HomeMy WebLinkAbout1000-141.-2-21.2 THIS MINOR SL)BDIVISION IS FOR 3 LOTS ON ~.q~5~ ACRES LOCATED ON
SCTM# 1000- Iq/-$- q-I, ~-
~__ MINOR SUBDIVISION (NO ROAD)
Co.mple,te application r. eceived
Application reviewed at work session
Applicant advised of necessary revisions
Revised submission received
Sketch plan approval -with conditions
Lead Agency Coordination
SEQRA determination
Sent to Fire Commissioner
Receipt of firewdl location
Notification to applicant to include on final map
Sent to County Planning Commission
Receibt of County Report
Review of SCPC report
Draft Covenants and Restrictions received
Draft Covenants and Restrictions reviewed
Filed Covenants and Restrictions received
Receipt of mylars and paper prints with
Health approval
Final Public Hearing
Approval of subdivision
-with conditions
Endorsement of subdivision
.'I~$ i/l//%o
This 'is 1o certify thai the subdivisiOq plan has been
by the planning board of lhe Town o! Soulhold by resolution
al oppr~-d~led ~_/,~ - ~,7 ~-~, ·
t hereby cerlify /ho/ this map was made from ac/ua/ surveys
~hown thus ~ hereon actually exisl and their positions ore
correclly shown and oll dimensional and Geodetic details'
John' T. Mefzg~ N.Y.S. LIC. NO. 4961B
The wafer supply and sewage disposal facilities for all
lois in this developmenl will comply with lbe standards '
and requiremenls of fha Suffolk County Deparlmenf of
Health.
A DECLARATION OF COVENANTS AND RESTRICTIONS
HAS BEEN FILED IN THE SUFFOLK COUNTY CLERK'S
OFFICE WHICH AFFECTS LOTS IN THIS SUBDIVISION
LIBER 11578 PAGE 381 ·
TEST HOLE
KEY MAP
PARKING
PROVIDED 3~ tpace~
STALLS ~0'~0'
OWNER/APPLICANT
RO~ER T D, HAMILTON
P.O. BOX 201
PECOI~C, N K 11958
TOTAL AREA = 3.4958 ACRES
AREA LOT 1 = 55,663 sq ft.
AREA LOT2 = 61,225 sq ft.
AREA LOT 3 = 35,389 sq. ft.
~LEVA nONS · ~OOOED AREA FROM FIVE ~STERN
TOWNS TOPOGRAPHIC MAP
GROUND WA TER MANAGEMENT ZONE
LOT ~ 1.41 acres x ~OOg. fi.d, = 4E~ g.p.d. '
CHURCH - 50 seels ~ 1.5 g.p.d./seet
MOBILE HOME 300 g.p.d.
375 g.p.d.
EXISTING SEPTIC SYSTEMS
CHURCH - ~- 8'¢ ~ 8' deep L,P.s
= ~02 tq. fl. sld,,e, wall or,,eo n 1.5g~.sq, ff. = 603 g.p.d.
MOBILE HOME - I-~ x B deep L.P.
MINOR SUBDIVISION FOR
ROBERT D. HAMIL TON
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000-141-02-21.2
Scale: 1"= 100'
Feb. 5, 1992
.TYPICAL SEWAGE DISPOSAL SYSTEM
ROAD
TYPICAL PLOT R. AN
BUILDING ZONE DISTRICT
SCHOOL DISTRICT
FIRE DIS TRIC T
R-40
9
30
Prepared in accordance wilh lhe minimum
slondards for lille surveys os esloblished
by lhe L.LA.L.S. and approved and adopted
lot such use by The New York Stole Land
Tille Association.
(51
P.O. BOX 909
MAIN ROAD
SOUTHOLD~ N.Y. 119,71
L/C, NO.
4961
91-265A
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
April 13~. 1993
Robert D. Hamilton
200 Smith Drive South
Southold, New York 11971
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM9 1000-141-2-21.2
Dear Mr. Hamilton:
The following took place at a meeting of the Southold
Town Planning Board on Monday, April 12, 1993:
The final public hearing which was held at 7:30 P.M. was
closed.
The following resolution was adopted:
WHEREAS, Robert D. Hamilton is the owner of the property
known and designated as SCTM9 1000-141-2-21.2, located on the
northwest side of C.R. 48; 102.31 feet southwest of Westphalia
Avenue in Mattituck; and
WHEREAS, this minor subdivision to be known as the minor
subdivision for Robert D. Hamilton, is a Cluster Subdivision of
3 lots on 3.4958 acres; 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 April 6, 1992; and
WHEREAS, a final p~blic hearing was closed on said
subdivision application at the Town Hall, Southold, New York
on April 12, 1993; 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 approve
and authorize the Chairman to endorse the final surveys dated
April 8, 1993.
Enclosed please find a copy of the map which was endorsed
by the Chairman. The mylar maps, which were also endorsed by
the Chairman, must be picked up at this office and filed in the
office of the County Clerk. Any plat not so filed or recorded
within sixth (60) days of the date of final approval, shall
become null and void.
Please contact this office if you have any questions
regarding the above.
cc:
Building Department
Board of Assessors
Sincerely,
Richard G.~ard
Chairman
115 8 381
DECLARATION OF COVENANTS AND RESTRICTIONS
THIS DECLARATION made this/'7 day of September, 1992, by RobertlD.
Hamilton residing at 200 Smith Drive South, Southold, New York, 11971 h*e?~{~'
referred to as the DECLARANT, as the owner of the PREMISES described in
Schedule "A"annexed hereto (herein referred to as the PREMISES) desires to
subdivide said premises. The Southold Town Planning Board has agreed to allow and to
grant the subdivision of the premises provided that the following covenants and
restriction are imposed. Declarant agrees to the imposition of the covenants and
restrictions imposed by the said planning board and in consideration of said approval
hereby agrees to restrict the use and enjoyment of said PREMISES and has for such
purposes imposes and hereby declares that said PREMISES shall be held and shall be
conveyed subject to the follOwing covenants and restrictions:
1. There shall not be any vehicular ingress or egress on Middle Road C.R. 48 for
Lot #1.
2. All storm water run-off resulting from the development and improvement of this
sub-division or any of its lo~s shall be retained on the site by adequate drainage
structure so that it will not flow out into the right of way of Middle Road C.R. 48 or
into Mattituck Creek.
3. Clearing and grading within Lots and 1 and 3 shall be limited to that necessary
for sitting and constructing a house with the intent of preserving as much as the natural
vegetation on the site as possible to minimize storm water run-off and erosion.
4. Lot #1 shall not have access on to Kenny's Road 48. Access for this Lot shall be
from Westphalia Avenue only.
All buildings on Lot #2 must be affiliated with the Church.
There should be no further sub-division of any lot in perpetuity.
request of the then owner of
a maioritv Dlusi one of the Plar~nin~ ~Bo~rd.,pf th
afte~ a p~b~ic ihearing. Adjoin[1Qnr~ p~°ne~'og~nown
titled to noticie of such public hearinq but the
such modificatibn shall not be required.
ss !LK) . rsonal~ came p. obe~t D. l-lam{Itoh,
; '. :
,.c~,~ ¥ OF SuFFO . ~ ma~ before me pe . _~,,~ the foregoing
to ~e ~ow~ to u ~- ~~
instrument ~d ac~Owleg~ that he ex~Ut~ same.
State of New Xork
St
an
SCIIEDULE A
(Description o1' prcraLses)
~thatcertain~t~pi~ce~rparc~f[and~with~hebui~dingsandhnpr~v¢m¢ntsther:~n¢rected~uatc~
lying and being in thc
at Mattitucik, Town of Southold, county of
~uffolk and State of New York, more particularly bounded and
described as follows:
BEGINNING at a point ion the curved northerly line of
Middle Road (C.R.27) 306.3i1+ feet westerly along said
northerly line from the wels~erly line of Westphalia Avenue,
said point of beginning being the southwesterly corner of
other lands of Hamilton (known as Lot No. 1 on proposed
Subdivison of Map of Rober!t D. Hamilton presently being
submitted to the Southold !Town Planning Board for its review
and permission to divide),i from said point of beginning;
RUNNING THENCE wester!ly along the northerly line of
Middle Road on a curve to ithe right having a radius of 1799.86
feet a distance of 294.+ ~eet to a monument;
THENCE along said ~o~therly line, South 34 degrees 48
minutes 43 seconds West, 46.57 feet to lands now or formerly
of Swanson;
THENCE still along said land, North 67 degrees 36 minutes
00 seconds West along said land of Swanson, 161.41~ feet to a
point;
RUNNING THENCE northerly along other lands of Hamilton
71.+ feet to a point;
-- RUNNING THENCE north~asterly along the said other lands
of Hamilton 103.+ feet to a point and lands now or formerly of
Byrnes;
RUNNING THENCE along lands of Byrnes South 67 degrees 39
minutes 30 seconds East, 22.5+ feet to a monument;
RUNNING THENCE along sai~ lands North 22 degrees 20
minutes 30 seconds East 159.78 feet to a monument and land now
or formerly of Morris;
RUNNING THENCE along said land of Morris, South 67
degrees 39 minutes 30 seconds East, 54.67 feet to a monument;
THENCE along through other land of Hamilton, South 67
degrees 39 minutes 30 seconds East, 192.~ to the point or
place of BEGINNING.
Being and intended to be lot number 2 on the Proposed
Subdivision Map of R6bertlD. Hamilton presently being
submitted to the Southold Town Planning Board for its review
and permission to divide, a copy of which is attached hereto
and made a part hereof.
11~75P~384
EDSON & BRUER ESQS,
Main
P.O. Box 1466
Southold, NY 11971
~66l ~ AON
115 8Pg351
DECLARATION OF COVENANTS AND RESTRICTIONS
THIS DECLARATION made this ["] day of September, 1992, by Robert D..
Hamdton residing at 200 Smith Drive South, Southold, New York, 11971
referred to as the DECLARANT, as the owner of the PREMISES described ¢i,J
Schedule "A"annexed hereto (herein referred to as the PREMISES) desires tb
subdivide said premises. The Southold Town Planning Board has agreed to al~qw~t0
grant the subdivision of the premises provided that the following covenants and
restriction are imposed. Declarant agrees to the imposition of the covenants and
restrictions imposed by the said planning board and in consideration of said approval
hereby agrees to restrict the use and enjoyment of said PREMISES and has for such
purposes imposes and hereby declares that said PREMISES shall be held and shall be
conveyed subject to the following covenants and restrictions:
1. There shall not be any vehicular ingress or egress on Middle Road C.R. 48 for
Lot #1.
2. All storm water mn-off resulting from the development and improvement of this
sub-division or any of its lots shall be retained on the site by adequate drainage
structure so that it will not flow out into the right of way of Middle Road C.R. 48 or
into Mattituck Creek.
3. Clearing and grading within Lots and 1 and 3 shall be limited to that necessary
for sitting and constructing a house with the intent of preserving as much as the natural
vegetation on the site as nnqelhlt- to ,'~:--'--~ '
STATE OF NEW YORK
SS.:
County of Suffolk
I, EDWARD P. ROMAINE, Clerk of the County o! Suffolk and Clerk of the Supreme Court of the State
of New York in and for said County (said Cgurt being a Court of Record) DO HEREBY CERTIFY that
I have compared the annexed copy of ,(~/-t.d.o~ .3 ~- t'
of the whole thereof.
have hereunto set my hand and affixed the sea~ of said County
~N TESTIMONY WHEREOF, I 19
and Court this o.9.5'-day of ",,q 0-.tr-- /~'~g~' ~"'; Clerk.
Form No. 104
-'1,
SOUTHUL,., ?,.. ,
11578P 382
STATE OF NEW YORK )
: SS:
COUbrrY OF SUFFOLK)
On the }'~ day of September 1992, before me personally came Robert D. Hamilton,
to me known to be the individual described in and who executed the foregoing
instrument and acknowleged that he executed same.
State of New York
R~JDOLPH H. BRUER
Note",' 9,:~lic State of New Ya~
No ~ ~ , ~'65530, Suffolk Coul'~t
Corn '~ - ~.~ .~ £xp~res March 30,
Pdd~r'~"~rnay bcu{cd with Slandatd NYBTU Fori~
~{, rev. 11/78
X 5 87 ,383
SCHEDULE A
(Description of Premises)
that certain plot, piece or parcel of Land, with the buildings and improvements thereon erected, shuatc,
lying and being in thc
at Mattituck, Town of Southold, County of
Suffolk and State of ~ew York, more particularly bounded
described as follows:
and
BEGINNING at a point on the curved northerly line of
Middle Road (C.R.27) 306.3~+ feet westerly along said
northerly line from the weSTerly line of Westphalia Avenue,
said point of beginning being the southwesterly corner of
other lands of Hamilton (known as Lot No. 1 on proposed
Subdivison of Map of Robert D. Hamilton presently being
submitted to the Southold Town Planning Board for its review
and permission to divide),ifrom said point of beginning;
RUNNING THENCE westerly along the northerly line of
Middle Road on a curve to the right having a radius of 1799.86
feet a distance of 294.+ fget to a monument;
THENCE along said ~ortherly line, South 34 degrees 48
minutes 43 seconds West, 66.57 feet to lands now or formerly
of Swanson;
THENCE still along said land, North 67 degrees 36 minutes
00 seconds West along saidiland of Swanson, 161.41+ feet to a
point; --
RUNNING THENCE northerly along other lands of Hamilton
71.+ feet to a point;
RUNNING THENCE northeasterly along the said other lands
of Hamilton 103.~ feet to a point and lands now or formerly of
Byrnes;
RUNNING THENCE along lands of Byrnes South 67 degrees 39
minutes 30 seconds East, 22.5+ feet to a monument;
RUNNING THENCE ~long sai~ lands North 22 degrees 20
minutes 30 seconds East 159.78 feet to a monument and land now
or formerly of Morris;
RUNNING THENCE along said land of Morris, South 67
degrees 39 minutes 30 seconds East, 54.67 feet to a monument;
THENCE along through Other land of Hamilton, South 67
degrees 39 minutes 30 seconds East, 192.+ to the point or
place of BEGINNING. --
Being and intended tolbe lot number 2 on the Proposed
Subdivision Map of Robert D. Hamilton presently being
submitted to the Southold Town Planning Board for its review
and permission to divide, a copy of which is attached hereto
and made a part hereof.
R~dcr° . ch maybcuscdwith$~andurd NYBTUFor. )41,rev. 11/78
115 87 383
SCilEDULE A
(D~scriptioa of Prcmi.scs)
A.[I ~hut certain plot, picc¢ or parcel of [and, with the buildings and improvements thereon erected, ~iluatc,
lying and being in thc
at Mattituck, Town of Southold, County of
Suffolk and State of ~ew Yo~rk, more particularly bounded and
described as follows:
BEGINNING at a point o!n the curved northerly line of
Middle Road (C.R.27) 306.31+ feet westerly along said
northerly line from the westerly line of Westphalia Avenue,
said point of beginning being the southwesterly corner of
other lands of Hamilton (knQwn as Lot No. 1 on proposed
Subdivison of Map of Robert! D. Hamilton presently being
submitted to the Southold TOwn Planning Board for its review
and permission to divide), from said point of beginning;
RUNNING THENCE westerly along the northerly line of
Middle Road on a curve to the right having a radius of 1799.86
feet a distance of 294.+ feet to a monument;
THENCE along said ~ortherly line, South 34 degrees 48
minutes 43 seconds West, 66~57 feet to lands now or formerly
of Swanson;
THENCE still along sai~ land, North 67 degrees 36 minutes
00 seconds West along said land of Swanson, 161.41+ feet to a
point; --
RUNNING THENCE northerly along other lands of Hamilton
71.~ feet to a point;
RUNNING THENCE northeasterly along the said other lands
of Hamilton 103.+ feet to a point and lands now or formerly of
Byrnes; --
RUNNING THENCE along lands of Byrnes South 67 degrees 39
minutes 30 seconds East, 22.5+ feet to a monument;
RUNNING THENCE along sai~ lands North 22 degrees 20
minutes 30 seconds East 159.78 feet to a monument and land now
or formerly of Morris;
RUNNING THENCE along said land of Morris, South 67
degrees 39 minutes 30 seconds East, 54.67 feet to a monument;
THENCE along through otlher land of Hamilton, South 67
degrees 39 minutes 30 seconds East, 192.+ to the point or
place of BEGINNING. --
Being and intended, to bie 'lot number 2 on the Proposed
Subdivision Map of RObert D.'i Hamilton presently being
submitted to the Southold ToWn Planning Board for its review
and permission to divide, a copy of which is attached hereto
and made a part hereof.
T
11 78 884
EDSON & BRUER ESQS.
Main Rc.~d
P.O. Box 1466
Southold, NY 11971
· u'~'~o:ll
~661 ~g AON
14-:16-2 12/87)--7c
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FO
SEQR
Purpose: The full EAF is designed to help applicants and agencies determine, in an c
or action may be significant. The question of whether an action may be significant is n(
ly, there are aspects of a project that are subjective or unmeasureab[e. It is determine
significance may have little or no formal knowledge of the environment or may be technically 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 FAF 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 identified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important.
DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions
Identify the Portions of EAF completed for this project: [] Part I [] Part 2 []Part 3
Upon review of the information recorded on this CAF (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 signif'icant 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 Preparer (If different from responsible officer)
Date
PART 1--PROJECT IN, )RMATION
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered~-~
as part of the application fol' ~approval and may be subject to further verification and public review Provide anyadditiona!~.
informatio~..y~.9~.~.~will,~be needed to complete Parts 2 and 3.
It is ex~ll~l~m~mpletlo)n of the full EAF will be dependent on reformation currently
available
and
new Stuches, research ~'C~'h,;~tigation. If information requiring such additional work is unavailable, so indicate and specifv
each instance.
NAME OF ACTION
LOCATION OF ACTION (Include Street Address, Municipality and County)
NAME OF APPLICANT/SPONSOR
ADDRESS
BUSINESS TELEPHONE
(.,)76) ?~, £' J'.5" ~-J-
CIT~/PO ; ZIP CODE
NAM~OFOWNER (if different) I BUSINESS TELEPHONE
ADD~ESS
CITY/PO I ST--A~-- ~CODE
DESCRIPTION OF ACTION
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 ~lndustrial
E3Forest I~Agriculture
2. Total acreage of project area: ~'/~J ~'. acres.
APPROXIMATE ACREAGE
Meadow or Brushland (Non-agricultural)
Forested
Agricultural (Includes orchards, cropland, pasture, etc.)
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL)
Water Surface Area
Unvegetated (Rock, earth or fill)
Roads, buildings and other paved surfaces
Other (indicate type)
3. What is predominant soil type(s) on project site?
a Soil drainage:
IqWell drained % of site
[~Poorly drained __ % of site
E~Commercial
E~Other
J~Residential [suburban)
PRESENTLY
l~//~-__ acres
~! 4 acres
-- t~'/! '~ ' acres
__ ~/& . acres
~ _ acres
~/' ~ __. a~r~
~ / t~ acre5
[~Rura[ (non-farrnl
AFTER COMPLETION
.......... acres
.......... acres
............... acres
........... acres
............ acres
.......... acres
........... acres
~Moderately well drained ........ % of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS ~,..C
Land Classification System? acres. (See 1 NYCRR 370)
4. Are there bedrock outcroppings on prolect site? ~Yes [2~'No
a. What is depth to bedrock? (in feet)
5. ,~ppr~ximate percentage of proposed projec~e with slopes: .~-10% __ */~ []10-15% %
I~15% or greater . %
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National
Registers of Historic Places? I~Yes
~7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ~Yes ~o
8. What is the depth of the water table? (in feet)
9. Is site located over a primary, principal, or sole source aquifer? gYes
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ~Yes
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
~Yes ~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}
~Yes ~o Describe
13. Is the project Cite presently used by the community or neighborhood as an open space or recreation area?
E]Yes j~No If yes, explain
14. Does the present site include scenic giews known to be important to the community? E3Yes ENo
15. Streams within or contiguous to project area: ¢r
a. Name of Stream and name iof River to which it is tributary
16. Lakes, ponds, wetland areas within or contiguous to project area:
a. Name
17. Is the site served by existing public utilities? J~'Yes I~No
a) If Yes, does sufficient capacity exisi to allow connection?
b) If Yes, will improvements be necessary to allow connection?
b. Size (In acres)
[~¢es I~No
E3Yes [2f'N o
18. Is the site located in an agricultural~,district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? E~Yes [~'No
19. Is the site located in or substantially c~ntiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL, and 6 NYCRR 6177 E]Yes [2¢No
20. Has the site ever been used for the dbposal of solid or hazardous wastes? E]Yes [2f'No
C
B. Project Description
1. Physical dimensions and scale of projeqt (fill in dimensions as appropriate)
a. Total contiguous acreage owned oi controlled by project sponsor
b. Project acreage to be developed: i j~/j~l acres initially; '
c. Project acreage to remain undeve!oped Kl/~' ' acres.
d. Length of project, in m.i]es: /V/~I (If appropriate)
e. If the proiect is an expansion, in'di(~ate percent of expansion proposed %;
f. Number of off-street parking spaces existing ; proposed
g. Maximum vehicular trips generated[ per hour /V~//~ ' (upon completion of project)?
h. If residential: Number and type of Ihousing units:
One Family Two Family Multiple Family
Initially J
Ultimately
i. Dimensions {in feet} of largest propqsed structure _ll~//J¢ height; __ width;
j. Linear feet of frontage along a public thoroughfare project will occupy is? /~//~ ft.
3
acres.
acres ultimately.
Condominium
length.
2. How much natural
3. Will disturbed areas be reclaimed? []Yes E3No [N/A
a If yes, for what intend ,. purpose is the site being reclaimed? _
b. Will topsoil be stockpiled for reclamation~ [2]Yes r~No
c. Will upper subsoil be stockpiled for reclamation? E3Yes
erial (ie, rock, earth, etc)will be remo~ ~ from the site? __~]~ __ tons/cubic yards
(
year, (including demolition).
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site* ~___~j:F__ acres
5. Will any mature forest (over 100 years old) or other locally-important vegetation be ten }ved by this project?
[]Yes [~No
6. If single phase project: Anticipated period of construction ~[[?r months, (including demolition).
7. If multi-phased:
a. Total number of phases anticipated ~ /~c (n~mber)
b. Anticipated date of commencement phase 1 _ ~:r month
c. Approximate completion date of final phase ill1 I¥ month
d. Is phase I functionally dependent on subsequent phases? iX]Yes E~No
8. Will blasting occur during construction? [~Yes [~o
9. Number of jobs generated: during construction I~ ~.~-~ _; after project is complete
10. Number of jobs eliminated by this proiect _
11. Will project require relocation of any projects or facilities? ~Yes ~'J~o If yes, explain
12. Is surface liquid waste disposal involved? [Yes [~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 (~No Type
14. Will surface area of an existing water body increase or decrease by proposal?
Explain
15. Is project or any portion of project located in a 100 year flood plain? [~Yes
16. Will the project generate solid waste? [~Yes E~o
a. If yes, what is the amount per month tons
b. If yes, will an existing solid waste facility be used? ~Yes E}No
c. If yes, give name ; location
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill?
e. If Yes, explain
~
[11 N o
17. Will the project involve the disposal of solid waste? E3Yes ~No
a. If yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? _ years
18. Will proiect use herbicides or pesticides? E]Yes ~o
19. Will project routinely produce odors (more than one hour per day)? ~JYes ~No
20. Will project produce operating noise exceeding the local ambient noise evels~ [~Yes
21. Will project result in an increase in energy use? [Yes [~o
If yes , indicate type(s)
22. If water supply is from wells, indicate pumping capacity J~ t~ gallons/minute
23. Total anticipated water usage per day gallons/day
24. Does project involve Local, State or Federal funding? [Z]Yes [~No
If Yes, explain
4
25. Approvals Required:
City, Town, Village Board ~CYes J;~No
City, Town, Village Planning Board Z~es I~No
City, Town Zoning Board [~fes ~lNo
City, County Health Department [~Yes [~o
Other Local Agencies [Yes I~No
Other Regional Agencies I~Yes ~No
State Agencies []Yes ~No
Federal Agencies [Yes 171No
C. Zoning and Planning Information
Submittal
Type Date
1. Does proposed action involve a planning or zoning decision? J~es I~No
. If Yes, indicate decision required:
[zoning amendment [zoning variance I~special use permit [~ubdivision [~site plan
[]new/revision of master plan ~resource management plan ~other
2. What is the zoning classification(s)of the site? ~- ~
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
4. What is the proposed zonin~ of the~ sitet ~-~O '
5. What is the maximum potential development of the site if developed as permitted by the proposed zoning?
6. Is the proposed action consistent wil~h the recommended uses in adopted local land use plans? [~es
7. What are the predominant land use(Z) and zoning classifications within a ~¼ mile radius of proposed action?
[No
C
8. Is the proposed action compatible!with adjoining/surrounding land uses within a *~ mile? [~es
9. If the proposed action is the subdivision of land, how many lots are proposed?
a. What is the minimum lot size proposed? ~ ~¢ ~ .
10. Will proposed action require any au!thorization(s) for the formation of sewer or water districts? [Yes
11. Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)? ~lYes J~No
a. If yes, is existin§ capacity sufficient to handle projected demand? I~Yes I~No
12. Will the proposed action result in the generation of traffic significantly above present levels? ~]Yes
a. If yes, is the existing road network adequate to handle the additional traffic? []Yes
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 mitigate or
avoid them.
E. Verification
I certify that the infor~tion provided above is true to the best of my knowledge.
Applicant/Sponsor Name '~.~&/~-~ ~.
Signature . _[~,bi_,'~ /I~ .~-,.~Z'//~ Title
If the action is in the Coastal Area, and you are a state agency, complete lhe Coastal Assessment Form before proceeding
with lhis assessment.
5
General Information (Re,~d C~rc full~)
· In completing the form t~( r*,vie'n~ s~ 3 (1 !)c :; ~ i: d ti~. H!st:,: ~ ,:~ , ~ ~ md determinations beel~
· Identifying that an impact will b t ::otc ~tl l[[F ~ 2~ ,{o[ J~tm 2 do~:s (.i ~ e ~ ~ ~ necessarily significant.
asks that it be looked at r~rther.
magnitude that would trigger a res[on*( ~r c)lu ~ [he ex,~rnFl]~ ar? ~enor, I , .*):J~uh;~ {hrougt]out the State and
for a Potential Large Impact response thus requ Hn~,, e~aluaq~)r in Par ~
· The impacts of each pro~ect, on eaci] silo, in e]~h o(aiitv wdl w~l~ ~herd~),, :~,~ ,~s~p[es are illustrative and
· In identifying impacts, consider long term, short term and (um!ative eftects
I.slrudio.s (Read carefully)
a, Answer each of the 19 questions m PART 2 Answer Yes if thole wi[I be any irnl ~,'
b. Maybe answers should be considered as Yes answers
c. If answering Yes to a question then check ~he appropriate box (column 3 or 2) fo indiJ.~t~] the potential size of the
impact. If impact threshold equals or exceeds any example provided, check column 2 ]~ ~mpact 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 poLenHallv I~ r[;e and proceed to PAR[ 3
e. If a potentially large impact checked in column 2 can be mitigated bv change(s) in the proiect to a smaJi 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
I. Will the proposed action result in a physical change to the project site?
J~'NO L~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 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 c~ntinue 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 umque or unusual land forms found on
the site? (i.e., cliffs, dunes, geological formations, etc.)[~NO [~YES
· Specific land forms:
1
Small to
Moderate
Impact
2 Can lm3pact Be
Potential
Large Mitigated By
Impact Pro eot Change
~3Yes L~No
L~Yes
6
(-
IMPACT ON WATER
3. Will proposed action affect any water body desisnated as protected?
(Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL
F~NO 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? []NO OYES
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 e!xceeds 10 acres of surface area.
· Other impacts:
5. Will Proposed Action affect surface or groundwater
quality or quantity? ~]NO []YES
£xampies 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 (proi~ct) 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 conveye ] off the site to facilities which presently
do not exist or have inadequate capacity.
· Proposed Action would use water in excess of 20,000 gallons per
day.
· Proposed Action will likelv cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious visual
contrast to natural conditions.
· Proposed Action will require the storage of 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? [NO OYES
£xamples that would apply to column 2
· Proposed Action would change flood water flows.
7
I ~ 2 3
Small to Potential ,Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes []No
[] [] []Yes E-]No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes [~]No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] E~Yes E3No
[] [] [~Yes []No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existing drainage patterns
· Proposed Action will allow development in a designated floodway
· Other impacts:
IMPACT ON AIR
7. Will proposed action affect air quality? ;~NO []YES
Examples that would apply to column 2
· Proposed Action will induce 1,000 or more vehicle trips in any given
hour.
· Proposed Action will result in the incineration of 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 wi[[ 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? j~O [~YES
£xamples 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:
9. Wi]] Proposed Action substantially affect nomthreatened or
nomendangered species? ~O [~YES
Examples that would apply to column 2
· Proposed Action would substantially interfere with an,/ 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
reso rces?
10 Will the Proposed Action affect agricultural land ,r~,O
[YES
[xamples 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)
Moderate
Gan Impact Be
Mitigated By
Project Change
[] FZ
.~Yes
'~_-iYes ~ndo
'~Yes ~No
~Yes ~]No
'~ Yes ~No
2Yes []No
-~Yes ~No
~Yes
~]Yes [~No
l-~No
~Yes ~No
~-~ 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? .r~o []YES
(If necessary, use the Visual EAF Addendum in Section 617.21,
Appendix B.)
Examples that would apply to columin 2
· Proposed land uses, or project compoqents obviously different from
or in sharp contrast to current surround!ng land use patterns, whether
man-made or natural.
· Proposed land uses, or project comiponents visible to users of
aesthetic resources which will eliminat~ 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: i
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic, pre-
historic or paleontological importancie? J2~lO ~IyES
Examples that would apply to column 2
· Proposed Action occurring wholly or p~rtially 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 columnl 2 KO []YES
C · The permanent foreclosure of a future recreational opportunity.
· A major reduction of an open space i~portant to the COmmunity.
· Other impacts:
I '~2 3
Small to, Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes I--[No
[] [] [--]Yes ~INo
[] [] []Yes r-]No
[] [] l~Yes []No
[] [] []Yes I-[No
[] [] []Yes []No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
IMPACT ON TRANSPORTATION
14 Will there be an effect to existing transportation sys~s?
i~NO [lYES
Examples that would apply to column 2
· Alteration of present patterns of movement of people and/or goods.
· Proposed Action will result in major traffic problems.
· Other impacts:
IMPACT ON ENERGY
15. Will proposed action affect the community's source)of fuel or
energy supply? ~"NO EYES
[xamples that would apply to column 2
· Proposed Action will cause a greater than 5% increase m 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 vibrat~, as a result
]Y ES
of the Proposed Action? - ~NO [ '
Examples that would apply to column 2
· Blasting within 1,500 feet of a hospital, school or other sensitive
facility.
· Odors will occur routinely (more than one hour per day)
· Proposed Action will produce operating noise exceeding the 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
17. Will Proposed Action affect public health and safetF~r~O
EYES
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 hazardous astes in any
form (ie. 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
2
Potential
Large
Impact
3
Can Impact Be
Mitigated By
Project Change
]]] Yes
] Yes
[]] Yes
]Yes
~Yes
[~Yes
',-iYe~
~Yes
r2Yes
[~No
!_]No
L] No
[1 No
~No
~JNo
C]No
r-]No
F]No
E]No
~]No
[2 N o
['.]No
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the existing community?
· [~NO [:]YES
Examples that would apply to column 2
· The permanent population of the cit¥~ 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 proiects.
· Proposed Action will create or eliminate employment.
· Other impacts:
1 2 3
Small to Potential Can impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I~Yes ~]No
[] [] []Yes [~]No
[] [] [:]Yes [:]No
[] [] [~Yes []No
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
19. Is there, or !s there likely to be, public controve~v related to
potential adverse environmental impacts? J~]NO [Z]YES
If Any Action in Pant 2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
C
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
mitigaled.
Instructions
Discuss the following for each impact idehtified in Column 2 of Part 2:
1. Briefly describe the impact.
2. Describe(if applicable) how the impact could be mitigated 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.
To answer the question of importance, consider:
· The probability of the impact occurring
· The duration of the impact
· Its irreversibility, including per~nanently lost resources of value
· Whether the impact can or wilJl 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 attachments)
617.21
Appendix B
State Environmental Quality Review
V sua! EAF Addendum
SEQR
This form may be used to provide additional information relating to Question ] ! of Part 2 of
the Full EAF.
(To be comp]eted by Lead Agency)
Distance Between
Visibility Project and Resource (in Miles)
]. Would the project be visible from: O-V, V,-V2 V2-3 3-5 5+
· 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 qualifies?
· An 9verlook or parcel of land dedicated to public [] [] [] [] []
observation, enjoyment a~d appreciation of natural
or man-made scenic quail!les?
· A site or structure listedI on the National or State [] [] [] [] []
Registers of Historic Place~?
· State Parks? i [] [] [] [] []
· The State Forest Preserve'~ [] [] [] [] []
· National Wildlife Refuges ~nd state game refuges? [] [] [] [] []
· National Natural Landmaiks and other outstanding [] [] [] [] []
natural features?
National Park Service lan~s? [] [] [] [] []
Rivers designated as NatiOnal or State Wild, Scenic [] [] [] [] []
or Recreational?
· Any transportation corridbr of high exposure, such [] [] [] [] []
as part of the Interstate S~stem, or Amtrak?
· A governmentally established or designated interstate [] [] [] [] []
or inter-county foot trail, ot one formally proposed for
establishment or designation?
· A site, area, lake, reservoiI or highway designated as [] [] [] [] []
scenic?
· Municipal park, or designaled open space?
· County road?
· State?
· Local road?
2. Is the visibility of the project Jseasonal? (i.e., screened by summer foliage, but visible during other
[] Yes [] No
3. Are any of the resources cl~ecked in question 1 used by the public during the time of year
during which the project willi be visible?
[]Yes []No
DESCRIPTION OF EXISTING VISUAL ENVIRONMENT
4. From each item checked in question 1, check those which generally desoibe the suit) mdm~
environment. Within
*V4 mile *1 mile
Essentially undeveloped
Forested
Agricultural
Suburban residential
Industrial [] i .
Urban
River, Lake, Pond []
Cliffs, Overlooks
Designated Open Space
Flat
Hilly
Mountainous
Other t '
NOTE: add attachments as needed
5. Are there visually similar projects within:
*Vz mile []Yes E~No
*1 miles E~] 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 of viewers likely to observe the proposed project is
NOTE: When user data is unavailable or unknown, use best estimate.
CONTEXT
7. The situation or activity in which the viewers are engaged while viewing the proposed action is
FREQUENCY
Holidays/
Activity Daily Weekly Weekends Seasonally
Travel to and from work [] [] [] ~-]
Involved in recreational activities [~ [] [-~ [~
Routine travel by residents [] [] ~! [~
At a residence [] [] [] [~
At worksite [] [] [] [~
Other [] [] [~ [9
2
To the Planning Board of the To~vn 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, aud represents and states as folloxvs:
1. The applicant is the oxvner of record of the land under application. (If the applicant is not the
owner of record of the land under application, the applicant shall state his interest in said
land under application.)
2. The name of the subdivision is to be (~)0 ~Y" D d~"t ~-~'Od·
3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed
suggested.)
4. The land is held by ~he applicant under deeds recorded in Snffolk County Clerk's office as
follows:
Liber .... /qh~ ............ Page ................... On
Liber ........................ Page ...................... On
Liber ........................ Page ................. On ' .
Liber Page
.............................................. On ....................... ;
Liber ... Page
as devised under the Last Will and Testament of
or as distributee .................... , ....................................................
................................ 5: ............. .............................................
S. The area of the Iand is .................. acres.
6. Ali taxes which are lidns on the land at the date hereof have been' paid except .. .~/~ ....
~.The lap~I is encnmberdd by ..
mortgage (s) as follows: ........
(a) Mortgage rccordeil in Liber .............. Page .................. in original amount
of $ .............. unpaid amount $ ............ . ......... hehl by ......................
.............. address ................................................................
(b) I~,lortgage recorded in Liber ......... Page ....................... in original ammmt
of .............. nnp~id amount $ ...................... beld by ......................
.............. addres~ ...............................................................
(c) Mortgage recorded in Liber .............. Page ................ in original amount
of .............. unpaid amount $ ........ .' ............. held by ......................
...................... address ....
8. There are no other encumbrances or liens against the land except . ~)'~J.~. ...........
~"s.~ 9. The land lies in the following zoning use districts .. d..~ -. .......
10. `No part of the land lies under water xvhether tide water, stream, pond water or otherwise, ex-
cept . .~.~. ........................................................................
II. The applicant sha atl his expense install all required public improvements.
12. The land (does) ({loeb not) lle in a Water District or Water Supply District. -Name of Dis-
trict, if within a District, is ....~l~ .......................................................
13. '~Vater mains will be ilaid by . .................
and (a) (no) charge will be made for installlng said mains.
14. Electric lines and standards will be installed by .... ~./.g. ................................
lines. ' ............. and (a) (no) charge will be made for installing said
15. Gas mains will be instaAIed by .../[///J:-. ....................................................
and (a) (no) charge will be made for installing said mains.
16. If streets shown on th{ plat are claimed by the applicant to be exlsting publlc streets in the
Suffolk County Ilighx¢ay system, anuex Schcdole "B" hereto, to show same.
~5, 17. If streets shown on the plat are claimed by the applicant to be existing publlc streets in tile
Town of Southold Ilighway system, aonex Schedule "C" hereto to show same.
.18. There are no existing buildiogs or structures on the laud which are not located and shown
on tile plat.
19. \¥1!e.re the plat shmvs ~)roposcd st'cots w l c are cxte tsions
dlVISlOll maps heretofoCe filed, there are no reserve strips at tile streets oll adjoining sub-
.existing maps at their iconjtmctions with the proposed streets, end of tile streets on said
20. Ill tile cmlrse of these )toceedings, the alq)licant will (~ffer pro(d of title as required by Sec.
,335 of tile Real Property Law. .
21. Submit a copy ~f proposed deed for lots ,howin;,~ all restrictim~s, covenants, cte. Annex
Schedule "D".
22. The applicant estimates that the cost of grading and required public improvements ~vill be
$.--~.l-~.. · as itemized in Schedule "E" hereto annexed and requests that the maturity of the
Performance Bond be fixed at .............. years. The Performance Bond will be written by
a licensed surety company unless otherwise shown on Schedule "F".
.... ..............
(Name of Applicant)
(Signature and Title)
(Address)
STATE OF NE\V YORK, C4DUNTY OF ..... .~..~..~..~..../:-:~--~, ............ ss:
On the ............ day of ~~ lo ~ ~ ~
~ : ' '; ................ I ......... ' ..... v~., oerore me personally came
........................... ~nowntooethe nox oua 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 ....... ~efore me personally came
....................... to me known, who being by me duly sxvorn did de-
pose and say that ............ resides at No.
............. ................... that .......................... is the ..........
the corporation described in ai~d which executed thc foregoing instrnmeut; that ............ knows
the seal. of said corporation; th[at the seal affixed by order of thc board of directors of said corpora, tion.
:tt:d that ............ signed .............. name thereto 1)3, like order.
Notary Public
S ISFF9 L K~:eO.~r~T Y
Southold, N.Y. 11971
(516) 765-1938
QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED
wITH YOUR APPLICATIONS FOP~4S TO THE PLANNING BOARD
Please complete, sign and return to the Office of the Planning
Board with your completed applications forms. If your answer
to any of the following questions is yes, please indicate
these on your guaranteed survey or submit other appropriate
evidence~
1. Are there any wetland grasses on this parcel? Yes
(Attached is a lis% of the wetland grasses defined
by the Town Code, Chapter 97, for your reference)
2. Are there any ~ther premises'under your ownership
abutting this parcel? Yes
3. Are there any building permits pending on
this parcel? Yes
4. Are there any ~ther applications pending
concerning this property before any other
department or agenqy?(Town , State, County, etc.) Yes
5. Is there any aplplication pending before
any other agency wilth regard to a different
project on this par!cel? Yes
6. Was this proper~y the subject of any prior
application to the Planning Board? Yes
7. Does this property have a valid certificat~ ~
of occupancy, if yes!please submit a copy of same
I certify that the above statements are true and will be relied
on by the Planning Board in considering this application.
Signature o~ p~perty owner or authorized agent
Attachment to questionnaire for~the Planning Board
STATE OF NEW YORK, COUNTY OF SUFFOLK, ss:
On the ~day of ~~ 19~ before me personally
came ~ ~ ~~
i-- . to me known to be the
individual described in'and who executed the foregoing instrument,
and acknowledged that ~9~exec~he ~ame.
~r~ /Publl~ '
NOT,~P" ',~vop~
NOTARY ~,;EW YORK
NO, ,~:: :, ::OUNTY
Idl. o O
paRy of thefi~ paR, and
ROBERT D. HAMILTON
200 Smithl Drive South
Southold,. New York 11971
11377{ 124
THIS INDEN~RE, made the
BE~N NOR~ASTE~ BIB~ CO~E, A Non-Profit Corporation
12 Oak Lane
Essex Fells, New Jersey 07021 ~'~.
party of the second part,
WITNESS£TH, that the p~rty of the first part, in consideration of Ten Dollars and other valuahle consideraion
paid by the party of the second pa~, goes hereby grant and rele~e unto the party o{ the second part, the heirs
or successors and assigns of he party of the second part forever,
ALL that ceRaln plot, piec~ or parcel of land. with the buildings and improvements thereon erected, situate,
lying and heing~ at Mattxtuck, Town of Southold, County of Suffolk and State of
New York, more particularly bounded and described as follows:
BEGINNING at a monument on the curved northerly line of Middle Road (C.R. 27)
102.31 feeSiwesterly along said northerly line from the westerly line of West-
phalia Avenue, said !point of beginning being the southwesterly corner of land or
Kontoveros, from said point of beginning;
R~ING THENCE westerly along the northerly line of Middle Road on a curve to th.
right having a radiRs of 1799.86 feet a distance of 498.32 feet to a monument;
THENCE along said northerly line, South 34 degrees 48 minutes 43 seconds West
66.57 feet to landsinow or formerly of Swanson;
..THENCE along said land, North 67 degrees 36 minutes O0 seconds West along said
land 9f Swanson, 321.91 feet to a monument;
T~E~CE~till alon9 Said land of Swanson, South 34 degrees 56 minutes 10 seconds
. west~I50.59 feet to land now or formerly of Czukor;
THE~QE ~long said l~nd of Czukor, North 32 degrees 39 minutes 00 seconds West
.i~9%'72,~eet to the southeasterly side of Horton Avenue;
q~ENCE North 57 degrees 21 minutes 00 seconds East along Horton AVenue, 166.28
feet to the southeasterly terminus of Oak Street;
THENCE North 35 de~ees 25 minutes 40 seconds East along said terminus, 49.50
feet to a 33 foot r~ght of way;
* Continued on Rider attached *
TOGETHER with all righ~ title and interest, if any. gl the party of the first part in and to any streets and
roads abutting the above ~tescribed premises to the ~enter lines thereof; TOGETHER with the appurtenances
and all the estate' and right~ of the party of the first par itt and to said premises; TO HAVE AND TO HOLD
the premises herein grante~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 bee0 encumbered in any way whate~er, except as aforesaid.
AND the party of the first p~rt, 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 consideration as ~
trust fund to be apphed firs[ for the purpo e of paying the cost of the improvement and will apply the same first tc
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" ~hall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREQF, the part:,' of the fi~rst part has duly executed this deed the day and year first above
[N PRESENCE (}~ !~
Northeastern Bible College - Board of Trusl
STATE OF NEW YORK, COUNTY OF ss:
personally came
to mc known to be rite individual described in and who
executed thc foregoing instrument,, and acknowledged that
STATE OF NEW YORK, COUNTY OF ss:
On the day of 19 , before me
personally came
to me known to be the individual described irt and who
executed the foregoing instrument, and acknowledged that
executed tim same.
Southold Town Planning Board
Town Hall
Southold, New York 11971
Gentlemen:
The following s~atements are offered for your consideration
in the review of the iabove-mentioned minor subdivision and its
referral to the Suffoilk County Planning Commission:
(1)
No grading,
residential
other than foundation excavation for a
building is proposed.
(2) No new roads arelproposed and no changes will be made
the grades of the existing roads.
(3) No new drainage ~tructures or alteration of existing
structures are ~
P .oposed.
in
Yours truly,
JUI:)ITN T. T£,R~,, TOWN CLEm( RECEIPT 0 4 6 5 2 9
Town of Southoid
Southo/d, New York 11971
Phone: 516 - 765-1801
RECEIVEDOF. ~. _ ~ ~ . / ~ATE ~ ~ ~=
~ CASH
J
TOWN OF SOUTHOLD ~
co..,~, New york P~o.e 5,6-~65.,80, 4 2 6 3 2
Southold, New York 11971
Ju~h T. Te~, To~ Clerk
DUNEWOOD TRUGLIA
ATTORNEY AT LAW
First Street P.O. Box 222
New Suffolk, NY 11956
516- 734- 6450
Fax SI6- 734- 5152
August 2, 1995
Tom Fisher,
Southold Building Department
Town Hall
53095 Main Road
Southold, NY 11971
SOUTHO~D TOWN
PLANNIN~ BOARD
Re: Lot Line Change, Triangular Piece from Hamilton to Swanson,
Horton Avenue, Mattituck, NY;
Suffolk County Tax Map # 1000 - 141 - 02 - 21.5 ( Hamilton Property )
Suffolk County Tax Map # 1000 - 141 - 02 - 15 ( Swanson Property )
Dear Mr. Fisher:
On behalf of my clients, Stanley Swanson and Sharon Swanson, I submit herewith for
your consideration and approval, an Application For a Building Permit as part of a lot
line change on properties located in Mattituck, NY.
The project name is Lot Line Changer Triangular Piece from Robert D. Hamilton to
Stanley Swanson and Sharon Swansont Horton Avenuef Mattituck~ NY.
Please note that the sum total of the change which we are requesting has to do with the
alteration of a lot line on a sub-standard lot ( Hamilton ). There is no construction or
change of use planned and we were told that this request was necessary to obtain a
denial from your department as a first step in proceeding with a lot size variance in
order to support the lot-line change application.
The reason for the change is the settlement of an action commenced by Swanson against
Hamilton to secure an easement by prescription over an existing dirt driveway which
runs between the parcels owned by Swanson and Hamilton respectively. ( Swanson v.
Hamilton, et al; Supreme CourL Suffolk County, Index No. 94 - 12702 ). As part of the
settlement, the parties have agreed to transfer an irregular triangular piece for a
valuable consideration as a means of settling the easement issue, see attached survey
diagram for ease of reference. 'There will be no change in the character or use of the
property, only the ownership will change.
DUNEWOOD TRUGLIA
ATTORNEY AT LAW
I can be reached at the letterhead address. Please call if you have questions. Thanking
you in advance for your consi~ieration, I am
Very truly yours,
Dunewood Truglia
Attorney for Swanson
cc: Linda Kowalski
Robert Kassner
Rudolph Bruer, Esq.
DT/NS/tim
2
PLANNING BOARD MEMBERS
Richard G. Ward, Chairman
George Ritchie Latham, Jr.
Bennett Odowski, Jr.
Mark S. McDonald
Kenneth L. Edwards
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
January 10, 1995
Dunewood Truglia
First Street P.O. Box 222
New Suffolk, NY 11956
RE: Hamilton/Swanson
SCTM# 1000-;2-21.5
SCTM# 1000-2-15
Dear Mr. Truglia,
The Board has received your letter of December 22, 1994.
You may proceed on the lot-line change as you proposed.
Enclosed for your use is a lot-line application
If you have any questions, or require further information, please contact
this office.
Encl.
LAW OFFICES
DUNEWOOD TRUGLIA
First Street P.O. Box 222
New Suffolk, NY 11956
516 - 734 - 6450
December 22, 1994
Richard G. Ward
Chairman, Planning Board
Town of Southold
Southold, NY 11971
Re: Swan~n v. Hamilton, et al;Supreme Court, Suffolk County, Index No. 94 - 12702
Tax Map Designations -
1000 - 141 - 2 - 21.5 ( land owned by Hamilton )
1000 - 141 - 2 - 15 ( la~d owned by Swanson )
Dear Mr. Ward:
I represent Swanson in the ab~vereferenced action which concerns a dispute between
two adjoining owners over a dirt driveway right-of-way.
The parties thereto are desirous of settling the action and as part of that settlement wish
to convey and transfer a triangular piece presently owned by Hamilton ( 141 - 2 - 21.5 ),
to Swanson ( 141 - 2 - 15 ) andto thereby establish a new lot line between their adjoining
properties, see drawing attached.
The proposed change is simpiy for the purpose of quieting this title dispute. We would
like an opinion as to the Towh's position on the proposed transfer as soon as possible so
that the settlement can prOCeed. Please call if you need further information. Thank you
for your prompt attention.
/.-~ry tru~ y~urs, ,,
Dunewood Truglia
Attorney for Swanson
enclosure
cc: Robert C. Kassner
Rudolph H. Bruer, Esq.
DT/NS/tim
~UTflOLD TOWN
_ Iq~UMNING BOARD
~????_s~ .%]_ _S?_t_t l_e~n_ en t jnclu_d_e_s~ fer
of tri~]gular piece up to ~ not inc].d~ng dirt drive.
/VIOl,e
AREA = 3.4958 ACRES
CERTIFIED TO,
FIRST AMERICAN TITL:
OF NEIF YORK
SOUTHOLD SA VINGS B
ROBERT D. HAMIL TON
NKS.
LIC. NO. 49618
Prepared in accordance wifh Ih
stnndords for lille sur. veys os e.c
PHON£:852--2000
SUFFOLK COUNTY CLERK'S OFFICE
Roma]ne, COUNTY CLERK
~Town of Southold Assessor
own of Southold Planning Board
Chief Deputy County Treasurer
To Whom This May Concern:
The Subdivision Map Of:
Filed Number, 9~
A}-stract Number, /2l/f
IH-I- 2-2.1.2
Township, Southold
Very truly yours,
County Clerk
Map Department
No. 4 9
PLANNING BOARD MEMBERS
Richard O. Ward, Chairman
C, eorge Rltchie Latham, Jr.
Bennett Orlowski, Jr.
Mark S. McDonald
Kenneth L. Edwards
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
SOUT~OLD TOWN PLANNING BOARD
MINUTES
APRIL 12, 1993
SCOTT L. HARPJS
Super~sor
Town Hall. 53095 Main Road
P. O. Box 1179
Southokl, New York 11971
Fax (516} 765 - 1823
Present were:
Absent:
Richard:Ward, Chairman
G. Richle Latham
KennethlEdwards
BennettiOrlowski
Mark McDonald
Valerie~Scopaz, Town Planner
Melissa Spiro, Planner
Mr. Ward: Board to setlMonday, May 3, 1993 at 7:30 p.m. at the
Southold Town Hall, Mai~ Road, Southold as the time and place
for the next regular Planning Board meeting.
Mr. Latham: Second.
Mr. Ward: Motion seconded. Ail those in favor?
Ayes: Mr. Latham, Mr. Orlowski, Mr. McDonald,
Mr. Edwards, Mr. Ward.
Mr. Ward: Motion carried.
PUBLIC HEARINGS
Subdivisions - Final
Mr. Ward: 7:30 p.m. Robert D. Hamilton - This major
subdivision is for three lots on 3.4958 acres located on the
northwest side of C.R. 45; 102.31 feet southwest of Westphalia
Avenue in Mattituck. SCi~I #1000-141-2-21.2. Is there anyone
pro nor con that would l~ke to offer any comments to the Board?
Anybody opposed? What is the pleasure of the Board?
. SOUTHOLD TOWN PLIG BOARD
AP~ 12, 1993
Mr. McDonald: Mr. Chairman, I would like to make a motion to
close the hearing?
Mr. Edwards: Second.
Mr. Ward: Motion made and seconded. Ail those in favor?
Ayes: Mr. Ward, Mr. McDonald, Mr. Orlowski,
Mr. Latham, Mr. Edwards.
Mr. Ward: Motion carried.
Mr. McDonald: Mr. Chairman, I would like to make a further
motion.
WHEREAS, Robert D. iHamilton is the owner of the property
known and designated as SCTM #1000-141-2-21.2, located on the
northwest side of C.R. 48; 102.31 feet southwest of Westphalia
Avenue in Mattituck; and
WHEREAS, this minor subdivision to be known as the minor
subdivision for Robert D. Hamilton, is a Cluster Subdivision of
three lots on 3.4958 ac~es; 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
April 6, 1992; and
WHEREAS, a final public hearing was closed on said
subdivision application at the Town Hall, Southold, New York on
April 12, 1993; 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 approve and
authorize the Chairman go endorse the final surveys dated April
8, 1993.
Mr. Edwards: Second.
Mr. Ward: Motion seconded. Ail those in favor?
Ayes: Mr. Ward, Mr. Orlowski, Mr. Edwards,
Mr. Latham, Mr. McDonald.
Mr. Ward: Opposed? Motion carried.
COUNTY OF SUFFOLOss...
S I'A'I I: OF NEW YORK
Patricia Wood, being duly sworn, says that sba
Editor, of I'HE LONG ISLAND TRAVELER-WATCIIMA[I
a public newspaper printed at Southold, in Suffolk Countv:
and that tile notice of which the annexed is a printed
h,ls hL!t!n published in said Long Island
successivdy, commencing on the .......... ~.~.
d;~y of. ........ ~ .... 1 9 .
Sworn to before ,'ne II'~is ..........~ · .'~.. .....day of
............ .....
Notary Public
BARBARA A. SCHNEIDER
NOTARY PUBLIC, State of Now York
No. 4806846
Qualified in Suffolk County
Oommission Expires
APR -' 5 lg93
SUBMISSION WITHOU~T COVER LETTER
199::
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
SCOTY L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (516) 765-1823
March 23, 1992
~obert D. Hamilton
200 Smith Drive South
Southold, New York 11971
RE:
Minor Subdivision for
Robert D. }hamilton
N/s C.R. 48, Mattituck
SCTM9 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolution was adopted by the Southold Town
Planning Board at a meeting held on Monday, March 22, 1993:
BE IT RESOLVED that the Southold Town Planning Board set
Monday, April 12, 1993 at 7:30 P.M. for a final public hearing
on the maps dated February 5, 1992.
Sincerely,
Richard G. Ward
Chairman
%¸.
~ J I ~)93
SOUTHOLD 'i0;;~
SUBMISSION WITHOU.T COVER LETTER
SENDER:
SUBJECT:
SCTM~:
COMMENTS:
SUBMISSION WITHOU_T COVER LETTER
THIS P~E $O~ L ~ I Ca ~ET MINI~
FOR SUBDIVISION TEST'WELLS
11578P 373
PRIVATE WELL COVENA/~TS
DECLARATION OF COVENANTS AArD RESTRICTIONS
THIS DECLARATION made by ROBERT D. HAMILTON.
this 22_/4 day of ~ t; ,- ~:'
resid~ing at 200 SMITH DRIVE SOUTH, SOUTHOLD, NEW YORK, 1~ tfi~ '
a domestic or foreign corporation with offices located at
(3) a sole proprietorship or partnership having its principal place
of business at
hereinafter referred to as the DECLJ~RANT, as the owner of premises
described in Schedule "A" annexed hereto (hereinafter referred to as
the PREMISES) desires to restrict the use and enjoyment of said
PREMISES and has for such purposes determined to impose on said
PREMISES covenants and restrictions and does hereby declare that
said PREMISES shall be held and shall be conveyed subject to the
following covenants and restrictions:
WHEREAS, DECLARANT has made application to the Suffolk County
Department of Health Services (hereinafter referred to as the
DEPAi~TMENT) for a permit to construct and/or approval of
plans for a single family residence, a subdivision or
development or other construction project on the PREMISES;
and
2. WHEREAS, the PREMISES are to be served by an individual on-
site private well; and
WHEREAS, the test wells sampled for the PREMISES indicated
that test results were within the minimum drinking water
standards and/or guidelines of the State of New York and
results are attached hereto as Schedule C. Each chemical
parameter which exceeds 60% of the acceptable level is
indicated with an asterisk; and
WHEREAS, it has been determined that water quality of private
wells is subject to change; and
WHEREAS approval of the DEP/kRTN~gNT does not guarantee that
the water quality will always meet drinking water standards;
and
WHEREAS the DEP/~RTMENT recommends periodic comprehensive
water, analysis of such well in order to monitor the water
quality to prevent the unknowing consumption of contaminated ·
water, the D.ECLAP~%NT, its successors, heirs, or assigns
agrees that ~f said water analysis should indicate water
· 1 78 i374
~.. ' ~ ~SE 'TH~S PAGE FOR W~LLS WHICH MEET MINIMUM
AND FOR SUBDIVISION TEST WELLS
DRIVING
WATER STANDARDS
e
contamination in excess of the minimum drinking water
standards and/or guidelines of the State of New York,
DECLARANT, its successors, heirs, or assigns may be required
to,
connect to public water, or
install necessary water conditioning equipment so as
to meet the minimum drinking water standards and/or
guidelines of the State of New York.
The DECLARANT, its successors and/or assigns shall set forth
these covenants, agreements and declarations in any and all
leases to occupants, tenants and/or lessees of the above
described property and shall, by their terms, subject same to
the covenants and restrictions contained herein. Failure of
the DECLARANT, its successors and/or assigns to so condition
the leases shall not invalidate their automatic subjugation
to the covenants and restrictions.
Ail of the covenants and restrictions contained herein shall
be construed to be in addition to and not in derogation or
limitation upon any provisions of local, state, and federal
laws, ordinances, and/or regulations in effect at the time of
execution of this agreement, or at the time such laws,
ordinances, and/or regulations may thereafter be revised,
amended, or promulgated.
This document is made subject to t~e provisions of all laws
required by law or by their provisions to be incorporated
herein and they are deemed to be incorporated herein and made
a part hereof, as though fully set forth.
The aforementioned Restrictive Covenants shall be enforceable
by the County of Suffolk, State of New York, by injunctive
relief or by any other remedy in equity or at law. The
failure of said agencies or the County of Suffolk to enforce
the same shall not be deemed to affect the validity of this
covenant nor to impose any liability whatsoever upon the
County of Suffolk or any officer or employee thereof.
These covenants and restrictions shall run with the land and
shall be binding upon the DECLARANT, its successors and
assigns, and upon all persons or entities claiming under
them, and may be terminated, revoked or amended only with the
written consent of the DEPARTMENT.
SCDHS PRIVATE WELL COVENANTS AA (REV. 1/91)
578 375
The declarations set forth in the WHEREAS clauses contained
herein shall be deemed and construed to be promises,
covenants, and restrictions as if fully repeated and set
forth herein.
9. ~ any section, subsection, paragraph, clause, phrase or
provision of these covenants and restrictions shall, by a
Court of competent jurisdiction, be adjudged illegal,
unlawful, invalid, or held to be unconstitutional, the same
shall not affect the validity of these covenants as a whole,
or any other part or provision hereof other than the part so
adjudged to be illegal, unlawful, invalid, or
unconstitutional.
10. Local Law #32-19i80 - The DECLARANT represents and warrants
that he has not offered or given any gratuity to any
official, employee, or agent of Suffolk County, New York
State, or of anyi political party, with the purpose or intent
of securing favorable treatment with respect to the
performance of a~ agreement, and that such person has read
and is familiar with the provisions of Local Law #32-1980.
D. S SNATOHE
LEGAL SIGNATURE
LEGAL SIGNATURE
LEG~tL SIGNATURE
SCDHS PRIVATE WELL COVENANTS -3- (REV. 1/91)
/
/
First American Title Insurance Company
of New York
Title No.
AMENDED 10/25/91
SCHEDULE A
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, more particularly bounded and described as
follows:
~;EGINNING at a monument on the curved northerly line of Middle
Road (C.R. 27) 102.31 feet westerly along said northerly line
from the westerly line of Westphalia Avenue, said point of
beginning being the southwesterly corner of land of Kontoveros,
from said point of beginning;
RUNNING THENCE westerly along the northerly line of Middle Road
on a curve to the right having a radius of 1799.86 feet a
distance of 498.32 feet to a monument;
THENCE along said northerly line, South 34 degrees 48 minutes 43
seconds West 66.57 feet to lands now or formerly of Swanson;
THENCE along said land, North 67 degree~ 36 minutes O0 seconds
West along said land of Swanson, 321.91 feet to a monument;
THENCE still along said land of Swanson, South 34 degrees 56
minutes 10 seconds West 150.59 feet to land now or formerly of
Czukor;
THENCE along said land of Czukor, North 32 degrees 39 minutes O0
seconds West 89.72 feet to the southeasterly side of Horton
Avenue;
THENCE North 57 degrees 21 minutes O0 seconds East along Horton
Avenue, 166.28 feet to the southeasterly terminus of Oak Street;
THENCE North 35 degrees 25 minutes 40 seconds East along said
terminus, 49.50 feet to a 33 foot right of way;
THENCE along said right of way, the following courses and
distances:
1. South 54 degrees 34 minutes 20 seconds East 19.13 feet;
2. North 34 degrees 56 minutes 10 seconds East 77.02 feet to
land now or formerly of Byrnes;
< contxnued~
~ ~The ~cytobei~uedundertinsreport~H ~ethefifletomchb~Idings~d ~provementserectedon
t~ p~mises which by law con~itute ~ properW.
TOGETHER with all the fight, title and interest of the party of the first p~rty, of, in and to the land lying
First American Title Insurance Company
of New York
SCHEDULE A
Title No.
along said land the following two courses and distances:
iJuth 67 degrees 39 minutes 30 seconds East 200 feet to a
.rl:b 2'2 degrees 20 minutes 30 seconds East 159.78 feet to a
~c ~.~.t and land now or formerly of Morris;
al. ong said land the following two courses and distances:
~ >ul:h 67 degrees 39 minutes 30 seconds East 54.67 feet to a
'~h 29 degrees 05 minutes 10 seconds East 97.51 feet to a
,o~l~H~l.:~nll and land now or formerly of Whitemarsh;
along said land of Whitemarsh, and land of McCaffery,
:~6 degrees 47 minutes 30 seconds East 258.96 feet to a
~,,::uu~:m~: on the southwesterly side of Westphalia Avenue;
.ion~ said southwesterly line, South 70 degrees 00 minutes
~:e,:oz~ds East 100 feet to a monument;
~lons said land of Casbor, Inc., the following two courses
:{oun]~ 40 degrees 41 minutes 50 seconds West 178.40 feet to a
Sou~:h 70 de~rees 17 minutes 00 seconds East 148.88 feet to
~ci~t or place of BEGINNING.
The policy to be issued under this report will insure the rifle to such buildings and improvements erected on
the premises which by law constitute real property.
TOGETHER with all the right, title and interest of the party of the first party, of, in and to the land lying
i~No.
'~eld No.
~'Date:
Time:
Col. By:
, 7923G9
,4/4
(Name not initials}
15 8r 378
Date Received
Public Water
Private Water
Other
Date Completed
Examined By (:,k.J,~
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PU!BLIC HEALTH LABORATORY
CHEMICAL EXAMINATION OF WATER
Point of Collection ~'~ ~
Owner or
District
Remarks:
(1) Results Reported as Micrograms Per Liter.
Pa~'
Complete [] Metals Only []
3 J pH >~~ 82 T. H~ (mg/I ~3) ~ T~ ~ P (~/I)
8 N~ates rog/N ~ ~ Ca lH~n~ (~/I CaCO3)
6 Free Ammonia (mg,'l N) ~ ~ ~ ~ i
i7 Sulfates (mg/I SO~ ~ ~ 1~ ~ (1)
06 ~ium(mg/INa) } ~ 126 Sider (1)
03 ~nc(mg/l~) ~ ~!3 ~ 1~ C~omium (1)
124 M?CU~ (1)
Director
$11578 379
Tap:
Well Tank~
Ki~ M~h OT
Other.
' 306 vinyl chloride .......
305 methylene Ckloride ...
323 1,1 dichloroethane ... --
309 trans 1,2 dichl'ethene
300 chloroform ...........
324 1,2 dichloroethane ....
321 1,1,i trickloroethane
304 carbon tetrach!oride . i
294 1 bro~ 2 chloroethane
405 1,2 dichloropropane ..
310 trichloroethene .
303 ch!orodibromomethane .
293 1,2 dibromoethane ....
420 2 bromo 1 chloropropan
301 bromoform ............ " '
311 tetrachloroethene ....
308 cis 1,2 dichloroethene
320 freon 113
292 dibromomethane .......
307 1,1 dichloroethene ...
302 bromodichloromethane .
406 2,3 dichloroprcpene ..
407 cis dichloropropene ..
408 trans dichloropropene
322 1,1,2 trichloroethane
409 1112 tetrachlo'ethane
295 s-tetrachloroethane
433 1,2,3 trichloropropane
450 2,2 dichloropropane .. --
451 1,3 dich!oropropane ..
6/91
250 benzene ....................
251 toluene .......
258 chlorobenzene ..............
259 ethylbenzene ...............
254 o-xylene ...................
252 m-xylene ...............
253 p-xylene ...................
255 total x-y!ene ...............
266 2-ch!orotoluene (o) ........ -
267 m-chlorotoluene ............
268 4-chlorotoluene (p) ........
265 ~otal chlorotoluene ........
419 1,3,5 tri~ethylbenzene .....
418 1, 2,4 trimethylbenzene .....
415 -
m,p-dichlorobenzene .
412 1, 2 dich!orobenzene (o) .... _
432 p-diethylbenzene .......
435 1,2,4,5 tetram~thylbenzene .
437 1,2,4 trichlorobenzene .....
438 1,2,3. trich!orobenzene .....
600 ethenylbenzene (styrene) ...
601 1 methylethylbenzene (cumene)
602 n-propylbenzene ....
603 tert-butylbenzene ..........
604 sec-butylbenzene
605 isopropyltoluene (p-cymene)
606 n-butylbenzene
607 hexach!orobutadiene ........
608 1,2 dibromo 3-chloropropane ~---~ ~
-- *** methyl-tertiary-butyl-ether
Fl'It '0~' "ch or~%r~C CO'fl'tpl~Lj41d
above II .op~ elcept
net~.
11 78P 380
STATE OF NEW YORK
: SS.:
COUNTY OF SUFFOLK )
SAMPLE
( IND IVI DUAL ACKNOWLEDGEMENT )
On the ~_ day of ~_~ , 199 ~ , before me personally
came ~b~,-T p, ~1~,~/~7-o0 --, ~o me known to be the
individual(s) described in and who executed the foregomng
instrument and acknowledged that he (she) (they) executed same.
~Otary Public : State of New York
THIS IS THE SCDHS MODEL GENERAL COVENANT~
D~CLARATION OF COVENANTS AND RESTRICTIONS
THIS DECLARATION made by ROBER~M' ILTON
this 6~ day of /t,)c~ u' 199 92 ,
(1) residing
at 200 SMITH DRIVE SOUTH, SOUTHOLD, NEW YORK, 11971
(2) a domestic or foreign corporation with offices located
at
(3) a sole proprietorship or partnership having its principal place of business
at
hereinafter referred to as the DECLARANT, as the owner of the premises described in
Schedule "A" annexed hereto (hereinafter referred to as the PREMISES) desires to
restrict the use and enjoyment of said PREMISES and has for such purposes
determined to impose on said PREMISES covenants and restrictions and does hereby
declare that said PREMISES shall be held and shall be conveyed subject to the
following covenants and restrictions:
DECLARANT has made applications to the Suffolk County Department
of Health Services (hereinafter referred to as the DEPARTMENT) for a
permit to construct, approval of plans or approval of subdivision or
development on the PREMISES.
2a.
As a condition for the approval of the DEPARTMENT, of
such application, the DECLARANT agrees that there shall be no
further division of the premises described herein.
As a condition for approval of the DEPARTMENT of such subdivision o
or development application, the DECLARANT agrees that fill will be
placed on said PREiVdSES where such fill shall be sufficient to provide
adequate grade to allow the installation of a three (3) pool sewage
disposal system in accordance with the construction standards or
guidelines of the DEPARTMENT in effect at the time of construction
and that such fill requirement shall be a condition for approval of
individual construction applications.
The DECLARANT, its successors and/or lessees shall set forth these
covenants, agreements and declarations in any and all leases to occupants
tenants and/or leasees of the above described property and shall, by their
terms, subject same to the covenants and restrictions contained herein.
Failure of the DECLARANT its successors and/or assigns to so
condition the leases shall not invalidate their automatic subjugation to the
covenants and restrictions.
,.
All of the covenants and restrictions contained herein shall
construed to be inaddition to and not in derogation or limitation
upon any provisions of local, state and federa/laws, ordinances
and/or regulations in effect at the time of execution of this
agreement, or at the time such laws, ordinances, and/or
regulations may thereafter be revised, amended, or promulgated.
This document is made su~ect m the provisions of all
laws required by law or by they provihons m be incorporated
herein and they we deemed to be incorporated herein and
made a part hereo~ ~ though ~Hy s~ ~rth
The aforementioned Restrictive Covenants shall be enforce-
able by the County of Suffolk, State of New York, by
injunctive relief or by any other remedy in equity or at
law. The failure of said agencies or the County of Suffolk
to enforce the same shall not be deemed to affect the
validity of this covenant nor to impose any liability what-
soever upon the County of Suffolk or any officer or
employee thereof.
These covenants and restrictions shall run with the land
and shall be binding upon the DECLARANT, its successors and
;;ssigns, and upon all persons or entities claiming under
'hem, and may be terminated, revoked or amended only with
the written consent of the DEPA~TPIENT.
If any section, subsection, paragraph, clause, phrase or
provision of these covenants and restrictions shall, by a
Court of competent jurisdiction, be adjudged illegal, un-
lawful, invalid, or held to be unconstitutional, the same
shall not affect the validity of these covenants as a
whole, or any other part or provision hereof other than the
part so adjudged to be illegal, unlawful, invalid, or un-
constitutional.
9. Local Law 932-1980 - The DECLARANT represents and warrants
that he has not offered or given any gratuity to any offi-
cial, employee, or agent of Suffolk County, New York State,
or of any political party, with the purpose or intent of
securing favorable treatment with respect to the perfor-
mance of an agreement, and that such person has read and is
~ familiar with the provisions of Local Law ~32-1980.
BESSIE L AUET1N
Notary Public,, State of
No. $2-320~:)50 LEGAL- S IGNATUP,.E ( S )
Oualifi~l in Suffol~ County o ,/
Commi~ionE,~0ir~ I/%! ,1~..7.¥'- ROBERT D. HAMILTON
1578P 368
SCHEDULE A
DESCRIPTION OF PROPERTY
DECLARANT ROBERT D. HAMILTON
H.D. REF. NO. OR NAME OF SUBDIVISION
(Property Description)
NOTE: PROPERTY DESCRIPTION MUST MATCH THE DESCRIPTION IN THE TITLE
REPORT AND MUST MATCH ~HE ENTIRE PARCEL AS SUBMITTED TO THE
DEPARTMENT FOR APPROVAL.
SCDHS GENERAL COVENANTS -3- (REV. 6/89)
First .American Title Insurance Company
of New York
Title No.
AMENDED 10/25/91
SCHEDULE A
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, more particularly bounded and described as
follows:
BEGINNING at a monument on the curved northerly line of Middle
Road (C.R. 27) 102.31 feet westerly along said northerly line
from the westerly line of Westphalia Avenue, said point of
beginning being the southwesterly corner of land of Kontoveros,
from said point of beginning;
RUNNING THENCE westerly along the northerly line of Middle Road
on a curve to the right having a radius of 1799.86 feet a
distance of 498.32 feet to a monument;
THENCE along said northerly line, South 34 degrees 48 minutes 43
seconds West 66.57 feet to lands now or formerly of Swanson;
THENCE along said land, North 67 desree~ 36 minutes O0 seconds
West along said land of Swanson, 321.91 feet to a monument;
THENCE still along said land of Swanson, South 34 degrees 56
minates 10 seconds West 150.59 feet to land now or formerly of
Czukor;
THENCE along said land of Czukor, North 32 degrees 39 minutes O0
seconds West 89.72 feet to the southeasterly side of Horton
Avenue;
THENCE North 57 degrees 21 minutes O0 seconds East along Horton
Avenue, 166.28 feet to the southeasterly terminus of Oak Street;
THENCE North 35 degrees 25 minutes 40 seconds East along said
terminus, 49.50 feet to a 33 foot right of way;
THENCE along said right of way, the following courses and
distances:
1. South 54 degrees 34 minutes 20 seconds East 19.13 feet;
2. North 34 degrees 56 minutes 10 seconds East 77.02 feet to
land now or formerly of Byrnes;
The policy to be issued under this report will insure the title to such buildings and improvements erected on
the premises which b~ !aw c°nst!t~te real property..-
FOR ::. -:, TOGETHER with all the fight, title and interest of the party of the first party, of, in and to the land lying
Amerm n Title Insurance Compan
/ of New York
SCHEDULE A
Title No.
Page 2
THENCE along
1. South 67
monument;
2. North 22
monument and
said land the following two courses and distances:
degree~ 39 minutes 30 seconds East 200 feet to a
degrees 20 minutes 30 seconds East 159.78 feet to a
land now or formerly of Morris;
THENCE alon~
1. South 67
monument;
2. North 29
monument and
said land the following two courses and distances:
degrees 39 minutes 30 seconds East 54.67 feet to a
degrees 05 minutes 10 seconds East 97.51 feet to a
land now or formerly of Whitemarsh;
THENCE along said land of Whitemarsh, and land of McCaffery,
North 36 degrees 47 minutes 30 seconds East 258.96 feet to a
monument on the southwesterly side of Westphalia Avenue;
THENCE along said southwesterly line, South 70 degrees 00 minutes
00 seconds East 100 feet to a monument; .
THENCE along said land of Casbor, Inc., the following two courses
and distances:
1. South 40 degrees 41 minutes 50 seconds West 178.40 feet to a
monument;
2. South 70 de8rees 17 minutes O0 seconds East 148.88 feet to
the point or place of BEGINNING.
The policy to be issued under this report will insure the title to such buildings and improvements erected on
the premises which by law constitute real property.
TOGE~rtER wi~ all the tight, title and interest of the party of the fcrst party, of, in and to the land lying
STATE OF NEW YORK
: ss.:
COUNTY OF SUFFOLK )
(INDIVIDUAL ACKNOWLEDGEMENT)
o
n the ~ day of ~ , 199~ , before me personally
came --~-~ ~,, ~s~/~. '~7-n.~. , to me known to be the
individual (s) described in and wino executed the foregoing
instrument and acknowledged that he ~si~-t,~ (t.hcy)-executed same.
~ ~ '~ BESS~EL. AUSTIN
Notary Public, State of
No, 52-3203050
i~ tary Public : State of New York QualifiedinS~i~Cou~rRy
Commission E~q~irea [ ~l , ll~/J
STATE OF NEW YORK )
: SS.:
COUNTY OF SUFFOLK )
SAMPLE
(PARTNERSHIP ACKNOWLEDGEMENT)
On the __ day of , 199 , before me personally
came , to me known, who, being
by me duly sworn, did depose and say that he is a member of the Co-
partnership of the
firm described in and ~hich executed the foregoing instrument and
acknowledged to me thatl he executed the foregoing instrument for and
in behalf of said Co-partnership.
Notary Public :: State of New York
NOTE: PARTNERSHIP COVENANTS h'UST BE EXECUTED BY ALL PA/~TNERS UNLESS
PROOF TO THE CONTRARY IS FURNISHED WITH THE COVENANT.
SCDHS GENERA~ COVENANTS -5- (REV. 6/89)
11578~372
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
SCOWl' L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
October 22, 1992
Robert D. Hamilton
200 Smith Drive Southl
Southold, New York 11971
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM~ 1000-141-2-21.2
Dear Mr. Hamilton:
The draft Declaration of Covenants and Restrictions has
been reviewed by the Town Attorney, and is acceptable with the
addition of the following paragraph:
These covenants and restrictions can be modified only at
the request of the then owner of the premises with the
approval of a majority plus one of the Planning Board of
the Town of Southold after a public hearing. Adjoining
property owners Shall be entitled to notice of such public
hearing but thei~ consent to such modification shall not be
required.
Please revise th~ Declaration in accordance with the above,
and record it in the 9ffice of the Suffolk County Clerk. A copy
of the recorded document must be submitted to this office, and
the Liber and Page number of the recorded document must be noted
on the final map.
Please contact this office if you have any questions
regarding the above.
Very truly yours,
Bennett Orlowski,
Chairman
DECLARATION OF COVENANTS AND RESTRICTIONS
THIS DECLARATION made this/"'1 day of September, 1992, by Robert D.
Hamilton residing at 200 Smith Drive South, Southold, New York, 11971 herein
referred to as the DECLARANT, as the owner of the PREMISES described in
Schedule "A"annexed hereto (herein referred to as the PREMISES) desires to
subdivide said premises. The Southold Town Planning Board has agreed to allow and to
grant the subdivision of the ipremises provided that the following covenants and
restriction are imposed. DeClarant agrees to the imposition of the covenants and
restrictions imposed by the ~aid planning board and in consideration of said approval
hereby agrees to restrict theI use and enjoyment of said PREMISES and has for such
purposes imposes and hereb~ declares that said PREMISES shall be held and shall be
conveyed subject to the follbwing covenants and restrictions:
1. There shall not be an~ vehicular ingress or egress on Middle Road C.R. 48 for
Lot #1.
2. All storm water mn-off resulting from the development and improvement of this
sub-division or any of its lots shall be retained on the site by adequate drainage
structure so that it will not flow out into the right of way of Middle Road C.R. 48 or
into Mattituck Creek.
3. Clearing and grading ~vithin Lots and 1 and 3 shall be limited to that necessary
for sitting and constructing ~ house with the intent of preserving as much as the natural
vegetation on the site as possible to minimize storm water mn-off and erosion.
4. Lot #1 shall not have access on to Kenny's Road 48. Access for this Lot shall be
from Westphalia Avenue only.
5. All buildings on Lot #~ must be affiliated with the Church.
There should be no further sub-division of any lot in perpetuity.
RobertD Hamilton DJr~ ~ L~ u ,~ .~ ~,~
~NNING BOARD
STATE OF NEW YORK )
.' SS '
COUNTY OF SUFFOLK)
On the }"~ day of Septembe~r 1992, before me personally came Robert D. Hamilton,
to me known to be the individual described in and who executed the foregoing
instrument and acknowleged that he executed same.
Notary Public:
State of New York
~ ![) 3LPH H. BRUER
", State of New York
' ,, 5~30, SuffolkCourlty
-:x!}!r~s March 30, 19~'~
ch rn~y bc used with Sland~td ~YBTU
' SCIIEDULE A
(Description of Premises)
.Mi that certain plot, piece or ;parcel of land, with thc buildings ~nd [mprovcrncnt$ thereon ¢rcct¢'l, situate,
lying ~nd being in thc
at Mattituck, Town of Southold, County of
Suffolk and State of hew York, more particularly bounded and
described as follows:
BEGINNING at a point Dn the curved northerly line of
Middle Road (C.R.27) 306.3~+ feet westerly along said
northerly line from the westerly line of Westphalia Avenue,
said point of beginning beling the southwesterly corner of
other lands of Hamilton (known as Lot No. 1 on proposed
Subdivison of Map of Robert D. Hamilton presently being
submitted to the Southold Town Planning Board for its review
and permission to divide),i from said point of beginning;
RUNNING THENCE westerly along the northerly line of
Middle Road on a curve to the right having a radius of 1799.86
feet a distance of 294.+ feet to a monument;
THENCE along said ~or~herly line, South 34 degrees 48
minutes 43 seconds West, 6!6.57 feet to lands now or formerly
of Swanson;
THENCE still along said land, North 67 degrees 36 minutes
00 seconds West along said land of Swanson, 161.41+ feet to a
point;
RUNNING THENCE northerly along other lands of Hamilton
71.+ feet to a point;
RUNNING THENCE northeasterly along the said other lands
of Hamilton 103.+ feet to a point and lands now or formerly of
Byrnes;
RUNNING THENCE along ~ands of Byrnes South 67 degrees 39
minutes 30 seconds East, 2~.5~ feet to a monument;
RUNNING THENCE along Said lands North 22 degrees 20
minutes 30 seconds East 159.78 feet to a monument and land now
or formerly of Morris;
RUNNING THENCE along Said land of Morris, South 67
degrees 39 minutes 30 seconds East, 54.67 feet to a monument;
THENCE along through other land of Hamilton, South 67
degrees 39 minutes 30 seconds East, 192.+ to the point or
place of BEGINNING.
Being and intended to be lot number 2 on the Proposed
Subdivision Map of Robert D- Hamilton presently being
submitted to the Southold ~own Planning Board for its review
and permission to divide, ~ copy of which is attached hereto
and made a part hereof.
OCOUNTYOF SUFFOLK
ROBERT J. GAFF'NEY
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF PUBLIC WORKS
Hay 6, 1992
Town of Southold
Planning Board
53095 Hain Road
P.O. Box 1179
Southold, Rew York
11971
Attention: Bennett Orlowskl, Jr., ChalrBan
RE: n/s/o C.R. 48, Mlddle Road, 200~' w/o #estphalla Avenue
ROBERT HAMILTON - SCT# #1000-141-2-21.2
GentleBen:
#e have revleved the above referenced subdivision. Specifically note that:
A permit from this Department say be required pursuant to Section 136 of the
Highway Lay for any Improvesents this Department deems necessary along the
County right-of-way frontlng thls subdivision.
Before a permlt is issued by this Department for these improvements,
documentation pursuant to Section 239K of the New York State General
Municipal Law mustd be forwarded to us from the Town Building Department for
our revlew and comments.
No widenings or reconstruction is presently planned for thls County road
wlthln the area of the subject site.
No additional access to Hlddle Road will be permitted from any lot within
this proposed subdivision. Access for Lot #3 should be by way of Westphalia
Avenue.
If you have any questions, klndly contact this office at 852-4099.
Thank you for your cooperatilon In this Batter.
Very truly yours,
RJL/MPC/J fb
Richard J. LaValle, P.E.
Chief Englneer
PLANNING BOARD MEMBERS
Bennett Orlowski, .Ir., Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
Telephone 1516) 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
May 1, 1992
M. Paul Campagnola
Permits Engineer
Department of Public Works
335 Yaphank Avenue
Yaphank, New York 11980
RE:
Minor subdivision
Robert Hamilton
n/s/o C.R. 48, Middle Road
200' w/o Westphalia Avenue
SCTM9 1000-141-2-21.2
Dear Mr. campagnola:
The Planning Board has received your letter dated April 14,
1992 in reference to the above mentioned subdivision.
The Planning Board has placed a restriction on Lot Mi that
there shall not be any access on Middle Road (C.R. 48). Lot 1
will use Westphalia AVenue for access, and Lot 3 will use Horton
Avenue or Oak Street for access.
The only access LO CR 48 will be for Lot 2, and will be
over the existing access. Accordingly, we are presuming from
your letter that no p~rmits will be needed from your office.
Please notify us if this is not the case.
Very truly yours,
Bennett Orlowski, J~. 5
Chairman
cc: Robert Hamilton
o
I0~.
MIDDLE
t ,=
L' 204D8'
L.~498.3E'
ROAD
48)
[NTY OF SUFFOLK
Roberg J. Gaffney
Suffolk County Executive
April 14, 1992
StephenG. Hayduk, P.E.
Coramissioner
Town of Southold
Planning Board
53095 Main Road
P.O. Box 1179
Sonthold, Hew York
11971
Attention: Bennett Orlowskt, Jr., Chairman
RE~ n/s/o C.i. 48, Middle ~oad, 200~' w/o #estphalla Avenue
MOBEB? EAMIL?O{ - SCTM/#1000-141-2-21.2
Gentlemen:
He have reviewed the above referenced SEORA. Specifically note that:
A permlt from this DepartmeSt may be requlred pursuant to Section 136 of the
Highway Law for any improvements this Department deems necessary along the
County right-of-way frontlng this subdivision.
Before a permit is issued by this Department for these improvements,
documentation pursuant tol Sectlon 239K of the New York State General
Municipal Law mustd be forwarded to us from the Town Building Department for
our revlew and comments.
No widenings or reconstruction is presently planned for thls County road
within the area of the subject slte.
No additional access to Middle Road will he permitted from any lot within
thls proposed subdivision. Access for Lot #3 should be by way of #estphalla
Avenue.
If you have any questions, klndly contact this offlce at 852-4099.
Thank you for your cooperation in this matter.
Very truly yours,
RJL/MPC/J fb
SOUTHOLD ? !~'
iCOUNTY OF SUFFOLK
Robert J. Gaffney
Suffolk County Executive
April 8, 1992
Stephen G. Hayduk, P.E.
Commissioner
County of Suffolk
Department of Planning
Veterans #emorlal Highmay
Hauppauge, B.Y. 11788
Attention: Frank Dowling, Br. Planner
nls/o C.R. 48, #lddle iRoad, 200'[ vie #estphalla Ave. "Hamilton'.
S.C. Plannlng Pile: S-~D-92-03
Gentlemen:
#e have revleved the above ~eferenced subdivision and are returning a
copy
heremlth our comments noted|thereon. Specifically note that:
A permit from this Departmeht may be required pursuant to Section 136 of the
Hlghvay Lam for any additio~al improvements that this Department deems necessary
along the County right-of-ray fronting this subdivision.
Before a permit is issued b~ this Department for these improvements,
documentation pursuant to saction 239k of the Nem York State General Hunicipal
LaY, must he forvarded to u~ from the ?omn Building Department for our revlev
and comments.
Re vldenlngs or reconstruction Is presently planned for this County road vlthln
the area of the subject slt~.
Re additional access to ~ld41e Road mill be permitted from any lot mithin this
proposed subdivision. Access for Lot t3 should be by may of westphalia Ave.
If you have any questions, ~lndly contact this office at 852-4100.
Thank you for your cooperation in this matter.
Very truly yours,
~. Rlchard J. LaValle, P.E.
Paul
Permits Bnginee~~
RJL/HPC/pc
cc: Torn of Southold Plannlng~/
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr., Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. Mcl)onald
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
April 7, 1992
Robert D. Hamilton
200 Smith Drive South
Southold, New York 11971
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM~ 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolution was adopted by the Southold Town
Planning Board at a meeting held on Monday, April 6, 1992:
BE IT RESOLVED that the Southold Town Planning Board
assumes lead agency status, and as lead agency, makes a
determination of non-significance, and grant a Negative
Declaration.
Enclosed please find a copy of the Negative Declaration for
your records.
Very truly yours,
Chairman
Encl.
PLANNING BOARD MEMBERS
Bennett Orlowski, Jr., Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
Tclcphonc (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
[:ax (516) 765-1823
State ~nvironmental Quality Review
iNEGATIVE DECLARATION
Notice oS Determination of Non-Significance
April 6, 1992
This notice is issued pursuant to Part 617 of the
implementing regulations pertaining to Article 8 (State
Environmental Quality ~eview Act) of the Environmental Law.
The Southold TownlPlanning 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: Minor Subdivision Robert Hamilton
SCTM~: 1000~141-2-21.2
Location:
North side of C.R. 48, west of Westphalia
Aven~e, Mattituck
SEQR Status: Type!I ( )
Unlisted (X
Negative Declaration: Yes (
:No (X
Description of Action:
Cluster subdivisiQn of a 3,4958 acre parcel into three
lots w/areas of 55,663, 61,225 and 35,389 square feet
respectively.
Page 2
Robert D. Hamilton
SEQR Negative Declaration Con't.
Reasons Supporting This Determination:
An Environmental Assessment has been submitted and
reviewed. It was idetermined that no significant effects to
the environment were likely to occur should the project be
implemented as planned.
The site is predon
or depressions pre
the site is 7-10
must be given to s
adequate leaching
individual lot ap~
water supply and s
seasonal high ware
can be designed ar
Department Health
inantly flat with no topographic swales,
sent. The depth to groundwater beneath
eet indicating that some consideration
anitary system design to provide for
depth. Subdivision approval as well as
roval from SCDHS will be required for
anitary disposal. Based upon the depth to
r, it is expected that suitable systems
d built in accord with Suffolk County
Service standards.
There have been nq observations of significant habitats or
threatened, endangered or species of special concern.
There are no wetlands within or bordering the subject
site. The parcel is surrounded by residential development
to the north and east.
The proposed project conforms to existing zoning in terms
of density, providing lots with an average size of greater
than 40,000 squarei feet. Although Lot 3 is less than
40,000 square fee~, it is noted that Lots 1 and 2 are
substantially over,sized.
The proposed projeict conforms to Suffolk County Department
of Health Service~ density criteria and sanitary system
installation, providing average lot sizes of greater than
40,000 square feetI in Groundwater Management Zone VI. The
project is not within the Water Budget area, nor is it
within an area served by public water. As a result,
private water suppily wells will be used for on-site water
supply.
Because there has been no correspondence received from the
Department of Health Services in the allotted time, it is
assumed that thereI are no comments or objections from that
agency.
Because there has been no correspondence received from the
New York State Dep~rtment of Environmental Conservation in
the allotted time,i it is assumed that there are no comments
or objections fromi that agency.
Page 3
Robert Hamilton
For Further Information:
Contact Person: Melissa Spiro
Address: Planning Board
Telephone Number: (516) 765-1938
cc:
Suffolk County DeDartment of Health Services
Suffolk County Planning Commission
Roger Evans, NYSDEC Stony Brook
Cramer, Voorhis & iAssociates, Inc.
Judith Terry, Town Clerk
Applicant
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
SCOTT L. HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York II971
Fax I516) 765-1823
April 7, 1992
Robert D. Hamilton
200 Smith Drive South
Southold, New York 119711
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM9 1000-141-2-21.2
Dear Mr. Hamilton:
The following resollutlon was adopted by the Southold Town
Planning Board at a mee!ting held on Monday, April 6, 1992:
Be it RESOLVED to adopt the April 2, 1992 Suffolk County
Planning Commission report with the following amendments
(numbers correspond to numbers in report):
1. and 2. Are to r.emain as written.
3. Is to be omitted.
4. Is to remain !as written.
5. Is to be omitited
Is to be revilsed to read "Conditions 1, 2 and 4
shall be filed as a covenant and restriction in the
office of the County Clerk on or prior to the granting
of approval to this subdivision.
7. Is to remain ~as written.
page 2
Robert Hamilton
Numbers 1, 2 and 4 must be presented in a Declaration of
Covenants and RestrictiOns in proper legal form. Please refer to
the Planning Board's letter of February 25, 1992, for other
covenants and restrictions that were required. (Specifically,
numbers 1, 2 and 5 of that letter.) A copy of the draft
Declaration of Covenants and Restrictions must be submitted for
review by the Planning Board and the Town Attorney. Once
approved, the document must be filed in the Office of the County
Clerk and the Liber andi Page number of the filed document must
be noted on the map. ~
Please contact thi~ office if you have any questions
regarding the above.
Very truly yours,
Bennett Orlowski, Jr/~
Chairman
Encls.
SCPC Report
PB letter of 2/25/92
cc: Suffolk County Planning Commission
COUNTY OF SUFFOLI~
ROEERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
iz,../
DEPARTMENT OF PLANNING
Mr. Bennett Orlowski, Jr., IChairman
Town of Southold Planning ~oard
Main Road
Southold, New York 11971
April 2, 199
Re:
M~nor Subdivision - Robert D. Hamilton
N~rthwesterly side of Middle Road, C.R. 48, 102.31 feet
s~uthwest of Westphalia Avenue, Mattituck in the Town
o4 Southold
Dear Mr. Orlowski:
The Suffolk County Planning Commission at its regular meeting on
April 1, 1992, reviewed the proposed subdivision plat, entitled, "Minor
Subdivision - Robert D. Hamilton" referred to it pursuant to Section A14-24,
Article XIV of the Suffolk County Administrative Code.
The attached Resolution signifies action taken by the Commission relative
to this application.
Very truly yours,
Arthur H. Kunz
Director of Planning
Flank Dow}i~g, Sr. Planner
Subdivisi6~ Review Division
File: S-SD-92-03
FD:mb
Attachment
cc: Stephen Hayduk, Comm.i, SCDPW
J. Baler, C.E., SCDHS
File No. S-SD-92-03
Resolution No. ZSR~92-54 of Suffolk County Planning Commission
Pursuant to Sections A14-24, Article XIV of Suffolk County Administrative Code
WHEREAS,
WHEREAS,
WHEREAS,
RESOLVED,
RESOLVED,
pursuant to Sections A14-24, Article XIV of the Suffolk County
Administrative Code, a referral was received by the Suffolk County
Planning Commission on February 27, 1992, with respect to a proposed
plat entitled, "Minor Subdivision - Robert D. Hamilton" submitted by
the Town of Sout~old Planning Board affecting premises located on the
northwesterly side of Middle Road, C.R. 48, 102.31 feet southwest of
Westphalia Avenue[, Mattituck, in the Town of Southold, New York, and
said referral was! considered by the Suffolk County Planning
Commission at its! meeting on April 1, 1992, and
the Commission h~s voted to approve with certain changes said
referral, Be It ~erefore
That the Suffolk ~ounty Planning Commission hereby approves and
adopts the reporti of its staff as the report of the Commission, Be It
Further
That said proposeR plat is approved subject to the meeting of the
following conditions deemed necessary for good planning and land use.
1. There shall n~t be any vehicular ingress and egress on Middle
Road, C.R. 48! for Lot No. 1. Said restriction shall be noted on
the map to be filed in the County Clerk's office.
2. All stormwater runoff resulting from the development and
improvement of this subdivision or any of its lots shall be'
retained on t~e site by adequate drainage structures so that it
will not flow[out onto the right-of-way of Middle Road, C.R. 48
or into Mattituck Creek.
3. A fence in accordance with zoning requirements and a natural
buffer area shall be provided between Lots No. 1 and 3 and the
Church parking and buildings for increased residential amenities.
4. Clearing and ~rading within Lots No. I & 3 shall be limited to
that necessav for siting and constructing a house with the
intent of preserving as much of the natural vegetation on the
site as possible, and to minimize stormwater runoff and erosion.
5. A 50 foot natural buffer area with plantings shall be provided
adjacent to Middle Road (C.R. 48) for Lot No. 1.
Conditions I Shall be filed as a covenant and restriction in the
office of the!County Clerk on or prior to the granting of
approval to this subdivision.
Resolution No. ZSR-92-54 S-SD-92-03
This covenant and restriction can be modified only at the request
of the then awner of the premises with the approval of a majority
plus one of ~he Planning Board of the Town of Southold after a
public hearing. Adjoining property owners shall be entitled to
motice of such public hearing but their consent to such
modification shall not be required.
7. The final map shall bear the following note: A Declaration of
Covenants and Restrictions has been filed in the Suffolk County
Clerk's officie which affects lots in this subdivision.
The Commission also offers the following comment on the map:
Consideration shohld be given for the dedication of land for highway
purposes at the sputherly corner of the property adjacent to Middle Road
(C.R. 48) and adjacent to Horton Avenue on the northwest.
Motion by: Commissioner GrucCi
Commission Vote: 11 Present
Seconded by: Commissioner Eversoll
Yeas 10
Nays 0
Abstentions !
Dated April 1, 1992
Hauppauge, New York
Suffolk County Planning Commission
Commissioner McDonald
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
SCOWl' L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (5161 765-1823
February 25, 1992
Robert D. Hamilton
200 Smith Drive South ~
Southold, New York 119711
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM~ 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolutions were adopted by the Southold Town
Planning Board at a meeting held on Monday, February 24, 1992:
BE IT RESOLVED that the Southold Town Planning Board start
the lead agency coordination process on this unlisted action.
BE IT RESOLVED that the Southold Town Planning Board grant
sketch approval on theimap dated February 5, 1992 with the
conditions listed beloW. This subdivision is designed as a
· Cluster Subdivision and will be reviewed in accordance with
Article XVIII of the Town Zoning Code.
1. Lot ~1 shall not have access onto C.R. 48. Access for
this lot shall be from Westphalia Avenue only.
e
All buildings on Lot ~2 must be affiliated with the
church. At present, the church is not in use. If the
church use is reactivated, an As Built Site Plan will
be required.
A curb cut approval for access onto C.R. 48 will be
required for! Lot 91.
Building envelopes should be indicated on the final
plan for Lot ~1 and Lot ~3.
o
There shall be no further subdivision of any lot in
perpetuity.
Sketch Plan approval is conditional upon submission of
final maps within six months of the date of sketch approval,
unless an extension of time is requested by the applicant, and
granted by the Planning Board. Final maps must contain a valid
stamp of Health Department approval.
The Planning Board will be conducting the environmental
review for the subdivision proposal. You will be notified of all
stages of this review. The Planning Board will also be
forwarding the proposal to the Suffolk County Planning
Commission and the Engineering Inspector for review. You will
receive a copy of thei~ reports when submitted.
n addition, please note that as per Section A106-38(E) of
the Town Code, the Planning Board will be requiring that a park
and playground fee of $2,000.00 per vacant lot be submitted
prior to any final approval of the subdivision.
Please contact Me$issa Spiro of this office if you have any
questions regarding th~ above.
Very truly yours, ·
Bennett Orlowski, J~.
Chairman
COUNTY OF SUFFOLK
ROBERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
/;, '.
DEPARTMENT OF PLANNING
Mr. Bennett Orlowski, Jr., ghairman
Town of Southold Planning B~ard
Main Road I
Southold, New York 11971
April 2, 1991
~ SOUTHOL~ O~N
~-~ ¢: PLANNING BOARD
Re:
Mi~or Subdivision - Robert D. Hamilton
Northwesterly side of Middle Road, C.R. 48, 102.31 feet
southwest of Westphalia Avenue, Mattituck in the Town
ofiSouthold
Dear Mr. Orlowski:
The Suffolk County Planning Commission at its regular meeting on
April 1, 1992, reviewed the proposed subdivision plat, entitled, "Minor
Subdivision - Robert D. Hamilton" referred to it pursuant to Section A14-24,
Article XIV of the Suffolk County Administrative Code.
The attached Resolutio~ signifies action taken by the Commission relative
to this application.
Very truly yours,
Arthur H. Kurtz
Director of Planning
F{/ank Down,g, Sr. Planner
Subdivisi6~/Review Division
File: S-SD-92-03
FD:mb
Attachment
cc: Stephen Hayduk, Comm., SCDPW
J. Baler, C.E., SCDHS
File No. S-SD-92-03
Resolution No. ZSR~92-54 of Suffolk County Planning Commission
Pursuant to Sections A14-24, Article XIV of Suffolk County Administrative Code
WHEREAS,
WHEREAS,
WHEREAS,
RESOLVED,
RESOLVED,
pursuant to Sections A14-24, Article XIV of the Suffolk County
Administrative Code, a referral was received by the Suffolk County
Planning Commission on February 27, 1992, with respect to a proposed
plat entitled, "i{inor Subdivision - Robert D. Hamilton" submitted by
the Town of Sout~old Planning Board affecting premises located on the
northwesterly sile of Middle Road, C.R. 48, 102.31 feet southwest of
Westphalia Avenu ~, Mattituck, in the Town of Southold, New York, and
said referral wa considered by the Suffolk County Planning
Commission at it meeting on April 1, 1992, and
the Commission h ~s voted to approve with certain changes said
referral, Be It ~erefore
That the Suffolk County Planning Commission hereby approves and
adopts the repot of its staff as the report of the Commission, Be It
Further ~
That said proposed plat is approved subject to the meeting of the
following condit Lons deemed necessary for good planning and land use.
There shall mot be any vehicular ingress and egress on Middle
Road, C.R. 45 for Lot No. 1. Said restriction shall be noted on
the map to be filed in the County Clerk's office.
2. All stormwatgr runoff resulting from the development and
improvement 9f this subdivision or any of its lots shall be
retained on ~he site by adequate drainage structures so that it
will not flo~ out onto the right-of-way of Middle Road, C.R. 48
or into Matt~tuck Creek.
3. A fence in a~cordance with zoning requirements and a natural
buffer area ~hall be provided between Lots No. 1 and 3 and the
Church parking and buildings for increased residential amenities.
Clearing and
that necessa
intent of pr~
site as poss
5. A 50 foot na~
adjacent to
grading within Lots No. 1 & 3 shall be limited to
~ for siting and constructing a house with the
~serving as much of the natural vegetation on the
~ble, and to minimize stormwater runoff and erosion.
:ural buffer area with plantings shall be provided
~ddle Road (C.R. 48) for Lot No. 1.
6. Conditions l~shall be filed as a covenant and restriction in the
office of the County Clerk on or prior to the granting of
approval to ~his subdivision.
Resolution No. ZSR-92-54 S-SD-92-03
This covenant and restriction can be modified only at the request
of the then ,whet of the premises with the approval of a majority
plus one of the Planning Board of the Town of Southold after a
public hearing. Adjoining property owners shall be entitled to
notice of such public hearing but their consent to such
modification shall not be required.
The final map shall bear the following note:
Covenants an
Clerk's offi
The Commission a
A Declaration of
Restrictions has been filed in the Suffolk County
:e which affects lots in this subdivision.
Lso offers the following comment on the map:
Consideration sh
purposes at the
(C.R. 48) and ad
Motion by: Commissioner Gru~ci
Commission Vote: 11 Present
)uld be given for the dedication of land for highway
~outherly corner of the property adjacent to Middle Road
acent to Horton Avenue on the northwest.
Seconded by: Commissioner Eversoll
Yeas 10
Nays 0
Abstentions 1 Commissioner McDonald
Dated April 1, 1992
Hauppauge, New York
Suffolk County Planning Commission
ENVIRONMENT~G CONSULTANTS
April 2, 1992
Mr. Bennett Orlowski, Jr.
Chairman
Southold Planning Board
Town Hall, 53095Main Road
P.O. Box 1179
Southold, NY 11971
Re: Review of EAF
Robert Hamilton
SCTM No. 1000-141-2-~1.2
Dear Benny:
As per the your request~we have completed a preliminary review of the above
referenced project in accordance with your correspondence of February 26, 1992. Tasks and
completed activities are identified as follows:
1. Review Part I LEAF i
The parcel has been field inspected by CVA, and the LEAF has been reviewed and
amended as necessary. ~ copy of same is attached.
2. Prepare Part H LEAF
The Part II LEAF checklist has been completed and is also attached. Additional
information concerning'~our findings is included below.
o
Environmental and planning Considerations
The parcel has been inspected and environmental references concerning the site and
area have been consulted. The project involves the proposed subdivision of a 3.4958
acre parcel of land intO]three (3)lots with areas of 55,663, 61,225 and 35,389 square
feet. The site is located on the north side of C.R. 48, west of Westphalia Avenue,
Mattituck, New York. The project is an unlisted action, and a Long EAF has been
submitted for review arid coordination purposes.
The subject site is located in an area zoned R-40, allowing residential dwellings based
on a yield of 40,000 squhre foot lots. The areas north of C.R. 48 are in the R-40
district, and areas south of C.R. 48 are zoned LI (Light Industrial) directly across
from the site and R-40 On the south side of C.R. 48 west of the site.
The site has existing irt provements in the areas iden. tified as Lots 2 and 3. Lot 2 is
occupied by a church a: id associated parking, a mobde home trailer and a tennis
court. The proposed 1¢ t is predominantly cleared, with the exception of several areas
of growth including pri: narily large specimens of landscape species of holly, cedar,
pine, hemlock. Propos :d Lot 3 is occupied by an existing single family residential
dwelling, with areas of ;parse oak specles and grass groundcover, and a portion along
Horton Avenue which: ncludes a fragmented area of dry oak forest. Lot 1 is
dominated by dry oak Woodlot, with the area adjacent C.R. 48 cleared to a depth of
140+ feet.
54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455
Page 1 of 21
Robert D. Hamilton
Long EAF Review
The site is predominantly flat with no topographic swales, or depressions present. In
addition, the Suffolk County Soil Survey indicates the soil type on site is Carver and
Plymouth Sand and Cut and Fill land, two characteristically coarse well drained soils
which do not pose a significant constraint. The depth to groundwater beneath the site
is 7-10 feet indicating that some consideration must be given to proper sanitary
system design for adequate leaching depth as will be discussed below. There were no
significant habitats or threatened, endangered or special concern species observed on
site during field inspections. There are no wetlands within or bordering the subject
site. The parcel is surrognded by residential development to the north.
The proposed project conforms to existing zoning in terms of density, providing lots
with an average size of greater than 40,000 square feet. Although Lot 3 is less than
40,000 square feet, it is~oted that Lots 1 and 2 are substantially oversized. In terms
of access; access to Lot ! can be from Westphalia Avenue or C.R. 48, access to Lot 2
will be from C.R. 48, and access to Lot 3 will be from Oak Street.
The proposed project a~so conforms to Suffolk County Department of Health
Sermces density criteria and sanitary system installation, providing average lot sizes of
greater than 40,000 squ~re feet in Groundwater Management Zone VI. ~ne project
is not within the WaterBudget area, nor is it within an area served by public water.
As a result, private water supply wells will be used for on-site water supply. The area
is not in an area identified as being affected by nitrate contamination in the North
Fork Water Supply study; however, the area may be or may have been affected by
aldicarb contamination. Supply well sampling must be performed to the satisfaction
of the SCDHS, and potable water supply must be provided in accord with Article IV
of the Sanitary Code. Subdivision approval as well as individual lot approval from
SCDHS will be required for water supply and sanitary disposal. During this review,
the sanitary system design will consider depth to seasonal high water in order to
ensure adequate leaching depth. Based upon the depth to water, it is expected that
suitable systems can be ffesigned and built in accord with SCDHS standards.
Concluxion and Recomr~endations
Based upon the review 0f the Long EAF Parts I and II, site inspe.ction and
documentation noted a.l~ove, we feel that the site does not have significant
environmental constraints, n. or is any significant environmental impact anticipated as
a result of the proposed!proJect. If the Planning Board is in agreement, we feel that
the Planning Board could appropriately issue a Negative Declaration, not requiring
the preparation of an Environmental Impact Statement, based upon the reasons
noted above.
I hope this letter provides the Board with the information needed to continue review
of this project. We would be pleased to provide additional input upon request. Please do
not hesitate to call if you have any questions.
enc: Part I/II LEAF
ENVIRONMEN G CONSULTANTS
Page 2 of 2
14-16-2 (2/87)--7c
617.21 QR
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FO
Purpose: The full EAF is desigi~ed to help applicants and agencies determine, in an c ct
or action may be significant. The question of whether an action may be significant is no ~t-
ly, there are aspects of a project that are subjective or unmeasureable. It is also und, hose who determine
significance may have little or no formal knowledge of the environment or may be technically expert in environmental
analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting
the question of significance.
The full E^F 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 I~he analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from ~r a...A~jD~.lt p~o.v,!des
guidance as to whether an impact is likely to be considered small to mode~ ;~,~or~,h~hei~ itl s ~pd~n~Jly-
large impact· The form also iidentifies whether an impact can be mitiga~ ~ iJ
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is use~ t~*~valuate whetb.~,,pr not the
impact is actually important· ~ ,,~:,,
DETERMINATION OF SIGNIFICANCE--Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 []Part 3
Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting
information, and considering both the magitude and 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 signif'icant effect on the environment, there will eot be a significant
effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,
therefore a CONDITIONED hegative 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
-F/O-o
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
Title of Responsible Officer
Signature of Responsible Offi.c.er in Lead Agency Signature of Preparer (If different from resPonsible officer)
Date
Prepared by Project Sponsor "
NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered~r
as part of the application f0i' approval and may be subject to further verification and public review. Provide any additional;~
information, y0, u, belie,~will~be needed to complete Parts 2 and 3
It is expecm~,~'~mpletio~ of the fu EAF will be dependent on information currently available and w not involve
ew sl~u~lms, re~'ear~h"b'W~ge'st~gabon. If ~nformabon requmng such add~ttonal work is unavadable, so indicate and specify
each instance.
i~CoATION OF ACTION (Inc{ude Street Address, /~unicipality and Courdy) f ,~
NA~E OF APPLICANT/SPONSOR - , t I-
ADDRESS
BUSINESS TELEPHONE
CI /PO
NAM,.~.OF OWNER (If differen0
BUSINESS TELEPHONE
ADDRESS
CITY/PO
STATE ZIP CODS
DESCRIPTION OF ACTION
-i'14 Fce._ Iow
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: [:]Urban [:]Industrial
[:]Forest [:]Agriculture
~m Total acreage of project area: 3. z¢~,2~.
APPROXIMATE ACREAGE
Meadow or Brushland (Nomagricultural)
Forested
Agricultural (Includes orchards, cropland, pasture, etc.)
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL)
Water Surfac'e Area
Unvegetated (Rock, earth or fill)
Roads, buildings and other paved surfaces
[]Commercial
[:]Other
~.tResidential (suburban)
acres.
11,5
o
o
PRESENTLY
acres
acres
acres
acres
acres
acres
acres
[-IRural (non-farm)
AFTER COMPLETION
acres
1.1,9 acres
acres
acres
, ~::~ ~.~...~ acres
acres
acres
4. Are there bedrock outcroppings on project site? [:]Yes [~]"No
a. What is depth to bedrock? C) '(in feet)
2
Other {Indicate type) acres acres
3. What is predominant soil type(s) on proiect site? ~,//? ~,,L,['r'/~| ~1 q~gl'l~ ,~'[ojOln~3 o~lqd ,f(
a. Soil drainage: ~WelJ drained _[O~:2 % of site [~Moderately well drained % of site
I-IPoorly drained ~ % of site
h. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYSe._:
Land Classification System? C~ acres, (See 1 NYCRR 370), ~
D10-15%
%
D15% or great~Fr , %
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the. National
Registers of Historic Places? I-lYes ,~o "
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? I-lYes [~o
8. What is the depth of the water table?~-~ (in feet) ~
9. Is site located over a primary, principal, or sole source aquifer? DYes
10. Do hunting, fishing or shell fishing opportunities present]y exist in the project area? ~Yes
11. Does project site cqntain any species of plant or animal life that is~identified as threatened or endangered?
~Yes ~o According to~ON~ ~~1~ ~ CV~
Identify each species
12. Are there any unique or unusual land fbrms on the project site~ (i;e., cliffs, dunes, other geological formbtions)
-r
13. Is the project site presently used by ~he community or neighborhood as an open space or recreation area?
~Yes ~o If yes, explain
14. Does the present site include scenic views known to be important to the community? ~Yes ~No
15. Streams within or contiguous to project area: ~ ~
a. Name of Stream and name o~ River to which it is tributary
16. Lakes, ponds, wetland areas within or c6ntiguous to project area:
a. Name
17. Is the site served by existing public utilities? JZ~-Yes DNo
a) If Yes, does sufficient capacity exist lo allow connection?
b) If Yes, will improvements be necessary to allow connection?
b. Size (In acres)
[~es C1No
~]Yes [2~'N o
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? DYes
19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article
of the ECL, and 6 NYCRR 6177 DYes
20. Has the site ever been used for the dispbsal of solid or hazardous wastes? I--lYes [~No
B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate)
b. Project acreage to be developed: , ~]~ acres initially; ~ ./--~' acres ultimately.
c. Project acreage to remain undeve!oped ,t,'/,q- ' acres.
d. Length of project, in miles: /V/~' (If appropriate)
e. :If the project is an expansion,~indicate percent of expansion proposed O %
f. Number of off-street parking spaces existing '~- ~ ; proposed "~
g. Maximum vehicular trips generated per hour ~///~ · (upon completion of project)?
h. If residential: Number and type of housing units:
One Family Two Family Multiple Family Condominium
Initially
Ultimately - _
i. Dimensions(in feet) of large'st propoiedstructure ~_~./~height; ;i~th;__ length.
j. Linear feet of frontage a]ong a publi~: thoroughfare project wil[ occupy is? ft.
3
3. Will disturbed areas be reclaimec~ I-lYes f-INo ..
a. If yes, for what intend~J purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation;~ l-lYes I-1No
¢. Will upper subsoil be stockpiled for reclamation? [:]Yes [:]'No
tons/cubic yards
,I
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? I~J/~. acres.
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removedb~/this project?
I-lyes UNo
6. If single phase project: Anticipated period of construction ~1/~' months, (including demolition).
7. If multi-phased:
!
a. Total number of phases anticipated ~ (r~J~mber).
b. Anticipated date of commencement phase I ~,.I'¥ month
c. Approximate completion date of final phase I~I ~ month
d. Is phase I functionally dependent on subsequent phases? l-lYes
8. Will blasting occur during constructionS' [~Yes [~o
9. Number of jobs generated: during construction
10. Number of jobs eliminated by this prctject ~1i¥ .
11. Will project require relocation of anyiprojects or facilities?
fqNo
year, (including demolition).
year.
; after project is complete
[:]Yes ,E~'o If yes, explain
12. Is surface liquid waste disposal involved? I-lyes
a. If yes, indicate type of waste (seWage, industrial, etc.) and amount
b. Name of water body into which ef~fluent wdl be discharged
13. Is subsurface liquid waste disposal involved? ,.~:Yes [~o Type
14. Will surface area c~f an existing water body increase or decrease by proposal? r-lyes I-INo
Fxpiain
15. Is project or any portion of project located in a 100 year flood plain? f-lyes [~No
a. If yes, what is the amount per month ~,/-'~'.~ tons-t-[2¢'olOO.~'~
b. tf yes, will an existing solid waste facility be used? f'-IYes f-INo
c. If yes, give name L-~Iri~II ~/~'~o~o~q o~ C'~c,~,~D~); location ~01~1-~
d. Will any wastes not go into a sewjge disposal system o£ into a sanitary landfill? ~'es [:]No
e. If Yes, explain 'I~CuC;~k. blI~
17. Will the project involve the disposal of solid waste? ]3Yes ~No
a. If yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? years.
18. Will project use herbicides or pesticides? [:]Yes [~o
19. Will project rou. tinely prdduce odors (more than one hour per day)? [:]Yes [~No
20. Will project produce operating noise exceeding the local ambient.noise levels? [:]Yes
21. Will project result in an increase in energy use? ~Yes I~No
If yes , indicate type(s)
22. If water supply is from wells, indicate pumping capacity ¢it~ gallons/minute.
23. Total anticipated water usage per da'/ ~ k~)_'-~ gallons/day.
24. Does project involve Local, State or Federal funding? [:]Yes [~No
If Yes, explain
4
2,~..Approvals Required:
~-- T~e ~' SubmittalDate
City, Town, Village Board Ii'Ct'es ~No
City, Town, Village Planning Board ~es I-INo
City, Town Zoning Board [~fes I-1No
City, County Health Department ~Yes
Other Local Agencies I--lYes
Other Regional Agencies i-lYes
State Agencies f-Wes
Federal Agencies [Yes
C. Zoning and Planning Informa~tion
1. Does proposed action involve a planning or zoning decision? J~es I-JNo
If Yes, indicate decision required:
~lzoning amendment []zoning variance ~lspecial use permit J~ubdivision t'-isite plan
~]new/revision of master plan ~resource management plan f'qother
2. What is the zoning classification(s)of the site? ~. 11~0 -~¢[0~ I~L ~0 ~/~
AA
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
LoS 20%
4. What is the proposed zonin8 of the slite? ~,~O'
5. What is the maximum potentia~ development of the site if developed as permitted by the proposed zoning?
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~es ~No
7. What are the predominant land use(s) and zoning classifications within a ~ mile radius of proposed action?
8. Is the proposed action compatible with adjoining/surrounding land uses within a ~ mile? ~es ~No
9. I[ the proposed action is the subdivision of land, how many lots are proposed?
a. What is the minimum lot size proposed? / ~dK~, ' ~ ~ ~o¢ ~,
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ~Yes
11. Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)? ~Yes ~No
a. If yes, is existing capacity sufficient to handle projected demand? ~Yes ~No
12. Will the proposed action result in the generation of traffic significantly above present levels? ~Yes
a. If yes, is the existing road network adequate to handle the additional traffic? ~Yes ~No
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 mitigate or
avoid them.
E. Verification
I certify that the infor/m,~tion provid(~d above is true to the best of my knowledget
Applicant/Sp~nsor Name ,a,~ ~.{p_.~- -~- h~(L.~,~(.,~ Date
If the action is in the Coastal Area, and you are a slate agency, complete the Coastal Assessment Form before proceeding
wile Ibis assessment
Responsibility o[ Lead A.~ency
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 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. They do not constitute an exhaustive list of impacts and thresholds to answer each question.
· The number of examples per question do~s not indicate the importance of each question.
· In identifying impacts, consider long term, short term and cumtative 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 iYes answers.
c. If answering Yes to a question then chec!k the appropriate box (column I or 2) to indicate the potential size of the
impact. 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 c~lumn 2 can be mitigated by change(s) in the proiect 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?
Jji(N O OYES
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 §round surface.
· Construction that will c~ntinue for more than 1 year or involve more
than one phase or stage.
· Excavation for mining purposes that woulld 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 umque or unusual land f,o~rms fonnd on
the site? (i.e., cliffs, dun.es, geolog.~-cal formations, etc.)J,~NO r~YES
· Specific land forms:
I 2 3
Small to Potential Can impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I--lYes [:]No
f-] [] [~]Yes E~No
L--] [] []Yes ['-INo
[] [] [~]Yes F-INo
[] [] [~Yes F-INo
[] [] [~Yes ~No
[] [] [:]Yes []No
[] [] []Yes [:3No
[] [] I--lYes r-INo
[] [] ~]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)
~IyES
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.
· £xtension 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?
OYES
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 dec~'ease.
· 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? j~NO OYES
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 conveye J 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 likelv cause siltation or other discharge into an
existing body of water to the extent that there will be an obvious visual
contrast to natural conditions.
· Proposed Action will require the storage of petroleum or chemical
products greater than 1,100 gallons.
· Proposed Action will allow residential ujses 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:
C. 6. Will proposed action alter flow
drainage
or
pat ter~3,
or.
surface
water runoff? , ~INO OYES
Examples that would apply to column 2
· Proposed Action would change flood water flows.
?
Small to Potential ,Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I~lyes r-INo
[] [] []Yes []No
[] [] [:]Yes []No
[] [] []Yes I'-INo
[] [] []Yes J--lNo
[] [] []Yes [--JNo
[] [] ~JYes []No
[] [] IqYes r~No
[] [] []Yes [~No
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ D ~Y~ ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existing drainage patterns.
· Proposed Action will allow development in a designated floodway.
· Other impacts:
IMPACT ON AIR
7. Will proposed action affect air quality? /~O ~IyES
Examples that would apply to column 2
· Proposed Action will induce 1,000 or moire vehicle trips in any given
hour. '
· Proposed Action will result in the incineiation of more than 1 ton of
refuse per hour.
· Emission rate of total contaminants will [exceed 5 lbs. per hour or a
heat source producing more than 10 miltfon BTU's per hour.
· Proposed action will allow an increase in tee amount of land committed
to industrial use.
· Proposed action will allow an increase iq the density of industrial
development within existing industrial ar~as.
· Other impacts:
IMPACT ON PLANTS AND ANIMALS
8. Will Proposed Action affect any threatened or enda~)d
species? 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 mor~ than twice a year, other
than for agricultural purposes.
· Other impacts: i
9. Will Proposed Action substantially affect non-threatened or
non-endangered species? /~O I-lYES
Examples that would apply to column 2
· Proposed Action would substantially interfere with any resident or
migratory fish, shellfish or wildlife speciesi
· Proposed Action requires the removal of more than 10 acres
of mature forest (over 100 years of age) br other locally important
Vegetation.
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will the Proposed Action affect agricultural land reso rces?
FO OYES
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.)
Moderate
Impact
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
Potential
Large
Impact
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
Can Impact Be
Mitigated By
Project Change
I--lyes ['-INo
I--lYes r']No
I--lYes FINo
[~]Yes I--IN(
I-lYes F]No
I-lyes [-1No
I--lYes [::]No
OYes ~lNo
~]Yes I~No
OYes FINo
I-lYes FINo
I-lYes E]No
E]Yes E]No
[~]Yes E]No
OYes FINo
[:]Yes I~]No
[~]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 A~ricultutal 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: I
IMPACT ON AESTHETIC I~ESOURCES
11. Will proposed action affect aesthetic lesources? HO r~YES
(if necessary, use the Visual EAF Addendum in Se~:tion 617.21,
Appendix B.)
Examples that would apply to columni2
· Proposed land uses, or project compone~nts obviously different from
or in sharp contrast to current surroundinig land use patterns, whether
man-made or natural.
· Proposed land uses, or project compbnents visible to users of
aesthetic resources which will eliminate ior significantly reduce their
enjoyment of the aesthetic qualities of tl~at resource.
· Project components that will result in tee elimination or significant
screening of scenic views I;nown to be important to the area.
· Other impacts:
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site ~r structure otf historic, pre-
historic or paleontological importancei I~O I-lyES
Examples that would apply to column :2
· Proposed Action occurring wholly or pariially within or substantially
cont guous to any fac~hty or s~te hsted on the State or Nat ona Register
of historic places.
· Any impact to an archaeological site or ~ossil bed located within the
project site.
· Proposed Action will occur in an area idesignated as sensitive for
archaeological sites on the NYS Site Inve!ntory.
· Other impacts: I
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed Action affect the quant!ity or quality of existing or
future open spaces or recreational opp[ortunities?
Examples that would apply to column ~
[~YES
C · The permanent foreclosure of a future recreational opp'~rtunity.
· A major reduction of an open ~pace im[portant to the community.
· Other impacts:
T-'~- 2 3
Small to,' Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] [-]Yes I--]No
[] [] i-'lYes E]No
[] [] []Yes []No
[] [] r-lyes []No
[] [] ~]Yes []No
[] [] []Yes []No
[] [] I--lYes [-]No
[] [] []Yes []No
[] [] I--lYes I--] No
[] [] I'-]Yes I--INo
[] [] []Yes []No
[] [] I-lYes []No
[] [] ~]Yes []No
[] [] []Yes []No
[] [] [~]Yes []No
IMPACT ON TRANSPORTATION
14. Will there be an effect to existing transportation
Examples that would apply to column 2 I~NO ~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
15. Will proposed action affect the community's so f fuel or
ener§y supply? U~o° [YES
Examples that would apply to columln 2
· Proposed Action will cause a greater t~an 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 mere than 50 single or two family
residences or to serve a major commer~:ial or industrial use.
· Other impacts:
NOISE AND ODOR I!MPACTS
16. Will there be objectionable odors, nioise, or vibra iti~ as a result
of the Proposed Action;~ ' ,!.~NO []YES
Examples that would apply to column 2
· Blasting within 1,500 feet of a hospitbl, school or other sensitive
facility.
· Odors will occur routinely (more than One 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 iHEALTH
17. Will Proposed ^etlon affect public health and safet~"O
[YES
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 "hazardous wastes" in any
form [i.e. toxic, poisonous, hifihly 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
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] [-]Yes E']No
[] [] I--lYes []No
[] [] F-lYes F-1No
[] [] []Yes [-'[No
[] [] []Yes [-iNo
[] [] []Yes E1No
[] [] []Yes []No
[] [] E]Yes ~lNo
[] [] []Yes f~No
[] [] []Yes E]No
[] [] E]Yes EgNo
[] [] []Yes []No
[] [] []Yes ~No
[] [] r-lyes []No
[] [] ~]Yes []NO
[] [] E]Yes []No
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the existed, community?
Examples that would apply to column 2 ,~NO OYES
· 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 proiects.
· Proposed Action will create or eliminate employment.
· Other impacts:
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I~Yes I-]No
[] [] I--lyes [:]No
[] [] I-'lyes fi-INo
[] [] [-]Yes I'~No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes E3No
[] [] []Yes []No
19. Is there, or isi there likely to be, public controv re~. related to
potential adveise environmental mpacts? ,~10 [~YES
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 in, pact(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 {if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change(s).
3. Based on the information available, dec!de if it is reasonable to conclude that this impact is important.
To answer the question of importande, consider:
· The probability of the impact o~curring
· The duration of the impact
· :Its irreversibility, including permJanently lost resources of value
· Whether the impact can or will be controlled
· The regional consequence of the impact
· Its potential diw:rgence from Ioctal needs and goals
· Whether known objections to th~ project relate to this impact. .
(Continue on attachments)
11
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
John A. Keogh,~Secretary
Mattituck FirelDistrict
Pike Street
Mattituck, New York 11952
Dear Mr. Keogh:;
~n~ P~e find (2)surveys for ~7 I/~~_d~
Please notify this office as to whether any firewells are
needed. Please Specify whether shallow wells or electric wells
will be needed.
Please reply .by / 199~ Thank you for your
cooperation, j ·
enc.
March 24, F992
Gentlemen: The Board
have determined that
at this time.
Bennett Orlowski, Jr. / ~
Chairman
of Fire Commissioners Of the Mattituck Fire District
ther~ is sufficient fire wells at the above location
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
SCO~'F L. HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (516) 765-1823
February 25, 1992
Robert D. Hamilton
200 Smith Drive South
Southold, New York 1197~
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM~ 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolutions were adopted by the Southold Town
Planning Board at a meeting held on Monday, February 24, 1992:
BE IT RESOLVED that the Southold Town Planning Board start
the lead agency coordination process on this unlisted action.
BE IT RESOLVED that the Southold Town Planning Board grant
sketch approval on the map dated February 5, 1992 with the
conditions listed below+ This subdivision is designed as a
Cluster Subdivision andiwill be reviewed in accordance with
Article XVIII of the Town Zoning Code.
Lot ~1 shall hot have access onto C.R. 48. Access for
this lot shall be from Westphalia Avenue only.
Ail buildingsion Lot 02 must be affiliated with the
church. At present, the church is not in use. If the
church use is reactivated, an As Built Site Plan will
be required.
A curb cut approval for access onto C.R. 48 will be
required for Lot #1.
Building enve!opes should be indicated on the final
plan for Lot !~1 and Lot ~3.
There shall bE no further subdivision of any lot in
perpetuity.
Sketch plan approval is conditional upon submission of
final maps within six months of the date of sketch approval,
unless an extension of time is requested by the applicant, and
granted by the Planning Board. Final maps must contain a valid
stamp of Health Department approval.
The Planning Board will be conducting the environmental
review for the subdivision proposal. You will be notified of all
stages of this review. The Planning Board will also be
forwarding the proposal to the Suffolk County Planning
Commission and the Engineering Inspector for review. You will
receive a copy of their~reports when submitted.
In addition, pleas~ note that as per Section A106-38(E) of
the Town Code, the Plan~ing Board will be requiring that a park
and playground fee of $2,000.00 per vacant lot be submitted
prior to any final approval of the subdivision.
Please contact Melissa Spiro of this office if you have any
questions regarding the above.
Very truly yours, .
Bennett Orlowski, J~/.~$
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
SCOTr L. HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
February 26, 1992
Cramer, Voorhis & Associates
Environmental and Planning Consultants
54 N. Country Road
Miller Place, New York 11764
RE: Review of EAF
Robert Hamilton
SCTM91000-141-2-21.2
Dear Messrs. Cramer and Voorhis:
The Southold Town Planning Board hereby refers the
Environmental AssessmentlForm for the above mentioned
subdivision to your offiCe for review.
The Planning Board started the lead agency coordination
process on February 24, 1992. The $400.00 review fee has been
submitted by the applicant. If all is in order, the Board will
make their SEQRA determination at the April 6th public meeting.
Please submit your report no later than March 30th in order for
the Board to review it before the meeting date.
The purchase order will be sent to you under separate cover.
If there are any q~estions, please contact Planning Staff.
Very truly yours,
Bennett Orlowski,
Chairman
Encls.
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
SCO'IT L. HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (516) 765-1823
February 25, 1992
Robert D. Hamilton
200 Smith Drive South
Southold, New York 11971i
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM0 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolutions were adopted by the Southold Town
Planning Board at a meeting held on Monday, February 24, 1992:
BE IT RESOLVED that the Southold Town Planning Board start
the lead agency coordination process on this unlisted action.
BE IT RESOLVED that the Southold Town Planning Board grant
sketch approval on the map dated February 5, 1992 with the
conditions listed below. This subdivision is designed as a
Cluster Subdivision and lwill be reviewed in accordance with
Article XVIII of the ToWn Zoning Code.
1. Lot 01 shall dot have access onto C.R. 48. Access for
this lot shall be from Westphalia Avenue only.
2. All buildings on Lot 02 must be affiliated with the
,~' church. At present, the church is not in use. If the
church use is reactivated, an As Built Site Plan will
be required.
3. A curb cut approval for access onto C.R. 48 will be
required for ~ot #1.
4. Building envelopes should be indicated on the final
plan for Lot #1 and Lot ~3.
5. There shall be no further subdivision of any lot in
perpetuity.
Sketch plan approval is conditional upon submission of
final maps within six months of the date of sketch approval,
unless an extension of time is requested by the applicant, and
granted by the Planning Board. Final maps must contain a valid
stamp of Health Departmelnt approval.
The Planning Board will be conducting the environmental
review for the subdivisi~on proposal. You will be notified of all
stages of this review. The Planning Board will also be
forwarding the proposal ~to the Suffolk County Planning
Commission and the Engineering Inspector for review. You will
receive a copy of their ~reports when submitted.
In addition, please note that as per Section A106-38(E) of
the Town Code, the Plan~ing Board will be requiring that a park
and playground fee of $2,000.00 per vacant lot be submitted
prior to any final approval of the subdivision.
Please contact Melilssa Spiro of this office if you have any
questions regarding the above.
Very truly yours, ·
Bennett Orlowski, J~. NS
Chairman
14-16-2 (2/87)-- 7c
617.21
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FO
!~ - SEQR
Purpose: The full EAF is designed to help applicants and ag, in an a pro
or action may be significant. The question o~ whether an action may be sigl
ly, there are aspects of a project that are subjective or unmeasureable. It is also und( :hose who determine
significance may have little or no formal knowledge of the environment or may be technically expert in environmental
analysis· in addition, many who 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 wherebv 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 !he analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying the range of possible impacts that may occur from a proie(~t 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 potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually important.
DETERMINATION O~ SIGNIFICANCE--Type I and Unlisted Actions
Identify the Portions of EAF completed fbr this project: [] Part I [] Part 2 []Part 3
Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting
information, and considering both the magitude and 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 ~egative 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, therefor~ a positive declaration will be prepared.
* A Conditioned Negative Declaratidn is only valid for Unlisted Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
Signature of Responsible Officer in Lead Agency
Title of Responsible Officer
Signature of Preparer (If different from responsible otficer)
Date
(-
PART 1--PROJECT IN~-,JHMATION
Prepared by Proiect Sponsor
NOTICE: This document is designed to assist in determining whether the action propose(] may have a signmcant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these quesUons will be considered~-~
as part of the application for approval and may be subject to further verification and public rewew Provide anyadditionat~
information you belie~eJwill'be needed to complete Parts 2 and 3. '
It is expecte~t4i~t;'~omp etlon of the full EAF will be dependent on information currently available and will not involve
ew stud es, research oP'~tvest garcon. If information requiring such ~dditional work s unavailable so indicate and specify
each instance.
NAME OF ACTION
LOCATION OF ACTION (Include Slreet Address. Municipality and County)
NAME OF APPLICANT/SPONSOR
ADDRESS
BUSINESS TELEPHONE
CITY/PO
NA% OWNER (if diflerent)
~.~AT~, I ZIP CODE
BUSINESS TELEPHONE
576)
ADDRESS
CITY/PO
STATE iZIP CODE
i lVy I )/
DESCRIPTION OF ACTION
Please Complete Each Question-Indicate N.A. if not applicable
A. Site Description
Physical setting of overaJJ project, both developed and undeveloped areas.
1. Present land use: I-IUrban Ealndustrial
DForest ~lAgriculture
.9.
2. Total acreage of project area: 5z'f,~-~
APPROXIMATE ACREAGE
Meadow or Brushland (Non-agricultural)
Forested
[Z]Commercial
r~Other
J~Residential (suburban)
Agricultural (Includes orchards, cropland, pasture, etc.)
Wetland (Freshwater or tidal as per Articles 24, 25 of ECL)
Water Surface Area
Unvegetated (Rock, earth or fiji)
Roads, buildings and other paved surfaces
Other (Indicate type)
3. What is predominant sod type(s) on project site?
a. Soil drainage: I-IWell drained % of site
I-}PoorJy drained % of site
E]Rural (non-farrr
PRESENTLY AFTER COMPLETION
/l~ acres ....... acres
_ acres
......... acres
acres
/V~P~ -- acres acres
~././~ acres acres
/~//tg- ~ acres ...... acres
' acres
.......... acres
~Moderately well drained
o, of site
b. If any agricultural land is involved, how [nanv acres of soil are classified within soil group I through 4 of the NYS
Land Classification System? acres (See 1 NYCRR 370). ~'
4. Are there bedrock outcroppings on proiect site? ~]yes [~No
a. What is depth to bedrock? (in feet)
5. Approximate percentage of proposed projL~ .e with slopes: ,~-10% [10-15% %
[15% or greater %
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National
Registers of Historic Places? I-lYes ,~o
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? I~Yes ~No
8. What is the depth of the water table? (in feet)
9. Is site located over a primary, principal, or sole source aquifer? [Yes
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? []Yes [~o
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered?
I-lYes [~o Accordin8 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~Yes [~o Describe
13. Is the project ~ite presently used by the community or neighborhood as an open space or recreation area?
fi3Yes ~No If yes, explain
14. Does the present site include scenic ~iews known to be important to the community? [Yes ~I~'N o
15. Streams within or contiguous to projec~t area: I~J/'~']-'
a. Name of Stream and name ~f River to which it is tributary
16. Lakes, ponds, wetland areas within or ~:ontiguous to project area:
a. Name
17. Is the site served by existing public utilities? Z'Yes [No
a) If Yes, does sufficient capacity exist to allow connection?
b) If Yes, will improvements be necessary to allow connection?
Size (In acres)
[~es I-INo
[]Yes [2~'N o
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? E~Yes [~o
19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL, and 6 NYCRR 6177 ~lYes
20. Has the site ever been used for the dis!posal of solid or hazardous wastes? []Yes [;~No
B. Project Description
° 1. Physical dimensions and scale of projecrt (fill in dimensions as appropriate)
a. Total contiguous acreage owned ori controlled by project sponsor .~' ~'f"(-~ acres.
b. Project acreage to be developed: ~j/~ acres initially; acres ultimately.
C. Project acreage to remain undeve!dped K,'/A ' acres.
d. Length of project, in miles: /V~'; (if
appropriate)
e. If the project is an expansion, indicate percent of expansion proposed %;
f. Number of off-street parking space~ existing ; proposed
g. Maximum vehicular trips generated per hour _ I~/j~.. (upon completion of project)?
h. It residential: Number and type of housing units:
One Family Two Family Muitiple Family
Initially ~
C Ultimately .'
i. Dimensions (in feet)of largest proposed structure./V//JJ- height; ' width; __ length,
j. Linear feet of frontage along'a publlic thoroughfare project will occupy is? /I,///~ ft.
Condominium
2. How much natural if..,,al Cie, rock, earth, etc.) will be remo(d ,rom the s te~
3. Will disturbed areas be reclaimed? [~Yes []No ~N/A
a. If yes, for what intend_~ purpose ~s the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? ~Yes
c. Will upper subsoil be stockpiled for reclamation? []Yes [~]No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ._ ,_~ acres
5. Will any mature forest (over 100 years old) or other locally important vegetation be removed by th~s pro;ect?
[]Yes [~No
6. If single phase project: Anticipated period of construction ~J[($'r months, (including demolition)
7. If multi-phased:
a. Total number of phases anticipated ~ /
b. Anticipated date of commencement phase 1 ~]n~¢mber)month
c. Approximate completion date of final phase Igtl~' month
d. Is phase 1 functionally dependent on subsequent phases? K1Yes L-]No
8. Will blasting occur during construction? F'lYes [~o
9. Number of jobs generated: during construction k] ~t¥ ; after project is complete _
10. Number of jobs eliminated by this prolect KILL',
11. Will project require relocation of any projects or facilities? ~]Yes J~o If yes. explain _
........ tons/cube ' '
vear. (inc!uding demolition}
year
12. Is surface liquid waste disposal involved? []Yes ~'/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 I~o Type
14. WilI surface area of an existing water body increase or decrease by proposal?
Explain
15. Is proiect or any portion of project located in a 100 year flood plain? ~Yes
16. Will the project generate solid waste? -[]Yes ~No
a. If yes, what is the amount per month tons
b. If yes, will an existing solid waste facility be used? E3Yes ~No
C. If yes, give name ; location
d. Will any wastes not go into a sewage disposal s,/stem or into a samtar¥ landfill?
e. If Yes, explain
I]No
17. Will the project involve the disposal of solid waste? E]Yes ~No
a. If yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? _ years.
18. Will project use herbicides or pesticides? ~Yes [~o
19. Will project routinely produce odors (more than one hour per day)? [Yes L~No
20. Will project produce operating noise exceeding the [ocal ambient noise levels? ~Yes
21. Will project result in an increase in energy use? ~Yes ~o
If yes , indicate type(s)
22. If water supply is from wells, indicate pumping capacity }J t~' ~]allons/minute
23. Total anticipated water usage per clay . gallo~s/day.
24. Does project involve Local, State or Federal funding? [Yes ~]/No
If Yes, explain
4
,C
25. Approvals Required:
Type
Submittal
Date
City, Town, Village Board ~Yes ~No
City, Town, Village Planning Board E3'~es [No
City, Town Zoning Board [~Yes [No
City, County Health Department E]Yes [~o
Other Local Agencies f-lyes E3No
Other Regional Agencies CIYes E:;~No
State Agencies f-lYes
Federal Agencies I--lYes []No
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? J~es []No
· If Yes, indicate decision required:
E~zoning amendment f-lzoning variance I-lspecial use permit ~ubdivision E]site plan
[~new/revision of master plan [~resource management plan F~other
2. What is the zoning classification(s}of ~he site?
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
4. What is the proposed zoning of the site? ~-qo ·
5. What is the maximum potential development of the site if developed as permitted by the proposed zoning?
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ,[~f/es I~No
7. What are the predominant land use(s) and zoning classifications within a ~¼ mile radius of proposed action?
8. Is the proposed action compatible with adjoining/surrounding [and uses within a % mi[e? [~es f~No
9. If the proposed action is the subdivision of land, how many lots are proposed?
a. What is the minimum lot size proposed? ~ ~ ·
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? il-lYes
11. Will the proposed action create a demand for any community provided services (recreation, education, police,
fire protection)? il-lYes J~No
a. If yes, is existing capacity sufficient to handle projected demand? I-lYes
12. Will the proposed action result in the generation of traffic significantly above present levels? r-lYes [~o
a. If yes, is the existing road netivork adequate to handle the additional traffic? []Yes []No
D. Informational Details
Attach any additional information asl 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 mitigate or
avoid them.
E. Verification
I certify that the infor/c~tion ~r;ovid_~ above is true to the best of my knowledge.
Applicant/Sponsor Name "'~'~4g~- ' /~-'~1/"~'"~: Date ~
Signature Z.'bLt_,"]L /0 /~-.~/'f~ Title
If the action is in lhe Coastal Area, and you are a slale a~egcy, complete the Coastal Assessment Form before proceeding
with this assessment.
§
r' t 2--PROJECT IMPACTS AND, ;EIR MAGNITUDE
\ ,
Responsibility of Lead A~encv
General Information (Read Carefully)
· In completing the form the reviewer should be guided by the queshon: Have my responses and determinatmns het!n
reasonable.~ The reviewer ~s 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 determme significance ldentd,/ing an impact in column ? simply
asks that it be looked at further -'
· The Examples provided are to assist the reviewer by showin§ types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2. The examples are generally applicaPle throughout the State and
for most situations. But, for any specific prelect or site other examples and/or lower thresholds may be appropriate
for a Potential Large Impact response, thus requ~rmg evaluation in Part 3
· The impacts of each project, on each site, in each locality, will vary. Therefore. the ~'xamples are illustrative and
have been offered as guidance Thevdonotconstituteanexhaustivelistofimpactsand daresholds to answer each question
· The number of examples per question does not indicate the ~mportance of each quesnon
· 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 appr*:gnate box (column 1 or 2) to indicate the ~otential s~ze of the
impact If impact threshold equals or exceeds anyexampleprowded, checkcolumn2.1flmpactwflloccurbutthreshoJd
is lower than example, check cotumn 1
d. If reviewer has doubt about size of the impact then consider the impact as potentmliv large and proceed to PART 3
e. If a potentially large impact checked in column 2 can be mihgated by change(s) in the prelect to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction ~s not possible This
must be explained in Part 3.
IMPACT ON LAND
I. Will the proposed action result in a physical change to the project site?
Z'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 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 c~ntinue for more than 1 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,....sy ur~.que or unusual land forms found on
thes te?(.e cliffs, dunes, geological formations, etc.)L3No C1yES
· Specific land forms:
1 2
Small to Potential
Moderate Large
Impact Impact
[] []
3
Can Impact Be
Mitigated By
Project Change
[]Yes ~No
~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? I~NO F1YES
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 exi:eeds 10 acres of surface area.
· Other impacts:
5. Will Proposed Action affect surface qr groundwater
quality or quantity? IT]NO
Examples that would apply to column 2
· Proposed Action will require a discharge permit.
· Proposed Action requires use of a s(~urce 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 conveye.l off the {ite to facilities which presently
do not exist or have inadequate capacity.
· Proposed Action would use water in excess of 20,000 gallons per
day.
· Proposed Action will likely cause siltatiion or other discharge into an
existing body of water to the extent thatthere will be an obvious visual
contrast to natural 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 anid/or industrial uses which may
require new or expansion of existing waste treatment and/or storage
facilities.
· Other impacts:
C. proposed action alter drainage or patterns, or.'surface
6.
flow
water runoff? I-1NO E~YES
Examples that would apply to column 2
· Proposed Action would change flood water flows.
7
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I-q Yes []No
[] [] I--lYes r-INo
[] [] [Yes I--]No
[] [] []Yes []No
[] [] I~Yes []No
~ ~ ~ves ~No
~ ~ ~Yes ~No
~ ~ ~Ves ~No
~ ~ ~Yes ~No
~ G ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existing drainage patterns.
· Proposed Action will allow development in a designated floodway
· Other impacts:
IMPACT ON AIR
7. Will proposed action affect air qua /tv? ~,NO I~YES
Examples that would apply to column 2
· Proposed Action will induce 1,000 or more vehicle tr~ps m any gwen
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 tbs 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 wdl allow an increase in the density of industrial
development within existing industuai areas.
· Other impacts:
IMPACT ON PLANTS AND ANIMALS
8 Will Proposed Action affect any threatened or endangered
spec es? ,~'~ O ~YES
Examples that would apply to column 2
· Reduction of one or more species listed on the New York or Federal
list, using the site, over or near site or found on the s~te
· Removal of any portion of a critical or significant wildhfe habitat.
· Application of pesticide or herbicide more than twice a year, other
than for agricultural purposes.
· Other impacts:
9. Will Proposed Action substantially affect non threatened or
non-endangered species? ~;~I~O E3YES
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
10 Will the Proposed Action affect agricultural land reso ~rces?
O' E3YES
Examples that would apply to column 2
· The proposed action would sever, cross or limit access to agricuitural
land (includes cropland, hayfields, pasture, vineyard, orchard, etc}
1
Small to
Moderate
Impact
2
Potential
Large
Impact
[]
3
Can Impact Be
Mitigated By
Project Change
~Yes ~No
h'~ Yes ]~No
~Yes ~]No
'-]Yes ~No
~No
,~Yes ~No
.~Yes f~No
~ "r'es
i~Yes
[]Yes [~JNo
~'~] Yes [~-No
[~No
~] Yes [~No
l~Yes ~No
~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 Agricultural 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 rur~off)
· Other impacts:
IMPACT ON AESTHETIC RESOURCES
/
11. Will proposed action affect aesthetic fesources? [~NO []YES
(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 surroundinB land use patterns, whether
man-made or natural.
· Proposed land uses, or project compgnents 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:
IIViPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic, pre-
historic or paleontological importance,~ [2~O ~IYES
Examples that would apply to column ;~
· Proposed Action occurring wholly or partially within or substantially
contiguous to any facility or site listed on t~he State or National Register
of historic places.
· Any impact to an archaeological site or ~ossil 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 ANiD 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 J~O {~YES
C · The of future recreational
permanent
foreclosure
a
opportunity.
· A major reduction of an open space i~nportant to the COmmunity.
· Other impacts;
1 "2 3
Small to, Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes []No
[] [] F'"] Yes I-]No
[] [] []Yes []No
[] [] []Yes []No
[] [] []Yes I-INa
[] [] []Yes E3No
[] [] []Yes []No
[] [] []Yes I--1No
[] [] []Yes []No
[] [] l-lyes []No
[] [] []Yes []No
[] [] I--lyes []No
[] [] C]Yes []No
[] [] []Yes []No
[] [] []Yes []No
( (
IMPACT ON TRANSPORTATION
14 Will there be an effect to existing transportation syste s?
~NC~ ~Y[!S
Examples that would apply to column 2
· Alteration of present patterns of movement of people and/or goods
· Proposed Action will result in major traffic problems.
· Other impacts~
IMPACT ON ENERGY
15. Will proposed action affect the community's sourc~) of fuel or
energy supply? kdNO ~YES
Examples that would apply to column 2
· Proposed Action will cause a greater than 5% increase m 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 commermal or industrial use
· Other impacts:
NOISE AND ODOR IMPACTS
16. Will there be objectionable odors, nmse, or vibrate,r) as a result
of the Proposed Action? - J~NO E~YES
Examples that would apply to column 2
· Blasting within 1,500 feet of a hospital, schoot or other sensitive
facility.
· Odors will occur routinely (more than one 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
17. Will Proposed Action affect public health and safety'~"OjzJN
El]YES
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 [ow level
discharge or emission.
· Proposed Action may result'in the burial of "hazardous 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
St'nail to Potential
Moderate Large
Impact h'npact
L7
r:
[] []
[] []
Can impact Be
Mitigated By
Project Change tf
~Yes
[~- Yes [TJNo
LzNo
[TYes ~-~No
77 Y es t~-~ N o
~Yes []No
J'res LJNo
!~Yes [~No
~7]Yes ~No
E2 Yes f-] N o
~Yes ~JNo
L~Yes [~NO
~Yes ~]~ NO i~
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action affect the character of the existing community?
,finN O [~YES
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
[] [] r-lyes [~No
[] [] r-]Yes [~No
[] [] r-]Yes I--]No
[] [] [~Yes [~]No
[] [] [~Yes r-]No
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~v~s ~No
19. Is there, or is there likely to be, public controversy related to
potential adverse environmental mpacrs~ .~NO []YES
If Any Action in Part2 Is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
C
Part 3--EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility o[ Lead Agency
Part 3 must be prepared if one or more imPact[s) is considered to be potentially large, even i( the impact(s) may be
mitigated.
Instructions
Discuss the following for each impact iden(ified in Column 2 of Part 2:
1. Briefly describe the impact.
2. Describe (if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change(s).
3. Based on the information available, de(fide if it is reasonable to conclude that this impact is imporlant.
To answer th~ question of importance, consider:
· The probability of the impact occurring
· The 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 attachments)
617.21
Appendix B
...,~te Environmental Quality Review
Visual EAF Addendum
SEQR
C
This form may be used to provide additional information relating to Question 11 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, er~joyment and appreciation
of natural or man-made scenic qualities?
· An 0vedook or parcel of iland 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 Service land~?
· Rivers designated as National or State Wild, Scenic
or Recreational?
· Any transportation corridor of high exposure, such
as part of the Interstate System, or Amtrak?
· A governmentally established Or designated interstate
or inter-county foot trail, or one formally proposed for
establishment or designation?
· A site, area, lake, reservoir or highway designated as
scenic?
· Municipal park, or designaied open space?
· County road?
· State?
· Local road?
Distance Between
Project and Resource (in Miles)
0-V4 1/. -1/2 V2-3 3-5 5+
[] [] [] [] []
[] [] [] E] []
[] [] [] [] []
[] [] [] [] []
[] [] [] [] []
Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other
seasons)
i--J Yes E]No
Are any of the resources chjecked in question 1 used by the public during the time of year
during which the project will be visible?
ElVes FINo
DESCRIPTION OF EXISTING VISUAL ENVIRONMENT
4. From each item checked in question l~ check those which generally describe the_
environment.
Within
*V4 mile '1 mile
Essentially undeveloped r~
Forested
Ag
ricu[tural
Suburban residential
Industrial
Commercial
River, Lake, Pond
Cliffs, Overlooks ~ '~
Designated Open Space
Hilly
Mountainous
Other
NOTE: add attachments as needed
5. Are there visually similar projects within:
*V2 mile [~Yes [],No
*1 miles F~Yes []No
*2 miles [~Yes []No
*3 miles [~] Yes []No
* Distance from project site are provided for assistance. Substitute other distances as appropr ate.i
EXPOSURE
6. The annual number of viewers likely to observe the proposed project is
NOTE: When user data is unavailable or unknown, use best estimate.
CONTEXT
7. The situation or activity in which the viewers are engaged while viewing the proposed action is
FREG. UENCY
Holidays/
Activity Daily Weekly Weekends Seasonally
Travel to and from work [] []
Involved in recreational activities [] [] []
Routine travel by residents [] [] [] ~,
At a residence [] []
At worksite [] [] []
Other [] []
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
scott L, HARRIS
Supervisor
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York I 1971
Fax (516) 765-1823
John A. Keogh, iSecretary
Mattituck FirelDistrict
Pike Street
Mattituck, NewiYork 11952
Dear Mr. Keogh:l
/~ ~c3ose/ please find (2)surveys for /~-~-7'
Please notify this office as to whether any firewells are
needed. Please ~pecify whether shallow wells or electric wells
will be needed.
Please reply bY~¢/, , 199~ Thank you for your
cooperation. /
enc.
C 2:rem%Orlows i,
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
SCO'I'F L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Suffolk County Plannihg commision
H. Lee Dennison Executive Office Building - 12th Floor
Veterans Memorial Highway
Hauppauge, New York 11788
Attention:
Mr. Frank Dowling, Senior Planner
Subdivision Review Division
Gentlemen:
Pursuant to Section A~4-24, Suffolk County Administrative Code, the
Southold Town Planning Board hereby refers the following proposed
subdivision to the Suffolk County Planning Commission:
Map of - '"'~O~c~- ~'~ Hamlet/Locality
S.C.D.P.W. Topo No.: Zoning ~-
S.C. Tax Map No.: IOOO- I~ I
Major Sub. Minor Sub. ~
Site Plan __Cluster
MATERIAL SUBMITTED:
F~eilmlua~ Plat (3 c~pies) Road Profiles
Drainage Plans (1) iTopogroaphical Map (1)
Site Plan (1) Grading Plan (1)
(1)
Other materials
~ (specify and give nut, bet of copies)
Waiver of Subdivision Requirements - See attached sheet
CONTINUED
REFERRAL CRITERIA:
SEQRA STATUS:
1.
2.
The project is an ~nl~sted)~(Type I)
A (Negative
(Determ. of
the Plannin9
E.I.S. state
The proposed
S.C. Dept of
(Type II)Action.
Declaration) (Positive Declaration)
Non-Significance) has been adopted by
Board.
nent enclosed. (Yes)~.
division has received approval from the
Health. (Yes) ~.
Comments:
We request acknowledge]lent of
receipt of this referral (Yes)
Referral received 19
by Suffolk County Planhing Commiss~n
and assigned File NO.
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
SCOTT L, HARRIS
Supervisor
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765q823
February 25, 1992
Robert D. Hamilton
200 Smith Drive South
Southold, New York 11972
RE:
Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM9 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolutions were adopted by the Southold Town
Planning Board at a meeting held on Monday, February 24, 1992:
BE IT RESOLVED tha~ the Southold Town Planning Board start
the lead agency coordination process on this unlisted action.
BE IT RESOLVED that the Southold Town Planning Board grant
sketch approval on the map dated February 5, 1992 with the
conditions listed below~ This subdivision is designed as a
Cluster subdivision andlwill be reviewed in accordance with
Article XVIII of the ToWn Zoning Code.
1. Lot #1 shall ~ot have access onto C.R. 48. Access for
this lot shal~ be from Westphalia Avenue only.
2. All buildingsion Lot #2 must be affiliated with the
church. At present, the church is not in use. If the
church use is~ reactivated, an As Built Site Plan will
be required.
A curb cut approval for access onto C.R. 48 will be
required for Lot #1.
Building envellopes should be indicated on the final
plan for Lot !~1 and Lot ~3.
There shall he no further subdivision of any lot in
perpetuity.
Sketch plan approval is conditional upon submission of
final maps within six mDnths of the date of sketch approval,
unless an extension of time is requested by the applicant, and
granted by the Planningi Board. Final maps must contain a valid
stamp of Health Department approval.
The Planning Boardi will be conducting the environmental
review for the subdivision proposal. You will be notified of all
stages of this review. ~he Planning Board will also be
forwarding the proposal~to the Suffolk County Planning
Commission and the EngiDeering Inspector for review. You will
receive a copy of their/reports when submitted.
In addition, please note that as per Section A106-38(E) of
the Town Code, the Planning Board will be requiring that a park
and playground fee of ,000.00 per vacant lot be submitted
prior to any final appnoval of the subdivision.
Please contact Mel
questions regarding the
issa Spiro of this office if you have any
above.
Very truly yours, J
Bennett Orlowski, J~. uS
Chairman
Southold Town Planning Board
Town Hall
Southold, New York 11971
Gentlemen:
Re:
The following s~atements are offered for your consideration
in the review of the iabove-mentioned minor subdivision and its
referral to the Suffolk County Planning Commission:
(1) No grading, otheir than foundation excavation for a
residential building is proposed.
(2) No new roads are proposed and no changes will be made in
the grades of the existing roads.
(3) No new drainage structures or alteration of existing
structures are proposed.
Yours truly,
~)U~HOLD TOWN
I~ ~NNING BOARD
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
SCOTT L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
F~ru~C~ ~ 5 , 19 9 7-
RE: Lead Agency Coordination Request
Dear Reviewer:
The purpose of th~s request is to determine under Article 8
(State Environmental Q~ality Review Act-SEQRA) of the Environmental
Conservation Law and 6. NYCRR Part 617 the following:
1. Your jurisdiction in the action described below;
2. Your interest in assuming the responsibilities of lead
agency; and
3. Issues of concern which you believe should be evaluated.
Enclosed please f~nd a copy of the proposal and a completed
Environmental Assessment Form (EAF) to assist you in your response.
Project Name:
Requested Action:
SEQRA Classification:
Contact Person:
(i ) Type I
(i~) Unlisted
(5116)-765-1938
The lead agency will determine the need for an environmental
impact statement (EIS) on this project. Within thirty (30) days of
the date of this letter, please respond in writing whether or not you
have an interest in being lead agency.
Planning Board Position:
This agency wishes to assume lead agency status for this action.
( ) This agency hasino objection to your agency assuming lead agency
status for thislaction.
( ) Other. ( See c~mments below).
Comments:
Please feel free to contact this office
CC: ~~
Southold Town BOard
~Suffolk County ~ept. of Health Services
~ NYSDEC - Stony ~rook
NYSDEC - Albany'
~S.C. Dept. of Public Works
U_S. Army Corp ~ Engineers
* Maps are enclosed fbr your_~eview
Coordinating agencies
for further information.
Sincerely,
Bennett Orlowski, Jr.
Chairman
'14-16-2 (2/87)-- 7c (
617.21 ~ ~ ~ ~ :" SEQR
Appendix A
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSI~IENT FO~I
Purpose: The full EAF is designed to help applicants and agencies determine in an oldg~~proj[ct
or action may be significant. The question ~f whether an action may be signific;nt
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 technically 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 m~ethod 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 co~prised of three parts:
Part 1: Provides objective data andJ information about a given project and its site. By identifying basic project
data, it assists a reviewer inlthe analysis that takes place in Parts 2 and 3.
Part 2: ocuses on identifying the r~nge of possible impacts that may occur from a projec~t or action. It provides
guidance as to whether an ir'qpact is likely to be considered small to moderate or whether it is a potentially-
large impact. The form also. lidentifies whether an impact can be mitigated or reduced.
Part 3: If any impact in Part 2 is idehtified as potentially-large, then Part 3 is used to evaluate whether or not the
impact is actually importan{.
DETERMINATION OIF SIGNIFICANCE--Type I and Unlisted Actions
Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 []Part 3
Upon review of the information recorded on this EAE (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 eot result in any large and important impact(s} and, therefore, is one which will not
have a significant impact on the enwronment, therefore a negative declaration will be prepared.
I~ B. Although the pro ect could bare a signif'icant 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, therefo~'e a positive declaration will be prepared
* A Conditioned Negative Declaratibn is only valid for Unlisted Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer !n Lead Agency
, Title of ResPonsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer)
Date
1
PART 1--PROJECT IN~-JR~v~ATION
Prepared by Project Sponsor
NOTICE: This document is designed to assist in determining whether the action propose(] may have a significant effect
on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be cons~dered~.--
as part of the application for approval and may be subject to further verification andpubbcrewew Provide anyadditiona?~.
information you be[i~e~wili be needed to complete Parts 2 and 3.
· (.. ';;~,~ . ?
It IS expect~t"~a~ c~mplet~on of the full EAF will be dependent on information currently available and will not involve
new~'t'L;d(b[/ib~'~'.4'r~h"6i"fff~e'stigation. [f information requiring such ~dditional work is unavailable, so indicate and specify
each instance·
NAME OF ACTION
LOCATION OF ACTION (Include Streel Address, Municipality and County)
NAME OF APPLICANT/SPONSOR
BUSINESS TELEPHONE
ADDRESS
NA~ OF OWNER (If different)
BUSINESS TELEPHONE
ADDRESS
CITY/PO
STARE ZiP CODE
DESCRIPTION OF ACTION
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: E]Urban ~lndustrial
[~Forest [~Agriculture
2. Total acreage of project area: .,.~. ~..¢¢,)~2.
APPROXIMATE ACREAGE . PRESENTLY
Meadow or Brushland (Non-agricultural) '(]/~- acres
Forested N'] *,'~ _ acres
Agricultural (Includes orchards, cropland, pasture, etc) /~ ! 4- , acres
Wetland (Freshwater or tidal as per Articles 24. 25 of ECL) /il//'*' _ acres
Water Surface Area /[//.fi-" _ acres
Unvegetated(Rock, earth or fill) /f/~ __ acres
Roads, buildings and other paved surfaces ,d / tl acres
Other (Indicate type) acres
3. What is predominant soil type(s) on project site?
a. Soil drainage:
I~Well drained % of ~ite
~Poorly drained % of site
[~Commercial
~Other
__ acres.
J~Residential (suburban)
~Rural (non-farm)
AFTER COMPLETION
acres
....... acres
.............. acres
acres
acres
...... acres
............... acres
.............. acres
~Moderately well drained ...... 9,5 of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS --
Land Classification System? acres. (See 1 NYC:RR 370}. ~
4. Are there bedrock outcroppings on project site? ~]Yes [~"No
a, What is depth to bedrock? {in feet)
2
5.' ,\pproxirnate percentage of proposed proj .e with slopes: .~ 10% [~10-15%
[]]15% or greater
6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National
Registers of Historic Places? ~lYes ,~No
7. Is project substantially contiguous to a site listed on the ReBister of National Natural Landmarks? ~Yes
8. What is the depth of the water table? (in feet)
9. Is site located over a primary, principal or sole source aquifer? gYes
10. Do hunting, fishin~ or shell fishing opportunities presently exist in the project area? ~Yes
11. Does project site contain any species :of plant or animal life that is identified as threatened or endangered?
~Yes ~o Accordin~ to
Identify each species
12. Are there any unique or unusual land ~orms on the project site? (i.e., cliffs, dunes, other Beological formations)
~Yes ~o Describe J
13. Is the project site presently used by ~he community or neighborhood as an open space or recreation area?
~]Yes J~,'4o If yes, explain
14. Does the present site include scenic views known to be important to the community?
15. Streams within or contiguous to proiectJarea: ~Jiia-r
a. Name of Stream and name o! River to which it is tributary
16. Lakes, ponds, wetland areas within or c~ntiguous to project area:
a. Name ~ b, Size (In acres)
17. Is the site served by existing public utilities? ~-Yes []No
a) If Yes, does sufficient capacity exist ~o allow connection? [~es
b) If Yes, will improvements be necessa!y to allow connection? ~lYes [2~"No
18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA,
Section 303 and 304? I~Yes [~No
19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8
of the ECL, and 6 NYCRR 6177 [~Yes [~o
20. Has the site ever been used for the disposal of solid or hazardous wastes? I~Yes [~'No
B. Project Description
1. Physical dimensions and scale of project(fill in dimensions as appropriate)
a. Total contiguous acreage owned or (controlled by project sponsor ,~ ~t/~,J''~ acres.
b. Project acreage to be developed: ,&/i~ acres initially; acres ultimately.
c. Project acreage to remain undeve!oped K,'/,4 - acres.
d. Length of project, in miles: IV'/~' i (If
appropriate)
e. If the project is an expansion, indicalte percent of expansion proposed %;
f. Number of off-street parking spaces ~xisting ; proposed
g. Maximum vehicular trips generated per hour /~,/P · (upon completion of project)?
h. Ii~ residential: Number and type of housing units:
One Family Two Family Multiple Family ·
Ultimately
i. Dimensions (in feet) of largest propos~ed structure ~//k height; width; length.
j. Linear feet of frontage along a publi,~ thoroughfare 'project will occupy is? /1]/~2 ft.
3
Condominium
2. How much natural ~(.enal (i.e, rock, earth, etc)willberemo~il, hum theste~
3. Will disturbed areas be reclaimed? []Yes ENo ~N/A
a. If yes, for what intend.~ purpose is the site being reclaimed?
b. Will topsoil be stockpiled for reclamation? EYes E~No
c. Will upper subsoil be stockpiled for reclamation? [Yes []No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ___
$. Will any mature forest (over 100 years old) or other locally-important vegetation be removed b~/ this prolect
I~Yes [~No
6. If single phase project: Anticipated period of construction ~Jii~ months, (includin~ demolition)
7. If multi-phased:
a. Total number of phases anticipated !~c (n~umber)
b. Anticipated date of commencement phase I ~] I~ month
c. Approximate completion date of final phase I~t I~ month
d. Is phase 1 functionally dependent on subsequent phases?
8. Will blasting occur dur ng construction? F3Yes [~o
9. Number of jobs generated: during construction k] ~-~
10. Number of jobs eliminated by this project ~I~
11. Will project require relocation of any projects or facilities~
[~Yes E]No
year, (inciudim4 demolition)
year
after project is complete __
EZ]Yes J~o If yes, expiam
12. Is surface liquid waste disposal involved? ~Yes ~,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 ~o Type
14. Will surface area of an existing water body increase or decrease by proposal?
Explain
15. Is project or any portion of project located in a 100 year flood plain? ~Yes
16. Will the project generate solid waste? ~Yes ~o
a. If yes. what is the amount per month tons
b. If yes, will an existing solid waste facility be used? I~Yes ~No
c. If yes, give name ; location
d. Will any wastes not go into a sewage disposal system or into a samtary ]andHH?
e. If Yes, explain
~Yes ~No
L~ Yes ~No
17. Will the project involve the disposal of solid waste? [Yes ~No
a. If yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? years.
18. Will project use herbicides or pesticides? [~Yes [~o
19. Will project routinely produce odors (more than one hour per day)? E3Yes ~No
' 20. Will project produce operating noise exceeding the local ambient noise levels? E]Yes
21. Will project result in an increase in energy use? E]Yes [~o
If yes , indicate type(s)
22. If water supply is from wells, indicate pumping capacity ~/~ gallons/minute.
23. Total anticipated water usage per day gallons/day.
24 Does project involve Local, State or Federal funding~ r"lYes ~No
If Yes, explain
25. ~Rpprovals Required:
Type d Submittal
Date
City, Town, Vdlage Board ~es ~No
City, Town, Village Planning Board l~es []No
City, Town Zoning Board [~]'Yes I-1No
City, County Health Department I~Yes [~o
Other Local Agencies rqYes [~No
Other Regional Agencies I~Yes ~No
State Agencies []Yes [2~No
Federal Agencies [~Yes []No
C, Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? J~es I-INo
· If Yes, indicate decision required: I
I~zoning amendment I-Izoni~g variance {~speciaJ use permit [~ubdivision E]site p[an
~]new/revision of master plan I-lresource management plan [-]other
2. What is the zoning ciassification(s)olf the site?
3. What is the maximum potential devblopment of the site if developed as permitted by the present zoning?
4. What is the proposed zoning of the~ site? ~-~,b.
5. What is the maximum potential devblopment of the site if developed as permitted by the proposed zoning?
6. Is the proposed action consistent wilh the recommended uses in adopted local land use plans? .[.[.[~es
7. What are the predominant [and use(g) and zoning c[assifications within a V~ mile radius of proposed action?
C
~No
8. Is the proposed action compatible with adjoining/surrounding land uses within a V~ mile? [~es I~No
9. If the proposed action is the subdivision of land, how many lots are proposed? ~
a. What is the minimum lot sJize proposed? / ~J ~ ·
10. Will proposed action require any atith0rization(s) for the formation of sewer or water districts? I~es J~o
11. Will the proposed action create a[demand for any community provided services (recreation, education, police,
fire protection)? I~Yes ~/NO
a. If yes, is existing capacity s~Jfficient to handle projected demand? I-lYes [~No
12. Will the proposed action result in the generation of traffic significantly above present levels? I-lYes [~o
a. If yes, is the existing road nbtwork adequate to handle the additional traffic? L~Yes ~No
D. Informational Details
Attach any additional information is may be needed to clarify your project. If there are or may be any adverse
impacts associated with your proposal, F~lease discuss such impacts and the measures which you propose to mitigate or
avoid them. ~
E. Verification
I certify that the inforf~tion provided above is true to the best o¢ my knowledge.
Applicant/Sr~nsor Name '~
If lhe aclion is in the Coastal Area, and yqu are a state agency, complete the Coastal Assessment Form before proceeding
wilh this assessment.
~-r+ --PROJECT IMPACTS AND/~'-I' R MAGNITUDE
Responsihditv oi Lead A~encv
General Information (Read Carefully)
· In completing the form the reviewer shou[d he guided by the question: H:we my r ~sp~)ns~s and determinations been
reasonable? The reviewer is not expected to be an expert environmental
· Identifying that an impact will be potentially large (coiumn 2} does not mean tba{ ~t m dido necessardy significant.
Any large impact must be evaluated in PART 3 to determine significance Identd~mg an m~pact in column 2 simply
asks that it be looked at further
· The Examples provided are to assist the rewewer 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 tbroughout 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 reqmring evaluation in Part 3
· The impacts of each project, on each site, in each [ocahtv, will vary Therefore. the examples are illustrative and
have been offered asguidance Thevdonot constltute an exhausUve list of ~mpactsand threshoids to answer each quest~on
· The number of examples per question does not indicate [he importance of each question
· in identifying impacts, consider long term, short term and cumlatwe effects
Inslrudions (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
impact. If impact threshold equals or exceeds any example p~owded, check column 2 If impact wi[] 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 potentiaflv ]arge and proceed to PAR~
e. If a potential]~ large impact checked in column 2 can be mitigated by change(s) in the pro~ect to a small to moderate
impact, also check the Yes box in column 3. A No response indicates that such a reduction
must be explained in Part 3.
IMPACT ON LAND
I Will the proposed action result in a physical change to the prolect site?
~2~,NO aYES
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 wa. ter 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 c~ntinue 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. Wi[I there be an effect t:....~y u:~;que or unusual land forms found on
the site? (i.e., cliffs, dunes, geo[ogical formations, etc.)~NO :[~YES
· Specific land forms:
1
Small to
Moderate
Impact
2 3
Potential Can Impact Be
Large Mitigated By
Impact Project Change
[] E] ','es [] N o
E] F~_ Yes [~No
[] ~Yes [~No
I2] E]Yes
[3 [2Yes ~No
L~Yes ~No
~_.,m~ [~Yes ~No
~Yes
~es ~No
~Yes
J
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)
filNO E~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-p[rotected existing or new body
of water? ~INO I-1y E S
Examples that would apply to columni2
· 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 o! groundwater
quality or quantity? l/NO ~]YES
Examples that would apply to column [2
· Proposed Action will require a discharg~e permit.
· Proposed Action requires use of a sobrce 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 conveye J off the s!te to facilities which presently
do not exist or have inadequate capaci!y.
· Proposed Action would use water in ~xcess of 20,000 gallons per
day.
· Proposed Action will likelv cause siltatibn or other discharge into an
existing body of water to the extent that iherewill be an obvious visual
contrast to natural 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:
C. 6. Will proposed action alter drainage flow or patterns, or surface
water runoff? I-]NO ~]YES
£xamples that would apply to column 2
· Proposed Action would change flood w~ter flows.
I 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] I~Yes I--]No
[] [] []Yes []No
[] [] []Yes []No
[] [] ~Yes []No
[] [] []Yes I-1~o
[] ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~o
~ ~ ~Yes ~o
~ ~ ~Yes ~No
~ ~ ~Ves ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Yes ~No
~ ~ ~Ves ~No
~ ~ ~Ves ~No
· Proposed Action may cause substantial erosion.
· Proposed Action is incompatible with existing drainage patterns
· Proposed Action will allow development in a designated floodway
· Other impacts:
IMPACT ON AIR
7 Will proposed action affect air quality? ,~NO I~YES
Examples that would apply to column 2
· Proposed Action will induce 1,000 or more vehicle trips m 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 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 m 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? ~'NO []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 a~Iricultural purposes.
· Other impacts:
9. Will Proposed Action substantially affect non-threatened or
non-endangered species? [~O []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
10 Will the Proposed Action affect agricultural land ,sou
/N
O ' [YES
Examples dlat 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 Potential
Moderate Large
Impact Impact
Can ImPact Be
Mitigated By
Pr°ject Ch, ange 1
1
~Yes
~E yes ~No
~-.~ Yes ~No
~--~ Yes ~No
[]Yes ~JNo
~No
;.JNo
[]Yes ~No
L_ Yes ~No
~Yes ~No
~Yes ~No
~Yes ~No
~No
~No
C
' Construction activity would excavate or compact the soil profile of
agricultural land.
· The proposed action would irreversibly convert more than 10 acres
of agricuJtural land or, if located in an Agricultuta] District, more
than 2.5 acres of agricultural land
· The proposed action would disrupt or preyent 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 IRESOURCES_/
11. Will proposed action affect aesthetic! resources? [,ZNO E3YES
(If necessary, use the Visual EAF dddendum in Section 617.21,
Appendix B.)
Examples that would apply to colum~ 2
· Proposed land uses, or project components obviously different from
or in sharp contrast to current surroundilng land use patterns, whether
man-made or natural.
· Proposed land uses, or project components visible to users of
aesthetic resources which will eliminat~or significantly reduce their
enjoyment of the aesthetic qualities or,hat 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 sit(~ or structure oi: historic, pre-
historic or paleontological importanc~e? [2NO I~YES
Examples that would apply to columni2
· Proposed Action occurring wholly or pa~rtialJy 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 orJfossil bed located within the
project site.
· Proposed Action will occur in an are~ designated as sensitive for
archaeological sites on the NYS Site Inventory.
· Other impacts: i
IMPACT ON OPEN SPACE AND RECREATION
13. Will Proposed Action affect the quarltKy or quality of existing or
future open spaces or recreational op]portunities?
Examples that would apply to columd 2 [;~O E]YES
· The permanent foreclosure of a future rlecreational opportunity.
· A major reduction of an open space ilnportant to the community.
· Other impacts:
1
Small to
Moderate
Impact
~ 2 3
Potential Can Impact Be
Large Mitigated By
Impact Project Change
[] [] ~lyes
[] [] I~Yes
[] [] r-lyes
[] [] I'-~ Yes
[] [] ~]Yes
[] [] I-'~Yes
[] [] []Yes
[] [] []Yes
[] [] [~Yes
[] [] []Yes
[] [] E]Yes
[] ~ ~Yes
~ ~ ~Yes
~ ~ ~Yes
~ ~ ~Yes
[]No
I-]No
I--]No
[]No
[]No
[]No
[-]No
[~]No
E-]No
[]No
E3No
[]No
[]No
[]No
[]No
IMPACT ON TRANSPORTATION
14 Will there be an effect to existing transportation svste
~c~ L2YES
IExamples that would apply to column 2
· Alteration of present patterns of movement of people andor goods.
· Proposed Action will result in major traffic problems.
· Other impacts:
IMPACT ON ENERGY
15. Will proposed action affect the communitv's source~of fuel or
energy supply? ~O~ ' ~YES
Examples that would apply to column 2
· Proposed Action will cause a greater than 5% increase tn 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 famiiv
residences or to serve a major commercial or industrial use
· Other impacts:
NOISE AND ODOR IMPACTS
16 Will there be objectionable odors, noise, or vibrat~, as a result
of the Proposed Action? /NO ZTYES
Examples that would apply to column 2
· Blasting within 1,500 feet of a hospital, school or other sensmve
facility.
· Odors will occur routinely (more than one hour per dav)
· Proposed Action will produce operating no~se exceeding the local
ambmnt 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
17. Will Proposed Action affect public health and safety~
~0 []YES
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 "hazardous 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 ha.zardous
waste.
· Other impacts:
10
1
Small to
Moderate
Impact
2
Potential
Large
Impact
,_ i~ Yes
~ L~ [~Yes
~ G ~Yes
[] ~ L3Yes
fZ E~ F~Yes
~ ~ ~Yes
~Yes
~Yes
~Yes
~Yes
3
Can Impact Be
Mitigated By
LProject Change
b~No
~.No
~No
LJNo
~No I
[~]No
E~No
E3No
~f!No
[]NO
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
18. Will proposed action a~fect the character of the ex~sUn~ commumty?
.;~NO []YES
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 proiect.
· 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 eliminat~ existing facilities, structures
or areas o[ historic importance to the c6mmunitv
· Development will create a demand for dditionaJ community services
(e.g. schools, police and fire, etc.)
· Proposed Action will set an important Irecedent for future projects.
· Proposed Action will create or eliminat employment.
· Other impacts: I
1 ~ 2 3
Smallto Potential Can Impact Be
Moderate Large Mitigated By
Impact Impact Project Change
[] [] []Yes ~No
[] [] []Yes []No
[] [] []Yes []No
[] [] r-]Yes []No
[] [] []Yes []No
[] [] fi]Yes []No
[] [] []Yes I--1No
[] [] []Yes ~]No
[] [] E~Yes []No
19 Is there, or i~ there likely to be, public controversv related to
potential adverse environmental ~mpacts? .~7~NO []YES
/
If Any Action in ParI 2 is Identified as a Potential Large Impact or
If You Cannot Determine the Magnitude of Impact, Proceed to Part 3
C
Part 3--EVALUAT
Part 3 must be prepared if one or more
mit!gated.
Instructions
Discuss the following for each impact ide
1. Briefly describe the impact.
ON OF THE IMPORTANCE OF IMPACTS
Responsibility o[ Lead Agency
m~act(s) is considered to be potentially large, even if the impact(s) may be
~tified in Column 2 of Part 2:
2. Describe (if applicable) how the ~mpact cpuld be mitigated or reduced to a small to moderate impact by project change(s).
3. Based on the information available, d~cide if it is
to
that
this
impact
is
important.
To answer the question of importance, consider: · The probability of the impact pccurring
iThe duration of the impact
Its irreversibility, including per~nanently lost resources of value
Whether the impact can or will be controlled
The regional consequence of the impact
· its potential diw:rgence [rom Ibcal needs and goals
· Whether known objections to :he project relate to this impa~t.
(Continue on attachments)
11
C
617.21
, Appendix 13 .
Environmental Quahty Review
V sua! EAF Addendum
SEQR
C
This form may be used to provide additional information relating to Question 1l of Part 2 of
the Full E:AF.
(To be comp!eted by Lead Agency)
Distance Between
Visibility Project and Resource (in Miles)
1. Would the project be visible from: 0-V4 1/4-V2 V2-3 3-5 5+
· A parcel of land which is dedicated to and available [] [] [] [] []
to the public for the use, eqjoyment and appreciation
of natural or man-made scenic qualities?
· An overlook or parcel of ~and dedicated to public [] [] [] [] []
observation, enjoyment ang" appreciation of natural
or man-made scenic qualities?
· A site or structure listed ~n the National or State [] [] [] [] []
Registers of Historic Places~
· State Parks? ~
· The State Forest Preserve?
· National Wildlife Refuges a~d state game refuges?
· National Natural Landmarl~s and other outstanding
natural features?
/
· National Park Service land~?
· Rivers designated as National or State Wi[d, Scenic
or Recreational?
· Any transportation corridor of high exposure, such [] [] [] [] []
as part of the Interstate Sys[tem, or Amtrak?
i A governmentally establish~d or designated interstate [] [] [] [] []
or inter-county foot trail, or,ne formally proposed for
establishment or desi§natioI?
A site, area, lake, reservoir~r highway designated as [] [] [] [] []
scenic? ~
· Municipal park, or designated open space? [] [] [] [] []
· County road? i [] [] [] [] []
· State? [] [] [] [] []
· Local road? [] [] [] [] []
2. Is the visibility of the project sieasonal? (i.e., screenec~ by summer foliage, but visible during other
[]Yes []No
3. Are any of the resources ch~cked in question 1 used by the public during the time of year
during which the project will lbe visible?
['-I Yes []No
DESCRIPTION OF EXISTING VISUAL ENVIRONMENT
4. From each item checked in question 1, check those which generally describe The mrroundin~
environment,
Within
*V~ mile *I mile
Essentially undeveloped
Forested
Agricultural
Suburban residential
Industrial [] [-~
Commercial []
Urban [] []
River, Lake, Pond
Cliffs, Overlooks []
Designated Open Space []
Flat []
Hilly []
Mountainous
Other
NOTE: add attachments as needed
5. Are there visually similar projects within:
"V2 mile []Yes []No
*1 miles ~Yes
'2 miles [~Yes
*3 miles []Yes []No
* Distance from project site are provided for assistance. Substitute other distances as appropriate.
EXPOSURE
6. The annual number of viewers likely to observe the proposed project
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
FREC~UENCY
Holidays/
Activity Daily Weekly Weekends Seasonally
Travel to and from work [] [] [] []
Involved in recreational activities [] [] []
Routine travel by residents [] [] L~ [~]
At a residence [] []
At worksite [] [] []
Other [] [] []
2
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
SCO'I'F L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Robert D. Hamilton
200 Smith Drive South
Southold, New York 1197~
February 25, 1992
RE: Minor Subdivision for
Robert D. Hamilton
N/s C.R. 48, Mattituck
SCTM~ 1000-141-2-21.2
Dear Mr. Hamilton:
The following resolutions were adopted by the $outhold Town
Planning Board at a meeging held on Monday, February 24, 1992:
BE IT RESOLVED that the Southold Town Planning Board start
the lead agency coordination process on this unlisted action.
BE IT RESOLVED that the Southold Town Planning Board grant
sketch approval on the map dated February 5, 1992 with the
conditions listed below~ This subdivision is designed as a
Cluster subdivision and!will be reviewed in accordance with
Article XVIII of the ToWn Zoning Code.
1. Lot 91 shall ~ot have access onto C.R. 48. Access for
this lot shal~ be from Westphalia Avenue only.
2. All buildingsion Lot #2 must be affiliated with the
,~' church. At present, the church is not in use. If the
church use is!reactivated, an As Built Site Plan will
be required.
3. A curb cut approval for access onto C.R. 48 will be
required for Lot 91.
4. Building enve%opes should be indicated on the final
plan for Lot~1 and Lot ~3.
5. There shall b~ no further subdivision of any lot in
perpetuity.
Sketch plan approval is conditional upon submission of
final maps within six months of the date of sketch approval,
unless an extension of time is requested by the applicant, and
granted by the Planning~Board. Final maps must contain a valid
stamp of Health Department approval.
The Planning Board will be conducting the environmental
review for the subdivision proposal. You will be notified of all
stages of this review. The Planning Board will also be
forwarding the proposalito the Suffolk County Planning
Commission and the Engiheering Inspector for review. You will
receive a copy of their reports when submitted.
In addition, please
the Town Code, the Plan!
and playground fee of $~
prior to any final appr(
Please contact Mel~
questions regarding the
~ note that as per Section A106-38(E) of
ling Board will be requiring that a park
,000.00 per vacant lot be submitted
,val of the subdivision.
ssa Spiro of this office if you have any
above.
Very truly yours,
Bennett Orlowski, J~. ~
Chairman
Planming Board Office
Town of Southold
Southold, New York 11971
This letter is in regards
20'~J Smith Drive South
Southold, New York 11971
January 30, 1992
to the minor subdivision of £~obert D.
Hamilton.
The Suffolk County tax map number on this property is 1000-141-0~-21.~.
This material is heingl sub, mitred in order to obtain permission
to divide this property into three lots. The lot with church and modular
home will remain an active ,church and the modular home will he the
parsonage. The lot with thei house will remain a residential ~ome, and
the remaim~Lng lot will he v~cant at this ti~ae.
During normal office hDurs, I can he reached at 765-55~5. t
PL AI'~, i;NFS ~OAR~, J
SENDER:
SUBJECT:
SCTM~:
COMMENTS:
SUBMISSION WITHOUT COVER LETTER
/'
(~) COUNTY OF SUFFOLK Jto,~.o, _SOUTHOL_O_ .J ;,c,~.~
Real Property Tax Service AoencyJ*,~,:,~ ~ J ~
This Is 1o certify thai the subdlvislon plan has been approved
by the planning board of the Town of Soutflold by resolution
of approval doled
Chairman Planning Board
I hereby cerlify thai this map was made from actual surveys
completed o=~. ~ ~, nnd lhal ail monuments
shown thus · hereon aclunlly exisl and lheir positions are
correc#y shown and all dimensional and Geodetic details
dohh/'r, td~ ~.¥.&~t~ l. lC. NO. 4~BIB
The water supply and sewage disposal faciStles for all
lois in lhl. s development will comply with lhe standards
and re¢lulremenls of the Suffolk County Deparlmenf 'of
Hee#h.
KEY MAP
TOTAL AREA = 3.4958 ACRES
AREA LOT 1 = 55,663 sq. ft. _+
AREA LOT2 = 61,225 sq. ft. _+
AREA LOT3= 35,389 sq. ft. _+
ELEVATIONS & ~/OODED AREA ,FROM FIVE EASTERN
TOiFNS TOPOGRAPHIC MAP
MINOR SUBDIVISION FOR
ROBERT D. HAMIL TON
A T MA TTITUCK
TOWN OF SOUTHOLD
PARKING
1540 sq. fl. settling uree/§O =30.8
PROVIDED ~E spaces
2 H.C.
STALLS
OWNE~/A~PUCANT~o~ERT O. H~M~ TON SUFFOL~ C~.~T~
~o. mox ~ ~ ~ ~ ~
~c~.N~ ~a Sc~e, 1"= 100'
Feb. 5,
TYPICAL WELL
TYPICAL SEWAGE DISPOSAL SYSTEM
ROAD
TYPICAL PLOT PLAN
BUILDING ZONE DISTRICT
SCHOOL D/STRICT
FIRE D/STRICT
~ R-40
9
30
Prepared in eccord=nce wilh fha minimum
slondord$ for lille surveys es established
by the L.I.A.L.S.' and approved =nd odopled
for such use by The New York Stele Lend
Tille Assocklllon.
////~_~,~j~-~_ N.Y.S. LIC. NO.
~PECONI~ V,,~URVEYORS, P.C.
(516) 765 - 50~0
P. O, BOX 909
MAIN ROAD
SOUTHOLD~ N, Y, 11971
49618
91-265A
This ls Io cerlify that /he subdivision plan has been approved
by the planning board o/ the Town of Soulhold by resolution
of approval doled
by
Chairman Planning Board
/ hereby certify /hal INs mop was mad~ from actual surveys
comp/e/ed ~,r 7 /9~. and.fhal dl monuments
shown Ihus · hereon, acfually exisl and /heir positions bra
correctly shown nnd all dimensional and Geodetic deloE$
ore correc~ ~
John' T. Me~zg~N.Y.S. LIC. NO. 49618 .
The wafer supply and sewage disposal, facilities 'for dl
/ale in this developmenl will comply with tl~e slondards
and requirements of the Suffolk County Departmei~t of
Health.
A DECLARATION OF COVENANTS AND RESTRICTIONS
HAS BEEN FILED IN THE SUFFOLK COUNTY CLERK'S
OFFICE WHICH AFFECTS LOTS IN THIS SUBDIVISION
LIBER 11578 PAGE $81 ~
4,/,
H.S. ReL ~ 92-077
1540 sq. fl. sealing ~reo/fiO -30.$
PROVIDED $~
2 H.C.
STALLS I0'~.0'
TYPICAL SEWAGE DISPOSAL SY$1~M
ROAD
TYPICAL PLOT PLAN
BUILDIN~ ZONE D/STRICT
SCHOOL DISTRICT
FIRE D/STRICT
MARz 10,1993 (ADDITIONS)
HEAL TH DEPT. 9-1,I-9~
HEAL TH DEPT.
TEST HOLE
smd
R-40
9
30
Prepared in accordance with the minimum
slanderds for l/fie surveys os esloblished
by the L.LA.L.8:'ond approved and odopled
for such use by The New York Stole Lend
T/ilo Association.
TOTAL AREA = 34958 ACRES
AREA LOT 1 = 55,663 sq ft.
AREA LOT2 = 61,225 sq. ft.
AREA LOT 3 = 35,389 sq ft.
ELEVATIONS & WOODED AREA FROM FIVE EASTERN
TOWNS TOPOGRAPHIC MAP
GROUND WA TER MANAGEMENT ZONE IV
LOT 2 1.41 acres ~ 300~.~.d. = 4~.~ ~.p.d.
CHURCH ' 50 seals ~ 1.5 ~.p.~/$eol - 75 ~.p.d.
MOBILE HOME 300 9.p.d.
375 9.p.d.
EXISTING SEPTIC SYSTEMS
CHURCH - ~- 8'# x 8' deep L.P.s
=,402 sq. fl. sidewall oreo ~ I.Sg.~.sq. fl. = 603 9.p.d.
= 151 ag, fl, sidewall area ~ 1.5 g.p.sq, fl. = 2~7 g.p.d.
MINOR SUBDIVISION FOR
ROBERT D. HAMIL TON
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
1000-141-02-212
Scale'.. i" = 100'
Feb. 5, 1992
P. 0.,- 909
MAIN ROAD
SOUTHOLD, N.Y.
t.Y.S. LIC. NO. 49618
11971
91-265A
This is /o ce, r/if), /ho/ lhe subdivision p/on has been epproved
by the p/enmng board of lhe Town of Soulho/d b)' resolu#on
of approve/ do/ed
by
Cheirrnen Plenning Boerd
I hereby car/fly thet /his mop was mode from ocluol surveys
completed o~. ~ ~, end lhe/ oil monuments
shown thus · hereon actually exist and /heir pos#ions ere
correclly shown end ell dimensional and Geodelic de/e/Is
Johh' Me~zg~FN.Y.S. LIC. NO. 49618
The we/er supply end sewage dispose/, fac/lilies for ell
lois in /hie developmen/ will comply w#h lhe slondords
end requirements of the Suffolk Courtly Deperlmen/ of
Health.
// ( oo
PARKING
15~0 sq. fl. see/lng urea/50 =30.8
PROVIDED 32 $poces
2 H.C.
STALLS 10',~°O'
OWNER/APPLICANT
ROBERT D. HAMIL TON
P.O. BOX 201
PECONIC, N Z ~958
T~A~ ~
TYPICAL SEWAGE DISPOSAL SYSTEM
ROAD
BUILDING ZONE DISTRICT
SCHOOL D/STRICT
FIRE DISTRICT
TYPIC4L PLOT, PLAN
~ R-40
9
3O
KEY MAP
TO TAL AREA = 3.4958 ACRES
AREA LOT1= 55,663 sq ft. -+ .....
AREA LOT2 = 61,225 sq. ft. -+
AREA LOT3= 35,389 sq. fl, -+
ELEVATIONS & WOODED AREA FROM FIVE EASTERN
TOWNS TOPOGRAPHIC MAP
MINOR SUBDIVISION FOR
ROBERT D. HAMIL TON
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000- 141- 0~- ~
Scale: I"= 100'
Feb. 5, 1992
Prepared in accordance wilh /he minimum
slanderds for lille surveys os es/eblished
by lhe Ld.A.L.$.~ and a~proved and adopted
for such u~e by The mew York State Lend
Til/e Association.
YORS~ P.~
(51~ 765 - 5020
~ ~ BOX 909
MA~ ROAD
SOUTHOL~ ~ 119~
91-265A
This is /o certify fha/ the subdivision plan hos been ~ppro..ved
by the planning board of ttie Town of $oulhoid by resolution
of approval dated
Chairman Planning Board
I hereby certify /ha/ this map was mode from actual surveys
comp/e/ed ~,~. ~ /~, and that alt monuments
showl~ thus · hereon actually ex/st and/heir pos#ions are
correctly shown and all dimensional and Geodetic details
ar. corre ,
. Johh~ T. Me~zg~FN.Y.$. LIC. NO. ~961~
The water supply and sewa§e disposal fac/At/es for all
lots ia Ibis developmenl w/il comply w/ih the slandar, d$
and requlremenls of the Suffolk County Depot/men/ of
Health.
KEY MAI=
TOTAL AREA = 3.4958 ACRES
AREA LOT 1 = 55,683 scI. ft. _+ ......
AREA LOT2 = 81,225 sq ft. _+
AREA LOT 3 = 35,389 sq ft. _+
ELEVATIONS & WOODED AREA ~'ROM FIVE EASTERN
TOWNS TOPOGRAPHIC MAP
MINOR SUBDIVISION FOR
ROBERT D. HAMIL TON
A T MA TTITUCK
PARKING
15~I0 sq,(t, sen/lng urea/50 =30.8
PROVIDED 3S spaces
2 H.C.
STALLS
OWNER/APPLICANT
ROBERT D. HAfVffL TON
P.O. BOX 201
PECONIC, N K 119~8
TOWN OF $OUTHOLD
SUFFOL5 CO~U~N. ,TY, N Y.
1000 14I- 02 21,2
Scale: 1"= I00'
Feb. 5, 1992
TYPICAL WELL
TYPICAL SEWAGE DISPOSAL SYSTEM
ROAD
TYPICAL PLOT PLAN
BUILDING ZONE DISTRICT
SCHOOL DISTRICT
FIRE DIS TRIC T
9
30
Prepared in accordance w#h /he minimum
slandards for lille surveys as es/ab#shed
by /be L./.A.L.S.' and approved and adopted
for such use by The New York State Lnnd
T/fie Association.
////~ECO~/j~N/C [/~_~URVE N.¥.$. LIC. NO. 49616
YORS, P.C.
[516) 765 - 50~0
P. O. BOX 909
MAIN ROAD
SOUTHOLD~ N.Y. 11971
91-265A