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1000-126.-9-18
~/o/~' , ~~ ~. ~ ~ ~-~/ I SCA~ ~ =~oo'Z [.~ . ~ )._, ~,~ ~'~'" 'A¢~, x I ~ t 0 T LINE CHANGE I ~/o/~ ~ ,.~' o ~ ~ ,,. TOWN OF SOUTHOLD ~ ~ ~ - ,,~.~ ~ ~ .~" ~ _,. ~,~~,- 1000 - 126 - 09 - '18 & 26.3 &. P1026.2 , k ?~' - ~ ~ ~ ' N/O/F X (OWELUNG) ~ O ' X/ % %0 ' l I SMITH ~ ~ut 4 ~ ~ ~~ / Iv , BOX 14JS J --- ~ ~,~.~ stanear~ for ~ surveys aa established , ~ / ~E~~YORS. P.C. I ~ ~he ~LA:L.~ ~d ~proved ~d ad~ted . rhe loaatione ef w~ ~e~o~ a~wn ~r,~ ~e ~roe ~ ~ ~ ~~0 ' ~r~uc~',ueeey I~ewew York Statecand obeerva~na~d~omdataoat~o~ V / d~v I/~199/ b~=. ~ec P. 0:~909 J Title A~eeelation, ~ / ~ 3. ~ , ~. ' MAIN ROAD I , ,, - SOUreO~D, N.r..~ , , , I 9O- 271 PLANNING BOARD MEMBERS Bennett Ortowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 February 4,. 1992 Tanya Lachenmeyer Land Use 2576 Sound Avenue Baiting Hollow, NY 11933 RE: Proposed lot line change for Mark and Lisa Davis and Brady & Kim Ulmet SCTM# 1000-126-9-26.3, 26.2 & 18 Dear Mr. Lachenmeyer: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 3, 1992. BE IT RESOLVED that the Southold Town Planning Board authorize the Chairman to endorse the final surveys dated August 22, 1991. All conditions of final approval have been met. Enclosed please find a copy of the map that was endorsed by the Chairman. EI~C. CC: Board of Trustees NYSDEC Building Department Assessors Office Very truly yours, Bennett Orlowski, Jr. Chairman PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 July 15, 1991 Tanya Lachenmeyer Land Use 2576 Sound Avenue Baiting Hollow, New York 11933 RE: Proposed Lot-line change for Mark and Lisa Davis and Brady & Kim Ulmet SCTM91000-126-9-26.3~& 18 Dear Ms. Lachenmeyer: The following took place at a meeting of the Southold Town Planning Board on Monday, July 15, 1991. The final public hearing, which was held at 7:35 P.M., was closed. The following resolution was adopted: WHEREAS, Mark and Lisa Davis and Brady & Kim Ulmet are the owners of the property known and designated as SCTM#1000-126-9-26.3 & 18, located on a private road north of Peconic Bay Boulevard and east of Bray Avenue in Mattituck; and WHEREAS, this lot-line change, to be known as proposed lot line change for Mark & Lisa Davis and Brady & Kim Ulmet, is for a lot line change adding 13,832 square feet from a 23,288 square foot parcel to a 14,936 square foot 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 May 13, 1991; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on July 15, 1991; and Page 2 Mark & Lisa Davis and Brady & Klm Ulmet 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 grant conditional final approval on the surveys dated September 4, 1990, and authorize the Chairman to endorse the final surveys subject to fulfillment of the following conditions: Department of Environmental Conservation permit for freshwater wetlands. e Revised maps showing the location of the undisturbed natural vegetative buffer, between the flagged wetlands and the limits of construction. The above conditions must be met prior to the Chairman signing the final maps. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. / ' ' ~$ Chairman THIS LOT LINE CHANGE BETWEEN. IS LOCATED ON IN d? ~,~'-~ ~.~ ~ ~ SCTM# 1000- LOT LINE CHANGE Complete application received Application reviewed at work session Applicant advised of necessary revisions Revised submission received Lead Agency Coordination SEQRA deter, mination Sent to County Planning Commission Review of SCPC report Draft Covenants and Restrictions received Draft Covenants and Restrictions reviewed Filed Covenants and Restrictions received Final Public Hearing Approval of Lot Line =with conditions Endorsement of Lot Line ms 1/1/90 To the~n~~ APPLICATION' FOR APPROVAL OF PLAT Board of the Town of Southold: The undersigned applicaut hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rnles and Regulations of the Southohl Town Planning Board, and represents and states as follmvs: 1. The applicant is the mvner of record of the land under application. (If the applicant is not the o~vner of record of tbe land nnder application, the applicant shall state his interest in said land under application.) Mark C. & Lisa C. Davis 2. The name of tim subdivision is to be (please see attacjed project description) 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Snffolk Conntv Clerk's office as folloxvs: Liber 10650 Page 526 7/22/88 .............................................. On ....................... ; Liber ........................ Page ...................... On ....................... : Liber ........................ Page ...................... On ....................... Liber ........................ Page ...................... On ....................... Liber ....................... Page ...................... On ....................... as devised under tbe Last Will and Testament of or as dlstributee ........................................................................ 5. The area of the land is 1.2 .................. acres. 6. All taxes which are liens on the land at the date hereof have been paid except ...n../.a.. .... 7.The land is encumbered by .. NO..r0Q. r...'.L.~0SIe...e. 13.q .UgllP.e.1; ~.B, 9' .pJ:.op.er.ty ......... mortgage (s) as follows: ..... (a) Mortgage recorded in Liber .............. Page .................. in original amount of $ .............. unpaid amount $ ..................... held by ...................... .............. address ................................................................ (b) Mortgage recorded in Liber ......... Page ....................... in original amonnt of .............. unpaid amount $ ...................... held .by ...................... address APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) Mark C. & Lisa C. Davis 2. The name of the subdivision is to be ..................................................... .............................................. !. 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) The land is held hy the applicant under deeds recorded in Snffolk County Clerk's office as follows: Liber 10650 Page 526 On 7/22/88 . Liber ........................ Page ...................... On ....................... : Liber ........................ Page ...................... On ....................... ; Liber ........................ Page ...................... On ....................... ; Liber ........................ Page ...................... On ....................... ; as devised under the Last Will and Testament of ....................................... or as distributee ........................................................................ 1.2 5. The area of the land is .................. acres. 6. All taxes which are liens on the land at the date hereof have been paid except ...n../.a. ..... 7. The land is encumbered by .. HQ..m. 9.r...g~qg~ce...e.O.qt3I~llke.r ~3qg..pr.op.er.t,y .............. mortgage (s) as follows: (a) Mortgage recorded in Liber .............. Page .................. in original amount of $ .............. unpaid amount $ ..................... held by ...................... .............. address ................................................................. (b) Mortgage recorded in Liber ......... Page ....................... in original amount of .............. unpaid amount $ ...................... held by ...................... .............. address ............................................... I:~D' ~' ~ '1~91' ' ' DAVIS - MATTITUCK PROJECT DESCRIPTION Applicant proposes to add 11,132 s.f. to Tax Lots 126-09-26.2 and 126-09-26.3 from Tax Lot 126-09-18 to allow proposed dwelling, driveway and sanitary system to conform to Town of Southold and N.Y.S.D.E.C. wetlands setback of 75'. (e) Mortgage recorded in Liber .............. Page ................ in original amount of ............... unpaid amonnt $ ...................... held by ...................... ...................... address ......................................................... 8. There are no other encnmbrances or liens against the land except ..... .n.o..n.e. ............. R-40 9. The land lies in the following zoning use districts ....................................... 10. No part of the land lies under water whether title water, stream, pond water or otherwise, ex- cept none 11. The applicant shall at his expense install all required public itnprovements. 12. The land (4~es) (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if xvithin a District, is .............................................................. 13. \Vater mains will be laid by .O/.a.."7. iq¥.qP.O..s.e.d...w..e.l. 1.. y..i.ll...s..e.r.y.i.c.e.. ~.~,~[.cl. and (a) (no) charge will be inade for installing said mains. 14. Electric lines aud standards will he installed by . ..L.J: .17.o. ................................ ..................................... and (a) (n/o,~ charge ~vill be made for installing said lines. 15. Gas mains xvill be installed by .. ?:/..a ...................................................... and (a) (no) charge will be made for installiug said mains. 16. Il streets sho~vn ou the plat are claimed hy the applicant to be existiug pul)lic streets in the Suffolk County Highway system, aunex Schedule "B" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold l-Iighxvay syste~n, aunex Schedule "C" hereto to show same. 18. There are no existing buildings or structures ou the land xvhich are not located aud shown on the plat. 19. x, Vhere the plat shoxvs proposed streets which are extensions of streets on adjoiuing sub- dlvisiou maps heretofore filed, there are uo reserve strips at the end of the streets on said existiug maps at their conjunctions xvlth the proposed streets. 20. In the course of these proceedings, the applicant will offer proof of title as required by Sec. 335 of the Real Property Law. 21. Submit a copy of proposed deed for lots showing' all restrictions, covenants, etc. Annex Schedule "D". 22. The applicant estimates that the cost o[ grading and reqnired pnhlic improvements will he $ .... ...... as itemized in Schedule "E" hereto anuexed and requests that the maturity of the Performance Bond be fixed at .............. years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE . .1../.2.1. ....................... , 19..9.1. . .T.a..n.~(.a...L.a.c.'O.e..ri.m.a.y.e..r/.L.a.n..d' . .U.s. 9' . .f.qr...I~.ark C. (Name of Applicant) & Lisa C. Davis (Signature and T{$'lge)~ .cZ9' .L..a.n..d..U..s.c...C.9,... 22.7.¢..$ 9.Ur~.d~. Avenue (Address) Baiting Hollow, N.Y. 11933 Suffolk STATE OF NE%V YORK, COUNTY OF ................................. ss: On the ....2.1. s..t. ......... day of ...... g...a.n..u.a.r, y ............... 19.9.1. .... before me personally came 7.a.n.k,.a...La..c.h. 9.mA.e.l(9.r/..La..n.d..U.s. .e..C.o.m..p.a.n.7.... to me known to be the iudividnal described in and who exccnted the foregoin~'H~f~.tfsur~ngo~,4~knmvledged that .... ,she. .... executed the same. No. 4668958, Suffolk County i~FBI Iq I .... ~ .... STATE OF NEW YORK, COUNTY OF ............................ ss: On the ................ day ............ of .............. , 19 ...... , before me personally came ........................ to me known, who heing by me duly sworn did de- pose and say that ............ resides at No ..................................................... ................................ that .......................... is the .......... the corporation described in and which executed the foregoing instrument; that ............ knoxvs the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. a,d that ............ signed .............. name thereto by like order. Notary Public LOT-LINE CHANGE 1991 The following items are to be shown on the survey for a lot-line change: Key map. District, section, block and lot number from tax map, scale and north arrow. (~) Name of subdivision map, if lot is part of a filed subdivision. Also, show the liber and page number of filed map. IName and address of the owners of record. Name and address of the person preparing the map (certified 'engineer,land surveyor, architect.) including original seal and signature. ~ ) Property descriptions, dimensions, bearings, square footage of the properties being changed, square footage of the land being transfered. The existing and proposed surveyed boundary lines of both properties must be shown on one piece of paper. (~) Areas subject to flooding, including wetlands. ( ) Existing buildings and site improvements, (i.e. fences, hedges). (~) Indicate the existing lot line (dotted line) with the bearings and distance and the proposed lot line (solid line) with the new bearing and distance. (~) Location and name of existing streets or right-of-ways adjacent to the property. (X) Existing spot grades. *Will be provided if necessary. The following information is to be submitted with the application for a lot-line change: ('*) ~Wtitten and signed letter, notorized, by owners of properties in question approving of the change and reasons for the change.*All properties in q uestlon o~ed by Mar~c & Lisa Davis (t) Affidavit that upon approval the property will be merged. (2) Any existing covenants applying to either of the properties. Form letter regarding drainage, roads, and grading, see attached. Short Environmental Assessment form, Part I, see attached. Application, three pages, last page notorized, see attached. (~) Fifty (50) dollars filing fee. Questionnaire. Eight copies of the survey* * Each of which must bear the original seal and signature of the surveyor or engineer who prepared the survey. (Photostatic copies are not acceptable.) Additional copies may be requested by the Planning Board, if needed. Amended June 1988 Southold Town Planning Board Town Hall Southold, New York 11971 Gentlemen: Re: Lot Line Change Application Mark C. & Lisa C. Davis Peconic Bay Blvd. - Mattituck The following statements are offered for your consideration in the revie%¢ of the aboveumentioned minor subdivision and its referral '60 the Suffolk County Planning Commission: (1) No grading, residential other than foundation excavation building is proposed. for a (2) No new roads'are proposed and no changes '.~ill be made in the grades of the existing roads. (3) No new drainage structures structures are proposed. or alteration of existing Yours truly, for Mark C. & Lisa C. Davis PL ~V(NIN G7'[ )ARD S UFFO L IC~-C~O ~Ty $outhold. N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUB,MITTED WITH YOUR APPLICATIONS FOP~MS TOTHE PLANNING 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 yes, please indicate these oR your guaranteed survey or submit other appropriate evidence~ 1. Are'there any wetland grasses on this parcel? (Attached is a list-o.f the wetland grasses defined by the ~wn Code, Chapter 97, for your reference) 2. Are there any other premises under your Owners abutting this parcel? ~ 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. ,. State, County, etc. 5. Is there any application pending before any other agency with regard to a different project on this parce, l? 6. Was this property the subject of any prior . .application to the Planning Board? ' 7. Does this property ]]ave a valid certificate of occupancy, if yes please submit a copy of same Yes No No No Yes Yes ~ Yes'' No I certify that the above statements are true and will b~ relied on by the Planning Board in Considering this k of~roperty OWner ~r ~uth~lzed agent da~e .... ISigna~ur~ 1/21/91. Attachment to questionnaire for~;the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the ~21 day of January , 1991, before me personally came Tanya Lachenmeyer/Land Use Co. to me known to be the individual described in and who executed the foregoing in'strume and acknowledged that she ~HARLES W. BOWMAN ~qOTARY PUBLIC, Siete of New York No. 4668958, Suffolk County j~ommission [xpires~ Mat~ FEB ,2 1991 14-16-412/87)--Text 12 ·--I .~O~EC.T ~.D. 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) 1. APPLICANT/SPONSOR Tanya Lacherm~eyer/~and Use 2. PROJECT NAME Co. for Mark C. & Lisa C. Davis Private Residence 3. PROJECT LOCATION: Municipality Mattituck County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) S.C.T.M. ~P/O 1000-126-09-18 P/0 1000-126-09-26.2 & 1000-126-09-26.3 / 5. IS PRO SED ACTION: ~Ne: [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Please see attached project description. 7. AMOUNT OF LAND AFFECTED: WILL POSED ACTION ~ [] No If No, describe briefly 1.2 COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 9. WHAT PRESENT LAND USE iN ViCiNITY OF PROJECT? [] Industrial [] Commercial [] Agriculture [] Park/ForesUOpen space [] Other tO. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE O~ LOCAL)? [] No I! yes, I~st agency(s) and permit/approvals for the construction Of a single family dwelling from: N.Y.S.D.E.C., Southold Town Trustees, S.C.D.H.S. & Southold Town Building Department 11. DOES ANY ASPkSP~,~T OF THE ACTICN HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [~No If ye=, list agency name and permit/approval 12. AS[] AyesRESULT OF~E POSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appllca,tlsponsor name: Tanya Lachenmeyer/Land Use for Hark C- & Lisa C. Dav~O~te: 1/21/91 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 SEQR PART II--ENVIRONMENTAL~SSESSMENT (To be completed by Agen, A. DOES ACTION EXCEED ANY~ I THRESHOLD IN 6 NYCRR, PART 6iT.t2? [f yes, coordinate the review process and use the FULL EAF. ' [] Yes [] No ,, , B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617.67 It NO, a negative declaration may be superseded by another involYed agency. [] Ye, [] NO C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, it legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, soltd waste production or disposal potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:. C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or Intensity of use of land or C5. Growth, subsequent development, or related activities likely rD be induced by the proposed action? Explain brielly. C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly. CZ. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain b~iefly PART Ill--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 etfect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibilify; (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. [] 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 informal on 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: Name ul Lead Agency Date DAVIS - MATTITUCK PROJECT DESCRIPTION Applicant proposes to add 11,132 s.f. to Tax Lots 126-09-26.2 and 126-09-26.3 from Tax Lot 126-09-18 to allow proposed dwelling, driveway and sanitary system to conform to Town of Southold and N.Y.S.D.E.C. wetlands setback of 75'. DISTRICT SECTION BLOCK CONSULT YOUR LAWYER BEFORE S NG THIS INSTRUMENT - THIS INSTRUMENT S4~I,D Il USED BY LAWYERS ONLY i 650 THIS INDENTURE, made the 15th day of June, , rdneteen hundred and eighty-eight JOHN J. ~ & ARABEt.~A S. ~, his wife, 222 Cobrnhia Drive, Lak~ Worth, Florida, 33460, party of the first part, and party of the second part, WITNF..SSETH, that the party of the first part, in consideration of ...................................... ($10.00) ............................. --dotlars, lawful money of the United States, and other good and vaD~hle consideration, paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a monument on the Easterly side of a right of way distant 438.69 feet North 24 degrees 23 minutes 00 seconds West from Peconic Bay Boulevard along the Easterly side of said right of way to a monument which marks said place of beginning; RUNNING THENCE North 24 degrees 23 minutes 00 seconds West along lands now or formerly of A.J. Mastropaolo 169.18 feet to a monu- ment; THENCE North 20 degrees 21 minutes 10 seconds West 77.08 feet to a monument on the boundary of land now or formerly of R. Turner; THENCE South 67 degrees 20 minutes 00 seconds West 70.24 feet; THENCE South 11 degrees 19 minutes 00 seconds East 179.30 feet to a monument at the Northwesterly corner of land of A.J. Mastropaolo; THENCE North 62 degrees 26 minutes 30 seconds East 102.50 feet to a monument at the Northeasterly corner of land of A.J. Mastropaolo; THENCE South 24 degrees 23 minutes 00 seconds East 80.43 feet to a monument at the Southeasterly corner of said land of A.J. Mastropaolo; THENCE North 43 degrees 18 minutes 00 seconds East 3.24 feet to the monument at the point or place of BEGINNING. -~, TOGETHER WITH the benefits of a certain Easement Agreement re- | .~x corded in the Suffolk County Clerk's Office on March 21, 1986, in Liber 10001 of conveyances at Page 313. BEING AND INTENDED TO BE part of the same premises conveyed to the party of the first part by a deed dated February 28, 1968, and recorded in the Suffolk County Clerk's Office on May 21, 1968, in Liber 6350 of conveyances at Page 322. TO~ETHER with all right, title and interest, if any, of the party of the firs t in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER With the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD 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 WITNF~$ WHEREOF, the party of the first part has duly executed this deed the day and year first above written. PRE STATE OF NEW YORK. COUNTY OF ~O~'~T--~ SS: Onthe dayof 19 8°, before me personally came J(TdN J. M~ & ~IA S. McDERH31~ to me known to be the individual S described in and who executed the foregoing instruraent, and acknowledged that ~y executed the same. 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 alT~xed by order of the board of directors of said corpora- tion, and that he signed h name thereto by like order. STATE OP NEW YORK, COUNTY Oil On the day of personally came 19 SS: , before me to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. ; that he knows to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. · argain anh ale ]leeh WITH COVENANT AGAINST GRANTOR'S Acrs tITLE NO. 131-S-1059 FirSt Americ~m ~-IN J. McDERM2R~ & ARAB~.~A S., IIX TO MARK DAVIS S~NDAq8 F~ ~ #[W V0ts B0&q! ~ ~R[ ~1~ Distributed by INSURANCE COMPANY SECTION 126 BLOGK 9 LOT 26.1 ~ TCWN of Southold Recorded at Request of Return by Mail to McNULTY, DiPIETRO & SPIESS ATTORNEYS AT LAW 633 EAST MAIN STREET P O BOX 757 RIVERHEAD. NEW YORK Land Use FEB 2. 7 1991 To all regulatory agencies: I hereby authorize Land Use Company to apply for all approvals necessary to complete my project. Lisa C. Davis 2576 Sound Avenue * Baiting Hollow, NewYork · 11933 (516) 727-2400 · FAX (516) 727-2605 CONSULT YOUR I~WYER BEFORE SIGNING THIS INSTRUMENT. THIS INSTRUMENYSHOULD BE b/s~'B~y I~.~W¥~'R~'~OHLY~ 10650 B526 THIS INDENTURE, made the ].~ day of J~e, , nineteen hundred and eight~-eight BETWEEN J~N z. ~DE~U~ & m~m^ s. M~, 4G~'! his wife, 222 Columbia Drive, Lake ~brth, Florida, 33460, {ECTION party of the 6rst part, and ....... : --' · ~ ~, --~ , C', - '/~--/ ~ , , /, /.._ ,:.,. / [ t ~I~B~ ~a~ ~e ~ oJ ~e ~r~t pa~, i~ to~i~e~tio~ oJ ~ ~ 00/~00 ..................... ~ , (SLO. ~) ............................. lawfulmoneyof the United S~tes, ~d o~r g~d md ml~mhle c~i~ratim, paid by ~e pa~ of ~e second pa~, d~s hereby ~t ~d release unto the pa~y of the second pa~, ~e heirs or successors and assi~s of the parW of the second pa~ forever, ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a monument on the Easterly side of a right of way distant 438.69 feet North 24 degrees 23 minutes 00 seconds West from Pecgnic Bay Boulevard along the Easterly Side of said right of way to a monument which marks said place of beginning; RUNNING THENCE.North 24 degrees 23 minutes 00 seconds West along lands now or formerly of A.J. Mastropaolo 169.18 feet to a monu- ment; THENCE North 20 degrees 21 minutes 1~ seconds West 77.08 feet to a monument on the boundary of land now or formerly of R. Turner; THENCE South 67 degrees 20 minutes 00 seconds west 70.24 feet; THENCE South 11 degrees 19 minutes 00 seconds East 179.30 feet to a monument at the Northwesterly corner of land of A.J. Mastropaolo; THENCE North a monument Mastropaolo; 62 degrees 26 minutes 30 seconds East 102.50 feet to at the Northeasterly corner of land of A.J. THENCE South 24 degrees 23 minutes 00 seconds East 80.43 feet to a monument at the Southeasterly corner 'of said land of A.J. Mastropaolo; THENCE North 43 degrees 18 minutes 00 seconds East 3.24 feet to the monument at the point or place of BEGINNING. TOGETHER WITH the benefi'ts of a certain Easement Agreement re- corded in the Suffolk County Clerk's Office on March 21, 1986, in Liber 10001 of conveyances at Page 313. BEI~G AND_INTENDED TO mR na~ n~ ~ ......... ;eyed to th~ ~ JllLIE.r[f~, !.:h~S.r.[¢ , 1968, an( JUL g2 1988. CttR~Or o~r:u~a~uN~' ,' · ' "- , May 21, RECORDED _ ,, 14-16-2 (2/87)--7c 617.21 SEQR Appendix A State Environmental Quality Review ~' FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to 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- ly, there are aspects of a proiect 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 technicaJly expert in environmental analysis. In addition, many who have knowledge in one particular area ma,/not be aware of 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 EAF Components: The full EAF is comprised of three parts: Part 1: Provides obiective data and information about a given project and its site. By identifying basic project data, it assists a rewewer in the analysis that takes pJace in Parts 2 and 3. Part 2: Focuses on identifvinq theran~e of possible impacts that may occur from a project or action. It provides guidance a~ to wh~,th~,r an ~mp,~ct is likely to he considered small to moderate or whether it is a potentially- large m~pact [he I~rm aJso ~dentffies whether an impact can be mitigated or reduced. Part 3: If any ~mpact m Part 2 is identified as potentially-large, then Part 3 is used to evaJuate whether or not the DETERMINAHON OF SIGNIFICANCE--Type I and Unlisted Actions Identity Ihe Portions ol £AI: compieled [or this project: ~ Part 1 [] Part 2 []Part 3 Upon review of the inlorm,lhon ~t'¢orded on this EAF (Parts I and 2 and 3 if appropria[e), and any other supporting in[ormation, and cons~c~,nng ~o:~ u~e maq~tude and ~mportance of each impact, it is reasonably determined by the lead agency thaL ~ A. The promct ,.~ mq r~'su~t m any [arqe and important impact(s) and, therefore, is one which will nol ~ B. Although the prolect couJd have a significant effect on the env ronment, there will not be a significant thereiore a CONDIHONED negalive declaralion will be prepared.* Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of F~arer (if different from'resp~ny~le officer) 3/12/91 Date 1 ~--' Name o1: Action -- Name of Lead Agency PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a signmcant on the environment. Please corn. plate the entire form, Parts A through E. Answers to these questions will be consider,, as part of the application for approval and may be subiect to further verification and public review. Provide any addiho~ information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involv. new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specif' each instance. NAME OF ACTION LOCATION OF ACTION (Include Street Address, Municipality and County) Peconic Bay Blvd., Mattituck NAME OF APPLICANIiSPONSOR Tanya Lachenmeyer/Land Use Company ADDRESS 2576 Sound Avenue BUSINESS TELEPHONE (516) 727-2400 CITY/PO Baiting Hollow NAME OF OWNER (If different) ADDRESS Box 1493 I STATE ZIP CODE N.Y. 11933 BUSINESS TELEPHONE (516) 734-7824 CITY/PO Mattituck STATE ZIP CODE N.Y. 11952 DESCRIPTION OF ACTION Please see attached project description Please Complete Each Question--Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: [qUrban ~lndustrial DForest E]Agriculture 2. Total acreage of project area: .7 acres· APPROXIMATE ACREACE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasturb, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) Water Surface Area Unvegetated (Rock. earth or fill) Roads. bu,ldmgs and other paved ~urfaces Ol[her Ilk,cate ripe] : I~Commercial f-lOther ~,Residential (suburban) [~]Rural (non-farm PRESENTLY AFTER COMPLETION 0 acres 0 acres · 69 acres .53 acres {') acres 0 acres , f)l acres 01 acres 0 acres 0 acres O acres 0 acres 0 acres .O9 ac~'es O .O7 DAVIS - MATTITUCK PROJECT DESCRIPTION ~pplicant proposes to add 11,132 s.f. to Tax Lots 126-09-26.2 and 126-09-26.3 from Tax Lot 126-09-18 to allow proposed dwelling, driveway and sanitary system to conform to Town of Southold and N.Y.$.D.E.C. wetlands setback of 75'. 5.. ^PProx~mate percentage of proposed pro · · ject site with slopes. J~D-10% ]00 ~ __ % ~10.15o,$ [~15% or greater ~ ~ % -------'----- % 6. Is Proiect substantially contiguous to, or COntain a building, site. or district, listed on the State or the National ~ Registers of Historic Places? C1yes '. Is project substantially contiguous to a site I sled 8. What is the de~tb ~ ,~- on the Register of Nation I ~.~ , - ~, . . ,- ~,, the water tab/e?0'-23, ,. , a ..... ural Landmarks,~ ~Yes ~No 7. IS Site located OVer a ~rim -- un teet) · . . ~ ary, prmclpaJ, or so e Source a uife ;~ 10 Do hunting fishing or shel .... . q r. ~]Yes 11. Does project site .... , uSnmg opPortumt~es presently exist in the '~ro;*--'-' - Y Species of plant or animal life that is "~ '-' l-lYes l~¥es ~o Juent~rled as threatened or endang~ red/ According1 to Identify each species . 12. Are there any unique or unusual land forms on the proiect s re? (i.e., cliffs, dunes, Other geological forrr C]Yes ~No Describe .~ -- ----'---'--- 13. Is the proi.~ct site presently used by the COmmunity or neighborhood as an open space or recreation I-lYes ~No If ',es explain 14. Does the ~resent ~te inclucIe [~Yes ,~No scemc Views known to be important to the Commun ty? 15. Streams within or Cont~eUous to hroiect area: Horton Creek '__~~' a. Name ot Stream and name ot River to which it is tributary ~reat Peconlc ~___~ 16. Lakes, ponds, wetland areas w~thm or COn£1~UOus to project area: -- a) If Yes, does sun~ C~ent · e ~Yes ~N b. Size (in acres) ~ ' b) If Yes, will impro,, , ~ ~pacq;, ex~t to al/ow COnnect on~ o · ,,,s ,~e ~'c~,,,~, rv to a '" ]~Yes ~No 18. Is the s~te located - llow COnnection? [~Yes ~No Section 10.1 and 304/ m .~.j~.~,h.ral ~:r~ct Certltied pursL~ant '~ ' .-,~.~ to Agriculture and Markets Law, Article 2S-AA, 19. Is the site located ,n or .u:;~:.m:~.~,~~ of the ECl.. and 6 N'fCR/~ bl?~~ olm~,uou~ to a Critical Environmental Area ' ~Yes ~rNo designated pursuant to Article 20. Has the site ever been us~'d rot :.,. d~posal oi solid or hazardous wastes? E~Yes ,;~No B. Project Description C. Project acreage to rema,n undeve! .'7 acres ultimately. (Eot d. Length of proiect' in miles: ~ ~lf appropriate) e If tie pro;ecl ~s an expansion red,cate per ent of expansion proposed f- NUmber of off-street parking Spaces ex stinc .n/a %. g. Maximum vehicular trips "ener .... g "~"~--~, proposed ~ h. f re~;-~ ' ~, ~teo per hour a ' ~. ] & 2) · ,,~entlal: Number and t,,,-~ ~ c ~ [upon Comnleti^ ~ . One Family~'~ o, housing units: (got 1 & 2) , ,~n o, protect)? Initially ~. ]~_.~ Two Family Multiple Family Condominium Ultimately ~ 2 ~ ~ ~ i. lmenslons (,n feetJ of lar~es~or -------__ __ · -, u, ~rOntage alon- a ~-" --~-~- he,Sbt; 4..~,~ width ~ length.. ~. pu~nc thoroughfare project will OCCupy is? ~0 _ ft. 3 *less than 35' 3. Will disturbed areas be reclaimed? [~Yes ~]No I~N/A a. If yes, for what intended purpose is the site being rec a med? b. Will topsoil be stockpiled for reclamation? I--lyes I~No c. Will upper subsoil be stockpiled for reclamation? I-3Yes F-INo 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this ptolect? I-lYes []~JHo 6. If single phase project: Anticipated period of construction 6 7. If multi-phased: n/a · a. Total number of phases anticipated (number), b. Anticipated date of commencement phase c. ,Approximate completion date of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? r-lyes 9. 10. months, (including demolition). 11. month year, (including demolition). month year. DYes r"lNo Number of jobs generated: during constr~uction 5 ; after project is complete 0 Number of jobs eliminated by this project 0 Will project require relocation of any projects or facilities? D-lYes I~o If yes, explain 12. Is surface liquid waste disposal involved? nYes ~,No a, If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? [~Yes DNo Type ~mn~'nr¥ 14. Will surface area of an existing water body increase or decrease by proposal? []Yes Explain 15. Is project or any portion of project located in a 100 year i[ood plain? ~Yes I~No 16. Will the project generate solid waste? [~,Yes I~No a. If yes, what is the amount: per month .01 tons b. d. 17. 18. If yes, will an existing solid waste facility be used? J~fes []No If yes, give name Southold Town Landfill ; location Southold' Will any wastes no/ go into a sewage disposal system or into a sanitary andfill? If Yes, explain [3Yes Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what i~ the anticipated site life? Will proiect use herbicides or pesticides~' I-lYes Will I-lYes ~No tons/month~ years. ~2]No proiect routinely produce odors (more than one hour [)er day)? E]Yes 25. Approvals Required: City. Town, Village Board [:]Yes I-INo City. Town, Village Planning Board I-lYes [~No City. Town Zoning Board r-lYes []No City, County Health Department I~Yes fqNo Other Local Agencies I-lYes [:]No Other Regional Agencies [~Yes State Agencies E3Yes fqNo Federal Agencies [:]Yes I-INo Type Trustees Lot line change Submittal Date 1/2/91 1/2i/9i Pendinq 1/2/9] C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? I-lYes f']No If Yes. indicate decision required: [~zoninp. am~,ndmpn! i~..'~mnq variance [~special use permit I-Isubdivision imlsite plan 2. What is the zonlm: (I.Isslhcatlontslo! the s~te? 3. What is the maxm~um p~t~'ntlal dev~qonment of the site if developed as permitted by the present zoning? 5. What ~s the max.hum ;~.:,.,,:,.. ~:,'~,'.mm~'nt of the site if developed as permitted by the proposed zoning? 6. Is the proDo~-o .,c:~:, , :' ' :: .'.~: ~ t "~,'commended uses in adopted local land use plans~ ~Yes ~No 8, Is the p~o~A~.,, ..'m::~''.hrr~mmlmg land uses within a ~ mile? ~Yes ~No 9. Il the ~o~ ~; .... ...... ~, ,.-~L how many lots are proposed? n/a 10. W,II 11. Wdl D. Inlormotional avo,d them :, r :it,, h~rrnatlon of sewer or water districts? []-lYes ~No : · '::mtmd; prc)'.lded services {recreation, education, police. E. Verification I certify that dm miormahon provided above is true to the best of my knowledge. Applicant/Sponsor Name Tanya Lachenmeyer/Land Use for Mark & Lisa Davis Date 3/13/91 · ~ ~~~/" TitleProject Manager C S,gnature If the action is in the Coastal Area, a~d you are a state agency, complete Ihe Coastal Assessment Form before proc;eding wilh Ihis assessment. 5 P~2~PROJECT IMPACTS AND 'I~EIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations br~,n reasonable? The reviewer is not 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 impact 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 trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds 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 locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. The,/do not constitute an exhaustive list of impacts and thresholds to answer each question · The number of examples per question does not indicate the 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 a~y impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column I or 2) to indicate the potential size of the impa.ct. If impact threshold equals or exceeds any example provided check column 2. If impact will occur but threshold is lower than example, 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 mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] E]Yes []No [] [] [:]Yes [:]No [] [] E-lYes I-]No [] [] r'lYes J']No [] [] []Yes []No [] [] E]¥es I-INo [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] I-lYes E:T~o IMPACT ON LAND 1. Will the proposed action result in a ph','s~ca[ change to the prelect s~tet --.,O ~-~£S Examples that would apply to column 2 · Any construction on slopes of 15% or greater, {15 foot rise per 100 foot of length), or where the general slopes in the project area exceed 10%. · Construction on land where the depth to the water table is less than 3 feet. · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface. · Construction that will continue for more than I year or involve more than one phase or stage. · Excavation for mining purposes that would remove more than ~,000 tons of natural material (i.e., rock or soil) per year · Construction or expansion of a sanitary landfill · Construction in a designated floodway. · Other impacts 2. Wdl there be an L'ffect t ..... ,y un,que or unusual land forms iound on the s~te? [~ e. cliffs, dunes, geological formahons, etc. J[:]NO I-lYES · Specd~c land forms: IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) OYES 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 freshwater or tidal wetland· · Other impacts: 4. Will proposed action affect any non-protected existing or new body of water? f-lNO [:]YES Examples 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 f-lyES 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 propo{ed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. ~ · Construction or operation c~.using any contamination of a water supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conve,,.ed 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 caube siltation or other discharge into an existing body of water to the exte;~,t that there will be an obvious visual contrast to natur~,i conditions. · Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. · Proposed Action will allow residential nses in areas without water and/or sewer services. · Proposed Action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · Other impacts: 6. Will proposed action alter drainage flow or patterns, or surface water runoff~ I-INO I-lyEs Exa ,mples that would apply to column 2 · Prop6'sed Action would change flood water flows. 7' I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change! O [] [-]Yes I-]No O [] r-lyes [-~No [] [] [-]Yes ONo [] O '. [-]Yes ONo [] [] f-lyes I-[No [] O [-]Yes I-lNo [] O [-]Yes F]No O [] r-]Yes []No [] [] I~Yes []No [] [] E3Y~s I=]No O [] [-]Yes []No [] [] []Yes ONo [] [] [-]Yes []No O [] [-]Yes []No O [] []Yes ONo [] [] OYes []No [] [] i-~Yes [~No O O ~r']Yes [-]No [] O OYes I~No [] [] []Yes []No [] O []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: 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I-lYes E3No [] [] I-'lYes []No [] [] •Yes I']No [] [] []Yes []N~ IMPACT ON AIR 7. Will proposed action affect air quality? C1NO F-lyES 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 more than 1 ton of [] refuse per hour. · Emission rate of total contaminants will exceed $ 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 in the density of industrial [] development within existing industrial areas. · Other impacts: [] IMPACT ON' PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? I-INO OYES 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 site. ' 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: [] '. Will Proposed Action substantially affect non-threatened or non-endangered species? I-]NO I~YES Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or [] migratory fish, shellfish or wildlife species. Proposed Action requires the removal of more than 10 acres [] of mature forest (over 100 years of age) or other locally· important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES ~ Will the Proposed Action affect agricultural land resources? i-INo VIyES Examples that would apply to column 2 ~'he proposed action would sever, cross or limit access to agricultural [] ~and (includes cropland, hayfields, pasture, vineyard, orchard, etc.) I-lyes' J-]No []Yes []No []Yes []No E]Yes []No ~Yes []No []Yes []No []Yes i-lNo l-lYes []No I-"]Yes []No []Yes E]No it'- ~Yes r-JNo []Yes E]No ~ F/Yes [-']No · 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 Agricultutal District, more than 2.5 acres of agricultural land. · The proposed action.would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources.~ I-INO I-lYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply 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 significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: r IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? t-INO I-lYES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. ' · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NY$ Site Inventory. · Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities~ Examples that would apply to column 2 ~]NO I-lYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other impacts: 9 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I--lyes I--INo [] [] E]Yes I-]No [] [] J~Yes i-'INo [] [] I-~Yes []No [] [] []Yes []No [] [] DYes. [3No [] [] r-JYes f'lNo [] [] []Yes []No [] [] []Yes []No [] [] J-lyes []No [] [] []Yes i--INo [] [] []Yes' I-INo J--I [] [~]Yes []No [] [] []Yes I-1 [] DYes r'lNo IMPACT ON TRANSPORTATION 14. Will there be an effect to existing transportation systems? Examples that would al~ply to column 2 ONO OYES · 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 COmmunity's Sources of fuel or energy supply~ Examples that would apply to column 2 ONe DYES · 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 energy transmission or supply system to serve more than 50 single or two family 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? Examples that would apply to column 2 ONe OYES · Blasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than bne hour per day). · Proposed Action will produce Operating noise exceeding the local ambient noise levels for noise outside of structures. ~ Proposed Action will remove natural barriers that would act as a noise SCreen. Other impacts: IMPACT ON PUBLIC HEALTH 7. Wilt Proposed Action affect public hea~th and safety~ r-INo OYES Examples that would apply to column 2 Proposed Action may cause a risk of explosion or re~ease of hazardous substances (i.e. oil, 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 in the burial of" . hazardous wastes" m any fOrm ('i.e. toxic, poisonous, highly reactive, radioactive, irritating. infectious, etc.) Storage facilities for one million or more gallons of [iquified natural gas or other flammable liquids. Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. Other impacts:'_ lO 1 Small to Moderate Impact Potential Can Impact Be Large Mitigated By Impact Project Change [] []Yes l-]No [] J']Yes I-]No [] I-lYes ['~No [] i-lyes I-INo [] I-lyes i"-INo [] [:]Yes C']No [] i--lYes I-/No [] []Yes ['qNo I-] []Yes []No [] []Yes [--]No [] []Yes CINo [] []Yes J-]No [] []Yes []No [] [:]Yes [:]No [] []Yes E3N0 IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect the character of the existing community? C]NO FqY£S Examples that would appt'/to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or operating services will increase by more than'5% per year as a result of this project. Proposed action will conflict with officially adopted plans or goals. Proposed action will cause a change in the density of land use. Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. Development will create a demand for additional community services (e.g. schools, police and fire, etc.) Proposed Action will set an important precedent for future projects. Proposed Action will create or eliminate employment. Other impacts: I 2 3 Smatl to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] []Yes [~]No [] [] []Yes []No [] [] []Yes []No [] [] I-lYes []No [] [] I-lYes []No [] [] []Yes []No [] [] []Yes I--INo [] [] []Yes []No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ~]NO I-lyES 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 Responsibilily of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if ~he impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe (if applicablel how the impact could be mitigated or reduced to a small to moderate impact by proiect change{s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: · The probability of the impact occurring · The duration of the impact · Its irreversibility, including permanentl~ lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections to the project relate to this impact. (Continue on attachmentsJ 11 .£ ,4.,4-, c. s?)-gc 617.2 ! SEQR Appendix B State Environmental Quality Review Visual EAF Addendum This form may be used to provide additional information relating to Question 1 1 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility 1. Would the project be visible from: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? · An overlook or parcel of land dedicated to public observation, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the National or State Registers of Historic Places,3 · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding natural features.3 · National Park Ser~,ice lands? · Rivers designated as National or State Wild, Scenic or Recreational? " Project and Resource (in Miles) 0-'A V4-V2 V2-3 '3-5 5+ [] [] [] [] [] [] [] (3 [] [] [] [] [] [] [] · Any transportation ~:orridor of high exposure, such [] [] [] E] [] 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.3 [] [] [] [] [] · County road? [] [] [] [] [] · State? [] [] [] [] [] · Local road? [] [] [] [] '''~'' [] 2. is the visibility of the project seasonal? (i.e., screen'ed by summer foliage, but visible during other seasons) []Yes OHo 3, Are any of the resources checked in question I used by the public during the time of year during which the project will be visible? []Yes I-INo. DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within '1/4 mile * 1 mile Essentially undeveloped [] [] Forested [] [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River, Lake, Pond [] 'r-} Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] Hilly [] [] Mountainous . [] [] Other [] [] NOTE: add attachments as needed 5. Are there visually similar projects within: '1/2 mile []Yes []No *1 miles []Yes []No *2 miles []Yes [~No *3 miles '[]Yes []No * Distance from project site are provided for assistance. Substitute other distances as appropriate EXPOSURE 6. The annual number bf viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is Activity Travel to and from work Involved in recreational activities Routine travel by residents At a residence At worksite Other FREQUENCY Holidays/ Daily Weekly Weekends Seasonally AFFIDAVIT STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK ) MARK DAVIS being duly sworn deposes and s~ 1. I make this affidavit for the purpose of stating my intentions regarding certain property hereinafter mentioned located at the Town of Southold, County of Suffolk, State of New York and also in support of my application to obtain a building permit for said property. 2. On or about April 28, 1988, I purchased certain property located North of Peconic Bay Boulevard at Mattituck, Town of Southold, County of Suffolk, State of New York and further described as, Suffolk County Tax Map Number 1000-126.00-09.00-026,003. 3. Recently, I made application for a building permit but was denied because the existence of certain wetlands on this small lot made it impossible to meet the guidelines of the Department of Environmental Conservation, the Suffolk County Health Department, and the Town of Southold. 4. On or about the 10th day of April, 1991, I purchased property located on the west side of the 'aforementioned property which is currently described as Suffolk County Tax Map Number 1000-126.00-09.00-026.002. The purpose of this purchase was to merge it with the aforementioned property Suffolk County Tax Map # (1000-126.00-0900-126.003), thereby increasing the area of the property. However, the merger of the two properties falls short of the area required for a building permit. 5. My Sister, Kim Ulmet, and her husband, Brady Ulmet, own property located at the west side of my aforementioned properties. They agree to transfer a portion of their property which i's designated as Suffolk County Tax Map Number 1000-126.00-09.00-018.000 which is approximately one eighth of an acre. Attached hereto and made a part hereof as Exhibit A is an Affidavit of Kim Ulmet evidencing the agreement. 6. My intent is to merge all three properties; 1000-126.00-09.00- 026.003, 1000-126.00-09.00-026.002, and part of 1000-126.00-09.00-018.00. 7. The merger of the aforementioned properties results in one piece of property the size of Twenty Eight Thousand Seven Hundred Sixty-Eight (28,768) square feet. My advisors inform me that said merger would enable me to lawfully obtain a building permit. 8. A copy of the survey indicating the proposed merger is annexed hereto and made a part here of as Exhibit B. Sworn to before me this __ day of April, 1991. MARK DAVIS NOTARY PUBLIC STATE OF NEW YORK ) )SSi COUNTY OF SUFFOLK ) AFFIDAVIT KlM ULMET being duly sworn deposes and says: 1. I make this affidavit on behalf of my brother, Mark Davis, and his wife who are presently making application for a building permit to the Town of Southold. 2. My husband, BRADY ULMET and I are the owners of certain real property located North of the Peconic Bay Boulevard at Mattituck, Town of Southold, County of Suffolk, State of New York. The property is further described as Suffolk County Tax Map Number 1000-126.00-09.00-018.000. 3. Mark Davis is the owner of two parcels of property that are situated east of a part of my aforementioned property. My brother's properties are described respectively as Suffolk County Tax Map Number 1000~126.00-09.00- 026.002 and 1000-126.00-09.00-026.003. 4. Sometime ago Mark Davis informed me that he was unable to build on his property due to its proximity to certain wetlands on the eastern side of his property. In order to help Mark Davis, my husband and I will transfer approximately one-eighth of an acre of our aforementioned property so that my brother can obtain a building permit. Sworn to before me this day of April, 1991. KIM ULMET NOTARY PUBLIC '~M~',P, OF PROPOSED ,:1t:~.;07- LINE CHANGE OPER T Y · .~? Z~A:'[ MA TTITUCK · ~: ..~TO~AI OF SOUTHOLD ~'$UFFOLK COUNTY, N. X " 40' Scalet.._l~...,=... . .... .... Sept. 4 1990 '-'" Land Use 3anuary 8, 1992 Town of Southold Planning Board Office Town Hall, 53095 Main Road P.O. Box 1179 Southold, N.Y. 11971 Attn: Mr. Bennett Orlowski Chairman Re: Proposed Lot Line Change for Mark and Lisa Davis and Brady and Kim Ulmet Dear Mr. Orlowski: As per your letter dated 7/15/91, enclosed please find a copy of the permit recently received from the NYSDEC. Please be advised that the requested site plan indicating the increased natural buffer was sent under separate cover on November 6, 1991 to the attention of Bob Kassner. As such, kindly issue your agency's final approval of this proposed lot line change. Should you have any questions or require additional information, kindly contact this office at your convenience. Very truly yours, TL/cf enclosure 2576 Sound Avenue · Baiting Hollow, NewYork ° 11933 (516) 727-2400 ° FAX (516) 727-2605 · · New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New _York 11790,2356 .... (516) 75 1-.~-389 Ma~k-C. & LiSa'CL~avi~ Box 1493 Mattituck, NY ll952 Dec. 31, 1991 Thomas C. JoHIng Commissioner RE: Permit #1-4738-00246/00001-0 Dear Mr. & Mrs. Davis: In conformance with the requirements of the State Uniform Procedures Act (Article 70,ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions~ please contact us at the above address. Alao enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, John Wieland Sr. Environmental Analyst JW/rw JAN - g F2g2 SOUIHOID TOWN PLANNING BOARD GENERAL CONDITIONS Inspections 1. The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized represeni, ative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl.. 71-0301 and SAPA 401~3). A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all timos at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewals 2. The Department reserves the right fo modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modifica- tion or transfer of this permit. Such application must include any forms, fees or supplemental infor- mation the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, con- ditions or requirements contained in s[~ch order or determination. Other Legal Obligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibili- ty for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in oroer to perform the permitted work nor does it authorize the impair- ment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other perm!ts, approvals, lands, easements and rights- of-way that may be required for this project. Page 2 of t~ 95-20~) (10/90) -- 25c 1-4738-00246/00001-0 FACILITY/PROGRAM NUMBER[s) STATE DFPARTMENT OF ENVIRONMENTAl C~RVATION PERMIT Under the Environmental Conservation Law (ECL) Dec. 31, 1991 Dec. 31, 1994 ~-~New [~Renewal r~Modif,cation E~]Permit to Con,~ruct E~Permit to Operate Adicle 15, Title 5: Protection of Water Article 15, Title 15: Water Supply Article 15, Title 15: Water Transport Article 15, Title 15: Long Island Wefts Article 15, Title 27: Wild, Scenic and Recreational Rivers 6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control Article 23, Title 27: Mined Land Reclamation Article 24: Freshwater Wetlands Article 25: Tidal Wetlands -- Article 27, Title 7; 6NYCRR 360: __ Solid Waste Management ['~ Adicle 27, Title 9; 6NYCRR 373: Hazardous Waste Management -----']Article 34: Coastal Erosion Management [-~ Article 36: Floodplain Management I----q Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control ~ Other: Mark C. & Lisa C. Davis (516) 734-7824 Box 1493, Mattituck, ~ 11952 Land Use Co. (Tanya Lachenmeyer),2576 Sound Ave.,Baiting Hollow,NY ill6 ~ 727-7400 NAME ANDADDRiSSOE PROJ[CTIFACILITY Davis Property on Peconic Bay Blvd., Mattituck 11933 LOCATION OF PROJECT/FACILITY SCTM 1000'0126-09-p/o 18,26.2, & 26.3 COUNTY TOWN/~T.[~,~ WATERCOURS ~ET A O NYTM COORDINAII S Suffolk Sou[no£a norton ~ree~-4 E __ N4 __ DESCRIPTION OF AUTHORIZED ACTIVITY Construct a single family dwelling, septic system, garage, and pervious driveway in accordance with plans prepared by Peconic Surveyors, P.C., dated 9/4/90 as revised on 7/]1/9] (stamped NYSDEC Approved on 12/26/91). By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special Conditions included as part of this permit. DePutY Regional PERMIT ADMINISTRATOR ADDRESS Christine J, Costopoulos ~oBiom Io~lidG, 40 ~Jbi~ ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608 ( 9 That d future operations by the State of New York require an al- teration in the position of the structure or work herein authorized, or if, ~n the opinion of the Department of Environmental Conservation 13 it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or w~qfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused 14 thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other 15 modification of the watercourse hereby authorized shall not he com- pleted, the owners, shall, without expense to the State, and Io such extent and in such time and manner as the Department of Environmenta~ and flood capacity of the watercourse. No claim shall be made against 10 That the State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused 17 by or result from future operations undertaken by the State for the no claim or right to compensation shah accrue from an,,, such damage. 11 Granting of this permit does not relieve the applicant of the responsi- bility of obtaining any other permission, consent or approval from 18 the US Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 12 All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, ~eachate or any other environmentally deleterious materials a~sociated with the project. Any material dredged in the prosecution of the work herein permitted shall be removed evenly, without leaving large reft~se piles, ridges ac the bed of a wate~ay or floodplain or deep holes that may have tendency to cause damage to navigable channels or to the banks ol a waterway. There shall be no unreasonable interference with navigation by the work herein authorized If upon the expiration or revocation of this permil, the project hereby aulhoril~d has not be~n completed, the applicanl ,hall, without expeme to the State, and to such extent and in such time and manner as Department of Environmental Conservation may require, remove all or If granted ~Jnder Article 36, this permit does not ~i~nify in any way that the proiect will be free from flooding. If ~ranted under 6 NYCRR Part 608, the NYS Department of Environ Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met with the approved plans submitted by the applicant or his agent as parl of the permit application last- revi~ed by ~e£oni¢ Such approved plans were Surveyors P.C. 7/11/9l SPECIAL CONDITIONS 1. NO structures shall be placed on any existing right-of-way. 2. Prior to any construction activities, the applicant shall submit to the Department (Division of Regulatory Affairs) a final plot plan showing the lot line change proposed on the plans stamped NYSDEC Approved on 12/26/91. 3. The permittee shall require that any contractor, project engineer, or Dther person responsible for the overall supervision of this project reads, understands, and complies with'this permit and all its general, special, and supplementary special conditions. 4. The permittee, or authorized representative, shall complete and return the top portion of the enclosed form notifying the Bureau of Environmental Protection of project commencement. Upon completion of the permitted project, complete and return the bottom portion of the form, along with photos, notifying the Bureau of Environmental PTotection of p~oject completion. 5. Markers used by this Department to delineate/define the boundary of the wetland or the extent of the permitted structures shall be left in place and shall remain undisturbed for 1 year following completion of the permitted project. DEC PERMIT NUMBER 1-4~38~00246/00001-0 PROGRAM/FACILITY NUMBER Page ~3 of ~ , ~95-20-6f (7/87)--25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 24 ( Freshwater Wetlands 6. Any work, disturbance, and/or storage of construction equipment and materials shall be confined to within the "limit of clearing and disturbance" shown on the approved plan and/or to upland (non-wetland) areas more than 100 feet landward of the wetland boundary. 7. Heavy equipment, including bulldozers, backhoes, payloaders, etc., shall not be operated in the buffer area. 8. A snow fence or other temporary, project-limiting fence shall be erected prior to the commencement of any construction activities along the limit of clearing and disturbance in order to prevent the inadvertent intrusion of equipment into the protected area. The fence shall be maintained until project completion. 9. Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end along the base of the snow fence (or other temporacy, project-limiting fence) on the upslope or project side of the fence. The bales shall be maintained in place until all disturbed areas are permanently vegetated. Trapped sediments shall be removed to an approved upland site before the bales themselves are removed. 10. All disturbed areas where soil is temporarily exposed or stockpiled for longer than one (1) day shall be covered with a tarp. 11. Any debris, excess construction materials, or excess excavated materials shall be immediately and completely disposed of on an approved upland site more than 100 feet landward of any regulated wetland or waterbody. The materials in question shall be suitably stabilized so that they cannot re-enter a~y regulated water body, wetland, or wetland adjacent area. 12. During any grading operation soil shall not be placed in, graded toward, or allowed to enter the wetland, or open water. 13. The work area shall be graded to conform with the elevation and contours of the undisturbed land immediately adjacent to the work area. 14. All roof and driveway runoff shall be directed to drywells located as shown on the approved plan. DEC PERMIT NUMBER I I-4738-00246 / 0000 I-0 FACILITY ID NUMBER IPROGRAM NUMBER I Page4 of · 95-20-6f'(71~7}--25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 24 ( Freshwater Wetlands ) 15. Use of herbicides i~ the wetland is prohibited, except as permitted under the provisions of ECL Article 33. 16. Ail areas of soil disturbance resulting from this project shall be seedud with an appropriate perennial grass and mulched with straw immediately upon completion of the project, within two days of final grading, or by the expiration of the permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 17. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated freshwater wetlands are located in the northeastern corner of the properties of Mark & Lisa Davis and their heirs, assigns or successors. This propery is subject to the provisions of ECL Article 24, and the conduct of regulated activities may occur only pursuant to ECL Article 24 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC). Regulated activities include, but are not limited to, clearing of vegetation; application of chemicals; excavation; grading and filling; and erection of any structure(s)." This deed covenant shall be recorded within 90 days of the issuance of this permit wi[h the Clerk of Suffolk County. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager BEP, SUNY Bldg. 40, Stony Brook, New York 11790- 2356. Supplementary Special Conditions (A) thru (J) attached. DEC PERMIT NUMBER 1-4738-00246/00001-0 FACILITY ID NUMBER PROGRAM NUMBER I Page 5 of 6 The A. SUPPLEMENTARY SPECIAL CONDITIONS fo lowing conditions apply to all permits: if taot the Division o~ Regulatory AE~ai~ at the ad~e~s and telephone note~ below. B. A copy of this permit with supplementary conditions and approved plans shall be available at the project site whenever authorized.. · work is in progress. C. The permit sign enclqsed with the permit or a copy of letter of approval shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized work. D. At least 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. Within one week of completion of the permitted work, the bottom portion of that form shall also be com- pleted and returned. E. For projects involving activities to be acqomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to the commencement of resumption of work each year. F. If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of a new application for permit. G. All necessary precautions shall be taken to preclude contamination ok any wetlands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work .... 3 ~ H. Any failure to comply precisely with all of the terms and conditions of this.permit, unless authorized in writing, shall be treated as ~ violation of the Environmental Conservation Law. I. The permittee is advised to obtain any permits or approvals that may be required from the U.S. Department of Army Corps Of Engineers, NY District, 26 Federal Plaza, New York, NY 10278,. (Attention: Regulatory Functions Branch), prior to commencement of work authorized herein. J. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or otSer necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be.required for any encroachment upon State-owned lands underwater. Regional Permit Administrator NYS Dept. of Environmental Conservation Bldg. 40, SUNY-Room 219 Stony Brook, NY 11790-2356 (516) 751-/3~ Pa e of i, NYSDE~ - B~r~au of Environmental Protection B%dg. 40, SUrf Stony Brook, New York 11790-2356 Contractor's Phone No. To whom it may concern: Pursuant to General Condition Number I and Special Condition Number 2 of the above referenced permlt, you are hereby notified that the authorized activity shall cormnence on Submitted by: This notice is to be sent at least two days in advance of con~aencement of the project. The permit sign will be posted at the site and copy of permit will be available at site for inspection. Failure to notify or post sign will leave owner and/or contractor suDject to applicable penalties for non-compliance with permit conditions. NYSDEC Bureau of Environmental Protection Bldg. 40, BUNY Stony Brook, New York 11790-2356 RE: Permit No: I--. t732'- o Issued To: ~/] ~ Contractor's Name Contractor's Address Contrac%or's Phone No. To whom it may concern: Pursuant to General Condition Number 1 and Special Condition Number 2 of the above referenced permit you are hereby notified that the authorized activity was completed on Submitted by:. Thls notice, with photos of completed work and/or completed survey, is to be sent to above address promptly upon completion of project. Failure to notify will leave owner and/or contractor subject to applicable penalities for non-compliance with permit conditions. g5-20-1 (8/87)--9d New York State Department of Environmental Conservation NOTIC The Department of Environmental Conservation (IDEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Permit Number Expiration Date Regional Permit Administrator NOTE: This notice is NOT a permit SENDER: SUBJECT: SCTM~: COMMENTS: SUBMISSION WITHOUT COVER LETTER Land Use Nove~er 6, 1991 Town of Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, N.Y. 11971 Attn: Mr. Bob Kassner Re: Mark & Lisa Davis Mattituck, N.Y. Dear Mr. Kassner: Enclosed please find one copy of the latest plan which indicates an increased natural buffer area. Please note that we are still awaiting New York State Dept. of Environmental Conservation approval and will forward a copy of same upon its receipt. Should you have any questions, please don't hesitate to contact this office. Very truly yours, Tanya Lachenmeyer TL/cf enclosure 2576 Sound Avenue · Baiting Hollow, NewYofl< * 11933 (516) 727-2400 · FAX (516) 727-2605 Board Of $outhold Town Trustees SOUTH .OLD, NEW YORK PERMIT NO. 3951 DATE: ..October 4, .1991 ISSUED TO ....... Mark and Lis:~..Davi$ Aulhoriza iou Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on ..October. 3, 1991, and in consideration of the sum of $ ].50.00 paid by Lanc[ idle Go[npany..on behalf of M~-?k .& ..~i~a Da.vi~. of N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: to construct a single family dwelling with attached garage & driveway as indicated on map dated August 22, 1991 all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this dat.e. NIOIF GERARD . S. BOHLANDER ,~, 00'' ~ (VACANT) N/dF DORIS MARKOFF (VACANT] N/O/F DORIS MARKOFF (DWELLING) N/O/F OSCAR & LORETTA MAROELLINO (D WELL IN~'~ wELL & CE$~30L OVER ALBERT J. & ANN MA S mo~o~ o Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO 3951 DATE: ..October 4, .1991 ISSUED TO ....... Mark and. Lisa Davis .................... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on October..3, 19 91.., and in consideration of the sum of $ 150.00 paid by .... Land .U~¢ G~mpany..~n behalf ~f Ma~k..&...~a.~.av~s. of N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to construct a single family dwelling with attached garage & driveway as indicated on map dated August 22, 1991 all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate S.e. al to be affixed, and these presents to be subscribed by a majority of the said Board as of this dat.e. ~HOLD TOWN NING BOARD N/O/F '~ERARD . S. BOHLANDER (VACANt.) N/O~F DORIS MARKOFF (VACANT) N / O / F ..~. r2 DORIS MA RKOFF (DWELLING,) N/O/F ~ OSCAR & LORE1.1.A ~ MARC£LLINO (DWELLiN~'j'~' SOUTHOLD TOWN PLANNING BOARD o \ elI 51'. .~ N/O/F ALBERt. I & ANN MA S I'ROPOL 0 NO¥1CE OF INCOMP[ETE APPLICATION - THIS IS NOT A PERMIT MARK & LISA C DAVIS BOX 1493 MATTITUCK, NY 11952 APPLICATION iD 1-4738-0024.6 00001-0 ARTICLE 2,4: FRESHWATER WETLANDS FAOILITY/PR©JEO1 DAVIS PROPERTY PROJECT IS [ O(.;AI~_D IN SOUTHOLD ~N SUFFOLK tAIUNrY ~ IWN~_ R i~ NUMBER 33357 ~¢~',r~:~ ~t~Mb~:R 086426 Yot/r Applicat~o~ Io~ Permit is Incomplete, the Folbwing Items are Required: · Project plans ( 4 cop~esl. Additional Infonn:ation: PLEASE SEND A REVISED SURVEY PLAN SHOWING THE FINAL (NOT PROPOSED LOT LINE CHANGfi AND GUARANTEEING NO EXISTING RIGHT-OF WAY ON LOT :;J~ / NO FUFITHER ACTION CAN BE TAKEN UNTIL ALL OF THESE MATEI~S/~'AE~-CEIVED CONTACT PERSON JOHN A WIELAND SION/~mRI: ........ ~ 1F t l~P~], It~b NUMBER 5~ 6-75~ -7900 OCT II 1991 SOUTHOLD TOWN PLANNING BOARD TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Kmpski, Jr. John L. Bednoski, Ir. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 September 10, 1991 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,\ SUPERVISOR ~ki-- ~l SCOTT L. HARRIS --.-.-.-.-.-.-.-.-.m- Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Land Use Company 2576 Sound Avenue Baiting Hollow, NY 11933 RE: Mark and Lisa Davis? SCTM #1000-126-9=18 Dear Mr. Bowman: The following actions were taken by the Southold Town Board of Trustees at the regular meeting of September 5, 1991: RESOLVED that the Southold Town Board of Trustees DENY the waiver to construct a one family dwelling and request a full application. As a full application and fee are in the file, it was RESOLVED that the Southold Town Board of Trustees grant a negative declaration for the above referenced application. If you have any questions, please do not hesitate to contact this office. Very truly yours, John M. Bredemeyer, III · President, Board of Trustees JMB: jmt cc: CAC enc. SOUTflOLO TOWN PLANNING BOARD TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert I. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 126-9-p/o26.2 & 26.3 NAME: Mark and Lisa Davis DATE: September 6, 1991 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: unlisted DESCRIPTION OF ACTION: to construct a one family dwelling Peconic Bay Blvd., Mattituck. located off LOCATION: Tax map No. 1000-126-9-p/o 18, 26.2 & 26.3 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Building Dept., Applicant PLANNING BOARD 3 July 1991 Health Department approval. 3. Street trees are to be planted along Little Neck Road in accordance with Section A108-41 of the Town Code. Mr. Ward: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? Ayes: Mr. Ward, Mr. Orlowski, Mr. Latham, Mr. McDonald, Mr. Edwards. Mr. Orlowski: Opposed? So ordered. Mr. Orlowski: Next order of business at 7:35 p.m. Mark and Lisa Davis - This lot line change is to subtract 11,132 feet from a 34,420 parcel and to add it to a 17,636 square foot parcel located at Mattituck. SCTM %1000-126-9-26.3 & 18. Everything is in order for a final hearing. I'll ask if are any objections to this lot line change? Hearing none, are there any endorsements? Hearing none, is there anyone out there neither pro nor con but may have information pertaining to this that would be of interest to the Board? Mr. Henry Raynor: Mr. Chairman, I do not in any way represent the applicant but I know both of these young people and I would like to endorse this Board's affirmation of the proposed lot line change. They are trying to make a home here and they are really nice young people. They have been here for several generations. Tanya from Land Use Company: I just want to let you know that the DEC permit is forth coming and I spoke with the surveyor's and the Davis' have apparently met with the surveyor's and they are doing everything to maximize wetland setbacks per DEC requests so the DEC permit is on its way. Mr. Orlowski: O.K., thank you. Any other comments? Hearing none, any questions from the Board? Board: No comments. Mr. Orlowski: Being there are no questions, I will declare this hearing closed. Does the Board have any pleasure on this? Mr. Ward: Mr. Chairman, I would like to offer the following resolution. WHEREAS, Mark and Lisa Davis and Brady and Kim Ulmet are the owners of the property known and designated as -PLANNING BOARD 4 July 101991' SCTM # 1000-126-9-26.3 & 18, located on a private road north of Peconic Bay Boulevard and east of Bray Avenue in Mattituck; and WHEREAS, this lot-line change, to be known as proposed lot line change for Mark & Lisa Davies and Brady and Kim Ulmet, is for a lot line change addition 13,832 square feet from a 23,288 square foot parcel to a 14,936 square foot 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 May 13, 1991; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on July 15, 1991; and 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 grant conditional final approval on the surveys dated September 4, 1990, and authorize the Chairman to endorse the final surveys subject to fulfillment for the following conditions: 1. Department of Environmental Conservation permit for freshwater wetlands. Revised maps showing the location of the undisturbed natural vegetative buffer, between the flagged wetlands and the limits of construction. Mr. Latham: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? Ayes: Mr. Latham, Mr. Ward, Mr. McDonald, Mr. Edwards, Mr. Orlowski. Mr. Orlowski: Opposed? So ordered. Hearings Held Over From Previous Meetings: Mr. Orlowski: Eleanor Sievernich - This minor subdivision is for two lots on 3.748 acres located on the east side of Cox Neck Lane in Mattituck. SCTM #1000-113-8-5. Since this is an ' LEGALs NOTICE- Notice of Public Hearing 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 Town on the 15the day of Julv 1991 on the questio- "me followine: -~,~ P.M. Final approval of the minor subdivision for Marion Robins located in East Cutchogue, in the Town of Southold, County of Suffolk, and the State of New York. Suf- folk County Tax Map Number 1000-103-10-2. The property is bordered on tile north by land now or formerly of Dunhuber & Ber- nhard; on the east by Strohson Road; on the south by Baldwin Place; on the west by Little Neck Road. 7:35 P.M. Final approval for the lot line change for Mark Davis located in Mattituck, in the Town of Southold, County of suffolk and the State of New York. Suffolk County Tax Map Number 1000-126-9-18 & 26.3 &, P/O 26.2. The property is bordered on the north by land now or formerly of Keith & Ceclia Roberts and by land now or formerly of Robert & Theresa M. 'Ihrner; on the northeast by land now or formerly of the Nature Conservancy and the County of Sufolk; on the south by land now or formerly of Albe(t J. & Ann Mastropolo, by land now or formerly of Arabella S. McDermott, by land now or formerly of Dan J. Stack, by land now or formerly of Daniel J. Stack, Jr. and wife and by land now or formerly of Paul & Teresa M. Galgiani; on the southwest by land now or formerly of Wallace A. & Joan R. Smith; on the west by land now or formerly of Oscar & Loretta Marcellino, by land now or formerly of Doris Markoff, by land now or formerly of Doris Markoff and by land now or formerly of Gerard S. Bohlander. Any person desiring to be heard on the above matter should appear at the time and place above specified. Dated: June 26, 1991 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Bennett Orlowski, Jr. Chairman 1X-7/4/91(95) COUNTY OF SUFFOLK STATE OF NEW YORK Patricia Wood,' being duly sworn, says that she is the Editor, of ]'HE LONG ISLAND TRAVELER-WATCHMAN, a public newspaper printed at Southold, in Suffolk County; and that the notice of which the annexed is a printed copy, h,,s been .published in said Long Island Traveler-Watchlrlan once each week for / weeks successi¥¢ly, corrm~erlch'~g oil the ................... day o['. ........ ~-~. ..... 19.'?/... (~) Sworn to before me Ihis ~ (lay of Notary Public BARBARA A. SCHNEIDER NOTARY PUBLIC, St?to ol New York No. 480G846 Suffolk Co~ntYl Qualified in Expires Commission JUL 5 :x, PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 25, 1991 SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Tanya Lachenmeyer Land Use 2576 Sound Avenue Baiting Hollow, New York 11933 RE: Proposed Lot-line change for Mark & Lisa Davis and Brady & Kim Ulmet SCTM~1000-126-9-26.3 & 18 Dear Ms. Lachenmeyer: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, June 24, 1991. Be it RESOLVED that the Southold Town Planning Board set Monday, July 15, 1991 at 7:35 P.M. for a final public hearing on the maps dated September 4, 1990. Very truly yours, Bennett Orlowski, Jr. /~5 Chairman ~JOHN R. 14cNULTY JAMES SPIE$$ WILLIAM C. GOGGINS McNULTY - SPIESS June 18, 1991 EDWARD D. BURKE Mr. Bennet Odowski Chahman of Southold Town Planning Board 53095 Main Road Southold, New York 11971 Re; Line change Application of Mark Davis; Suffolk County Tax Map No. 1000-126.00-09.00-026.002 Dear Mr. Orloski: The purpose of this letter Is to allay the concerns of the Planning Board in connection with a certain right-of-way which begins at the Northerly point of the aforementioned property of Mark Davis and continues Southerly to the Peconic Bay Boulevard. All property owners that abut the right-of-way South of the aforementioned property of Mark Davis have a mere deeded right to use the right-of-way as a means of ingress and egress from their respective properties to the Peconic Bay Boulevard. As evidence of same, enclosed please find a deed to Suffolk County Tax Map No. 1000-126.00-09.00-021.000, Deed Liber 7157 Page 405; and a prior deed to Suffolk County Tax Map No. 1000-126.00-09.00-023.000, Deed Liber 3473 at Page 159. Because Mark Davis' property is at the northern most point of the right-of-way, none of the property owners south of the aforementioned property owned by Mark Davis have a legal right to transcend over the property of Mark Davis in order to gain access to the Peconic Bay Boulevard. Consequently, the line change proposed wffi not effect the abutting property owners. McNULTY- SPleSS ATTORNEYS & COUNSELORS AT LAW If you have any questions or require any additional lnfos's~xation, please do not hesitate to contact the undersigned. Very truly yours, WILLIAM C, GOGGINS WCG/cam Enclosure Land Use June 17, 1991 Town of Southold Planning Board Town Hall, 53095 Main Road P.O. Box 728 Southold, N.Y. 11971 Attn: Mr. Bob Kassner Re: Davis - Mattituck SCTM% 1000-9-26.3 & 18 Dear Mr. Kassner: Please be advised that the right-of-way located at the subject site will remain to the south as access for the Davis, Mastropolo and Ulmet properties. Said right-of-way is currently owned in fee by the Davis' and as such the Davis' are combining the northern section of same into their proposed lot for dwelling construction. As owners of said right-of-way, the Davis' have the right to do this. The owners of the southern lots have no right or need to access the Davis' lot and therefore no document--ation of their "relinquishment" of their right to access same is necessary. Their right of access ends at the terminus of their respective parcels. The same applies for the owners to the north. These owners have the use of Albo Drive to access their driveway and do not have the right or need to cross the Davis' property. Lastly, please note that the Davis' are seeking to assemble two pre-existing, non-conforming lots in order to maximize wetland setbacks. The alternative would be an application for two dwellings with the R.O.W. utilized for access Should you have further questions or require additional information, kindly contact this office at your convenience. Very truly yours, Tanya Lachenmeyer TL/cf 2576 Sound Avenue · Baiting Hollow, New York ° enclosure (516) 727-2400 * FAX (516) 727-2605 cc: John Wielan~ - NYSDEC ~ 1-4739,00246/00001-0 11933 New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 (516) 751-]389 Thomas C. Jorling Commissioner June 7, 1991 Land Use Co. 2576 Sound Av.e Baiting Hollow, N.Y. ]1933 Attn: Tanya Lachenmeyer RE: Application #]-4738-00246/00001-0 Mark & Lisa Davis Dear Ms. Lachenmeyer: I recently discussed the above referenced application with Bob Kassner of the Town of Southold Planning Department. I understand that the "right-of-way" on lot number 2 is to be eliminated. Please send documentation to this Department of the "right-of-way" elimination on lot number 2. Bob Kassner asks that you send the same documentation to him. Thank you for your cooperation. ~'/ ~ Very t~y you~M ~h~ A. Wieland ~e~nior Environmental Analyst JAW/rw cc: M. & L. Davis ,~¥ Kassner file "~ I & i991 PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 14, 1991 SCOTI' L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Tanya Lachenmeyer Land Use 2576 Sound Avenue Baiting Hollow, New York 11933 RE: Proposed lot line change for Mark C. & Lisa C. Davis & Brady S. & Kim Ulmet SCTM# 1000-9-26.3 & 18 Dear Ms. Lachenmeyer: Please send this office proof that all parties with access to that portion of the Right-of-Way that goes through the building envelope on Mr. Davis' property have agreed to relinquish their rights of access. Upon receipt of this documentation, along with all applicable permits from the New York State Department of Environmental Conservation and the Town Board of Trustees, the Planning Board will proceed with this application. If you have any questions, or require further assistance, please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman New York State Department of Environmental Conservation 50 Wolf Road, Albany, New York 12233 Dear RE: LEAD AGENCY COORDINATION REQUEST Thomas C. Jorllng Commissioner o Y- /-'J-'=/ I The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 6!7 the following: 1. Your agency's interest in acting as lead agency; Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed Assessment Form to assist in responding, i?/E~_.~ the. Environmental Project Name: Project Location: -CC 7~m /,~oo --/~-o9- Y- 6% __~ DEC Project Number: /- 97'JZ - DEC Permits: isted SEQR Classification: [ ] Type I Contact Person: DEC ~ //3" [] DEC has nc objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. -2- DEC has no objection to your agency or another agency assuming lead agency status for this action, but we have the following concerns regarding this project (see "comments" below). [ ] DEC wishes to assume lead agency status for this action. [] The proposed action has been identified by DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by It is the position of this Department that your agency, if it has a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments (Optional): ~-~,~ ,~ J~-~ e~- _~ ~ /~// "~ _ lA . · Please ,espond to this request within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DEC or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness To serve as lead agency within 30 days of this letter: We will petition the Commissioner of DEC to designate a lead agency for this action. [ ] We will petition the Commissioner of DEC to designate your agency as lead, presuming you have jurisdiction. Please feel free to contact this office for further information or discussion. cc: (see d;stribu~ion list) JOINT APPLICATION FOR PERMIT U.S.ARM~ COR,"S DE ENG~NEERS,~.'UCAT~O, NO. ~-IARTICLE 1S, TITLE 3 (AQUATIC PESTICIDES CONTROL) [~6NYCRR 327,(AQUATIC VEGETATION) r~6NYCRR 328 (FISH) J"~bNYCRR 32SUNSLCTS} I'~ARTICLE 15, TITLE 15 r~6NYCRR 601 (WATER SUPPLY) 1~6NYCRR 602 (LONG ISLAND WELL) ARTICLE 15, TITLE 27 6NYCRR 666 IWILD, SCENIC AND RECREATIONAL RIVERS~ Unknown 2. APPLICANT IS ~^N .~Owner [:]Operator I-[Lessee [--JMunicipatity/Governmental Ageqcy (Check as many as apply} Mark C. and Lisa C. Davis Box 1493 I ) 734-7824 POST OFEICE J STATE Z~P CODE · Mattituck [ N.Y. 11952 (Check Tan_va Lachenmever/Land~ Use Company 2576 Sound Avenue TELEPHONE (Where can be reached durin~ day) ~727-2400 J STATEN ~J.ziPCOOE · 11933 POST OFFICE Baiting Hollow County Suffolk J Townorcity Southold Town J Village Peconic Bay Blvd. Mattituck STATE J ZIP CODE N.Y. 11952 b. NAME OF STREAM OR I~OD¥ OF WATER I]n-named FWW WILL PROJECT T LIZE STATE LANOf [] Yes 9 PROPOSEDUS~: ,~Privale 10 PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: I 12' FEE OF (NY~' Permit OnIY) [] Public Comme,cial ASAP 6 months from 50. QQ_ commencement Applicant proposes to construct a single family dwelling, attached garage and driveway· SLATE AND/OR LOCAL PERMITS} t~i Yes 14, WiLL THIS PROJECT REQUIRE ADDITIONAL FEDERAL. ~ NO Southold Town Trustees, S.C.D.H.S. & Southold ' Town Department Building 15. CERTIFICATION: I hereby affirm that under penality of perjury that information provided on this form and all attachments submitted herewith is true to the best ol my knowled~le and belief False statements made herein are punishable as a Class A misdemeanor pursuant to Section 21045 of the Penal Law 1/2/91 ~L',.~¥C[. ~ / _~roject Manager 14.t6~4 (2]8?)--Tex~ 12 PROJECT i.D. 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) 1. APPLICANT/SPONSOR Tanya Lachenmeyer/Land Use [ 2. pROJECT NAME · Co. For Mark & T,i~a r~vi.~ Private Residence 3. PROJECT LOCAT4ON: Municipality Mattituck County Suffolk S.C.T.M. ~ p/o 1000-126-09-18, p/o 26.2 & 26.3 (lot 2) , ~:'' 5. I$ ~POSED ACTION; New [] Expansion [] Modification/alteration ,. ~ 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a single family dwellino~, attached garage and driveway. ~ AMOUNT OF ~t, ND AFFECTED: Initially ~ acres Ultimately ~ 8. W~-~. PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? /[~Yes [] NO It NO, describe t~ielly 9. W~T iS PRESENT LANO USE iN ViCiNiTY OF PROJECT? 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGEN(.~Y (FEDERAL, STAT~OR LOCAL)? ~J Yes [] NO I1 yes, list agency(s) and permBJapproyals Southol~ To~ Trustees, S.C.D.H.S. & Southold Town Building Department I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Tanya Lachenmeyer/Land Use for Mark & Lisa Davis Date: 1/2/91 Coastal Assessment Form before proceeding with this assessment OVER PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTI' L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 May 14, 1991 Tanya Lachenmeyer Land Use 2576 Sound Avenue Baiting Hollow, New York 11933 RE: Proposed lot-line change for Mark C. & Lisa C. Davis and Brady S. & Kim Ulmet SCTM91000-126-9-26.3 & 18 Dear Ms. Lachenmeyer: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, May 13, 1991. Be it RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, do an uncoordinated review of this unlisted action. The Planning Board establishes itself as Lead Agency, and as Lead Agency makes a determination of non-significance and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latharn, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance May 13, 1991 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: Proposed Lot-line change for Mark C. & Lisa C. Davis & Brady S. & Kim Ulmet SCTMg: 1000-126-9-26.3 & 18 Location: Private road north of Peconic Bay Boulevard and east of Bray Avenue SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: Lot-line change subtracting 11,132 square feet from a 34,420 square foot parcel and adding it to a 17,636 square foot parcel. Page 2 Mark C. & Lisa C. Davis & Brady S. & Kim Ulmet SEQR Negative Declaration Con't. Reasons Supporting This Determination: An Environmental assessment has been submitted, reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. For Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: (516) 765-1938 cc: David Morrell, DEC Commissioner Judith Terry, Town Clerk Building Department Board of Trustees Applicant AFFIDAVIT STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK ) MARK DAVIS being duly sworn deposes and says: 1. I make this affidavit for the purpose of stating my intentions regarding certain property hereinafter mentioned located at the Town of Southold, County of Suffolk, State of New York and also in support of my application to obtain a building permit for said property. 2. On or about April 28, 1988, I purchased certain property located North of Peconic Bay Boulevard at Mattituck, Town of Southold, County of Suffolk, State of New York and further described as, Suffolk County Tax Map Number 1000-126.00-09.00-026.003. 3. Recently, I made application for a building pe~-~it but was denied because the existence of certain wetlands on this small lot made it impossible to meet the guidelines of the Department of Environmental Conservation, the Suffolk County Health Department, and the Town of Southold. 4. On or about the 10th day of April, 1991, I purchased property located on the west side of the aforementioned property which is currently described as Suffolk County Tax Map Number 1000-126.00-09.00-026.002. The purpose of this purchase was to merge it with the aforementioned property Suffolk County Tax Map # (1000-126.00-0900-126.003), thereby increasing the area of the property. However, the merger of the two properties falls short of the area required for a building permit. 5. My Sister, Klm Ulmet, and her husband, Brady Ulmet, own property located at the west side of my aforementioned properties. They agree to transfer a portion of their property which is designated as Suffolk County Tax Map Number 1000-126.00-09.00-018.000 which is approximately one eighth of an acre. Attached hereto and made a part hereof as Exhibit A is an Affidavit of Klm Ulmet evidencing the agreement. 6. My intent is to merge all three properties; 1000-126.00-09.00- 026.003, 1000-126.00-09.00-026.002, and part of 1000-126.00-09.00-018.00. 7. The merger of the aforementioned properties results in one piece of property the size of Twenty Eight Thousand Seven Hundred Sixty-Eight (28,768) square feet. My advisors inform me that said merger would enable me to lawfully obtain a building pem~it. 8. A copy of the survey indicating the proposed merger is annexed hereto and made a part here of as Exhibit B. ~.~~to before me this of April, 1991. MARK DAVIS STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK ) AFFIDAVIT KIM ULMET being duly sworn deposes and says: 1. I make this affidavit on behalf of my brother, Mark Davis, and his wife who are presently making application for a building permit to the Town of Southold. 2. My husband, BRADY ULMET and I are the owners of certain real property located North of the Peconic Bay Boulevard at Mattituck, Town of Southold, County of Suffolk, State of New York. The property is further described as Suffolk County Tax Map Number 1000-126.00-09.00-018.000. 3. Mark Davis is the owner of two parcels of property that are situated east of a part of my aforementioned property. My brother's properties are described respectively as Suffolk County Tax Map Number 1000-126.00-09.00- 026.002 and 1000-126.00-09.00-026.003. 4. Sometime ago Mark Davis informed me that he was unable to build on his property due to its proximity to certaln wetlands on the eastern side of his property. In order to help Mark Davis, my husband and I will transfer approximately one-eighth of an acre of our aforementioned property so that my brother can obt~lr~ a building permit. KlM ULMET ~SW~aytO before me this of April, 1991. DISTRICT 1000 SECTION 126.00 CONSULT YOUR LAWYER BEFORE Sit ~IGTHIS INSTRUMENT - THIS INSTRUMENT SWLD BE USED BY LAWYERS ONLY THIS INDENTURE, madethe day of February , nineteen hundred and ninty-one BETWEEN John J. McDermott and Arabella S. McDermott, his wife residing at 222 Columbia Drive, Lake Worth, Florida 33460 party of the first part, and Mark Davis, residing at P.O. Box 1493, Mattituck New York 11952 party of the second part, WITNF~SETI'I, that the party of the first part, in consideration of lawful money of the United States, APR 2 4 1991 dollars, paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, :~-L-L- t,.h at--ce r tai ~ -plo~ -pi-eee- ov-pa~-e!- ~f-l~ndr wi~ ~,be~auilgiug~--mad 4ml~r-ov-omeatr, -ther-~n .e r-e~t*ch -~itua~ - b,l. ng-a~d -beiag-l-nq:he- - ALL that certain plot piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituck; Town of BLOCK Southold County of Suffolk and State of New York, bounded and described as 09.00 follows~ LOT 002 ~BEGINNING at a point at the Southeast corner of Lot No. 3, on Map of property 026. of Dan J. Stack at Laurel, Long Island, New York, made by Daniel R. Young, P.E. and L. S., dated July 2; 1926, duly filed in the office of the Clerk of Suffolk County as Map No. 815 on July 30~ 1926; THENCE North 24 degrees 30 minutes and 00 seconds West 402.56 feet to a mon~nent at the northeasterly corner of Lot No. 8 on the above named Map No. 815; THENCE South 43 degrees 31 minutes 50 seconds West along the northerly boundary of said Lot No. 8~ 40.60 feet to a monument; THENCE along the arc of a circle with a radius of 60.13 feet, 94.45 feet~ THENCE North THENCE North THENCE North lands now or THENCE North THENCE South I74ENCE South ~HENCE South THENCE along monument ~ THENCE North 43 THENCE North 43 the boundar~ THENCE South 24 side of Peconic THENCE South 52 I~IENCE South 43 BEGINNING. 11 degrees 19 minutes 00 11 degrees 19 minutes 00 11 degrees 19 minutes 00 formally of A. Johnson~ 67 degrees 20 minutes 00 11 degrees 19 minutes 00 11 degrees 19 minutes 00 11 degrees 19 minutes 00 the arc of a circle with seconds West 3.09 feet to a monument seconds West 282.79 feet to a monument; seconds West 2~28 feet to a boundary of seconds East 15.30 feet; seconds East 2.23 feet to a monument; seconds East 179.30 feet to a monument seconds East 75 feet to a monument. a radius of 29.68 feet, 64-95 feet to a degrees 18 minutes 00 seco.ds East 88.75 feet to a monument; degrees 18 minutes 00 seconds East 3.24 feet to a monument on land now or formally of A.J. Mastropaolol degrees 23 minutes 00 seconds East 438.69 feet to the northerly Bay Boulevard~ degrees 14 minutes 40 seconds West 1548 feet; degrees 23 minutes 20 seconds West 13.18 feet to the point of BEGINNING AND INTENDED TO BE part of the same premises conveyed to the party of the first part by a deed dated the 28th day of February 1968, and recorded in the Suffolk County Clerks Office on the 21st day of May 1968~ in Liber 6350 of conveyances at Page 326. TOGETHER with ali right, ti~ and interest, if any, of the party of part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAYE AND TO HOLD 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 Mil 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 WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: 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 board of directors of said corpora- tion, and that he signed h name thereto by like order. STATE OF NEW YORK, COUNTY OF 5S: On the day of 19 , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that he knows to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and' saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. larga n l ale leeh WITH COVENANT AGAINST GRANTOR'S ACTS TITLE NO. McDermott TO Davis [ANOARD FORM OF NEY/YORK BOARD OF TITLE UNOERWRffERS Dixtribut¢& by CHICAGO TITK~E IN 8URAI~ffCg COMPANY S~C~ION 126. 00 BLOCK 09. O0 LOT 026. 002 COUNTY OR TCWN 1000 Recorded at Request of CHICAGO TITLE INSURANCE COMPANY Return by Mail to McNulty-Spiess 633 East Main Street P.O. Box 757 Riverhead, New York zip No. 11901 APR 2 4 1991 CONSULT YOUR LAWYER BEFORE I~NING THIS INSTRUMENT -THIS INSTRUMENT fI~ULD BE USED BY LAWYERS ONLY 10041 THIS INDENTURI~ made the 8th day of May, , nineteen hundred and eighty-s~ BETWEEN ANGELICA S. SMITH, residing at 6 Lincoln Street, Garden City, New York, 11530, party of the first part, and BRADY S. UI/~T smd KIM Ah~ ULFgT, his wife, both residing at f~4 Fanning Boulevard, Riverhead, New York, 11901, ~' f 3'70?3 party of the second part, r- RECEIVED -- $../~C,.r ........... RE. AL ESTATE 14AY ~1 1986 TRAN~j=ER TAX SUFFOLK COUNTY WITNF.,SSETH, that the party of the first part, in consideration of ~ and 00/100 .................... ................................. ($10.00) ................................ dollars, lawfulmoney of the United States, and other good and val-mble censideratien, paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beingllg:lll~ at Mattituck, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a point which is the northeast corner of Lot No. Eight (8) on Map of property of Dan 'J. Stack at Laurel, Long Island, New York, made by Daniel R. Young, C.P.E. and L.Sd, dated ~July 2, 1926, duly filed in the Office of the Clerk of Suffolk County as Map No. 815 on ~July 30, 192~, and then proceeding South 43 degrees 31 minutes 50 seconds West 40.60 feet to a monument marking the true point of beginning; and THENCE Southwest South 43 degrees 31 along the northwesterly side of said monument; minutes 50 seconds West Lot No. 8, 109.13 feet to a THENCE again Southwest South 43 degrees 37 minutes 30 seconds West 100.18 feet to a monument on the boundary of land now or formerly of W.A. Smith; THENCE North 26 degrees 27 minutes 00 seconds West 87.98 feet to a monument; THENCE North 26 degrees 27 minutes 00 seconds West 2.18 feet; THENCE North 1 degree 37 minutes 50 seconds East 82.10 feet to a monument on the boundary of land now or formerly of K. Tuthill; THENCE again North 3 degrees 31 minutes 30 seconds West 243.19 feet to a monument on the boundary of land now or formerly of A. 'Johnson; THENCE North 67 degrees 20 minutes 00 seconds East 60.24 feet to a right of way; THENCE South 11 degrees 19 minutes 00 seconds East 2.28 feet to a monument on the westerly boundary of said right of way; THENCE South 11 degrees 19 minutes 00 seconds East 282.79 feet along said right of way to a monument on the boundary of said right of way; APR 2 '10M1 P 410 THENCE South 11 degrees 19 minutes 00 seconds East 3.09 feet; THENCE along the arc of a circle having a radius of 60.13 fee~, 94.45 feet to the true point or place of BEGINNING. TOGETHER WITH the benefits of a certain Easement Agreement recorded in Liber 10001', Page 313. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by a deed dated February 28, 1968, and recorded March 21', 1968, in Liber 6350 of conveyances at Page 318; and by a deed dated February 28', 1968, and recorded March 21, 1968, in Liber 6350 of conveyances at Page 320. 10O41 TOGETItF_.R with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETH~..R with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAYE ~I~D TO HOLD the premises herelh ~ranted 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 WITNI~S WHF..REOF, the party of the first part has duly executed this deed the day and year first above written. TE OF NEW ~ YORK, COUNTY OF ST_I~'~. SS: On the 8~h day of May, lg86 , before me personally came to me known to be the individual described in and who esX~ted the foregoing instrument, and acknowledged that executed the same. NOI~Y P~LIC $1DHI!7 A. LITIMAN HOTARY PUBLIC, STATE OF NL'~/YORK NO. 02LI14608802 - SUFFOLK COUN'IY TERM [IPIR£$ MARCH 30, 1~7 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 board of directors of said corpora- tion, and that he signed h name thereto by like order. STATE OF NEW YORK, COUNTY OF On the day of personally came 19 SS: , before me to me known to be the individual described in and Who executed the foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK, COUNTY OF SS: On the day of 19 , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that he knows ; to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said wimess, at the same time subscribed h name as witness thereto. Bargain ale WITH COVENANT AGA GRANTOR' TITLE NO. 121-S-2199 BRADYS.~' / CHICAGO ' SECTION BLOCK '~LOT 126.00 / /K[18.000 TOWS of Southold Recorded at Requ~t ~ TITLE INSURANCE GOMPANY ~.h~, 130 P.O. Box 7_= Riverhead tO & H~efeli, Esqs. zip No. 11901 i 2061 PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latharn, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 April 17, 1991 Tanya Lachenmeyer 2576 Sound Avenue Baiting Hollow New York 11933 RE: Proposed lot line change for Mark C. & Lisa C. Davis & Brady S. & Kim Ulmet SCTM# 1000-9-26.3 & 18 Dear Ms. Lackenmeyer: The Planning Board has received your proposal. The following items need to be addressed before the Board can proceed: The purchase of the right- of- way by Mr. Davis from Mr. McDermott must be completed and the deed sent to the Planning Board. The deed for the Ulmet property must be sent to the Planning Board. An affidavit of merger must be completed by Mr. Davis. (An example of a merger affidavit is enclosed for your use.) A letter approving of the change must be submitted by Brady S. & Kim Ulmet. (An example is enclosed for your use.) The names and addresses of the owners of both parcels must be on the map. The map must be corrected to show part of the right-of-way as merged with the Davis property and the remainder as owned by Mr. Davis. If you have any questions, or require further assistance, please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman enc. To the pLANNING BOARD of the TOWN of SOUTHOLD FRANCIS P. ~ and BERNICE J. A ~X', being duly sworn, depose and say: THAT we are the owners of an improved parcel of land in Peconic, New York which is a part of certain lands shown on a map entitled "Map of Acres of Diamonds Inc." filed in the Suffolk County Clerk's office on June 12, 1933 as Map No. 1128 and which was deeded to us by deed dated 8/16/69, recorded 8/28/69 in Liber 6613 page 321. THAT we agree to merge a 12' x 162' more or less parcel adjoing our property to the north with the present parcel if the Planning Board approves the lot 1' e change. Sworn to before me this day of )~//~' , 19 ~ Bernice J.~ ~ To the PLANNING BOARD of the TOWN of SOUTHOLD The undersigned, the owners of property located on a private road off Soundview Avenue in Peconic, New York, an area shown on the Map of Acres of Diamonds Inc., Suffolk County File No. 1128 do hereby appr~e of the proposed lot change in which a 12' parcel by 162' plus or minus will be deeded to the adjoining property owners, FRANCIS p. and BERNICE J. × x ~, o The adjoining property owner has agreed to pay a consideration-which I feel is fair and reasonable. Peconic, New York / Isabelle C. K ~A~. Sworn to before me this /~day of November, ]989. Notary P ,u31 i c IRIS R. 8EGORA No~a~ Public, State o~ New York No. 4844751 Ouatified in Suf~oJk Courl~ Commission Expires Jan, 31o Land Use March 21, 1991 Town of Southold Planning Department 53095 Main Road P.O. Box 1179 Southold, N.Y. 11971 Re: Proposed Lot Line Change Davis - Mattituck To Whom it May Concern: Enclosed please find a completed Part I of the Full Environmental Assessment Form prepared for the project as referenced above. Should you have any questions or require additional information, kindly contact this office at your convenience. Very truly yours, Tanya Lachenmeyer TL/dm Eric · 2576 Sound Avenue · Baiting Hollow, NewYork · 11933 (516) 727-2400 ° FAX (516) 727-2605 1'4-16-2 (2/87)--7c 617.21 SEQR Appendix A State Environmental Quality Review ~' FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full FAF is designed to 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- ly, 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 technical[), expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of 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 EAF Components: The full 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: Focuses 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: If any impact in Part 2 is id(~ntified as potentialJy-large, then Part 3 is used to evaluate whether or not the impact is actually important. ?- 6 199l DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: ~ Part 1 [] Part 2 I-Ipart 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 importance 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 in PART 3 have been required, therefore a CONDITIONED 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 of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of F~'~arer (If different from'resp~)nyble officeri 3/12/91 Date 1 PART 1--PROJECT INk-~RMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effec on the environment. Please complete the ent re form, Parts A through E. Answers to these questions will be considere- as part of the application for approval and may be subject to further verification and public review. Provide any addition~ information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAr will be dependent on information currently available and will not involw new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specif~ each instance. NAME OF ACTION LOCATION OF ACTION (Include Street Address, Municipality and County) Peconic Bay Blvd., Mattituck NAME OF APPLICANT/SPONSOR Tanya Lachenmeyer/Land Use Company ADDRESS 2576 Sound Avenue BUSINESS TELEPHONE (516) 727-2400 CITY/pO Baitin~ Hollow NAME OF OWNER (If diffe~nt) ADDRESS Box 1493 STATE I ZIP CODE N.Y.I 11933 BUSINESS TELEPHON£ (516) 734-7824 CITY/PO Mattituck STATE I ZIP CODE N.Y. 11952 DESCRIPTION OFACTION Please see attached project description Please Complete Each Question--Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: I-)Urban Olndustrial ~lForest [2)Agriculture 2. Total acreage of project area: .7 acres. APPROXIMATE ACREACE Meadow or 8rushland (Non-agricultural) Forested A§ricultural (Includes orchards, cropland, pasturb, etc.) Wet)and (Freshwater or tidal as per Articles 24, 25 of ECL) Water Surface Area Unve§etated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) Landscaping I-ICommercial ~]Other ~esidential (suburban) [:]Rural (non-farml PRESENTLY AFTER COMPLETION 0 acres 0 acres · ~9 acres .53 acres 0 acres 0 acres fll acres (ll acres fi acres fl acres 0 acres 0 acres 0 acres ,09 acres 0 .07 acres acres 3. What i,; predominant soil type(s) on project site? _c~C at Sod drainage: ~WeJJ drained 99 % of site ~ModerateJy well drained % of site [~Poorly drained 1 . % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY Land Classification System? acres. (See I NYCRR 370). 4. Are there bedrock outcroppings on project site? I-lYes I'-INo ~" a. What is depth to bedrock? -600+ (in feet) 2 DAVIS - MATTITUCK PROJECT DESCRIPTION Applicant proposes to add 11,132 s.f. to Tax Lots 126-09-26.2 and 126-09-26.3 from Tax Lot 126-09-18 to allow proposed dwelling, driveway and sanitary system to conform to Town of Southold and N.Y.S.D.E.C. wetlands setback of 75'. 5.. Approximate percentage of propose ject site with slopes: ,[~0-10% 100 % r-I10-1 r~15% or §reater 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? [-Wes ~''. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? E3Yes ]~No 8. What is the depth of the water table~0'-13' [in feet) 9. Is site located over a primaryl principal, or sole source aquifer~ r~Yes 1~o 10. Do hunting, fishing or shell fishin§ opportunities presently exist in the project area~ I--lYes J~No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? t-lYes I~o According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) I-lyes '~No Describe 13. Is the projact site presently used by the community or neighborhood as an open space or recreation area? I-lYes ~[No If yes, explain 14. Does the present site include scenic views known to be important to the community~ DYes I~No ' 15. Streams within or contiguous to project area: Horton Creek: a. Name of Stream and name of River to which it is tributary Great Peconic C 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17. Is the site served by existing public utilities? ~Yes I-1No a) If Yes, does sufficient capacity exist to allow connection? ~Yes b) If Yes, will improvements be necessary to allow connection? DYes 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 2S-AA, Section 303 and 304~ C]Yes I~o 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article of the ECL, and 6 NYCRR 617~' ~]Yes [~r'No 20. Has the site ever been used for the disposal of solid or hazardous wastes? I-lYes ,,,~]No C B. Project Description 1. Physical dimensions and scale of project {flu in dimensions as appropriate) a. Total contiguous acreage owned or controlled by. project sponsor 1.2 b. Project acreage to be developed: .7 acres initially; .? c. Project acreage to remain undeveloped _ 0 acres. d. Length of project, in miles: n,/a (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed n/a %; f. Number of off-street parking spaces existing 2 ; proposed _ 4 (.ToY, 1 & 2) g. Maximum vehicular trips generated per hour 4 (upon completion of project)¢ h. If residential: Number and type of housing units: (Lot 1 & 2) One Family Two Family Multiple Family Initially 1 Ultimately 2 i. Dimensions (in feet) of largest proposed structure _ * height; 4'7' width; j. Linear feet of frontage along a public thoroughfare project will occupy is? 0 3 *less than 35' acres. acres ultimately. (To~ ~2) 65' length. ft. Condominium (i.e., rock, earth, etc.) will be removet~from the site? 0 2. How much natural 3. Will disturbed areas be rec aimed? [qYes i-]No I~/A a. If yes, for what i ' ntendec purpose is the site be ng reclaimed? b. Will topsoil be stockpiled for reclamation? DYes I-lNo c. Will upper subsoil be stockpiled for reclamation? [-]Yes F-INo 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 acres. S.' Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project~ l-i-lYes [~(No ' 6. [f single phase project: Anticipated period of construction 7. If mu[ti-phased: n/a a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 c. Approximate completion date of final phase d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? DYes 9. Number of jobs generated: during constr, ucti0n 5 10. Number of jobs eliminated by this project 0. 11. Will project require relocation of any projects or facilities? tons/cubic yar .d's.' months, (including demolition). month year, (including demolition). month . year. l-l-lyes [3No ; after project is complete 0 D-lYes ~;~ro If yes, explain 12. Is surface liquid waste disposal involved? ~lYes [~No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? [~.Yes [3No Type ~nn~-~ry Rfflu~nt-. 14. Will surface area of an existing water body increase or decrease by proposal? f-lYes ~'No Fxplain 15. Is project or any portion of project located in a 100 year flood plain? 16. Will the proiect generate solid waste? ~,Yes []No a. If yes, what is the amoun't per month .01 tons b. If yes, will an existing solid waste facility be used? [~fes DNo c. If yes, give name Southold Town Landfill ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain nNo Southold' ~AIo 17. Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? _ 18. Will project use herbicides or pesticides? DYes [-]Yes l~'No tons/month. years. ~]No 19. Will 20. Will 21. Will project result in an increase in energy use? 'l~,Yes i-INo If yes , indicate type(s) electricity and heating oil 22. If water supply is from wells, indicate pumping capacity. 10 23. Total anticipated water usage per day 300 gallons/day. 24. Does proiect involve Local, State or Federal funding? I-lYes If Yes, explain project routinely produce odors (more than one hour per day)? [:]Yes [~No project produce operating noise exceeding the local .ambient noise levels? D-lyes gallons/minute. ~'No 4 ~25. Approvals Required: City, Town, Village Board [DYes r-lNo City, Town, Village Planning Board ~]Yes f-lNo City, Town Zoning Board [DYes I-INo City, County Health Department l-lYes I-1No Other Local Agencies E]Yes I-INo Other Regional Agencies I-lYes [-1No State Agencies I-lyes r-INo Federal Agencies I~Yes I-INo C. Zoning and Planning Information Submittal Type Date Trustees 1/2/91 Lot line change gan~tary System ]/21/91 Pendinq 1/2/91 1. Does proposed action involve a planning or zoning decision? EYes f-INo If Yes, indicate decision required: E]zoning amendment [Dzoning variance I-Ispecial use permit r-%ubdivision [2]site plan E]newlrevision of master plan r-lresource management plan I-lother Lot line change 2. What is the zoning classification(s)of the site? R-40 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 2 single family dwellings 4. What is the proposed zoning of the site? R-40 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 2 single family dwellings 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? [DYes 7. What are the predominant land use(s) and zoning classifications within a ¼ mile radius of proposed action? Sinqle family residences, residential ~No L 8. Is the proposed action compatible with adjoining/surrounding land uses within a '~ mile? [DYes [3No 9. If the proposed action is the subdivision of land, how many lots are proposed? n/a a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? I-lYes ["]No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? [-[Yes [3No a. If yes, is existing capacity sufficient to handle projected demand? [-[Yes I--INo 12. Will the proposed action result in the generation of traffic significantly above present levels? [DYes i-INo a. If yes, is the existing road network adequate to handle the additional traffic? [DYes [DNo D. Informational Details Attach any additional information as may be needed 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 miff§ate or avoid them. E. Verification I certify that the information provided above is true to the best ol~ my knowledge. Applicant/Sponsor Name Tanya Lachenmeyer/Land Use for Mark & Lisa Davis Date .3/13/91 If the action is in/he Coastal Area, and you are a state agency, complete the Coastal Assessmenl Form before proceeding wilh this assessment. ' 2~PROJECT IMPACTS AND MAGNITUDE Responsibilily of Lead Agency General Information (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not 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 impact 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 thresh.old of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds 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 locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. · The number of examples per question does not indicate the 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. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impa,ct. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, 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 mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. , IMPACT ON LAND 1. Will the proposed action result in a physical change to the project site? [:]NO [:]YES Examples that would apply to column 2 · Any construction on slopes of 15% or greater, (15 foot rise per 100 foot of length), or where the general slopes in the proiect area exceed 10%. · Construction on land where the depth to the water table is less than 3 feet. · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface. · Construction that will continue for more than I year or involve more than one phase or stage. · Excavation for mining purposes that would remove more than 1,000 tons of natural material (i.e., rock or soil) per year. · Construction or expansion of a sanitary landfill. · Construction in a designated floodway. · Other impacts 2. Will there be an effect t:....,y ur~,que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)E-]N~) (=]YES · Specific land forms: 6 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] I-lyes [-]No [] [] []Yes I~No L--] [] OYes []No [] [] I-lYes []No [] [] []Yes r-]No [] [] []Yes []No [] [] []Yes []No [] [] []Yes E3No [] [] []Yes I--1No [] [] []Yes [~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, ECL) [=]NO [:]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 freshwater or tidal wetland. · Other impacts: 4. Will proposed action affect any non-protected existing or new body of water;~ ~INO I-lyES Examples 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~ r~NO r~YES 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 any contamination of a water supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveyed 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 cau:~e siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natur&i conditions. · Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · Other impacts: 6. Will proposed action alter drainage flow or patterns, or surface water runoff;? I-INO F-lYES £xamples that would apply to column 2 · Prop~'~ed Action would change flood water flows. 7' ~r 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] l-lYes r"lNo [] [] []Yes []No [] [] []Yes []No [] [] /-]Yes []No [] [] []Yes [] [] l-lYes []No [] [] []Yes []No [] [] []Yes []No [] [] []Y~s []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes I--~No [] [] []Yes []No [] [] []Yes []No [] [] ,,~[-I~ Yes []No [] [] [~Yes []No [] [] []Yes []No [] [] []Yes · Proposed Action may ca~se 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 I-lyES 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 more than I 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 in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON'PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endan§ered species? ONO ~]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 site. ' 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: ' Will Proposed Action substantially affect non-threatened or non-endangered species? [:]NO E]YES Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? ONO I~YES Examples that would apply to column 2 The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 Small to Moderate Impact [] [] [] [] [] [] [] [] [] [] [] [] [] [] 2 Potential Large Impact [] [] [] [] [] [] [] [] [] [] [] [] 3 Can Impact Be Mitigated By Project Change J-~Yes F]No E]Yes ['-]No E]Yes Ohio I-lyes F~No I-lYes' i']No r-lyes i~No OYes nNo [~Yes l-]No [~]Yes r-]No OYes fi]No I'-IYes L--~No [~Yes [-]No [~Yes ['-]No E]Yes k-]No ['~ Yes [~]No [~Yes I-]No [~Yes i-]No · 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 Agricultutal District, more than 2.5 acres of agricultural land. · The proposed action.would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? DNO I-lYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply 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 u'ses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? I-INo I-lYES Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYS Site Inventory. · Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13 Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities~' Examples that would apply to column 2 r~NO ~YES ~ The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community. · Other impacts: 9 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []Ho [] [] F'lyes []No [] [] I-"iyes []No [] [] []Yes []No [] [] OYes []No [] [] []Yes. DNo [] [] I-lYes ~No [] [] []Yes []No ~ ~ DYes ~ ~ ~Yes' ~No ~ ~ ~Ves D ~ ~Yes ~o ~ ~ DYes DNo IMPACT ONI~ANSPORTATiON 14. Will there be an effect to existing transportation systems? Examples that would al~ply to column 2 ONO []YES · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in major traffic problems. · Other impacts: ~ IMPACT ON ENERGY 1.5. Will proposed action affect the Community's sources of fuel or energy supply~ Examples that would apply to column 2 []NO E3YES · 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 energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. · Other impacts: NOISE AND ODOR IMPACTS 16. Will there he objectionable odors, noise, or vibration as a result of the Proposed Action~ Examples that would apply to column 2 ~]NO OYES · Blasting within 1,500 feet of a hospital, school or Other sensitive facility. · Odors will occur routinely (more than ~ne hour per day). · Proposed Action will produce operating noise exceeding the local ambient noise levels for noise outside of structures. ' Proposed Action will remove natural barriers that would act as a noise screen. Other impacts: IMPACT ON PUBLIC HEALTH 7. Will Proposed Action affect public health and safety~ ONO E3YES Examples that would apply to column 2 Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, 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 in the burial of "~'-- ~ ,, -,~araous wastes in any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. Other impacts:'__ 10 1 Small to Moderate Impact O O 2 Potenti Large Impact [] O O O O [] [] [] [] O O 0 0 [] Impact Be Mitigated By Project Change []Yes ONo OYes ONo []Yes ONo []Yes ONo OYes ONo OYes ONo OYes ONo OYes ONo [~Yes ONo OYes []No OYes E]No []Yes ONo []Yes ONo [~]Yes ONo L-lYes ON0 OYes ONo IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD ~,. 18. Will proposed action affect the character of the existing community? ~]NO C1YES Examples that would apply to column 2 · The permanent population of the city, town or village in which the project is located is likely to grow by more than 5%. · The municipal budget for capital expenditures or operating services will increase by more than'5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures ° or areas of historic importance to the community. · Development will create a demand for additional community services (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for future projects. · Proposed Action will create or eliminate employment. · Other impacts: I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []No [] [] []Yes 'l-~ No [] [] ~. I'lYes []No [] [] []Yes []No [] [] J--lyes []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 I~YES C 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 of 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. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe Of applicable) how the impact could be mitiga.ted or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. 1o answer the question of importance, consider: · lhe probability of the impact occurring · lhe duration of the impact · Its irreversibility, including permanently lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · Whether known objections to the project relate to this impact. (Continue on attachmentsJ 11 ,4-,,-,, (~ s7)-9c 617.2! SEQR " Appendix B State Environmental Quality Review Visual EAF Addendum This form may be used to provide additional information relating to Question l 1 of Part 2 of the Full EAF, (To be completed by Lead Agency) Visibility 1. Would the project be visible from: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? · An overlook or parcel of land dedicated to public observation, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the National or State Registers of Historic Places? · State Parks? · The State Forest Preserve? · National Wildlife Refuges and state game refuges? · National Natural Landmarks and other outstanding natural features? · National Park Serx;ice lands? · Rivers designated as National or State Wild, Scenic or Recreational? Distance Between Project and Resource (in bliles) O-'A ~A-I/2 1/2-3 3.5 5+ [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] · Any transportation ~:orridor 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? · Localroad? [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] 2. Is the visibility of the project seasonal? (i.e., screen'ed by summer foliage, but visible during other seasons) I-lYes FlNo 3. Are any of the resources checked in question I used by the public during the time of year during which the project will be visible? I-lyes OHo DESCRIPTION OF EXISTING VISUAL ENVlRONMEN 4. From each item checked in question 1, cheek those which generally describe the environment. surrounding Within '1/4 mile '1 mile Essentially undeveloped [] [] Forested [] [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River, Lake, Pond [] -1--] Cliffs, Overlooks [] [] Designated Open Space [] [] Flat [] [] Hilly [] [] blountainous . [] [] Other [] [] NOTE: add attachments as needed 5. Are there visually similar projects within: '1/2 mile r-]Yes []No *1 miles []Yes E~No *;! miles []Yes []No *3 miles '[]Yes []No * Distance from project site are provided for assistance, Substitute other distances as appropriate EXPOSURE 15. The annua~ number 6f viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is Activity Travel to and from work Involved in recreational activities Routine travel by residents At a residence At worksite Other FREQUENCY Holidays/ Daily Weekly Weekends Seasonally APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD LEGAL NOTICE SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York ! 1971 Fax (516) 765-1823 Telephone (516) 765-1800 NOTICE IS HEREBY GIVEN, pursuant to Section 267 of New York Town Law and the Code of the Town of Southold, the following public hearings will be held by the SOUTHOLD TOWN BOARD OF APPEALS at a Regular Meeting, at the Southold Town Hall, 53095 Main Road, Southold, NY 11971, on FRIDAY, MARCH 22, 1991: 7:32 p.m. Appl. No. 4008 - TONY AND MARIE KOSTOULAS. Variance to the Zoning Ordinance, Article XXIV, Section 100-239.4A, Section 100-244B, and Section 100-242A for permission construction which will decrease total side yards and reduce yard setback from bluff along the Long Island Sound. Location of Property: 1035 Aquaview Avenue, East Marion, NY; County Tax Map District 1000, Section 21, Block 02, Lot 013. 7:35 p.m. Appl. No. 4006 - ERIC AND MARY ANN ALEXANDER. (Recessed from February 22, 1991) Variance for addition to dwelling with an insufficient side yard setback. Location of Property: South Side of Peconic Bay Boulevard, Laurel, NY; County Tax Map Designation: 1000-128-04-020. 7:38 p.m. Appl. No. 3988 - ANTONIO VANGI. Variance to the Zoning Ordinance, Article XXIV, Section 100-244 and Article XXIII, Section 100-239.4A for permission to construct garage Page 2 - Board of ~-~eals Notice of Hearings Regular Meeting - March 22, 1991 addition with a setback of less than 100 feet from the top of the bluff along the Long Island Sound and with side yards at less than the required 15 and 20 feet. The dwelling as exists is nonconforming as to total sideyards, and the lot area and width are nonconforming in this R-40 Zone District. Location of Property: 645 Glen Court, Cutchogue, NY; County Tax Map Designation: 1000-83-1-17. 7:47 p.m. Appl. No. 4013 (V.A.F. Inc., Current Owner). determination confirming or recognizing of this vacant lot for the purposes of obtaining a building permit for a single-family dwelling use in accordance with the zoning code bulk set-back regulations under Article XXIV, Section 100-244. The subject lot is known and referred to as Lot 50 on the "Map of West Creek Estates," filed on August 19, 1963 as Map No. 3848, and as exempted from lot area and width requirements (Section 100-12). Location of Property: North Side of Glenn Road, Southold, NY; County Tax Map Designation: 1000-78-2-7. 7:50 p.m. Appl. No. 3998 - HENRY AND MARY RAYNOR. (Current Owners: Mr. and Mrs. Albert Mastropaolo). ~~ (1) for approval of access as required by New York Town Law, Section 280A over private right-of-way extending off the north side of Peconic Bay Boulevard, Laurel, to premises identified as County Tax Map Designation 1000-126-04-1, 2, 5; and (2) to the Zoning Ordinance, Article IIIA, Section 100-30A.3, requesting relief under the bulk area requirements - CARMINE AND VENUSTA CARNEVALE Application requesting review and Page 3 - Board of ~' pea~s Notice of Hearings Regular Meeting - March 22, 1991 of the proposed northerly parcel of 30,162 sq. ft. and the proposed southeasterly parcel of 27,062 sq. ft. The subject land is located in the R-40 Zone District, and is also shown on the "Map of A.L. Downs" as Lots No. 24, 25, 26, 27, 28, 29, 30. Containing a total combined area of 1.43+- acres. 7:55 p.m. Appl. No. 4005 - THOMAS KELLY and NANCY IANNICELLI. (Recessed from February 22, 1991). Variance to locate garage in an area other than the required rear yard at 2725 Wells Avenue (or Wells Drive per assessment records), Southold; 1000-70-4-16. 8:05 p.m. Appl. No. 4007 - JOHN F. GARRY. Variance to the Zoning Ordinance, Article III, Section 100-33 for approval of accessory gazebo structure in an area other than the required rear yard. Location of Property: 1285 Breakwater Road, Mattituck, NY; County Tax Map Designation: 1000-106-8-48. 8:10 p.m. Appl. No. 4009 - ALEX HOMAYTJNI, CHARLES KAPOTES, AND OTHERS. Variances to the Zoning Ordinance under Article XXIV, Section 100-244B, and Section 100-243A, for permission to construct additions and accessory building: (1) exceeding the maximum lot coverage requirement for all structures/buildings, (2) increasing or enlarging, and reconstructing the existing nonconforming two-family building. (Nonconformities of the subject premises are: lot area, both front yards, and two-family use in this R-40 Zone District. ) Location of Property: Corner of Goldin Avenue and Sound View Avenue, Page 4 - Boar~ of ~' peals Notice of Hearings ~ Regular Meeting - March 22, 1991 Southold, NY; County Tax Map Designation 1000-135-2-22, 16, 17, 18, 19, (all as one tract of land for purposes of zoning). 8:30 p.m. Appl. No. 3981 Variances to the Zoning Ordinance, Article III, Section 100-30A(1), and Section 100-3 for approval of principal (second) dwelling unit, on second floor over existing antique sales shop and residential apartment. (Subject premises is nonconforming as to the current regulations applicable to lot area, parking and landscaping, and building setbacks in this Limited Business (LB) Zone District.) Location of Property: Corner of Main Road and Bay Avenue, Cutchogue, NY; County Tax Map Designation: 100~-85-3-2.1. The Board of Appeals will at said time and place hear any and all persons or representatives desiring to be heard in each of the above matters. Written comments may also be submitted prior to the conclusion of the subject hearing. Each hearing will not start before the time allotted. Additional time for your presentation will be available, if needed. For more information, please call 765-1809. Dated: March 7, 1991. BY ORDER OF THE SOUTHOLD TOWN BOARD OF APPEALS GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski Land Use March 21, 1991 Town of Southold Planning Department 53095 Main Road P.O. Box 1179 Southold, N.Y. 11971 Re: Proposed Lot Line Change ~Davis - Mattituck ~ To Whom it May Concern: Enclosed please find a completed Part I of the Full Environmental Assessment Form prepared for the project as referenced above. Should you have apy questions or require additional information, kindly contact this office at your convenience. Very truly yours, Tanya Lachenmeyer TL/dm Enc. 2576 Sound Avenue · (516) 727-2400 Baiting Hollow, NewYork · 11933 · FAX (516) 727-2605 TRUSTEES John M. Bredemeyer, 1II, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 TO: FROM: RE: DATE: Planning Board Board of Trustees Mark and Lisa Davis SCTM 91000-126-9-p/o26.2 February 7, 1991 The Southold Trustees have before them a wetland permit application in the above referenced matter. The Trustees do not have a problem with a subdivision of this parcel given the apparent 75' (Seventy Five Foot) wetland set back, but can only process a wetland permit application after the appropriate subdivision approvals have been obtained from the Planning Board and/or Zoning Board of appeals. Please let this office know when the necessary approvals have been obtained. JMB: j mt enc. cc: Land Use Company ZBA FEB - 7 iggl TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone ( 516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SC )'Ir L. HARRIS S/~rvisor Town all, 53095 Main Road LO. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 January 28, 1991 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No.126-9-p/o19, 26.2 & 26.3 for a wetland application submitted by Land Use Co. on behalf of Mark and Lisa Davis. Please note that this property is not subdivided and we will not grant any approvals until such time that it is given the proper Planning Board approvals. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jt 2 9 1991 TRUSTEES John M. Bredemeyer, Ill, President Henry P. Smith. Vice President Albert J. Krupski, Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516) 765-1892 " .~ ~... 5~ ............ P.O. Box 1179 , I O~,:N Gr SOUT~.~Id, New Yor~ 11971 BOARD OF TOWN TRUS~a E~x (516)765-1823 TOWN OF SOU~OLD Telephone (516~ 7~- i~ Town Hall, 53095 Main Road APPLICATION IS HEREBY M~DE TO THE TOWN TRUSTEES, TOWN OF SOL"i"dOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE COD~ O~ THE TOWN OF SOUTHOLD. APPLICATION NO. APPLICANT" S NAME: Mark C. & Lisa C. Davis DATE 1/2/91 TEL. NO. 734-782q ~4AILING ADDRESS: Box 1493, Mattituck, N.Y. 11952. AGENT: Tanya Lachenmeyer/Land Use Company AGENT ADDRESS: 2576 Sound Avenue, Baiting Hollow, N.Y. TEL NO. 727-2400 11933 PERMIT REQUESTED TO: Applicant proposes to construct a single family dwelling, attached garage and driveway. LOCATION OF PROPERTY FOR REQUESTED PERMIT: Peconic Bay Blvd., Mattituck TOWN: Sout. h~ld T~%m. Ma%~i ~.u~k TAX MAP NO: 1000- 126-09 p/o lS. p/o 26.2 & 26.3 CREEK, BAY OR HARBOR FRONTING PROPERTY: N/A SIZE OF PROPOSED WORK: LENGT]q-:: Max. 66' WIDTH: Max. 47' 2 9 1991 App .~age 2. YDS. TO BE EXCAVATED: n/a YDS. TO BE FILLED: n/a MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: n/a WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: n/a DEPTH AT LOW TIDE: n/a AVER. RISE IN TIDE: n/a DISTANCE TO NEAREST CHANNEL: n/a DISTANCE PROJECT EXTENDS BEYOND SIMILA~R PROJECTS IN AREA: AREA ZONING: Residential 'IS PROJECT FOR PRIVATE OR 5US. USE: Private INTENDED USE OF PROPERTY: Sinqle Family dwellinq DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: Unknown HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: no HA~ ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVER~MF-,NTAL no AGENCY: DESCRIBE FULLY THE REHABILITATION OF PROPERTY: n/a DESCRIBE PROPOSED CONDITION OF PROPER~"f AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: Property shall be improved with a single family residence. ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: no WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: enclosed COUNT~ OF SUFFOLK ) STATE OF NEW YORK ) Tanya Lachenmeyer/Land' Use for Mark C. & Lisa C. Davis BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, TItEIR AGENT OR REPRESENTATIVE, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ NOTARY PUBLIC DAY OF January , 1991 EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 14-16.4 (2/8~--Text 12 pROJECT LD. NUMBER i 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) pROJECT NAME 1. APPLICANT/SPONSOR Tanya ~chenmeyer Private Residence 3. PROJECT LOCATION: Municlpality ~/ctituck County Suf fo1}c 4. PRECISE LOCATION (Street address and road Inter.e~tlons, prominent landmarks, etc., or provlcle map) $.C.T.H. ~ p/o 1000-126-09-18, p/o 26.2 & 26.3 (lot 2) 5. IS POSED ACTION: [] Mocllflc&tion~alteratlon Applicant proposes to construct a single family d~elling, attached garage and driveway. 7. AMOUNT OF LAND AFFECTED: Initially ~ acres Ultimately ~ acres W~-~. PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? -~' ~Yes [] No If No, ~esc~i~be ~ielly -~ W.H. AT IS PRESENT LAND USE IN VICINITY OF PROJECT? 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STAT~E..O R LOCAL)? ~Yes [] No If yes, list agency(a) and pecmlUapprov&la Sou~hold To~ Trustees, S.C.D.H.S. & Southold Town Building Department DOES ANY ,~S?ECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL';' 12. AS A RESULT O_~PROPOS£D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODiFICATiON? I CERTIFY THAT THE ~NEOI~4AnON PROVIDED A~OVE ~$ TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUs~onsor na~~nya ~che~yer~nd Use for ~rk & Lisa ~vis cate: 1/2/91 S[gnat~;e; If Coastal ~sessment Form ~tore pr~eding w~th thru assessment ~ OVER ' 1 PART II--ENVIRONMENTAL A$$~=SSMENT (To be completed by Agency) L DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes, coordinate the review p,u~,~&s and use the FULL FAF. · [] Yes [] No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED F~R UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 I1 NO, a negative dOcs&ration [] vas [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste proUuction or disposal, potential lor erosion, drainage or flOOding problems? Explain bdelly: C2. Aesthetic, agricultural, archaeOlOgical, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as olficially adopted, or a change in use or intensity of use of land or other natural rseourcse? Explain hnell! C5. Growth, subsequent development, or related activities likely lo be InduCed by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effeOts not identified in Cl-C57 Explain briefly. C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? [] Yes [] No If Yes, explain brlelly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) entitled above, determine whether it is substantial, large, important or otherwise significant. INSTRUCTIONS. For each adve?~ ef~,fnenctni~,l~n with its (al setting (, o urban or rural); iD) probability of occurring; fo) duration, Each affect should be assesse<3 m ~ ............ · ' irrevers~bility; (el geographic scope: and {fl 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. [] 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: S~,[lu~-e ~T-R~'~Ie Oflicer in Lead Asency Title of Responsible Officer 5isnature of Preparer (If different from responsible N/OIF GERARD BOHLANDER (VACANT) NIOI~ 'T N/O/F DORIS MARKOFF (VACANT} N/O/F DORIS MARKOFF (OWELLING) .FE N/O/F N E 4.0' SAND OSCAR ~ tO,EftA (DWELLING~ ' VACANT) ~o~ N/O/F WALLACE A. SUFFOLK COUNTY DEPARTM~T ~ H~L~ S~VICES FOR AP~OVAL OF CONS~UC~N ~Y ELEVATIONS ARE REFERENCED TO N.G.V.D. BUILDING ZONE DISTRICT SCHOOL DISTRICt' FIRE DISTI~ICT APPROVED Prepared in accordarm~ with the ~ standards for title surveys as established by the L.IA.L,S. and approved a~d adopted for such use by The New York State Land Title Aseoclatlon. SITE KEY MAP SCALE I"= 200' / TOTAL AREA -- 52,058 SO. FT. OR 1.195ACRES = 23,288 AREA LOT ~-~ PlO 1000-126-09- 18 AREA LOT ~ PlO 1000-126-09-18 = 11,132 sq. ft PlO 1000-126-09-26.2=- 2.7005q. ~T.. 1000-126-08-2E~3= 14,936- 0'q~ sq. ft. 28,768 sq. ff. MAP OF PROPOSED L 0 T L/NE CHANGE PROPERTY A T MA T TI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. - 126 09 18 & 26.3 & P/026.2 Scale 1" = 40' ' '~r Sept. 4, 1990 S LIC. NO. 49618 R - 40 MA TTITUCK MA TTITUCK APPLICANT: MARK DA VIS BOX 1498 MA TTITUCK, N.Y. 11952 ~YORS, P.C. P.O. BOX 909 MAIN ROAD SOUTHOLDI N.Y. 11971 90- 271 iOiF \ (OWe- N/O/F GERARD S. '~ BOHLANDER ('VACANT) N/O/F DORIS MARKOFF (VACANT) DORIS MARKOFF (DWELLING) N/OB OSCAR & LORET~ MARC~L~O (D WELL IN6,~ N '-C 0 0 HORTON CREEK GOH5c" ALSER~T . & ANN SITE KEY MAP SCALE I"= 200' SAND S E TOTAL AREA = 52,0B8 SQ. FT. OR AREA LOT ~ PlO 1000-1;6-09- 18 AREA LOT ~ PlO PlO = 23,288 I000-126-09-2~2= 2,7=,0~q. 'fT.. I000-126~08-2~3= 14,9385q~ ft 28,768 #q~ ft. MAP OF PROPOSED LOT LINE CHANGE PROPERTY A T MA T TI TUCK TOWN OF SOUTHOLD 195 ACRE$ SUFFOLK COUNTY, N. K 1000 - 126 09 - 18 & 26.3&. P/026.2 Scale I = 40 Sept, 4, 1990 "* / ,,R, D,ST =T (D WEL LING) \ NIOIF ~ (DWELLING) ~ DA-- Xl ' ' ' ~eyatema ~ ~ re~e ~ e~ arm Prepared in ac~or~ ~ ~ ~ ELEVA TIONS'ARE REFERENCED TO N.G.V.D. standards for title surveys aa Title Aeao=iation. % / BUILDING ZONE DISTRICT ~'~ SCHOOL DISTRICT R - 40 MA TTITUCK MAT~TUCK .... AppROVED I~Y PLANNING TOWN OF $OU'iHOLD DATE ,I APPLICANT, MARK DA VIS BOX 1495 MA TTITUCK, N ~ 11952 LIC. NO, 4961~ P MAIN ROAD $OUTHOLD~ N Y. 11971 90- 27~ N/O/F ~ERARD ~ BONLANDER (VACANT) NIO/F DORIS MARKOFF (VACANT) DORI6 MARKOFF (DI4/ELLING] NIO/F '~ OSCAR & LORETTA MARCELLINO (D WELL iN(~''~ oF ~:=~ ~s pEG - ALBERT j. & ANN MA S rROPOL O TION N S SITE KEY MAP E SCALE 1"= 200' / TOTAL AREA = 52,0~6 SQ. FT. OR AREA LOT ~ PlO 1000-126-09- 18 = 23,288 sq. ft. AREA LOT ~ PlO 1000-126-09-18 = 11.132 sq. ft P/O 1000-129-09-262-.=. 2,7~,0~S~. 'f~.. 10004129-09-26.3= 14,936 sq. ft. 28,768 sq. ft. MAP OF PROPOSED L (9 T L/NE CHANGE PROPERTY A T MA T TI TUCK ;.195 ACRES 90- 271 0~0 KS LIC. NO. 49618 Prepared in ac=ordanc~ wf~h the ~ ELEVATIONS ARE REFERENCED TO N.G.V.D. I standardsf°rtitlesurve'ysaseatabliahed ~%0 ~0~ -~ by the LIA.L.S. and approved actd adopted the Io=atldne of welle mid eeaepoola shown hereon are from field SOUTHOLD~ N.Y. 11971 (DWELLING) \ tVACANT N/O/F (DWELLING)\ SUFFOLK COUNTY DEPARTMENT OF H~LTH S~CES BUILDING ZONE DtSTRICT R- 40 SCHOOL DISTRICT MA TTITUCK . FIRE DISTRICT MA TTITUCK / APPLICANT ~ / ~'~. MARK DAVIS / Iv BOX 149S ~ (~6) 7~ - ~o2o ~ P.O. BOX 909 ~ S~ ~/ u~c ~t~=~ MAIN ROAD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y 1000 126 - ' ' _ 09 - 18 & 26.3&.PI026.2 ~'Ca/ " - ' ' e I - 40 Sept. 4, 1990 May 28, 1991(add DEC wetlands) -- -- I. , o""" '~ .E~ . ~ ' .--' ~.~ ~ I ~_ ~ \~/. ~ ~ SCALE I = 200 ' ,$. , . It ~c*'"" * ~ Ld NI ' ' ~ , . , ~ PlO ~-~ 2Z~. ~. DoRIs MA~OFF ~ k' ~ ~' ~ ~ . ,, ~ 4~ =e,,zee ~ ff. I ' I~_~ ~ ~'~ ~ ~XX x ~ ~.~ % MAP OF PROPOSED I -- ~ ~ ~ ~ MASTROPOLO , ~ ,~ ......... . -- _ , ~~[~,.~ ' ~ ~-~ /.~ ,/.4~_ ~ I TOWN OF $OUTHOLD I ' [I ~ ~: W;~" X" "~" / . s ~, , I WALLACE A. '~ ~$~4CK Jr 4 ~ ~; ' ~. , APPLIGANT x ~4 V ' ~X 14~ ~.,.~v~[~m~ ~ / .{ / ~ I1:t~ IIIIII/ 0,~.'.,,~.~. ,~...,.r..,~,.,.~--, / ~' / ~~Ul ~- e ~ I~11 ,~ ~t~ If ~ ~ C~ty / ~ / //~ "~ ~II~OB TOWN I I · .. . / Pg~d ~ ~t~ ~ ~ ~ ELEVA TI~S' ARE REFE~CED; TO m,G,V.D. / ~ / , - ' PE~~YORS, P.C. by the~A.L.~d~proved~dadepted rh~loo.~ofw,~a~o~wnMr,on~.tr~ ~ ~ J~ Il, ;e~/ ~=, =~-e ~ O. BOX 909 I for ~u~,~uee by TheNew Yo~ateLa d . ~ / ~__, ~r) ....... ~ ROAD I Title Aeeqo?etion. / ~, ~ ~2 / ~-c w~;~n~ SOUTHOLD N.Y. l~71 , I " '"' '' ' ~- 271 ' "~" ~' ~ , ~ ~' / SCALE I'- 200' N/Om ' ~ ~ ~ --~ ~ - ~1,_ ~. ~ ~ I ~. ~ . ~ ~" ~ ~ I ~ ~ E A~ LOT ~ I~ ~ _ ,.,., ~ ~~ ~ ~ ~ ~.~,~.,, MAP OF PROPOSED . t~., '.'" N,O,~ ~,~, ~% ~..,..~ ~.o. LOT LINE CHANGE _ _ ,,.,, [- PROPERTY , ~ 11,?,; ~ ~ ~7~. ~4 ~ ~ ~ / TOWN OF SOUTHOLD N/O/~ ~ ~1~;" ~, ~ ~';~ /_,;-~'" './ '" SUFFOLK COUNTY, N. Y. ~ . ~ ~ ,' ~ ' ~ ~ ~ ~ mae ~ ,, , , , - -- ~ -- ,.. ' , ~ , ~ · · ~ , -- .--= SCHOOL DISTRICT MATT/TUCK , ' N/O/F ~ (DWELLINa) X,O~:,~' . ~/ ' ~ ~OAN ~. ~, N/O/~ ~ w~r~~ ~ ~ / ~, MARK DA ~ ~A ......~ BOX 7498 ,.~. v ~ · ~ "' ~ ~. / 4v .~.~. ~ , , / ~ ~ ~.r.s. uc. ~o. Prepared in aeeOlu,..~e ~ ~ ~ EL~VA TI~S ARE REFERENCED~ TO ~.G.V.D. / ~ ~ ~ - ' ~~RV~ by the &.[A.L.S. and~proved~dadopted Thelooat~naofw~l~d~o~a~wn~reon~efroef~ ~ / d~ I/, /q~? b~=. c~ ~ ~ 0 BOX 909 for such use by The New York Stats Land obaerwtieM ~ w ~e~ ~ta eet~d ~ o~ra, ~ / ..... ~ ........ ~ ~ R~AD 90- £7~