HomeMy WebLinkAbout1000-109.-4-8.3
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5 A M U E L 5 &
5 T E E L M A N
January 30, 1998
Bob Kassner
Southold Town Planning Department
Town Hall
Southold, NY 11971
Re: North Fork Country Club
Dear Bob,
The Club has decided not to pursue an addition to the existing Pro Shop at this time.
Please withdraw our application for an amendment to their Site Plan for this addition.
Thank you for your assistance on this matter,
Sincerely,
~,
Tom Samuels
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Southold Town
Planning Board
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE, NEW YORK 11935
(516) 734-6405
FAX (516) 734-6407
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I SITE PLAN
Presub missIOn conference
(within .30 days of written request)
Complete application received
(within 4 months of presub, conference)
APPlicatIon reviewed at work session
(within 10 days of receipt)
9-:2.1- i1~ ~
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Applicant advised of necessary revisions
(within .30 days of review)
Revised submission received
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Lead Agency Coordination
SEQRA determination
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REFERRED TO:
Zoning Board of Appeals
(written comments within 60 days of request)
Board of Trustees
~ing Department (certification)
. Suffolk County Department of PIJnning
Department of Transportation -State
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-vl' epartment of Transportation - Cou~rY. ~ :CK J
Suffolk County Dept. of HeJlth ? tlj/J t _),-7( I~"::CK I
~ ~re Commissioners ,,1/1 I Sent: J J- :J.c-11
~ A.R?.. 0;<' 5:;:1.[ IJ-';tJ-r1 Received'
RECEIVED: J - ;i..'-- 1<t % -~""'JI-~'~t'Jf'
Draft Covenants and Restrictions r..... A (hIW.ta..... I~LI ~
Filed Covenants and Restrictions
Landscape plan
Lighting plan
Curb Cut apprOval
/Heallh approvat
V Drainage plan ii- 2->-y7 ;tt~
Reviewcd by' Engincer
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Approval of site plan
-with conditions
Endorsement of site plan
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Certificate of Occupancy inspection
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One year review
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Southold, N.Y. 11971
(516) 765-1938
SEP 2 4 1997
APPLICATION FOR CONSIDERATION OF SITE PLAN
Date of Application Filing Fee
New Use Change of Use Re-Use~tension
Revision-Df an Approved Site Plan~(Date of
Other Specify
Date Rec'd
of Existing
Approval
Use
******************
Name of Business or Site NO.eTH ~k; OOuNTJet1 Cl-tlB
Location of Site .:2'<.311'2.. h11/Jn1/ A-OIIY./:>. eu.Tc.#O~{)tr
Address of Site, if available . ..h..,v-e.
Name of Applicant YHO/HA-J' ~. oSA-hHJ'"GZ.s.
Address of Applicant .:?S::J35 mA/N~. f'.uTt:!.../k)/J>-(;If;--
Telephone "7J~ - (,tI~~
Person to be responsible for Construction
HN.CHI TeeT Telephone
Applicant's interest in site-check one: OWner of Land
Under contract to purchase___
Owner of Fee Title to Land /tIOIf2T/I R>J2;<. COUNTIe't' f"/ JJB
Address mAl/II A.oA-.D CU7tHn16-tff!r Telephone '7.i4 - ~-35
Site Plans Prepared ~y~.S'..9nu~C:; License No..eA #- /8.350
AddresSat'o.;;IJ5 /J1/4/N II'U>>o _ c:J..t'TCH06G1t!r Telephone 7..31J. - ~o.s-
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Total Land Area of Site 99'. 7~ A. Sq. Ft. Zone District A/(l_
Existing Use of Site~~~Lo/ rL~ Proposed Use of Site ~~E
Gross Floor Area of Existing Structure(s) /~~ sqft./~.5oo sqft.
Gross Floor Area of Proposed Structure (s 1 4/0 sqft. .s-a.nuv sqft.
Percent of Lot Coverage by Building(s) O.3_~% %
Percent of Lot for Parking (where applicable) e~f/l'Jrg. 1% "?'_ %
Percent of Lot for Landscaping (where applicable) ~ ~ 0/... 'Y-. %
Datum(SpecifylU.s.G.s. Other
Has applicant been granted a variance and/or special exception by
Board of Appeals
Case Number Name of Applicant
Date of Decision Expiration Date
Will any toxic or hazardous materials, as defined by the Suffolk County
Board of Health, be stored or handled at the site?
If so, have proper permits been obtained?
Number and Date of permit issued
NO ACTION (EXCAVATION OR CONSTRUCTION) MAY BE UNDERTAKEN UNTIL APPROVAL
OF SITE PLAN BY THE PLANNING BOARD.
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APPLICANT'S AFFIDAVIT
STATE OF NEW YORK
COUNTY OF SUFFOLK
ODcJN T..€ti CJ-tJJB
or Corp ration)
owner or his heirs, successors or assigns will, at his own expense,
install the required site improvements in accordance with Article XIII'
of the Code of the Town of Southold for the area stated herein
and that there are no existing structures or improvements on the land
which are not shown on the Site Plan; that title to the entire parcel,
inclUding all rights-of-way, have been clearly established and are
shown on said Plan; that no part of the Plan infringes upon any dUly
filed plan which has not been abandoned both as to lots and as to
roads; that he has examined all rules and regulations 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.
"7"7Io1'hA-,s C. ~.s being duly sworn, deposes
and says that he resides at &75:2a<;- /114-/# IfloA.-O. CU~If06&1lf"
in the State of New York, and.that he is the.owner of the above propert
or that he is the ANCAh71:"c/r of the Nt:;.e:TH 1b.l2.I<.
(Title) (Specify whether PartnerShip
which is hereby making application; that the
Signed~ ~
(O\.Rer)
Sworn to before me this
&3~~:y oJ./~~./V>J/~ 19 Q7
(~otary YPUbli )
LINDA J. COOPER
Notary Public, SllIte of N_ YoIt
No. 4822583. Suffolk ~ fl ()
Term Expires December31.1ll.-';Lo
Signed~'~
(Partner or Corporate Officer and Title)
....
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. 517'.l!l'
Appendix C
State Environmental Quality Review
SHORTEN~RONMENTALASSESSMENTFORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1.4-16.4 I2ISn- Texl 12
PROJECT J.D. NUMBEFl
s:
1. .. pr....I~. tIT ISPONSOR
7JToml1S c. -C-hnVFZ.S,
2. PROJECT NAME
'PrnON' 7D "* M
ctaVTIL~
c.4-C4C2
3. PROJECT LOCATION:
Munlclpalltv Countv r:.S:J.(.FFO(../<;
4. PRECISE LOCATION (Street address and road Intersectlons. prominent landmarks, etc., or provide mapl
c26.3tf:2 h1I).IN ~~ at; ~ Cf 1ntJr!J1eE'S I.../Jt1Il)"
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5. IS PROPOSED ACT~NY
o New [}3""expanslon 0 Modification/alteration
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6. DESCRIBE PROJECT BRIEFLY:
"f10 .s(jJ. r-r. HPrm::w 70 'T1ft!1'FKrsrl11/6 }1eo a~P ;;.-vI) (j(J{..F
~ 6~~ IalNC-O#V6,. II<< ;9-C'C/T.fsoerr 5Tlf!vcTVeF
#v~T '~ 'fHt- C~ ~"
7.' A~OtJNr OF LAND AFFECTED:.' .
Inillally 0 _ 0 J acres Ultimately t!). 0 I acres , . I j , ; ~JJ ~ A " 1,_
3. If/I-LL- RO?O-S-EO-";"CTION COMPLY WITH EXISTING ZONING OR OniER EXISTIN-G LAND USE RESTRICtro;.,~? ----.,----.of"--r.l,
Yes 0 No If No. describe briefly '~,.,
--...
9. VJHAy1S P~E5ENT LAt:O USe IN IJICINITYOF-PAOJ-ECT'?
&"ReSidenUal D.!ndustrial 0 Commercial
Descnbe:
o Agriculture
o Park/ForestJOoen soace
.-./,IU-J.J.l-
l!1" Other ,
G /%.F' ~U1LS tf"
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10.
INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEOER.^
OCAL)? .. '...
o No If yes. list agency(s) and permit/aDProvals
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11. 0 S ANY ASPECT OF THE ACTIO'" HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
Yes" ' 0 No .If'YI!!I. .lIst agency name-aind permlUapDroval
(/~t:> 817li'I""!9-1'1/ e1V p/(;t7 IN {t::TtvN If-tfh../...
'_.,.,;).,....
12. AS
RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL ReaUIRE MOOIFICATION?
Ves DNa IJl?1elVPlneNT
I CERTIFY THAT THE INFORMATION PROVloeo ABOVe IS TRUE TO THE BEST OF MY KNOWLEOGE
Applfcantfspcnscr name:
PIo/?fHJ' Q.. SA1?1{/n.~
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SIgnature:
If the action is in the Constal Area. and :;ou are a state agency, complete the
Coastal Assessment Form before proceeding with this a:?~essment
OVER
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PART II_:NVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYP AESHOLD IN 6 NYCAR, PART 511.121 If yes, c ate the review ,rocess and use the FULL €'AF.
DYe. DNa
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NVCRR. PART 617.67 It No. a negallve declaratlc
may be superseded by another involved agency.
DYe. DNa
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air (luatlty, surface or- gfoundw;uer Quality .or Quantity. noise levels, existing tralflc patterns, solid waste production or dlsposa
potential lor erosIon, drainage or lIooding problems? Explain briefly:
C2. Aesthetle. agricultural, archaeological. historic. or other nalural or cultural resources; or community or neighborhood character? Explain brle!
'c:J: Vegetation or 'fauna, fish. '$h~ilflsh or wildlife species, significant habitats. or threatened or endangered species? explain briefly:
~
,
C.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 resources? Explain brle!
'l'1.J.i.l--
C5. Growth. subseQuent development. or related activities likely to be induced by the proposed aellon? Explain briefly.
CG. Long term. short term. cumulative, or other effects not Identified in Cl.CS? Explain briefly.
C7. Other impacts (inCluding changes in use of eilh!r quantity' 'Or type .of. energy)? Explain. brjefJ.y. '
.,. " ~ ,,; '......................
" ....",
o. IS THERE. OR IS THERE LIKELY TO ae. CONTROVERSY RELATED TO POTENTIAL ADVERSe ENVIRONMENTAL IMPACTS?
DYes 0 No .If, 'les; explain.,brieily,
PART III_DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above. determine whether it Is substantial. large. important or otherwise signiflea
Each effect should be assessed in connection with its (a) setting (I.e. urban or rural); (b) probability of, occ~g; (c) duration;
irreversibility; (e) geographic scope; and (f) magnitude. II necessary, add attachments or reference supporting materials. Ensure Ii
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
D Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directiy to the FULL EAF and/or prepare a positive' declaration. .
D 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 incil-!1Y significant adverse environmental Impacts
AND provide on attachments as necessary, the reasons supporting this determination:
."-l,I01le 01 L......llj A..:~"CV
Pml1 Of I Vl)~ N.lme 01 I(e~potl~'olt! tJlilcer '" ll,l.ld A!;t!tlCY
rill!! Of 1{t.'~PO"~lbl!! O"Icer
S,..:nJIUfe or 1(e-~pon\Ible Orilcer Itl le-dd ^lilerKY
Sl"naIUU~ 01 I'reUJu!'r (If dl"l!'nm( rrom fespOnlfOIl!' olltctrl
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SUblllissiofl Wilhout a Cover Letter
Se",der: TOff\ Sar<\w.1s
Subject: N F Ccu.f\"h'11 Gltub
SCTM#: 1000- I oq-'t- 8.3
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Date: I D/ f /4/
Comments: Che.d. for ba./Q/IICL 1J '4'dJ1. Fe.e..- _It. (6. 2...S
1/_ jc- . TFJ jJ .
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COUNlY OF SUFFOLK
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ROBERT J. GAFFNEY
SUFFOLK COUNTY ExECUTIVE
DEPARTMENT OF HEALll-I SERVICES
CLARE B. BRADLEY, M.D., M.P.H.
November 8, ~"G COMMISSIONER
Re:
SCTM #:
North Fork Country Club
1000-109-04-1,2,3,4
NOV I 2 1991
Bennett Orlowski, Chairman
Planning Board Office
Town of Southold
53095 Main Road, P.O. Box 1179
Southold, New York 11971
l_.~ .
Dear Mr. Orlowski:
r'.
The Suffolk County Department of Health Services (SCDHS; "Department") has received
your letter, concerning the above-referenced project. The Department has no objection to your
designation as lead agency.
Based on a review of the subject coordination, the Department offers the following
comments.
Article VI Application Status:
An application for this commercial project has not been submitted to SCDHS Office of
Wastewater Management. This minor addition (absent water supply or sanitary facilities) may
only require an updated site plan submission.
The applicant must comply with the requirements of the Suffolk County Sanitary Code and
relevant construction standards for water supply and sewage disposal. Design and flow
specifications, subsurface soil conditions, and complete site plan details are essential to the
review of this project. These considerations are reviewed completely at the time of SCDHS
application. SCDHS maintains jurisdiction over the final location of sewage disposal and water
supply systems. The applicant, therefore, should not undertake the construction 'of either system
without Health Department approval.
Thank you for the opportunity to review this application. If you have any questions, please
feel free to contact the Office of Ecology at 852-2741.
MRJamf
cc: Walter Dawydiak
Stephen Costa, P.E.
~*;t ~cd~
Mark Reuschle
Environmental Planner
Office of Ecology
QpI'"ICE; 01'" Ecol..oG....
DIVISION OF ENVIRONMENTAL OUALITY
COUNTY CENTER
RIVERHEAD. NEW YORK' 190 I
(5 I 6l 852-2077-3397
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PLANNING BOARD MEMBERS
BENNETT ORLOWSKI. .JR.
Chainnnn
WILLIAM .J. CREMERS
KENNETH L. EDWARDS
GEORGE RITCHIE LATHAM. JR.
RICHARD G. WARD
Town Hall. .33095 Main Road
PO. Box 1179
Southold. New York 11971
Fax (516) 765-:} 1:}6
Telephone (516) 765-19:3.9
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Re: Lead Agency Coordination Request
Dear Reviewer:
The purpose of this request is to determine under Article 8 (State Environmental
Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR
Part 617 the following:
1. Your jurisdiction in the action described below;
2. Your interest in assuming the responsibilities of lead agency; and
3. Issues of concern which you believe should be evaluated.
Enclosed please find a copy of the proposal and a completed Environmental
Assessment Form (EAF) to assist you in your response.
Project Name:
/'Io~ T H fc..('k C-oLl,rtTf!. 'I CL c.I-B
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c. ort .sr,1Nc T .L..J /0 S1'-1/J-i? E ,t:6c>T ;:JPPI r/or(
lD IE X/<;FI/7d P/2o \<)lfoP
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Requested Action:
SEQRA Classification: l ) Type I
(J1'''Unlisted
Contact Person: r? r;-. K 17 55 r/E R
(516) 765-1938
.
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Page 2
Lead Agency Coordination Request
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:
( ~iS 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.
~CereIY, , / I)
(~5g~d#Ckk~ ;- ,~
5sennett Orlowski, Jr.
Chairman
cc: ElQard af Al'peals
Eloard af T, u"l"""
'* Building Department
Southold Town Board
Suffolk County Department of Health Services
NY:JDEC - :Jlo"y Orook-
NYSDEC - Albany
Suffolk County Del'srtn,elll ur Public Wurk"
U.S. l\rrny Carp of EangineeFS--'
~low Yorl, Stahl Department of Tr:;msportation
Thomas Cybulsld, Gree, ,port rubliG-Utilities----'
B aym"",; \I~n~tte;A, 0, eS'lport-ltitlage-AdmiAtstraleF---"
--S~County--Water Authority
"Maps are enclosed for your review
rev. 4/94
WILLIAM J. CREMERS
KENNETH L. EDWARDS
GEORGE RITCHIE LATHAM, JR.
RICHARD G. WARD
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PLANNING BOARD MEMBERS
BENNETT ORLOWSKI, JR.
Chairman
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
October 7, 1997
Thomas C. Samuels
25235 Main Rd.
Cutchogue, NY 11935
Re: Proposed site plan for North Fork Country Club
SCTM# 1000-109-4-8.3
Dear Mr. Samuels:
The following resolution was adopted by the Southold Town Planning Board at a
meeting held on Monday, October 6, 1997:
BE IT RESOLVED that the Southold Town Planning Board start the lead agency
coordination process on this unlisted action.
Please contact this office if you have any questions regarding the above.
Sincerely,
62~~)A(
Chairman
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SU/I:fF
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Submissio1l Without a Ctn'er LeUer
Se'llder: Tom SaMueJs
Subject:
Norfu FOrie Cout'\h'1 Uwb
,
SCTM#: 1000- loq-4--5.)
Date: 9- :L't-"'I1
Comments: _ Site..- plar. Ovppilcccncr--
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L/ SITE DATA Project N `�,,,Q •
Drawn B :
SCTM # � 1000-'109-4-9.3 � y Tom'
Checked'By:
I—� PROPERTY: 26342 Main Road 14
" --- — ADDRESS Cutchogue, NY 11935
z
- Date:
I Y OWNER: NORTH FORK COUNTRY CLUB ScaW
WPO B725
Peter V. Izzo, F ®sident, Bd. of Trustees
Telephone # 73 ,Sheet.7 e Na
'F`rE Y7
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4 535
SITE AREA: 99.76 Acres �' IIeeSITE
ZONING: Agricultural Conservation (A/C) f-L.AN`
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FoUNPATIo� SURVEYOR: Roderick Van Tuyl
Greenport, N.Y. 11944
FOUNPA"�loN� License;# LS 25626
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Sheet No:
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WEST ELEVATION ;���
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71f4
SCALE . 1l4" = 1'- 0"
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NEW I�oo� �iNINCnLE�+ oW
NEW FRAmiNeI ro MA76H
6XI5TIWGI —.�
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