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APPROVED BY
PLANNING BOARD
TQWN OF SOUTHOLD
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DATE
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"":; 12;1d 6~lrveyor'a 'rtltod eeal a; ~
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to ~ a valid true copy.
C:uatt'nteea Indicated hereon ,tll\t!' M!1!
Cnly to the person for whl)('~ t!'lo r,:ur>Wf
t& Pf'';;'JSrH- and on his behslf to .
t":l'~, ('.(m~sny. gOYemme
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SCUIT L. HARRIS
Supervisor
PLANNING BOARD MEMBERS
Bennett Orlowski. Jr.. Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Fax (516) 765-1823
August 18, 1992
l<.rthur Junge
21855 Route 48
Cutchogue, New York 11935
RE: Proposed Lot-Line for
Mattituck Aviation Corp.
SCTM~1000-123-1-1 & 2
Dear Mr. Junge:
The following took place at a meeting of the Southold Town
Planning Board on Monday, August 17, 1992:
The final public hearing, which was held at 7:35 P.M. was
closed.
The following resolution was adopted:
WHEREAS, Mattituck Aviation Corp., is the owner of the
property known and designated as SCTM~lOOO-123-1-1 & 2, located
at Airway Drive in Mattituck; and
WHEREAS, this lot line change, to be known as Proposed Lot
Line Change for Mattituck Aviation Corp., is for a lot line
change to subtract .43 of an acre from a 32.4 acre parcel and
add it to a 15 acre parcel; and
WHEREAS, the southold Town Planning Board, pursuant to the
State Environmental Quality Review Act, (Article 8), Part 617,
declared itself Lead Agency and issued a Negative Declaration on
July 21, 1992; and
WHEREAS, a final public hearing was closed on said
subdivision application at the Town hall, Southold, New York on
August 17, 1992; and
.
.
Page 2
Mattituck Aviation Corp.
WHEREAS, all the requirements of the Subdivision
Regulations of the Town of Southold have been met; and
be it therefore,
RESOLVED, that the Southold Town Planning Board approve and
authorize the Chairman to endorse the final survey dated May 19,
1992.
Enclosed please find a copy of the map which was endorsed
by the Chairman.
Please contact this office if you have any questions
regarding the above.
Very truly yours,
~~~~/t/s
Bennett Orlowski, Jr.
Chairman
Encl.
cc: Victor Lessard, Principal Building Inspector
Scott Russell, Assessors Office
.' '. .
. r<<.)L'I(;C,
THIS LOT LiNE CHANGE~ W .to J.-uJ~ . 'fj 'J tl-,I\. ~ AND p.uv<-<-l
cw<A. *~..... 1:>~rJ.A.<.J IS LOCATED ON a.-u\ ~ ~
IN _'_ t:;c lc . SCTM# 1000- /ol 3 -' I <L
LOT LINE CHANGE
Complete application received
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Application reviewed at work session
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Applicant,-advised of necessary revisions
Revised submission received
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~~
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Lead Agency Coordination _' _ (,.)b _
SEQRA determination ~f"r T.> J'A""'"
stuluiLA - I" \,~
7 - 2)-71 /'If&, Yi- to
Sent to County Planning Commission
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~~
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Review of SCPC report
Draft Covenants and Restrictions received
Draft Covenants and Restrictions reviewed
Filed Covenants and Restrictions received
-
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Final Public Hearing
jJ-Ut tin - 7; '!IS'
close t\ tlll?1 q"Z-
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Approval of Lot Line
-with conditions
Endorsement of Lot Line
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ms 1/1/90
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June 2, 1992
Southold Town Planning Board
Town Hall
Southold, NY 11971
Re: Mattituck Airport Lot Line Change
Gentlemen:
PO. BOX 1432. 410 AIRWAY DRIVE, MATTITUCK. NY 11952
FAX 516-298-8412 . 516-298-8330
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I hereby approve the proposed lot line change as set forth by the
attached.
The change is necessary to facilitate the construction of aircraft
hangars on the (L.I.) property and have a 100' buffer to the south.
Thank you.
sincerely,
MATTITp~~AIRBASE, INC.
\. , j
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(/ Jay PI.~ickham
President
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PO 80X 1432, 410 AJRWAY DRIVE, MATTlTUCK, NY 11952
FAX 5 I 6-298-84 I 2 . 516-298-8330
June 1, 1992
Southold Town planning Board
Town Hall
Southold, NY 11971
Gentlemen:
The following statements are offered for your consideration in the
review of the above-mentioned minor subdivision and its referral to
the Suffolk County Planning commission:
(1) No grading, other than foundation excavation for a residential
building is proposed.
(2) No new roads are proposed and no changes will be made in the
grades of the existing roads.
(3) No new drainage structures or alteration of existing
structures are proposed.
Yours~rulY ,
MATTI\U~AIRBASE, INC.
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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 Southalll To\vn
Planning Board, and represents and states as follows:
1. The applicant is the owner of record of the land under application. (If the applicant is not the
owner of record of the land under application, the applicant shall state his interest in said
land under application.)
2. The name of the subdivision is to be . / .':). . . .c.().'YI.("'.IjJ?~! ~. .N.0:01.i1-. . . :. . . .
.. .Tf+..e... .~/.2.o;..:P.i-2.T). ..t.S.. :T.~. .v~.IT.r.n.)<;\~. .A1el~I~T......................
3. The entire land under application is described in Schedule "AU hereto annexed. (Copy of deed
suggested. )
4. The land is held by the applicant under deeds recorded In Suffolk County Clerk's office as
follows:
Liber ........................ Page
......................
On
. . . . . . . . . . . . . . . . . . . . . . . ,
Liber ........................ Pag-e
On
........................
Liber ........................ Page
On
.......................,
Liber ........................ Page
On
. . . . . . . . . . . . . . . . . . . . . . . ,
Liber ........................ Page
......................
On
.......................,
as devised under the Last Will and Testa ment of .......................................
or as distributee ........................................................................
. . . . . . . . . .. . . . . . . . . . . .. " .. .. ............... oi q . pqC"';"" . . . . . . . . .. " ., . . . . ... . . . . . . . . . . . . . . .
5. The area of the land is f.iep.f4~ 'f... ./.5' acres. L-"". f1JDuS re/4L
6. All taxes which are liens on the land at the date hereof have been paid except . ~I 9'. . . . .
..............................................................................................
7. The land is encumbered by ... ,I'-? /19. . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . ... . . . . . . . . . . .
mortgage (s) as follows:
(a) Mortgage recorded in Liber .............. Page.................. in original amount
of $. . . . . .. .. . . . .. unpaid amount $ ..... . . . . . . . . . . . . . . .. held by ......................
. . . . . . . . . . . . .. address ..................
.............................................
(b) Mortgag-e recorded in Liber ......... Pag-e ....................... in original amount
of .............. unpaid amount $...... . . . . . . . . . . . . . . .
. . . . . . . . . . . . .. address .................
rn?1~~..~.: :~::~:~: :~::m
un ." . -3 /992 I!,,!
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SOUTHOlO TOWN
PlAf!!;J~[lAI?D
.
.
(c) 110rtgage recorded in Liber .............. Pag-e ................ in original amount
of .............. unpaid amount $...... . . . . . . . . . . . . . . .. held by ......................
. . . . . . . . . . . . . . . . . . . . .. address .........................................................
against the land except . .~j f7. . . . .. .. . . . . .. .. .
8. There arc no other encumbrances or liens
/
9. The land lies in the following zoning use districts .4-7.,../ N.l:!.;...1... ~~.'.?c.............
10. Xo part of the land lies under water wheth er tide water, stream, pond water or otherwise, ex~
~...+........................................................................
II. The applicant shall at his expense install all required public improvements.
12.
e in a Water District or Water Supply District. Name of Dis.
triet, if within a DistrIct, is
J.1. \Vater mains will be laid by ......t.?/d...............................................
and (a) (no) charge will be made for installing said mains.
l-l. Electric lines and standards will be installed by . t',J/f1.. .. . . " .. .. . . . . . . . . . . . . . . . . . . . ...
..................................... and (a) (no) charge will be made for installing said
lines.
IS. Gas mains will be installed by . " .1Y/f1:. .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .
and (a) (no) charge will be made for installing said mains.
16. If streets shown on the plat arc claimed bv the applicant to be existing public streets in the
Suffolk County Highway system, annex'" Schedule HE" hereto, to show same. 1V/4
17. If streets shown on the plat are claimed by
Town of Southold Highway system, annex
the applicant to be eXIstmg public str,cts
Schedule He" hereto to show same. A.,.;,/ q .
In the
18. There are no existing' buildings or structures on the land ,vhieh are not located anu shown
on the plat.
19. \Vhere the plat shows proposed streets '\' hich are extensions of streets on adjoining sub~
division maps heretofore filed, there are no reserve strips at the end of the streets on said
existing- maps at their conjunctions with the proposed streets. ~/17
20. In the course of these proceedings, the app licant will offer proof of title as requireu by Sec.
335 of the Real Property Law.
21. Submit a copy of proposed deed for lots showi:lg all restrictions, covenants, etc. Annex
Schedule "D". ~ DiEJE.b '-'..ULI- ,-...;('7 (! HA,V{JL . 8,,71-1 LAtVi>~ 1'J-t2-"L
OCt)/" ~O G'1 j,.q-VV1 It.. /I\JOIr.)/.:JI.'4-L
.
.
22. The applicant estimates that the cost of grading and required public improvements will be
$. . . .tv) ft. as itemized in Schedule "E" hereto annexed and requests that the maturity of the
Performance Bond be fixed at . . . ^II}. .'. .. )'ears. The Performance Bonel will be written b)'
a licensed surety company unless otherwise shown on Schedule "F",
DATE.............................., 19.... (~;:~. f~~J~)" ".............. ;';~9.':I.??\~1~1,\
;
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(Address)
ST.\TE OF XEW YORK. COUNTY OF
S0 \-Cc\ ~ .
................................,55.
O I . . . . J... . . '. '1... '-.\., . . . . . .. d f \ \J.-,'-5L. 19 C, "L b f II
. n t 1e a)' 0 .... .'.-. . . . . . . . . . . . . . . . . . . . . . " . . . . ... e ore me persona )' eame
- 0 \
~ \ L'-:-l '\. \ '., c "'he- ~ k b I . I"d I d 'b d . d h
........ ...).... \........'N .'......-...... .--.~....... to me 'l1o\\'n to e t 1e lIt( IVl ua escn e 111 an W 0
,'xecuted the foregoing instrument, and acknowledged that. \\.~. . . " . executed the same.
r., flORENCE A. PAVLAK
"'ARY PUBLIC, State of New VIIlll
No. 4718148
Qualified in Suffolk County "...
IIariUssion Expires June 30, 19..1."-
. '. .) ,
..."i- ~.'-.:'..~~~.-:,,:-: '~'.: ,,\'0..y~l;<!J~
Notar)' Public
ST.\ TE OF NEW YORK. COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . .. 55:
On the. .. .. . .. ... .. ... day............ of .............., 19......, before me personall)' came
. . . . . . . . . . . . . . . . . . . . . . . to me known, who being by me duly Sworn did de.
pose and say that ............ resides at No. ....................................................
. . . . . . . . . . . . . . . . . . . . . . . . .. that .......................... is the ..........
of .................. .......................................................
the corporation described in and which executed the foreg-oing- instrument; that............ knows
tht' ~eal of said corporation; that the seal affixed hy order of the board of directors of said corporation.
and that ..,...,..... signed.............. name thereto by like order.
Notary Public
...... ......................................
'-
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SouthOld Town Planning Board
Town Hall
Southold, New York 11971
Re:
Gentlemen:
The following statements are offered for your consideration
in the review of the above-mentioned minor subdivision and its
referral to the Suffolk County Planning Commission:
(1) No grading, other than foundation excavation for a
residential bUilding is proposed.
(2) No new roads ~re proposed and no changes will be made in
the grades of the existing roads.
(3) No new drainage structures or alteration or eXisting
structures are proposed.
Yours truly,
~
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PLA:N'NIN1:ZB"O:ARO
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Southold. N.Y. 11971
(516) 765-1938
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JUN-3.W
SOUTHOlD TOWN
QUESTIONNAIRE TO BE CG:-1PLETED ANI:> c:rTn1-f:!:~It!(;,BOARD
WITH YOUR APPLICl\TIONS FOlms TO THE PLANNI:--iG BOARD
Please complete, sign and return to the Offi,ce of the 'Planning
Board with your completed applications forms. If your answer
to any of the following questions is ~, please indicate
these on your guaranteed surveyor submlt other appropriate
evidence.
1. Are there any wetland grasses on this parcel? Yes
(Attached is a list.o~ the wetland grasses defined
by the J?wn Code, Chapter 97, for your reference)
~
2. Are there any other premises under
abutting this parcel?
your O\mers~,\
~'
No
3. Are there any bUilding permits pending On
this parcel?
4. Are there any other applications pending
concerning this property before any other
department or agency? (Town I State, County, etc.)
Yes
(3
Yes
@
5. Is there any application pending before
any other agency with regard to a different
project on this parcel?
<8
6. Was this property the subject of any prior
application to the Planning Board?
Yes
G
Ye?sN!fJ
No
7. DOe?s this property have a valid ce?rtificate
of occupancy, if yes please submit a copy of same
No
,
that the? above statements are true and will be? relied
Planning Board in considering this app~ication.
.'
S
Owner or authorized ~gcnt
b ' /. 91---
date
. .... .. ~
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Attachment to questionnaire for .the Planning Board
STATE OF NEW YORK, COUNTY OF SUFFOLK, ss:
On the '1",,\ day of '3u..\\ "'- ,19~ J.- before me personall}
came ~c'-~ Y. \j \...."-<. \,'^...\ to me knO\m to be the
individual described in and who executed the foregoing instrum
and acknowledged that ~L executed the same.
~ ( ..
j ~ oV\.JL.~ C. \ C4~Jz....
Notary Public
,- "'__l PAVlAI .::-
erAllY PUBLIC, Stat. of New I'GIt
No. 4718148
_~?_"~ie<l in Suffolk CounIJ
-- EMilirI$ JIIlI8 30, 1Ill.
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G~rnu\!1~rm
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- 3 1992 \ti
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SOUTHOLDBToO~Jb
PLANNING '"'
'.
14.16.4 (2/87)- Text 12
; PROJECT 1.0. NUMBER
.
(
617.21
Appendix C
State Environmental Quality Review
SHORTEN~RONMENTALASSESSMENTFORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEQ:
1. APPLICANT ISPONSOR
tl\'\qTIITU(IL
3.
2. PROJECT NAME
PROJECT LOCATION:
Municipality r",- County {.; i== t=<-:.t,..y_
4. PRECISE LOCATION (Street address and road intersections, prominent landmarks. etc., or provide map) ~
5. IS PROPOSED ACTION:
o New 0 Expansion
6. DESCRIBE PROJECT BRIEFLY:
~:tion/alteratfon
Pt-,cfT
7. AMOUNT OF LAND AFFECTED: /'1 S",,-r
~ ICCC,y r-,.
Initially acres Ultimately acres
8. W~L~SED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
BYes 0 No If No, describe briefly
(
9. "'V~::~AT~SENT lAf~icrNITY OF PROJECT?
B'Aesidential Olndustrial 0 Commercial
Describe:
o Agricullure
o ParkJForesllOpen space
o Other
10. DOES ACTION INVOLVE A PEBMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STATE OR LOCAL)? ~ .
o Yes (;?No If yes, list agency(s) and permit/approvals
1 t. DOES ANY ASP OF THE ACrlON HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
o Yes No If Ye~, list agency name and permit/approval
112. AS A RESULT O! PJ3.'>f"OSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
DYes k1"No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor
<..iL
Dale (, ./ . 'tL
Signature:
l
..,.-'" .,~.,.
~:; ;~ <:) I
lithe a is in the Coastal Area, and you are a state a
Coastal Assessment Form before proceeding with thi
OVER
1
SOUTHOlD TO~N
PlANNING BOARD
PART II-ENVIRONMENTAL A"SESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYI
DYes DNo
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67
may be superseded by ~nother involved agency.
D Yes GlN~
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible)
el. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production
potential for erosion, drainage or flooding problems? Explain briefly:
l'-____\...
fHRESHOLD IN 6 NYCRR, PART 617.121
If yes. \
.dinate the revIew process and use the FULL :"AF
if--N-;;-,-~ negallve decl..allon-1
,
or dlspos-a~~'-I (
I
C2. Aesthetic. agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? E.xplain briefly: I
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain brielly:
;'J(,'
C4, A community's existing plans or goals as otficialiy adopted, or a change in us. or Intensity 01 use 01 iand or other natural resources? Explain brlefly.1
~Jb .
C5. Growth, subsequent development, or related activities likely to be induced by the proposed aCllon? Explain bnetly.
i-.J f....
C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly.
,,-,..;,C
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly.
/"',.-,,'
I(
o. IS THERE. OR IS THER
DYes ruo
TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
If Yes, explain b~iefly
-.(
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 significant.
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability at occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments Or reference supporting materials. Ensure that
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 iarge or significant adverse impacts which MAY
occur. Then proceed directly 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 resuit In any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
Name 01 Lead ^l-:l'rlcy
Punt Of Iype NJmtc' of Re~pomlble Otf'(t'r In ledd Agencv
rille 01 j{t;"pon~lblt' 0111cer
~I",ndtufe 01 Kl"1pons.ble Officer In leild AKeney
S,gn,lturc or Plt'pMt'f {It dllierent trom r."pomjll1eO~:-ri-------"-
L
I.
Date
2
TOWN CLERK
TOWN OF SOUTHOLD
Suffolk County, New York Phone 516.765-1801
Southold, New York 11971
43651,
Date ~-'/} p ~ ,,?
RECE~D OF '-fll ~ 7/ -' I L CltA--;5 (1..-7 ~ /
. C ~
-<-,-.~--------, "J ~ - \ Dollars $ 07) <J-'
For P -e (j /) /) ''1!J i3 ~ j / /- yh If / ! ('''f!,fJ~ /~
~ C1/Yi:J1. jd-3.-/-;;J. Judith T. Terry, Town Clerk
Cash 0 Check IB"'-#So2O /7 By L( ~v<-'
19:7 V
L~GAL "u net'.
Notice of Public Hearing
NOTICE IS HEREBY GIVEN
that pursuant to Section 276 of the
TO\.\oTl uw, a puhlic hearing will be
held by the Soo(101d Town Planning
. Board, at the Town Hall, Main Road,
SooulOld, New York in said TO\.\oTl on
the 17th day of August 1992 on the
question of the following:
7:30 P.M. Public hearing on the lot
line change for Suzanne M. Egan and
Venetia Hands at Orient, Town of
Southold, County of Suffolk and the
State of New York. Suffolk County
Tu Map Kumocr. lOClO.13.3-IO. It
& 12.
The propeny is bordered on the
nonheHt by South View Drive; on
thee.ut by Hrown"s tllll Koad; on the
southeast by land now or formerly of
Droskoski; on lhe nonnwest by land
now or formerly of Gordon.
7:35 P.M. Final approval for the lot
line change for Mattituck Aviation
Corp. at Mauituck, in the Town of
Southold, County of Suffolk and the
SUte of ~ew York. Suffolk County
Tax Map Number. 1000.123.1.1 & 2.
The propeny is bordered on the
nann by New Suffolk Avenue; on lhe
ea.t by Airway Drive and by a 10wn
lease and landing strip; on the south
by land now or formerly of Hull
Wickham; on the west by land now or
formerly of M, Norris and by land
now or formerly of H, Bagshaw.
7:40 P.M. Final approval for the lot
line change for Dennis A. & Jane A.
McBride and Carl E, & Frances 1.
Stelzer at Manituck, in the To\.\t11 of
Southold, County of Suffolk: and the
Slale of New York, Suffolk County
Tu Map Number. 1000.140-2-34,35
&36.
The prope bordered on the
nonh by land now or formerly ~f
Wilcenski; on the easl by Mary s
Road' on the south by land now or
form;rly of Berkoski, by land now or
formerly of Dohm; on the west by
land now or formerly of Reeve. by
land now or formerly of Wilccn.ki.
7:45 P.M. Final approval for the lot
line change for Roben E. Van ~os.
trand and Pasquale Gemma at Onent,
in lhe Town of Southold, County of
Suffolk, and \he State of Ne;", York.
Suffolk County Tu Map J\umber.
llXXl-25-4-l1.4.
The property is bordered on the
north by land now or formerly of
Saint by land now or formerly of Van
1\'ost~d, by land now or formerly of
Tabor, by land noW or formerly of
Bogen, by land now or formerly of
BoeNIll, by land now or formerly of
1\'egro and by land noW or formerly
of Lenmer; on the east by "Park.at
Orient" _ Suffolk Co. Map 1\'0.
7045, and by Old Farm Road; on lhe
south by King Street. by land now or
formerly of Gemma; on lhe west by
land now or formerly of ~us~avson,
by land nOW or formerly 01 ~g, by
land noW or formerly of Wnght, by
land now or formerly of Tabor, by
land now or formerly of Fos~er, by
land now or formerly of Smith, by
land now or formerly of Probst, and
by land now or formerly of Reeves.
Any person desiring to be heard on
the above mailer should awear at lhe
time and place specified.
Dated:July29,l992 OF THE
BY ORDER
SOUTHOLD TOWN
PLANNlNG BOARD
BC1InettOrlowski,Jr.
Chairman
7457.lTAu6
. ,
STATE OF NEW YORK)
)SS:
COUNJ:,Y OF SUFFOLK) .
(. ~[O;<J~L-I,A.-J of Mattituck, in
said County, being duly sworn, says that he/she
is Principal Clerk of THE SUFFOLK TIMES, a
Weekly Newspaper, published at Mattituck, In
the Town of Southold, County of Suffolk and
State of New York, and that the Notice of which
the annexed is a printed copy, has been regular-
ly published in said Newspaper once each week
for 1 weeks successively, commencing on
the -r;::w) Isflb
f"""I ~ fi'1 R .
\!1L..
. j \)1 ,
1UUL AUt, I 1 1892 \
SOUHI'"7;"'f,~M ,~ ~
rLA'~:~:~.~_!"::/.':~':!L--".~,._.~' rr,
Sworn t1[,:;J this.. I r
day of . 19 92-
/J / / . - EWtil&;~,.y?d-t'~
T~ary Public, State of New York
No. 4873351
Qualified in Suffolk County ~
Commission Expires Dec. 8. 19.,&::
~~
Principal Clerk
, ---
LEGALS NOTICE
Notice of Public Hearing
:1
I
I
i
i
I
I
I
NOTICE IS HEREBY GIV-
EN that pursuant to Section 276
of the Town Law, a public hear-
ing will be held by the Southold
Town Planning Board, at the
Town Hall, Main Road,
Southold, New York in said
Thwn on the 17th day of August
1992, on the question of the
following:
7:30 P.M. .Public hearing on
the lot line change for Suzanne
M. Egan and Venetia Hands at
Orient, Town of Southold,
County of Suffolk, and the
State of New York. Suffolk
County Tax Map Number
1000-13-3-10, 11 & 12.
The property is bordered on
the northeast by South View
Drive; on the east by Brown's
Hill Road; on the southeast by
land now or formerly of Dor-
skoski; on the northwest by land
now OJ:' formerly of Gordon.
7:35 P.M. Final approval for
the lot line change for Mattituck
Aviation Corp. at MattJtuck, in
the Town of Southold, County
of Suffolk and State of New
York. Suffolk County Tax Map
Number 1000-123-1-1 & 2.
The property is bordered on
the north by New Suffolk
Avenue; on the east by Airway
Drive and by a town lease and
landing strip; on the south by
~~{~~~; o:il~~\"WJltt,~~
no~; or forme~ly o'f M.' Norris
and by land now or formerly of
H. Bagshaw.
7:40 P.M. Final approval for the
lot line change for Dennis A. &
Jane A. McBride and Carl E. &
Frances J. Stelzer at Mattituck,
in the Town of Southold. Coun-
ty of Suffolk and State of New
York. Suffolk County Tax Map
Number 1000-140-2-34, 35 & 36.
The property is bordered on
. the north - by land now or
formerly of Wilcenski; on the
east by Mary's Road; on the
south by land now or fonnerly
of Berkoski,. by land now or
formerly of Dohm;on the west
by land now or formerly of
Reeve, by land now or formerly
of Wilcenski.
7:45 P.M. Final approval for
the lot line change for Robert E
Van Nostrand and Pasquale
Gemma at Orient, in the Town
of Southold, County of Suffolk
and State of New York. Suffolk
County Tax Map Number
1000-25-4-11.4
----_._-----~-_.-
COUNTY OF SUFFOLK ss:
STATE OF NEW YORK
Patricia Wood, being duly sworn, says that she is the
Editor of THE LONG ISLAND TRAVELER-WATCHMAN,
a publ'ic newspaper printed at Southold, in Suffolk County;
and that the notice of which the annexed is a printed copy,
has been published in said [_(Jng Islanel Travelel/'.Watchman
'. weeks
once eJch week for. . . , . . . . . . . . . . . . . . . . . . . . . . .
successively, commencing on the
.~r:
Sworn to before me this. . . . . .
a~~ 19.'7.~
. . . . . . . ~. ,
,.-
The property I! bordered I>f
the lIOrth..by land now or
formerly of Saint, by land now
or formerly of Var)Ilillmalld; by . . .
Ilmd _ 9r formerlY of1llb0r,
by land_ or,.forllleriy of
'BOttn" bylamj now Qr former-
ly of 1l<>eruJn, by latl.llnow or
'fOrmerly ,of ,JIoerW1), , by land
now or fOtmerlY~f NlIl"O and
by' land now Or f9rttJedy cof
Lenzn'~;on t~,.tby "Park
at Or~" - ~ffoik. County
M'lPl-ro. 7tl4',lUId ,,>,Old Farm
Road; On the south by' 'lOng
Str=!, br land now or fOrlllerly
of Oloril!ija; on t~ wesl by land.
noW or formerly.Of OU"lav.son,
by land. now ohformerly of
King, byfandnow 9r formerly
ofWrlgbt, by. land 'now or
formerly of 1lIIK>r. by land _
or formerly of Foster, by land
now or tonr.erly of Smith, by
land Jl9WorfOfll!trl)'. or P....bst,
and by land,I1QW Or rOmlerly of
Reeves. .
, Any persondes.ring to be
hl!ard ,on th, 'b~ malter
sho\1lcl appdItat the time and
place above ijlecified.
Dated: FebnuIry 27, 1992
BY ORiDER OF THE
SOUTHOLD TOWN
PLANNING 80ARD
Bennett OrloWski, Jt:
Chairman
lX-8/6/92
r.z:'
~
........... .
19.1.>----
. S'~_
...."..~
zzt-
tf-
clay of
,.G:./~~.d' g~~
Nutary Public
iU
BARBARA A. SCHNEIDER
NOTARY PUBLIC, St?te of New York
I~o. 4806846
Qualiiied in SlIlfolk Cou.nty
Commission ExpireS 5'/3, /~a
0?,~~~~,Ql
,..~-~.,
I\UG I () 'v
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'i\,r\( f,\ Tr'l\\lN
SO\J ,'t." . "
VU..i,.h" ~._ _o'~
.
-c'.-,.:']_j.'./::<~"..;>:.>-
.ji ji~u f f al A'-^<'",
.)~~'v~ '."~ ~~
(~I~"~" '1~_
v~ . ,-~
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'-~~ ul > -,f ...1\0' _,.J
-~, -'~'"7?-;~;C/;~LI/
.
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr.. Chairman
George Ritchie Latham. Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L Edwards
SCOTT L HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF J8:P.]l-\ff? 1992
Fax (516) 765-1823
Arthur Junge
21855 Route 48
Cutchogue, New York 11935
RE: Proposed Lot Line Change
Mattituck Aviation Corp.
SCTM~1000-123-1-1 & 2
Dear Mr. Junge:
The following resolutions were adopted by the Southold Town
Planning Board at a meeting held on Tuesday, July 21, 1992.
BE IT RESOLVED that the Southold Town Planning Board,
acting under the State Environmental Quality Review Act,
establishes itself as lead agency, and as lead agency makes a
determination of non-significance, and grants a Negative
Declaration.
BE IT RESOLVED that the Southold Town Planning Board set
Monday, August 17, 1992 at 7:35 P.M. for a final public hearing
on the maps dated May 19, 1992.
Enclosed please find a copy of the Negative Declaration for
your records.
Very truly yours,
~~~/~
Bennett Orlowski, Jr.
Chairman
Encl.
.
r.'l,l!2J~~'-?-r,- _
/f;/'~\\FFDl.t' '0;
,tY "S> t'a "
1)~ ~. %~
#. 5 ~. :""~
d~r;. ''<li r . ~iI~
'.'~ -...~.' ,~.;d
y ~Oi :j1 i-~.j;"
~~:';,<-..-. v ,pi"
-<-~uffl
seOTI L. HARRIS
Supervisor
PLANNING BOARD MEMBERS
Hennen Orlowski. Jr.. Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
St.ate Environmental Quality Review
NEGATIVE DECLARATION
Notice of Determination Non-Significance
Fax (516) 765-1823
July 22, 1992
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 Southo1d 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:
Proposed Lot Line Change for
Mattituck Aviation Corp.
SCTM#:
1000-123-1-1 & 2
Location:
Airway Drive, Mattituck
SEQR Status Type I )
unlisted X)
Conditioned Negative Declaration: Yes ( )
No (X)
Description of Action:
This proposed lot line change is to subtract .43 of an acre
of land from a 32.4 acre parcel and add it to a 15 acre parcel
located on Airway Drive in Mattituck. The purpose of this lot
l~ne change is to better 7nab1e placement of one or two proposed
alrp1ane hangers on the alrbase property.
c::::=-
.
.
Page 2
Mattituck Aviation Corp.
SEQR Negative Declaration Con't.
Reason Supporting This Determination:
The residential (R-80) lot will remain in its present
vacant state, no development of this parcel is proposed at
this time. Any future use of this parcel will require
further environmental review at the time of project
application.
An environmental assessment has been submitted and
reviewed, and it was determined that no significant adverse
effects to the environment 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 objections 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
or objections from that agency.
For Further Information:
Contact Person: Robert G. Kassner
Address: Planning Board
Telephone Number: (516) 765-1938
cc: Suffolk County Department of Health Services
Roger Evans, NYSDEC Stony Brook
Judith Terry, Town Clerk
Southold Building Department
Applicant
Town Trustees
..
.
.
RAYMOND L. JACOBS
SUPERINTENDENT OF
HIGHWAYS
765-3140
OFFICE OF THE ENGINEER
TOWN OF SOUTHOLD
MEMORANDUM
TO:
Bennett Orlowsk~, Jr.
Chairman, Planning Board
JameS A. Richter
FROM:
SUBJECT:
Short Environmental Asses.sment
P"l>fIII:O~D Lol" I,INI!. CMAloII.e, w
Sc.1''''''' 1 boo - 11.3 - 1- \ t 2
..J ul."1 \~ I \' ~ L
Forms
MA1'<l'fol:.lC. Aut Po ll"
., /000. 11,.q .5.,
DATE:
.
SttJ!/f'lc.c-
te<.
JAMES A. RICHTER
ENGINEERING
INSPECTOR
765-3070
As per your l'equest, enclosed please find the short environmental
assessment forms for the above referenced projects.
Please be advised that Part III of this form still requires your
signature and related information.
If you have any questions please do not hesitate to call.
enc.
r.i~ Ii! (il \UnJ~ ~
"0 l!i \!!) ..-...,
I .
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"i! I" \ J\l. 14 !.-
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SOU1HOLD 10V::
PLANNING BOAP';"
(
.
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEQR
14.16-4 t2/Bn_ Text 12
,... ... PAOJECT 1.0. NUMBER
. .
,--'I
(
I 2. PROJECT NAME ---
1. APPLICANT ISPONSOR
ll\'\q 1\1\ CeIL V-\112PoO--r-
3. PROJECT LOCATION:
Municipality !....-~ 1'T"i17'I(\(_ County (, ,,:t=-r-..:U.'_
v"""'A \) --
4. PRECISE LOCATION (Street address and road intersections. prominent landmarks. etc., or provide map)
5. IS PROPOSED ACTION: ~tjOn/alteratlon
o New o Expansion
6. DESCRIBE PROJECT BRIEFLY: '(/r-;,.. \
-
7. AMOUNT OF lAND AFFECTED: /21(('0 S',\, FT.
Initially acres Ultimately acres
8. W~POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTAICTIONS?
Yes 0 No If No. descnbe briefly
9. \~SENT ~N"VICIN[TY OF PROJECT?
Residential Industrial 0 Commercial o Agriculture o ParklForestlOpen space OOthe'
Oescribe:
,
10. DOES ACTION INVOLVE A PEBMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)~ .
o Yes No If yes, list agency(s) and permillapprovals .
11. DOES ANY A5.EtCT OF THE ACT:ON HAVE A CURRENTLY VAllO PERMIT OR APPROVAL?
o Yes No It y6~. list agel'lcy name and permit/approval
12. AS A RESULT ra.-zOPOSED ACTION WILL EXISTING PEAMlTIAPPAOVAL REQUIRE MODIFICATION?
o Yes No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor name:, . '\'-0"" 12 . hJ'UL .A. Dale: h .1.'lL
T J~~ If.
Signature:
.
/ ..--c:- e -':i ,~ In\
If the a~t;",{is in the Coastal Area, and you are a state agen~t~-c~e "the \~\
Coa~tal Assessment Form before proceeding with this' a essment '~2 I-i
, ":J:J
..1 l . ,
OVER I:r~ - J
1 - mnn~~ ~grfo
I-~;~
l
o I:" :o'~; ~~,~:~~~"~~~::' '~ylr oSS ':~:~';~,~~ri;?~.l~'~~ho;~2~~;i~"'~~~~{L
DYes 0
_._------~---------.-----.- .------------
B. WilL ACTION RECEIVE COORDINATED REViEW ,\S ::lflCI/JDEC FOH lI<I~,T[D i\C'T IONS IN 6 NYCRR, PART 617.67
may be superseded by another involved agen:~,
O~s ~o I
C. COULD ACTION RESULT IN ANY AOVERSE-E-FFECT,S'-A;:iS-oCIATEC;V/I-ni THE F'OllOWING; (Answers may ba handWritten, Illegible) i ('
C1. Existing air quality. surface or groundwater qualify or quamlty, :'1o;se levels. existing traffic pallerns, solid wasle production or diSposal, I'
potential lor erosion, drainage or floOding ')rohlerm;? E<pl.lif1 b'i,~Uy;
J the review proce!:iS and usa the FULL ::--AF
if No, 3, negatlv6 declara!iO"
~
t-J.o
I
C2. Aes"elic, agricultu<al, archaeological, nlslMc, 0' ""'e,. "",urai '" cwlura' resources; or community or neighborhood character? Explain briefly: I
No
C3. Vegetation or fauna, fish, shellfish or wildlife specills, signjficant habifats, or threatened or endangered speCies? Explain brIefly:
Nb .
C4. A community's existing plans or goals as officially adopted, or a change in us. or Intensity of use 01 land or olher nalural resources? Explain briefly I
1\10
CS. Growth. subsequent development, or related activities likely to be induced by the proposed aClion? Explain briefly.
No
C6. Long term, short term, cumulative, or other effects not identified In Cl-GS? Explain briefly.
t-Jo
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly,
No
I(
O. IS THERE. OR IS THEA!:: -'~YTO BE. CONTAOVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
o Yes ~o It Yes, explain b~efly
i
1
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 significant.
Each effect should be aSGc&sed in cCtf!nt2:ctiOIl wiih its (a) setting (Le. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adVerse Impacts have been identified and adequately addressed.
o Check this box if you have identified one or more potentiaily large or significant adverse impacts which MAY
occur. Then proceed direcliy to the FULL EAF and/or prepare a positive declaration.
~ Check this box if you have determined, based on the information and analysis above and any sUpporting
documentation, that the proposed action Will NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary. the reasons supporting this determination:
N.lm(' 01 lead ^l-:cnc'r'
E
.
D.He
. /
v
2
" T'-.""'"""',,,, ._,,_,,!",._,,_,,_,~, ""~",__"",~.,,~,,,' ''''''''''"''''';~''"'~'''_~'",','''',"",,''
,
..
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr.. Chairman
George Ritchie Latham. Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
fj;(j~~': - -....~ r
,0.1;1 '1>UfFDL,;- "''''D
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en "'"
\>< ,.,.,
<:;> .""" ~
~,,'~' ~'\-p
'!J.f . '. ->,.'1> A
~ ~_.~ I ,v
-~~ ..4 ,/fj~'
- c'77;.--y;r.o}J
-
SCOTI L. HARRIS
Supervisor
Town Hall. 5.3095 Main Road
P.O. Box I 179
Southold. New York 11971
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Fax (516) 765-1823
MEMORANDUM
FROM:
James Richter, Engineering Inspector J~
B 1 k' h ., J.w' \
ennet t Or ows ~, Jr., C a~rman r;:,~'-/
TO:
RE:
Review of Short Environmental Assessment Form
Proposed Lot Line Change for Mattituck Airport
Airway Drive, Mattituck
SCTM~ 1000-123-1-2
DATE:
June 26, 1992
Please complete part two of the attached SEAF.
If you have any questions, please contact Robert Kassner of
this office.
Ene.
cc: Raymond Jacobs, Highway Superintendent
.I
14.16-4 (2/871_ Text 12
,
.. PROJECT 1.0. NUMBER
. .
617'"
Appendix C
Slate Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEQR
- ,~.
c
(
1. APPLICANT ISPONSOR I 2. PROJECT NAME
11I'\!:t1TlluC\C 1<:\112DoO::-r
----
3. PROJECT LOCATION:
Munlclp31lly ,"".i.l1"ii -r. .,(\'_ County (, 1 ~?-,U.'_
.. PRECISE LOCATION (Street address and road intersections, prominent landmarks. etc., or provide map) ~V
5. IS PROPOSED ACTION: ~tion/alteratlon
DNew o Expansion
6. DESCRIBE PROJECT BRIEFLY: P'_Ii- \
.
.
7. AMOUNT OF LAND AFFECTED: fj I tee s.c,: FT.
lnillally acres Ultimately acres
8. w~,~')POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING lAND USE RESTRICTIONS?
Yes 0 No If No. descnbe briefly
.
9. \~SENT LAf~N VICINITY OF PROJECT?
Residential Industrial 0 Commercial o Agriculture o Park/Forest/Open space DOlhe'
Describe:
,
10. DOES ACTION INVOLVE A PE..RMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)~ .
o Yes No If yes, list agency(s) and permillapprovals .
11. DOES ANY ASPECT OF THE ACr:CN HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes E:f No If yc~, list agency name and permitlap~roval
12. AS A RESuLT razOPOSED ACTiON WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
. DYes No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
~, Q. tdru ..A Dale: (::./.71-
Applicant/sponsor name:...... 1-1-1' L
( J~ 7?
Signalure:
/ { ..~e .-. .i " \11\
"
If the a~Hoiis in the Coastal Area. and you are a state ag~,ri:*r~D"nipTiire~the \~
Coa~tal Assessment Form before proceeding with t..h!~. ~r essment" '~jS2 ~
OVER uu, ,1
1 Ull10LO lOWtl
,- $&mlltlG BOARO
,.,;:,;~
-
.l
PART II-ENVlRONr"E~Ti~r~ i~'5S,':.:.2S"/=-\'- -';-'? ':-;'-'-':--'r:',:,c' '~:1 i',rc,~c(
i A. DOES ACTiO,~J L:XCLr'~:, '''NY TY.1 ---~SHOlIiI~--r;-~::::'-:-;'-f~~';-;---,-l:";;';-'-_.-.,.~~;~-f
[lYes ~Jr.'
10 tile revIew proceO;~ and use the FULL :'AF
8. WilL ACTION RECEiVE COORDINATED REViEW AS PReVIDET F(lfl !..'t;'_I~T[D f,CrON3 IN 6 NYCRA, PART (;17.67
may be superseded bv another involved agency.
DYes 'J,<c i
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIAT.EO.-;.r-;T~jTHEFOLLOWING: (Ans....ers may be handwritten, If legIble) ~-'-1
C1. Existing air quality, surface or groundwaler QuaHly or Q'J<l111Iy, noist3 lovels, ex'sling Iratlle pallerns, saUd waste production or disposal, I
potential for ero:;ion, drainage or flooding problems? Expi.1 n ti'iel!'(
n n.'____ _. .__~n_ ._~___~_~_..
!! No, a negatlv9 d8cIM~UOl~--'"
C2. Aest~etic, agricultural, archaeolOgical, historic. or other n,lturat Or cLJltural resources; or community or neighborhOOd character? Explain briefly:
C3. Vegetation or fauna. fish, shellfish or wildlife Species, significant haoitats. or tllmatened or endangered species? Explain brIefly;
i
C4. A community's existing plans or goals as officially adopted. or a change in use or intensity of use at land or other natural resources? Explain brieflY]
,
C5. Growth, subsequent development, or related activities likely to be induced by the proposed achon? Explain briefly.
C6. Long term, short term, cumulative, or other eHects not identilied in Cl.G5? Explain briefly.
C7. Other impaclS (inClUding changes in use of either Quantity or type 01 energy)? Explain briefly.
"
D. IS THERE. OR IS THER!::):H<'ELY'TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
o Yes r=:~o If Yes, explain b~elly
It
i
I
i
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 significant.
Each effect should be assessed in connection with its (a) selling (i.e. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. If nec,essary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that al/ relevant adverse Impacts have been identified and adequately addressed.
D
o
Check this box if you have identified one or more Potentially large or significant adverse impacts WhiCh MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons SUpporting this determination:
~
N,)m(' UJ It'Jd ^t-.:t'/lcy
-.---.---.------.----
f'tlf1! or (ype NJme 01 He)pO/l~lble UIl'cer lf1 It'dd ^l;t:ncy
rule 01 !\t'}pon)lbll' (jll'(cr
I
IE
f
J
~'l(ndtute oj l<(>~pon~.uh.' Olt,ce, '" l(>.-Id ^~t'ncy
S'.:n,.Hu'e 01 1"l'P.lft'f III J'lfert"/l! Horn ,.'IPO/H,ble Olll(<'.,
DJte
2
-- - .H'.,",..".'...,__.."'~"..., ~ "'~.."".-,.-......"'.'""'>''''~''''._.'''l.''.,'~'''''..-"'''"'_~,'~~,,_ ./."",'".,
.
.
..
....
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr.. Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
SCOTI L. HARRIS
Supervisor
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTH OLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
r9
19 'f.:L.
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.
-1
Enclosed please find a copy of the proposal and a completed
Environmental Assessment Form (EAF) to assist you in your response.
Project Name:
Requested Action: (f15 <:> 5~J /.0 r-t:.I/1/f C#G. IS To S<(lSr~4o r
. 1./.3 o~ I?-rl Ac~e r=~O"7 J4 "3ot.. H Ie;; f)/I-~cl!.t.rl-rlf)
/'tOIJ,T To /7- IS/'1c~1!. MA!c6/..kc;frJtO o/Y/h"(Iv';({)~
I rf "" 14' rrl PICK.
SEQRA Classification: ( ) Type I
( )<) Un-listed
Contact Person:
~,r;;.K,qs:srtE.R
(5 6)-765-1938
,
.
.
.
The lead agency will determine the
impact statement (EIS) on this project.
the date of this letter, please respond
have an interest in being lead agency.
need for an environmental
Within thirty (30) days of
in writing whether or not you
Planning Board Position:
(;() This 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: - ,
$~ 1 ~~.q- ~?~P~~'~
~L~z-- A~d~y ~~ l' 0~~
ru~~~~~7~ ~~-
Please feel free to contact this office for further information.
Sincerely,
~62d~~cp:
/
Bennett Orlowski, Jr.
Chairman
cc: Board of ~p~ealA
j!,' Board of Trustees
i Building'Department
~ Southold Town Board
;p Suffolk County Dept. of Health Services
~ NYSDEC - Stony Brook
III'r NYSDEC - Albany .
S.C. Dept. of Fkblic W~~
u.~. ~rmy Cnrp nt Enginee~
~ N.Y.S. Dept. of Transportation
* Maps are enclosed for your. review
Coordinating agencies
.
14.16.4 (2f8n- Text 12
... PROJECT 1,0. NUMBER
.
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEaR
" i~,
(
(
1. APPLICANT {SPONSOR I 2. PROJECT NAME
ll\'\q n\ i\)(I( r~112PO()-:I
3. PROJECT lOCATION; C, ,~~::..;!_t,,'_
Munlcloallty ,,~Ti""i-r.y,'~ County
4. PRECISE LOCATION (Street address and road intersections. prominent landmarks. etc., or provide map) (V"A\.>
5. IS PROPOSED ACTION: ~tion/arteratlon
ON,w o Expansion
6. DESCRIBE PROJECT BAJEFL Y: f/'-i1' \
---- - -~ _ n
7. AMOUNT OF LAND AFFECTED: J')/U:c. SC; FT.
Initlally_ acres Ultima!ely acres
8. W~POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Yes 0 No If No, describe bnefly
9. "'~.SENT LAfl~.N.VICINrTY OF PROJECT?
Resldenllal Industrial 0 Commercial o Agriculture o Park/Forest/Open space OOlh"
Describe:
~
10. DOES ACTION INVOLVE A PE.f3MIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)~ .
o Yes No If yes, list agency(s) and permitfappro....als
11. DOES ANY ~CT OF THE ACr:ON HAVE A CURRENTLY VAllO PERMIT OA APPROVAL?
DYes ,No II Ye~, list agency name and permillapproval
12. AS A RESULT ~OPOSEO ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
o Yes No
r CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
~ D h)'UL'A f;./.1L
Applicanllsponsor na? NI,u J..... Dale:
Signature" )~L 11.
. -
/ I ----~~. -. d' '(~ In!
' c
a~1 ../\ .' --ee) ,. \~
II the a lien is in the Coastal Area. and you are a state age,n~y.-cCl'lfplele the
Coa5tal Assessment Form before proceeding with Ihi~i~A~essmen'- '; ~;J2 ,.oJ
OVER ul.i \ J
1 ~Jmit8 J8tto
,,-~;,"--,
l
PART JI-ENVJRONi\"=NT A'_ /\~-S::SS-:~\'-
rr...........,',..,.n,. '_'_"
y(~S
~------. _._--~_.------~---,,--
B. VJILl ACTION RECElVE COORDINATED REVIEW AS PROVIDE'i-
may be ~;upersed(- .'her involved agoncy.
DYes L
p'," '7. :;_)
u_nJ
~'''' ~
.te lhe review oroce~;1 and Usa the FULL: A_F
! A. DOf,,', ACfiU:-': E.(C~'
Mrr -'-Yj,
-------,--------
~SI-iOUJ 1:-" tn':::C)
nU_n..___"~__.._ 'u
F(1Fl ~"i_I~'"[[ ,\(:1 G~jS IN 6 NYCRR, PART 617.67
if No, a negatJve docfarallo'l
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATEC \'11TH HIE FOLLOWING: (Answm may be handwn"'n. It "g'ble) 11
C1. Existing air quaiily, surface or groundwater qualJly or qLanllty, '1Otse I,wels, ex,sting trafflc patterns, solid waste production or disposal,
potential for erosion. drainage or flooding problems? Explain tl'illli (:
C2. Aesthptic, agricultural, arChaeological, historic, or other natl/ra) or Gultural resources: or community or neighborhood character? ExplaIn brlelly:
C3. Vr;getation or fauna, fish, shellfish or wildlife Species, significant r.abitats. or threatened or endangered species? Explain briefly:
Ct. A corr.munity's existing plans or goals as officially adopted, or a change in use or Intensity of use 01 land or other natural resources? ExplaIn brIefly
CS. Gro~, 'h, subse_quent development, or related activities likely fa be Induced by the proposed action? Explain bnefly.
C6. lC'''g term, short term, cumulative, or other effects nol identIfied in Cl-C5? Explain btJelly.
C7, Other impacts (including changes in use of either quantity or type of energy)? Explain brielly.
(
_/""/
O. IS THERE, OR IS THI=f'
DYes r. . "u'
..mcLT 1E, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
If Yes, explain b~efly
PART Ill-DETERMINATION OF SIGNIFICANCE (fa be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or othef'.Nise significant.
Each effect should be assessed in connection with its (a) selling (i.e. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e, geographic scope; and (f) magnitude. It necessary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adVerse impacts have been identified and adequately addressed.
o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
o Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
N<lme Of ll'Jd ^!-:l'IlCy
Prmt or l'rpe N.Jfnt-' 01 1<t"~porH,ble 0,I,(t'1 In ll'dd Agt:'nev
r,de or ;':t',pons'bk l)11'(l'r
"-----------_."
I
IE
f
~ll"n.I(Ure at I<espons,ltle Otf.ccr In ledd ^~..ncy
SII:Il.Jtute 01 P,,'Polt.., (II ulrrerent ' om rl'\~' '\Ible Ol"(l")
D.ltl"
2
, . ,-"~.--.---...,'--"""."",.-,,--,,....,,,,-.,-.~ .",.,.',.,,""''','--'-,.,.'''''......'-''"'''''''"'.,',..'"'.,,-,~;.''.,,",'''-~'''~
.
-c'>r~;J-,";>,:>-
,J"\lffDL:"'>C"
." "''' 'l/>'"
/',.1 :\ ',)". ....,1) c,\
':;( 5'$" .: ...' " '''~ '",
GY f$ 'r:,' ,j ~ '%
~,:::> .d. ;..:: ,\
o ",'-' ~
en . \'f ','i,'\~', .., ~
, "'" ')::i/i\' ,.,.,~~
,0 ~-~ ~I'
~ --:>., ,~:..'-' ":""'"'t- '" /'
\" "-. "n -":.JIfP"". -~'J IJ
'"'" /,-' . -'. -< >'
~,,'.!. it i~"y
'?q"'>CCcuYj/
.
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr.. Chairman
George Ritchie Latham. Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
SCOTI L. HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box J 179
Southold, New York 11971
Tdephone (516) 765.1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Fax (516) 765.1823
June 9, 1992
Arthur Junge
21855 Route 48
Cutchogue, New York 11935
RE: Lot Line Change for
Mattituck Aviation Corp.
SCTM*1000-123-1-1 & 2
Dear Mr. Junge:
The following resolution was adopted by the Southold Town
Planning Board at a meeting held on Monday, June 8, 1992.
BE IT RESOLVED that the Southold Town Planning Board,
acting under the State Environmental Quality Review Act, start
the coordination process on this unlisted action.
Please contact this office if you have any questions
regarding the above.
Very truly yours,
B~~~t~5
Chairman
. '''l~~ "~,~
.. <~,~,;j:'~A\ ',)"....',':,~~~'~'Ti~'1
,','~'t.ilirr-i:
II ,_,>,"j~'~,~.,~ ,~ ~:l~~'~'~
.
.
,', ,~" iii ~ ~ ~ I r II (4r.:lm:T~~1 ::I1"ro[eJIllle] r1~" ~:f'
P.O. 80X 1432. 410 AIRWAY DRIVE. MATTlTUCK, NY 11952
FAX 516-298-84 I 2 . 516-298-8330
June 2, 1992
Southold Town Planning Board
Town Hall
Southold, NY 11971
Re: Mattituck Airport Lot Line Change
~~j" :,^ ..:
'-t" ,f ~.,..:-'......"1.__
Gentlemen:
I hereby approve the proposed lot line change as set forth by the
attached.
The change is necessary to facilitate the construction of aircraft
hangars on the (L.I.) property and have a 100' buffer to the south.
Thank you.
Sincerely,
MA..T....TITP.C.Ki..AIRBASE,
\ ' \
'" I
':-:--. \ ,1 ~
/;"/':1.~iC';ct.;;;.
~resident
JPW/fap
INC.
Jc: ~3n~ m;@
TtlI'IN
~~1lO
. --~~ ...~"' .
" ._.",,,..,,,,.,!<,F.\~ '",."" .~..'
.'.H.......,.."., ;"""""""',"'_';' .'
~~
_.: ,:l~jlf~-"',.,'; "i~
.
.
.', rl"-*.I.rr", ("~1 fr1 :J'~1.1,.1 ~ ror-Tm.c-mi::f'
PO BOX 1432, 410 AIRWAY DRIVE, MATTlTUCK, NY 11952
FAX 5 16-298-84 1 2 . 516-298-8330
June 1, 1992
Southold Town Planning Board
Town Hall
Southold, NY 11971
Gentlemen:
The following statements are offered for your consideration in the
review of the above-mentioned minor subdivision and its referral to
the Suffolk County Planning commission:
(1) No grading, other than foundation excavation for a residential
building is proposed.
(2) No new roads are proposed and no changes will be made in the
grades of the existing roads.
(3) No new drainage structures or alteration of existing
structures are proposed.
Yours--t.ruly,
MATTIrUCK,AIRBASE,
~~/{ ,
~y)i W~~~
Ues~dent
JPW/fap
INC.
.
.
.
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 Southol,l Town
Planning Board, and represents and states as follows:
1. The applicant is the owner of record of the land nnder application. (If the applicant is not the
owner 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 . ./:-"0... .c.o.rYl.~",.€!~g!~. .N.0-M.~...:....
.. .T~. .v.,),<;.<P.i,).::CY. .r.S.. .T.~. J~.7Tr.TL).q?-"..Ai e.1:9.1~T.'......................
3. The entire land under application is described in Schednle "AU hereto annexed. (Copy of deed
suggested.)
4. The land is held by the applicant under deeds record en in Suffolk County Clerk's office as
follows:
Liber ........................ Page
On
........................
Liber ........................ PaKe
On
Liber ........................ Page
On
.......................,
Liber ........................ Page
On
........................
Liber ........................ Page
On
.......................,
as devised under the Last Will and Testa ment of .......................................
or as distributee
........................................................................
............................................ 'i Ci 'p;qe.~""""""""""""""''''''''''
5. The area of the land is 111? P.fh~ 'f. . . ./..s acres. (...:1'. I A>Dvs re/,c}L
6. All taxes which are liens on the land at the datc hereof have been paid except . ~/4.. . . .
...............................................................................................
7. The land is encumbered by . . . /:..,) /'9. . . ., . . .. . . . . . . . . . . . . . . . . .. .. . . . . . . .. . ... . . . . . . . . . . .
mortgage (5) as follows:
(a) Mortgage recorded in Liber .............. Page. . . . . . . . . . . .. . . '" in original amount
of $. . . . . . . . . . . ... unpaid amonnt $ ..................... held by ......................
. . . . . . . . . . . . .. address .................................................................
(b) Mortgage recorded in Liber ......... Pag-c ....................... in original amount
of .............. unpaid amount $...... . . . . . . . . . . . . . . .. held by ......................
. . . . . . . . . . . . .. address ................. ..............................................
-,,-,- ~...._~......:~
.
.
(c) ~Mortgage recorded in Liber .............. Pag-c ................ in original amount
of ",'..,....... unpaid amount $"".. ,.,..,........., held by .,........,.,.......,.
. . . . . . . . . . . . . . . , , . . , .. address .,..,.,.."",..,.......,.,..,.,'........................
ag-ainst the land except . .J:J) A.. .. .. .. . . . . .. . , .
8. There arc no other encumbrances or liens
I
9. The land lies in the following zoning use districts .4-T.,..1 !'?.i~. ,. ..~. .!;;" " .7.~.. .. .. .. , .. .
10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex~
cept .. .~J ft. . , .. .. ... . . , . , . , .. . . .. . , . .. ' , , . , . . . . , . . .. .. . . .. . , .. . . . . . . . .. .. . . .. . . . . . . . .
I I. The applicant shall at his expense install all required public improvements.
12,
'e in a \Vater District or Water Supply District. Name of Dis.
trict, if within a Distnct, is
I.'l. Water mains will be laid by ,'.', .i?jn.
and (a) (no) charge will be made for installing said mains.
I.t Electric lines and standards will be installed by . AJ/F.J.. .. , . . . . , . . . , .. , . .. .. .. ' . .. ... . . .
.......,....,.,.".............,.,.,. and (a) (no) charge will be made for installing said
lines.
IS. Gas mains will be installed by , , . ~/lt. .' . . . , , . . . . . , . .. . , . . , . , , .. , . , . . . . ' ,.. . . . . . . . . . . .
and (a) (no) charge will be made for installing said mains,
16. If streets shown on the plat are claimed bv the applicant to be existing' public streets in the
Suffolk County Highway system, anncx~ Schedule "E" hereto, to show same. IV/,q
17.
If streets shown on t~le plat aTC claimed by t..he applicant to be existing public strjcls in the
Town of Southold HIghway system, annex Schedule "e" hereto to show same. A.? q .
18. There are no existing- buildings or structures 011 the land \vhich are not located anti shown
on the plat.
19. \Vhere the phlt shows proposed streets \\' hich are extensions of streets on adjoining sub-
division maps heretofore filed, there are no reserve strips at the enel of the streets on said
existing' maps at their conjunctions with the proposl.<f streets. /\-J/IT
20. In the course of these proceedings, the apt> licant will uHer proof of title as requireu by Sec.
335 of the Real Property Law.
21. Submit a copy of proposed deed for tots showi:lg" all rt'strictions. covenants, etc. Annex
Schedule "D". 77-K-.-DE.€D '-'JILl.."';07 ~HA,V('L' BD711 LAN/)~ 1'ft2~
OW,V ~O 6'-t .s,~ ft... I I\.JO/l)/,ol..'4"L
"-~-~....-
.
.
"
22. The applicant estimates that the cost of grading and required public improvements will be
$. . . .f!.Jj fro as itemized in Schedule "E" hereto annexed and requcgts that the maturity of the
Performance Bond be fixed at , . , ~I}, ,', " years. The Performance Bone! will be written by
a licensed surety company unless otherwise shown on Schedule "F".
DATE ....,.........,....".......... 19...,
". :-:~9,~.??,WI~\
ST..\TE OF XEW YORK, COUXTY OF
5 V \'.( c\ \.< .
. . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . ., S5.
On the.",)., ~~~\.".,., day of,... ,-.-} .~.~.",.....,.,., 19(:\?-:, before me personally came
- J \
~ \ L'-:-I '<;. \ '.. ,. \...\ ,,,,- ~ k b I . I"d ] d 'b d . d h
.............)....\........~.'..............--.\....... to me 'l1ownto etlClt1(lVl ua escn e man w 0
executed the foregoing- instrument, and acknowledg-cd that. \\.~...... executed the same.
r--/ flORENCE A, PAVLAK
ODl'ARY PUBLIC, State of New Yorlc
\ No, 4718148
Qualffied in Suffolk County ""
Qlmmission Expires June 3D, 19J..J-
., . '~ .
.. .~~. ~;':~~-:'o-:. (~.:, ,\,,(\y~L<!J~
N otar)' Public
ST,\ TE OF KEW YORK. COUNTY OF . . , , , . . , . , . . , . , , , .. , . . , , , , ., ss:
On the..".."........ day..,..,..,.., of ...."........, 19....... before me personally came
. . . . . . . . . . . . . . . . . ... . to me known, who being by me duly sworn did dc-
pose and say that .,. . . . . . . . .. resides at No. ....................................................
. . , . , . . , , . . , , , . , , , . , , . . , , , , . . . that .",."""....""..,.", is the ,.",....,
of ',.,..".,"""',.,",'".",.,.".,..."""""""."".."""""".
the corporation described in and which executed the fon'g-aing- instrument; that............ knows
the seal of said corporation; that the seal affixed hy order of the board of directors of said corporation.
:tlld th:ll ............ signed.............. name thereto by like order.
...... ,.....................................
Notary Public
..~.~=.oc:'
.
.
Southold Town Planning Board
Town Hall
Southold, New York 11971
Re:
Gentlemen:
The following statements are offered for your consideration
in the review of the above-mentioned minor subdivision and its
referral "to the Suffolk County Planning Commiss ion:
(1) No grading, other than foundation excavation for a
residential bUilding is. proposed.
(2) No new roads~re proposed and no changes will be made in
the grades of the existing roads.
(3) No new drainage structures or alteration of existing
structures are proposed.
Yours truly,
.q
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SUFFOU(;';COT}l TY
'~'JI ;~ '\V '
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Southold, N.Y. 11971
(516) 765-193S
QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED
WITH YOUR APPLICl\TIONS FO~\lS TO THE PL';NN ING BOARD
Please complete, sign and return to the Office of the ~lanning
Board with your completed applications for~s. If your answer
to any of the following questions is ~, please indicate
these On your guaranteed survey or subm~t other appropriate
evidence,
1. Are there any wetland grasses on this parcel? Yes
(Attached is a listo~ the wetland grasses defined
by the Iown Code, Chapter 97, for your reference)
2. Are there any other premises under
abutting this parcel?
your o\'mers~~
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?
Yes
6. Was this property the subject of any prior
application to the Planning Board?
7. Does this property have a valid certificat~
of occupancy, if yes please submit a copy of same
,(9
Yes"'/fJ
~
No
(3
.@
<8
No
No
I certify that the above statements are true and will be relied
on by the Planning Board in Considering this app~ication.
"
owner or aUthorl~ed agent
- h'I.9~
date
. ~. ~
',--, . .
,
.
.
.r';
Attachment to questionnaire forcthe Planning Board
STATE OF NEW YORK, COUNTY OF SUFFOLK, ss:
On the '1",,\ day of '3\)..\\ -L- ,l9~ 1... before me personall'
- "0
came <'>c'-~ \;. \.J \ 0., \"u.."" to me knmm to be the
individual described in and who executed the foregoing instrul
and acknowledged that \,,,-- executed the same..
~ r "
~ ~ <<A...."''-'- C. 'CL,,~Jz-
Notary Public
r- w.0IltH~ A, PAq ..:::-
flDTMY PUBLIC, Stat. of New Y",
No. 4718148
_~U.'ifieO in Suffolk CoulltJ <
-.n1SSlOn Up;1l!$ June 30, la.i:l..
,-
"
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61.
Appendix C
State Environmental Quality Review
SHORTEN~RONMENTALASSESSMENTFORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEa:
14-16-4 (2/87)- Text 12
~)f PAOJECT 1.0. NUMBER
.. .
1. APPLICANT ISPONSOR 2. PROJECT NAME
lI'\qlTI\U(I( II
3. PROJECT LOCATION:
MunlclQallty r'~ I', l_ County ~t=<Jl..V_
4. PRECISE LOCATION (Street address and road intersections. prominent landmarks. elc., or provide map) ~
5. IS PROPOSED ACTION:
o New 0 Expansion
6. DESCRIBE PROJECT BRIEFLY:
~tion/alteratlon
T'?LA- "1
c
7. AMOUNT OF LAND AFFECTED: /'j I CC(J S.y FT.
Initially acres Ultimately acres
8. W~L ~SED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
laVes 0 No If No, descnbe briefly
(
9. W~T~SENT LAf"~VICINITY OF PROJECT?
E1'AesidenUal Dlndustrial 0 Commercial
Describe:
o Other
o Agriculture
o ParklForestfOpen space
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)? ~ .
DYes l2tNo If yes, list agency(s) and permit/approvals
/
11.
DOES ANY AS~ OF THE ACTlON HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes e:J No If yc~, list agency name and permit/approval
12. AS A RESULT ~ ~POSEO ACTION WILL EXISTING PEAMlTIAPPAOVAL REQUIRE MODIFICATION?
DYes /aNo
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TAUE TO THE BEST OF MY KNOWLEDGE
ApPlicanllsponsor
(JL
Dale (;, ., . 'h-
Signature:
lithe a is in the Coastal Area, and you are a state agency. complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PART II-ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCE~Q..ANY TYPE I.SHOLD IN 6 NYCRA, PART 617.127 If yes, coo
DYes caNo
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67
may be superseded by ~nother involved agency.
DYes r:;:rNo'
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Ans.....ers may be handwfltten. If legible)
C1. Existing air quality, surface 01' groundwater quality Or quantity, noise levels. existing traffle pallerns, solid waste production or disposal,
potential for erosion, drainage or floOding problems? Explain briefly: NO
e the review process and use the FULL (oAF.
,'1'
,
If No, a negative declaration
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
;VO
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
100
C4. 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 brlefiy_
NO
CS. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly.
/..YO
C6. Long term, short term, cumulative, or other effects not idenlified in Cl-CS? Explain briefly.
AJO
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly.
IUd
D. IS THERE, OR IS THEA
DYes 0
TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
If Yes, explain b~efly
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 significant.
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed.
o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
Occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
o Check this box if you have determined, based on the inlprmation. and analysis above ~nd any supporting
documentation, that the proposed actIon WILL NOT result In any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
N.lmc 01 It',ld ^~l.'n(v
I-'nnt or fype Nolffil" of Re~ponslble Off,cer In 1I.'dd AgencV
Title 01 RespOnublt' Ofi'cer
~Ilindlure 01 I{esponuble O/heer In ledd ^~l'ncV
S'gn..l[ure Of Pn'p':Her {It J.fierenl from (t'sponuble Olllct"rl
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