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Home My WebLink About1000-78.-8-21 APPROVED BY PLANNING BOARD TOWN OF SOUTHOlD r1 ~ .$.tr5/'d,,?, 88.~ i1IORr# .B4Y"V/EW ea4b ~ ~ ~,,~ < , , ~ ~ ~ ~ , ~ ~ ~ ~ ~ 't.. i ~ '10 ~ 1 #,i/,I7CJF" P,e,:,~~p P,e~.rr LM/..r~N~ .I1ETW4"~# P&N47'I/~.4. 7;,er/~,~.M" C'..NEK ,4~t1'/.#7iF~ /H~. Lo~.:W.~T~~v.&"~~O~npv; v.' Tar"~ A,t'o ~~T7-+'9..~!$~';:: .4,t'QP~Jt"= 2;9/4~.e. .4.l'P P#;~~.=-75. 7!f9:f..e: Mb1~CRR.':~= 94;;J3t!J;"""d.,e<1.A!YJ'~ .o"TE.4/ARC#~~ ~~.aK4"hl;l',.h1Am~/Z/f'-p' :7~'/'s.lt70' ~ <D~ ~/.:7. 7' ""='...,"" ~~ ~-ty''%:r .,-../~ 0.............., ~....~/.......,.....~ "11(.04__. ~~4< ~~-O~.? .'-=V o:.""",-._~..:-........_ -Oi!-." .e-4~.<"~.4.~~ :$.> ..-""'Y.o,/. ~....y 2';5, .",,~,;;y ~ Y'","~C' '<?SI a..e>~..v ~~ ..;:5".Dok~... - lD)~llirnow~~ \J\1 APR I 4 i994 ~ ~, . ~J~J8Xk~ ~1J7'JlO/.P 8;1Y '4. r\ ~5Y fiI.?P AN'.rMWY IV- L&1+'4NCIOW6i:'/ LAND 3u.eJ/eY~ Po ().8p,( 448 .2:wr~...v. y. -;." - :.. . .- ::;} PLANNING BOARD MEMBERS '--,' .' ,.:1:-..... '-'1.:,. ~ '\. .,~. \ ' )'/; . , Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonaid Kenneth L. Edwards , , , -";:"'\, '"'":'I"j".....'/ .... ;./ 1 Town Haii, 53095 Main Road P. O. Box 1179 Southoid, New York 11971 Fax (516) 765-3136 Teiephone (516) 765-1938 .-..." PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 23, 1994 James W. Dougherty, P.C. 269 Hempstead Ave. Malverne, NY 11565 Re: Demetrios A. Tertis & Goose Creek Associates, Inc. SCTM# 1000-78-8-21 and 79-2-3.7 Dear Mr. Dougherty: The following took place at a meeting of the South old Town Planning Board on Monday, August 22, 1994: The final public hearing was held at 7:55 p.m., was closed. The following resolution was adopted: WHEREAS, Demetrios A. Tertis and Goose Creek Associates, Inc. is the owner of the property known and designated as SCTM# 1000-79-2-3.7 and 78-8-21, located on the west side of North Bayview Rd. in Southold; and WHEREAS, this proposed lot line change is to subtract 2,914 square feet from a 48,653 square foot parcel owned by Demetrios A. Tertis, and to add it to a 38,332.8 square foot right-of-way owned by Goose Creek Associates, Inc., in Southold; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself lead agency and issued a Negative Declaration on July 11, 1994; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on August 22, 1994; and --'.....'_. . . Page 2 Proposed kJt line change for TertisJGoose Creek Assoc., loe. August 23, 1994 WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; be it therefore, RESOLVED, that the Southold Town Planning Board approve and authorize the Chainnan to endorse the final surveys dated April 12, 1994. Enclosed please find a copy of the map which was endorsed by the Chairman. Please contact this office if you have any questions regarding the above. Sincerely, fi!~~ f ;{J 41(f Richard G. Ward Chairman enc. cc: Tax Assessors Building Dept. ~~ ~~.P ~ .g 1 ~1 G _ ~p. f1 ~~J 1 ~,~ c; ~ it; ~ ~ ~ t~~~~ '{~'~'1 ~~:i~ rO~V1' ~.~ ~~~ ~ ~,~~ ~ 01 ~ J~ ~ ~lj~ . . / THIS LOT LIl'I~ CHANGE BETWEEN ~ . IS LOCATED ON . IN SCTM# 1000- .. AND LOT LINE CHANGE ~mPlete wplication received:--. JJ.' ^ ..L ~ . ~ l.&"""'. ~ 1i'44'-(~(G/ u.A-F- 1 - """1'^- '''1)'0''''' \ ~. ,l~."\>..~.....-~ Application reviewed at work session Applicant advised of necessary revisions Revised sub mission received Lead Agency Coordination SEQRA determination Sent to County Planning Commission Review of SCPC report Draft Covenants and Restrictions received Draft Covenants and Restrictions reviewed Filed Covenants and Restrictions received Final Public Hearing C~fn.8iv.ji:) Approval of Lot Line -with conditions Endorsement of Lot Line ms 1/ 1/90 fK.O'Llr::1 ~~ fK.O'Llr::1 ~~ .'iW 'j'f I=.LI~ fK.O'Llr::1 ~~ &\i>..,<-~c\. "Ihll\'\"l N~ i'lt..<- lllllN .ililHJ=.LI ~ ~~~~ NA 1=.LI~ fK.O'Llr::1 ~~ ~ ~~ 't~I'?'-f I I 8/~!"I't , . - ".. H-i6-2 (2/87)-7c . . ( 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 ;s 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 expert in 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. 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 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 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 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 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: 0 Part 1 0 Part 2 OPart 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 magi tude 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. o 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. therefore a CONDITIONED negative declaration will be prepared.' D 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 DEMETROIS A. TERTIS Lot Line Change Name of Action Name of Lead Agency Title of Responsible Officer Print or Type Name of Respons.ible Officer in Lead Agency ( Signature of ResponSlole Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date 1 ,:lART 1-PROJECT INFORMAl N 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 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 additional{ 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 specify each instance. NAME OF ACTION Annlication of Demetrios A. Tertis LOCATION OF ACTION (Include Street Address, Municipallly and County) Lot #7 Dawson Sub-division SCTM 1000-2-3.7 NAME OF APPLICANT/SPONSOR T BUSINESS TELEPHONE Demetrios A. Tertis (516) 599-5759 ADDRESS c/o James w. Dougherty, P.C. CITY/PO I STATE I lIP CODE 269 Hempstead Avenue, Malverne NY 11565 NAME OF OWNER (If different) T BUSINESS TELEPHONE ( I ADDRESS CITY/PO T STATE T ZIP CODE DESCRIPTION OF ACTION Draw new lot line to exclude easement portion of Goose Creek Lane and then transfer .that portion of road to Goose Creek Lane Associates, In ~ I r Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, 1. Present land use: DUrban DForest both developed and undeveloped areas. Dlndustrial DCommercial &JResidential (suburban) DAgriculture DOther existing unimR~oved road DRural (non-farm) 2. Total acreage of project area: APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards. cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECl) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) PRESENTl Y AFTER COMPLETION acres acres acres acres acres acres acres acres acres acres acres acres Existing acres Exactly s all\ttres acres acres 3. What is predomrnant soil type(s) on project site? Sand a. Soil drainage: DWell drained % of s.ite OPoorly drained % of site b. If any agriclllturalland is involved, how many acres of soil are classified within soil group 1 land Classification System? acres. (See 1 NYCRR 370). 4. Are there bedrock outcrop pings on project site? DYes XJNo a. What is depth to bedrock? (in feet) mixed with dirt DModerately well drained 100 % of site through 4 of the NYSe 2 ; . .. . 5~ .A~proxilllate percentage of prop project site with slopes ~O.10% _____ % 0-15% or greater 010.15% % '" m (7 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 ~No 15 project substantially contiguous to a site listed on the Register of National Natural Landmarks? 25 DYes :l(]No 12. Are there any DYes unique or unusual land ~No Describe forms on the project site? (i.e., cliffs, dunes, other geological formations) 13. 15 the project site presently used by the community or neighborhood as an open space or recreation area? DYes :tINo If yes, explain 14. Does the present site include scenic views known to be important to the community? DYes XJNo 15. Streams within or contiguous to project area: Goose Creek 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 Goose Creek b. Size (In acres) 10 Acres 17. ( Is the site served by existing public utilities' DYes IXNo a) If Yes, does sufficient capacity exist to aI/ow connection? b) If Yes, will improvements be necessary to allow connection? DYes DYes DNo DNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304' DYes I&JNo 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? DYes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? DYes 5(1 No B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) 3. Total contiguous acreage owned or controlled by project sponsor two acres. b. Project acreage to be developed: -0- acres initi.dly; -0- acres ultimately. c. Project acreage to remain undeveloped all acres. d. Length of project, in miles: NA (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed NA %; f. Number of orf-street parking spaces existing NA ; proposed g. Maximum vehicular trips generated per hour One (upon completion of project)? h. If residential. Number <lnd type of housing units: NA One Family Two Family Multiple Family Condominium ( Initially Ultimately i. Dimensions (in feet) of largest proposed structure height; width; j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. length. 3 "':". 2. How much natural material (i, :ock, earth, etc.) will be removed from site? 3. Will disturbed areas be reclaimed> DYes DNo KJN/A a. If yes, for what intencL"": purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? DYes DNo c. Will upper subsoil be stockpiled for reclamation? DYes DNo -0- tons/cubic ya~ds ( 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 5. None acres. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? DYes ~o 8. 9. 10. 6. If single phase project: 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 of final phase d. Is phase 1 functionally dependent on subsequent phases? Will blasting occur during construction? DYes XlNo Number of jobs generated: during construction N/A N/A N/A months, (including demolition). (number). month month DYes year, (including demolition). year. DNo ; after project is complete Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? DYes ~No If yes, explain 12. Is surface liquid waste disposal involved? DYes RlNo 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? DYes :lONo Type 14. Will surface area of an existing water body increase or decrease by proposal? DYes DIN 0 Explain Conveyance in easement portion of road to easement holder 15. Is project or any portion of project located in a 100 year flood plain? ~Yes DNo 16. Will the project generate solid waste? DYes 121 No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? DYes DNo 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 ( DYes }Qj:N 0 17. Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? 18. Will project use herbicides or pesticides? DYes DYes E9No tons/month. years. ~o 19. 20. 21. Will project routinely produce odors (more than one hour pcr day)? DYes rn:No Will project produce operating noise exceeding the local ambient noise levels? DYes 'Will prorect result in an increase in energy use? DYes .:KJNo If yes, indicate type(s) If water supply is from wells, indicate pumping capacity N/A gallons/minute. Total anticipated water usage per day N/A gallons/day. Does project involve Local, State or Federal funding> DYes rnNo If Yes, explain KINo 22. 23. 24. c. C 4 . ~5.. Approvals Required: . .< . City, Town, Vdlilge Board DYes DNa r City, Town, Village Planning Board DVes DNa City, Town Zoning Board [XVes DNa City, County Health Department DVes DNa Other Local Agencies DVes DNa Other Regional Agencies DVes DNa State Agencies DVes DNa Federal Agencies DVes DNa Ie Submittal Dale C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? If Yes, indicate decision required: Ozoning amendment Dzoning variance Dspecial use permit Dsubdivision Dnew/revision of master plan Dresource management plan Dother Transfer Road xxVes DNa Dsite plan of Easement 2. What is the zoning c1assification(s)of the site? What is the maximum potential development of the site if developed as permitted N/A 3. 4. 5. ( 6. 7. 8. 9. 10. 11. by the present zoning? What is the proposed zoning of the site? Whatis the maximum potential development of the site if developed as N/A N/A permitted by the proposed zoning? Is the proposed action consistent with the recommended uses in adopted local land use plans? K!Yes DNa What are the predominant land use(s) and zoning classifications within a ~ mile radius of proposed action? Residential Is the proposed action compatible with adjoining/surrounding land uses within a ~ mile? mYes DNa a. What is the minimum lot size proposed? Will proposed action require any authorization(s) for the formation of sewer or water districts? many lots N/A are proposed? N/A If the proposed action is the subdivision of land, how DVes }QlN 0 Will the proposed action create a demand for any community provided services (recreation, education, police, fire protcction)l DVes 19No a. If yes, is existing capacity sufficient to handle projected demand? DVes DNa 12. Wdl the proposed action result in the generation of traffic significantly above present levels? DYes a. If yes, is the existing road network adequate to handle the additional traffic? DVes DNa 19No D. Informational Details Attach ,lny 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. Deme rios A. Tertis Date 5/12/94 ( ~ Title Owner If the Jet is in the Coastal Ar a, d you Jre a slate a~ency, complete t~e Coastal Assessment Form before proceeding with this assessment. \... 5 Part 2-P-tlOJECT IMPACTS AND THEIR I''-AGNITUDE 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. o 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. o 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 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 <mall 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? DNO DYES Examples that would apply to column 2 o 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%. o Construction on land where the depth to the water table is less than 3 feel. o Construction of paved parking area for 1,000 or more vehicles. . Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface. . Construction that will continue for more than 1 year or involve more than one phase or stage. . Excavation for mining purposes that would remove morc than 1,000 tons of natural material (i.e., rock or soil) per year. . Construction or expansion of a sanitary landfill. . Co.nstruction in a designiltcd floodway. . Other impilcts 2 Will there be an effect t:. u,IV unique or unusual land forms found on the site? (ie., cliffs, dunes, geological formations, etc.)DNO DYES . Specific land forms: 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNa 0 0 DYes DNa [l 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa ~--- ....... e ..\ . .. .. . ( 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) DNO DYES Examples 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? DNO DYES Examples that would apply to column 2 . A 10% increase or d0crease 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? DNO DYES Exampies 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 conveyeJ off the site to facilities which presently do not exist or have inadequate capacity. . Proposed Action would use water in excess of 20,000 gallons per day. . Proposed Action will likelv cause siltation or other discharge into an existing body of water to the extc.nt that there will be an obvious visual contrast to naturdl 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 loca~es commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. . Other impJcts: l 6 Will proposed action alter drJinage flow or patterns, or surface Wilter runoif> DNO DYES Ex,1!nples thot would apply to column 2 . Propos d ^ . . e Ulon would change flood wate-r flows. 7 .1 2 3 Small to Potential ,Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNa . 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? DNO DYES Examplcs 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 Ibs. 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 development within existing industrial areas. . Other impacts: industrial IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? DNO DYES 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 any 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? DNO DYES Examplcs that would apply to column 2 . Proposed Action would substantially interfere with any resident or migratory 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? DNO DYES Examples that would apply to column 2 . The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfi.elds, pasture, vineyard, orchard, etc.) 8 r-- -.- 2 3 . I Small 10 Potential Can Impact Be Moderate Larg e Mitigated By Impact Impact Project Change 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa r \. ,. ,. ~"- 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 runoff) . Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources I DNO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix 13.) 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 wjll 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? DNO DYES Examples that would apply to column 2 . Proposed Action 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. . Propos cd Action will Occur in an area designated as sensitive for arch.1cological sites on the NYS Site Inventory. . Other impJcts: l IMPACT ON OPEN SPACE AND RECREATION 13. \'\1111 Proposed Action affect the quantity or quality of existing or future OfH'n spilces or recreational opportunities? Examples that would apply to column 2 DNO DYES . The permanent foreclosure of a future recreational opportunity. . A major reduction of an open space important to the community. . Other impacts: 9 ~ 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNa IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? DNO DYES Examples that would apply to column 2 . Alteration of present patterns of movement of people 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 energy supply? DNO DYES Examples that would apply to column 2 . Proposed Action will cause a greater than 5% increase in the use of any form of energy 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? . DNO DYES Examples that would apply to column 2 . Blasting within 1,500 feet of a hospital, school or other sensitive facility. . 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 noise screen. . Other impacts: IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? DNO DYES Examples that would apply to column 2 . Proposed Action may cause a risk of explosion or release of hazardous substances (fe. oil, pesticides, chemicals, radiation, etc.) in the event of 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 form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, i~fcctious, etc.) . Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. . Proposed action may result in the excavation or other disturbance Within 2,000 feet of a site used for the disposal of solid or hazardous waste. . Other impacts: 10 - 1 2 'B Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change , I~ 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo . 0 0 DYes DNo , 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNO 0 0 DYes DNo r " '- L-- ~ ~ . ." 18. ( IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD Will proposed action affect the character of the existing community? DNO DYES 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 5%. . 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 goals. . Proposed action will cause a change in the density of land use. . 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 eliminate employment. . Other impacts: 1 Small to Moderate Impact 2 Potential Large Impact D D D D D D D D D D D D D D D D D D 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? DNO DYES 3 Can Impact Be Mitigated By Project Change DYes DYes DYes DYes DYes DYes DYes DYes DYes ( 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 Part 3-EVALUATION OF THE IMPORTANCE OF IMPACTS DNa DNa DNa DNa DNa DNa DNa DNa DNa 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 applicahle) how the impact could be mitigated or reduced to a small to moderate impact by project changers). 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 perm':lnently lost reSOurces of value . Whether the impact can or will be controlled . T1H~ regional consequence of the impact . Its potential divergence from local needs and goals . Wh<'ther known objections to the project relate to this impact. (Continue on attachments) c 11 617.21 . Appendix 8 Environmental Quality Review Visual EAF Addendum L+. r 14-14.11 (2187)-9c . f .',' ..' . ~""te _t,,: ( SEQR 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) 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 overlook 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? r \.. . 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? . State? . Local road? Distance Between Project and Resource (in Miles) Q.1;" 1;"'1/, 1/,.3 3.5 5 + D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D o o D o o D D o o D D o o o D D D D D D D D D D o D D D D D 2. Is the visibility of the project seasonal? (Le., screened by summer foliage, but visible during other seasons) DYes DNo l 3. Are any of the resources checked in question I used by the public during the time of year during which the project will be visible? DYes DNo 1 I, DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within '" * 1/4 mile *1 mile " Essentially undeveloped 0 0 Forested 0 0 Agricultural 0 0 Suburban residential 0 0 Industrial 0 0 Commercial 0 0 Urban 0 0 River, Lake, Pond 0 0 Cliffs, Overlooks 0 0 Designated Open Space 0 0 Flat 0 0 Hilly 0 0 Mountainous 0 0 Other 0 0 NOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile DYes ONo *1 miles . DYes ONo *2 miles DYes ONo *3 miles DYes ONo * Distance from project site are provided for assistance. Substitute other distances as appropriate. r '" 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 7. The situation or activity in which the viewers are engaged while viewing the proposed action is Activity Travel to and from work Involved in recreational activities Routine travel by residents At Do residence At worksite Other Daily o o o o o o Weekly o o o o o o FREQUENCY Holidaysl Weekends o o o o o o Seasonally o o o o o o L '- 2 .- "; . . APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of South old : The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the South old TolVu Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land uuder 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 ......... ~.~~.~t.il!~. .J?~~s.,?~...................... Sub-Division ............................................................................................... 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested. ) 4. The land is held hy the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber .... .Q\l~l?............. Page 148 On . . . . . . . . . . . . . . . . . . . . . . . . ...................... Liber ........................ Page ...................... On . . . . . . . . . . . . . . . . . . . . . . . , Liber ........................ Page . . . . . . . . . . . . . . . . . . . . . . On .......................J Liber ........................ Page . . . . . . . . . . . . . . . . . . . . . . On ......................., Liber ........................ Page ...................... On ......................., as devised under the Last Will and Testament of ........................................ or as distributee ........................................................................ .............................................................................................. 5. The area of the land is .. .1.~l........... acres. 6. All taxes which are liens on the land at the rlatc hereof have been paid exllept ............ ....................................................,................,........,...,.,......... 7. The land is encumhered by . " . . . . . . ~/.fI.. . . . . . . . . . . . . . . . . . . . . . . .. . . . . " . . . . . . . . . . . . . . . . . mortgage (s) as follows: (a) Mortgage recorded in Liber ........,.,.., Page... . . . . . . . . . . , , , " in original amount of $. .. . . . . . . . . . " unpaid amount $ ..... . . . . . . . . . . . . . . .. held by ...................... . . . . . . . . . . . . .. address ................................................................. (b) Mortgage recorded in Liber ......... Pagc ....................... in original amount of .............. unpaid amount $...... . . . . . . . " . . . . . .. 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 ag-ainst the land ~1l0{ . . . . . . . . . . . . . . . . . . . . . . . . ....................................... ................................................ 9. The land lies in the following :zoning use districts ...... R"!;>Ac;1.~l!-.t).!".~. .. .. . . . . .. . . . . .. ....................................................................................... 10. Xo part of the land lies under water whether tide water, stream, pond water or otherwise,.cMc~ ~ ................................................................................... II. The applicant shall at his expense install all required public improvements. Not applicable 12. The land (does) (does not) lie in a Water District or Water Supply District. Name of Dis. trict, if within a District, is ............................................................. I."l. \Vater mains will be laid by Not applicable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and (a) (no) charge will be made for installing said mains. I.l, Electric lines and standards will be installed by ... .N.qt. .?lP'p;L.:\.s::.'lJ;l..I,~................. lines. ..................................... and (a) (no) charge will be made for installing said 15. Gas mains will be installed by ....... ~<?:t:. a.I?P'J,~.c:a~.J,~................................ and (a) (no) charge will be made for installing said mains. 16. If streets shown 011 the plat are claimed by the applicant to be existing public streets in the Suffolk County Highway system, annex Schedule "E" 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 Southald Highway system, annex Schedule "e" hereto to show same. 18. There are no existing- buildings or structures on the land \vhich are not located amI shown on the plat. 19. \Vhere the plat shO\vs proposed streets which are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing' maps at their conjunctions with the proposed streets. 20. In the course of these proceedings, the apt> licant will (JHer proof of title as reqnin.'u by Sec. 335 of the Real Property Law. 21. Submit a copy of proposed deed for lots showing- all restrictions. covenants, etc. Annex Schedule "D". ~."., ~ . . 22. The applicant estimates that the cost of grading and required public improvements will be Erevious1y graded ~.......... as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . . . . . . . . . . . . . . years. The Performance Bone! will be written by a licensed surety company unless otherwise shown on Schedule "F", DATE .. ..~.<:'f..1~.................., 1~~.. Demetrios A. Tertis ................................................ ST,\ TE OF XEW YORK. COUNTY OF . . . Ni\.S.sl.l:l! . .. . . . . . . .. .. .. . . . . ., 55: On the 12 day of...... .~.<:Y..... ............., 19.~4..., before me personally came James W. Dougherty t k. t b tl . I"d I d 'b d' d 'h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0 me no\\ n 0 e le 1t1( IV! tta escn e 10 an " 0 executed the foregoing instrument, and acknmvled ged that . . . . h~ . . . .. executed the same. ....... .(!~ E-<-..{!~........ Notary Public CONCETTA DE CONCIUIS NOTARY PUBLIC. SIal. of Naw York No. 468B736 Qualified in Nassau CounW Commission Expires August 31, 19 ':1.)- ST.\TE OF NEW YORK. COUNTY OF............................ 55: On the................ day............ nf .............., 19......, before me personally came . . . . . . . . . . . . . . . . . . . . . . . to me known. who being by me duly sworn did de- po~e and say that . . . . . . . . . . .. resides at No. .................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that .......................... is the .....,.... of .......................................................................... the corporation described in and which executed the fort'g-oing instrument; that............ knows tll(' 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 ...... ....,.,...,........................... - . . . Standard N,YB,lU, Form 8002' -Bargain 8nd Sate Deed. with Covenant agamst Grantor's Acts-Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the March ,1994 day of BETWEEN DEMETRIOS A. TERTIS, residing at 31 Clove Lane, Randolph, New Jersey 07869 party of the first part, and GOOSE CREEK LANE ASSOCIATES, INC., clo Joseph St. Pierre, P.O. Box 401, Southold, New York 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration of dollars paid by the party of the second part. does hereby 9rant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate. lying and being in the Town of Southold beginning at a point on the southerly lln~ of North Bayview Road, at the northeasterly corner of Lot 7, Subdivision Map of James W. D~lw5on, filed 10/16/85 !IS Map #7987: thence running along the southerly llne of North Bayview RO!ld S610 51' OO"E 16.32' to a point, thence westerly through Lot 7 and along the southerly llne of a 20'Right of Way known as "Goose Creek Lane" as shown on said subdivision map the following two courses and distances: 1) S650 56' 10" W 167.98' 2) S610 47' 20"W 101.72' to a point on the southerly line of Lot 7,thence o westerly along said llne N46 40' 40"W 14.22' to the southwesterly corner of Lot 7, thence easterly along northerly llne of Lot 7 N640 23' 40" E 265.00 to a point on the southerly llne of North Bayview Road at the point of beginnl ng The above desctibed parcel is intended to be that portlon",of Lot 7 shown overlapping the Right of Way known as "Goose Creek Lane as shown on "Subdivision Map of James W. D'Jwson." TOGETHER with all right, title and interest. if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof: TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever. except as aforesaid. AND the party of the first part. in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the Improvement and will apply the same first to the payment of the cost of the Improvement before uSing any part of the total of the same for any other purpose The word "party" shall be construed as if it read "parties' whenever the sense of this indenture so reqUires IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written IN PRESENCE OF: ~ '" E o u. Uemetrios A. 'l'ertis . . . Standard NYBTU Form 8002" -Bargain and Sale Deed, with Covenant against Grantor'sAcls-lndividualor Coroorahon (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the day of March ,19 94 BETWEEN DEMETRIOS A. TERTIS, residing lit 31 Clove Lllne, Rllndolph, New Jersey 07869 party of the first part. and JOHN H. KEENAN andELLEN M. KEENAN, hiswj,fe, both residing at 40 Radburn Drive, Commack, New York party of the second part, WITNESSETH, that the party of the first part, In consideration of dollars paid by the party of the second part. does hereby grant and release unto fhe party of the second part. the heirs or successors and assigns of the party of the second part forever. ALL that certain plot. piece or parcel of land. with the buildings and improvements thereon erected. situate, lying and being in the Town of Southold beginning at a point on the southerly line of North Bayvlew Road, said point being S 61051'00" E 16.32' from the northellsterly corner of Lot 7, as shown on "Subdivision Mllp of James W. Dllw3on" filed 10/]6/85 !IS map #'7987 I thence running ea~terly along the southerly line of North Bllyvlew Road S61051~OO" E 88.68' to the northellsterly corner of Lot 7, thence southerly along the ea!terly line of Lot 7 S27053' 20W 285.04' to the southea~terly corner of Lot 7, thence westerly along the 3':lutherl; line of Lot 7 N460 40' 40" W 258.25' to a point on the southerly line of 11 Right of Way known as Goose Creek Lllne liS shown on "SubdivisIon Map of James W. Dawson", thence Illong the ~outherly line of sllld Right of WilY the following two courses and d lstances: 1) N610 47' 20"E 101.72' 2) N650 56' 10" E. 167.98' to the southerly line of North Bayvlew Road at the poInt of beginning. The above described parcel is Intended to be that portion of Lot 7, "Sub- divIsIon of James VI. Dl'lw~on", excluding the area shown as .:)verlappi.ng the Right of Way known as Goose Creek Lane. TOGETHER with all right. title and interest, if any. of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof: TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part. the heirS or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything Whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part. in compliance with Section 13 of the Lien Law. covenants that the party of the first part will receive the consideration for this conveyance and Will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has dUly executed this deed the day and year first above written IN PRESENCE OF: Ii! '" ~ o u. DemetrIo! A. Terti! NAI';-~19-'~~ ~JE. t) ~...- . /vI".; .S\Lb~ SEaR , , ~ &, ~'f". ,~ ~1\- T4)11 '2 p~OJECT 1.0. NuMetR 617.21 Appendix 0 Sllte Environmental Quality Fle.le.. SHORT eNVIRONMENTAl. AsseSSMENT FO~M For UNLISTED ACTIONS Only PART I_PROJEC1' INFI)RMATION (To be completed by Aopllcant or Projecl sponsor) ,. ~pp,'C~Nr ,SPONSOII 2. PROJECT N~MI ~ \ . , ~. PIIOJECT ~OC~TION: "".,.",11" -Be", t no 1 d CC~ S II f f 0 11< I. 'II(CISI ,OC~TION IS"'" '00'''' ,no rOld Inl,,".'i..'. promlMn' IOMm""" .le., Qr pro."de ""P) flPR 2 7 1994 Map PI'ov1ded SOUTHOlD TOWN -- l. 18 PIIOPOSED ~CT'ON, I8l N," 0 l:.p,o,iO. .. DUCllleE pROJeCT E~IE"V: Transfer a to Goose C:r~ek - o Mocl:l,clt1f)1"I{,1ttrlllofl portion of Lot 7, Subdivision of Jam~S W. pawson Aesociates to e1imenate overlap on Lot 7. - 1. ~"'01JNT 0' ~ANO A',ECTEO' Inlltlll,/ -S...-f..--. .or.. Ui\im6tel'f Q" me.. .._- aern t. V1,"~ PIIOPOSlD""AC':toNCOMP~Y Win' EXISTlNCl ZONING Oil OTHER EX,STING LAND vse IIESTIIIC,IONS) ~ '1'" 0 No It No, d.&~rit). tH\llly - t. WHAr IS PRESENT '-ANO uSE IN VICINITY O~ p.o,~CTl aa Fte.ldem1al OlndutWII 0 eomm.to\II CU"lbl: OAQ('eulti,ire o p.r~;Fott't/O~I" ,~.e. CJ Ol~.r '0. OOES ACTION INV'~lVE ^ P~RMIT APPROV~L. Oil 'UNOING. NOW OR ULTIMAT.~Y FROM ^NY OTH.R GOVEIINMtNT^l ACltNCY IHOER~l. ITAll Oil lOC~l11 0'1" (2l No \1 vn. lie' 1961'10')'(') InrJ QetITlIUIoprQ,/,I, \1. DOes ANY ~SPliCT OF THe ~CTIOll HAYS A C1JlllltNnY VALID FEIIMIT Oil ~"~L' o "tI ~ l".tO It )'t;C1, list .g'l'lCY "Im. ."d p.rml\/'~P(O'l.1 -----" \2. ^S A iiESuLroF PROPOSED ACTION WilL~lItjCl FERM,T,^P".;"-FiEOUI'E MOD,FICUICN? OYII GlN. - I CEIITIFY THAT THE INFO"MATION p,OVIOEO ^BOV~ IS TRUE TO TH~ BF-ST OF MY KNOWlellGE I-.pp'IClf\tJl~Ot'l'Qf flam': $'o.AlO/l' ~\ . O.l.~ "~ jrC! /e; 4f 1 I '- r---;, the acllon Is In Ihe C L coutal AU8$sme nte' rea. and you are B stale agency, complete the rm before proceedlnQ wllh this auessmenl OVER 1 ,~. ',_,,_,,_,,-' ,-""" '-T .-.~ '.1"'- E 11 ....-'~ I4t"1 W{".~.l""o"'-- ....t:l.M=".\il ~ - il4 ~'l IJ . . . , ,. ~ ~~ s~f~1~ p.Ltl~}i'~OW 'fJ~\ ~:ball~SO. U~UgLD ~~ '~~'/l-'tt S u tFOr~C'~,~~ 1:Y . "JI..~ '\'" .c ....l , . -. SOUlhold. N.Y. 11971 IG1&) 7G5'1938 QUESTIONNAIRE TO aE COMPLETED AND SUBMITTED \-HTH YOUR APPLICi\'l'IONS FORl.15 '1'0 TilE PL,:loNNI);O eOi\l<O Pl~ase complete, sign and return to the Office oE the ~lanning Board with your completed applicat~Ons forms. If your answer to any of the folloNing. qU61ltions is Y!2.' please ~ndictlte these on your guaranteed survey or sub~it other appropriate evidence, Bnd will b~ roli, OIppU.c:ltioi), ____ . . 3 fro/9( tnorl::ed .:lg,"nt I d.H.a 1. Are 'there any wetland grasses on this pArcel? ~es (Attached is a list of the Natland grasens defined by the !?wn Cods, Chapter 97, for your reference) 2, Are there abutting this .any other pt'emi5es under your O\lDers~ parcol? ~~ any building permits pending on . :I. Are thare this parcel? 'tes , 4. Ar~ thore any othar application~ pending concerning this property before any other de~artment.Qr agency? (TOwn, . State, county, etc.) Yes . .. S. Is there any applic~tion pending be foro any other agency with regard to a different proj~ct on this par6ol? 6. ~Ia$ this property the sul.lject of any prio::' application to the Planning Ooacc? 7. Doas this property have ~ valid cercific3CO of occup3ncy, if yes plc.a~e sul.l~it ~ copy of ~~mo Yes ':{es Y~$ , , . I certify thatthb above st~tcmcnts aro true on by tho Planning !:locHd in considering ~his . , '::-" .J . . ,- .,;-,- . I.J,U<:".:,-..-,.,. ,-...... I 1'-.' ,-...,........,. .....- @ No c0 ,(}:;; € @ CS "11..R-....,.-9~ lJEIl 11. :22 ~M \>~. F'RII::E .1P, . ,," .. . ~ , . . . . Att.~hment to questiOnnaire tor~the Plannin; BoarO STATE OF NEI; 'tORK, COUNTY OF t&~, SSI ,0' On the /o.\"J,... day 'of tJ.~ru<).r-- 1921., oefore m6 pfltsonally came;;;~l"~ I J '~'Ui/~.p.I?.k-1 to mEt kno\m to be the f individual described in end who executl!ld the foro<)oir,g in'strUrn( and acknowledged that ~exeCU~d the same. Nowt',ftrl'1 o~aA DOUGHEIn'I NC1'AIIY PUBLIC, St.tt 01 N...Yor1I No, 4eBB 7$7 .. Q~tllllod In N...." COunw () Commlttion E><p"" Augult 31. "7'~ , " .. . .... , " , , /, ,. ......., . James W. Dougherty, P. c. ATTOIINEY ~, I.AW MAUREEN COUGHEFITY MARTINO' 0' cOVNeil.. 'JioOJillITTrc I1'(N,Y. AMg, C,T , . FAX (516) 547-0543 Mr. JOllllph St. Pierre, PX'eBident Goose I:reek Lane A.sociates, Inc. P.O. B':'.lX 401 southold, New York 11971 . TE~CPI-tOf'Ir. 518 !!I,e.,,"" 26G HE"'~'''E~D AVItNUE "'A~VItRNE. NEW '1'0111< II eee F;"X NO. I" el &'.,1'1 e oecembeX' 23, 1993 ReI Goose Creele Lane Associate" Inc. Dear ~~. St. pierre I My clients are still willing to deed theiX' interust in the road to the associ~tion pX'ovided the auoc;Lation i. willing to accept SlUlle. It is my understanding that the associ~tion is willing to accept such property subject to your attorney'~ review of the documents. We shall contX'ibute $100.00 towards such expense. HoweveX', befoX'e the surveyor will proceed we need an acknowledgment of our understanding to shoW the TOwn Official" Thflrefore, please sign ~ copy of thois lett,ar, fax an aclenowledgl\\ent. anu ll'.~il me a hard copy. , ,',,0' JWO I od CCI Mr. , Mr" papantoniou Mr. Demetroi' A. Tertis \?~. -~ ~S_:.d 'jOi, ph . pierre, PrE' id~t ~. ( /), A DOUGH NCITAIIY pUBUC. 51810 of NM ~ NO. 4688737 Qu.tltled In N..... Counn' 0 r ...._.__' ~:"... hnlf~AuQuIt31. 19.L,..J Ve ~~~ r C \\.r~ ;:~....~ -1crv.,fl.- o-~."t,<L. ...0 reO V\.2).,,,,0-' <\- <'t.iM'v \::. .rJ 0 G:s;'\ '\0 ,\-,,"!..- (-COO<'i~~ 0.....",0,;.. Lc- ,)."",cc..vv.l.,\",,,-, \"''- .~ ~ 1-(,,~q4 ,- .".... 'r I"'" 'c.,,-' "."'f .,..,...... M.AR-l2J9-94 . WED 11: is At1 ~r1 H PRlt::e. -Jt--: . . .; Descrip~ion of overlap of Lot 7 to be deeded to Goose Creek Land Associates Inc. Be9inni~g at a point on the southerly line of North Bayview Road,at the northeasterly corner of Lot 7,Subdivision Map of James W.Dawson, filed 10/16/8S as Map#7987; thence running along the southerly line of North Bayview Road S.61.51'OO"E 16.32' to a point, thence westerly through Lot 7 and along the southerly line of a 20' Right of way known as "Goose Creek Lane- as shown on said subdivision map the following two courses and distances: 1) S65.56'10"W 167.98' 2) S61.47'20"W 101.72' to a point on the southerly line of Lot 7, thence westerly along said line N46.40'40"W 14.22' to the south- westerly corner of Lot 7, thence easterly along northerly line of Lot 7 N64" ,:3' 40"E 265.00' to a point on the southerly line of North Bayview Road at the point of beginning. The above described parcel is intended to be that portion of Lot 7 shown overlapping the Right of way known as "GOO&B creek Lane as shown on "subdivision Map of James w.Dawson." Description of remaining portion of Lot 7. Beginnlng at a point on the southerly line of North Bayview Road,said point being S61.51 'OO"E 16.32' from the northeasterly corner of Lot 7,as shown On "Subdivision Map of James w.DawAon" filed 10/16/85 as map #7987,thence running easterly along 'one southerly line of North Bayvi~w Road S610S1'OO"E 88.68' to the northeasterly corner of Lot 7,thence southerly along the easterly line of Lot 7 S27"S3'20"W 285.04' to the southeasterly eorner of Lot 7,thence westerly along the southerly line of Lot 7 N46'40'~" 40"W 258.25' to a point on the southerly line at a Right of way' . known as Goose creek Lane as shown on "Subdivision Map of James W.Dawson",thenca along the southerly line of said Right of Way the following two courses and distances: 1)N61"47'20"E 101.72' 2)N6S"S6'10"E 167.98' to the southerly line of North llayvie~lRoad at the point of beginning. The above described parcel is intended to be that portion of Lot 7,"subdivbieion of James W.Dawson",excluding the area shown as overlapping the Right of Way known as GooSO Creek Lane. __ '-:0-1 ~AR-09-94 WED 11: 21 AM ~.,jM H PR I CE JR P.0S .' . . " . . ~~ i' -l.'': <:n_Te';olt 12 FeT 1.0, NUMBER 617.21 Appendix C State Environmental Quality Review SHORTEN~RONMENTALASSESSMENTFORM For UNLISTED ACTIONS Only PART I PROJECT INFORMATION (fo be completed by Applicant or Project sponsor) 1. APPl.ICANT,SPONSOR 2. PROJECT NAME SEaR " 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc" or provide map) Map Provided ~. 1$ PROPOSED ACTION: !Xl New 0 Expansion &, DESCRIBE PROJECT BRIEFLY: Transfer a portion of Lot 7, Subdivision of James W. Dawson to Goose Creek Associates to elimenate overlap on Lot 7. o Modification/alteration 7. AMOUNT OF LAND AFFECTED: Inillallv L-- acres Ultlmately ~~mj:::l. acres e. WILL PROPOSED ACTION COMPLY WiTH eXISTiNG ZONING OR OTHER EXISTING LAND use RESTRICTIONS? ~ Yes C No If No, des~rite brIefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 53 Residential 0 Industrial 0 CommercIal OeSCh be: o Agriculture o Park/Forest/Open space o Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR lOCAL)? DYes 00 No If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACT10t~ HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes (ZJ No If Y(lfl. list !aency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Dyes GaNa I CERTIFY THAT THE INFORMATION PROVIDEO ABOVE IS TRUE TO THE BeST OF MY KNOWLEDGE ,~:!!:- rr's \P~ Oat. _3 Iro /7 L.,L . I SIl:;nature: If the action Is In the Casta) rea, and you are a state agency, complete the Coastal Assessme rm before proceeding with this assessment OVER 1 A.AR-__IZ!:3-94 1';, . ...& ... ~ '0 . . , ~ I.oJED-~ 2121 -AM WM H PR I CE JR P.04 . . " ~.WfO~_ P L A'&N I NG:-13"l5\ill D M ~ '~" I....? .,,~,. '-\ T6~~':Q', ;~S~~e lSOfJ".'LD ~' ,'(::.'-, .rJ.-;..O:of .....- ... ;)\':';::::"";~"""'~J" "I SD~. 'OL1\.'":--CO.iJ\TY . '../,/ .~ '\V .( ~}. I Southold. N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED lHTH YOUR APPLICi\TIONS FORNS TO THE PLANN ING 80ARD Please complete, sign and return to the Office of the ~lannin~ Board with your completed applications forms. If your answer to any of the follOl.,ing questions is ~, please indicate these on your guaranteed'survey or sub~it other appropriate evidence, 1. Are there any wetland grasses on this parcel? Yes (Attached is a list.o~ the wetland grasses defined by the ~~wn Code, Chapter 97, for your reference) 8 2. Are there.any other premises under abutting this parcel? your o\'mers~ (:'.:v No 3. Are there any building permits pending on this parcel? C9 Yes 4. Are there any other applications pending concerning this property before any other department or agency? (Town. . State, County, etc.l Yes . . CN~~ , . 5. Is there any application pending before any other agency with regard to a different project on this parcel; Yes @ 6. Was this property the Subject of any prior application to the Planning BOard? Yes @ @ 7. Does this property have a valid certificate of occupancy, if yes pl~ase submit a copy of same YGS' I certify that.thb above statements are on by the Planning Doard in Considering true this and will be relied applica tion. -3)0/lf / dd to ugcnc ~., I"'lAR-0'?-94 WED 11 :22 AM ~.H1 H PRICE JR C.. . ':" '.' ":' P.06 . Attachment to questionnaire for,:the Planning Board STATE OF NEl'l YORK, COUNTY OF ~~, ss: On the (o..bL- day of IXb,~, 19r.{.. before me personall, cam~'~ .^..e'^ I;; ,'l), v7"Aep.)-j to me knOlm to be the individual described in'and who executed the foregoing instrun and acknowledged that ~execut d same. .. 'OLGA DOUGHERTY NarARY PUBLIC. State 01 N_Yorlc No. 4688737 Qualified in Nassilu cOu~ a C; Commission EXPlresAugust31.1-r~ . . " ,",...-_"" JUDITH T. ~. TOWN CLERK Town of Southold Southold, New York 11971 Phone: 516-765-1801 RECEIPT . 050037 ,Svf>f'I'~ FOR: DATEJ 7fJtVf .,::;f( 19!1j $ ,,--eft') 00 ..- o CASH o CHECK BY: MCLS. ? "'PF"S su\"",,. -tt... J. .f,{ 50, 0 0 -.Lfi.&;cJ-: Chl r V>'\ CC;St:.. Ske.. ~fOV"o\.-.-\- .('!! -to IOco-n C1e(l's -10 proU'~s, This power of allorney shall not be affected by the subsequent disability or incompetence of the principal. To induce any third party to act hereunder, I hereby agree that any third party receiving a duly executed copy or facsimile of this instrument may act hereunder, and that revocation or termination hereof shall be ineffective as to such third party unless and until actual notice or knowledge of such revocation or termination shall have been received by such third party, and I for myself and for my heirs, executors, legal representatives and assigns, hereby agree to indemnify and hold harmless any such third party from and against any and all claims that may arise against such third party by reason of such third party having relied on the provisions of this instrument. day of.. October............... 19.. 93 ,3/n ;mlIitneliilii ;l!lII~erenf, I have hereunto signed my name and affixed my seal this. 'JG!:-' :z.,~ ""l' ~,~ ..........................D~~~i~irc\'i,;r~;:;;:;;;;;;;- STATE OF New York COUNTY OF Nassau On the 10 Tf/ day of October 19 93before me personally came Demetrios A, Tertis to me known, and known to me to be the individual described in, and ).yho-exe~t. he acknowledged to me that he executed the same. ! -~.::2 ~ =\\ .~ ~D ...,--'~ 09. ~~ '("., ~ ~ .:--- r ~ ::: .aE ~ 0 ~i Vl ;>, -e v ..c 0> ::l o Q ~~ '5 ~ ;;; ~ Vi Ja ~ OJ ,~ ... .... I) f-< o I- <l; ... OJ o ,~ .... ... OJ E " Ci '" {) E ~. ~ Mi ai' '" wi N ..... vj ,0. o' ..., u. o "d ., "d -d .... " 0 8~ 'UU . ........... u (Seal) 55.: - JOHN W. WEBER . Ii q. /I[.I'/lliRSEY .15.1997 o ... o p.. c: .... ::l ... I) .... 4J . ::l :>-C:u:> ... tl co .... :> u:> ].::c;.-. 0> ..... ::l C1 ~ o ., Q ~ to . 0. . > E v ;> v E ::r:: I) :> ..... '" ~ "d c: "' '" .' Ern .,co .....,N D; DIll' - T 44-St8tulory short form powl"r of allorney, ". disabililydause:lln~crossout;IO-91 .. . ') JULIUS BLUMBeRG, INC. PUBLISHER, NYC too13 Notice: The powers granted by this document are broad and sweeping. They are defined in New York General Obligations Law, Article 5, Title 15, aecltans 5-1502A through 5-1503, which expressly permits the use of any other or different form of power of attorney desired by the parties concerned. '!inDUt ~\terUDne hU mqese 'resents, which are intended to constitute a GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: That I Demetrios A. Tertls, residing at 31 Clover Lane, Randolph, New Jersey 0786 (insert name and address of the principal) do hereby appoint (insert name and address of the agent, or each agent, if more than one is designated) James W. D::>ugherty, Esq., 269 Hempstead Avenue, Malverne, New York lIS. my attorney(s)-in-fact TO ACT If more than one agent is designated and the principal wishes each agent alone to be able to exercise the power conferred, insert in this blank the word "severally", Failure to make any insertion or the insertion of the word "jointly" will require the agents to act jointly. In my name, place and stead in any way which I myself could do, if I were personally present, with respect to the following matters as each of them is defined in Title 15 of Article 5 of the New York General Obligations Law to the extent that I am permitted by law to act through an agent: [Strike out and initial in the opposite box anyone or more of the subdivisions as to which the principal does NOT desire to give the agent authority. Such elimination of anyone or more of subdivisions (A) to (L), inclusive, shall automatically constitute an elimination also of subdivision (M).] To strike out any subdivision the principal must draw a line through the text of that subdivision AND write his initials in the box opposite. (A) real estate transactions; . m u.m[. uu .u] u ..[.941]" [git:tuT] muuuu[~?j uuuuu~ .......um..[~:''1 umu[@:ryf x ~~ ~.. (~~~ (<>>~~... X~<<~.. (H)~~uu ....[.04<'T (llP( .......... ...... . [$a7f (1) Xi~~mum[~tlT mmu[~ (K) r a>>btlflX t OO:~)( S<<M:QQC ~ XiX .....[~r uuuuuuuuummmmm ~ [Special provisions and limitations may be included in the statutory short form power of attorney only if they conform to the requirements ofsection 5-1503 of the New York General Obligations Law.] ,--."': D; ~ T 44-Slatulorys"orlf(lrmpow~rofaltorney. '''.' dls.ahll1tYclaU~;LI.cros.>out:IO-91 " , . .JULIUS eLUMSERG, INC. PUBLI5HER. NYC 10013 Notice: The powers granted by this document are broad and sweeping. They are defined in New York General Obligations Law, ArtIcle 5, Title 15, sections 5-1502A through 5-1503, which expressly permits the use of any other or different form of power of attorney desired by the parties concerned. ~n!lfn ~be11l!lne b\! m~ege Jlregent9, which are intended to constitute a GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: That I Demetrios A. Tertls, residing at 31 Clover Lane, Randolph, New Jersey 0786S (insert name and address of the principal) do hereby appoint (insert name and address of the agent, or each agent. if more than one is designated) James W. DClugherty, Esq., 269 Hempstead Avenue, Malverne, New York 1156 my attorney(s)-in-fact TO ACT If more than one agent is designated and the principal wishes each agent alone to be able to exercise the power conferred. insert in this blank the word "severally". Failure to make any insertion or the insertion of the word "jointly" will require the agents to act jointly. In my name, place and stead in any way which I myself could do, if I were personally present, with respect to the following matters as each of them is defined in Title 15 of Article 5 of the New York General Obligations Law to the extent that I am permitted by law to act through an agent: [Strike out and initial in the opposite box anyone or more of the subdivisions as to which the principal does NOT desire to give the agent authority. Such elimination of anyone or more of subdivisions (A) to (L). inclusive. shall automatically constitute an elimination also of subdivision (M).] To strike out any subdivision the principal must draw a line through the text of that subdivision AND write his initials in the box opposite. (A) real estate transactions; . . u[. u u.] .uu.[94., u[git:t7] [~'1 . .uuuuuu~ x ~~u ~~ (~~u uuuuu[~07J uuum[@7j' (~~~. X~'lOl)I)OOOO{... (H)~~.m.uuu..m....[SC4,'T (ID{ ......[$.:1'1 (1) X1~~uuu .u. .uuu[~e;tT uuuuuuuu [~ (K) r '1OOtK~ a>>(J~ X\X t~ m(~~~ S<<<ltQ<X . ..........L~r ... muuu.. mmum~lf [Special provisions and limitations may be included in the statutory short form power of altorney only if they conform to the requirements of section 5-1503 of the New York General Obligations Law.} This power of attorney shall not be affected by the subsequent disability or incompetence of the principal. To induce any third party to act hereunder, I hereby agree that any third party receiving a duly executed copy or facsimile of this instrument may act hereunder, and that revocation or termination hereof shall be ineffective as to such third party unless and until actual notice or knowledge of such revocation or termination shall have been received by such third party, and I for myself and for my heirs, executors, legal representatives and assigns, hereby agree to indemnify and hold harmless any such third party from and against any and all claims that may arise against such third party by reason of such third party having relied on the provisions of this instrument. day of October ......Uu 'umu 19.9} J/u .itue99 .qerel1f, I have hereunto signed my name and affixed my seal this. :;G~ "Z>~ ^J' -~uuuuumu.m(Seal) mumD~;;;~t~irC\'i';ri;~;;;1'~rti~ STATE OF New York Nassau On the COUNTY OF i~ Tf/ day of October 19 93before me personally came Demetrlos A. Tertis to me known. and known to me to be the individual described in, and )vho"exe~~ he acknowledged to me that he executed the same. \, -~ .~ ~\ .~ '\D ~.~ oC>. ~~ '< " ~ ~ .:-- r e-' =: .ae o+-t 0 ~i VJ Mi 0): 0; :>, 1:: () .c tJ> ::l :) Cl ~~ E ~ ;;; ~ Vi ..a ~ "" " ;;; Cl OJ .~ ... ... () E-< o """ I..D: '" ....; (); .0; 0; +-': t). 0: ] III "0 (' 'E o ~ "" .... OJ o .~ ... ... OJ E 'J 6 ) ~ OJ () E III 0-, 88.: '- JOHN W. WEBER . ~ _ IIE.\'IIlIiRSEY . . .15. 1997 o o ... t:l. <l - ::l :>,<:;Lf) ... () <0 ~ :> 11) .c""..... tJ> ..... ::l'rl ::J1ll;>< Cl~Z OJ . Q, - ~ ~ E OJ ~ () i) :> ECT)"; III <0", 0-,"''''' <:; ... ::l ... ~ --~ ~ ~ . B'~X:S,5THRU 9 MU~T BE TYPED. PRINTED IN BLACK INK ONL.OR TO RECORDIN~~~'):LIN I SUFFOLK COUNTY CLERK 2 ;2.5 5 ~- 3 UP#. 1/ It,fO Pi Number of pages TORBF;~S 71{) :", , " ) AUG 22 f994 , , Serial # Certifieale # TRANSFER TAX SUFFOLK COUNT\' Deed I Mortgage Instrument Deed I MOligage To.. St"mp Recording I Filing Slamlls 4 FEES Page I Filing Fee Mortgage Amt. Handling I. Basic Tax TP-584 2. SONYMA Notation Sub Total EA-5217 (County) Sub Tot,,1 3. S)lcc.lAdd. - Comm. of Ed. 5_._00_ TOT. MTG. TAX EA-5217 (Stale) R.P. T.S.A., (x; Dual Town _Dual County _ Hcld for Apportionment_ Transfer Tax Affidavit Reg. Copy Sub Total Mansion Tax The IlrO)lerty covercd by this mortgage is or will be improved hy a one or two family dwelling only. YES or NO_ If NO, sec appropriatc tax clause on page # of this instrument. Certlficd COllY Other GRAND TOTAL Real PrOllerty Tax Service Agency Verification Di,t Section Dlocl, Lot Title Company Information /~oo ()'7~.c>"o () 1'. 00 tP .;2. / . 00/ Company Name -~ I 2J Title Number FEE PAID BY: '~ Cash_ Cbeck_ Cbarge_ Payer same as R & R_ J7.!rtlU N Oc/6/TL~Y :t 6? /j(c/7~..Ir,d"l ']) ~/f"/<./.c 1"1' '" ~ (./.,< ~ N.r /f,J )"": / //fr:.r OR: RECORD & RETURN TO r t ~f , !~~ l",' If' Suffolk County Recording & Endorsement Page This page forms part of the attached f J€..):, ) IIntdf lIt:@.:,,'I, ~4'/'"1.rT~n:J-f /! 7:ErC.7/J ~/1 (Deed,Mortgage, U. >"~~<"-r-A'A..r /~""/''''' 'fI . I '.. d~UG231994 I"! ....v F~ " ~ F /'C.. v ~ F";- " IC p"CIlIISCS IcrCIIl IS ltD. e III , " SUFFOLK COUNTY, E"'o.OT"wi~ J I , P!..,l'}J>'1NG'V:;f.;i) In the TOWN of -..l& p r7y;;Z:j:r'c.-,... TO C~".,rK L"'N~ '(., i~\' 'fi"! C.Cc1.J',€' ~,:~ L' .~~:' /!'.r .rt!J C ~.4 r/d "./ .::z;:; c , , In the VILLAGE or HAMLET of ..J () (/ T #tJ L..J; ~ .Ie . 1'O~ IV II-It JjlP C-~r ./ "- \. / -- I Slandard N.YB.TU. Form 8002. .Bargain and Sale Deed, with Covenanl against Grantor'sAcls-lndividual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. -~ THIS INDENTURE, made the I'" day of Au9U9t , 19 94 BETWEEN a/k/a Demetrios Tertis DEMETRIOS A. TERTIS,I reikl1~g at 31 Clove Li!n'~, Randolph, New Jersey 07869 party of the first part, and GOOSE CREEK LANE ASSOCIATION, INC. c/o Joseph St. Pierre, P.O. Box 401, Southold, New York 11971 party of the second Rart, WITNESSETH, that the party of the tlrst part. in consideration of _0- dollars paid by the party of the second part, does hereby grant and release unto the party of the second part. the heirs or successors and assigns of the party of the second part forever, ,.!'rJrl"dt-K Cc,J.#/(, J 14M' 0/ /v,ti:,.; /f,(K ALL that certain plot, piece or parcel of land. w~e buildings and improvem~nts thereon erected. situate, lying and being in the Town of SO'Jthold' beginning at a point on the southerly lin~ of North Bayview Road, at the northeasterly corner of Lot 7, Subdivision Map of James W. D~lw~on, filed 10/16/85 5! Map #7987: th\!!nce running <!Ilong the southerly line of North Bayview Road S610 51' OO"E 16.32' to a point, th\!!nce westerly through Lot 7 and along the sou~herly line of a 20'Right of Way known as "Goose Creek Lane" as shown 'On said subdivision m~p the following two courses and distances: 1) S650 56' 10" W 167.93' 2) S610 47' 20"W 101.72' to a point on the southerly line of Lot 7,thence o westerly along said line N46 40' 40"W 14.22' to the southw",st.erly corner of Lot 7, thence easterly a long northerly line of Lot 7 N640 23' 40" E 265.00 i to a point on the southerly line of North Bayview Road at th~ point of beginni n. The above descfibed parcel is intended to be that portion.Jof Lot 7 shown overlapping the Right of Way known as "Goose Creek Lane as shown Dn "Subdivision Map of James W. D?lWlJon." At no time shall this property constitute a separate building parcel. '\ \ TOGETHER with all riQht, title and interest, if any, of the party of the first part in and to any streets and roads ~TATEOFNEWYORK 55.: County of Suffolk I, EDWARD P. ROMAINE, Clerk of the County of Suffolk and Clerk of the Supreme Court of the State of New York III and for said County (said Court being a Court of Record) DO HEREBY CERTIFY tI I have compared the aunexed copy of ill! .. Deed Iiber I (~q() at Page 7 (0 Recorded l? 'J.:J. q U and that It IS a Just and true copy of such original Deed - - 7 of tIle whole thereof. and dINC TEStITIMONY ~~~~'i have hereunto m~~ affixed the seal of said County an ourt .IIS ....... ....~~r.~.. ........~ay..of.......~ ~9q~A'>u~'''' ~ , Forni No. 104 ... ........ .~.u~........... Clerk M E rf l/~~ L~ L J--X'''Il/~ I~ty:r~ O"--~ f- , - ...... -,.-- .,..- r--- .-- Ilr t/trJ fXJ 71 () --- STATE OF NEW YORK ) ) 55.: COUNTY OF NASSAU ) ) ) On this 15th day of August in the year 1994 before me personally came James W. Dougherty, Esq., to me known to be the individual described in, and who executed, the foregoing instrument, and to me known to be the Attorney-in Fact of Oemetrios A. Tertis a/k/a Oemetrios Tertis, the individual described in, and who by his attorney-in-fact executed the same, and acknowledged that he executed said instrument as the act and deed of said Oernetrios A. Tertis a/k/a Oemetrios Tertis by virtue of a power of attorney dated October 26, 1993, iiK8RQ8Q tie Jae recorded fl -/89' Y S!m\l.lUR8QIiS1y l\ere\1i1;k. /' ~.//!,€,K /I~?o C/, .3e1s >?~ 1 f/L NOJary Public / JAMES F. DONOVAN / Notary Pub!ic, St.3te of New York No. E,2.4(i()1983 Ouali.fied .in Suffoll, County a / Commis91~n Expires July 31. 19 'tlR / . \ \ / "" Title No. ""\ :D;r 1'1 fi'r t<. I 0' .r /1. 11/0 j)/t ,-''1/,7;(0..f TO IIr ,(,'Ti.J 7:t" ,< fr .J ])j.Jrtt~cr /000 SECTION 0 7 d~ OM BLOCK t) g, 00 LOT /p;2./.()cl COUNTY OR TOWN ..J v r r.' .:.. K STREET ADDRESS So <" nl d t.- J:; r ecloJ"vT7 Ny. BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Q () o..JA' C /C' ~ ". K. L /;',N A' /1'.00 C r;f7,C..r ::Z;:;c.. I Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO i -- -----sl~~ ;,;;;", ;; .. .. ..." ,~ ,;;;;."..; - : ' Dlslrtbutedby I I fI Commonwealth. ~ Land Title Insurance Company ..._-_._-------.----...-. -----~----- J/I~,{J JV..1>o,;t;/1't!~,yEQ.. ,?~? ~""I".rr~"1> ;{.;~,vc/L N/I~ 1/..E"/C.Alrf /t4w K,(,A I / 1.)6 J w (J ii: .. o <!J Z 5 a; o u w a: .. o w '" " a; o .. w ~ '" '" i: '" w > ~ a; , w o '" ;, ~ ~-,p ....- .~ oatES 5 TilHU 9 MUST DE TYPED OR &'1'1\1) IN IliACI( INK ONLY I'RI(.'O HECOHDING on FILING. 1/ SUi/FOLK COUNTY CLEIU( 2 I ~554 ~J L11'# 1169OPG711 3 I'rin,' om . RECEIVEO $ -IJ REAl.. F.~lA1E AUG 22 1994 'lnI\NSrER TAX 'ii, sur F()U{ mUNIY-.___ i ~554 ----- '_c-'-~"-.:. -~ __ _ . u('('d(~'lrjJ'Ir.(,~I' .<;laln~'.........JI., n, 1.1-:11:,'-; Heeonlillg II1i1illg SI.lllllS .. ~III'O-,~.~... "~:: - . .~': Numher or "l1gc~ TORRENS Serial II Certifieale II Beed I Mortgage 11I'(llllllell( IL -- , _~~J _ .... }lllge / Filing Fcc -4- ~. -_10.'_ ---"'--'~'---- ---.. ..__..'____._m_....__......._ .._ _ .,. ._.. f\lort~agc AmI. Halldlillg 1. Uash:: Tax TI'-5R4 2. SONYMA -----~ ~-- Notation EA-5217 (COUlIly) ~ 91], ( '- n- __ Sub To(al Suh Total /Iy" .----7':J--- .I. SpedAd". EA-5217 (State) TOT. ~ITG. TAX H.I'.T,S.A. CUIIIIlI. ur Ed. nllal TUll'JI ____Jhllll CnuJI'J ____~ lIeld lor AJlJlOrtl"'2t=melll __ TransferTllx . -.-- -- Affidavit ~~:~ ~----~ Heg. COllY SO" Tolal 1\1:IIISioll Tax The Ilrullcl"ty l'U\'crcd II)' fhi,~ rn(Jr'~II~e is or will he illll'l'U\'Cll hy n uriC or two lamily lIwcllil1~ ollly. YES __ ur NO__ If NO, sec 1I1'Proprintc tln.cllIuse Oil pagc fI or this inslrument. Other V"TO~ '..~ <i>:\ ~~k . j t'OtJ,~TY ~r. ~ \~,;j9 _.~1J!!JL_ l-~7uij;f --- "'If. 21 Reall'ropCI1}' Tax Scn'ice Ag{~nc)' Vuifirafiol1 Disl SeetiOIl Uluck' ~..~,=, I.~!=-= 6 Title Company Inrormation /000 d)5' l'O () fI' 0(' (11 I. cO ('/ --I. CUIlII'UII)' Nnme FEE PAID DY: / Ca'h__ Cheel{___. Charge_. Payer sallie a, It & H ~ Title NUlllber .___ M~_~_________..~__._.____...___.__ _"_'_ ---,\ . ~r~ . =. - . )/1,',,'C r W ~__U() ,J 64 r::,/Y t.:7 C ,;J {,: f /t:--,nI"J7 fi'r16 /fv/f'J oft /'1/1 c. <} /F ~f ,.v A' AI .y _ / //J6,-- OH: This page forllls part of the attached COOJ% CL"c/K L4N.E' #..\' J Q , , -4 F.[J' ..L.,v' c:.. / Suffolk County llecording & Endorsement Page ~,<,..2I -- "R'''Th Ilrflfte ~y ~ (Deed, Mortgage, e ~. The pr('mises hen'ill is sit ~ ill AUG 23 1994 SUFFOLK COUNTY, NIl W ORI, SOUTHOlD TOWN Pl'ANNING BOARD J HI~COIu) & RI!:TURN TO (ADDlHi:SS\ 9 ill .~ ..-Lr./C III 111(' VILLAGE: or JL\~ILKI' or .J (~ "r,/'/ co <CD 6~~I(lJ~ TO L;;: /Cd: /<. L III A/"t III Ihl' TOWN or ..__:J- 0 r I I 'I~I NO. fA/ )ll?~ II'~ONSULT YOUR LAWYER BEFORl SIGNING THIS INSTRUMlNT-THIS INSTRUMlNT SHOULD BI USID BY LAWYIRS ONLY. C"I " . I ~.,_..' THIS INDENTURE, made the BElWEEN ,) 'd' "-:::~ay of l\ugust. , nine-h",("1l hundred and ninet.y-four GOOSE CREEK Ll\NE ASSOCIATION, INC. c/o JOSEPH 5'1'. PIERRE, P.O. Box 401 Southold, New York 11971 patly of the fir~t pour, and GOOSE CREEK LlINE ASSOCIATION, INC. c/o ,TOSEPH ST. PIERRF., P.O. Box 401 Sou I:holel, N0W Vork 1197 I parry of the s("((lnd parr, WITNESSETH, th:u ,he parry of rhe first part, in consideration of Ten Dollars and other valuable consideration paid by the pnty of the second pact, docs hereby gram and release llIHO the patty of the second parr, the heirs or successors and ;lssi~ns of the p:uty of the second part forever, ALL (hat crrtain rim, pi<.'(c or parcel of land, with the huilctin.p'_s l:tntl improvtmenr.s thereon ('(('(ted, !'iitualc, lying and hling in the Town of SOUTHOr,D, county of Suffolk, New York as described in Liber 7296, Page 133 as follows: Southold N-Werkmeist.er, Epstein E-N Rayview Road, S- Hilton Epp, Wit.t.en, W- Robert C. Nelson 1 Ac. which includes any right, title or interest in that portion of Goose Creek Lane that. appears on Lot 7, subdivision Map of James W. Dawson, filed 10/16/85, Map #7987, deeded to Goose Creek LanE Associationtby Demetrios "A. 'rertis, described as follows: r~'. Beginning at a point on the southerly line of North Bayview Road, at the northeasterly corner of Lot 7, Subdivision Map of James W. Dawson, filed 10/16/85 as Map 137987; thence running along the southerly line of North Bayview Road S6l 51' OO"E 16.32' to a point, thence westerly through Lot 7 and along the southerly line of a 20' Right of Way known as "Goose Creek Lane" as shown on said subdivision map the following two courses and distances: ,J II 1) S650 56' 10" W 167.98' Yd/70 2) 861047' 20" W 101.72' to a poiB"~ the southerly line of Lot 7, thence westerly along said line N46~vi4.22' to the southwest.erly corner of Lot 76,thence easterly along northerly line of Lot 7 ~64o 23' 40" E 265.0 to a point on the southerly line of North Bayv~ew Road at the point of beginn~ng. The above described parcel is intended to be that portion of Lot 7 shown over1apQinQ the Right of Way known as . .J.l"*Goo!;e Creek Lane as shawn on "Su1:l(,l1vls~on Map of Jame!; W. Dawson". lOGETIIFH will, all rip,hl, ,itlf' :llld illf(,fCSf, if ~ny. of rhe ,'arty of lht, fina part il1 and to any strecu and roads ahllffin~ r1l(' ahove desni/wd prcrni<i('s to the center lines thereof; TO( ;FTIIFH with the appurtenances and all the t'Sf:ltl' and rigll!'; of dw parry of the first part in and to said pH'mises; TO HAVE AND TO 1101.0 the premises ho('ill gr.lI11t'd lIlHO ,he P:UIY of lilt' second part, the heirs or S\ltn'5'iorS :111<1 as_si~ns of the parry of the second pare {()fever ** At no time shall this propnrt.y constitute a separate building parcel. AND t1J(' pany of the first parr covenants rh:1t the party of thc fir.~t part has not dOllc or sufTt'rrcl anythjn~ whrreby lilt' said premise" have hCl'f1 {'n(\1ll\h(~rc" in any way whatevet" (''l(({'1'1 as afllresaid. . "u,," " r. " . .' .. _ . __.. _. _ / STATE OF NEW YORK 88.: County of Suffolk I, EDWARD P. ROMAINE, Clerk of the County of Suffolk and Clerk of the Supreme Court of the Slate of New York in and for said County (said Court being a Court of Record) DO HEREBY CERTIFY that I have compared the annexed copy Of q --.Jl } a Deed liber I b b at Page l! Recorded 8" 7..2- Cf and that it is ajust and true copy of such original Decd ' and of the whole thereof. IN TESTIMONY WHEREOf: ~~ve hereunto set~and and affixed the~Of said County and Court this 2 day of 19 '1 FOffilNo.104 ...... ........... ........................ ... . ... t....... .~.......... 11GSOi'!J711 . STATI 0.1:.'" YORK, COUNn' OF . On the da, of personally :"ar:lf' 19 ..: STAT! OF NIW YORK. COUNTY O' . befote me On the day of personaUy came 19 I before me . to me kml'lvn to be the individual executed the foregoing instrument, ('>('cuted :he :<;ame described in and who and acknowledged that tV~ SH 1/ STATE OF IIEW YORK. COUNTY 0" l!llU'FItl'I!< II: On the ll..,'{ d'yof Jl,u3us t 19 94 . before me personally came Joseph st. pierre to me known, who, being by me duly sworn, did depose and say that he resides at No. 7 Silver Avenue Huntington Station, NY 11746 that he is tile PrE:!sidE~nt of Goose CreE.k Lane Assoeia tion" Inc. 1 the corporation described in and wliich executed the :foregoing instrument; that he knows the se~J of sad corporation; that the seal affixed to said instrument is such corporate seal; that it was :"10 affixed by order of the board 'Of diu..(tors of ~;ailJ corporation. l1nd thp.t he signed h , S .,.I'I:I.),e 11 !~tcto /bYJ lik(;otitrr./ ( .'/ (' .v~;'~, ( ) .,(i, ,I JOHN B. AMROO ,.Nolall' Publlll, Slale of New York No, 30-6070116 OlJlllllisrlln NA.~a.. County eolTlml!lslon E"p1rSR Dec. 31. 19 .'.l:-( T)c::. /.' j~ 1./ .c.'-c __~ TrlU No. ---~.._-_. -.---- ---.- -----.-- --,~.._---, ...--.- ------_._--._~-_._--..-.._"_.- Cr,C-I,f' r'"(If,,r(( 1...,,J/ II J i.'Ctfllr 6,1 r --l,J' TO (;('(''-111 C/t/1~~-: 11-.JJ (Ie, ~/ rt'~~ , { /f";~' - +, ,,Ie - SU.ND.UD FORM OF NfW YOU: BOA liD OF liTH UNDUWIlIUIlS Oi,l!"h"ltll/,y ~ COMNONWEALTH 1A1'ID TillE INSURANCE COMPANY ^ Rdl.1llre (ilflllp I 'pld;lIg~ Cnml';UlV w !i! ~ o " z Q << ~ << ~ o w ~ " << Ii' w tJ .. .. ~ ~ )~ "w 'J> "~m I~ n~ II: to me known to he the individual exeettred the lon'going instrument, exeOlted the $ame described in and who and acknowledged that STAT! OF NIW YORK, COUNTY OF I': On the day of 19. before me personally came the subscribing witness to the foregoing imtrument, whh whom I am personally acquainted. who. heing by me dnly swotn. did depose and say that he resides at No. thar he knows to be the individual described in 3n(1 who t"xecuted the foregoing instntmenr; that he, :'laid suhscribing witness, was present and saw execute the same; :md that he, said witness, at the same time s\lhscrihrd h flamr- a~ witn"!ls thereto. IJist. 1000 ''''H'N 078.00 HI<X." 08.00 lOr 021.001 UJllNTY OR lO\';'N Southold, Suffolk County, New York Re' ""hi ,\1 Re'I''''! of COMMONWEAI.TH LAND Tf"1I.1 INSIIRANCE (OMPANY RETIJRN BY MAIL TO: JAMES W. DOUGHERTY, P.C. 269 HEMPSTEAD AVE. MALVERNE, NY 11565 Zip No. ,,_ "'--.,,,,4 'LI'[C1 .,~ 1 jC';:- ,,,', ';:.'--~T' T l-J C' H ~~ ::> __-I _" _. 1,.-"_"_' - . ... . P.2 ATTORNE.Y ..T L.,AW 5t;.hF Pb ' fI15. TI!:L.EPHCNE 518 e"-57S' , James U( Dougherty, P. C '-'OMI1IEO iN N 'r ANO ~T 258 t-lEMPS:rEAC AVENUE MAI.VERNE. NEW YORK 1 1 ees F'AX NO. (1518) 6.,,7818 MAUREEN DOUGHERTY MARTINO' OF COUNSEL August 19, 1994 Planning Board TOwn of Southold Attl Ms. Melissa Spiro Town Hall 53095 Main Road Bouthold, NY 11971 '~[f-~-'tr~---w-'~--r'~~i I ." 100221994 e: J SOUTHOLO TOWN PLANNING BOARD ReI Proposed Lot Line Change Demetrios A. Tertis and Goose Creek Lane Association, Inc. SCTH 1000 - 079.000-02.00 P/O 003.009 1000-078.00-08.00-021.1 Dear Ms. Spiro I Enclosed for the 'Board's consideration llre,the following: 1) Certified copy of duly recorded Deed from Demetrios A. Tertis to h1lllself showing the p/O o:E Lot 7 (new lot *9) without the ri~ht of way in Goose Creek Lane. 2) Certified copy of duly recorded P'JW8rof Attorney from Demetrios A. Tertis to James W. Douqherty. 3) Copy of Deed from Demetrios A. Te:t'tis to Goose Creek Lane Association, Inc. Mr. Joseph Bt.. Pierre, President of Goose Creek Lane Association, Inc, has indicated th,!lt his attorney will only return to the office on Tuesday, August 23, 1994 at which t1llle he expects to execute the ,:apital qains affidavit, form TP584, and the Equalilllation ]~orm to record the deed. He also has a deed which I have p~.pared indicating the prior owned parcel as well, as the, newly acquired strip which we will record when signed. I might point out that the planer in Ri1rerhead has already designated new lot numbers for both parc:els as they were aware of the overlap condition prior to HUG 19 '9..+ .c. e-,=, J.._" _,,_, [li::L:':;.', , , - -'.", Planning Board Page -2- August 19 t 1994 . F'.3 recording the enclosed deed. Should you hf~e any questions please feel free to telephone me. Both Mr.. Papantoniou and Mr. Lewandowflki will attend the meeting-on Monday, August 22, 1994 to render any assistance the Board may request. Very truly yours, ~ JWD:od --- -~-~ --P.-~ nOX~-~Hl~U':~t~~;8B~:~~.'O~I~'R~'iTED IN BLACK INK ONt PRIOR TO HEeOIWING Oil FfU,\( 11 SUFFOLK COUNTY C~ER.K I~ L/PII ftU9O~u02 I Numher of "ages I i ~NS r. ~'1') ...... ... ~lj RECElv S 'l'ir.Ar. F~""TS AUG ! G 1* ".1". ,.oN Deed I M0I111al4e Inllrument r,"'1'l ~,.... ~ .. "'" (II ',' c: :r- "' ~I . - ,= ~ .-. ... .... " r ,J , '" '.' ." , ...;) " " \"';,' "- :.:t: .. ','.. " ..-1 " :- r. ,. Serial Ii t~-~;"',:'G!~'~,~~t ''(A~~ . '/:~':":'<i J' ". ,.J ~"_""''''''''~.l''''''_~;;'''",,,,,,,,,,, "..."..'",~,.', ; Cortlflcale II Deed I Morcl4al4e Ta~ Slamp Rec(Jr,~in~ I Filing Starnil8 4T ~ paue I Fillnll Fcc '- Uandllnll '- . TP.S84 '- " ~ N ulaliun '- EA.SlI7 (County) '- Sub TOlal EA.S%17 (State) '- ~~.r~ /S' - R.P.T.S.A, '- .: I. r! Jill Comm, of Ell. S_,_OO_ ';;: "':. . e\~ ~~ ~~ Afflllavit ,,~.. ~ '- .7~'jfinl~ Cortlriell CUllY ,- ROllo COllY , Sub Total Other - GRAND TOTAL l~, TOT, M~,TAX I Dual TO1\'Il Dual Cuunl\' Held (ot ..i:jjj;'Orciunmcnt':"'=- L'rJ '- Transfer .T8.l , 5 . L:"':i...;;~ tvr:r: -~. >J u",''''. ~ ,,.~'q'.,, \,\!~~'j '-1$I......__../ Man.lon TlU . Tbe "ruperty ~~vercd by Ihls m;.:jj;;.I4C 18 or will be Imllruved by a one Or two family dwelllnM only. YES nr NO Ir NO. see all,-;;:;;j;'riule lux ~c 011 paue.1I _or thlsln~tl1Jment. '- Rcal Property Tax Scrvice Agcncy Verification nj_. CA,,'lnn RInd," / "f n" J()tJO tJ 79-~() I)~.,)() 10~.3,)"1 6 Title Company Information S-y~:t I/M. )'1..,,,.,- iJ COmltl~I~Nal~;;-'~--'.'" FEE PAID BY: C..II_ Chcck / Charl:c_ Payer ume as R & R~ Title Numher ,.Jdn,<'f )t/_.b<2'/6I/a''';'-;''' ;'( ;2 61 # ,'ofPJr", nO) 11. tiJ.,'"'L' ;4!4t.v....i't:.N.('I/I,/.,Y //r6,J- OR: 8 RECORD & R.ETUUN TO I ^ J' ," 9 Suffolk County Recording & Endorsement Page This page forms pal't of the attached):, Ir,..;:, ..brf!/J"J, if/: r/7 Y _ made by: (Deed, MOl1gagc, etc,) - ~,4rrc 7J(./<J,J' rf - ?;;';/i..r If fr(; (; ,fC r>1 ,< 7?C M ;;;,<. '0.1 , TO The premises herein is situllted in SUFFOLK COUNTY, NEW YORK, In the TOWN of ..J\r}<) 7// () ,~ '0 tC /'1 If' n<1 J.f /l --' / ;(~1'?...r In IlIe VILLAGE or HAMLET of .Ii) ,J /// v <. }) 1l~ , If.tI JI)' ,> , '. , \ \ ~ ! ,/" HU';" 19 "~-t 1 :.::~ [<'U;~'.I. -~, lJ. '~ . F' C, Stand.td N Y B. 'I' U FQ,,,, lVJC~' .8a'9',M ,HVJ SII' 0980. Wit'" C<!ltllntnf "oai~.l Or.rHor. AcI8-1,,~,...,a,.c\' 0' CQr~O'ilIICI" {S-nr..., Sl'~l"': CONSULT TOUA LAWVEA BEFOIIE SIGNiNG THIS INSTRUMENT-THIS INSTRUMENT SHOUll> BE useP BY lAWYERS ONlY THill INOENTURE, made the "6'--- ,"- I'';, day of eeTwliiEN August . 1~ 94 a/k/a Demetrtos Tertls DI:METRIOS A. TERTISI res\dlnq at 31 Clove Lane, RMdo1ph, New Jersey 07869 party of the firsl pan. and DEMETRIOS A. TERTIS, resldlng at 31 Clove' Lane, Randolph, New Jersey 07869 , '. ''I'''' parly 01 Ihe 'llcond part. WITNESSETH, that the party of the first part, In oonsiderstlOn Of -0- dOll.rs paid Dy the party of the seCOnd oart. does hereby grant and relesee unto the party of the second oart t"e he"! or successor, aM assigns of the carty of the second oart foreyer. COlli'''''' or J"ffOt/<. .Jr;.;/~' (/,iJFw/rJ"w:. ALL fhat certsin plot. piece or careel of ,And. ~e Duddings and Improvement! tna'eon elscted !'tua:e lYing and Deing in tne Town of Southold beglnnlnq aO a polnt on:he southerly ll~.e of North Bayvtew Road, said polnt being S61 51'00" E IE .32' fror:1 tr,1l northeasterly corner of Lot 7, as shown on "SubdIviSIon Map of James w. Dawson" flIed 10/16/85 as map #7987, thence runnIng eallterly along t~e southerly line of North Sayvlew Road 5610 51'00" E. 88.68' to the northeast~ corner of Lot 7, thence southerly along the ea sterly line of Lot 7 S 270 53' 2 285.04' to the southeasterly corner of Lot 7, thence weste,rly fllor,.. the southerly lIne of Lot 7 N460 40' 40" W 258.25' to a potn: on the southerly Une of a R\qht of Way known as Goose Creek Lane es sh,)wn on "Subcivls:(')r Map of James W. Dawson", thence .?llong the southerly Une of said R,ght :l; Way the fOllOWIng two courses and distances: 1) N610 47' 20"E 101.72' 2) N6So 56' 10" E 167.98' to the southerly lIne of North Bayvlew ROlld at the poInt of ber;lnnlr.g. \ The above. descrIbed p.!lrcel is Intended to be thllt portion "f :'ot 7, "Sub- divisIon of Tames W. Dawson", eXCludIng the area shown as overlapp:ng th~ Right of Way known a s Goose Creek Lane. STATE OP NEW YORK County of SuB'olk S$.; I, aow ARD P. ROMAINE, Clerk of the Counly of SulTolk and Clerk of (he Suprcme Coun ef Ilia Slole of New York Ul and for laid County (smd Court beiug a Coun of Record) DO HEREBY CERTIFY 11 I J h.ye compared llle annc~cd copy of 111 Deed IIber /1 L 1/;) at l'a~c .jDy"r- Heelll'llel! ? lu;.jc;y' and lhalll is aju51 and true copy of such oogmal Deed ofllle whole lllereof. And dlNC TES,TIMONY WHEREOF. IliaYe h~reunlo set illY hAnd and n.ll1xcd the seal of sold COUIII) FO::N:u~:llS .1..~..daYOr.~"t9~~~. 'l; Clerk ..-.....'i\i r-'H li:~CI'l\,.,C ur. ~. /) '" ~~~ D."-..... 'p..,L.... ~.~~ ~ ~ F', b HUG 1'~ "~j-l It:,:,':::.~1 [11~IiJI;I.'1 J.~J, c ......, . ......... ~/ ,- ~ ~ ~ .... .... STATE OF NEW YORK COUNTY OF NASSAU 5S.a On this 15th day of August in the yeB~ 1994 before me personally came James W. Doughe~t~, Esq., to me known to be the individual described in, and who executed, the foregoing instrument, and to me known to be the Attorney-in Fact of Demetrios A. Tertis a/Kia Demetrioa Tertia, the individual described in, and who by his attorney-in-fact executed the same, and acknowledged that he executed said instrument as 'ehe act and deed of said Oemetrloa A. Tertis a/k/a Darnetrios Tertia by virtue of a power of attorney dated Ootober 26, 1993, intended to be recorded simultaneously herewith. /,) .:'/ // '~Y~~J /'/ t/~ /No~'ary Pubtic / JAMES F. DONOVAN ./ / NOlet'! Pub:,C. StBt. of N.w York ~ No, 62.4601963 Oualifl~~ in !'il.fioll! coun7e r h CorrlmiiSlon t<1.P,,_aJulY 31, / . .-.-....--.. ...- . TIIIO No. ll.r r1 ,r ,r K "(J ..' ;4. ?;;r.:. rt.J' /f/~/d )).{"'1... 7,t!. "... Ti", r"./ TO ) ;f r"1 ~ T /t. n./ II, ;;; It T/.f ))1.fTIt'CI/t:I'oO SECTION 079.0 Q BLOCK, 02 . vI? LOT;;: 003,001 COUNTy OR TOWN '..J' c/ /"/"<I L K ('''''''.-.IT Y STREET AOORESS Vacant I.and Southold, NY BARGAIN ANO SALE DEEO WITH COVENANT AOAINeT QAANTOA" ACT8 Recorded .t qequOII 01 COMMONWI4~L TH LAND TITLE INSURANt:E COMPANY RETURN 8~ MAlI. TO JAMES W, DOUGHERTY, P,C. f69. HEMPSTEAD AVE, MAlVERNE. Nl' 11565 , .. r-. -lj'''Cl.td Form 01 N,w TO'" BOard 01 fill. Vl'lcf.rwf,ttrt OIII',Co""<lb)' fa Commonwealth. I &,;5J Land Title Insurance Company ) it! '" a ~ ~ ,a I~ I~ Ii I~ .W I> ~ i~ :I l~ r ( , , I ...J ,~U'; ,/0 'f'.- ff ,..A .I')' eel "- ... C' .,.1 i... ( ;.. ..' ,./ -- ~ ~ l'~ "~4 l';:l=IlJ Lli~,;j'';rl.i .T.II. . F, -;- ~H.na.'d N .." a,T,u. For'" 800~' .Gsr\1'Ir'lIf\O S,lt Oeed. ....Im CQv."IlI"l! ~wlll'ar aril'llOr a ACI,-I~ d,vldu81 Of CorpO'~II(jn IS'''';j'll :;1'1;'11 CONSULT YOUFI LAW'fER SEFORe SIONING THIS INSTRUMENT-THIS INSTI\UMENT SHOULD se USED $Y LAW'fERS ON" THIS INDeNTURE, made the -fF:- l\ oayof Auqugt .1\l94 BETWEeN a/kill Demetrlos Terti! DEMETRIOS A, TERTrs,lrei'101~q at 31 . Clove lane, Randolph, New Jersey 07869 party of the first part, and GOOSE CREEl< LANE ASSOCIATION, mc, 0/0 Joseph St, Pierre, P.O. Box 401, Southold, New York 11971 party 0/ the second oarl, WITNeSSeTH, tnat"the party of the flfst pari, In consideration of _0- dOllars paid by the party of the second part. dOes hereby grant and release unto tns parly of Ihe second part. the he". or successors and assigns 01 the party of tha second parllorever, ALL thet certsin plot, piece or parcel of lend, wilh the bUildings and improvements Ihe'eon erected. sll.1a~e lying and being In the Town of Southold beginnIng lit II pOInt on the s)L1therly ill1i! of North Bayvlew Road, at the northell st.erly corn<llr of Lot 7, S L1;:,d 1 vis ton M~p of James W. D'Jw"on, filed 10/16/85 as Map #'7987: thence r'J~n:ng 1l1o~(' the s,;:)utherly Ilne of North Bllyvlew !'lolld 8610 51' OO"E 16,32' to /I p'Oir,:, thence weuerly throu..h Lot 7 and along the '<"lutherly llne of II 20'Rlgh: of Way known liS "Goose Creek Lime" ..s shown on uld .ubd:v:,,!on ~lIp th.e followlnq two courses end dIstances: 1) 8650 56' 10" W 167.98' 2) ssio 47' 20"W 101. 72' to /I poInt on the southl~rly llne ,)f :ot 7,thence w,~sterly alonq Silld 11M N460 40' 40"W 14,22' to the souHlw,'uterly corntlr of Lot 7, thence eut.erly abn9 northerlY IIno of Lot 7 N64c' 23' 40" E 26S,~: to /I point on the southerly Une of N,)rth Bllyvtew R<l~d at th,~ pl)ln~ of b~,.!n.~:' The above descrIbed parcel Is Intended to be th;!t pt,rtlon.Jof :'0: 7 S1)OW~ ov~rl!ppln9 the Right of Way known .H "Goose Cret!lk Lene .as show;"l 'In "SubdIvISIon Map of JiI:'!1C! W. D'Jwson." At no Ume shell thts property constitute a separate b\li:ding parcel. \ \ TOGETHER with all righI, title and Interest. tf any, of the party of the 'If$1 part In and t,) a"y streets ar.~ rOila, abutting the.bove deScribed oremlses to the center linss thereof: TOGETHER wllh thEI a,purtensnces e"d ai, the eSlate and.rlghts of lhe party of the IlrSI cart In and to said cremises: TO HAVE AND TO HOI.D Ine orem,se. herein granted unto the party 01 the second part, me nelf9 or successors ana assigns of Ihe oarty or the socon" parI forever, ANO the party 01 the first part cOvenants thallha party of the lirst part 11as not done or SUlle"ed anylr.ing ""erab, the said premises have been encumbered in any way whatever, ex~eol as aforesaid. ANO the party of the first part, In compliance With Section 1301 the Lien I.aw, covenants I "ii' Ine pa"ty 0' f1'e IllS: part will receive the consideration ICr Ihis conveyance aC,d will hOld the right to receive "ucr, cons,detalic," ~s 8 trust fund to be applied first for the purpose 01 oaying tM cost of the Improvement and wil! ~oply the same '''51 Ie the payment Of the cost of the Improvement belore uSing any pari of the tota! of the same Ie' any cl,'er o"roose The word "perty" ahall b. construeo as If It read 'parties" wheMver the sense ollh.S Inde "'o'e so 'eoo"es IN WITNESS WHEREOF, the Party of the firs! cart has dU!y exec.1ted tn,s deed trle dai anc IBM firSt above "':':IC" J;;~f~ 7;...J;..."... ;; M-1t9 ~ ~CL~rM_l . ~ os . 'lerlr'i .-<.,4- ~fi:t~ ..../""-r\ t- I (.....) ,.,;..... IN PRESENCE OF: O~yy;- L. ~"><r_ t:.J: r=iUI:; l'~ "-:;'4 lr:::,:Cl ["~IU:;H.' J.l" (- . r'-....:--. :::,'.' M STATB OF NEW YORK COUNTY OF NASSAU 5S.1 On this 15th day of August in the year 1994 before me personally came James W. Dougherty, Esq., to me known to be the individual deecribed in, and who executed, the foregoing instrument, and to me knowr:, to be the Attorney-in Fact of Demetrio8 A. Tertia a/k/a Demetrios Tertia, the individual described in, and who by hil attorney-in-fact executed the sarne/ and acknowledged that he executed said instrument as the act and deed of said Demetrio8 A. Tereia a/Kia Demetrios Tertia by virtue of a power of attorney dated October 26/ 1993/ intended to be recorded simultaneously hQrewith. .(/! 'I/~ ary Pu 1c JAMES F. DONOVAN Notary PubliO. State of New York No. 62.461l1983 Qualified In Ruffoll, County 01 Commiselon Expires July 31. 19 71P / / i I:: 'I,: :... i. . . BARGAIN AND SALE DEEO Title No. j).It""'''''r~''''.r /I. 74'~TiJ .4/~ ))ilrliCTl(o.J' -rc.Krl'.1 TO ~""..J,c C"e"r;CK. ))/Jrt't",r / Co,, SeCTION 0 'l &. ()"~ BLOCK () f. 00 LOT I!) ;;l.1. ()" " COUNTY OR TOWN ..r '-' ,= r. L.-< STREET ADDRESS .,!'o .- ?-;f ~ t.i:>" C'...lv,..;i)" NY WITH COVENANT AGAIN8T GRANTOIIS ACTS L ,.( N A' /!'... J "~uT A' oJ' ::;;;-<.. t' Recorded et ReQutst 01 COMMONWEA~ TH LAND TITLlIlNSURANCe COMPANY RIlTURN BY MAl" TO .------ ._~.._._-_. J /f1""1A.'J JV..) (I ,I G ""'4M)" Ea., ;261 ~~~,t';1~~..']) r(.;,t'N~'.<.' /o/t1~VAI'I..Ntf l0twK((;( " / I' re: ./'-' "''''''''d 'ort'll 01 N.w 'f'Otk SOttCl 01 Till' Un4'f'IV"t'lI OI"rlU""cI Dv ~ Commonwealth. Land Title rnsuranc:e Company f j ~ 15 ~ ~ i ~ ,. I riUI; l'~ ":<--+ .lr:.,:()l [II:IU,;H.' .r .il, ,:. . F' Y waXES S T1IHU 9 MUST BE TYPED Oil I'IUi'iTEIIIN _'.11,;\(:1\ IN K ONU: l'IU{)1< TO IlFCOIUJIN(; on FILlN\, 1 SUfFOl,iC'COUNTY CLEHl( I' 2 -.-. T~ i 1 11_~OOn30a i I I I : . . I '",., j i' '__'" -_ ___OR~-;-".~.__~.i._.~._.. ".'."".__." 1l::~:.~li:"_:'~~:~~.~1I1111' _..t.__.. ~:':JI~:~: 11~i1ill: s..::~~'.":~. ..._.. UI'II SI:r1i1IN i'l (/J t. ~;~ 7l: . '. ..,'r..... C'I r I III )- f:.: ", Cc,'ifielllclI _ I _-J_ .JL_. r., '-' '11 J'rlul~!..m _~ 11110111 M"rl~"~C 11I'lrulllcnl ..- . w.~_ ~--"-...... ....-- ~..b.. I,t-:I';S ~~__.__.__... .t'::: "'-.-~-:;;""~':""'-... ..._..... .... ...._..__ ..,___~_" ",.. _.. ." .N__.., ..~ _.~_... lIanullug __Cf~O FRO - - f\llIlfl:lII4C All'l. I'n~" Il'illi'~ I'''~ I. U".je '1"1.1 '1'1'. SR,' 1. ~Or;\'M^ NOllltlOll !-;lli! '('"tal EA,Sl17 (CIIlIlII,) ___ '- StIli 'f'ol:II /// OD ... ...... . ....'--.-- ,I. ~11I"'.!i\tltI. EA-5217 (S'iH(I) CHlllll1. Ill' 1<:,11 5.....lIll. . ','fr7..~tr:r:t, .....1 . ,"r( "I ',. I' ~ }~_,I \:;' '.' .,:,"~' ~'\j:',\" I.\. .Ii .;;."., ",1;', .u,:~""/. "">,, ,:,~.t "'.,~~ j.~. '., ., J"" I , 'I'.'~ iJ'l htr.... "" i:i,' T.', ,; \ ,l;\"", ,it;,:, " \ \ ..\ T~.)J' i 1 ~';"J."I:"-~'~\.,'.,.::...:t ,I, I '; ..~" ,."". ",', f~ ',"" ' --- . ~""'<:r "'...'Srl . jll 1ft\)'f.l:t, ';. ',I ~ :'1t1'O (.. ~ TO'!'. Ml'G. T^X ---'-..- ll,r:l'.s.^, . ---~-- UIll" Tun-It nlllll COUIIl': R, Ilchl r"'/II'I'"' t1'lllll11'III '" ___ Tran,"ilt:1' 'I'll" r\llllllllulI Tn~ _~_~_.'R.~'.'.._,_ 'I he I'I'''p'~rty l.ttn~n'd hlll1i~ mlll'f!.:ll14f' -'Z 0(") L~ HI' ".i11 he 1ll1prnn":IJ It)' f\ lHW nl' llnl Allh Total "_ ,0.....1.... ___'.....:... flllllll.v tlwclliuJ: olll.\. :.z.. I un YES _"".. II\' N () _.._ GllAND I () 1,\1. .._-""'!'__._.'_/ II NO, ",'C "1'1" "1" ,"lc (II' c11111'" "" ~ I' 11 J,:C 11 _.._qflhi.,illlltIHIIlC.Ilt. ~ 5 .. IlcIIll'l'ul'cl'l)' Tilt SCI"IrC ,~g('"~) \'1"~'li-~ "I;;II~;- "--'-'-1: u'" 7. - . Tilli! ~~~~1111IlYM:I'I'~~;r~;I: _,.u~ :]. - -'-j}js-'---;;ct'~'li.'- --lil,;;:i;-" '--i'"/i-' --/1- ..-.- .-____.....__.:__._.d._..,... ___L!!.t_ __Ssillld...._ ---.-_-. ",. _.___.. _'_ I . . . - _. -. ---~--~ ---- llJUl!-... . .._____......__...._ ....__. _".. CUlIIJlI\Il)' Nntllc Mfill""it ___ -:~{'([' r -)00 eCI.tllied Cflll(/I~'_ n,,~. Copy Olher Djlle i. , "~~_'_A__.____,oA_ -_..__._~- . ....::J;,,".:=:.::".---- Tlllc Numhcr ~ Fl~Fl'^,IJUY' ',......, -....- ..-............ .'--.'- -. ..__, ' Cl"h.~ChCd(LCIII'\'~O____... I!I: -r;;,.,,() /f(~ ))t'l'''~''1<7,Y /'" 1'1 . "1 /f ' :[1 .Jr:;.")' ~/",/'oJ-;:;I'/1J) 4..,r,....,:: 111.f.<J" A/ ' 'I /i/!/. V"''/'.{N/./ /r 1 //Jf;r .---.... k I' \~I~~; . -/(' ,.IIlI'. --.... .-_..- -II H H (ceo IW ,Ii, Rl!:TLJ ItN TO L~. __, _ ~".!01W)l~~l....___ ____ Suffoll{ County Recording ,,'l EndorscnH~nt Page ,. , ---,,-~..._.. ."".';:.-.' ."7-.-..... ~ _.-'.:-:..--=....' _......- ..-._. -'. 11115 Jlage fOl'!Ils pad of the atlaclJd ..I(!"",'!.'.!:.......(.../ ;t; 1..~t<,v,d",. _ Illlld(! liy; (Deed, Murlgage, elc,))'::' !,tp (1(i" .J(./?f" I'Ryel' "lIUO liB Il & II __ .2J on: .; .-..--' 9 ..~ ,f rl c' r-t / Q J' 4' ...-- It!" /C 7/...1 If /;.~A I I ~);/f'I'f If Tit I (, .J TO /;? /: To Till' 1'1'I'luis('s IH'll';'1 is .siluall'" ii, Sl;VFOLK COUNTY, NEW YO'Ue J" III llie TOWN ur '. cI t/ 7/1'" ,) J;.4I,i') IV ..~rJ (/ (, /T~/< 77 /" :tJ III 111l' \'ILLAGI': ('dvi'/!()< i) ",. tl.\1\.11 1,"" .1' riU:; l'~ ":L..l 1'::,:02 111 ;, , " L::~>~II~~...' ,,'; -"r J. ~'1. . P.10 Jl' ," I~ O\-' """11'''(\. I'i'; ro"~' ,."".. NYt"'. IlV'll'" ,.1 " '..: lhil' I"\WNIII 9tl'\l\tl'(! by II"" I1t'"1""H\I~l\t nil' hll'F1rl Al\1'i <lW"",O!ll(" '\I!l~Y ~Il' d'l"lllll"ltt ", N~w YOlk (l'"~If\1 ()bllu""~ll' ,rip ro, j!\l~ 19, _fIt~CH"'IlR 51~{\?11., UW"lq!J ~ 1~!'I' wllh'it PC,"~"''lly ,,"lInI14 111ft UIUt 1'1' !'IllY olhtr (If dUlil!l,.ul1t1l1U of I'C'lV'll)l f'1 !'1lh' "~Il'.l by ',lip filiI: I",. O""~"ll,,'d, 1\1 Thtl\n(n Jlt\lr:'rU\lltr I,U [1"'11'''''' lj1nofH'ldn, \\ll;l'h ,lIi' Illll'1Uil'll 1,\ r!lll~~i'lIl.';' (il:NI'H.-'1 JlnWI.P, 01 I \ ~ I' ,I i I I ,,, 11 'III 1', ,\ , II, ( 1 ,1 I ~ II ~ I i,ll. "i~' I' "U' I, l i\'II';1 ~\ I ( )ljd,il.l:\ ~ I ~q \"'i I ; 1\' (1/1',/(1 I'Prtlf'lr u,~ .I.bTL\.~ .'ePlf-l\!iD~ f\. 'rr.;11;~I/r(Hlldi!1q nt ~l ('l,:">v(.Ir Lane, H~J\d0\pl!, Ht":\V J('l.I~ny 117 ~I~ q 111:\1, I;' ",' "'~ ;1'I'J :,,\,:, ,.,' "~I ,I, I;'; ,,11"11 df\ 11(:1 cb\ ;!1'1',,1~ r It ,;", I'" ",',01" "..,I ." I' 'jn, ", II' ' ":" "~' ,., " ,.', 'I' ,,1. II I""'" II, ,,' ,"" t, d, 'I"I.I!' ,'I i~'I;r'~ \\1. ! 1:)I".1;1r'llV I r~~'!., ')(;0 11 illnp;1 I p:..\<l ,'\V!?IllIP. MI\1 V("f\.H" , Nf.low Vn,\', 11 ~(;r; I~:\' 'I'ltll'w\l") ill 1:\1"1 10 IV' 1 II :1)"'1' \11"1 1'11\' ;I,":r'~ \, d,'-i!~III'" \ i'I"lcl." 1,';1\,,\,:11 \\;"h,'~ "Ij,'h :'I'\'!H ;110,,,,' ~,.Ilt' :,l1lo' H1 1'~I'II"~\' nIl' I",,\t., 1'\'111110.11, ;11_\'111" Ih~'l hi 1,11 H'" ",I..d '" \'1,11[, I .'I;~tllt' 1'-' '-I',;~, ;,,", i"", <I:,'" "111',1 i".. '''''II ,,11h, II ,,,,! 1,,'1,,11\" ,\r" !l'q";l" dh' :'1"''11\ I, ,,'I i,""il\ 111111~ l\:lllli,'.l'i;It'1' lIllI,! '<ll';orl Hlllm \~;l\' 1\"!lldl 11l1)'il,'IlI'nllhl illl, ill \\1'1(' j"'I>;ClIJ;dh' I'll"~t,'!T! ,..\111 11"TI"'l In tl,t' i.liltll', i!1~ !llnllt'l~ ill:; ~'n('h (II lh"'1l if. IkHiI!'d i!1 I ill,' l~ "i \1'1"-1\' 'i nflll(' New Ylll'k (j':tH'l'!l! Ohll~llllinl1" \,11\' In tl1" t',\rrnl th'll I Pllll'l'lH1il1!'d !I~' h\',' I'; :11'1 1111011;.:11 nlll\~'."nl: 1';I.'j'(' "II' '1,101 ;1',1;,;1 ;1' Iht' "1'1""'1"1"'\ :II'\' "'W '" I""!' ,'llll~ '''lh',I1' i~i"!l~ I)~ 1,' I,hkh till' !'I;l1ril"d 11",'~ N{)l ~1('\;;I'I' rill' tll!' d)'l't'l "'1"," t:, \\"tt ,1'1',i,;'d;lIl1 <11 ilt" 'HI' ,,' I'"'' "1,,,:,.];\,,;.. ", l^J t" 01 II!dl'<IH', ',111\11 IIllIllpl"Ii\Il11r \ "'II:lIlltll' '111 ,'II!IlI",llillll ill'" III ",I'l",I"I\j',fll I "\ ~lllkft (,111 :"ny '<1hd'lvl~I(1l11"~ I'rt,,~I,,"I IIlUlIl dr~w ~ 111'8 Ihr(\ttgh !!'Jt l"~l ,\f lhnlllph.llvl"'lrm MIll wdlll hlttln!tl(ll'" 111 UI~ tWIl. C'N'n!tlte, \\) '\';lll!;i;tk II:lll'i:tdl\'rl": (III YJ~IU<yH<,)('(\>jI<,IIt{MX I!I'II 'I (,~:H ,:I~~~(l j~ \(t,~,t-':~I~~i\J'. (~~H~~ ,.st.V'1 I K) ,,)F'i>!K :(~t{;,(J'>Olli'~ )lli(~I{,X(~"X I ~-;r.t II ,f1't1'j 1~~1 t Pi": :~j ~,,~J ~l1~~'l'()H I('.M""'~;( HN!";,f'{'ll~;!~Y X 0/1 ~ \ tC<M'i~1<Jlir<i~Mlll(,)tlHf)I(t{M1<I\1~HI~X ~(N)1 ~Hf;'r\~f y,',H\,:'<' :6\'\K y',).j~MM';{;l~'~t:t'\H~~'(~( ir'J)(\(: ,,!.i-II', I I) )\'~M})t~)UUi(r.li,"\(Mlt~~XW~X Cl>)'"lJ)\1 ~ltl ~~~\~f\\r~~h\q;VI);t1~{t~ I\',I}~X~ ll-!'~' '1 [I ,.) >: ~r~~ ~'~ ~'\ NI.~l..-:I,< 1 \I:"I~X. IV1l'1 (AX '!1.;I~Xl\\"i:-: ftrmmlHJrn)(~'~j.Uuj .'~~\lt)1IHX ,,)H 11~{N ii~)'i ilJ(~X), X l\i}lclilll (')~I(l~) ,.'1(:~ II X\( \ W<;:f,)t li/Hli;'jl< il~ii~IX ~j)1X~IIP( llNK,iI,l<:~,i( 1"<<\'Qm~ ~t\I~Jll ~~~ !\'ml ~t(\i,"l'i", !iltY. ~.lJll.jk ,\Ih:-; I!<:X I J/" r j tU !("-l,('j)~~~~;-n'i;~H!-,;H~t>f'y'i{ \ ~.-lt.' ~I X 10.1/ t\~~.'1 1t,\l';( ~1i1\' ~~r~~ 1\;011' II 1'~i"~I'i;\ll'ln\ i~ill!l" 111111 lill\i\1l I HlIIl; 'IlP" '11' 11,\ Illd, ~I ill III" \;1illltll'!\' !dlllll 11'1111 j"l\WI ..I :11t\ll~ln' "rll\ t) I he,"' ,'pldlllll' 1',lll1\' It'qll\I''I1ll'lIl~ <,I ~~";p,, 5 IW1 01 '!ll' Nrw' \\I~ <lr-,P"I,.J' ,j,I;i'ltli"l\~ I ,,\\ ! . , AUI; 1'3 "~-l 16:0::: [11:1UI:;HWI' J.l.j. C . P.ll 11690ft303 STATE 01' NEW YORK \ II.: County of Sull'olk I, EDWARD P. ROMAINE, Clerk oillle County of Su.ll'olk and Clerk oflhe Supreme Courl oflhe Slale ot Now York In and tor said County (said Coun belns a Coun of Record) DO HEREBY CERT::rv Ihall have cOlllpared lhe annexed copy of oj I Deed liber / / t. ;0 at PaKe ~t3 Recorded ~ _/; / 9y' aud thai it is ajusl and true copy of such original Power of Allorne)' and of lhe whole thereot, I IN TESTL\.lONY WHEREOF, 1 have hereWllo sel my hand and afi'lxed lhe seal of said Couutv aud Court t1~I~....... ......... .< .~..~a.~.~~..~~..tr~~.........., Form No. 104 1!' Clerk o,i-rll'(t.... (~.~ rll till\! {~I' ()(~h)hE'r II) Q~hdon' Ill(' prnwl1nlly CIlI11I~ D~lI\elrl()~ ^. 'I'eo,tl ~ II/f)/' il., ,',r,,' ,'t.' ( . ;'i,."nJ" JOHN W. WE!\F.I\ 10 It 1\' kllO\\'II. ,,"d kIlOWII'" 1110111 Ill'tllt' IlIdividlllll dC''''lIhl:<I ill. "'"I, wl1,. "xr~I\I.J,...!v,~fNlJj.. l'tIW"tl.,"q(".()rCI1[Wlj<<n~fY hi' :1\'klll"v",d~l,d 1""le lilli' Ill' l"I"'III,'d II,,, '"",e, . '~II\NII(,I6l\'f"f~rru.Ope\ 15. 1~91 , .....~ !i J.! C",. \I (:t,: I ., VI I ..1 ,p . 11 [., u (\) .. . I' .., :0. .... ,g p., I " .~ <<fl> ~ 'J .~ . ::l -. VJ II I': >- 1':'" I. (.) 0 .1..-: )... OJ .,-1 t)\ III ll> . f.l t: ~'" .., ~. :, ~ '" 4J III ~ t:' ~ ,.J 8 .r::<..... , 0 ., . ~ ,....j <1; ~ 3 \) -g ,,'t.1~ 8 ~ .0: - II! " III . " 0' 8.tJ -. 0 n ~ Vi t" '" " " .., \~ I 'rJ . Jr :J 0' . a. rtl .. ., ~ P- I) l> '. OJ i! e f, , l> tl ,0,: r; h~~ 'n ('l " 01 ~ ,i ..... II! r..1 ;; II Ii '" h ',ll II .... '" a'" '" ,r>: l\!W~ !-...N ., . ~. ". ~ 1 "I '-~.{;I\I,NOTJt.:t; /',:"li~. ,,(I'tJl>fk Ih'nrjn~ NOIICE IS IIEfl.EBY GIVEN "", I'u"u~m 'n Se"t,on 27(, "1,1", Tow, Law, a public he"'in~ will lot' hel,l b) Ib"SOUlbo),lT""'n Planning B'J.1rd al Ib" Town lIall, Main J<n"d Sn"lhold. New Yorl In ,ai,1 Town Of Ille nndrl.,y01 ALlg'''I. 1~)4on Ill, <jueSlinOollbc)()llm'_log 7;30l'.M. F'nalpubll"ht'.aringf,,, IhePropo'''dIllajo,'"hd,vi,l()oI", Angel SIWIT', inSoulh"ld T""" "J SOUll1ol,I,CounlyorSUfliJli.SIOIC,,1 New Yorl. Suffolk Cnunly Tax Map Number IOIXJ-~~.6_1,4 &.1 The I'ml'e"y is bnl'dered on Ihe nUrlhe'''1 by M~'rl Bayvlew R,J.: 'he 'mJlhe"-,, byCed'lf Beach I{d" on Ibc'oUlhwCSl hyCcdarl'olnlR,I.. ny land now or lonne,ly "fZevllS, by Ian,l now Or fOl'lllC,ly of Knpbcll. hy l"oonuworlorme,IYllfllanCOd.hy land ~I!W Or lonne,ly nl Mullin" hy I'eeollle flay. bYlaoo""worform~'ly offtvandefbcd; "n Ihe .oulhea" b~ L'lePce"n,eBnyl.nnt';oll'h<, nllnilwe.>! by Terry Walers Suh. d'mlOn fSuffolk CO"nly File *29011. and Ramhle,Roall 7:.UP.M,Flnall,ubJichearillgfo, Ihcpmpo.cd,ninlll"uh,hi';onfo, JeanannGmy D""lap. Marlha Kent Gl'ay and llenjMnin H. G'av Ill) f"hel" r,land. Town of 50ul),'0Id en"nly of SUlf"lk. 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"" Ih,' no,th,""lby No,th IIJ}"'"'''' 1{"",J. n" the "'L1""'.'''' h). 1"",1 ,,,,w,,,, I"nnerl)' "rT<'rlie; ",,,I "" Ihc ,,'"Ih"'o"hy "I"''' Ip.1n' '" the J.-Ll"'" W. P.1"""" F,dd SLlhd,v"i,,,,.\1"1'r-;,,.7'JX'1 ^uy pc""" (b"illf [0 I>t' h"<L,,1 "" [h,- ah,,,,,- nUll'" ,hoLlldal'l'"",,,1 [he '''",andp''oce''l'o,'il1cd ~r),.1 1T.~ull STATE OF Nl YORK) )SS: 9P.~rv...2F. !lUFFOLK) ~~_ of Mattituck, in said County, being duly sworn, says that he/she is Principal Clerk of THE SUFFOLK TIMES, a Weekly Newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regular- ly pu~lished in said Newspaper once each week for weeks successively, commencing on the It day of ~~t-19~, CHRISl1NA VOUNSKI W' WilL. Nota"'O "IIC"StataOU._--fJ/ (1) [~ ,.n04894 (): . - " . lolk C ':'/ J Principal Clerk Co~H"""'" L^e"'" ",f'''''''~' 7'/ -' J LlV'v(JJU/)2~ fZA1 :X Sworn wj!{a~ . day of I I . 19' ..-"..--.."..... r'li; 2 2 1,)94 i L... SODTiiiiUiTo\;iii--" PLANNING BOARD ., ~ liD) r . !, '1]1 j'UUI I I .-'-' . '----':-1 r~ ~ II \.y [1, rn: ! d n ~ i 'lilt! ",.~ I 6 H.Jqft ; 'li'I' i\:. J'1 ",..,,-. , _\.- t - , SOUTH(jT[iTc:,,~~j~"--' 1 Pll.NNING 8o":~L.__1 LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that pursuant to Section 276 of the Thwn Law, a public hearing will be held by the Southold Town Plan- ning Board, at the Town Hali, Main Road, Southold, New York in said Town on the 22nd day of August, 1994 on the question of the following. 7:30 PiM. Final public hear. ing for the proposed major subdivision. for Angel Shores, in Southold, Town of Southold, County of Suf- folk, State of New York. Suf. folk County Tax Map Number 1000-88-6-1, 4 & 5. The property is bordered on the northeast by Main Bayview Rd; on the southeast by Cedar Beach Rd; on the southwest by Cedar Point Rd, by land now or formerly of Zevits, by land now or formerly of Kophen, by land now or formerly of Hancock, by land now or formerly of Mullins; by Peconic Bay, by land now or formerly of Vanderbeek; on the southeast by Little Peconic Bay Lane; on the northwest by Terry Waters Subdivision (Suffolk County File #2901), and Rambler Road. 7:35 P.M. Final public hear- ing for the proposed minor subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray, on Fishers Island, Town of Southold, County of Suf- folk, State of New York, Suf- folk County Tax Map Number 1000-6-5-13.1. This property is bordered on the north by Fox Av, the northeast by land now 01 formerly of Doyen; on the southeast by land now or formerly of Edwards: on the southeast by Mansion House Drive, by Sappho Rd: on the south by land now or formerly of McCance; and on the northwest by Fox Ave. 7:40 P.M. Final public hear- ing for the proposed minor subdivision for Willow Ter- race Farms, in Orient, Town of Southold, County of Suf- folk, State of New York, Suf- folk County Tax Map Number 1000-26-39.10. This property is bordered on the north by land now or formerly of Douglas, by land now or ~ormerly of Schiller, by land how or formerly of Brenner and by land now or formerly of Schorer and by King Street, on the northeast by land now or formerly of Kanz, by land now or formerly of Liburt, by land now or formerly of O'Con- nor & Leudesdorf; on the east by land now or former- ly of Major Associates; 09 the southeast by land now or formerly of Douglass, on the south by Willow Terrace Lane, on the southwest by land now or formerly of Lot #8 of Willow Terrace, Section I, by land now or formerly of Mager; on the west by Rowe Drive, by Lot #11 of Willow Terrace, Section I, by land now or formerly of Douglass, by Nelson Drive. 7:45 P.M. Final public hear- ing for the proposed set off for Mary Holland (Estate of Frank Dawson), in New Suf- folk, Town of Southold, County of Suffolk, State of New York, Suffolk County Tax Map Number 1000-117-9-19.1 This property is bordered on the north by land now or formerly of Gandolfi; on the east by Third Street; on the south by Jackson,Street; on the southwest by land now or formerly of Price and Herschfeld; and on the nor- thwest by land now or formerly of Price. 7:50 P.M. Final public hear- ing for the proposed set off for Andrew Cassidy and Sons, in Greenport, Town of South old, County of Suf- folk, State of New York, Suf- folk County Tax Map Number 1000-52-5-59.3 & 59.4. The property is bordered on the north by land now or formerly of Cassidy, by land now or formerly of Barz- czewski, by Albertson's Lane and cemetery; on the east by land now or formerly of Melrose; on the southeast by NYS Rt 25; on the south by Long Island Railroad; on the southwest by Arshamoma- que Pond; on the west by land now or formerly of Yaxa; and on the northwest by land now or formerly of Cassidy. 7:55 P.M. Final public hear- ing on the proposed lot line change for ~A. 'ler- tis and Goose' Creek Associates, Tnc., in Southold Town of Southold, County of Suffolk State of New York, Suffolk County Tax Map Number 1000- 7S-S-21 and 79-2-3.8. This property is bordered on the north by Goose Creek Lane; on the northeast by North Bayview Road; on the southeast by land now or formerly of Tertis; and on the southwest by open space in the James W. Dawson Field Subdivision, Map No. 7987. Any person desiring to be heard on the above matter should appear at the time and place specified. Dated July IS, 1994 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Richard G. Ward Chairman IX-S/IJ/94(l) . . , . COUNTY OF SUFFOLK STATE OF NEW YORK ss: Patricia Wood, being duly sworn, says that she is the Editor, of the TRAVELER-WATCHMAN, a public newspaper printed at Southold, in Suffolk County; and that the notice of which the annexed is a printed copy, has been published in said Traveler-Watchman once each week for ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . weeks ~~~~~'(~~~~' commencing on the day Cly of 19.7.... .....(~~...... I~~ 0>J..... . Sw~ to before me on ...II.....day of this ................~~.., 19:1. ...... . /2 . //' . / .......... fcT!~~a~... Notary Public BARBARA A. SCHNEIDER NOTARY PUBLIC, Stale of Hew Yorl! No. 4806846 Qualified in Suffolk CotHIly Commission Expires f? /3,/96 4 11 IMPORTANT >> File Number: Nl-473800-00903 00 Use the above number in all correspondence about this action! To the Lead Agency: The above information confirms that filings on the described Negative Declaration were officially received by, and entered in the SEQR Repository on the date(s) shown in the box headed DATE RECEIVED above. The date and time in the second line show when this document was printed. Please check the information above carefully. For corrections or questions contact Charles Lockrow, (518)457-2224, or write to: SEQR Repository NYSDEC Division of Regulatory Affairs 50 Wolf Road, Room 514 Albany, NY 12233 Town of SOUTHOLD Planning Board 53095 Main Road-P.O. Box 1179 Southold, NY 11971 ~ ~~::~ ~,m jL,.'; ~:"'''7''-~-,-.~." ;/ ,,'dUihOlD 'j__,",I::;---i f'1 A~i "-, - __,t'!'f '~..l:.t!!dG Lrte_,in ---"'''''--''',- ,:.::. '" ~'-" ~ Southokt Town Planning 80. s .JUIy 11,1994 , Mr. Latham. Second. Mr. Orlowski: Motion favor? Any ~fions on the motion? All those in Ayes: Mr, McDonald, ~ham, _.~~.-,_./~ .----/' Mr. O~' Opposed? So ordered. wards, Mr. Orlowski. '~ "', .............................. Mr. Orlowski: Demetrios A. Tertis and Goose Creek Associates. Inc. - This lot line change is to subtract 2,914 square feet from a 48,653 square foot parcel owned by Demetrios A. Tertis, and add it to a 38,332.8 acre right-of-way owned by Goose Creek Associates, Inc, located in Southold, SCTM# 1000-79-2-3.8, Mr. Edwards: Mr. Chairman I move that Southold Town Planning Board set Monday, August 22, 1994 at 7:55 p.m, for a final public hearing on the maps dated April 12, 1994 Mr, Latham: Second, Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? Ayes: Mr. McDonald, Mr. Latham, Mr. Edwards, Mr. Orlowski. Mr. Markakis: On behalf of the owner, Demetrios Tertis, I understand I was directed to come before the Board and state that they have no objection to facilitate the right-of- way for the association and to concede the 2900 square feet of space. Now, Mrs. Peppentonio has a question. Mary Peppentonio: I'd like to know exactly what is expected for August 22nd and I want to make sure while I'm here, if anything's going to be finalized, not to go on. Mr. Orlowski: Not to go on? Ms. Peppentonio: Well, it's one year now. Mr. Orlowski: Not with us. Mr. McDonald: We'll hold the public hearing and see what people have to say. So there's no way to know until you hold the hearing for sure, because you give people the chance to say what they want to say to see if it has some effect on what you think. But assuming that there's none... Ms. Peppentonio: Well this is the benefit for these people, the association, and I think they want to hold it. Mr. Edwards: This is their chance. Southokt Town Planning 80. 7 .JUIy 11, 1994 Mr. Orlowski: You're asking what you need? Ms. Peppentonio: Yes . Mr. Orlowski: Two deeds are required, to describe the new boundaries for Goose Creek and right-of-way, and the other to describe the new boundaries of the land owned by Tertis. Ms. Peppentonio: By a surveyor, just the boundaries? Mr. Orlowski: The deeds to the property, describing the new properties, yes. Ms. Peppentonio: OK. Mr. McDonald: You'll get a letter telling you all this. Mr. Orlowski: OK, motion made and seconded. All those in favor? Ayes: Mr. McDonald, Mr. Latham, Mr. Edwards, Mr. Orlowski. Mr. Orlowski: Opposed? So ordered. .............................. Review of Reports: Engineering Mr. OrlowskI. Charles Simmons - This approved minor subdivision is for 5 10lson 57.7 acres on the no side of Sound Ave. in Mattituck. SCTM# 1000-112-1-8::2. Mr. McDonald: Mr. Ch 'rman I make a motion to adopt the Engine!H'ing Inspector's report dated July 5, 1994. Mr. Edwards: Second. Mr. Orlowski: Motion made and secon Any questions on the motion? favor? .' Ayes: Mr. McDonald, Mr. Latham, Mr. FdV;;r~wski. Mr. Orlowski: Opposed? So orclefed. -"'-, All those in .....~;'...................... '''",-,,, '. ..... Bond Determination)! '-'" Mr. OrlOWSki~lIow Terrace Farms - SCTM# 1000-26-2-39.10. What's the plea~Ure of the Bo~? / Mr. ~ards: Mr. Chairman, I move to adopt the bond estimate dated July 1, 1994, and to recommend same to the Town Board. The bond estimate is in the amount of . . - .,;' .'j ., PLANNING BOARD MEMBERS , ", " ,~. I. J./( ..)\ :~~. )I. _. \ .. , - ,:>' ,.:;- ......,. Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonaid Kenneth L. Edwards ",J ''.''l, .,-.-..-...... Town Haii, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 12, 1994 James W. Dougherty, P.c. 269 Hempstead Ave. Malveme, NY 11565 Re: Demetrios A. Tertis & Goose Creek Assoc., Inc. SCTM# 1000-78-8-21 and 79-2-3.7 Dear Mr. Dougherty: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July II, 1994: BE IT RESOLVED that the Southold Town Planning Boan!, acting under the State Environmental Quality Review Act, make a determination of non-significance, and grant a Negative Declaration. BE IT RESOLVED that the Southold Town Planning Boan! set Monday, August 22, 1994 at 7:55 p.m. for a final public hearing on the maps dated April 12, 1994. Please note that prior to any endorsement of the final map, you must present recorded deeds for the revised property. Two deeds are required; one must describe the new boundaries for the Goose Creek right-of-way, and the other must describe the new boundaries of the land owned by Demetrious Tertis. . . Page 2 rertis/Goose Creek Lot Line Change July 12, 1994 Enclosed please find a copy of the Negative Declaration for your records. Sincerely, RrAJ J/ ~J Richard G. Ward Chairman enc. cc: Tony Lewandowski . . -,; Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Onowski, Jr. Marl<. S. McDonald Kenneth L. Edwards >:;1f'o- , I :1 " \' . )T~.., '); )-~ PLANNING BOARD MEMBERS " ,--' . Town Hall, 53095 Main Road P. O. Box 1179 Southoid, New Yorl<. 11971 Fax (516) 765-3136 Telephone (516) 765-1938 -"j ....) '''<:-.,.," " PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant July 11, 1994 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 not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed lot line change for Demetrios A. Tertis & Goose Creek Assoc., Inc. SCTM#: 1000-78-8-21 & 79-2-3.7 Location: South side of North Bayview Rd., Southold SEQR Status: Type I Unlisted ( X ) Located within 500 feet of C.EA ( ) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: Lot line change to subtract 2,914 square feet from a 48,653 square foot parcel owned by Demetrios A. Tertis, and add it to a 38,332.8 acre right-of-way owned by Goose Creek Associates, Inc. The lot line change has been proposed to eliminate a property overlap condition existing on SCTM# 1000-78-8-21 and SCTM# 79-2-3.7; the 2,914 square foot area is the area involved in the overlap. . . Page 2 SEQRA Negative Declaration - Tertis/Goose Creek July 11, 1994 Reasons Supporting This Detennination: An Environmental Assessment Form has been submitted and reviewed, and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. There has been no correspondence received from the New York State Department of Environmental Conservation or the Town Trustees in the allotted time. Therefore, it is assumed that there are no comments or objections from those agencies. This lot line change will eliminate a property overlap condition that exists between a 48,653 square foot parcel (area includes area of overlap) and an adjacent right-of-way. Since the elimination of the overlap is the only action involved in the lot line change, there will not be any impact to the environ- ment. For Further Information: Contact Person: Melissa Spiro Address: Planning Board Telephone Number: (516) 765-1938 cc: Langdon Marsh, DEC Albany Judith Terry, Town Clerk Southold Town Board of Trustees Applicant , '. .. ~, . ~4-16-2 (2/87)-7c . . .... 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 that 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 knowledge 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 ht a project or action. 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 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 to be considered small to moderate or whether it IS a potentlally- large impact. The 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. ( Identify the Portions of EAF completed for this project: DETERMINATION OF SIGNIFICANCE_Type 1 and Unlisted Actions 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 magi tude and importance of each impact, it is reasonably determined by the lead agency that: ~A o Part 1 o Part 2 OPart 3 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 dedaration will be prepared. o 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, therefore a CONDITIONED negative declaration will be prepared.' o 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 DEMETROIS A. TERTIS Lot Line Change Name of Action ( """)ac.>.!hOI..,\ lOw.v ~JAIU~~~ ?x>~v-J Name of , a Agency rY)At"'~ *'5. ~])l)ue.1eI Print o)\j\.e Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Sign,lture of Preparer(1f different from responSible officer) ;/6/4J . / I Date )')')-6~v- r-p1J Title of Responsible Officer 1 r .::lART 1-PROJECT INFORM. .. N 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 entire form, Parts ^ 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 revie\IV. Provide any additional\' 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 specify each instance. NAMe OF ACTION Application of Demetrios A. Tertis LOCATION OF ACTION (InClude Street Address, Municipality and County) Lot #7 Dawson Sub-division SCTM 1000-2-3.7 NAME OF APPLICANT/SPONSOR I BUSINESS TELEPHONE Demetrios A. Tertis (516) 599-5759 ADDRESS c/o James W. Dougherty, P.C. CITY/PO I ~Te I lIP CODE 269 Hempstead Avenue, Malverne 11565 NAME OF OWNER (If different) I BUSINESS TELEPHONE ( I ADDRESS CITY/PO I STATE I lIP CODE DESCRiPtiON OF ACTION Draw new lot line to exclude easement portion of Goose Creek Lane and then transfer .that portion of road to Goose Creek Lane Associates, In 1 I (: Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped 1. Present land use: DUrban Dlndustrial DCommercial DForest DAgriculture DOther 2. Total acreage of project area: existing unimJi'.!Soved APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Fores ted Agricultural (Includes orchards, cropland. pasture. de.) Wetland (Freshwater or tidal as per Articles 24. 25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) areas. &/Residential (suburban) DRural (non-farm) road PRESENTL Y AFTER COMPLETION acres acres acres acres acres acres acres acres acres acres acres acres Exactly sa~res Existing acres acres acres 3. What is rredominant soil type(s) on project site? Sand .J. Soil drainage: DWell drained % of s.ite OPoerly drained % of site b. If any agriculturallJnd is involved, how many acres of soil are classifjed within soil group 1 through land Classification System I acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project sitel DYes KlNo a. What is depth to bedrock? (in feet) mixed with dirt DModerately well drained 100 % of site .t ot the NYSe 2 ~, .t\~proxilllate percentage of proP.lroject site with slopes: I8JlJ~10% ___ % 01 S'Xl or greater DllJ~15% \ \ "' 'u ( 7. 6. Is project substantially contiguous to, or contain a building, sitf', or district, listed on the State or the NatIon. Registers of Historic Places? DYes 19No Is project substantially contiguous to a site listed on the Register of National Natural Landmarksl 8. What is the depth of the water table' 25 (in feet) 9. DYes ~No 10~ Is site located over a primary, principal, or sole SOurce aquifer? Do hunting, fishing or shell fishing opportunities presently exist in DYes ~No the project area? DYes >al:N 0 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? DYes ~No According to Identify each species 12. Are there any DYes unique or :g]No unusual land Describe forms on the project site? (i.e., cliffs, dunes, other geological formations) 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? DYes 19No If yes, explain 14. Does the present site include scenic views known to be important to the community? DYes ::lUNa 15. Streams within or contiguous to project area: Goose Creek 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 Goose Creek b Size (In acres) 10 Acres 17. { Is the site served by existing public utilities? DYes lXNo a} If Yes, does sufficient capacity exist to allow connection? b} If Yes, will improvements be necessary to allow connection? DYes DYes DNa DNa 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304' DYes ~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? DYes ~No 20. Has the site ever been used for the disposal of solid or hazardous wastes' DYes GaNo 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 two b. Project acreage to be developed: -0- acres initially; -0- c. Project acreage to remain undeveloped all acres. d. Length of project, in miles: NA (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed f. Number of off-street parking spaces existing NA ; proposed g. I\taximum vehicular trips generated per hour One (upon completion of project)? h. If reSIdential: Numb{'r Jnd lype of housing units: NA One Family Two Family acres. acres ultimately. NA %; ( InItIally Ultimately i. Dimensions (in feet) of largest proposed structure height;. width; j. linear feet of frontage along a public thoroughfare project will occupy is? ft. Multiple Family Condominium length. 3 ...... 2. How much natural m,tterial ... .'ock, earth, etc.) will be removpd fro. 3. Will disturbed areas be reclaimed' DYes DNa 0N/A a. If yes, for wh,:lt intend.-.... purrose is the site being reclaimed? 'b. Will topsoil be stockpiled for reclamation? DYes DNa c. Will upper subsoil be stockpiled for reclamation? DYes DNa 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? None acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? DYes JgNo r .... . site? -0- tons/cubic y"a;ds ( 6. If single phase project: 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 of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? DYes ::IONo 9. Number of jobs generated: during construction N/A 10. Number of jobs eliminated by this project N/A N/A months, (including demolition). (number) month year, (including demolition). year. month DYes DNa ; after project is complete 11. Will project require relocation of any projects or facilities? DYes }@No If yes, explain 12. Is surface liquid waste disposal involved? DYes ~No 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? DYes ::IONo Type ( 14. Will surface area of an existing water body increase or decrease by proposal? DYes [lI,No to easement holder ~Yes DNa Explain conveyance in easement portion of road Is prOJect or any portion of project located in a 100 year flood plain? 15. 16. Will the project generate solid waste? DYes 121 No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? DYes DNa 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 DYes )Ql:N 0 17. Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? DYes E9No tons/month. years. 18. Will project use herbicides or pesticides? DYes P'J..No 19. Will project routinely produce odors (more than one hour per day)? DYes GNo 20. Will project produce orerating noise exceeding the local ambient noise levels? DYes KINo 21. Vo/ill project result in an increase in energy use? If yes, indicate type(s) If water "iupply is from wells, indicate puml1ing cap.lcity N/A Total a"tlclpated water usage per day N/A gallons/day. 24. Does proJect involve Local, State or Federal funding? DYes If Yes, l-'.xplain DYes KINo 22 23. gallons/minute. L C rnNo 4 -- . JS. Appro\lolls Required: (e (. . City, Town, Village Board DYes DNo r City, Town, Village Planning Board DYes DNa City, Town Zoning Board {XYes DNa City. County Health Department DYes DNa Other local Agencies DYes DNa Other Regional Agencies DYes DNa State Agencies DYes DNo Federal Agencies DYes DNa Submi Date \ , c. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? If Yes, indicate decision required: Dzoning amendment Ozoning variance Dspecial use permit Dsubdivision Onewjrevision of master plan Dresource management plan Dother Transfer 2. What is the zoning classilication(s)ol the site? Road 3. What is the maximum xxYes DNo Dsite plan of Easement 4. S. ( 6. 7. 8. 9. 10. 11. potential development of the site if developed as permitted N/A by the present zoning? What is the proposed zoning of the site? What-is the maximum potential development of the site if developed as N/A N/A permitted by the proposed zoning? Is the proposed action consistent with the recommended uses in adopted local land use plans? gJYes DNo What are the predominant land use(s) and zoning classifications within a l/4 mile radius of proposed action? Residential Is the proposed action compatible with adjoining/surrounding land uses within a 1;4 mile? If the proposed action is the subdivision of land, how many lots are proposed? N/A a, What is the minimum lot size proposed? N/A Will proposed action require any authorization(s) for the formation of sewer or water districts? DYes XXNo Will the proposed action create a demand for any community provided services (recreation, education, police. fire protection)? DYes 19No a. If yes, is existing capacity sufficient to handle projected demand? DYes DNo 12. Wi/I the rroposed action result in the generation of tralfic significantly above present levels? DYes ~No a. If yes, is the existing road network adequate to hondle the odditional traffic? DYes DNa ~Yes DNo D. Informational Details Attach .lny additional information as may be needed to clarify your project. If there are or may be Elny 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 lhat the information provided above is true to the best of AnpllcJ.nt/Spoflsor':Nam ,) Deme Tertis 'I' (/ Signature Hlhe a~lYis in the co..:as'lf..,111 ~ Ar-Ji- WIth fI"s assessment. U my knowledge. D.ltc 5/12/94 Title Owner d you are a state agency. complete the Coastal Assessment Form nefore proceeding 5 .'~ , Responsibility of Lc.ad Agency Part 2- "'qOJECT IMPACTS AND THEW-'MGNITUDE ... General Information (Re~d 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 (co/umn 2) does not mean that itis also necessarily significant. 1{ Any large impact must be evaluated in PART 3 to determine significance. Identify.ing 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 respon'e 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 r~quiring 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 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 changers) in the prolect 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 DYES 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 th~n 3 feet. . Construction of paved parking area for 1,000 or more vehicles. . Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface. . Construction that will continue for more than 1 year ar involve more than one phase or stage. . Excavation for mining purposes that would remove morc than 1.000 tons of natural material (i.e., rock or soil) per year. . Construction ar expansion of a sanitary landfill. . Construction in a designated floadway. . Other imp;lcts 2 Will there be an effect t:. ...IY un,que or ullusualland forms fOlllld on the site' (ie., cliffs, dunes, geological formations, etc.)~O DYES . Specific land forms: 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes DNa 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo 0 0 DYes ONo ~ , '-- E . . (e ..' 7 . 2 3 Small to Potential ,Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYe, DNa 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 Dy"s DNa 0 0 Dy"s DNa 0 0 DYes DNa r 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 DYES Examples 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' lQNO DYES Examples that 'vould 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 quaotity' ~NO DYES Exampies 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 efflllent will be conveye.l off the site to facilities which presently do not exist or have inadequate capacity. . Proposed Action would use water in excess of 20,000 gallons per day, . Proposed Action will likelv caU'i(_~ siltation or other discharge into an existing body of water to the ext('nl that there will be an obvious visual contrast to naturdJ 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 andlor sewer services. . Prormsed Action loca~es commercial and/or industrial u<:;cs which may require new or expansion of exi~ting waste treatment <meJ/or storage beiliU!:s. . Gtll"r Imp.lets: l 6 Wdl proposed ,letlon alter dr.linage flow or patterns, or surface W<lter runoff? ~NO DYES . Ex.llnpl('~ Ih.1t would apply to column 2 PropOsed \. . I Ulan would change flood water flows. . Proposed Action may Cause substantial erosion. . Proposed Action is incompatible with existing drainage patterns. o Proposed Action will allow development in a designated floodway. o Other impacts: IMPACT ON AIR 7. Will proposed action affect air qualityl Examplcs 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 Ibs. 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: 'lQNO DYES IMPACT ON PLANTS AND ANIMALS 8. \ViJ/ Proposcd 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 list, using thc site, over or near site or found on the site. o Removal of any 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.threat"{'ed or non'endangered species? b!i:l'Jo DYES Examples that would apply to column 2 . Proposed Action would substantially interfere with any resident or migr.1tory fish, shellfish or wildlife species. . Proposed Action requires the removal of morc than 10 acres of mature forcst (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will the Proposed Action affect agricultural land ref911rccs? ~NO DYES Examples that would apply to column 2 . The proposed action would sever, cross or limit access to agricultural land (includes cropland, h.1yfi.elds, pasture, vineyard, orchard, etc.) 8 - sm\1I to 2 3 " Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 .. 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa J . . , L l . - (e ..- l . 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 runoff) . Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action aHect aesthetic reSOurces I ~NO DYES (If necessary. use the Visual EAF Addendum in Section 617.21, Appendix S.) 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 wdl 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 l:nown to be important to the area. . Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure ~_~istoric, pre. historic or paleontological importance? ~O DYES Examples that would apply to column 2 . Proposed Action 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: l IMPACT ON OPEN SPACE AND RECREATION 13. \Vill Propoc;ed ActIon affect the quantity or quality of existing or future or)('n spaces or recreational opportunities? '--./ Examples that would apply to column 2 Q9.t\JO DYES . The perm.1rll'nt foreclosure of a future recreational opportunity. . A m,'/or reduction of an open space important to the community . Other Impacts: 9 , ( ---1..1 2 3 Small to Potential Can Impact E. Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa , .. IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation system<;l "l21'NO DYES Examples that would apply to column 2 . Alteration of present patterns of movement of people and/or goods. . Proposed Action will result in major traffic problems. . Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's energy supply? Examples that would apply to column 2 . Proposed Action will cause a greater than 5% increase in the use of any form of energy 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: sou~es of fuel or J"IlNO DYES NOISE AND ODOR IMPACTS 16. Will there be objectionable odors. noise, or of the Proposed Action? . Examples that would apply to column 2 . Blasting within 1,500 feet of a hospital, school or other sensitive facility. . 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 noise screen. vibration as ~O a result DYES . Other impacts: IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safetyl ~O DYES Examples that would apply to column 2 . Proposed Action may cause a risk of explosion or relea~c of hal.ardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of 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 form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, il"!fc.ctious, etc.) . Storage facilities for one million or more gallolls of liquified natural gas ur other flammable liquids. . Proposed .1ction may result in the exc.lvation or otl](~r disturbance Wilhln 2,000 feet of a sitp. used for the disposal of solid or hazardous Waste. . Other Impacts: 10 .,. , 1 2 3"] Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change , 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNO 0 0 DYes DNo r /' '- L-- '-= , . " " (e (8 , . . 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 5%. . The municipal budget for capital expenditures or operating services will increase by more than 5% per year a5 a result of this project. . Proposed action will conflict with officially adopted plans or goals. . Proposed action will cause a change in the density of land use. . 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 eliminate employment. . Other impacts: 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change . D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo -' IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD Will proposed action affect the character of the existing communitv? ~NO DYES 18. [ 19 Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? .krNO DYES ( 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 Part 3-EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of lead Agency Part J must be prepared if one or more impact(s) is considered 10 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 <l small 10 moderate impact by project change(s). 3. Based on the information available, decide if it is re<:lsonablc to conclude that this impact is important. To answer the question of importance, consider: . The prob':lhility of the impact occurring . The duration of the impact . Its irreversibility, including permanently lost H'SOurc('$ of value . \Vhether the imp:lct can or will be controlled . Ttw regioll,11 consequence of the impact . Its potentl.!1 div{'rgcncc from local needs and goals . Whether ~nown objections to the project rcL:ltc to this imp.Jct. (Contlllue on iJttadunents) l 11 <<, - P.O. BOX 448 SOUTHOlD, N.Y. 11971 . . 516-765-9283 :5U8 {:' MS Yintfwny W. Lewatufowsl(j LAND SURVEYOR Dale ,Tnn" 7,11)1)4 southold Town Planning Board Town Hall,53095 Main Road Southold,N.Y.11971 Re:SCTM #1000-02-03-3.7 '~ Dear, Board Members: I have received a request from James Dougherty,Attorney representing Demetrious Tertis in the transfer of a portion of Lot 7,Subdivision of James W.Dawson,to Goose Creek Lane Associates,for a description of Goose Creek Lane Incorporating the portion of Lot 7 to be deeded to Goose Creek Lane Associates Inc..However, since the parcel being transferred is claimed by both parties with Tertis relinquishing his claim to that portion of the overlap as shown on the Subdivision map,there will not be any addition or subtraction to Goose Creek Lane; therefore the existing deed for Goose Creek Lane remains the same. ~:;~, Anthony W.Lewandowski AWL:er cc: James W.Dougherty 00 JUN 91994 rn rn&rnDWrn SOUTHOLD TOWN PLANNING BOARD I .J . James W. Dougherty, P. C. . ATTORNEY AT LAW TELEPHONE 516 599-5759 MAUREEN DOUGHERTY MARTINO' OF COUNSEL "ADMITTED IN N,Y. AND CT 269 HEMPSTEAD AVENUE MAL VERNE, NEW YORK 1 1565 FAX NO. (516) 599-7616 VIA FAX AND REGULAR MAIL May 18, 1994 Ms. Melissa Spiro, Planner Planning Board Office Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Demetrios A. Tertis & Goose Creek Assoc. Inc. SCTHi 1000-78-8-21 and 79-2-3.7 Dear Ms. Spiro: Enclosed is a revised deed, revised affidavit and letter to Anthony w. Lewandowski, requesting the legal description for the additional deed you requested. advise. Should you need anything further, please Very truly yours, JWD:od cc: Mrs. Mary Papantoniou rn mOO~O\Ylrn MAY 2 3 1994 SOUTHOLD TOWN PlANNING BOARD 00 " /'- .- . . ----------------------------x In Re Application of DEMETRIOS A. TERTIS For a Lot Line Change AFFIDAVIT -----------------------------x STATE OF NEW YORK ) ) SS: ) COUNTY OF NASSAU JAMES W. DOUGHERTY, an attorney and Attorney In Fact for applicant, DEMETRIOS A. TERTIS, being duly sworn does depose and say: 1. I am the attorney-in fact for applicant pursuant to a written Power of Attorney, the original of which is on file 'with the Southold Planning Board. 2. I make this affidavit as part of the application for a lot line change to Lot #7 in the Dawson sub-division ,designated as SCTM #1000-2-3.7. " 3. The proposed lot line change is to exclude so much i from lot 7 as lies in the road known as Goose Creek Lane which is "approximately 16' as that road intersects with North Bayview Road i tampering to 14' as it reaches the back end of lot No.7. 4. The metes and bounds description of that portion of the road is as follows: BEGINNING at a point on the southerly line of North Bayview Road, at the northeasterly corner of Lot 7, Subdivision Map of James W. Dawson, filed 1016/85 as Map#7987; thence running along the southerly line of North Bayview Road S61 degrees 51 minutes 00 ' seconds E.16.32' to a point thence westerly through Lot 7 and along the southerly line of a 20' Right of Way known as "Goose Creek Lane" as shown on said sub- 1 " II r-- .-- . . division map the following two courses and distances: 1) S65 degrees 56 minutes 10 seconds wide 167.98' 2) S61 degrees 47 minutes 20 seconds wide 101.72' to a point on the southerly line of Lot 7, thence westerly along said line N 46 degrees 40 minutes 40 seconds W 14.22' to the southwesterly corner of Lot 7, thence easterly along northerly line of Lot 7 N64 degrees 23 minutes 40 seconds E 265.00 to a point on the southerly line of North Bayview Road at the point of beginning. The above described parcel is intended to be that portion of Lot 7 shown overlapping the Right of Way known as "Goose Creek Lane as shown on "Subdivision Map of James W. Dawson." 5. A copy of a survey made by Anthony Lewandowski dated December 26, 1989 which shows that portion of Goose Creek Lane as described above is annexed hereto as Exhibit "1". 6. If the lot line change is approved that portion of Lot 7 now lying in the bed of the road of Goose Creek Lane will be transferred to Goose Creek Lane Associates without leaving any strips or gores. 7. Goose Creek Lane Associates Inc., has agreed to accept such property from Mr. Tertis, Exhibit "2" annexed. 8. By operation of law the property deeded by Mr. Tertis to Goose Creek Associates, Inc., will merge with the parcel 'now owned by Goose Creek Lane Associates Inc., due to the common iownership and contiguous parcels. 9. The parties to this transaction agree that at no time shall this parcel constitute a separate building parcel and 'the deed effectuating the transfer shall so provide. 2 " . . 10. This affidavit is made to induce the Southold Planning Board to approve such transfer and knowing that the Southold Planning Board will rely upon such representations. WHEREFORE, your deponent respectfully requests that the Board accept such representations as part of the Tertis, application. ;~ to before me this I day of April 1994 , {!~~ ~O~-<~.. 'Notary Public Ii " N0" CONCILIIS '," ~,',te of New York :1136 ',,-,ou County <>_ "S August 31.19..L S Co I' i' 3 Slanda,d NY I Form 8002' ,B"g"n and Sale Deed w,lh Co",n,nl aglt O..nlo(, Acts-Individ""' 0' Co'po..l,on (Single Sheel) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY, THIS INDENTURE. made the day of Mmch ,1994 BETWEEN DEMETRIOS A. TERTIS, re~idin9 !It 31 Clove L!lne, R!lndolph, N/!w Jer~!!y 07869 party of the first part. and GOOSE CRE.EK LANE ASSOCIATES, INC., cia Jo~!!ph St. Pierre, P.O. Bell( 401, Southold, New York ll971 party of the second part, WITNESSETH, that the party of the first part in consideration of dollars paid by the party of the second part. does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land. with the buildings and improvements thereon erected. situate. lying and being in the Town of SO'Jihold beginnin<;J !It ~ point on the ~outherly line of North B~yview Ro~d, at the north,~,u':e~'ly corn'~r of Lot 7, Subd lvi~ ion Map of r!lme~ W. D"w,.,:>n, filed 10/lb/(3) H M'jp #7987: thence running !llong the ~outherly line :)f North !31lyview Tblld 8610 51' OO"E 16.32' to a point, thence we!terly through Lot 7 and along the !::lutherly line of a 20lRlght of Way known a! "Goose Creek Lane" a~ ~hown on s!lid subdivision map the foHowing two courses !lne! dist!lnces: 1) S650 56' 10" W 167.93' 2) S610 47' 20"W 101.72' to !l point on the southerly line of Lot 7,thence westerly along !,~;d lin~ N4Go 40' 40"W 14.22' to the south",,~~terly corner of Lot 7, thence ea~ter1y abng northl~rly line of Lot 7 N640 23' 40" E 265.00 to a point on the !outherly line of North Bllyview Road at the point of beginnin The above descfibed parcel is intended to be that portlon"of Lot 7 shown elverl!lpping the Right of W,',y known ,u "Goose Creek Lane !lS ~hown on "Subdivision M~p of rame~ W. D?Jw,'J::>n." At no time shall this property const- i lute a separate building parcel. TOGETHER with all right. title and interest, if any. of the party of the first part in and to any streets and roads abutting the above descrtbed premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part. the heirS or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part. in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the conSideration for thiS conveyance and will hoid the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the Improvement and will apply the same first to the payment of the cost of the improvement before uSing any part of the total of the same for any other purpose The word "party" shall be construed as if it read "parties whenever the sense of thiS indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written IN PRESENCE OF: ~ '" E o u. -- j)'.!metrios A. Tertis - -- I'IA'] - 19 "34 0:3: 34 DOU"iT'i J. 1.1. " .. -P.l James W. Dougherty, P. C. AYTOftNEY AT l.AW ~RLE IdS T!L.!ltMONE '1 S e;SH'768 l MAUFlEEN DOUGHEFlTY MAFlTINO' 01' COUNSII. ....D...ITT..C i~ NY AND CT. 2019 HEM~STEAC AVENUE MAL liEftNE. NEw YORK I 1566 FA.lI: NQ. \DlfU 5",70Ie FACSIMILE TRANSMITTAL SHEET TOI {\1kL,",* Sf I~ ~HJo{~~ ATTENTION I l"ASCIMILE f FROM I DATE. RE. NUMBER OF PAGES. PLEASE CONTACT THIS OFFICE AS SOON AS POSSIBLE IF YOU DO NOT RECEIVE ENTIRE TRANSMITTAL. _._-~ m m@mowrn W MAY I 9 1994 SOUTHOLD TOWN PLANNING BOARD r'1HY I'':' . 9-l. LIS :.::'4 !::(,1_II.,,~EC;'T"I' _T. ~'J. ::; -. , . James W. Dougherty, P. C. ATTORNEY AT LAW c'.,,- . rr:lEPHONE 1 t'.l !lQQ.876l:J MAUREEN DOUGHERTY MARTINO' OF COUNSEL. 'AOMlTi!O IN N.Y. ~ND f;r 2SQ HE 'PSTEAO AVENUE MAL VE'" :. r:e:w YORK I t see FAs.r ),f51l5lfi99-76Ie VIA FAX AND REGULAR MAIL May 18, 1994 Ms. Melissa Spiro, Planner Planning Board Office Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Rei Demetrios A. Tertis " Goose Creek Assoc. Inc. SCTMf 1000-78-8-21 and 79-2-3.7 Dear Ms. Spiro: Enclosed is a revised deed, revised affi Ia-vit and letter to Anthony W. Lewandowski, requesting tb~ .eg'al description for the additional deed you requested. Should you need anything' further, p .eAse advise. Very truly yours, JWDlod CCI Mrs. Mary Papantoniou -- r'lH"( 1 ':.4 ":'4 [It:: 3:, DOUI,;HEF'T'I J. ('-J. _ . James W. Dougherty, P. C. ATTORNEY AT LAW MAUREEN DOUGHERTY MARTINO' OF COUNSEl,. 'AOMIT'rEO IN N Y ANP ~T . Anthony W. Lewandowski Landsurveyor P.O. Box 448 Southold , NY 11971 Dear Mr. Lewandowski I ',;; . F'.3 T!I,.EPMONE e 18 15.e"f;76g zag HEMPeTEAD AVENUE MA.LVJ~RNe:, NEW 'YORK 11685 FAll: NO (fi 1 81 8911.76; 6 May 18, 1994 The Planning Board has requested a legal description that includes the land now owned bJ' Goose Creek Lane Associates, Inc .', 80 that it may be included with the property presently being deeded to it by Mr. Tertia (copy enclosed). Therefore, will: you please provide Die with such description. , JWD:od CCI Mrs. Mary Papantoniou. Very truly yours, ~ - 1"lH'(_-l"~ .9....:. .]:='::::;5, [il:IUI;HEF T'I' . J . ~'J. S. i I I I I I : ----------------------------x ! In Re . F'.4 i Application of I DEMETRIOS A. TERTIS I For a Lot Line Change " )1 ---------------------------,--x , I STATE OF N~W YORK : COUNTY OF NASSAU I, [I II for applicant, DEMETRIOS A. TERTIS, being duly SWClrn aoes depose AFFIDAVIT ) ) SSI ) JAMES W. DOUGHERTY, an attorney and Attorney In Fact and saYI i I 1. I am the attorney-in fact for appJ.ici!I,nt pursuant lito a written Power of Attorney, the original of which is on filel I, with the Southold PlanninIT Board. I' " II '; 2. I make this affidavit all part of t,he application I ! for a lot I I designated all SeTH #1000-2-3.7. II 3., The proposed lot line change ill to lIxclude so much I from lot 7 as 1iElII in the road known all Goose Creelc Lane which ill I lapproximately 16' as that road intersects with Nort~h Bayview Road Ii tampering to 14' as it reaches the back end q! lot 110. 7. I , line change to Lot #7 in the Dawson sub-division' 4. The metes and bounds description of 1:hat portion of the road ill aB follows. I I II I' I' " ii II II I I I Ii I, BEGINNING at a point on the southerly line of North Bayview Road, at the northeallterly cornElr of Lot 1, SubdiviBion Map of James W. Dawson, fHed 1016/85 as Map#79S7; thence running along the B()utherly line of Nortll Bayview Road 561 degrees 51 minutes 00 seconds E.16.32' to a point thence westnrly throuqh Lot 7 and along the southerly line of a 20' Riqht of Way known all "Goose Creek Lane" dS shown on said sub- 1 ~~ ':.~'I ';"7' .'?-..+ ~'::':=::3= [":'U;HEFrl J.~.i. c:. p s - . . I 1 I ,i I I I Ii ,I i " I' i I I division map the followinq two coursell Il,nd distancesl 1) 565 degrees 5/i minutes 10 seconds wid,e 167.98' 2) 561 degrees 47 minutes 20 seconds wiele 101.72' to a point on the southerly line of Lot 7, thence westerly along said line N 46 degrees 4(1 minutes 40 liieconds W 14,22' to the southwesterly Ciorner of Lot 7, thence easterly along northerl.y line of Lot 7 N64 degrees 23 minutes 40 seconds E 265.00 to a point on the southerly line of North BaJ~iew Road at the point of beginning. The above described parcel is intended 1:0 be that portion of Lot 7 shown overlapping the !light of Way known as "Goose Creek Lane as shown on "Subdivision Map of James W. Dawson." 5 . A copy of a survey made by Anthelny Lewandowski! i dated December 26, 1989 which shows that portion of Goose Creek Lane IlS described above is armexed hereto as Exhibi 1: "1". I I 6. If the lot line change is approved 1:hat portion of I :: Lot 7 now lying in the bed of the road of Goose Cre,~k Lane will be I I, i! 'I transferred to Goose Creek Lane Associates without leaving any I I strips or gores. I 7. Goose Creek Lane Associates Inc., has agreed to II accept such property from Mr. Tertia, Exhibit "2" a;~nexed. 8 . By operation of law the property deeded by Mr. I I Tertis to Goose Creek Associates, Inc., will merge 'dth the parcel I i now owned by GoOSEl Creek Lane Associates Inc., dUE~ to the common lownership and contiguous parcels. , I 9. The parties to this transaction aqrae that at no Ii time shall this parcel constitute a separate bullding parcel and I !jthe deed effectuating the transfer ahall so provide. ! 2 . WHEREFORE , I the Board aceept such II 11 t' '1IlPP ca J.on. I' i I,swo.rn to before me this I'b;~ clay of April 1994 ! (}~.;:lK L(}-.~:J..":'~ I Notary Public I CONcmA DE CONC1"US . N01',~RY PUB"IC. St810 of Now Vorl< No. 48S6738 ':luoUllod In N..80U Counl1 _ <';,j"" Comrniaalon expIre. Augl,lat 31. , au,.' ~. , 11 . your deponent respectfully req'..lests that representations as part of the Tertia \~ ~!~ C J~:-' " I. / ~.;_ I / l-/ 3 """" 'i ,..." ''''.'-',.-.,,"'f '-''-. ,-,,-, .....,- ,-T r UI , f>lA'j' l'~"3-1 0:::;:: 36 [1::dJI;HEPT'I' ]. ~'J. c . . - F'.-;-' Standard N y a T U For,.,., 8002- .elrQain and Sale O..d wlfh Cov.nant against GrSr'!!or't AClS-tn.1!\:IClUtlJ or ec,,,crellon (S,n<;I' Sheet) CONSULT YOUR LAWYER aEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the Oayof March ,1994 BETWEEN DEMETRIOS A, TERTIS, residing at 31 Clove Lsne, Randolph, New Jersey 07869 psrty of the first part. anO GOOSE CREEK LANE ASSOCIATES, INC" c/O Joseph St. Pierre, P.O. Box 401, Southold, New York 11971 party of the second part. WITNeSSETH, that the party of the first part, in conslderatlcn of Oollars paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. ALL that certain plot. piece or parcel of land, With the buildings and improvements t,ereon erected, situate, lying and being In the Town of Southold beginning at a point on the southerly line of North Bayvlew Road, at the northeasterly corner of Lot 7, SubdivisIon Map of Jame. W. D('Jw.~on, flled 10/16/85 as Map #7987: thence running along the southerly line of North Bllyvlew Road 8610 51' DO"E 16.32' to !l point, thence w~sterly through Lot 7 and along the southerly line (,f a 20'Rlght of Way known as "Goose Creek Lane" as shown on said subdivision map the following two courses end distances: 1) 8650 56' 10" W 167.98' 2) 8610 47' 20"W 101.72' to a point on the southerly lIne)f Lot 7,thence westerly along Ii!ltd line N.ol6o 40' 40"W H.22' to the southwesterly corner of Lot 7, thence easterly along northerly line of Lot 7 N64" 23' 40" E 265.00 to a point on the southerly line of North Bi!lyviewRoi!ld at the point of beglnnln The above descflbed parcel Is Intended to be thllt portlon:..of Lot 7 shown overlapplng the Right of Way known as "Goose Creek Lane !II shown on "Subdivision Map of Jamell W. Dawson." At no time shall this property consti tute a separate bui lding parcel. TOGETHER with all right. title and interest. if any. of the party of the first part in anC to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of tl1e first part In and to said premises: TO HAVE AND TO HOLD the premises herein grantad ..mto the parly of the second part, the heirs Or successors and aSSigns of the party ot the second part forever. AND the party of Ihe tlrst part covenants that the party of the first part has not done Or luffered anything Whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party at the first part, In compliance with Section 13 of the Lien Law. covenants that the party of the first part will receive the consideration lor this conveyance and will hold the right to recei"e such consideration as a trust fund to be applied first for the purpose of paying the cost of the Improvement and will apply the same first to the payment of the cost of the Improvement befOre using any part of the total of the same for any other purpose The word "party" shail be construed as If It read "parties" whenever the sense of this indanture so requires. IN WITNESS WHEREOIi the party of the first part has duly executed this deed the day find year first above written IN PRESENCE OF: I ! JJemetrlos A. Tertis . . . ,.:",A'-";_- PLANNING BOARD MEMBERS " -)" :'"" '. ',' j,"l:nf..';? ;) 1,'/)')',',",:,::", "\. , :: , .... . - .~- ,1 Town Hall. 53095 Main Road p, O. Box 1179 Southold. New Yor1< 11971 Fax (516) 765.3136 Telephone (516) 765-1936 Richard G. Ward. Chairman George Ritchie Latham. Jr. Bennett Orlowski. Jr. Mar1< S. McDonald Kenneth L. Edwards ':~/ ,.. PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 16, 1994 James W. Dougherty 269 Hempstead Avenue Ma1verne, New York 11565 RE: Proposed Lot Line Change Demetrios A. Tertis and Goose Creek Associates Inc. SCTM~ 1000-78-8-21 and 79-2-3.7 Dear Mr. Dougherty: In confirmation of our telephone conversation of earlier today, please note the following: - I have received the outstanding information in regard to the above mentioned application. - You will be revising the Affidavit of Merger to ensure that the portion of the right-of-way involved in the lot line change will be merged with the land currently owned by Goose Creek Associates, Inc. The Lead Agency coordination process has been initiated. If all is in order, the Planning Board will make a determination under the State Environmental Quality Review Act at the July 11, 1994 public meeting, in addition to setting the final hearing for the August 22, 1994 public meeting. Please do not hesitate to contact this office if you have any questions regarding the above. SinCerelY~ ~ ' Melissa S ro Planner . . ---...., PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonald Kenneth L. Edwards \ . ' J : , . Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765.3136 Telephone (516) 765.1938 ~ PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mo.'f \~, 1~'lY 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: )..0+ L.'n. C\a"g"- \:.r\:u,a", ~'''''''''.'<>S'\CrT1S .. c...~ C..elc:.. A~. 'bCt1Y\" IOOO'78.8'~\ ~ 10-.7'."'.3."1 Requested Action: ~ ~ ~~.:..~ ~'l~ 'tJ:;;;, ":.' tS3 ~,,fl. ?'l?J 3~2. li' cIJ:A# r":i,lj..oI'~.. 4 ~ ~ J.,j.,..... (...1. Ai..c..:,j:y,~M. SEQRA Classification: (-~) Type I [1oc..:h~ ...,.;;ttw... 500' ~ (.ooso. c....t.Ic, .. C'r..\.;...o &.w. A,.,,-~ ( ) Unlisted Contact Person: Nlet ~S~ q,. S~'Q." (516) 765-193 . . Page 2 Lead Agency Coordination Request 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. Planning Board Position: ( ><) 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) Comments: Please feel free to contact this office for further information. Sincerely, fv'~jj 1t/J Richard G. Ward "'IS Chairman cc: Doard of ,1\13130815 "'"Board of Trustees Building Department Southold Town Board Sblf.folk COblnty Department of Health Ser/ices l/. NYSDEC - Stony Brook vNYSDEC - Albany al,lffolk County Department of-P-tIDlie 'Norl(s U.S. Army Corp of Engineers ~Jew Yorl( Stala Department of Transportation -Maps are enclosed for your review rev. 4/94 . . '.:. .14-16-2 (2/B7)-7c . . ( 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 that 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 knowledge 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 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 assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: FOClLies on identifying the range of possible impacts that may occur from a profect or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentiaJly- large impact. The 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 Identify the Porlions of EAF completed for this project: 0 Part 1 Unlisted Actions { o Part 2 OPart 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 magi tude and importance of each impact, it is reasonably determined by the lead agency that: [3 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. o 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, therefore a CONDITIONED negative declaration will be prepared.' o 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 DEMETROIS A. TERTIS Lot Line Change Name of Action Name of Lead AI;ency Print or Type N<lme of Respons"iblc Officer in Lead Agency Title of Responsible Officer ( Signature of Responsibl{~ OffICer in Lead Agency Signdture of Preparer (If different from responsible officer) Date 1 PART 1-PROJECT INFORM;': ;)N 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 entire form, Parts ^ 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 specify each instance. NAME OF ACTION Application of Demetrios A. Tertis LOCATION OF ACTJON (Include Street Address, Municipality and County) Lot #7 Dawson Sub-division SCTM 1000-2-3.7 NAME OF APPLICANT/SPONSOR I BUSINESS TELEPHONE Demetrios A. Tertis (516) 599-5759 ADDRESS c/o James W. Dougherty, P.C. CITY/PO I STATE ) liP CODE 269 Hempstead Avenue, Malverne NY 11565 NAME OF OWNER (JI different) I BUSINESS TELEPHONE ( I ADDRESS CITY/PO --r STATE I ZIP CODE DESCRIPTION OF ACTION Draw new lot line to exclude easement portion of Goose Creek Lane and then transfer .that portion of road to Goose Creek Lane Associates, In' I ( Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project. both developed 1. Present land use: DUrban Dlndustrial DForest DAgriculture existing 2. Total acreage of project area: APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, l~tC.) Wetland (Freshwater or tidal as per Articles 24. 25 of ECl) Water Surface Area Unvegetated (I,ock. earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) and undeveloped areas. DCommercial K1Residential (suburban) DOther uni!1l:li'e;oved road DRural (non-farm) PRESENTl Y AFTER COMPLETION Jcres acres acres acres acres acres acres acres acres acres acres acres Existing acres Exactly sarna:t:rcs acres acres 3. \Vh.lt is r)r(~dollljn,int soil type(s) on project site? Sand .J. Sod drainage: DWell drained % of s.ite . oPoorly drained % of site b. If any ilgricuJturalland is involved, how rTlilny acres of soil are classified within soil group 1 land Classification System1 acres. (See 1 NYCRf, 370) 4. Are there bedrock outcroppings on project site? DYes XJNo a. What is depth to bedrock' (in feet) mixed with dirt DModerately well drained 100 % of site through.j of the NYSe 2 '. . 5; Approximate pt'rcentage of propo project site with slopes: ~O-.10% ______ % DIS% or greater Cll1.15% % 0' '" 6. Is project substantially contiguous to, or contain <l building, site, or district, listed on the Stelle or the National Registers of Historic Places' DYes BNo {" 7. Is project substantially contiguous to a site listed on the Register of Nation.ll Natural Landmarksl DYes }[]No What is the depth of the water tablel 25 (in feet) 8. 9. 10. 11. Is site located over a primary, principal, or sole SOurce aquifer? DYes I&JNo Do hunting, fishing or shell fishing opportunities presently exist in the project area? Does project site contain any species of plant or animal life that is identified as DYes BNo According to Identify each species DYes ~o threatened or endangered? 12. Are there any DYes unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ~No Describe 13. Is the project DYes site presently used by the 'EiNo If yes, explain community or neighborhood as an open space or recreation area? 14. Does the present site include scenic views known to be important to the community? DYes LNo 15. Streams within or contiguous to project area: Goose Creek 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 Goose Creek b. Size (In acres) 10 Acres ( Is the site served by existing public utilities? DYes 5iNo a) If Yes, docs sufficient capacity exist to allow connection? b) If Yes, will improvements be necessary to allow connection? Is the site located in an agricultural district certified pursuant Section 303 and 3041 DYes I&JNo 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? DYes ~No DYes DYes DNo DNa 17. 18. to Agriculture and Markets law, Article 25-AA, 20. Has the site ever been used for the disposal of solid or hazardous wastes? DYes llQNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropri.1te) a. Total contiguous acreage owned or controlled by project sponsor two b. Project acreage to be developed: -0- acres initially; -0- c. Project acreage to remain undeveloped all acres. d. Length of proll'ct, in miles: NA (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed f. Nurnbc'r of off-street parking spaces existing NA ; proposed g. J\1ClXirnum vehicular trips generated per hour One (upon completion h. If resldenti;ll. Numrwr and type of housing units: NA One Family Two Family acres. acres ultinlately. NA %; of project)? ( IrlltJally Ultirnatl'ly i. Dimensions (in feet) of largest proposed structure height; width; j. Linear feet of frontage alo bl th hi II ng a pu ic oroug are project wi occupy is? Multiple FJ.mily COnd0l11iniulTl length. ft. 3 2. How much natural material., rock, earth, etc.) will be remov(~d fron. .Iie site? -0- t.ons/cubic y<,;ds 3. Will disturbed areas be reclaimed' DYes DNo :0N/^ a. If yes, for what intend...... purpose is the site being reclaimed? . b. Will topsoil be stockpiled for reclamation? DYes DNo c. Will upper subsoil be stockpiled for reclamation? DYes DNo 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? None acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? DYes ~o 6. If single phase project: 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 of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? DYes ::IBNo 9. Number of jobs generated: during construction N/A N/A N/A months, (including demolition). (number). month month DYes year, (including demolition). year. DNo ; after project is complete 10. Number of jobs eliminated by this project \'\'ill project require relocation of any projects or facilities? 11. DYes }@No If yes, explain 12. Is surface liquid waste disposal involved' DYes ~No 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? DYes :taN 0 Type 14. Will surface area of an existing water body increase or decrease by proposal? DYes ~o to easement holder ~Yes DNo Explain conveyance in easement portion of road Is project or any portion of project located in a 100 year flood plain? ( 15. 16. Will the project generate solid waste' DYes ~No a. If yes, what is the amount per month tons b. If yes, will an eXisting solid waste facility be used? DYes DNo 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 DYes }(ll:No 17. Will the l"oJect involve the disposal of solid waste' a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? DYes i:9No tons/month. years. 18. Will project use herbicides or pesticides? DYes %J.No 19. Will project routinely produce odors (more than one hour per day)? DYes [llN 0 20. Will projl~ct produce operating noise exceeding the local ambient noise levels? '\Vill prOjl'ct result in an incrC.1se in energy use? If yes, Indicate type(s) If w.,ter ~Uf1ply is from wells, indicate pumping cap,lcity N/A Total dnticipated water usage per day N/A gallon~/day. 24 Docs prOject involve local, State or Federal funding? DYes If Yes, explain 21. DYes KlNo DYes KlNo n 23. gallons/minute. L C 0No 4 . 1.-5. Approv..1ls Rl'Quired: . - City, Town. Vdl.lge Board DYes DNa r City, Town, Village Planning Board DYes DNa City. Town Zoning Board [XYes DNa City, County Health Department DYes DNa Other Local Agencies DYes DNa Other Regional I\gencies DYes DNa State Agencies DYes DNa Federal Agencies DYes DNa C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? If Yes, indicate decision required: Ozoning amendment Dzoning variance Ospecial use permit Dsubdivision Dnew/revision of master plan Dresource management plan Dother Transfer Road 2. What is the zoning c1assification(s)of the site? 3. Submittal Date XXYes DNa Dsite plan of Easement What is the maximum by the present zoning? potential development of the site if developed as permitted N/A N/A 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? N/A ( DNa 6. Is the prorosed action consistent with the recommended uses in adopted local land use plans? IDYes 7, What are the predominant land use(s) and zoning classifications within a ~ mile radius of proposed action? Residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a ';4 mile? 9. If the proposed action is the subdivision of land, how many lots are proposed? N/A N/A ~Yes DNa 10. a. What is the minimum lot size proposed? Will proposed action require any authorization(s) for the formation of sewer or water districts? ~o DYes 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)l DYes IDNo a. If yes, is existing capacity sufficient to handle projected demand? DYes DNa 12. Will the rroposed action result in the generation of traffic significantly above present levels? DYes a. If yes, is the existing road network adequate to handle the additional traffic? DYes DNa IDNo D. Informational Details Attach ,lny additional inform;ltion as may be needed to clarify your project. If there Me or may be any adverse impacts t:lssociated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them E. Verific;Jtion I certify lhclt tlH' Inforrniltion provided abovp is true to the best of my knowledge. AnpJlc.ll1t,'Sp0l150r Name... Signature ,'. ~ ' H,the 'l~t:i~~Y'!is in t'he ~o.a stJI:)Ar...1' With lhts assessment. \ '~ ( OdIC 5/12/94 Title Owner d you ..1re a state agency, complete Ifle CO.1sfal Assessment Form before proceeding 5 Responsihility of lead Agency Part 2~PROJECT IMPACTS AND THEIR "nAGNITUDE General Information (Read Carefully) . In completing the form the reviewer should be guided by the question: Have my responses and determrnations been reasonable? The reviewer is not expected to be an expert environmental analyst. , f' . Identifying that an impact will be potentially large (column 2) does not mean that it is also necess3niy 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 possibre the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throug.hout the State and for most situations. But. for any specific project or site other examples and/or lower thresholds mav 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 varv. 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 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 potentiallv large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by changers) in the prOlect 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? DNO DYES 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 1,000 or more vehicles. . Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface. . Construction that will c~ntinue for more than 1 year or involve more than one phase or stage. . Excavation for mining purposes that would remove more than 1,000 tons of natural material (i.e., rock or soil) per year. . Construction or expansion of a sanitary landfill. . Construction in a designated floadway. . Other imr,1cts 2 \Vil/ there he an dfcct tf. ...IV u;;.que or ullusualland forms found on the sltel (ie, cliffs, dunes, geological formations, etc.)DNO DYES . SpeCific land forms: 6 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNa 0 0 DYes ONo [l 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes ONo 0 0 DYes DNa [ '- '- . . . ..' .. r 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) DNa DYES Examples 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? DNa DYES 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' DNa DYES Exampies that lVould 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 convey".! off the site to facilities which presently do not exist or have inadequate capacity. . Propos~d Action would use water in excess of 20,000 gallons per day. . Prol1osed Action will likelv cau,::f' siltation or other dischilrgc into an existing body of wilter to tht~ ext(onl that there will be an obvious visual contrast to naturdl conditions. . Proposed Action will r~quire the storage of petroleum or chemical products greater than 1,100 gallons, . Proposed I\ction will allow reSidential uses in' (lredS without water ami/or sewer services. . Proposed Action loca~es commercial and/or industrial uses which may requIre nf'W Or expansion of exi<,ting W.1ste tre.1tment .lnd/or storage f.1C1lltll'S . Othl~r Imp.lets: l & W,JI proposed .1Ulon alter dr.linage flow or patterns, or surface W,lter runoff} DNO DYES . [x.llnple'l IhJt wuuld apply to column 2 PrOPOsed \. . I Ulon would change flood water flows. 7 ~ 2 3 Small to Potential ,Can Impact Be Moderate Large Mitigated By Impact Impact Project Change -c- 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa . 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> DNa DYES hample. 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 SIbs. 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> DNa DYES hamples 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 any 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.cndangered species? DNa DYES Examples that woulLl apply to column 2 . Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. . Proposed Action requires the removal of more th,Ul 10 acres of mature forest (over 100 years of age) or other locally important vegetation IMPACT ON AGRICULTURAL LAND RESOURCES 10 V\'dl the Proposed Action affect agricultural L:md resources? DNa DYES h.:unples that vvould apply to column 2 . The proposed Jction would sever, cross or limit ilccess to agricultural land (Includes cropl,lnd, hayfields, pasture, vineyard, orchard, etc.) 8 - 1 2 3 .. Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo I D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo D D DYes DNo ,{ , " .. L \... . , . .. t . 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 runoff) . Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources' DNO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B) Examples that would apply to column 2 . Proposed L:lnd uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or n<1tural. . 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 l:nown to be important to the area, . Other imp<1cts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12, Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance' DNO DYES Examples that would apply to column 2 . Proposed Action occurring wholly or partially within or subst.1ntially contiguous to any facility or site listed on the State or National Register of histonc places. . Any impact to an archaeological site or fossil bed located within the proi(~ct site, . Proposed Action will occur in an areil designated as sensitive for arch,lcologicJ.1 sites on thc NYS Site Inventory, . Other imp,lcts: l IMPACT ON OPEN SPACE AND RECREATION 13 \Vdl Proposed Action affect the quanti,ty or qUJlity of existing or future orH'n sp,lces or recreatiollJI opportunities? fx.lmp/es th,lt would Jpply to column 2 DNa DYES . The perm.lrlt'rlt foreclosure of a future recreation.]l opportunity. . ^ m,lJor u'duction of an open space important to the community. . Othl'r Imp,lets' 9 -- 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change 0 0 DYes DNo 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNo 17. Will Proposed Action affect public health and safety' DNa DYES 1 2 3~ Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change , 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNa 0 0 DYes DNo 0 0 DYes DNO 0 0 DYes DNa ...... , IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation system'i? DNa DYES Examples that would apply to column 2 . Alteration of present patterns of movement of people 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 energy supply' DNa DYES Examples that would apply to column 2 . Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. . Proposed Action will require the creation or extension of an energy transmission or supplv 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' . DNa DYES Examples that would apply to column 2 . Blastin~ within 1,500 feet of a hospital, school or other sensitive facility. . Odors will OCCur routInely (more than one hour per day), . Proposed Action will produce operating noise exceecllng the local ambient noise levels for noise outside of structures. . Proposed Action will remove natural barriers that would act as a noise Screen. . Other impacts: r '-- IMPACT ON PUBLIC HEALTH Examples that would apply to column 2 . Proposed Action may cause a risk of explosion or release of hJJ:ardous substances (i,e. oil, res tic ides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may b(~ a chronic low 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, i~fcct!ouS, etc.) . 5tor.l,;e f.lcrfitics for one million or morc gallons of liqlJified natural gas or other flammable liquids. . Proposed ;lction nJ,lY result in the exc,lvation or other disturbance withIn 2,000 feet of a site used for the disposal of solid or hill.1rdous Waste. . Ot!Wf Imp.lcts: L..- ~ 10 , .. . . .' 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? DNO DYES 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa D D DYes DNa 18. ( IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD Will proposed action affect the character of the existing community? DNO DYES 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 5%. . 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 goals. . Proposed action will cause a change in the density of land use. . 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 eliminate employment. . Other impacts: ( If Any Action in Part 2 Is Identified as a Potential Large Impact vr 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 he 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 .lpplicable) how the impact could be mitigated or reduced to tl small to moderate impact by project changers). 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: . Thp probability of the impact ()CCurrin,~ . Thp dur,ltion of the impact . Its irrcver<;ihility, including permanently lost r('SOurces of value . \Vhether the impact can or will be controlled . Tht~ rcgiorul cons<'qucnc(' of ttw impact . Ib potenllcll divergence from local needs and goals . \Vh('thcr known objections to the projt'ct reLlte to this impdct. (COrltlllue un c..ltt.Jchmcnt'>J ( 11 ;..."' .- ..... . . 14.14.11 \:?'87l-9c . St~~te 617.21 Appendix B Environmental Quality Review . { V~sua] EAF Addendum SEOR 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) 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 overlook 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? r \.. . 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? . State? . Local road? Distance Between Project and Resource (in Miles) 0- '/, '!.-'/, '/'.3 3-5 5 + o 0 0 0 0 o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o 2. Is the visibility of the project season,ll? (i.e.. screened by summer foliage. but visible during other seasons) DYes ONo l 3. Are any of the resourc.:es checked in question 1 used by the public during the time of year during which the project wjll be visible? DYes ONo 1 -".~~- -~ii&o.~~ . DESCRIPTION OF EX STING VISUAL ENVIRONMENT 4. From each item checked in question I, check those which generally describe the surrounding environment. Within *1/4 mile * 1 mile Essentialiy undeveloped Forested Agricultural Suburban residential Industrial Commercial Urban River. Lake. Pond Cliffs. Overlooks Designated Open Space Flat Hilly Mountainous Other NOTE: add attachments as needed o o o o o o o o o o o o o o o o o o o o o o o o o o o o 5. Are there visualiy similar projects within: '1/2 mile DYes ONo '1 miles . DYes ONo '2 miles DYes DNa '3 miles DYes DNa . 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 7. The situation or activity in which the viewers are engaged while viewing the proposed action is Activity Travel to and from work Involved in recreational activities Routine triwcl by residents At a residence At worksite Other Daily o o o o o o Weekly o o o o o o FREQUENCY Holidays! Weekends o o o o o o Seasonaliy o o o o o o r-. " 2 .- . James W. Dougherty, P. C. . ~L.e 1'1-5 ATTORNEY AT LAW TELEPHONE 516 599-5759 MAUREEN DOUGHERTY MARTINO' OF COUNSEL 269 HEMPSTEAD AVENUE MALVERNE. NEW YORK 1 1565 'ADMITTED IN N,Y, AND CT FAX NO (516) 599.7616 May 13, 1994 Ms. Melissa Spiro, Planner Planning Board Office Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Demetrios A. Tertis & Goose Creek Assoc. Inc. SCTH# 1000-78-8-21 and 79-2-3.7 Dear Ms. Spiro: Enclosed are original copies of the documents previously sent by FAX to your office. They are: merged, and 1. Affidavit that the properties will be 2 . grading, and Form letter regarding drainage and 3. Application with proposed deeds, and 4. Long Form Environmental Assessment Form. Please advise if there will further needed as Mrs. Papantoniou will be deliver same should that become necessary. be anything happy to hand JWD:od ';;~;'~J; u vn~' C/ 00 rn :: ~:rn ill SOUTHOlD TOWN PLANNING BOARO " ...... - . . ----------------------------x In Re Application of DEMETRIOS A. TERTIS For a Lot Line Change AFFIDAVIT -----------------------------x STATE OF NEW YORK ) ) SS: ) COUNTY OF NASSAU JAMES W. DOUGHERTY, an attorney and Attorney In Fact I for applicant, DEMETRIOS A. TERTIS, being duly sworn does depose and say: 1. I am the attorney-in fact for applicant pursuant Ito a written Power of Attorney, the IWith the Southold Planning Board. 2. I make this affidavit as part of the application original of which is on file for a lot line change to Lot #7 in the Dawson sub-division designated as SCTM #1000-2-3.7. 3. The proposed lot line change is to exclude so much from lot 7 as lies in the road known as Goose Creek Lane which is approximately 16' as that road intersects with North Bayview Road tampering to 14' as it reaches the back end of lot No.7. 4. The metes and bounds description of that portion of the road is as follows: BEGINNING at a point on the southerly line of North Bayview Road, at the northeasterly corner of Lot 7, Subdivision Map of James W. Dawson, filed 1016/85 as Map#7987~ thence running along the southerly line of North Bayview Road S61 degrees 51 minutes 00 seconds E.16.32' to a point thence westerly through Lot 7 and along the southerly line of a 20' Right of Way known as "Goose Creek Lane" as shown on said sub- 1 " ....... .. . . I i I !dated division map the following two courses and distances: 1) S65 degrees 56 minutes 10 seconds wide 167.98' 2) S61 degrees 47 minutes 20 seconds wide 101.72' to a point on the southerly line of Lot 7, thence westerly along said line N 46 degrees 40 minutes 40 seconds W 14.22' to the southwesterly corner of Lot 7, thence easterly along northerly line of Lot 7 N64 degrees 23 minutes 40 seconds E 265.00 to a point on the southerly line of North Bayview Road at the point of beginning. The above described parcel is intended to be that portion of Lot 7 shown overlapping the Right of Way known as "Goose Creek Lane as shown on "Subdivision Map of James W. Dawson." :1 5 . A copy of a survey made by Anthony Lewandowski December 26, 1989 which shows that portion of Goose Creek Lane as described above is annexed hereto as Exhibit "1". 6. If the lot line change is approved that portion of Lot 7 now lying in the bed of the road of Goose Creek Lane will be transferred to Goose Creek Lane Associates without leaving any strips or gores. 7. Goose Creek Lane Associates Inc., has agreed to accept such property from Mr. Tertis, Exhibit "2" annexed. 8 . By operation of law the property deeded by Mr. Tertis to Goose Creek Associates, Inc., will merge with the parcel now owned by Goose Creek Lane Associates Inc., due to the common ownership and contiguous parcels. 9. This affidavit is made to induce the Southold Planning Board to approve such transfer and knowing that the Southold Planning Board will rely upon such representations. 2 .... II . . . WHEREFORE, your deponent respectfully requests that the Board accept such representations as part of the Tertis application. Swo~n to before me this 3V~ day of April 1994 {J~ EJl~ ,Notary Public CONCETTA DE CONCILII5 NOTARY PUBLIC, 5toto of Naw YclI'k 1'10.4688736 Qualified in Nassau County 't.J- Commission Expires August 31, 19-C ~~~:~ . / ~. 3 . James W. Dougherty, P. C. . ATTORNEY AT LAW TELEPHONE 516599.5759 MAUREEN DOUGHERTY MARTINO' OF COUNSEL 269 HEMPSTEAD AVENUE MAL VERNE, NEW YORK 11565 "ADMITTED IN NY, AND CT FAX NO. (516) 599.7616 May 13, 1994 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Demetrios A. Tertis & Goose Creek Assoc. Inc. SCTHI 1000-78-8-21 and 79-2-3.7 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) No grading, 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 or road are proposed. Very truly yours, JWD:od ~).. /:~t: tv . . ;~ I I' li.), "'! :: "\.;" )' ",-:: PLANNING BOARD MEMBERS .v .' '..' Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Marlk S. McDonald Kenneth L. Edwards ; J '~1 : Town Hall, 53095 Main Road P. O. Box 1179 Soulhoid, New Yorlk 11971 Fax (516) 765-3136 Teiephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 28, 1994 James w. Dough~rty 269 Hempstead Avenue Malverne, New York 11565 RE: Proposed Lot Line Change Demetrios A. Tertis and Goose Creek Associates Inc. SCTM~ 1000-78-8-21 and 79-2-3.7 Dear Mr. Dougherty: I have received the following information that you sent by facsimile on April 27, 1994: 1. Short Environmental Assessment Form; 2. Questionnaire; 3. Copy of December 23, 1993, correspondence fronl Dougherty to Goose Creek Lane Associates. The above mentioned items were submitted with the original application and do not fulfill the outstanding five (5) items listed in my April 8, 1994 letter. I have enclosed an example of an affidavit as requested in Number 1 of the April 8th letter for your assistance. As you know, the Planning Board passed a resolution on April 18, 1994, to start the lead agency coordination process. However, since the Long Environmental Assessment Form was not submitted, the coordination process was not initiated. The lead agency process requires a thirty (30) day coordination period. Therefore, the dates mentioned in the April 19, 1994 letter are no longer applicable. . . Tertis and Goose Creek April 28, 1994 Page 2 Please contact me if you have any questions regarding the above. S~Y'A< Melissa SPi~ Planner enc. cc: Anthony Lewandowski . . AFFIDAVIT STATE OF NEW YORK ) 55. : COUNTY OF SUFFOLK STEPHEN L. HAM, III, being duly sworn, deposes and says: 1. I am the authorized agent of Thomas D. Duff, Jr. and Elaine G. Duff, owners of premises situate at Fishers Island and designated on the Suffolk County Tax Map as District 1000, section 6, ,Block 2, Lot 3.2, which premises are the subject of an application to the Planning Board of the Town of Southold for a lot line change. The foregoing lots are shown on a certain map prepared by Chandler, Palmer & King, dated October 14, 1993, and submitted to the Planning Board of the Town of Southold in connection with such application. 2. The proposed lot line change will be effected by the transfer to said tax lot 3.2 of an approximately .41-acre portion of a parcel adjoining on the west now owned by Peter P. Nitze, said latter parcel being designated on the Suffolk County Tax Map as District 1000, section 6, Block 2, Lot 2. 3. I hereby affirm on behalf of the owners that, upon approval of the lot line change and upon the property transfer described above, the portion of said tax lot 2 now owned by Peter P. Nitze and to be transferred to tax lot 3.2 will merge with and become a part of such tax lot 3.2 and will not at any time constitute a separate buildable parcel and that the deed effecting such transfer will so provide. 4. I make this affidavit in order Board of the lot Town line of Southold to grant change in accordance to induce the Planning its approval to the with the application proposed therefor. stepe~~~: ~, ll{::- III Subscribed and Sworn to Before Me this 8-1~ Day of December, 1993 C/ 0- /. 0/) , ~~"~ VVLL"-~~F j,\Nf ;.llr~ Notary Public ~:mJ_q)' NJi.HJC. Sl.)fE u1 t,!>,1W l'l:r., No. :.2.J91G)~6 Q'../.1![iiied rn Surloj~ C:j\f(\t}' j 713 ('-":1' :.'l"......~, c~.... '., (,'.'.....'!.~1. "::i ~1 .;...c. ,?, ,_,."., ,..,4... . ,.j.; ......u.....,. '-". E'f~N\~L-.c --- . COUNTY OF SUFFOLK. $uoFrcc- fb I€f- ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING STEPHEN M. JONES. A.I.C.P. DIRECTOR OF PLANNING April 25, 1994 Mr. Richard Ward, Chairman Town of Southold Planning Board Main Road Southold, NY 11971 Plat Name: Minor Subdivision - Lot Line Change Tertis & Goose Creek Assoc. Tax Map No.: 1000-78-8-21 1000-79-2-3.7 SCDP File No.: S-SD-94-04 Dear Mr. Ward: Pursuant to the requirements of Section A14-24, Article XIV of the Suffolk County Administrative Code, the above captioned proposed final plat which has been referred to the Suffolk County Planning Commission is considered to be a matter for local determination; however, this shall not be construed that the Commission has either approved or disapproved this particular plat. Very truly yours, Stephen M. Jones Director of Planning Sls Frank Dowling, Principal Planner Subdivision Review Division FD:mb ill m&~o\YJ~ ill APR 2 6 1994 SOUTHOLD TOWN PlANNING BOARD H. LEE DENNISON BUILDING . VETERANS MEMORIAL HIGHWAY . HAUPPAUGE, NEW YORK 11788 . (516) 853-5192 FAX (516) 853-4044 . . . ~, .~ Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonald Kenneth L. Edwards .) ; ", , \ , >~...... ,:")" )', ". )",.:.~ .. ,.-:: j.', . ~ ' . . Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Teiephone (516) 765-1938 PLANNING BOARD MEMBERS -":;,~" PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 19, 1994 James W. Dougherty 269 Hempstead Ave. Ma1verne, NY 11565 Re: Proposed Lot Line Change Demetrios A. Tertis and Goose Creek Associates, Inc. SCTM# 1000-78-8-21 and 79-2-3.7 ,Dear Mr. Dougherty: The following resolutions were duly adopted by the Southo1d Town Planning Board at a meeting held on Monday, April 18, 1994: RESOLVED that the Southold Town Planning Board acting under the State Environmental Quality Review Act start the lead agency coordination process on this Type 1 action. This action is classified as a Type 1 action since it is located within 500 feet of a Critical Environmental Area. If all is in order, the Board will make a determination under the State Environmental Quality Review Act at the May 23, 1994 public meeting, in addition to setting the final hearing for the June 13, 1994 public meeting. Please do not hesitate to contact this office if you have any questions regarding the above. Sincerely, RJJ1d 1~ Richard G. Ward ~S -:hairman . SUBMISSION WITHOUT COVER LETTER DATE: Lf) 141CJcf SENDER: T(Jl\~ LeMJl1M.d.lJWs~ SUBJECT: Te,(tis t- 61oo~ CAcl SCTM# : COMMENTS: ~ ru..-V,"Su{ ma.-ps . APR I 4 1994 SOUTHOLD TOWN PlANNING BOARD LSaff"/{.[; ;l:K Richard G. Ward. Cha1nnan George Ritchie 1-1. tham. Jr. Bennett Orlowski. Jr. Mark S. McDonald Kenneth L. Edwards ..v;;l~el,( "'- ~). " , f") '\ '" '~, ~' ',' ")' '~ 'J) ~ "_ , .,,' ~ r::.., ') ~", .v" ~ ",/ ~, '''''' J 1 Town HaU. 53095 Main Road P. 0, Box 1179 Southold. New York 11971 PLANNING BOARD MEMBERS Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTIiOLD Fax (516) 765 - 1823 A,\,r'\\ 8. ,19'll( Suffolk County Planning Commision H. Lee Dennison Executive Off~ce Building - 12th Floor Veterans Memorial Highway Hauppauge, New York 11788 Attention: Mr. Frank Dowling, Senior Planner Subdivision Review Division Gentlemen: Pursuant to Section A14-24, Suffolk County Administrative Code, the Southold Town Planning Board hereby refers the following proposed subdivis~n to the Suffolk Co~~~~ Planning Commission: -.\A""'l> W."b.,\tJSoN ({d~cI. s......I..o.~\""") \ Map of - Li"e. c,,",,"'3"- 1c.~.M.V\ Hamlet/Locality <;"'"",\1,...(:)\0 ~. ltr~is. ..ml. Cree6€. C'..'c 1..<... A>.$oc. A S.C.D.P.W. Topo No.: Zoning ~rtc"\-tI.l(C'"CC:>"~"(-:lcv\..iol\.l S.C. Tax Map No.: Jt:>cO - 7 ~ 50? - Ol.l ~ 71-;2-"3..'/ Major Sub. Minor Sub. Lo;' Li.-.e. Ch..n~Q. ~ MATERIAL SUBMITTED: Site Plan Cluster_ ~il\o.O.. V rrclin,il'lary Plat (3 copies) ~Road Profiles (1) Drainage Plans (1) ___Topogroaphical Map (1) ____ Site Plan (1) Grading Plan (1) --- ---- Other materials (specify and give number of copies) Waiver of Subdivision Requirements _ See attached sheet CONTINUED . . 31 Clove Lane Randolph, New Jersey 07869 March 24, 1994 Planning Board Members Att: Robert G. Kassner Town Hall, 53095 Main Road Southold, NY 11971 Re: SCTM #1000-2-3.7 Dear Mr. Kassner: I am the record owner of the subject land. I have read the letter of my attorney (copy attached), James w. Dougherty dated March 24, 1994 and fully agree with its contents. Therefore, if process this application, and cooperation with this you will be kind you may be assured of Board. enough to my consent Very truly yours, ~~0 14.-rerS Demetrios A. Tertis ),fnclosure () ~/2DOUG NarARY PUBuc, State lllot No. 4688737 QueIIIied In N....u Cou!'\Y _Q ~ Comm_ Ellpi... Auguat 31, 1 "+J . ,r . .5uH'/~ !i/J.KP TELEPHONE fb-':~:J;J\'> 5 t 6 599-5759 ; 1 . James W. Dougherty, P. C. A TTORNEY AT LAW MAUREEN DOUGHERTY MARTINO. OF COUNSEL 'ADMITTED IN N. y, AND CT. 269 HEMPSTEAD AVENUE MAL VERNE. NEW YORK 1 1 565 FAX NO. (5161599-7616 March 24, 1994 Planning Board Members Attl Robert G. Kassner Town Hall, 53095 Main Road Southold, NY 11971 ill MAR 3 0 1994 ReI SCTM #1000-2-3.7 ~J8NI, Dear Mr. Kassner: I am the attorney who represents the owner of the subject property Demetrios Tersis. I am also the nominated attorney in fact, possessing a written power of attorney for Mr. Tersis in this real estate matter. A copy of that written power of attorney is annexed hereto for your information. Mr. Tersis is the owner of lot 7 on a filed map known as the Dawson subdivision. That lot abuts a private road which is partially owned by the Goose Creek Lane Associates, Inc. Lot 7 overlaps into the center of that road from approximately fourteen (14') feet at the back of the property to sixteen (16') feet at the front of the lot as the road intersects North Bayview Road. I have negotiated on behalf of Mr. Tersis the transfer of our portion of lot 7 that lies in the bed of the road in which the Goose Creek Lane corporation has an easement. Mr. Tersis is not a member of Goose Creek Lane Associates, Inc., but wishes to transfer his interest in the easement portion of that private road to the association. The association in turn has agreed to accept title to the easement portion of the private road provided Mr. Tersis makes the application, prepares the necessary documents and effectuates the transfer to them without cost, (see copy of consent attached). Such transfer will put the entire private road in the ownership of the association and will sever Mr. Tersis' ownership in a portion of that road. . .'" . . Planning Board Members Att: Robert G. Kassner Page-2- March 24, 1994 Mr. Tersis has also contracted to sell lot 7 to a Mr. & Mrs. John Keenan, who intend to build a house on said plot. As part of the condition of the sale, the Keenans wish to relinquish any control they have of the private road. Thus, the reason for the present application to change the lot line of lot 7 as it abuts with Goose Creek Lane. Mr. Anthony W. Lewaudowski, a Land Surveyor, who both the Keenans and Mr. Tersis have used in the past will provide the necessary paper work and descriptions to the Board for approval and of course, both Mr. Tersis and I will cooperate with the Board to properly convey the property insuring that no strips or gores remain after the transfer. The above constitutes the reasons we are requesting approval of this application. Very truly yours, "'. JWD:od Attachments - CO~~~ NOl'ARV PU8UC. Stet.oI_'lIlot No. 4888737 &.-" QueIIIIed In N_ou ~31 1 Cammlulon ElIpl.... AuguIt . '-.-.00 . James W. Dougherty, P. C. . A TTORNEY AT LAW TELEPHONE 516599-5759 MAUREEN DOUGHERTY MARTINO' OF COUNSEL 'ADMITTED IN N.Y. AND CT 269 HEMPSTEAD AVENUE MAL VERNE. NEW YORK 11565 FAX NO. (516)599-7616 FAX (516) 547-0543 December 23, 1993 Mr. Joseph St. Pierre, President Goose Creek Lane Associates, Inc. P.O. Box 401 Southo1d, New York 11971 ReI Goose Creek Lane Associates, Inc. Dear Mr. St. Pierre I My clients are still willing to deed their interest in the road to the association provided the association is willing to accept same. It is my understanding that the association is willing to accept such property subject to your attorney's review of the documents. We shall contribute $100.00 towards such expense. However, before the surveyor will proceed we need an acknowledgment of our understanding to show the Town Officials. Therefore, please sign a copy of this letter, fax an acknowledgment and mail me a hard copy. ,"~ JWDlod CCI Mr. & Mrs. Papantoniou Mr. Demetrois A. 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