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1000-6.-5-13.1
I 1 { 's NOTE' COORDINATE DISTANCES, ARE MEASURED FROM U.S. COAST 8' GEODETIC SURVEY N/F - I r - 'TRIANGULATION STATION,"PROs". SERGE ✓. DOYEN, JR. 1, r,t f : / '7�.+r��'''�g'R '�l L.1 h-1 -TEFF -� `y1,1(J\\ QS 1 r f n i'-a J{rt ra. 1 Ahl 8 t1: �• r^t ry t r �+ �• � I 4.[+f`, �, Imo+!" .i*� '� - � �':r,; y ,J » �� 1 1 ��{ ';� '�:,' II 1 It I - c) I� �P' ' ,, ,, N ''V` - ',,i UL 12 1994. \ �: �, "da §rtl ;ly, d . OF o '' '�'',` '/' .i— r""\ , ,n„. •�', tA� ;n- ''-' 1. Y :Jit+. .Id � � ,. _,. •�, `� DEPT �S. t 1 ., � '_ . .�. Z"r�15 / . . 4,\�i :• r.^t ; LTH SERVIC I }l.'{la GAz ao[._I. ,L CATj -f4DN MAP It I s. HE1 �A: 4 ..3 u � 9i.de \�Bm �w” ' ,\. ul ,1 r�' .r.�4:' , t It N /,r. /t/., ,, . 1 .a ,/ 4rNIT 'F'JrG.!-moi_. L+u� AJ.47%_o2'3a'raJ. ,J.' ' / ' ,!2.If ,•Ji ry / PARP,EL I ✓ . � w� �� �r ' il, t4!' � �i �, :,:, '. I ' ,Y. '', � �i,.j� � ,,- ' :+ - / / / ✓� � , //:, . �`/ .' . � :.. ARHA"' 69fA40'Y5F� nl s 09`I AGREE - / oil / \ 0 49 v 20 q GRA W3C. . _ , K n r � r P 8l uk " ..It', r r u ' r•'I :'•r � vR / -/ / � / % / POR I '.�:- ,, '+1,.r1,1,, � i � �� b � I '?�" It _ V' / � - 1 HQ OVERHEAD ...--'1,'POLE 194 r-: 1 „". t fir , " , u`i ` '*`n, W { BARGEE 2 / / �T' , —.. µ+ r h �IT ES ,'fi ri f / P' \, 4 AREq ,= 175,460 / SEF.. / / / -.�� ',T-. � ! .I. f,�, " 1 ✓tiA:, �'w�r" V11 .rr•;',''„�'`k", "rte, Ytl,« a , 1 r•�""+-,1"f I ,: e ' . CRH / /' - - Y - 4e03,./ A 9 - , .r,.r; \ �: .. '/ l;:, L.. 1, s� ',"S? :Y�f, }'d""sttf`":'., h : t w•:' nl,4t. , F _ ✓� / ..� / � v L, qv ,7nY, � '?>°• v r t ?'' ".A N , l I '..+ ;"r ' '.+, <. ., :- .. , : , / � 'i' Nrt./ . : ',. . . J '; :,t ... /: ' .,tr:'.. � ;i' ,';bi .F 4• svt"�'� ;,.., i-?e,v n �u ^S", y�� "tr,.4 'I. J I r _ ✓' . / �f ice' � n � - �,./ . �� � � l . 0 - 1. _ ! ils� R�. V; rt' i Np`v - fr'E..a,.. 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In ear aF ne3 na en f bn ste eros : T'4��" W - F Wla{If11C1 U HOLD u ee vara 01111f, In Uro er»M feW � F 50 r ena a N O 7 nwa a 40W aPP 0 , e n � nm G 5UL`4DIVITJE�?I 4 4 - ECAZABETM' K ry CNE o mBM plary ta d Nd Caw ow E 6RAY - i „ - "5' - '' IAlatfale. OanwM le tNreby I, for IM Mn0 '� ; ' " - '' 9'MT `' " 1 �"''�- - A* Y G7WNLAP; MARTHA' KENT J� T� 2 2 994 - `�1��' �, 1�' U A a w J Df9oe of tlIe'' , LAR IM10 i M1 •� it'fEN.lkt-IINH:�+7yY. � � �'�-� moi" I � kMo"'�, ��n+yl � _ `�1�F'fdlloHMN���4M � I � r �,r1�,o�.� .��;�i1�Iidt1V� �'!Lt51�tY) b"t9;kt4la h P �✓'� " ''� �+ s F21'GHMQND.VA. 2282212 28 . 44 F,ORM11EP COTTAGE PLACE x 1 _ 2,: ITE,1,51r.gGATSR.IN THE ;TOWN AF 50UTHOLD,'GOUNTY - - .., z - RTHA . . T 5EG. 8'RLOcK'5 LOT 15.1 LPeER ele'r,'PAGE i7n. .,r,, ..;: ffff v - OF �VlFPG7L'k TAX MAP ©C3PJ, PARCEL 3 N1" 4hjD, 11 � xriT'4� r, r TO ''S1lBIDIYIEtED c 5.82 +/-'ACRES. - -',L'. { },.�,, • : . . . 5d. TOTAL IMR2A „ „o • 1 ,. a 01 a canEl£v,, th _MI rim nc _ �RLY I . . tWT ' �N . ':1�:y ,"f�k' SM 'NOW°C3R;,F`FJIRM 'h IS, 1 - . a ,� k n TI . ,,.I` �. 5IT2-IS L'QGAT9p WITRIN THE R-b0' ZONE. - ,. i ',',,;• _ - sutrNw�y64F�.,'$ �,�1 ,I'y�yDPGhe� s', ' ". . ' ,l x' I -6 44;t86W'La 512kJARE' DEET 5URED PROM,U 66 WT - za,a' ^P s.' - - - " aFRec l,41F1 EW ha: lh', s IRN b M1 )K. GOOWIP[NATt C>IOTANGE5 A" MEA I, - ",;:,k , � . T TION ". I : r`�, . Pe,9,1.!. 7.'go�'9.j,. - — — �. _ - _ ' T URB, ' dfPlCe, df'thp SUP,€'bl{,(`f{p'uety 1'@ •L''1kF;ikt* _6', '-, , „ - ,j "':. . , .1 r hNp : i41J ;fFC PURVEY T?21;4h'16VLA1,,TION 5 $ - - - �� m- 'td E3CI5TfN4 GONG .,, ,° - - 3 i5k1Ti 001W f5 WRYIGED 5 MUN C A AMP . H: _ . MONUMENT, ; I r+ Int : e.H:h ,F�Arr�l:l �, •aTI'u y""i .' eJAA I ''SEFh'IG„PND IQ -. „ - :.,:' r,. ;, ,'•, , t . D W±I �, $. N,iaE5l®NE r '. ', _ ' „ ” . '. ,1: �*.Frr^!1�44,yy,,t-'aR'n ' .,�• ^..-,rt '.��._- , a' u i n e ',!lLI 4E.THE �'idii';F'>ier c , a AND' , T'R1f4'fQFWI. ,., rjr '.rL ` .. •; q �,� �p „ ., - _ _ CITIES AD4Y6d »t'AY Bk,l41$4 I . _ - 1 ��r�� .P ( T4NA`E' 1 - - I ,Ery r -.. 'T�r, y,��-'NO�F, TT•IEFt1 ��I 11,,r1��, TIS LD7.�•' I - ', : . _ , . 3, 1 , . �5 �.,. "W„WLr � f 1 R � " .41 it 1 a.., . r F.a,'- Et^:ae y,,,,� (... t-. " ' ',d . ii ` r1 'D ' �, , r -., .<L - 4ry.'_M_, . ,:. _. ::,^Ji , _ :lk;,. - , - 1 .. J, CAL 9.4 1g �', � �� . '. . .» ^ , PLANNING BOARD MEMBERS' Richard G. Ward, Chairman J. Town Hall, 53095 Main Road George Ritchie Latham,Jr. J, P. O. Box 1179 Bennett Orlowski,Jr. n Southold, New York 11971 Mark S. McDonald Fax Fax(516)765-3136 Kenneth L. Edwards Telephone(516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 23, 1994 Stephen L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Proposed minor subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray SCTM# 1000-6-5-13.1 Dear Mr. Ham: The following took place at a meeting of the Southold Town Planning Board on Monday, August 22, 1994: The final public hearing, which was held at 7:35 p.m. was closed. The following resolution was adopted: WHEREAS, Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray are the owners of the property known and designated as SCTM# 1000-6-5-13.1, located on Fox Ave. and Sappho Rd. on Fishers Island; and WHEREAS, this proposed cluster minor subdivision is for 2 lots on 5.62 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 October 25, 1993; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on August 22, 1994; and XK WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; be it therefore Page 2 Proposed minor subdivision-Dunlap/Gray August 23, 1994 RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final surveys dated May 9, 1994. 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 sixty (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. Sincerely, 1QUJ x Richard G. Wards Chairman enc. cc: Building Dept. Tax Assessors Office 9OXtS 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 1 I SUFFOLK COUNTY CLERK 2 3 UP# 11675PC858 m Number of pages 9 Ci s TORRI.INN oma; r m rn Serial# cr> - - ,0 Certificate# -t Prior f n1 L Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 1 FEES Page/Filing Fee Mortgage Amt. _ Handling S.. 1. Basic Tax TP-584 2.SONYMA Notation Sub Total EA-5217(County) Sub Total " _._ 3.Spec./Add. _ EA-5217(State) (SlmllP TOT.MTG.TAX _ RP.T.S.A. Dual Town_Dual County_ Heid for Apportionment_ Comm.of Ed. S _00_ + " + Affidavit Transfer Tax _ ��� Mansion Tax _ Certified Copy The property covered by this mortgage is or will be improved by a one or two Reg. Copy Sub Total _p�f_._ family dwelling only. ( YES_ or NO Other _ GRAND TOTAL _._ If NO,see appropriate tax clause on page# of this instrument •: , Real Property Tax Service Agency Verification 6 Title Company Information Dist Section Block Lot .a IYe S'ii w y�j 1000 006.00 03r00 013. 00 / �Jtam S-5- 6 Company Name at Title Number FEE PAID BY: Cash_Check ✓ Charge -! rmeAl i: . I-/AM, 17-� ESQ• MArrHEwS + F/i4wf Payer same as R&R ✓ ,V-5" /-IAAIPTOA/ ROAD OR SouryA�t��-o�/, >✓ Y /l 96 8, 8.' RECORD & RETURN TO g. Suffolk County Recording & Endorsement Page This page forms part of the attached WCLAPLAT-10 IJ made by: ,, (Deed, Mortgage, etc.) T'EAW0 1`4 GRAY 'p u N LA P MAX rHA The premises herein is situated in KENT CyR SUFFOLK COUNTY, NEW YORK. f4' . In the TOWN of COW THOt_ D In the VILLAGE or HAMLET of FtSN ERs TSt q ND s 12.0104-5/92 DECLARATION DECLARATION, made the '; I!C1 day of March, 1994, by JEANANN GRAY DUNLAP, f/k/a Jeanann M. Gray, now residing at 7320 Algonquin Drive, Cincinnati, Ohio 45243-3516, MARTHA KENT GRAY, now residing at 6315 Ridgeway Road, Richmond, Virginia 23226 and BENJAMIN H. GRAY, now residing at 4441 E. Brookfield, Bellemeade, Nashville, Tennessee 37205, hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, shown on the map entitled "Minor Subdivision Plan - Property of Jeanann Gray Dunlap, Martha Kent Gray & Benjamin H. Gray", prepared by Chandler, Palmer & King, dated December 11, 1992 and revised September 23, 1993, which map is to be filed in the Office of the Suffolk County Clerk (the "Minor Subdivision Map") , said real property being more particularly described on Schedule A hereto; and WHEREAS, the Declarants have made application to the Planning Board of the Town of Southold for approval of a minor subdivision as shown on the Minor Subdivision Map to create two separate parcels shown as Parcel #1 and Parcel #2 thereon, said Parcel #1 and Parcel #2 being more particularly described on Schedules B and C hereto, respectively; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owners and prospective owners of said Parcel #1 and Parcel #2 that the within covenants and restrictions be imposed on said Parcels and, as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; and WHEREAS, the Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said Parcel #1 and Parcel #2 described on Schedule B and Schedule C hereto, respectively, shall hereinafter be subject to the following covenants which shall run with the land and shall be binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. There shall be no further subdivision of either Parcel #1 or Parcel #2 in perpetuity. 2. Declarants covenant and agree that they shall maintain Parcel # 2 for conservation purposes and shall not themselves or permit others to use Parcel # 2 for any purposes whatsoever which would be inconsistent with the preservation and protection of its natural habitat. The following activities shall be deemed to be inconsistent with such conservation purposes: (a) Erection of any buildings , billboards, commercial signs or other structures or improvements (except as set forth in this Declaration) ; (b) Filling, excavating, removing soil or sand or gravel or rocks or minerals, constructing site improvements or changing the topography of Parcel # 2 in any manner which would be detrimental to or which could adversely affect the conservation purposes of this Declaration; (c) Toleration of vehicular traffic over the land other than over roads and paths necessary for access to adjoining properties, including, but not limited to, the use of snowmobiles, motorcycles, all-terrain or other off-road vehicles; and (d) Any other action, practice or use which could be detrimental to or which could adversely affect the preservation and protection of the natural habitat of Parcel # 2. Because a significant portion of the habitat Declarants desire to protect consists of open land which has been maintained as such, the cutting of trees or brush, mowing, cultivation or planting of Parcel # 2 from time to time by Declarants or their agents shall not in and of itself be deemed to be inconsistent with the conservation purposes of this Declaration. The maintenance or relocation of existing drives or roadways, or the continuation or the granting of access for water, electrical, telephone and other utilities necessary for service to adjoining properties shall not in and of themselves be deemed to e inconsistent with the conservation purpose of this Declaration. 3. This Declaration is not intended to permit or in any ay give the public the right to enter upon or use either Parcel # 1 or Parcel # 2 for any purpose whatsoever and nothing herein shall be construed as prohibiting or restricting in any manner any use of Parcel # 1 that may now or hereafter be permitted under applicable laws, ordinances, rules or regulations. 4. This Declaration shall run with the land in erpetuity and the terms hereof and the covenants and agreements erein contained shall apply to and be forever binding upon the personal representatives, successors and assigns of Declarants. 5. Declarants agree that reference to this Declaration and the date and the liber and page of recording shall be made in any subsequent deed or other legal instrument by means of which any interest in either Parcel is conveyed. 6. The covenants and restrictions set forth in this Declaration can be modified only at the request of the then owner of any of the Lots affected thereby, 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 any such modifications shall not be required. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day and year first above written. / Jeanann Gray Dunlap—T Maftha Kent Gray 'Benjamin H. Gray STATE OF OHIO ) COUNTY OF #f111LrM4J ss. : On the �j day of March, 1994, before me personally appeared Jeanann Gray Dunlap, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. nth`w�9 LEWIS w���{�y� AIMm.J'Y I& � • NOTA"MUM•Sun OF owo Votary Public ,Oe MYeN.rna NO r agnm. ,.•+ w wka "7AS OAC. COMMONWEALTH OF VIRGJINIA ) COUNTY OF / �IL��'`a^� ) ss. : On the Z "d day of April, 1994, before me personally appeared Martha Kent Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public n,y (DpnMISSLDA e�p�res �nG,,ck 3i,t4a6. STATE OF TENNESSEE ) : COUNTY OF ss. On the,/ 18 day of Xpril, 1994, before me personally appeared Benjamin H. Gray, .to me known and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged to me that he execute the sale. No ary�671 El is Notary Public,Dav!e%Oa Coon^�.Terme=�e�. c D � ' SCHEDULE A "Description of Entire Dunlap/Gray Subdivision LL that certain plot, piece or parcel of land situate, lying and eing at Fishers Island, Town of Southold, County of Suffolk and tate of New York, more particularly bounded and described as ollows: EGINNING at a monument set at the intersection of the southerly ine of the former Cottage Place with the northerly line of Sappho oad, said monument being 4191.59 feet North of a point which is 315.62 feet West of another monument marking the United States oast and Geodetic Survey Triangulation Station "PROS"; and UNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; HENCE North 82 degrees 12 minutes 00 seconds West 363.18 feet to monument on the easterly line of Fox Avenue; HENCE along said avenue line North 46 degrees 18 minutes 36 econds East 20.41 feet to a monument; HENCE still along said avenue line North 31 degrees 37 minutes 20 econds East 107.20 feet to a monument; HENCE still along said avenue line North 01 degrees 14 minutes 20 econds East 72.53 feet to a monument; HENCE still along said avenue line North 25 degrees 05 minutes 20 econds West 79.48 feet to a monument; HENCE still along said avenue line North 30 degrees 47 minutes 30 econds West 112.63 feet to a monument; seconds still along said avenue line North 06 degrees 25 minutes 20 econds West 19.47 feet to a monument; HENCE still along said avenue line North 67 degrees 51 minutes 20 econds East 293.99 feet to a point; HENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to point; HENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; HENCE South 20 degrees 15 minutes 30 seconds East 113 .94 feet to point on the northerly line of Mansion House Drive; HENCE along said northerly line and the northerly line of Sappho oad South 60 degrees 49 minutes 34 seconds West 241.16 feet to a onument; HENCE still along the notherly line of Sappho Road South 57 egrees 6 minutes 20 seconds West 54.52 feet to the monument set t the point of BEGINNING. SCHEDULE B Description of Parcel #1 ALL that certain plot, piece or parcel of land situate, lying ands being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set at the intersection of the southerly line of the former Cottage Place with the northerly line of Sappho Road, said monument, being 4191.59 feet North of a point which is 2315.62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS',; and RUNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; THENCE North 20 degrees 41 minutes 20 seconds East 51.29 feet to a point; THENCE North 24 degrees 16 minutes 00 seconds East 283.83 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; THENCE South 20 degrees 15 minutes 30 seconds East 113.94 feet to a point on the northerly line of Mansion House Drive; THENCE along said northerly line of Mansion House Drive and the northerly line of Sappho Road South 60 degrees 49 minutes 34 seconds West 241.16 feet to a monument; THENCE still along the northerly line of Sappho Road South 57 degrees 06 minutes 20 seconds West 54.52 feet to the monument at the point of BEGINNING. SCHEDULE C Description of Parcel # 2 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set on the southerly line of the former Cottage Place, said monument being located South 20 degrees 41 minutes 20 seconds 51.29 feet from a point which is 4300.86 feet North of a point which is 2315e62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS"; and RUNNING THENCE North 82 degrees 12 minutes 00 seconds West 363. 18 feet to a monument on the easterly line of Fox Avenue; THENCE along said avenue line North 46 degrees 18 minutes 36 seconds East 20.41 feet to a monument; THENCE still along said avenue line North 31 degrees 37 minutes 20 seconds East 107.20 feet to a monument; THENCE still along said avenue line North 01 degrees 14 minutes 20 seconds East 72 .53 feet to a monument; THENCE still along said avenue line North 25 degrees 05 minutes 20 seconds West 79.48 feet to a monument; THENCE still along said avenue line North 30 degrees 47 minutes 30 seconds West 112 .63 feet to a monument; THENCE still along said avenue line North 06 degrees 25 minutes 20 seconds West 19.47 . feet to a monument; THENCE still along said avenue line North 67 degrees 51 minutes 20 seconds East 293.99 feet to a point; THENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to a point; THENCE. South 56 degrees 50 minutes 30 seconds East 58 .58 feet to a point; THENCE South 24 degrees 16 minutes 00 seconds West 283 .83 feet to a point; THENCE South 20 degrees 41 minutes 20 seconds West 51.29 feet to the monument set at the point of BEGINNING. t� 1 PHONE:E52-2000 •\ SUFFOLK COUNTY CLERK'S OFFICE Edward P. RgmainP, COUNTY CLERK 11VF_"1iEn L, NEW YORK 11901 Town of Southold Assessor Town of Southold Planning Board Chief Deputy County Treasurer To Whorn This May Concern: The Subdivision Map Of : Jeanann 6roX buLnIgLp , /L//a 6Po bra �enjam n Was Filed , . rt- 6my I C Q.t ll1 � 9G`f Filed Number, �5 I A} stract Number , Township , Southold Owner: Very truly yours, County Clerk , Map Department a arm No. 49 12-157:GIM THIS MINOR SUBDIVISION IS FOR O- LOTSON5.6X oK yup_ ACRES LOCATED ON SCT,vI# iuou-(0-5-13.1 ON _ F sC,erS J.slg, A MINOR SUBDIVISION (NO ROAD) Complete application received -- �6 93 gfP`•�et �-*•". 0•rc4. ✓ yyraLbb. PRAT D:rd V Application reviewe%d at work ession ,ro` oK -- E OK INro. Applicant advised of necessary revisions Revised submission received ALO' ,Nro. OK AW` OK Nro. a Sketch plan approval -with conditions 9� is 12, CQ Lead Agency Coordination 617111- 6"'° t4t_ to 'r11319y SEQRA determination ` I r2 d a 3 b�zs�g3 Nr_ pec Sent to Fire Commissioner A)A- Receipt of firewell location Notification to applicant to include on final map Sent to County Planning Commission ro.` oK Receipt of County Report 142-113- ro.` 07K Review of SCPC report io�a�Ig—�— Draft Covenants and Restrictions received 07K Draft Covenants and Restrictions review d 145k Y Nr°0io. w _o � 5 Filed Covenants and Restrictions receivedEley r1 1� 3 Receipt of mylars and paper prints with ,Ivv oma, _T Health approval . Final Public Hearing(-_ FK zz4y Approval of subdivision -with conditions Endarscment of subdlivisior: APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: agent of the 1. The applicant is the/owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be . . .M�np]7,Sxbdiy? ion. of ,Jeanann, Gray Dunlap Martha Kent Gray and Benjamin H. Gray :. .. .. .. .. ........ .... ........ . .. .. . . 1. 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: JGD Liber . . 4.Q7,3.. . . .. .. .. .. . . . . . Page . . . .M4 February 21, 1956 JGD Liber .. . . .. .. .. ... .... Page . . . .k56 . . . . . . . . . .. .. . On September 18, 1963 JGD Liber . . . .. .. . . .. . . .. . . . . . . . . . . 8110.. . . . . .. . . ... . .. . Page . . . .��7. • •. .. . . •• • • •. . On . September 23, 1976 , MKG and BHG Liber . ..$167. . . . .. .. .. . . . . .. . Page . .. .?72 On . .RBCpIRb4r. 3o i .?9.7.6 . ; Liber . .. . . .. . . . . .. .. .... . .... Page . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . .. .. .. . . . . . . . . .. . . . . . . . . . . . . .. I . .. .. . ..... . . . .. . . . . .. ..... . . . . . . . .. .. .. .. . . .. .. .. ... .. ..... . .... . . . 5. The area of the land is . .. . . .5...6 2+ -• • .. .. . acres. 6. All taxes which are liens on the land at the date hereof have been paid,XXOMXX. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . 7. The land is encumbered by ; ,, , . . no mortgage (s) X%1X6VXX . .. . . .. . . . . . . . . . . . . .. .. . . .. . . .. .. .. . . . .. . .. . . . . . . . . . . . of $. . . . . . . . . . . . . . aid amount $ . . . . . . . .. . . .. . address . .. . . .. .. .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . (b) Mortgage recorded in Liber . . . . . . . . . Page • . • • • • . . . . .. . in original amount of unpaid amount $ . . . . . . . . . . . heJUL 6 D93 ld by . . . .. v� "-MMIMT enrin lie c . . . . . . . .. .. .. . . . of . .. .. . . . . . . . . . unpaid amount $. .. , a held by . .. .. .. .. .. . . . . . . .. .. . . ... . . . . . . . .. . . .... 8. There are no other encumbrances or liens against the land except . . . .. .. . none . .... .. ... . . . .. . .. .. .. .. .. .... . .... .. . . . .... .. ... 9. The land lies in the following zoning use districts . .. .. ,, R-80 . .. ... 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, exx atcgt . . . . . .. .. .... .. .. . . .. ... ... . . ... . . .. .. .. . . .. .... .. .. . . .. . . . .. 11. The applicant shall at his expense install all required public improvements. 12. The land (does) W"RMI) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is Fishers Island Water Works . .. . . .. . . .. .. . . . .. . . .... . . ... . 13. Water mains will be laid by . . . .eX]gting . .. . . . . .. .. .. .. . . . . . . .. . . .. . . . .. . . . . . . . . . . . . . . an (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . .. .. . . .egxstAr1g. . lines. " " and (a) (no) charge will be made for installing said 15. Gas mains will be installed by , , 'm' .. • N/A and (a) (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public Suffolk County IIighway system, annex Schedule "R" hereto, to shstreets in the ow same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold llighwav system, annex Scludulc "C" hereto to show same. I8. There are no existigq buildin-s or structures on the land which are not located and shown on the plat. 19. Wbncre the plat shows proposed streets which are extensions of streets on adjoinim- dsion maps heretofore filed, there are cis on said no reserve strips at the end of the stre txisting maps at their conjunctions with the proposed streets. � said 20. In the course of these proceedings, the applicant 333 of the Real Property Law. twill oiler proof of title as required by Sec. Zl. Submit a Schedule copy of proposed deed for lots shoe;ink all restrictions, covaiants, etc. Annex 'D 22. The applicant estimates that the cost of grading and required public improvements will be $• • • • • .. . as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . .. . V . . , , years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". Jul Jeanann Gray Dunlap. Martha Kent Gray DATE ... .... .... y.?...... .. .. .. .. .. 19.93. ..and.Benjamin H: Gray. .. ....... . . ..... .... . (Name of Applicant) By . .. L : . ,�c (Signature and Title) Stephen L. Ham, III, authorized agent 45, Hampton, Road, Southampton, NY 11968 (Address) . ' " ' STATE OF NEW YORK, COUNTY OF . . . .. . . . . . SUFFOLK . . . . . . . .. .. . . .. . . .. .. ss: On the . . . .. . ?!?d. ,, , , , , . day of. .. . . . . . . . July 19. .93 before me personally came StepheR .L..HAM.. , 'U ,, ., . . , to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . . . . . . . he• , executed the same. L - ��t :. !111NY FAUP,'�d N o rorty Notac} Public �`WANOW " " QBM@d In Stdldk ft" C I I I l EYaitrn OettxllMr�!, IM STATE OF NEW YORK, COUNTY OF . . . . . . . 19f3 ss: On the . .. . . .. . . . . . . . . . day of . . . . . . • •. . . . • 19. .. .. .. before me personally came • • . . • . • • . . . . . .. . to me known, who being by me duly sworn did de- pose and say that . .. .. . . .. . . . resides at No. . . . .. ., . . . . . . . . . . . . . . . . . . . . .. .. . . .... . .. . . . . .. .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . . . . . . . . . .. . . . . . . . . . . .. . . . is the . . . . . . . . . . of . . . .. . . . . .. .. . . . . . . the corporation described in and which executed the foregoing instrument; that . .. .. . . . . . . . knows the seal of said corporation ; that the seal affixed by order of the board of directors of said corporation. that . . . , . . . . , "gncd . . . . . . . . . . . . . . name thereto by like order. . . . . .Pub. . .lic. . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . Notary PL AX G�BOAI�D TO. 0 50U, BOLD Sy Southold, N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms. If your answer to any of the following questions is yes, please indicate these on your guaranteed survey or submit other appropriate evidence. 1. Are there any wetland grasses on this parcel? Yes No (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) 2. Are there any other premises under your ownership abutting this parcel? Yes No 3 . Are there any building permits pending on this parcel? Yes No 4. Are there any other applications pending concerning this property before any other department or agency? (Town , State, County, etc. ) Yes No S. Is there any application pending before any other agency with regard to a different project on this parcel? Yes No 6. Was this property the subject of any prior application to the Planning Board? Yes No 7. Does this property have a valid certificate of occupancy, if yes please submit .a copy of same Yes No I certify that the above statements are true and will be relied on by the Planning Board in considering this application. L . 1-4.,izz- July 2, 1993 Signature of property owner or authorized agent date Stephen L. Ham, III, authorized agent r . Attachment to questionnaire for: the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the 2nrl day of July 19-_21 before me personally came Stephen L. Ham III to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that he executed the same. CANE 00FA MUltt7 Mb at MM Notj#XY Public fy f M If^- /p53 ' 14-16-2 (2/87)-7c 617.21 • Appendix A SEAR State Environmental Quality Review f FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. Itis 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 method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or 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 significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer r Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 1 c- PART 1—PROJECT INFORMA JN Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effecr on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME of ACTION Minor Subdivision of Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray LOCATION OF ACTION (Include Street Address, Municipality and County) Fox Avenue, Fishers Island, Town of Southold, County of Suffolk NAME OF APPLICANT/SPONSOR .'BUSINESS TELEPHONE Stephen L. Ham, III, authorized agent 516 )283-2400 ADDRESS 45 Hampton Road CITYIPO 1 STATE 1 ZIP CODE Southampton I NY 1_ 1968 NAME OF OWNER(If different) BUSINESS TELEPHONE Jeanann Gray Dunlap. Martha Kent Gray and Benjamin H. Gray 1do(516 )283-2400 ADDRESS c/o Matthews & Ham, 45 Hampton Road __ATE _ -STZIP CODE CITY/PO Southampton NY _;L1.968 DESCRIPTION OF ACTION minor subdivision into two lots of 5 .62-acre parcel currently improved with a single-family dwelling and garage (SCTM # 1000-6-5-13 .1) 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 ❑Commercial ❑Residential (suburban) WRural (non-tarn) [ Forest ❑Agriculture [-]Other ----.------------------ 2. Total acreage of project area: ,.62 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 5 55 acres --5.55._-- acres Forested acres -_ -- acres Agricultural (Includes orchards, cropland, pasture, etc.) acres — acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) —_ acres _—___ acres Water Surface Area _ acres _ _ acres Unvegetated (Rock, earth or fill) acres —.--_ acres Roads, buildings and other paved surfaces nw acres - r�__.__. acres Other (Indicate type) _ acres acres 3. What is predominant soil type(s) on project site? Montauk fine sandy loam a. Soil drainage: fx7Well drained 100 % of site ❑Moderately well drained _.. % or site ❑Poorly 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 Land Classification System? N/A acres. (See 1 NYCRR 370). '- 4. Are there bedrock outcroppings on project site? Dyes ®No a. What is depth to bedrock? c. 600 (in feet) 2 5. -Approximate percentage of prop*project site with slopes: ®0-10% __W_ % 010-15% 45 % ®15% or greater _ 20 % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes ®No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? Dyes ®No 8. What is the depth of the water table? 417 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? [Eyes ONO 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes ®No According to .T_M-0 Consulting Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes ®No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? Dyes ®No If yes, explain 14. Does the present site include scenic views known to be important to the community? Dyes ®No 15. Streams within or contiguous to project area: none a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name none b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes ONO a) If Yes, does sufficient capacity exist to allow connection? klYes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes ®No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes ®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 617? KYes ONO 20. Has the site ever been.used for the disposal of solid or hazardous wastes? Dyes ®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 5.62 acres. b. Project acreage to be developed: 0 acres initially; 0 acres ultimately. c. Project acreage to remain undeveloped 5.55 acres. (assuming donation of vacant parcel to d. Length of project, in m.iles: _ N/A (If appropriate) Ferguson Museum) e. If the project is an expansion, indicate percent of expansion proposed N/A %; f. Number of off-street parking spaces existing N/A proposed u/n g. Maximum vehicular trips generated per hour N/A (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium / Initially one (` Ultimately two i. Dimensions (in feet) of largest proposed structure N/A height; N/A width; N/A length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 7n6 ft. * unless vacant lot donated to 3 Ferguson Museum 2. How much natural material (i rock, earth, etc.) will be removed from site? 0 tons/cubic yards 3. Will disturbed areas be reclaimed? ❑Yes ❑No ®N/A a. If yes, for what intend— purpose is the site being reclaimed? ------------------- b. Will topsoil be stockpiled for reclamation? Dyes ONO 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 this project? ❑Yes KINo 6. If single phase project: Anticipated period of construction N/A months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition)- c. Approximate completion date of final phase month _ year d. Is phase 1 functionally dependent on subsequent phases? Dyes [:]No 8. Will blasting occur during construction? Dyes LXNo 9. Number of jobs generated: during construction N/A after project is complete 10. Number of jobs eliminated by this project N/A 11. Will project require relocation of any projects or facilities? ❑Yes MNO If yes, explain 12. Is surface liquid waste disposal involved? Dyes KINo 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? Dyes K]NO Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes KINO i Explain — 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes KiNo 16. Will the project generate solid waste? Dyes EXNo a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? []Yes ❑No c. If yes, give name ; location _--- d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes L1N e. If Yes, explain — 17. Will the project involve the disposal of solid waste? Dyes 1XNO 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? Dyes VNo 19. Will project routinely produce odors (more than one hour per day)? ❑Yes NNo 20. Will project produce operating noise exceeding the local ambient noise levels? []yes AN 21. Will project result in an increase in energy use? ❑Yes EXNo If yes , indicate type(s) ------- ----- 22. If water supply is from wells, indicate pumping capacity N/A gallons/minute. 23. Total anticipated water usage per day N/A gallons/day- L. 24. Does project involve Local, State or Federal funding? Dyes IJNo If Yes, explain - 4 35. Approvals Required: • lSubmittal e Date City, Town, Village Board ❑Yes 6)No City, Town, Village Planning Board ®Yes ❑No m;nnr Silbdivision Annrov^1 Z-2-93 City, Town Zoning Board ❑Yes ®No City, County Health Department ❑Yes f7No Other Local Agencies ❑Yes ®No Other Regional Agencies El Yes ElNo State Agencies ❑Yes ly No Federal Agencies ❑Yes gNo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? QYes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ®subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R-80 3. What is the maximum potential development of the site if developed as permitted by the present zoning? three single—family dwellings on minimum 80,000 square foot lots 4. What is the proposed zoning of the site? same 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/ mile radius of proposed action? sin le—family residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/ mile? ®Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 69,440 square feet (leaving balance of 175,460 Aq ft 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes LAJNo ) 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ❑Yes f,$No a. If yes, is existing capacity sufficient to handle projected demand? Dyes ONO N/A 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes l)No a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No N/A 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 information provided above is true to the best of my knowledge. Applicant/Sponsor Name Ste�henxL. Ham, III for Jeanann Dunlap Gray, d fl —Gra3 Date July 2. 1993 3 Signature Ste p e amr=7 Title author; zad agent If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 a- Part 2—PROJECT IMPACTS AND THEIR ""AGNITUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question Have my responses and determinations bee:: 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. A Any large impact must be evaluated in PART 3 to determine significance. Identifving 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 does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers c. If answering Ycs 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 provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3 e. If a potentially large impact checked in column 2 can be mitigated by change(s) In the project to a mall to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible- Phis must be explained in Part 3. 1 2 3 Small to Potential Can Impact 13e -� Moderate Large Mitigated I y IMPACT ON LAND Impact Impact Project Change 1 . Will the proposed action result in a physical change to the project site? - — --i ❑NO ❑YES Examples that would apply to column 2 _ • Any construction on slopes of 15% or greater, (15 foot rise per 100 Yes No 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 ❑ ❑ ❑Yes )__]No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ __IYes L INo • Construction on land where bedrock is exposed or generally within ❑ I-) I._.IYes LNo 3 feet of existing ground surface. I • Construction that will continue for more than 1 year or involve more _IYrs No { than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes 11 tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑No t • Construction in a designated floodway. L ; -..i ;Yes �_..'No • Other impacts ❑ ❑ ]Yes ❑No 1 i 2. Will there be an effect tf. _y un.que or unusual land forms found on t" the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO ❑YES { • Specific land forms: ❑ ❑ I_lYes 1 N I 6 • 2 3 IMPACT ON WATER Small to Potential ,Can Impact Be 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) Impact Impact Project Change Examples that would apply to column 2 ONO DYES • Developable area of site contains a protected water body. ❑ • Dredging more than 100 cubic yards of material from channel of a ❑ ❑Yes ❑No protected stream. ❑ ❑ ❑Yes ❑No • Extension of utility distribution facilities through a protected water body. ❑ ❑ • Construction in a designated freshwater or tidal wetland. Dyes ❑No ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES 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. ❑ ❑Yes ❑No • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ Dyes []No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No C • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ gallons per minute pumping capacity. El El Yes ❑No • Construction or operation causing any contamination of a water ❑ ❑ Dyes supply system. ❑No • Proposed Action will adversely affect groundwater. ❑ ❑ • Liquid effluent will be conveye El El-]off the site to facilities which presently Dyes ❑No Dyes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallonEl s per ❑ Dyes ❑No • Proposed Action will likely cause siltation or other discharge into an ❑ existing body of water to the extent that there will be an obvious visual El 11 Yes ❑No contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ Eland/or sewer services. Dyes ❑No • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ require new or expansion of existing waste treatment and/or storage Dyes ❑No facilities. • Other impacts: ❑ ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 Sr, :1H to Potc aial carp iui,)aci Be Mo aerate La gee Mitigr ed By In: act iml act Project :;hange • Proposed Action may cause substantial erosion. • Proposed Action is incompatible with existing drainage patterns_ • Proposed Action will allow development in a designated floodway. - j :es sNo t • Other impacts:' J?Y{, IMPACT ON AIR 3 7. Will proposed action affect air quality? ❑NO ❑YES Examples that would apply to column 2 -_ iI • Proposed Action will induce 1,000 or more vehicle trips in any given . !'resLINO hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ -]Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 Ins. per hour ora ❑ _.� 'Yes �._INO 1 heat source producing more than 10 million BTU's per hour • Proposed action will allow an increase in the amount of land committed ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ L'1)es LINO development within existing industrial areas- • Other impacts: ❑ I-_-!Yes ❑No 3 IMPACT ON PLANTS AND ANIMALS I 8, Will Proposed Action affect any threatened or endangered species? ❑NO []YES Examples that would apply to column 2 t • Reduction of one or more species listed on the New York or Federal ❑ ❑ l Eyes ❑No i list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ ❑Yes ❑No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ LI Yes El No than for agricultural purposes. F1 Dyes ❑No • Other impacts: ❑ r r 9. Will Proposed Action substantially affect non-threatened or ! non-endangered species? ONO (-]YES j Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ FYes ❑No f e migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No of mature forest (over 100 years of age) or other locally important vegetation. j IMPACT ON AGRICULTURAL LAND RESOURCES , 10- Will the Proposed Action affect agricultural land resources? j []NO ❑YES i I { Examples that would apply to column 2 L` • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) I 8 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ El Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No 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 ❑ ❑ El Yes ❑No 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: ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ONO DYES (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 ❑ ❑ []Yes []No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ 1:1 Yes ❑No 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 ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? LINO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ F-1 Yes ❑No 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. ❑ ❑Yes ❑No • Proposed Action will occur in an area designated as sensitive for ❑ archaeological sites on the NYS Site Inventory. ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ONO DYES • The permanent foreclosure of a future recreational opportunity. ❑ • A major reduction of an open space important to the community. ❑ O Dyes ❑No • Other impacts: ❑Yes ❑No ❑ ❑ ❑Yes ❑No 9 IMPACT ON TRANSPORTATION -mall to j Potential j Can Impac, D Moderate 1 Large Mitigated 14. Will there be an effect to existing transportation systems? I ENO ❑YES Impact impact pmiec± "'hon0e ;r Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. - ;yet • Proposed Action will result in major traffic problems. • Other impacts: — - ,res No I IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? ❑NO 1 AYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ j Yes t. !,No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ - 'Yes -llNo i 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: (� !. '._]Yes t_iNe NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ENO ❑YES Examples that would apply to column 2 ; 'g • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ ❑Yes No facility_ _ • Odors will occur routinely (more than one hour per day) �ii LJL Yes ( No 3 • Proposed Action will produce operating noise exceeding the local _ Ayes I Nu ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a mfr,, noise screen. } • Other impacts: El 1-1 ❑Yes ❑No IMPACT ON PUBLIC HEALTH I i 17. Will Proposed Action affect public health and safety? LINO ❑YES Examples that would apply to column 2 i • Proposed Action may cause a risk of explosion or release of hazardous Li I ❑ ,_jYes ❑No II substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. i • Proposed Action may result in the burial of "hazardous wastes" in any ❑ j_� ❑Yes ❑No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ i ❑Yes �INo gas or other flammable liquids. j l • Proposed action may result in the excavation or other disturbance ❑ ❑ ) ]yes ❑NO i 1 within 2,000 feet of a site used for the disposal of solid or hazardous �- waste. E r • Other impacts: __. t 7 ❑Yes ❑No I 10 _ IMPACT ON GROWTH AND CHARACTER 2 3 OF COMMUNITY OR NEIGHBORHOOD Small to Potential Can Impact Be 18. Will proposed action affect the character of the existing community? Moderate Large Impact Impact Projetct Chaated nge Examples that would apply to column 2 ANO DYES • The permanent population of the city, town or village in which the Project is located is likely to grow by more than 5%. El ❑ Dyes ❑No • The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this ❑ ❑ El Yes ❑No p • Proposed action will conflict with officially adopted plans orlgoals. • Proposed action will cause a change in the density of land use. ❑ El ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures 11 13 Yes ❑No or areas of historic importance to the community. ❑ ❑ ❑Yes ❑No • Development will create a demand for additional community services (e.g. schools, police and fire, etc.) ❑ ❑ ❑Yes ❑No • Proposed Action will set an important precedent for future projects. • Proposed Action will create or eliminate employment. E3 El ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO DYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be Potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(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 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) 11 to-tall (21e7(_g, 617.21 SEQR 0 Appendix B State Environmental Quality Review Visual EAF Addendum 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) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-'/4 '/a-1/2 1/2-3 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 qualities? • An overlook or parcel of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ Cl or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ ❑ ❑ ❑ ❑ • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) ❑Yes ❑No 3. Are any of the resources checked in question 1 used by the public during the time of year during which the project will be visible? ❑Yes ❑No 1 rDESCRIPTION OF EXIST rNG VISUAL ENVIRONMENT ach item checked in question 1, check those which generally describe the swrment. Withinmile i mile undeveloped Forested ---, Agricultural Suburban residential Industrial Commercial Urban - f 'I River, Lake, Pond Cliffs, Overlooks Designated Open Space n Flat Hilly Mountainous Other NOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile El Yes El No *1 miles []Yes No *2 miles ❑Yes No *3 miles ❑Yes ❑No * Distance from project site are provided for assistance. Substitute other distances as appropriate.': EXPOSURE 6. The annual number 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 ❑ ❑ n -j Involved in recreational activities ❑ ❑ ❑ [1 Routine travel by residents ❑ ❑ E, -J_ At a residence ❑ At worksite ❑ ❑ -? ❑_ Other ❑ ❑ ❑ C July 2, 1993 Southold Town Planning Board Town Hall Southold, New York 11971 Re: Application of Jeanann Gray Dunlap, Martha Kent Gray Gentlemen: and Benjamin H. Gra The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, Stephen L. Ham, III, authorized agent Benjamin H. Gray ILPLAN February 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Application for Minor Subdivision of Premises at Fishers Island, New York (SCTM # 1000-6-5-13 . 1) Dear Board Members: The undersigned, Benjamin H. Gray, as co-owner of the referenced premises situate at Fishers Island, New York, hereby authorizes Stephen L. Ham, III of Matthews & Ham, 45 Hampton Road, Southampton, New York 11968, to act as my agent in making such applications to your Board and in taking any and all incidental actions in regard thereto, including without limitation, completing and executing the required forms, giving any required notices and appearing at any public hearings, as he shall deem necessary or advisable in order to obtain approval of the proposed minor subdivision with respect to such premises in accordance with the Map prepared by Chandler, Palmer & King, as the same may be revised from time to time. Vetruly yours/,/ Beni in in H. Grav ACKNOWLEDGMENT COMMONWEALTH `OF(r(�¢g�CVa ee) \\ ss. : COUNTY OF a On the day of February, 1993 before me personally came Benjamin H. Gray, to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that he executed the same. Martha Kent Gray i t February 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Application for Minor Subdivision of Premises at Fishers Island, New York 1SCTM # 1000-6-5-13. 1) Dear Board Members: The undersigned, Martha Kent Gray, as co-owner of the referenced premises situate at Fishers Island, New York, hereby authorizes Stephen L. Ham, III of Matthews & Ham, 45 Hampton Road, Southampton, New York 11968, to act as my agent in making such applications to your Board and in taking any and all incidental actions in regard thereto, including without limitation, completing and executing the required forms, giving any required notices and appearing at any public hearings, as he shall deem necessary or advisable in order to obtain approval of the proposed minor subdivision with respect to such premises in accordance with the Map prepared by Chandler, Palmer & King, as the same may be revised from time to time. Very truly yours, �a�_4'c ti q fa-u , Martha Kent Gray ACKNOWLEDGMENT COMMONWEALTH OF VIRGINIA ) (1,rr-/ ss. : CotNTY OF IC hAC)10) ) )LA-Aeu-r- On the day of Ftp, 1993 before me personally came Martha Kent Gray, to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that she executed the same. Not y///Public �c 0 0 Jeanann Gray Dunlap c/o Lewis Gatch CO. , L.P.A. 4100 Carew Tower M•w• - _. " - Cincinnati, Ohio 45202 Februar " Y (n 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Application for Minor Subdivision of Premises at Fishers Island, New York (SCTM # 1000-6-5-13 . 1) Dear Board Members: The undersigned, Jeanann Gray Dunlap, as co-owner of the referenced premises situate at Fishers Island, New York, hereby authorizes Stephen L. Ham, III of Matthews & Ham, 45 Hampton Road, Southampton, New York 11968, to act as my agent in making such applications to your Board and in taking any and all incidental actions in regard thereto, including without limitation, completing and executing the required forms, giving any required notices and appearing at any public hearings, as he shall deem necessary or advisable in order to obtain approval of the proposed minor subdivision with respect to such premises in accordance with the Map prepared by Chandler, Palmer & King, as the same may be revised from time to time. Very truly yours, Jeanann Gray Dunlap ACKNOWLEDGMENT STATE OF {} ) ss. : COUNTY OF /yyyAj ) On the oXY 1 day of February, 1993 before me personally came Jeanann Gray Dunlap, to me known to be the individual described in and who executed the foregoing instrume t, and acknowledged that she executed the same. " SP '' C"w LEWIS G.(IATCN.MtpluyaLW N tart' Public Notary PubBc.Sm1s 01 a1r ✓ -.`. _._ _ My COMMWion Na No Exphaft aft �rJfr a i. O; SYCGon 147.03 '•. TE o �.. ., 0 L18Li,8167 4'1,: 172 THIS INDENTURE , made this 28th day of December, 1976, between RICHMOND GRAY of 121 E. Hillcrest Avenue, Richmond, Virginia, party of the first part, and MARTHA KENT GRAY of 121 E. Hillcrest Avenue, Richmond, Virginia 23226, ti and BENJAMIN H. GRAY of 231 E. 77th Street, New York, New York 10021 , parties of the second part: W I T N E S S E T H: That the party of the first part , in consideration is cJ of the natural love and affection which the party of the Cit Tom: first part bears unto his daughter and son, the parties of the second part, does hereby grant and release unto the parties of the second part, their heirs and assigns ,\ forever, an undivided one-half interest in the following described premises : Parcel 1 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate , lying and being at Fishers Island, in the Town of Sout- hold, County of Suffolk and State of New York, bounded and described -as follows : BEGINNING at a mere stone on the corner of Bayberry Drive and Sappho Road. From this point the line extends in a westerly direc- tion along the northerly side of Sappho Road two hundred, sixteen and two-tenths (216. 2) feet to a mere stone at the corner of Sappho Road and Cottage Place ; then the line extends along the northerly side of Cottage Place, a distance of one hundred, forty-four (144) feet, to a mere stone ; then the line deflects to the right 80° 53' and extends in a northerly direction two hundred, sixty and five-tenths (260. 5) feet to a mere stone on the northerly side of Bayberry Drive; then the line deflects to the right 98° 40' and extends one hundred, j1;VEDREALTATE I _.._..._ � a'3kj DEC 30 1976 s � , �n Tkr„dSFER k�C _. __... SUFFOLK COUNTY LIBCf,8167 011'. 173 a ninety-six and two-tenths (196. 2) feet along the westerly side of Bayberry Drive to a bolt; thence the line deflects to the right 36° 35' and extends a distance of one hun- dred, nine and six-tenths (109 . 6) feet along the westerly side of Bayberry Drive to the point of beginning. Said tract contains one acre and forty-four and five-tenths square rods , more or less . BEING the same premises conveyed to Jeanann M. Gray and Richmond Gray, by Jessie Mewhort Gray, as tenants in common, by deed dated the 5th day of December, 1955 , and recorded in the office of the Clerk of the County of Suffolk, in liber 4073 of deeds at page 198 on the 21st day of February, 1956. Parcel 2 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Fishers Island, in the Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows : BEGINNING at a stone monument at the south- westerly corner of lands now or formerly of Richmond Gray and Jeanann Gray Dunlap (here- inafter the "Grantees") and on the northerly side of Cottage Place , which monument is 4300. 86 feet North and 2389 . 82 feet West of another monument marking the Coast and Geodetic Survey Triangulation Station "PROS" , thence running North 82 degrees 12 minutes 00 seconds West, 346. 88 feet along the northerly side of said Cottage Place to a monument at the north-easterly intersection of Cottage Place and Fox Avenue; THENCE along the easterly side of the latter avenue North 31 degrees 37 minutes 20 seconds East, 70 feet to a monument ; THENCE North 1 degree 14 minutes 20 seconds East, 72. 53 feet to a monument ; THENCE North 25 degrees 05 minutes 20 seconds West, 79. 48 feet to a monument ; THENCE North 30 degrees 47 minutes 30 seconds West , 112. 63 feet to a monument ; THENCE North 6 degrees 25 minutes 20 seconds West, 19. 47 feet to a monument; -2- �.isE�,c�1F7 --A74 THENCE North 67 degrees 51 minutes 10 seconds East, 266. 65 feet to a monument at the southwesterly intersection of Fox Avenue and Mansion House Drive ; THENCE along the southwesterly side of Mansion House Drive South 46 degrees 02 minutes 30 seconds East, 283. 31 feet; THENCE South 56 degrees 50 minutes 30 seconds East, 64. 80 feet to a mere stone ; THENCE South 24 degrees 16 minutes 00 seconds West, 258. 53 feet along land now or formerly owned by the Grantees to the point of beginning. Containing 3 . 45 acres. Reserving for Fishers Island Electric Corp. and F. I. Telephone Corp. a right-of-way for a pole line, which right-of-way is 10 feet in width; the center line of which is described as follows : Commencing at a point on the first described line which point is located 4316. 54' North and 2504. 22 feet West of the monument marking the Coast and Geodetic Survey Triangulation Station "PROS", thence the pole line runs North 49 degrees 46 minutes 20 seconds West a distance of 250. 26 feet. BEING the same premises conveyed to Richmond Gray and Jeanann Gray Dunlap , as tenants in common, by West End Land Company, Inc. , a domestic corporation of the State of New York, by deed dated the 29th day of August , 1963, and recorded in the office of the Clerk of the County of Suffolk, in liber 5416 of deeds at page 456 on the 18th day of September, 1963. Parcel 3 ALL that certain plot , piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Fishers Island, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows : BEGINNING at a monument at the intersection of the southerly line of Cottage Place with the northerly line of Sappho Road, which monument is 4191. 59 feet North and 2315. 62 -3- us�_F,81fi7 ���:175 ; feet West of another monument marking the Coast and Geodetic Survey Triangulation Station "PROS" , and running thence along the southerly side of Cottage Place two courses as follows : (1) North 56 degrees 25 minutes 00 seconds West, 110. 81 feet to a monument; thence (2) North 82 degrees 12 minutes 00 seconds West, 363 . 18 feet to the easterly side of Fox Avenue; thence northerly along the easterly side of Fox Avenue to a monument at the intersec- tion of said easterly line of Fox Avenue with the northerly side of Cottage Place ; thence along lands now or formerly of Richmond Gray and Jeanann Gray, South 82 degrees 12 minutes 00 seconds East, 346. 85 feet to a monument; thence South 56 degrees 25 minutes 00 seconds East, 144 feet more or less to the northerly line of Sappho Road; thence westerly along said northerly line of Sappho Road to a monument and the point or place of begin- ning. The above described premises being and intended to be the bed of "Cottage Place" , an unopened and unused private road shown on Property and Highway- Map made by W. N. Brown and dated January, 1927. BEING the same premises conveyed to Jeanann Gray Dunlap and Richmond Gray, as tenants in common, by Fishers Island Utility Company, Inc. , a domestic corpora- tion of the State of New York, by deed dated the 18th day of August, 1967, and recorded in the office of the Clerk of the County of Suffolk, in liber 8110 of deeds at page 407 on the 23rd day of September, 1976. This conveyance is subject to the following: (1) Parcel 1 is subject to certain covenants and agreements running with the land which are set forth in deed by Walton Ferguson, sole Trustee under the will of Edmund M. Ferguson, deceased, to Jessie Mewhort Gray, r dated as of the 1st day of July, 1915, and recorded in the office of the Clerk of the County of Suffolk, in liber 913 of deeds at page 255 on the 22nd day of September, 1915 . -4- � ,X167 (2) Parcel 2 is subject to: a. Any and all zoning restrictions or ordinances imposed by any Town, County, State, or Federal Governmental Agency of competent jurisdiction. b. To any and all easements , or rights , of record, granted for the maintenance of any street, railroad, electric power lines , telephone lines, conduits , water mains, sewage mains or any other public service utility insofar as the same affects the above described pre- mises . C. Any state of facts an accurate survey or personal inspection may disclose. TOGETHER with the appurtenances and all estate and rights of the party of the first part in and to said premises , TO HAVE AND TO HOLD the premises herein granted unto the parties of the second part, their heirs and assigns forever, as tenants in common. IN WITNESS WHEREOF, the party of the first part has hereunto set his hand and seal the day and year first above written. v l x( 111_ 7L (%,_—�i%�.G L. S. Ric mon Gray � In presence of: STATE OF VIRGINIA ) 01 0FSS: On the =L day of December, 1976, before me came Richmond Gray to me known to be the individual described -5- LIHFA91e7 i>,(:177 in and who executed, the foregoing instrument, and acknow- ledged that he executed the same. My commission expires : _hrmct) .3ol jq j q Notary FUbilc (SEAL) -6- i � 9 _ - � � _ � } `77 C ?� - ^♦ i lir 1i C �� �* '. _ 1 J 4. 1♦ �:� . � ` TTl q, m> a Y � y � I.IDEN7Tj Z OF GIFT R r "< 1 I v •- - - : i 1 Ali • Mail to Jeffrey H. Ideitaman, rsq_ . - HIINTOH B RICHMOND.VTROiNTA 23212 _ +. P.O. Box. 1535 JUDITH T.TERRY,TOWN CLERK RECEIPT 047352 Town of Southold Southold,New York 11971 DATE 19� Phone.516-765-1801 REQEIVED OF, FOB' D CASH BY" T_,GKCK `�� JUDITH T.TERRY,TOWN CLERK RECEIPT 048161 Town of Southold Southold,New York 119717 cc333 Phone:516-765-1801 DATE —. 19---/ RECEIVED OF: c —'��/ --1-01 /� -- $ -7 v'--- FOR: At Z D CASH BY: G CHECK S PUBLISHER'S CERTIFICATE State of Connecticut ) County of New London, ) ss. New London On this 24 day of August A.D. 1994, personally appeared before the undersigned, a Notary Public, within and for said County and State, LEGAL. - -112 J . L . Zielinski Leval Advertising Representative Town of Southold Notice at Public Neminy NOTICE IS HE GIVEN HW our to Secdon IV N the TewnL.aw,a puDlk headrq of THE DAY, a daily will be NWd by the Souand Town Plaril rd of the Town Hall Wait SouM- t��o Y 1, In o newspaper published at New London, County of New the 7:735 5 PA,Mn.b of the fdloW np: PMeI puDlk hearhv far the proposed Mlrpr subdvl- sloe for Jaxmmr Grar Marsha Kent AM arx7 Ben- New London State of Connecticut who being duly sworn Iamin H. Gray, on Flshen Is- r land, Town of Soutlwld, County Of SUAolk, State of New York, Suffolk County Tax MW Num- ber states on oath, that the Order of Notice in the case of Thl: property Is Ixxamed on the nMh by Fox Ave: an int rlmlMast by lard now or fm- merly of Doyen;on th soudleast by land now m lmmerly of Legal Adv .. # 1 1 2 EMiarr6; on the soudleesf by Menebn fbuWDrNe, by Sar-Rd: wrihe spdh by land now W tbrnwrly of MCCance; and on xe nernwes} by Pax Ave. a true copy of which Arty Prawns desiring to be - heard on 'a above maber should appear at the time an0 Place sPeCaktl. I3atetl:3 N 19,1994 is hereunto annexed, was published in said newspaper in By Grdx of the Sadhold Town Plannlrq Beartl Ritllar, G.Want Chairman its issues of the 11 t h days of August A,D, 1994 . Subscribed and sworn to b e me this 24th day of August A.D. 1994. Notary Public. Southold Town Plamin0 W* 10 Au0ust 22. 1994 Mr. Ward: Anyone else like to address the Board on Angel Shores this evening? If not, I think we're in order here to close the hearing. Mr. McDonald: I make a motion to close the hearing. Mr. Mullins: Mr. Ward, before you continue, my wife wanted to know if we will get an answer to some of our concerns within the next few weeks? Mr. Ward: What you can do, we've asked the applicant to address the questions that were raised tonight and you could check in the Planning Board office to see when that's happened. Mr. Mullins: OK, fine. So there's no final decision made on this project tonight? Mr. Ward: No. Mr. Mullins: Thank you very much sir for your time and patience. Mr. McDonald: I make a motion to close the hearing. Mr. Latham: Second. Mr, Ward: Motion seconded. All in favor? Ayes: Mr. McDonald, Mr. Orlowski, Mr. Latham, Mr. Ward. Mr. Ward: Opposed? Motion carried. xxxxxxxxxxxxxxxxxxxx Mr. Ward: Jeanann Gray Dunlap Martha Kent Gray and Benjamin H Grav - This minor subdivision is for 2 lots on 5.62 acres located on Fox Ave. and Sappho Rd. on Fishers Island. SCTM# 1000-6-5-13.1 Is the applicant here or the applicant's attorney? If not, is there anybody here that would wish to have anything to offer on this particular application? If not, what's the pleasure of the Board? Mr. McDonald: I make a motion to close the hearing. Mr, Orlowski: Second. Mr. Ward: Motion seconded. All in favor? Ayes: Mr. McDonald, Mr. Orlowski, Mr. Latham, Mr. Ward. Mr. Ward: Opposed? Motion carried. Mr. McDonald: I make a further motion that WHEREAS, Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray are the owners of the property known and designated as SCTM# 1000-6-5-13.1, located on Fox Ave. and Sappho Rd. on Fishers Island; and Southold Town%nruna I 11 August 22. 1994 • WHEREAS, this proposed cluster minor subdivision is for 2 lots on 5.62 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 October 25, 1993; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on August 22, 1994; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; be it therefore RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final surveys dated May 9, 1994. Mr. Orlowski: Second. Mr. Ward: Motion seconded, All in favor? Ayes: Mr. McDonald, Mr. Orlowski, Mr. Latham, Mr. Ward. Mr. Ward: Opposed? Motion carried. Mr. Ward: Willow Terrace Farms - This minor subdivision is for 4 lots on 8.0084 acres located on the south side of King St. and the north side of Willow Terrace Lane in Orient. SCTM# 1000-26-2-39.10. Is the applicant present tonight? John Wagner: TYie, attorney for the applicant is. Good evening. John Wagner of Esseks, Hefter and Angel, 108 East Main St., Riverhead, here for the applicant. Members of the Board, l'm pleased to be here this evenifig. I think that we spent some time with the Board,in devising the plan that's, up for approval tonight. %I think it addresses the concerns of all involved and I respectfully request approval of the application as presented. Thank you. Mr. Ward: Is there anybody else here this evening that would like to address the Board regarding Willow Terrace Farms?%)f not, what's the pleasure of the Board? Mr. McDonald: Mr. Chairman, I make a mo,bpIn to close the hearing. Mr. Latham: Second. Mr. Ward: Motion secdhded. All in favor? f Ayes: Mr. McD. rfald, Mr. Orlowski, Mr. Latham, Mr. Ward. Mr. Ward; -Opposed? Motion carried. Mr. McDonald: I'd like to make a further motion that WHEREAS, Willow Terrace Farms, Inc. Is the owner of the property known and VYr SUBMISSION WITHOUT COVER LETTER DATE: SENDER: C)' le- J(l4i} 1 SUBJECT: )uncap t �YQ� SCTMR : COMMENTS: I afeA. fY0t AUG 2 2 1994 D SOUTHCLO BOTOWN"` PLANNO`JG"-- RD n.(:nk NolrcE �a.•.......r Ngke of Publia Kering Assulml,;nn a rut by Ian( NOTICE IS IIERENV GIVEN tha, now or tom city Ja..-on isc uws:webs no.nnarwill be eau, Na rowed byl'In l nnw o,fmm crir^r STATE OF NO YORK) Ine Si a uld Town Planning loan" luI"of wdluw cur 1,S I n 1, a1 ,he Town Gall. Main Road by Im nnw or fonn[rlY of Mager;an 1 Slw� me12Seasonal.New Yoh in laid Town or IM1e weal by Rnue Dnw,by IM XII / VV m 22M day an pg of it e,S[clionlg1.by laml ,gq q s"wr ofthe fallowing. no now or formerly ar Uo s,by a 1 O 7:m PM.Final public huenw to Nilson IJto /L�//k�/r�l' 'be pr p ed majorsubdivision( ?d5 NMT Final public M1mnng far '"—'`�•• SUFFO��Ine 0 Of Mattituek, in Angq SMrts,in Sou1M1o1J,Town of IM1e nmpospl ul oft for Many Nollzld New, County of WKulk,Same ul (Fame of Frank Dawson).in New Bald County,New Yah.Suffolk County Tax Map Suffolk,Town or Soalnhl.County of being duly sworn, says that he/she Number"and byy Main-L1sic Suffolk,State"NewYork.Jobs, Is principal Clerk of THE SUFFOLK TIMES, a rwrlhe mmendY is bordered on the Grand Tax Map Number IOyJ-I p. Y by Cebeyview 0.J;an q'Iol. L' ;M1<re dMul by C otodur Beach Rd;on This properly is bu"er<d on the Weekly M1<wuNw<51 by Color Paint Rd.S north by Iona now or formerly of ! Newspaper, published at Mattituck, in lane new or farms,or ecila,by Carroll:un IN<ao by TNM So_, lam Imw W famlenr of Kanhen,n an the aaah by hewn So—,;an III, the Town of Southold, Count Of WId Iw m farmvly W llaaork by slmlhwew by law now«r ly ar Y Suffolk and land row a formerly of Mulliq;b Price onJ Ilersehfcld:and on IM1e Pawi[bay,by Ian„now or forme,,, n°Mlwelf by land now or forinmty of State of New York, and that the Notice of which or VMhrheck;on the must by Pn[c mominAl.Pecanic pny Lane;an IM ):511 P.M,Final public he.,for the annexed Is a printed copy, onhwol by Bay I"';Wa¢n Sub de pmpo rd nal off for Andrew Cas- , has been regular_ dlNnvn fSMfolk Cwnly File X2901), sidy and Sons,in Gro-pros Town of Iy published in said N q 70.grk.Final SuphgJ,Ca... Newspaper once each week ):JS P.M.Final public Moro far, Y of Suffolk,Slam map g New York. 193& Tax mtp !r Ih[gaoMaad minor aubdiviaion far NumM1[rs dam)12 t9lh 59A. W Lo", 6tga Unlap.Marta Kens The properly t bordered an IM1e weeks su////c��1c�e�n//s�3siQCvely, ep ncing on Comm yofaSuffTov,n of e Cray arm by lana now of formerly of the�dH Of V "a6 Covey of Suffolk,Stem of New Candy,by Ian(now so formerly of y tI9 York.S ifgolk Crusty Tax Ma bamaews4l.FY Albenwn's Ione uN Naak a Ihtl.6.5-13.1, 0 xrhwnxry;on the cast by IoM no-q Tax lrgnty is bordered on the fa.mcrly of Melissa.on IM1e soumw reach by .Ave,;on Ibe man,, et M1Y NYS Re 25:an IM—an by Ione by bald lur o.fommd or Island Ralmad an IM1e soahw<sl by 4!pl^�'� dna aaar m by knit.1 or f'eanl6n Arshanlonmrme Pond;an Ibe weal by r rNA V()LINSKI of Kaorda;on meeaam,aal by ]war newor ernnnMd of Yah:amon P" -.late of New Ybrk Mucor y u r r b by land family Res die q.n byl Ibysnih rr. Mr_ +(04884 ami Is ptsA 7551 M.I. 11 Public hearing un irt Suffolk County principal Clerk e IM1e b b n p d 1 1 h a Tor r eyf " Ix A.Trims and Goose heck ^'!1tl„<ai/ r , l ec November23 1 7:40 Lse r' r u h 6 on A - Inc S 1 IJ Town of /ey R M b propose J dl (u S bol Cu y or Suffolk."air of Wll Terrace 1 Orland Town of Soulard,Comlyn(Luffolk, N[ Tork,Suffnik County Taa Map )I Sem of New York.Suffolk Cnunty NUTMr 10'(0.711.11.21 my!71f-249, 1 Tax Map NmnMr I.26.2 A10. property is bordered on the be e ]n s ' This Properly's bordered on IM1e wry -.h by Goose Creek Lane on me 1 rnb M1Y Ian(now or formerly of nooteal by NonM1 Bayview Road;on day of g P 2 I4q�] Dami.a by Imx1 how or firmarty of the soot and by Ia.mor m formerly -mar.by loci in or ionlwdy of ralTera,ando he sandayint by i I bylndnnw ru lnmurlY Snbdrocce as M1e James-scomn.MnN 7.7. F'Id i f ti M1 ami 11 King low:on he R«. .. be FY Inn(now or formerly o/ the aMve n ac- F M heard on k Kane by Ian(n row rr!on Ivl Inner should oppear aI me 1M1un,by 11 dnnw or formerly rf s,and place sn[nfed. 11 cn Tor&4 J4vAor.on Ibe card W24 ITAul l This property is borderer' n Hersehlelik aikl bu the nor- the north by Fox Ave;of a thvflit`"bjf"` )1Whd now or northeast by land now or -'trf p[ICG L h Eformerly of Doyen; on the southeast by land now or 7; J is formerly of Edwards;on the � {dr 1 off f 61994 j� southeast by Mansion House 1% A ` and Drive, by Sappho Rd; on the �' ' ' ,6Tiwi of south by land now or gtiat# dr'^ op g IOtYN formerly of McCance; and on the northwest by Fox Ave. folk Ea dtiti " Phot Mao Number 52-5-59.3 & 7:40 P.M. Final public hear- S9,4. I;>i i.AL 1rtITI'I $ ing for the proposed minor { {tlAtlee '� subdivision for Willow Ter- mpetty is bordered on p race Farms, in Orient, Town The the north Ify'land now or NOW of Southold, County of Suf- formerly of Cassidy,by land st ` folk, State of New York,Suf- ps otntetiy of Barz- 7 ai I.aw, folk County Tax Map cztwski,.b5!Alliertsd' Is Lam Number 1000-26-39.10. and" ;orf this east by land nowor fortfferly of Melrose;on the sin kheast by NYS Rt 25; on the south by I 6, ittt n tm This property is bordered on Long Islandl6ailroad;on the the 0ii of f the tformerly of Douglas, by land the north by land now or southwest by Arihamoma- `qtoque Pond; 'Oir th!'west by f011owittj(, 1i?h ua now or formerly of Schiller, land now or formerly of by land now or formerly of Yaxa; and 6n the tiorthwest Brenner and by land now or by land novr or fortiterly of 7:30 P.M.F W.p&Uc hear- formerly of Schorer and by Cassidy. ittvib the prapbsed major King Street,on the northeast subdirjsibno� for Angel by land now or formerly of 7:55 P.M. Final'public hear- Shores,in Southold;'bwn of Kanz, by land now or ing on the proposed lot line IPl tjf i `"Suf- formerly of Liburt, by land change for Deiuetrio6 A.Tbr- folk,Statersf 4W York.Suf- now or formerly of O'Con- tis and 'Goose Creek fo# Tax Map nor & Leudesdorf; on the Associates,Ifte.,in Southold Ntgpn 1 -6.1, 4'&5. east by land now or former- Town of Southold, County ", ly of Major Associates; ory of Suffolk -9tate of New bordered on the southeast by land now or York, Suffolk C:buhty Tax the ,northeast .by Main formerly of Douglass,on the Asap Nunibtr IMO-78-8-21 a '14he south by Willow 'Terrace and 79.2:31, southeast by Cedar Beach Lane, on the southwest by Ild,s.Otk tlteSV>QitA ittst by land now or formerly of Lot This property is bordered on land now #8 of Willow Terrace,Section 6 the north,by Goose Creek f or o{it►er�,v, o( its, by 1, by land now or formerly Lane; on tWd northeast byi *dnasi. or,�'orperly of of Mager; on the west by North Bayview Rodd;on the Kopheu,,, by now or Rowe Drive, by Lot #11 of southeast'`by land now or formerll{: of' k, by Willow Terrace Section 1,by foriiaierly of TeTtis and on land nowl,or,_to,morly of land now or formerly of the`southwest by open space Mullins; nic Bay, Douglass, by Nelson Drive. �''� _ by in the James W. Dawson l"a npw� ¢r formerly of Field Subdivision, Map No. Ytfnderbee ;,, on the 7987. southeast by,4tle Peconic 7:45 P.M. Final public hear- Bay laj , alit the hwest ing for the proposed set off Any person desiring to be by J}rry �ivtston for Mary Holland(Estate of heard on the above matter (Sttffa,kt out �ile.N2901), Frank Dawson),in New Suf- i*oul%1,appepF-0.the time;;. and Rambler folk, Town of Southold, Zggd pJaeerspecified: County of Suffolk, State of 7:35 P.M,Fins� ,iiblia hear- New York, Suffolk County Dated July 18, 1994 tng.for tHe,pgffpo r Tax Map Number BY OjiQIA OF THE sub iv' a r 1000-117-9-19.1 SOVIVOLD;TOWN PLANNIiNG,$OARD This property is bordered on Richard G. Ward on I"ishet; R Town of the north by, land now or Chairman Southold, y, of Suf- formerly of Gandolfi;on the 1X-8/11/94(1) folk.Sta eol .*gk,Suf- east by Third Street; on the folk Ciunly Map south by Jackson,Street; on Number the southwest by land now or formerly of Price and ,ARD MEMBERS .ard G.Ward, Chairman Town Hall, 53095 Main Road P. 0. Box 1179 deorge Ritchie Latham, Jr. j Southold, New York 11971 Bennett Orlowski,Jr. ''� Fax (516)765-3136 Mark S. McDonald ° Telephone(516)765-1938 Kenneth L. Edwards PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 12, 1994 Stephen L. Ham, III Matthews and Ham 45 Hampton Rd. Southampton, NY 11968 Re: Proposed minor subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray SCTM# 1000-6-5-13.1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July 11, 1994: BE IT RESOLVED that the Southold Town Planning Board set Monday, August 22, 1994 at 7:35 p.m. for a final public hearing on the maps dated May 9, 1994. Please contact this office if you have any questions regarding the above. Sincerely, Gil//S Richard G. Ward Chairman MATTHEWS & HAM MS ATTORNEYS AND COUNSELLORS AT LAw 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11988 518-283-2400 PHILIP B.MATTHEWS TELECOPIER 518-287-1078 STEPHEN L.BAMS M June 29, 1994 Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Proposed Minor Subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray; Premises at Fishers Island. New York (SCTM # 1000-6-5-13 . 1) Dear Melissa: I have enclosed a print of the referenced minor subdivision plan which bears the endorsement of the Suffolk County Department of Health Services. I have also enclosed a copy of the approved Declaration which was recorded in the Office of the Suffolk County Clerk on May 9 , 1994 in Liber 11675 page 858 . Please arrange to have this matter placed on your calendar for a final public hearing. I will see that at least three mylars and six paper prints bearing the SCDHS endorsement are delivered to you in advance. Those mylars and prints will include the recording information of the Declaration. Sincerely, 4-we Stephen L. Ham, III Enclosures LfFssi B r�: BOXES 5 THRU 9 MUST BE TYPED *PRINTED IN BLACK INK ONLY R TO RECORDING OR FILING. I SUFFOLK COUNTY CLERK 2 3 lJP# 11675PG858 �, n Number of pages T co P ori', r � rn r.7 Serial# ro CD r7 n , C= a y. LC Certificate#Prior Ctf# —t Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 1 FEES Page/Filing Fee �._ Mortgage Amt, _ Dandling 5 1.Basic Tax _ TP-584 2.SONYMA Notation Sub Total _ EA-5217(County) Sub Total � ,_ 3.Spec./Add. _ EA-5217(State) Q TOT.MTG.TAX _ R.P.T.S.A. ��_ � Dual Town_Dual County_ Held for Apportionment_ Comm.of Ed. 5_._00_ + ! Transfer Tax Affidavit Mansion Tax _ Certified Copy The property covered by this mortgage is or will be improved by a one or two Reg, Copy Sub Total 02 fj_._ family dwelling only. YESor NO_ ( Other GRAND TOTAL��._ H NO,see app_ropriate tax clause on page# of this instrument. Real Property Tax Service Agency Verification �,`, Title Company Information Dist Section Lot ioQC 004.00 0 !r,00 �/3 . 00 � S C Company Name Title Number FEE PAH)BY:�" Cash Check ✓ Charge STt=PNEP 4. . !-JAM, 1Tj ESQ• MAr'i-HC—w5 'f- Ft</4r-f Payer same as R&R✓ e�S /'SAM ProA/ ROA I> OR: 5-6urH01NrroW/ tjY /196 8. RECORD & RETURN TO 9 Suffolk County Recording & Endorsement Page This page forms part of the attached -P Fr- ARArio nl made by: (Deed, Mortgage, etc.) l TEAWAIIA 6P-Ar -DuNLA P MARTHA The premises herein is situated in SUFFOLK COUNTY, NEW YORK. KIFNf &AA1 -&ft ( 8C-PJ5AM10J H. GRA O In the TOWN of COWTHoLj> In the VILLAGE 611 JUN 3 C or HAMLET of Ft SN ERs TS t A N� PL"n'°I�A. 12.0104..5/90 DECLARATION DECLARATION, made the 3 'S( day of March, 1994, by JEANANN GRAY DUNLAP, f/k/a Jeanann M. Gray, now residing at 7320 Algonquin Drive, Cincinnati, Ohio 45243-3516, MARTHA KENT GRAY, now residing at 6315 Ridgeway Road, Richmond, Virginia 23226 and BENJAMIN H. GRAY, now residing at 4441 E. Brookfield, Bellemeade, Nashville, Tennessee 37205, hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, shown on the map entitled "Minor Subdivision Plan - Property of Jeanann Gray Dunlap, Martha Kent Gray & Benjamin H. Gray" , prepared by Chandler, Palmer & King, dated December 11, 1992 and revised September 23, 1993, which map is to be filed in the Office of the Suffolk County Clerk (the "Minor Subdivision Map") , said real property being more particularly described on Schedule A hereto; and WHEREAS, the Declarants have made application to the Planning Board of the Town of Southold for approval of a minor subdivision as shown on the Minor Subdivision Map to create two separate parcels shown as Parcel #1 and Parcel #2 thereon, said Parcel #1 and ,Parcel #2 being more particularly described on Schedules B and C hereto, respectively; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owners and prospective owners of said Parcel #1 and Parcel #2 that the within covenants and restrictions be impose -a4A n-JUN d� � n{1 30 SOUTHOLD Tl'=1'U PLANNING BOW,0 I • • I as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; and WHEREAS, the Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said Parcel #1 and Parcel #2 described on Schedule B and Schedule C hereto, respectively, shall hereinafter be subject to the following .covenants which shall run with the land and shall be binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. There shall be no further subdivision of either Parcel #1 or Parcel #2 in perpetuity. 2 . Declarants covenant and agree that they shall maintain Parcel # 2 for conservation purposes and shall not themselves or permit others to use Parcel # 2 for any purposes whatsoever which would be inconsistent with the preservation and protection of its natural habitat. The following activities shall be deemed to be inconsistent with such conservation purposes: (a) Erection of any buildings , billboards, commercial signs or other structures or improvements (except as set forth in this Declaration) ; (b) Filling, excavating, removing soil or sand or I I gravel or rocks or minerals, constructing site improvements or changing the topography of Parcel # 2 in any manner which would be detrimental to or which could adversely affect the conservation purposes of this Declaration; (c) Toleration of vehicular traffic over the land other than over roads and paths necessary for access to adjoining properties, including, but not limited to, the use of snowmobiles, otorcycles, all-terrain or other off-road vehicles; and (d) Any other action, practice or use which could be detrimental to or which could adversely affect the preservation and protection of the natural habitat of Parcel # 2. Because a significant portion of the habitat Declarants desire to protect consists of open land which has been maintained as such, the cutting of trees or brush, mowing, cultivation or planting of Parcel # 2 from time to time by Declarants or their agents shall not in and of itself be deemed to be inconsistent ith the conservation purposes of this Declaration. The maintenance or relocation of existing drives or roadways, or the continuation or the granting of access for water, lectrical, telephone and other utilities necessary for service to adjoining properties shall not in and of themselves be deemed to e inconsistent with the conservation purpose of this Declaration. 3 . This Declaration is not intended to permit or in any ay give the public the right to enter upon or use either Parcel # 1 or Parcel # 2 for any purpose whatsoever and nothing herein shall be construed as prohibiting or restricting in any manner any use of Parcel # 1 that may now or hereafter be permitted under applicable laws, ordinances, rules or regulations. 4 . This Declaration shall run with the land in erpetuity and the terms hereof and the covenants and agreements erein contained shall apply to and be forever binding upon the personal representatives, successors and assigns of Declarants. 5. Declarants agree that reference to this Declaration and the date and the liber and page of recording shall be made in any subsequent deed or other legal instrument by means of which any interest in either Parcel is conveyed. 6. The covenants and restrictions set forth in this Declaration can be modified only at the request of the then owner of any of the Lots affected thereby, 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 any such modifications shall not be required. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day and year first above written. Jeanann Gray Dunlap-� Ma tha Kent Gra tBenj�dmin H. Gray S STATE OF OHIO ) / ss. : COUNTY OF #fAff L:7M' On the 7 day of March, 1994, before me personally appeared Jeanann Gray Dunlap, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. ,.�""`•.4 T LEM 6.6bTi1R d Iss N"My!seas•svn OF auo Aotr� Public my co merm"w,r.*ww. d"SNOM WAS 0A 0 COMMONWEALTH OF VIRGINIA ) Cf� ss. : COUNTY OF-/ On the 7,1"d day of April, 1994, before me personally appeared Martha Kent Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public Ay (op.MJSSOn eEp1re5 Aw.C-k 301q6- STATE OF TENNESSEE ) ss. : COUNTY OF✓ +�r+✓I js o .I ) On the, I ro:!� day of April, 1994, before me personally appeared Benjamin H. Gray, ..to me known and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged to me that he execute the sa e. ' No ary b is Notary Public,Davidson County,Tennessee. My Ccn;r71' 30E,, SCHEDULE A Description of Entire Dunlap/Gray Subdivision LL that certain plot, piece or parcel of land situate, lying and eing at Fishers Island, Town of Southold, County of Suffolk and tate of New York, more particularly bounded and described as ollows: EGINNING at a monument set at the intersection of the southerly ine of the former Cottage Place with the northerly line of Sappho toad, said monument being 4191.59 feet North of a point which is 315.62 feet West of another monument _marking the United States oast and Geodetic Survey Triangulation Station "PROS" ; and UNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 eet to a monument; rHENCE North 82 degrees 12 minutes 00 seconds West 363.18 feet to monument on the easterly line of Fox Avenue; HENCE along said avenue line North 46 degrees 18 minutes 36 econds East 20.41 feet to a monument; ENCE still along said avenue line North 31 degrees 37 minutes 20 econds East 107.20 feet to a monument; HENCE still along said avenue line North Ol degrees 14 minutes 20 econds East 72.53 feet to a monument; HENCE still along said avenue line North 25 degrees 05 minutes 20 econds West 79.48 feet to a monument; HENCE still along said avenue line North 30 degrees 47 minutes 30 econds West 112.63 feet to a monument; HENCE still along said avenue line North 06 degrees 25 minutes 20 econds West 19.47 feet to a monument; HENCE still along said avenue line North 67 degrees 51 minutes 20 econds East 293.99 feet to a point; ENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to point; HENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; HENCE South 20 degrees 15 minutes 30 seconds East 113.94 feet to a point on the northerly line of Mansion House Drive; HENCE along said northerly line and the northerly line of Sappho oad South 60 degrees 49 minutes 34 seconds West 241.16 feet to a onument; HENCE still along the notherly line of Sappho Road South 57 egrees 6 minutes 20 seconds West 54.52 feet to the monument set t the point of BEGINNING. SCHEDULE B Description of Parcel #1 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set at the intersection of the southerly line of the former Cottage Place with the northerly line of Sappho Road, said monument being 4191.59 feet North of a point which is 2315. 62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; THENCE North 20 degrees 41 minutes 20 seconds East 51.29 feet to a point; THENCE North 24 degrees 16 minutes 00 seconds East 283.83 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; THENCE South 20 degrees 15 minutes 30 seconds East 113.94 feet to a point on the northerly line of Mansion House Drive; THENCE along said northerly line of Mansion House Drive and the northerly line of Sappho Road South 60 degrees 49 minutes 34 seconds West 241.16 feet to a monument; THENCE still along the northerly line of Sappho Road South 57 degrees 06 minutes 20 seconds West 54.52 feet to the monument at the point of BEGINNING. i� SCHEDULE C Description of Parcel # 2 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set on the southerly line of the former Cottage Place, said monument being located South 20 degrees 41 minutes 20 seconds 51.29 feet from a point which is 4300.86 feet North of a point which is 2315.62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE North 82 degrees 12 minutes 00 seconds West 363.18 feet to a monument on the easterly line of Fox Avenue; THENCE along said avenue line North 46 degrees 18 minutes 36 seconds East 20.41 feet to a monument; THENCE still along said avenue line North 31 degrees 37 minutes 20 seconds East 107.20 feet to a monument; THENCE still along said avenue line North O1 degrees 14 minutes 20 seconds East 72 .53 feet to a monument; THENCE still along said avenue line North 25 degrees 05 minutes 20 seconds West 79.48 feet to a monument; THENCE still along said avenue line North 30 degrees 47 minutes 30 seconds West 112.63 feet to a monument; THENCE still along said avenue line North 06 degrees 25 minutes 20 seconds West 19.47 feet to a monument; THENCE still along said avenue line North 67 degrees 51 minutes 20 seconds East 293 .99 feet to a point; THENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 58.58 feet to a point; THENCE South 24 degrees 16 minutes 00 seconds West 283.83 feet to a point; THENCE South 20 degrees 41 minutes 20 seconds West 51.29 feet to the monument set at the point of BEGINNING. PLANNING BOARD MEMBERS Richard G.Ward, Chairman t Town Hall, 53095 Main Road George Ritchie Latham, Jr. P. O. Box 1179 Bennett Orlowski,Jr. ' ,, , ) Southold, New York 11971 j Mark S. McDonald >f � >:17 Fax (516)765-3136 Kenneth L. Edwards _ Telephone(516) 765-1938 I PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 8, 1994 i Stephen L. Ham, III Matthews & Ham 45 Hampton Road Southampton, NY 11968 Re: Proposed minor subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray SCTM# 1000-6-5-13 . 1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, March 7, 1994 : BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from March 13, 1994 to September 13, 1994 . Conditional sketch approval was granted on September 13, 1993 . Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward -)"j Chairman �s MATTHEWS & HAM n�i 7 ATTORNEYS AND COUNSELLORS AT LAW I" 45 HAMPTON ROAD SOUTHAMPTON,N.Y.1i988 510-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 ueaaeaa, STEPHEN L.HAM,I11 March 1, 1994 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Minor Subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray; Premises at Fishers Island. New York (SCTM # 1000-6-5-13 . 1) Dear Board Members: I have been advised by my clients that they would like to modify the proposed Declaration to impose covenants and restrictions on their property Prior to final subdivision approval and prior to the donation of Lot # 2 to the Ferguson Museum. Mrs. Dunlap wishes to assure that Lot # 2 will never be built upon. The potential tax disadvantage in proceeding in this fashion is apparently less significant than her environmental concerns. I have enclosed a copy of a modified Declaration containing covenants and restrictions prohibiting the development of Lot # 2 . The language of Section 2 is exactly the same as the language set forth in other Declarations imposed by the Ferguson Museum on Fishers Island property it owns. Since Lot # 2 will never be developed, I have deleted provisions relating to archaeological studies and the park and playground fee. Please review the enclosed Declaration and, if it is acceptable, take whatever action is necessary to modify your prior resolutions with respect to this subdivision to reflect the Declaration's conformity with your requirements. Finally, I want to thank you for your consideration of my previous request to structure your approval based upon future compliance with normal subdivision requirements. I believe that you very appropriately balanced the interests of the Town with those of the private property owner. Although the issues are now moot in this case, I trust that you will consider a similar solution in a future matter where the needs of the private property owner justify it. Very truly yours, Enclosure 31994 Stephen L. Ham, III 3/tHfyy SOUTHO D ORRD Cans ��A feoin 3WILI or,b,* <&&3 W.1ww +�5' _ . • ^ � e T t 1 DECLARATION g1UT:OLhTOv�'N PIANti NG 3W-D DECLARATION, made the day of a=c ,'M"' Sy JEANANN ( GRAY DUNLAP, f/k/a Jeanann M. Gray, now residing at 7320 Algonquin I� l, Drive, Cincinnati, Ohio 45243-3516, MARTHA KENT GRAY, now residing at 6315 Ridgeway Road, Richmond, Virginia 23226 and BENJAMIN H. GRAY, now residing at 4441 E. Brookfield, Bellemeade, Nashville, Tennessee 37205, hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real i property situate at Fishers Island, Town of Southold, Suffolk County, New York, shown on the map entitled "Minor Subdivision i Plan - Property of Jeanann Gray Dunlap, Martha Kent Gray & Benjamin H. Gray", prepared by Chandler, Palmer & King, dated December 11, 1992 and revised September 23 , 1993, which map is to � be filed in the Office of the Suffolk County Clerk (the "Minor Subdivision Map") , said real property being more particularly I described on Schedule A hereto; and WHEREAS, the Declarants have made: application to the Planning Board of the Town of Southold for approval of a minor subdivision as shown on the Minor Subdivision Map to create two I � separate parcels shown as Parcel #1 and Parcel #2 thereon, said Parcel #1 and Parcel #2 being more particularly described on I Schedules B and C hereto, respectively; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owners and prospective owners of said Parcel #1 and Parcel #2 that the within covenants and restrictions be imposed on said Parcels and, I I i i as a condition of said approval, said Planning Board has required i that the within Declaration be recorded in the Office of the ', i Suffolk County Clerk; and WHEREAS, the Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said Parcel #1 and Parcel #2 described on Schedule B and Schedule C hereto, respectively, shall hereinafter be subject to the following covenants which shall run with the land and shall be binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. There shall be no further subdivision of either Parcel #1 or Parcel #2 in perpetuity. 2. Declarants covenant and agree that they shall maintain Parcel # 2 for conservation purposes and shall not themselves or permit others to use Parcel # 2 for any purposes whatsoever which would be inconsistent with the preservation and protection of its natural habitat. The following activities shall be deemed to be inconsistent with such conservation purposes: (a) Erection of any buildings , billboards, commercial signs or other structures or improvements (except as set forth in this Declaration) ; (b) Filling, excavating, removing soil or sand or ( gravel or rocks or minerals, constructing site improvements or changing the topography of Parcel # 2 in any manner which would be detrimental to or which could adversely affect the conservation purposes of this Declaration; (c) Toleration of vehicular traffic over the land other than over roads and paths necessary for access to adjoining properties, including, but not limited to, the use of snowmobiles, motorcycles, all-terrain or other off-road vehicles; and (d) Any other action, practice or use which could be detrimental to or which could adversely affect the preservation and protection of the natural habitat of Parcel # 2• Because a significant portion of the habitat Declarants desire to protect consists of open land which has been maintained as such, the cutting of trees or brush, mowing, cultivation or !planting of Parcel # 2 from time to time by . Declarants or their Lgents shall not in and of itself be deemed to be inconsistent with the conservation purposes of this Declaration. The maintenance or relocation of existing drives or roadways, or the continuation or the granting of access for water, electrical, telephone and other utilities necessary for service to adjoining properties shall not in and of themselves be deemed to e inconsistent with the conservation purpose of this Declaration. 3 . This Declaration is not intended to permit or in any ay give the public the right to enter upon or use either Parcel # 1 or Parcel # 2 for any purpose whatsoever and nothing herein i shall be construed as prohibiting or restricting in any manner any use of Parcel # 1 that may now or hereafter be permitted under I applicable laws, ordinances, rules or regulations. 4. This Declaration shall run with the land in perpetuity and the terms hereof and the covenants and agreements herein contained shall apply to and be forever binding upon the personal representatives, successors and assigns of Declarants. 5. Declarants agree that reference to this Declaration and the date and the liber and page of recording shall be made in any subsequent deed or other legal instrument by means of which any interest in either Parcel is conveyed. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day and year first above written. Jeanann Gray Dunlap Martha Kent Gray Benjamin H. Gray II I STATE OF OHIO ) ss. . ; COUNTY OF ) On the day of March, 1994, before me personally appeared Jeanann Gray Dunlap, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public COMMONWEALTH OF VIRGINIA ) ss. . COUNTY OF ) On the day of March, 1994, before me personally appeared Martha Kent Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public STATE OF TENNESSEE ) ss. . COUNTY OF ) On the day of March, 1994, before me personally appeared Benjamin H. Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged to me that he executed the same. Notary Public • jI SCHEDULE A Description of Entire Dunlap/Gray Subdivision LL that certain plot, piece or parcel of land situate, lying and eing at Fishers Island, Town of Southold, County of Suffolk and I tate of New York, more particularly bounded and described as follows: EGINNING at a monument set at the intersection of the southerly ine of the former Cottage Place with the northerly line of Sappho oad, said monument being 4191.59 feet North of a point which is 315.62 feet West of another monument marking the United States oast and Geodetic Survey Triangulation Station "PROS" ; and UNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; HENCE North 82 degrees 12 minutes 00 seconds West 363 . 18 feet to monument on the easterly line of Fox Avenue; HENCE along said avenue line North 46 degrees 18 minutes 36 econds East 20.41 feet to a monument; HENCE still along said avenue line North 31 degrees 37 minutes 20 econds East 107 .20 feet to a monument; HENCE still along said avenue line North 01 degrees 14 minutes 20 econds East 72 .53 feet to a monument; HENCE still along said avenue line North 25 degrees 05 minutes 20 econds West 79.48 feet to a monument; PHENCE still along said avenue line North 30 degrees 47 minutes 30 econds West 112. 63 feet to a monument; HENCE still along said avenue line North 06 degrees 25 minutes 20 econds West 19 .47 feet to a monument; �PHENCE still along said avenue line North 67 degrees 51 minutes 20 seconds East 293 .99 feet to a point; HENCE South 46 degrees 02 minutes 30 seconds East 269 .86 feet to a point; HENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; HENCE south 20 degrees 15 minutes 30 seconds East 113.94 feet to a point on the northerly line of Mansion House Drive; HENCE along said northerly line and the northerly line of Sappho oad South 60 degrees 49 minutes 34 seconds West 241.16 feet to a onument; HENCE still along the notherly line of Sappho Road South 57 egrees 6 minutes 20 seconds West 54 .52 feet to the monument set t the point of BEGINNING. SCHEDULE B i Description of Parcel #1 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set at the intersection of the southerly line of the former Cottage Place with the northerly line of Sappho Road, said monument being 4191.59 feet North of a point which is 2315.62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; THENCE North 20 degrees 41 minutes 20 seconds East 51. 29 feet to a point; THENCE North 24 degrees 16 minutes 00 seconds East 283 .83 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; THENCE South 20 degrees 15 minutes 30 seconds East 113 .94 feet to a point on the northerly line of Mansion House Drive; THENCE along said northerly line of Mansion House Drive and the northerly line of Sappho Road South 60 degrees 49 minutes 34 seconds West 241. 16 feet to a monument; THENCE still along the northerly line of Sappho Road South 57 ( degrees 06 minutes 20 seconds West 54.52 feet to the monument at the point of BEGINNING. i jI SCHEDULE C Description of Parcel # 2 I ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set on the southerly line of the former Cottage Place, said monument being located South 20 degrees 41 minutes 20 seconds .51.29 feet from a point which is 4300.86 feet North of a point which is 2315. 62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE North 82 degrees 12 minutes 00 seconds West 363 .18 feet to a monument on the easterly line of Fox Avenue; THENCE along said avenue line North 46 degrees 18 minutes 36 seconds East 20.41 feet to a monument; THENCE still along said avenue line North 31 degrees 37 minutes 20 seconds East 107.20 feet to a monument; THENCE still along said avenue line North 01 degrees 14 minutes 20 seconds East 72 .53 feet to a monument; THENCE still along said avenue line North 25 degrees 05 minutes 20 seconds West 79 .48 feet to a monument, .a. THENCE still along said avenue line North 30 degrees 47 minutes 30 seconds West 112. 63 feet to a monument; THENCE still along said avenue line North 06 degrees 25 minutes 20 seconds West 19.47 feet to a monument; THENCE still along said avenue line North 67 degrees 51 minutes 20 seconds East 293 .99 feet to a point; THENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 58.58 feet to a point; THENCE South 24 degrees 16 minutes 00 seconds West 283 .83 feet to a point; THENCE South 20 degrees 41 minutes 20 seconds West 51. 29 feet to the monument set at the point of BEGINNING. S MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11908 510-283-2400 PHILIP B.MATTHEWS TELECOPZER 516-287-1076 neisaeea STEPHEN L.HAM,I1] February 22 , 1994 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray; Premises at Fishers Island, New York (SCTM # 1000-6-5-13 . 1) Dear Board Members: Sketch plan approval of the referenced minor subdivision is due to expire on March 13, 1994 . Application has been made to the Suffolk County Department of Health Services for its approval and the required Declaration is being circulated among the owners for signature. However, I anticipate that we will need additional time to satisfy all conditions necessary for you to put this matter on your calendar for a final hearing. Please extend your sketch plan approval for an additional six months. Thank you for your attention to this matter. Very truly yours, Stephen L. Ham, III n D munw i eonno FOL,t /'25 HARVEY A. ARNOFF coy SCOTT L. HARRIS Town Attorney v� • yr supervisor MATTHEW G. KIERNAN Assistant Town Attorney Town Hall. 53095 Main Road P. O. Box 1179 Southold,New York 11971 Fax(516)765-1823 Telephone(516)765-1800 OFFICE OF THE TOWN ATTORNEY TOWN OF SOLTfHOLD MEMORANDUM TO: Melissa Spiro, Planner FROM: Harvey A. Arnoff, Town Attorn DATE: November 9, 1993 RE: Declaration of Covenants and Restrictions Dunlap and Cray SCTM# 1000-6-5-13.1 1 have reviewed the attached draft Covenants and Restrictions for the above-referenced minor subdivision and, with the exception of the last sentence of Number 3, 1 find same acceptable. �II�oIg3 MS my 1 0 !Q93 ��gUFFO(��0 O G PLANNING BOARD MEMBERS y r= A SCOTT L. HARRIS V Supervisor Richard0.Ward,Chairman George Ritchie Latham,Jr. y�ol � Town Hall, 53095 Main Road Bennett Orlowski,Jr. P. O. Boz 1179 Mark S.McDonald Southold, New York 11971 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE Fax(516)765- 1823 TOWN OF SOUTHOLD TO: Harvey A. Arnoff, Town Attorney FROM: Melissa Spiro, Planner RE: Declaration of Covenants and Restrictions Minor Subdivision for Dulap and Gray Fishers Island SCTM# 1000-6-5-13 . 1 DATE: November 5, 1993 Attached please find a copy of the draft Covenants and Restrictions for the above mentioned subdivision for your legal review. In regard to Number 3 of the draft, please note that the Planning Board is requiring the restrictions set forth in this section. Therefore, the Board will be requiring that the last sentence of this section be eliminated. All requirements from the Planning Board have been included in the Declaration. enc. DECLARATION DECLARATION, made the day of November, 1993, by JEANANN GRAY DUNLAP, f/k/a Jeanann M. Gray, now residing at MARTHA KENT GRAY, now residing at and BENJAMIN H. GRAY, now residing at , hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, shown on the map entitled "Minor Subdivision Plan - Property of Jeanann Gray Dunlap, Martha Kent Gray & Benjamin H. Gray", prepared by Chandler, Palmer & King, dated December 11, 1992 and revised September 23 , 1993, which map is to be filed in the Office of the Suffolk County Clerk (the "Minor Subdivision Map") , said real property being more particularly described on Schedule A hereto; and WHEREAS, the Declarants have made application to the Planning Board of the Town of Southold for approval of a minor subdivision as shown on the Minor Subdivision Map to create two separate legal building parcels shown as Parcel #1 and Parcel #2 thereon, said Parcel #1 and Parcel #2 being more particularly described on Schedules B and C hereto, respectively; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owners and prospective owners of said Parcel #1 and Parcel #2 that the �: .. _ . - • / within covenants and restrictions be imposed on said Parcels and, as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; and WHEREAS, the Declarants have considered the: foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said Parcel #1 and Parcel #2 described on Schedule S and Schedule C hereto, respectively, shall hereinafter be subject to the following covenants which shall run with tY,e land and shall be binding upon all purchasers of said premises , their heirs, executors, legal representatives , distributees, successors and assigns, to wit: 1. There shall be no further subdivision of either Parcel 01 or Parcel #2 in perpetuity. 2 . No building permit for construction on Parcel #2 shall be issued unless and until the then owner of such Parcel shall have submitted to the Town of Southold a park ,and playground Fee in accordance with the park and playground fee schedule then in effect. 3 . No building permit for construction on Parcel 02 shall be issued unless and !intil the proposed building site shall have been inspected by a professional archaeologist and a report of such inspection shall have been delivered to and reviewed by ,,ri�� the Town of Southold Building Department and Planning Board. If such report reflects that there are or may be significant historic or pre-historic buildings or materials at 'the site, the Town of Southold Planning Board may require that, prior to the issuance of the permit, additional studies be conducted or that, as a condition to the issuance of the permit, a professional archaeologist be present during any excavation. The restrictions set forth in this Section 3 may be waived by the Town of Southold Planning Board. a . This Declaration can be modified only at: the request of the then owner of the said Parcel #1 or Parcel #2, 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. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day ani year first above written. Jeanann Dunlap Cray Martha Kent Gray Benjamin H. Gray MATTHXWS Lac HA-"r Als ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOVTRAMPTON,N.Y.13068 815.263.2400 Pxu.01 B.,HA7:MEWS TELECOp:ER 6102874000 FAX TRANSMYSSIox srcrart>1..iL�aJlI To: MELISSA _1PI" .w (B0d FAX # 765 (9-A-7 Phone # From: Stephen L. Ham, III Date : LA0,1. l. r11.3 Re : Yyn��jIt fiGt/1LNswf� Number of pages 3 (including this page) If all pages are not received, call. (516) 283-2400. MESSAGE: NOV 3 i j- within covenants and restrictions be imposed on said Parcels and, as a condition of said approval, said Planning Boa:-d has required that the within Declaration be recorded in the office of the Suffolk County Clerk; and WHEREAS , the Declarants have considered the: foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said Parcel #1 and Parcel #2 described on Schedule B and Schedule C hereto, respectively, shall hereinafter be subject to the following covenants which shall run with the land and shall be binding upon all purchasers of said premises , their heirs , executors, legal representatives , distributees, successors and assigns, to wit: 1. There shall be no further subdivision of either Parcel 01 or Parcel #2 in perpetuity. 2 . No building permit for construction on Parcel #2 shall be issued unless and until the then owner of such Parcel shall have submitted to the Town of Southold a park and playground Fee in accordance with the park and playground fee schedule then in effect. 3 . No building permit for construction on Parcel #2 shall be issued unless and until the proposed building site shall have been inspected by a professional archaeologist and a report of such inspection shall have been delivered to and reviewed by NOV 31993 - -- - - the Town of Southold Building Department and Planning Board. If such report reflects that there are or may be significant historic or pre-historic buildings or materials at the site, the Town of Southold Planning Board may require that, prior to the issuance of the permit, additional studies be conducted or that, as a condition to the issuance of the permit, a professional archaeologist be present during any excavation. The restrictions set forth in this Section 3 may be waived by the Town of Southold Planning Board. A . This Declaration can be modified only at: the request of the then owner of the said Parcel #1 or Parcel #2, 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. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day ani year first above written. Jeanann Dunlap Gray Martha Kent Gray Benjamin H. Gray RATION QHVI 012 �;WwWQAMO A-11F WUMMII`5800-008812wTown of SOUTHOLD. SUFFOCK County JQAn or gourHOLD, AUFFMK uo"ntv . VFTCF Ar ROARr Plannlnq Boarr, . ...... 02 hiLF -Aunion N &A jft suboliviolon or 5 00 P, ink, I 1 ,v, 1 c,nn N Mweo too . Ce 5 of Fox Av- . DAT' WirkW-.W—. �A QyNegative DeclarationKTAKDOMMY . ............ ......... ..... SO �:o Sno 100 1 vnrnw�n &WZ 1�1 I rig .......... . ........ Curr�-.-M Record X M W C3 It 97 W Iq or > > File N-LI M I=>e X- 1%13- — 4 7 3 a 0 0 — 0 0 a a I- We the obovp number in al �qn—Pondence ahout thiction ' T, the Lead Agency : Me above inSopmatiLun confirms thot filings on thu descrihed Negative D-claration were offinindly received by. and entered in kho, AtIAR Rr ,"witan, r,n the date ( n) snown in the- h"x hooded OATE ROC` VVVi 0hoym The date and time in Ph, qecond linn how whort ! Kk do'olrw-111 "nis ori"t-rd. TI ` eorv OW ; Wnrutathn; nh"v . rel ui , y . onnhort non? r —nrow NY5DFr Divi4inn of Regulatory Affoir 4a n K pr F, d p , onm � ! X A �on" . NY 12233 Mon of SOUTHOki-, P.onqd no Ba>; I 530W Main RoW-P. Ir. Be ( 11W Nov "0t0 1,old . NY 1q71 MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 46 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 616-283-2400 PHILIP B.MATTHEWS TELEGOPIER 616-287-1078 I1.1.IBB.. STEPHEN L.HAM,III October 28, 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray; Premises at Fishers Island, New York (SCTM # 1000-6-5-13 . 1) Dear Melissa: I have enclosed a proposed Declaration relating to the referenced minor subdivision. I believe it complies with the correspondence I have received from the Planning Board and the Suffolk County Planning Commission. Please review this Declaration with the Town Attorney at your earliest convenience and give me a call to advise me whether it is acceptable in this form. (Obviously, I will add the residence addresses of the property owners to the version that will be circulated for signature and recorded. ) Sincerely, � - 1'b� ` l a'-. Stephen L. Ham, III Enclosure Seo)e AD leve 1�w. OCT 2 91993 POT 2 9I DECLARATION DECLARATION, made the day of November, 1993 , by JEANANN GRAY DUNLAP, f/k/a Jeanann M. Gray, now residing at MARTHA KENT GRAY, now residing at and BENJAMIN H. GRAY, now residing at hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, shown on the map entitled "Minor Subdivision Plan - Property of Jeanann Gray Dunlap, Martha Kent Gray & Benjamin H. Gray", prepared by Chandler, Palmer & King, dated December 11, 1992 and revised September 23 , 1993, which map is to be filed in the Office of the Suffolk County Clerk (the "Minor Subdivision Map") , said real property being more particularly described on Schedule A hereto; and WHEREAS, the Declarants have made application to the Planning Board of the Town of Southold for approval of a minor subdivision as shown on the Minor Subdivision Map to create two separate legal building parcels shown as Parcel #1 and Parcel #2 thereon, said Parcel #1 and Parcel #2 being more particularly described on Schedules B and C hereto, respectively; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owners and prospective owners of said Parcel #1 and Parcel #2 that the within covenants and restrictions be imposed on said Parcels and, as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; and WHEREAS, the Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said Parcel #1 and Parcel #2 described on Schedule B and Schedule C hereto, respectively, shall hereinafter be subject to the following covenants which shall run with the land and shall be binding upon all purchasers of said premises , their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. There shall be no further subdivision of either Parcel #1 or Parcel #2 in perpetuity. 2 . No building permit for construction on Parcel #2 shall be issued unless and until the then owner of such Parcel shall have submitted to the Town of Southold a park and playground fee in accordance with the park and playground fee schedule then in effect. 3 . This Declaration can be modified only at the request of the then owner of the said Parcel #1 or Parcel #2 , 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. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day and year first above written. Jeanann Dunlap Gray Martha Kent Gray Benjamin H. Gray STATE OF OHIO ) ss. . COUNTY OF ) On the day of November, 1993 , before me personally appeared Jeanann Dunlap Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public COMMONWEALTH OF VIRGINIA ) ss. . COUNTY OF ) On the day of November, 1993, before me personally appeared Martha Kent Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public STATE OF TENNESSEE ) ss. . COUNTY OF ) On the day of November, 1993, before me personally appeared Benjamin H. Gray, to me known and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged to me that he executed the same. Notary Public SCHEDULE A Description of Entire Dunlap/Gray Subdivision ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set at the intersection of the southerly line of the former Cottage Place with the northerly line of Sappho Road, said monument being 4191. 59 feet North of a point which is 2315. 62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; THENCE North 82 degrees 12 minutes 00 seconds West 363 . 18 feet to a monument on the easterly line of Fox Avenue; THENCE along said avenue line North 46 degrees 18 minutes 36 seconds East 20.41 feet to a monument; THENCE still along said avenue line North 31 degrees 37 minutes 20 seconds East 107.20 feet to a monument; THENCE still along said avenue line North 01 degrees 14 minutes 20 seconds East 72 .53 feet to a monument; THENCE still along said avenue line North 25 degrees 05 minutes 20 seconds West 79.48 feet to a monument; THENCE still along said avenue line North 30 degrees 47 minutes 30 seconds West 112 . 63 feet to a monument; THENCE still along said avenue line North 06 degrees 25 minutes 20 seconds West 19.47 feet to a monument; THENCE still along said avenue line North 67 degrees 51 minutes 20 seconds East 293.99 feet to a point; THENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; THENCE South 20 degrees 15 minutes 30 seconds East 113.94 feet to a point on the northerly line of Mansion House Drive; THENCE along said northerly line and the northerly line of Sappho Road South 60 degrees 49 minutes 34 seconds West 241. 16 feet to a monument; THENCE still along the notherly line of Sappho Road South 57 degrees 6 minutes 20 seconds West 54 . 52 feet to the monument set at the point of BEGINNING. SCHEDULE B ALL that Description of Parcel #1 being at Fishers Plot, piece or parcel Of State of Island, Town of Southold land situate, lyin follows; New York, more ParticularlyCounty of Suffolk and bounded and described and BEGINNING at as line a mon 2315, of the former cotsafeet id °nument b a g tPlace 191 eat h withttheenortherl the southerly 62 West of 59 feet North y line of S Coast and Geodetic another monument °f a Point Sappho Survey Triangulamarking the United is RUNNING tion Station 11 united States THENCE North 56 PROS and feet to a monument; degrees 29 minutes 00 seconds West 110.81 THENCE North 20 degrees 41 minutes 20 seconds Point; d East 51.29 feet to THENCE North 24 a a Point; egrees 16 minutes 00 seconds East 283 ,83 feet to THENCE South 56 degrees a point; 50 minutes 30 seconds East 266. 90 feet to THENCE South 20 a Point on the degrees n 15 minutes 30 seconds northerly line of Mans ' East THENCE ion House 113 . 94 feet to along said northerl Drive; northerly line d Sappho y line Of seconds West Road Mansion House Drive 241. 16 feet to south 6o and the a monument; degrees 49 minutes THENCE still 34 degrees 06 along the northerly minutes 20 seconds line of Sappho the point of BEGINNING. West 54. 52 PPho Road feet South 57 to the monument at SCHEDULE C Description of Parcel # 2 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set on the southerly line of the former Cottage Place, said monument being located South 20 degrees 41 minutes 20 seconds 51.29 feet from a point which is 4300.86 feet North of a point which is 2315.62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation station "PROS"; and RUNNING THENCE North 82 degrees 12 minutes 00 seconds West 363 .18 feet to a monument on the easterly line of Fox Avenue; THENCE along said avenue line North 46 degrees 18 minutes 36 seconds East 20.41 feet to a monument; THENCE still along said avenue line North 31 degrees 37 minutes 20 seconds East 107.20 feet to a monument; THENCE still along said avenue line North 01 degrees 14 minutes 20 seconds East 72.53 feet to a monument; THENCE still along said avenue line North 25 degrees 05 minutes 20 seconds West 79.48 feet to a monument; THENCE still along said avenue line North 30 degrees 47 minutes 30 seconds West 112. 63 feet to a monument; THENCE still along said avenue line North 06 degrees 25 minutes 20 seconds West 19.47 feet to a monument; THENCE still along said avenue line North 67 degrees 51 minutes 20 seconds East 293 . 99 feet to a point; THENCE South 46 degrees 02 minutes 30 seconds East 269.86 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 58 .58 feet to a point; THENCE South 24 degrees 16 minutes 00 seconds West 283 .83 feet to a point; THENCE South 20 degrees 41 minutes 20 seconds West 51.29 feet to the monument set at the point of BEGINNING. PLANNING BOARD MEMBERS SCOTT L. HARRIS Richard C. Ward. Chalran 1 ., Supe rWsor m George Ritchie Latham.Jr. ^� Bennett Orlowski,Jr. •� Town M Hall, 53095 P.O. Box Main Road - Mark S. McDonald 179 Kenneth L. Edwards Southold, New York 11971 Telephone(516) 765-1938 PLANNING BOARD OFFICE rax(516) 765- 1823 TOWN OF SOUTHOLD October 26 , 1993 Stephen L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Proposed Minor Subdivision Dunlap & Gray Fishers Island SCTM# 1000-6-5-13 . 1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on October 25, 1993 : BE IT RESOLVED to adopt the October 7, 1993 Suffolk County Planning Commission report. A Declaration of Covenants and Restrictions was required in the Planning Board' s letter of September 14, 1993 . A copy of the draft declaration must be submitted for review by the Planning Board and the Town Attorney. Once approved, the declaration must be filed in the office of the County Clerk, and a notation must be placed on the final map stating the Liber and Page number of the recorded document. If you have any further questions, please do not hesitate to contact this office. Sincerely, 1&41J -141 llalv�l Richard G. Ward /XS Chairman cc: Suffolk County Planning Commission Frank Cichanowicz enc. COUNTY OF SUFFOLK A6 X" �p 0 ROBERT J.GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING HAROLD J.WITHERS.PH.D. DEPUTY DIRECTOR October 7, 1993 Mr. Richard Ward, Chairman Town of Southold Planning Board Main Road Southold, NY 11971 Re: Minor Subdivision - Dunlap & Gray S/e/s of Fox Avenue, opposite Crescent Avenue, Fishers Island. Dear Mr. Ward: The Suffolk County Planning Commission at its regular meeting on October 6, 1993, reviewed the proposed subdivision plat, entitled, "Minor Subdivision - Dunlap & Gray" 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, Stephen M. Jones Director of Planning by QJ� r> /prank Dowlin , Principal Planner Subdivisip Review Division File: S-SD-93-11 FD:mb Attachment cc: J. Baier, C.E. , SCDHS KLEE DENNISON BUILDING 0 VETERANS MEMORIAL HIGHWAY 0 HAUPPAUGE. NEW YORK 11788 ■ , ISIS) 833-9192 r File ,No. S-SU-y3--i 1 Resolution No. ZSR-93-118 of Suffolk County Planning Commission Pursuant to Sections A14-24, Article XIV of Suffolk County Administrative Code WHEREAS, pursuant to Sections A14-24, Article XIV of the Suffolk County Administrative Code, a referral was received by the Suffolk. Countv Planning Commission on September 17, 1993, with respect to a proposed plat entitled, "Minor Subdivision - Dunlap & Cray" submitted by the Town of Southold Planning Board affecting premises located on the s/e/s of Fox Avenue, opposite Crescent Avenue, Fishers Island, in the Town of Southold, New York, and WHEREAS, said referral was considered by the Suffolk County Planning Commission at its meeting on October 6, 1993, and WHEREAS, the Commission has voted to approve with certain changes said referral, Be It Therefore RESOLVED, That the Suffolk County Planning Commission hereby approves and adopts the report of its staff as the report of the Commission, Be It Further RESOLVED, That said proposed plat is approved subject to the meeting of the following conditions that are deemed necessary to help preserve the natural and aesthetic attributes of this area of Fishers Island. 1. Parcel No. 2 shall not be further subdivided. 2. According to a map that was received from the State of New York this property is located within an area that is considered to be archaeologically sensitive. Many sites contain material and/or buildings that are of prehistoric or historic value. These sites should be preserved or developed with a sensitivity for historic or cultural values that can be available for the appreciation of future - generations. 3. Conditions 1 and 2 shall be filed as covenants and restrictions in the office of the County Clerk on or prior to the granting of approval to this subdivision. 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 their consent to such modification shall not be required. 4. The final map shall bear the following note: A Declaration of Covenants and Restrictions has been filed in the Suffolk County Clerk's office which affects lots in this subdivision. Resolution No. ZSR-93-118 Page 2 -------------------------------------------------------------------------------- Motion by: Commissioner Shepard Seconded by: Commissioner Isles Commission Vote: 9 Present - Yeas 9 Nays 0 Abstentions 0 Dated October 6, 1993 Hauppauge, New York Suffolk County Planning Commission PLANNING BOARD MEMBERS " SCOTT L. HARRIS Supervisor Richard G. Ward.Chairman ..�, `Iir" 'r ~ George Ritchie Latham.Jr. T Town Hall, 53095 Main Road Bennett Orlowski,Jr. _ P.O. Box 1179 Mark S. McDonald Southold, New York 11971 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE Fax(516) 765- 1823 TOWN OF SOUTHOLD October 26, 1993 Stephen L. Ham, III 45 Hampton Rd. Southampton, NY 11968 Re: Proposed Minor Subdivision Dunlap and Gray Fishers Island SCTM# 1000-6-5-13 . 1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, October 25, 1993 : BE IT RESOLVED that the Southold Town Planning Board acting under the State Environmental Quality Review Act, assumes lead agency, and as lead agency makes a determination of non-significance, and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Sincerely, Richard G. Wards Chairman enc. PLANNING BOARD MEMBERS 1d SCOTT L. HARRIS Supervisor Richard C.Ward,Chairrnan George Ritchie Latham,Jr. ' 3Town Hall, 53095 Main Road Bennett Orlowski,Jr. _ _ P. O. Box 1179 Mark S. McDonald - -"`" Southold, New York 11971 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE rax(s16) 765- 1823 TOWN OF SOUTHOLD SEQR MGATx'VE DECLARATION Notice of Determination of Non-Significance Lec:d A emy: Plarnwn5 Board of the d own of Southold Town lull, 53095 Main Road P.O. Bos 1179 Southold, New York 11971 Dare: October 25, 1992 Tv.s notice is issued pursuant to Part 617, of the imylementin,g re :laders pertaining to Article 8 (State Firrirunniental Quality Review) of the �m�ironmen:al Con-seriatlon Law. The lend agency bas determined that the proposed action described below will not have a significrant effect on the enr"roament provided certain conditions are adhered to, and that a Draft Erivironmental Impact Statement need not be prepared. Title of Action: Clustered Minor Subdivision Dunlop & Gray SEAR Status: Type I Action Project 1)cscrip ti')Ku The project which is the subject of this Determination, involves t clustered subdivision of a 5.62 acre parcel into two (2) lots of 1.59 acres (69,440 square fret) and. 4.03 acres (175,460 square feet). A house and garage exist on the smaller proposed parcel, the lamer p:irce.t is proposed to be dedicated to the Ferguson Museum. SC7"vI Number: District 1000 - Section 06 - Block 05 - Lot 13.1 Location: The site is located cast and south of Fox Avenue, and west of Ma House Drive, north of Sappho Road, on Fishers Island, Town of Southold, New York. Minor Sutxlfvi9.lon-Dunlop&Gray SEAR Dttermtnadon Reasons Sa:PPOrting Tars D-etarnlnat:on: This dc'wt-mmation is issued in full consideration of the criteria for determination of c ince con ^+Zed in 6 N`>'C tR part 617.11 (a), the Criteria for issuance of a Conditioned Nezatva Declaration contained in 817.6 (it), and in consideration of the Long £nvironmertalsscssment Forn Fans I and II, and the following specific reasons: 1) The project is a Type I action, a full EAF has been prepared, and a coordinated review with involved agencies has been completed. 2) The subject property is zoned "R-80" allowing a yield based on lots of 80,00 square feet o. greater, The proposed use involves the creation of only 2 lots us' the 80,000 square :pot lot yield, the,lots vU be 69,440 and 175,460 square feet it:: sizmeg Three !cs could be theoretical y 2cheived under the present zown,5 however: only two are bemw sought. the land will have a covenant attached for no further subdivision. Tne smel.er lot afready contains an existing house and garage, th•!refore only one additi°Zai house could be constructed The site has been inspected for entiironmentai resources, and it has been determined that the proposed lot layout pr= -ewes the character of the community and does not impact any resources si;if cantly. 3) The proposed project conforms to the density standards for sinw�f'e fancily residential established „y the Suffolk County Department He der>.,,•>�ert est�4ii hed `-� tment of altlt Services or er o rotect groundwater. Tne project is consistent with groundwater , in ams: etnettt guidelines as oudiped to the 208 Study, SC Sanitary Code Article 6, and co;s.6_-A by the Town of Southold in review of the project. 4) NVhi(c> small portion of site's area has steep topogaphy, it is found in ::Sloated areas +hat end can ue easily avoided if the parcel is developed. Tue buildjn;; area, in the center of the site is eat and poses no constraint to use. In addition sols depth to grcwidwater, site habitats, land use and other environmental parameters do not pose a significant constraint to site use. For Further Information: Contact Person: Richard SVard, Chairman Address: TO ° Southold PI.amng Board Town Hall, Main Road, Southold Phone No.: (516) 765-1938 Copies of this Notice Sent to: Cotrunissioner-Department of Environmental Conservation Regional Office-New York State the Department of Environmental Conservation Applicant Suffolk County Department of 1-1ealth Services Suffolk CouW;y Department of Planning Southold Town Building Department r .._ Rade 2 of 2 :b CRAMER, V OCIATES sui ENVIRONMENT G CONSULTANTS October 25, 1993 Mr, Richard G. Ward, Chairman Planning Board Office Town of Southold P.O. Box 1179 Southold, NY 11971 RE; Review of EAF Minor Subdivision- Dunlap/Gray SCTM#1000-6-5-13.1 Dear Dick: We have performed a site inspection at the above referenced parcel on October 22, 1993, In addition,we have reviewed and corrected the Environmental Assessment Form (EAF) Part I and prepared an EAF Part II for the project. The site inspection has found that the parcel encompasses a knoll and contains an existing single family bouse and garage. The area immediately surrounding the house is landscaped. The center portion of the site contains the relatively flat area w7rch represents the crest of the knoll, this area has been previously cleared and is now in old field habitat, The side slopes of the knoll are relatively steep where theX extend to Fox Avenue and Mansion House Drive. However, access can be easily achieved from Sappho Road (existing access) or the former Cottage Place. It is our understanding the larger parcel is proposed to be dedicated to the Ferguson Museum. It is also understanding that covenants mill be placed on the parcels that there will be no further subdivision. It is our opinion that the proposed minor subdivision will=have a si cant impact on the on the environment. It is therefore our recommendation that t y l3pard, acting as lead agency, issue a negative declaration for the proposed project. i Enclosed herewith are the corrected EAF Part I, the Part II and drtive declaration. If there is anything more we can provide, please feel free tact us. Very t rs, ,s f om W. Cramer, ASLA TWC:cc enclosure OCT 2 61993 54 NORTH COUNTRY ROAD, SUITE 2, MILLER PLACE, NY 11764 (516) 331.1455 SEQR NEGATIVE DECLARATION Notice of Determination of Non-Sipificanoe Lr ead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Date: October 25, 1992 This notice is issued pursuant to Part 617, of the implementing regulations pertaining to Article 8 (State Environmental Quality Review) of the Environmental Conservation Law. The lead agency has determined that the proposed action described below will not have a significant effect on the environment provided certain conditions are adhered to, and that a Draft Environmental Impact Statement need not be prepared. Title of Action: Clustered Minor Subdivision Dunlop & Gray SEQR Status: Type I Action Project Description: The project which is the subject of this Determination, involves clustered subdivision of a 5.62 acre parcel into two (2) lots of 1.59 acres (69,440 square feet)and 4.03 acres (175,460 square feet). A house and garage exist on the smaller proposed parcel, the lar er parce.l is proposed to be dedicated to the Ferguson Museum. SCTM Number: District 1000- Section 06 - Block 05 - Lot 13.1 Location: The site is located east and south of Fox Avenue and west of M: House Drive, north of Sappho Road, on Fishers Uand, Town of Southold, New York. Pale 1 of 2 Minor Subdivialon-Dunlop&Gray SEQR Dete mitutian Reasons Supporting This Determination: This determination is issued in full consideration of the criteria for determination of significance contained in 6 NYCRR Part 617.11 (a), the criteria for issuance of a Conditioned Negative Declaration contained in 61'1.6 (h) and in consideration of the Long Environmental Assessment Form Parts I and II, and the ktoliowing specific reasons: 1) The project is a Type I action, a full EAF has been prepared, and a coordinated review with involved agencies has been completed. 2) The subject property is zoned "R-80"allowing a yield based on lots of 80,000 square feet or heater. The proposed use involves the creation of only 2 lots using the 80,000 square foot lot yield, the lots will be 69,440 and 175,460 square feet ire size. Three lots could be theoretically acheived under the present zoning however, only two are being sought the land will have a covenant attached for no further subdivision. The smaller Iot already contains an existinghouse and garage, therefore only one additional house could be constructed. The site has been inspected for environmental resources, and it has been determined that the proposed lot layout preserves the character of the community and does not impact any resources significantly. 3) The proposed protect conforms to the density standards for single fan , residential development established by the Suffolk.County Department of Health Services, in order to protect groundwater. The proect is consistent with groundwater management guidelines as outlined m t�e 208 Study, SC Sanitary Code Article 6, and considered by the Town of Southold in review of the project. 4) While small portion of site's area has steep topography, it is found in :sloated areas that and can easily avoided if the parcel is developed. The buildin{ area, in the center of the site is flat and poses no constraint to use. In addition sols, depth to groundwater, site habitats, land use and other environmental parameters do not pose a significant constraint to site use. For Further Information: Contact Person: Richard Ward, Chairman Address: Town of Southold Planing Board Phone s: Town Hall, Main Road, Southold (516) 765-1938 Copies of this Notice Sent to: Commissioner-De artment of Environmental Conservation Regional Office-New York State the Department of Environmental Conservation Applicant Suffolk County Department of Health Services Suffolk County Department of Planning Southold Town Building Department Pale 2 or 2 , e y. mss: 14-16-2 (2237)-7c 617.21 OCTI 261P-10, SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM , Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. Itis 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 method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or 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 significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.` ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. ' A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency qPrit o e Name of Res onsibl Officer in d 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 INFOR' ii--JN Prepared by Project Sponsor t NOTICE: This document is designed to assist in determining whether the action proposed mao have a signit;� ant e on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be onside, , as part of the application for approval and may be subject to further verification and public review. Provide enV Idditicr information you believe will be needed to complete Parts 2 and 3 It is expected that completion of the full EAF will be dependent on information currently available and will nit env,,. new studies, research or investigation" If information requiring such additional work is unavailable, so indicate axi s,r,a<: each instance. NAME OF ACTION Minor Subdivision of Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray LOCATION OF ACTION (Include Street Address, Municipality and County) _ ox Avenue, Fishers Island, Town Of Southold, County of Suffolk NAME OF APPLICANT/SPONSOR ------ _ _ Stephen L. Ham, III, authorized agent BUSINESS TELEPHONE ADDRESS I (516 )283-240G 45 Hampton Road CITY/PO Southampton -- --r--I---------- aTATE � ZIP CODE NAME OF OWNER (If different) lVY 11968 Jeanann Gray Dunlap. Martha Kent Gray and Benjamin H. Gra PUSlwesSTELUHONE ADDRESS Y IU(516 )283-2400 c/o Matthews & Ham, 45 }fampton Road CITY/PO Southampton sT,1TE ZIP CODE DESCRIPTION OF ACTION 1196H minor Subdivision into two lots of 5 .62—acre parcel currently improved with a single—family dwelling and garage (SCTM N 1000-6-5-13.1) 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 ❑Commercial ❑Residential (suburban) IZRural (non-farm) ❑Forest ❑Agriculture ❑Other . Total acreage of project area: S.Fi? acres. APPROXIMATE ACREAGE Meadow or Bnlshland (Non-agricultural) PRESLNTLI' AFTER C0�1PL ION Forested F►i r*S 2•$5 acres —_ —� cres " Agricultural (Includes orchards, cropland, —3•a acres 3.Cacres pasture, etc.) _ Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) " Cs _---- acres Water Surface Area --- 'Icres _.--- _ acres Unvegetated (Rock, earth or fill) acres --- ---------- — acres Roads, buildings and other paved surfaces acres acres n7 acre._ Other (Indicate type) — --.-� _ .ores — aElcre, acres 3. What is predominant soil types) on project site? r ji'.%JER ilFiglf� W1. VEk a. Soil drama ;e: �p D s A rR 357G'� 6dWell drained _100 g6 of site --� ❑Moderately well chained _ _. �/ of ;ite ❑Poorly drained __ e - - e _ /� of site Is. If any agricultural land is involved, how many acres of soil are classified within soil group l through 1 of the NyS� Land Classification Systern? N/A acres (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes It— a. What is depth to bedrock? e. 600 ®No (in feet) 2 /8. pproximate percentage of pro%project site with slopes: &70.10% 45 % �10-15®15% or greater 20 y°project substantially contiguous to, or contain a building, site, or district, listed on the State or the National gisters of Historic Places? ❑Yes ®No project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes %No hat is the depth of the water table? 417 (in feet) site located over a primary, principal, or sole source aquifer? ®Yes ONO 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ONO 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes ®No According to T M-0. Consulting Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes ®No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes ®No If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes GJNo 15. Streams within or contiguous to project area: none a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name none b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes ❑No a) If Yes, does sufficient capacity exist to allow connection? bJYes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes I%ZNO 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑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 617? UYes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑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 5 .62 acres. b. Project acreage to be developed: 0 acres initially; 0 acres ultimately. e. Project acreage to remain undeveloped 5.55 acres. (assuming donation of vacant parcel to d. Length of project, in miles: N/A (If appropriate) Ferguson Museum) e. If the project is an expansion, indicate percent of expansion proposed N/A o I. Number of off-street parking spaces existing N/A proposed ,g. Maximu /m vehicular trips generated per hour MIA h. If residential. Number and type of housing units: (upon completion of project)? One Family Two Family Multiple I-amil Initially one Y Condominium ' Ultimately two i. Dimensions (in feet) of largest proposed structure N/A height; N/A b width; N/A length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 706 ft. * unless vacant lot donated to Ferguson Museum 3. Will disturbed areas be re( � �med) res N "`'vcu innn kite. -- _ tons/ b, .: - a. It yes, for what inte, a xNjA cu_ purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? No c. Will upper subsoil be stockpiled for reclamation? Yes ❑Yes ONO �.- 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? _0 5. Will any mature forest (over 100 years ol(f) or other IocallY-important vegetation be removed by this ,nrojE>c�t; ❑Yes RlNc, 6. If single phase project: Anticipated period of construction N/A 7. If multi-phased: N/A months, (including demolition). a. Total number of phases anticipated b. Anticipated date of commencement phase 1 (number). c. Approximate completion date of final phase month Year. DnQudmg rlemoGtioni. d. Is phase l functionally dependent on subsequent phases? month — year 8. Will blasting occur during construction? ❑Yes ❑Yes CNo L�No 9. Number of jobs generated. during construction NIA project after project is complete 10 Number of )obs eliminated by this ro ect __ N� -------_--- A 11. Will project require relocation of any projects or facilities? ❑Yes NINo If yes, explain 12. Is surface liquid waste disposal involved? —1 LYes RNo -- ----- - 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? — 14. Will surface area of an existing water body increaseyes decrease b Type Explain V Proposal? ❑Yes X�No 15. Is project or any portion of project located in a 100 Year flood plaint ❑Yes KiNo ---------------_—._._ 16. Will the project generate solid waste? Wyes CNo IF 111242CEL tS Ij1n' a. If yes, what is the amount per month b. If yes, will an existing solid waste facility be used? tons C. Ifgive es, name ❑Yes ❑iNr� V. d. Will any wastes not go into a sewage disposal system or into location sanitary landfill? e. If Yes, explain ❑ye< [)No 17. Will the project involve the disposal of solid waste? Dyes C$No a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? tons/month years. 18. Will project use herbicides or pesticides? ❑Yes 19. lC7No Will - project routinely produce odors (more than one hour per day)? ❑Yes INNo 20. Will project produce operating noise exceeding the local ambient noise levels? 21. Will project result in an increase in energy ❑Yes [' �� use? ❑Yes f�No If yes , indicate types) 22. If water supply is from wells, indicate pumping capacity NSA ---------- gallons/minute. 23. Total anticipated water usage per day _ N/A 24. Does project involve Local, State or Federal funding?— gallons/day. If Yes, explain LK]No 4 • /Other Approvals Required: Submittal e Date y, Town, Village Board Dyes RINo , Town, Village Planning Board ®Yes CNo �-- -Minnr Subditis nn AR rpt a] 7-2_93 , Town Zoning Board Dyes ®No , County Health Department Dyes 4c�No Local Agencies Dyes ON, Other Regional Agencies Dyes ®No State Agencies Dyes ly No �— Federal Agencies Dyes QNo C, Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? Ga Yes ONo If Yes, indicate decision required: Ozoning amendment ❑zoning variance Dspecial use permit ®subdivision Osite plan Dnew/revision of master plan Oresource management plan Dother 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? three single–family dwellings on minimum 80,000 square foot lots 4. What is the proposed zoning of the site? same 5. What is the maximum potential development of the site if developed as P permitted by the proposed zoning? C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes 7. What are the predominant land use(s) and zonin ❑No g classifications within a '/ mile radius of proposed action? single–family residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? ®Yes DNo 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 69,440 square feet (leaving balance of 175,460 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes MNo ) 11 : Will the proposed action create a demand for any community provided services rec fire protection)? reation, education, DYes 12No Police, a. If yes, is existing capacity sufficient to handle projected demand? 12. Will the proposed action result in the generation of traffic significantly above El Yes ❑No N/A a. If yes, is the existing road network adeqpresent levels? DYes7No uate to handle the additional traffic? Dyes DNo N/A D. Informational Details Att ch tional information as may e needed to impacts associated ssociatedrwlith your proposal, please discuss such n�ictsfand thoure measures roject. If whicha you may be any adverse avoid them. Y propose to mitigate or E. Verification I certify that the information )rovided above is true to the best of my knowledge. Applicant/Sponsor Name Ste en L. Ham,' 11I for Jeanann Dunlap Gray, SignatureDate July 2. 1997 ep e "aill with this assessment. reaTitle If the action is in the Coastal A �and - author'�Pd agent you are a state agency, complete the Coastal Assessment form before proceeding 5 Part 2-13ROJECT IMPACTS AND THEIR "°AGNITUDE n Responsibility of Lead Agency General Information (Read Carefully) - • In completing the form the reviewer should he guided by the question 11,eve my responses and determmat reasonable? The reviewer is not expected to be an expert environmental analyst. ,.it, • Identifying that an impact will be potentially large (column 2) does not mean that it is also nocessanly sign Any large impact must be evaluated in PART 3 to determine significance. Idenht)irn, .tn impact in column asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and whrmver possible the thr,. magnitude that would trigger a response in column 2. The examples are generally apphcable throughout the - for most situations. But, for any specific project or site other examples and,or lower threahokk may he apf, 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 exanipi,� are illustra, have been offered as guidance. They do not constitute an exhaustive list of irnp;,cts and thre -,fids to :nswer each, • The number of examples per question does not indicate the importance of each question • In identifying impacts, consider long term, short term and cumbtive 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 Yrs to a question then check the appropriate box (column 1 or 2) to indicate the potential sizt. impact. If impact threshold equals or exceeds any example provided, check column 2- It impact will occur but thr:- is lower than example, check column I d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to F.'... e. If a potentially large impact checked in column 2 can be mitigated by chag nets) in the project to a small to !1( 1, - impact, also check the Yes box in column 3. A No response indicates that such a reduction is not po,srr; : must be explained in Part 3. 1 2 3 Small to Potential Can Impact 7: Moderate Large Mitigated B3 IMPACT ON LAND Impact Impact Project Chance 1 . Will the proposed action result in a physical change to the project site? EJ NO []YES Examples that would apply to column 2 f • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ _ ( Yes ' ��No 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 ❑ ❑ _]Yes No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes j_!No i • Construction on land where bedrock is exposed,,or generally within ❑ ❑ ❑Yes i_INo ! 3 feet of existing ground surface ) • Construction that will continue for more than 1 year or involve more ❑ Yes :---,N,) than one phase or stage. i • Excavation for mining purposes thatwould remove more than 1,Ooo ❑ ❑ ��YesINo tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill- ❑ _j Yes ]No • Construction in a designated floodway ❑ • Other impacts 2. Will there be an effect h .-.ry u;:,que or unusual land forms found on a, the site? (i.e., cliffs, (lunes, geological formations, etc.)LiNO EYES I • Specific land forms: ❑ ❑ ! dyes 4]Nn 1 _ l 6 Pari 2—P�JECT IMPACTS AND THEIRfGNITUDE Responsibility of Lead Agency vtak.�Ij� �c General Information (Read Carefully) 5TI--1,V7- • In completing the form the reviewer should be guided by the question: Have my responses and Aeterminations been reasonablet 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 simpl; 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 an- for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriat- 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 an, have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of th_ impact If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshol. 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 e. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderat impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. Thi must be explained in Part 3. 1- - 2 3 Small to Potential Cart Impact Be Moderate Large Mitigated By IMPACT ON LAND ... - Rion Impact Pro}ect Chang 1 . Will the proposed action result in a physical change to Qf project site? O OYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foo rise per 100 ❑ ❑ ❑Yes ❑No 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 ❑ ❑ ❑Yes ❑No 3 feet • Construction of paved parking area for 1,000 or more vehicles. C) ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ONo 3 feet of existing ground surface. •-Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ Dyes ❑Nc • Construction in a designated floodway. ❑ O ❑Yes ❑Nc • Other impacts ❑ ❑ ❑Yes ONc 2. Will there be an effect v. _.jy unique or unusual land,fgprms found on the site? (i.e., cliffs, dunes, geological formations, etc. 0 DYES • Specific land forms: / 0 ❑ Oyes ❑W SmI&Io Potentlal Can Impact Be ModUto Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. O O OYes ONo • Proposed Action is incompatible with existing drainage patterns. O O OYes ONo • Proposed Action will allow development in a designated floodway. ❑ ❑ OYes ONo • Other impacts: ❑ O OYes ONo IMPACT ON *IR 7. Will proposed action affect air quality? �NO OYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ OYes ONo hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ OYes ONo refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or, a O O Dyes ONo heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes ONo to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ OYes ONo development within existing industrial areas. • Other impacts: ❑ ❑ OYes ONo IMPACT ON PLANTS AND ANIMALS I S. Will Proposed Action affect any threatened or endang red species? N0 OYES Examples that Mould apply to column 2 ' • Reduction of one or more species listed on the New York or Federal ❑ O ❑Yes IONo list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ OYes ONo • Application of pesticide or herbicide more than twice a year, other ❑ ❑ OYes ❑No than for agricultural purposes. • Other impacts: ❑ ❑ Dyes ONo 9. Will Proposed Action substantially affect non-threat or non-endangered species? O DYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ Dyes ONo migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of mora than 10 acres ❑ ❑ ❑Yes ❑No 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 resources? 7(NO OYES Examples that would apply to column 2 ` • The proposed action would sever, cross or limit access to agricultural ❑ ❑ Dyes ❑No land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 r _ -2 - - 3 IMPACT ON WATER II to Potential Can Impact Bz Moderate Large Mitigated By 3 Will proposed action affect any water body designated as protected? Impact Impact Project Chang. (Under Articles 15, 24, 2S of the Environmental Conserve ion Law, ECL) NO OYES Examples that would apply to column 2 T • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ❑No protected stream. Extension of utility distribution facilities through a protected water body. ❑ ❑ Oyes ONo • Construction in a designated freshwater or tidal wetland. O O ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected exist in or new body of water? O OYES Examples that would apply to column 2 ((( • A 10% increase or decrease in the surface area of any body of .water ❑ ❑ ❑Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ OYes ❑Nc • Other impacts: ❑ ❑ ❑Yes ❑Nc 5. Will Proposed Action affect surface or groundwater quality or quantity? NO OYES Exampks that would apply ti column 2 /// • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑N • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑Ne have approval to,serve proposed(project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑W gallons per minute pumping tapacity. • Construction or operation causing arty contamination of a water ❑ ❑ ❑Yes ❑N� supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ Dyes ON, • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ Dyes ❑u, do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20.000 gallons per ❑ ❑ ❑Yes ON, day. • Proposed Action will likel- caoje siltation or other discharge into an ❑ ❑ ❑Yes ON. existing body of water :v the- >xient that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ON products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas'without water ❑ ❑ ❑Yes ON and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑N require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ON t ¢. Will proposed action after drainage flow or pattern , or surface J water runoff? NO OYES Examples that would apply to column 2 • Proposed Action would change flood water flows. 1 0 1 11 Dyes ❑P 1 _ 2 _3 • Sneto Potential Can Impact Be M ale Large Mitigated By Impact Impact Project Chan" • Construction activity would excavate or compact the soil profile of O O OYes ONO agricultural land. • The proposed action would irreversibly convert more than 10 acres O O OYes ONO of agricultural land or, if located in an Agricultutal District, more than 2.S acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural O O OYes ONO 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: O ❑ OYes ONO IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources?' NO OYES (If necessary, use the Visual EAF Addendum in ection 617.21, Appendix B.) ' Examples that would apply to column 2 • Proposed land uses, or project components obviously different from O ❑ Oyes ONO or in sharp contrast to current surrounding (and use patterns, whetlser man-made or natural. • Proposed land uses, or project components visible to users of ❑ O OYes 13 No 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 O O Dyes ONO screening of scenic views known to be important to the area. • Other impacts: O ❑ (--)Yes ONO IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structureF istoric, pre- historic or paleontological importance? 0 DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially O O ❑Yes ONO contiguous to any facilityor site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the O O Oyes ❑No project site. • Proposed Action will occur in an area designated as sensitive for O O OYes ONO archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ OYes ONO IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? _ Examples that would apply to column 2 NO DYES { )The permanent foreclosure of a future recreational o rtunity. O O OYes ONO r A major reduction of an open space important to the community. ❑ ❑ OYes ONO • Other impacts: 0 0 OYes ONO IMPACT ON TONSPORTATION all to Potential Can Impact B 14. Will there be an effect to existing transportationsyms? Moderate Large Mitigated By � f0 OYES Impact Impact Project Chang Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ❑W • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ON. • Other impacts: ❑ ❑ ❑Yes ON, IMPACT ON ENERGY 15. Will proposed action affect the community's sou(c9s of fuel or energy supply? [ANO OYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑N. any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ Dyes ON, 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: ❑ ❑ ❑Yes ON. NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibratiqn as a result of the Proposed Action? ` NO OYES`' Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ Dyes ON facility. • Odors will occur routinely (more than one hour per day1. _ ❑ ❑ ❑Yes ❑N • Proposed Action will produce operating noise exceeding the localQ . O ❑Yes ON ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ON noise screen. • Other impacts: ❑ ❑ ❑Yes ON IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety NO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or rele se of hazardous ❑ ❑ ❑Yes Or substances(i.e. oil,pesticides,chemicals, radiation, etc.)in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ ❑Yes Or form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ Dyes Or gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ Dyes ❑t within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ❑ ❑ Oyes ❑t _ �n 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 1a. Will proposed action affect the character of the existin ommunity? Impact Impact Project Change Examples that would apply to column 2 O OYES • The permanent population of the city, town or village in which the O ❑ OYes . ONo project is located is likely to grow by more than S%. • The municipal budget for capital expenditures or operating services ❑ O OYes ONo will increase by more than S% per year as a result of this project. • Proposed actions will conflict with officially adopted plans or goals. ❑ O OYes ONO • Proposed action will cause a change in the density of land use. O ❑ OYes ONo • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ OYes ONo or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ OYes ONo (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ OYes ONo • Proposed Action will create or eliminate employment. ❑ ❑ OYes ONo • Other impacts: O ❑ OYes ONo 19. Is there, or is there likely to be, public contro've y related to potential adverse environmental impacts? PNO OYES CRAMER, VOORHIS & ASSOCIATES, INC. 54 North CouN Road ILLER CE, NEW YORK 11764 If Any Action in Part 2 Is Identified as a Potential Large impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(%) may b 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 changes 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 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) • COUNTY OF SUFFOLK �P> MS ROBERT J.GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING HAROLD J.WITHERS,PH.D. DEPUTY DIRECTOR October 7, 1993 Mr. Richard Ward, Chairman Town of Southold Planning Board Main Road Southold, NY 11971 Re: Minor Subdivision - Dunlap & Gray S/e/s of Fox Avenue, opposite Crescent Avenue, Fishers Island. Dear Mr. Ward: The Suffolk County Planning Commission at its regular meeting on October 6, 1993, reviewed the proposed subdivision plat, entitled, "Minor Subdivision - Dunlap & Gray" 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, Stephen M. Jones Director of Planning by .1 /Frank Dowli , Principal Planner Subdivisi Review Division File: S-SD-93-11 FD:mb Attachment cc: J. Baier, C.E. , SCDHS OCT 1 21993 w� H.LEE DENNISON BUILDING 0 VETERANS MEMORIAL HIGHWAY 0 HAUPPAUGE, NEW YORK 11788 0 (518) 853-5192 File No. S-SD-93-11 Resolution No. ZSR-93-118 of Suffolk County Planning Commission Pursuant to Sections A14-24, Article XIV of Suffolk County Administrative Code WHEREAS, pursuant to Sections A14-24, Article XIV of the Suffolk County Administrative Code, a referral was received by the Suffolk County Planning Commission on September 17, 1993, with respect to a proposed plat entitled, "Minor Subdivision - Dunlap & Gray" submitted by the Town of Southold Planning Board affecting premises located on the s/e/s of Fox Avenue, opposite Crescent Avenue, Fishers Island, in the Town of Southold, New York, and WHEREAS, said referral was considered by the Suffolk County Planning Commission at its meeting on October 6, 1993, and WHEREAS, the Commission has voted to approve with certain changes said referral, Be It Therefore RESOLVED, That the Suffolk County Planning Commission hereby approves and adopts the report of its staff as the report of the Commission, Be It Further RESOLVED, That said proposed plat is approved subject to the meeting of the following conditions that are deemed necessary to help preserve the natural and aesthetic attributes of this area of Fishers Island. 1. Parcel No. 2 shall not be further subdivided. 2. According to a map that was received from the State of New York this property is located within an area that is considered to be archaeologically sensitive. Many sites contain material and/or buildings that are of prehistoric or historic value. These sites should be preserved or developed with a sensitivity for historic or cultural values that can be available for the appreciation of future generations. 3. Conditions 1 and 2 shall be filed as covenants and restrictions in the office of the County Clerk on or prior to the granting of approval to this subdivision. 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 their consent to such modification shall not be required. 4. The final map shall bear the following note: A Declaration of Covenants and Restrictions has been filed in the Suffolk County Clerk's office which affects lots in this subdivision. Resolution No. ZSR-93-118 Page 2 -------------------------------------------------------------------------------- Motion by: Commissioner Shepard Seconded by: Commissioner Isles Commission Vote: 9 Present - Yeas 9 Nays 0 Abstentions 0 Dated October 6, 1993 Hauppauge, New York Suffolk County Planning Commission PLANNING BOARD MEMBERS T SCOTT L. HARRIS Supervisor Richard G. Ward. Chairman George Ritchie Latham.Jr. Town Nall, 53095 Main Road Bennett Orlowski,Jr. -- P.O. Box 1179 Mark S. McDonald Southold, New York 11971 Kenneth L. Edwards PLANNING BOARD OFFICE Fax(516) 765- 1823 Telephone(5161765-1938 TOWN OF SOUTHOLD September 16 , 1993 Cramer, Voorhis & Associates Environmental and Planning Consultants 54 North Country Road Miller Place, NY 11764 Re: Review of EAF Minor Subdivision - Dunlap and Gray SCTM# 1000-6-5-13 . 1 Dear Messrs. Cramer and Voorhis: The Southold Town Planning Board hereby refers the Environmental Assessment Form for the above mentioned subdivision to your office for review. Also enclosed are: 1. Copy of the map dated December 11 , 1992. 2. Planning Board resolution dated September 14 , 1993 . The Planning Board started the lead agency coordination process on September 13 , 1993 . 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 October 25 , 1993 public meeting. Please submit your report no later than October 15 , 1993 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 questions, please contact Plann;ng Staff. Sincerely, 4";" Melissa Airo"O- Planner 14-16-2 (2187)-7c 617.21 S EO R Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. Itis 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 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 projector action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or 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 significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.' ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. ' A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 1 — r-F,FIT 7—PROJECT INFO MA--JN t Prepared b NOTICE: This document is designed I< „ y Project Sponsor as the irapplication environment. Please complete th.• iantt,e form, Parts A through E. Answers [o these questions will be c determining whether the action proposed may have a signilic ant ,,;: in par[ ti the application for approval url may be subject to further verification and I) hlic review. Provide a e rdrti; information you believe will be needed to complete Parts 2 and ansldr It w expected that completion of the fcli I A1= will be dependent on information current) new studies, research or investigat,on. If information requiring such additional work Is unavailable, so indicate and spf,, each instance. V available and will NAME OF ACTION -- Minor Subdivision of Jeanann Gra,-✓ Dunlap,p, tyartha LOCATION OF ACTION (include Street Address, Muni:ipalify and County) Kent Gra Fox Avenue Y and Benjamin H. Gray Fishers Island, TGwr. of Southold, Count f Stephen AppLiCANTm-' _"SOq -- —,Y O. Suffolk Stephen L. Ham, III, authorised )� ADDRESS < oent I DUSINESSTELEPHONF 45 Hampton Road (516 )283-2400 CITYlPO -- Southampton NAMED F OWNER(It different) -- STATE ZIP CODE Jeanann Gray Dunlap. — �Y 11968 Martha Kent Gray and Benjamin H. Gra suSINES 7ELFPHONE ADDRESS C/o Matthews & Ham, Y �do1516_)2_83-2400 45 Hampton Road CITY/PO � ---"---- Southampton ------ _ _ _ DESCRIPTION OF ACTION 'rA rh r .'JP CODE minor subdivision into two lots y . -improved with a singleofc .62-acre parcel currently# 1000-6-5-13.1)-family elling and garage 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 ❑Commercial ❑Residential (suburban; ❑Forest ❑Agriculture7Ruril (non-fanni 2. Total acreage gof r ❑Other P oject area: ----._--_---- APPROXIMATE ACREAGE acres. —'--- - Meadow or Brushland (Non-agricultural) PRESENTt.Y , �F AFTCR CO,titf LETION Forested --�--�--_. _ acres %� Agricultural (Includes orchards, cropland, pasture, etcdCrec ) — �� - — acres Wetland (Freshwater or tidal asper Articles 2acres — acres , �-- Water Surface Area - 1, 2' of ECL) acres ----- acres ..-__ nvegetated (Rock, earth or fill) ----�_ acres iicres Roads, and other buildings ------ acre; t paved surfaces .aeras Other (Indicate type) �� acres --- acres —w---_ ,- � 3. What is predominant soil t - --- acres ype(s) on project site? acres M a. Soil drainage 6[lLVell dontauk Vin `acrf" rained 100 n` °' of site ❑Moderately well drained ❑Poorly drained e _ % of site b- If aoY agricultural land is involved, how man �. of site --- Land Classification Systema Y acres of soil are classified within soil rou a —�_ acres. (Sue 1 NYCRR 370). f througial of the NYS 4. Are there bedrock outcroppings on project site3 ❑Yes ®No a. What is depth to bedrock? C. 600 (in feet) 2 _ .• ,aril: 1� 7. pproximate percentage of prop project site with slopes: E0-10% _% Fido-1590 �5 % VV// M159'o or greater 20 % project substantially contiguous to, or contain a building, site, or district, listed on the State or the National gisters of Historic Places? ❑Yes ®No project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ®No hat is the depth of the water table? X17 (in feet) site located over a primary, principal, or sole source aquifer? ®Yes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes ®No According to S.M.O. Consulting Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes ®No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes ®No If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes (ENo 15. Streams within or contiguous to project area: none a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name none b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes ❑No a) If Yes, does sufficient capacity exist to allow connection? Eyes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes ®No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, .Section 303 and 304? ❑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 617? Eyes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑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 5.62 acres. b. Project acreage to be developed: 0 acres initially; 0 acres ultimately. e. Project acreage to remain undeveloped 5.55 acres. (assuming donation of vacant parcel to d. Length of N Ferguson Museum) g project, in miles: /A (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/A % I. Number of off-street parkins; spaces existing N/A proposed _ /A �g Maximum vehicular trips generated per hour _NZA (upon completion of project)? h. If residential: Numbr'r and type of housing units: One Family Two Family Multiple I-amily Condominium Initially one Ultimately two i. Dimensions (in feet) of largest proposed structure N/A height; N/A width; N/A length. j. Linear feet of frontage along a public thoroughfare project will OCCUPY is? 7n6 ft. " unless vacant lot donated to 3 Ferguson Museum -- ✓iri dis4irbed areas be rum'dt 1Nr a. If yes, for what intend._, .-!.res XiN/A b. Will topsoil be stockpiled fort recl;���t�� to L,Yes iaimr + C. Will u L Nu c Peer subsoil be stockpiled for redamatio't` f;Ytgs 4. How many acres of vegetation (trees, shrubs, ground covers _J No 5. Will any 'nature forest (over 100Years ) w(II be removoo from CYes RJNo oidl o- other locally_important vegeta tior br rvmn 6. If ae single Phase se project: Anticipated period of construction NLA - 7. If multi-phased: NIA months, (in�_lud n . a. Total number ofphases anticipated b. Anticipated date of commencement phase 1____- (number). C. Approximate completion date of final phase month month _ - d. Is phase 1 functionally dependent on subsequent _ - vear t�ncludms; h=rnul ; -,r V 8. Will blasting occur during construction? Phases. Cye$ 0No Ila V 9. Number of jCYes L�No obs generated: during construction N/A 10. Number of jobs eliminated by this project : after project is complete 11. Will Project require relocation of any projects or facilities? ❑Yes ®No 12. Is surface liquid waste disposal involved? ❑Yit "s xylan es $'iNo ----- a. If yes, indicate type of ._ ------------.. waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 3. Is subsurface liquid waste disposal involved? ❑Yes ------------------ 14. Will surface area of an existing water bK1No Type _ Explain body increase or decrease h a - -----_ Y proposal? t �No 15Yes MI_ Is Project or any portion of Project located in a 16. Will 00 year flood Plaint � the pro �— --�-- Project generate solid waste? �]No - -- a. If yes, what is the amount per month Eyes [XNo b. If yes, will an existing solid waste facility h tons c- If yes, give name Dyes ❑No d. Will any wastes not go into a sewage disposal system or into aosaniotary landfill? n e. Yes, explain - '-- ,_Yes C,No _. 17. Will the project involve the disposal of solid waste? CYes fb� I. If yes, what is the anticipated rate of disposal? �dV0 b. If yes, what is the anticipated site life? -- tons/month. 18. Will project use herbicides or --�- Years pesticides? CYes 19. Will Project routinely produce odors (more than k7No 20. Will one hour per day)? CYes Project produce operating noise exceedin ; ONO 21- Will Project - - t the local ambient noise levels? Cyos ( ject result in an increase in energy use? If yes indicate typeC yes s) EXNo 22. If Water supply is from wells, indicate purnpin 23 ': capacity N/A ------------------._._-----_.-__. Total anticipated water usage Per day N/A �— gallons/minute. 24. Does project involve Local, State or 1 edoral fundis �? ballons/day, If Yes, explain t CYes OQNo 4 --- --- xOther Approvals Required: Submittal eDate y, Town, Village Board ❑Yes ENo y, Town, Village Planning Board Eyes ❑No Minnr Cr h(Hviai nn Aoprova7–z-93 y, Town Zoning Board ❑Yes ENoy, County Health Department ❑Yes ENO Local Agencies Dyes ENO Other Regional Agencies Dyes ®No State Agencies Dyes IZNo Federal Agencies Dyes gNo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? (xlyes ONO If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ®subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R-80 3. What is the maximum Potential development of the site if developed as permitted by the present zoning? three single–family dwellings on minimum 80,000 square foot lots 4. What is the proposed zoning of the site? same - 5. What is the maximum Potential development of the site if developed as P Permitted by the proposed zoning? mP C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes ONO 7. What are the predominant land use(s) and zoning classifications within a ''A mile radius of proposed action? single–family residential 8. Is the Proposed action compatible with adjoining/surrounding land uses within a '/ mile? ®Yes ONO 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 69,440 square feet (leaving balance of 175,460 ) 10. Will proposed action require any authorization(s) for the formation of sewer or seater districts? Dyes ONO 11 : Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? Dyes QNo a. If yes, is existing capacity sufficient to handle projected demand? Dyes ONO N/A 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes f(lNo a. If Yes, is the existing road network adequate to handle the additional traffic? Dyes ONO N/A 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 information provided above is true to the best of m Stephen L. Ham, III for Jeanann DunlarsCraly, Applicant/Sponsor Narne M f bo Ke t r P l�bd_R_u_T,m; Dace July 2 to�7 Signature ��p,reruL. Ham, I---- — Title _ ar�thori-,ed aunt If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 IV1PI srtu itY General Information (Read Carefully) W • In completing the form the reviewer shnul i be � t y h st c ,c -a-n ind determinate 5+;r reasonable? The reviewer is not expected t., ae ,.n �pett • Identifying that an impact will be potents tl y fare (, olernn Any large impact must be evaluated in PARI 3 n,�cessanly sigrn, asks that it be looked at further_ ' tennme ; �iFi _.: r -�+, - ext In column • The Examples provided are to assist the -eviewer r: osling _yj;e s or i i :^:, possible the magnitude that would trigger a response in _olunn. Z. Thexam pi rxapl:; arc nr r_il: t > rl c ai,le nroughout thee St St , for most situations. But, for any specific ,protecto site other s-I nol, s , n J ,Ir ;, � �„n,_ialdS may be appy for a Potential Large Impact response, thus requir ng evaluation iu 11, It ; • The impacts of each project, on each site in earn Iecahty, wil vers- iEerefho , .a, , . have been offered as guidance.They do not constitub- .r �re , axhausue c ist or n�;;cts ,Ie, >ies are illustrath, �'v:=,f„�„i, i:, answer ear h • The number of examples per question does not indicate the imr,ortanec of each ,luust,ori_ • In identifying impacts, consider long term, short term and curi ive ertects_ 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- e. If answering Yes to a question then check the appropriate box ((olumn 1 or 2) to in ica.e the potential size c impact. If impact threshold equals or exceeds any example provided. checK column _ If:moact.vile occur but ,hre-r- is lower than example, check column I. d. If reviewer has doubt about size of the impact then consider the impact as potentially Md proceed to Piyi e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moor impact, also check the Yes box in column 3_ A No response Indicates that xicn t roductmn u� not possible must be explained in Part 3. 1 2 3 — Small trge o ( Potenti,l Can Impact U),IMPACT ON LAND Moderate LaMitigated b 1 Will the proposed action result in a physical change to the project site, Impact Impact Pro)ec, � narj Examples that would apply to column 2 ONO ❑YES • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ i- 1 foot of length), or where the general slopes in the project area exceed es 10%. • Construction on land where the depth to the water table is less than ❑ 3 feet. j--� !Wes I_ No • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ — f • Construction on land where bedrock is exposed,,or generally within ( Yes 3 feet of existingLiYes JNo ground surface. • Construction that will continue for more than 1 year or involve• more ❑ � f than one phase or stage. - - 1 I Ye , 1Ne, • Excavation for mining purposes that would remove more than 1,000 ❑ tons of natural material (i.e., rock or soil) per year, ❑Yes FIN, � • Construction or expansion of a sanitary landfill. _ ❑ ❑ r. j`i o5 ^J j • Construction in a designated floodway No � • Other impacts ❑ J1Yes No ❑ l-I l-�Y:ri iJNo 2. Will there be an effort t:. _..ry ur„ Im, or unusual land forms found on the site? (ie_, cliffs, clunes, geological formations, etc.)L1N0 ❑YES • Specific land forms: C ❑ �' (- lye's (-JNo L --- -- PLANNING BOARD MEMBERS1. SCOTT L. HARRIS Richard O. Ward.Chairman Supervisor George Ritchie Latham.Jr. _ Bennett Orlowski,Jr. _ Town Hall, 53095 Main Road Mark S. McDonald _- P. 0. Box 1179 Kenneth L. Edwards Southold, New York 11971 Telephone(516)765-1938 PLANNING BOARD OFFICE rax(5 16) 765- 1823 TOWN OF SOUTHOLD September 14, 1993 Stephen L. Ham, III 45 Hampton Road Southampton, New York 11968 RE: Proposed Minor Subdivision Dunlap and Gray Fishers Island SCTM# 1000-6-5-13 . 1 Dear Mr. Ham: The f- flowing resolutions were adopted by the Southold Town Planr g Board at a meeting held on Monday, September 13 , 1993 : Be it i SOLVED that the Southold Town Planning Board start the lead agt 'cy coordination process on this Type 1 action. This action is classified as a Type 1 action since it is located within a Critical Environmental Area (Fishers Island) . Be it. RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated December 12, 1992, with the following conditions: 1. Stephen L. Ham, III, the attorney for the applicant has stated in a letter dated July 2, 1993 , that Parcel Number 2 is to be conveyed to Mrs. Dunlap and then conveyed by her to the Henry L. Ferguson Museum with the intent to prohibit development of the parcel. However, due to a gift Mrs. Dunlap made in 1992, she will not be able to make full charitable deduction until 1998. In light of the above mentioned intent, the Planning Board has decided to stay the park and playground fee and to postpone any further archeological review subject to the recording of the following covenants and restrictions: Dunlap and Gray September 14 , 1993 Page 2 A. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2) , a park and playground fee, in accordance with the park and playground fee schedule required at that time by the Town, must be submitted. B. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2) , prior to the issuance of a building permit or the commencement of any construction on the parcel, the exact building site must be inspected by a professional archaeologist. Such results must be reviewed by the Planning Board and the Building Department. Based on the results, the Planning Board may require that additional studies be conducted or that during any excavation, a professional archaeologist be present. (Note, this restriction may be waived upon results from the environmental review which has not yet been conducted. ) 2 . It must be stated on the final subdivision map that the subdivision has been designed as a Cluster subdivision in accordance with Section 281 of the New York State Town Law. In addition, a covenant and restriction must be filed for Parcel Number 2 stating that there is to be no further subdivision of this lot. 3 . The final maps must be presented at the required scale of 1"=1001 . 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. The final maps ( 2 mylars and 5 paper prints) must contain a current stamp of Health Department approval, and must be submitted before a final public hearing will be set. The Long Environmental Assessment Form has been forwarded to the Board' s environmental consultant for review. There is a $400 fee for this review. This must be paid in full by your client before authorization can be given to the consultant to proceed with the review. The check should be made payable to the Town of Southold. Dunlap and Gray September 14 , 1993 Page 3 The above mentioned covenants and restrictions must be presented in a Declaration of Covenants and Restrictions in proper legal form. 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. The Planning Board may require additional covenants and restrictions upon completion of the environmental review. Therefore, it is not necessary to prepare the draft Declaration of Covenants and Restrictions at this time. Please contact this office if you have any questions regarding the above. Sincerely/, 4/ 4/ Richard G. Ward 'hf Chairman R SuaFicE MS MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.119(18 PHILIP B.MATTHEWS 518-283-2400 neamem TELECOPIER 518-287-1078 STEPHEN I.HAM,III September 15, 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro cttaw&LL Re: Minor Subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray; Premises at Fishers Island, New York SCTM # 1000-6-5-13 11 Dear Melissa: In connection with the referenced application and in accordance with our telephone conversation today, I have enclosed my check to the Town of Southold in the amount of $400 in payment of the fee of the Town 's outside environmental consultants. Sincerely, 4�54wt-- Stephen L. Ham, III Enclosure o r SEP 1 7 z SCOTT L. HARRIS Supervisor PLANNING BOARD MEMBERS Town Hall, 53095 Main Road nuc' 1 �> P.O. Box 1179 Richard RitchieWaal. tha .Jr. Southold.Newyork 11971 Ceorge RiLatham.Jr. ..:...... :.:... Bennett Orlowski,Jr. Mark S. McDonald Fax(516)765- 1823 Kenneth L. Edwards _ pyANP1ING BOARD OFFICE Telephone(516)765-1938 TOWN OF SOUTHOLD . I5 19 93 RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under EArticlme8 (State Environmental Quality Review Act-SEQRA) of ntal Conservation Law and 6 NYCRR Part 617 the following: 1 . Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3 . Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposaland a comur pletedse. Environmental Assessment Form (EAF) to assist y OU inProject Name: M' v' ioA Seavlavnn (gra T) �\a 5 13.1 Requested Action: /11 Aer s ��fl sio� 5 61 Q Q°"`e {O (D SEQRA Classification: ( -A. ) Type I ( ) Unlisted Contact Person: �l�issa �,zc ( 516 ) -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: ( x ) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) other. ( See comments below) . Comments: i I Please feel free to contact this office for further information. Sincerely, i mfS Richard G. Ward Chairman - --_ •rr.....rT R, -d m Rl l l l o i n • P par_♦•MQp f Southold Town Board •+' Suffolk County Dept. of Health Services I NYSDEC - Stony Brook *NYSDEC - Albany c r nQptt---0f -.P-LLb-] n r 17 S A C V-9 De^* nf T , f Frank CecMnIwrct * Maps are enclosed for your review Coordinating agencies 00 PLANNING BOARD MEMBERS SCOTT L. HARRIS Richard G. Ward, Chairman Supervisor Ceorge Ritchie Latham,Jr. Bennett Orlowski,Jr. : - Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 Telephone(516)765-1938 PLANNING BOARD OFFICE rax(516) 765- 1823 TOWN OF SOUTHOLD September 14, 1993 Stephen L. Ham, III 45 Hampton Road Southampton, New York 11968 RE: Proposed Minor Subdivision Dunlap and Gray Fishers Island SCTM# 1000-6-5-13 .1 Dear Mr. Ham: The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, September 13 , 1993: Be it RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this Type 1 action. This action is classified as a Type 1 action since it is located within a Critical Environmental Area (Fishers Island) . Be it. RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated December 12, 1992, with the following conditions: 1• Stephen L. Ham, III, the attorney for the applicant has stated in a letter dated July 2, 1993, that Parcel Number 2 is to be conveyed to Mrs. Dunlap and then conveyed by her to the Henry L. Ferguson Museum with the intent to prohibit development of the parcel. However, due to a gift Mrs. Dunlap made in 1992, she will not be able to make full charitable deduction until 1998. In light of the above mentioned intent, the Planning Board has decided to stay the park and playground fee and to postpone any further archeological review subject to the recording of the following covenants and restrictions: 00 00 Dunlap and Gray September 14, 1993 Page 2 A. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2) , a park and playground fee, in accordance with the park and playground fee schedule required at that time by the Town, must be submitted. B. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2) , prior to the issuance of a building permit or the commencement of any construction on the parcel, the exact building site must be inspected by a professional archaeologist. Such results must be reviewed by the Planning Board and the Building Department. Based on the results, the Planning Board may require that additional studies be conducted or that during any excavation, a professional archaeologist be present. (Note, this restriction may be waived upon results from the environmental review which has not yet been conducted. ) 2. It must be stated on the final subdivision map that the subdivision has been designed as a Cluster subdivision in accordance with Section 281 of the New York State Town Law. In addition, a covenant and restriction must be filed for Parcel Number 2 stating that there is to be no further subdivision of this lot. 3 . The final maps must be presented at the required scale of 1"=1001 . 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. The final maps ( 2 mylars and 5 paper prints) must contain a current stamp of Health Department approval, and must be submitted before a final public hearing will be set. The Long Environmental Assessment Form has been forwarded to the Board' s environmental consultant for review. There is a $400 fee for this review. This must be paid in full by your client before -authorization can be given to the consultant to proceed with the review. The check should be made payable to the Town of Southold. 00 0 Dunlap and Gray September 14 , 1993 Page 3 The above mentioned covenants and restrictions must be presented in a Declaration of Covenants and Restrictions in proper legal form. 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. The Planning Board may require additional covenants and restrictions upon completion of the environmental review. Therefore, it is not necessary to prepare the draft Declaration of Covenants and Restrictions at this time. Please contact this office if you have any questions regarding the above. Sincerely, / rl 6kt4�' 9 Richard G. Ward Chairman -1A-16-2 (2187)-7c • • 617.21 • SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. Itis 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 method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or 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 significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer r Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from responsible officer) Date 1 r i— r°AP7 I—PROJECT INFO .VIA—JN Prepared by Project Sponsor NOTICE: This document is designed 1> a-ict in determining whether thr- ,!,:tion proposed may have r agniti< R'�� on the environment. Please complete �Fe itne form, Parts A through E. Answers to these questions will be as partof the application for approval , rd ray be subject to further verificat,on and public: review Provide any information you believe will be need t: :.onri Parts 2 and i" It is expected that completion of the ruil f/,F will be dependent on information currently available and will n, new studies, research or investigation_ Ir ntormation requiring such additional work is unavailable, so indicate ar each instance. NAME OF ACTION Minor Subdivision of Jeanann Gr Dunlap, Martha Kent Gray and Benjamin H Grav LOCATION OF ACTION (Include Street Address, Mun:apality and County) - '-- --- Fox Avenue, Fishers Island, Town of Southold, County of Suffolk NAME OF APPLICANT/SPONSOR Stephen L. Ham, III, authorized agent RuslNEssrELEPNONE ADDRESS — 1 (516 )283-2400 45 Hampton Road CITY/PO ---- Southampton —T------- sTAre rP co: NY NAME OF OWNER(It dlRerent) - Jeanann Gray Dunlap. Martha Kent Gray and Benjamin H. Gra suslNEssrELEP oNe ADORESS ✓ Ido(516 )283-2400 c/o Matthews & Ham, 45 Hampton Road CITY/PO — Southampton `STATE - zip czc i DESCRIPTION OF ACTION ------ ------. minor subdivision into two lots of 5.62—acre parcel currently improved with a single—family dwelling and garage (SCTM N 1000-6-5-13 .1) 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 ❑Commercial ❑Residential (suburban) 4]Rural (non-tarrn! ❑Forest ❑Agriculture ❑Other 2. ---- Total acreage of project area: 5.0 acres. APPROXIMATE ACREAGE PRESENTLY AFTGR COMPLETION Meadow or Brushland (Non-agricultural) — r}r�— acres `E ' Forested ._._..__-��--_-- acre, _— Agricultural (Includes orchards, cropland, pasture, etc.) acres acrcc acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres . Water Surface Area --��"��--���-------- acres Unvegetated (Rock, earth or fill) acres -- acres acres acres-- ._ Roads, buildings and other paved surfaces - Other (Indicate type) acres acres- - _ acres _ -- acres 3. What is predominant soil type(s) on project site? — Montauk fin sandy 7o^m a. Soil drainage: 100 e - ---------- 6 Well drained /e of site ❑Moderately well drained % of site ❑Poorly 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 Land Classification System? N/A_ acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? []Yes ®No a. What is depth to bedrock? e. 600 (in feet) 2 1.. 7. pproximate percentage of prop�oject site with slopes: 5]0-10% �•% 5110-15% 45 % ®15% or greater 20 % project substantially contiguous to, or contain a building, site, or district, listed on the State or the National egisters of Historic Places? ❑Yes lZNo project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ®No hat is the depth of the water table? X17 (in feet) site located over a primary, principal, or sole source aquifer? ®Yes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? Dyes ®No According to .T_M.0 Consulting Identify each species _ 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes ®No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? Dyes LEN o If yes, explain 14. Does the present site include scenic views known to be important to the community? Dyes ®No 15. Streams within or contiguous to project area: none a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name none b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes ❑No a) If Yes, does sufficient capacity exist to allow connection? wYes ❑No b) If Yes, will improvements be necessary to allow connection? Dyes ®No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes ®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 617? Eyes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes lZNo 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 5.62 acres. b. Project acreage to be developed: 0 acres initially; 0 acres ultimately. c. Project acreage to remain undeveloped 5.55 acres. (assuming donation of vacant parcel to d. Length of project, in miles: N/A Ferguson Museum) I (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/A %; f. Number of off-street parking spaces existing N/A proposed n /❑ g. Maximum vehicular trips generated per hour _jq/e (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one _ !` Ultimately two i. Dimensions (in feet) of largest proposed structure NIA height; N/A width; N/A length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 706 ft. * unless vacant lot donated to 3 Ferguson Museum No fNIV/A a. It y,,' fcr s�h� ._ i„-end - rrpose is the site being reclaimed, b. Will topsoil be ;tockpifed 'or reclamation? - ❑Yes LNr: _ - c. Will upper subsoil he stockpiled for reclamation? Dyes ❑No a 4. How many cres )f vegetaticu trees, shrugs, ground covers) will be removed from s,t, 5. Will any mature forest (over 100 years oldi or other locally-important vegetation be r< by III, Oyes rNo 6. If single phase project: Anticipated period of construction N/A months, (includim; demoli:io�ii 7. If multi-phased: N/A a. Total number of phases anticipated b. Anticipated date of commencement phase 1 (number). month year, includin it ,n) c. Approximate completion date of final phase d. Is phase 1 functionally dependent on subsequent phases? month . _ year 8. Will blasting occur during construction? ❑Yes ❑No Dyes L�No 9. Number of jobs generated: during construction _; after project is complete 10. Number of jobs eliminated by this project - - 11. Will project require relocation of any projects o�ilities? OYes ®No If yes, explain 12. Is surface liquid waste disposal involved? - ---------- Oyes IlN0 ----___---__- 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? El Yes K1No Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes Explain XJNo 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes 16. Will the project generate solid waste? No Dyes L�No a. If yes, what is the amount per month b. If yes, will an existing solid waste facility be usetons d? ❑Yes C. If yes, give name ❑No cation d. Will any wastes not go into a sewage disposal system or into aosanitary landfill. Dyes -1 e. If Yes, explain t -..No 17. Will the project involve the disposal of solid waste? ❑Yes �No a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? �— tons/month. years. 18. Will project use herbicides or pesticides? ❑yes - KlNO 19. Will project routinely produce odors (more than one hour per day)7 ❑yes 20. Will project produce operating noise exceeding the local ambient noise levels? [-]yes 21. Will project result in an increase in energy use? OY [-]yes IAN, �No If yes , indicate type(s) 22. If water supply is from wells, indicateum in --------------- P p 6 capacity N/_A_ gallons/minute_ 23. Total anticipated water usage per day N/A gallons/day. _ 24. Does project involve Local, State or Federal funding, Eyes If Yes, explain XNo 4 XOther gPProvals Required: l Submittal e Date y, Town, Village Board ❑Yes 6iallo , Town, Village Planning Board ®Yes ❑No , Town Zoning Board Minnr C 'hr7'viG10nAnoval❑Yes ®No 7�, County Health Department ❑Yes �1No Local Agencies ❑Yes ®No Other Regional Agencies Dyes ®No State Agencies Dyes fjilNo Federal Agencies Dyes Cx7No �— C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? If Yes, indicate decision required: QYes ONO ❑zoning amendment ❑zoning variance ❑special use permit (Osubdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R _ 3. What is the maximum potential development of the site if developed as permitted by the present zoning? tbree single—family dwellings on minimum 80,000 square foot lots 4. What is the proposed zoning of the site? same 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? C6. Is the proposed action consistent with the recommended uses in adopted local land uselans. ®Yes 7. What are the predominant land use(s) and zoning classifications within a Y mile radius of ?ONO sin le—family residential Proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a Y. mile? ®Yes ONO 9. if the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 69,440 square feet (leaving balance of 175,460 10. Will Proposed action require any authorization(s) for the formation of sewer or water districts? Dyes QNo ) 11 . Will the proposed action create a demand for any community provided services recreation, education, fire protection)? Dyes 12No police, a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ONO N/A 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes QNo a. If yes, is the existing road network adequate to handle the additional traffic? Dyes D. Informational Details ONO N/A Attach any tional as may be needed to clariy Your impacts associated with your proposal, please discuss such mp�ctsfand thep pmeasures whichroject. If therea re or may be any adverse avoid them. you propose to mitigate or E. Verification I certify that the information1)rovided above is true to the best of my knowledge. Applicant/Sponsor Name Stepphen L. Ham, III for Jeanann Dunalap Gray, _Mar}ha Kant Gr q �. Signature L, 11 Date July 2. 1993 of L If the action is in the Coastal Area�and you are a state agency, Title -----author'zar7 agent, with 'his assessment. g Y, complete the Coastal Assessment Form before proceeding 5 Respr ivieI ty r: I.z 1 �1( I General Information (Rego C irefuils) • In completing the form -e ra•vi wei stns r )e :i.,l. it ty tht a ,ut�.s _ and detenninar reasonable? The reviewer c not expl, eo a be r e , >et .,r, -t me-ttai fill • Identifying that an impar- will be icdsno•tII T i, q-. _olumn ' e.oe nor eat r necessarily sift. is :nt. Any large impact must be evaluated i a P! R f V c _erm+n t nif c nt ,1' r 1, pact in � olum, asks that it be looked at iurther • The Examples provided are to assist the re news, cv howing t:Ir ut upcts . r.; h: f. possible the thr t,. r magnitude that would riggsr a response n col-1, 2 fhe exarrales ars r;zl eral p r I: throughout the for most situations. But, fcr any spt( ific prcle_. of ..rte other armpl=s a rd'm I.,. . . . , iolds may he at I. for a Potential Large Impact response, thus ie(l rin, evaluati.-r.,1 n I rTt '' • The impacts of each project, on each site, in ea� In locality, soilsarytl eref<ne, he �. .<.ruples are d1ustr vi ..., have been offered as guidance. They do iot consti-uta in exhaust ,e Inc x irni act, -.na I • it is to answer ea(t, .tt t .. • The number of examples per question does not ^dn ate the imponarce of ea,_r • 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 imo3ct b. Maybe answers should be considered as Yes answers c. If answering Yrs to a question then check the appropriate box (column 1 or L? to :ndictte the potential sI o tho impact. If impact threshold equals or exceeds any example provided, check column :. If iow ict will occur but. -e, loi,. is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potenttaik Targe and proceed to 'AI T e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to ii )d rate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possii e- Thi, must be explained in Part 3. 1 2 3 Small to Potential Can Imp,.ct Be IMPACT ON LAND Moderate Large Mitigated i;y Impact Impact Project Cla ige 1 . Will the proposed action result in a physical change to the project site? ❑NO ❑YES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ i,J iJYes _ :o foot of length), or where the general slopes in the project area exceed I 10%. • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes ❑ to 3 feet. i • Construction of paved parking area for 1,000 or more vehicles. ❑ ;__a _;ves Jc • Construction on land where bedrock is exposed or generally within ❑ ❑ ayes ❑ do 3 feet of existing ground surface. V • Construction that will continue for more than 1 year or involve more Yes i_jllo than one phase or stage. } • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑I'o tons of natural material (i.e., rock or soil) per year. ; • Construction or expansion of a sanitary landfill. ❑ t I Yes ❑1Jo • Construction in a designated floodway. ❑ _ a - Yes ❑ .o • Other impacts ❑; � � ❑Yes ❑IJu I 2. Will there be an effect tr. _.ry ur:,que or unusual land forms found on I _ the site? It cliffs, dunes, geological formations, etc )LINO ❑YES — • Specific land forms: ❑ LI I_]Yes 'L_-t�o 6 _— �_ n G PLANNING BOARD MEMBERS SCOTT L. HARRIS "A .✓ Supervisor Richard G.Ward, Chairman Ce Ritchie Latham,Jr. Bennett Orlowski,Jr. Town Hall, 53095 Main Road Ben _ P. O. Box 1179 Mark S. McDonald "'' Southold, New York 11971 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE Fax(516)765- 1823 TOWN OF SOUTHOLD nA 15 , 1983 Suffolk County Planning 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 A14-24, Suffolk County Administrative Code, the Southold Town Planning Board hereby refers the following proposed subdivision to the Suffolk County Planning Commission: Map of - „r��,a. �«,,,, Hamlet/Llit Z ,Q ��-- ocaY F;��erS S. C.D.P.W. Topo No. : Zoning S.C. Tax Map No. : 10 Dp - �__ ,S - 13 Major Sub. Minor Sub. Site Plan Cluster MATERIAL SUBMITTED: rr SkQ.�c� � y Plat ( 3 copies) Road Profiles ( 1) Drainage Plans (1) _Topogroaphical Map ( 1) Site Plan (1 ) _ Grading Plan ( 1) Other materials (specify and give number of co 10 911319t�t4 pies) 3 a Waiver of Subdivision Requirements - See attached sheet _ CONTINUED 0 • REFERRAL CRITERIA: SEQSTATUS- 1 . TUS. 1 • The project is an (Unlisted) (Type I) (Type II)Action. z • A (Negative Declaration) (positive Declaration) (Determ. of Non-Significance) has been adopted by the Planning Board. 3 • E.I.S. statement enclosed. (Yes) No . 4• The proposed division has received approval from the S.C. Dept of Health. (Yes) No) Comments: iklon . We request acknowledgement of receipt of this referral (Yes) (No) Referral received by Suffolk CountyPlannin 19_ and assigned File NO, g Commission Very {tr'.u-l0y yours, / Richard G. Ward Chairman S July 2, 1993 Southold Town Planning Board Town Hall Southold, New York 11971 Re: Application of Jeanann Gray Dunlap, Martha Kent Gray Gentlemen: and Benjamin H. Gray The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, G�.eTG�a•• Stephen L. Ham, III, authorized agent 1 PLANNING BOARD MEMBERS 1 1 Richard G. Ward.Chairman SCOTT L. HARRIS-�_ _ - Ceorge Rltchfe Latham,Jr. "i' - Supervisor Bennett Orlowski,Jr. _ Town Hall, 53095 Main Road Mark S. McDonald P. O. pox 1179 Kenneth L. Edwards . .. Southold, New York 11971 Telephone(515)765-1938 PLANNING BOARD OFFICE roX(516) 765- 1823 TOWN OF SOUTHOLD September 14, 1993 Stephen L. Ham, III 45 Hampton Road Southampton, New York 11968 RE: Proposed Minor Subdivision Dunlap and Gray Fishers Island SCTM# 1000-6-5-13 . 1 Dear Mr. Ham: followingThe Town Planning Board ratoautions e meetingheld re dontMonday, Septemberd13 , 1993 : Be it RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this Type 1 action. This action is classified as a Type 1 action since it is located within a Critical Environmental Area (Fishers Island) . Be it RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated December 12, 1992, with the following conditions: 1• Stephen L. Ham, III, the attorney for the applicant has stated in a letter dated July 2, 1993 , that Parcel Number 2 is to be conveyed to Mrs. Dunlap and then conveyed by her to the Henry L. Ferguson Museum with the intent to prohibit development of the parcel. However, due to a gift Mrs. Dunlap made in 1992she will not be able to make full charitable deduct, ion until 1998 . In light of the above mentioned intent, the Planning Board has decided to stay the park and playground fee and to postpone any further archeological review subject to the recording of the following covenants and restrictions: / Dunlap and Gray September 14 , 1993 Page 2 A. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2 ) , a park and playground fee, in accordance with the park and playground fee schedule required at that time by the Town, must be submitted. B. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2) , prior to the issuance of a building permit or the commencement of any construction on the parcel, the exact building site must be inspected by a professional archaeologist. Such results must be reviewed by the Planning Board and the. Building Department. Based on the results, the Planning Board may require that additional studies be conducted or that during any excavation, a professional archaeologist be present. (Note, this restriction may be waived upon results from the environmental review which has not yet been conducted. ) 2 . It must be stated on the final subdivision map that the subdivision has been designed as a Cluster subdivision in accordance with Section 281 of the New York State Town Law. In addition, a covenant and restriction must be filed for Parcel Number 2 stating that there is to be no further subdivision of this lot. 3 . The final maps must be presented at the required scale of 1"=1001 . 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. The final maps ( 2 mylars and 5 paper Prints) must contain a current stamp of Health Department approval, and must be submitted before a final public hearing will be set. The Long Environmental Assessment Form has been forwarded to the Board' s environmental consultant for review. There is a $400 fee for this review. This must be paid in full by your client before authorization can be given to the consultant to proceed with the review. The check should be made payable to the Town of Southold. Dunlap and Gray September 14 , 1993 Page 3 The above mentioned covenants and restrictions must be presented in a Declaration of Covenants and Restrictions in proper legal form. 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. The Planning Board may require additional covenants and restrictions upon completion of the environmental review. Therefore, it is not necessary to prepare the draft Declaration of Covenants and Restrictions at this time. Please contact this office if you have any questions regarding the above. Sincerely, IFIk 9 �ct Richard G. Ward 'hs Chairman PLANNING BOARD MEMBERS SCOTT L. HARRIS Richard G. Ward,Chairman Supervisor George Ritchie Latham,Jr. _ '`, '`'j° - Bennett Orlowski,Jr. _ �4 ' Town Hall, 53095 Main Road Mark S. McDonald - - P. O. Box 1179 Kenneth L. Edwards Southold, New York 11971 Telephone(516)765-1938 PLANNING BOARD OFFICE rax(516)765- 1823 TOWN OF SOUTHOLD September 14, 1993 Stephen L. Ham, III 45 Hampton Road Southampton, New York 11968 RE: Proposed Minor Subdivision Dunlap and Gray Fishers Island SCTM# 1000-6-5-13 . 1 Dear Mr. Ham: The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, September 13, 1993 : Be it RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this Type 1 action. This action is classified as a Type 1 action since it is located within a Critical Environmental Area (Fishers Island) . Be it RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated December 12, 1992, with the following conditions: 1• Stephen L. Ham, III, the attorney for the applicant has stated in a letter dated July 2, 1993, that 'Parcel Number 2 is to be conveyed to Mrs. Dunlap and then conveyed by her to the Henry L. Ferguson Museum with the intent to prohibit development of the parcel. However, due to a gift Mrs. Dunlap made in 1992, she will not be able to make full charitable deduction until 1998. In light of the above mentioned intent, the Planning Board has decided to stay the park and playground fee and to Postpone any further archeological review subject to the recording of the following covenants and restrictions: Dunlap and Gray September 14 , 1993 Page 2 A. If at such time in the future an application for a building permit is requested on the 4. 03 acre parcel (Parcel Number 2) , a park and playground fee, in accordance with the park and playground fee schedule required at that time by the Town, must be submitted. B. If at such time in the future an application for a building permit is requested on the 4.03 acre parcel (Parcel Number 2) , prior to the issuance of a building permit or the commencement of any construction on the parcel, the exact building site must be inspected by a professional archaeologist. Such results must be reviewed by the Planning Board and the Building Department. Based on the results, the Planning Board may require that additional studies be conducted or that during any excavation, a professional archaeologist be present. (Note, this restriction may be waived upon results from the environmental review which has not yet been conducted. ) 2. It must be stated on the final subdivision map that the subdivision has been designed as a Cluster subdivision in accordance with Section 281 of the New York State Town Law. In addition, a covenant and restriction must be filed for Parcel Number 2 stating that there is to be no further subdivision of this lot. 3 . The final maps must be presented at the required scale of 1"=100 ' . 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. The final maps ( 2 mylars and 5 paper prints) must contain a current stamp of Health Department approval, and must be submitted before a final public hearing will be set. The Long Environmental Assessment Form has been forwarded to the Board' s environmental consultant for review. There is a $400 fee for this review. This must be paid in full by your client before authorization can be given to the consultant to proceed with the review. The check should be made payable to the Town of Southold. Dunlap and Gray September 14, 1993 Page 3 The above mentioned covenants and restrictions must be presented in a Declaration of Covenants and Restrictions in proper legal form. 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. The Planning Board may require additional covenants and restrictions upon completion of the environmental review. Therefore, it is not necessary to prepare the draft Declaration of Covenants and Restrictions at this time. Please contact this office if you have any questions regarding the above. Sincerely, 0/ Richard G. Ward mS Chairman ���yrFU(If„ J'g , PLANNING BOARD MEMBERS ar a^1 SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman :""1i Supervisor George Ritchie Latham,'Jr. .� J! Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 Frederick R. Weber, Secretary ) 773 Southold Fire District Main Road Southold, New York 11971 Dear Mr. Weber: Enclosed please find ( 2) surveys for llilHo2s"/3QV'51o,� FcR pu���stP <CP9 ScT«r �o�� 6 s 13 ( 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 S%pT -:Z% 1923 , Thank you for your cooperation. Ve t my yQoouurs/J�,� _�tG�{ rtRD c; - Chairman enc. 4�JTM��O /n li' S �e ols-ifo SOUTHOLD FIRE DISTRICT P.O. BOX 908, SOUTHOLD, N.Y. 11971 October 23, 1993 Mr. Richard G. Ward, Chairman Town of Southold Planning Board Office PO Box 1179 Southold, NY 11971 Re: Dunlap & Gary 1000.-6-5-13 . 1 Dear Mr. Ward: This is to notify you that the Southold Fire District Board of Commissioners is returning the enclosed survey. The parcel is located on Fishers Island. Sincerely, Cynis Caprise Secretary XT 2 6 I S,,(� - C✓C'SA- MATTHEWS & I3AM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 616-283-2400 PHILIP H.MATTHEWS TELEGOPIER 610-287-1076 July 2 , 1993 STEPHEN L.HAM,111 Planning Board Town of Southold Main Road druwe.r Southold, NY 11971 Re: Minor Subdivision for Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray (SCTM # 1000-6-5-13 . 1) Dear Board Members: In connection with the referenced minor subdivision of premises at Fishers Island, I have enclosed the following: 1. Application for Approval of Plat. 2 . Questionnaire, duly acknowledged. 3 . Letter re grading, roads, etc. 4 . Full Environmental Assessment Form, with Part I completed and signed. 5. Check to the Town of Southold in the amount of $2 , 000. 6. Twelve prints of a survey showing the proposed lots. 7 . Letters of authorization, signed and acknowledged by Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray. 8 . Photocopy of deed to the subject premises recorded on December 30, 1976 in Liber 8167 page 172 . This deed reflects the transfer to Martha Kent Gray and Benjamin H. Gray. I do not have copies of the deeds by which Jeanann Gray (now Jeanann Gray Dunlap) acquired her interest; however, the Libers and pages are noted in the enclosed deed and also on the application. If necessary, I will obtain copies from the County Clerk and provide them to you. Finally, I have enclosed a separate letter in which I have raised some issues for your consideration concerning the donation of the vacant parcel to the Henry L. Ferguson Museum. Please advise me immediately if any further information or documentation is required before you can begin your review of this application. Very truly yours, JulLl 6 Steph n L. Ham, III Enclosures ---- MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11966 516-283-2400 2 PHILIP B.MATTHEWS TELECOPIER 510-287-1078 STEPHEN,L.HAM,III July 2, 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Application of Dunlap and Gray (SCTM # 1000-6-5-13 . 1) Dear Board Members: I am submitting with this letter a new application for minor subdivision approval of the referenced parcel of land owned by Jeanann Gray Dunlap, Martha Kent Gray and Benjamin H. Gray. Our plan is to divide this property into two lots, one parcel containing the existing dwelling and one parcel of vacant land. The improved parcel is to be conveyed to the Grays and the vacant parcel is to be conveyed to Mrs. Dunlap upon final approval. Mrs. Dunlap intends to convey the vacant parcel to the Henry L. Ferguson Museum. So that we may avoid environmental studies, the park and playground fee and certain other costs normally involved with a subdivision application, we will accept as a conditon to your approval a requirement that the ultimate transferee, the Ferguson Museum, must file a Declaration prohibiting development of the vacant parcel. we followed a similar procedure with the lot line change for Albert and Susan Stickney a few years ago (SCTM # Is 1000-9-6-8 . 2 and 8. 6) . I recently learned, however, that Mrs. Dunlap will not be able to make full use of her charitable deduction until 1998 due to a gift she made in 1992 . I understand that an approval based upon the Museum filing a Declaration within, say, five years, would be extraordinary. (The condition in the Stickney matter had to be satisfied within six months. ) Obviously, we could simply wait until 1997 to file the application. On the other hand, the owners desire to separate their interests as soon as possible for estate planning reasons. (This tract was actually acquired in three separate conveyances but title was taken in the same names so a merger resulted. ) Another solution would be to include the prohibition on development in the deed conveying the vacant parcel to Mrs. Dunlap. However, there is concern that such a deed restriction, which would automatically diminish the value of the property, would destroy the tax advantage sought. Continued Planning Board July 2, 1993 Town of Southold Page 2 Re: Application of Dunlap and Gray If a five-year time frame for the filing of a Declaration prohibiting development is not acceptable, I t r u s t that we can work out some compromise that satisfies the needs of all concerned. If not, I have been authorized to request that this application be treated as a regular two-lot minor subdivision to which my clients would appear to be entitled .as a matter of right. They are prepared to pay the additional costs associated with the full review of such an application. Thank you for your consideration of these issues. Very truly yours, '4W� {-Iu4 Stephen L. Ham, III MJ O 11.1 m*A 4 I IA 4 4 pr ........... L.... QC) COUNTY OF SUFFOLK I.. SOLITHOL In' MI Real Property To, Service Agency c..." 006 lrprr a. 1000 R.—h—d,L 1, PROPFRTY NAP' Y 1 � VI 5 1 .r ! y c t NOTE COORDINATE DISTANCES ARE MEASURED 1 .. FROM U.S, COAT 8 GEODETIC SURVEY , NLF '. _ , ^T �D� A ` . �' 3� 11 1" '•' r t 1 1 F X } " ' Vy 1' �'' 1 I II TRIANGULATION STATION PROS . SERGE J. DOYEN, JR. / n / _�J O .�.,n '`—' II, _,� �'� '�'Q,4' '4'�m _'1,, , r .r� -i' 4',n,r ;.�" .r'.;,, . ,•,v'� '., y'� { r,, ,-, d D ' —.To 1 r 1 'SEflVICES \� a v. 4 im r '.,NFALT �e "'� '' S.IR -'�'•, /� �' � ' r � II �' ��' �� •T:Q�. ���". '.r .;� ,,.., '"Iti �I r;` F ..' N r" e 'r"a• �`�� ' ,' ': 'r. , 1• - - _ � 21o9.61a', � �� k7Jd,I ,oma w.A.y a pa' a.� cAf� _._.U.Qle oz'3o't..J- PAIRCEL :°I � � •� - - Nit '� � 1 1 ��� �..'��dp,�,$ 41 ��. '� � � �� ,/ � // �/ - // // ' '✓ ' - /, AREAS 69x440/`SF a �/- / � / / •/ ' �I" AGREE' LOCATION �-IAF / 20 a D I ! 4oa xo o 4a / // ✓� i / // / N / h �, 3 O, - GRAPHIC SCALE IN FEET - ,�{/ vopn ,e , � �• I y � (� { r ', ,:M , e„ a.;.- .- I q N � / / / // ✓ / / .� / / /�,/ JQ I tarA"� I i �Y� ''' r ,r.;,.;M,, ,w,r.,..-^""' � .' - A-1 _,d? �/ Z // / // // r�.�/ / /� //i 4Poach apo I I .�' / "r' ,I L �•.^', +s.-......;r. _,,,-„_. .; '' s ��"„`w.� 1 - p25 POLE 194 PARCEL " 2 AREA = 175,460 1 S.F 4.03 ./ACRES / / _ A, A � '� -•�.t>'�r «r!': r a "/� o', a i,, . ,_ 7 � ,.r.rd / / T � � _ /II ' , '"' 1 � }i - /�.Ir'"�i + � Ps_, ti c s �,n•* ', x� ,�a �� gra a 'rrI""`r :/-'ai u. , IV, fry t ,..a" ,p,-(r+i t i rg 41 r TO ,'\l \E r / .- � .w.I J '• F'.Vl °. �,v. N 430Q.99', '.\ .� .� � $ �f N _ll i/ �1' IF 1 ti 'l'.'f r i i�y- ,I..,''"df �`t'{ �.y 1 I 1•; �"'x> :'t rF_ W25"I S2 (y, , y � � ,.,I , � T ;1C, 65 �— \....— / /' / •"'1A �. .,._...SONE DMIV �� y 'k ' ' t �'4 r , 4 F 'r f ' i kY a a i 4 j 1 � 1� S.cx4i 2570°E3, 19.4"1' / � V / - - •� t . a���� , '�i. irte.,- _ '�,• b> '.W 2315.62 - aJ \ as"elt POLE 82 'E 189 ." _ _ p• — -- —7 5. �� '� / \ POL AaPR \0qT ` AV .403 �.z� 19 \ / N%F p 1 1 y I ' t� ELIZABETH 'k. t l c l Icxa DLK COUNTY DEPARTMOC OP HEWN Ha4PDau0e, HeYY Yddt w.eA+.r_ xc.a� w -I- JUN This is to rxNly that ow pmpoed forwtpor VD APPROVED BY i nd asleep the —so a� - atwet of iota / neeAD*� •G' PLANNING BOARD were Sp ved on the above date. These laelttopa ofoatoryngo A'1I"1+1Q 9 �I NO�Se \ ' '�°3y' N/F DOW On stand aale In effect at the aNd euC�' +olelMdewR I. OANt!R/SU501V1DER: TOWN OF SOUTHOLD uProonl al Ian Is dube lyfiledwithlld only nthee County clan: • ;'o aaa'yolv'of JEANANN 6RAY 'pUNLAP, MARTHA KENT &RAY 0 / / h' ELIZABETM k d]CCANCE P y A 5L`NJAMIN H. &RAY. 1 a TE AUG 2 2 .1994 this Care. eonwra to Mr�y ywan for the allnp of 1Ni wIP'eA J ,1'"LI�' ANN A� P • `^{ 'P/ , �J wllkh ehi6 elMorwmenY era.ln the OIIIp1 of May DfMt 5 A EI R1AMIN H. DRIVE iv F°' in:aCoo IMIh. WTIMPu61CHpMLMl�rld1M �' . :.A', •;� ��'`�' M. 'RkY/ RICHMOND, VA. 223226 I -.: . . - 2. SITE d5 LOCATED IN THE TOWN OF SOUTHOLD, COUNT' _ FORMER COTTAGE PLACE ` H' to _ � � _ r PMMon'cl. SI SUFFOLK, TAX MAP IOOO, NEG. b BLOCK 5 LOT I5.1 _ N PARCEL alip 5. TOTAL AREA TO BE SUBDIVIDED - 5,62 +/- ACRES. I ,hereby �rtlfy 'that this hap. was ngde,Fron actual 4. SITE 15 LOCATED WITHIN THE R-80 ZONE. / sur' d 'E' L nU �oI ,��,y. 'N�F ;NOW OR;F'ORMSRLY, voys eorolat�tp F B, 1:7. 83 ' n ' no Mel>:ts ` S.db+E+3b' /yfP PD H.sT yOv` SIN SCARE F5Wr are set 0 Obwrk -'A chic aivan aF covenatgCS.4>d re 4e�7GA� C"=40' a p " O S. COORDINATE DISTANCES ARE MEASURED FROM U.Q. COAST �,q.1� / °�P 9oc 'F - aFf'`Pr}tr11101.AW1ti:#O,ts ip #hd, 'sugdlvl�loa h4s,.';ega 4'Rl4d„?a .tine S �hn, r .w f „_a AND &EODETIG SURVEY TRIAN&ULATION STATION 'PROS". ;• — — -10' — EX15TINev Cq.,N'I'N✓1URQ Oft'ICe p the'SaRV'olk County 'C16rk"Jrt"Libe'h Ni4•Y 'e 15�rt:' r ,1 T, Iyi.'e idw'Fto , _ 6, EXISTIN& Hou5E 15 5ERVIGED BY MUNICIPAL WATER AND 11p� r 4 MONUMENT aT,' 1.. ON SITE SEPTIC. (NO ADDITIONAL DEVELOPMENT). i Iz Q"'d, �ctis �O aas5z >° 1911LiNS'SE1)3'ACK'LI'N1 WPPL�CANT, + `,Il'r;1M -1. THIS SU501VIQION HAS_5EEN DESI&NED A5 A CLUSTER SUS- DIV1510N IN ACCORDANCE WITH SECTION 281 OF THE NEW - y YORK STATE TOWN LAW. A COVENANT AND RESTRICTION , AU6221984 ,r,wotr.err�IJ�*. p. F.Lr.rN•:W+aws �. zEs,�#�i9B �: MUST BE FILED'FOR PARCEL NUMBER 2 STATING THAT , lrl'I LIYIE6 ADDED MAY a 199a THERE IS TO E�E NO FURTHER SU6DIV15ION OF THIS LOT..• / I BMRD , ,. r• - / V - I ..r ..:LI •t 1.4 (FOROAD) R )`� �- :•., F COTTAGER "s )' ,•• ••• ) • .r ) .Ya •n" NNIMPROVPLACE U�r I- N.4256.52 F '•• v W.2432.03 ,I aoa N.4241.15 / , ` ` \ ,.•:Ir < p), r . LOT #2 2S• ��' ; •• .,LE) QNO LOT #2 S7 1 7 &' N.4176.52 64 •* % • 3 91 B 1$s W.2480.09 N�5 / " N.41B4.95 39' O \ W.2305.62 �•� ; 8 N49-23'40"W= V''16'S DE—CK-----1 LOT #q 137'3 \ Syr, ,6E•y0'Y !y APPRQVED 6Y —W_ �� I (BLOCK 5 - LOT 12) �yK \\ �6�ya _ — If DWELLING , PLANNING LrJ.,2D \ / N °ry V PROPOSED DWELLING �Y LINE q �� ^ ADDITION ,,. Torr �- "(oLD -_, 1�i1 - I' N.4141.7D LOCATION MAP RN"i gyl�n IW.2299.34 1 _ 0� DATE JUN 091999 AREA EEPTIIC AREA TO �\ SCALE: 1 " = 400' �FC� -' BE CONVEYED 1,252 S.F.3 rory SEPTIC/ ry\ (TO BE CATED) NOTES: PROPOSED \ �N24'35�2Q"W •� / � LOT #3 PROPERTY \ 131.38' �4 X00 BLOCK 5 - LOT 5.4 LINE �A • -GARAGE - / p� 1 OYJNERS. LOT#3 - THOMAS MCCAHCE, JR ( ) P O 30:A 1196 tix3, � ` , x2r •�� 16 CLIFFWOOD STREET LEROY, MA 01240 3S AREA TOJ \ ( 411) t81-0143 3 BE CONVEYED \ 'YO 1,252 S.F.3 8 \ / G!T#4 - 171ELLEN SAN cPMACROSAVENUE LOT1 �6� sr SAN FRAINCISCO, CA 94116 # 6J (415) 681-5577 2 Cu0PDIHATE DISIANCES ARE MEASURED FPOM U S COAST 712.87 AND GEODETIC SUR'VE 1 TRIANGULATION STATION "PROS 86.85 iyg 63 3 SITE IS IH THE TOWN OF SOUTH(C)LD, COUNTY OF SUFFOLK , -N18'34'30"W ZB�32 TAX MAF' 1000, SECTION 006, BLOCI•. 5, LOTS 5 4 & 12 50.00' 30^NJ N/F 4 SITE IS. IN R-8C 70NE 40 p0 57325 PAULINE D. WEBEL 32 44 I I N/F 'I REFERENCE MAP: STEPHEN T. KELSEY MINOR SU8DI JI SIGN PL 411 MADE P-P ELG4BE IH F M,-1_H AIJCE 1 FOX PVEIIUE & COTTAGE PLACE, FISHERS ISLAND, NEvV IORK SCALE 1 "=4 p', MARCH 3 1986 ODDS TO ML , CI , 1930 �.HAHDLEIP PALMER & KIfJI IJJRWICH. -dfdNECTIh UT LOT AREAS ,LOT EXISTING LOT AREA PROPOSED LOT AREA 4 30,040 S F L 30,046 S F t 3 66,903 S F i 6o 9JT S F i PROPOSED LOT LINE CHANGE PROPERTIES OF THOMAS McCANCE , JR . & ELLEN McCANCE PARKER 4C 20 0 40 , . . GRAPHIC SCALE IN FEET FOAVENUE P,1vOF NFI,I,y FISHERSISLAND, CE NEW YORK �••� � ,r;%';�3 � .n.r„ 5� Sego H. sT9 °yF pal "-L;,ymR•`L.L' ' . '� N m RE JISIONS .:' I,,,lm,3�.•, m„am ': _ sF ° oas52A �O 3DAT99 LINE DESCRIPTION _= Y :�_ CFI�NyD q�E PALMER Qc KING _ R. T dN Om ti Q Engmeenng and Surveviny 2 c . CT o O eao-eea-a 7 FM 150-ee-7101 ' T O, PJ 3/30/99 ADDITIONS & REVISIONS .mn IINDSV TO M* K'HOW BELIEF, THIS MAP IS SUF- FANITIALLr ORRECT ,� ..,. AS NuTE 0 _Lla ay DATE, FEBRUARY 18, 1999 AI APR 07 1999 BOUNDARY PLAN — 1'=100' MIN D DISE LS 049521 - - GATE - -- S(-ALE. 1 " = 40' SHEET 1 of 1 Southold Town I o \ � � bWl ' t F•r .A if' {AI- NOTE COORDINATE DISTANCES ARE MEASURED R •, „ •, I, ```\.•" �.•,' W'•',`' .W /' •�{ f�.tw� t," ..,. �•� {tti '. _ FROM U 5, COAST B GEODETIC SURVEY N/F J •6. TRIANGULATION STATION "PROS" SERGE J. DOYEN, JR. _ u p Lb 1-1 7 , , ` •.••1•. 1 t W t / NN 1 � o — `030� 2�90 I / � \ ___\��/��, ____ •�'In ^, �� t e 1 {• � t Ste✓`. 3�, l��-I \ Zeis.\ SITE 5 \ n •, ..I LOCATION MAP Ul / J1 j-1o� 19� / I„ I /, ��S 3\ \ \ 6 o sao eoo { o• y t n• ' • t {.o,• y Sip %4ti / / 1 I \\ S ��.�� " C • I� PARCEL "I / 1 AREA = 69,440 jS.F. I \ 159 ACRES "'F-- ' 7/ LOCATION MAF zo 400 200 a 400 / GRAPHIC SCALE IN FEET IQ Q v0 i/ Z/ / � / / /— / /� p��-p m / �.n9v�—�// i // / // // / /// � �� � � � �1ss POR IKNepO I � 4 / PARCEL * 2 / / / N Nouse eu / I I NOTES: / / / OVERHEAD �,POLE 194 UTILITIES / /// AREA = 175,460 / S// / — /�—� 1 V.m ` o / I I. OWNER/SUBDIVIDER: 4.03 ✓ ACRES / / / ' JEANANN GRAY DUNLAP, MARTHA KENT GRAY / / \ I E BENJAMIN H. GRAY. 6515 A GAF / /I RICHMOND, VA. 2D23226 2. SITE IS LOCATED IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, TAX MAP 1000, SEG. 6 BLOCK 5 LOT 13.1 � / '�d' �� / oeP/ / 3. TOTAL AREA TO BE SUB = 5.62 +/- ACRES. 7D � DIVIDED Naaooe6 A \ / �5+�s� / : W W 2389.82 4. SITE IS LOCATED WITHIN THE R-80 ZONE. -_ -- 5. COORDINATE DISTANCES ARE MEASURED FROM U.S. COASTIA �� \ ` — s5 - - / \` -- i ' / /� / �• �\ DTONE ORNEW Av __ j AND OEODETIG SURVEY TRNGULATION STATION 'PROS". . 6. EXISTING HOUSE IS SERVICED BY MUNICIPAL WATER AND - i9¢y ON 51TE SEPTIC. (NO ADDITIONAL DEVELOPMENT). N 419169 W 2315 62 �- / } 2 9 \ \ / \ --� 9Z 63' / / \\ POLE 189 POLE 62 PO �2go \\ \ POLE \S 190 S N zs�.zm T N/F ss so / � ELIZABETH K. MCCANCE gj 0� �� yJ 3 ",eOFNE _ OP � 9 F O OG G j3e� N/F " MINOR SUBDIVISION PLAN PROPERTYF O W P F0 �0 ELIZABETH K. MCCANCE , 0495 'I "° e �IEANANN CRAY 17UNLAP, -4 0/ � MARTHA KENT CRAY t _ FORMER COTTAGE PLACE BENJAMIN 0, LI DER 8167, PAGE 174 'BENJAMIN H. CRA IY PARCEL 3 o. a_ I_E6END: FOX AVENUE N/F NOW OR FORMERLY 1 Pier Eloy certify that this map was made from actual FISHERS ISLAND, NEW YORK surveys completed FEB,11,1993 and monuments zo.dl' S.F. 5OUARE FEET are set as shown, 'A declaration of covenants and restrictionsSCALE: "=40' 40 20 a 40 affecting the lots In the subdivision has been filed In the EX15TINO CONTOURS office if the Suffolk County Clerk In Liber Page GRAPHIC SCALE IN FEET MONUMENT CHANDLER, PALMER E KING, �a _ , , .e,.,1 BUILDING 5E7BAGK LINE -- NORWICH, CONNECTICUT LA [9 I r �ly�0 APPLICANT DECEMBER II, 1992 r JUL _ 6P--'-D'- _.- SOUTfiDLD MIN H 1NNII ) PUW 80AItD l-n .y i I` I: � � 41 NY ♦1 6W NOTE COORDINATE DISTANCES ARE MEASURED I - • l , I\ LYa+• au uY FROM U.S. COAST 8 GEODETIC SURVEY N/F ' •f.w , Y L TRIANGULATION STATION "PROS" SERGE J. DOYEN, JR. asur it O N E �T.-rE _� mss` 1� h'A,Q I i asi w,�a.r , • ` A.iajp �w r IY fi Ns a 5b �o3ol.J• L �� SITE �03-I �P LOCATION MAP Darr �� -f4-r- P d. e,fIIDLAJc-/ r 1 N Fo,cA.t_er� 29 744 / / �b4 go / _ �\ aS�o� e.aYl:r „_ r e,o• , `i. _ ° r // P/ARCEL +I AREA = 69,440/ S.F. 159 ACRES p/ LOG,4TION M�ri� I fit' 400 200 0 400 20 y / / // / ✓ // / i _6r / / ' // /I I GRAPHIC SCALE IN FEET Cd PoaG� I No 25 f// / / / // // / �/ — Ey,\G7 90\'KHEP1 4 PARCEL 2 // // / N 1 NOOSE OVERHEAD I _4 POLE 194 // // / / i-- �\ ��� UT1LiTIES �' AREA = 175,460 / S...F / /-� \/ ''° 4.03 / ACRES a / / / — \ A . / / / '' �/ / / / / / / I— _ � �\ \ \ / /6Sy"' � / I o ' J• / i� _ -._._ I .+'a''", I I ..\"art �/ --V TD 'r/ � SoZ�' /'J / \ N 4300.66 \ \ / 2 W �� �. / j 2389.82 \ \ �q. o l % N DRIVE ♦:��` ` / \ 65 S70NE _ Q1. + ���` `9 ^• .22•gg_-�_ Sovzs'zo"e g 1 194Y �3o1rz 63' I \ \ // ✓�.gt;? / N 4191.59 `" �W °.__ ./ '` r �•` :.,..` :+.• W 2315.62 �\, , <4°,qx l.Jl+J POLE 62 / oN P a POLE I89gcop -SAP RQN, LOC FO .�, \\ \ 92.63' POLE rl -`\ AT/O�W ,(I oszc� \ _'C_ IJ.QsI �___ / 190 1 \�Vli — / N/F \ , ELIZABETH K. MCCANCE �w a I� \ e o g0 4, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERYIM ,c y• '• to sre,Y New Yak mme Hauppauge to ;4;j; that the pW>w H tib for weMr�IOAI W eewepa dePoaal for yy pe 3 _ ,, I e tots a _.3.�- MINOR SUBDIVISION PLAN NOTE5: N/F in the on the shove data. Thai to tildes arum nonan U / 0 \Z oonu approved standards in anew at the time or a°natnlatlon. Tkle PROPERTY OF I. OWNER/SUBDIVIDER: 0 / h ELIZABETH K. MCCANCE in the everill JEANANN GRAY DUNLAP, MARTHA KENT GRAY 01 approval earn; duty fled Only ith the County II a won �IM r E BENJAMIN H. GRAY. 1 -�- �� qyS dole, Consera Is hereby fill for the 9Anp of Nn��pm1Ia1apy" � 3 01994 JEANANN C RAY DUNLAP, 6515 RID6EWAY DRIVE 1 wkkk Nre erW°rsercWm appears in are OMloa W Ne alm lha RICHMOND, VA. 223226 o ki �'� �I of � Pok �a aM SOUTHOLD TOWN MARTHA AGENT C RA`r 4 1 SuillMy Sank Com' PLANNING BOARD u 2. SITE 15 LOCATED IN THE TOWN OF SOUTHOLD, COUNTY _ FORMER COTTAGE PLACE JOUPH H.t�1u�.*.� BENJAMIN H. 6R?tY OF SUFFOLK, TAX MAP 1000, SEG. 6 BLOCK 5 LOT 13.1 I 0� /i;� LIBER 8167, PAGE na 1Dwtmar cl EfaAlaranmW Ctrab PARCEL 3 3. TOTAL AREA TO BE SUBDIVIDED = 5.62 +/- ACRES. 1 LE&END: FOX AVENUE F IVE I hereby certify that this nap was made from actual FISHERS ISLAND, NEW YORiK i �Eo W y0 N/F NOW OR FORMERL'+' surveys completed FEB.11,1993 and monuments 4. SITE 15 LOCATED WITHIN THE R-80 ZONE. i' y P r/ ST P 5. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST 5'`�e1B3fo'r•J `� sea Roo `� S.F. SQUARE FEET are set as shown, 'A declaration of c I has s and restrictions „_ tia 20 o 40 � �,� u m affecting the lots In the su6dlwsloR has been filed In the SCALE: -40 AND 6EODETIG SURVEY TRIANGULATION STATION "PROS". a' ^` _ _ I GRAPHIC SLALE IN FEET — 'TO — EXISTING CONTOURS office of the Suffolk County Clerk, In Liber Page 6. EXISTING HOUSE 15 SERVICED BY MUNICIPAL WATER AND I r MONUMENT CHANDLER, PALMER ! KING ON SITE SEPTIC. (NO ADDITIONAL DEVELOPMENT). ti 5z NORWICH, CONNECTICUT ��o -1. THIS SUBDIVISION HAS BEEN E516NGLU EV AS A 5TFR 5UB- 1 , ins BUILDING SETBACK LINE APPLICANT q�GF� DIVISION IN ACCORDANCE WITH SECTION 281 OF THC HENI PbY YiY� ll blq iJ D YORK STATE TOWN LAW. A COVENANT AND RE571RICTION iUTLITI MUST BE FILED FOR PARCEL NUMBER 2 STAT!N6 TEAT uiIL1r 1E$LD6T . N CJI , THERE 15 TO BE NO FURTHER 5UBDIVI510N OF THIS LOT: p4P�ON�JI V, A-tOddHS - , . M __ . . . . -. ., . .,. v. . .. ,. .. ., x . ._ r .. u .. n. , ,,. 'r ri , , r -4 , , . ,., J 1 , •r r r Y ..� 6 ' . 5♦ . ., � „ , � ,;, ,r r . � .. 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I„ r r ' �, , „ � �, .. . ., � ., � ,.. . r. w J+ .,, I .; � ;� 'Y'; l � � r�.,�`9 F , , }p��p��� 'S � a W � � p L _ r_ 4 . , H T •i: 4 ' r . .. M .� 'a _ 5�' 'Y . 5 r^N!'%� r ,5, .1`rr � r R"' .. �' , . 1. n t J b.,r 8 �'. 'r - . � "3 . ., ,. w ."L a K_'- ,. .I r2 . F', ';r. @ � �. , t .r. � S� .4, ;yd y S, t r I. .,. .., ... 4r + 1 �� � H' .e ,. � r. . '�E 1 r _ Y', �.n � e A '. ".;t 1n w ., � .1. n ., . ... 1 _ , � r .-}T t : r _ N.+ r r. .�, . . qr ✓, r ,Y a r L e aT'u is gP� .� . , r 1- •, 3 d. �'. r 1 r. ,,..'.' r, 1 •,I fr [ v I III � . a r, rl., ! � 'I A 9"I[d(' � f ., ,.. { r. ,�.� � ... .. i u' r r r nl', ,'u n , 1 ' 'P .x 1111rTf P1�RKER ��'. 1 I alas RESID NCE COTTAGE PLACE � — _ FISHERS IMAAl NY 00394 7777/ � , y DATE REVISIONS 11.05.9 ISSUED FOR HID 77� JAN 0 8 1999 Southold Town Punning Board � 165'� � 64 -FIFES, eE - ��PD - 1.O PEYPVED _ CYIIfRETA1NINP WALL / / r • I WPX� IflQ_ CMT CONCRETEUP62'— - 4 — �`�-'- - fit - 1_i R2'-10' Wl U I I — — — — _ — — 61 OWER eW[ _ CRU9X ❑ ----- - -- -- 60, ____ - -� - '�/ - / rv• — — — 60' — Al 1i sE 1 _ �w_ P A R K E R R E S I D E N C 5T COTTAGE PLACE FISHERS ISLANO \' I N D E X O F D R A W I N G S r� 1 z �POVdt � � 4�+"-'MEiAt ESGINCr I Y'.., _ I R ZA AV 1 56' AG SITE PLAN ~i T� R p - / - Al DEMOLITION PLAN — EXISTING HOUSE 135 Fifth Avenue A2 FOUNDATION PLAN, ROOF PLAN New York City 10010 `. y 59 L4usxm eI,UE MUSY6L SHELLS, g / - . .� 55� "� — - A3 FIRST FLOOR PLAN, REFLECTED CEILING PLAN / ELECTRICAL PLAN FAX (212) 254-1755 ENTRY RS Y , RED PRIPIt SIDE _ - - I e CMU REYAREN0 WALL ' 'n .,,I;, ry A4 SECOND FLOOR PLAN I,,/�,,, ".wlTx {IIrE cARs'roN D ❑ #5e' z ❑ ITN DRANr st _ TEL (212) 254-1175 RISERS AS EXMTINC PARADE - ' A6 EXTERIOR ELEVATIONS p'1 R ELEVATIONS r A7 BUILDING SECTIONS/INTERIOR ELEVATIONS y r 57' / 56' ' / ,❑ '❑ �, Tr AB BUILDING SECTIONS/INTERIOR ELEVATIONS _ 1 A9 BUILDING ' SECTIONS/INTERIOR, ELEVATIONS A10 BUILDING SECTIONS/ ELEVATIONS / EXISTING DRIVEWAY All BREEZEWAY WALL SECTIONS DETAILS Al2 DETAILS, WALL SECTIONS ,1 '•�' / __ / % , -� - A13 DETAILS, WALL SECTIONS .,Ht /55 - / `,- r1Ew quXc4 A14 DETAILS, WALL SECTIONS r2R' RNKWa iplG A75 INTERIOR DETAILS A16 INTERIOR DETAILS A17 EXTERIOR DETAILS NO.: DWN.! - I'�I WT WIR DATE: ,. ' 11.02.98 u, SCALE: —_ TITLE: _.. SITE PLAN f�r 1 r :, -,•'.'s X ,mr . ¢r r n., ', ,r !u. � i r .1. .n . . ,u �, ..t.. 'r � ' I 9 ,.+I I. Tu�'. ,.�,. A.. ., v �.' „ r� �, ". .a r ,_ -. ,t"'x. r _ e n r �„ �. .i' .n a.; ; -' „ . , ', ':"` I .,�iY;. , ,e., r v .r �„ I ncd{.e r �. � 1r,p i. i .1 �a i�x" i 4 , it r r ., -i ... r � t, .x. ., p I :..,ryryr .,, F .. r .- ,,$ L ., , .. .. r r,r..r„ ,.. r " F@_ r i ,. .til , i " , a L, : • .. 't . .. tri ,r ., ._, .,. . _. n ...gM„�.. , ,+�Icd�e:F�L".•..y,n`.5�',.a. r F" -v+ ",te C' .,max„ ,.,,.: u u r, �, �.., ' .k r... u I •iu1 4 tI n y i 7 y t 7. 11 f T< 1 ,1 H1.1 7 - - F k (FORMER - `i`•, qi, ROAD) �. • a COTTAGE P ': : r (UNIMPROVED)OE // N��4256.52 I W.2432.03 4+A N.424 15 r. 217 W.239 :27 Oil LOT #2SSS?S�e O 66 S• 7& jjam�,, bg gPQgO LOT #2 Sly' g• N.4176.52 1'•O /� 15 '63• sR / 3 4jf 1S$3g• W.2480.OB ON 15 / Sx1S� ?S '/ N4184.95 LOCATION MAP 21630 DECK /w ^F yry N49'23\ yO� WS3RR SCALE: 1 " = 400' �6 LOT #4 \y 1g4 (BLOCK 5 - LOT 12) rya 15856 DWELLING / `V w t a6 .��// PROPOSED DWELLING NOTES: k EXISTING \ ra ^ �ADDITION y r o o ^� \ LINE � pyo Its,r°.� W22, 34 1. OWNERS: LOT#3 - THOMAS McCANCE, JR. L -- ;SEPTIC /ate\ �o y (.' ' :� �',?I a a N�0'h P6 CLBI�WOOD6 STREET AREA / \ / LENOX, MA. 01240 CFC4- � ------ ----' BE CONVEYED `P ry </ \�� �\ I^ ti (413) 681-0143 rCO�gGe 1,252 S.F.to '" y' LOT#4 - ELLEN McCANCE PARKER SEPTIC/ 171 SAN MACROS AVENUE \ (TO BE RELOCATED) SAN FRANCISCO, CA 94116 ' PROPOSED "\ (131.35 'W / O 415 681-5577 LOT #3 PROPERTY \ 131.38 3 60 ( ) 2 (BLOCK 5 - L04 5.4) LINE yam\ OGARAGE 2 COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION -STATION -„PROS". � BEEOONVEYED 7d 6 / 3 SITE IS-IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, / BEC VEE \ / TAX MAP 1000, SECTION 006, BLOCK 5, LOTS 5 4 & 12. 1 X6`1 i r 4 SITE IS IN R-80 ZONE. LOT # .sem , , \ 50 r i � \ FN-4012.87 _ w.z486.85 LOT AREAS ' -N16'34'30"w 21221 I,Qj EXISTING LOT AREA PROPOSED LOT AREA 50.00' 5132530"W PAULINE D WEBEL 4 66,0463 S F t 66,943 S F t REFERENCE MAP: 4000 MINOR SUBDIVISION PLAN MADE FOR ELIZABETH F, McCHANCE FOX AVENUE & COTTAGE PLACE, FISHERS ISLAND, NEW YORK 32•A4 i SCALE 1"=40', MARCH 3, 1986, ADDS. TO MAY 21, 1990 CHANDLER, PALMER & KING, NORWICH, CONNECTICUT I ^� „ STEPHEN TF KELSEY I MAR 11 199 i I v n PROPOSED LOT LINE CHANGE Planning QOa cE PROPERTIES OF THOMAS McCANCE, JR . & ELLEN McCANCE PARKER 40 20 0 40 ,RAFHIC SCALE. IN FEET oFNEwyo FOX AVENUE & COTTAGE PLACE FISHERS ISLAND, NEW YORK REVISIONS �� CHANDLER. PALMER 6t KING a: DATE DESCRIPTION nF A 3/2/99 LINE REVISED P Architecture. Engineering and Surveying 110 NIOAYNAY N1*14144 CT M YO-MY 7 FAN 11/0-M 71101 TO MY EKNOWLEDGE HEREON AND BELIEF, ]HIS MAP IS SUBSTANTIALLYSUBSTANTIALLYCORRECT R1a`rlCC� AS NOTED REON 2/16/99 DATE: FEBRUARY 18, 1999 RICHARD H STROUSE LS. #49521 DATE SCALE. 1 " = 40' SHEET 1 OF 1