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HomeMy WebLinkAbout1000-108.-4-11.3 (2)TOP OP EXISTINB ANTENNAS MO0'-O" ABOVE GRADE EXISTING 10~ WHIP ANTENNA ATTACHED TO lOI MAST {TYPICAL OP 3J TOP OF PROPOSED OCS ANTENNAS AEOVE GRADE PROPOSED OCS DUAL POL ANTENNAS IGEE DETAIL 31Z-1 & PRODUCT INFORMATION EXZSTIN$ .' 100~-0' HIGH MONPOLE EXISTING AT&T EQUIPMENT BUILDING IBEYOND) PROPOSED ICE SRIDBE PROPOSED NORTEL $8000 -- EQUIPMENT CABINET ON CONCRETE PAD [GEE DRAWINg 91Z-1 & PRODUCT INFORMATION GRADE OCs DUAL-POL ANTENNA TTPICAL OP 31 (BEE DETAIL 41Z-l) DEGREE SECTOR EXISTING PLATFORM ABOVE 150 DEBREE SECTOR EXISTING WHIP ANTENNA -- ITYP]CAL OP 3{ ~ ANTE;,N, NA PLAN .S~CALEH/2 = l~.Oti - PROPOSED PIBER BACKBOARD EXISTING AT&T EQUIPMENT BUILDING ELECTRICITELCO LOCATION EXISTING NEXTEL ICE BRIDGE --PROPOSED NORTE~ SBOQO EQUIPMENT CABINET ON CONCRETE PAD IEEE PRODUCT INPORMATION APPROVED BY PLANNING BOARD TOWN OF SOUTHOLD EXISTING *51'0lall HIGH CHAIN LINK PENCE MONOPOLE ( Z~.~ EQUIPMENT PLAN $CALE:!/2" = !LO" dJos, EM8mRa.r=ss RR gO-17-OODP I OpURange TM ~ I~ ~Tne Norml Tel[seem (Nortel} Outdoor Ba~s. Transceiver Station {STS) pPovidee the rodio InterFo.e baleen the network and the handball, The Outdoor ~TS I~ modulaP end expandable which Gl[owe for flexible B.~theo De .S,and ~ M ~ WIRE, ESS ~0 1~ 00~'l[~~27°' depmoyme.t, Th,e Outdoor ETS al~o empioy~ dynamo powe~ ~ont~ol frequency hopping and di~oontmniou~ 17 del Galnm ' ' . tranemiemion to improve mobile performance and call qua fy, Dual ~ ~ Slant ~6' 21~>' 330' ~ ~ ~ Polarization ~ NORTEL 88000 E)TS 1.2 1.1 1858 1870 fBg~ 1910 1930 1'650 1970 tggo Features: Electrical Speclfic~Qons SPECIFICATION RRg0-17-00DP Me~hani~ Spccificaio~ SPECIFICATION RRg0.1'7-00DP Herght OB Inches [142 omi Width 8 Inches [20,0 am) De th wiCk-nd Veloatiy 9.7B In~hee 17.0 Eof ed 180 mph Mind Tunnel Tested) Equivalent Plat Hole Area 446 oq inohme (2S90 Lateral Th~ot B 100 mph t95 [be (DBa NJ Weight 18 Ibc Mounting ~DUCT INFORMATION SCALE: NOT TO SCALE imut 270' 300' ~evat/on PRODUCT Seriea 8000 STS Supported INFORMATION SCALE:NOT TO SCALE Southold Town planning Board 166 8/!6/99 ROBERT P. JUENGERT~ AIA POR REVIEW SUBMISSIONS .& RP ENGINEER DATE 61TE ACQUISITION DATE Omnipoint COMMUNICATIONS 11 HIOHPOINT DRIVE WAYNE, N.J. 07~-70 MATTITUCK 400 CARLTON MONOPOLE AVE, MATTITUCK, NY SITEilLI-13-!58-C ARCHITECTURAL PLAN$~ DETAILS & ELEVATIONS AS NOTED 8/16/99 Agg,506,6118 PLANNING BOARD BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR RICHARD G. WARD Town Hall, 53095 Main Road P.O. Box 1179 Southold~ New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 23, 1999 Lawrence Re', Esq. Munley, Meade, Nielsen, & Re' 32 Woodbury Rd. Huntington, NY 11743 Re: Proposed site plan for Omnipoint Communications, Inc. SCTM# 1000-108-4-11.3 Dear Mr. Re': The following took place at a meeting of the Southold Town Planning Board on Monday, November 22, 1999: The final public hearing, which was held at 7:30 p.m. was closed. The following resolution was adopted: WHEREAS, William J. Baxter and Jane P. Goeller are the owners of the property known and designated as SCTM# 1000-108-4-11.3, located at Elijah's Lane, in Mattituck; and WHEREAS, a formal application for the approval of this site plan was submitted on October 28, 1999; and WHEREAS, the Southold Town Planning Board, acting under the State Environmental Quality Review Act, (6NYCRR), Part 617, makes a determination that this project is a Type II action and not subject to the provisions of the State Environmental Quality Review Act (SEQRA); and WHEREAS, this site plan was certified by the Building Inspector on November 18, 1999; and Page 2 Proposed site plan for Omnipoint Communications, Inc. November 23, 1999 WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has complied with the notification provisions; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; be it therefore RESOLVED, that the Southold Town Planning Board grant final approval on the surveys dated October 1, 1999 and authorize the Chairman to endorse the final surveys subject to a one year review from date of building permit. Enclosed please find 2 copies of the approved site plan; one for your records and one to be submitted to the Building Department when you apply for your building permit. Please contact this office if you have any questions regarding the above. Sincerely, ~B e n n ett'~l~w/S"~ki, j r. , .,"~ Chairman eric. cc: Building Dept. Tax Assessors % uo mission conference SITE PLAN (Within 30 days of written request) Complete application received (within 4 months of presub, conference) ApPlication reviewed at work session (Within 10 clays of receipt) Applicant advised of necessary revisions (within 30 clays of review)' Revised sub mission received Lead .Agency Coordination SEQRA determination T"/ REFERRED TO: Zoning Board of Appeals (written c.omments within 60 days of request) Board of Trustees x~. '~. ~///BuildingDepartment(cert'gication) ' Suffolk County Department of Planning Department of Transportation -State 'D ? 5~part~emofTra.sportatio._Coumy ~Suffolk County Dept. of llealt ~ Fire Commiss oners Draft Covenants and Reslrictions aJ ' ;~~ Restrictions ndscape blanPv ' Lighting plan Curb Cut approval ltealth ;iDDt o%,al Reviewed by Engineer Approval of site plan -with conditions Endorsement of sile'plan Certificate of Occupancy inspection Sent:_ Received:. ~8/17/~999 15:15 5154254:.84 NMN&R PAGE PLANNING BOARD MEMB~R~ RICHARD O. WARD Chatrm&n GEORGE RITCHIE I.~THAM, JR. BE~ O~OWS~, ~. ~ J. CREME~ ~NNETH L. EDW~ PLAN'NI~G BOARD OFFICE TOWN OF SOUTHOLD Town Hall, 63096 Main Road P.O. Box 1179 Southold, New York 11971 F~x (616) 765-3156 Telephone (616) 765-1938 Date Received Date Complel~ Filing Fee APPUCATION FOR CONSIDERATION OF A SITE PI.AN X New Change of Use Re-use Extension Rev[sion of Approved Site Plan Name of Business or Sl~e: Location: Address: East Mattituck Route 25 and Elijah's Lane Cutchogue, Southold, NY 11935 Name of Applicant: Address of Applicant: Telephone: Owner of Land: Agent or Person responsible for application: Address: Telephone: Site plans prepared by: License No.: Address: Telephone: Omnipoint Communications, Inc. 11 High Point Drive, Wayne, NJ 07470 973-686-6509 William J. Baxter, Jr. Kevin Griswold 11 High Point Drive, 973-686-6509 Wayne, NJ 07470 Alexander J. Lapatka - Lapatka P.E. 060632-1 12 Route 17 North, Paramus, NJ 201-587-1600 Associates 07652 Southold Town Planning Board ?/Z7/~S~? Z5:15 5~64254:.04 MMN&R PA6E 03 I~ae 2 Planning eoarM S~e Plan AppllcatJon STATE OF ~ COUNIY OF ~ i.~r ~ ~0 Lo ~ ~';~ being duly sworn, deposes and says that I~e resides at In the State of mat he Is the owner of the above property, or that he Is me aut~or±ze~d agent, for ~h_e o~ner (see attached ~e~.te~ of Author±zat'.±on) (Title} (SDeclf~ Whet~er Pe~rmr~p or Corp.} which Is hereby making apptlcaUon; that there are no exlstlng structures or Improvements on the land which are not shown on the Site Plan; that the tide to the entire parcel Including all rights-of-way, has been clearly established and Is shown on said Plan; that no part of the Plan Infringes upon any duly fll~d plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulaUons adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be altered or changed In any manner without the approval of the Planning Board; and that the actual physical Improvements will be Installed In strict accordance with the plans submitted. Signed (Owner} · (~a~tner(~ Cor-lx~lte Offmer and Tit:lin Sworn to me this /? 1, 2, /1, ~Nota~ pu~,c) ,/~ PATE;CI~ D. H~NN~LLY -- A~O::~EY AT LAW STATE OF NEW ~/17/1~ 15:15 51B4254104 MMN&R PAGE P~ge $ P~nning Bo~rd S~e Pi~n Application 80,495 Total Land Area of Site (acres or~ ~m~b~_ n,=~,~,= Zoning D~Stdct Ex]sUng Use of Site [~tblic wireless corm~tnications facility Proposed Uses on site. Show all uses proposed and existing. Indicate which building will have which use. If more than one use Is proposed per building, Indicate square footage of floor area that wltl be reserved per use. Public utility wireless ccanunications facility ( shared site/monopole). 464.35 Gross Roor Area of ExlstJng Structure(s) (sci. ft. ) +_~Gross Roor Area of Proposed structure(s) 3~ Percent of Lot Coverage by Building(s) A ~ Percent of Lot for Paring (where applicable} NA Percent of Lot for Landscaping (where applicable) Has applicant been granted a vadance and/or special exception by NO NA NA NA NA Board of Appeals - Case # & date Board of Trustees - Case # & date NY State Department of Environmental Conservation - Case # & date Suffolk County Department Health Services - Case ~ & date Case Number Name of Applicant Date of Decision Expiration Date Or, her Will any teac or hazardous materials, as defined by the Suffolk CounW Board of Health, be stored or handled at the Ate? If so, have proper permlts been obtained? Name of Issuing agency Number and date of permit Issued. NO ACllON fEXCAVAITON OR CON$IRUC~7ON) MAY ~E UNDERtAkEN UN~I APPROVAl OF $i~E P~AN BY PIANNINOBOA,ED. VIOLATORSAI~ESU~IECI'TOPROSECUTION, The Teen o~ ~outhold's ~9~e of ~bhica ~roltl~ts co,flirts of [nttreet on tho pe~t sE tou~ officers &nd employees. Tho purpose of thl~ £orm ii ~o prey[do ln~grm~lgn v~lt wan alert the teen of poelibls couflicta o~ intsrse~ and alias Ke, zinGriswold/Omnipoint Communications, Inc. (IS #Other,- name the activity.) Site Plan Review × If you eflsvered 'YES,- complete tile balance sE thio form Bed date and sign vhsre indicated. Name OE person e~ployed by the Toufl of $outhold Title or position o~ that person _ Describe tho relationship be~vee, yourself (the applicant) and the torn o~f/csr or employee. Either chec~ tho epproprie%e line A) through D) and/or describe in the specs provided. The tovn officer sc employee o~ his or her spouse, sibling, parent, or child le (check all that apply)~ __A) the ovner or greater than 5~ of bhs ahersa of ~l~e corporate et0c~ of th~ applicant (uhen the appltcun~ Il · oorporatlon)~ DESCRIPTION OF RET, A'rlONStI~'p Prt.t n~m~ Kevin Griswold OMNIPOINT COMMUNICATIONS INC. Letter of Authorization Site No. LI-13-158-A Property Address: Route 25 & Elijah's Lane, Cutcho.que, New York Section: 1 08 Lot: 1 1.3 Block: 4 RE: Application for ZOn n,q/Approval The undersigned, the Owner of the above-described property (the "Property"), does hereby appoint Omnipoint Communications Inc. and its representatives, as Owner's agent for the purpose of completing and/or filing any application, form, map, drawing, site plan or other document, in obtaining any zoning approval, variance, special permit or other land use approval or building permit (collectively, the "Approvals"), required to provide Omnipoint Communications Inc. with lawful access to, and the ability to use the Property for the purpose of installing, erecting or otherwise placing antennas, support structures and related equipment on the Property. Owner shall fully cooperate with Omnipoint Communications Inc. and its agents in obtaining any required Approvals. Omnipoint Communications Inc. shall be responsible for all cost, filing fees or any other expense incurred in connection with securing any Approvals. "PROPERTY OWNERS" NAME:William J. Baxter TITLE: Signed and Sworn to ~;)efore me this .~.,~ day of/j,~'-/..,/ , 1999. Notary Public CHARLES R, CUDDY NotaW Public, StateofNew¥ork No. 5872225 Qualified in Suffolk CoL~nty Commission Expires December 31, ~8/17/1999 15:15 5154254i MMN&R SEQR 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only ,ART t--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) APPL)CANT/SPONSOR ~icat±o~ PROJECT LOCATION: Counly Suf folk Munlcl~allty Southold 2, pROJECT NAM-'~"-- 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, Block 4, Lot 11.3 5. IS pROposED ACTION: E]New ['-~E]panaton {~ Modlflcatlonl&lt er aUon B. DESCRIBE pROJECT BRIEFLY: Tnstalletion of three (3) antennas, one (1) equiL:~nt cabinet, connecting cables and ice bridge to existing wireless co~r~unications monopole/compound. AMOUNT OF LAND AFFECTED; WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EX}STING LAND USE RESTRICTIONS? [] Yea [] No If No, de~crlbe briefly WHAT tS PRESENT--'~NO USE IN VICINITY OF PROJECt? L~t~ Business Zo~ng Dis~ict (~). 10. DOES ACTION INVOLVE A pERMIT APPROVAL OR ~NDING. NOW OR ULTIMATELY FROM ANY OTHER GOVE,NM;NTAL AGENCY STATE OR LOCAL)? Site Pi~ Review - Plying ~d; Building Pe~t - Building I t2. AS A RESULT OF PROPOSED ACTION WILL EXISTING pERMIT/APPROVAL REQUIRE MOOIFICATION? t CERTIFY THAT THE INFORMATION PROVIOEO ASOVE Appllcan~/w;.on$ot name: C)EL.'~]~oint CoF~"ticat2ion.So OVER 1 Southold Town nmg ,, ,h..,,o. ,. ,. ,.. Co..,e' ^,.-j-e.d ,o..F. · ,,.,--L~...no,. ~o..!.:. ~ Coastal Assessment Form before proceeding with this assessmeOt MMH&~ PART II_ENVIRONMENTAL ASSESSMENT ~o be completed by Agency~ ~ART Iii~oETERMINATION OF.SIGNIFICANCE (To be completed by Agency) ef fl~t identified II:)ove, determine whether 1118 ~batanflll. lites, Impo~t or otheMIse significant. .' and ~ magnitude. I1 necess~, Id ~ ~ t~t and 8d~uale ane or more ~tenllally large or significant adveme impacts which MAY ~ha~k this box if yOU have identified ............. a nosltNe ~claratlon- ~ ~'~ ~hen groceed dirtily to t~e FULL ~P enamor p~aF~ - s~lysls ~ove and any supposing ~ Check this box It you have determined, based on the Info.etlon and documentation, lhst the proDosed action WiLL NOT result In any. significant adverse en~lronmentsl impacts AND ~ro~tde on attachments ~s necessa~, the'reasons supposing ibis determination: -- 2 ELIZABETH A. NEVILLE, TOWN CLERK RECEIPT 0 7 5 9 0 1 Phone: 516-765-1800/,,, ~ DATE __f-M~ 2- ~ ,.~.~" ~_ CASH ¢...¥~c,< o~//E5 ."'---~ ......... MUN~,EY~ MEADE~ NIELSEN (5].6) 425-4~00 (516) 425-4104 November 19, 1999 VIA UPS Mr. Robert Kassner Plan Examiner Town of Southold Planning Board 53095 Main Road Southold, New York 11971 Omnipoint Communications, Inc. SCTM #1000-108-4-11.3 Route 25 and Elijah's Lane Dear Mr. Kassner: In furtherance of our telephone conversation today, we enclose Affidavits of Mailing and Posting, together with related documents, including returned receipt cards, for the captioned matter. Very truly yours, MUNLEY, MEADE, NIELSEN & RI~ LCR:db Enclosures NOV 2 g Southold Town Planning Board /,MAILING AFFIDAVIT OF cmailed ~otices for This is to serve notice that l personally ~m[~e~tne properwknown as SCTM 1000-108-4-113, w/s of Elijah's Lane by placing the Town's official poster notices(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on 1999. I have sent notices, by certified mail, the receipts of which are attached, to the owners of record of every property which abuts and every property which is across from any puDIic or private street from the above mentioned property on November 15, 1999. Carol Wellington Your name (print) Signature 96 Wyman Ave, Huntington~ NY 11746 Ad dress November 15, 1999 Date ~-d~::f[~] rf/[~ublic gu~lil~ed tn Suffolk ~ , Commission Expires Mm/:31, ~ PLEASE RETURN THIS AFFIDA VIT AND CERTIFIED WAIL RECEIPTS ON TIlE DAY OF. OR AT TIlE PUBLIC HEARING Re: SCTM#: Date of Hearing: Southold Town PlanninR Board Notice to Adiacent Property Owners You are hereby given notice: That the undersigned has applied to the Planning Board of the Town of Southold for a site plan. That the property which is the subject of the application is located adjacent to your property and is described as follows: Proposed site plan for Omnipoint Communications, SCTM#1000-108-4-11.3, located on Rt. 25 and Elijah's Lane. That the property which is the subject of this application is located in the LB zone. That the application is for the installation of three antennas, one equipment cabinet, connecting cables and ice bridge to an existing wireless communications monopole compound. (See enclosed map.) That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. Or, if you have any questions, you can call the Planning Board office at (516) 765-1938. That a public hearing will be held on the matter by the Planning Board on Monday, November 22, 1999 at 7:30 p.m. in the meeting hall at Southold Town Hall, Main Rd., Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owners Name(s): OMNIPOINT COMMUNICATIONS, INC, Date: November 15, 1999 James & Sharon M. Jacobs, Jr. P.O. Box 1209 Mattituck, NY 11952 Richard & Janet Oddon 315 Rachels Rd. Mattituck, NY 11952 Joan Patricia Hilliard & Ubaldo Gonalez P.O. Box 248 New Suffolk, NY 11956 William J. Baxter Jr., et. al. 1030 East Putnam Ave. Greenwich, Ct. 06830 Dorothy Connelly & Karen Mastan 535 Elijahs Ln. Mattituck, NY 11952 Thomas C. & Catherine M. Wilton 260 Elijahs Ln. Mattituck, NY 11952 Barbara Hofer & Charles Goetjens P.O. Box 481 Mattituck, NY 11952 Terrence E. Matthews RR 1 Box 105C Mattituck, NY 11952 Sonia C. Hunter 55 Sundance Dr. Cos Cob, Ct. 06807 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notices(s) within 10 feet of the front property line facing the street(s) where It can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on No~r~la~¥ I kj) 1999. I have sent notices, by certified mail, the receipts of which are attached, to the owners of record of every property which abuts and every property which is across from any public or private street from the above mentioned property on 1999. Signature Address ? ? Date Notary Publtc- IMml~ Pub~ Stem o~ New Yo~ Ne, 52-47996~ (~uelifled in Suffolk Count~. _ Expires May 31, -4.~t~ PLEASE £E'I~RN l.l-IIS AFFII)AVll. AND CE£17FIED MAIL £ECEIPI-S ON 't-HE DAY' OF, 0£ Al' 1-tiE PUBLIC HEAl, lNG Re: SCTM#: Date of Hearing: code of the Town of 6~Uthold, a pub- lic hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York in said Town on the 22nd day of November, 1999 on the ques- tion of the following: 7:30 P.M. Public heating for the proposed site plan for Omnipoint Communications, Inc., located, on NYS Rt. 25 and Elijah's Lane in Cutehogue, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 10~0-108-4-11.3. The property is bordered on the ~rthwe~t by land now or formerly ~[ Connelly and Maston by and now ~ formerly of Hunter~ and by land ~'~:nv or formerly of Jacobs; on the ~ortbea~t by Elijah's Lane; on the ~utheast by NYS Rt. 25, and by land · '~w or formerly of William J. Baxter ~ the southwest by land now or for- ~erly of Hilliard and Gonzalez, and ~/land now or formerly of Oddon. ~Jated: November 1~, 1999 BY ORDER OF TH~ sotrmOLl~ STATE OF NEW YORK) )SS: CQUNTY OF SUFFOLK) ~.1 q ('JJ'~. ~, D~.Jl I I ~ ~ of Mattituck, in said county, being duly sworn, says that he/she is Principal clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which hhe annexed is a printed copy, has been regu- larly published in sald Newspaper once each week for weeks successively, the ~-CK day commencing ,on~ of ~x~OV~Ol./ 19,,qq clpal Clerk Sw n JO RISOl-rl /~lay/6f .,/~, ~'"~' i,i~)n~4732613 /~/~'~ /'//// / QUALIFIED IN SOFFOLK COUNTY Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD MEMORANDUM TO: Bennett Orlowski, Jr. - Chairman FROM: Building Department DATE: November 18, 1999 BUILDING DEPARTMENT SITE PLAN CERTIFICATION Project: Location: SCTM #: Sovthold 'rbwn Planning Board Omnipoint Communications. Inc. Eli_iah's Lane & Route 25. Mattituck. New York 11952 District 1000- Section 108 - Block 04 Lot 11.3 Site Plan Prepared by: CARMAN-DUNNE. P.C. Date of Last Revision: August13,1999 THE PROPOSED USE "Wireless Communication Facili _ty & Telecommunication Tower" AND THE ACCESSORY USES INDICATED ON SITE PLAN S-l, ARE A PERMITTED USE IN THIS "LB" LIMITED BUSINESS DISTRICT. THE PRE-EXISTING NON-CONFORMING MONOPOL TOWER IS 100' HIGH AND DOES NOT COMPLY WITH CHAPTER 100-162 (B)(3). THE PROPOSED "Installation of a new antenna array on an existing Monopol" DOES NOT COMPLY WITH THE PROVISIONS OF ARTICLE XVI OF THE SOUTHOLD TOWN CODE. CHAPTER 100-168 PERMITS PRE-EXISTING NON-CONFORMING USES TO CONTINUE BUT ALL NEW CONSTRUCTION MUST COMPLY WITH THIS ARTICLE. THE PROPOSED ANTENNA ARRAY 1S TO BE LOCATED AT 65' ABOVE GRADE AND NOT PERMITTED BY CHAPTER 100-162-(B) (3). AS PER CERTIFICATIONS FROM THE ZONING BOARD OFFICE THIS CAN BE APPROVED BY CHAPTER 100-165K WHICH ENCOURAGES COLLOCATION OF WIRELESS COMMUNICATION FACILITIES. ALL REMAINING STRUCTURES COMPLY WITH SETBACKS AS CONTAINED IN THE BULK SCHEDULES OR AS_,,E,OUND ELSEWHERE IN CHAPTER 100.~. ~,~~ PLANNING BOARD MEMOs BENNETT ORLOWSKI, JR. Chai~wnan WILLIAM 3'. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD G. WARD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 10, 1999 Lawrence Re', Esq. Munley, Meade, Nielsen & Re' 32 Woodbury Rd. Huntington, NY 11743 Re: Proposed site plan for Omnipoint Communications, Inc. SCTM# 1000-108-4-11.3 Dear Mr. Re': The Southold Town Planning Board has set Monday, November 22, 1999 at 7:30 p.m. for a final public hearing on the maps dated August 13, 1999. Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The sign and notification form are enclosed for your use. Please return the endorsed Affidavit of Posting and the signed green return receipts from the certified mailings on the day of, or at the public hearing. Please contact this office if you have any questions regarding the above. Sincerely, Bennett urlowsK~, Jr. / Chairman eno. Notice of Hearing A public hearing will be held by the Southold Town Planning Board at Town Hall, 53095 Main Road, Southold, New York, concerning this property: OWNER(S) OF RECORD: Omnipoint Communications, Inc. NAME OF APPLICATION: Site plan for above REFERENCE/TAX MAP #: 1000-108-4-11.3 SUBJECT OF HEARING:# The installation of 3 antennas, 1 equipment cabinet, connecting cables and ice bridge to an existing wireless communications monopole compound TIME & DATE HEARING: Monday, November 22, 1999 at 7:30 p.m. If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the hearing during normal business days between the hours of 8 a.m. and 4 p.m. PLANNING BOARD - TOWN OF SOUTHOLD - (516) 765-1938 Southold Town Plannin.q Board Notice to Adjacent Property Owners You are hereby given notice: That the undersigned has applied to the Planning Board of the Town of Southold for a site plan. That the property which is the subject of the application is located adjacent to your property and is described as follows: Proposed site plan for Omnipoint Communications, SCTM#1000-108-4-11.3, located on Rt. 25 and EILiah's Lane. That the property which is the subject of this application is located in the LB zone. That the application is for the installation of three antennas, one equipment cabinet, connecting cables and ice bridge to an existing wireless communications monopole compound. (See enclosed map.) That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. Or, if you have any questions, you can call the Planning Board office at (516) 765-1938. That a public hearing will be held on the matter by the Planning Board on Monday, November 22, 1999 at 7:30 p.m. in the meeting hall at Southold Town Hall, Main Rd., Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owners Name(s): Date: PLANNING BOARD MEMOS BENNETT ORLOWSKI, Chairman WILLIAM 3'. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD G. WARD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: FROM: RE: Edward Forrester, Director of Code Enforcement Robert G. Kassner, Site Flan Reviewer ~ Site Plan for Omnipoint Communications, Rte., 25 & Elijah's Lane, Mattituck SCTM# 1000-108-4-11.3 DATE: November 10, 1999 Please review the above site plan for certification. Z US Po~ US Posta Rec~ Recei No Ins~ No Insura Do not Do not Us Sent to Sen to Soni ~itli~ 55 .< 1030 Cos ~reen~ TOT~ US Postat Service Receipt for Certifie( No Insurance Coverage Provid{ Do not ~ &U 1 $ :{estricted Delivery Fee 'Z Re Rece No! DO I NO [RSUI Do not [, Porn Offh ~latt' Postage Certified Spedal [ ,Z ! 7~ US Postal Serv Receipt f¢ No Insurance C Do not use for I Senlto Terrence ~met & Numar RE i Box P~I Office, State Mattitud Postage CeMified Fee Restdcte Restdcted Deliv~ Z 172 962 9)3 US Postal Servi~ Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse Sent to Barbara Hofer & Co Goetjer Street & Number P.O. Box 481 Post Office, S~ate, & ZIP Code Mattituck, NY 11952 Postage $ · 33 Certgied Fee 1.40 Spedal Deliver/Fee Restricted Delivery Fee Return R~ceipt Showing 1o Reign Receipt Show~ to Whom, Dm, & A~r~.'s ~ 1.25 TOTAL~(~a~e & Fees $ 2,9~ Z 172 962 9]9 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse) Sent to Dorothy Connell.¥ & K. Masl Street & Number 535 E]ijahs Ln. Post Office, State, & ZIP Code Mattituvk, NY 11952 Postage J$ · 33 Ceriified Fee __~_1 · 40 'Z 122 962 912 ul;osta, Service RJceipt for Certified Mail Nollnsurance Coverage Provided. in ' ntto ~omas C.___&& Catherine Wilt[.n Se et & Number ~0 El i~ahs Lane ~'~Office State, & ZIP Code~ ~atti~uck, N~YY 11952 postage $ .33 Cettilied Fee i · Spedal Delivery Fee testricte~ Delivery Fee i SENDER: I al~o wish to receive the following ~erviees (for an extra fee): 1. [] Addreesee's Addree~ 2. [] Restricted Delivery Consult postmas~r for fee. 3. Article Addressed to: 4e. ArUcle Number Barbara Hofer & Charles Goetjens Z 172 962 913 P.O. Box 481 Mattituck, NY 11952 5.~eceived By: (Print Name) ~ Sign/~t~e: (Addressee or Ageht) J 4b. Service Type [] Registered [~ Certified [] Express Mall [] Insured 8. Addresaee's Address (Only/f~uested I and fee/s pak/) ,, JI PS F'/orm 3811, December 19~4¥ ' ~..~ge-~o~ b0mestic Return Receipt / ,, -'- ' ~,' c _. ~s~r:,c~e-.-o~ Domestic Return Receipt JI ~11, December 1994 · . /L,~ ~5 R and fee/~ MUNLEY~ MEADE~ NIELSEN & 1~1~ October 28, 1999 BY HAND Mr. Robert G. Kassner Site Plan Reviewer Planning Board Office Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Omnipoint Communications, Inc. Application for Consideration of a Site Plan Premises: Route 25 and Elijah's Lane Cutchogue, Southold, NY Dear Mr. Kassner: We are attorneys representing Omnipoint Communications, Inc., in connection with the Application submitted herewith. Omnipoint proposes to affix telecommunications antennas to the existing monopole on Elijah's Lane and to install one equipment cabinet on a concrete pad as shown on the accompanying plans. To that end we submit the following: Check payable to the "Town of Southold" in the sum of $175.00 for Site Plan Review fee; Signed and notarized Site Plan Application with Transactional Disclosure form and Letter of Authorization signed by the owner, authorizing Omnipoint to act in its behalf; Ten (10) copies of Short Environmental Assessment form; Ten (10) copies of a photograph depicting the monopole and adjacent building; Requisite number of plans, including Site Plan, Architectural Plans and Details and Elevations, and Key Map. The Plans also depict the cabinet to be utilized and the antennas to be affixed to the monopole. Should you require anything further with respect to the Application, please call the undersigned. Thanking you for your courtesies, we remainVery truly yours, MUNLEY, MEADE, NIELSEN & R~ LCR:db 0CI 8 1999 Southold Town Planning Board 6~/17/199S 15:15 51642541~4 MMN&R PAGE 05 617.21 Appendix C elsie Environmental Quality Review PART I--PROJECT INFORMATION ('rD be completed by Applicant Or Project sponsor) 1. AppLICANT/SPONSOR I 2, PROJECT NAME Omnipoint. Cnmmunications, Inc. I Public utilitv Antenna Fac~ ] i ty 3. PROJECT LOCATION: Muf'~iclI3ality Southold County Suffolk SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED AC'I'ION$ Only SEQR 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, Block 4, Lot 11.3 §, IS PROPOSED ACTION: 8. DESCRIBE PROJECT BRIEFLY: Tnstallat±on of t]-~ee (3) anterm~as, one (1) ec~t±[:~ne~t cab±net, connect±ng cables and ice bridge to ez£sting w±reless c~unicat±ons monopole/compotmd. ?. AMOUNT OF LAND AFFECTIED: InlU,lly +'/- 1~ ~.~ ~ Utllm~m~y +/- 1OO SQ. ft. ~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EX)~TING LAND USE RE~RI~IONS7 ~ Yea ~ No if NO, a~ctlbe bHelfy ~. WHAT IS ~RESENT LAND USE IN VICINITY OF PROJECT? L~t~ Business Zo~ng Dis~ict (~). 10. OOE~ ACTION INVOLV~ A pERMIT APPROVA~ OR ~NDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY [FEOERA~ STATE OR LOGAL)? 11. DO~ ANY ASPE~ OF 7HE A~ON HAVE A CURR~TLY VALID PERMIT OR APPROVAL? 12. AS A RESULT OF PRo~ED A~ON WILL EXISTING pERMIT/APPROVAL REQUIRE MOOtF]CATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE B~T OF MY KNOWLEDOE ,.m.: Omnipoint Communications. Tnc./Kev~n C~r~wn]a o,,,: /~1/?~ I Il the action Is In the Coastal Area, and you are I state agency, complete the I Coastal Assessment Form before proceeding with this asaaasmeot I OVER 1 ~/17/~.9~9 15:15 51642541B4 MHN&R 'ART II--ENVIRONMENTAL ASSESSMENT ('To be completed by Agency) P~GE ~6 []No 8. WILL ACTION RECEIVE COOROINATED REVIEW A~ PFIOVIOED FOR UNU~rED ACTIONS IN B NYCRR. PART S17.B1 E]Yea []:]NO ~. COUL/~ ACTION RESULT iN ANY ADVERe~p EFFECTS A~OCIATED WITH THE FOLt~OWINC~ (Ar~2~e¢l my Be h~ndwrltien, If legit=iai THERE, OR IS TH.ERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVEJ~E E~/VIRONMENTAL I,MPACTe? [] Yea [] No If yiI, explain briefly PART III~DETERMINATION.OF.$!GNIF.ICANCE (To be completed by Agency) INSTRUCTIONS: For o'&ch adverse effect identified above, determine whether It Is substantial, large, Important or otherwise significant. Each effect should be aB~ea~4~d In connection with Its (a) setting (l~a. ur~en or ~umJ1; (b) pml~ablllty Of occurring; (c) duration: (d) Irrevstalbillty; (s) geographic Sc~ps; and (f) magnitude. If nscass~'y, add sttschmen~ ~' reference sul!~odlng matsrtllS. Ensure that explanations contain sufficient detail lo show that ell relevant ad~sme Impacts have been identified and adequately addressed. [] Check this box If you have identified one or more potentially large or significant adverse impacts which MAY occur. ~heo proceed directly te the FULL EAF and/or prepare · positive declaration. ~ Check this box Ii' you have determined, based on the Information and analysis above end any Supporting documentation, that the proDosed action WiLL NOT result In any significant adverse environmental Impacts AND provide on attachments ae necessary, the'reasons supporting this determination: 617,21 Appendix C Stele Environmental Quallly Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 85 SEQR 1. APPLICANT/SPONSOR Omni~oint. Com~]n~ cations, Inc. 3, PROJECT LOCATION: M un[clpsltly Southold 2, RROJEm'NAM~ Public utilitv Ant~Jnna Fac~lit? Cou.ly Suffolk 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. )istrict 1000, Section 108, Block 4, Lot 11.3 [] Na~ [] E~p~n~ion [] Modfflcallonlml%.raUon Installation of three (3) antennas, one (1) equipment cabinet, connecting cables and ice bridge to existing wireless communications monopole/compound. 7. AMOUNT OF LAND AFFE.¢TT:O: initially +'/- 1~¢~ c~'F~- ~ UIIImall~ly +/- 100 so.ft. ~ [] Yes [] No If No, d~cfibe brlelty e. W.AT ,S FRESENT LAND USe IN VICiNiTY OF FRO~ECT? Limited Business Zoning District (LB). 10, DOeS ACTION iNVOLVE A pERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY STATE OR LOGAL)? I CE~I~F7 THAT THE INFORMATION PROVIDED ABOVE ~ TRUE TO THE BEST OF MY KNOWLeDQE '~ If the action Il. In the Coastal Area, and you ere a state agency, complete Ihs Coaslel AsseSsment Form before proceeding with this ess°same'at OVER · I ~/17/~9~ i5:i5 5i6~254104 HMN&R PAGE ~ART II--ENVIRONMENTAL ASSESSMENT ~'o be completed by Agency) OY'" O. JS THERE, OR le THERE LIK~,LY TO BE. CONTROVF. flSV RELATED TO POTENTIAL ADVE,q~E ENVIRONMIENTAL iMPACTS? [] Yea [] N'O If Yel. explain enefly PART Ill--DETERMINATION.OF $!GNIF]_CANCE (To be completed by Agency) · INSTRUCTIONAL' For e'~ch aclveree effect identified above, determine whether ti la substantial, large, Important or othef~vlse significant. Each effect should be SSNS~(K~ In connection with Ils Is) setting (1j. urben or NraJ]; (b) prol:mblllty of occun'ing; (c) duration; Id) In'everelbilltY; (e) geographic scope; and (fl mognltude. If necessary, add s~achmenta or reference suppofflng meterlata. Ensure that explsnmtlone contain sufficient aetall to ,how that ell relevant ~sdveme Impacts have beefl !de'ntlfled and adequately addressed. [] Check this box If you have Identified one or more potentially Isrge or significant adverse Impacts which MAY occur- Then proceed directly to the FULL FAF end/or prepare · poetth,e decleratton. ~ Check this box II you have determined, be~ed on the Information and analysis above end any supporting clocumentatlon, that the proposed ectl'on WILL NOT reaul! In any significant edveree environmental Impacts AND provide on attachments as necessary, the'reasons supporting this determination: ~8/17/1999 15:15 51S4254184 PAGE 05 617.21 Appandl[ C Slale Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART I--PROJECT INFORMATION (To be completed by Appl(cant or Project sponsor) 1. APPLICANT/SPONSOR 2, PROJEOT NAME Omnipoint. Coa~nunications, Inc. Public Uti ] i tv Antenna Faci ] 3. PROJECT LOCATION: Mu.lc~p.,,y Southoid coun,y Suffolk 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, Block 4, Lot 11.3 [] New [] E~p&n~lon [] ModlflcatlonlaltermUon Installation of three (3) antennas, one (1) equi~ent cabinet, connecting cables and ice bridge to existing wireless cc~r~nications monopole/compound. [] Ya~ [] No if NO, ~rlbe ,. wH~T IS ""ESENT L~NO US~ '" V,C~.,~ O~ Limited Business Zoning District (LB). ~TATE OR LOGA[.)7 Site Plan Review - Planning Board; Building Permit - Building Department. [] Yea [] No If yec, Ila! aO~ .cma a.~ I CE'~'TIFY THAT THE INFO.MATION PROVIDEO ABOVE I~ TRU; TO THE BE~I* O~: M~ KNOWLEDGE ~,,,~,,u,~o,,0, ,am.: ~i~int ~cations. Inc./K~v~n I OVER ° 1 II the action la In the Coastal Area, and you ara · aisle agency, complele Ihs Coaslal AsseSsment Form before proceeding with this asseasmar~t PART II--ENVIRONMENTAL ASSESSMENT (To be coml~leted by Agency) O. IS THERE. OR IS TH.ERE L[KELY TO BE. CONTROVErSy RELATED TO POTENTIAl. AI~VF..R~F ENVIRONMENTAL [] Yea [] NO If Yea, explain btTefly PART Ill--DETERMINATION.OF $!GNIF.IC~,NCE (To be completed by Agency) INSTRUCTIONS: For a~cfl adverse ef fact identified ~ove, determine whether It la substantial. Ilrge, Im!0ortant or otherwise significant. Each affect should bs aa~a~d In connexion with Ill ti) ~ttlng 0J. u~n of m~; ~J pfo~lllty ot occuffing; (c} dumUofl: (~ I~evetalblilt~ (e) geographic s~pe; and (~ magnitude. I~ necess~, add affachml~ or mfemn~ luppo~lng materials. Ensure that explanations contain au~lclent ~e~lll to ~how that all ~levanl a~e~ Implcte hM b~ ~llfl~ and adequate~ ~ddreasad. ~ Check this box If you have identified one or more potentially I~rge or significant adveme Impacts which MAY occ~ ~hen pr~d dlr~tly to the FULL ~F end/or prep~e I positive ~laraflon. ~ Check this box I~ you have determined, based on the Info.etlon and i~lysla ~ove and any supposing documentation, that the propo~e~ act[on WILL NOT r~ult In any. significant a~erse environmental Impacts AND provide on attachments aa necesaa~, the'reasons supposing this deracination: 88/17/1999 15:15 5164254184 MMNgR PAGE 85 pROUECT LO. NUMBER I 817.21 SEQR I Appendix C Slate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART )--PROJECT INFORMATION (To be completed by Applicant or Project aponeor) 1. APPLICANT/SPONSOR Omnipoint. Cc~amJnications, Inc. 3. PROJECT LOCATION: M u nlcll3allty Southold I2. PROJECT NAME ~blic Ut-~ 1 '~ty Anterm~ Facil±fy County Suffolk Dls~cb 1000, Sec~lo~ 108, Bi~k 4, ~[ 11.3 e. DESCRIBE PROJECT BRIEFLY: Z~[a[~o~ o~ ~ (3) ~s~ o~e (1) ~[ c~e~, co~ec[&~g c~[es ~ &ce '7. AMOUNT OF LAND AFFE~ED: Initially +'./-- 1 ~ ~¢~ 6. WILL PROPOSED A~lON COMPLY WITH ~ISTING ZONING OR OTHER EX)~TING ~ND USE RE~RI~IONS7 ~ Yea ~ No If No. ~crlbe ~defly L~it~ Business Zo~ng Dis~ict (~). STATE OR LOCAL)? ~ Y~ ~ N~ If ye~, Ilar ~gen~s) ~d pe~mWip~rovell Site ~1~ Revle~ - 91~1n9 ~; Bu&idl~9 Pe~ - ~uil~in9 ~nt. 11. DO~ ANY ASPE~ OF ~E A~ON HAVE A CURRENTLY VAUD PERM~ OR APPROVAL? 12. A~ A RESULT OF PROCEED A~ION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATION7 I C~ THAT THE INFORMAT,ON PROVIDED ABOVE IS TRUE TO THE BaT O~ MY KNOWLEDGE name: Omnipoint C~cations. Inc./K~_vin C~rl ~w~]~ I OVER ° I If the action la In the Coastal Area, end you ara a elate agency, complete tho Coastal AsseSsment Form before proceeding with this assessment PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) PAGE ["lye. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS A.~SOCIATEO WITH THE FOU~OWIN~ (A~I~I~tB may be h~UwH~len. Il leulb;el O. JS THERE. Off Is TH.ERE LIKELY TO BE. CONTROVEFIS¥ RELATED TO POTENTIAl. ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If '(si, Ixplsln briefly PART Ill--DETERMINATION.OF.SIGNIFICANCE (To be completed by .INSTRUCTION~!. For e'~ch a~eras affect Iden{lfled ~bova, data?mina whether It Is aubelanheL Ilrge, Im~rta~t or otherwise significant. Each effect should be esteemed In connection with Its ti) getting (Ij. urban of (ur~; (bi probability of occurring; (el duration; id) IrreYerulbHIty; (el geographic gceps; and (fl magnitude. If neceaaan/, iud attachman~ et retamnco suppm'Ung materiels. Ensue Ihat explanations contain sufficient detail Io show that all relevant adveme Impacts hM be~l identified and adaquete~ addressed. [] Check this box If yOu have Idectlfled one or more potenlleily large or significant adverse Impacts which MAY occur, l:hen proceed directly to the FULL FAF and/or prepare · poslth~e deClaration. . ~ Check this box Il' you have determined, based On the Information and analysis above and any supporting documentation, that the proDosed action WILL NO)' result Iff any. significant adverse environmental impacts ANn provide on attachments as necessary, the'reasons suppoKtlng this determination: ~.58/!7/19~ 15:15 51~2541~4 MMN&R 617,21 Appendix C Slale Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) PAGE SEQR 1, APPLICANT/SPONSOR Omnipoint. Communications, Inc, 3. PRO.JECT LOCATION: Municipality Southold 2, PROJECT NAME Counly Suffolk 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, Block 4, Lot 11.3 [] New [] E~panllo~ [] ModltlcalIonlllteraUo. E, DESCRIBE PROJECT BRIEFLY: Installation of three (3) antennas, one (1) equipment cabinet, connecting cables and ice bridge to existing wireless co~nunications monopole/co~pound. 7. AMOUNT OF LAND Inmaily +'/- l nn ~q.f~ 8. WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONING OR OTHER ~I~TINQ ~NO USE RE~RI~IONS7 ~ Ye~ ~ No If NO, describe brlelly ,. WHAT ,S ,RESENT LANO USE ,N V,CINIT~ O~ PROJEC'r~ Deecrlb~ Limit~ B~iness Zoning Dis~ict (~). 1~, ~O~ AOT~ON ~NVOtV~ A ~T AP~BOVA~ ~ ~ND{N~, ~O~ O~ U[T~AI~ ~OM ANY O~R GOV~N~N/A~ A~NCY (~O~A~ 11. DO~ ANY ~PE~ OF THE A~ION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 12. A~ A RESULT OF PRO~ED A~ION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I C~'RTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE SE~T 0~: MY KNOWLEDGE name: Omni,Pint Communications. Inc./~mvl n ct4 .~w~] d Da.e; ./0/11/~ If the action Is In the Coastal Area, end you are I stale agency, complete Ihs Coastal Assessment Form before proceeding with this asseasmsrlt OVER 1 PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) WILL ACTION REC.~V~ COOROINATEO RE¥1EW A~ PROVIDED f~OR UNUb*TED ACTIONS IN a NYCRR. PAnT ~17.ts? Il NO. a n~g:~llv, c3e(:l&tltton [] Yea [] N'O If YIe, explain briefly PART III--DETERMINATION.OF.$!GNIF]_C~NCE (To be completed by Agency) INSTRUCTIONS: For e'~ch aclYerse effect Identified Rove, determine whether I! Is substantial large, important or otherwise significant. Eeci~ effect should be esees~ied In connection with Ill (I) setting (].e. urban or rumJI; (b) probability ol occurring;, (c) duration: Id} Irrevetelblllty; ti) geographic scape; and If) magnitude. If necessary, add attachments or m/atonce supporllng meter~ala. Ensure that explanations oontaln Suffl~:lenl detail Io show that all releYanl edveme Impeclll have been Idecllfled and adequately &ddreu=led. Check this box if you have Identified one or more pOtentially large or significant adverse Impacts which MAY occur. :Then proceed dlrsctiy to the FULL EAF end/or prepare a poslth, e declaration. Check this box I[ you have de!ermined, based On the Informatian and analysis above end any supporting documentation, that the proposed ac!ton WILL NOT result In any significant adverse environmental Impacts AND provide on attachments as necessary, the'reasons supporting this determination: - ~8/17/I999 15:15 5164254184 MMN&R PAGE 817.21 Appendix C Slate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be compleled by Applicant or Project sponeor) 1. APPLICANT/SPONSOR J 2. PROJECT NAME Omnipoint. Con~nunications, Inc. I Public Utility Antenna Facility 3. PROJECT LOCATION: Municipality Southold County Suffolk SEQ R 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, Block 4, Lot 11.3 Installation of three (3) antennas, one (1) equipment cabinet, connecting cables and ice bridge to existing wireless ccmT.~nications monopole/compound. Initially 4-'/-- 11~0 ~.~:~- ~ Ultlmalely ~ ~ [] Yea E~ No If No, aa~crlbe briefly e, WHAT IS PRESENT LANO UaE tN VICINITY OF PROJECT/ Limlte~ Business Zonlng District (LB). STATE OR LOCAL)? Site Plan Review - ?lannln9 ]3oa~d; Buildin9 ?e~nlt - Buildin9 Department. 12. A3 A RESULT OF PROF~QSED AmlON WILL EXtSTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] v,, [] No THAT THE INFORMATION PROVIDED ABOVE lB TRUE TO THE BE~T OF MY KNOWLEDGE Omnipoint Coa~unications, Inc./E~v~n C.r~w~]~ O,t,: /~/'/?~ I! the action Is In the CoaBtal Area, end you Ire a Baste agency, complete the Coaetal Assessment Form before proceeding with this assessment OVER · ° I PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) PAGE C. COULD ACTION RESULT IN ANY ADVERSE EFFE~r~ A~e,~QCIATED WITH THE FOL.~OWINI~ (A/law, ri rely I~ hez~dwHilen. II legibleI THERE. OR le THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVF. R~E r~NVtRONMENTAL IMPACTS? [] Yea [~ N'O I! Yil, explain I)r~atly PART Ill--DETERMINATION.OF $!~SNI~CANCE (To be completed by Agency) .INSTRUCTIONS: For e'~ch adverse effect identified ~bova, determ/ne whether It la substantial, large, Imperta~t or otherwise significant. Each effect should be esse~ed In connection wllh tls ts) setting (Ira. urban or mraJ1; (bi probability of occurring; (c) duration; (d) Irrevsrslblllty;, {si geographic scope; and (~) magnitude. If necoeserf, add attachment,, or re~arsnce supporting materiels. Ensure Ihat explanations contain sufflclen! aatall Io ~how that all relavenl adverse Impacts have ~ Identified -;nd adequately addte~..~ed. ~] Check this box If you have Identified one or more potenllally large or significant adverse Impacts which MAY occuc :Fhen proceed dlrecUy to the FULL FAF and/or prepare a positive declaration. ~ Chec~ this box U you have determined, based On the Information and analysis .hOVe and any supporting documentation, that the proposed actron WILL NOT result In any significant adverse environmental Impact,* AND provide on attachments as necessary, the'reasons supporting this determination: 51G42541~4 MMN&R PAGE 85 817'.21 SEQR Appendix C Slate Environmental Quality Re¥1ew SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION ('To be cornpleled by Applicant or Project sponsor) 1. APPT. JCANT/SPONSOR I 2, PROJECT NAME Omnipoint. Communications, Inc, Public Utility Ant~J~n~ Fac~ litv 3. PROJECT LOCATION: _ Munlcil~alJly Southold county Suffolk 415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, Block 4, Lot 11.3 [] Hew [] E~panalon [] MocltllcaUIonllller etlon Installation of three (3) antennas, one (1) equipment cabinet, connecting cables and ice bridge to existing wireless ccam~nications monopole/compound. inlua~ly +'/- I~A ~.ft_ ~ uluml~,ly +/- 100 sa. It. ~ [] Ye~l [] No If No. 013crlbe brlelly WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? C~ Residef~llal [] In~ualrl~ll [] Commel'e~al [] Agriculture Limited Business Zoning District (LB). 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAl., STATS OR LOCAL)? [] yea [] NO It Jill, lilt aglney(a) and plrmlt/iporovall Site Plan Review - Planning Board; Building Permit - Building Department. name: Omnipoint Communications, Inc./~<~vin ~r~wn]~ Il the action Is In the Coeetal Area, end you ere a state agency, complete the Coaetsl Assessment Form before proceeding with this eseeasment OVER ~/17/1999 15:15 5154254104 HHN&R P/~GE 06 PART II--ENVIRONMENTAL ASSESSMENT ('To be compl..t..d by Ag..ncy) r"~ Yea ["']No O. IS THERE, afl I"' THERE L[KELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVEP~E ENVtRONMENTJM. IMPACT3? PART III~DETERMINATION..OF glGNIFICANCE~ (To be completed by Ag..ncy~ }NS'TRUCTION~: For s~ch adv..rea effect Identified above, detarm/na whether I! Is ~ubsiantlsl. large, Important or otherwle., slgnlflc..nt. Each effect should be ae~es~d In connection with III (a) setting (IJ. urban or rur~J; IhJ probat~llty of oCcurrln0; (c) duration; (d) Irravsralblllty; (a) geographic scope; and (f) magnitude. If nece~smy, ldd attachments or reference suppofflng materiels. Ensure that explanations contain sufficient detail to ~how that ell releVanl advame Impacts h~ be~l Identified end adequa{aly addressed. [] Check thte box If you have Identified one or more potentially large or ..Ignlflcant adverse impacts which MAY occu~ ~hsn proceed directly to th.. FULL EAF end/or prepare a positive declaration. ~ Check this box It you have dat..trained, based On the Information and anelysl., above and an)* supporHng documentation, that the proposed action WILL NOT result In an)' significant adverse environmental Impact,, AND provids on attachm..nts as n..ceeeary, the'reasons supposing this determination: PROJECT I.e. NUMBER I 617.21 SEQR I Appendix C Stale Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNL STED ACTIONS Only PART {--PROJECT INFORMATION (To be completed by Applicant or Project 1. APPLICANT/SPONSOR Omni~oint. Communications. Inc, 3. PROJECT LOCATION: Municipality Sou!hold 2. PROJECT NAME Public Utilitv ~l~-~nn~ Pac~lit_v Co~,ly Suffolk 415 Elij~'s ~e ~d Route 25, ~ttituck, T~ of Sou~old, Suffolk Co~ty, ~. Dis~ict 1000, Section 108, Bl~k 4, ~t 11.3 ~. IS PROPOSED A~iON: ~ NOw ~ Expansl~ ~ Modlflcatlonlalter~don ~. DESCRibE PROJECT BRIEFLY: Ins~llation of ~ (3) ~t~s, one (1) ~i~nt c~inet, co~ecting c~les ~d ice bridge to existing wireless c~icatio~ ~no~le/c~. Inltfall~ +/- 1 nn ~ Et, ~ uILImalely +/- 100 sa. ft. ~ ~ Yea ~ No If NO, describe briefly L~t~ Business Zoning Dis~ict (~). STATE OR LOCAL)? Site Pi~ Review - Plying ~d; Buil~ng Pe~t - Building ~nt. ~ Yes ~ NO I CER'I1F'Y THAT THE INFORMATION PROVIDED ABOVE 15 TRUE TO THE BEST OF MY KNOWLECGE ^.,,lc..U,,o..o, ..m.: ~mant C~cations. Znc./~v~n ~r4*~]~ o.,.: /~/I/~____ I! the action I· In the Cee·Iai Area, end you are · elate agency, complete Ihs Coastal AsseSsment Form before proceeding with this sssoasmellt OVER ° 1 ."~/17/~. 9 ~B 15:15 5L64254104 HHN&R PART II--ENVIRONMENTAL ASSESSMENT ('To be completed by Agency) PAGE C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS A~OCIATED WITH THE FOrI.OWING: (Answers may be hm~dwtlUen. I! legfblaI O. IS THERE~ OR IS TH.ERE LIKI~LY TO BE, CONTROVERSY RELATED TO POTE/~'IAL ADVERSE ~VIRONMENTAL IMPACT~]? [] Yea [] NO If YII, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTION~: For e~Ch m:lveree sf fact identified ~ove, determine whether ti Is substantial, h. ge, Important or othen,vlee Ilgnlflcant. Each s~'fect should be asm~olecl In connection with Ill (,~) letting (Ij. ur'gan or ~umi); (bi probability of occurring; (e) duration; (d) I.everslblllt~ (e) geographic ~cops; end (f) magnitude. Il' necsaemT, re:Id attschnrmnta or reference supporting materiels. Ensure that explanations contain sufficient cletsll la show that sll relevant ectvsme Impacts have been IdenUfl~d and sdequets;7 ~ddremled. [] Check thll box If you have Idenllfled one or more potentially large or significant adverse Impacts which MAY OCCL~. ~hen proceed directly to the FULL EAF and/or prepare a positive declaration. ~ Chec~ this box Il' you have determined, based On the Information and analysis above and any supporting documentation, that the proDoqed action WILL NOT reaull In any slgnlflcant adverse environmental Impacts AND Provide on attachments aa necessary, the'reasons supposing this determination: ~..E~/17/19~ 15:15 5164254104 MMN&R PAGE 05 817.21 Appendix C State Envlrenmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project 1. APPLICANT/SPONSOR I 2, PROJECT NAME Omnipoint. Cc~w~nications, Inc. I Public Uti 1 i t~y Ant~nn~ 3. PROJECT LOCATION: Munlcl0altty Southold County Suffolk SEQR ;415 Elijah's Lane and Route 25, Mattituck, Town of Southold, Suffolk County, NY. District 1000, Section 108, BlOCk 4, Lot 11.3 Installation of three (3) antennas, one (1) equiim~nt cabinet, connecting cables and ice bridge to existing wireless co~nunications monopole/compound. 8, WILL PROPOSED ACTION COMPLY WITH EX~STING ZONING OR OTHER EX)STING LAND USE RESTRICTIONS? [] Yea [] No If NO, c~lscrlbe briefly e. WH*T la PRESENT LAND USE IN VICINITY OF PROJECT? Limited Business Zoning District (LB). STATE OR LOCAL)? [] Yes [] NO If yea, list ageney(~) and petml~/ip~rovel~ Site elan Review - Planning Boardl Build±n~ Perrrd_t - Building l~par~nt. 11. DOES ANY ASPECT OF: THE ACT1ON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? t2. Aa A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATION? E3Y,, ~nNo I C~lqFY THAT THE INFORMATION PROVIOEO ABOVE le TRUE TO THE BK~T OF MT KNOWLEDGE A;.,,..v.~o..o. ,.~.: Omnipoint Communications. Inc./Kevin C~r~w~]d Oat*: /~'/~ I OVER ° 1 If the action Is In the Coastal Ares, end you ers I state sgency, complete Ihs Coastsl Aseessment Form before proceeding with this ssssssmmlt ~/171~ 15:15 5!~4254i04 M~N&R PART ))--ENVIRONMENTAL A~$E$$MENT ['To be completed by Agency) PAGE C. COULD ACTION RESU[.T iN ANY ADVERSE EFFECTe A~OCIATED WITH THE FOLLOWING: (An~lra may ~ hm~ciwr]tten. Il legible) O. iS THERE. OR le THE~E LIKELY TO B~ CONTROVERSY RELATEO TO P~T~NTIAL ADVERSE ENVIRONMr~fTAJL IMPACTS9 [] Yea [] N'O If Yea, explain bl'lefly PART ;II--DETERMINATION.OF.$JGNI~CANCE (To be completed by Agency) · iNS'TRUCTION~. For o'&cfi a~veraa affect Idanfl fled ~)ova, determine whether It le lubatantlal. Ilrga, Impo~lant or othen~/lae elgnlflcant. Each effect should be ll~s~ In conn~lon wllh Ils (I) letting g~e. u~ln ot ~; ~) pro~llty of occufflng; (C) dum0ofl: [~eYe~lblllt~ (e) geographic a~pe; and (~ magnitude. I~ necess~, Idd i~achmen~ or mlimn~ suppling materials. Ensure that e~glanatlona contain auHlelenl detail Io sh~ that .11 reievanl a~e~ Impacte h~ b~ ~tlfled end adequale~ ~ Check thio box If you have Identified one or more potenllaily large or significant adveme Impacts which MAY occ~ ~hen pr~eed dirtily to the FULL ~F and/or prepare a positive ~laratton. ~ Check this box ff ~u have determined, ba~ed 0n the Info~atlon and a~lysla ~ove and any SuppoSing documentation, that the praDo~ed action WILL NOT ~esult In any. significant a~erse environmental Impacts AND provide on attachmente aa necesaa~, the'reasons supposing t~ls deracination: NEY ]VIAP 1" ~00' O\? t,oT 3 LoT 7 BLO('h' 6 sECTION 115 DI,S'T 1000 , LOT ?.45 LOT 5.g LoT 8 LoT BLOCK 7 DI,_~T I' 000 LoT ld zoNE",,, LOT .3 LO'~,~Ci( ~0t~ r,~,~o~, ~ooO (S.R. 25) LoT I 1 LoT 12 zONE Ft-40 LoT I 0 B,LOCK 7 5 sEcT!ON I ~ 1)1,%'2 1000 $.6 zONE A-C LoT · I: ROAD 1 3.2 LoT 5.2 24, MAP T S I N C ...... CARMAN-DUNNE, P.C. LAPATKA ASSOCIATES ALEXaNDEr[ J. LAPATKA P.E. P.E. 060632-1 Omnipmnt COMMUNICATIONS, Il'lC. '}lie DRAWING INDEX NO. i TITLE / INDEX ', I I%iTE nl "'. J I :~' 'L :,,i"LI ]LI, ia[ A, II~, £I E , APPROVAL SIGNATURES BOARD CHAIRMAN BOARD SECRETARY BOARD ENGINEER DATE DATE DATE ELIJAH'S LANE AND ROUTE 25 I MATTITUCK, TOWN OF SOUTHOLD ' ' SUFFOLK COUNTY, NEW YORK i ....KEY MAP K-1 ,! 4, O©DON Al5 RACH£LS b~OAD MAli'TUCK, NY, 11952 REFERENCES dOHNDAPY iNFORMATiON t,HOWN HEHIEON rAiix FROM A ISERTAIN k,IAP EIqFITI£D "MAP OF AL~LRaTION Ci~ BOUNDARY JACOBS PO BOX 1209 MATTI]UCK, Nf, 11952 %,. PIILLIAR[3 & GONZALEZ P.O. BOX 248 NEW SUFFOLK, NY, 11956 HUNTER 55 SUNDANCE DR, COS COB, CT, 06807 ~F`',N OR EL. 29.5 CONNELLY & MASTON MATiITUQF, NY, 11952 WILLIAM J BAXT[.R. JR /050 E PU'Ihl/~bl AVE GREENWIGH, if, SITE 20 10 PLAN 1" = 20' 20 4 0 BAR SCALE (FT) 6O Ill TOWER LOCATION INFORMATION LEGEND DRAWING INDEX NO. TITLE / INDEX I ['~,i~ PLAh ,? I I*,,~:(,' IIIIEC ,I.R"I F'I ,'x!,.,S E' ~, & DET'tll , APPROVAL SIGNATURES BOAR5 cHA~AN DATE. - j BOARD ~EbRI~=ARY ' bkY~ 'l §OARb ENGIN~E~ - - ' 6ATE ' j CARMAN-DUNNE, P.O. LAKEVIEW AVENIJE LYNBROOK, NEW YORK, 11583 (516) 599-5583 (% '~... LAPATKA ASSOCIATES ALEXANDER J. LAPATKA P.E. P.E. 060632-1 2 ISSBED FOR FILING RE iSSUED FOR REYEW ISSUED FOR BEVIEW SUBMISSIONS APPLIC~,NT Omnipoint COMMUNICATIONS, INC. ELIJAH'S LANE AND ROUTE 25 MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK MA AS SHOWN ILAPATKA ASSOC 5-13-g9 l j T,PF, A99506-6118