and subsequent owners of said Lots; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarant, for the purpose of carrying out the � . intentions above_ expressed, does hereby make known, admit, i publish, covenant and agree that the said Lots described on h Schedule B and Schedule C hereto shall hereinafter be, subject to the following covenants; which shall run with the land and shall be binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to 'wit: f That prior to excavation for a foundation on either of the Lots, the exact building site must be inspected by a professional archaeologist. In addition, during any excavation, a professional archaeologist shall be present. IN WITNESS WHEREOF, the Declarant above named has is executed the foregoing Declaration as of the day and year first ° above written. Annette Zabohonski STATE OF NEW YORK ) ss. COUNTY OF SUFFOLK ) On the day of November, 1992 , before me personally appearedAnnette Zabohonski,, to me known and known to ,me . to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public SCHEDULE A DESCRIPTION OF ENTIRE ZABOHONSKI' SUBDIVISION All that certain plot, piece or parcel of land situate, lying and being, at Fishers Island, Town: of Southold, County of Suffolk and State of New York, more particulary , bounded and described as follows BEGINNING at a monument set on the Easterly line of Crescent Avenue, said monument being 5751.30 feet North of a point which is ! 3215.60 ,feet West of another monument marking the United States' y Coast and Geodetic. Survey Triangulation Station "PROS" ; and E a RUNNING THENCE along said Avenue line the following five courses and distances: (1) North 36 degrees 16- minutes 00 seconds West 78. 00 feet to a monument; _ (2) ' North 63 degrees 30 minutes 40 seconds West 388.52 feet to a monument; (3) North 14 degrees 18 minutes 00 seconds East 572 .90 feet to a monument; F (4) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a';point; land (5) South 88 degrees 17 .minutes 50 seconds East 107.03 feet to _. a monument on the Southerly line of said Crescent Avenue THENCE South 5 degrees 44 minutes 00 seconds West 230. 00 feet to a monument; THENCE North 84 degrees 16 minutes 00 seconds West 150.00 feet to a monument; THENCE South 5 degrees 44 minutes 00 seconds West 258.50 feet to a monument; THENCE South 38 degrees 17 minutes 00 seconds East 310.80 feet to a monument; THENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to the-.monument set on the Easterly line of said Crescent Avenue at the point or place of BEGINNING. i I V SCHEDULE B DESCRIPTION OF LOT . 1 All that certain plot, piece or parcel of land situate, lying and being at Fishers . Island,, Town, 'of Southold, County of Suffolk and State.. of New York, more particulary bounded and ,described as E follows , { EGINNING at a monument set on the Easterly line of Crescent venue, said monument being 5751.30 feet North of a point which is 3215.60 feet West ' of another monument marking the United States oast, and Geodetic Survey Triangulation Station "PROSI, and RUNNING THENCE along said Avenue line the following three courses s nd",distances s" (1) North 36 degrees 16 minutes 00 seconds West 78. 00 feet to a monument; (2), North 63 degrees 30 minutes 40 seconds West 388.52 feet to a monument; and (3) North 14 degrees 18 minutes 00 seconds East 303.4,8 feet to a point; HENCE South 84 degrees 16 minutes 00 seconds East 127. 63 feet to ' a point; i d HENCE South 38 degrees 17 minutes 00 seconds East 531.43 feet to monument; HENCE South 53 degrees 49 minutes 15 seconds West 170.00 feet to he monument set on the Easterly line of said Crescent Avenue at the point or place of BEGINNING. fi II i II , SCHEDULE' C DESCRIPTION OF LOT 2 11 that certain plot, piece or parcel of land situate, lying and aeing, at FishersIsland, Town of Southold, County of Suffolk and �State of . New York, more particulary bounded and described as follows: 3EGINNING at a monument set on the Southerly line of Crescent, venue, said monument being 6566. 69 feet North of a point which is 8072,85 feet, West of another monument marking the United States oast and Geodetic Survey Triangulation Station "PROS" ; ` and RUNNING THENCE South 5 degrees 44 minutes 00 seconds: West 230.00 Eeet to a monument; HENCE No 84 degrees 16 minutes 00 seconds West 150. 00 feet to" monument; I � MENCE Sputh 5 .degrees 44 minutes 00 seconds West 258.50 feet to a ( nonument; HENCE North 38 degrees 17 minutes 00 seconds West 220. 63 feet to ' point; HENCE North 84 degrees 16 minutes 00 seconds West 127. 63 feet to point on the Easterly line of said Crescent Avenue; HENCE the following three courses and distances along said Avenue line: (1) North 14 degrees 18 minutes 00 seconds East 269.42 feet to a monument; (2) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and - (3) South 88 degrees 17 minutes 50 seconds East 107. 03 feet to the monument set on the Southerly line of said Crescent Avenue at the point or place of BEGINNING. i sA PLANNING BOARD MEMBERS ' SCOTT L. HARRIS. Bennett Orlowski, Jr., Chairman `yam��� =� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179. Kenneth L Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (5-16) 765-1823 October 20, 1992 Stephen.L. Ham III Matthews & Ham 45 Hampton Road Southampton, NY 11968, RE: Minor Subdivision Annette Zabohonski SCTM#1000-6-2-1 Dear Mr. Ham: The following resolution were adopted by the Southold Town Planning Board at a meeting held on Monday, October 19, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a g determination of non-significance and grant a Negative Declaration. F q Enclosed please find a copy of the Negative Declaration for your records. Very truulVyours, BkrO 'Orlowsr .41!5 q Chairman Encl. i 1 , { } f 1. PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman f,�. ., Supervisor George Ritchie Latham. Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S McDonaldP.O. Box 1179 Kenneth L Edwards ' Southold, New York 11971 PLANNING -BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance I October 19, 1992 _{ This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law.. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will nota have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Annette Zabohonski SCTM# : 1000-6-2-1 Location: Crescent Avenue; Fishers Island SEQR Status: Type I (X ) Unlisted ( ) Conditioned Negative Declaration: Yes No ( X) Description of Action: Residential Minor Subdivision for 2 lots on 5.91 acres. i Page 2 Annette Zabohonski SEQR Negative Declaration Con't. r Reasons Supporting This Determination: An Environmental Assessment has been 'submitted and reviewed, it was determined that no significant adverse effects to the environment were likely to occur should, the project be implemented as planned. The project has been designed in a manner 'to mitigate impact to -the wetlands. Thebuilding envelopes have been located more than 100" feet from the wetland and a 1001 buffer area, to remain in a natural and undisturbed state, has- been located adjacent to the wetland. A Cultural Resource Assessment, Stage I has been conducted f and any final approval of the subdivision will contain the following condition: Prior to foundation excavation, the exact building site shall be inspected by a professional archeologist. In addition, a professional archeologist shall be present during any excavation. Because there has been no correspondence received from the Department of Health Services in the allotted time, it is assumed that there are no comments or objections from that agency. Because there has been no correspondence received from the New ,York State Department of Environmental Conservation in theallotted time, it is assumed that there are no comments or objections from that agency. For Further Information: Contact Person: Melissa Spiro Address: Planning Board Telephone Number: (516) 765-1938 cc: Suffolk County Department of Health Services Suffolk County Planning Commission Roger Evans, DEC Commissioner Judith Terry, Town Clerk Board of Trustees Applicant i MATTHEWS & HAS ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283.2400 PHTLTYH(1IATTHENS TELECOPLEA 516-287-1076 ' nsizneszr STE?umv L.HAM,HI - September 15, 1992 i ' Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision of Annette Zabohonski Fishers Island, New York (SCTM # 1000-6-2-1) Dear Melissa: I have enclosed eight prints of the revised minor subdivision plan for Annette Zabohonski. in g� n. I li PLRNTNiL6TOW8ARO Sincerely, Stephen L. Ham, III SLH:ja Enclosures i' His MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SO-UTHAMPTON,N.Y.11968 516.283-2400 S PHhIPB.MATTH WS' TELEGOPIEH 516-287-1076 11012-t90Y1 STEPHEN L.HeL�I,III August 20, 1992 Planning Board Town of Southold Main 'Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohonski ;j (SCTM # 1000-6-2-1) Dear Board Members: 1 a In connection with the referenced minor subdivision application, I have enclosed eight prints of a revised plan which incorporates the comments of Cramer, Voorhis & Associates contained in their letter to you of January 23, 1992. Specifically, the proposed location of thehouseon Lot 2 has been moved farther to the east and the areas on both lots on which you may wish to impose environmental covenants have been outlined. Please proceed with the next phase of your review of this application at your earliest convenience. Very truly yours, Stephen L. Ham, III SLH:ja Enclosures At3G 2 I 39 � x SJ.fTE 101 TOTO"N � FLAKF-40gG 8 AP a AON PLANNING BOARD MEMBERS : z', - SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman . Supervisor O�orge Ritchie Latham, Jr. W, - - Richard G. Ward Town Hall, 53095 Main Road Mark S McDonald P.O, Box 1179 Kenneth L Edwards Southold, New York 11971. PLANNING BOARD OFFICE Telephone.(516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 June 30, - 1992 Stephen L. Ham III Matthews & Ham ~ 45 'Hampton Road Southampton, New York 11968 RE: Minor Subdivision Annette Zabohonski k Fishers Island SCTM# 1000-6-2-1 i Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, June 29, 1992. BE IT RESOLVED that the Southold Town Planning Board grant a -six month extension of sketch approval from July 13, 1992 to January 13 , 1993 . Please contact this office if you have any questions regarding the above'. Very truly yours, _�y Bennett Orlowski Jr. //MS Chairman E p: I t {. �S The Henry L. Ferguson Museum' Fishers Island, New York 06390 June 5, 1992 Fishers Island Planning & Board Attention: Kenneth EdwardsHe UiN Dear Sirs : SCS N� ,r� � I am writing to your Board''. in cot iee bzi lt1 two archaeological surveys that haave bees: 'made re Gently on Fishers Island. One was for Jobtl Margaret H1. Guest` who reside on Crescent, Avez�e., x Fishers Island and the other for lett ' z o)aon ski also of' Crescent Avenue, Fishers Is .i; The two surveys are dated April, 1992 and wdre done 'by ,Robert L. Killer, Ph.,D , o '� l Services of Itrtf �, Archae© to idai "t �;�H. g , Puring, the ,,past sixty-five years, a good deal III of archaeological work has been conducted, on the Island, first by my father, Henry L. Ferguson and more recently, for the past eight consecutive years by prafess,i®nal teams from the ow: York `Sta'te Museum in Albany, N.X. (Ir. Hobert E. Funk) and John Pfeiffer of alp Lyme, O.t. Both. are high- ly respected prgfessiona.19'* They have conducted li considerable test transectA of the Islan as has j Robert L. kl,,er on North H1,'ll. Native American habitation sites are scattered widely .XA'; and down the Island but concentrated most de L ' around the sk�llbw harbors such as West Har�aor, ti 1 Harbor an63 Eist karbor. Inland sites arz tp e lo©ated neA fresh water: Barlow Pond, Tart le nd' 4r s Psad, etc. To date"no 1'aieoind3an sias' eriscavered on the Island, r:.r.. e' artifa.cts i- to 1 o.oo4 to ,o n h H.L.F.Mua s�eui ch , r 4 ed to the Archaic Period,, 8,80 4' 5LP: ( , Fishers ZEland blas vroven to be a valuable contributor to furtherixig the knowledge of coastal { The Henry L. Ferguson Museum Fishers Island, New York 06390 ( hi Native Americans, their life styles under ehang- j ing climatic conditions and rising sea levels. In 1992 Or early 1993 Dr. Robert E. Funk will j produce a final report on the findings that have been made on Fishers Island. This will be a ver authoritive document.. y As a consequence of the revived scientific interest in Fishers Island anehaeology it is my rj firm belief , as President of the Henry L. F�rg�a.son use=, that every effort must be taken to ores, { ii serve vthatever prehistoric or historic finds there may be made in the future or of exigting cines which may be known. It appears logical to me that hefore�a,ny foundation excavations take place that a nrofesaional examine the exact. spot anA,'be present during the excavations. This wou,1" 61imil ate costly 150 page reports and save } j time. 1 . Finally, I believe that contractors and excavators have an obligation to report any- thing unusual they unearth be it prehistoric or { historic. As an ardent amateur archaeologist I have written the above with great concern for the pos sibility of lost scientific data but also with concern for land owners who too often must con- tend with expenses, delays some of which may be unnecessary. Sincerely,-� (*) I further suggest Charles B. Ferguson i that this monitoring President. be part. of a building contract. MIS M- TT-HEWS"& H.AM- ATTORNEYS AND COUNSELLORS.AT LAW 45 HAMPTON ROAD Sou=AMPToN,N.Y.11968 516-283-2400- Fi=B.MSTTHEWS TELECOPIER 516-287-1076 - -'srErs-max i.Es,.x, June 15, 1992 Planning Board Town of, Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohong�ki (SCTM # 1000-6-2-i) Dear Board Members: Please extend sketch plan approval for the referenced minor subdivision for an additional six months from the current expiration date of July 13, 1992. As you are aware, the Stage I Assessment is still being reviewed and it will be impossible for us to complete the process by the current expiration date. Very truly yours, 414, Stephen L. Ham, III SLH:j a t S pq@ fie U, -. .. j CRAMER, V RH OCIATES � ENVIRONMENT " _. G`CONSULTANTS . May 28, 1992 Bennett Orlowski, Jr., Chairman Town of Southold Punning Board Office PA Bok 1179 Southold,:New York 11971; RE: Minor Subdivision Annette Zabohouski State 1A&IB Archaeological Investigation SCTM #1000-6-2-1 Dear Mr. Orlowski: Regarding your inquiry dated May 20, 1992,we have performed the preliminary review for the Stage IA and 1B Archaeological Investigation dated April 1992 for the above noted subdivision. We estimate the cost to undertake the review to be $650.00. If the Pla , and wishes us to proceed, please submit a copy of the purchase 0r0erntiirizing Very truly o s W. Cramer,ASLA TW :cc W J � iT R 1£ u 54-2 NORTH COUNTRY ROAD MILLER PLACE, NY 11764 (516) 331-1455 ®PLANNING BOARD MEMBERS SCOTT L. HARRIS w + Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. - Richard G. Ward ©r Town Hall, 53095 Main Road Mark S. McDonald P.O. Boz 1179 Kenneth L. Edwards Southold, New York 11971 f' PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax(516)765-1823 May 20, 1992 Cramer, Voorhis & Associates, Inc. Environmental 'and Planning Consultants 54 N. Country Road Miller Place, New York 11764 RE: Minor Subdivision for Annette 'Zabohonski Stage IA & IB Archaeological Investigation SCTM# 1000-6-2-1 Dear Messrs. Cramer and Voorhis: The Southold Town Planning Board hereby refers the Stage IA and IB Archaeological Investigation dated April, 1992 for the above mentioned subdivision to your office for review. Please develop an estimate of what it will cost to undertake the review. If the. Planning Board wishes you to proceed with the review, it will send a facsimile of a purchase order authorizing the work to be done. The actual purchase order will be sent through the mail. If there are any questions, please contact Planning Staff. Sincerely, Bennett Orlowski, Jrr.( � 4ktf Chairman Encl. CD X,I - THEWS .& HAM' Y/✓ ATTORNEYS AND COUNSELLORS AT LAW 45 HISMPT0N ROAD SouTanMPTON,N.Y.n968 i 516-2$3-2400 PE B.1MA7=H TE=COP= 516-287-1076 ..STEP=L.HAM.III - j May 15, 1992 f is Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohonski; (SCTM # 1000-6-2-1) Dear Board Members: In connection with the referenced minor subdivision, I am delivering herewith four copies of the Stage I Assessment required by your letter of February 3, 1992. Please take whatever action is necessary to see that the review process for this application proceedsas expeditiously as possible. Very truly yours, Stephen L. Ham, III SLH:ja Enclosures BY BAND fat PLANNING BOARD MEMBERS SCOTT L. HARRIS - Bennett Orlowski, Jr— Chairman �� "�'�„'- A ��� Supervisor George Ritchie Latham, Jr. Richard G. Ward. . Town Hall, 53095VainRoad Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards - Southold, New York 11971 ' PLANNING BOARD OFFICE j Telephone (516) 765-1938. TOWN OF SOUTHOLD FaxI(516) 765-1823 1 February 25, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision of Annette Zabohonski SCTM#1000-6-2-1 (I Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 24, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, assume lead agency status on this Type 1 action. This action is classified as a Type 1 action as it is located within a Critical Environmental Area. As requested on February 3 , 1992, the Planning Board awaits your client's compliance with the January 23, 1992 report from the Planning Board's environmental consultant before making a determination under SEQRA. Please contact this office if you have any questions regarding the above. Very truly yours, i Bennett Orlowski, J1°ryf Chairman PLANNING BOARD MEMBERS t SCOTT L. HARRIS i Bennett Orlowski, Jr., Chairman t. . �ti' Supervisor George Ritchie Latham, Jr: Richard G. Ward Townall, ,5 309Main Road Mark s. McDonald 1179 Southold, New York 11971 Kenneth L. Edwards `PLANNING BOARD OFFICE - Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 a , 4 P . February 3, 1992 i Stephen L. Ham 'III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Annette Zabonski SCTM#1000-6-2-1 Dear Mr. Ham Enclosed is a report from the Planning Board's environmental consultant in reference to his review of the Environmental Assessment Form (EAF) . i The Planning Board requests that you comply with all recommendations included in the report. Upon compliance with the above, the Planning Board will make their environmental determination. In addition, please note that the Board is scheduled to assume lead agency status at the February 24th public meeting. Please contact. this office if you have any questions regarding the above. Very truly yours, rr �; Bennett Orlowski, Jr.. 445 Chairman Encl. i CRANIER, VOgRHt �'AOCIATES fAi r ENVIRONMENT4A D,'P'_81sJlTtNG CONSULTANTS January 23, 1992 Mr.Bennett Orlowski,Jr. Chairman Southold Planning;Board Town Hall, 53095 Main Road P.O. Boz 1179 Southold NY 11971 RE;Review of.Long EAF for Minor Subdivision . Annette Zabohonski Cresent Avenue,Fishers Island SCTM#1000-6-2-1 Dear Benny: We have reviewed the map and the Long Environmental Form (EAF) Part I for the above referenced project. In addition we have carried out a field inspection of the site on November 19, 1992. Enclosed please;find a revised and corrected EAF Part I that has been prepared as a it result of our investigations. Also please find and EAF Part 11 that identifies the proposed project's impacts and their magnitude. It is noted that three (3) categories in the EAF Part II have been identified where potential impacts could occur. It is noted that approximately y 14 percent of the site is freshwater wetlands, special consideration should therefore be given �i to their existence and protection. The following is a,discussion of those,potential impacts and our recommendations on potential methods to reduce or avoid them. IMPACT ON LAND #1 - The proposed project will result in a physical change to the project site, and #2 -There are unique and unusual landforms (wetlands) on the project site. Both of these categories will be discussed together as the potential methods to reduce or avoid impacts would be similar for both. Impacts to either of these categories are not considered to be significant with the proper safeguards designed into the project. The project will ultimately result in the construction of two single family residences on a vacant piece,of property. Building envelops are shown for the future residences, with the possible locationsof the houses sketched in. The houses, as shown, are situated in the two high portions of the site. These high spots are probably the best locations as they would provide the greatest separation between the bottom of the sanitary leaching pools and the ground water. The house located on Lot 2 is partially situated on the western slope of the knoll, that slopes into the wetlands. It is suggested that the location of this house he shifted further to th L. :.Page I of$ .a i 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516 331 OtIWO T+)111:iv PLAW! C .mow...-� uAnnette Zabotinnski Subdivision ' January 23,1992 I reduce the possibility of runoff entering the wetlands. Precautions should also be taken to reduce and avoid clearing� and.grading near the wetlands or on slopes.that: may erode the}wetlands. The lini tmg of_clearing and grading will also reduce the potential visual impacts of development. Furthermore if a large area was cleared and graded it is likely to be established in turf or other fertilizer dependant groundcover. Reducing the amount of fertilizer/maintenance dependam.area would reduce'potenffal threat of eutrophication ofthe wetland's It is recognized that the proposed lots are not intended to be build in the near future. As noted above thexhouse locations as;shown(with minor modifications)are not coilsldered`-to stgrtiieantly iinpactthe site or ervirontner<t Iliveer there is no gu antee that heli the ultimate ocalton of the homes are f I ubmtttpkd thy will bet tlxe sine locafioris or t}iat thew wi1T rot trove afi• rp�ct*f wed in ano!'-cr t Ioe orl an;the lots It as ttte:' .lt.. !. .. el us, 0: thCr ' I fl. . .a:..i'.. r,,:;tii.'Y C:I\'i t':'i � :( , '!"J1 ,. . . ••., :.i ..I.,. � .. ill ltat.'? fU .. :i 0. 1 1A..N..` ! I :1 li k)i Ili.: }x.0..11! bC "COL '.0 :1. C l N!1. 'l 4.. C. : :ii:::.: i,a : :`.ii:l.!•i!� (! !...t.... t a T.ia�:. G11'Cii'1 :C ".. '\I. ,'�.O'I . .k •�i!:I'r''a):fit l,:i"r.l�'!' lf7C CUi:�i` Ir.l IMPACT ON,HI ORIC�AND ARCHAEOLOGICAL RESOITRC:1 5 #12 -TheL proposed action may impact resources of prehistoric importance. Fishers Island has been identified as:an area of"Intensive Aboriginal Habitation". Existing condition on the site and in the immediate area suggests that this property maybe extremely significant with regard to prehistoric resources. These conditions include`the existence of potable water (freshwater wetlands), the proximity of tidal Water for fishing and gathering, and the protected shelter formed by the topography. ! Similancondrrions were noted on the Guest proposed project, located immediately to the west of the subject site (see CVA letter of January 22, 1991; "Re: Minor Subdivision of Joh*S. Guest'& Margaret H. Guest,CFjesent Avenue, Fishers Island). The existence (or ekteinj and importance of prehistonp resources are.usually very difficult to determine wiihodt'carefuTscientific subsurface investigation. Given the conditions on the site it is our recommendation that a Cultural Resource Assess)nent (CRA),Stage 1, be conducted. The CRA would determine the existence (or lack of) prehistoric resources on the site. Iffound;t would also determine the significance,and Iocations df the resources. Additionally it could be used to develop strategies to avoid or mitigate',impacts t6the'resources;(if present onsite)_ It is further our understanding that the local historian also feels such a study is appropriate'. It;is recognized that the no houses are proposed at this time and that the action is for just the subdivision of land. The mapping of a subdivision of land, with no physical disturbance to the site will not impact the resources. The impacts (if resources exist) CRAMER VOORHIS & ASSOCfATES ENVIRONMENTAL gNp,pl'ATINIyG,CONSULTANTS Page 2 of �z\�\ Annette ZabohonsM Subdivision January 23,1992 will occur when grading and develop takes place. It is advisable to know where ' resources are as early as possible in the planning stages so that they can be avoided or 'impacts mitigated. It is noted that the Guests' have retained the services ofan archaeologist to preform their CRA. As the two sites are adjacent, the applicant may wish to contact the Guests to see if an arrangement can tie worked out,to have,this site done at the same time: Again, it is advisable to have the CRA completed early in + the planning stages,however,impact's will occur only when physical development takes place I hope the above information is helpful to you in your,decision ma ' )process. If there is waj,questions with the above please feel free to contact rare. Very 4 1 r5, a homas Cramer, ASLA Enclosures: CRAMER VOORHIS & ASSOCIATES ENVIRONMENTALAND7IP @NI.,�GCONSULTANTS Page 3of3 cAAMER, V RH CIATES ENVIRONMENT �e G CONSULTANTS — {� �. � January 23, 1992 Mr. Bennett Orlowski, Jr. Chairman Southold Planning Board Town Hall,53095 Main Road P.O.Box 1179 Southold, NY 11971 RE;Review of Long EAF for Minor Subdivision Annette Zabohonski Cresent Avenue, Fishers-Island SCTM# 1000-6-2-1 Dear Benny:, We have reviewed the map and the Long Environmental Form (EAF) Part I for the above referenced project. In addition we have carried out a field inspection of the site on November 19, 1992. k Enclosed please find a revised and corrected EAF Part I that has been prepared as a result of our investigations. Also please find and EAF Part 11 that identifies the proposed project's impacts and their magnitude. It is noted that three (3) categories in the EAE Part II have been identified where potential impacts could occur..It is noted that approximately 14 percent of the site is freshwater wetlands, special consideration should therefore be given b to their existence and protection. The following is a discussion of those potential impacts and our recommendations on potential methods to reduce or avoid them. p IMPACT ON LAND #1 -The proposed project will result in a physical change to the project site,and I, #2 - There are unique and unusual landforms (wetlands) on the project site. Both of these categories will be discussed together as the potential methods to reduce 1 or avoid impacts would be similar for both. Impacts to either of these categories are not considered to be significant with the proper safeguards designed into the project. The project will ultimately result in the construction of two single family residences on a vacant piece of property. Building envelops are shown for the future residences, with the possible locations of the houses sketched in. The houses, as shown, are t situated in the two high portions of the site. These high spots are probably the best E locations as they would.provide the greatest separation between the bottom of the sanitary leaching pools and the ground water. The house located on Lot 2 is partially situated on the western slope of the knoll, that slopes into the wetlands. It is : suggested that the location of this house be shifted further tot JM 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (51 331- OUTH+O4.t1TOINN I it pLkNNJ4G 80AP0 �; Annette Zabohonski Subdivision January 23,1992 reduce the possibility of runoff entering the wetlands. Precautions should also be taken to reduce and avoid clearing and radia near the wetlands or on slopes that : _ _ s _ t may erode into the wetlands. The limiting of'cllearing and grading will also reduce the potential visual 3Tttpacts of development. Furthermore if a large area was cleared and graded it is likely to be established in turf or other fertilizer dependant 'groundcover ,Reducing the amount of fertilizer/maintenance dependant area would reduce potential threat of eutrophication of the wetlands. It is rec�dg ized that the proposed lots are not intended to be build,in the near future. -s notebove cose .to sgntficntIyzalpat the site or'elozllrieal. I3o�e`ver there is no *lrarame the*. �t>lretl e lt�Y rr to 1r)c ttiltin of t'le lul les irre flr iI znf)mrttcclhv cel i)e in Iha silrrl-' loc:.r,ol:, or 1111 :!:C\ \\ill r.01 al! il:lpacl il',iuuuedi❑ 1!noihcr lociliioo 0:l :I-c !ol-. II 1 le •cli) e' S6:0 !cul( 1.110 :I:::'li(ralyd COusidcr 111c llw 01 CoV,:I::Tl. 01. incl I'M ,o d..lirc l'•ldl.CCd built ill,_, ulnelol),`on the lo!s. ! i1C?a: :i'(..ICihl I)I:ill! CE:a'C:i I!)• �:'1('•li Y! 1i'il�ld.' CCE 1:ila ilrC:IS I(Ir I110 1i1)ilSi'.l IU 110 CUIi��, Ill alta l \� ll.l�il I\(111 110.1".IIC.I,Ii 1:111) ILIA 1'!ic\ l ko !Ilox% 'I:('lr dle a I t\';hl I'I,\ I) ' I: 1I�1 ll/C 11 11'` a;ll(I 11\')11 (,IIJllill Il\I Cllls ShoCl�(I he kel)l Loa 'n I ill 11 I li I l !' i. •:a,j� I l i:I Ill-,' v,,,r I I 1 ,:GIiU 'l(I t,,laluGitili hullers utljlcunl lO 1�1iV \1y,lli, Cl 1 II 1)�l a'la Fll 'vI a II L d Ilil l I.l! Lllil'l� 111 ,1!Ilila.Cl hlillil. UI CI1 Lal1'1O.1 (1.t� I Ni lal� `lM I.L. \I?1 I'I V'j\ a`,CIa11Ul ;k Td SIYI,I/IX)I40L11`"f.)I1T C-11C Collld COi l;�l(hr USI-;,.i 0% i, ;V'i- ),a'f'A: tiI,I TiI'CI. I 'OM1) il.l(I IIIC` \\Cil 11 girls aC![Pa& I4ll'l�e its \. l CO'Ct1iLI,li'C(! Iliall'"ia i!r,'..:,,. IMPACfiiIC. tCIdLOGiCAL REIJR�C> 5 1's " ,TJXepro osedaa On may impact resourcesof prehistaric importance. 4 1; 1 $island has be" (4, ontifled.as an area of'IntensiveAboriginal Habitation': Exi }i1 conditaan bnL3ensrte and in the immediate area suggests that this,property 9 IililC )l. \11' .Ilii\ ala ;l;r!6,i:1: \011 regard to prehistoric resources. These conditions include fl:e JCI cric- of 1)o.::hk u:,=er (freshwaterwetlands), the proximity of tidal "alter 1'01- 1'; Vild a_ull% I ld. !iid the protectedshelter�formedbythe topography. Slluillr cuaJiuu , \\ !r� o Ct! 0.l tae Guest pro posedproject,locatedimmediateiyto I� d:c \\a1 0 ' 1hl S.l )I<(: I 1Nc,. ( \ A letter of January 22, 1991; 'Re: Minor Sandi\; :or, of ,111,.1 S. (, l ,l & \k.rgaret H. Guest,Cresent Avenue,Fishers Island). Lc cxicelle,,, l u l 1 1,c i l:l no-tance of prehistoric resources are usually very dWicakiwdetermineVtbout careful scientific subsurface investigation. Given the conditions on the site it is our recommendation that a Cultural Resource Assessrncrtt (CRA), Stzt e f, be conducted. The CRA would determine the existence (ox lick af)prehistoricjesources on the site. If found it would also determine the significance and locati rs.of the resources. Add tiond ly,it could be used to develop strategies to avoid or i&- gate jmpacts to the resources (if present on site). It is a li further our understand lgll. - ,that the local historian aiso,feeis such a'study is agprop�el It is recognized that the no houses are proposed at this time and that the action is for just the subdivision of land. The mapping of a subdivision of land,with no physical dfstunbanee to the site will not impact the resources. The impacts(if resources exist) CRAMERV R ' SOCIATES ENVIRONMENT G CONSULTANTS Page 2of3 I - Annette 7abohouski Subdivision January 23,1992 will occur when grading and develop takes place. It is advisable to know where resources are as early as possible in the planumg stages so that they can be avoided or li. impacts mitigated. It noted that the Guests' have retained the services of an archaeolagist to preform their.CRA. As the two sites,are adjacent,the applicant may wish to contact the Guests to see if an arrangement"can be worked out to have this site done at same time. Again, it is advisable to have the CRA completed early in Ie planning stages, however impacts will occur only when physiedl development G takes place. I hope.the,above,information.is helpful,to you i1t your decision m. process. If there 4s,a � xvith the hove please ael free to contact me. �." Very ts, omas Cramer,ASLA Enclosures: s : 1 1 I � j j ; i i CRAMER, V RAS(OCIATES Pa e3of3 ENVIRONMENTG CONSULTANTS B �... T4162 (21,97)-7c r` 617.21 SEAR _Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM It Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may besignificant The question of whether an action may be slgnificaat,ls not always;easy,to ans`ver.'freg4ent= .ly, thpre areaspects of a project that are subjective or u4measureable •It'fs'.also un r orstrod thif t�n�e wfio determine sigrtific�hce may ka've little or no formal knowledge of the eityironmit ni or may b r. .nirr...v oxpnr` in r!m i onmental anaf�slsylreadditlon many WhohavekodivledgefhonepaRicularareamaynatbeaa ..n o` 1 ir,oad, rr tccrnsafifectfng the ( u,d r bnl of 1 l.n ...I A. is .r d to provide a method whereby;applicants and agencies can be asoured that the deterrimioation procass Lay lI:^r?n o: .'..I.Ic,..S r.oinprehensivpin nature,yet flexible to allow introduction of information to'fii a project oractfon. Full EAF Components The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying,basic project data, it a5sists,a reviewer in the analysis that takes place in Patty 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large Impact The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part Z is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information,and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because themitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions / Llte Zc-I& CAA /1 S I l Name of Action Name of Lead Agency I _ Print or Type Name of Responsible Officer in Lead Agency Title of Resicer D (, Signature of.Responsible Officer in Lead Agency Signature of Preparer(If di t frgmm re�onsible offilw Y AW2 Date StIUTIfrJdDZ� l` i RT 1-- PROJECT thAORMATiQ r Prepared by Project Sponsor NOTICE. This document is designed to assist in determining whether the action proposed may have a,s gnificant effect on the environment. Please compldte the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and may be subject to further verification arrdpublic review. Provide any addition Information you believe will be neOded to complete Parts 2 and 3.. it is expected that completion of the full.EAF will be dependent on'information Currently available and will not involve nett'studies, research or investigation,. If information requiring such additional wank is'unavailable,`'so indicate and specify eacb instance ` l TME OE ACTION 'Minor Subdivision of; Annette Zabohonski Loc',4TION OF ACTION(include Street Address,Municipality and County) rescent AvenueFishers Island, Suffolk County, New York NAME OFAPPUCANTfSPONSOR BUSINESS TELEPHONE Annette Zabohonski c/o Stephen L. Ham, III , 516,283-z400 ADDRESS 45 _Hampton Road CITYYPO STATE -ZIP CODE Southampton NY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE Y ( 1 t ADDRESS Illi CITYFPO - STATE ZIP CODE DESCRIPTION OF ACTION f Applicant proposes to divide a 5.91-acre parcel into two building parcels of 2.77 acres and 3.14 acres, respectively. The applicant or donees or legatees will construct a single-family residence, gravel drive and sanitary system on Keach parcel so divided. Setbacks of 100 feet from the freshwater wetlands will be maintained. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting,of overall project, both developed and undeveloped.areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial OResidential (suburban) ®Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 5.91 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 5,11 acres -4-6.0. acres Forested 0 acres 0 acres 1 Agricultural (includes orchards, cropland, pasture, etc.) 0 acres - 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.80 acres 0'80 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surface 0 acres o. "8'"8'x5 acres Other (Indicate type) 0 acres 0 acres 1� 77 l3. What is predominant soil type(s) on proieecyite? a. Soil drainage: VWell drained && % of site ❑Moderately well drained 9s of site ❑Poorly drained l3^5 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY Land Classification System? NIA acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings.on project site? ❑Yes END * of construction of two a. What is depth to bedrock? c. 600 (in feet) residences at the site 2 l5 Approximate percentage of proposedct site with slopes: X70-10% 10 :o ❑10-i5% °l° 015°l or greater % 6. is project substantially contiguous to, or contain a building; site, or district, listed on the State or the National Registers of Historic Places? Dyes MNo , Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes 9NO 8, What is the depth of the water table?-442" (in feet) rTo l5' A vµe� 9. Is site located over a primary, principal, or sole source aquifer? tYes ONO 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? EX-Yes ONO 11_ Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes [3No According to J M 0 Consulting (Glenn Just) - Identify each species 12_ Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Xyes ONO Describe X ��"� 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? 1Dyes ❑No if yes, explain unknown 14. Does the present site include scenic views known to be important to the community? Oyes MNo 15. Streams within or contiguous to project area: N/A a. Name of Stream and name of River to which it is tributary 16, Lakes, ponds, wetland areas within or contiguous to project area: a_ Name , Ridgway Pond and swamp b. Size (in acres) Cal S iZ� 17. Is the site served by existing public utilities? ®Yes ONO a) if Yes, does sufficient capacity exist to allow connection? Eyes ONO b) If Yes, will improvements be necessary to allow connection? R]Yes ONO 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes ENO 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617?. [XYes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes MNo ` B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.91 acres. b. Project acreage.to be developed: c, 0.51 acres initially; C. 0.51 acres ultimately. C. Project acreage to remain undeveloped 5.40. acres. d. Length of project, in miles: N/A (If appropriate) e. if the project is an expansion, indicate percent of expansion proposed N/A f. Number of off-street parking spaces existing 0 ; proposed 0. g. Maximum vehicular trips generated per hour 0 (upon completion of project)? h. if residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 19 ergot Ultimately GRPrR10 Z_ i. Dimensions (in feet) of largest proposed structure 35 height; —32—width; _75 length. j. Linear feet of frontage along a public thoroughfare project will occupy is? `g` ItI / 3 �, `` 2.'How much natural material (i.e., r earth, etc)Will be removed from the AJ 0 tons/cu¢i�: yaras. t l 3. Will disturbed areas be reclaimed? Xes DNo /A ! a. If yes, for what intendee purpose is the site being reclaimed? uDSC $4 IZ9cC� �i��V ft b. Will topsoil be stockpiled for reclamation? Yes DNo ei7�a�o' o2•vGTv� 3 /. C. Will upper subsoil be stockpiled for reclamation? Yes DNo ® 3`� l 4. How many acres of vegetation (trees, shrubs, ground covers) will`be removed from site? 8.51- acres.* 5, Will any mature forest(over 100 years old)or other locally-important vegetation be removedeby the p otject Dyes EJNo 6. If single phase project: Anticipated period of construction b months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phased month year, (including demolition), c. Approximate completion date of final phase month year. d. Is phase 1+ functionally dependent on subsequent phases? Dyes DNo 8. Will blasting occur during construction? Dyes Aldo 9. Number of jobs generated: during construction 14 ; after project is complete 0 10. Number of jobs eliminated by this project 0 _ 11. Will project require relocation of any projects or facilities? Dyes NNO If yes, explain 12. Is surface liquid waste disposal involved? Dyes INNo a. if yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? FIYes DNo Type sPwaage 14. Will surface area of an existing water body increase or decrease by y proposal? Dyes ®No Explain 15, Is project or any portion of project located in.a 100 year flood plain? Dyes ®No 16. Will the project generate solid waste? 1ZYes DNo a. if yes, what is the amount per month 0.35 tons per house b. If yes, will an existing solid wase facility be used? Dyes 12No c If yes, give name �tsd4s2�j SC.� 2'05��brrc - location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? C$Yes DNo e. If Yes; explain 17. Will the project involve the disposal of solid waste? .,&es of a. If yes,.what is the anticipated rate of disposal? �'= tons/month./ residence b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes ®No 19. Will project routinely produce odors (more than one hour per day)? Dyes %]No 20. Will project produce operating noise exceeding the local ambient,,I�n�� oise levels? Dyes IMNO 21. Will project result in an increase in energy use? Dyes DN' If yes , indicate type(s) alaci'rical and home heating oil 22. If water supply is from wells, indicate pumping capacity N/A, gallons/minute, 23. Total anticipated water usage per day 400 gallons/day. E 24. Does project involve Local, State or Federal funding? Dyes ONO If Yes, explain 4 1 25. APProvals Required: } Submittal Type Date City, Town, Village Board ❑Yes MNo City, Town, Village Planning Board C(Yes ❑No minor subdivision July 19, 1991 City, Town Zoning Board Dyes MNo upon ske c a�T— pproval. City, County Health Department WYes ❑No Articip F hv,.PIan= Board Other Local Agencies Dyes IINo Other Regional Agencies Dyes MNo State Agencies ❑Yes 1XINo Federal Agencies []Yes IMNo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? CglYes ❑No If Yes, indicate decision required: ❑zoning amendment C]zoning variance ❑special use permit Mubdivision ❑site plan Onew/revision cf,master plan ❑resource management plan Dother 2. What is the 'zoning classification(s)of the site? R-80 3. What is the maximum potential development of the site if developed as permitted by the present zoning? two single—family dwellings 4. What is the proposed zoning of the site? N/A 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A (same as present) 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes DNo 7. What are the predominant land use(s) and zoning classifications within a Y. mile radius of proposed action? single—family residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a°I/. mile? L Yes DNo 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 7.77 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes ®No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ®Yes DNo (insignificant) a. If yes, is existing capacity sufficient to handle projected demand? k7Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes IR)No a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Nam Annette Zabohonski ( Date July 19, 1991 Signature By Stephen Title authorized agent Ham, II If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment form before proceeding with this assessment. 5 F<A 2—PR94• CT IMPACTS AND iEIR IVI ITUOE Responsibility of Lead Agency r General Information (Read Carefully) "s • In completing the form the reviewer should be guided' by the question: Have my responses and determinations been I reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked,at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of "nitudethai would trigger a response in column 2. The examples are generally applicable throughout the Stafeiand for.most situations_ But, for any specific project or site other examples acid/or lower thresholds may be,appio'briate for a'PofentialLarge Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. ( • In identifying impacts, consider long term, short term and cumlative effects. tnstruct'rons ('Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. tvtaybe answers should be considered as Yes answers. c. if answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact:If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold i is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed,to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project s ted impact Impact Project Change ONO YES Examples that would apply to column 2 / • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ Dyes ONO foot of length), or where the general slopes in the project area exceed 10%. . • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ Dyes ONO • Construction on land where bedrock is exposed or generally within 0 ❑ ❑Yes [--]No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ F-1 Yes ❑No tons of natural material.(i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ONO • Construction in a designated floodway. _ ❑ ❑ El Yes ❑No • Other impacts ��X`�� � '� ms 's �ztf`- tiy +tt`� Je ❑ Yes F-1 No 2. Will there be an effect tr. ..,y un,que or unusual land forms founcj on the site?(i.e., cliffs, dunes, geological formations, etcJONO YES • Specific land forms_ ❑ /IYes ONO 6 IMPACT ON WATER Small.to Potential Can Impact Be Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected?� Impact Impact Project p l Change (Under Articles 15,24,25 of the Environmental Conse ati n Law,ECL)NO DYES Examples that would apply to column 2 • Developablearea of site contains a protected water body. ❑ ❑Yes ❑No + Dredging mpre than 100 cubic yards of material-from channel of a ❑ ❑ Dyes (:]No protected stream. + Extension of utility distribution facilities through a protected water body. ❑ ❑ El Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ Dyes ONo + Other impacts: ❑ ❑ ❑Yes ❑No 4_ Will proposed.action affect any nowprotec_ted existiqgor new body of water? 0 DYES Examples that would apply to column 2 C • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No or more than a 10 acre increase or decrease- * Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater�J quality or quantity? O DYES Examples that would apply to column 2 / • ProposedAction will require a discharge permit. ❑ ❑ ❑Yes ❑No* • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have.approval to serve proposed(project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causingany contamination. of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluentwill be conveyed off the site to facilities which presently O ❑ El Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ONo day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical El El []Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes []No and/or sewer services. • Proposed Action-locates commercial and/or industrial uses which may ❑ Cl El Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: - ❑ ❑ Dyes ❑No 6. Will proposed action alter drainage flow or pattern , or surface water runoff? O DYES Examples that would apply to column 2 + Proposed Action would change flood water flows. I ❑ ❑ [Dyes ❑No 7 Small to Potential Can Impact Be Moderate Large Mitigated By ImpactImpact Project Changer • Proposed Action may cause substantial erosion. ❑ ED Yes E3 No Proposed' Action is incompatible with existing,drainage patterns. ❑ ❑ ❑Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑Yes ❑No - .* Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? NO DYES Examples that would;apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes []No hour. Proposed Action will result in the incineration of more than 1 ton of ❑ _ ❑ ❑Yes ONO j refuse per hour. M< • Emission rate of total contaminants will exceed 5 lbs. per hour or a 0 ❑ ❑Yes ❑No l 1 heat source producing more than 10 million BTU's per hour. 1 I! Proposed action will allow an increase in the amount.of land committed ❑ ❑ 1:1 Yes ❑No d to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes ❑No Idevelopment within existing industrial areas. ' Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PLANTS AND ANIMALS 3 Will Proposed Action affect any threatened orendange ed • species? �,NO DYES Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. i ' Removal of any portion of a critical or significant wildlife habitat. 1:1 El ❑Yes ONO 1 i' -%ppliration of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes ❑No han for agricultural purposes. Other impacts: ❑ ❑ 1:1 Yes ❑No nWill Proposed Action substantially affect non-threaten9d or on endangered species? VNO DYES ` zamples that would apply to column 2 _ lroposed Action would substantially interfere with ,any resident or ❑ El ❑Yes ❑No t;ratory fish, shellfish or wildlife species. P nposed Action requires the removal of more than 10 acres ❑ ❑ El Yes ❑No r 0 mature forest (over 100 years of age) or other locally important -v" getation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land re�so} rces? LBNO DYES Examples that would apply to column 2 the proposed action would sever, cross or limit access to agricultural 13 11 13 Yes ❑No i d (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 2 3 Small to Potential.% Can Impact Be Moderate Large Mitigated By Impact Impact hroj6ct Change M1 • Construction activity would excavate or compact the soil profile of ❑ ❑ 1:1 yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ []Yes El No of agricultural land or, if Iodated in an Agricultutal District, more than IS acres,of agricultural land, l • Theproposed action would�,disruptor prevent installation of agricultural ❑ ❑ ❑Yes []No Land management systems{e_g., subsurface drain lines, outlet ditches, strip croppiinO, or create a need for such meas ures (Ag. cause a farm field to drairr poorly due to increased runoff) r Other"impacts; ❑ ❑ Dyes []No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? NO DYES (If necessary; use the Visual EAF Addendum in Section 617.21, Appendix B.) I Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ EJ Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant EJ ❑ ❑Yes ❑No screeningof scenic views known to be. important to the .area. • Other impacts: ❑ ❑ []Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will ProposedAction impact any site or structure of historic, pre- historic or paleontological importance? ❑NO `YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ 11 Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ 11 Yes ❑No project site. • Proposed Action will. occur in an. areadesignated as sensitive for ❑ 557es ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action- affect the quantity or quality of existing or future open spaces or recreational opportunities? ,- // Examples that would apply to column 2 ko DYES • The permanent foreclosure of a future recreational o4portunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 iMP'ACtON TRANSPORTATION Small to Potential Can Impact Be 14. Wiil there be an effect to existing transportation syste s? Moderate Large Mitigated, By, XO DYES impact Impact Project Change Examples that would apply to column 2, • Alteration of present patterns of movement of people and/or goods. ❑ ❑ El Yes, ❑No • Proposed Action will result in major traffic problems. ❑ El ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes F-1 No IMPACT ON ENERGY d5. Will proposed action affect the community's sourSe,5 of fuel or energy supply? p5Z40 DYES Examples that would apply to column 2 '• Proposed,Action wiJtcause a greater than 5% 'increase in the use of ❑ ❑ Dyes ❑No = any form of energy in the municipality. Y- + Proposed Action will require the creation or extension of an energy, ❑1 ❑ El Yes i]No transmission or supplysystem to serve more than 50 single or two family residences or to serve a major commercial or industrial use. n Other impacts: ❑ ❑ Dyes ❑No NOiSE AND ODOR IMPACTS 6. Will there be objectionable odors, noise, or vibratio 7 as a result of the Proposed Action? NO DYES Examples that would apply to column 2 Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ Dyes ❑No facility. Odors will occur routinely (more than one hour per day). ❑ ❑' Dyes El No Proposed Action will produce operating noise exceeding the local ❑ 11 []Yes ❑No "ambient noise levels for noise outside of structures. ' Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ❑No noise screen. - - "Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH Will Proposed Action affect public health and safty? NO DYES Examples that would apply to column 2 Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e, oil, pesticides, chemicals, radiation;etc.)in the event of (aI�ccident or upset conditions, or there maybe a chronic low level �ischarge or emission. � (Proposed Action may result in the burial of"hazardous wastes" in any ❑ ❑ ❑Yes ❑No florm (i.e. toxic, poisonous, highly reactive,..radioactive, irritating, I fectious, etc.) torage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes []No 'as or other flammable liquids. i roposed action may result in the excavation or other disturbance ❑ ❑ Dyes ❑NO 1 ith;n 2,000 feet of a site used for the disposal of solid or hazardous / � aste. l` ther impacts: ❑ Cl 11 Yes El No 10 II IMPACT ON GROWTH AIIIWC14ARACTER Small 2 3 to Potential � Can Impact,Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the exist n community? impact Impact ' Project Change. O DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑. ❑Yes []No project;is located'is likely to grow by more than 5%. • The municipal bpdget for capital expenditures' or operating services (] ❑ ❑Yes ❑No will increase by more than'5% per year as a result of this project. • Proposed action Will conflict with officially adopted plans or goals. ❑ ❑ Dyes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action wilt replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas'of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes El No • Other impacts: ❑ ❑ ❑Yes E3 No 19. 1 there,Is t e or is there likely to be, public controversy related to potential adverse environmental impacts? NO DYES If Arty Action in Part 2 Is Identified.as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE 11"APORTANC;E OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: I. Briefly describe the impact. 2. Describe(if applicable).how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 1 0 � 6 PLANNING BOARD MEMBERS �s SCOTT L. HARRIS w Bennett Orlowski, Jr., Chairman �`` , .. Supervisor ' George Ritchie Latham, Jr: Richard G. Ward � Town Hall, 53095 Main Road Mark S McDonaldP.O. Box 1179 Kenneih L. Edwards PLANNING BOARA OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516)765-1823 January 14, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11965 RE: Minor Subdivision of Annette Zebahonski Crescent Avenue Fishers Island SCTM#1000-6-2-1 Dear Mr. Ham: The following resolutions were duly adopted by the Southold Town Planning Board at a meeting held on Monday, January 13 , 1992. Be it RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this unlisted action. Be it RESOLVED that the Southold 'Town Planning Board grant sketch approval on the map dated August 26, 1991. Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. Five (5) paper prints and two (2) mylars' of the final map, containing a current stamp of Health Department approval, must be submitted before a; final public hearing will be set. Please note that the Planning Board had referred this subdivision to the Suffolk County Planning Commission for their review. i Page 2 Annette Zabohonski Blease. do not hesitate to contact j this office if you have any questions regarding the above. - Very truly yours, Bennett Orlowski, Jr.� Chairman I , I r PLANNING BOARD MEMBERS' t SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman 's' `� e' e Supervisor George Ritchie Latham, Jr, `'' r Richard G. Ward Town Hall,.53095 Main Road 4z ti 79 Mark S-. McDonald P.O. Box 11 Kenneth L. Edwards Southold, New Yorkk 11971 PLANNING BOARD OFFICE Telephone (516)765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 �ncM�7Qr 1y , 19°19- r RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3 . Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in .your response. Project Name: tlrtin2T12 Zu6hon5k' Scr(n st I o0o 6- 2.- 1 Requested Action: �i�aicx?.YC `ct� mir\of �Ob9i U�S1'a Y� 2 ` Ilds on 5. 91 GefeS SEQRA Classification: ( X ) Type I (XN3 CrA;cc,� Env, Area i ) Unlisted Contact Person: rne�iSSA ,(Zp ( 5.16) -765-1938' — The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. i F Planning Board Position: OO This agency wishes to assume lead agency status for this, action. ( ) This agency has no objection to your agency assuming lead agency status for this action. { ) other. ( See comments below) . i i Comments: i I Please feel free to contact this office for further information. Sincerely, �S Bennett Orlowski, Jr. r Chairman 'f. "Board of Trustees Southold Town Board *Suffolk County Dept. of Health Services 'INYSDEC Stony Brook NYSDEC - Albany S. C. Dept Of We-r-lis N y S Dept of Transportation Maps are enclosed for your review Coordinating agencies 1416-2(2/87)-7c 617.21 SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM it ' Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant.The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. it is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expertJh environmental; analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. Thefutl EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process hasbeenorderly, comprehensive in nature,yet flexible to allow introduction of information to Pita projector action. Full EAE Components: The full EAF is comprised of three parts: Part 'Fc Provides objective data and information about a given project and its site. By identifying basic project data, itassis€§�a`reviewer in the analysis that takes place•in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether,an impact is likely to be considered smallto moderate orwhether it is a potentially- large impact: The form also identifies whether an impact can be mitigated or reduced. Part 3: If, impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the 1 impact is actually important. i DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑. Part 1 fa Part 2 ❑Part 3 CUpon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting I information, and considering both the magitude and importance.of each impact, it is reasonably determined by the a lead agency that: 13 A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. 17 B. Although the project could have a significant effect on the environment, there will not be a significant effectfor this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* D C. The project may result inone or more large and importantimpacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions }� 17 /7eZc, boAaA s ) Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead.Agency Title of Responsible Officer - Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) s Date - 1 k 5. Approximate percentage of proposed y.,ct site With slopes: N16% 10 4 ;o )]10-45% Ell 5% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes IgNo C '. is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes 9No 8. What is the depth of the water table? > 17 (in feet) 9. Is site locatedover a primary, principal, or sole source aquifer?. Klyes ❑No - 10. Do hunting, fishing arshell fishing opportunities presently exist in the project area? Mes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes 13No According to J.M.,0. Consulting (Glenn Just) Identify each species 12. Are there any unique or unusual land forms on the project site? (i:e., cliffs, dunes, other geological formations) ❑Yea _ -X]No Describe I 13. Isthe projectsite presently used'='by the community or neighborhood as an open space or °recreation area? ❑Yes ❑No If yes, explain unknown 14. Does the present site include scenic views known to be important to the community? Dyes IMNo ! 15. Streams within'orcontiguous to project area: N/A 1 a, Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas i within or contiguous to project area: a. Name Ridgway Pond and Swami) b. Size (In acres) N/A 17. Is the site served by existing public utilities? ®Yes El No a) if Yes, does sufficient capacity exist to allow connection? ®Yes ❑No b) If Yes, will improvements be necessary to allow connection? ElYes ❑No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, t Section 303 and 304? ❑Yes IInNo 19. Is the site located in or substantially contiguous to a,Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? EXYes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes MNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.91 acres. b. Project acreage to be developed: C. 0.51' acres initially; C. 0.51 acres ultimately. C. Project acreage to remain undeveloped 5.40 acres. d. Length.ofproject, in miles: N/A (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/A %; f. Number of off-street parking spaces existing 0 ; proposed 0 g... Maximum vehicular trips generated per hour 0 (upon completionof project)? - h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one per lot Ultimately one per lot i... Dimensions (in feet) of largest proposed structure 35 height; �2 widths 7.5 length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 0 ft. 3 I 2S.. Approvals Required: Submittal Type. - Date. City, Town, Village.Board ❑Yes ENO City,Town, Village Planning Board C5tYes ONO minor subdivision July 19, 1991 City, Town Zoning Board Dyes ®No upon ske c approva City, County Health Department MYes ONo Artij2la h- 1zy Planning Board Other Local Agencies Dyes ONO Other Regional Agencies Dyes ❑No State Agencies Dyes r)No Federal Agencies Dyes IXNo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? ILYes ONO If Yes, indicate decision required_ ❑zoning amendment Ozoning variance ❑special use permit ENsubdivision ❑site plan Onew/revision of master plan Dresource management plan ❑other, 2_ What is the zoning classification(s)of the site? - R-80 ( 3. What is the maximum potential'development of the site if developed as permitted by the present zoning? two single-family dwellings ` 4. What is the proposed zoning of the site? N/A 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A (same as present) j6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes ❑No N 7. What are the predominant land use(s) and zoning classifications within a % mile radius of proposed action? single-family residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a Y, mile? L�Yes ONO i 9. If the proposed action, is the subdivision of land, how many lots are proposed? two a.- What is the minimum lot size proposed? 2.77 I 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes ®No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? lKlYes ONO (insignificant) a. If yes, is existing capacity sufficient to handle projected demand? QYes DNo 12. Will the proposed action result in the generation of traffic significantly above present levels? Oyes ZINO. a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ONO I i I D. Informational Details I Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or ( avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Nam Annette Zabohonski Date July 19, 1991 Signature GN L, Title authorized agent Stephen Ham, III If the action is in the.Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 µ 2 3 IMPACT ON WATER Small to Potential. Can Impact Be Moderate Large Mitigated By 3. Will proposed action affect any,Water body designated as protected? Impact Impact Project .Change .(Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ONO DYES Examples that would apply to column 2 ii • Developable area of site contains_a protected water body. ❑ ❑ ❑Yes ❑No + Dredging more than 100 cubic yards of material from channel of a E] El []Yes ❑No protected stream; _ • Extension of utility distribution facilities through a protected water body. ❑ ❑ Dyes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other, impacts: ❑ ❑ ❑Yes El No 4. Will proposed action affect any non protected existing ornewbody Of water? ONO DYES iEzpmplLs that would apply to column 2 • A TO'% increase or decrease in the surface area of any body of water ❑ El ❑Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ []Yes ❑No •.Other impacts: ❑ ❑. ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO DYES Examples that would apply.to column 2 • Proposed Action will. require a discharge permit. ❑ ❑ El Yes []No • Proposed Action requires use of a source of water that does not Cl ❑ ❑Yes El No have approval to serve proposed (project) action. • PIroposed Action requires water supply from wells with greater than 45 ❑ ❑ Dyes . ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ Dyes ❑No 1 supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No `s • Liquid effluent will:be conveyed off the site to facilities which.presently ❑ El []Yes ❑No i do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ 1:1 Yes ❑No 6 day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will bean obvious visual ti( contrast to natural conditions. i • Proposed Action will require the storage. of petroleum or chemical ❑ ❑ ❑Yes ❑No i products greater than 1,100 gallons. C z + Proposed Action will allow residential uses in areas without water Cl Cl ❑Yes ❑No and/or sewer services. - • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansionof existing waste treatment and/or storage facilities. • Other impacts: ❑. ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES E�amples that would apply to column 2 • Proposed Action would change flood water flows. ❑ 13 ❑Yes ❑No 7 fI 1 2 3 Small to Potential Can Impact Be Moderate . Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural (and; • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 25 acres of agricultural'landr • The proposed action wotild•disrupt or prevent installation of agricultural ❑ ❑ ❑Yes 1:1 No tand.managemenC'systems(e.g,, subsurface drain Imes, outlet ditches, Strip crop'ping); or create a need for such measures(e;g.''cause a farm field to drairi poorly due to increased runoff) • Other impacts: ❑ Q 11 Yes ❑No I IMPACT ON AESTHETIC RESOURCES 11 _ Will proposed action affect aesthetic resources? ONO DYES (If necessary, use the Visuals EAF Addendum in Section 617,21, _ Appendix 8) Examples that would apply,to column 2 • Proposed land'uses, or project components obviously different from ❑ ❑ ❑Yes ❑No i or in sharp,contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes []No E aesthetic resources which will eliminate or significantly reduce their enioyment of tihe aesthetic qualities of that resource. • Project compottents that will result in the elimination or significant ❑ ❑ EJ Yes []No screening of soenic views known to be important to the area. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or,paleontological importance? ONO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ 11 Yes []No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes El No project site: • ProposedAction will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑. ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational. opportunities? Examples that would apply to column 2 ONO DYES ` .0 The permanent foreclosure of a future recreational. opportunity. ❑ ❑ ❑:Yes []No • A' major reduction of an open. spaceimportant to the community, ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential . Can impact Be OF.COMMUNITY OR h iQHBORHOOD Moderate Large Mitigated By 18. Will proposed action`affect the character of the existing community? Impact Impact Projeet-Gbange, U ❑NO ❑YES Examples that would apply to column'2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ONO project is located is likely to.grow. by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ONO will increase by more than'Sl per year as a result of this"project • Proposed action will conflict with officially adopted pans or goals. ❑ ❑ ❑Yes ONO • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ONO • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ONO or ateas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g.schools, police and fire, etc,) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No. • Proposed Action will create or eliminate employment. ❑ ❑ Dyes ❑No • Other impacts- ❑ ❑ ❑Yes [-]No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO DYES If Any Action in Part 2 Is Identified as a Potential targe Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3=EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead.Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by projectchange(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections;to the project relate to this.impact. - (Continue on attachments) 11 I, 14.14-11 (2 37)-9c 617.21.21 SEER Appendix B State Environmental Quality Review Visual EAS' Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full lAF, (To be completed by Lead Agency) Distance Between Visibility Project and Resource(in Miles) 1. Would the project be visible from: 0-1/4 /4-1/2 1/2.3 3-5 5'+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic+quallties? • An overlook or parcel of land dedicated to public ❑ Q ❑ ❑ ❑ observation, enjoyment and appreciation of natural or'malr-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑' ❑ Registers ofisforic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ 1 • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ Q ❑ ❑ ❑ • State? ❑ ❑ ❑ ❑ ❑ •. Local road? ❑ ❑ ❑' ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) ❑Yes ❑No 3. Are any of the resources checked in question l used by the public during the time of year during.which the project will be visible? ❑Yes ❑No 1 4 -`CRT i—PROJECT INFRPVIATI PreparedbyProject Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and may be subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2. and 3. Itis expected,that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each,instance, NAME of ACTION Minor Subdivision of Annette Zabohonski LOCATION OF ACTIONalnclude Street Address,Municipality and County) Cres cent Avenue Fishers Island, Suffolk County, New York NAME OF APPLICANT/SPONSOR BUSUJESS TELEPHONE i Angette Zabohonski c/o Stephen L. Ham, III t51fiy283-2400 ADDRESS 45 Hampton Road CITY/PO 'STATE ZIP CODE Southampton NY 11968 :NAME OF OWNER(If different). BUSINESS TELEPHONE ADDRESS CITY/PO - STATE ZIP CODE DESCRIPTION OF ACTION Applicant proposes to divide a 5.91-acre parcel into two building parcels of 2.77 acres and 3.14 acres, respectively. The applicant or donees or legatees will construct a single-family residence, gravel drive and sanitary system on each parcel so divided. Setbacks of 100 feet from the freshwater wetlands will be maintained. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑lndustrial ❑Commercial ❑Residential (suburban) ®Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 5.91 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland.(Non-agricultural) 5-11 acres 4.60 acres Forested 0 acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0•80 acres Mo acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0acres 0 acres Roads; buildings and other paved surfaces 0 acres 0.095 acres Other:(Indicate type) - 0 acres O' - acres 3. What is predominant soil type(s) on project site? _coarse sand with small stones a. Soil drainage: 5�Well drained Ino % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY . Land Classification System? N/A. acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings-on project site? Dyes MNo * of constructionof two a What is depth to bedrock? c. 60o (in feet) residences at the site 2 2. Now much natural Ma f, ial (Le_, , earth, etc.) will be removed frons the s � � tons/cutiip yards, 3. Will disturbed areas be reclaimed? Dyes ❑No MN/A a. If yes, for what intender! purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ONO c. Will upper subsoil be stockpiled for reclamation? Dyes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will'beremoved from site? 0.51 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be emoved by t is project? Dyes ZlNo 6. If single phase project: Anticipated period of construction 6 months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month,-- year, (including,demolition). C Approximate completiondate of final phase, month year. d. Is phase 1 functionally dependent on subsequent phases? Dyes ONO 8. Will blasting occur during construction? Dyes MNo a, 9. Number of jobs generated: during construction 14 ; after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? Dyes []No if yes, explain 12. Is surface liquid waste disposal involved? Dyes MNo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. is subsurface liquid waste disposal involved? WYes ❑No Type spwage 14. Will surface area of an existing water body increase or decrease by proposal? OYes ®No Explain 15. Is project or any portion of project located in a 100 year floodplain?- Dyes ®No 16, Will the project generate solid waste?. lzyes ONO a. if yes,what is the amount per month 0.35 tons per house b. if yes, will an existing solid waste facility be used? Dyes L3No C, If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? CXYes ONO e. if Yes, explain FisharS Tsland Transfer Station will be -used 17. Will the project involve the disposal of solid waste? IXYes ONO a. If yes, what is the anticipated rate of disposal? 0.35 tons/month./residence ls. I6 yes, what is the anticipatedsite life? ? years. 18. Will project use herbicides or pesticides? ❑Yes ®No 19. Will project routinely produce odors (more than one hour per day)? Dyes 13No 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes 1MNo 21. Will project result in an increase in energy use? ®Yes ONO If yes , indicate type(s) alpni viral and home heating oil 22. If water supply is from wells, indicate pumping capacity NSA gallonslminute. 23. Total anticipated water usage per day 400 gallons/day. E 24. Does project involve Local, State or.Federal funding? Dyes ONO If Yes, explain 4 _,t 2—PR CT IMPACTs IkND r.iIETR 'MA ITUbE " Responsibility of Lead Agency General Information (Read Carefully) In completing the.form the reviewer should be guided by the question: Have my responses and determinations,been reasonable? The rev eweris not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The,Examples,provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would,trigger a response in column 2. The examples are generally appiicabie throughout the State and: for mo5t,situations But, for any specific project or site other.examples and/or lower thresholds may be appropriate for.a Potential Large'lmpact response, thus requiring.evaluation in Part 3. • The:impacts of each project, on each site, in each locality, will vary, Therefore, the examples are illustrative and have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number,of examples per questiori does not indicate the importance of each question. In identifying impacts,consider long term, short term,and cumlative effects: Instructions�tRead carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered,as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact if impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold isi lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.. e. If',a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. y2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By Impact Impact Project Change I. Will the proposed action result in physical change to the project site? ❑NO DYES Examples that would apply to column 2 •'.Any construction onslopes. of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length), or where the general slopes in the project area exceed 10%•. • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles, ❑ ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ONO 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for minting. purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material(i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. _ ❑ ❑ Dyes ❑No • Construction in a designated, floodway. ❑ ❑ Dyes ❑No • Other impacts ❑ ❑ C1 Yes ❑No 2. Will there be an effect t: ...ry un,que or unusual land forms found on the site?(i.e., cliffs,dunes, geological formations, etc.)❑NO DYES • Specific land forms: ❑ ❑ ❑Yes ❑No 6 Small to Potential Can Impact Be Moderate 'Large Mittgated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑yes ❑No • Proposed Action is incompatible with existingdrainage patterns. ❑ ❑ ❑Yes []No Proposed Action will allow development in a designated floodway. ❑ ❑ []Yes []No * Other impacts: ❑' 11 []Yes ❑No IMPACT ON AIR 7, Will proposed action affect air quality? ONO DYES Examples that would apply to'column 2 Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes ❑No ' hour. • Proposed Action will result in the incineration of more than 1 ton of ❑, Q ❑Yes ❑'No j refuse per hour. a `> 1 Emission rate of total contaminants will exceed 5 lbs per hour or a ' ❑ ❑ Dyes ❑No r --heat source. producing more than 10:million BTU's per hour.. • Proposediaetion will allow an increase in the amount of land committed ❑ ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ El Yes ❑No i development within existing industrial areas. • Other impacts: ❑ ❑ Dyes ❑No IMPACT ON PLANTS AND ANIMALS Will Proposed Action affect any threatened or endangered • species? ONO DYES '< Examples that wouldapplyto column 2 - Reduction of one or more species listed on the New York or federal ❑ ❑ ❑Yes ❑No hst, using the site, over or near site or found on the site. `Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ Dyes ❑No Application of.pesticide or herbicide more than twice a year, other ❑ ❑ Dyes E]No than for agricultural purposes. Other impacts: ❑ ❑ ❑Yes ❑No Will Proposed Action substantially affect non-threatened or non-endangered species? ONO DYES j Examples that would apply to column 2 ProposedAction would substantially interfere with any resident or ❑ ❑ El Yes ❑No .migratory.fish, shellfish or wildlife species. - l'ronosed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No If mature forest.(over 100 years of age)' or other locally important }'eRetanon, , II IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? ONO DYES 11 Examples that would apply to column 2 he proposed action would sever, cross orlimit access to agricultural ❑ ❑ 11 Yes ❑No nd (includes cropland, hayfields, pasture, vineyard, orchard, etc,) _ 8 - Q` 1 2 3 .. IMPACT CT ON TRANSPOR IONSmall to Potential Can,Impact Be 14. Will there be an effect to existing transportation systems? Moderate Large Mitigated By ONO OYES Impact Impact Project Cha hge,, Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ❑No • Proposed Action will result in major traffic problems. ❑; ❑ ❑Yes ❑.No e. Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON ENERGY 15: Will proposed action affect the community's sources of fuel or energy supply? ONO OYES Examples that would apply to column 2 Proposed Action will cause agreater than 5% increase in the use Of ❑ j❑ ❑Yes ONo ;- any form of Energy in the municipality; TOP osed,Action wt11 require the creation or extension of an energy El 11 Yes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. - Other,impacts: ❑ ❑ 11 Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result i of the Proposed Action? ONO DYES j Examplesthat would apply to column 2 • .Blasting .within 1;500 feet of a hospital, school or other sensitive ❑ ❑ Dyes: ❑No facility_ ,Odors will occur routinely(more than one hour per day). ❑ ❑ Dyes ❑No Proposed Action will produce operating noise exceeding the local ❑ ❑ Dyes ❑No ambient noise levels for noise'outside of structures. ' Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ❑No noise screen. Other impacts: ❑ ❑ ❑Yes ONO IMPACT ON PUBLIC HEALTH 7. Will Proposed Action affect public health and safety? ONO DYES Examples that would apply to column 2 Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ El Yes []No substances(i.e. oil,pesticides, chemicals, radiation, etc.)in the evert of I ccident or upset conditions, or there may be a chronic low level discharge or emission. Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ C1 Yes ❑No orm (i.e. toxic, poisonous; highly reactive, radioactive, irritating,. i mectious, etc.) torage facilities for one million or more gallons of liquified natural ❑ ❑ El Yes ❑No . as or other flammable liquids. 'roposedaction may result in the excavation or other disturbance ❑ ❑ 11 Yes ONO Within 2,000 feet of a site used for the disposal of solid or hazardous i `•taste.. L. I ther impacts: ❑ ❑ 11 Yes ❑No 10 41. DESCRIPTION OF EXISTI'IQISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the'surrounding environment. Within *'A mile *1 mile Essentially undeveloped ❑ ❑. Forested ❑ Q Agricultural ❑ ❑ Suburban residential ❑ El Industrial ❑ ❑ Commercial ❑. ❑ Cuban 1:1 El River, Lake, Pond ❑ 0 Cliffs, Overlooks ❑ Designated Open Space Q ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous Q ❑ Other ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile Dyes ❑No *1 miles Eyes ❑No *2 miles Dyes El No *3 miles El Yes El No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6_ The annual number of viewers likely to observe the proposed project is r NOTE: When user data is unavailable or unknown, use best estimate. •i CONTEXT { 7. The situation or activity in which the viewers are engaged while viewing the Proposed action is FREQUENCY Holidays/ i Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ r Other ❑ ❑ ❑ ❑ i r _ 2 . PLANNING BOARD"MEMBERS SCOTT L: HARRIS Bennett Orlowski, Jr., Chairman y - Supervisor George Ritchie Latham, 1r. RichardG: WardTown HAII, 53095 Main Road' Mark S. McDonaldP.0. Box,1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD-OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823' ptptat#uafxl <<} ,19 1"2:, Suffolk County Planning Commission H. Lee Dennison Executive Office Building -12th Floor Veterans Memorial Highway Hauppauge, NY 11788- ATTi Charles G. Lind, Chief Planner Subdivision Review Division Gentlemen: Pursuant to Section A14-24, Suffolk County Administrative Code, s the Southold Town Planning Board, hereby refersthe following proposed subdivision to the Suffolk County Planning Commission: nn Map of HE6e— �tbo�an5�i Hamlet/Locality f;5.kerS J--Slatnc� S.,C.D.P.W. Topo No. : Zoning 'R - g0 S.,,C. Tax Map No. : 1000 - e k Major Sub. Minor Sub. Site Plan Cluster MATERIAL SUBMITTED: Ske�cG� �� 8f�s1�t Pretiml'haYq Plat ( 3 copies) Road Profiles (1) r g Drainage Plans (1) Topographical Map (1) 4 s Site Plan ( 1) Grading Plan (1) Other Materials ( specify and give number of copies) " �_ �'la►„n2ty� �oat'tlr r2solu�-ton c�d�ec� t� I�{�q�- � Waiver of Subdivision Requirements - See attached sheet_ 1 CONTINUED L ril REFERRAL CRITERIA: SEM STATUS- ,." c oit� Env., Arr- 1. The project is an (Unlisted) ( e`I) (Type II)Action. 2. A (Negative Declaration) (Positive Declaration)' (Determ. of Non-Significance) has been adopted by the Planning-Board, 3. E.I.S. statement enclosed. (Yes.) (:N:o) 4. The proposed division has rec ved approval from the S.C. Dept of Health. (Yes) QV6) , Comments: i7 C. .Q IIoIiCR r9x� !S 7?F�NK (JTOC?SS$d ,in ciCCC'TA4A'`e_ ,,,;aZ SFQPA We request acknowledgement of receipt of this referral (Yes) o) Referral received 19 by Suffolk County Planning Commission and assigned File: NO. Very truly yours, Bennett Orlowski, Jr. Chairman I i a July 19 , 1993 Southold, Town Planning Board TPwn Half Southold, New. York 11971 Re: Minor Subdivision for Annette` Zabobonski i (SC7T # 1000 6 - 2 - 1) Gentlemen: j The following statements are offered for your consideration 1 in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a I residential building is proposed., (2) No new roads are proposed and no changes will be made in the grade's of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed., Yours truly, t h6tI41 Stephen L. Ham, III , as authorized agent of Annette Zabohonski MATTHEWS & HAM. V ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 Pnmi".MATTBEWS .. _ .TELECOPIES 516-287-1076 STEPgEN L.HAM,III i January 7, 1992 4 Planning Board Town. of Southold Mad Cr d � Southold, NY 11971, i httn. : Melissa Spica Re: Minor Subdivision for Annette Zabohonsky (SCTM # 1000-6-2-1) Dear Melissa: In accordance with your request; I have enclosed our check for $400 in payment of the fee to the Towns environmental consultants. Sincerely, 45�swe Stephen L. Ham, IIS SLH:ja Enclosure r ry F611Jt d PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennet[Orlowski, Jr., Charman ,(� Supervisor George Ritchie Latham, Jr. S J Richard G,Ward Town Hall, 53095-Main Road I4ark S" McDonald ��� P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 t January 7, 1992 Stephen L. Ham III Matthews- & Ham 45`Hampton Road - Southampton, NY 11968 RE: Annette Zebahonski SCTM#1000-6-2-1 Dear Mr. Ham: The Planning Board has received a cost estimate of $400.00 fff from their Environmental Consultant for review of Long Environmental Assessment Forms. The above mentioned sum must be paid in full by your client 1 before we can authorize our consultant to proceed with the review. The check should be made payable to the Town of Southold. When the consultants complete their review, the Planning Board will consider their findings in making a determination of whether the project will have a .significant environmental impact. Very truly yours, � Bennett Orlowski, Jr.' �rnS Chairman C) ; F9(� TRUSTEES hyQ�oS�f -�QG�� John M.Bredemeyer,III,President p < SUPERVISOR Henry P. Smith,Vice PresidentW SCOTT L.HARRIS Albert L Kmpski,Jr. • John L.Bednoski,Jr. : IQj .�� Town Hall John B.Tuthill ° 53095 Main Road P.O,Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)t65-1823 TOWN OFSOUTHOLD TO Planning Board II Melissa Spiro FROM: Southold Town Truste I RE- Annette Zebahonsk SCTM #1000,6-2-1 i DATE: December 27, 1991 I In reference to the attached report of Bruce Anderson of August I 29, 1990 'please be advised the Board of Trustees authorized this report at the request of Brad Burnham of Fishers Island who was acting on behalf of Mrs. Zabahonski and wished to expedite this application. Since Mr. Andersons report remains timely, this office has no objection to it being used for your current review of the subdivision proposal before you. Should any questions arise, please do not hesitate to contact this office. 4JAI(qtr Aem E solnNotn TOWN PLANNING BOARD is i P TRUSTEES er John M.Bredemeyer,III,President e SUPERVISOR He=T P. Smith,Vice President WR SCOTT L.HARRIS Albert J. KrupAi,Jr. Sohn L,Bednosld,Jr; Town Hall John B.Tuthill; 53095 MainRoad P.O.Box 1179 If Telephone(516)765-1892 BOARD!OF TOWN TRUSTEES Southold,New York 11971 Fax(516)763-1823 TOWN OF SOUTHOLD f TO: Planning Board Melissa- Spiro FROM: Southold Town Truste RE: Annette Zebahonski SCTM #1000-6-2-1 DATE: December 27, 1991 In reference to the attached report of Bruce Anderson of August 29, 1990 please be advised the Board of Trustees authorized this report at the request of Brad Burnham of Fishers Island who was acting on behalf of Mrs. Zabahonski and wished to expedite g this application. Since Mr. Andersons report remains timely, this office has no objection to it being used for your current review of the subdivision proposal -before you. Should any questions arise, please do not hesitate to contact this office. 1 .I L ��b 3 fl 41 'f SOtJl110LD 70WN PLANNING BOARD i � v fFOt L s ..c � TRUSTEES � � �-" _ SCOTT L. HARRIS John M. Bredemeyer, III, President :,; Supervisor. Henry P. Smith, Vice President Town"` +,^�� Albert J Krupski,Jr: ' Town Hall, 53095 Main Road P.O. Box [179 John L_.Bednoski, Jr.. John•B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (51'6) 705-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone(516) 765-1900- TO: Planning Board FROM: Board of Trustees RE: Annette Zabahonski, SCTM #1000-100-6-2-1 DATE: October 30, 1990 The following action was taken by the Southold Town Board of Trustees on Thursday, October 25, 1990: RESOLVED that the Southold Town Board of Trustees approve the environmental report dated August 29, 1990 as submitted by Consultant, Bruce Anderson. If you have any questions, please do not hesitate to contact this office. JMB:jmt cc: Bruce Anderson CAC File 4 f _ i Fr Bruce Anderson : . : 1 Environmental Consultant + ' 2 v �Uij ugust 29 , 1990 01- SOUTHP John' Bredemeyer, President Southold Board of Trustees Town Hall Southold, NY 11971 Re: Annette Zabahonski Fishers Island f SCTM# 1000-100-5-2-1 Dear Mr. Bredemeyer, Attached is a natural resources inventory and site review of the above referenced subdivision . // Sincerely, Bruce Anderson�� +1 , i e } 475 Rambler Road, Southold, NY 11971 (516) 765-4071 Bruce Anderson Environmental Consultant Natural Resources Inventorya S Site Review Property: Annette Zabohonski n�T Fishers Island tea # jq SCTM# 1000-100-6-,2-1 " •s ~` > O Agent: Brad Burnam liJrr- Fishers Island " Description: Subject property is characterized as "U" shaped and having ,a drainage swale which bisects the property running in an east-west direction,. Two separate wetland area's are found within the property boundaries . The first wetland was found within` a small depression on the eastern portion of the property. The wetland is characterized as a small shrub swamp containing primarily highbu-sh blueberry with a stand of winterberry around its perimeter. Subject wetland was not flagged because its portion extending into subject parcel is quite small and not expected to influence subdivision yield to a' signif'icant ` degree. Nevertheless, its presence may influence the eventual development of the adjacent property to the east as we•11 as the regulation of single family dwellings eventually built, on this site. The second freshwater wetland is found within the western portion of the dra` .naq& Swale;. Subject wetland is situated adjacent to Grescent Avenue beginning at a point approximately 50 feet from a .nonument where a culvert is located extending approxim,ateJy 300 feet south along the road. The wetland also extonas, approximately 200 feet east of the road side. The shape of' the wetland appears to be oval. Subject wetland is also characterized as. a shrub swamp but mature species of black tupelo, and red R maple are present along the eastern portion of the wetland. Lam e stands of elderberry, sweet peperbush, and highbush blueberry are found around the perimeter of the wetland. E The central portion of the wetland contains thick stands of soft rush, wool grass and marsh St ., Johnsworto While no standing water was found in the wetlands soils have remained sufficiently' wet as to support small patches of duckweed as well as a variety of mosses;. The two wetlands are separated by habitat generally characterized as a late successional field. Within this area thick stands of blackberry, sumac and honeysuckle are found. Black cherry and choke cherry are also present. One unusual feature of this area includes the presence of a large black willow tree. While black willow is typically associated with wetlands the surrounding (and predominant) vegetaion can not be characterized as wetlands . - 475 Rambler Road, Southold, NY 11971 (516) 765-4071 Vegetation along the southern portion of the site adjacent to the power lines is characterized as exotic. A large stand of maple(species unidentified) is found within this, area. Also there is 'a mature catalpa tree (also exotic) found within this area. Japanese honeysuckle occurs sporatically throughout this area. The following is a list of species found within wetlands and their adjacent areas : Wetland Areas " Smilax rotundifolia green brier Ilex verticulatum winterberry Vaccinium° corymbossum highbush blueberry Osmunda cinnamomea cinnamon fern Lemna spp. duckweed dnoclea sensibilis sensitive fern Viburnum recognitum arrowood Juncus, effusus soft rush Nyssa sylvatica black tupelo Acer rubrum red 'maple Sambucus canadensis elderberry Scirpus cyperinus wool grass Clethra alnifolia sweet pepperbush H ericum ' erforatum marsh St. Johnswort yP p Carex 'spp. needle sedge Cephalanthus occidentalis buttonbush haircap moss Adjacent Areas Rhus typhina smooth sumac Rhus glabra staghorn sumac Prunus serotina black cherry Prunus virginiana " choke cherry Smilax rotundifolia green brier Vitis lambrusca fox grape exotic maple Rubus idaeus red raspberry Loni'cera tartarica tatarian honeysuckle Cera t s rus `scandens bittersweet Sal-ix nigra black willow 475 Rambler Road, Southold, NY 11971 (516) 765-4071 w Recommendations The delineation of wetlands in the planning process serves the immediate purpose of determining yield for a subdivision of land. However , the regulatory burden of the I eventual residents on, this property may be avoided by delineating building envelopes greater than 100 feet from wetlands in the planning process-. Thus, it is recommended that building envelopes be delineatedonthe subdivision map with sufficient setbacks from the wetland boundary ;as to avoid wetland jurisdiction from both the NYSDEC and the Southold Board of Trustees. The drainage Swale is perhaps the most striking of natural resource features found on site. Lots should be arranged such that the swale area is retained in its natural condition to the greatest extent practicable. In doing so, the wetlands will be adequately protected from construction impacts such a.s erosion and siltation and accidental. j overclearing as well as long term development impacts such as runoff which may contain fertilizers and pesticides . I Since no sketch plans have been submitted showing the wetlands and Future homesites , it is not possible to address design aspects in a detailed way at this time. 475 Rambler Road, Southold, NY 11971 (516) 765-4071 TRUSTEES H Z SCOTT L. HARRIS T Supervisor John:M. Bredeme.yer, Ill President , Pre Henry P. Smith, Vice President Town Albert 1. Krupski:Jr. }fall, 53095 Main Road P.O. Box 1179 John L. Bedttoski.Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax(516) 765-1823 Telephone(516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 September 21, 1990 Mr. Bruce Anderson 475 Rambler Road - Southold, NY 11971 RE Annette Zabohonski, Fishers Island SCTM #1000-6-2-1 Dear Mr., Anderson: Please be advised that the environmental review fee of $140. 00 has been received by this office for the above-referenced project. Upon completion of your review, kindly submit your report to this office as soon as possible. Sincerely, ill Thorp, Clerk to the Board JI cc: Bradford Burnham i i. :�C:��J�Ii-�-cels°c.y�-���✓ �//� �� -cF-�-2e 'v t:' EP 7 GIM ©F�1 F SOUTHC - N � . Ct�1LiTxxEtivs" £: I3ANi ATTOR&SYS AND COUNSELLORS AT Ldw 45 H:vuPTov Rowe SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B 1,MATTHEWS TELECOPIER 516267-1076 STEPHENL H�x,II£ September 16, 1991 Planninq Board i `own of Southold mown. Hall Main Road` 'Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision for Annette Zabohonski (SCTM # 1000-6-2-1) Dear Melissa: I have enclosed twelve new prints of the referenced Minor Subdivision Map. This version of the Map deletes, in accordance with .your request, the extraneous marsh symbols. Sincerely, Stephen L. Ham, III SLH:ja Enclosures {f8(q1 Qriri1N� 6t Gl awcAN q f¢FoC� a 1/ SOUTH, Aft 0 TOWy i MATTHEWs & HAM 5. _ ATTORNEYS AND COUNSELLORS AT LAW G 45 HAMPTON ROAD SoiaTE-kmPToN,N.Y.11968 G 535-283-2400 - s ')?H p B AS.EW9 TE,LVC pi H 536-287.1078 - 'STEPHEN L.:HAM,111 September 16, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attu_ : Melissa Spiro Re: Minor Subdivision for Annette Zabohonski (SCTM # 1000-6-2-1) Dear Melissa: I have enclosed twelve new prints of the referenced Minor Subdivision Map. This version of the Map deletes, in i accordance with your 'request, the extraneous marsh symbols. s k sincerely, Stephen L. Ham, III SLH:ja Enclosures (J SES l 1991 a FLAPJfy1N0,BL�Aq� i I i i Al PLANNING BOARD MEMBERS ` 4 SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ., ,�'%' Supervisor George Ritchie Latham,.Jr. .. Richard G. Ward �� { Town Hall, 53095 Main Road Mark S.McDonald P,O. Box 1779: Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 TO: John Bredemeye-r, III i President, Board of Trustees } FROM: Bennett Orlowski, Jr. 0 Chairman DATE: August 27, 1991 I RE: Minor Subdivision for Annette Zabohonski Crescent Avenue, Fishers Island SCTM#k 1000-6-2-1 Enclosed please find a copy of the map for the above mentioned subdivision for your review of the wetland delineation. This application was received by the Planning Board on July 24, 1991, and at this time has not received any approvals. The Planning Board awaits your review prior to making a determination on the sketch map. 5 it - 11'LITTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45.HAMPTON ROAD llS S0uTHAMPT0N,N.Y.11968 516-283-2400 ° 'IrHILtP`B'-24& tIE4v5 TELEGOFIEH 516-287-t076 - - STEPHEN L.ffkf,m April 29, 1991 K Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Application of Annette Zabohonski Dear Melissa: I have enclosed a preliminary minor subdivision plan for Annette Zabohonski. In accordance with our telephone conversation this morning, I would appreciate it if you would review the plan and advise me of any deficiencies before I submit the requisite number of copies with a formal application. (Among, other things, I know I will have to advise the surveyors of the correct spelling of Mrs. Zabohonski's name. ) 5/c1q, t t Sincerely, eDi� l�r,, ie (e� ieu c� v1A eanG cc tied / {1 . _ Stephen L. Ham, III SLH:ja Enclosure MATTaEws & HA31 ATTORNEYS AND COUNSELLORS AT LAW /��g� 45 HAMPTON ROAD ✓"�....� SOUTHAMPTox,N.Y.11968 p 5I6-283-2400 � ' PHiLIP$_MtirTxEWS. T£LECOPIER 516-287-1076 STEP]3EN L:Bax,m i April 29, 1991 " planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Melissa Spiro Ilh lRe: Application of Annette Zabohonski t Dear Melissa: I have enclosed a preliminary minor subdivision plan for Annette Zabohonski. In accordance with our telephone conversation this morning, I would appreciate it if you would review the plan and advise me of any deficiencies before I submit the requisite number of copies with a formal application. (Among other things, I know I will have to advise the surveyors of the correct spelling of Mrs. Zabohonski's name. ) Sincerely, Stephen L. Ham, III SLH:ja Enclosure MR 3 0 ���` The Henry L. Ferguson Museum Fishers Island, New York 06390 i June 1 S 92 Fishers Island Planning & Zonlije , I Board .._.,w__ Attention: Kenneth Edwards Dear Sirs : I am writing to your Board in connection with two archaeological surveys that have been made re- cently on Fishers Island. One was for John S. and Margaret H. Guest who reside on Crescent Avenue, Fishers Island and the other for Annette Zabohon- ski also of Crescent Avenue, Fishers Island , N . Y . The two surveys are dated April 1992 and were done by Robert L. Miller, Ph.D. of Clover Archaeological Services of Northport, N.Y. During the past sixty-five years, a good deal of archaeological work has been conducted on th.e Island , first by my father, Henry L. Ferguson and more recently for the past eight consecutive years by professional teams from the New York Stage :Museum in Albany, N.Y. (Dr. Robert. E. Funk) and John Pfeiffer of Old Lyme, Ct. Both are high- ly respected professionals. They have conducted considerable test transecte of the Island as has RCbert L. Miller on North Hill. Native American habitation sites are scattered widely up and down the Island but concentrated most densely around the shallow harbors such as West Harbor, Hay Harbor and East harbor. Inland sites are to be located near fresh water : Barlcw Pond, Turtle Pond, Grass Pond, etc. To date no Paleoindian site has been discovered on the Island, 10,000 to 8 ,000 B.C. We do have artifacts in the: H.L.F.Museum which are ascribed to the Archaic Period , 8,000 to 1 , 500 B.C. Fishers Island has nroven to be a valuable: contributor to furthering the knowledge of coastal The Henry L. Ferguson Museum Fishers Island, New York 06390 Native Americans, their life styles under chang- ing climatic conditions and rising sea levels. In 1992 Or early 1993 Dr. Robert E. Funk will produce a final report on the findings that have been made on Fishers Island. This will be a very authoritive document. As a conseouence of the revived scientific interest in Fishers Island archaeology it is my firm belief, as President of the Henry L. Fergusor Museum, that every effort must be taken to pre- serve whatever prehistoric or historic ' finds ' there may be made in the future or of existing ones which may be known. It appears logical to me that before any foundation excavations take place that a professional examine the f;, ,,;- "r spot and be present during the excavations. This wou lleliminate costly 150 page reports and save time. (*) Finally, I believe that contractors anc excavators have an obligation to report any- thing unusual they unearth be it prehistoric or historic. As an ardent amateur archaeologist I have written the above with great concern for the pos sibilit•y of lost scientific data but also with concern for land owners who too often must con- tend with expenses , delays some of which may be unnecessary. Sincerely, (*) I further suggest Charles B. Ferguson that this monitoring President be part of a building contract. FFOj/(Cog� o �c Z SCOTT L. HARRIS IRUSTFFS coo %r T Supervisor Joon M. Bredemeyer, III. President t*� Henry P. Smith, Vice President �Ol ��� Town Hall, 53095 Ma'm Road Albert J- Krupski. Jr. P.O. Box 1179 John I . Bednoski. Jr. - f�u� Southold, New York 11971 Lohn B_ Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Tclephnnc 016) 765-1892 TOWN OF SOUTHOLD Telephone (516) 76S-1800 TO: Planning Board FROM:: Board of Trustees RE: Annette Zabahonski , SCTM 41000-1*-6-2-1 DATE : October 30 , 1990 The following action was taken by the Southold Town Board of Trustees on Thursday, October 25 , 1990 : RESOLVED that the Southold Town Board of Trustees approve the environmental report dated August 29, 1990 as submitted by Consultant, Bruce Anderson. If you have any questions, please do not hesitate to contact this office. JMB: jmt cc: Bruce Anderson CAC File Bruce Anderson C' ry 1 Environmental Consultant I 11 —�, ugust 29 , 1990 C; SOU7HCLD John Bredemeyer , President Southold Board of Trustees Town Hall Southold , NY 11971 Re : Annette Zabahonski Fishers Island SCTM# 1000-100-6-2-1 Dear Mr . Bredemeyer , Attached is a natural resources inventory and site review of the above referenced subdivision . Sincerely , Bruce Anderson 475 Rambler Road, Southold, NY 11971 (516) 765-4071 Bruce Anderson Environmental Consultant Natural Resources Inventory .� iy � k+�Site Review la, s Property : Annette Zabohonski Fishers Island SCTM# 1000-100-6-2-1 Agent : Brad Burnam Fishers Island Description: Subject property is characterized as "U" shaped and having a drainage swale which bisects the property running in an east-west direction . Two separate wetland areas are found wi,_hin the property boundaries . The first wetland was found within a small depression on the eastern portion of the property . The wetland is characterized as a small shrub swamp containing primarily highbush blueberry with a stand of winterberry around its perimeter . Subject wetland was not flagged because its portion extending into subject parcel is quite small and not expected to influence subdivision yield to a significant degree . Nevertheless , its presence may influence the eventual development of the adjacent property to the east as well as the regulation of single family dwellings eventually built on this site. The second freshwater wetland is found within the western portion of the drainage swale . Subject wetland is situated adjacent to Crescent Avenue beginning at a point approximately 50 feet from a monument where a culvert is located extending approximately 300 feet south along the road. The wetland also extends approximately 200 feet east of the road side. The shape of the wetland appears to be oval . Subject wetland is also characterized as a shrub swamp but mature species of black tupelo and red maple are present along the eastern portion of the wetland. Large stands of elderberry , sweet peperbush, and highbush blueberry are found around the perimeter of the wetland. The central portion of the wetland contains thick stands of soft rush , wool grass and marsh St . Johnswort . While no standing water was found in the wetland, soils have remained sufficiently wet as to support small patches of duckweed as well as a variety of mosses . The two wetlands are separated by habitat generally characterized as a late successional field . Within this area thick stands of blackberry , sumac and honeysuckle are found . Black cherry and choke cherry are also present . One unusual feature of this area includes the presence of a large black willow tree . While black willow is typically associated with wetlands the surrounding (and predominant) vegetaion can not be characterized as wetlands . 475 Rambler Road, Southold, NY 11971 (516) 765-4071 Vegetation along the southern portion of the site adjacent to the power lines is characterized as exotic . A large stand of maple ( species unidentified) is found within this area . Also there is a mature catalpa tree (also exotic,) found within this area. Japanese honeysuckle occurs sporatically throughout this area . The following is a list of species found within wetlands and their adjacent areas : Wetland Areas Smilax rotundifolia green brier Ilex verticulatum winterberry Vaccinium corymbossum highbush blueberry Osmunda cinnamomea cinnamon fern Lemna spp . duckweed Onoclea sensibilis sensitive fern Viburnum recognitum arrowood Juncus effusus soft rush Nyssa sylvatica black tupelo Acer rubrum red maple Sambucus canadensis elderberry Scirpus cyperinus wool grass Clethra alnifolia sweet pepperbush Hypericum perforatum marsh St . Johnswort Carex spp . needle sedge Cephalanthus occidentalis buttonbush haircap moss Adjacent Areas Rhus typhina smooth sumac Rhus glabra staghorn sumac Prunus serotina black cherry Prunus virginiana choke cherry Smilax rotundifolia green brier Vitis lambrusca fox grape exotic maple Rubus idaeus red raspberry Lonicera tartarica tatarian honeysuckle Celastrus scandens bittersweet Salix nigra black willow 475 Rambler Road, Southold, NY 11971 (516) 765-4071 Recommendations The delineation of wetlands in the planning process serves the immediate purpose of determining yield for a subdivision of land . However , the regulatory burden of the eventual residents on this property may be avoided by delineating building envelopes greater than 100 feet from wetlands in the planning process . Thus , it is recommended that building envelopes be delineated on the subdivision map with sufficient setbacks from the wetland boundary as to avoid wetland jurisdiction from both the NYSDEC and the Southold Board of Trustees . The drainage swale is perhaps the most striking of natural resource features found on site . Lots should be arranged such that the swale area is retained in its natural condition to the greatest extent practicable. In doing so , the wetlands will be adequately protected from construction impacts such as erosion and siltation and accidental overclearing as well as long term development impacts such as runoff which may contain fertilizers and pesticides . Since no sketch plans have been submitted showing the wetlands and future homesites , it is not possible to address design aspects in a detailed way at this time. 475 Rambler Road, Southold, NY 11971 (516) 765-4071 i LASER FICHE FORM` Planning Board Site Plans and Amended Site Plans This ' i' �ir n �, i ' iii Oi � i . ; s to impla�e is;imispng, req .. redllLas; r K, he,data'I Print Date: 12/29/03 SCAN Date: Proiect Type: Minor Project Type: Final Approval SCTM# : 1000 - 6.-2-1 / Proiect,Name:, Zabohonski, Annette / Address: Lrcatien: CrescentAvenue Fishers Island H`�4fflh Fishers Island A UJImU!t Name: , ,Annette Zabohonski Crxer. iame: Annette Zabohonski Zd`ne,14 R-80 OPTIONAL ADDITIONAL INFORMATION Y A date indicates that we have received the related information Endorse Site PlanDate: Zone 2: Zone 3: 'County Filing Date: ,rr t , ,5 o, tcl iy C and R's : i '�erire-Z`lc, ef Homeowners Association R and M Agreement: i' i - 11 r,. W � 2 r ,��I sew' .m 1n 9 1 'i � __- '• •� " � m Q I 8 � eQ •� m� — CR ; z - - °�� ESCENT a 99.ee• AVEA �Y(l I POp _y m LOT 2 / d''b, /nl✓ I"1 °T 2.77 �- - �� .� • x _ - �m 2 % m" e W3072.85 monument li .v. / /,r. / e _ / 14 t OSS°4,4 00 w s urlurlEs \ \ \ l e,w =ACRE55\, ^ \ EASEMENT \ rj r. mMwlP.11 . • $ J4 e� /i 2•e —��_�\.. / / O n .'! �-r� "N, � W N v 2 kin, . D / \ 30. 0 monument 5 \ \ �O '.� �• 24agp• m " ,` ice. i D , c \ E we4saaf FNT \` � �, 1 ° I0 n w \ \ ' '7J 0 S50 02 / \ 23.4' ' ro 152 . 60' \ \ cp monument ' �'•�¢9• • ,�€' �.p Opole y `�. � ' IN� 71 AII _5-U f3J l--cT Prrc7Pt RS, �• * ,oE�ER rn S509 02110"W �o ,' • .. � m us o , , v 169. 53' NO S! u I. COORDINATE D15TANCES ARE MEASURED FROM 1�ry�� mem / $ ° ''I \•, \ ` 5751.3 U.S. COAST AND 51 SURVEY TRIANGULATION a5i� �F IJ monument W 3215.60 , STATION ''PROS" 2. 51TE 15 IN THE TOWN OF SOUTHOLD, COUNTY OF o • SUFFOLK, TAX MAP 1000, SECTION 006, BLOCK 2, o i CWP) D W�� f ` \ LOT I SCHOOL DISTRICT 4. / / 3. TOTAL AREA: 5AI +/- ACRES ' LOT 2 / 8.5 ' S� N. monument monument'' i 6Q0 12. 19 4. 51TE 15 TO BE SERVICE BY MUNICIPLE WATER / AND ON SITE 511 D15POSAL SYSTEM. I n 2. 77 ' ACRES �3 5. SITE 15 1N R-80 ZONE I - FL �' 3 monmen Annette Zabohonski b. OWNER: I W 6�8, �� +Id.- • ZrLO 6 / Fishers Island, NY 06390 's I /• h� // �/ O ?. BASE FOR LEVELS NGVD / O wet area 0`� —// c0 ' °�� b M�0 /toed' BENCH MARK TOP OF MONUMENT KNOCKOUT INLET AND -- ° e 3$ I �J, •e� ELEV. 22.25 (Mean IOW Water) OUTLET OPENINGS It , '. 1I LOT RIBS IN -9 �� Z 24" DIA COVER • • 1 �" 3. 14 = ACRES..,, 7� % r ° � - monument ,. pole L, APR $ 0 1991 ao� oop - III (4) 8" DIA KNOCKOUTS � e� %' • „+•!'l � : _ — — _J ° o 0 0 o calve' J ° Ip - - CONCRETE COVER4" o 0 o L �g • O / OO�e CAST iO E (0 S S o a \� � I^ eo D° DIA o "� 2 O, PLAN �r RFS, ' s94�. • I / T z How /, N 3469.03 LOCKING CASTINGDRY WE LL J �, �• � ,, , PRELIMINARY TO GRADE - - CROSS SECTON FINISHED GRADE NOT TO SCALE I� CHIMNEY x42.6/12.6 GA. WIRE MESH pole 'a R 2" 6 x 6 6/6 GA. WIRE MESH _T L T H OLl• I - 14" _ 6N_ ToPIo,L _ 303 ` � a MINOR SUBDIVISION PLAN INLET D• � NT OUTLET r _ ^fl—GggYl$L- SIANDWITH MADE FOR _ LIQUID LEVEL SMA -(- S71mmu S QON NUDARE CT aA� T f - I,I— COSIsRIA L ! �.� `�s ANNETTE ZABA HONSKI SEAL 1 ASPHALT urvc0 vnm ;� -WITH Co('H5LI:S I hereby certify that this map was made from In I 4' SCHEDULE #40 e' P c 1 actual surveys completed April 15, 1991 and monuments ravel ` CRESCENT AVENUE INLET BAFFLE eG' GAS < D .I DEnemax -71.- S T HO t-L". 2 - are set as shown. "A declaration of covenants and restrictions I q �/ ////}}} offectlmg the lots In the subdivision has been filed In the road �` F/V�e ST' / / FISHERS ISLAND , NEW YORK / - 1 s'-a' J � .-]2r - 341 YGU.ow/gRowN SufDS'nIL. office of the Suffolk County Clerk In Libor Page I �. 1 x•90' t SCALE I" = 50 feet CHANDLER, PALMER, BIKING —4-T'' d �*rr_ 6>I'I 51 LT ( SAND -- ____ monument, 11 CROSS SECTION 60" -165 eoAh:SL-'. SANDY GRANDE. I am familiar with the standards for approval end construction NORWICH, CONN. t 'j -�' rs O 25 50 /00 of sub vface sewage disposal sys ams for single family \5 residence and will ablea by the conditions set forth therein y pole - r 1000 GALLON and on the permit to construct. 2 COMPARTMENT ZG pole SEPTIC TANK NOT TO SCALE APPLICANT SZ79y t i / oy4 N � seoroz'm•w R/pE LT °3s' ✓ R GUE�+ 2.77 ACRES / T , -- - �y Y ' yzo �' ry / N 66.69 qeJ 0 r W 3072.85 \ SA ••r '••' o° Zz rom / monument L I // Sg°44 I unurlEs � 4 — p ° s.w =ACRES\ � O 00li, EASEMENY 5 --- '�- -- - inn - 0 0o GO 0. QO monument 5 v m / ^ Z 2 4t� f 34MM ^�. NT • �\ 0 e r .rlr OD LA S50" 02'10"W � •,\ 23.4Go ' � 152 . 60' \ \ monument Opole "O \ O Q S Z S_ U VO ` ° v lV 5 U Z° L' GT PRIO>W"W.F; scP{ �� ,.. I" loo''-o„ _ - h • ,:� o —z� ` \ S 50902'10"w -r.. � m I 00 S ; vim 169. 53' NOTE mem it no 30 I. COORDINATE D15TANGES ARE MEASURED FROM $ o \ ` 5751. U.S. COAST AND GEODETIC SURVEY TRIANGULATION �5 r �C monument $ ' n \ �-0 O W 3215.60 STATION "PROS" 2, SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF �' / p I / • 00 �� -' \��O SUFFOLK, TAX MAP 1000, SECTION 0011 BLOCK 2, LOTII /, / LDISTRICT 4.I SCHOOL DIST4. LOT 1 I ( coent d \ v \ /I 5. TOTAL AREA: 5.91 +/- ACUp Lt�r.\�s 2.07 a LOT 2 �� "'- 8• ' / J monum RES 4. SITE 15 TO 13E SERVICE 6Y MUNICIPAL- WATE -f R WE-CL I.NDS 0. 0 0' 1 monument' G`QQ 12. 18' 2.77 ! ACRES AND ON SITE SEWAGE DIE P05AL SYSTEM. pc 5. SITE 15 IN II ZONE Lo�- 2 Q� $ monumen 6. OWNER: Annette Zabahonskl UFLA.I-IUS 3 .0.4 � w Fishers Island, NY 06590 s '• k / WETLAN-OS 0-10 OA` wHt area i . BASE FOLEVEL5 N6VD To•r,..`. 3 . 1 ti Acczs 0 PPP 7 R -- - --_ 0 �'I OQ M�0 !to°� BENCH MARK TOP OF MONUMENT I�.�- a'-s” M • ' `\ 3 ! �J� •� ELEV. 22.25 (Mean low water) KNOCKOUT INLET AND ° \` i OUTLET OPENINGS co RIBS INSIDE Z • - � .ye .I �,�2, LOT • I v T4" DIA COVER _-.-'------- -'�� � • _ 4�• _ _ 3. 14 NACRES' o � e �+ N �+ moi' monument . SQ-FT. / pole (4) 6^ DIA KNOCKOUTS cul or •�,� , S1" ; • '� - - ' v1 H O irk sr CAST oo ° 0 0 o u ao� \\ wF � � ,S• _ - -_ ' CONCRETE COVERS '" 0 0 0 0 0 `�•� A , PLAN 4^ - e'-D^ DIA /�FS • 2694. GO (NJ • I, i °Cy� Ha'c z � / IgiL Q 1c;91 \. �,. R 134 68.03 C Nr • _ �` \ ��ja I / LOCKING CASTING GRY WELL TO GRADE CROSS SECTON FINISHED GRADE NIOT TO SCALE 1G _ 4CHIMNEY 2.6/12.6 GA. WIRE MESH �\ • \ —n - - �� pole Yx 8 x 6 6/6 GA. WIRE MESH TL�T H�1-� I �' • �^ P� �4" „— T�> all / 30�,� `. v MINOR SUBDIVISION PLAN \ a NFw \ `, . ^� o MADE FOR OUTLET 6 - SO- 5�)DSOVI. BROW N_ J^ VENT ]' BENT ' _ 1— G'?ARg L SAND WITH 4: _ {^�` yO \ / aw+. LIaJ10 LEVEL , , S'ti,q Ll..^5S'oNL'$ � PD H'ST 9 \ �”' ^^ � ANNETTE ZABOHONSKI � CCNTINUCUS HCT -WITH - - - ., ASPHALT SEAL UI MINIM 1vlT f ' 1 hereby ethat this map Wmade from 1 t seHEouLE Hoo � P� I - actual surveyss completed April 155,, 1991 and monuments '" aysl q 1 ' CRESCENT AVENUE INLET BAFFLE ea cAe 1 V ' oE:LEmon -S L S T HD L 1, 2 arc set as shown. °A declaration of covenants and restrictions FISHERS ISLAND NEW YORK a p„ "'t" 2affecting the lots in the subdivislon has been filed In the, n o¢ rood \ FN(/e Sj2 ^ - r s'-e^ 4 Y:�LLow%oRowN Suafco[L office of the Suffolk County Clerk in Liber Page p 90' // SCALE I° = 50 feet CHANDLER, PALMER, B KING a" r— �¢ - � 51 L.TY .S;I,ND If - monument; \. CROSS SECTION 60" _16,5 GOAII SP,NDY GICAVL5t- I am familiar with the standards for approval and construction ' �_� _ ___-�/ 2S NORWICH, CONN. Of subsurface sewage disposal systems for single famlly ,5 - O 25 50 /00 residence and will abide N the conditions set forth therein °o/ pTe - IL 1000 GALLON and on the permit to construct. - �� b/�T °J APR19 9 I 2 COMPARTMENT D pole SEPTIC TANK APPLICANT NOT TO SCALE - S2.7G� A I u I r - i i WW N� E �o � : sa illi 1YID6S m.nunx LOT 2 ,. .' �''6 „��✓/ G(�EST . 2.77 t ACRES � W3072.85 v ••, "•• '. n oo � � � ro° A. monument \, i -T I_ ( /•`' 5 44 UTILITIES o .— 0 \ 3,w_,„cREs\� / ^ 0p W 's EASEMENT - -- Ila c KAY Mp P m •/e o e m monumentCo .p S500 ` N,' ° w tb 23.4` —1 .52 . 60' °Cole y � � IN / 150 \U D \ N S s u 3J L:.cT PRt PtvRS 9c^ L. III= IoG'-on ,,�,�- t� N O I, N/JZE N \ s S 50002'10°W O �� �N_ N � \ � 169. 53' 5751.30 \ I. COORDINATE DISTANCES ARE MEASURED FROM j $ o \ ` 3215. U.S. GOA5T AND GEODETIC SURVEY TRIANGULATION �, a5 �t b / monument `5 ' nw p N �--� W 3215.60 STATION "PROS” 2. SITE 15 IN THE TOWN OF 50COUNTY OF I, •.L 00 \ 00 UTHOLD, SUFFOLK, TAX MAP 1000, SECTION 006, BLOCK 2, LOT 1`tizE P.S o C�� D' / 0- - \ / N. \ monument / li LOT I SCHOOL DISTRICT 4. LOT I UYLI�HOS 2.0 I LOT 2 �\µN< rN 5 F�j ' mqn mean / / 1 \ `00 12.19' 3. TOTAL AREA: 5.91 +/- ACRES 7 • 4. SITE 15 TO Be SERVICE BY MUNIGIPA,L-WATER WEZ\,t�N110 O"'10 0l ! £K� - '- 0� • / - ` /ao6 AND ON SITE SEWAGE PI!POSAL SYSTEM. - 2.77 ACRES S' ° To-rho.- Z.11 Ac-QEq I _ - E \2o 9 9 \-3 /pole. / 5. 51TE 15 IN R-80 ZONE L.o� rZ p - • 3 -. 0 / . IE� • Z20 6 / b. OWNER: Annette slang, nskl 3 Al.lmonumen 04. UJ UT�I_t�I.1US `7 Fishers Island, NY 06390 's � ' WET LR.N�S O.lo O ' -1. BASE FOR LEVELS NGVD -ro-c- -j -1 M 1C<E$ 0 Wet Of eO ! 0 0 �- _ -- (O ao\� ��0 �to�, ' BENCH MARK TOP OF MONUMENT _ to • 3 I ��J� o\ ELEV. 22.25 (Mean low water) IN L��.---------- 8 N Il /eJ /, KNOCKOUT NLET AND ° OUTLET OPENINGS OD OD ' - AIL RIBS INSIDE � DIA COVER t- ~ '� o z ., ' �— 3.14 ' ACRES + / 6� � 1 monument • N B" DIA KNOCKOUTS Pulver CAST _ — J I 8 00 xA • �,_ - - _ `" o (\D � / S• _- _ CONCRETE COVERS , 0 0 0 0 0 0 0 0 ° a^ — a'-0^ DIA �. R • 26gg DO N • I 1 111////// / H �_ d PLAN FScF/V W 3468.03 T • .` \\ <�j�' I / D LOCKING CASTING C)RY WELL \ O TO GRADE � � CROSS BECTON \ FINISHED GRADE I� �, � .N \ � O i `� \ Pole NOT TO SCALE \\ CHIMNEY GA. WIRE MESH • • a p" 6 x 6 6/6 GA. WIRE MESH -T LST HOLA-- I p 0 SOP NEh'Y MINOR SUBDIVISION PLAN 1+ amu - G_11_ ToPSoll. _ • • / `?0.T�4• \' \ \0 � \� P / s _ � N 'lP� p H.ST U'fl suosolL_ dRvwNL -- \'�,\ \ .�\ o O // •���PP �OMADE FOR , INLET �- ypgr_/�j r eENTJ7 OUTLET _-14:1' - 7'1 C SAND WITH - , - s�A �-SToNL$ ANNETTE ZA50HONSKI LIWIO LEVEL 1 9 OInLEi � _,� � �'— 2g ;I cSPHALT SEL 9AFFLE -V/ITIi Co rpl.tSS - - ASPHALT LE oxen vnw f -1 hereby certify that this map was made from +• scHEoulE y90 � '/°• rw I - actual survoys completed April 15, 1991 and monuments gravel �-,., �Fti �a oaeSZN r<+° CRESCENT AVENUE INLET BAFFLE ea' GAs < - , ', ornecTa+ TI=. ST NULL 2 are set as shown. "AdedaatlonoFcovanantsandrestrktlons road ASF S SFOCAND � , FISHERS ISLAND , NEW YORK .o" - 12"� affecting the lots In the subdivision has been filed in the __ office of the 50follk Coun II In Liber Page I �- NSF X2.90' ' �/ SCALE 1" = 50 feet YLLLcw/DROWN SUrD$OIL bJ monument,," CHANDLER, PALMER, 8IKING LTY SAND - ' / CROSS SECTION so" _16,51 c-o^RSL sAND'r rKx4VLl.. I am fomlllor with the standards for approval and construction _ _� / 23 NORWICH, CONN. p 15. JJ(( 25 50 /00 TEST 1-IO�.ES -b"y 4/1191 of subsurface sewage disposal systems for single family p°�� -ate C41hN`]N.ER 'p F��ME.R KNeac1 residence and will abide by the conditions set forth therein _ - --D AT* I_-. ' IV APR 1 L 19 9 I -- 1000 ON and on the permit to construct. - 1� �_ rn_nn.R1 ITMENT •to ' pole AU�ITIoNS '- 2(, F�uyus� 1991 SEPTIC TANK APPLICANT NOT TO SCALE IT, Ceee tre P�°v 1'13192 , i 0 5 99 Do it pm r d � Q glop 02'10' A 99.11• Eq/VE I` o f � ♦O ,? W 1 .60 1 ' 1 \ ` 6 Lor z / / /; 636" .✓ FD/Q GU :- zA) =ACRES % - N EST 66.69 - r ,,, , p,pp _•. d / \ m /e W3072.85 o � .\1 o° %' _�- � rom �p monument ` P Ap, Zu M S50 \ LOT I % O '-f 0 314 ,ACRES\ ^ 0 w iS �ppI' UTILITIES _\ \ EASEMENT \ \ 5 4 \\ 230. monument - F OO a p S50° 02'10" W \ •,\ 23.4 JJ 03 o J�� �� ,vbw o h '`., I �� l 5 2 . 60 \ \ monument �. 6^ pale O S 4 FN�e s'a s --- oh f, P��o oe �s 0N s U 21 f tacT PR CI` lrRS ���r� 0 X \ !Z Sb0°02'10"W NOTE-5: \ or o \ I S, 169. 53' o_ I. COORDINATE DISTANCES ARE MEASURED FROM5751.3 \ U.S. GOA5T AND GEODETICmonument SURVEY TRIANGULATION \ a5 P� / S$ 1 n K/ W 3215.60 STATION "PROS" r" �� - \IU \ O 2, SITE 15 IN THE TOWN OF SOUTHOLD, COUNTY OF o I �' @ • QO -�-- \ \ O SUFFOLK, TAX MAP 1000, SECTION 006, BLOCK 2, LOT -LZ.E AS o ��yQ) I G. -A, O LOT I SCHOOL 015TRIGT 4. 5. TOTAL AREA: 9.91 +/ ACRES vYL�NOs 2.0'7 • — LOT I 2 monument 4. SITE IS TO BE SERVICE BY MUNICIPAL-WATER W6TLA-NDS O."TO Io' I ter\ + ti"F � 91 ; ' ., monument 1ruT�% zs 1 / AND ON SITE SEWA6E DIF POSAL SYSTEM. o, \ - 2. 77 ACRES v�S �. \ 1 �� • __�- L.� To eg((700 12 191 TorAA_ 2, 11 A�eE 6 5.r 51TE 15 IN R-60 ZONE L oT ,z LIM\T_ Aa eA. E uCD qU, oS .F'-�'. 63 �EyTR <J3 !/pole:/ 6. OWNER: Annette Zabohonskl --- surdT ECT �o 8_ ,dd,_ • rL0' ! / monumen Up�.LN1US 3 0A. LU RE4TR1cT 1VE 7i Fishers Island, Nr' 06390 s cv7ETi�'TS\ F WET LA,k�S 0-10ry 1. BASE FOR LEVELS NGVD O _ 11 aQd To-c-r•.�.. O wet area � rq ro • -it- $°��'. �_ - �m /to0 BENCH MARK TOP OF MONUMENT KNOCKOUT INLET AND - - o / � : j•\ ELEV, 22.25 (Mean low water) OUTLET OPENINGS ¢ - -Q, RIBS INSIDE F— � ° Z - � s'� po / /+ 6,i 24" DIA COVER , - 4 4L \ % ��' 3- 14 = ACRES pN aal•Il/ / monumentPoleI( ) S" DIA HNOCKOUTS AU62119 CAST �� 0 �` 9 (D _ — — CONCRETE CCVERS v v o 0 0 0 v \ f ppg p "--�-\ / SOUTHOLD TOWN a"—I I— 0 6•-O" DIA L '\ • 26 d' (~ i t / / / z_-a ' PLAPINING BOARD PLAN r RFS ► 942, W I • I / I A i Ho`s CF NEW 34 3468.03 CFNr • LOCKING CASTING L`RY WELL /\PD H.S ° �' TO GRADE P T 1Y , CROSS BECTON FINISHED GRADE u' 16 Pole s CHIMNEY NOT TO SCALE 2 m / 4 x 4 12 6,12.6 GA WIRE MESH • I / \ - L --,__ �� V' � 7/ ex i2'• 6 x 6 6/6 GA, WIRE MESH T�fT 'rIGL.@ I r " ,� \\ • 11 \. E ti°. D,96�` .,o 3°3�r • g/a� p MINOR SUBDIVISION PLAN 6 ' - 3o— sV6�olL ISKow hL - 'Ps 4F' - _ /AT Q INLET 3' VENT JY6' �NT�� OUTLET s3P" _ '11— r;OxAe,`L" Sv,NDwITH FO LAND SUP `\ � � V ��.. MM rI/ MADE FOR LICUID LEVEL SMF It -TONE:S 1`0aPNnNu°BSN°T T - l�— Co'Rs� ��p,� - as ANNETTE ZA �O HONSKI ;. ASPHALT SEAL LINED 0TM W1T1, Cor L,L?. here certify that this map was made from \ `� / 4" SCHEDULE ,94v /e' Pvc r1 - actual surveys completod April 15, 1991 and monuments gravel '!I M INLETBAFRE lv' DAs < Lyr SLI. I\ CRESCENT AVENUE I .1 DE�ECTae T' c 2 are set as shown. "A declaration of covenants and restrictions � \ ""� '4 t/ ( _ affecting the lots In the subdivision has been filed In the rood F - . o - 12' 7OF� I � g \ \, N� s FISHERS ISLAND NEW YORK /b office of the Suffolk Count Clerk In Llbar Pae 1 4 5'_6" 3. z - 6 ° ri _ow RowN sup nI 9 9 F 2 90, r SCALE 1° = 50feet C �4 - 65 sI L.-Y SANp - \�� mon/ument- HANDLER, PALMER, �i KING CROSS SECTION so" _ 51 coP,KSL?, SAN OY sm/AV L.u I am familiar with the standards Por approval and construction TESr No�.cs wy 4/II,91 of subsurface sewage disposal systems for single family 0 25 50 NORWICH, CONN. /00 KL9.+<j and athe and will abide by the conditions set forth therein f p°1e 1000 GALLON and on e permit to construct. � - - �� D� APRIL 2 COMPARTMENT RDU iT 1oN5 : 2 (. A'uyus� 1 gg1 SEPTIC TANK 2G Pols A�pITlONS �czEv toµs _ Ih AuyusT L992 NOT TO SCALE APPLICANT S2J ci l J t i *It. o ,` x 5Y4 Ga W mmm.m oe I -• _ 'A VI"' :ifi,V?, �� 3 . � r sae• �� I' .. ;',y't, ,,' rr • .. e� ' ,I �YF PETER P N/TZE I \ RESCE �' fi , • - N E J � AVLcN o . c° / . , / j h ;; SER '',r °• .--; ' �. ; ry2ne % M A F 7- N N 66.69 �.... S.IES k� W 3072.85 Y z . monument S8044 00 / UTILITIES EASEMENT o " a K e y t-i p P max 230 0 monument GO I 11 A i , . „ ,• - �' e p S50002 10 W \ 23.a' 0 152 . 60' V \ monument "O oPate 40 t - f SUB JECT PROPEKTY --___ � Pie( oe P � �j\° �" �1 r� �/ SCALE I " ' 100' A �yrBl ETE � "� m APPROV m o �� ° P cif PLANNING BOARD S 50002'10"W 169. 53' TOWN OF SOUTHOLD NOTES; TYR O I. COORDINATE DISTANCES ARE MEASURED FROM \ DATE J 'D" U.S. COAST AND GEODETIC SURVEY TRIANGULATION o /a5 monumen 55o n \ 5751.30 �� P 5a: ° ' i �' � \ �. � W3215.60 � �.ZOS STATION "PROS„ 20 a oe%a'o w 2. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF e 1�'- % / • QO _ - ( \ LOT I SCHOOL DISTRICT 4. t'-OT /`KE AS o / o , 5 \ '/ `� monument SUFFOLK, TAX MAP 1000, SECTION 006, BLOCK 2, c �. a z t c i / - 1 E G ry :3 5. TOTAL AREA: 5.91 +/- ACRES — o-I- G U'P l-tinf�s 2..0-1 0� LOT1 2 � c ARE , Q ' / rt .• 4. 51TE 15 TO BE SERVICE BY MUNICIPAL- WATER manumenG' �T o / 5 60 12. 19 WE'iLA-NDS 0.-10 I _ -- - + � S�' c. 11° '/ • ► �.rMcc'ro CoVE'�rNt (�•� I AND ON SITE SEWAGE DIS P05AL 5Y5TEM. TbTA� 2.11 Ac¢eg F 2.77 ACRES - �� 5. 517E 15 IN R-80 ZONE 1 E 12o q(o Ot .�--c'. 6'lj 8 b. OWNER: Annette Zabohonskl -- %Qm-y ECT Tc �� .�E.- • ZrLO' monume UPL-h.1.1US 3 o4. n' ItJ ESTRFCT AVE - ""' j� ;/ SUBJECT TO CkVENANTS Y,EEMRICTIONS LIBER ^" Fishers Island, NY 06590 s WI cam �tiTs �' • / / PAGE T. 5A5E FOR LEVELS NGVD e.le.T�c.Nos o.lo To�-I..�. A- a.cxes , w O wet area O„Id h �a , • --- o° BENCH MARK TOP OF MONUMENT -'' 6 e • %� _ �$o A M , t - - 5 � . KNOCKOUT INLET AND i ! �ia� ELEV 22.25 (Mean IOW WOtar) OUTLET OPENINGS ylNc- UN's- ' a r _ • • ° /�A, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES' F— — — °� �. LOT , \ ° e. Now York nrr n 2 fegq - Ppb. ' RIBS INSIDE - - sad' - r HBY�ag 24' DIA COVER -- \ 4` 3. /4 ACRES % ThIe le to raNf Ihal the p posed manta for water su - --'-'� r -' ants disposal for 1Ut;r71: a B'• DIA KNockouTs • z'o 13(, , 5 8 0'` S Q F'T 0�' �`�/ weq on lho a date. TheBe Of mu 1ofm.W , `' '. . ” monument u l,0 with a total of We + II o 000 0 > a e o / - corA .lton standards in effect at the time of construction. This ` solver hew i �^ \ a / oval shall W vaad only In the event said suaithin one year 'ria — — — -� — -� 78 pO o / ?" Iep�matY plan It duly filed with the County Claac widen one year of CAST ° ° ° °. cD I/ S• _ ___ ___ o % I dda dale. Conaenl to hereby given for the filing of this map on, •;,:,, � r CONCRETE COVERS `° 0 0 0 0 ° u ^ f , '- J� " a•-'{ - 0 6'-D• DIA o ° 26 er ry =s ,..®•-- rm whkh dtla endorsement appears to the Offka at the County Clark PLAN �\ • RFS • ,9 g2 • r z ,�_ / , r InaaCq'tlatga with rovlaonsa 01 the f5ubno Health I.aw and wa , ^ 1 IN 3468.03 CFN j • I \ a� I I� JOSEPH H. ER u DEC I Offaolor, DIOMon of Environmental,, 0111y ¢ LOCKING CASTING DRY WEL.IL � � 51993 To GRADE CROSS SEQ3-0N FINISHED GRADE I \ NOT TO SCALE _ $i D CHIMNEY 4E 12.6/12.6 GA. WIRE MESH '�� - Pole ..,-_-Pl ,li ll! fJal•11.._ ,,. J�bW <P 2" e x 6 6/6 GA. WIRE MESH -T L:.T 'SOL-U I \ / \ �R ��. 303 a° MINOR SUBDIVISION PLAN �F p tea" 9,� _ fin— Topsoil- �84i r" _ 3o"— SU5_;oll-. 5R�w N_ - \ - - e" 5 ,-.�E OF Newt' MADE FOR INLET y VENTJI 5' VENT—� OUTLET - ' _ '1'_ Gp/irc$L °InNrJ W ITH .\ / V p /? , uoulG LEVEL SMaLI- SroNl:$ . - � ��, o ' F N j GaNTINuaD6HDT aA° T -71 - �oA �� �RA� L �M ��t 2 PPGFI.sT9o��� ANNETTE ZA50HONSKI . [ ASPHALT SEAL uxEo M1TH -WITI-, CO2:aLL'. I hereby certify that this map was made from \' \��,. / - �'- 3' 2f N , Y a• SCHEDU E X40 5 F C actual surveys completed April I5, 15191 and monuments m CRESCENT AVENUE '" INLET BAFFLE 5G' GAS :, ti .4 u 1 n jn .I oEnEcrGR T l: S T H V L ti � - are set as shown. °A declaration of covenants and restrictions road \ (/F q FISHERS ISLAND NEW YORK - affecting the lots In the subdivision has been filed In the - _ r ° - l a ro colt_ ti s'-a' J2' - 34� YGV..ow/I>ROINN SDSSOIL. office of the Suffolk County Clark In Libor Page tns HI o SSP ,o SCALE 'I" = 50 feet CHANDLER, PALAAEE' i Iulklfri '' ye ' a• - 3^ �2*' ' S1 LTT SAND - — mo� ant CROSS SECTION E©" -16,51 coARSt: sryNOY CK, - J O Z5 am familiar with the standards for approval and construction 'R°•°=e �r,_ - --1 �s 50 /00 NORWIOH C�Q141' , L r51. TEST 1-tOLES �UC-� ��It/91 of subsurface sewage disposal systems for single family �1 yg�O .. • , 'J4�"A i- K•Nr1 residence and will abide by the conditions set forth therein " 1000 GALLON and on the p r t constr at. -_ —��ole C' _ Poe b/ T : ' I � APRIL 19°JI 9 COMPARTMENT r, a�1TtoN 5 'zc. �U QST t R - SEPTIC TANK A N NOT TO SCALE A-6577 N>S QEYSIIO 9 Z FP&-1993" �5� T2. 7-1-1 nM. N 1. r , I li I ol - ss•44 0o w ---- o _ ^ 23 / �\ . 550' A_ �i id l", m / Ja ,I f PETER P N/TIECRESCE�r 2 .,— SEN I\ ✓� %.\ R DER e'I LEES " • �2 .% tet. / , _ --1t1, w/-".�CC"'�-�2.49 C_R ru v /Y r-. ��„ a ,�i Cpl/,�i � –'j R ) / /'.�/. N O Os AOUES7- ". W3072.85 3. A monument E 3 UTILITIES �\ \ 00 w EASEMENT \ N. 6 ' •Ynooe �" lo 2 230. 00 monument 5- \ \ �' "O _ I° o �oorr on Tl X11' - CO v �n wNeeN �� -------- i S50° 02'10"W •,\ 23.4 ��% CID 1 4uENUE s>, ,w, _......�� epole033 0 monument 152 . 60 \ \ I "O `, U B J E C E P 2(DP E K T Y _ S50°02'10"W OTl GC' � � VA 0 � 169. 53 p TYP 11 ' I. COORDINATE DISTANCES ARE MEASURED FROM , — \ ` U.S. COAST AND 6EODETIG SURVEY TRIANOULATION s ° I N 3215.30 d q monument enl SS ' n \ \ �O W 3215.60 STATION "PROS" W S A 2. 51TE 15 IN THE TOWN OF SOUTHOLD, COUNTY OF 6i III IF 00 \ \ \00 SUFFOLK, TAX MAP 1000, SECTION 006, BLOCK 2, 1-07- LOT OTLOT I SCHOOL DISTRICT 4. LOT 1 - v- •+ °e- . of -' — \ --- 3. TOTAL AREA: 5.91 +/- ACRES VFL`Nvs 2, o G� LOT Z of D °�` : / 8.5 ' S �� „ monument 7 ^ [` M`"` a' °Rv i moms men4 i ' 4. SITE 15 TO BE 5ERVIGE BY MUNIGIPI WATER WE, �.1��1D5 0 ."10 ( ' \ 2. 77 ' ACRES /���~ ~� 1 ql '✓,. i N<e / \y 00 12. 19 AND ON 51TE 5EWAISE DI`. P05AL 5Y57EM. 7 oTq� Q -1'I Ac QE) C S T c 1 o,SEct ��F coV�_ "i- (�° - ° r ,c.�.c 3 ole 5. SITE 15 IN R-80 ZONE �1 n1'T of .daEA. E " \20 4C° o± .F'-�-_ 9 e � j Lo-r 2 �' 6 b. OWNER: Annette ZabahorlW. „� • 20 j ;monument.'tiN I Fishers Island, NY 06390 OS 3 .04 <1 Ld 1. BASE FOR LEVELS N6VD - �' O �O wet area 00 Tv-'I•.,L. 3 . 1A- /acYES ` / h \ - DO o\� �� ' _�� M�0 'fooA BENCH MARK TOP OF MONUMENT rr) • �jg \ ELEV. 22. 25 (Mean low water) KNOCKOUT INLET AND OUTLET OPENINGS . .> y4, - / / \ ^ G — — _ — O RIBS INSIDE z _ LOT 1 • p / 6, 24” DIA COVER , '' \.. �4, � / 3. 14 ' ACRES 01- "EIV _Y IN o \ t monument ' Do•. / zro, 13 4 , 5 sot: S Q.FT AmT (4) 6.. Dia KNOCKOUTS N 4° \ '� p y • / /, \ / y��, / •} , m CAST „"T:. CONCRETE COVERS 4" � " °. N \ \' SCENT269LAN . SEP 16 1992w 3468.03 DD BOA LOCKING CASTING C 'RY WELL �o �' PtANNINGBRo TO GRADE ---FINISHED GRADE CROSS SECTON IUY\, NOT TO SCALE / CHIMNEY 4E WIRE MESH • put 12.6,;12.6 GA. / ..-- `S� • e 'a MINOR SUBDIVISION PLAN x 12” 6 x 6 6/6 GA. WIRE MESH T L[ 'H T OL-19 I • 184 3 4" �, _ 6°— TOP=o1l- _ � ,\., • r 03� �'a�' G0 R, ^D� MADE FOR INLET 6• VENTS 1 3' VDPFF OUTLET j" _ �'— GoAK IIL SP.NG NITIH _ ) Llallle LEVEL SMALL STOh.1L - �� /' ° / in I GUNTINuUUb HOT ' 4. 0°nET ' _ 11 - I-II— COAKF+� �RA�I:� � ,� _ `�"' �.. A NNE T TE Z A BO H ON S K I ASPHALT SEAL upgp wTH • .WITi Co jLl:� hereby certify that this map was made from 4• SCHEDULE lµ° '/"• POC actual surveys completed April 15, 1991 and monuments rove) �/ CRESCENT AVENUE INLET BAFRE N Gds ♦ (1 A ocrTtmox � T L G T HU L 1, 2 are set as shown. "A declaration of covenants and restrictions road i� x.\ � / _ ? affecting the lots In the subdlvlslon has been filed In the `�� FISHERS ISLAND , NEW YORK 34" Y:Sl.low/pRoanu SofbColL, office of the Suffolk County Clerk In Liber Page _ e / 4 h 3 34"- G9" SILTY S NC = g0 monument SCALE I ° = 50feet CHANDLER, PALMER, BKING CP.OSS SECTION Go" _ 16,5 COAKSL, sAnro" GKFtvuSLdo - _ I am familiar with the standards for proval and construction ,`_ ' -� �E NORWICH, CONN. E `r O 25 50 /00 TEST H ot.F.S -bQy /F/1' 91 of subsurface sewage disposal Sys ems for single family \5 '�,� ct♦.uoveR, v>..�.F.'� ^; Ke-+ci residence and will abide by the conditions set forth therein OP. C-1 T 1000 GALLON and on the permit to construct. - _ —� G T I IONS QG 2 ,( r.I AU , G.C�IT � u�"'` I r 1991 2 COMPARTMENT pule ITlolys gcvl sloes 14 AUGUST 159L SEPTIC TANK APPLICANT - - ADDITiCIv-"rev 51�NS 3 SEPT l , �F NOT TO SCALE SZ.