HomeMy WebLinkAboutSmith, Diane, Alec & Randy ELIZABETH A. NEVI
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
1VLkR RIA GE OFFICER
RECORDS i%LkNAGEMENT OFFICER
FREEDOM OF INFOI~LiTION OFFICER
Town Hall, 53095 Main Road
P.O_ Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1300
southoldtown.nortkfork.net
OFFICE OF THE TOWN CLEHK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY TH_CF THE FOLLOWING RESOLUTION NO. 291 OF 2003
WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
ON MAY 6, 2003:
WHEREAS an application has been made by Diane _Mec Smith for a waiver from the
provisions of Local Law #3 of 2002 (and extended by Local Law #3 of 2003) entitled
"Temporary Moratorium on the Processing, Review of, and making Decisions on applications
for Major SubdbAsions, Minor Subdivisions and Special Exception Use Permits and Site Plans
containing Dwelling Unit(s) in the Town of Southold" pursuant to Section 6 "Appeal_~
Procedures" of Local Law #3-2002 to pemiit the Planning Board to consider an application for a
minor subdivision for the parcel of property Icnox~m as SCTM# 1000-109-01~07; and
WHEREAS the application inv01ves the subdivision ora 3.915 acre parcel into 2 ~ots; and
WHEREAS the Tox~m Board has reviewed the file, conducted a public heating, and considered
all pertinent documents; and
~HEREAS the criteria that the applicant must meet is set forth in section 6. (Appeal Procedure)
of Local Law #3-2002 and Local Law #3-2003 and the section states:
Section& APPEALPROCEDLrRES a. The Tox~m Board shall have the authority to
vary or waive the application of an3' provision of this Local Law, in its legislative
discretion, upon its determination, that such variance or waiver is required to alleviate an
extraordinary hardslfip affecting a parcel ofproperVy. To grant such request, the Town
Board must find that a variance or waiver will not adversely affect the purpose of this
local law, the health, safety or welfare of the Town of Southold or any comprehensive
planning being undertaken in the Tox~m. The Toxvn Board shall take into account the
existing land use in the immediate vicinity of the property and the impact of the variance
or waiver on the water supply, agricultural lands, open and recreational space, rural
character, natural resources, and transportation infrastructure of the Towm. The
application must comply with all other applicable provisions of the Southold Town Code.
WHEREAS the Toxxm has hired a "moratorimm group" consisting of in-house and outside
plmmers and attorneys who are working on a "Comprehensive Implementation Strategf' of the
Comprehensix'e Plan of the Town of Southold and certain corfiprehensive planning currently
being undertaken includes, but is not limited to a 80% preservation of open space throughout the
To;xm ,and a 60% reduction in density and clear establistmtent of the Hamlet Centers and a
possible Transfer of Development Rights component (a full description of the "action" is set
forth in the SEQRA Resolution dated January 7, 2003 for the Southold Comprehensive
Implementation Strategy which is incorporated by reference into this decision); and
WHEREAS the To;xm Board finds that the application is not in contrast ~Sth the extensive
planning initiatives being undertaken by the "moratorium group", or the Comprehensive Plan of
the Toxw~ of Southold; and
'~V[IEREAS the Town Board £mds that this application ~vill not adversely affect the purpose of
the Local Law # 3 of 2002 and Local Law #3 0£2003; and
VvltEREAS the Toxvn Board of the Town of Southold finds that the application will not
adversely affect the health, safety, or welfare of the Town of Southold; and
ggqtEREAS the Town Board of the Toxxm of Southold finds that the minor subdivision
application is consistent with the existing land use in the sun'ounding area and has a minimal
impact on water supply, rural character, natural resources and transportation infrastructure of the
Town; and
WHEREAS the Town Board of the Town of Southold finds that the application has no effect on
agricultural lands and open and recreational space; and
WftEREAS based on the application, all relevant documentation, the comments set forth at the
pnblic hearing on tiffs matter, the comprehensive planning currently being undertaken by the
Town, the above referenced facts, and the criteria set forth in Local Law No. 3 of 2002 and
extended by Local Law No. 3 ot'2003, Section 6. Appeals Procedures, the applicant has met its
burden pursuant to the criteria; and
Be it RESOLVED by the Town Board of the Tox~m of Southold that the application is hereby
approved.
Elizabeth A. Neville
Southold Town Clerk
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VIT.~L STATISTICS
MARRIAGE OFFICER
RECORDS I~L4NAGEMENT OFFICER
FI~EEDOi~! OF INFORMATION OFFICER
TO~VN OF SOUTHOLD
Tox~m Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145 -
Telephone (631) 765-1800
southoldtown_nor~hfork_net
Aprii 25, 2003
Diane Alec Smith
6145 Bridge Ln
Cutchogne NY 11935
Dear Ms. Smith:
It is my pleasure to infotm you that the Southold Town Board, at its meeting held
Tuesday, Ma5, 6, 2003, adopted resolntion No. 291 ~anting your request for a
waiver of the subdivision moratorium for the proper6r identified as SCTM #1000-
109-01-07. A certified copyofthe resolution is enclosed.
Vex3r truly yours,
Elizabeth A. Neville
Southold Toxvn Clerk
ERIC.
SOUTHOLD TOV~2'4 BOARD
PUBLIC HEARZNG
May 6, 2003
5:00 P.M.
HE,MLFNG ON THE W.AJVER .M)PLICATION FROM THE PROVISIONS OF "A LOCAL L_-kW
IN RELATION TO A ONE HUNDRED EIGItTY DAY EXTENSION OF THE TEMPORA_RY
MORATORIUM ON THE PROCESSING, REVIEW OF, AND SLAKING DECISION ON THE
APPLICATIONS FOR 3LAJOR SUBDI~TSION, I~HNOR SLrBDIVISIONS, AND SPECIAL
USE PER3HTS AND SITE PL_s~NS CONTAINING DWELLING UNIT(S) IN THE TOWN OF
SOUTHOLD" FOR THE MINOR SUBDIVISION OF DLANE ALEC SMITH, SCTM #1000-
109-01-07.
Present:
Absent:
SnperxSsor Joshua Y. Horton
Justice Louisa P. Evans
Conncilman Craig R. Richter
Councilman John M. Romanelli
Councilman Thomas H. Wickham
Deputy To;~ra Clerk Linda J. Cooper
Toxx-n Attorney GregoryF Yakabosld
Councilman William D. Moore
COTONCILIVL-kN WICKHAM: NOTICE IS HEREBY GIYEN that the Town Board o£the Town of
Southold hereby sets 5:00 p.m.. May 6. 2003 at Southold Town Hall, 53095 Main Road, Southold.
New York, for a public hearing on the applicatiou requesting a waiver from the provisions of the
Local Law entitled "A Local Law in Relation to a One Hundred and Eighty (180) Day Extension
of the Temporary Moratorium on the Processing, Review oL and making Decisions on the
applications for Maior Subdivisions, Minor Subdivisions, and Special Use Permits and Site Plans
containing Dwellhtg Unit(s) in the To~ of Southold" for the minor subdivision of Diane Alec
Smith, located on the south side of State Route 25. 242.68 feet west of Elijah's Lane in Cutchognae,
and identified by SCTM # 1000-109-01-07.
I have before me a certification that this has been published in the Traveler Watchman newspapers as a
legal and it has appeared on the Town Clerk's bulletin board outside there as a notice of the hearing.
There are a number of cmmnunications /n the file including the application itself and all of the
supporting documents and there is a letter from the Southold To;vn Plarming Office, which addresses
this apphcation. It is a len~hy lerner, I am just going to smrtrnarize brlefpmls of it. It is to the Town
Clerk from the Chairman of the Plmming Board, dated Aprill, 2003. In this memo the Planning Board
will tuffy address this request in the context of land use platming. 'The proposed action involves the
subdMsion of a 3.9 acre parcel into two lots, where one lot equal 85,000 some square feet and the
second lot also equals 85,000 some square feet. Lot one is improved with a single family dwelling aud
several agricukural support buildings. Lot two is mtimproved. That means no buildings. The action,
SOUTHOLD TOV,/N BOARD
PUBLIC HE_.M°GNG
May 6, 2003
5:00 P.M.
HEARING ON THE WAIYER _'APPLICATION FROM THE PRO\,ffSIONS OF "A LOCAL LAW
IN RELATION TO A ONE HUNDRED EIGHTY DAY EXTENSION OF THE TEMPORARY
MORATORIlIM ON THE PROCESSING, REVIEW OF, AND MAKING DECISION ON THE
_4~PPLICATIONS FOR MAJOR SUBDIVISION, 5HNOR SUBDIVISIONS, AND SPECIAL
USE PERSHTS A_ND SITE PLANS CONTXINING DWELLING UNIT(S) IN THE TOWN OF
SOUTHOLD" FOR THE 5HNOR SUBDIYTSION OF DL4NE ALEC SMITH, SCTM #1000-
109-01-07.
Present:
Absent:
Supervisor Joshua Y. Hmton
Justice Louisa P. Evans
Cotmcilman Craig R. Ricliter
Councilman John M. Romanelli
Councilman Thomas H. Wicldmm
Deputy Tox;m Clerk Linda J. Cooper
To;~m Attorney Gregory F. Yakaboski
Cotmcilman William D. Moore
COUNCILM.~q WICK_~L~,I: NOTICE IS HEREBY GIVEN that the Town Board of the To;~m of
Southold hereby sets 5:00 p.m., May 6, 2003 at Southold Town Hall. 53095 Main Road, Southold,
New York, for a public hearing on the application requesting a waiver from the provisions of the
Local Law entitled "A Local Law in Relation to a One Hundred and Eighty (180) Da,¥ Extension
of the Temporary Moratorium on the Processing, Review of, and maMng Decisions on the
applications for Maior Subdivisions, Minor Subdivisions, and Special Use Permits and Site Plans
containing Dwelling Unit(s) in the Tmvn of Southold" for the minor subdivision of Diane zMee
Smith, located on the south side of State Route 25, 242.68 feet west of Elijah's Lane in Cutchogue,
and identified by SCTM # 1000-109-01-07.
I have before me a certification that this has been published in the Traveler Watchman newspapers as a
legal and it has appeared on the Town Clerk's bulletin board outside there as a notice of the heatSng.
There are a number of comrattnications in the file including the application itself and all of the
supporting documents and there is a letter from the Southold Town Planning Office, which addresses
this application. It is a lengthy letter, I am just going to summarize brief parts of it. It is to the Towqa
Clerk fi:om the Chaim~an of the Planning Board, dated Aprill, 2003. In this memo the Planning Board
will only address this request in the context of land use planning. 'The proposed action involves the
subdMsion of a 3.9 acre parcel into two lots, where one lot equal 85,000 some square feet and the
second lot also equals 85,000 some square feet. Lot one is improved with a single family dwelling and
several agrictdtural support buildings. Lot two is nnhnproved. That means no buildings. The action,
May 6, 2003 '~' 2 ..... '
Public hearing on Smith waiver
if it is approved? would create one new residential building lot. The parcel is located on the south side
of Route 25, etc. The Planning Board has reviewed the progression of this application and the request
for waiver for the proposed minor subdivision of Diane Alec Smith, and it makes a reconmaendafion
that the Town Board grant the requested waiver for the application. And tiffs decision is based upon
the following facts: Land use, the dominant land use in the general vich~ity is agriculture, mLxed with
low density residemial. To the norttk agricultural uses dominate. The Toxxm of Southold holds the
development fights to the parcel directly to the north. Lots located to the east, west and north range
from .6 acres to 3.8 acres, with numerous lots close to the two acre size. Agrianltural lands, the parcel
is cm-rently located within the R-80 zoning district, a designation intended to permit residantiai
development, open space and recreation. Due to the size, location and current use of the property, the
potential to provide significant open space or recreational uses are low. Based upon the above, it is the
Planning Board's f'mdings that although the proposed project does not fully support the platming
objectives of the Tox~m of Sonthold, the Board does reconLmend that the Town Board does grant the
requested waiver for the application.' I also have documentation here of the medical condition of
applicants and several other things but that is all of significance on this application.
SUPERVISOR HORTON: I will open the floor to the public on this public heating. Would anybody
care to addi'ess the Board? (No response). Do Board members have anything to add to this public
heating? (No response). We will close the heating.
Linda J. Cooper
Deputy Town Clerk
ELIZABETH A. IqEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
IV/ARRL~GE OFFICER
RECORDS M~M~qAGEi~ENT OFFICER
FREEDOM OF INFOtl3&S. TION OFFICER
Tom Hall, 53095 Main Road
P_O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou~hoidt own.northfork-net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 269 OF 2003
WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TO~N BOARD
ON APRIL 22, 2003:
RESOLgrED, that the Tox~m Board of the Town of Somhold hereby sets 5:00 p.m., May 6,
2003 at Southold Town Hall, 53095 Main Road, Southold~ New York, for a public hearing
on the application requesting a waiver from the proxSsions of the Local Law entitled "A
Local Law in Relation to a One Hundred and Eightx' (180) Day Extension of thc
Temporatw Moratorium on the Processing, Rc~Scw of, and making Decisions on thc
applications for Maior Subdivisions, Minor Subdix'isions, and Special Use Pcrmits and Site
Plans containing Dwelling Unit(s) in thc Tm~ of Southold" for the minor subdixSsion of
Diane Alec Smith, located on the south side of State Route 25, 242.68 feet west of Ehjah's Lane
in Cutchogue, and identified by SCTM # 1000-109-01-07.
Elizabeth A. Neville
Southold Town Clerk
RESOLUTION
.&PR.IL 22, 2003
V - 269
RESOLVED, that the Tox~m Board of the Town of Southold hereby sets 5:00 p.m, May 6,
2003 at S0uthold Town Hall. 53095 Main Road~ Southold, New York~ for a public hearing
on the application requesting a waiver from the provisions of the Local Law entitled "A
Local Law in Relation to a One Hundred and Eighty 080) Day Extension of the
Temporary Moratorium on the Processing. Re,Sew oft and making Decisions on the
applications for Maior Subdivisions, Minor Subdivisions~ and Special Use Permits and Site
Plans containing Dwellin~ Unit(s) in the To~m of Southold" for the minor subdivision of
Diane Alec Smith, located on the south side of State Route 25,242_68 feet west of Elijah's Lane
in Cutchogue, and identified by SCTM # 1000-109-01-07.
;~i~NOTI. CE IS HEREBY
GIVEN that the Town Board of
'~-'~he' T6wn 'of Southold hereby
Soutbold Io,(m [[~jo~ ",
~Main Road, Southold. New ;
[-5~rk for a ~ub~c hc&Hn~ on the j
~ a_r. phcatton requesting a ~ai,.'er
: firom the vrov/~[on~ of the Local
· I./w ddri-tled "A koca!'~.a',,~ itl
· Relation r0 a One Hunch'cd aud
Eve;hr,,' ilSul Da,,' Extension of
th,: Temporary Moratoti~Lm on
the Procc/shtg. Re,ne?.' of. and
m~,~l~Li'_=TM Deci,iou¢ on the
carious fc, r ~.lalor
.[xl/oo~ Subdivisions. and
~.Soec~.~l U_-e Peru',as and S~re
' '
'~" for ~ minor
siofl of Drone )dec Sim£~L locat-
ed on the aouth aide o~ State
25, 242:68 feet wes~
~e, ~d
r SC~[
Dated: April ~2, 2003
' oF ~ TO~
~ ' ~ sOUTHOLD
. El~abeth Nevi~e
' lbwn Clerk
COUNTY OF SUFFOLK
STATE OF NEW YORK ss:
Lise Marinace, being dui3- sworn, says
that she is the Legal Advertising
Coordinator, of the Traveler Watchman.
a public nex',spaper printed at Southold.
in Suffolk County; m~d that the notice of
which the annexed is a printed copy, has
been published in said Traveler
Watchman once each week
for ...... /..--week(~- successively,
corm~}m/le~,~,~ o~ the .......... /_ ..... day of
....... ,,~.. j~(.C&~/~. ............ ,2003. '
Swom/~od before me this..../.., day of
..... ~ ...... ,2003.
Notary Public
Emily Hamill
NOTAR~ PUBLIC, State of New York
No. 01HA5059984
Qutllilied in Suffolk Counl~
Commission expires May 06, .~006
LEG.aL NOTICE
NOTICE OF PUBLIC HR:MRING
NOTICE IS HEREBY GIVEN that the Toxxm Board of the Tox~2x of Sonthold hereby
sets 5:00 p.nk, May 6, 2003 at Southold Town Hall, 53095 Main Road, Southold~
New York. for a public hearing on the application requesting a waiver from the
provisions of the Local Law entitled "A Local Law in Relation to a One Hundred
and Eighty (180) Day Extension of the Temporary Moratorium on the Processing,
Re~'iew of~ and making Decisions on the applications for Maior Subdivisions, Minor
Subdivisions, and Special Use Permits and Site Plans containing Dwelling Unit(s) in
the Town of Southold" for the minor subdivisinn of Diane Alec Smith, located on the
south side of State Route 25, 242'.68 feet west of Elijah's Lane in Cutchog2e, and
identified by SCTM # 1000-109-01-07.
Dated: .april 22, 2003
BY ORDER OF THE TOWN BO?P,D
OF THE TOXVN OF SOUTHOLD
Elizabeth Neville
Town Clerk
PLEASE PUBLISH ON MAY 1, 2003, :~D FORWARD ONE (1) ,kFFIDAVIT OF
PUBLICATION TO ELIZABETH NEVILLE, TOk~2q CLERK, TOWN HALL, PO
BOX 1179, SOUTHOLD, NY 11971.
Copies to the following:
Traveler Watchman
Town Planner, V. Scopaz
Tox~a~ Clerk's Bulletin Board
Town Board Members
Tox~ Attorney
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold, New York being
duly sworn, says that on the ~ day of ~ ,2003, she af£uced a notice
of which the annexed printed notice is a tree copy, in a proper and substantial maturer, in
a most public place in the To~xm ofSouthold, Stfffolk Comity, New York, to wit: Toxx~
Clerk's Bulletin Board, 53095 Main Road, Southold, New York.
NOTICE OF pLrBLIC I-~ARING TO BE HELD ON: 5:00 pm May 6, 2003
~izabe~h'A. Nexflle '
Southold Toxxm Clerk
Sworn before mo-this
~5 day of (~' ~- ~ ,2003.
'~ Notary Public
LYNDA M. BOHN
NOTARY PUBLIC, Slate of New York
No. 01 BO6020932
(3aallfi~d in Suffolk County
Term ~-xpires Msrch 8, 20 ~
pLANNING BOARD MEMBERS~
BENNETT 6RLOWSKI, JR.
Chairman
RI CI-LMRD CAGGL, L~TO
~r[LLLM~I J. CREMERS
KENNETH L. ED%VAi~DS
~L~q. TIN H. smoR
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
P,O. Box 1179
Town Ha]], 53095 State Route 25
Southold, New York 11911-095
Telephone (631) 765-1938
Fax (631) 765-3136 - .-~.~ ....
RECEIVED
APFI. 8 2003
To: Ms. Betty Neville Town Clerk
From: Bennett Orlowski, Chairman
Re:
Request or Waiver from Local Law Temporary Moratorium on the
Processing, Review of, and making Decisions on the applications for
Major and Minor Subdivisions, and Special Use Permits and Site Plans
containing dwelling Unit(s) in the Town of Southold for the Minor
Subdivision of Diane Alec Smith SCTM# 1000-109-01-07
Date: April 1. 2003
In this memo, the Planning Board will only address this request in the context of
land use planning; the consideration of and any comment upon any other
reasons as stated, are beyond the scope of this review.
The proposed action involves the subdividing of a 3.915 acre Parcel (SCTM#
1000-109-01-07) into two lots where Lot 1 equals 85,265 sq. ft. and Lot 2 equals
85,265 sq. ft. Lot 1 is improved with a single family dwelling and several
agriculture support buildings. Lot 2 is unimproved. The action would create one
new residential building lot. The parcel is located on the south side of State
Road 25; 242.68 feet west of Elijah's Lane in Cutchogue (Exhibit 1). The
property is located in the R-80 (Low to Medium Density Residential) zoning
district. On November 05, 2001 the Planning Board granted sketch plan
approval on the map dated September 27, 2001.
The Planning Board has reviewed the progression of the application and the
request for waiver for the proposed Minor Subdivision of Diane Alec Smith and
makes a recommendation that the Town Board grant the request of waiver
for the application. This decision is based upon the following facts:
Land Use - The dominant land use in the general vicinity is agriculture mixed
with Iow density residential. To the north, agriculture uses dominate. The ToWn
of Southold holds the development rights to the parcel directly north. The
residential development in the area is consistent with the "homestead"'
development pattern, where a residence anchors a large tract of farmland. An
older residence and numerous supporting agricultural outbuildings currently .
occupy Lot 1. The area proposed as Lot 2 is in lawn with a few interspersed
trees. Historic aerial photos (2001) show that, although small, the Lot 2 area was
in active agriculture.
The Peconic Land Trust owns the property directly south of the parcel.' The
winery and vineyard of Pelligrini Vineyards borders the western boundary of the
parcel with larger agriculture operations farther west. To the east, the dominant
use is residential. Due to the size of lot 2 (85,265 sq. ft.) the potential Of the area
to provide collective open space and/or open space easements is Iow.
Following the improvement of Lot 2, the view shed will be interrupted. During the
application process, the visual impacts were evaluated during the SEQR review
and no "significant" adverse impacts were identified. Note, however, that S.R. 25
is a Scenic Byway, and the view from S.R. 25 northwest across the property has
scenic value and all efforts to minimize the interruption of the view shed should
be taken.
The subject parcel is zoned R-80, which requires a minimum size of 80,000
square feet per lot. The R-80 zoning district is also located to the north, south
and east of the parcel. The property to the west is zoned A-C (Agricultural
Conservation). The Zoning Board of Appeals granted an area variance (Appl.
No. 4812) for the both Lots 1 and 2 on May 10, 2000 for a different lot
configuration. The variance was based upon the finding that although the total
parcel area is 3.915 acres, the wetland area (12,138 sq. ft.)was to be excluded
from the yield of the parcel. Currently the lot configuration has been amended
where Lot 1, excluding the wetland, is 73,120 sq. ft. and Lot 2 meets the
dimensional requirement within the R-80 zoning district.
Lots located to the east, west and north range from .66 acres to 3.8 acres; with
numerous lots close to 2 acres in size. Based upon such, the proposed action
would not significantly deviate from the general area land use and the parcel
sizes adjacent to S.R. 25.
Transportation Infrastructure -The applicant has applied for and received a
curb-cut permit from the State of New York Department of Transportation.
On January 15, 2002 the Planning Board issued a Negative Declaration pursuant
to the State Environmental Quality Review Act Section Article 8, Part 617
indicating that no significant traffic impacts are expected to occur if the project is
implemented as planned.
Natural Resources - The parcel is in residential use. The eastern section of the
parcel is comprised of a portion of a wetland (large pond). The remainder of the
property is in lawn with a few interspersed trees.
The building envelope of Lot 2 meets the 100' wetland setback. Correspondingly,
the Town of Southold Trustees issued a letter of non-jurisdiction on November
26, 2001.
On January 15, 2002 the Planning Board issued a Negative Declaration pursuant
· to the State Environmental Quality Review Act stating that no significant
environmental impacts are expected to occur if the project is implemented as
planned.
The action does fall within the jurisdiction of the Suffolk County Planning
Commission. Comments from the Suffolk County Planning Commission have
been received and considered by the Planning Board.
Water Supply - The applicant has stated that water supply to the Lot 2 will be
accomplished via a private well. Sanitary disposal within the proposed
subdivision will be managed by on-site underground sewage leaching systems
The applicant has stated that they have received Suffolk County Department of
Health (SCDH) approval in November, 2002 (check). The Planning Board has
no record of SCDH approval and the statement is currently unverified.
Rural Character - The proposed action would result in the increase of one
residential structure on Lot 2. Due to the location of the new structure, the view
shed will be disrupted. As mentioned above, S.R. 25 is a scenic byway and
placement of the residence should be evaluated to minimize any adverse
impacts to the scenic quality of the area. The building envelope for Lot 2 is
proposed with a 60-foot setback from the southern property line adjacent to S.R.
25.
Agricultural Lands - The parcel is currently located within the R-80 zoning
district; a designation intended to permit residential development. In 2001,
approximately one third (1.3 acres) of the parcel was in active agriculture.
Currently the area is in lawn; therefore, no active agricultural loss will occur.
However, agricultural soils will be lost. Soil type of the parcel is Riverhead sandy
loam, 0 to 3 percent slopes (RdA) - Capability Unit Ils-1 and Riverhead sandy
loam, 3 to 8 percent slopes (RdB) - Capability Unit lie-2. The soils are listed as
prime agricultural soils by the USDA Soil Survey of Suffolk County (1972). All of
these soil types are well suited for crops.
Open Space and Recreation Space - Due to the size, location and current use
of the property, the potential to provide significant open space or recreational
uses are Iow.
poBaSe upon the above, it is the Planning Boards finding that although the
posed project does not fully suppor[ the planning objectives of the Town of
uthold which include: The preservation of open space and recreational space;
the preservation of the Rural, Cultural and Historical Character of the Hamlets
and surrounding areas and the preservation of the natural environment; the size,
location and residential use of the parcel limits the ability of the proposed action
to fully support such objectives.
If you have any further questions please do not hesitate to contact Mr. Mark
Terry of our office.
ELIZABETH A. NEVILLE
TOWN CLERK
P~EGISTRAR OF VITAL STATISTICS
MARRLkGE OFFICER
RECORDS i~LtNAGEMENT OFFICER
FREEDOi~ OF I~FOtL~L~TION OFFICER
Town Hall, 53095 Main Road
P O_ Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown_norihfork_net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To:
From:
Re:
Date:
Town Planner Valerie Scopaz
Town Attorney Gregory F. Yakabes~.~
Town Clerk Elizabeth A. Neville
Request for waiver to moratorium by Diane ~lec Smith and Randy Smith
March 18, 2003
Transmitted is request for waiver on moratorium with reference to Minor Subdivision
application of Diane Alec Smith and Randy Smith for property, located at Main Road,
Cntchogue SCTM# 1000-109-1-7.
Please note that the third page of the application is confidential medical informo~.,
to be distrib 'c or for puM~~ ffyou have any
.~la~-r~egarding this, please call me.
Please commence the review proceedings on this application and send me your
recommendations in writing. Thank you.
cc: Supervisor & Town Board Members
Re: Application of Diane Alec Smith
SCTM #1000-109-1-7
2 Lot Subdivision, Main Road, Cutchogxte, NY
The tmdersigned affirms as follows:
Tiffs is an appeal pursuant to Section 6 of local law entitled "Local Law in
relation to a Temporary Moratorium on the Processing, Review of~ and making Decisions
on applications for IVlajor Subdivisions, Minor Subdivisions, and Special use Permits and
Site Plans containing Dwelling Unit(s) in the Toxin of Southold".
Pursuant to the Section 6 appeal procedures, the Town Board has the authority to
waive the application of the Temporary Moratorium enacted by the above local law in
order to alleviate an extraord/nary hardship. The Town Board must find that a waiver
will not adversely affect:
1) the purpose of the local law as set forth at Section l of the law (summarily
stated as preservation of farm land, open space, natural environment and
rural, cultural and historical character of the hamlets; or
2) the health, safety or welfare of the Town or any comprehensive plan being
undertaken in the Town
It is submitted that the Town Board should exercise its discretion in favor of the
applicant herein and conclude that the criteria above stated has been met for the following
reasons:
This is an application for a two lot subdivision first submitted in February 2000.
It was caught up in the recently enacted local law because of the time necessary to
comply with the Planning Board's request to change the boundary lines of the proposed
. lots and because of the delay wftiffn Suffolk County Heakh Department. The property
has been held within the family of the applicant for more than 50 years. The existing
land use in the immediate vicinity of the property is not intensive and a waiver will have
no appreciable effect on water supply, agricultural lands, open space or the rural
character and natural resources of the Town.
Particular hardship would be created by a failure to grant a waiver in this matter
since the spouse of the owner applicant is currently undergoing experimental treatment
for a possibly terminal illness (see Exhibit 1 attached). Significant expenses have been
incurred in regard to this subdivision application. It is critical that the applicant complete
the subdivision procedure in a timely manner in order to consolidate her assets and better
secure her uncertain financial future.
It is the applicant's hope that the sale proceeds fi-om the created second lot w'fll
finance her relocation with her minor children to the remaining improved lot.
· aZEC -
STATE OF NEW YORK)
COU~,ITY OF SUFFOLK) ss:
On the/~day of ~m~4_r~, 2003, before me, the undersigned, DIANE ALEC SMITH
personally appeared, personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and
aeknoa, ledged to me that she executed the same in her capaciW, and tim by her signature
on the instrument, the individual, or the person upon behalf of which the individual acted,
executed the instrument.
SUSAN J. NAG¥
Ncta~' Public Stat9 cf New Ybrk
,No. 4896735
Qualified In Suffolk County
Cornrni~sio,n Exp!res May 20 J2.~
PLAN~ING BOAHD M]~MBERS
BEI~qETT ORLOWSKI, JR.
Chah"man
W~LLLM~,! J. CREMEES
KENNETH L. ED~VARDS
GEORGE RITCHIE I~kTI-L~2~I, JR.
i~ICHARD C.~GGL~NO
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Town Hall, 53095 State Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1938
Fax (631) 765-3136
Subdivision Application Form
Name of Subdivision:
Suffolk CoUnty Tax Map # lO00-
Type of Subdivision: Major
Set-Off Lot-Line
Cluster Subdivision:
Yes )
Street Location:
Acreage:
Number of Lots: ~
Zoning District:
Date:
Please list name, mailing address, and phone number for the people below:
Agent handling the application:
(Contact Person)
Property Owner(s):
Surveyor:
Attorney:
Other Agent(s):
Has this property had a previous application to the Planning Board?
Has this property previously received a SEQRA review?
Have you had any pre-submission conferences with the Planning Board?
Does this apphcation have variances
Appl. No. k/f/~1,
Is this property adjacent to any bodies of water?
Are there any wetlands on the property?
Are there public water ma'ms in an adjacent street?
Is public water proposed for the subdivision?
Is the majority of the property forested?
Is may part of the property in active agricultural use7
from the ZQning Board or-Appeals?
Date
Yes
No
Yes
Yes
Yes (~
Yes
Yes
Yes
Yes
Is there an existing or proposed sale of development fights on the property? Yes
Yes
Yes
Is there a mortgage on the property?
Does the owner own any adjacent properties?
Yes
Date
Are there any building permits currently pending on this property?
Signature of Preparer 5' ,~ %[L~b ~Y~r-~
200
Agency Authorization
Re:
Minor Subdivision Application of Diane Alec Smith
and George Alec at Cntchogue, NY (2 lot minor)
SCTM ~1000-109-1-7
I, George Alec, owner reference the above, authorize my co-
applicant, Diane Alec Smith, to act as my authorized agent in
regard to submission and processing of the minor subdivision
application reference the above.
Swern to before me this
.g ~J~.,a~ o~ Ju~¥, ~ooo
~ '=~%tf~ Public
~YB~S
~. 4~SS
Southold Town Planning Board
Town Hall
Southold, New York 11971
Gentlemen:
The following statements are offered~for your consideration
in the review of the above-mentioned minor subdivision and its
referral to the Suffolk County Planning Commission:
(1)
(2)
No grading, other than foundation excavation for a
residential building is proposed.
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,
APPLICATION FOR APPROVAL OF PLAT
To the Planning Board of the Town of Soudmld:
The undersig-ned applicant hereby applies for (tenta{ive) (final) appyoval of a subdivision plat in
accordance with Article 16 of the Town Law and the Rules and Regulations of the SoutboId Town
Planning Board, and represents and states as follows:
1. The applicant is the owner o[ 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.)
3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed
4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as
follows:
Liber ........................ Page .................... On .......................
Liber ........................ Page ...................... On ....................... ;
Liber ........................ Page ..................... On .. ;
Liber ........................ P~g-e ...................... On . ..' ....................
Liber ........................ Page ...................... On ....................... ;
as devised under the Last \Viii and Testament of .......................................
or as distributee ........................................................................
5. The area of the land is ........ ?.'..~!..~.. acres.
6. Ail taxes which are liens on the'land at the date hereof have been paid except ..
7. The land is encumbered by .. ~ }~1 utcl G A-C ~
mortgage (s) as follows:
(a) l¥[ortTage recorded in Liber .............. Pa~e ................. in original amount
of $ .............. unpaid amount $ ............ ' ......... held by ......................
.............. address ...............................................................
(b) I~Iortga~e recorded in Liber ........ Page ...................... in original amoont
of .............. unpaid amonnt S ................. held by ......................
.............. address ..............................................................
(c) Mortgage recorded in Liber .............. Page ................ in original amount
of .............. unpaid amount $ ........ :': ............ held by .....................
address
8. There are no other encumbrances or liens against the land except ..... ~.q.M..~-. ...........
9. Tile land lles in the following zoning nsc districts ....~....~...~.~. ..........................
i0. No part of the land lies under water wlmther tide water, stream, pond water or otherxvise, ex-
cept ~1"~. ~' '~"'l ~ ['OOm,i) - $,e_e_ .~. ........ ~.
.................... .................. >,
11. The applicant shalI at his expense ~nstall all required public improvements.
12. The land (.god,si (does not) lie in a \Vater District or \X, rater Supply District. Name of Dis-
trict, if within a District, is ....... /9/./(J~]'. .............................................
13-XVater mains will be laid by . ....... t~f/~. ........................ . ....................
and (a) (no) char%e will be made for installing said mains.
14. Electric lines and standards ,,'ill be installed by
.................................... and (a) (no) charge will be made for installing said
lines
15. Gas mains will be installed by }4 ~ '~q& ' . ..............
and (a) (no) ebarge will be made for installing' said mains.
16. If streets shmvn on tile plat are claimed by tim applicant to be existing public streets in the
Suffolk County I-Hgbway system, annex Schedule "B" hereto, to show same. /~JvM~
17. Il streets shown on tile plat are claimed by the applicaut to be existing public streets in the .~.~_Tk
Town of Soutbo]d ~Iig'bway syste~n, annex Schedule "C" hereto to show same. ~-s'
There are no cxistinZ bui]din,ffs or structures on tile ]and xxbic[t ale nor located and showu
on the plat.
19. \Vbere the plat ~hows proposed streets which are exteosious t,f streets Otl adjoiuing sub-
dirisiou maps herctofnrc [iled. there are no reserve strips at the end o1~ tile streets on said
~.,:istin2' maps at their conjunctions xvith the proposed streets.
20. Iii the course o£ these proceedings, the applicant wi'd (~i£er llrot)i of title as required by Sec.
,335 of tile Real Property Law.
21. Submit a copy ~;f lCroposed deed for lots -_'hov:in~ all lest~ictions, covenants, etc.
Schedule "D".
:\nnex
22. Tbe applicant estimates that the cost of gradiug and required public improvements x~q[i be
$ ..... t..:.., as itemized in Schedule "E" hereto annexed and requests that the maturity of the
Performance Bond be fixed at ..... .~./!./~..'.'] years. The Performance Bond will be written by
a licensed surety company unless otherwise shown on Schedule "F".
By .......................... ,... _~ ...........
(Signature and Title)
(Address)
STATE OF NEW YORK, COUNTY OF ................ ss:
..... ~.~ .......... day of .... ~* ~t.. .............. ~ before me personally came
On
the
~.~1~. :~-~. ~O~:~ .......... ( ~ lt,_/ o me known to be the indi,~idual described in and who
executed the foregoing instrument, and acknowledged ~hat ...~.. executed the same.
Notary Public ~
STATE OF NE%V YORK, COUNTY OF ............................ ss:
Oa the ............... day ............ of .............. , 19 ....... ]~eforc me personally came
........................ to me kuown, who being by me duly sworn did de-
pose and say that ............ resides at No ....................................................
.............................. that ........................ is the ..........
.................. of ........................................................................
the cc)rporatio, described in anti which executed ~he foregoing instrument; that ............ knows
the seal of said corporation; that the seal affixed by order o[ the board of directors of said corporation.
:tnd that ............ ~igned .............. name thereto by like order.
Notary Public
Sou~hold. N.Y. 11971
· (516) 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?
(Attached is a list of the wetland grasses defined
by the Town Code, Chapter 97, for your reference)
Yes
2. Are there any other premises under your ownership
abutting this p~rcel? 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 ~
5. Is there any application pending before
any other agency with regard to a different
project on this parcel?
6. Was this property the subject of any prior
application to the Planning Board?
7. Does this property have a valid certificat6
of occupancy, if yes please submit.a copy of same
Yes
Yes .~)
Ye~
I ce'rtify that the above statements are true and will be relied
on by the Planning Board ill considering this application.
Signature Zproperty own. er or authorized agent
Attachment to questionnaire for_'the Planning Board
STATE OF NEW YORK, COUNTY OF SUFFOLK, ss:
On the \ ~3~2~- f~ ~
day of , ~__, before me personally
came ic~ ,~,~C to me known to be the
individual described in and who executed the foregoing instrument,
and acknowledged that~
executed the same.
No 'arf
Nd~l~ pubB~. State of New Yor~
JUDITH T. TERRY
TOWN CLERK
.~EGISTRAR OF VITAL STATISTICS
IvlARRIAGE OFFICER
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (5161 765-1823
Telephone ~516) 765-1801
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 APRIL 23. 1991:
RESOLVED that the Town Board of the Town of Southold hereby approves the
following amendments to Chapter A106, Subdivision of Land, of the Code of the Town
of Southold, all in accordance with the recommendation of the Southold Town
Planning Board following a public hearing held by them on said amendments on April
22, 1991:
1. Section A106-21(A) (Sketch Plan) is hereby amended by adding thereto
two new subsections 1 and 2 to read as follows:
(1) All applications for sketch plan approval for a minor subdivision shall
be accompanied by a fee of five hundred dollars ($500.) per lot,
together with an inspection fee of one thousand dollars ($1,000.].
(2) All applications for sketch plan approval for a major subdivision filed
with the Town Clerk shall be accompanied by a fee of one thousand
dollars ($1,000.) plus one hundred dollars ($100.) per acre, or part
thereof, in the proposed subdivision. An inspection fee equal to six
percent (6%) of the amount of the approved performance bond must
be paid after approval of the bond amount by the Town Board and
before final approval of the plat.
2. Section A106-22(A) (Application and fee) is hereby amended to read:
Application.
3. Section A106-22(A)(2) of the Code of the Town of Southold is hereby
deleted in its entirety.
4. Section A106-23(A) (Application and fee) is hereby amended to read:
Application.
5. Section A106-23(A)(2) of the Code of the Town of Southold is hereby
deleted in its entirety.
Southold Town Clerk
April 24, 1§91
JUDITH T. TERRY
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box l 179
Southold, New York 11971
frAX (516) 765-1823
TELEPHONE (516) 765-! 80!
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
$OUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MAY 22. 1990:
RESOLVED that the Town Board of the Town of Southold hereby approves and adopts
the following amendment to Chapter AI06, Subdivision of Land, from the Code of the
Town of Southold, as approved by the Southold Town Planning Board following a
public hearing on same held on Ma;/ 14, 1990:
I. Section A106-38E.(3) (Money in lieu of land) of the Code of the Town of
Southold is hereby amended to read as follows:
{3) The amount to be deposited with the Town Board shall be two thousand
dollars ($2,000.00) per lot for each vacant lot in the subdivision. For the
purpose of this Section, a vacant lot shall be construed as a lot that does
not contain an existing residential structure at the time the subdivision
AND BE
receives final approval. In a subdivision containing lots designated as
affordable pursuant to the Town's affordable housing code, those lots so
designated shall be exempt from this computation.
IT FURTHER RESOLVED that the Town Clerk be and she hereby is
authorized and directed to transmit this amendment to General Code
Publishers Corp. so they may make the appropriate amendment to the
Southold Town Code.
Judith T. Terry
Southold Town CleriC'
May 29. 1990
14-1 6-~ (2/8 71 -- 7'c
617.21 ....
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM
SEQR
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 thai: those who determine
significance may have little or no formal knowledge of the environment or may be technically expert in environmental
analysis. In addition, many who have kno~sledge in one particular area may not be aware of the broader concerns affecting
the question of significance.
The full EAF is intended to provide a method whereby applicants and. agencies can be assured that the determination
process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action.
Full FAF Components: The full EAF is comprised of three parts:
Part 1: Provides objective data and information about a given project and its site. By identifying basic project
data, it assists a reviewer in the analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides
guidance as to whether an impact is likely co he considered small to moderate or whether it is a potentially-
large impact. The form also identiiies 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 I and Unlisted Actions
Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 ~lPart 3
Upon review of the information recorded on this EAF (Parts I 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, fl~erefore a negative declaration will be prepared.
[] B. Although the project could have a slgnif'icant effect on the environment, there will not be a significant
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,
therefore a CONDITIONFD negative declaration will be prepared.*
[] C. The project may result in one or more large and important impacts that mav have a significant impact
on the environment, therefore a positive declaration will be prepared·
* A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsib[e O[ficer in Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agrncy Signature of Preparer (If different from responsible oificer)
Date
1
:'~%ART 1--PROJECT INFORMA'I., 4 Prepared by Proiect Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered,.
as part of the application for approval and may be subject to further verification and public review. Provide any additiona!;~
information you believe will be needed to complete Parts 2 and 3.
It is expected that completion of the full EAF will be dependent on information currently available and will not involve
new studies, research or investigation. If information requiring such Additional work is unavailable, so indicate and specifv
each instance.
NAME OF ACTION
LOCATION OF ACTION (Incluae Street Address, Municipality and County)
NAME OF APPLICANT/SPONSOR ' I BUSINESS TELEPHONE
ADDRESS
STATE ZI CODE
BUSINESS TELEPHONE
NAME OF OWNER (Ii differen/~
ADDRESS
CITYIPO
DESCRIPTION OF ACTION
STATE
ZIP CODE
//r~,~
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 E31ndustrial r-Commercial
[~Forest E]A§r,cul~ure ~Other
2. Total acreage of project area: ~' ~1 ~ acres.
APPROXIMATE ACREAGE PRESENTLY
Meadow or Brushland (Non agricultural) __ / acres
Forested O acres
Agricultural (Includes orchards, cropland, pasture, etc.) ~ _ acres
Wetland (Freshwater or tidal as perArtides 24, 25 of ECL) __ . . , acres
Water Surface Area ~ 2,- acres
Unvegetated (Rock, earth or fill) ~ ~" acres
Roads, buildings and other pa~ed surfaces acres
Other (Indicate type) acres
[~Residential (suburban)
I~Rural (non-farm}
AFTER COMPLETION
acres
acres
' 3.,What is predominant soil type(s) on proiect site? ~ T'-'~'s,* L
a. Soil drainage: I~\Ve[I drained / ~'~ O,,o of site [~Moderately well drained % of site
~]Poorb,' drained __ % of si~e
b. If any agricultural land is involved, bow many acres of soil are classified within soil group 1 ~hrough 4 of the
Land Classification System? acres. (See 1 N'~CRR 370).
4 Are there bedrock outcroppings on project site? ~]Yes J~No
a. What is depth to bedrock? ~Jf~ (in feet)
2
5 Approximate percentage of prop~' 3roject site with slopes: [~0 10% I % []10-15% %
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? [~','es ]~No
7. Is proie'ct substantially contiguous to a site listed on the Register of National Natural Landmarks? [~Yes ,[~'No
g. What is the depth of the water table? I~- ~[2 (in feet)
9. Is site located over a primary, principal, or sole source aquifer? l~Yes [~No
10. Do hunting, fishing or shell fishing opportunities presently exist in the pro)ect area~ ~]Yes
11. Does proiect site contain any species of plant or animal life that is identified as threatened or endangered?
E3Yes ,,~No According to J)f~l/},umaT t--
Identify each species
12. Are there any unique or unusual [and forms on the project site? (i.e., cliffs, dunes, other geological'formations)
I~Yes [~No Describe
13. Is the project site~resently used by the community or neighborhood as an open space or recreation area?
[~Yes J~No If yes, explain
14. Does the present site include scenic views known to be important to the community? E3Yes [~No
15. Streams within or contiguous to project area: ~ Q
a. Name of Stream and name of River to which it is tributary /"')? ~
16. Lakes, ponds, wetland areas with,n or contiguous to project area: 0 .
a. Name I~/I ~ b. Size (In acres) I'~r14
17. Is the site served by existing public utilities? [~'Yes I~No
a) If Yes, does sufficient capacity exist to allow connection? ~'Yes KqNo
b) If Yes, will improvements be necessary to allow connection? OYes ~'No
18. Is the site located in an agricultural district certified pursuant to Agriculture and ,Markets Law, Article 25-AA,
Section 303 and 304? OYes E~'No
19. ls the site located in or substantially contiguous to a Critical Environmental Area de~ignated pursuant to Article
of the ECL, and 6 NYCRR 6177 [~Yes i~No
20. Has the site ever been used for the disposal of solid or hazardous wastes? E3Yes
B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate)
a. Total contiguous acreage owned or controlled by project sponsor ~' ~/)/acres.
b. Project acreage to be developed: J · ~i)'" acres initially; acres ultimately.
c. Project acreage to remain undeveloped ~ acres.
d. Length of project, in miles: IV,/t~ (If appropriate)
e. If the project is an expansion, indicate percent of expansion proposed ~lf/~- %;
f. Number of off-street parking spaces existing /~?/q ; proposed /V,//'~ .
g. Maximum vehicular trips generated per hour /I//'/)- (upon completion of project)?
h. If residential: Number and type of housing units:
One Family. Two Famlb~ Multiple Familv Condominium
Initially
Ultimately
i. Dimensions (in feet) of largest proposed structure height; . w~dth: length.~
j. Linear feet of frontage along a public thoroughfare project will occupy is? ,z'~t, ~ ft.
3
2. FI, ow much natural material (~'ck, earth, etc.) will be removed from g~te? ~ tons/cubic yards
3. Will disturbed areas be reclaimed? OYes []No ~N/A -. ,.
a. If yes, for what intend.~ purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? OYes ONo
c~ Will upper subsoil be stockpiled for reclamation? OYes ONo I~.
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? f///~ acres.
5- Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
OYes
6. If single phase proiect: Anticipated period of construction
7. If multi-phased:
a. Total number of phases anticipated
b. Anticipated date of commencement phase 1
c. Approximate completion date ol~ final phase
d. Is phase I functionally dependent on subsequent phases?
§. Will blasting occur during construction? OYes
9. Number of jobs generated: daring construction . /~,/
10. Number of jobs eliminated by this project ~,l/J~ .
11. Wi'il project require relocation of any projects or facilities?
(number).
months, (including demolition).
month year, (including demolition).
month year.
OYes ONo
; after project is complete
~Yes ~o if yes, explain
12. Is surface liquid waste disposal involved? OYes ~'No
a. If yes, indicate type of waste (sewage, industrial etc.) and amount
b. Name of water body into which efficient will be discharged
13. Is subsurface liquid waste disposal involved? ~'es ONo Type
14. will surface area of an existing water body increase or decrease by proposal?
Explain
OYes ,,~..N o g~
15.
16.
Is project or any portion of project located in a 100 year flood plain? I~Yes
Wilt the project generate solid waste? OYes .[~t~No
a. If yes, what is the amount per month tons
b. If yes, wilt an existing solid waste facility be used? OYes E]No
c. If yes, give name ; location
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill?
e. If Yes, explain
OYes ONo
17
18.
19.
20,
21.
22.
23.
24.
Will the project involve the disposal of solid waste? OYes J;~.No
a. Ii: yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? years.
Will project use herbicides or pesticides? OYes ~No
Will project routinely prdduce odors (more than one hour per day)? E3Yes
Will project produce operating noise exceeding the local ambient noise levels? OYes J~:No
Will project result in an increase in energy use? OYes J~ki'4o
If yes , indicate type(s}
Ii: water supply is from wet~:~, red,cate pumping capacity ~'f gallons/minute.
Total anticipated water usage per day ~J d~-~ gallons/day.
Does project involve Local, State or Federal funding? [~Yes [~,,No
Ii: Yes, explain
4
25. Approvals Required: ~
City, l'osvn, village Board
C---~, Town,~V;llage Planning Board
City, To~.vn Zoning Board
-C--bty, County Health Department
Other Local Agencies
Other Regional Agencies
State AgEncies
Federal Agencies
OYes ONo
~Y~s ONo
OYes EaNo
Submittal
Date
C. Zoning and Planning Information
I. Does proposed action involve a planning or zoning decision~ ~?es [~No
. If Yes, indicate decision required:
I~zoning amendment E]zoning variance I~special use permit ~subdivision [~site plan
I~new/revision of master plan Fqresource management plan nother
2. What is the zoning classification(s)of /he site? ~ -~/O
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
4. What is the proposed zoning of the site?
5. What is the maximum potential development of!the site if developed as permitted by the proposed zoning?
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ,~'es
7. What are the predominant land use(s) and zoning classifications within a ¼ mile radius of proposed action?
ONo
C
8. Is the proposed action compatible with adjoining/surrounding land uses within a !.~ mile? ¢~Yes ONo
9. If the proposed action is the subdivision of land, how many lots are proposed?
'a. What is the rninimum lot size proposed? ¢ ~.. ~o~, ~'~. ~,~ (. -~ 3 .b~'D ~"~ ~4-~'"l~'d~d ,)
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? I~Yes
11. Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection]? E]Yes ~,No
a. If yes, is existing capacity sufficient to handle projected demand? ~Yes ~No
12. Will the proposed action result in the generation of traffic significantly above present levels? OYes
a. If yes, is the existing oad network adequate to handle the additional traffic? OYes E]No
D. Informational Details
Attach any additional information as may be needed to clarify your project If there are or nlay 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 abo~e is true to the best of my knowledge /./~'~/~
Applicant/Sponsor Name ~ t ~Y~t i~rl(.C K3 ~l,~ , I~ Date
It the act.on ~s in the Coastal Area, an~, you are a stale agency, complete Ihe Coastal Assessment Form before proceeding
with Ibis ~ ~
Part 2~_~,OJEC,T IMPACTS AND THEIR ~&,GNITUDE
~ , Respons~h~ ~ty 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 anah,'st.
· Identif,)ing 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 must 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 any example provided, check column 2. If impact win 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(J) 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
IMPACT ON LAND
1. Will the proposed action result in a physical change to the project site?
[~NO [~]YES
Examples that would apply to column 2
· Any construction on slopes of 15% or greater, (15 foot rise per 100
foot of length], or where the general slopes in the project area exceed
10%.
· Construction on land where the depth to the water table is less than
3 feet.
· Construction of paved parking area for '~,000 or more vehicles.
· Construction on land where bedrock is exposed or generally within
3 i~eet of existing ground surface.
· Construction that wirl c~ntinue for more than I year or involve rrlore
than one phase or stage.
· Excavation for mining purposes.that ~ould remove more than ~,000
tons of natural material (i.e., ~ock or soil) per year.
· Construction or expansion ufa sanitary landfill.
· Construction in a designated floodway.
· Other impacts
2 Will there be an effect t~. _.,y u;:,que or unusu~d land forms found on
the site? (i.e.. cliffs, dunes, geologic,][ formations, etc.)L~NO [~YE5
· Specific land forms:
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I~/.'6~ E~No
[] Lq E]Yes []No
L9 [] E]Yes ~]No
~ [] []]Yes []NO
~ ~ []Yes ENo
[] Lq []Yes ENo
[] ~ Ii]Yes ~No
[] L~ ~Yes ENo
[] [] ~Yes ENo
~ [] IZ]¥es []No
IMPACT ON WATER
3. Will proposed action affect any water body designated as protected?
(Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL)
[:]NO I~YES
I~xamples that would apply to column 2
· Developable area of site contains a protected water body.
· Dredging more than 100 cubic yards of material from channel of a
protected stream.
· Extension of utility distribution facilities through a protected water body.
· Construction in a designated freshwater or tidal wetland.
· Other impacts:
4. Will proposed action affect any non-protected existing or new body
of water? [~NO I~YE5
Examples that would apply to column 2
· A 10% increase or decrease in the surface area of any body of water
or more than a 10 acre increase or decrease.
· Construction of a body of water that exceeds 10 acres of surface area.
· Other impacts:
5. Will Proposed Action affect surface or groundwater
quality or quantity? I~NO [~YES
Examples that would apply to column 2
· Proposed Action will require a discharge permit.
· Proposed Action requires use of a source of water that does not
have approval to serve proposed (project) action.
· Proposed Action requires water supply from wells with greater than 45
gallons per minute pumping capacity.
· Construction or operation causing any contamination of a water
supply system.
· Proposed Action will adversely affect groundwater.
· Liquid effluent will be conveyed off the site to facilities which presently
do net exist or have inadequate capacity.
· Proposed Action would use water in excess of 20,000 gallons peF
day.
· Proposed Action will likely cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious visual
contrast to natural conditions.
· Proposed Action will require the storage of petroleum or chemical
products greater than 1,100 gallons.
· Proposed Action will allow residential uses in' areas without water
and/or sewer services.
· Proposed Action locates commercial and/or industrial uses which may
require new or expansion of existing waste tre,~men[ and/or ~torage
facilities.
· Other impacts:
C. proposed action alter drainage flow or patterns, or surface
6.
will
water runoff? I~NO ~]YE$
Exa~nples that would apply to column 2
· Proposed Action would change flood water flows.
7
Small to Potential .Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes I--[No
[] [] I~]Yes [:]No
[] [] I~Yes []No
[] [] QYes I~No
[] [] ~]Yes ~]No
~ Q QYes ~No
~ ~ ~Yes ~No
Q Q QYe~ QNo
Q Q QYes QNo
Q Q ~Yes QNo
~ ~ ~Yes ~No
Q ~ QYes QNo
~ ~ ~Yes ~No
~ ~ Qtes QNo
~ ~ ~Yes ~No
~ Q QY.~ ~No
~ ~ ~Ye~ ~No
~ Q QYes QNo
~ ~ QYes 5]No
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existing drainage patterns.
· Proposed Action will allow development in a designated floodway.
· Other impacts:
IMPACT ON AIR
7. Will proposed action affect air quality? [~NO [Z]YF$
Examples that would apply to column 2
· Proposed Action will induce 1,000 or more vehicle trips in any given
hour.
· Proposed Action will result in the incineration of more than 1 ton of
refuse per hour.
· Emission rate of total contaminants will exceed 5 lbs. per hour or a
heat source producing more than '10 million BTU's per hour.
· Proposed action will allow an increase in the amount of land committed
to industrial use.
· Proposed action will allow an increase in the density of industrial
development within existing industrial areas.
· Other impacts:
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect any threatened or endangered
species? []NO [~YES
Examples that would apply to column 2
· Reduction of one or more species listed on the New York or Federal
list, using the site, over or near site or found on the site.
· Removal of anv portion of a critical or significant wildlife habitat.
· Application of pesticide or herbicide more than twice a year, other
than for agricultural purposes.
· Other impacts:_
9. Will Proposed Action substantially affect non-threatened or
non-endangered species? D1NO [qYES
Examples that would apply to column 2
· Proposed Action would substantially interfere with any resident or
migrator,/ fish, shellfish or wildlife species.
· Proposed Action requires the removal of more than 10 acres
of mature forest (over 100 years of age) or other locally important
vegetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will the Proposed Action affect agricultural land resources?
~NO nYES
Examples that would apply to column 2
· The proposed action woukJ sever, cross or Jim/[ access to agricultural
land (includes cropland, hiwfieids, pasture, vineyard, orchard, etc.)
;':'~' 2 3
Srfru,Yto Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes []No
[] [] I~Yes ElNa
[] [] []Yes
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes
C
· Construction activity would excavate or compact the soil profile of
agricultural land.
· The proposed action would irreversibly convert more than 10 acres
of agricultural land or, if located in an Agricultutal District, more
than 2.5 acres of agricultural land
· The proposed action would disrupt or prevent installation of agricultural
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 runoft)
· Other impacts:
IMPACT ON AESTHETIC RESOURCES
11..Will proposed action affect aesthetic resources~ [~NO []YES
(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
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
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
screening of scenic views known to be important to the area.
· Other impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12 Will Proposed Action impact any site or structure of historic, pre-
historic or paleontological importance~ [~NO ~1¥E5
Examples that would apply to column 2
· Proposed Act[on occurring wholly or partially within or substantially
contiguous to any facility or site listed on the State or National Register
of historic places.
· Any impact to an archaeological site or fossil bed located within the
project site.
· Proposed Action will occur in an area designated as sensitive for
archaeological sites on the NYS Site Inventory.
· Other impacts:
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed ^ctJon a~:fec[ the quanti£y or quality of existing or
future open spaces or recreational opportunities~
Examples that would apply to column 2 r~No [~Y~S
· The permanent foreclosure of a future recreational oppor~urdt,/.
· A major reduction of an open space importan~ to the community.
· Other impacts:
9
~ ' 2 3
Small to.' Potential Can Impact Be
Moderate Large Mitigated By
Impact Impac[ Project Change
[] [] ~]Yes ~lNo -
[] [] [~Yes ~]No
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~es ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
IMPACT ON ~I~.,~.s{SPORTATION
14. Will there be an effect to existing transportation systems?
[]NO []YES
Examples that would apply to column 2
· Alteration o[: present patterns of movement of peopl~ and/or goods.
· Proposed Action will result in major traffic problems.
· Other impacts:
IMPACT ON ENERGY
15. Will proposed action affect the community's sources of fuel or
enerBy supply? L~NO [~YES
Examples that would apply to column 2
· Proposed Action will cause a greater than 5% increase in the use of
any form of ener[~¥' in the municipality.
· Proposed Action will require the creation or extension of an energy
transmission or supply system to serve more than 50 single or two family
residences or to serve a major commercial or industrial use.
· Other impacts:
NOISE AND ODOR IMPACTS
16. Will there be objectionable odors, noise, or vibration as a result
of the Proposed Action? - I~NO I~YES
Examples that would apply to column 2
· Blasting within 1,500 feet of a hospital, school or other sensitive
facdity.
· Odors will occur routinely (more than one hour per day).
· Proposed Action will produce operating noise exceeding the local
ambient noise levels for noise outside of structures.
· Proposed Action will remove natural barriers that would act as a
· Other impacts:
IMPACT ON PUBLIC HEALTH
17. Will Proposed Action affect public health and safety?
E]NO OYES
Examples that would apply to column 2
· Proposed Action may cause a risk of explosion or release of hazardous
substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of
accident or upset conditions, or there may be a chronic Iow level
discharge or emission.
· Proposed Action may result in the burial of"hazardous wastes" in any
form (i.e. toxic, poisonous, highly reactive, radioactive, irritating,
infectious, etc )
· Storage facilities for one million or more galJon~ of liquified natural
gas or other flammable liquids.
· Proposed action may result in the excavation or other disturbance
within 2,000 I'eet of a site used for the disposal of so[id or hazardous
· Other impacts:
10
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes l:3No
[] [] []Yes [:]No
[] [] []Yes •No
[] [] []Yes []No
[] [] []Yes []No
[] [] ~Yes []No
[] E~ [~lte$ []No
[] [] []Yes []No
[] [] []Yes []No
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~NO
~ ~ ~Yes ~No
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the existin§ community~
[~NO []YES
Examples that would apply to column 2
· The permanent population of the city, town or village in which the
project is located is likely to grow by more than
· The municipal budget for capital expenditures or operating services
will increase by more than 5% per year as a result of this project.
· Proposed action will conflict with officially adopted plans or §oals
· Proposed action will cause a change in the density of land u~e.
· Proposed Action will replace or eliminate existing facilities, structures
or areas of historic importance to the community.
· Development will create a demand for additional community services
[e.g. schools, police and fire, etc.)
· Proposed Action will set an important precedent for future projects.
· Proposed Action will create or ebminate employment.
· Other impacts:
Smallto" Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] L-lYes E]No
[] ~ ~Yes
[] [~ [~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
19 Is there, or is there likely to be, public controversy related to
potential adverse environmental impacts? [~NO L~YES
If Any Action in Part 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
C
Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared ii' one or more impact(s) is considered to be potentially large, even if the impactis} 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:
· The probability' oi. the impact occurring
· The duration o1' the impact
· Its irreversibility, including permanently lost resources of value
· Whether the impact can or wilt he controlled
· The regional consequence of the impac~
· Its potential divergence from local needs and goo. Is
· Whether known objections to the project relate to this impact.
(Continue on attachments)
11
t4-t4-~ ] ,'~-.'~vi-gc 617.21 SEQR
J~ Appendix B ~ .
~,~,e Environmental Quality Re~ie~v
V sua Addendum
C
This form may be used to provide additional information re~ating to Question ! ] of Part 2 of
the Full EAF.
(To be comp!eted by Lead Agency)
Visibility
1. Would the project be visible from:
· 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 9verlook or parcel of land dedicated to public
observation, enjoyment and appreciation of natural
or man-made scenic qualities?
· A site or structure listed on the National or State
Registers of Historic Places?
· State Parks?
· The State Forest Preserve?
· 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
· Municipal park, or designated open space?
· County road?
· State?
· Local road?
Distance Between
Project and Resource (in Miles)
0- ~ lA-¥'~ V~-3 3-5 5 +
2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other
WIYes ~No
3. Are any of the resources chqcked in question I used by the public during the time of year
during which the project w/Il be visible?
[~Yes [~No
DESCRIPTION OF ]~XIS'~-~G VISUAL ENVIRONMENT '~
4. From each item checked in question I, check those which generally 'describe the
environment.
surrounding
Within
· i/,~ mile * 1 mile
Essentially undeoeloped [] []
Forested [] []
Agricultural [] []
Suburban residential [] []
Industrial [] []
Commercial [] []
drban [] []
River, Lake, Pond [] []
Cliffs, Overlooks [] []
Designated Open Space [] []
Flat [] []
Hilly [] []
Mountainous [] []
Other [] []
NOTE: add attachments as needed
5. Are there visually similar projects within:
'1/2 mile []Yes []No
*1 miles []Yes []No
*2 miles [~Yes []No
*3 miles []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.
CONTEXT
?. The situation or activity in which the viewers are engaged while viewing the proposed action is
FREQUENCY
Holidays/
Activity Daily Weekly Weekends Seasonally
Travel to and from work [] [] [] []
Involved in recreational activities [] [] [] []
Routine travel by residents [] [] [] []
At a residence [] [] [] []
At worksite [] [] [] []
Other [] [] [] []
2
LAUllY L. DOWD
TOWN A'CTORNEY
OFFICE OF THE TOWN ATTOI~NEY
TOW~ OF SOUTHOLD
JEAN W. CO£;HRAN
Supervisor
Town Hall, 53095 Mnbl tlond
P.O. Box 1179
SouShold, New York 1197l
T~lephone (516) 765-1889
Fa× (516) 765-1823
MEMORANDUM
TO:
FROM:
DATE:
RE:
Town Board
Board of Assessors
Planning Board
Zoning Board of Appeals
Trustees
Board of Assessment Review
Laury L. Dowd, Town Attorney
August 21, 1997
Transactional Disclosure Form
Enclosed please find a Transactional Disclosure form, recommended by the
Board of Ethics and adopted by the Town Board. This form should be given ~o
applicants seeking relief from your Board The Ethics Board tried to make Lhe
form simple and understandable, so applicants should easily be i~ble Lo fill it in.
You should require a filled-in form with every application you receive, even ir the
applicant has no conflicls of interest. Please compare this form with any
disclosure forms you are currently using, and substitute the new form if possible.
Please set up a process for your board so that all forms which idenfify a possible
conflict are circulated for board member information and review. You might
consider circulating all forms, even those which do not identify conflicts.
Please contact the Board of Ethics or myself if you have any questions about
use of this form
The Town of Southold's Code of Ethius prohibits con££icts o~
Interest on tile part of bowtl officers and employees. The
purpose of this form is to provide lnfo~mation which can
alert the town of possible couflicts of interest and allow
YOUR NAHE:
NATURE OF APPLICATION= (Checl~ all that apply.)
Tax grievance
Variance
E~emption from pl3t or off]rial map
(If "ohher," name the activity.)
NO
Name of person employed by the Towm of SoutDold
Title or position of that person
Describe the relationship between yourself (the applicant)
and the town officer or employee. Etthe~ check the
appropriate line A) through D) and/or describe in the space
provided.
The town officer o~ employee o[ his or her spouse, sibling,
parent, or child is (check all that apply)~
DESCRIPTION OF RELATIONSHIP
__.day of 199
MINOR SUBDIVISION FOR
DIANE ALEC SMITH
AT CUTCHOGUE
TORrN OF SOUTHOLD
SUFFOLK COUNTY, N.
1000-109-01-07
Ig~,~)~. ,~-.u~ r. "'""~:.:tI?'i SCALDi"=100'
~J.~~l!i~! MARCH 9, 2000 ?."' '
~2~_~ SEPT. 1, 2000 ¢~±/lities loc.)
¢~ ~!J~ 08 20 APRIL 23 eOOi
~EPT 27, 2001 (revlston~)
~A~3, 2002 (rev/dons)
$outhold Town
Planning Board
KEY MAP
SCAL E; 'i'=600'
APPLIOANT,
~IANE ALEC SMITH
~445 MAIN
CUTCHOGUE, NY 1193~
THE LOCATION glF !,/'~LL$ AND C£$$PDDL$ ~HDWN H~R~ON
~E ~N FZELfl ~$ERVAT~DN$ ~N~ DR ~ATA D~TAINE~
C~NTDUR LfNE~ A~ REFE~N~ TO
~ E~TE~N TGV~ T~D~RAPH~C
~ ~BY ~RT~FY THA~ ~S SU~DZV~$~BN ~LAT VA~ HA~E FRQN
ACTUAL S~MEYS CD~E~ 3/8/~, THAT ~L N~ENTS
~O~N THUS ~ ACTU~Y ~X~T ~D THEIR POSITIONS A~ CDREECTLY
SHg~N AN~ ALL ~I~N~AE AN~ GEO'g[~C ~AILS ARE CORRECT
T[.~T HBL£
SITE DATA'
TOTAL AREA=3,915 ACRES
LOT 1
TOTAL ~RE~=8~,~65 $.F.
AREA ~IITHDUT PDND=7$A~O
LOT ~
TOTAL AREA=85, B6~ S,F,
ZDNZNG BT. STRICT, R BO
SCHOOL ~IETRICT, 9
FIRE DISTRICT, 29
N,Y~, LIC. ND, 496t8
PECDNIC SURI,'EY~S~ P.C
(631) 765 - 5020 FAX (631) 765-1797
P, D, BOX 909 .'
~o ~ ~r~J O0 126
S~UTH~LD, N.Y 11,,971 ~ '