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Doyan, Jr. Fox Avenue Fishers Island, NY 06390 RE: Set-off for Serge Doyan located at Fishers Island Dear Mr. Doyan: The following action was taken by the Southold Town Planning Board, Monday, December 17 , 1984 . RESOLVED that the Southold Town Planning Board approve the set-off of Serge Doyan located at Fishers Island, for two lots on 2 :94 acres , plan dated April 19 , 1983 , subject to the variance needed from the Zoning Board of Appeals . If you have any questions , please don't hesitate to contact our office . Very truly yours , BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze , Secretary cc : Zoning Board of Appeals MINOR SUBDIVISION 1. 6 copies sketch plan received SRI S spot elevations ( / sentto Planning Board BIZ 2 . Meet with Planning Board VVV 3 . Required changes sent in writing 4 . New submission received 5 . Approval of sketch plan 6 . Sent letter with resolution approving 7 . Application and fee If corporation, affidavit of ownership 6 copies of final map Covenants and restrictions Description of property Note on plat that sanitation ans water facilities meet County Board of Health specifications Developer attend meeting (official submission) 8 . Public Hearing (within 45 days) Advertised Affidavits of publication received 9 . Action by Planning Board (within 45 days) 10 . Sent to County Planning Commission Received County' s recommendations 11. Filed covenants and restrictions received 12 . Authorization and signing of map PLANNING BOARD MEMBERS BENNETT ORLOWSKI,JR. Town Hall, 53095 State Route 25 Chairman P.O. Box 1179 WILLIAM J. CREMERS N 2 Southold, New York 11971-0959 KENNETH L.EDWARDS Telephone (631) 765-1938 GEORGE RITCHIE LATHAM,JR. �.fi `� Fax(631) 765-3136 RICHARD CAGGIANO PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 17, 2001 Mr. Christopher Edwards P.O. Box 167 Fishers Island, NY 06390 Re: Proposed Set-Off for Serge J. Doyen, Jr. Fox Avenue, Fishers Island SCTM#1000-6-6-1 Dear Mr. Edwards: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July 16, 2001: BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, do an uncoordinated review of this unlisted action. The Planning Board establishes itself as lead agency, and as lead agency, makes a determination of non-significance and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orl ski, Jr. Chairman enc. PLANNING BOARD MEMBERS �OgUFFO�,�C O BENNETT ORLOWSKI,JR. Town Hall, 53095 State Route 25 �� (/ Chairman y� P.O. Box 1179 WILLIAM J.CREMERS N Southold, New York 11971-0959 KENNETH L. EDWARDS WO Telephone (631) 765-1938 GEORGE RITCHIE LATHAM,JR. .fi `� Fax(631) 765-3136 RICHARD CAGGLANO PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant July 16, 2001 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed Set-Off for Serge J. Doyen, Jr. SCTM#: 1000-6-6-1 Location: Fox Avenue, Fishers Island SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This proposed set-off will separate a 1.61 acre lot from a 2.94 acre lot. Reasons Supporting This Determination: An area variance was granted by the Zoning Board of Appeals on January 26, 1985. SEQR Negative Declaration - Page Two An Environmental Assessment Form has been submitted and reviewed, and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. For Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: (631)765-1938 cc: Roger Evans, DEC Stony Brook Suffolk County Department of Health Southold Town Building Dept. Elizabeth Neville, Town Clerk Applicant •ra4 R_. PLANNING BOARD MEMBL ��gUFFO( Town Hall, 53095 Main Road RICHARD G.WARD Chairmanc P.O. Box 1179 GEORGE RITCHIE LATHAM,JR. CA Southold, New York 11971 BENNETT ORLOWSKI,JR. p Fax (516) 765-3136 WILLIAM J. CREMERS y `� Telephone (516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 28, 1997 Serge J. Doyen, Jr. P.O. Box 263 Fishers Island, NY 06390 RE: Approved Minor Subdivision for Serge J. Doyen, Jr. SCTM# 1000-6-6-1 Dear Mr. Doyen: The Planning Board reviewed your January 23, 1997 request to relocate the existing driveway as shown on the survey received by the Planning Board on January 27, 1997. The Planning Board is in favor of the proposed relocation. It is not necessary to amend the subdivision map. However, a revised deed describing the new location of the right-of-way should be submitted to the Planning Board. Please feel free to contact me if you have any questions regarding the above. Sincerely, c � Melissa Sp' Planner KGS � . SERGE J. DOYEN, JR. P.O. BOX 463 FISHERS ISLAND NEW YORK 06390 January 23, 1997 PlMAM Hid T:Ytn of Sa±hold 53095 main 18cad Sautlnld, N.Y. 11971 GatI ar Please as se ne as to the neansary proos�rze to relocate tle existing road b:) a ma locatim ir�az tine a)clo93d slummy of 9q3esty. 7tarilc }w. F if v g Southold Town Board of Aeals PP MAIN ROAD - STATE ROAD 25 SOUTHOLD. L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3313 Application Dated November 30 , 1984 ( Public Hearing January 24 , 1985 ) TO: Mr . Serge J . Doyen , Jr . [Appellant (s) ] P . O . Box 263 Fishers Island , NY 06390 At a Meeting of the Zoning Board of Appeals held on January 26 , 1985 , the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section [X ] Request for Variance to the Zoning Ordinance Article III , Section 100-31 , Bulk Schedule [ ] Request for Upon application of SERGEJ . DOYEN , Box 263 , Fishers Island , NY for a Variance to the Zoning r finance , rticle III , Section 100-31 , Bulk Schedule , for approval of insufficient area and width of two parcels in a proposed set-off division of land located at the South Side of Fox Avenue , Fishers Island , NY; County Tax Map Parcel ID No . 1000-006-006- 001 ; containing a total area of 3± acres . WHEREAS , a public hearing was held in the Matter of Appeal No . 3313 of SERGE DOYEN _on January 24 , 1985 ; and WHEREAS , at said hearing , no one appeared in opposition thereto ; and WHEREAS , two letters in opposition to this proposal have been received and considered by the board in making this determination ; and WHEREAS , each of the board members have viewed and are familiar with premises in question and its surrounding area ; and WHEREAS , the board made the following findings of fact and deter- mination : 1 . The property in question is located in the "A" Residential and Agricultural Zoning District ; 2 . Article III , Section 100-31 , Bulk Schedule of the Zoning Code requires a minimum of 80 ,000 sq . ft . for each proposed parcel of land established subsequent to June 10 , 1983 (date effectuated ) . 3 . The property in question contains a total area of 3 acres ; proposed Lot #1 to contain an area of 1 . 61 ± acres and Lot #2 to contain an area of 1 . 33± acres . 4 . Lot #1 has frontage of 451 feet along Fox Avenue ; Lot #2 has an average lot width of 253± feet , and a width at the building setback line of 222± feet . 5 . Lot #1 is vacant land ; Lot #2 is improved with a one-family (CONTINUED ON PAGE TWO ) DATED: February 8 , 1985• CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) Page 2 - Appeal No . 3313 Matter of SERGE J . DOYEN Decision Rendered January 26 , 1985 dwelling . 6 . Lot #1 is to be serviced by the municipal water district and an on- site sewage disposal system subject to the requirements and approvals of the Suffolk County Department of Health Services ; Lot #2 is presently serviced by each , respectively . It is applicant ' s request for a variance to allow relief for Lot #1 of approximately 12% of the requirements , ( 9 ,868± sq . ft . ) and for Lot #2 of approximately 27% of the requirements , (22 ,065± sq � ft . ` , 8. For the record it is noted that a prior appeal application for an accessory building was made under Appeal No . 3187 , which was conditionally granted by this board November 30 , 1983 . It is Further noted for the record that on December 17 , 1984 , this project received approval for a set-off division of land by the Southold Town Planning Board . i0 . Applicant has indicated his intent to properly locate the new dwelling on Lot #1 when planned and to consult with the neighboring property owner ( s ) for their wishes or suggestions . In considering this appeal , the board has found that this proposal is consistent which those parcels existing in the surround- ing area and it has determined accordingly that : (1 ) the relief requested is not substantial in relation to the zoning requirements (being 27 . 5% and less ) ; (2 ) there will be no effect on population density thereby not effecting available governmental facilities ; ( 3 ) there is no substantial change in the character of the neighbor- hood or a substantial detriment to adjoining properties ; (4 ) and that; in view of the manner in which the difficulty arose , justice will be served by allowing the variance applied . NOW , THEREFORE , on motion by Mr . Grigonis , seconded by Mr . 1'-hrinoer , it was RESOLVED , to grant the relief requested under Appeal No . 3313 of SERGE DOYEN as applied . Location of Property : South Side of Fox Avenue , Fishers Island , NY ; County Tax Map Parcel No . 1000-6-6- 1 . Vote of the Board : Ayes : Messrs . Goehringer , Grigonis and Douglass . (Members Sawicki and Doyen were absent . ) This resoluticn was adopted with a unanimous vote of a quorum of the members present . GERARD P . GOEHRINGER , CHAIRMAN ik February 8 , 1985 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL o Date Z:; . . . . . .e�45'.. . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your applieatien dated . . /?!C l.l. , , . . . . .. 19 e! for permit to ��//� 1Y!/J� . . pCl�� y!. . . . . . . . . . . . . . . . . . . . . . . . at Location of Property . .`els. . . . . . . . . . . . . . . . . . . L�rf House No. // Street Hamlet County Tax Map No. 1000 Section . . . . . . . . Block .04�;. . . . . . . . . Lot o z. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot Nom. . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds .d. OF . . . . . . . . . . . . z . . . . . . . . . . . . . . . . . . . . . . . . rZ/. . . . . . . . . c. leo. .- l. . �� d�/ !x!cG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector RV 1/80 TOWN CLERK TOWN OF SOUTHOLD �0 Suffolk County, New York 516 - 765.1801 ' ! Southold, N. Y. 11971- 191�z i 1VEDO — � �j� � i Dollars E� 1 -1 For r I Judith T. Terry, Town Clefk Cash Check ❑ BY i L SERGE J. DOYEN, JR. P. 0. Box 263 FISHERS ISLAND NY 06390 8/17/83 Mr. Henry E . Raynor, Chairman Southold Town Planning Board Main Road Southold, N. Y. 11971 Re: Minor Subdivision, Serge Doyen, Jr. Fox Ave. , Fishers Island NY (application) Dear Henry: Please change above to Art. 106-13 set-off. Thank You. Very truly /yours , i SergeDoyen, Jr. f 00j r, 'r s r x r. S _ foc' 3^b 1N3J43NJ Y H n �'O" Q Z " ^ i` o•.f - . - -.. ., « _o'er$ �6 LL w o � _ =� i �a to l,Mma*; enetN .. 3wd 't�• tlIIAKMWefMaAap fie Yrrenit^n.ldir a� .naive i > `r l 1.1. ., o iAAKli: t. FRUM,L. foo w0r. both rveltd;e:T 0 e w.� toiv", Fieheu, 1,41 old, Ne. York, F a z � 1 t �r i pa+'vW sr tvu tw,t,ar.,i `,i.",ttt.1: J, tJ[JY 6N, Jit.. residing at do<, rwmtwr! 3leartttuk I) :lrnnur, I-")1, I'M lsl Imi, Now York, i n. i le.tr/or tee wcaw Mn. y` ji r r 4 M+t W PPnY of the/.0 pal,M ounlydwalton all TM1 pptWt ons otaM wnseN eerwea.tran Md ke' ssiF p ala W 1Y W 1M rM11a MI.do.,MNY 1Ant wa mil ww NOW"of the a""11014 us Nero xx cvaPWBTx i� 1J` ww trrpnsi fM 0"at on mord pat tr . y i- AN iMa"Uh Plat,M or MW of 1N.W*M bwwbrp oM Iw wo"Wo o do wrewe. .Mn7E enn - ;,4 ark�dttJPa w Fishers Island. Town of Southold, t.'uonty of 4ufOolk on.l (Stith r.f ti,., �a t rrrk, iwavg more pariteularly twrwWed ind dowerlbod an folluwo; . �. tIFY.IN\1NG at a m{mument on the suutiwsxtsrly Itn:+ of Pox Avem at It% a epc-tion witfi 4tr ttorthaostarly Una of Mansion iiuure larivoo. said point,lwjrw 07 ", fart IA„rth of a point which to 2391.It feet West of*%19Uwr OgAnAiYflt pwe#can ,rc, ` " "too Coast and Uoodetla Survey TrhatteuLoton Statwm"PRtkV'i and 0HU°s^r runoing alum said Foo Avenua line Nortb 97 depraan 31 minu100 10 aaeaMa FA4 i 11,do foci to n mtmumelltt rhino still sloop said Awaaw line Nortb 97 402rm4s h3 mtn<ttaa 10 serrxMs Cast 817.91 feet to s tMOVI tmanti OWNCe ';mlk 96 d-.ag+r*rm w4lwtoa 30 seconds most 838.33 toot, We line pawatrlf throitab a ar;ngor,,VW W� " real fft**Vw atwthw sterlr aid of sawlituh tt"MO$109th a&jf,+44Fo 6,1 #Vt t r initaite s'tM�; aK tl0.N-AW 10 0 �t of the said*tor thasPsar £StSk { Cd' hlaoA"wow 6ivet thew v stow weld L Ave It"" North sit40vocto 8-9 r ikO.w. Pt ner,mda Wont 277.80 Peat to a .narwwlenti Olen,I, 4vill allow sottl f.'frive lira• a ' Nl rwlh As thwr"x 02 nunuto0 80 wal" a West 158.43 feat to the 1xx.nf of b"rte.inn - w 'H` I1P„[kCS Intl 1Mt0ntMd to by.iqa pAMt pr+Awti00s corrrymd h,2 Fiehar.P Wr.Ge' Lt+1„ Ccwnta Pp.lM. tq pmt app Maria J. 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IDx�M+'�GM'fRF <hM1b,n'.'3{#kha Mt e. • #rW"WOW :w rr,a:s„ Y: 0.k; m ,+,.;:ue.+Nr xfira•t'.?t N,yp .r1 P4PlWR MYR EAF IN P. L',da'ti iall l#mo d S`!W" Iv yyrurna+Ri;0%aP 'wa ..a. «A m nw�sPsrr+wR:U1M iM me dMwN sro NIII#P'/:W of 400 oft ommoww m IANI AY1 tlY.ip9.4 at4e*rfm7•. F '+«KKb�RR«#.`•. py.YppMMM M s;JMORAW #w" i/M#t Pr#r . { hra wP=,:+✓ r moo MAIMS brow a#d�w'• m##aMM N[11P M��F�A ssHlk. swim- Napo MMM►gob ar�wrr+!d .ea Atom STxPlas - MARM .'.. NI�'aA #ymww##n�ar#rw i 4 +Fry, Aww"OV OW 10 ♦.,,...w xrw fb 4W I a dr � • 4s» al x J $4 a , � l � c-��ArY► .��Peni eo It � • ve APPLICATION FOR APPROVAL OF PLAT MAY 9 RECO To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be . S , .-T, ,DO . . . . . . . . . .. . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . .. . . . . . . . . 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: Liber . . . . . . 7 .. . . . . . Page . . . .. . . . . �. . . . . . . .. . On Liber . .. . . .. . . . . .. .. . . . . .. ... Page . . . . . .. . . . . . . . . . . . . . . . On . . . .. . . . . .. . . . . . . . . . . . . ; Liber . . . . . . . . . . . .. . . . . . . . . . . . Page . . . . . . . . . .. . . . . . . . . .. Liber . . . . . . . . . . . .. . . . . ... . . . . Page . . . . . . . . . .. . . . . . . . . .. Liber . . . . . .. .. .. .. . . . . ...... . Page . . . . . .. . . . . . . . . . . . . . . as devised under the Last Will and Testament of . . . . . . . . . . . . . . . .. .. . . .. .. . . . . .. . . . . . . . . oras distributee . . . . . .. .. .. . . .... .. . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . .. .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . .. . . . .... . . ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. .. .. . . . . . . . . . . 5. The area of the land is /!4 /.t . J.. acres. (0?,941 A) 6. All taxes which are liens on the land at the date hereof have been paid except . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . 7. The land is encumbered by . . . . . ..iyQ.�!�-, , , , , . . , . . • . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . mortgage s as follows: (a) Mortgage recorded in Liber . .. . . . . . . . . . . . Page . . . . . . . . . . . . . . . .. . in original amount Of $. . . . . . . . . . . . . . unpaid amount $ . .. .. . . . . . . . . . . . . . . . . held b address . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (b) Mortgage recorded in Liber . . . . . .. . . Page . . . . . . . . . . . . . . . . . . . . . . . in original amount of . . . . . . . . . . . . . . unpaid amount $. . . . . . . . . . . . . . . . . . . . . . held b address . . . . . . .. . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) Mortgage recorded in Liber . . . . . . . . . . . . . . Page . . . . . . . .. . . . . . . . in original amount of . . . . . . . . . . . . . . unpaid amount $. . . . . . . . . . . . . . . . . .. . . . held by . . . .. . . .. . . . . .. .. . . . . . . . . .. .. . . .. .. . . . . . . . . . address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 8. There are no other encumbrances or liens against the land except . . . ./Y.!V.i�_7.. . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . .. . . .. .. . . . . . . . .. .. .. . . . 9. The land lies in the following zoning use districts A.'. !):�f.(.Oe�]�/A� . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. .. . . . . .. . . . .. . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex- cept . . . .. ..11'>.1g ! E.. .. . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . .. .. . . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (rhes not) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is 13. Water mains will be laid by . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . . . T . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . .. . • •. •• • • • . . • • • . . . • • • . . • • • • . . . . . . . . . . . . and (a) (no) charge will be made for installing said lines. ,� / 15. Gas mains will be installed by . . .44d K C . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . 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 streets in the Suffolk County Highway system, annex Schedule "L'" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold Highway system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the land which are not located and shown on the plat. 19. Where the plat shows proposed streets which are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing maps at their conjunctions with the proposed streets. 20. In the course of these proceedings, the applicant will offer proof of title as required by Sec. 335 of the Real Property Law. 21. Submit a copy of proposed deed for lots showing all restrictions, covenants, etc. Annex Schedule "D". 22. The applicant estimates that the cost 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 . . . .. . . .. . . . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE . . . . .0..9/.//.19. . . . (Name of App scant) By . .. .. . . .. .. .. . . .. . . . . . . . . .. . . . . . . .. . . . . . . . . . (,Signature and Title) t ;Q. Y. a�/3 fiS/<E�S Ts G4NO (Address) /may — O G 3 f O STATE OF NEW YORK, COUNTY OF . . . . . . . . F.L Q.4K. . . . . . . . . . .. ss: `vfti �I On the . . . . . �. .. . . . . . . . day of. . . . . . . . .N1pr i j. . . . . . . . . . . .. 19.4f',) ., before me personally came . Se ryQ. . :J, ..�?p Y.e.':i ' J.✓ . .. . . . . . . . to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . . . . �7�. . . . executed the same. B� LC4/L,�� Notary Publi MARY B. PAMKiEWICZ" " ' NOTARY PUBLIC, STATE 0 YORK NO. 524267950 — SUFF" COURTY COMMISSION EXPIRES MARC" 30, 198 STATE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . ss: On the . . . . . . . . . . . . . . . . day . . . . . . . . . . . . of . . . . . . . . . . . . . .. 19. . . .. ., before me personally came . . . . . . . . . . . . . . . .. . to me known, who being by me duly sworn did 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. and that . . . . . . . . . . . . signed . . . . . . . . . . . . . . name thereto by like order. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notary Public _ It1STt"JCTICt1S : -7_07-11, orcic:r to ansrar the questions in this short EAF it is ossun ihct the prcporer will use cur rcntII, ovoiIobIc infor nation concerning th project and the lit:ely impacts of the action . It is not expected that odditionoI stud ien, research or other investigations wilI be undertaken . (b ) If any question has been answered Yes the project may be significc:nt and a completed EnvIronncntol Assessment Form is necessory . (c ) If all questions have been answered No it is likely that this project is not significant. . (d ) Environntntal isscssr, ent 1 . 17i11 p ooject result in a large physicol change to the project site or physieolly alter more tf:nn 10 acres of lane!? . . . . . . . . . . . Yest�No 2 . Will there be a major change to any unique or ur,usu,)l land form found on the site? . . . . . . . . . . Yes ✓ No 3 . Will project alter or hove a large effect on existing body of woter' . . . . . . . . . . . . . . . . . . . . . . . Yes ✓No 4 . Will project have a potentially lorge impact on groundwaier quality? . I . . . . . . . . . . . . . . . . . `les ✓ No 5 . 11ill project significantly effect drainage flour on adjacent sites? . . . . . . . . . . . . . . . . . . . . . . . . Yes ✓ No 1 . fill project affect any threatened or endangered plant or aminal species? . . . . . . . . . . . Yes C/No 7. Will project result in a major adverse effect- -- — on air quality? . . . . . . . . . . . . . 7 Yes ' No E . 'liil prnjcct have a major effect on visual —' ehoractcr of the community or scenic views or vista: known to be important to the community?—Yes 1/ No 9 . 11111 project odversely inpact any site or -- structure of historic, prehistoric or pa.lcontological importoncc or any site clusignutcd as a eriticol environmental area by a local ogency? I . . I . . . . . . . . . . . .. . . : . . . .", . . VYes VN o 10 . 1'lill project have a major effect on existing _ or future rccraationnl opportunities? . . . . . . . . . Yes ✓ No 11 . Will project result in nojor traffic problems or. CaU:e a major effect to existing tronsportot!Oil systems? . . . . . . . . . Yes ✓ No 12 . 1'lill Project , tarly couse objectionable "— odors , noise, glare, vibration, or electrical disturbonce as a result of the projoct ' s operation? . . .. . . . . ... . . . . . . . . . . . . . . . . * . . . . . . . . . . Yes ✓No 13 . Will project have any icpoct on public health , or . safcty? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes v No 14 . Will piojcct affect the existing community by directly causing a growth in permcnent Population of more than 5 percent over a one year period- or have a mojor negative effect on the ehoractcr of - the eo;emunity or neighLor}rood? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._Yes ✓No 15 . Is there public controversy concerning the Project ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes ✓No PPEPIc(;EP ' S S ] GtU�TU:^,[ � . REfP,ES[11TItIG_ � �P__ DATE April. 27 , 14 (JPD) Y Serge J . Doyen , Jr .. to LOT #2 A certain tract or parcel of land with the building thereon located at Fishers Island, Town of Southold , County of Suffolk and State of New York , being bounded and described as follows : Begi.nning at a monument , said monument being located 4462 .06 feet North of a point which is .2078.14 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" and r_inning thence South 51' 271 00" West 26. 33 feet to a point; thence North 56° 50 ' 30" West 266.93 feet to a point; thence North 460 02 ' 30" West 89 .86 feet to a point; thence North 82° 00 ' 24" East 361 . 74 feet to a point_; thence South 160' 131 30" East 183. 55 feet to a point; thence South 56° 46 ' 50" West 120.48 feet to the monument at the point of beginning. Containing 1 . 33 acres , more or less . Together with and subject to a right of way for all purposes over a strip of land 50 .00 feet in width lying partly on the above described tract , partly on Lot #1 and partly on land of Benjamin H. and Martha Kent Gray , the center line of which is described as follows: Beginning at a monument on the Southeasterly line of Fox Avenue , said monument being located 4789 .26 feet North of a point which is 2491 .11 feet West of a monument marking the United States Coast and Geodetic Survey Trianc7ulation Station "PROS" and running thence South 670 51 ' 10" West 27. 34 feet to the point of beginning for the center- line herein described; '_hence South 46' 02 ' 30" East 269 .86 feet; thence South 56° 50 ' 30" }East 266 .93 feet. Together with a right. of .may 20 feet in width for a driveway across Lot #] , said riaht of way baing described as fo i_ows : t v LOT #ZL 2 (continued) Beginning at a point on the Southeasterly line of Fox Avenue, said point being located 4851 . 7q feet North of a point which is 2232.93 feet West of a morument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" -;nd running thence South 110 33 ' 52" West 185 .14 feet; thence South 82° 00' 24" West 21 . 22 feet; thence North 11 ° 33 ' 52" East 185 . 32 feet to the said Southeasterly line o " Fox Avenue; thence North 820 28' 10" East 21 . 16 feet along said Avenue line to the point of beginning. ' April 27 , 1950 (JPD) Serge J. Doyen , Jr. to LOT #1 A e to n tract o-- par_e1 of 13nd located at Fishers Ts7and, Town of Southold , County of Suffolk and State of New York , being bounded and described as follows : Beginning at a monument on the Southeasterly lire of Fox Avenue, said monument being located 4872 . 33 feet North of 'a point which is 2077 .53 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" and running thence South 16° 13' 30" East 175 .00 feet to a point; thence South 820 00 ' 24" West 361 . 74 feet; thence North 46° 02 ' 30" West 180 .00 feet to the Southeasterly line of Fox Avenue; thence North 67° 51 ' 10" East 138.94 feet along said avenue line to a monument; thence North 82° 28 ' 10" East 312 .91 feet along said avenue line to the monument at the point of beginning . Containing 1 .61 acres , more or less. Together with and subject to a right of way for all purposes over a strip of land 50 .00 feet in width lying partly on the above described tract and partly on land of Benjamin H. and Martha Kent Gray, the center line of which Is described as follows : Beginning at a monument on the Southeasterly line of Fox Avenue , said monument being I.ocated 4789 . 26 feet North of a point which is 2491 . 11 feet '✓Jest of a monument marking the Unit-ed States Coast and Geodetic Survey Triangulation Station "PROS" and running thence South 67' 51 ' 10" West 27 . 34 feet to the point of beginning for the center- line herein described; thence South 460 02 ' 30" East 180 .00 feet . Subject: to a right of way 20 feet in width for a driveway to Lot 42 said right of way being described as follows : e LOT 41 ( continued ) Beginning at a point on the Southeasterly line of Fox Avenue; said point being located 4851 . 79 feet North of a point which is 2232 .93 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" and running thence South 11° 33 ' 52" West 185 . 14 feet; thence South 820 00 ' 24" West 21 . 22 feet; thence North 11° 33 ' 52" East 185 . 32 feet to the said Southeasterly line of Fox Avenue; thence North 82° 28' 10" East 21 .16 feet along said Avenue line to the point of beginning. April 27 , 1,0 (JPD) Serge J. Doyen , Jr. Description of entire Tract on Fox Avenue A certain tract or parcel of land with the building thereon located at Fishers Island , Town of Southold , County of Suffolk and State of New York , being bounded and described as follows : Beginning at a minument on the Southeasterly line of Fox Avenue, said monumen'- bie .. j 'located 4872. 33 feet North of a point which is 2077 . 53 feet West of a monument marking the United States Coast and Geodetic Triangulation Station "PROS" and running thence South 16° 13 ' 30" East 358. 55 feet to a point; thence South 56' 46' 50" West 120 .48 feet to a monument; thence South 51° 27 ' 00" West 26. 33 feet to a point ; thence North 56° 50 ' 30" West 266.93 feet to a point; thence North 460 02 ' 30" West 269 .86 feet to a point on the said Southeasterly line of Fox Avenue; thence North 67° 51 ' 10" East 138 .94 feet along said Avenue line to a monument; thence North 82' 28 ' 10" East 312 .91 feet along said Avenue line to the monument at the point of beginning. Containing 2.94 acres , more or less . Together with a right of way for all purposes over a strip of land 25 .00 feet in width , said right of way lying Southwesterly of and adjacent to the fourth & fifth lines in the above description . Subject to a right of way for a1.1 purposes over a strip of land 25 .00 feet in width , said right of way Northeasterly of and adjacent to the third and fourth lines in the above description . 121 W tdain St-vet Riverhead New York 11901 516 727 4140 ' U-'i1FE TITLE INSURANCE Company of New York June 18, l981 Frederyck Tedeschi, Esq. 403 Main Street Greenport, New York 11944 RE; Title No. 79-52-24956 Serge J. Doyen, Jr. 112 ,St. of Mansion Nouse Dr. Dear Sir; upon investigation of Mansion House Dr. (Ext.) abutting the above captioned to the center line, title has passed to the center line by Fishers Island Utility Company, Inc. , to Stephen Figall and Marie J. Figall, by Deed L. 8544 p. 522. The Figall's conveyed to Serge J. Doyen Jr., by Deed dated 81111979, recorded 811511979 including the 112 streets. U,g�y t�zy�ly yours, CLI Douglas C. Staib Vice President DCS1mk WOO _RT gy, Nk "I'Ll",�L� .�t., � " ,�,L�w,"4,44,4,,-.�z;a24gz;��-4j,,,v,-�44 �43� 71 0 � Kv �k-3 C) li Le I C it LC) L_ ,p A/ to - 00, Lo-T- 1 , 0-7 4rkl / 4�Fn.2L 41 ?*)i. it zo ' 1 I .70-r-A.L_ to A_ - ,4 94T T-S 'Yj —FW opr SOL)l-HOL_zc>, COUITY Z.5 -B i-oc'e- Lor c"OOL.I: -tx S-Fr-lc-r 4, IS -Fo , q -�, -B v M rr V)C-V.I- I uo I C 11-;kLT. All SK�,Gk7 J. _�,U 4s' J ET�T_ \ z A17 0 N444 w 114 71997 . J S. 51' v, Co 1,L(r *raF�� OYE�j GMK 46 15m 40 i"t4i13V'i; r - t- " n r 'r , � ,M1 ' rF, . . Y _ . 'ai, x l 1 . 111'."� y - .l r 161I ! Kil i i. 1 . i w x . 9 � "� .:,x >✓� z x r,F �, a , tae �r yu rrr e ' o Y rE1g r 7 i+ 6It 4. }. I 1IFPOO � . 4 k: � 1, 4 ex �- it .` .�,.. I ,' I I , rl J - �. - It r _ I Sc�, BAR .. •j, t h AX.O. . 1 � V i a x \ i 4aMCSLL..S ' r I �y(yt� rt 1 e �s. �� I 1 72 `B sc PL" Al i�s7V TLku1cA 1w�sl{R,IC4at+44rr1 SIT / �Qi ' `fTCLLPl1w¢I r s � A�JJ7f:+. � R1, aW� .fY lFChx " - 3 �q'"i { - =CDJ*'PyR•R Wls2q' C+FA+lC,�i .-�O yy ^�7�1e ! Q Y N 44r,2'pfo W zok78.i4 �h�Q�lo . '.1983 .144% 111 �' 61, y' x