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1000-95.-3-10
THIS MINOR SUBDIVISION IS FOR LOTS ON !�ACRES LOCATED ON A"Old- atn(Q � )y A's ion., 3 1 3 47.3' IN °�-oh, 2 SCT1;Itt 1000-11%-. ce$ � MINOR SUBDIVISION (NO ROAD) Cpmplete application rggceived �q = awD j 213;/91 Appc tion reviewed at work session / rl� lo.` ox OK INro. Applicant advised of necessary revisions Revised submission received _ ro•` ox POK Sketch plan approval 7�Iz143 �" "+' t'A -with conditions _ Lead Agency Coordination Mo9'— SEQRA determination Atr a I 19v Sent to Fire Commissioner Receipt of firewell location 192- Notification to applicant to include on final map 244 /72- Sent to County Planning Commission �J�k wlrr ET'Lox Receipt of County Report = ro.` ox Review of SCPC report Draft Covenants and Restrictions received __t2. ox Draft Covenants and Restrictions reviewed T ox Filed Covenants and Restrictions received _ Receipt of mylars and paper prints with _ Health approval . Final Public Hearing _ Approval of subdivision -with conditions Endorsement of subdivision 24,eR.i,i j '41'Po mv. revl e�� 1�e2• )IWj'z ` --tU CaU, 11 21�/l�z "e� CPU reovd-. APPLICATION FOR APPROVAL OF PLAT IPLANNING To the Planning Board of the Town of Southold: RND The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision platin 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. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be . . . .. .. .. .. .. .. .... .. . . .. . . .. .... ... . . . . .. ..... .. . . .. .. .. .. .. .. .. . . . . . . .. .. .. ........... .. .. ... . 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: / Liber . .. . . ..pU.Q.��.9. . . . . . . . . . Page . . . .. . . . . . . . . . . . . . . . . Liber . .. .. .. .. . . .. . . .. .... . . . Page . .. . . .. . . . . . . . . . . . . ... On . . . .. . . . . .. . . . . . . .. . . . . ; Liber . . . .. .. .. . . .. . . . . .. . . . . . Page . . . .. .. .. . . . . . . .. .. .. . On . . . .. .. .. .. . . .. .. .. . .. . ; Liber . .. . . .. .. .. .. .. .. . . . . . . . Page . . . . . .. . . . . . . . . . . .. .. . On . . . .. . . . . .. . . .. . . . . . . . . ; Liber . . . .. .. .. .. .. .... ... .... Page . .. . . . . . . .. .. . . . . . . . . . On . . . . . .. .. . . . . .. . . . . . . . . ; as devised under the Last Will and Testament of . . . . . . . . . . . . . . . .. . . .. .. . . .. . . . . .. . . . . . . or as distributee .. .. . . . . . . . . . . . . .. .. .. .. .. .. . . .. . . ..... . . . . .... . . . . . . . . . . . . . .. . . . . . . .. .. . . .. .. .... ...... . ......... . . . . .. . . . . . . . . . . . . . . . . .. .. .. .. . . . .. .. . . . . . . .. . . . . 5. The area of the land is . .. . . I�a 3.�J acres. 6. All taxes which are liens on the land at the date hereof have been paid except . . ... .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . .. . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . 7. The land is encumbered by . . �. .. .. . . . . . . . . . . . . . . mortgage (s) as follows: (a) Mortgage recorded in Liber R5X, , . . , _ Page M . . . . . I. in original amount of $.`/�PpC O.t�. unpaid amount $ yCpDQC .�•6J �4G4N.�. b. . Q . . eld y Jt �--Q 1ALddress . IBGGt M� .11 . .�. . . . . . . . . . . . . . . (b) Mortgage recorded in Liber . . . . . . . . . Page . . . . . . . . . .. .. . . . . . . . .. . in original amount of . . . . . . . . . . . . . . unpaid amount $. . . . . . . . . . . . . . . . . . . . . . held b . .. .. . . .. .. . . . address . . . .. .. . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . .. . . .. . . . . . . . . .. (c) Mortgage recorded in Liber . . . .. . . . . . . .. . Pag in original amount Of ... .... .. .. .. . unpaid amount $. . . . . . . . . . . .. .. . . . . . . . held by . .. .. .. . . .. . . .. .. . . .. . . . . .. .. . . .. .. . . .. .. . . . address . . . . . . .. .. . . . .. .. . . .. . . .. . . . . .. . . .. .. . . . . .. . . . . . . . . . . . . . . 8. There are no other encumbrances or liens against the land except . . . .. .. �t -- . .. .. . . . . . . . . .. . . .. . . .. . . . . . . .. . . . . . . .. . . .. . . . . .. . . . . . . . . . . .. . . .. . . .. .. .. .. .. . .... . .. . . . .. . ..... 9. The land lies in the following zoning use districts .... . .. .. . . .. .. .. .. .. ... .. . .. . . .. . . . . .. .. .. . . . . . . .. .. . . .. . . .. . . .. . . . . .. . . . . .. . . .... .. .. ... .. . . ...... . . . . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex- cept . . . .. .. .1-111!l'0�-' . .. . . .. . . .. . . ... . . . . . . .. . . .. .. .. . . .. . . .. .. .. .. .. . ... . . . .. . . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . .. .. �p.� . 13. Water mains will be laid by . . . .. .A. A & . . . . . . .�.�.ELC laS . . .(.�C „�c�Tll-fry/ and a f� yIJSD -aE O (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . .. . . . . .. .. . . .. .... . . . . .. lines. • • •• • • • . •• • • • • • . . . . . . . and (a) (no) charge will be made for installing said 15. Gas mains will be installed by . ,, an a (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public streets in the Suffolk County Ilighway system, annex Schedule "P” hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold IIighnvav system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the land "which cure not located and shown on the plat. 19. Where the plat shows proposed streets which are extensions of streets on adjoinigq sub- division snaps heretofore filed, there are no reserve strips at the end of the streets on said Fxisting "naps at their conjunctions with the proposed streets. 20. In the course of these proceedings, the applicant will offer proof of title as required by Sec. 33; of the heal Property Law. 21. Submit a copw of proposed deed for lotsshowing all restrictions, covenants, etc. Annex Schedule "D" 22. The applicant estimates that the cost of grading and required public improvements will be $./V.V!Y.. s itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . .. .. .. .... . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE ... .. ......� . ... . . . .. . Name of,Applicant) By :. .. .. ... . . . . . . . . (Signature and Title) _ . ,A (Address).. C1 _ / STATE OF NEW YORK, COUNTY OF . . . . ��.!G44?(. t� .. .. .. .. .. ss: On the . . .�2 t4.'/�.. .. . day of. . . /� G.� ��'.(.. . . ., 19. . 4.�., before me personally came . .. ... Y.! to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . .h.(-.. .. . executed the same. ELIZABETH ANN NEVILLE Notary Public,State of New York � No.52-8125850,Suffolk Co Tartu Expires October 31,19, Nota , Public STATE OF NEW YORK, COUNTY OF . . . . . .. . . . . . . . . .. .. .. . . . . . . . ss: On the . . . . . .. . . . . . . . . . day . . . . . . . . . . . . of . . . . . .. . . . . . . .. 19. . . . . ., before me personally came . . . • . . . . . . . . . . . . . . .. . to me known, who being by me duly sworn did de- pose and say that . . . . . . . . . .. . resides at No. . .. .. . . .. . . . . . . . . . . . . . . . . . . .. . . .. . . . .. .. . . . . .. .. . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . that . .. . . . . .. .. . . .. .. .. . . . . . . . is the . .. . . . . . .. of . . . .. . . . . .. .. . . . . . . . . . . . . .. . . . . . . . . . . .. . . .. . . . . .. .. .. . . .. .. . . . . . . . . . . . . . . . the corporation described in and which executed the foregoing instrument; that . .. . . . . . . . . . knows the seal of said corporation ; that the seal affixed by order of the board of directors of said corporation. and that signed . . . . . . . . . . . . . . name thereto by like order. . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . .. . Notary Public Southold Town Planning Board Town Hall Southold, New York 11971 Re: �e�✓ ^� '� i��� f�1� Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, 14-16-2 (210 617.21 SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. Itis also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Ernes ¢- S C4 her�jev Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 1 `�. PART 1—PROJECT INFORMATION 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 additiona!( information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION r� I c LOCATION OF ACTION (Include Street Address, Municipality and County) F _ (rGtL .SL[FF04K NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Y-ICAN ADDRESS CITYIPO STATE ZIP CODE I- 7U. NAME OF OWNER(If different) BUSINESS ELEPHONE ADDRESS CITYIPO 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 ❑Commercial MResidential (suburban) ❑Rural (non-farm) ❑Forest OAgriculture/ *Other 2. Total acreage of project area: {dr0.J acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres i V, A acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces oZ acres acres Other (indicate type) acres acres �c 3. What is predominant seilytype(s) on project site? a. Soil drainage: Well drained % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYSr Land Classification System? acres. (See 1 NYCRR-37 K_ 4. Are there bedrock outcroppings on project site? ❑Yes (gNo a. What is depth to bedrock? (in feet) 2 5. Approximate percentage of proposed pro site with slopes: R10-10% /Do �r ❑10-15% % ❑15% or greater % 6. Is project substantially contiguous to, or coVain a building, site, or district, listed on the State or the National Registers of Historic Places? ON o 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes lNo fc 8. What is the depth of the water table? 70 (in feet) �J// *9. Is site located over a primary, principal, or sole source aquifer? C�SI'es ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes f$fJ0 11. Does project siteco in any species of plant or animal life that is identified as threatened or endangered? ❑Yes o According to Identify each species 12. Are there any unique r unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes i2No Describe 13. Is the project site pyesently used by the community or neighborhood as an open space or recreation area? Dyes o If yes, explain 14. Does the present�site�i clude scenic views known to be important to the community? ❑Yes LSNo 15. Streams within or contiguous to project area: M— 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 A)0 /y(- b. Size (In acres) 17. Is the site served by existing public utilities? ❑Yes LA/0 a) If Yes, does sufficient capacity exist to allow connection? Eyes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes ❑No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ONO 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? Dyes []No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes kNo 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 /) �P3 acres. b. Project acreage to be developed: D VE acres initially; acres ultimately. i'_'--- ,-7-_... c. Project acreage to remain undeveloped �- acres. j 1 �S d. Length of project, in miles: (If appropriate) i! e. If the project is an expansion, indicate percent of expansion proposed U DEC 2 71991 f. Number of off-street parking spaces existing —A)6AI ; proposed 0X/E_ g. Maximum vehicular trips generated per hour _N U N L (upon completion of proje t)? SOUiNOLD TOWN h. If residential: Number and type of housing units: PLANNING BOA N One Family Two Family Multiple Family Condominium -- Initially Ultimately �p i. Dimensions (in fee0ofagest proposed str ture height width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 3 2. How much natural mat .il (i.e., rock, earth, etc.) will be re�moovv o .onn the site? n rV�tons/cubic yards 3. Will disturbed areas be reclaimed? ❑Yes ❑No f!!J'N/A „ a. If yes, for what intend. purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ❑No c. Will upper subsoil be stockpiled for reclamation? Dyes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? _ j Al acres. 5. Will any mature Brest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes E40 � 6. If single phase project: Anticipated period of construction DCVI months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent p—haasses? ❑Yes L9No 8. Will blasting occur during construction? ❑Yes U o 9. Number of jobs generated: during construction AIJUIE_; after project is complete 10. Number of jobs eliminated by this project &0 Al E7 /,; 11. Will project require relocation of any projects or facilities? ❑Yes 9a'No If yes, explain 12. Is surface liquid waste disposal involved? Dyes No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? Dyes P o Type f 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes o Explain 15. Is project or any portion of project located in a 100 year ood plain? Dyes 0 16. Will the project generate solid waste? Dyes L or a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? Dyes ❑No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? Dyes odQo a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? Lyears K 18. Will project use herbicides or pesticides? Dyes L7No 19. Will project routinely produce odors (more than one hour per day)? ❑Yes ml1�O / 20. Will project produce operating noise exceeding the local ambient n ise levels? ❑Yes L9N01 21. Will project result in an increase in energy use ? ❑Yes 0 If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons/day. /! L 24. Does project involve Local, State or Federal funding? Dyes LINO If Yes, explain 4 35. Approvals Required: Submittal • Type Date City, Town, Village Board ❑Yes EY/No City, Town, Village Planning Board dyes ❑Np City, Town Zoning Board Dyes o City, County Health Department des ❑ o Other Local Agencies Dyes o Other Regional Agencies Dyes VNo State Agencies 0Yes4 Federal Agencies ❑Yes L20 i C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? es ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit division ❑site plan ❑new/revision of master plan ❑resource manager n plan ❑other 2. What is the zoning classification(s)of the site? _ ��C1 3. What is the maximum/potential dlev�llo�rent of toe site if developed as permitted by the present zoning? fJR1S����-'I 4. What is the proposed zoning of the itite? /c- 5. What is the maximum potential developmen of th site if developed as permitted by the proposed zoning? �66 i1 C 6. Is the proposed action consistent with thefecommended uses in adopted local land use plans? es ❑No 7. What are thep edominant land use(s) and zoning classifications within a '/ mile radius of proposed action? 67C 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/4 mile? es ❑No 9. If the proposed action is the subdivision of land, how many /lots are proposed? 3 a. What is the minimum lot size proposed? /fir l i/L 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes UN-0 11 . Will the proposed action create emand for any community provided services (recreation, education, police, fire protection)? ❑Yes o a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes (i3No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provid d ovr 's true the best of my knowledge. z v "2 Applicant/Sponsor Name Date Signature fe AIJ Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Pa='-2-13110JECT IMPACTS AND TP'rIR MAGNITUDE Responsibility of Lead Age.icy General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 P Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change ❑NO ❑YES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ El Yes ❑No foot of length), or where the general slopes in the project area exceed 10%, • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ El Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect tr. _..ry ur❑que or unusual land forms found on _ the site?(i.e., cliffs, dunes, geological formations, etc.)❑NO ❑YES L • Specific land forms: ❑ ❑ ❑Yes ❑No 6 PGANI G'BOARD T0Q4 O SOU ;HOLD SU FQLmY s Southold, N.Y. 11971 (516) 765-1938 THOLD TOWN Pt ANMtQG 6C dL) QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms. If your answer- to any of the following questions is yes, please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are there any wetland grasses on this parcel? Yes N (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97 , for your reference) 2. Are there any other premises under your ownership abutting this parcel? Yes No 3. Are there any building permits pending on this parcel? Yes No 4 . Are there any other applications pending concerning this property before any other department or agency? (Town , State, County, etc. ) Yes No / 5. Is there any application pending before any other agency with regard to a different project on this parcel? Yes No 6 . Was this property the subject of any prior application to the Planning Board? Yes No 7. Does this property have a valid certificate of occupancy, if yes please submit_a copy of same ( Yes ) No I certify that the above statements are true and will be relied on by the Plan ng Board in considering this applicat ' o . 4ig4,4 0! l , !IlA l Pti�fn natu of property owner or authorized agent IdatV t Attachment to questionnaire for. the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss : On the "' 6 day of , "p;. , . 199j, before me personally came C & Vj C d to me known to be the individual described ink" and who executed the foregoing instrument, and acknowledged that he executed the same. ELIZABETH ANN NEVILLE Nota Public NWary Public,State of New York No 52-8125850,Suffolk Co Term Expires October 31, 19W 7CC2IQT' FORK NQ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9338 • . • • Date . . . December 12 . . . . . . . . . . . .. 19. . 78 THIS CERTIFIES that the building located at . . .7640. 1 Alvah . s Lane. �x . . . . . . . . . . . Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . July 1.7 19 7B pursuant to which Building Permit No. . . , 9842Z dated . . July 17 . . . . . .. 19. T8, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . Agricultural .$ui7 $jri8 .w$t}t, Greenhouse, . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . Ernest Schneider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . of the aforesaid building. (owner,ZMX4 ick Suffolk County Department of Health Approval . . . . December 7, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . , . . . . , N413011 . . . . . . . . . . . HOUSE NUMBER . . .7640Street . . . . . , , Alvah' s Lane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tchopv e, N.Y. . . . . . . . . . . . . . . . . . . . . � � ��� Building Inspector * Water supply to be used only for commercial purposes, not to be consumed by infants under 6 months of age. County Tax Map Number 1000-101-1-14.2 + • FORM NO.4 TOWN OFSOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 2 1684 7 Date . , May. 4 , 1 988 . . . . . . . . . . THIS CERTIFIES that the building . . . . Add i t ion Location of Property . - ,7,640 ALVAHS LANE CUTCHOGUE Hous No. . . . . . . . . . StrNr . . . . . . . . . . . . . . . . . . . . . .Hemler, County Tax Map No. 1000 Section . . .I 0 1 , . . , , .Block . . . . . . . . . . . .Lot . . . .14 . 3. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated S Q.R 4 . . 4., . 1 PAZ pursuant to which Building Permit No. . .1.6437Z . . . . . . . . . . . . . . . . . dated sept . 7 , 1 9 8 7 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . G,rggnhouse, additAon. to existing �reenhouae as appl. .ied. . .fo. .r . . . . . . . . . . . . . . . . . . The certificate is issued to EHNBST SCHAEIDHE . . . . . . . . . . . . . . . . . . . . . (owner,Xr�i� of the aforesaid building. Suffolk County Department of Health Approval . . . . A/.Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .Pending 4 /28/88. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A f � . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rw. 1/81 I • FORM NO. 4 6: TOWN OF SOUTHOLD Li BUILDING DEPARTMENT j'. Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nu_ 218699 Date JANUARY 8, igg0 THIS CERTIFIES that the building ADDITION [ACalion of Property 7640 ALVAHS LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 101 Block 001 Lot 14.3 Subdivision Filed Map No. LoL No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 22, 1988 pursuant to which Building Permit No. 17366Z dated AUG. 26, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is TO ATTACH A TRAILER TO EXISTING GREENHOUSE. The certificate is issued to ERNEST 6 JEAN SCHNEIDER � (owner, — of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A _ UNDERWRITERS CERTIFICATE N0. N060441--FEB. 28 1989 PLUMBERS CERTIFICATION DATED N/A ' 4• Building Inspector Rev. 1/81 • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20310 Date OCTOBER 29, 1991 THIS CERTIFIES that the building NEW DWELLING t Location of Property 7645 ALVAHS LANE CUTCHOGUE N.Y_. House No. Street Hamlet t(4E County Tax Map No. 1000 Section 101 Block 1 Lot 14.3 Subdivision Filed Map No. Lot No. j conforms substantially to the Application for Building Permit heretofore ' filed in this office dated_ MAY 8, 1991 pursuant to which Building Permit No. 19857-Z dated MAY 159 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH GARAGE IN CELLAR AS APPLIED FOR. _ The certificate is issued to ERNEST & JEAN SCHNEIDER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-26- OCT. 25, 1991 UNDERWRITERS CERTIFICATE NO. N-208904 - OCTOBER 21 1991 PLUMBERS CERTIFICATION DATED OCTOBER 4 1991 - K & K PLUMBING & HEATING B lding Inspector Rev. 1/81 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . �9323. . . . . Date December. . .1 �g . . . . . . . . . . . . . . . . . . . . .. 19. . . . THIS CERTIFIES that the building located at . . 81.45 AlvahI s Lane . cx . . . . . . . . . . . . . . . . . . . Map No. . . . . . . . . . . . . Block No. . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . April. _ _ .17. . . _ . . . 19.7q. pursuant to which Building Permit No. . . .9679Z dated . , , April 17 19.7. was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . . . . .Private One Family Dwelling The certificate is issued to . . . . . . .Robert .Q1Ai*, . . . . . . . . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. (owner,X&Wa**�Ff Suffolk County Department of Health Approval . . . . 8-50-34 October. 23,. 1978 UNDERWRITERS CERTIFICATE No. . . . . . . . . .N405'799 HOUSE NUMBER . . . 8145. . . . . . Street . . . . . . .Alvah, s Lane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6utchoguex .N.Y. Bu ding Inspector County Tax Number 1000-101-1-part of 14.2 4 FORM NO. 4 . TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18401 Date SEPTEMBER 21, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 8145 ALVAH'S LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 101 Block 01 Lot 14.2 Subdivision FiLed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1986 pursuant to which Building Permit No. 15220-Z dated AUGUST 29. 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate in issued is ACCESSORY HORSE BRAN & CORRAL AS APPLIED FOR. The certificate is issued to ROBERT & DARCIE CLARK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A • UNDERWRITERS CERTIFICATE NO. PENDING - SEPTEMBER 19 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector �� Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD Bc 1 DING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20115 Date JULY 25, 1991 THIS CERTIFIES that the building_ ACCESSORY GARAGE i 1 Lucation of Property 8145 ALVAHS LANE CUTCHOGUE _ House No. Street Hamlet County Tax Map No. 1000 Section 095 Block 03 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated OCT. 18, 1989 pursuant to which Building Permit No. 1B594Z dated_ OCT. 25, 1989 , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARAGE. The certificate is issue(j _ ROBERT 6_ DARICE CLARK (c :ecs)- of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH A 'ROVAL N/A UNDERWRITERS CERTTFTCATE NO. N195949 JULY 12, 1991. PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD PROPERTY-RECORD CARD OWNER ( STREET VIILLA(GE DIST. SUB. LOT FORMER OWNER N E Pt , ACR. S W TYPE OF BUILDING C7 (i m c�e1 v : �HP � ' 5L ' � RES. 2/ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value ✓% �,�' ` LAND IMP. TOTAL DATE REMARKS 4 zGG < 64 I, e ,, > >r _ Hoc � Uv YPv,,e ( 1100 S /Gi'%b ��, {Y/' � 67 i rf, c»� �, dur rte ' � 3 .S" / /17 %i ZJ P // c7Flo�.st• ZO//pO � +1 1 L 2o2U1, C) -BPIIFJQtk r;c, S g oo ✓ Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total CONSULT YOUR LAWTSR Ut1SORs siew"G vwgItbinumLgT—THIS INSTRWAeNT sMouto as usso ar t arrrses ow E 1SER 56 oq PPC - (� A\ THIS 1NDXMXUM made the il.th day of August , nineteen hundred andseventy-Light ryy=CN E.H.S.GREENHOUSES, INC. , a domestic eonpoAation, ot9anized and ex,Lst- t a.ng undeA and by vi&tue o6 the laws o6 the State o6 New Vorth, with nh6i.cee locate at Alvah's Lane, Cutehogue, New Voxk, U party of the first part, and ERNEST SCHNEIDER and JEAN SCHNEIDER, his wi 6e, both xeisidin at 915 Lakes.i.de Drtive Noxth, Southold, New Voxk, D.ietA.ic t 1000 Section party of the second part, 1 d 1 .d u" QI -Isanide. 'on of Ten Dollars and other valuable consideration paid by the ° Po1W the party of the second part, the heirs Block or tutecesson said assigns of the patty of the moon , 01.00 ALL that certain or of land. wi the b I and im to thereon erected, s;tuate, lylsgsiRd iMRilitiLdhague, Town oSotoxtx, County o6 Su66olk and State o5 Loi " Naw York, bounded and deeanEhed ae 60 own: 014.003 BEGINNIM6 at a point on the wutwty aide o6 Atvah's Lane distant 1347.30 beet nwtth o6 the noAthwty end o6 the eultve connecting the no)thexly side o6 Wddre Road with the westwty aide o6 Atvah'4 Lane, aadd point atso being the neAtheast CoMer 06 tang now ax 6onmwty 0� John Ktae6tdd; RUNNING THENCE South 56 detggreee 2 mfnuteb 0 seconds West along the nohthecey aide o6 tared now ox 6oemeitty o6 John Ktaa6eld 148. 16 beet; THENCE North 31 de¢peee 25 m4nuttd 20 deeonde West atong the eaetety side o6 tatd now ox 6oxmw.fy o6 the Estate o6 Witham H. Wickham 700. 11 beet; THENCE Norsk 56 deeggzees 32 minutes 10 seconds Eget along the southerly side o6 tend now ox boAmeuy o6 Anthony J. Schmitt 541.22 beet to a point; THENCE THE FOLLOWING 2 eotuteee and distances along the land now or 6onmealy c6 Cti"At 1. South 33 deaxeee 21 minutes 50 seconds East, 174.0 beet; 2. North 56 degrees 32 minutes 10 seconds East, 275,0 eet tc the we.stetty s.uie o6 Atvah's Lane; THENCE South 3 d 27,mcnutee 50 seconds East along the westexPy Ade. o6 Atvah's Lane 5;#, .d '' �,c6D the 00int ox ptaae od BEGINNING, . a u"�ta W7Ir�.Flflu IFR h1} 4�evVt�. TOGETHER with all fight, title and interest, R any, of thi party of the first part in and to any streets and rohds .abutting the above describWXremises to due center linea thereof. TOGETHER with the appurtenances and all the estate and rights of the party of the first part In and to said premises; TO HAVE AND TO HOLD the premises hareln,granted unto the pr<rFy of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first pert covenants that the party of tfie first part Its not done or suffered anything whereby the said premises have been �UudRtr{ !n wa }� er except as aforesaid. AND the party or the first part, in compllantx tth SeeUonof a IYLP, eavmams that the party of the first part will receive the consideration for is conveyance and will hold the right to receive sucli consid- eration as a trust fund to be applied first for therpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the Ipumprovement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if It read "parties" whenever the sense of this indenture so requires. IN WfTMM WHLREOR, the party of the first part has duly executed this deed the day and year first above written. IN rasasnt ,ptt«,..:.. k' E.H.S.GREENHOUSES, INC. rr ' ' . t . CHAIN OF TITLE DEED Stanley Simchick and Dated: 3/5/69 Helen Shwhick, his wife Recd: 3/10/69 Liber: 6516 Co 92 to Ernest Schneider Jean Schneider, his wife -----_---- DEID Ernest Schneider and Dated: 6/5/73 Jean Schneider, his wife Rec'd: 7/3/73 Liber: 7774 Co 340 to Aqnes R. Catalan --- DEED Agnes R. Catalano Dated: 12/11/74 Rec d: 12/30/74 to Liber- 7774 cc 340 Edward Gibbons --------------- _-------- DEID Dated: 1/5078 Edward Gibbons Reeds 1/ZO/78 to Liber: 8373 Co 62 Ernest Schneider _ --_------_____------- DEm Dated: 8/17/78 Ernest Schneider Rec'c�: 8/22/79 to Tibe 8484 CP 191 E.H.S. Greenhouses, Inc. MORTGAGE Dated: E.H.S. Greenhouses, Inc. Dated: 8/17/78 Reed: 8/22/78 and Tiber: 8246 Mrs 89 Southold Savings Bank Amount:: $100,000.00 DEED F.H.S. Greenhouses, Inc. Dated: 8/11/79 Recd: 4/11/79 to Liber: 8609 C_'o 267 Ernest Schneider and Jean Schneider, his wife --------------.-__---- EXTENSION AGREEMENT Dated: 1/30/84 Ernest Schneider and Jean Schneider, his wife Recd: 1031/84 Liber: 9941 mo 418 and Southold Savings Bank _ --------- ---- MORTGAGE Dated: 12/30/87 Ernest Schneider and Jean Schneider, his wife Recd: 12./21/87 Liber: 13689 NIp 333 and Amount: $240,186.83 Southold Savings Bank continued CHAIN OF TITLE COPfTINTM. . . CONSOLIDATION AND EXTENSION AGREEMENT Ernest Schneider and Dated: 12/21/87 Jean Schneider, his wife Reed: 12/30/87 and Liber: 13689 Mp 343 Southold Savings Bank CnNSOLIDATION AND EXTENSION A(=4ENT Ernest Schneider and Dated: 6/15/88 Jean Schneider, his wife Recd: 6/22/88 and Liber: 14183 Mp 303 Southold Savings Bank *Consolidates Liber 8246 Mo 89 and Liber 13689 Mo 338 to form a single lien of $325,000.00. MORTGAGE Ernest Schneider and. Dated: 9/20/91 Jean Schneider Recd: 9/27/91 and Liber: 17058 Mo 01 Amount: $91,615.OT The Suffolk County National Bank *As consolidated with mortgage assigned to the Suffolk County National Bank to form a single lien of $400,000.00. ASSIGNMENT Southold Savings Bank Dated: 9/20/91 Recd: 9/27/91 to Liber: 17057 Mo 589 The Suffolk County National Bank 5-4V377-SS MgCRIPTION ALL that certain plot, piece or nareel of land, situate at Qitchogue, Town of Sou+hold, County of Suffolk aryl State of New York, bOM10 and described as follows: BEGINNING at a point on the westerly side of Alvah's Lane distant 1347.30 feet north of the northerly end of the curve connecting the northerly side of middle Road with the westerly side of Alvah's lane, saidpoint also being the northeast corner of land now or formerly of John Rlasfeldp RUNNING THENCE south 56 degrees 32 minutes 10 seconds west along the northerly side of land now or formerly of John Klasfeld 848.16 feet- THEN= north 31 dearees 25 minutes 20 seconds west alonri the easterly side of land now or formerly of the Estate of William H. Wickham 700.11 feet: THENCE north 56 degrees 32 minutes 10 seconds east along the southerly side of land now or formerly of Anthony J. Sclmdtt 548.22 feet to a point; THENCE the following two courses and distances along the land now or formerly of Clark- 1. South 33 degrees 27 minutes 50 seconds east 174.00 feet; 2. North 56 decrees 32 minutes 10 seeorxrs east 275.00 feet to the westerly side of Alvah's lane' THENCE south 33 degrees 27 minutes 50 seconds east along the westerly side of Alvah's lane 525.67 feet to the point or place of BEGINNING. .. '.ai;. .(,;. ._act:.:..�>. :. •. :p,�.*.::iBT+r:'.. _.', *i�4?Tt<�6. r..... .. XT . �Iill�• :�n�l (711ar:i1'.1 �• C'�tnil1:l11�' 05 OSbawhr '14 V.�• XP\\'Y..11. II�IJI ..11 ._. .nv 1 .'\ .11:1�'�� IN:1 Ni Title No. 5-1055377-SS i Security Title and Guaranty Company hereby certifies tot C=ity of Suffolk and Town of. Southold that it has searched the records of the Suffolk County Clerk's i Office for a period of 20 years last past for the purposes of determining parties who must consent to the filings of Covenants I - and Restrictions. Based on said records, the Company has i determined that the only parties who must consent to said filing would be as followst * 1) Ernest Schneider and certified record owner by deed. Jean Scimeider, his wife Rec'ci in Liber 8609 Co 267. 2) The Suffolk County 1st M=tgage by assignment recd in National Bank fiber 17057 Nb 589 and Mortgage rec' in Liber 17058 HO 01. DEC SOUiHM iOWN ^_�; pIANNING BOAHO . The liability of this Company under this search in limited to the sum of $1,000.00 for any reason. District 1000 Section 101.00 Block 01.00 Lot 014.003 Schedule "A" herewith (full description of premises) Chain of Title herewith Security Title and Guaran,- �I Dated : October 18, 1991 b � - --- 11 ra ._ King Assistant Title Officer l SUBMISSION WITHOUT COVER LETTER QQ DATE: SENDER: L , ohne ;,jeg, 0 SUBJECT: -x Ince 4F2 SI;�C� iJ;Sp� SCTM# : COMMENTS: Miami > SUFFOLK COUNTY CEPARTl2Mr Or HEALTH SMM CBS —� v?.^ r rnilr, ex,."Jl:,'E RECZ.:".'RATi e'TiiJ4 i Official no* Only r - i meceipt No. i—�- , J1 Fac. Ref. No. 1* I` ' R -- at. of Fee rPrincipal Property Tax Code 14* District *15*Section 0 *16* B *17* 2*Pacility Name 3* No. *4* Street *5* C® Lot F . 6 State • Zip Phone No. 32*Facility Owner 33*No. *34*Street *35*cm. *36*State 37*Zip Phone Ro. 42*Pacilijk- ty Operator I*43*No. *44*Street *45*Ccs. *46*State 47*Zip Phone No. 52*Tend Owner 53*No. *54*Street *55*Cos. *56*State 57*Zip P}lpne No. - 02*T� Owner *63*No. *64*Street *65*Ccs. *66*State 67*Zip Phone No. 70*Are chemical drums or contain^ stored at this site? Yes NO *71*Empty Drums *72*iull or Part Phil *73*Naste Material *74*New Material *75*Average No. Being Stored *76*lype of Materials: New Oil Pteducb Waste Oil Organic Solvents Otter 702 70E 709 707 715 Tie 717 Tie 7t 7t0 -72 701 p q i 46 < - - - - O - DISPER EW FlLl i z iO a OO_ rOTHER • Will O • i MATERIALS (SALtBIiis '* i : tllFClFb) -- z O ~ -c ir s O O j d *0a p• O ~ cro = 0 No C O 2 = Y ; O 4 > 'j t' O 1� s -It .> > t T D31 ` i > a a ■ • 0 O < • • O O L O O O \01 jp tt I I f <. > 1y98 `` n i 7e 1 'ertify that iifor nation on this application ano all attachments nave been reviewed and that,based on my inquiry of those persons immediately responsible for obtamirg the irfo,mat,on c0ntai.9ed in this application, I oelieve tnat the information is true,accurate,and complete. I understand that +alse statements made herein are punisnable as t 4 C ass 4 misdemearor pursuant to Section 2'0.45 of he Penai Law. Date Print Name S�qnature Title O '-,Yr, ' �, 7LCi.`� 4 r ` Q� 1 � 1 all I fra S�2 r, 6'7 ire i v. I van •.mlv M{ttn • ••IsIL1• ' a � - ^t Jtl I' !'�}f �9d�T���k�l�I I v_ �E, # c n it :d 4,114 r. July 31, 1990 r a Ernie Schneider 7645 Alvah's Lane Cutchogue, N.Y. 11935 RE: TANK TEST AT SCHNEIDER GREENHOUSE. Gentlemen: Please: be advised that following tank was tested by our company un July 27, 1890. LOCATION: 7645 Alvah's Lane, Cutchogue, N.Y. SUFFOLK COUNTY: SECT. 100, BLK.143, LOT 01 TANP NO. North Tank only. L TA NK # I TYPE OF TEST: Petrotite Test. RESULTS: PASSED @ -.006 GPH. As required by law, we have sent copies of theae results to the Agency listed heiow. Thank you for this opportunity to have been of service. Very truly yours, BAIN INDUSTRIAL SERVICE CORP. Jos�azzolo, Manager Tank Division JP:ip Encl. cc: Suffolk County Health Dept. 15 Horseblock P1. Farmingville. N.Y. 1173L Att: Laura 'A; o:t"F 1�l �"� ifi(1� V`fl4N[: tli fi . 1iri i August 6, 1990 I Ernest Schneider ' 7640 Alvahs Lane Cutchogue, N.Y. 11935 RE: TANK TEST AT SCHNEIDER'S GREENHOUSE. Gentlemen: Please be advised that following tank was tested by our compnny on August 1, 1790. LOCATION: 7640 Alvahs Lane, Cutchogue, N.Y. SUFFOLK COUNTY: Sect, 100, Blk. 143, Lot 01 . TANK NO. South Tank only. 8,000 Gallons 112 Oil. (TANK TYPE OF TEST: Petrotite Test. RESULTS: PASSED @ +.004 GPH. As required by law, we have sent copies of these results to the ngency listed below. Than you for this opportunity to have been of service. Very truly yours, BAIN INDUSTRIAL SERVICE CORP. Joseph Palazzolo, Manager Tank Division Jp:jp Encl.. cc: Suffolk Health Dept. 15 Horseblock P1. Farmingville, N.Y. 11738 Att: Laura MS SUBMISSION WITHOUT COVER LETTER DATE: IgI�T SENDER: �rn�St �CYI nPiIGCPh SUBJECT: (111 nQl 5 wU G� iV SCTM# : l$3 fi 6) 10 COMMENTS: Z p)llaLS - FEB 8 1994, SUBMISSION WITHOUT COVER LETTER DATE: I I � SENDER: rheS� SUBJECT: V71 i n F,- > U I✓ SCTM# : lQ - 1 - /Y. 3 f 3S - 3 - d Z ( yuf ll�Yr COMMENTS: C7 ( (1 Y �rcf`q k�pur�me✓lf d,a ed Alay y, 155,7 +ulel he¢ fl. lJ, ey"rre( enVst be ujDc(lJocl, JAN 7 f � %v "FFO 0 PLANNING BOARD MEMBERS ,. V, SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �� '`cam L `v Supervisor George Ritchie Latham, Jr. ,( : aa` Richard G. WardTown Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 July 13 , 1993 Ernest & Jean Schneider 915 Lakeside Drive Southold, NY 11971 Re: Minor subdivision for Ernest & Jean Schneider SCTM# 1000-95-3-10 & 1000-101-1-14. 3 Dear Mr. and Mrs. Schneider: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July 12, 1993: BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from July 13 , 1993 to January 13 , 1994. The Planning Board has granted this additional extension in response to your letter of July 2, 1993. Final maps with Health Dept. approval must be submitted prior to the expiration of the extension date. Please contact this office if you have any questions regarding the above. Sincerely, /J�� f1� � °I/Wi,nm5 Richard G. Ward Chairman ms �B a, 0?-3 SCTA� �J=3 - /o �A'4GC.yiGl y l� e Cozrc�2��/�r�2� r i u to PLANNING BOARD MEMBERS € 'a ^ tY SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �, T'°`' ° ,,p�ty`y Supervisor George Ritchie Latham, Jr. Richard G. Ward � ��Y� Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 ,7;�nuary 17., 1993 Ernest Schneider 915 Lakeside Drive North Southold, New York 11971 RE: Minor Subdivision Ernest & Jean Schneider SCTM#1000-95-3-10 & 1000-101-1-14 . 3 Dear Mr. Schneider: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, January 11, 1993 . BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from January 13, 1993 to July 13 , 1993 . Please note that this is the last extension that the Planning Board will be granting. Please contact this office if you have any questions regarding the above. Siincerely, Richard G. Ward 'VS Chairman Pa 7 . cfz c�cr-CCY �c�+_ti z 1 VL�c'�Qt� J..L.:-( ls+ ,.ac 1L c"u'.L..Zzc. L..z ie iX C.<�CL,�.I 'tic�Zl'z—C� 1 �GG„ M - 7 r '< -z � G PLANNING BOARD MEMBERS W j , , . SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman © , ►+ �ti Supervisor George Ritchie Latham. Jr. Richard G. Ward ��• � �� sir Town Hall, 53095 Main Road Mark S. McDonald . ' P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 July 22, 1992 Ernest Schneider 915 Lakeside Drive North -� �New York 119 V RE: Minor Subdivision Ernest & Jean Schneider Alvah' s Lane, Cutchogue SCTM# 1000-95-3-10 & 101-1-14. 3 Dear Mr. Schneider: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Tuesday, July 21, 1992. BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from July 13 , 1992 to January 13, 1993 . Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman �uBFic� 141,3 l'.1D13 aleU gpUTHOLJIT� Q - PLANPJJNQ • o��SOEF04 O Gym PLANNING BOARD MEMBERS W ,? SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �� �� Supervisor George Ritchie Latham, Jr. Richard G. Ward a Town Hall. 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 April 28, 1992 Ernest Schneider 915 Lakeside Drive North Cutchogue, NY 11935 RE: Fire well location for Ernest & Jean Schneider SCTM#1000-95-3-10 Dear Mr. Schneider: The Cutchogue Board of Commissioners has recently reviewed the proposed subdivision map for your property, and finds that a fire well is necessary as marked on the enclosed map. All previous recommendations have been withdrawn. The Planning Board is requiring that the location of the fire well be shown on the final maps. well.Please refer to the enclosed specifications for the fire If you have any questions, please do not hesitate to contact this office. Very truly yours, Bennett Orlowski, J r{s Chairman Encls. SuN3FiGC • CUTCHOGUE FIRE DISTRICT• Cutchogue, N.Y. Telephone 11935 (516) 734-6907 April 16, 1992 Mr. Bennet Orlowski Jr. Southold Town Planning Bd. Town Hall Southold, N.Y. 11971 Ref: Schneider Property Dear Mr. Orlowski, The Cutchogue Board of Fire Commissioners has recently reviewed the above property map and finds that a Fire Well is necessary as marked on the enclosed map. The well shall be an electric submersible type conforming to the specifications on file with your office and at the Firehouse. All previous recommendations are hereby withdrawn. If you have any questions, please advise. Thank you. Yours truly, Board off Fire Commissioners Matthew J. artin Secretary Map enclosed K� � oTN � R 2 4 i99 OUTHOLD Tnl"!^aANNING'8?�:� 53, 416 �.r � ✓ L , weL I� 1�- . bEFcr -`AI,�- � <t r ,N f!! rOMBt"iE� N tO1,Z66r. tri LU m o 83z.. ._ _ $.-BOAC. f: EEtJHGLSE - J Cf�P1C2 - 1y7u� tu al All - ku BLU B5T .'J E _ Ci % _ _ _i _ 0 � ! . POOL POLE LINE W-- 9LUESTONE - .'--_— f , to LL ..i L) C2 _ 7 LL 111 41 - 1 r1 Z � - S�-r<3�GC COTCHOGUE FIRE DISTRICT • �� Cutchogue, N.Y. Telephone 11935 (516) 734-6907 I.D. April 16, 1992 Mr. Bennet Orlowski Jr. Southold Town Planning Bd. Town Hall Southold, N.Y. 11971 Ref: Schneider Property Dear Mr. Orlowski, The Cutchogue Board of Fire Commissioners has recently reviewed the above property map and finds that a Fire Well is necessary as marked on the enclosed map. The well shall be an electric submersible type conforming to the specifications on file with your office and at the Firehouse. All previous recommendations are hereby withdrawn. If you have any questions, please advise. Thank you. Yours truly, Board,,off Fire Commissioners Matthew J. rtin Secretary Map enclosed fill , APR 44 ORS I J SOUa PLANNING' L. 1 `i EP9� LD TOWN Specifications for Fire Wells in the Cut& o ue LANNISOUTHGBOAR PLANNING BOARD Fire District The well is to be the gravel filter type by developing the natural formation surrounding the well screen. The well shall have a casing of not less than 8" inside diameter, full weight wrought steel drive pipe. The well screen shall be stainless steel and shall have an open slot length of not less than 201 . Upon completion of setting of screen the well is to be developed until no further sand enters the screen and until gravel-filter wall surrounding the screen is stabilized at the ultimate pumping capacity of the well . The well is to be figured at a length so as to have 20 ' of water above the well screen. The quality and the quantity of the discharge shall be approved by the Board of Fire Commissioners . If more depth is required, state additional cost per foot. If the location is required to be changed, the time involved installing the original casing and the recovery thereof shall be paid by the Cutchogue Fire District and shall be stated at the rate per hour . If additional screen is required, the additional cost is to be stated per foot. All electrical wires are to be terminated above ground into a District approved electric receptacle. Electrical outlet box to be pipe nippled to well casing, and be supported by steel bracket welded to well casing. Outlet box to be fastened to bracket with stainless steel screws so that it does not swivel on conduit. The well is to be painted red and white as directed by the Fire District. Fire Well A is to be equipped with: 1. - 20 H.P. , 3 Phase, Submersible Pump capable to deliver 400 G. P.M. at 10 P.S. I . discharge at center of tee at top of well . Pump shall be of the submersible turbine type, equipped with grease-packed bearings in bowl assemblies . The bowls shall be of a smooth finish design to guide the water from one stage to the next with a minimum of turbulence. 2. - Top of the well is to be finished off with an 8" x 4" well seal , 4" galvanized tee and plug, and 4 " x 4j" solid brass ferrule and cap. The hose threads and hydrant wrench nut shall conform to the standards of the Cutchogue Fire District. *UTCHOGUE FIRE DISTRICT CUTCNOGU[ Cutchogue, N.Y. .iephone * : 11935 i516j7.4-0907 1.D. April 10, 1992 Mr. Bennett Orlowski Southold Town Planning Board Town Hall Southold, N.Y. 11971 Dear Mr. Orlowski, The Board is in the prods of reviewing the well requirements for the East Coast and Schneider Properties. Would your office please forward the latest copies of these sub divisions for possible corrections. Thank you. Very truly yours, Board of Fire Commissioners 7 /ii I Matthew J. Martin Secretary 4UMN NGeo R I ea PLANNING BOARD MEMBERS ria Z SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Off' �� Supervisor George Ritchie Latham, Jr. Q �� Richard G. Ward �1 Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold. New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 April 13 , 1992 Mathew Martin, Secretary Cutchogue Fire District New Suffolk Lane Cutchogue, New York 11935 Dear Mr. Martin: Enclosed please find one (1) survey for the Major Subdivision of East Coast Properties and one ( 1) survey for the Minor Subdivision for Ernest Schneider as per your letter dated April 10 , 1992. Please contact Melissa Spiro of this office if you need any additional information. Very truly/yours, Bennett Orlowski, Jr'. '; 5 Chairman Encl. y�y��UrFO( PLANNING BOARD MEMBERS W SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �, `'f - `.`� Supervisor George Ritchie Latham, Jr. ��� ©�ry Richard G. Ward a-'l =..,z ,rY' Town Hall, 53095 Main Road Mark S. McDonald ar P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE .Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 25, 1992 Ernest Schneider 915 Lakeside Drive North Cutchogue, New York 11971 RE: Minor Subdivision Ernest & Jean Schneider SCTM#1000-95-3-10 & 101-1-14. 3 Dear Mr. Schneider: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 24, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, assume lead agency, and as lead agency make a determination of non-significance, and grant a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly /Yours, Bennett Orlowski, Chairman Encl. PLANNING BOARD MEMBERS U SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman 'a d, ? • C Supervisor George Ritchie Latham, Jr. Richard G. Ward ;-- Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance February 24, 1992 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Ernest and Jean Schneider SCTM#: 1000-95-3-10 & 101-1-14.3 Location: Alvah' s Lane, Cutchogue SEQR Status: Type I ( ) Unlisted (X ) Negative Declaration: Yes ( ) No (X ) Description of Action: Residential subdivision. 3 lots on 13 . 423 acres. Page 2 Ernest & Jean Schneider SEQR Negative Declaration Cont. Reasons Supporting This Determination: An Environmental Assessment has been submitted and reviewed. It was determined that no significant effects to the environment were likely to occur should the project be implemented as planned. The site does not contain significant environmental resources. Lot sizes are well above the required minimum lot sizes for groundwater protection. There is no significant increase in the intensity of use of land expected to result from the proposed project. There has been correspondence received from the Department of Health Services concerning the project. That agency has no record of an active application for subdivision approval as required by Article 6 of the Suffoldk County Department of Health Services. Based on the limited information reviewed by that agency, it appears that the proposed action can conform to the density requirements of Article 6, and is already served by existing private wells and individual subsurface sewage disposal systems. Because there has been no correspondence received from the New York State Department of Environmental Conservation in the allotted time, it is assumed that there are no comments or objections from that agency. For Further Information: Contact Person: Melissa Spiro Address: Planning Board Telephone Number: ( 516) 765-1938 cc: Suffolk County Department of Health Services Robert Green, NYSDEC Stony Brook Cramer, Voorhis & Associates, Inc. Judith Terry, Town Clerk Applicant . . r• `CRAMER, VGA OCIATESENVIRONMENTG CONSULTANTS mS February 13, 1992 Mr. Bennett Orlowski,Jr. Chairman Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Review of EAF for Ernest & Jean Schneider SCTM No. 1000-95-3-10 1000-101-1-14.3 Dear Benny: As per the your request,we have completed a preliminary review of the above referenced project in accordance with your correspondence of January 14, 1992. Tasks and completed activities are identified as follows: 1. Review Part I Long LEAF The parcel has been field inspected by CVA, and the LEAF has been reviewed and amended as necessary. A copy of same is attached. 2. Prepare Part H LEAF The Part II LEAF checklist has been completed and is also attached. Additional information concerning our findings is included below. 3. Advise as Necessary The parcel has been inspected and environmental references concerning the site and area have been consulted. Overall,we find this parcel to lack environmental sensitivity. It is noted that the site presently is occupied by existing greenhouses, and two existing dwellings. In addition, a LILCO overhead wire transects theproperty within a designated easement strip. The site is devoid of vegetation with the exception of some herbaceous weed groundcover and limited landscape plantings. The proposed project involves the subdivision of the 13.423 acres of land into three lots. Lot 1 is proposed to be 101,266 acres in size and is located adjacent Alvah's Lane. Lot 2 is accessed by a flag driveway from Alvah's Lane, south of Lot 1 and coincident with the LILCO easement where the driveway would intersect Alvah's Lane. Lot 3 would be 8.481 acres in size, and would include the existing greenhouses. It is emphasized that all structures are currently existing. The only anticipated change would be the addition of the driveway to access Lot 2 (the driveway currently does not exist; however, access is provided from Lot 3). The site does not contain significant environmental resources. Lot sizes are well above the required minimum lot sizes for grou no significant increase in the intensity of use of la 6swt T e proposed project. FEB 18 1992 SOUTHOLD TOWN Page 1 of 2 PLANNING DDARD 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 Schneider Subdivision Long EAF Review If you are in agreement with this assessment, these factors support the adoption of a Negative Declaration in connection with the Planning Board review of this action. It is noted that the site would benefit from installation of additional landscape planting which would be multi-beneficial (i.e.wind break, shade, aesthetics,wildlife benefit). I hope this letter provides the board with the information needed to reach a Determination of Significance. We would be pleased to provide additional input upon request. Please do not hesitate to call if you have any questions. Very t yo s, arles J. V rhis,CEP,AICP enc: Part I/II LEAF CRAMER, V OCIATES Page2of2 ENVIRONMENT G CONSULTANTS -14-16-1(2/87)-7c 00 617.21 V R Appendix A State Environmental Quality Review F ' 6 a%v;3 FULL ENVIRONMENTAL ASSESSMENT Flic O Purpose: The full EAF is designed to help applicants and agencies determine, in an rdeily mer a proect or action may be significant. The question of whether an action may be significant is n gent- 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: FOCU5es on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.` ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. " A Conditioned Negative Declaration is only valid for Unlisted Actions �tnes F' S C4 i1Lr �e✓ Name of Action IOWN OF SOYT►l 4.& AL/h7VI lw6 Zb tnAD Name of Lead Agency iS�C I�T2� O - IV ,eL 0 SK Pr' o Type=Respons fficer in Lead Agency Title of Res onsib/le Officer Imo+ Signaturer in Lead Agency Signature of eparer(Ifdifferent fromresponsible officer) 2 -/3-9Z Date 1 PROJECT INFO< MATIO" 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 additionaii information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION (� LOCATION OF ACTION(include Street Address, Municipality and County) R r C-LIL= — SL(r-FDC_K NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE ADDRESS LL I rip I c No. CITY/Po STATE ZIP CODE S i 7V,. NAME OF OWNER(II different) BUSINESS TELEPHONE ( 1 ADDRESS CITYIPO STATE ZIP CODE DESCRIPTION OF ACTION 5v8c1vfVo4v of 13-A17_3 '4C_44= of 14W)D 1'V7V 3 ton GDT size- /S /0/, z6Go S. P. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial j4Residential (suburban) ❑Rural (non-farm) ❑Forest XAgriculture L$Other 2. Total acreage of project area: acres. /3�'SfZ3 APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) /�•�I "T'.W acres 14-4 Lam_ acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres. Roads, buildings and other paved surfaces oZ- acres acres Other (Indicate type) res acres ,'tV 3. What is predominant soil type(s) on project site? #&VC17_v ZAM+ �l a. Soil drainage: Well drained % of site ❑Moderately we c rained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYSE- Land Classification System? acres. (See 1 NYCRR 377pr 4. Are there bedrock outcroppings on project site? ❑Yes o a. What is depth to bedrock? — 700 (in feet) I 2 5. Approximate percentage of proposed 404site with slopes: NO-10% ❑10-15% % 015% or greate T_ % 6. Is project substantially contiguous to, or cogtain a building, site, or district, listed on the State or the National Registers of Historic Places? Dyes o 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? Dyes C}No A8. What is the depth of the water table? /3(in feet) ��// 19. Is site located over a primary, principal, or sole source aquifer? L'� es ❑No � 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Dyes 1BTJo 11. Does project site coin any species of plant or animal life that is identified as threatened or endangered? ❑Yes [H1Vo According to CV.4 JA&&6CJnf4A1 Identify each species 12. Are there any unique r unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes F�fdo Describe CV* 1A/Sn6X4pn/ 13. Is the project site pr sently used by the community or neighborhood as an open space or recreation area? ❑Yes � o If yes, explain 14. Does the present�s1"elude scenic views known to be important to the community? Dyes Nmo 15. Streams within or contiguous to project area: ILIo /VL 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 — �i� /t�L= -- // b. Size (In acres) 17. Is the site served by existing public utilities? Dyes LKo a) If Yes, does sufficient capacity exist to allow connection? Dyes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes ❑No IE 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes X-40 19. Is the site located in or substantially'tontiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes "W I 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes QNo 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 . ++=`s acres. b. Project acreage to be developed: 0 AVC.`- acres initially; /3,423 acres ultimately. c. Project acreage to remain undeveloped acres. --- d. Length of _ At4 (If a I �! g project, in miles: appropriate) r, �i � e. If the project is an expansion, indicate percent,o)�f exp'a�nsion proposed Ay��/� /ollllrl f. Number of off-street parking spaces existing �; proposed g. Maximum vehicular trips generated per hour - .— (upon completion of proje t)? :: h. If residential: Number and t 6 SOUTHOLDTO'NN type of housing units: PLANNING BOARD One Family Two Family Multiple Family Condominium - C Initially Z Ultimately y , /Qt —o7RfA2 i. Dimensions (in fee ) of argest proposed str cure height; width; length. C°CX/577N6 j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 3 2. How much natural matf.+l (i.e., r4oh, etc.) will he remoov G— om the **LL `V tons/cubic yards 3. Will disturbed areas be reclaimed? Dyes ❑No [4 , ,A OYISA 67 OCrY�-7oO y T a. If yes, for what intend_- purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ❑No c. Will upper subsoil be stockpiled for reclamation? Dyes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? r acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? Dyes IDANo 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: 1. 1 .• a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? Dyes lkrq�o 8. Will blasting occur during construction? Dyes DfJo 9. Number of jobs generated: during construction Al ; after project is complete 10. Number of jobs eliminated by this project ) AI.F 11. Will project require relocation of any projects or facilities? Dyes ANO If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount -'vlNI73~ SYS d{/57>p/ 4 b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? Dyes P40 Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes �I o Explain 15. Is project or any portion of project located in a 100 year lood plain? Dyes o 16. Will the project generate solid waste? ❑Yes o a. If yes, what is the amount per month tons M6777Yl'4p PAC/6I776S b. If yes, will an existing solid waste facility be used? Dyes ONO c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? Dyes 1111 a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years }L 18. Will project use herbicides or pesticides? Dyes �lO 19. Will project routinely produce odors (more than one hour per day)? Dyes C9No 20. Will project produce operating noise exceeding the local ambient npise levels? Dyes Patio 21. Will project result in an increase in energy use? Dyes L91V/o If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day ""ft /000 gallons/day. / BX.'sTSNb e ®{C// .24. .Does project involve Local, Slate or Federal funding? ❑Yes o If Yes, explain 4 25.' Approvals Required: Submittal �// TyJW Date City, Town, Village Board Dyes LNNo City, Town, Village Planning Board IYes ❑❑/Np Sf/t3G/ViSION OF /AWZ) City, Town Zoning Board ❑/�Yes 6 o City, County Health Department U'Yes ❑P o oedpm7Y it Other Local Agencies Dyes lfdNo Other Regional Agencies Dyes I6/No State Agencies Dyes lilld Federal Agencies Dyes L 70 C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? 24/es ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit division ❑site plan ❑new/revision of master plan ❑resource managemgnt plan ❑other 2. What is the zoning classification(s)of the site? �C - 3. What is the maximum potential development of the site if developed as permitted by the present zoning? ��,�,,�;�7`r 4. What is the proposed zoning of the'Site? S. What is the maximum potential developmenj of th ,site if developed as permitted by the proposed zoning? C6. Is the proposed action consistent with the fecommended uses in adopted local land use plans? U"es ❑No 7. What are theedominant land use(s) and zoning classifications within a '/ mile radius of proposed action? p L 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/ mile? es ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? `3 a. What is the minimum lot size proposed? Q C4 tib 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes I N"o 11 . Will the proposed action create emand for any community provided services (recreation, education, police, fire protection)? Dyes o a. If yes, is existing capacity sufficient to handle projected demand? Dyes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes 04 a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certifythat the information provided t ove rs true the best of my knowledge. Applicant/Sponsor Name i' Date Signature -Q Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Pa� 2-134*T IMPACTS AND T�IR MDE sponsibility of Lead Age cy 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.tq•be,an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. ,AuyJarge impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply ,asks that it be lookeel'at-furthers ' . -' • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be i IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change toth%pproject site? Impact Impact Project Change Examples that would apply to column 2 � �}QNO DYES • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes []No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ Dyes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ 1:1 Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ Dyes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. Construction or expansion of a sanitary landfill. ❑ ❑ Dyes ❑No Construction in a designated floodway. ❑ ❑ []Yes ❑No • Other impacts ❑ ❑ Dyes ❑No 2. Will there be an effect tt. - -1Y urnque or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO DYES L- Specific land forms: ❑ ❑ ❑Yes ❑No 6 •0 1 2 3 Small to Potential ,Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15, 24, 25 of the Environmental Conserv t' n Law, ECL) O DYES Examples that would apply to column 2 ��' 111111 • Developable area of site contains a protected water body. ❑ ❑ El Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ Dyes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ E]Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ El Yes ❑No 4. Will proposed action affect any non-protected existit g r new body of water? NO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No 5. Will Proposed Action affect surface or groundwatert�� quality or quantity? X10 DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No C • Proposed Action requires use of a source of water that does not El ❑ ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ El Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveye.l off the site to facilities which presently ❑ ❑ El Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likelv cause siltation or other discharge into an ❑ ❑ El Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in'areas without water ❑ ❑ Dyes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ El Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ Dyes ❑No 6. Will proposed action alter drainage flow or patt�rns/ or surface water runoff? JQNO DYES Examples that would apply to column 2 e � • Proposed Action would change flood water flows. ❑ 11 Dyes ❑No •� 111 2 3 Small to ential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ El Yes []No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ Dyes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? >(NO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ El Yes []No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ ❑Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ Dyes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes ❑No development within existing industrial areas. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PLANTS AND ANIMALS i 8. Will Proposed Action affect any threatened or endknggred a species? O DYES Examples that would apply to column 2 /// ��`��` • Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ El Yes ❑No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes ❑No than for agricultural purposes. • Other impacts: ❑ ❑ ❑Yes ❑No 9. Will Proposed Action substantially affect non-threat�eno or non-endangered species? `IlJNO DYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ El Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land r�es�'rces? NO DYES Examples that would apply to column 2 ✓ c • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No � land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 VW2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ El Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON AESTHETIC RESOURCEXSec 11 . Will proposed action affect aesthetic resources? O ❑YES (If necessary, use the Visual EAE Addendum inion 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ Dyes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ Dyes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ El Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ 11 Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of Pistoric, pre- historic or paleontological importance? XNN O DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ Dyes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ EJ Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? ` / Examples that would apply to column 2 >NO DYES • The permanent foreclosure of a future recreational oppo tunity. ❑ ❑ El Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ E]Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 IMPACT ON TRANSPORTATION 1 2 3 Small to Potential Can Impact Be 14. Will there be an effect to existing transportation 51'ftgf^s? Moderate Large Mitigated By J�NO DYES Impact Impact Project Change Examples that would apply to column 2 / • Alteration of present patterns of movement of people and/or goods. ❑ ❑ 1:1 Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sot of fuel or energy supply? NO DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ ❑Yes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibr do as a result of the Proposed Action? - NO DYES Examples that would apply to column 2 V// 1 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ El Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ Dyes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ 1:1 Yes ❑No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ El Yes ❑No noise screen. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? KNO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e. oil, pesticides, chemicals, radiation, etc.)in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ El Yes ❑No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ONO within 2,000 feet of a site used for the disposal of solid or hazardous waste. L • Other impacts: ❑ ❑ ❑Yes ❑No 10 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the exists community? Impact Impact Project Change x1N0 ❑YES Examples that would apply to column 2 � � • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ E--]Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controrsrelated to potential adverse environmental impacts? �2QN0 ❑YES If Any Action in Part 2 Is Identified as a Potential Large Impact or f If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 X February 13,#2 Mr. Bennett Orlowski, Jr. s Chairman Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 iT Re: Review of EAF for FEB 1 a 1992 LU Ernest c& Jean Schneider SCTM No. 1000-95-3-10sourNott► wN 1000-101-1-14.3 PUNNING 60ARD Dear Benny: As per the your request,we have completed a preliminary review of the above referenced project in accordance with your correspondence of January 14, 1992. Tasks and completed activities are identified as follows: 1. Review Part I Long LEAF The parcel has been field inspected by CVA, and the LEAF has been reviewed and amended as necessary. A copy of same is attached. 2. Prepare Part II LEAF The Part 11 LEAF checklist has been eotn)leted and is also attached. Additional information concerning our findings is included below. 3. Advise as Necessary Theparcel has been inspected and enviro mental references concerning the site and area have been consulted. Overall, we find this parcel to lack environmental sensitivity. It is noted that the site presently is occupied by existing greenhouses, and two existing dwellings. In addition, a LILCO overhead wire transects the property within a designated easement strip. The site is devoid of vegetation with the exception of some herbaceous weed groundcover and limited landscape plantings. Theproposed project involves the subdivision of the 13.423 acres of land into three Iots. Lot 1 is proposed to be 101,266 acre in size and is located adjacent Alvah's Lane. Lot 2 is accessed by a flag driveway from Alvah's Lane, south of Lot 1 and coincident with the LILCO easement where the driveway would intersect Alvah's Lane. Lot 3 would be 8.481 acres in size, and would include the existing greenhouses. It is emphasized that all structures are currently existing. The only anticipated change would be the addition of the driveway to &cress Lot 2 (the driveway currently does not exist; however, access is provided from Lot 3). The site does not contain significant environmental resources. Lot sizes are well above the required minimum lot sizes for groundwater protection. There is no significant incrr.ase in the intensity of use of lard expected to result from the proposed project. Page 1 of 2 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 t'1R m _ _ Schneider Subdivision ;Long EAF Review If you are in agreement with this assessment, these factors support the adoption of a Negative Declaration in connection with the Planning Board review of this action. It is noted that the site would benefit from installation of additional landscape planting which would be multi-beneficial (Le, wind break, shade, aesthetics, wildlife benefit). I hope this letterprovides the board with the information needed to reach a Determinatior. of Significance. We would :e pleased to provide additional input upon request. Please do not hesitate to call if you have any questions. Very truiv yours, Cc�arles J. V96rhis, CEP,AICP enc: Part I/II LEAF PLANNING BOARD MEMBERS � �r SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman }' � "s• Supervisor George Ritchie Latham, Jr. A`'�(�� Richard G. WardY Town Hall, 53095 Main Road Mark S. McDonald � P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 7 , 1992 Ernest Schneider 915 Lakeside Drive North Southold, New York 11971 RE: Minor Subdivision of Ernest & Jean Schneider Alvah' s Lane, Cutchogue SCTM# 1000-95-3-10 & 1000-101-1-14. 3 Dear Mr. Schneider: The Planning Board has received a report from the Cutchogue Fire District in reference to the above mentioned subdivision proposal. The Board will be requiring that a new fire well be installed for your subdivision. A copy of the Fire District' s report is enclosed for your information. The Board is reviewing another subdivision proposal, East Coast Properties, located to the south of your parcel. A new fire well has also been required for that subdivision. The Fire District has stated that they would accept a single fire well, centrally located between the two subdivisions. A copy of the Fire District' s correspondence has been forwarded to Marie Ongioni, the attorney for East Coast Properties. Please contact Ms. Ongioni if you are in favor of the single well option, and would like to work out an agreement for the construction of a centrally located fire well. Her address is 218 Front Street, Greenport, and she can be reached by telephone at 477-2048 . Please inform the Board, in writing, if you work out an agreement with Ms. Ongioni for the installation of one fire well. If an agreement can not be worked out, the Planning Board will be requiring that a new fire well be located in the area marked by an X on the enclosed map. The location of the fire well must be indicated on the final maps for your subdivision. Ernest and Jean Schneider Page 2 The Board has also received a report from the Department of Health Services stating that that agency has not received an application for your proposed subdivision. You must apply to the Department of Health Services, and must receive approval from that agency, before the Planning Board can schedule the final hearing for your subdivision. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Chairman Encl. 0CUUi Fl TCHOGE DISTRICT •�CC�����-� CUTCNOGU( Cutchc UC N.Y. Telephone I1 (516) 734-6907 January 26, 1992 Mr. Bennet Orlowski, Chairman Southold Town Planning Bd. Town Hall 1 Southold, N.Y. 11971 SOUTHOLDTUM I PLANNIP:G BOARD Ref;Ernest & Jean Schneider Dear Mr. Orlowski, Reference the above properties, it is the opinion of this board that a new fire well be placed as marked by an X on the enclosed drawings. However, the Board notes that East Coast Properties is near by and also requires a fire well. The Board would consider a single fire well centrally located between the two properties to serve the fire needs. The cost of the well could be split between the two owners and offer considerable savings. In the event that this is not possible we would require the well as specified. The Fire Well is to conform to our specifications and be equipped as follows; 1, 20 H.P. , 3 Phase, Submersible pump capable to deliver 400 GPM at 10 PSI discharge at center of tee at top of well. Pump shall be of submersibleturbine type, equipped with grease packed bearings in bowl assemblies. The bowls shall be of a smooth finish design to guide the water from one stage to the next with a minimum of turbulence. 2. Top of the well is to be finished off with an 8" x 4" well seal. 4" galvanized tee and plug, and 4" x 4-1/2" solid brass ferrule and cap. The hose threads and hydrant wrench nut shall conform to the standards of the Cutchogue Fire District. If you have any questions, please advise. �Very truly /yours, Mathew J. Martin Secretary mjm/encl. I f: e. ,_4y.53; sv4 2 9 1992 �1 r• f pN ,. MAP .,P _ �°"° MIN�'�2 �Z3.22 ' E:2NEST JEAN sCl ICEZ 2 50 �' � 47 M •� WEl y a �f ;19.391 QUG1"JJIJC 17EaeE FNPET^WN rF 50T^v L .. : N. f. FiEC 2 199t :AFTE2) CilV %RU 2'5.0 tU N Z OWNERS AX;RES_. _ _,r - _ O FRNESf$ JUAN SCHNElCEW RECENED f{s sa r X640 hL ,H 5 LANE .a=— __ _ urc a ue riY_1i935 JAN 2 12 '- -I ' -� 'rEL,S6.7 �,3 - r-C-uTOFio9�• -- TN �_ 0 7 • MOB��E E OfF'.0 _ _ _ _____ -t- _ ,1E�pE i; 5 ti./Gl[b1 .� !LU@ST7Nf 'EY 1�QG I T !00 � Y G yYJ AA QaJ my —.l t<F_Y F _y IIJ "-+,5 S B✓1 J'�i G` HAA: {EN_cILE _ l --- ^..i FOLK.CCU�+rY CLERK 5 .iFFIG E. Ini UBf a._. . PAGE ~3, 416 ~ 1� r �I P1Ei- ' r to 1,Z665. (���1`"1 ( 1L- Cl I `p Z ;^ Elm _413.33_ ! _ ;,'F g, .} 81 AC. EEN HG_��E CONC2 •U . 7 . t� 0 Li 19I -� yr"CpILcG�F"c W BL{C7'JP ELI:cT-�"�I .._ — _ �- - \'`��. �• POLE UNE BLJESTONE LJ tD 02 r -r J t COUNTY OF SUFFOLK � 5 Rnhprt .1, raffnpv SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES Mary E. Hibberd, MD, MPH COMMISSIONER January 25, 1992 Melissa Spiro, Planner Southold Town Planning Office Southold Town Hall 53095 Main Street -Box 1179 Southold, New York 11971 RE: Schneider Subdivision SCTM#: 1000-95-3-10, 1000-101-1-14.3 Dear Ms. Spiro: The Suffolk County Department of Health Services (SCDHS) has received your letter dated January 14, 1992, concerning the above-referenced project and has no objection to the Town's designation as lead agency. Based on our review,we submit the following comments. SUFFOLK COUNTY SANITARY CODE (SCSC) Article 6 Application Status: Our agency has no record of an active application for realty subdivision approval as required by Article 6 of the SCSC. Absent a formal application, we cannot provide a final determination whether or not the proposed action.can conform to the density requirements of Article 6. We recommend that the project sponsor submit a formal application at the earliest date so a complete assessment of this proposal can be undertaken. Article 6 requires a minimum lot yield of 20,000 sq ft per lot in Hydrogeologic Zone IV. Equivalent lot yield refers to gross land area minus the area of roads, recharge basins, and other improvements which may be necessary to the development of the site. 2 R D ,D COUNTY CENTER RIVERHEAD. N.Y. 11901-3397 HOW TUNN WIG BOARD Letter to Melissa Spiro January 25, 1992 Page 2 Based on the limited information reviewed, it appears that the proposed action can conform to the density requirements of Article 6, and is already served by existing private wells and individual subsurface sewage disposal systems. SCDHS Compliance Requirements and Jurisdiction: The applicant must comply with the requirements of the SCSC and all relevant construction standards for water supply and sewage disposal systems. Design and flow specifications, subsurface soil conditions, and complete site plan details are essential to complete review of this project. These considerations are reviewed fully at the time of SCDHS application review. Thank you for the opportunity to review this application. If you have any questions, please feel free to contact the Office of Ecology at 852-2078. Sincerely, Robert S. DeLuca Sr. Environmental Analyst Office of Ecology cc: Louise Harrison Stephen Costa, P.E. f PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �, 1 -` Supervisor George Ritchie Latham, Jr. Richard G. Ward - _ ? Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1 179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold. New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 7 , 1992 Marie Ongioni 218 Front Street Greenport, New York 11944 RE: Major Subdivision East Coast Properties Alvah' s Lane, Cutchogue SCTM# 1000-101-1-16. 1 Dear Ms. Ongioni; The Planning Board is reviewing a subdivision proposal to the north of East Coast Properties for Ernest and Jean Schneider. The Board has received notification from the Cutchogue Fire District that a fire well will be required for the Schneider proposal. However, the Fire District has stated that they would accept a single fire well, centrally located between East Coast Properties and the Schneider parcel. A copy of the Fire District's correspondence has been forwarded to Mr. Schneider. Please contact Mr. Schneider if your clients are in favor of the single well option, and would like to work out an agreement for the construction of a centrally located fire well. His address is 915 Lakeside Drive North, Southold and he can be reached be telephone at either 734-5653 or 765-1224 . Please inform the Board, in writing, if your clients work out an agreement with Mr. Schneider for the installation of one fire well. Very truly yours, 41PAtl/t:/I C�L�t ci9�u Bennett Orlwoski, Jr. , n� Chairman encl. COUNTY OF SUFFOLK lees Rnhart .1. raffnav SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES Mary E. Hibberd, MD, MPH COMMISSIONER January 25, 1992 Melissa Spiro, Planner Southold Town Planning Office Southold Town Hall 53095 Main Street -Box 1179 Southold, New York 11971 RE: Schneider Subdivision SCTM#: 1000-95-3-10, 1000-101-1-14.3 Dear Ms. Spiro: The Suffolk County Department of Health Services (SCDHS)has received your letter dated January 14, 1992, concerning the above-referenced project and has no objection to the Town's designation as lead agency. Based on our review, we submit the following comments. SUFFOLK COUNTY SANITARY CODE (SCSC) Article 6 Application Status: Our agency has no record of an active application for realty subdivision approval as required by Article 6 of the SCSC. Absent a formal application, we cannot provide a final determination whether or not the proposed action can conform to the density requirements of Article 6. We recommend that the project sponsor submit a formal application at the earliest date so a complete assessment of this proposal can be undertaken. Article 6 requires a minimum lot yield of 20,000 sq ft per lot in Hydrogeologic Zone IV. Equivalent lot yield refers to gross land area minus the area of roads, recharge basins, and other improvements which may be necessary to the development of the site. R R Q M R D * L5 6 1'1 LS Y JAS 1 1992 COUNTY CENTER RIVERHEAD. N.Y. 11901- 3397 SU_8N010 TOWN I'L ANNING BOARD Letter to Melissa Spiro 4 January 25, 1992 Page 2 Based on the limited information reviewed, it appears that the proposed action can conform to the density requirements of Article 6, and is already served by existing private wells and individual subsurface sewage disposal systems. SCDHS Compliance Requirements and Jurisdiction: The applicant must comply with the requirements of the SCSC and all relevant construction standards for water supply and sewage disposal systems. Design and flow specifications, subsurface soil conditions, and complete site plan details are essential to complete review of this project. These considerations are reviewed fully at the time of SCDHS application review. Thank you for the opportunity to review this application. If you have any questions, please feel free to contact the Office of Ecology at 852-2078. Sincerely, Robert S. DeLuca Sr. Environmental Analyst Office of Ecology cc: Louise Harrison Stephen Costa, P.E. curc"ocut CUTCHOGUE FIRE DISTRICT •�ic `iC,C— t Cutchogue, N.Y. !o!3 Telephone 11935 /M (516) 734-6907 January 26, 1992 M Mr. Bennet Orlowski, Chairman r?SLO�UNTN g Southold Town Planning Bd. jAN 1992 Town Hall Southold, N.Y. 11971 LDTOWN G 60AR0 Ref;Ernest & Jean Schneider Dear Mr. Orlowski, Reference the above properties, it is the opinion of this board that a new fire well be placed as marked by an X on the enclosed drawings. However, the Board notes that East Coast Properties is near by and also requires a fire well. The Board would consider a single fire well centrally located between the two properties to serve the fire needs. The cost of the well could be split between the two owners and offer considerable savings. In the event that this is not possible we would require the well as specified. The Fire Well is to conform to our specifications and be equipped as follows; 1, 20 H.P. , 3 Phase, Submersible pump capable to deliver 400 GPM at 10 PSI discharge at center of tee at top of well. Pump shall be of submersible turbine type, equipped with grease packed bearings in bowl assemblies. The bowls shall be of a smooth finish design to guide the water from one stage to the next with a minimum of turbulence. 2. Top of the well is to be finished off with an 8" x 4" well seal. 4" galvanized tee and plug, and 4" x 4-1/2" solid brass ferrule and cap. The hose threads and hydrant wrench nut shall conform to the standards of the Cutchogue Fire District. If you have any questions, please advise. Very truly yours, Mathew J. Martin Secretary mjm/encl. 4�s - lez� SUBMISSION WITHOUT COVER LETTER SENDER: SUBJECT: S CTM#k : COMMENTS: � JAN 2l 1992 ``,.J oTNOlO'lOV�� �,NN1NU UUP r rr as W161 8raaJsrd N.Y.D.T.U. Par=9001`ti.Asin had Sale Dead with carawarl apWt craatar• A 6dlddaal or Corparaeon (81St.Meat) CONSULT YOUR LAWYER BEFORE Sl&NINi THIS iNSTEUMENT-THIS INaTRUaIENT SHOULD It USED BY LAWYtiftt ONLY. Lim 8389 PACE 24 This ftsdentun,nods the 9th dayof Febtuary ,nineteen hundred and seventy-eight I y"r Bet'"aare ERNEST SCHNEIDER, re6iding at 915 Lakebide Dt,ive NoA,th, Southold, New Yotk, y t party of the first part,and DARICE CLARK and ROBERT CLARK, both 4e6.idi.ng at 915 Lakebide IM Dhi.ve Nohth, Southold, New Votk, N party of the second part, st. 1000 Witnesseth, that the party of the first part, In consideration of Ten Dollars and other valuable consideration paid by 101 the party of the second part, does hereby grant and raises* unto the party of the second part,the hairs or Successors 0eh 01 and assigns of the party of the second part forever, 'Lt U6 All that certain plot, place or parcel of land, with the buildings and Improvaments thereon erected,aituan,lying and t 014 baingfD;ket at Cutehogue, in'the Town o6 Southold, County o6 Su66olk and State o6 New Yotk, being mote paAticu&Aty bounded and de6exibed as 6oltows: j/ BEGINNING at a point on the we6teAty aide o6 Alvah's Lane wheAe ,the Game i.b intet- sected by the Aouthetty line o6 land now or 604MWY o6 Anthony J. Schmitt and RUNNING THENCE South 330 27' 50" Ea6t along the westeAty Aide o6 Atvah'6 Lane 174 beet to a paint and otheA land now o6 the patty o6 the 6.tAet pant; THEVCE RUNNING .in a we6teAly direction atong said otheA land o6 the patty o6 the 6iAst pant South 560 32' 10" West 275. 0 beet to a point and 6tiU other lamd 06 the i patty 06 the 6iut paha; THENCE RUNNING in a nottheAfy direction along said otheA land o6 the panty o6 the 6it6t pa4t Nohth 330 27' 50" West 174. 0 beet to a point and lands now of 60AmeAty o6 Anthony J. Schmitt; THENCE RUNNING in an easte&ty direction along Aaid land now of 6oAmehly o6 Anthony J. Schmitt North 560 32' 10" Eabt 975. 0 beet to a point on the we6terty side o6 Alvah'6 Lane and the point oA place o6 BEGINNING. BEING AND INTENDED TO BE a pottion o6 the prem(see conveyed to ERNEST SCHNEIDER, the grantoA heAein by Deed o6 Edwsatd Gibbons dated the 5th o6 January, 1978, and teeoAided in the o66iee 06 the CleA.h o6 the County o6 Su66olk on Januaty 10, 1978 in LibeA 8383, at Page 62 SUBJECT TO Eleettie Agreement 6.iled in L.&M Wed in LibeA 1283 at Rage 579. 92SOIJ?FIrRD TOWN F',.aPJ`rilidC RCARD Together with all tight, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises;To Haw And To Hold the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. And the party M 111fglf P1t? N64IiW(M the party of the first part has not done or suffered anytfAng whereby the said premisesthadg'bilib Btciifflf>iil'ed in;;�nQ Way whatever,except as aforesaid. PLANNING BOARD MEMBERS "' ?t ,� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward a '' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14 , 1992 Cramer, Voorhis & Associates, Inc. 54 N. Country Road Miller Place, New York 11764 RE: Review of EAF Ernest & Jean Schneider SCTM# 1000-95-3-10 101-1-14.3 Dear Mr. Cramer: The Southold Town Planning Board hereby refers the Long Environmental Assessment Form for the above mentioned subdivision to your office for review. The Planning Board has received the $400. 00 review fee from the applicant. The purchase order will be sent to you under separate cover. If there are any questions, please contact Planning Staff. / � -/r .Bennett Orlowski, Chairman Encls. r • 14>1 OG PLANNING BOARD MEMBERS "' # SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald 'D"� P.O. Box 1 179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14, 1992 Ernest Schneider 915 Lakeside Drive North Southold, New York 11971 RE: Minor Subdivision of Ernest & Jean Schneider Alvah' s Lane, Cutchogue SCTM# 1000-95-3-10 & 101-1-14. 3 Dear Mr. Schneider: The following resolutions were duly adopted by the Southold Town Planning Board at a meeting held on Monday, January 13 , 1992. BE IT RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this unlisted action. Be it RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated November 7, 1991 with the following condition: 1. If Lot Number 3 is subdivided in the future, the access to Lot Number 2 shall be incorporated with the access to the newly created lots. This condition is to be noted on the final map. Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. Five (5) paper prints and two (2) mylars of the final map, containing a current stamp of Health Department approval, must be submitted before a final public hearing will be set. Page 2 Ernest & Jean Schneider The deed description included with the application refers only to the larger parcel. It does not describe the Clark parcel. The property description for the Clark parcel is necessary to complete the file. Please note that as per Section A106-38 (E) of the Town Code, the Planning Board will be requiring a park and playground fee of $2,000.00 per lot for each vacant lot in the subdivision. A "vacant lot" is defined as a lot that does not contain an existing residential structure. Therefore, you will be required to submit a payment of $2, 000. 00 prior to any approval of the subdivision. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman � o PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. �J�rV Richard G. Ward r A� Town Hall, 53095 Main Road Mark S. McDonald "` P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14 , 1992 Ernest Schneider 915 Lakeside Drive North Southold, New York 11971 RE: Minor Subdivision of Ernest & Jean Schneider Alvah's Lane, Cutchogue SCTM# 1000-95-3-10 & 101-1-14. 3 Dear Mr. Schneider: The following resolutions were duly adopted by the Southold Town Planning Board at a meeting held on Monday, January 13 , 1992. BE IT RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this unlisted action. Be it RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated November 7, 1991 with the following condition: 1. If Lot Number 3 is subdivided in the future, the access to Lot Number 2 shall be incorporated with the access to the newly created lots. This condition is to be noted on the final map. Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. Five ( 5) paper prints and two (2) mylars of the final map, containing a current stamp of Health Department approval, must be submitted before a final public hearing will be set. Page 2 Ernest & Jean Schneider The deed description included with the application refers only to the larger parcel. It does not describe the Clark parcel. The property description for the Clark parcel is necessary to complete the file. Please note that as per Section A106-38 (E) of the Town Code, the Planning Board will be requiring a park and playground fee of $2 ,000. 00 per lot for each vacant lot in the subdivision. A "vacant lot" is defined as a lot that does not contain an existing residential structure. Therefore, you will be required to submit a payment of $2,000. 00 prior to any approval of the subdivision. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, / �aj, O.i �o A�u, /�. 17a Bennett Orlowski, Jr. Chairman PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman "�,, i'' `� 1' Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold. New York 11971 Telephone (5 16) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 141 19 cl'L RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2 . Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: ArneSt t Sean S kne-; ei- • SCrm # ldp0- 95- 3- 10 ant' 1060 101 I 14 3 Requested Action: Eei-iJemA10A St�6CJit� 5i oN -3 lo-f-- on 9crC SEQRA Classification: ( ) Type I ( � ) Unlisted Contact Person: M6 i 55 A JPRn ( 516 ) -765-1938 The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty ( 30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (X) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other. ( See comments below) . Comments: Please feel free to contact this office for further information. Sincerely, oA , 4.nu Bennett Orlowski, Jr. Chairman cc: .,..__a ..F „____, Bear- Bu l--l .i.x'�. Southold Town Board v Suffolk County Dept. of Health Services 14NYSDEC - Stony Brook NYSDEC - Albany TT c Armv C p p N v c n--Of m Cramer, Voorhis & Assoc. * Maps are enclosed for your review Coordinating agencies 14-16-2 (2/87)-7c 011 617.21 r SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared." ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions c4 Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Tide of Responsible Officer r Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 1 POT 1—PROJECT INFO MATIO* 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 additionali information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION S_ EI e` /N per/ LOCATION OF ACTION (Include Street Address, Municipality and County) 7 - _ Nr C GCL' Lc F FO L-K NAME OF APPLICANTISPONSOR BUSINESS TELEPHONE ,UALE-E-1 `f - N c ltNt I c. (S-11 c P57 — ADDRESS l t N0. CITY/PO STATE ZIP CODE S T / 7V.. . 1 11771 NAME OF OWNER(If different) BUSINESS YELEPHDNE ( ) ADDRESS CITYIPO 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 ❑Commercial gResidential (suburban) ❑Rural (non-farm) ❑Forest ()Agriculture *Other 2. Total acreage of project area: fa r- �.� acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) �( acres /0, acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres. Roads, buildings and other paved surfaces oZ acres 07 acres Other (Indicate type) acres acres JIC 3. What is predominant soil�type(s) on project site? a. Soil drainage: Well drained % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYSE Land Classification System? acres. (See 1 NYCRR 37 f. V_ 4. Are there bedrock outcroppings on project site? ❑Yes No a. What is depth to bedrock? (in feet) I 2 5. Approximate percentage of proposed PC :site with slopes: N0-10% /00� G10-15% % ❑15% or greater _ % 6. Is project substantially contiguous to, or cor}tain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes IONo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes nlq. R8. What is the depth of the water table? Y3 (in feet) _#9. Is site located over a primary, principal, or sole source aquifer? Ves ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Dyes g'No 11. Does project site�co/� in any species of plant or animal life that is identified as threatened or endangered? ❑Yes OLIKo According to Identify each species 12. Are there any unique,6r unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes "o Describe 13. Is the project sitpresently used by the community or neighborhood as an open space or recreation area? ❑Yes o If yes, explain 14. Does the present sitclude scenic views known to be important to the community? Dyes 3Ko 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 within or contiguous to project area: a. Name /110 /t/4 -- b. Size (In acres) 17. Is the site served by existing public utilities? Dyes u4c, a) If Yes, does sufficient capacity exist to allow connection? ❑Yes ❑No b) If Yes, will improvements be necessary to allow connection? Dyes ❑No ' 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ❑No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? Dyes ❑No )It 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes PNo 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 j lS acres. b. Project acreage to be developed: 0 AM acres initially; acres ultimately. !, ^, c. Project acreage to remain undeveloped acres. d. Length of project, in miles: (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed AJA � f. Number of off-street parking spaces existing 1 t proposed —ji g. Maximum vehicular trips generated per hour Al" A) •_- (upon completion of proje t)? h. If residential: Number and type of housing 6 units: SOUTHOLPLANNINGDTOl4N BOARD One Family Two Family Multiple Family Condominium - -- Initially �argest "ture Ultimatelyi. Dimensions (in feefeeoposeheigh th; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 3 2. How much natural mat., A (i.e., rock, earth, etc.) willbe re�moov -on) the site? --,Al tons/cubic yards 3. Will disturbed areas be reclaimed? Dyes ONO UtN/A a. If yes, for what intend...; purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ONO c. Will upper subsoil be stockpiled for reclamation? Dyes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? V acres. 5. Will any mature �ffarest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes I(J 0 6. If single phase project: Anticipated period of construction 0!1/r months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? L�lo Dyes 8. Will blasting occur during construction? ❑Yes UN/o 9. Number of jobs generated: during construction _AL AIE ; after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? Dyes "o If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes MINo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged/ 13. Is subsurface liquid waste disposal involved? Dyes gPGo Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes Cif o Explain 15. Is project or any portion of project located in a 100 year ood plain? Dyes o 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? Dyes ONO c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? Dyes ❑dQo a. If yes, what is the anticipated rate of disposal? tons/month- b. If yes, what is the anticipated site life? dyeeaarss 18. Will project use herbicides or pesticides? ❑Yes 4' 0 19. Will project routinely produce odors (more than one hour per day)? Dyes a140 �� 20. Will project produce operating noise exceeding the local ambieent/npise levels? Dyes [JNo 21. Will project result in an increase in energy use? Dyes 11?i 0 If yes , indicate types) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total per usage anticipated water da L p b p y gallons/day. 24. Does project involve Local, State or federal funding? Dyes o If Yes, explain 4 25. Approvals Required: Submittal Typelp Date City, Town, Village Board Dyes E44o City, Town, Village Planning Board &(Yes ❑ONN,o City, Town Zoning Board Dyes l�d'No City, County Health Department ( Yes ❑ o Other Local Agencies Dyes [ 'No Other Regional Agencies Dyes VNo State Agencies Dyes Qfd Federal Agencies Dyes 0 C. Zoning and Planning Information 1 1 . Does proposed action involve a planning or zoning decision? ZYes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit division ❑site plan ❑new/revision of master plan ❑resource managemgnt plan ❑other 2. What is the zoning classification(s)of the site? & /C- 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 7 E640 4. What is the proposed zoning of the /lite? f �� 5. What is the maximum potential developmen of thp, site if developed as permitted by the proposed zoning? 6 r 1-z- 6. e6. Is the proposed action consistent with the ecommended uses in adopted local land use plans? a'es ❑No 7. What are the p edominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/ mile? es ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? - 3 .210a. What is the minimum lot size proposed? -'2' jl C.1 64- 10. . Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes DXO 11 . Will the proposed action create demand for any community provided services (recreation, education, police, fire protection)? Dyes a. If yes, is existing capacity sufficient to handle projected demand? Dyes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes M4 a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided ovr rs true the best of my knowledge. l Applicant/Sponsor Name 9i+ r Date o Signature -0 Title I If the actio in s in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Pa!�'-2—PROJECT IMPACTS AND TV411 MAGNITUDE `I Responsibility of Lead Age,icy General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By IMPACT ON LAND Impact Impact Project Change 1 . Will the proposed action result in a physical change to the project site? ONO [-]YES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ Dyes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes ❑No • Construction on (and where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes []No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ Dyes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect tr. -..iy ur:.que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)ONO DYES • Specific land forms: C ❑ El 1-1 Yes ❑No 6 1 2 3 Small to Potential ,Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ❑NO ❑YES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ❑NO ❑YES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ F-1 Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No C • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveye I off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likelv cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion, ❑ ❑ E]Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ El Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes ❑No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ ❑Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed S lbs. per hour or a ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ El Yes ❑No development within existing industrial areas. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON PLANTS AND ANIMALS T 8. Will Proposed Action affect any threatened or endangered species? ❑NO ❑YES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ El Yes ❑No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ E]Yes ❑No than for agricultural purposes. • Other impacts: ❑ ❑ ❑Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ El Yes ❑No of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? ❑NO ❑YES Examples that would apply to column 2 C • The proposed action would sever, cross or limit access to agricultural ❑ ❑ El Yes ❑No t� land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ El Yes El No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ❑NO ❑YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will 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 ❑ ❑ El Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ El Yes 0N 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 • The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 IMPACT ON TRANSPORTATION 1 2 3 Small to Potential Can Impact Be 14. Will there be an effect to existing transportation systems? Moderate Large Mitigated By ❑NO OYES Impact Impact Project Change Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ONO • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? ONO ❑YES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ Dyes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? - ONO ❑YES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ 1:1 Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ El Yes ONO noise screen. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ONO substances(i.e.oil, pesticides, chemicals, radiation, etc.)in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ ❑Yes ❑No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous C waste. L • Other impacts: ❑ ❑ ❑Yes ❑No 10 C j 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to ' Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change ONO DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ El Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ El Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO DYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions - Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 14-1411 (?187)--9c fo 617.2 1 SEAR Appendix B StAte Environmental Quality Review Visual FAF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-1/4 1/4-1/2 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? • An overlook or parcel of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ 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? ❑ ❑ ❑ ❑ ❑ 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 1 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within r *'/e mile *1 mile Essentially undeveloped ❑ ❑ Forested ❑ ❑ Agricultural ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile ❑Yes ❑No *1 miles ❑Yes El No *2 miles ❑Yes El No *3 miles ❑Yes ❑No t * 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 ❑ E] ❑ ❑ Other ❑ ❑ ❑ ❑ L L 2 yi 1OSVFF ['f ,j& `OG` � O PLANNING BOARD MEMBERS rn SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman csi. Supervisor George Ritchie Latham, Jr. 0 y Richard G. Ward ��,U� Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 JanuAry IL4 199,)- Mathew Martin, Secretary Cutchogue Fire District New Suffolk Lane Cutchogue, New York 11935 Dear Mr. Martin: ZrEnclosed please find ( 2) surveys ZFrneSfi S=kne�Nc6 �;CIYY1:1-,I/000-- 45-3-10 cvnt.Q IC06'101 - I - Ili . --6 Please notify this office as to whether any fire wells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by F26 . IH ,1992. Thank you for your cooperation. Very truly yours, / Bennett Orlowski, Jr. -5 Chairman enc. CG d- 23 =27 in milliriMrNG AMARD jsectla)o _a(C- Vt� 24 CL- ( Lln,tiC� �t1Z'�t�`��lP/L�/ .�C'4�, l a 7�. ��,.a.,Cal-[�i'7 ,C.GQ, G7n.1 t Cb /�1Z 17 -- z ;. yo ' s.ann 6�ol iI O unla [IHI ,Ir 3 xaaal ! u.ua utml .,w 'I P. a,a4e I[lai � ♦I " >,lal ♦nsl �♦( x N w. iun P I >♦.�,lal O PO Y Y �l „♦Yal r i i �Il 9 PO k. U s -� YJ /f•[o v .a, �. 4P { III ry+ Y d P° of•a R d♦ < O t 'ytgf Jam, °° [a xu roe m-mrsrz n�[ x k e`oS .e WZ m SOUT •% © COUNTY OF SUFFOLK 10M"- __ Real ProPerty Tax Service Agency a m IOC F°od l L N, Ta L _ p <Y ( � JAIJ 2 g p92 U f j yf�Ml r MAP OP MINOR SUBCI`vl S ' n ao 10 E 823.22 ' � �u.N.ce%Yos.xuo\-oas� +rc_J o1" -5ep_,�-.s-mo_F�.i-*-,`e..7Q.• .�m23� 5_3-,4165.E o�*C-413J.33i vTeal..)2v,q:5O'.1'0�. i EQ^ E ST Cc2750 JEAN 55 GEr} N'.i E S ^ H_N—E_ID. .EW- AT WSC BF( JCCI-0 eE R :,, o W11?' eL ioi,zIS TMTC\A/N CF SOLITHOLD N:Y, 2 7 199 1 % lyz May rW '07775 S.F. GWNEQS ADCR jkoc CONS r¢ (EY6L.15.419.33) .� N E4NEST` MAN SC HNEIDER ---- ----_ -- ----t---<- - 7b4G kLVA145 LANE RECEM N.56•!L'io"$, _____._._______—_ d�J2.49' •ryf ��`',, CVTCHC3UE N.Y.11935 . 2 TEL.S'6-9 Skn -. — 30 - - uTchoOua FTA ntstncl 8.48!AC. c2ecNErouse orra '0 a C I lKUESTONE _ig0®iLE OFFCe____ +•._. Uj Qom ./.. In 50 1r f ij � 1 WATT 04, � c I f i I II I I 4 5CHM17T r i MAP . QF, MINOR SUBDIVI_SfON PREPXREP POR SZ3.22 L 4009 l38 -33 __ ' 2'75,0 �'� . � � S W�'.1: "V F1 D E 2 POOL ✓� ty04� p IATI R M i� o cr l CCS t C� iC)G' j is 0 u W To Be - „a C 67t`FORe c«,,,wGq�' R. `T 1 C '�'^�c\ cptr�gt TH �� —r= lo t,ze2) � °r R7\tJhl, SJF SC3UTFt!Ji C7 E C,Y � DEC 2 71991 ^ 'pts sourHoto rowN ' PUNNING BOARDlow n .- Lti7'I'r S.F -- (d9 3�• .= - d' S]?rvt3v` f�.s, d ?f2 5S, - w 0 �L.[5ny533) i G/SR.,4TFJ[4ErL - ._thy' -6 52 'IQ"8: - . i �: in 1, ----- sQ� fs�•t�.: � _�r"az _ � _` �; cu � rvN,�i 6 SbS a.4104 AP InI t Ier. Q M{@ILE'CFPIC ' _ _ - :,u - u _ WWmp t � M15 +r I so HANOCH WATTS ww o . lj a 4. NQTE51 ! A'EA i'3i 14 bra. I, T,/t��i SUI LPf14JG W5A ���Tlo Z s3 _FPQ t TAY, c rd'1- I tA,3 t- t '{ 4-Ti4� JF AwA:. A _TL N 'QF wVZONTSAf�k a�f[atC t.pr' WIv41C,W ;`, ti v rsr rtti srr� r�r+t HASnt tto Ins a, _.. IIII 'p'.`tIFF�' T��.�' � '�VIFFQ#.�. C�!'kJNS'Y2ft�a d�l�'�` � r.:. I tJ 6 4 2k. aTJ�T -I *AG .k3 L ;�'t-4� iw F SSC 1 •^ It. OVNE k' � Neil a. ., _ - .,,. i� � 7 whom nl r�• P, rt�9 � � a. � 'I ' fiaJ—.j�+,.,.,y+M.}'1Q`,T�rd t i lJ hl b 1'91 la I53� �5 � Y : (• - .. . O' � � I '- + 'i a r is ei R+ rn + r i n '"� r -•a' .X- .S�. SOS 311.1 I iNn"� OP �arRMFTT MAR Or.. m I -TIVISION N.sb 32 tO E, 8?-32-2 DE2 E2 NE T JE AlN- � I s N, � QHNF- D IC9,89 ( 4!3 33a rnot WELL pT 5 3,41 .9,F 850 5 F 1 s EUTG'-+GGi1j E I,Z WMBINW ro 6's 5 T01VI/ WITH THIS ire z) i -iV. 0. rri 275.0 0 -elz aTaay. MAO vmpez 7640 AWAH'5 LANE N-5 b W eL 516- 5 %- SB SABI AC, 7' 1 t� In CoNca 0 x I i > bd BuiL.15TONE SUIUECT TO COVINAMN&Real 5 Una. PAGE 0 OFFI(;E OL 2 SUFFOLK COUNTY C#- HMTIi SERVICES 14t I enThisa )AW;H up. -New Yo s Ox that; ^11,; Wa! z 3ndWmmwa!Tdi;p'mI- .. . ' L f in the with a tow at I Ii - MX LINE WOWMaPOroved onth bovdata. facitiaft I construction dards in a(taet M ttm time of construction. This y' ' f, ; approval she be,valid only in the everd said subdivisionidevel- 0�w. T LU lants kfiledwith the County Clark within 6morithsol j tishersbyelvariforthem thismaponwhich endwserp It APPW%mn the 011110ofthweeUnty Clark inaccar- V dancii CountCountwith groC=m of the Public Haafth Law and the-S411101k Z gala my _j 'CH ldleloje;a I J JOSEPH WSM -P.E ,: HA' r _:R > -j < SII 50 ico 200 %3 PZ z 8 Sc A L& !00,- I NZEA- 1342-3 AQR,ts t,07E5, Q 1J.fi,C, 'F7 `7+k MAP 'Ap,' '0"g-1L1r-!-4 P14- LW--0--P1i1--A--1'0� TO t-V�ANII SCALEYffL 1,T E 41A 1,J,' r"-Y Ar,cE . Floc 1CP03A -, A nCLA-ULTjQW QF COVaNANiTIZ A,PJDJ7 t 4 ? 'r At C Lo't% 1f4,TH'js 5Q8P1 V15,4N Ht HE P4 LIN T-I E FL _gq J--- 'F s%rWak 1W1JNTYc1.El2W5 OFF! C' N, 0BE12 PA O e i< 1,�e'Ij Y-v - 0 1,11* cru E REVE13Y CERTIF-Y T7.-j#T Cl LQT 0!,J AtZ F-A AUDWf:T141 M�kTT34i t I- I Vj.A L�Fr NYS FROM TH NO\J, 7 r I b1-1-1 4i A is 10 lie I: S�IJH040 M?&I IBL�&9-111-5- N-Avp-o �tS 2 b 1111�IAN- _tA - i ! CID cHIlIiT \\ \ MAP CF MING 3r-, � .-- f 2Z a'JE.� i Ji . ;:yti ` _ s PREF_'.? Er Po z N.55 32 ICS E. q r"' � - - _ HNF( C�ER 409.,89 ,r � ' 38 �� 5 T&L -✓ T2.N E T�JEAN 'S C r{ �/ _3 ..__ rsp' 53,416 5.F AT A 'TO BE to .Q785Q a.F 'I iIr-I LlGI r c� xi _y tear-erzec ru��, C. t' cAi At.131 H,ED fir- 10 1,2669..Fr ��. ,,.�� '�f\ r p�C9 p °WFR _� M WITH THIS P✓F,�_ . '� _r]4!7 t'r—� N Lij JY2swizvFa.HO o r'Q7T15 �F, _ .- .!r(�9'3Qo^ _` \ Q,, JI, j CWh.E25ADi�2E5 - I ' uxoPzcausr¢. ufL:rS q33) E2NES7JEAN SCHid! 1DE d GAO.VRDEf<' TOTAL 113,975 5.F- ' f-- .I N.5e` 9Z OYOY •p.; .—_____ - N,.563d 10'"& —_473.33T T540ALVAHS LAINE3` i J + V (, 8:481AC. aneGorJ 12D. hl --`-�"`"^� , 3 N �, �------- so `� ��Nck. -_ !;EEIUHOu5E mNtE W -� ! 4 W r [ P L-._..-..__ -i t I m J T R N. t Q j 4 auUesrrnuE t- I m I r„ J t 11 1 U Z I k# is -'�WK I W ._ - - ui 1FF• Iy r3 FYr /iA . ll:Yrir iFIAE F _J^ e131 vi 'f.�oirsr_Idl xtt,. . 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