The URL can be used to link to this page

Home My WebLink About1000-113.-7-1.2NOTES, L SUFFOLK COUNTY TAX MAP DIST I000 SECT IlS BL. 07 LOT, OI 2 ~ 19,16 2, TOTAL AREA = ~2§9 ACRES 3. TOPOGRAPHY SHOWN HEREON IS FROM "TOPOGRAPHIC MAp - FIVE EASTERN TOWNS" PREPARED FOR THE SUFFOLK COUNTY DEPARTMENT OF PUBLIC WORKS. BARN (( 11 LOCATION MAP MINOR SUBDIVISION PREPARED FOR CATHERINE SIMIClCH AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE / ,~, YOUNg' B YOU ALDEN W YO~O, N Y,S, BE. ~ L.S. LIC, NO, 12845 HOWARD W YOUNG~NYS, L.S LIC NO Southold, N.Y. 11971 (516) 765-1938 February 17, 1988 Charles R. Cuddy Attorney at Law 180 Old Country Road P.O. Box 1547 Riverhead, NY 11901 RE: Minor Subdivision of John and Catherine Simicich Dear Mr. Cuddy: The following action was taken by the Southold Town Planning Board, Monday, February 8, 1988. RESOLVED that the Southold Town Planning Board take final action on the minor subdivision of John and Catherine Simicich. Board authorized the Chairman to endorse the final surveys for this minor subdivision of 2 lots on 45.229 acres off Bergen Avenue in Mattituck. SCTM# 1000-113-7-1.2, 19.161. If you have any questions, please don't hesitate to conCact our office. Very truly yours, SOUTHOLD TOWN PLANNING BOARD jd TOWN CLERK TOWN. OF $OUTItOLD Suffolk Courtly, New York 516 - 765-1801 Southold, N. Y. 1197!-_/ Judi~ T. Terry, Town Clerk LEI;AL NOTICE NOTICE OF HEARING NOTICE IS HEREBY GIVEN Ihat pursuant to Section 276 of thc Town Law, Public Hearings will be held by the Southold Town Planning Board at the Town Hall, Main Road, South- old, New York in said Town on the 25th day of January, 1988 on the question of the following: 7:30 p.m. Approval of the minor subdivision of C~therin~e ~i~rmcich located at Mattituck, in the Town of Southold, County of Suflblk and State of New York and bounded and described as follows: BEGINNING at a point on the southerly line &Bergen Avenue where the same intersects the westerly line of Cox Neck Road and thence proceeding along the southerly line of Bergen Avenue the following two courses and distances: (1) South 63"54'21" West 1298.54 feet; (2) South 55~12'21'' West 347.87 feet to the true point or place of beginning; running thence South 35°24'44" East 658.75 feet along other land of William Chudiak to a point and land of William and Ann Chudiak; running thence along said last mentioned land North 54°00'51" East I01.91 feet and; thence running along land now or formerly of John and Catherine South 33°00'09'' East 93452 feet to land now or for- merly of Joseph Pufahl and Lee Pufahl and others; running thence along said last mentioned land the folh~wing course South 53°24'51" West 678.81 feet to land now or formerly of Thornton E. Smith; running thence along the last mentioned land the following four courses and distances: (11 North 35010'59'' West 49666 feet; (2) South 51°24'01'' West 51.06 feet; (3) South 56°09'21'' West 817.41 feet; (4) North 32°10'19" West 201.48 feet to land now or for- merly of Ninas Mihaltees, Vas- sili~ki Mihaltees and others; running thence along the last mentiom~ l~nd the following two comrmes and distances: (1) North 64°05'11" East 2.00 feet; and (2) North 32°38'09" West 904.94 feet to the southerly line of Berge~ Avenue; and running thence ~I~'.~h 55°12'21" East 1407.72 ~ along the southerly line of Bergen Avenue to the true point or place of BEGIN- NING. Containing 45.229 acres. Suffolk County Tax Map No. Any person desiring to be heard on the above matter should appear at the time and place above specified. Dated: January 11, 1988 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD BENNEqi'r ORLOWSKI, JR., CHAIRMAN STATE OF NEWYORK ) ! SS: COUNTY OF SUFFOLK ) Christina Contento ofGreenport, in said County. being duly sworn, says that he/she is Principal Clerk of THE SUFFOLK TIMES, a Weekly Newspaper, published at Greenport. in the Town of Southold. County of Suffolk and State of New York. and that the Notice of which the annexed is a printed copy. has been regularly published in said Newspaper once each week for__.~_____ weeks successively, commencing on the ..... dayof January_ 19 88 Principal Clerk Sworn to b~f~ore me this ~//~ day of r ~. 19 ~' ~ ~ ~~ ~ARY K. DEI~NAN ,,~ ,~ / / ~ ,, ,, ,~ ~./ /[ )_ NOTARYPU~l. IC, S?te0fNewYork ,~7~' ~71~ ~-' ~rmExpiresF~bruar~Flg~ LEGAL N():i ICE NOTICE OF HI ARING NOTICE IS HERtBY GIV EN that pursuant to Secti*m 276 of the Town Law, Public Hear ings will be held h5 file Soulhold Town Planning Boa;d at the Town Hall, Main Road, Southold, New '~olk, m said Town on the 25th day of January, 1988 on the question of the following: 7:30 p.m. Approwd of the minor subdivision of Cat herine Simicich located at Manituck, in the Town of Southold, Coun- ty of Suffolk, and State of New York, and bounded and describ- ed as follows: BEGINNING at a point on the southerly linc of Bergen Avenue where thc same tersects the westerly line of Cox Neck Road and fi~cncc ceeding along the southe~ ly line of Bergen Avenue flu: Ibl!owiitg South 63054' 21" Wcq 1298.54 l~et; (2) South 55' t2' 2!" 347.87 feet to thc trac poml place of beginning; running thence South 35' 24r 44" 658.75 feet alon~ other [and William Chudiak lo a ponn a~d land of William and Ann Chudiak; running thence along said last mentioned land North 54° 00' 51" East 101.91 [ket and; of formerly of John and Catherine Simicich South 33° 00' 09" East 934.52 feet rd land now or formerly of Joseph Pufahl and Lee Pufahl and others; running thence along said last mentioned land thc following course South 53 2,l' 51" West 678.81 feet to [and now or formerly ol Thornton E. Smith; running t hem:c along thc last mentioned land the !Otlow (11 North 35° 10' 59" Wesl 496.66 feet; (2) South 3l° 24' Ol West 51.06 feet; (3) Somh 09' 21" West 817.41 fcet; North 32° 10' i9" \Vest 201.48 feet to land no'a or lormet fy o1' Ninas Mihahses, Vassiliki Mihaltses and others; running thence along the lasl mention ed land the lollowing two courses and distances: (11 North 64° 05' 11" East 2.00 feet; and (2) North 32° 38' 09" West 904.94 feet to the southerly line of Bergen Avenue; and run~ning thence North 55° 12' 21" East 1407/72 feet along the souther- ly !in¢ of Bergen Avenue to the trtc poim or place o5 BEGIN- Sulfolk (rolm) I}~x Map NO. I0(~)-I13 7-!.2 and 19.16 Any person desiring lo be should appear at the time and place above specified. Dated: January I1, I988 BY ORDER dE SOUTHOLD TOWN PLANNING BOARD BENNETT ORI,OWSKI, JR. CHAIRMAN COUNTY OF SUFFOLK ss: SLATE OF NEW YORK Patricia Wood, being duly sworn, says that she is the Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, a public newspaper printed at Southold, in Suffolk County; and that the notice of which the annexed is a printed copy, has been published in said Long Island Traveler-Watchman once each week for.. / weeks / ~ ~< successively, commencing on the ...................... dayof ~.' ~ .... ~ .., 19,':.'.. Sworn to before me this .......... ~(~-i ....... day of ........ .~( :'525'~7 ..... 19..<' // /h_ ,/ -_ Notary Public BARBARA FORBES Notary Public, State of New Yo~k No. 4806846 Qualified in Suffolk County Commission Expires ~5,~? y ~ 19r~> LEGAL NOTICE NOTICE OF HEARING NOTICE IS HERBY GIVEN that pursuant to Section 276 of the Town Law, Public Hearings will be held by the Southold Town Planning Board at the Town Hall, Main Road, Southold, New York in said Town on the 25th day of January, 1988 on the question of the following: 7:30 p.m. Approval of the minor subdivision of Catherine Simicich located at Matt±tuck, in the T~ of Southold, County of Suffolk and State of New York and bounded and described as follows: BEGINNING at a point on the southerly line of Bergen Avenue where the same intersects the westerly line of Cox Neck Road and thence proceeding along the southerly line of Bergen Avenue the following two courses and distances: (1) South 63°54'21'' West 1298.54 feet; (2) South 55°12'21" West 347.87 feet to the true point or place of beginning; running thence South 35o24'44'' East 658.75 feet along other land of William Chudiak to a point and land of William And Ann Chudiak; running thence along said last mentioned land North 54°00'51" East 101.91 feet and; thence running along land now or formerly of John and CatherinemSouth 33°00'09" East 934.52 feet to land now or formerly of Joseph Pufahl and Lee Pufahl and others; running thence along said last mentioned land the following course South 53°24'51" West 678.81 feet to land now or formerly of Thornton E. Smith; running thence along the last mentioned land the following four courses and distances: (1) North 35°10'59'' West 496.66 feet; (2) South 51°24'01'' West 51.06 feet; (3) South 56°09'21'' West 817.41 feet; (4) North 32°10'19'' West 201.48 feet to land now or formerly of Ninas Mihaltses, VAssiliki Mihaltses and others; running thence along the last mentioned land the following two courses and distances: (1) North 64°05'11'' East 2.00 feet; and (2) North 32o38'09'' West 904.94 feet to the southerly line of Bergen Avenue; and running thence North 55°12'21" East 1407/72 feet along the southerly line of Bergen Avenue to the true point or place of BEGINNING. Containing 45.229 acres. Suffolk County Tax Map No. 1000-113-7-1.2 and 19.16. Any person desiring to be heard on the above matter should appear at the time and place above specified. Dated January 11, 1988 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD BENNETT ORLOWSKI, JR., CHAIRMAN Please publish one time on Thursday, January 14, 1988 and forward one affidavit of publication to the Southold Town Planning Board, Town Hall, Main Road, Southold, NY 11971 Long Island Traveler Watchman Suffolk Times Francis J. Murphy, Supervisor Charles Cuddy, Esq. (]HAl{LES 1{. ~UDDY 180 OLD COUI~TFtY ROAD (RTE. 58) R~-a~, NAz 11901 December 22nd, 1987 Bennett Orlowski, Jr., Chairman Southold Town Planning Board Main Road Southold, NY 11971 Re: Subdivision of John and Catherine Simicich/Thorton Smith Dear Mr. Orlowski: We are enclosing a copy of the minor subdivision map as prepared for Catherine Simiclch which has been stamped by the Suffolk County Department of Health Services. We request that you place this matter on your calendar for a hearing so that final approval may be granted for this two lot subdivision. Very truly yours, Charles R. Cuddy (J CRC:cz enclosure AMENDED DESCRIPTION MINOR SUBDIVISION OF CATHERINE SIMICICH ALL that certain plot, piece or parcel of land, being at Mattituck, Town of Southold, County of of New York, bounded and described as follows: situate, lying and Suffolk and State BEGINNING at a point on the southerly line of Bergen Avenue where the same intersects the westerly line of Cox Neck Road and thence proceeding along the southerly line of Bergen Avenue the following two courses and distances: 1) South 63 degrees 2) South 55 degrees to the true point or 54 minutes 31 seconds West 1298.54 feet; 12 minutes 21 seconds West 347.87 feet; place of beginn~ng~ RUNNING THENCE South 35 degrees 24 minutes 44 seconds East 658.65 feet along other land of William Chudiak to a point and land of William and Ann Chudiak; RUNNING THENCE along said last mentioned land North 54 degrees O0 minutes 51 seconds East 101.91 feet and; THENCE RUNNING along land now or formerly of John and Catherine Simicich South 33 degrees 00 minutes 09 seconds East 934.52 feet to land now or formerly of Joseph Pufahi and Lee Pufahi and others; RUNNING THENCE along said last mentioned land the South 53 degrees 24 minutes 51 seconds West 678.81 now or formerly of Thornton E. Smith~ following course feet to land RUNNING THENCE along the last mentioned land the following four courses and distances: 1) North 35 degrees 10 minutes 59 seconds West 496.66 feet~ 2) South 51 degrees 24 minutes 01 seconds West 51.06 feet; 3) South 56 degrees 09 minutes 21 seconds West 817.41 feet~ 4) North 32 degrees 10 minutes 19 seconds West 201.48 feet to land now or formerly of Ninas Mihaltses, Vassiliki Mihaltses and others~ RUNNING THENCE along the last mentioned land the following two courses and distances: 1) North 64 degrees 05 minutes 11 seconds East 2.00 feet~ and 2) North 32 degrees 38 minutes 09 seconds West 904.94 feet to the southerly line of Bergen Avenue~ and RUNNING THENCE North 55 degrees 12 minutes 21 seconds East 1407.72 feet along the southerly line of Bergen Avenue to the true point or place of BEGINNING. GHARL~S Ps_. GU'DDY 180 OLD GOtrNTi~y ROD (RTE. 58) RIVE~I-LEAD, NY 11901 July 27th, 1987 Town of Southold Planning Department Main Road Southold, NY 11971 Re: Minor Subdivision of Catherine Simicich Gentlemen: We submitted the minor subdivision application to the Board on this date but note the description of the subdivision, while including the parcel to be exchanged with Thornton E. Smith does not include the entire parcel owned by Catherine Simicich. We, therefore, are submitting an amended description which includes the entire parcel. Very truly yours, Charles R. Cuddy~~ CRC:cz enclosure T O;Wj~N iF?SOUl Southold, N.Y. 11971 (516) 765-1938 August 3, 1987 Mr. Thornton Smith 44 Brookside Drive Plandome, NY 11030 Re: Subdivision of Thornton E.Smith SCTM # 1000-121-1-1, andlp/o 19 Dear Mr. Smith: THe following action was taken by the Southold Town Planning Board, Monday, July 27, 1987. RESOLVED that the Southold Town Planning Board approve the sketch map for the major subdivision of Thornton Smith for 35 lots on 81 acres located at Sound Avenue, Mattituck SCTM # 1000-121-1-1 and p/o 19 including parcel to be conveyed to Simicich and pacel to be acquired from Simicich. If you have any questions, please don't hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Charles Cuddy, Esq. For John Simicich July 27th, 1987 Planning Board of the Town of Southold Town Hall Southold, NY 11971 Re: Minor Subdivision of Catherine Simicich RECEIVED BY Dear Board Members: Enclosed herewith in connection with the above captioned minor subdivision, please find the following documents: 1) Twelve surveys; 2) Application for plat approval; 3) Letter regarding drainage, grading, 4) Short Environmental Assessment Form 5) Copy of tax map; 6) Lega! description of property; 7) Check in the amount of $350.00. and road (Part I); construction; Kindly place this matter on the calendar for tonight's Planning Board hearing. Should you require any additional information or documentation, please advise. CRC:cz enclosures Very truly yours, Charles R. Cuddy APPLICATION FOR APPROVAL OF PLAT 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 o~vner of record o£ the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be . .MjJ~Qr...S.tl.b. cJ~yj.s.~Op., p.~0[1, p.r. ep.a.r.~(J..f.o.r. ...... Catherine Simicich 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 folk~xvs: Also Liber ..9..5.6..6 ................. Page ..... ).4.7. ............ On May 22, 1984 Liber ........................ Page ...................... On .............. Liber ........................ Page ...................... On ....................... Liber ........................ Page ...................... On ....................... as devised under the Last Will and Testament of or as distributee ........................................................................ 5. The area of the land is . .4.§.,.7, ........... acres. 6. Ali taxes xvhich are liens on the land at the (late hereof have been paid tvot~lt ............ 7. The land is encmnbered hy .............................................................. mortgage (s) as follows: (a) Mortgage recorded in Liber ..1.Q12J ....... Page .... 492 ........... in original amount of $2.49,~1.9.2. ..... unpaid amount $ ..................... held by lqi..I}.i.a.m...C.h.u.d.!.ag ..... .............. address . .43P. Q .~3er~en...A.v. eou.e.,..M~CcYc, i.~u.c.k.,..N.y ........................ (b) Mortgage recorded in Liber ......... Page ....................... in original amonnt of .............. nnpaid 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 YeY~X ........................ 9. The land lies in the following zoning use districts ....................................... Residence "ATM 10. No part of tile land lies under water whether tide xvater, stream, pond water or otherwise, ~:~lXt ................................................................................... 11. TbS'applicant shall at bis expense install all required public improvements. 12. The land (~) (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if xvitbin a District, is ............................................................. 13. Water mains will be laid by ........................................................... and (al (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by .L:.I..L..C~). .................................. ..................................... and (al (no) charge will be made for installing said lines. 15. 16. 17. 18. 19. 21. Gas mains xvill be installed by ............................................................ and (al (no) clmrge xvill be made for installing said mains. If streets shoxvn on tile plat are claimed by the applicant to beexlstmg" ' public streets in the Suffolk County Ilighway system, annex' Schednle "g" bereto, to sbow same. If streets shown on the plat are claimed by the applicant to be existing pnblic streets in tile Tmvn of Sontbold Highway system, annex Schednle "C" hereto to show same. There are no existing buiklings or strncturcs on the land which are not located and shown on tbe plat. \Vhere the plat shows prol~oscd streets which are extensions of streets oil adjoining sub- division malls heretofore filed, there are no reserve strips at the end of the streets on said existing malls at their conjunctions with the proposed streets. Ill the conrse of these proceedings, the al)plicant will ~fffer l)mof of title :ts required by Sec. ,335 of the Real Property I,aw. 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 Schednle "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 .d..u.ly...~.?...~.... 1987 John Simicich dr. & Catherine Simicich (Name of Apl)Ii.cant) (~nature and .4.250 Be.?.n..A..v?.n.u.?.,. (Address) STATE OF-NE\V YORK, COUNTY OF SUFFOLK ................................ , SS: On the . ~...~..-~.. ....... day of ....... 4u.!y ................... 9.al7. .... before me personally came ·..d0hn .Sim£cich.,..dr,..& .Ca.t, herina ..... to me known to be the individual described in and who Simicich executed the foregoing instrument, and acknoxvledged that . .t.h.e.~/ ...... executed the same. 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 .......... the corporatiou described itt and which executed tile foregoiugr instrmnent; that ............ knows the seal of said corporation; that the seal affixed hy order of the board of directors of said corporation. a.d that ............ signed .............. name thereto by like order. Notary Public DESCRIPTION MINOR SUBDIVISION 0F CAYMERINE SIMICICH ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point which point intersects the southerly line of premises now or formerly of William Chudiak and which is distant from a point on the westerly line of Cox Neck Road forming the southeasterly corner of lands formerly of the Lindsay Estates (more recently of Hogan) the following four (4) courses and distances along last mentioned land; 1) South 67 degrees 22 minutes 50 seconds West 724.07 feet; 2) South 76 degrees 16 minutes 51 seconds West 413.25 feet; 3) South 83 degrees 02 minutes 21 seconds West 93.90 feet; 4) South 59 degrees 19 minutes 51 seconds West 231.90 feet; and from said true point of beginning. THENCE South 33 degrees 00 minutes 09 seconds East 934.52 feet; thence running South 53 degrees 24 minutes 51 seconds West 678.81 feet; thence North 33 degrees 10 minutes 59 seconds West 496.66 feet; thence South 51 degrees 24 minutes 01 seconds West 51.06 feet to a point and land of Catherine Simicich; RUNNING THENCE along last mentioned land the following four (4) courses and distances: 1) North 34 degrees 29 minutes 09 seconds West 457.17 feet; 2) North 52 degrees 52 minutes 41 seconds East 96.16 feet; 3) North 56 degrees 21 minutes 41 seconds East 300.39 feet point; 4) North 54 degrees O0 minutes 51 seconds East 345.88 feet t he point or place of BEGINNING. tO a to Southold Town Planning Board Town Hall Southold, New York 11971 Gentlemen: Re: John Simicich, Jr. and Catherine Simicich The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral *~o the Suffolk County Planning Commission: (1) (2) (3) No grading, other than foundation excavation for a residential building is proposed. No new roads are proposed and no changes will be made in the grades of the existing roads. No new drainage structures or alteration of existing structures are proposed. John Simicich, Jr. Catherine Simicich TO~.~ OF'SO] SU! LK e¢ 8outhold, N.Y. 11071 (516) 765-1938 ~RD EH'OLD ~N~TY QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms. If your answer to any of the following questions is yes, please indicate these On your guaranteed survey or submit other appropriate evidence; 1. Are there any wetland grasses on this parcel? (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) Yes 2. Are there any other premises under your abutting this parcel? 3. Are there any building permits pending on this parcel? owner~ No Yes ~ 4. Are there any other applications pending concerning this property before any other department or agency?(Town , State, County, etc.) Yes 5. Is there any application pending before any other agency with regard to a different project on this parcel? Yes 6. Was this property the subject of any prior ~ application to the Planning Board? ~ No 7. Does this property have a valid certificat~ of occupancy, if yes please submit a copy of same Yes No VACANT LAND I certify that the above statements are true and will be relied o~n by th~,Plan~ning, Boaffd in considering this application. // 'g' p p,~ ~0 izeu agent dase / Attachment to questionnaire for?the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the J~ day of dul,y , 198_~7, before me personally came John Simicich, Jr.~z/;~,~to me known to be the individual described in'and who executed the foregoing instrument, and acknowledged that ~he~ executed the same. Notary Publi~ NOTARY PUBI,JC, St~te~ _M. New Yolk No. 62-47911 u~ Qualified in Suffolk County _ Commission Expires June ~0, 1~ PART PROJECT NEW YORK STATE DEPARTMENT OF ENVIRONMENTAl CONSERVATION . DIVISION OF REGULATORY AFFAIRS State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only I Project Information (To be completed by Applicant or Project sponsor) 1. Applicant~sponsof J 2. Project Name John Simictch, Jr. & Catherine SimicichI Minor Subdivision 3. Project location: Municipality Town of Southold County of Suff01k 4. I$ proposed action: [] New [] Expansion [] Modification/alteration 5. Describe ptoiect briefly: Division of parcel into two lots 6 Precise location [road intersections, prominent landmarks, etc. or provide map) 1,400 feet West of Cox Neck Road, 830 feet South of Cox Neck Road wj.th Bergen Avenue. 7. Amount of land affected: Initially acres Ultimately acres 8 Will proposed action comply with existing zoning or other existing land use restrictions~' [] Yes [] No If NO. describe briefly ~ Residential [] Industrial [] Commercial [] Agriculture [] Parkland/open space [] Other .'. 10. Does action involve a pefmiUapproval, or funding, now or ultimately, from any other governmental agency (Federal, state or Iocal}l [] Yes [~1 No If yes, list agency(s) and permitjapprovals 11 Does any aspect of the action have a currently valid permit or approvai~ [] Yes [] No If ye~, list agency name and permiUapproval type 12 As resuit ot proposed action will ex,sting permll/approval require moddication[ []Ye, •No I CERTIFY THAT TttE INEOR~IATION PROVIDED ABOVE I$ rRUE TO THE BEST OE ~Y KNO'WLEDGE 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 COUNTY OF SUFFOLKI'~ SOU[HOLD Properly Tax Service AgencyJ,,L~o, _