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Southold, N,Y, 11971
(516) 765-1938
October 22, 1985
Mr. Mark Rollins
2200 Grand Avenue
Mattituck, NY 11952
Re: Lot-line change for
Rollins and Andrews
Dear Mr. Rollins:
The following action was taken by the Southold Town Planning
Board, Monday, October 21, 1985.
RESOLVED that the Southold Town Planning Board approve the
lot-line change for Mark L. Rollins and Beverly Andrews located
at Matt~tuck to re-align the lot-line from East-West to North-
South. Map dated as amended September 9, 1985, lot number 1
containing 33,588 square feet ,and lot number 2 containing
25,307 square feet.
When the Chairman has endorsed the survey, we will forward
a copy to you.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
fuuJt fr{J):iJA1~1 ~d~
BENNETT ORLOWSKI, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
COUNTY OF SUFFOLK
~II"\\I ? 7 1985
PETER F. COHALAN
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES
To: ?7?A/"y "",,&" s...-'i'....#.......:o
?~~...v....~ ~#A 2::>
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Dear /JIx. 3eA",e7T cPT'r&'#S4-;'
We are in receipt of your letter dated
referenced project.
Date //-,zS--'ff"S-
DAVID HARRIS. M.D.. M.P.H.
COMMISSIONER
H#ltr ,t. ~P~""A'S .s~6~~;S"/iA-,)
Re: T"'K# /"6 - /P '7 - 6;l -/0
t:?G/ ;1/, /)'9"'S-concerning the above
/
N 1. This Department has no objection to your designation of lead agency status.
2. This Department is in agreement with your initial determination.
3. This Department does not agree with your initial determination. See
Comments.
4.
Insufficient information is available for technical comments.
J!/ 5.
6.
There is no record of an application to this Department.
SEE. C~.......,..~:::>.::>
A more accurate project location is needed.
(Suffolk County Tax Map #)
This Department has received an application and it is:
Complete
Incomplete
Other:
7. It appears that the project can be served by:
Sewage Disposal System
Sewer System and Treatment Works
Subsurface Sewage Disposal System(s)
Other:
COUNTY CENTER
RIVERHEAD. N. Y. 1 1901
548-3318
~~\ l \ -;'-S")
Water Supply System
A Public Water Supply System
Individual Water Supply System(s)
Other:
~. Comments:
The Health Department's primary environmental concern pertaining
to development is that the applicant comply with the requirements of the
Suffolk County Sanitary Code especially Article V and VI, and relevant
construction standards for water supply and sanitary sewage disposal.
These considerations are to be reviel.ed completely at the time of
application. Full consideration in placement of water supply wells
and disposal systems is given to state and town wetland requirements.
The Health Department maintains jurisdiction over final location of
disposal and well systems and the applicant should not undertake to
construct any water supply or disposal system without Health Department
approval.
Other portions of the Suffolk County Sanitary Code also apply to
commercial development such as Article XII. The Lead Agency is requested
to forward a copy of this form to the applicant with its findings.
TAe. ?~/d$~~ 7"^',;e...-;- /"..s ..su(.-'e..-r- ~ 771:. ~;J""'~e-?S
er>-F s: c. ,4.!i',';4 vr-.. ne. ,?/#,/'ec..-r- ?,,/'_'-s 7<; .,(e. /~
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Further comment may be provided upon completion of the application
revie~l.
Name
ih~~ c;: ~N~aY'"
~ /
s-rr- 3'Z'7S-
Phone
Southold. N. Y. 11 971
(516) 765-1938
October 30, 1985
Mr. Mark Rollins
2200 Grand Avenue
Mattituck, NY 11952
Re: Lot-line change for
Rollins and Andrews
Dear Mr. Rollins:
Enclosed is a survey for the above mentioned proposal which
has been approved and endorsed by the Chairman.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
~K~~r~
SOUTHOLD TOWN PLANNING BOARD
By Diane M.Schultze, Secretary
enc.
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Southold, N.Y. 11971
(516) 765-1938
October 21, 1985
Environmental Analysis Unit
DEC, Building 40, Room 219
SUNY
Stony Brook, NY 11794
Gentlemen:
Enclosed find a completed Short Environmental Assessment
Form and a copy of the map of the subdivision of Mark L. ROllins,
located at Mattituck. Tax Map No. 1000-107-2-10.
This project is unlisted and an initial determination of
nonsignificance has been made. We wish to coordinate this action
to confirm our initial determination.
May we have your views on this matter. Written comments
on this project will be received at this office until November
4, 1985. We shall interpret lack of response to mean there
is no objection by your agency in regard to the State Environmental
Quality Review Act, and our agency will assume the status of
lead agency.
Very truly yours,
Cuttuft frLowdU., W~
BENNETT ORLOWSKI, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
enc.
cc: Department of Health Services
'.. ll1-1lk(9f84) .
~ ~Ecrl.D.N~~R
11 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
P DIVISION OF REGULATORY AFFAIRS
'. ~ ... State Environmental Quality Review
ii '... SHORT ENVIRONMENTAL ASSESSMENT FORMf,
. . For UNLISTED ACTIONS Only uEP 13 1985
PART I ProJect Information (To be completed by Applicant or Project sponsor)
,. Applicant/sponsor /2. Project Name
Mark L. Rollins Re-alignment of Lot Line
3. Project location:
Municipality Southold County Suffolk
4. Is proposed action:
o New 0 Expansion IKl Modificationfalteration
S. Describe project briefly:
Re-alignment of lot line, Dist.100Q, See.10?, Blk 2,
Lot 10 from East-West to North South
6. Precise location (road intersections. prominent landmarks. etc. or provide map)
No. side of Maple Lane, 135 Ft. East of Grand Ave,
Mattituck, Town of S.outhold
7. Amount of land aff4ted: 1.4
Initially 1 . acres Ultimately acres
8. Will proposed action comply with existing zoning or other existing land use restrictionsl
g] Yes 0 No If No, describe briefly
9. What is present land use in vicinity of project?
~ Residential o Industrial 0 Commercial o Agriculture o Parkland/open space o Other
Describe;
10. Does action involve a permit/approval, or funding. now or ultimately, from any other governmental agency (Federal, state or loca!)?
o Yes IX] No If yes, list agency(s) and permit/approvals
11. Does any aspect of the action have a currently valid permit or approval?
DYes IKJ No If yes, list agency name and permit/approval type
12. As result of proposed action will existing permit/approval require modification?
[] Ye, ~ No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Appl,canU'pon,o, name ~ ~rk L. Rollins Date:
S'ona'"e ~ ~>;: ,
\
If the action Is In the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding wIth thIs assessment
OVER
.
PART II Environmental Assessment (To be completed by Agency)
.
"
A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.12'
[J Ye, [J No
If yes, coordinate the review process and use the FULl/LONG FORM EAF.
B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.7'
involved action.
[J Ye, [J No
If No, a negative dee/aration may be superceded by another
C. Could action result in ANY adverse effects on, to, or ariSing from the follOWing: (Answers may be handwritten. if legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels. existing traffic patterns, solid waste production or disposal. potential for erosion,
drainage or flooding problems? Explain brieflv:
.
C2. Historic. archeological, visual or aesthetic, or other natural or cultural resources; agricultural districts; or community or neighborhood character1 Explain briefly:
C3. Vegetation or fauna. movement of fish or wildlife species, significant habitats, or threatened or endangered speciesl Explain briefly:
(4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resourcesl Explain briefly.
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action1 Explain briefly.
(6. Secondary, cumulative, or other effects not identified in (1-(61 Explain briefly.
(7. A change in use of either quantity or type of energy1 Explain briefly.
PART III Detennlnatlon of Significance (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise
significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring;
(c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting
materials. Ens~Jre that explanations contain sufficient detail to show that all relevant adverse impacts have been identified
and adequately addressed.
o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then
proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration.
o Check this box if you have determined, based on the information and analysis above and any supporting documentation,
that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on
attachments as necessary, the reasons supportng this determination:
Agency Name
Agency Preparer's Name
Preparer's Signature/Title
Date
T
.
D
LD
Y
Southold. N.Y. 11971
(516) 765-1938
October 9, 1985
Mr. Mark L. Rollins
2200 Grand Avenue
Mattituck, NY 11952
Re: Lot-line change
Rollins and Andrews
Dear Mr. Rollins:
The Planning Board reviewed the file for the above mentioned
proposal at the regular meeting of October 7,1985.
It was the consensus of the Planning Board to conduct a
field inspection of the premises prior to any further action
or recommendations.
If you have any questions, please don't hesitate to contact
our office.
~~y truly. yours, I. :
~ nvt6VJA-~ (L.,~
BENNETT ORLOW~I, JR., CHAt~~
SOUTHOLD TOWN PLANNING BOARD .
By Diane M. Schultze, Secretary
.
.
SEP 1.f eggs
Southold Town Planning Board
Town Hall
Southold, New York 11971
Re: Re-alignment of Lot Line,
Dist.1000,Sec.107,B1k.2,Lot 10
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.
~o~~s :JfMJL.,,~.
M~~k \. Rollins
2200 Grand Ave.
Mattituck, NY 11952
298-8853
.
.
APPLICATION FOR APPROVAL OF PLAT
SEP 13 1985
To the Planning Board of the Town of Southold:
The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in
accordance with Article 16 of the Town Law and the Rules and Regulations of the 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 nnder application.)
2. The name of the subdivision is to he ..... ..~.~:-A~~.~t;l!:~..C!~..~?~..~~!:t;l..........
...............................................................................................
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 ........................ Page
......................
On
.......................,
Liber ........................ Page
......................
On
.......................,
Liber ........................ Page
......................
On
.......................,
Liber ........................ Page
......................
On
........................
Liber ........................ Page
......................
On
........................
as devised under the Last Will and Testa ment of .......................................
or as distributee ........................................................................
..............................................
...............................................
5. The area of the land is ....+...4-..........
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: None
(a) Mortgage recorded in Liber .............. Page. . . . . . . . . . . . . . . . . . in original amonnt
of $. . . . . . . . . . . . .. unpaid amonnt $ ..... . . . . . . . . . . . . . . .. held by ......................
. . . . . . . . . . . . .. address ..................
...............................................
(b) Mortgage recorded in Liber ......... Page ....................... in original amount
of ...........-... unpaid amount $...... . . . . . . . . . . . . . . .. held by ......................
. . . . . . . . . . . . .. address ................. ..........
....................................
.
.
(c) Mortgage recorded in Liber .............. Page................ in original amount
of .............. unpaid amount $...... . . . . . . . . . . . . . . .. held by ......................
. . . . . . . . . . . . . . . . . . . . .. address .........................................................
8. There are no other encumbrances or liens against the land except ........................
........................................................................................
9Th I dl'"' h f-Il' . d" '"AoOJ2o,Jt-.J;oJ
. e an les In t e 0 OWIng 'zomng use lstncts .......................................
........................................................................................
10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex~
cept .................................................................................."
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 ........... . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Water mains will be laid by ..........................................................."
and (a) (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 instaUing said
15. Gas mains will be installed by '" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _
and (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 Highway system, anuex Schedule "E" hereto, to show same.
17. If streets shown on the plat are claimed by the applicant to be existing public streets in the
Town of South old Highway system, annex Schedule "C" hereto to show same.
18. There are no existing buildings or structures on the land which are not located and shown
on the plat.
19. Where the plat shows proposed streets which are extensions of streets on adjoining sub-
division maps heretofore filed, there are no reserve strips at the end of the streets on said
existing maps at their conjunctions with the proposed streets.
20. In the course of these proceedings, the app licant will offer proof of title as required by Sec.
335 of the Re~l Property Law.
21. Submit a copy of proposed deed for lots showing all restrictions, covenants, etc. Annex
Schedule "D".
.
.
22. The applicant estimates that the cost of grading and required public improvements will be
$. .. .. .. ... as itemized in Schedule "E" hereto annexed and requests that the maturity of the
Performance Bond be fixed at ... . . . . . . . . . .. years. The Performance Bond will be written by
a licensed surety company unless otherwise shown on Schedule "F".
DATE.......!.~.. ..~.~(!.......... 19.~?
Mark L. Rollins
................................................
(Name of ApPlinant)
By ~~.IK~';b.
(Signature and Title)
2200 Grand Ave,
.lV!?-.~~J.: ~~.~1:r.,.. !'l:~. n~~~....................
(Address)
STATE OF NEW YORK, COUNTY OF ..... .~............., ss:
On the ....../.,3......... day of... ...:~.. ......19..~ before me personally came
. .fr.1.~ . . :t.. . R ~. . ~ . . . . . . . .. to me known to be the individual described in and who
executed the foregoing instrument. and acknowledged that. . .4. . .. executed the same.
_....s......
..:=m~~
..... .~... K... ;)?:-. .t/.~..........
Notary 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 tlJat ............ signed.............. name thereto by like order.
Notary Public
......................................
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