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HomeMy WebLinkAbout1000-79.-5-20.7 THIS MINOR SUBDIVISION IS FOR '� LOTS ON 3762 ACRES LOCATED ON &,91,1y !;1,96- of A'T" BayuFU fen a- TLC Wesr n sF IN SOVTHOLD SCTM# 1000- 79-5-.2o.7 ,„,A 8i_?"zp 5�x^�Ro' MINOR SUBDIVISION (NO ROAD) Complete application received a. FGQ�- Wai vPc�br pa5 za'9oun�' ✓ Form It*& `� AY Application reviewed at work session I m.` OK nm. OK Applicant advised of necessary revisions Revised submission received A&WL INro. OK uo i OK INro. ;Sketch plan approval -with conditions Lead Agency Coordination SEQRA determination Sent to Fire Commissioner Receipt of firewell location Notification to applicant to include on final map Sent to County Planning Commission ro.` oK Receipt of County Report ro.` OK Review of SCPC report Draft Covenants and Restrictions received INro. OK Draft Covenants and Restrictions reviewed IN"Oio. OK Filed Covenants and Restrictions received Receipt of mylars and paper prints with Health approval . Final Public Hearing Approval of subdivision -with conditions Endorscment of subdivisiuu 0 i d 7v APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (fI'iffi?-) approval of a subdivision plat in accordance with Article 16 of the Town Lav and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be . . .M1A41". .$ul?diyi,sion_.- RaXmond and Eleanor Kerester . .................... .. .. ............ . ..... . . . . .. . . .. .. . . .. .. .. .. .... . ... .. .. ..... ... ..... .. ... . 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of Gleed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber . ...77.7.8...... .. ... . .. . Page . .747.. .. .. .. . . . . .. .. . On 1/12/74 Liber . ...6823.. .. ........ .. . Page . . .4.0. .. .. .. . . .. .. ... On .10/9/70. . .... .. .. . . ; Liber . .. ........ ...... .. . . .. . Page . .. .. . . .. .. .. . . . . .. .. . On . .. .:.. .. .. . . .. . . .. ... . ; Liber . .. .. . :.. . . .. . ... .. .. . . . Page . .. .. . . . . .. .. .. . . .. .. . On . .. .. .. . . .. .. .. . . . . .. .. ; Liber . .... .. .. .. .. .... ....... Pal e ... On . . . .. .. .. . . . . .. . . . . . . . as devised under the Last Will and Testament of . .. . . .. .. .. .. . . .. . . .... . . .. . . . . . . . . .... oras distributee . .... ...... .. .... ...: .. .. . . .. .. . . .. . . . . .. ...... .. . . .. ........... ....... . . . . .. . . .. .. . . .. .. .. .. .. ...... ................... . . . . . . . . . . . . . .. .. . . . . .. ..... .. ... . . . ..... . ... . .. . 5. The area of the land is . .a7-62.. . . .. .. . acres. 6. All taxes which are liens on thelandat the date hereof have been paid except . , none . . . .. .. . . .. .. .. .. . . .. . . .. .... . . . .. .. .. .. . .. . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . ...... . .. . . . . . . . 7. The land is encumbered by . nQa@.. .. .. .. . . . . .. .. . . .. . . . . . . . . . . .. . . . . ... . ... . . .. . . . . . .. . mortgage s as follows: (a) Mortgage recorded in Liber . .. . . . . . . . . . . . Page . . . . . . . . . . . .. . . . . . in originalnmount of $. . . . . . . . . . . . . . Unpaid amount $ . .. .. . . . . . . :. . . . . . . . . held by . . . .. . . . . .. . .. .. . . .... . . . address . . . . . . . . . .. . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . (b) Mortgage recorded in Liber . .. . . . . . . Page . . . . . . . . . .. .. . . . . . . . . . . in original amount of . .. .. . . . . . . .. . unpaid amount $. . . . . . . . . . . . . . . . . . . . . . held b . .. .. .. .. .. .. . address . . . . . . . .. .. ... .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ... ... . ... . . . . . . E (c) Mortgage recorded in Liber Page in original amount of . .. .......... . unpaid amount $. . . . . . . . ... . .. .. . . .... . held by . .. .. .... .. . . ...... ... ... .. .. .. .. ...... .. . . . address . . .. .. .. .. .. .. . . .. . . .. .. . . .. .... .. . .... .. . ... . . . .. 8. There are no other encumbrances or liens against the land except . .. ...... ...... ... ... ... . . . . . . . .. . . .. . . .. .. . . . . . . . . .. .. .. .. ........ ......... ........ 9. The land lies in the following zoning use districts . ,R-40..and .A-C.... .... .. .. .. . . ... . . . . . . .. .. .. .. . . .. .. . . . . . . .. ...... .. .. .. .. .... ..... .......... 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex- cept .approximately 2 acres• of. •pond and wet meadow . .. .. .. . . ...... .. . .... .... .. . . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land WROO) (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . . . . . .. ... . .. ... . .. . . . . . . . . . . . . .. .. . . .. . . .. .. ... . . . . . . .. .. ... . 13. Water mains will be laid by . ,. ., J1/a , . ... . . . . . . ... . ... . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by ,Lilco . . . .. . . . . .. . . . . .. .. . . .. .... .. . . .. . •"""" ""' and (a) (no) charge will be made for installing said lines. 15. Gas mains will be installed by . .•n(a . forininstalling .. . . . . .. . . . . . . .. .. . . ... ... ..... . . . . . . . . an a) (no) charge will he made for installing said mains. 16. If streets shown on the plat arc claimed by the applicant to be existing public streets in the Suffolk County IIighway system, annex Schedule "B" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold Ilighwav system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the laud which are not located and show,, on the plat. 19. Where the Plat shows 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 rxisting maps at their conjunctious with the proposed streets. 20. In the course of these proceedings, the applicvuit 11 ill offer proof of it as required by Sec. ,i35 of the Real Property Law. 21. Subrlit a copv of proposed (Iced for lots shov,-in;; all restrictions, covenants, etc. Annex Schedule "D" 22. The applicant estimates that the cost of grading and required public improvements will be $•••0...... as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at .. .n./.a.. .. . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule ` F". DATE . Maxch.1.7.,. .1�.94.... .. . ... 19. ... .RaY;oond. .Kexes.tvx..... .... .. .. ..... .. .. . (Name o£ Applicant) y / BYi .. tG.ti. ... . .. . .. . (Signatu and Title) AGENT c/o Wichkam Wickham & Bressler P.C. . . . .. .. .. .. . . .. . . . . .. .. .............. . ......... . (Address) P.O. Box 1424 Mattituck, NY 11952 STATE OF NEW YORK, COUNTY OF . .Suffolk• .. . . .. .. .. . . .. . . .. .. ss: On the . . ... .!:,th••„ •, . day of. . . .MarPb . , 1994, , ,, before me personally came Raymond J. Keer ..... . .... ........ . rrestest. . . .. .. .. . . . . . .. . , to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . .. kl . , exe ute th s me WILLIAM WICKHAM NOTARY PUBLIC,State of New York No.52-4259000 Qualified in Suffolk County No a 'c Commission Expires lune 30.1995 STATE OF NEW YORK, COUNTY OF . . . .. ... . . . . . .. .. .. . . .. .. . . . ss: On the . .. .. .. . . .. . . .. . day . . . .. .. .. .. . of . . . . . . . . . . . . . .. 19. .. . . ., before me personally came . . . • . • . . . . . . .. . .. .. . to me known, who being by me duly sworn did de- pose and say that . . . . . .. .. .. . resides at No. . . . .. . . .. . . . . . . . . .. . . . . .. .. .. .. .. .. . .... . . .. . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . . . . . . . .. .. .. .. .. .. .. .. . . . is the . . . .. . . . . . . . . . . . . .. . . . . . . . . . of . . . .. .. . . .. ... . . . . . . . . . . . .. . . .. . . .. .. . . . . . . . . . . .. .. . . . . .. .. . . . . . . . . . . . . . . . the corporation described in and which executed the foregoing instrument; that . .. .. . . . . .. . knows the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. tuul that . . . . . . . .. . . . signed . . . . . . . . . . . . . . name thereto by like order. , . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . ... Notary Public Southold Town Planning Board March 17, 1994 Town Hall Southold, New York 11971 Re: Minor Subdivision Raymond and Eleanor Kerester 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, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads. (3) No new drainage structures or alteration of existing structures are proposed. Yobs truly, LAI r 14-16-2 (2187)-7c • . D 6 8 - 617.21 S11 'i Appendix W'2 8 MAI b State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORIV SOUT>IULD TO'PN PLANNN'r 30r^L) Purpose: The full EAF is designed to help applicants and agencies determine, in an orderFY- 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: 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: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared." ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. ' A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer r Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 1 _K.,.. .. ... J. IOART 1—PROJECT INFORMAlift 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 additionalc- 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 Minor Subdivision Kerester LOCATION OF ACTION (include Street Address, Municipality and County) Suffolk Co . NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE ( ) ADDRESS Campfire Lane CITY/PO P 0 Box 262 Peconic STYE ill ffl NAME OF OWNER(If different) BUSINESS TELEPHONE ( ) ADDRESS (alternate) Oriole Avenue CITY/PO Bronxville NYE ziTdgb% DESCRIPTION OF ACTION 37 acres to be divided into two parcels of 13 & 24 acres . Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ❑Residential (suburban) ®Rural (non-farm) ❑forest ❑Agriculture ❑Other 2. Total acreage of project area: 37 . 6 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 1 acres 1 acres Forested 28 acres 28 acres Agricultural (Includes orchards, cropland, pasture, etc.) 8 acres 8 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 1 acres 1 acres Water Surface Area 1 acres 1 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surfaces 3 acres — acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? tppgni 1 1 nam,gand & gravel a. Soil drainage: ❑Well drained 9_ % of site ❑Moderately well drained 4 % of site ❑Poorly drained 1 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? NA acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? Dyes ®No a. What is depth to bedrock? ATA (in feet) 2 s 5. Approximate percentage of prod project site with slopes: 00-10% WO % ❑10-15% 5 % 015% or greater 5 % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes gNo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes L3No 8. What is the depth of the water table? 0-25 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes CSNo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes CRNo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes C$NO According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes 13No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes [31No If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes QNo 15. Streams within or contiguous to project area: NIA 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 2 ponds b. Size (In acres) 2 17. Is the site served by existing public utilities? ®Yes ❑No a) If Yes, does sufficient capacity exist to allow connection? ®Yes ❑No b) If Yes, will improvements be necessary to allow connection? C$Yes [:]No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ®No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes [ No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes CXNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 37-6 acres. b. Project acreage to be developed: 37 .6 acres initially; 37 . 6 acres ultimately. c. Project acreage to remain undeveloped 0 acres. d. Length of project, in miles: 15 (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/A %; f. Number of off-street parking spaces existing n proposed n g. Maximum vehicular trips generated per hour _ 1 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 2 Ultimately 2 i. Dimensions (in feet) of largest proposed structure 25 height; 40 width; 75 length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 870 ft. 3 2. How much natural material (i.e.wk, earth, etc.) will be removed from th&e? 0 tons/cubic yards 3. Will disturbed areas be reclaimed? ❑Yes ❑No C$N/A „ a. If yes, for what intend_ purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes ®No 6. If single phase project: Anticipated period of construction N/A months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ❑No 8. Will blasting occur during construction? ❑Yes ❑No 9. Number of jobs generated: during construction after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? ❑Yes IONo If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes [RNo 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? ®Yes ❑No Type Household 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes C$No Explain 15. Is project or any portion of project located in a 100 year flood plain? ®Yes ❑No (30%) 16. Will the project generate solid waste? ❑Yes IINo a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? ❑Yes ❑No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes ®No ` a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? ❑Yes C3No 19. Will project routinely produce odors (more than one hour per day)? ❑Yes ®No 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes 13N0 21. Will project result in an increase in energy use? ❑Yes CSNo If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity 5 gallons/minute. 23. Total anticipated water usage per day 50 gallons/day. 24. Does project involve Local, State or Federal funding? ❑Yes ®No If Yes, explain 4 .25. Approvals Required: • • Submittal Type Date City, Town, Village Board ❑Yes ❑No City, Town, Village Planning Board IRYes ❑No Town Planning Board City, Town Zoning Board ❑Yes ❑No City, County Health Department (3Yes ❑No County Health Dept . _ Other Local Agencies ❑Yes ❑No Other Regional Agencies ❑Yes ❑No State Agencies ❑Yes ❑No Federal Agencies ❑Yes ❑No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? IIRYes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ®subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R-40 and A- 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 30 lots 4. What is the proposed zoning of the site? No change 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ❑Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? Residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/. mile? ®Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? 2 a. What is the minimum lot size proposed? 13 . 85 acres 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes INNo 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ®Yes No a. If yes, is existing capacity sufficient to handle projected demand? nYes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes IRNO a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify tl}afjhe information pr ided ab ve is true to the best of my knowledge. *Applicant/S�o or Name R d rester, Agent 3/17/94 Date Signature Title Agent If the action is i the Coasf. Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Part 2—JPJECT IMPACTS AND THEIR QWNITUDE 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. F+ • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. (\ Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds 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 small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be i Moderate Large Mitigated By IMPACT ON LAND Impact Impact Project Change 1 . Will the proposed action result in a physical change to the project site? ONO DYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ F-1 Yes []No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes []No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ El Yes [:]No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ []Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ []Yes ❑No • Construction in a designated floodway. ❑ ❑ El Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect tr. ... y urrque or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO DYES • Specific land forms: ❑ ❑ ❑Yes []No 6 • 1 2 3 IMPACT ON WATER Small to Potential ,Can Impact Be 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By Impact Impact Project Change (Under Articles 15,24, 25 of the Environmental Conservation Law, ECL) ONO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ 1:1 Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ Dyes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ F-1 Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ El Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ Dyes ❑No • Other impacts: ❑ ❑ El Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No C • Proposed Action requires use of a source of water that does not 0 ❑ Dyes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ Dyes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ El Yes ❑No • Liquid effluent will be conveyeJ off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ Dyes ❑No day. • Proposed Action will likelv cause siltation or other discharge into an ❑ ❑ Dyes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in'areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locales commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 a l 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes []No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ONO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ Dyes []No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ Dyes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes ❑No development within existing industrial areas. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? ONO DYES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ 1:1 Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ El Yes []No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ EJ Yes ❑No than for agricultural purposes. • Other impacts: ❑ ❑ C1 Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ONO DYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ El Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No 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? ENO DYES Examples that would apply to column 2 _ • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No t7 land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 3 Small to Pote2ntial Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No 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 ❑ ❑ ❑Yes []No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ Dyes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ONO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ []Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ E-1 Yes []No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ONO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ Dyes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ONO DYES • The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ El Yes []No 9 2 3. IMPACT ON TRANSPORTATION Small to Potential Can Impact Be 14. Will there be an effect to existing transportation systems? Moderate Large Mitigated By ONO DYES Impact Impact Project Change Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ 1:1 Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? ONO OYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ ❑Yes []No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? - ONO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ E]Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes []No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes []No noise screen. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ONO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of 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 ❑ ❑ Dyes ❑No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ❑ ❑ ❑Yes ❑No 10 IMPACT ON GROWTH AND CHARACTER t 2 3 Small OF COMMUNITY OR NEIGHBORHOOD Potential Can Impact Be Moderatteo Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change ONO OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ El Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ 1:1 Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ El Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ 1:1 Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO ❑YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impacts) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 •a-'..a-i� i?871-9c 617.21 • SEQR Appendix B '�-t-te Environmental Quality Review f Visual IEAF Addendum This form may be used to provide additional information relating to Question i 1 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-'/a 1/4-1/2 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic 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? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ Cl or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ O 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? O ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) ❑Yes ❑No 3. Are any of the resources checked in question 1 used by the public during the time of year during which the project will be visible? OYes ❑No 1 - .ar DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *1/* mile *1 mile Essentially 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 5. Are there visually similar projects within: *1/2 mile ❑Yes ❑No *1 miles ❑Yes ❑No *2 miles El Yes ❑No *3 miles ❑Yes El No f * 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 FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ t 2 Metes and bounds description of Lot #1 , presently known as Tax Map #1000-79-5-20.7: ALL that certain plot , piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a monument set in the Northerly line of North Bay View Road, which monument forms the Southeast comer of land of Beach Estate and the Southwest comer of premises about to be described herein, said point also being distant 597.83 feet Easterly from the comer formed by the intersection of the Easterly side of Reydon Drive with the Northerly side of North Bay View Road. RUNNING THENCE along land of Beach Estate and land of Reydon Shores Subdivision North 20 degrees 47 minutes 00 seconds East 1117.84 feet to lands of Paradise Aqua Farms, Inc.; THENCE along lands of Paradise Aqua Farms, Inc. the following two courses and distances: (1) South 70 degrees 48 minutes 10 seconds East 800.30 feet, (2) North 20 degrees 47 minutes 00 seconds East 1200 feet to the mean high water mark of Shelter Island Sound as of 3/31/89, THENCE along Shelter Island Sound South 78 degrees 20 minutes 00 seconds East 158.19 feet to land of Kerester, THENCE along land of Kerester the following two courses and distances: (1) South 16 degrees 04 minutes 40 seconds West 454.30 feet, more or less, to a monument; (2) South 16 degrees 50 minutes 40 seconds West 885.54 feet to land now or formerly of Case; THENCE along said land now or formerly of Case the following three courses and distances: (1) North 70 degrees 20 minutes 00 seconds West, 20.55 feet; (2) South 23 degrees 10 minutes 20 seconds West, 222.83.feet; (3) South 19 degrees 51 minutes 50 seconds West, 112.35 feet to the Northerly side of North Bayview Road; THENCE along the northerly side of North Bayview Road South 64 degrees 26 minutes 50 seconds West, 586.09 feet; THENCE North 25 degrees 33 minutes 10 seconds West 242.74 feet; THENCE North 64 degrees 26 minutes 50 seconds East, 331.77 feet; THENCE North 36 degrees 07 minutes 00 seconds East, 29.84 feet, THENCE North 04 degrees 41 minutes 00 seconds East, 170.00 feet, THENCE North 85 degrees 19 minutes 00 seconds West, 260.00 feet, THENCE South 20 degrees 47 minutes 00 seconds East, 760.00 feet to the Northerly side of North Bayview Road; THENCE along the Northerly side of North Bayview Road South 74 degrees 42 minutes 10 seconds West 387.78 feet to the point or place of BEGINNING. Metes and bounds description of lot #2, presently known as tax Map # 1000-81-1-25: ALL that certain plot, piece or parcel of land lying and being at Bay View, Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the comer formed by the intersection of the northerly side of North Bayview Road with the westerly side of Paradise Point Road, and from said point of beonning running thence South 79 degrees 23 minutes 30 seconds West along said northerly side of North Bayview Road, a distance of 169.42 feet to land now or formerly of Callis; thence northwesterly along the northerly line of said land now or formerly of Callis and land now or formerly of Case, the following two courses and distances: (1) North 71 degrees 02 minutes 20 seconds West 184.75 feet to said land now or formerly of Case; (2) North 70 degrees 20 minutes 10 seconds West 115.18 feet to land now or formerly of John Plock; thence northeasterly along the easterly line of said land the following two courses and distances: (1) North 16 degrees 50 minutes 40 seconds East a distance of 885.54 feet to a point; (2) North 16 degrees 04 minutes 40 seconds East a distance of 454.30 feet to the ordinary high water mark of Southold Bay; thence easterly along the said ordinary high water mark of Southold Bay, a distance of 450.09 feet on a tie line bearing of South 75 degrees 05 minutes 40 seconds East to land now or formerly of Paradise Point Corp.; thence southerly along the westerly line of said land and the westerly line of Lot 16 on "Map of Paradise Point" Map No. 3761 and the westerly side of Paradise Point Road, the following two courses and distances: (1) South 16 degrees 04 minutes 40 seconds West a distance of 466.50 feet to a monument; (2) South 16 degrees 50 minutes 40 seconds West a distance of 822.94 feet to the corner fust described herein, at the point or place of BEGINNING, said premises containing 13.85 acres, more or less, according to survey by VanTuyl & Son dated October 2, 1970. r t •.�� r i r,f ., - d' r. i ! " "• S L rnr. _ rs r 2�L5 r VI •LI. •- � ��� • _ r LA. faol ORIOARTI •� , . �' ~^I i � �' S - � =. l , i 1 ! . ` r •. a �� r• ` � 1 1 S S � . 1 1 ! 3S � t r t 3. •• rC ! i • o• • � t r• ! : . _ .. 14 ' - ! 2 ox tj t i R YDR a i j ? t, �•�t C v t f ] � y --a-.- --�- 1 ; ' 8 ' --, a n v t�. `L •mrM �w�NrR +P „Iq! Tr.1X�M 77, i Q.' yt -.��VMrY.Y rAMM4�f4;.10.y).rIN AF.'ld(1.11t, � �W..iBYrMYy .... NNW; Om +IL�.:. . ..a ..;._ '.a. .. _ - if! a BpY �j SOUTHOCO ^ see ac M10 �1> '���• ��� y..! aa•I FD 28 - ••^ ' 'to N.11 • O Y)I ~ • y 1.111 _ IL , { Ito A ,j 41 u 1 ii Z4A ii: :! i1N11 ` , 4N11 U!. .. - - _A6. o r IM ti IOatl ROBIVSON. ! .. t IMlrl a Mld a! r 11111 NJ t / x[aex eo laa Il.. a Wal 1!n 1"• I'Pj� a aV11 conn •1 I• a, d'�`f' tlatl ' ,.. aulat d I v.t a nJ )ala I aura O3 a a X ® J r n O.,al r, o !a.q o N O' at t yy •al lf • 1111 ' n^1 ulNa • 74 aX•d .,41111 i I t! A ) t a! LW.1 ± � E w.r w... .X. • w _ _ _ __ re1u.r, .o.nn .�r..o�n�w•.�._— ._._ IM /a wnlvul�w n ..X X1,.1 [Mn wwl.•r�Y+ sl legend _- t.X.rllr x00[L Ml[a. ll. A•nM1.alL� Lr1lt.. �.� :w p•,w LIQ _—.._. Xr1r PNxrt�--N.—. Y.eu..lrrl4 Uy •r pa x111 !'-'.'.1�.'4-^._-r_ tw Lw r.prrr•lwr __ ._. .rl,w 0.•.+•L _! -. P.I D+�r... aF I aw,w..ra� La...u..lw lr _____ ral�.lr ____— IMI o-....•1, _..L—. wtr ® Lua-.,..� n'. a... � s,L.I a...n l... _>c1I—. L-..o-.....1.. _ 1 _ •.1.......r.�.. MI c+.a.w... PLUNNI//G� )'BQAI`D TO.R i O , SOU BOLD SU' FQ '1'Y Southold, N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms. If your answer- to any of the following questions is yes , please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are there any wetland grasses on this parcel? Yes No (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) 2. Are there any other premises under your ownership abutting this parcel? Yes No 3. Are there any building permits pending on this parcel? Yes No 4. Are there any other applications pending concerning this property before any other department or agency? (Town , State, County, etc. ) Yes No 5. Is there any application pending before any other agency with regard to a different project on this parcel? Yes No 6. Was this property the subject of any prior application to the Planning Board? Yes No 7. Does this property have a valid certificate of occupancy, if yes please submit ,a copy of same Yes No I ce�ify that the above tatement a true and will be relied on by/the Planning Boa n co i e '' ng this application. 1 March 17, 1994 Si natur prop t o ner or authorized agent date Attachment to questionnaire for. the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the 17thday of March 1994 , before me personally came Raymond J. Nerest,pr to me known t6 be the individual described in and who exec ed the foregoing instrument, and acknowledged that he execut e a WILLIAM WICKHAM N y Pu c NOTARY RJBLW; State of Nm*4 No.52.4259000 QuIlfifiedCOMM EXPM Suffolk 34 199S ,Suav�ic� p SUBMISSION WITHOUT COVER LETTER DATE: SENDER: Va*- i SUBJECT: Kerec-te� SCTM#: COMMENTS: Lf papa P ri nt5 /vp�e ; �1,is Qrcr�oso� u�aS s &LAe& 4r rtl.e. 'P6r,v"nin �oarc��s �I18Ia4 meek"Vi, s-6,t - k Leat N e,nc,l c000�: oc 9.E or erocesS Qn� mc.,kc n ske�c� r�e�erM, -;on , nn _ �`0- `�.�Can�1c was enable '�-o �rev;�Q 4�11.or.z,ca��o•,� �o� �¢ Su�9lo:s',en �rom CLU �r�ar�,I a.onevS @r;cr -6 Coe rneAN r Aie A+ tl R�ves� of 71 ae cwr , �1a was or 4�p\c ,�ovtde �I,e okA- Auv,d1 ,o� Ngo-(m",c.. aPPl cw� :o.� wcS rcm ore dram o Ms Km R 191994'SOUTNNING BOARD *—ATHERINE MESIANO, INC. /'IS Asset Management 1� Real Estate Consultant March 21, 1994 Southold Town Planning Board Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Application for tentative approval of Minor Subdivision Raymond and Eleanor Kerester Tax Map # 1000-79-5-20.7 and 1000-81-1-25 Gentlemen: With respect to the above referenced, enclosed please find the following: 1. Application for Plat approval. 2. Form Letter regarding drainage, grading and road construction. 3. Part I of the Full Environmental Assessment Form. 4. Metes and bounds description of Lots 1 and 2. 5. Copies of Tax Map # 1000-79-5-20.7 and 1000-81-1-25. 6. Three copies of the Proposed Minor Subdivision prepared by Roderick VanTuyl, P.C. It is my understanding that the Planning Board has agreed to waive it's fees, as indicated at the Board's September 27, 1993 work session. Kindly direct all correspondence to Catherine Mesiano, Inc. Box 1981, Riverhead, NY 11901-0964. Thank you for your attention to this matter. Very truly yours, Catherine A. Mesiano, President 0 Enclosures D D MAR 2 8 199 cc: Wickham Wickham& Bressler, P.C. SOUTHOLD TOWN PLANNING BOARD P.O.Box 1981 • Riverhead,New York 11901-0964 516.727.1354 r MPR 2 81 I 3 gpUTNGIDiGM✓NG V pU,NNING NGAN V, A ll\ a, I (�I�E�PAQ c-61 FOIL � SG.r ;-.y;�;•J /� ) yn�/� .... _(-_. r... •._ __—._ _ .__— 1 .-,... L (/L. 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