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1000-114.-1-4
THiS MINOR SUBDIVISION IS FOR ~ LOTS ON , _ ACRES LOCATED ON SCTM# 1000- IN. I MINOR SUBDIVISION (NO ROAD) J Complete application received Application reviewed at work session Applicant advised of necessary revisions Revised submission received Sketch plan approval -with conditions Lead Agency Coordination SEQRA determination Sent to Fire Commissioner Receipt of firew~ll location Notification to applicant to include on final map Sent to County Planning Commission Receibt of County Report Review of SCPC report Draft Covenants and Restrictions received Draft Covenants and Restrictions reviewed Filed Covenants and Restrictions received Receipt of mylars and paper prints with Health approval . Final Public Hearing Approval of subdivision -with conditions APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Tc~vn of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article I6 of the Toxvn Laxv and the Rules and Regulations of the Southold Town Planuing Board, and represents and states as folloxvs: 1. The applicant is the owner of record of the land under application. (If the applicant is not the mvner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be .................................................. 17 3. The entire land under apalication is described in Schedule "A" hereto annexed. (Copy of deed suggested.) ' 4. The land is held by the applicant nnder deeds recorded in Suffolk County Clerk's office as ollo,vs: g' pa.z Liber Page Liber ~O Page ... Liber ........................ Page ...................... On ................... Liber ... Page Liber Page as devised under the Last NVilI and Testament of or as distributee ........ 5. The area of the land is ~ , 15~ acres. 6. All taxes which arelieos on theland at the (late hereof have been p~ ........... mortgage (s) as follows: .................................. (a) MortZage recorded in Liber 606z (h) Mortgage recorded in ].iber ........... ~ ....................... in original amount of .............. unpaid amount $ ..................... held hy ...................... .............. address (c) Mortgage recorded in Liber .............. Page ................ in original amount of .............. unpaid amount $ ......... ' ............. held by ...................... ...................... address 8. There are no other encumbrances or Iiens against the laud .~oepi ........................ 9. The land Iies in the following zoning use districts ....................................... i0. No part of the ]and lies under water whether tide water, stream, pond water or otherwise, ex- I1. The applicant shalI at his expense install all required public improvements. 12. The land,(~gac3) (does not) lie in a \¥ater District or Water Snpply District. Name o£ Dis- trict,~ r~:~._:_~ · 13. \\~ins xvill be laid by . .......................................................... ~d ~) (no) charge will he made for installing said radios. 14. Eq~s and staodards w/Il be installed hy . ........................................ ~;e~ ..... ~ ......................... and (a) (no) charge will be made for installing said 15. Gas mains will he installer ~y a~' (a) (no) charge will ............................................................ be made for iustalling said mains. 16. If streets shownon the plat areclai:mcd by the applicant to be existing public streets iu the Suffotl< Couuty iI~hway system, ampex Schedule "B" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to he existinU pnhllc streets in the Town of Sot~tlmld [li~hwa.g system, annex Schedule "C" hcreto to show same. ]8. There arc no cxi:;ting buildings or structures on thc land which itl'c uot located and showu on the plat. 19. \Vhere tile pint :bows p~oi)oscd strccts which :ire extensions t~f streets on adjainlng sub- 20. In the c~mrsc of these proceedings, thc :tpplic;tnt will offer i~roof of title as required by Sec. 335 uf the 14[,al l*~perty l.;tw. - 21. St:bruit a col)x' of proposed deed for lots showinz all restricti~ms, covenants, etc. .'Xmlex SchcdtHe "D".' 22. The applicant esti~nates that the cost o[/ffadiug and required public improvements xvill he $ .......... as itemized in schedule "E" hereto annexed and requests that the maturity of the ,/ Performanc~Bond be fixed at .............. years. The Performance Bond will he xvritten by a !~):ensed surety company unless otherxvise shown on Schedule "F". / (Name of Applicant) (Address) STATE OF NE\V YORK, COUNTY OF ...~.~. ,&~..ff..~(~-: ./.~- ................ ss: On the... // day of .... ~J~'~,, I9..~..~./. before me personally ................... ............ , ..... came r-'- ........ 7' ................. ~ ............ to me known to be the individual described in and who foregoing instrument, and acknowledged that .77./..~.. .... execnted the same. Notary Public ...... STATE OF NEW 10RIx, COUNTY OF ............................ ss: On the ................ day ............ of .............. , 19 ....... before me personally came .................... to me known, wino )>eing by mc duly sxvorn did de- pose and sa3- that ............ resides at No ..................................................... ........................... that .......................... is the .......... thc corporation described in and which executed thc forc~Hng {nstrunlcnt; that ............ knmvs thc seal o~ said corporation; that the seal affixed by order tff thc I)oard (,f (lircctors of said corpor:}tion. :t~:d ~Imt .......... signed .............. name thereto by like order. Notary Public rFOLK?O,U ,TY Sonthold, N.Y. 11971 (516) 765-1938 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. any wetland grasses on this parcel? Yes ~No~ 1. Are there (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) 2. Are there any other premises under your ownership abutting this parcel? Yes 3. Are there any building ]permits pending on this parcel? 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? ® © 6. Was this property the subject of any prior application to the Planning Board? Yes Yes O 7. Does this property have a valid certificatd of occupancy, if yes please submit a copy of same ~Yes~ No I certify that the above statements are true and will be relied on by the Planning Board in considering this application. Signatur~of propert~ own~r,~--a~thorized agent date Attachment to questionnaire for the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the // _day of /~ , 19~__~, before me personally individual described in and who executed the foregoing instrument, and acknowledged that ~ executed the same. ~otary Public AUCE C. MacDONALD~ N~ Public. State of New Yorh ~ No, ~79351 1.~I',3-2 (2/87)--7c SEQR ? 617.21 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed tc, help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- I% there are aspects of a project that are subjective or unmeasureable It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis, in addition, many who }lave knowledge in one particular area may not be aware ot the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full lEAF Components: The fuji EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focu.,es on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: [f any impact in Part 2 is identified as potentially[arge, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 []Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and irnportance of each impact, it is reasonably determined by the lead agency that: [] A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. [] B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described m PART 3 have been required, therefore a CONDITIONIED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name o[ Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Iead Agency Signature of Preparer (If different from responsible officer) Date A. Site Description ~, ,A'pproximate percentage of proposed project site with slopes: ~1~() 10% % ~15% or greater or ~tain a 6. Is proiect substantially contiguous to, building, site, or district, limed on the State or the National Registers of Historic Places~ E3Yes o 7. Is project substantially contiguous to a site]isted on the Register of Natiomd Natural Landmarks~ ~Yes ~No 8. What is the depth of the water table~ ~ (in feet) 9. Is site located over a primary, principal, or ~;ole source aquifer~ ~Yes ~No 10 Do hunting, fishing or shell fishing opportunities presently exist in the project area? ~Yes 11. Does pro~ect site contain any species of plant or animal life that is identified as threatened or endangered~ ~Yes ~No According to Identify each species 12 Are there any unique or unusual [and forms on the pro}eot site~ Cie., cliffs, dunes, other geological formations) ~Yes ~No Describe 13 Is the project sit~i~presently used by the community or neighborhood as an open space or recreation area? [~Yes ,i~No If yes, explain 14 Does the present s~e include scenic view,; known to be important to the commumty? ~Yes ~No 15 Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16¸ 17. 18. 19. 20. Lakes, ponds, wetland areas within or contiguous to project area: a. Name Is the site served by existing public utilities? ~Yes llaNo a) If Yes, does sufficient capacity exist to allow connection? b) If Yes, will improvements be necessary to allow connection? b. Size (In acres) [~Yes [~No [~Yes ~No Is the site located in an agricultural district certified pursuant to Agriculture and Markets [aw, Article 25~AA, Section 303 and 304? ~]Yes ~l~No [s the site located in or substantially contiguo~, to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 [Z]Yes ,~No Has the site ever been used for the disposal of solid or hazardous wastes? ~Yes ,~¼o C B. Project Description " 1. Physical dimensions and scale of project(fill in dimensions as appropria~e~ a. Total contiguous acreage o~,ned or controlled by project sponsor "''~'"'~ ~.~ b. Project acreageto bedeveloped: acres initially; · c. Project acreage to remain undeve!oped acres ~,.l~ d. Length of project, in miles: ~_(If appropriate) .~ e. If the project is an expansion, indicate percent of expansion proposed ~{[~ street parking spaces existing ; proposed f. Number of off .~[1[ g Maximum vehicular trips generated per hour /upon completion of proiect)? ~1~- h If residential: Number and type of hounding umts One I:amilV Two Farnily Multiple [:amily Initially Ultimately i. Dimensions (m feet) of largest proposed structure height; _ width; j. Linear feet of frontage along a public thoroughfare prolect will occupy is? 3 acres ultimately. Condornirlium length ft 25. Approvals Required: City, Town, Vdlage Board E~Yes 1~o City, Town, Village Planning Board ~3Yes City. Town Zoning Board E3Yes City. County Health Department E]Yes Other Local Agencies E~Yes .~No Other Regional Agencies F~Yes ~No State Agencies []Yes J~'No I=ederal Agencies Type Submittal Date C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? E~Yes ~No If Yes, indicate decision required: I~zoning amendment E]zoning variance [~special use permit ~Jsubdivision E3new/revision of master plan ~resource mana~e,me~nt plan EEother 2. What is the zoning classification(s)of the site? ~,& 3. What is the EBsite plan maximum potential development of the site if developed as permitted by the present zoning? ~i{l~ 4. What is the proposed zoning of the site? ~1~ 5 What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6 Is the proposed action consistent with the recommended uses in adopted local land use plans? ~Yes 7 What are the predominant [and use(s) and zoning classifications within a V~ mile radius of proposed action? ~No C 8 Is the proposed action compatible with adjoining/snrrounding land uses within a ~A mile? 9 If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 10 Will proposed action require any authorization(s) for the formation of sewer or water districts? ~Yes ~No Z~Yes )~No 11 Will the proposed action create__ a demand for any community provided services (recreation, education, police, fire protection)? ~Yes ~No a. If yes, is existing capacity sufficient to handle projected demand? IEYes E~No 12. Will the proposed action result in the generation of traffic significantly above present levels? [~Yes [2No a. If yes. is the existing road network adequate to handle the additional traffic? EOYes ~No D. Informational Details Attach any additional information as may be needc, d to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the informatior~ provMed above is tree to th(! best of nW knowledge Applicant/Sponsor Name ~O~ ~'~. ~[gO~ Date ~ ~ t /q~ If [he action is in the Coastal Area, and you are~ slale agency, complete {he CoaMal Assessment Form before proceeding ~ilh this assessment. 5 Part 2--PFII~ECT IMPACTS AND THEIR MAI~ITUDE Responsihillty et Lead Agency General Information (Read Caref,ully) · In completing the form the reviewer should be guided by the question: Have mY responses and determinations been reasonable? The reviewer is no1: expected to be an expert environmental analyst · Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an m~pact in column 2 simply asks that it be looked at further. · The Examples provided are to assist the reviewer by' showing types of impacts and wherever possible the threshold of magnitude that would triggera response in column 2 The examples are generally applicable ~hroughout the State and for most situations. But, for any specific prelect o~ site other examples and/ror lower threshoJds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3 · The impacts of each project, on each site, in each Ioca ty, will vary Therefore, the examples are illustrat'ive and have been offered as guidance They do not constitute an exhaustrve list of impacts and thresholds to answer each questlon. · The number of examples per question does not indicate tbe importance of each question · In identifying impacts, consider long term, short term and cumlative effects Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact b, Maybe answers should be considered as Yes answers. ¢. If answering Yes to a question then check the app~.opnate box (column 1 or 2) to indicate th{, potential size of the impact. If impact threshold equals or exceeds anyexampieprovided, check column2 If ~mpact wiil occur but threshold is lower than examp e, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3 e. If a potentially large impact checked in column 2 can be m~tigated by change(s) in tile project to a small to moderate impact, also check the Yes bo): [n column 3. A No response indicates that sucb a reduction ~s not possible. This must be explained in Part 3. IMPACT ON LAND 1 Will the proposed action result itl a physical change to the project site? ~]NO E~YES Examples that would apply to column 2 · Any construction on slopes of 15% or greater, (1.5 foot rise per 100 foot of length), or where the general slopes in the project area exceed 10%. · Construction on ]and where the depth to the water table is less than 3 feet. · Construction of paved parking area for 1,O00 or more vehicles · Construction on land where bedrock is exposed or generally wdhin 3 feet of existing ground surface · Construction that will c~)ntinue for more than I year or invoJve more than one phase or stage. tons of natural mater aJ(ie, rocg: or soil) per year. · Construction or expansion of a samtary landfill 2 Will there be an tdfect t ,y m;,q,.m or tulusua[ iand fr~m~s fotmd on the site?(ie,cidfs,(h nes geological forma i ', e ' ~ ' tch NO L]YES · Specific land forms: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Chan~e [] [] [] y~_*s E3No [] [] t~.~ Yes [~No L~ [] ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ []Yes ~No ~ ~ ~Y~ ~No ~ ~ ~Yes ~ ~ []Y¢s ~No IMPACT' ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 25 of the Environmental Conservation Law, iCL) [~YES Examples that would apply to column 2 · Developable area of site contains a protected water body. · Dredging more than 100 cubic yards of material from channel of a protected stream. · Extension of utility distribution facilities through a protected water body. · Construction in a designated f~eshwater or tidal wetland · Other impacts: 4 Will proposed action affect any non-protected existing or new body of water? E3NO [~YES I:xamples that would apply to column 2 · A 10% increase or decrease In the surface area of any body of water or more than a 10 acre increase or decrease · Construction of a body of water that exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwater quality or quantity? []NO E3YES Examples that would apply to column 2 · Proposed Action will require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity · Construction or operation causing arly contamination of a w~iter supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveye ] off the site to facilities which presently do not exist or have inadequate capacity. · Proposed Action would use water in excess of 20,000 gallons per day. · Proposed Action will likely cause siltation or other discharge rote an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. · Proposed Action will require the storage of petroieun~ or (heroical products greater than 1,100 gallons. · Proposed Action will allow residential uses in a[eas without water and/or sewer services · Proposed Action locates comm~ rcial and/or ind~stri,d t~s~'s which t3qay facilities · Other impacts:__ Will proposed action ,dter dFainage flow or pa, lterns, or ',urface water runoff? [;~NO L;YFg Examples that would apply to column 2 Proposed Action wouJd change flood water [lows 7 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] ~ ~Yes []No [] ~ ~Yes ~No [] [] ~Yes E~No [] [] ~Yes ~]No [] [] ~Yes []No ~ ~ ~Yes ~No ~ G ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ E~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No [] ~ ~Yes ~No · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway · Other impacts: IMPACT ON AIR 7 Will proposed action affect air quality? ~]NO []YES Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of rnore than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase ~n the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8 Wil] Proposed Action affect any threatened or endangered species? UNO [~YES Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the s~te. · Removal of any portion of a critical or significant wildlife habitat. · Application of pesticide or herbicide more than twice a year, other than for agricultural purposes. · Other impacts: 9. Will Proposed Action substantially affect non threatened or non endangered species? Z3NO F~YES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or migratory fish, si~ellfish or wildlife species. · Proposed Action requires the removal of mor~ than i0 acres of mature forest (over 100 years of age) or other locally m~portant Vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will the Propost, d Action affect a~ricuhurM l,md resources? [!NO Examples that :votdd al)ply to columI~ 2 · The proposed action would sewer, cross or limit access to agri(ultur,ll land (includes cropland, hayfields, pasture, vineyard, or(h~rd, etc ) I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated ~3y Impact Impact Project Change [] [] E~¥es E3No [] [] []Yes [~No [] [] ~Yes []No [] [] ~¥es ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~¥es ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Y~s ~No C · Construction activity would excavate or compact the soil profile of agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricu[tutal District, more than 2.5 acres of agricultural land · The proposed action wouId disruGt or prevent installation of agricultural [and management systems (es, subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain pood¥ due to increased runoff} · Other ~mpacts: IMPACT ON AESTHETIC RESOURCES 11 Will proposed action affect aesthetic resources? ~]NO E~YES (If necessary, use the Visual EAF Addendum in Section 61721, Appendix B ) Examples that would appIy to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or s~gnificantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in tile elimination or significant screening of scemc views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action ~mpact any site or structure of historic, pre- historic or paleontological importance? [~NO ~]YES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site IJsted on the State or National Register of historic places · Any impact to an archaeological site or fossil bed located within tile project site · Proposed Action will occur in an area designated as sens~tiw~ for archaeological sites on the NYS Site h~ventory · Other impacts: IMPACT ON OPE~',~ SPACE AND RECREATION Examples thdt ~ouId ,lpf)l¥ to ~olumn 2 []NO .9 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact 'Project Change ~ [] ~Yes ~]No [] ~ []Yes r-lNo [] ~ [~Yes [~No [] [] []Yes [~No [] [] ~lYes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? ENO LYES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in major traffic problems · Other impacts: IMPACT ON ENERGY 15, Will proposed action affect the eommumW's sources of fuel or energy supply? LTNC) [YES Examples that would apply to column 2 · Proposed Action will cause a ;greater than 5% increase in the use of any form of energy in the municipality · Proposed Action will require the creation or extension of an enerqy transmission or supply system to serve more than 50 ~ingie or two farniiv residences or to serve a major commercial or industrial use. · Other impacts: NOISE AND ODOR IMPACTS 16 Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ~ []NO E~YES Examples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than one hour per day) · Proposed Action will produce operating noise exceeding the ambient noise levels for noise outside of structures · Proposed Action will remove natural barriers that would act as a · Other impacts: IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? L~NO E]YES Examples that would apply to column 2 · Proposed Action may cause a ri~k of explosion or release of hazardous substances (ie. off, pesticides, chemicals, radiation, etc) in the event of accident or upset conditions, or there may be a chronic Iow level discharge or emission · Proposed Action may result m the burial of "hazardous wastes" m any infectious, etc) gas or other flamnlable liquids · Other impacts: 10 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Chang[ ~-~ ~ [~Yes [~No ~ [] [~Yes [~]No [] ~ ~]Yes ~]No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No [~ ~ ~Yes ~No ~ ~ ~Yes ~No / ~ LE ~Y,'s ~Nc IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18 Will proposed action affect the character of the existing community~ E~NO E~YES Examples that would apply to column 2 · The permanent population of the city, town or viIIage in which the project is located is likely to grow by more than $% · The municipal budget for capital expenditures or operatin8 serwces will increase by more than 5% per year as a result of this project. · Proposed action wile conflict with officially adopted plans or goals. · Proposed action will cause a chanse in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the commumty. · Development will create a demand for additional commumty services (e.g. schools, police and fire, etc.) Proposed Action will set an important precedent for future proiects Proposed Action will create or eliminate employment. Other impacts: I ~ 2 3 Small 1o Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] ~ []','es ~No [] ~ [~Yes ~No [] ~ ~¥es EENo ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19 Is there, or is there likely to be, public controversy related to potential adverse environmental impacts~ ~NO ' If Any Action in Part 2 Is Identified as a Potential Large impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3~EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility ol Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Inslructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact 2. Describe{if applicable) how the irnpact could be nPti~,,ated or reduced to,i small to moderate impact by project change(s) 3. Based on the information available, decide if it is reasonable to conchtde that this my)act ~s important. "fo answer the question of importance, consider · The prohabdity of the impact occurrmi~ · The duration of the impact (Continue on ,~tta(hments) 11 (- 617.21 Appendix B Environmental Quality Review Visua EAF Addendum C This form may be used to provide additional information relating to Question ]1 of Part 2 of the Full EAr. (To be comp!eted by Lead Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-~A V4-½ ½-3 3-5 5+ · A parcel of land which is dedicated to and available [] [] [] ~ [] to the public for the use, enioyment arid appreciation of natural or man-made scenic qualities? · An overlook or parcel of land dedicated to public [] [] [] [] [] observation, enioyrnent and appreciation of natural or man-made scenie qualities? · A site or structure listed on the National or State [] [] [] F~ [] Registers of Historic Places? · State Parks? ~ E~ [] ~ [] · The State Forest Preserve? [] ~ [] [] j · National Wildlife Refuges and state game refuges? [] ~r-~ ~ ~ [] · National Natural Landmarks and other outstanding [] L_J'~ [] [] [] natural features? · National Park Service lands? [] ~ ~ [] [] · Rivers designated as National or State Wild, Scenic [] [] [] [] [] or Recreational? · Any transportation corridor of high exposure, such [] [] [] [] [] as part of the Interstate System, or Amtrak? · A governmentally established or designated interstate [] [] [] [] [] or inter-county foot trail, or one formally proposed for establishment or designation? · A site, area, lake, reservoir or highway designated as [] [] [~] [] [] scenic? · Municipal park, or designated open space? · County road? · State? · Local road? Is tile visibility of lhe Inoject r;easonal? (i.e., :;creen~M by summer foliage, but visible duling other []Yes ~fto during which t!;e ?rot.c! wdl he vi~ihh,] []Yes DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those ~vhich generally describe the environment. surrounding Within *V4 mile * 1 mile Essentially undeveloped [] [] Forested [~ [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban ~ [] River, Lake, Pond [] [] Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] Hilly [] [] Mountainous ~ [] Other ~ [] NOTE: add attachments as needed 5, Are there visually similar projects within: *V2 mile []Yes []No '1 miles ~]Yes []No *2 miles ~]Yes [~]No *3 miles E]Yes [~]No * Distance from project site am provided for assistance. Substitute other distances as appropriate EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or actNity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to aud from work [] ~] [] [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] [] [] At a residence ~ [] [] [-~ At worksite [] [] ~] 1~ Other [] ~ ~ [~ 2 fown Hall, 53095 Main Road p.O. Box 1179 Southold. New York 1197 l TELEPHONE ts~e ~6s-~9~s pL~N~G BOARD oFFICE TO~ OF souTHOLD January 19, 1990 Mary Ellen Stevens / p.O. Box 2055 orient, NY 11957 RE: Set-Off for Fred L. Terry Estate scTM% 1000-19-1-8 Dear Ms. StevenS: The following resolutions were duly adopted by the Southold Town Planning Board at a meeting held on Thursday, January 1990. RESOLVED that the southold Town planning Board start the coordination procesS on this unlisted action. The Board assumeS lead agenCy status and in that capacity makes an initial determination of non-significance- RESOLVED that the Southold Town Planning Board grant sketCh approval on the map dated November 29, 1989 with the following conditionS: 1. Building envelope to be shown on parcel to be set-off- Front yard to face fifty foot right of way. 2. Fifty foot right of way to terminate at southern line of parcel to be set off (Lot % 2). Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board- Please note that five {5) paper prints and two (2) mylars of the final map, containing a current stamp of Health Department approval, must be submitted before a final public (SI6) 76S-i9J8 PLANNING BOARD OFFICE TOWN OF SOUTHOLD 1990 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: F~ / · 7F~ ?/ E~7/~.?~ .. 1oo ,-I?.-i- Requested Action: SEQRA Classification: (~) Type I ( ) Unlisted Contact Person: ~©~'~-{"~- . ~'/~Z~ (S16)-7~5-1938 - ...... c~ status for this action. This agency wishes to assume lea= =9=~, ~ This agency has no objection to your agency assuming lead agency status for this action. Other. ( See comments below). Please feel free to contact this office for further information. Sincerely, / / Bennett Orlowski, Jr. Chairman cc: Board of Appe=Is Board ~ m .... ~--~- Suffolk County Dept. of Health Services NYSDEC - Stony Brook N ~ ~C Albany -~.C. Dept. of ~ W .... .... E..De p t-~ f--T-r~s~r-ta.%i° n * Maps are enclosed for your ~eview Coordinating agencies Telephone (S 16) 765- 1800 PLANNING BOARD oFFICE TOWN OF soUTHOLD March 6, 1990 Mary Ellen Stevens P.O. Box 2055 orient, NY 11957 RE: Fred L. Terry Estate sCTM# 1000-~-*{-- Dear Ms. Stevens: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, March 5, 1990. RESOLVED to override the February 8, 1990 suffolk County planning Commission report that disapproved the map for the following reason: The Planning Board has required a fifty foot right of way be shown on the map to provide access to the proposed lot ~ 2 and, further, to provide access to any future subdivision of lot ~ 1. please contact this office regarding the above. if you have any questions Very truly yours, ~ Bennett Orlowski, Jr. Chairman enc. RK cc: SCPC ~ (SI6) PLANNING BOARD OFFICE TOWN OFSOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance March 6, 1990 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Fred L. Terry Estate SCTMg: 1000-19-1-8 Location: South side of Main Road (Route 25) and Bright Road, Orient/Southold. SEQR Status: Type I (X) Unlisted ( ) Conditioned Negative Declaration: Yes ( ) No (×) Description of Action: Set-off 80,822 square foot parcel from 47,554 acres. Reason Supporting ~his Determination: An Environmental assessment has been submitted, reviewed and it was determined that no significant adverse effects to the environmental were likely to occur should the project be implemented as planned. Because there has been no correspondence received from the Department of Health Services in the allotted time, it is assumed that there are no comments or objects from that agency. Because there has been no correspondence received from the New York State Department of Environmental Conservation in the allotted time, it is assumed that there are no comments of objections from that agency. For Further Information: Contact Person: Robert Kassner AddresS: Planning Board Telephone Number: (516) 765-1938 cc: Suffolk County Department of Health Services Suffolk County Planning Commission Dave Morrell, DEC Commissioner Judith Terry, Town Clerk Applicant Mary Ellen Stevens P.O. Box 2055 Orient, NY 11957 ~qNIN(~ BOARD OFFICE TO%VN OF SOUTHOLD March 6, 1990 RE: Fred L. Terry Estate SCTM# 1000-19-1-8 Dear Ms. Stevens: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, March 5, 1990. RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a determination of non-significance, and grant a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, Jr. ~ '~' Chairman Encl. ~lgust 18, 1992 Peter S. Danowski 616 Roanoke Avenue P.O. Box 779 Riverhead, New York 11901 RE: Minor Subdivision of Fred L. Terry Estate SCTM% 1000-19-1-8 Dear Mr. Danowski: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, August 17, 1992. BE IT RESOLVED to adopt the August 6, 1992 Suffolk County Planning Commission report. Please contact this office if you have any questions' regarding the above. Very truly yours, Bennett Orlowski, ar. / '~,~.r Chairman Encl. C Telephone (516) ?65- Peter S. Danowski, 616 Roanoke Avenue P.O. Box 779 Riverhead, New York 11901 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Jr, March 2, 1993 P.O. Uo~ 1179 Soulhold. New York 11971 Fax (516) 765-1823 RE: Minor Subdivision Fred L. Terry, Estate SCTM#1000-19-1-8 Dear Mr. Danowski: The following took place at a meeting of the Southold Town Planning Board on Monday, March 1, 1993. The final public hearing, which was held at 7:30 P.M., was closed. The following resolution was adopted: '_~ ~WHEREAs, F~-~ Terry is the owner of the property known a,u oesignated as SCTM#1000-19_ _ of Main Road; 2,678 feet ea~ A~ ~' located at the south s~ · ~rlent; and ~ ~ ~arrow River Road in ^ ' ~ WHEREAS, this cluster subdivision, tO be known as Minor Subdivision, Section 1 for Fred L. Terry, Estate , on 47.554 acres; and is for 2 lots WHEREAS, the Southold Town Planning ~ta~e Environmental Quality Board, pursuant to the oeclared itself Lead Agency Review Act, (Article 8), Part 617, March 6, 1990; and and issued a Negative Declaration on .< that he executed the~ same. , '' '-[~i~-~tlon at the Town Hall, Southold, New York on WHEREAS, all the requirements of the Sttbdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board grant conditional final approval on the surveys dated November 10, 1992, and authorize the Chairman to endorse the final SUrveys subject to fulfillment of the following condition. All conditions must be met within six (6) months of the date of this resolution. 1. Submission of a copy of the recorded Declaration of Covenants and Restrictions, and and Page number of the recorded notation of the Liber Declaration on the final plans (2 mylars and 5 paper prints). In addition, please note that the building envelope shown for Lot No. 1 excludes an existing greenhouse and part of an existing shed. These structures should have been included within the building envelope for the lot. This omiss ~~ ~r~ord. However, the o~ ...... ion is ~ ~ ~ ~ne map be am~-~ - ~Y Board is ~u ~o snow this. Please contact this office if you have any questions regarding the above. Very truly yours, Richard G. Ward Chairman PLANNING BOARD OFFICE Teleph ~ne (~ 16) 765.1038 · TOWN OF SOUTHOLD Peter S. Danowski, Jr, March 2, 1993 616 Roanoke Avenue P.O. Box 779 Riverhead, New York 11901 P,O. Uttx I 19'9, SoUlhold, New York 11971 Fax (516) 765-1823 RE: Minor Subdivision Fred L. Terry, Estate SCTM#1000-19-1_8 Dear Mr. Danowski: The following took place at a meeting of the Southold Town Planning Board on Monday, March 1, 1993. The final public hearing, which was held at 7:30 P.M., was closed. The following resolution was adopted: WHEREAS, ~ Terry is the owner of the property known and designated as SCTM%1000-19-1_8, located at the south side of Main Road; 2,678 feet east of Narrow River Road in Orient; and WHEREAS, this cluster subdivision, t6 be known as Minor Subdivision, Section 1 for Fred L. Terry, Estate , on 47.554 acres; and is for 2 lots WHEREAS, the Southold Town Planning ~ta~e Environmental Quality Board, pursuant to the ueclared itself Lead Agency Review Act, (Article 8), Part 617, March 6, 1990; and and issued a Negative Declaration on .< °Wledged that he executed thesame. MAP ~ 6oo-~----'~-- Young & Young, Land Surveyors 400 Ostra~der Avewae, R~ve~chea~ Ne'w York II901 516-727-2303 THE WATER SUPPLY & SEWAGE DISPOSAL FACILITIES FOR ALL LOTS IN THiS DEVELOPMENT SHALL COMPLY W1TH THE STANDARDS AND REQUtREMENTS OF THE SUFFOLK CouNTY DEPARTMENT OF HEALTH. THOMAS C. WOLPERT, N,Y,S. P.E. LIC, NO. 6148-3- HEREBY CERTIFY THAT ALL LOTS SHOWN ON THIS PLAT CCMPLY WITH :~EQUIREMENTS OF THE BUILDING ZONE ORDIHANCE OF THE ToWN OF sOUTHOL3, EXCEPT AS MODIDIFIED PURSUANT TO SECTION '~78 OF THE TOWN LAW AND ARTICLE XVlll OF THE CODE OF THE ToWN OF souTHOLD. -"1 HEREBY CERTIFY THAT THIS MAP WAS MADE BY AC'IIJAL SURVEYS COMPLETED JANUARY 20, 1994 AND THAT ALL CONCRETE MONUMENTS SHOWN THUS: · ACTUALLY EXIST AND THEIR POSITIONS ARE CORRECTLY SHOWN AND ALL DIMENSIONAL AND GEODETIC DETAILS ARE CORRECT." KENNETH F, ABRUZZO, N.Y.S. L.S. IIC. NO. 49999 "THIS IS TO CERTIFY THAT THIS SUBDIVISION PLAN HAS BEEN APPROVED BY ARTICLE 16 OF THE TOWN LAW" DATE OF APPROVAL CHAIRMAN SITE DATA: 1. TOTAL AREA = 17.5475 ACRES 2. ZONING USE DISTRICT RESIDENTIAL LOW DENSITY A "R-80" PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonald Kenneth L. Edwards Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 14, 1994 Cathrine Messiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 RE: Proposed Minor Subdivision for Norbert Falzon SCTM# 1000-114-1-4 F. & Solange M. L. Dear Ms. Messiano, The Planning Board has received 1994, but received by the Board 1994. your maps both dated July 20, on July 12, 1994, & September 6, The map received by the Board on September 6, will be used as a yield map for this clustered subdivision. The map received by the Board on July 12, 1994 will be used for the clustered subdivision. The Board will require the following changes/additions before it can proceed with its review: I. Building envelope shown on the newly created lot. The envelope should be in line with the existing house. 2. Eight copies of the clustered subdivision maps. In addition to the above the following is required. A re-review of access, (280-A), to the lot over the private must be made by the Zoning Board. road A check in the amount of $400.00 made out to the Town of Southold is required for the towns Environmental Consultants to review your Long Environmental Form (LEAF). No determination will be made by this Board until this review is completed. A waiver of road improvements form is enclosed for your use, this form must be filled out and returned to this office. A $2000.00 fee must be submitted with the application, made out to the Town of Southold. An additional fee of $2000.00 will be required in lieu of land to be dedicated to park and playground. This fee is required because insufficient area is available for this purpose at your subdivision. Your clients application will be sent to the Town Trustees and to the Suffolk County Planning Commission for their review. Suffolk County Department of Health Services review and stamp on the final map will be required before any possible approval can be granted by this Board. If you have any questions, or require further information, please contact this office. Site Plan Reviewer cc: Thomas Fisher, Building Inspector In Charge Encl. PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Orlowski, Jr. Mark S. McDonald Kenneth L. Edwards Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD _?-5,~-embex- 7, i~4 Cath~ine Mesiano, Inc. ~.0. Dox 1981 Rive£head, Ny 11901 RE: Proposed Minor Subdivision for Norbert F. & Solange M. L. Falzon SCTM~ 1000-114-1-4 Dear Ms. Messiano, The ~lanning Board has received your Site Plan dated July 20, 1994. The following additions/changes must be made before the Board can proceed with its review: Scale 1" = 100' 2. Building envelope shown on map. Envelope should be set back seventy five feet (75') from creek and in line with existing house. If you have any questions, or require further assistance, please contact this office. cc: Thomas Fisher, Building Inspector In Charge SUBMISSION WITHOUT COVER LETTER $OUTHOLD TOWN PLANNING PLANNING BOARD MEMBERS Richard G. Ward, Chairman George Ritchie Latham, Jr. Bennett Odowski, Jr. Mark S. McDonald Kenneth L. Edwards Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 July 19, 1994 PLANNING BOARD OFFICE TOWN OF SOUTHOLD No£bert F. & Solange M. P. O. Box 344 Mattituck, NY 11952 L. Falzon RE: Proposed Minor Subdivision Home Pike (private road), Mattituck Zoning Code: Low Density Residential SCTM9 1000-114-1-4 (R-40) Dear Mr. & Mrs. Falzon, The Planning Board has reviewed your proposed minor subdivision. The following changes/additions must be made before the Board can proceed: 1. The map must be 1" = 100' 2. Building envelope must be shown. The width of the proposed lot does not meet the Town Code of 150'. A re-review of access to the lot over the private road must be made by the Zoning Board. A check in the amount of $400.00 made out to the Town of Southold is required for the Towns Environmental Consultants to review your Long Environmental Assessment Form (LEAF). No determination will be made by this Board until this review is completed. A waiver of road improvements form is enclosed for your use, this form must be filled out and returned to this office. A $2000.00 fee must be submitted with the application, made out to the Town of Southold. An additional fee of $2000.00 will be required in lieu of land to be dedicated to park and playground. This fee is required because insufficient area is available for this purpose at your subdivision. Your application will be sent to the Town Trustees for their review. If you have any questions, or require further in formation, please contact this office. Chairman cc: Thomas Fisher, Senior Building Inspector In Charge Gerard P. Goehringer, Chairman, Board of appeals ~t~: STATE OF ME%V YOLK. COUNTY OF Suffolk ,,: On ~ llth~ ~ Septe~er ~976 , ~{ore me ~rson~y ~e Norbert F. Falzon he ~ut~ ~e ' NGta~y Public WH [,IA3! WICK IT/d~i' NOTARY lq;l',l.]C, s'rYH{ OF NEW YO~K SYATE OF NE%V YO~K. COUNTY OF ss: On the day o[ 19 , be[ore me personally came to me known, who, being by me duly sworn, did depose and say that lie resides at No. ; that he is the of , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the beard of directors of said corpora- tion, and that he signed Il name thereto by like order. STATE OF NL~f YORK. COUNTY O~ O. the day of personally came 19 , before me to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that .~ executed the same. R:EA[. ESTATE SEP 1 5 976 F,SR FAX SIU FgO'LK 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 depose and say that he resides at No. ; that he is the of , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the beard of directors of said corpora- tion, and that he signed h name thereto by like order. NORBERT F. FALZON TO S'OLANGE M. L. FALZON SECTION BLOCK LOT COUNTY OR TOWN Recorded At Request of The Title Guarantee Company RI~TURN BY MAIL TO: TITLI~ GUARANTE(~- NEWYORK WICKHAM & LAP/(, P.C. BOX 1424 MATTITUCK, NEW YORK 11952 Zip No. El TO~I~ER wkh all rlght, title and interest, if any, of the party of the first part {n and to ~ny streets and roads abutt{ng the above described premises to the center lfnes thereof, TOGETHE~ with the appurtenances and ail the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HO[J> the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply' the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WI'I'NF..~ WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: Norber% F. Falzon it curves, on the arc of a curve to the left having a radius of 80 feet a distance along said arc of 116.61 feet to a monument; thence South 83° 16' West along the Northerly line of Home Pike 55 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the parties hereto by deed from Horace J. Williams and wife dated June 18, 1971 and recorded in Suffolk County Clerk's Office in Liber 6950 at Page 227 on June 21, 1971. This deed being given to convey the entire interest of the party of the first part to the party of the second part. NO STAMPS REQUI RED CONS IDERATi LESS THAN $100.00 CONSULT YOUR LAWYER BE SIGNING THIS INSTRUMENT--THIS INSTRU SHOULD BE USED BY LAWYERS ONLY. us 8104 C~ INDENTtJRE, made fl~e//~/~ day o£ September , nineteen hundred and seventy-six BETNVEEN NORBERT F. FALZON, residing at 69-15 Exeter Street, Forest Hills, New York, partyofthefirstpa~,and SOLANGE M. Hills, New York L. FALZON residing at 69-15 Exeter Street, Forest party of the second pa~, WITNESSErH, that the pa~y of the first part, in consideration of TEN and O0/lO0 ......... .............................. ($10.00) ....................... dollars, lawful money o£ the United States/ and other good and valuable consideratiOnpaid by tile party of tile s~ond part, does hereby grant alld release tlllto tile party of the second part, tile heirs tlr succes~rs and assigns of the pa~y of the second part ~rever, ,$d.L that ~}in plot, pi~e or parcel of land, with the buildings and imprdvements thereon erected, situate, lying and~ingXfl{F0~ at Mattituck, in the Town of ~outhold, County of Suffolk and State of New York, being known and designated as Lots 8, 9 and 10 and part of Lot 11 on a certain map entitled, "Map of Point Pleasant, dated April 1916, Franklin V. Overton, surveyor" and filed in the Suffolk County Clerk's Office on May 17, 1916 as Map No. 720, which said lots and part of said lot when taken together, are bounded and described as follows: BEGINNING at a monument on the Northerly line of Home Pike (a 30 foot private road) at the division line between Lots 7 and 8 on said map; running thence North 29° 29' 30" East along said division line 395 feet to a point on the ordinary high water mark of Mattituck Creek; thence Southeasterly along said highwater mark tO the Southerly terminus of the second iof the following two tie lines, measured from the last mentioned point; (1) South 65° 11' East 137.28 feet and (2) South 53~ 38' East 234.54 feet; thence South 61° 07' 40" West throughLot 11 on said map 418 feet to a monument on the Easterly line of Home Pike; thence Northerly and Westerly along the Easterly and Northerly line of Home Pike as DATE: ~ 112-19~ SUBJECT: SUBMISSION WITHOUT COVER LETTER SCTM#: 11~-1-9 COMMENTS: JUL I 2 TOWN !'-OF SOUTHOLD PROPERTY RECORD CARD OWNER,, I STRE~ 12 ~ V~L~GE . D~ST. RES. ~ ~ ~ S~S. VL FA~ COMM..CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS m I o FARM Acre Value Per 'Val6e , Acre ,. Woodland ~ ~'~_ ~ ~. ~ ~ ~ Z & ~ o Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD Hodse Plot DEPTH ' BULKH~D Jotul . : ¢ DOC~ M Bldg ~¢~ ;? ,'( ,~. 0 ~- COLOR TRIM FoundotJon C~'~,',' ,: ¢ ~[o~Bath F~'>LJZt~- ~' '~ Dinette j Ext. Walls Type Roof 2 m/C& ~Rooms 1st Floor BR Recreation RoomJ Rooms 2nd Floor FIN. B. Dormer _ __ .] SOUIHOLO TOWN PLANNING BOARD S~'V~YE D FO~Z ~'. ,t ,.~OLANt6E M. L. ix' ./ P.o. SEP 6,1994