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1000-95.-1-7
J PLANNING BOARD M~MBE~ RICHARD G. WARD Chairman GEORGE RITCHIE LATHAM, JR. BENNETT ORLOWSKI, JR. WILLIAM J. CREMERS KENNETH L. EDWARDS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 May 21, 1996 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Deborah Doty, Esq. P.O. Box I181 Cutchogue, NY 11935 Re: Proposed set off for Sophie Stype SCTM# 1000-95-1-7 Dear Ms. Doty: The following took place at a meeting of the Southold Town Planning Board on Monday, May 20, 1996: The final public hearing which was held at 7:00 p.m. was closed. The following resolution was adopted: WHEREAS, Sophie Stype is the owner of the property known and designated as SCTM# I000-95-I-7 located at the northeast comer of Oregon Rd. and Alvah's La.; and WHEREAS, this application to be known as set off for Sophie Stype is to set off a 2.161 acre parcel from a 34 acre parcel; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Arictle 8), Part 617, declared itself lead agency, and issued a Negative Declaration on October 3, 1994; and Page 2 - Proposed set off for Sophie Stype May 2 I, 1996 9v'HEREAS, a final public hearing was closed on said set off application at the Town Hall, Southold, New York on May 20, 1996; and ~'HEREAS, 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 Chairman to endorse the final surveys dated August 22, 1994. Enclosed please find a copy of the map which was endorsed by the Chairman. The mylar maps, which were also endorsed by the Chairman, must be picked up at this office and filed in the office of the County Clerk. Any plat not so filed or recorded within sLxty (60) days of the date of final approval, shall become null and void. Please contact this office if you have any questions regarding the above. Chairman elq. C. cc: Building Dept. Assessors Office TtII5 PRCPOSAL i5 TO 5ET OFF A -''/_5~,_ ACRE PARCEL FROM AN EXIS:i'INCr/ ~ /;. -?~.' .~5Ci~, PARCEL LOCATED ON C?/'~.,~,~.~.~ /'Y~-/-~ ~z-~,-r,z~,-~ ..~- I SET OFF J Complete application received Application reviewed at work session Applicant advised of necessary revisioos Revised submission received Sketch plan approval -with conditions Lead Agency Coordination SEORA determination Sent to Fire Commissioner ~' Receipt of firewell location -~- 3J - 76' Notification to applicant to include on final map Sent to County Planning Commission Receipt of County Report Review of SCPC report Draft Covenants and Restrictions received Draft Covenants and Restrictions reviewed Filed Covenanks~nd Restris.tions received Receipt of myl'ars and p'al~r prints with .~ ~ Health approval Final Public Hearing Approval of set off -with conditions Endorsement of set off ~.~ ~ ¢, ¢3' APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby at)plies for (tentative) (final)approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. Tile applicant is the owner of record of the land nnder application, i!f tile applicant is not the owner of record of the land under application, tile applicant shall state his interest in said land under application.) 2. The name of the snbdivislon is to be . .S. Qp.h.J,.e...A....$t,.yl~' .............................. ........ ~tk~-lq.c!r:i-z¢-::~ .agent ..-. Andrew..StYle .................................................. 3. The entire land under application is described in Schedule %\" hereto annexed. (Copy of deed su~g'ested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber ..... 10417 Page 0476 On 9[14/87 . Liber ........................ Pa~e ...................... On ....................... ; Libcr ........................ Pag'e ...................... On ....................... ; I.iber ........................ Pa ~,~e ...................... On ....................... ; Liber ........................ Pa~e ...................... On ....................... ; as devised under the Last Will and Testament {~f Valentine W. Stype Sr. or as distribntee 5. The area of the Iand{s 33.8 .................. acres. 6. :\11 taxes which are liens on the land at tile date hereof have been paid except ............ 7. The land is encmnbered by ........ none.. mortga~'c (s) as follows: .............................................. (a) M'(~rtga~;e recorded in T.iber .............. Pa,re .................. in ori<'inal amot t ('f $ .............. unpaid anlot r t .,q ............... hehl b,~' . ............. .............. address (b) M,,r rage recorded in Liber ......... i':t,~e . ..................... in origin31 amount ,If ' un)aid amount S ..................... held h~. . ........... .............. address (lc) Mortgage recorded in Libor .............. Pagc ................ in original amount of .............. unpaid amount $ ...................... held by ...................... ...................... address ................................ ......................... 8. There are no other encumbrances or liens against the land except ..... .n.o.n.e. .............. 9. Tile Iand lies in the following zoning nse districts AC AcjTicult. ural ConservaE±on i0..No part o£ the land lies under water whether tide water, stream, pond water or otherwise, ex- I1. 12. I none cept .................................................................................. Tile applicant shall at his expense install all required public improvements. The land (does) (does not) lie in a \Vatcr District or YVater Supply District. Name of Dis- trict, i~ within a District, is ............................................................. 13. \\rater mains will be laid by none and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will he installed by . ....... r~oYle ............................ 15. 16. 17. 18. 20. 2I. ..................................... and (a) (no) charge will be nlade for installing said lines. none Gas mains will be installed )v . ................... and (a) (no) charge w/Il be made £or installinz said mains. If streets shown on the plat are claimed I)v tile apl)licant to be cxistinsr public streets in thc Suffolk County Ilighway system, annex' Schedule "Il" hereto, to show same. ~[' streets shoun on the plat arc claimed by the applicant to be cxisthUT puldic streets irt thc Town of Soutl,dd }[i,'41may ?stem, annex .qcludulc "C" hereto to show same. the idat. \Vhe~c tile plat ~.h¢>x~s l:rOl>OScd streets which are extensions ,,f streets on adjoiui:t~ sub- dixision maps hcrctof~rc filed, tlmrc are no ~esc~xe st~il>s at thc cml *~f thc streets m~ said h: thc c.uryc of these p * :ce li.,.,s, thc ai,l)!ica~t ,~.~5 ,*f t}lC [,~3'al I>i'~ ~erty J.aw. 5citcdule "D". 22. The applicant esthnates that the cost of grading and required public improvements will be S .......... as itemized in Schedule "E" hereto annexed and requests tbat the maturity of the Performance Bond be fixed at .............. years. Tile Performance Bond will he written hy a licensed surety company nnless otherxvise shown on Schedule "F". DATE (Name of Applicant) Sophie A. Stype ?~i ~~ l'e; ~' ;~.~'A~j~ .... ......................... STATE OF XE\V YORK, COUNTY OF ....... ...~.,. ss: ·. 2('*~ (p~'~. ~' ~' .... f-~, ~...:~3.~F-I · .~.', ....... tO II, e kI]o~,'~'[[ to he the individual described in and who executed the foregoin~ instrument, and acknowledge¢ that ....~4o.e-... executed the same. Notary Public ST.\TE OF NEx, V YORK. COUNTY OF ............................ ss: On the ................ day ............ of .............. , 19 ...... , before me personally ca,ne .................. to i,le known, who l>eing by mc duly sxvorn d{d de- pose anti say that ............ resides at No ..................................................... .......................... tlmt .......................... is the .......... tht. -t-al ~;f >:~i(1 to~p.~ati(m; that the seal affixed by order,d thc bt>ard ~>f directors ~)f said corporatit~n. :tr'.l :hat ............. igned .............. name thereto by like order. Notary Public 6 Southold, N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO TIlE 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 /o,i (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 4. Are there any other applications pending concerning this property before any other department or agency?(Town , State, County, etc.) Yes 5. Is there any application pending before any other agency with regard to a different project on this parcel? 6. Was this property the subject of any prior application to the Planning Board? { No Yes [,.~_j 7. Does this property have a valid certificate/ ' '~ of occupancy, if yes please submit a copy of same lyes~ No I certify that the above statements are true and ;viii be relied on by the Planning Board in considering this application. Signature of orope[-~owner or authorized a~" date Sophie K. St~ ~ ~ Attachment to questionnaire for the Planning Board STATE OF NEW YORK, COUNTY OF On the ~ ' day of J~ came_ ~f~ '~ i}~ !~ ~{1~ SUFFOLK, ss: , 196~ before me personally to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that ~i~ executed the same. Notary Public ~ 14-16-4 (2/87)--Text 12 PROJECTbD, NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Sophie A. Stype Sophie A. Stype 3. PROJECT LOCATION: Municipality Oregon Road, Cutchogue County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) N/s Oregon Road, North of Alvah's Lane & Oregon Road intersection,Cutchogue SCTM 1000-95-1-7 5. iS PROPOSED ACTION: E~ New [] E×panslon [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Set off house, barns on two acres from 33.8 acre farm. OF LAND FEC ED: Initially 2 acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~Yes [] No if NO, describe briefly 9, WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? E~ Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMBNTAL AGENCY (FEDERAL, STATE OR LOCAL)? from Town of Southold E~Yes [] No If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTIOt4 HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ~ ~//~/- Applicant/sponsor name: Sophie A. ~? Date: . . I! the aotion is in the Coastal Area, and you are a state a§en¢¥, ¢O~l'ete tho Coastal Assossmont Form bo!oro proceoding with this assossment ' I OVER 1 PART II--ENVIRONMENTAL ASSES~I~ENT (To be completed by Agency) A. COES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617 12'~ [] Yes [] NO · · if yes, coordinate the review process and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [] Yes [] NO C. COULD ACTION RESULT ~N ANY ADVERSE EFFECTS ASSOClATEC WiTH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quaUty or quantify, noise levels, existing traffic patterns, solid waste production or disposal potential tot erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or culturaJ resources; or community or neighborhood character? Explafn brlefl C3. Vegetation or fauna, fish, shellfish or wild~ife species, significant habitats, or threatened or endangered species? Expiate briefly: C4. A community's existing plans or goals as officiaUy adopted, or a change in use or intensity of use of land or other natural resources? Expiate brlefl C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in Cl-C57 Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE O'o be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether It is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of Occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f} magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ,r:-t Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NO]' result in any. significant adverse environmental impacts AND provide on attachments as necessary, the 'reasons supporting this determination: 14-16-2 (2/871--7c 617.21 ~ '-G~ Appendix A ~ State Environmental Quality R~wew FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderl~ 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 I 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 ~ame of Action Name of Lead Agenc~ Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Icad Agencg Title of Responsible Officer Signature of Preparer (If different from respons~bJe ot ricer) 1 PART 1--PROJECT INFOR[Vl.. i'lON 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 fuji EAF will be dependent on information currendy available and will not involve new studies, research or investigation. Jf information requiring such ~,dditional work is unavailable, so indicate and specify each instance. BUSINESS TELEPHONE ( ) CITY/PO DESCRIPTION OF ACTION STATE ZIP CODE 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 Dlndustrial ~]Commercial ~'Residential (suburban) E~Rura[ (non-farm) D Forest [~gri~ I~/,e ~Other 2. Total acreage of project area: _ acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or 8rushland (NonLagricu[tural) _ acres acres Forested ~ acres ~ acres Agricultural (Includes orchards, cropland, pasture, etc,) '~ acres ~ ~ acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres Water Surface Area __ acres Unvegetated (Rock, earth or fill) acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) 3. What is predominant soil type(s) on proiect site? a. Soil drainage: E3WeII drained_ /~/~) % of ~ite ~Moderatelv well drained % of site [~Poorl;, drained _ % of site b. If any agricultural land is involved, I;ow many acres of soil are c ass f ed within soil group 1 through 4 of the NYSe. Land Classification System? ~ .~ acres (See 1 NYCRR 370). 4. Are there bedrocR outcroppings on project site? I~Yes [~o a. What is depth to bedrock? (in feet) 2 5. Approximate percentage of prop project site with slopes: [~0-q0%. [~10-15% % [15% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? E3Yes [~No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? [Yes [~[No 8,. What is the depth of the water table? ~0 ' (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ~lYes E~No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? (~'Yes [No 11. Does project site contain any species Qf plant or animal life that is identified as threatened or endangered? J-lyes I~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) [3Yes E~o Describe 13. Is the project sit%,presently used by the community or neighborhood as an open space or recreation area? [Yes L~No If yes, explain 14. Does the present site include scenic views known to be important to the community? []Yes ~No / 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes. ponds, wetland areas v~ithin or contiguous to project area: a. Name ~,/~- b. Size (In acres) 17. Is the site served by existing public utilities? [~rYes F~No a) If Yes, does sufficient cap~3city exist to allow connection? ~Yes []No b) If Yes, will improvements be necessary to allow connection? [Yes ~No 18. Is the site located in an agricultural district c~rtified~pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? E3Yes F~No ~,K"~ 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 6177 J-lYes [~'No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ~]Yes ~'~o C 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 _ ~'(I~ acres. b. Project acreage to be developed: ~- acres initially; "~ '~' acres ultimately. c. Project acreage to remain undeve!oped ~¢1/[~/I,4q acres. d. Lenglh of project, in miles: ~ (If appropriate) e. If the project is an expansion, indicate percent of e,~nsion proposed ~ %; f. Number of off-street parking spaces existing ; prop~sed / g. Maximum vehicular trips generated [)er hour (upon completion of project)? h. If residentiah Number and type of housing units: One Family Two Family Multiple Family Condominium Initially (/ Ultimately ~ ~/4./)'t i. Dimensions (in feet) of largest proposed structure height; j. Linear feet of frontage along a public thoroughfare project will occupy is? 3 width; ;?~' ft 2. How much natural materia~ ., rock, earth, etc.) will be removed fro. 3. Will disturbed areas be reclaimed? [3Yes E]~o [Z]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? [Z]Yes I~No 4. How many acres of vegetation (trees, shrubs, ground COvers) will be removed from s re? _~_~),/')' ~, acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this proiect;' [~Yes E~o . 6. If single phase project: Anticipated period 0f consJr.uction '~' 7. If mu/ti-phased: ~ ~) /q~_,-h,) ~ ~'f~'/aC~/d. ~ /~'.C a. Total number of phases anticipated _ / (number) b. Anticipated date of commencement phase I __ ,~month c. Approximate completion date of final phase ~ month d. Is phase 1 functionally dependent on subsequent phases? OYes 8. Will blasting occur during construction? FqYes [~o 9. Number of jobs generated: during construction __//~ ~/*/~ 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? .he site?_ /qO~ tons/cubic yards (including demolition). year, (including demolition). year. [Z]No ; after project is complete [Z]Yes [~No If yes, explain 12. Is surface liquid waste disposal involved? ~Yes 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? [Z]Yes [~'o Type __ 14. Will surface area of an existing water body increase or decrease by proposal~ Explain ' 15. Is project or any portion of project located in a 100 year flood plain? []Yes ~]Yes I~No 16. Will the project generate solid waste? ~]Yes [~o a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? I~Yes I~o 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 ' ~Yes ~No 17. Will the project involve the disposal of solid waste? [Yes ~]'~o 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? E]Yes 19. Will project routinely produce odors (more than one hour per day)? ~Yes ~Uo 20. Will project produce operating noise exceeding the local ambient noise levels? ~Yes 21. Will project result in an increase in energy use? [Yes [~o If yes , indicate type(s) --. 22. I[ Water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day __ gallons/day. 24. Does prolect involve Local, State or Federal funding? ~Yes If Yes, explain 4 '~25.' Approvals Required: City, Town, Village Board [~]Yes lqNo City, Town, Village Planning Board [~'es I~No City, Town Zoning Board ~lYes I-INo City, County Health Department ~Yes l-lNo Other Local Agencies [~]Yes Other Regional Agencies I~Yes rqNo State Agencies [~]Yes Federal Agencies r-lYes [~No C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? . If Yes, indicate decision required: E~'Yes []No J~zoning amendment Ozoning variance [~special use permit Ilsubdivision I-lsite plan E~new/revision of master plan E~resource management plan E]~other 2. What is the zoning classification(s)of the site? ~C -- ' ' 3. What is the maximum potent!al,development of the site if developed as permitted by the present zoning? Submittal Date 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? C 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~Yes J~]No 7. What are the predominant land use(s) and zoning classifications within a 'A mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a V~ mile? )~Yes ONo 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? ~ ~r ~(-'"~ 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? E~]Yes J~No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ~lYes [~No a. If yes, is existing capacity sufficient to handle projected demand? [~Yes 12. Will the proposed action result in the generation of traffic significantly above present levels? [~Yes [~o a. if yes, is the existing road network adequate to handle the additional traffic? ~]Yes D. Informational Details Attach any additional information as may be needed to clarify your prolect. 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 Applicant/Sponsorl certify that [the~-/l-V{~./~ ~ !inf°rmati°n~//-'JL/~ ~'/~'~prg~vid(x[ abow! is ~'~tr~ ~the~est Sisnature , Title v -/~ , If the action is in the Coastal Are~an~ you are a slate a~ency, complete the Coastal Asscssment Form before proceedln~ with Ibis assessment. 5 Part 2--PROJECT IMPACTS AND THEIrS-MAGNiTUDE .. Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable.~ The reviewer is not expected to he an expert environmental analyst, · Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2, The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. · The impacts of each project, on each site, in each Ioca ty, 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, con~ider 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. IMPACT ON LAND I . Will the proposed action result in a physical change to_thee project site? --'~N O [~YES Examples that would apply to column 2 · Any construction on slopes of '15% or g~reater, ('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 soill per year. · Construction or expansion Of a sanitary landf II. · Construction in a designated floodway. · Other impacts 2. Will there be an effect t~ . ,,y umque or unusual land forms found on the site? (i.e, cliffs, dunes, geological formations, etc.~.~NO E~YES · Specific land forms: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes [~No [] [] [~Yes []No L~ [] []Yes []No [] [] [~]Yes []No [] [] [~]Yes [~]No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under ^rticles 15, 24, 25 of the Environmental Conservation Law, ECL) []YES 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? .)~/N O [YES 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? '~qO I~YE$ Examples that would apply to column 2 · Proposed Action will require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action. · Proposed Action requires water supply from we/Is 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 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 likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storable of petroleum or chemical products greater than 1,100 gallons. · Proposed Action will allow residential uses in' areas without water and/or sewer services · Proposed Action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · Other impacts: C . 6. Will proposed action alter drainage flow or patt~,rn, s, or surface water runoff? ~ NO [YES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] r-]Yes [~No [] [] ~]Ves r~No [] [] [~] Yes i-~No [] [] [~Yes [~NO ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~ ~ ~Yes ~No · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existin~ drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? ~O [~YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? q'N~O I-lYES 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-threater~d or non-endangered species? ,~O I-lYE S Examples 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 a~ricuhural land . ',,~ [~YES Examples that would apply to column 2 · The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc,) 8 I 2 3~'~ Small to Potential Can Impact Be Moderat( Large Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] []Yes [~No [] [] []Yes []No [] [] ~]Yes []No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes UNo ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~tes ~No 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.$ 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 ~:roppin§); or create a need for such measures (e.g'. -'cause a farm field to drain poorly due to increased runoff) · Other imt]acts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? xr~o ~]YES (If necessary, use the Visual EAF Addendum in-~Section 617.21, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IIViPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ~'~O [-]YES 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 archaeorogical site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ~NO E3YES · The permanent foreclosure of a future recreational opportunity · A major reduction of an open space important to the community · Other impacts: 9 T 2 3 Smatl to' Potential Can Impact Be Moderate Large Mitigated By Impact impact Project Change [] [] []Yes []No [] [] E-lYes [-]No [] [] []Yes []No [] [] []Yes []No [] [] []Yes [~No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ '~ ~Y~ ~No ~ ~ ~Yes ~No IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? "~No E]YES 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? F~O E~YES 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 vibratio,q as a result of the Proposed Action? - t~N© E3YES 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 no~se 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? ~-~',lO E~YES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission. · Proposed Action may result in the burial of"hazardous wastes ' 'n any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, ~tc.) · 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 ota site used for the disposal of solid or hazardous · Other impactsi 1 Small to Moderate Impact 2 Potential Large Impact 3 Can Impact Be Mitigated By Project Change [~Yes [~No [~]Yes [~]No ~lYes [~No [~Yes [~]No [~]Yes [~]No [~] Yes J~JNo J~Yes r-lNo I~Yes f-]No [~Yes [~No [~Yes [~No [~]Yes [~]No [~]Yes /-qNo [~]Yes [~]No [~]Yes [~]No [~Yes [~Yes [~No 10 IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existin~ commun ty? Examples that would apply to column 2 ~f'40 I-lYES · 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 2 3 Small to ' Potential Can Impact Be Moderate Large Mitigated By Impact impact Project Change [] [] []Yes []No [] [] [~]Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No ~ ~ ~Y~s ~No ~ ~ ~Yes ~No 19 Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ~O [~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 impact(s) is considered to be potentially large, even if the impact(s) may be mitigafed. Instructions Discuss the following for each impact identif ed in Colu. mn 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 proiect 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 thd impact · Its irreversibility, including permanently lost resources of value · Whether tile impact can or will be controlled · The regional consequence of the impact · Its potential diverRence from local needs and ~,oais · Whether known objections to the project relate to this impact. (Continue on attachments) 11 :C C 617,21 Appendix B ~te Environmental Quality Review V sual EAF Addendum SEQR This form may be used to provide additional information relating to Question l I of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility I. 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? o 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 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? Project and Resource (in Miles) 0- V4 V4-V2 V2 -3 3-5 5 + [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] 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? ~]Yes [~No 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 [] [] 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: *V2 mile [~] Yes E~No *1 miles [~Yes E~No *2 miles []Yes []No *3 miles I'-] Yes []No * Distance from project site are provided for assistance. Substitute other distances as appropriate EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 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 [] [] [] [] Part 2 ROJECT IMPACTS AND THEI ~IAGNITUDE Responsibility of Lead A,qency General Information (Read Carefully) · In completing the form the reviewer should he guided by the question: Have my responses and determinations beer- 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 sign ficant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an ~mpact 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 Ioca tv, will vary. Therefore, the examples are illustrat'ive 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 rmpact 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 ~mpact wdl occur but threshold is lower than example, check column 1. ' d. If reviewer has doubt about size of the impact t~hen 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 change(s) in the prolect to a smail to moderate impact, also check the Yes box m column 3. A No response indicates that such a reduction ~s not possible. This must be explaihed in Part 3. IMPACT ON LAND 1 Will the proposed action result in a physical change to the project s Examples that would apply to column 2 [~NO ~YES · 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 /and Where bedrock is exposed or generally within 3 feet of existing ground surface. ' Constructicm that will c~)ntinue for more than I year or invoJw~ more than one p,hase or stage. tons of natural material (ie., rock. or soil) per year. · Construction or expansion of a sanitary Lmdfill · Construction in a designated floodway thesite~(i r clffs dunes, g, eo(~:l~a h~rma ios etc.)L.]NO LIYI':S · Specific land forms: I 2 3 Small to Potential Can impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] E~y~ []No [] [] ~]Yes J~]No [] [] ~Yes [] ~] ~]Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~¥es ~No [-~ ~ L~¥es ~No ~ ~ [2Yes ~No IMPACT ON WATER B 3. Will proposed action affect any water body desig, nated as protect (Under Articles 15;, 24, 25 of the Environmental Conservation Law ng E~NO 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 ~JNo protected stream. · Extension of utility distribution facilities through a protected water ~ · Construction in a designated freshwater or tidal wetland. ~]No · Other impacts: __ ~No ~No I I 2 I 3 Small to Potential Can Imp~ :cted? Moderate Large Mitigate · ECL) Impact Impact Proiect C ~YES )f a ~ ~ DYes I ~ody. [] E~ ~Yes [ )ody lYES ater rea. /ES ~Y ~ n ~ ~ ~Ves ~N I ~ ~ ~Y~s ~Nc 4. Will proposed action affect any non-protected existing or new of water? [3NO Examples that would apply to column 2 · A 10% increase or decrease in the surface area of any body of wat~ or more than a 10 acre increase or decrease · Construction of a body of water that exceeds 10 acres of surface · Other impacts: O · Proposed ACtion would t hange flood water flows. $. Will Proposed Action affect surface or grounc~water quality or quantity? Examples that would apply to column 2 17JNO ~YE · Proposed Action will require a discharge permit. ' Proposed Action requires use of a source of water that does have approval to serve proposed (proiect) action. · Proposed Action reqmres water supply from wells with greater than 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 conveye J off the site to facilities which presen/I do not exist or have inadequate Capacity. · Proposed Action would use water in excess of 20,000 gallons day. · Proposed Action will likely cause siltation or other discharge into existing body of water to the extent that there will be an obvious visua Contrast to natural conditions. · Proposed Action will require the storage of petroleum or (heroical products greater than 1,100 gallons. · Proposed .Action will allow residential uses re'areas without water and/or sewer serwces · Proposed Action locates COmmercial and/or industrial us~,s which may facihties. Other impacts:_ [Xamples that would apply to column 2 7 · 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? ~lNO E3YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed .5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase in the d~ensity of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered spec el? ~]NO ~]YES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. · Removal of 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 spec es? L~NO ~Z]YES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. · Proposed Action requires ~he remowd of more than 10 acres of mature forest (over 100 years of age) or other locally important Vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10 WiJl th(:, t'ropost!d Action affect agrictdturaJ land resnurces? Examples that would al)ply to ~olunln 2 land {includes cropland, hayfields, pasture, vineyard, orchard, etc.} Small to Moderate Impact 2 Potenti8 Large Impact 3 Can Impact Be Mitigated By Project Change [:]Yes [~]No E~]Yes E~]No ~Yes E]No [~]Yes [--],No I-~ Yes I~No E]Yes [~]No ~Yes [~No ~Yes ~Yes ~No ~Yes ~Yes ~No E~]Yes [~]No [~Yes E~No [~Yes [~]No ~Yes E~No [~]Yes [~]No ~'ves ~No · 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: 1 Small to Moderate Impact 2 Potential Large Impact 3 Can Impact Be Mitigated By Project Change [] []Yes []No El []Yes J~]No [] [] [~]Yes ~]No [] [~Yes []No C IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? []NO ¢qYES (If necessary, use the Visual EAF Addendum in Section 617,21, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land u'se patterns, whether man-made or natural. · Proposed land uses, or project Components visible to users of aesthetic resources which witJ 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 Imown to be important to the area. · Other impacts: IN1PACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. WiJJ Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? [:]NO []YES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially 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 t';YS Site Inwmtory · Other impacts:_ IMPACT ON OPEN SPACE AND RECREATION · [ JNO Ljy£S [] [] ~Yes [~]No [] [] []Yes []No [] [] []Yes []No [] [] []Yes [] [~]Yes []No [] [] []Yes []No [] [] []Yes ~No [] [] []'res [=]No [] [] ~','es []No L--J ~ ~Yes ~ [] ~Yes IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? [~NO []YES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in maior traffic problems · Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? Examples that would apply to column 2 ~NO DYES · 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 supp]V 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 IMPAC'(S 16. Will there be objectionable odors, no se or vibration as a result of the Proposed Action? - Examples that would apply to column 2 E~NO []YES · Blasting within 1.500 feet of a hospta] 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 rloise screen. · Other impacts: IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? E]NO [YES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil. pesticides, chemicals, radiation, etc,) in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission. · Proposed Action may result' in the burial of "hazardous wastes" in any form fie. toxic, poisono s, highly reactive, radioactwe, irntatnl. infectious, etc.) · Storage facilities for one million or more ga[hms of liquifh,d natural gas or other flammable liquids. within 2,000 feet of a sltn used f<)r the d~sposal of sohd or ba/ardou~ · Other impacts: 10 1 Small to Moderate Impact 2 Potential Large Impact 3 Can Impact B Mitigated By Chang E~Yes [~]No ~Yes [~No E~Yes [~]No ~]Yes [~]No [~]Yes [~No ~Yes [~No E~Yes E]Yes ~]No ~]Yes [~]N( [~]Yes E-]No ~Yes [~]No E~Yes E~No [~Yes E~No E~No ~Yes [~N0 j C:]Y,,s IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD C18. Will proposed action affect the character of the exlstm~ community? Examples that would apply to column 2 []NO OYES · The permanent population of the city, town or village in which the project is located is bkely 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 fact res 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:.__ ~ 2 3 Small to Potentia Can Impact E Moderate Large Mitigated By Impact Impact 'Project Chanc~ [] ~ ~]Yes []Nc [] [~J [~]Yes ~]No [] [] ~]Yes [~No ~ ~ ~Ves ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19 Is there, or is there likely to be, public controversy related to potential adverse env~}onmental impacts? I~NO C 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 impact(s) is Considered Io be potentially large, even if the impact(s) may be miliga/ed. 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 mitigate(l or reduced to a small to moderate impact by project change(s) 3. Based on the information availab e, decide if it is reasonable to conchlde that this impact is impnrtant. To answer the ctuestJon of Jm torrance consider: · l-lie probability of the impact occurring · Tile duration of the impact · Its irreversJhility, in(:/udin~; permanently Jost rpsouro,s of · Whether the impact can or will be controlled 11 C 617.21 Appendix El Environmental Quality Review ____V suaI EAF Addendum SEQR This form may be used to provide additional information relating to Question 1! of Part 2 of the Full EAF. (To be comp!eted by Lead Agency) Visibility 1. Would the project be visible from: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man-made scenic qua ties? · 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 p aces; · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding natural features? · National Park Service lands? · Rivers designated as National or State Wild, Scenic or Recreational? · Any transportation corridor of high exposure, such as part of the Interstate System, or Amtrak.~ · A governmentally established or designated interstate or inter-county foot trail, or one formally proposed for establishment or designation? · A site. area, lake, reservoir or highway designated as SCenic? · Municipal park, or designated open space? · County road? · State? · Local road? Distance Between Project and Resource (in Miles) O-V. ¼-V2 ½-3 3-5 5+ 2. Is Ihe visibility [~] Yes ~ No 3. Are any of tile re.~:o~:~?~$ ch~:cked ,n qtm~,hon I u.'~ed by the public during ~he t~ ~ ' of y~',lr during which t}',e prolcct w/ii he vi~ih oo . ~o DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those ~vhich generally environment. . 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: *V~ mile [~Yes ' 1 miles [~Yes '2 miles [~J Yes describe the surrounding Within mile *1 mile '3 miles []Yes [~No * Distance from project site are provided for assistance Substitute other distances as appropriate, EXPOSURE 6, The annual number of viewers likely to observe the proposed project is NOTE: When User data is unavailable or unknown, use best estimate, CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Activity Travel to and from work Involved in recreational activities Routine travel by residents At a residence At worksite O~her Holidays/ Daily Weekly Weekends Seasonally DEBORAH DOTY ATTORNEY AT L^w 670 WEST C~EK AVENUE PO. Box 1181 CUTCHOGUE, NY 11935-0876 Fax 516-734-7702 516-734-6648 June 17, 1996 BY HAND Robert Kassner Planning Department Town Hall Main Road Southold, NY 11971 RE: Sophie A. Stype, et al. 7045 Oregon Road, Cutchogue, NY (SCTM # 1000-95-1-7 Dear Bob: As we discussed, the surveyor prepared mylars and blueprints which were too small to meet the Suffolk County Clerk's recording requirements. Accordingly, attached are two mylars and six blueprints of proper size for recording. Those maps were amended on June 4, 1996 to change the title from "Map of Proposed Set- Off made . . ." to "Map of Set-Off made .... "You will note that the Suffolk County Department of Health Services approved the enclosed on April 10, 1996. When the stamped maps are available, please call my office so that the documents may be picked up. Thank you for assistance, and I apologize for any inconvenience this may have caused. Encls. DD:bdr Very truly yours, Deborah Doty AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 7045 Oregon Road, Cutchogue, NY by placing the Town's official poster notices(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on My 20, 1996. I have sent notices, by certified mail, the receipts of which are attached, to the owners of record of every property which abuts and every property which is across from any public or private street from the above mentioned property on May 10, 1996. Deborah Doty Your name (print) Signature 670 West Creek Avenue, P.O. Box 1181, Cutchogue, NY 11935 Ad dress 5/20/96 Date PLEASE £ETU£N II-/IS AFFIDAV/1-AND CE£11FIED MA/Z /~ECEIPI-$ OIV TIlE DAY OF. 0£ AT IttE PUBLIC HEA£1NG Re: c~o~hi~. ~t~ ~. SCTM#: 'qS-I--; ~' Date of Hearing: 5JZhJflG P 393 830 d464 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Meil (See reve~s~ street & ~umber I ~tso wish to receive the of th}s torm so that we c~n re~umthis1. I-1 Addrsssee's AddreSs =~dtoy?u: ~,.th,~O~Oltt~ mattple~,°r'~'"-- L_. 2. F'~ Restricted Delivery ~ ..... R~Ue~ed' o~ _~e~m~n'~e v~e ~,etivemcl e~ the a~ Consult postmaster tot _ Lui~j Bandenehini'~ K~ Certified 3"/ Countisbury AvenUe [] Registered F1 tnsumd N. Valley Streatll, NY 11580 [3 ExpmSSMaJl: F3 COO X JE PS For~ December 1994 P 393 830 865 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for lntemstional MeJl (See reverse, ..~?~_.. .o~ge $ ~; ~_ ~ .~,.~"'--'"'~"' ,ds~lvemd. ~) Return Receipt Showingto ~ W~om & Date Delivered S~alllOll T. Keleski 6685 Oregoo Road Cutchogue, NY 11935 ~.. SIgnatu~e (Addresese or ~, nt), ~ -- PS Form 3811, Dane I al~O wflsh to r~v~ tt~ foaowtng services (for an extra fee): 1. [] Addrsssee'e Address 2. [] Rsstficted Delivery omestic etum Receipt E P 393 830 ~66 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Intamational Mail (See reverse) Number &ZtP Code Postage Certified Fee Sceda~ Delivery Fee Rest~cted Delivery Fee Return Receipt Showing to Whom & Date Delivered ~ I~n~ 3, 4a, and 4b. I ~ ~ to ~ ~e ~ ~. "~' -~~~~o 2. ~ Res~Deli~F '"3. ~e ~ ~: ~ ~r ~r f~. Jam~ McBride Oregon Road Culchogue, NY 11935 D Registered ~. Ce~dfled [~ [] Expross Mall [] Insured [] RelumRecel~forMorchafldise [] COD e. sJg~mum PS Fom~ 1, D~c~,~r 1994 P 393 830 867 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse,) t Showing to Whom & Date Delivered SEND, H: rem. 3, 4~, .nd 4b. following services (for an '~.?me.-d .dd~. m tM r.w,r*, oft~s form so b~ wo ca. return ~ extra foe): · ~.~to~ ~ ~.~ ~.~ 1. ' I ~ ~r ~r f~. _ 3. A~de ~ ~: J ~. A~e Nu~r Anthouy Schluitt t 98 Republic Road ~. Se~ T~ ] Melville, NY 11747 D R~iste~ ~ ~r~ ~ ~D 5. Re~N~ By: (Pdnt N~) 8. ~r~'s ~ (~y if ~ 6. SignOre: ~ orA~nO Ps Fo~ ~11,'~r ~S~ Do~stic Return R~ipt P 393 830 861 US Postal Service · ~ ~m'- I also wish ~ receive the · · ~ Iteer~ 1 ac~l/or 2 for ad~ services RecemptforCertlfled Mad ~ ~lt~m~$,4a, ana4b. ... fo#owlngssrvice$(foran Donotuse or nemationalMail (Seereve~se) ~ ~.~,.. .... ,,~ ~_.a'v"'~ ,~,~ ,u,~,,~ ~ ./. ?_ . . ~ _ ~;~ R~ R~TU~ On the nlaJlpmce below the arbcle number 2. i--I Resmcted Delivery i Street&Number ~ ~-~o.*~c....~ ~-.~'~_.J~ ~ =11~eR~umRecelpl~ll~howtowhomtnemla®we~,,-,- ........ Con ultpostmasterforfss. ~ 4a Article Numbe? PostOflice, Stale,&ZlP.ode 3, AllJClaAdclr.8~dto: ....... (T.~ '--'~ "~ ~.~.=~ ~.~ ti~ 4b. Sen4ce Type -~ Special Dalivery Fee ~Rostfictod I~live~ Fee . / ~,~Retum Recalpt Showing to Postr~ ~ Da e l/t ~ ~ ~ Alex Zanieski, Jr. & Ors c/o Zanieski FaHns ATTN: Frances J. Stelzer 285 Marys Road Mattituck, NY 11952 6."Signature: (Addrssce~r Agent) Form 3811, December 1994 [] Registered [] Express Mail [] Insured r't RetumReeeiptforMerchandiss [] COD 7. Date of ~ell~,ang ./~ / ~ 8. AGG~m~'~ ,~2.~.i~ (Only ]~ requested and fee is pald) L P 393 830 863 US Postal Service Receipt for Certified Mail .~ SENDER: lalsswtshto recelvatbe mCea~em Imn~ 1 and/~' 2 ~' ad~laer~l #rvlce~. fo#owing cervices (for an No Insurance Coverage Provided. ~ mCo.4~i~ 3, 4a, ~ · Do not use for Internationa~ Mail (See reverset ~ . ' Sentto ,4~.[e.~ H* '~,'~.~4¢.'~ 4' 0"'~ eAt~l~lhi~on~totheflo~ofthemaitPiece,°~°nthebackifepaeedoeen~ 1. [] Addressee'sAddrsss J~'~'* '~"¢-~,.~.¢-~'-"~. ~-,J.~?~..{ aw~n~..p,~umRet~iptReque~ed, onthema#pi~ebe~wtheatttc~number. 2. i--I Rsst~ctedDellvery O/TOTAL Post ,~e/& Fees Posiage Ce~fied Fee Restd~ D~ive~ Fee Ream R~ ~ to ~ Submission Without a Cover Letter Sender: ~hi~ Date: ~-I1~ /~ Subjeot: S0~hi~ ~ ~0~ SCTM#: ~-/-? Comments: DEBORAH DorY ATTORNEY AT LAW 670 WEST CP~EEK AVENUE PO. BOX 1181 CUTCHOGUE, NY 11935-0876 F,~x 516-734-7702 516-734-6648 May 15, 1996 BY HAND Robert Kassner Planning Department Town Hall Main Road Southold, NY 11971 RE: Sophie A. Stype, et al. 7045 Oregon Road, Cutchogue, NY (SCTM # 1000-95-1-7) Dear Bob: Attached please find two mylars and five paper prints of the survey dated August 22, 1995 depicting the set-off of 2.161 acres of the above-referenced premises. You will note that the Suffolk County Department of Health Services approved the enclosed on April 10, 1996. Encls. cc: Sophie Stype DD :bdr Very truly yours, Deborah Doty ~ I 5 h~'in~ will be held b~ the May, i~ on ~e ~ of the following: t:$~} 1- ...... malpublic hear~ ing for ~he proposed se~ 6fffor Sophie K- Stype, in Cutchogue, Town of $outhold, Co~mty of Suffolk, St~,~ of New York. Suffolk County Tax Map Num- ber 1000-95-1-7. tun CC)UNTY OF SUFFOLK t0r for- STATE OF NEW YORK ss: Lon~ or formerly of l~eieski, and by land now or fo~efly of BaodendliaL ~ M~y 7, BY ORDER OF THE ' SouTHoLI~ TOWN PLAN~N~ B~ARD Richard O. Ward, 1 X-5/9/96(96) or Joey Mac Lei[an, being duly sworn, says that Or- he is the Editor, of the TRAVELER-WATCHMAN, a public newspaper printed at Southold, in Suf- folk County; and that the notice of which the annexed is a printed copy, has been published in said Traveler-Watchman once each week for / ........................................................................ weeks successively, commer~cing on the ...... ?.i...~.. ..... day of ........... ~ ...... ~.. .................. 19..?.~. Sworn to before me this .......... .~/.. ............ day of ...........................7 ............................. . Notary Public BARBARA A. SCHNEIDER N,OTARY FU[;LIC, State of New York (~L!H[i:~.J in SufiotkCouqty ~ Comn,;ssion ~pire$ ~¥ I ~ 1996 PLANNING BOARD MEMBEO RICHARD G. WARD Chairman GEORGE RITCHIE LATHAM, JR. BENNETT ORLOWSKI, JR. WILLIAM J. CREMERS KENNETH L. EDWARDS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 April30,1996 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Deborah DoW, Esq. P.O. Box 1181 Cutchogue, NY11935 Re: Proposed set off for Sophie SWpe - SCTM# 1000-95-1-7 Dear Ms. Dory: The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, April 29, 1996: BE IT RESOLVED that the Southold Town Planning Board grant a retroactive 18 month extension of sketch approval from February 22, 1995 to August 22, 1996. Sketch approval was granted on August 22, 1994. BE IT RESOLVED that the Southold Town Planning Board set Monday, May 20, 1996 at 7:00 p.m. for a final public hearing on the maps dated August 22, 1994. As per Section A106-38E (3), a ~2,000 park and playground fee per vacant lot must be paid before any possible approval. Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing in regard to the Town's new notification procedure. The signs and notice are enclosed for your use. Please return the endorsed Affidavit of Posting, and post office receipts for certified letters on the day of or at the public hearing. Please contact this office if you have any questions regarding the above. Sincerely, Richard cu. Ward Chairman encs. PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orfowski, Jr. Mark S. McDonald Kenneth L. Edwards Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 4, 1994 Andrew Stype Stype Brothers Real Estate, Inc. Main Rd. Mattituck, NY 11952 Re: Proposed set off for Sophie Stype SCTM# 1000-95-1-7 Dear Mr. Stype: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, October 3, 1994: BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, established itself as lead agency, and as lead agency makes a determination of non-significance and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Si,he'rely"//? l Chairman eric. PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonald Kenneth L. Edwards PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant Town Hail, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-3136 Telephone (516) 765-1938 October 3, 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 set off for Sophie Stype SCTM#: 1000-95-1-7 Location: Northeast corner of Oregon Rd. & Alvah's La. Cutchogue SEQR Status: Type I ( ) Unlisted ( X ) Conditioned Negative Declaration: Yes ( ) No (X) Descdpfion of Action: This proposal is to set off a 2.161 acre parcel and house from an existing 34 acre parcel located at Oregon Rd. and Alvah's Lane in Cutchogue, Page 2 SEQRA Negative Declaration - Sophie Stype October 3, 1994 Reasons Supporting This Determination: The project involves a set off of a 2.161 acre parcel and house from an existing 34 acre parcel. The site and area are zoned Low-Density Residential R-80 and Agricultural Conservation (A-C). Both lots created by this set off meet the area requirements for these zones thus the pro- posed action is consistent with zoning. The applicant will have to comply with the requirements of the Suffolk County Sanitary Code (SCSC) and all relevant standards of water supply and sewage disposal systems. Design and flow specification, subsurface soil conditions and site plan details will have to be approved by the Suffolk County Department of Health Services (SCDHS). This impact is not considered significant due to the anticipated project compliance with established requirements of the SCSC and the SCDHS and the required retevant permits. 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. For Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: (516) 765-1938 CC: Roger Evans, DEC Commissioner Suffolk County Dept. of Health Judith Terry, Town Clerk Southold Town Building Dept. Applicant PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Odowski, Jr. Mark S. McDonald Kenneth L. Edwards 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 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. Requested Action: ~ ~~ ~ ~./~/~ ~~ ~ SEQRA Classification: ( ) Type l ~ / ~) Unlisted ~ Contact Person: (516) 765-1938 Page 2 Lead Agency Coordination Request The lead agency will determine the need for an environmental impact statement (ELS) 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 ne objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Please fe?free to contact this office for further information. inc rel.," cc: D ~r, d-c,f-Tfust e e s-- Building Department Southold Town Board ~ Suffolk County Department of Health Services N¥SDEC ~ Stony-Brook NYSDEC - Albany -Suri'ulk'-Gounty-Departm ent -of-Public -Works- I~. S~Army-Corp-of-En gin e ers- Ne-.-w--Y-cu'k,StateD epartm ent-of--Transportation. *Maps are enclosed for your review rev. 4/94 PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mank S. McDonald Kenneth L. Edwards PLANNING BOARD OFFICE TOWN OF SOUTHOLD Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-3136 Telephone (516) 765-1938 August 23, 1994 Mr. Andrew Stype Stype Brothers Real Estate, Inc. Main Rd. Mattituck, NY 11952 Re: Proposed set-off for Sophie K. Stype n/e corner of Alvah's Lane & Oregon Road Cutchogue SCTM# 1000-95-1-7 Dear Mr. Stype: The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, August 22, 1994: BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, start the coordination process on this unlisted action. BE IT RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated May 27, 1994. Sketch approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. The final maps (2 mylars and 8 paper prints) must contain a current stamp of Health Department approval, and must be submitted before a final public hearing will be set. The sketch plans have been referred to the Suffolk County Planning Page 2 Stype set-off August 23, 1994 Commission for review. You will be notified upon receipt of the Commission's report. The Planning Board may require covenants and restrictions upon the review of the report and review of the final maps. You will be notified if covenants and restrictions are required. The sketch plans have also been referred to the Southold Fire Department for their recommendation as to whether a firewell is necessary for fire protection. The Planning Board has reviewed the property and has decided that it is inadequate in size for a reservation of land for park and playground use. Therefore, a cash payment in lieu of land reservation will be required as per Section A106-38 (E) of the Town Code. The amount to be deposited with the Town Board shall be $2,000.00 (two thousand per lot for each vacant lot in the subdivision.) Payment is required prior to any final endorsement of the subdivision. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward /'~-~ Chairman DI~'PARTMENT OF PLANNING COUNTY OF SUFFOLK ROBERT ~J. (~AFFNEY STEPHEN M. JONES, A.I.C.P. August i, 1994 Mr. Richard Ward, Chairman Town of Southold Planning Board Main Road Southold, NY 11971 Plat Name: Minor Subdivision - Sophie K. Stype Tax Map No.: 1000-95-1-7 SCDP File No.: S-SD-94-07 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 FD:mb S/s Frank Dowling, Principal Planner Subdivision Review Division CUTCHOGUE FIRE DISTRICT July 31, 1994 New Suffolk Road, PO Box 930, Cutchogue. NY 11935 ~t[.~ Telephone (516) 734-6907 · Fax (516) 734-7079 Mr. Richard Ward, Chairman Southold Town Planning Bd. Town Hall Southold, N.Y. 11971 Ref: Sophie K. Stype Dear Mr. Ward, Reference the above estate and map. It is the opinion of the Board that a well is not required at this time. If there are any changes, please advise. Yours truly, Board of Fire Commissioners Matthew J. Martin Secretary cc:R.M.Doroski AUG ~ 199~ L~J 7/15/94 Mr. Bob Kassner Town of Southold Planning Board Main Road Southold, NY 11971 RE:Sophie Stype, Oregon Road, Cutchogue, NY set-off SCTM 1000-95-1-7 Dear Mr. Kassner: Please be advised I hereby authorize my son, Andrew Stype to act as my agent regarding my application for a set- off. Thank you. ~t~e~very' truly yours, JUL 1 9 1994 SOUTHOLD TOWN PLANNIN~ BOARD · ~e-hel! (~) undivided lfltecnot, ~. ~lt~. 174 fMtl ~tfl belly ~ 1~ of Mid ~ !!~1.8 [fit ~ Mid ~in~ ~ lira ~Vt ~ ~ml~ of ~, I~. ~,~ ~L'~ FO P.O. ~OX I t,lllt~oGlIl, ltv. III I 6/27/94 Planning Board Office Town of Southold 53095 Main Road Southold, NY 11971 RE:Sophie A. Stype farm set-off SCTM 1000-95-1-7 Dear Gentlemen: My family would like to request a set-off from our 34 acre farm located on the n/s of Oregon Road (north of Alvahs Lane), Cutchogue, Suffolk Co., NY, 11935. This set-off would include a 2 story frame house (currently occupied by Sophie Stype) with outbuildings on approximately 2 acres. The remaining 32 acres would be vacant soundfront farmland. We would like to retain building rights on the remaining 32 acres. The reason for this request is to allow the family to sell off the house, barns on two acres (keep the 32 acre farm) and provide Sophie Stype with funds necessary to buy a home in a planned senior residential community. You may reach me during the day at 298-8760 or at night 765-2889. Thank you. 6/28/94 Southold Town Planning Board Town Hall Southold, New York 11971 Gentlemen: Re: Sophie A. Stype set-off SCTM 1000-95-1-7 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. PAY TO THE ORDEROF SOPHIE K. STYPE 7045 OREGON ROAD CUTCHOGUE, NY 11935 ':08~,L, OSh~,h~: &i, OOOhS8 50-546/214 1 7 4 7 .,r---.---__~_. DOLLARS 6/28/94 Southold Town Planning Board Town Hall Southold, New York 11971 Gentlemen: Re: Sophie A. Stype set-off SCTM 1000-95-1-7 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. ' SOU~-H?LD TO!,N State Environmental Quality Review ~ ..j FuLL ENVIRONMENTAL ASSESSMENT FORM ~ Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may 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. Part2: 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 Part2 is identified as potentially-large, then Part3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part I [] Part 2 I-1Part 3 Upon review of the information recorded on this EAF (Parts I and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: [] A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, 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 of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date PART 1--PROJECT INFORMA'~ 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 cons[dered,,- as part of the application for approval and may be sub ect to further verificat on and pub c rev ew. Provide any additiona.~, information you beJieve wiJl be needed to complete Parts 2 and 3. It is expected that compJetion of the fuji EAF will be dependent on information currently available and wilJ not involve new studies, research or investigation. If information requiring such ~dditional work is unavailable, so indicate and specify each instance. / BUSINESS TELEPHONE NAME OF OWNER (If different) ~ ~ ( ) ADDRESS CITY/PO STATE ZiP CODE DESCRIPTION OF ACTION 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 I-1Forest [~gri~l~/,e 2. Total acreage of project area: acres. 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) 3. What is predominant soil type(s) on project site? [qCommercial E3Other ~Residential (suburban) I-qRural (non-farm) PRESENTLY AFTER COMPLETION ,acres 3. acres ~ acres acres a. Soil drainage: []Well drained /00 % of site E]Moderately well drained % of site [Poorly drained % of site b. If any agricultural land is involved, t3ow many acres of soil are classified within soil group 1 through 4 of the NYSe-- Land Classification System? ~ (/~ acres. (See 1 NYCRR 370). ~ 4. Are there bedrock outcroppings on project site? I~Yes [~o a. What is depth to bedrock? (in feet) D15% or greater % Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? DYes J~No Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? DYes What is the depth of the water table? ~0' (in feet) 9. Is site located over a primary, principal, or sole source aquifer? {~Yes [~No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? [~Yes []No 11. Does project site contain any species Qf plant or animal life that is identified as threatened or endangered? DYes I~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) I-lYes E~No Describe 13. Is the project sit.presently used by the community or neighborhood as an open space or recreation area? DYes L~No If yes, explain 14. Does the present site include scenic views known to be important to the community? DYes ~No / 15. Streams within or contiguous to project area: ~/A a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name ~t/~, b. Size (In acres) 17. Is the site served by existing public utilities? E]~Yes DNo a) If Yes, does sufficient capacity exist to allow connection? ~Yes DNo b) If Yes, will improvements be necessary to allow connection? DYes liqNo 18. Is the site located in an agricultural district c~rtified/~.pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? FqYes I~No t~/~O~t~ 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 6177 [:3Yes Ei~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? E3Yes [~o B. Project Description 1. Physical dimensions and scale of project (fiji in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor ~ acres. b. Project acreage to be developed: ~- acres initially; '~ ~ acres ultimately. c. Project acreage to remain undeveloped [4ti ~'~ acres. d. Length of project, in miles: ~ (If appropriate) e. If the project is an expansion, indicate percent of e~,.ansion proposed ~ %; f. Number of off-street parking spaces existing ; proposed g. Maximum vehicular trips generated per hour {upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Initially _ Ultimately ~ i. Dimensions (in feet) of largest proposed structure __ height; width; j. Linear leer of frontage along a public thoroughfare project will occupy is? ,'~' ft. 3 Condominium ack, earth, etc.) will be removed from ti. ,. ~ite? 2. How much natural material (i.e 3. Will disturbed areas be reclaimed? [Yes I~o I-IN/A a. If yes, for what intend,~ purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? [Yes llano c. Will upper subsoil be stockpiled for reclamation? [Yes 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ~ ~)~' ~' acres. 5. Will any mature forest (over 100 years old) or other Iocaily-important vegetation be removed by this project? I-lYes 6. If single phase project: Anticipated period 0f cons~r,uction 7. If multi-phased: y~ ~ /~) ~ ~'~'~/,1. ~-~ a. Total number of phases anticipated / (number) b. Anticipated date of commencement phase 1 ,~month c. Approximate completion date of final phase ~ month d. Is phase I functionally dependent on subsequent phases? C1Yes 8. Will blasting occur during construction? E3Yes [~o 9. Number of jobs generated: during construction 10. Number of jobs eliminated by this project 11. Will proiect require relocation of any projects or facilities? []Yes tons/cubic yards mon/t,hs, (including demolition). year, (including demolition). ~' year. [No ; after project is complete [~No If yes, explain 12. Is surface liquid waste disposal involved? [~Yes [~o 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 [~o Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain [Yes ~]No 15. Is project or any portion of project located in a 100 year flood plain? [Yes 16. Will the project generate solid waste? I~Yes gJ~No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility he used? [Yes I~o c. If yes, give name ; location d. Will any wastes ,or go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain [Yes ~No 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? [Yes [Yes ~o tons/month. years. 19. Will project routinely produce odors (more than one hour per day)? [Yes 20. Will project produce operating noise exceeding the local ambient noise levels? I~Yes 21. Will project result in an increase in energy use? F~Yes [~o If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity 23~ Total anticipated water usage per day gallons/day. 24, Does project involve Local, State or Federal funding? I-lYes If Yes, explain gallons/minute. 25. Approvals Required: City, Town, Village Board [Yes [No City, Town, Village Planning Board ~'es I-INo City, Town Zoning Board ~lYes I-1No City, County Health Department [~Yes I-INo Other Local Agencies DYes DNo Other Regional Agencies DYes [No State Agem:ies DYes I-]No Federal A§encies ~lYes I~No C. Zoning and Planning Information I. Does proposed action involve a planning or zoning decision? E~Yes I-1No If Yes, indicate decision required: I-]zoning amendment I~zoning variance [special use permit Ilsubdivisionl F~site plan Dnew/revision of master plan []resource management plan E~Dther 2. What is the zoning classification(s)of the site? /~C 3. What is the maximum potent!al ,~levelopment of the site if developed as permitted by the present zoning? Submittal Date 4. What is the proposed zoning of the site? Ot~}~ ~ 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? [~Yes I~No 7. What are the predominant land use(s) and zoning classifications within a lA mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a ¼ mile? )i~Yes []No 9. If the proposed action is the subdivision of land, how many lots are proposed? ~. a. What is the minimum lot size proposed? ~-~ ~ 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? [Yes J~'No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? I~Yes [~No a. If yes, is existing capacity sufficient to handle projected demand? [l-lYes 12. Will the proposed action result in the generation of traffic significantly above present levels? [~Yes a. If yes, is the existing road network adequate to handle the additional traffic? I~Yes DNo 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 C E. Verification I certify that the information pr~,ided~ above is tri~e t~ the best of my knowledge. / Signature_ b/~'~'~/~ Title C~ If the action is in the Coastal Area'an' d you are a stale agency, complete the Coastal Assessment Form before proceeding with Ibis assessment. 5 Part 2--PROJECT IMPACTS AND THEIR I~',~GNITUDE Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. · Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. · The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. · The number of examples per question does not indicate the importance of each question. · In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column I 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. IMPACT ON LAND I. Will the proposed action result in a physical change to the project site? I~NO []YES £xamples 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 floodway. · Other impacts 2 Will there be an effect t~. _.,y umque or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)l~NO I~YES · Specific land forms: 6 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] [~Yes []No [] [] []Yes []No ~] [] [~]Yes i-]No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] [~Yes []No [] [] [~Yes [~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ~NO U]YES 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. · £xtension 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? llaNO [YES 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? [~NO []YES Examples that would apply to column 2 · Proposed Action will require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons [)er minute pumping capacity. · Construction or operation causing any contamination of a water supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacity. · Proposed Action would use water in excess of 20,000 gallons per day. · Proposed Action will likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. · Proposed Action will allow residential uses in' areas without water and/or sewer services · Proposed Action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · Other impacts: 6 Will proposed action alter drainage flow or patterns, or surface water runoff? ~I]NO [YES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 .1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] [~]Yes I--J No [] [] [~] Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes [-1No [] [] ~]Yes []No [] [] []Yes []No [] [] []Yes ~]No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts: IMPACT ON AIR 7. Will proposed action affect a r quality? I~o E]YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? i~NO I-lyES 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-threater~d or non-endangered species? I~o []YES Examples 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? I~o E]YES Examples that would apply to column 2 · The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 Small to Potentia Can Impact Be Moderate Large "Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] [-']Yes I-~No [] [] []Yes ~lNo [] [] []Yes []No [] [] []Yes []No [] [] []Yes I--1No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] E]Yes []No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~es ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No · 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 Agricultural District, more than 2.5 acres of agricultural land · The proposed action would disrupt or prevent installation of asricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip .croppins); 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? [~NO E~YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding [and use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screenin§ 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- or paleontologica~ importance? I~.NO [YES historic 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: 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 ~NO []YES C permanent a future recreational opportunity. The foreclosure of · A major reduction of an open space important to the community. · Other impacts: Small to' Potential Can Impact Be Moderate Large Mitigated By Impact Impact ' Project Change [] [] r-lyes I--INo [] [] i-lYes [-]No [] [] f~Yes I~No [] [] ~]Yes [~lNo [] [] i--lYes I--]No [] [] E3Yes r-lNo [] [] E3Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] ~lyes []No [] [] []Yes [~]No [] '[] []Yes []No [] [] []Yes []No [] [] E3Yes i--lNo IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? I~NO fflYES 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? ~NO ~IYES 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? - ~NO I~YES 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 safet'~'OL~ []YES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission. · Proposed Action may result"in the burial of "hazardous wastes" in any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) · Storage facilities for one million or more 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 · Other impactsi 10 ,,1 2 3 Small to Potentia, ,Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I~Yes []No [] [] []Yes [~]No [] [] []Yes []No [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ g ~Ves ~No ~ ~ ~Yes ~No ~ ~ ~yes ~N0 ~ ~ ~Yes IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existin~ community;~ Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than $%. · The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or 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 proiects. · Proposed Action will create or eliminate employment. · Other impacts: Wl 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact impact Project Change [] [] [~]Yes []No [] [] [~Yes [~No [] [] [~]Yes []No [] [] I-lYes []No [] [] []Yes []No [] [] []Yes []No [] ~ ~tes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ~J~NO []YES If Any Action in Part 2 is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 C Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared 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 id. entified in Column 2 of Part 2..'~/~;~. q 1. Briefly describe the impact. ~P~q- 0~'~' ~) 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 importanl. To answer the question of importance, consider: · The probability of the impact occurring · The duration of thc 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 C 617.21 Appendix B State Environmental Quality Review V sual EAF Addendum This form may be used to provide additional information relating to Question ]1 of Part 2 of the Full EAF. (To be comp!eted by Lead Agency) Distance Between Visibility l. 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? · 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? Project and Resource (in Miles) 0- V4 ¼-V2 Vz -3 3-5 5 + [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) I~Yes [~]No 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? [-]Yes I-~No DESCRIPTION OF EXIS'IlNG VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally 'clescribe the environment. surrounding Within '1/4 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: *V2 mile []Yes []No '1 miles []Yes []No *2 miles []Yes []No *3 miles []Yes []No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. 'The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 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 [] [] [] [] 2 PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham. Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-I938 PLANNING BOARD OFFICE TOWN OF $OUTHOLD l~athew Martin, S~cretary Cutchogue Fire District New Suffolk r.mne C~lt~_~, N~w.¥~rk3_1935 SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 D~ar ~Lr. Martin: iEnclos, gd plgase find ~2) surveys {/ Please not~f7 th~s of~e as to whether any f~re welis are n~eded.. Pl~e a~ify ~ a~o~ w~l~ ~. electric wells will ~ needed. . Please reply by~/~ 9~ cooperation. ,19 Tha~ ~u for your enc. PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Letham, Jr. Bennett OHowski, Jr. Mark S. McDonald Kenneth L. Edwards Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE (~ //--7/ 1994TOWN OF SOUTHOLD ~ -' ----- Darmimaa~~~ _ 12th Floor Veteran's M~mu~i~d Highway ! ,~..,....Major Sub. Minor Sub. f Site Plan MATERIAL SUBMITTED: Preliminary Plat (3 copies) Topograph ca Map (1) Pursua[~[ to Section A14-24, Suffolk County Administrative Code, the Southold Town Planning Board hereby refers the following proposed subdivision to the Suffolk County Planning CoTmission: /,~ S.C. Tax ~ No.: 1000- ~.:- Let Line Change I,""~Road Profiles (1) Drainage Plans (1) Site Plan (1) Grading Plan (1) Other materials (specify and give number of copies) V~/=~,'=;* of Subdivision Requirements - See attached sheet Page 2 Southold Town Planning Board Referral Referral Criteria: SEQRA STATUS: 1. The project is an (~) Unlisted Action ( ) Type I Action ( ) Type II Action Board. Yes No Comments: W~e re~a~,st acknow~dgement of receipt of this ,~f~ral Refermt ~ Commission and assigned File No. Chairman ( ) Yes (/;) No 'J994 by the. Suffolk County Planning cc: Frank Cichanowicz rev. 6/94 6/28/94 Southold Town Planning Board Town Hall Southold, New York 11971 G~nt/~m~n: Re: Sophie A. Stype set-off SCTM 1000--95--1-7 ~me. fmi/o~/n~~ts ~re mf£ermd for Fortr cmnsidmration in t~ r~i~w of the M~ove-men+_ion~d minor subdivision and its (1) ~o~rra~iir~, ~thmr th~mf~n~-~tin~ ~xCmvation for a r~.~%~n+~m! b~itding is proposed. (2) No new road~ a~e proposed and no changes will be made in the grades of the existing roads. (3) M~ ~w ~rainag~ r~nctmz~s or alteration ~f existing structures are proposed. 6/27/94 Planning Board Office Town of Southold 53095 Main Road Southold, NY 11971 RE:Sophie A. Stype farm set-off SCTM 1000-95-1-7 Dear Gentlemen: My family would like to request a set-off from our 34 acre farm located on the n/s of Oregon Road (north of Alvahs Lane), Cutchogue, Suffolk Co., NY, 11935. This set-off would include a 2 story frame house (currently occupied by Sophie Stype) with outbuildings on approximately 2 acres. The remaining 32 acres would be vacant soundfront farmland. We would like to retain building rights on the remaining 32 acres. The reason for this request is to allow the family to sell off the house, barns on two acres (keep the 32 acre farm) and provide Sophie Stype with funds necessary to buy a home in a planned senior residential community. You may reach me during the day at 298-8760 or at night 765-2889. Thank you. urs, Clerk v,,l~B on~ ~loflhls U.~, Cm~l,~ h;.,.,, giw~ fot~e ~i:;;~ which this endmtnlt i I O~t dftt~ ~ Cie.-.* ,, :.. I We he~ cer'+;~ +t..,'o-/' '/'/4s mal~wa.e, made ~, ~) N