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HomeMy WebLinkAbout1000-6.-6-7 i L', / w � ee�C, J.6 NITFtEtn 1 1 �M T8�41-3aEJLo W�I T lNJ -J y,. 77- • ,•I,. L .,l 7 5.77'LVcif TSP' •�\7N 7. y 44. 1 en,y l�l4i o. W qD' •"" f:1 •, _ z + , ' _ vis s j ,\p proreu in attorvimlrr 01B.TTl of Fiesiew CS) '�': •© .. " SU 63FCT F'E F•_OKTY D W drterminatlon dxtD3 r `� " `` , "�• 0 '• �� p X / SUFFOL COUNTY DEPARTMENT OF HEALTH SERVICES .+.Pv' E <% N 0 Hauppauge, New York �DD 9 iQf11 - �� I •4,• 4 ' �,-csF�� _�' This is to GL+ i1y that the pro osed m anv�ments for water supply and sewaB P ,arl�rf�r, _J!1R(,E_ V m in the _'^" ith a total of lots �`� r¢xsr _ were appro d on the above date These fzcrllues must conform to ©C{t l-. 1 O M,fyP / Gig �'�l.// �a• Z 0 construction standards in effect at the:ime of construction. This �H�`5 12 KO approval shall be valid only in the event said subd"rwsion/deveb - BC/al_E t " =_ 600'= e Aj- gL' _I A opment plan Is duly filed with the CounlY Clerk within 6 months of i1s�7B. ��' ,�.`�4� " w Q this date. Consent is he' given for the filing of this map on I2�0 -`;�-te a<� /G $ 1 which this endorsement apps'-rs mt -a Office of rile t Bdty lerkSuffolk in accordance with provisir.n,ot.he Yuuiic Health'aw..nd the Suffolk I(Ex yt) �a / p rC13.`FoXkWEY County Sanitary Code. r Aldo Andreoli, P.E. \ laOv �� No II pire`c: or,, Division of Environmental Qualdy � I W � � , � �•4 048'�� �-Qp � I Z r 0. 1=�ec_ _ah •. or IfS � in 1 1ZOP�o46JE � 01QD / 41 m/ r c-1 a � � .1�'1b 3✓ 4� T � / . r / F s �I� UDTE'. R1GAtgF F �\ ELEc_ cooKDMAT E DISTANCES ARE to - ME45URED FKDM 0.5 60A.5A n w 1 0 ° . 3 Z AND GEODETIC 5UKVEY 0. // _ _ �bJ1 rl / / —147 TQ k0GULAT 101,1 6W10NL- 1'PKOS" j MSN / W. 1 719 37 CFo�N X /4��4/ O N r ➢ z Y°�" '/ i 0- APPROVED BY IA i � / / PLANNING BOARD P13Y Iyer �° , /� / i � e�'`�a / / TOWN OF SOUTHOLD DATE UN 41 I � Do MAY 2 1 1991 L OWUEK SU6DIVIDf�I THO D5 A•SA26ENT I leo M' 78°o / O �V HIGH ST., CHd.V_LE5TON, VASS . OZ CF�uNti> .0,C) IA/ IDD ham' MoPEvV IS 'LOCATED IU ZDiJE Iz.-40 / 112'xh ' 3. SITE IS LOCATED IN SISFFOLY CDUTITY, TOWN DF vj� 5 i �o•�?a� 50UTHOLD, 015TKICT I°oo, TAX MAI' e $LO Ckb, LOT5 7�_1Z F a fo M IN o� SvSOI V ISIo l PLA 1 SCIiDDL DI571'_ICT4• SLST� F-:Y MAP 4. GONTOUK 1NTEKVAL = 5FOET G f tJ y S" P_=E BASE FOZC -EVELS : aPPCDXI1lAYE M• 5. P�EP�`L�o FOQ 5 5CWA6E D15705AL 15 EXISTIU6 DN SITENOTEw oF NEW Y : � DENOTES A4P¢pXIMATE SEFTIC SY5TEM LOCATIONS . I I. LOT Z IS 5U6J ECT To ICIGHT5 N FBOK OF LOT 1 aP D H 9 ,� Tt{bNl AS SARGEtifT 6. SITE 15 5ERVICED by MUNICIPAL WATER 5Y5TEM. T005E k"D NIAl9TA1NTHE EXISTNW. WATEK_ BNE . r7 o�PP ryoG .� 7. 1-07—A 1OZ69 *- . FT ¢ m OFF Fox AVEnUF LOT O 41Gf SS t SQ. FT_ % m FISHEK6 16LAND NEW '(0 Y_ Lor O 5331 SQ.F C" .L I HEREBY CERTIFY THAT THIS MAP WAS E rl� Ho 04952` LOT O Ili / 14-` SQ.FT. FROM ACTUAL SURVEYS COMPLETED 6,1989 TQK •y + --AND GO �oCALE I = ZO+ AND MONUMENTS ARE SET -- 45 EXlSTItiIU CONTOUKS i-`�' rS. rx) CNAwIOLEe P? l-ME>y . KIUG APPROXIMATE LOCATION `""b� [ � "A DECLARATION OF C VEN D RES TRICTIONStiT.� ti OF WATEK htA.W AUO SEKVIC�S A�5 AFFECTING THE LOTS IN THIS BD IS HASr!jG �' '^� N T_WICl-, Co,.INEC'T IST FIJRNlSI'1eT7 gY THOMAS A. Sd;'GEUT. BEEN FILED IN THE OFFICE qOF THI' SUFFOLK ADDITiDN OFKIGNTS iA LDT 115 5UNECT TD R.IGHT5 IN FAVDKOF LOT? TO COUNTY CLERK IN LIBERIIZ551PAGE 53O ti FO�WAnV LIUr_ 1-22-911-22-91 AUGUST �O 1990 1356A14DlAAILITAINTHEE11I511146WDTEKLINE . Kay 'I,IgR1 �Yxi ] ADDiT10 S: 10- 22-90 F .zlao PLANNING BOARD MEMBERS ,_y ^_ ' SCOTT L. HARRIS Bennet[ Orlowski, Jr., Chairman Supervisor � . George Richie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald —1 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 June 6, 1991 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901 RE: Minor Subdivision Thomas Sargent SCTM#1000-6-6-7 Dear Mr. Hills: The following took place at the meeting of the Southold Town Planning Board on Tuesday, June 4 , 1991. The final public hearing which was held at 7 : 30 P.M. , was closed. The following resolution was adopted: WHEREAS, Thomas A. Sargent is owner of the property known and designated as SCTM#1000-6-6-7 & 12, located on a private right-of-way to Fox Avenue on Fishers Island; and WHEREAS, this minor subdivision, to be known as Minor Subdivision for Thomas A. Sargent, is for 3 lots on 26,983 square feet; and WHEREAS, a variance to the Zoning Ordinance for approval of insufficient area, width and depth of each parcel was granted by the Zoning Board of Appeals on October 17, 1990; 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 January 14, 1991; and Page 2 Thomas A. Sargent WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final survey dated January 22, 1991. 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 further questions. Very truly y/ol7urs, Bennett Orlowski, Jr. ins Chairman Encl. cc: Victor Lessard, Principal Building Inspector Robert Scott, Tax Assessors office VECLN MCK OF RBs Wnyx Cans MAY 2 4 DECLARATION made this day of - 14ay , 1991, by THOMAS SARGENT and ALLISON IJAMS, his wife, residing at 16 KV.16 Park, Newton, Massachusetts, hereinafter called the owner. Since the Owner owns premises more particularly described in the attached Schedule A, which is made a part of this document and since the Owner has obtained the approval of the Southold Town Planning Board and the Zoning Board of Appeals for Subdivision of the described property into three (3) Lots. The owner declares that such land is held and shall be conveyed by it subject to the following covenants, restrictions and conditions, which shall run with the land: 1. There shall be no further subdivision in perpetuity. 2. That the accessory garage (gar. & apt. ) structure on proposed Lot $1 may continue its present non conformance (without any increase in size) for a period of not more than ten (10) years, or when the structure is abandoned or permanently vacated by the present tenant, whichever shall occur first. The occupancy of this nonconforming garage-apartment shall then 7y )L automatically cease and become null and void, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. 3. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of a majority of the Planning Board of the Town of Southold after a public hearing. Adjoining APR 0 :a3i 11259PC531 property owner shall be entitled to notice of such public hearing but their consent to such modification shall not be required. 4. That the accessory shed structure on Lot #3 (referred to as 16,714 sq. ft. ) be used only for storage purposes (and never to be converted or used for sleeping or habitable purposes) . IN WITNESS WHEREOF, the Declarants, THOMAS SARGENT and ALLISON IJAMS, his wife, have affixed their signatures day o May, 1991. SAR ALL SON STATE OF MASSACHUSETTS) ss. : COUNTY OF &+ & ) On the 7 day of May, 1991, before me personally came THOMAS SARGENT and ALLISON IJAMS, to me known and known to me to be the individuals described in and who executed the foregoing instrument and they duly acknowledged to me that they executed the same. �+N16tary Public P`! At�A�M1tY .a Y ' S i. li. 1 SCHEDEB'A 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, being more particularly bounded and described as follows: BEGINNING at the southerly terminus of a 25 foot right of way leading to Fox Avenue (289' to center line of Fox Avenue) and the southerly side of land now or formerly of Stephen Figall, which point is located North 77 degrees 22 minutes 20 seconds East 177.43 feet fron a monument located North 4,585.93 feet West 1,719.37 feet from U.S. Coast and Geodetic Survey Triangulation Station "Pros"; RUNNING THENCE from said point or place of beginning South 3 degrees 47 minutes 30 seconds East 85.50 feet to the northwest side of land now or formerly of Regina S. Pyle; THENCE along said land the following two courses and distances: 1. South 55 degrees 10 minutes 00 seconds West 78.80 feet; 2. North 78 degrees 03 minutes 20 seconds West 112.00 feet to the easterly side of land now or formerly of Stowe C. Phelps; THENCE along said land North 3 degrees 47 minutes 30 seconds West 156.21 feet to land now or formerly of J. B. Hartsfield; THENCE along said land now or formerly of Hartsfield North 78 degrees 41 minutes 30 seconds East 120 feet to the aforementioned right of way to Fox Avenue; THENCE along said right of way South 3 degrees 47 minutes 30 seconds East 84.92 feet to the southerly terminus of Fox Avenue; THENCE along said southerly terminus of the right of way to Fox Avenue and land now or formerly of Stephen Figall, North 77 degrees 22 minutes 20 seconds East 57.03 feet and the point or place of BEGINNING. A _nztES TH S bIINOR SUHDI� ISION IS FOR L_* LOTS ON cRLOCAT.1i N (�✓ - A09 IN i511n✓� �s� n SCTM# 1000- — -) MINOR SUBDIVISION (NO ROAD) Complete application received Application reviewed at work session m.` Q ADL OK intro. Applicant advised of necessary revisions Revised submission received pro.` OK '&O OK inro. Sketch plan approval -with conditions Com' k tw 11113191 H a2 9l mo.exr sl Lead Agency Coordination SEQRA determination ,,, en /_/./—y) Sent to Fire Commissioner Receipt of firewell location Notification to applicant to include on final map Sent to County Planning Commission 1114- Nro. OK sx� Receipt of County Report ro. OK Review of SCPC report Draft Covenants and Restrictions received07K 51sv91�z,S�T,A. ah4 Draft Covenants and Restrictions reviewed rAM aero. OK Filed Covenants and Restrictions received Receipt of mylars and paper prints with Health approval s1211q zmy(C?rn pj, IN. Final Public Hearing 5`'l J -7/ ¢ea` 6 -3 Approval of subdivision -with conditions Endorsement of subdivision 10( 17 Q0 Iccx wets 26 P cvt0a TOWN OF SOUTHOLD, NEW YORK APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO. DATE ..June 1990 TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y. 1, ) ,THOMAS A. SARGENT .................of ...16 Maple Park.......................................... ................................ Name of Appellant Street and Number 02159 Newton Massachusetts HEREBY APPEAL TO .................................................................................. ....... Municipality State THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON APPLICATIONFOR PERMIT NO. .................................... DATED ...................................................... WHEREBY THE BUILDING INSPECTOR DENIED TO a{ THOMAS A. SARGENT ........................................................ Name of Applicant for permit of 16 Maple Park, Newton, Massachusetts 02159 . . .. . .... ............................................... .ry.................................................. Street.. . ..an. . d Number Munici li State ( ) PERMIT TO USE ( ) PERMIT FOR OCCUPANCY VX) Variance to area and front and side yard requirements 1. LOCATION OF THE PROPERTY ]OLS...of„Fox A.ve...�. Fishers Island . . . . .......... Street /Hamlet / Use District on Zoning Map District 1000 Section 06 B1ock06Lot.007.Current Owner Thomas A. Sargent ........................................................... ....... Map No. Lot No. prior Owner // PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub- section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.) Artic1eaofl� Sectionl00 - 3bAi3 3. TYPE OF APPEAL Appeal is made herewith for (please check appropriate box) (XX) A VARIANCE to the Zoning Ordinance or Zoning Mop ( ) A VARIANCE due to lack of access (State of New York Town Low Chop. 62 Cons. Lows Art. 16 Sec. 280A Subsection 3 4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to this decision of the Building Inspector or with respect to this property. Such appeal was ( ) request for a special permit ( ) request for a variance andwas made in Appeal No. ................................Dated ...................................................................... REASON FOR APPEAL ( ) A Variance to Section 280A Subsection 3 (X)O A Variance to the Zoning Ordinance is requested for the reason that the area and front, rear and side yard requirements be reduced to meet the existing conditions on these lots. Applicant is simultaneously applying to the planning board for approval of a minor subdivision of his property into two (2) lots . There are presently two (2) homes on one (1) piece of property together with a garage and apartment. Applicant will not change any of the buildings on the premises so they will not be any closer to an adjoining property Form zs1 (Continue on other side) owner than now exists. The population density will not change. The distance between the existing buildings within the premises will not change. The character of the neighborhood will not be affected since all properties in this area are on extremely small pieces of land. One building across the street from the subject property will be closer to front line than any of the structures on this property will be closer to side lines. The fact of the matter is that even if turned down the structures will remain in the same manner. Applicant has a financial hardship in that his property is larger than most of the other properties in his area. In the downturning real estate market,applicantwill be able to recoup some of his investment by selling off one of these lots. it will increase the tax base of the town by having two (2) separate parcels . The houses on the applicant' s property were erected in the 1890s , prior to the enactment of zoning regulations. As a result of zoning regulations the properties were involuntarily merged. The applicant' s prbdecessor in title did not take steps to checkerboard the properties to prevent a merger. REASON FOR APPEAL • Continued 1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces- sary HARDSHIP because See statement attached to reason for appeal. 2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate vicinity of this property and in this use district because See statement attached to reason for appeal . 3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE, CHARACTER OF THE DISTRICT because See statement attached to reason for appeal. CRUSER, HILLS, HILLS & BESUNDER STATE OF NEW YORK BY: COUN OF SUFFOLK ) $i no MICHAEL N. HILLS , Attorney for Thomas A. Sargent Sworn t this ..............28th....... .. ....... .... day of........June....................................... 19 90 .... .... ... . . ................ ........ ......t.... ........ ... NotaryPu c �/iu2ie, ��=H2�eSco � i /✓dery P✓/o A.r c Fxp,kec 61207.. 14-16-2 (2/87)-7c 617.21 SEDR Appendix A State Environmental Quality Review it FULL ENVIRONMENTAL ASSESSMENT FORM 6 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 l ❑ Part 2 ❑Part 3 CUpon 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 - - /�INd i SSr�AOi✓iSip J / dinAS /9 cSArre..1s' 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 responsibleofficed Date 1 PA 1—PROJECT INFORMATION* Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full 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 ,','Vdt SUr$ l/l Sio.� c5H LOCATIO�1Fi ACTION (InCiude Street Address, Municipality and County)_ ✓-JIG .C//dA0 O"' �v �Lt'-✓uG i,�iGBJ /.S�Jd'�.O Gj'✓FJro.C/C COUNT N NAME yyF APPLICANT/SPONSOR BUSINESS TELEPHONE 7�v�ys - S .✓f ( oo ).3336673 ADDRESS A /,VjO ,t CITY/PO STATE ZIP CODE �/Ccvlo ✓ mass I oa/T 9 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/Po STATE ZIP CODE DESCRIPTION OF ACTION m„�a< svBDivisrtia O(' A2cP LeTS wry ho�seS CiCrSTi o eycly .LoT �2.[vTt Wert 12esvI7 c),= 11V"L✓.4>1 /+/P�ECe 0nor- � 2� � . �'Qd Acyr /�+2r5M �-,4�;h r9 Cr��7"r�-c7io�v I^or�LC, 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 CKResidential (suburban) ❑Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: j acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) O acres O acres Forested 0 acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres o acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0 acres e) acres Water Surface Area 0 acres o acres Unvegetated (Rock, earth or fill) o acres O acres Roads, buildings and other paved surfaces O acres acres Other (Indicate type) o acres O acres 3. What is predominant soil type(s) on project site? a. Soil drainage: ❑Well drained % of site ®Moderately well chained/46 % 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 NYL_ Land Classification System? 0 acres. (See 1 NYCRR 370). L 4. Are there bedrock outcroppings on project site? ❑Yes [$No a. What is depth to bedrock? (in feet) 2 5. Approximate percentage of proposed proosite with slopes: ❑0-10% 010-15% % 015% or greater _�tJ % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? EJ Yes 19N C '. 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? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes ZNo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Dyes iQNo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes (gNo According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes 11N 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 WNo 15. Streams within or contiguous to project area: Ad,+ 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 b. Size (In acres) 17. Is the site served by existing public utilities? XYes ❑No a) If Yes, does sufficient capacity exist to allow connection? E&Yes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes WNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes JENo 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? Dyes KNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes P3N0 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 acres. b. Project acreage to be developed: e) acres initially; acres ultimately. c. Project acreage to remain undeveloped acres. d. Length of project, in miles: O (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed %; f. Number of off-street parking spaces existing `� ; proposed g. Maximum vehicular trips generated per hour (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 3 Ultimately 3 i. Dimensions (in feet) of largest proposed structure a height; width; length. i. Linear feet of frontage along a public thoroughfare project will occupy is? It, 3 2. How much natural material (i.e., rockarth, etc.) will be removed from the site O tons/cubip yards, 3. Will disturbed areas be reclaimed? Dyes ❑No XN/A a. If yes, for what intendcC purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? O acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes I)ENo 6. If single phase project: Anticipated period of construction d months, (including demolition). 7. If multi-phased: 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? ❑Yes ❑No 8. Will blasting occur during construction? Dyes KNO 9. Number of jobs generated: during construction after project is complete 10. Number of jobs eliminated by this project O 11. Will project require relocation of any projects or facilities? Dyes lXNo If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes 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? Dyes ANO Type 14. Will surface area of an existing water body increase or decrease by proposal? Dyes CkNo Explain 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes KNo 16. Will the project generate solid waste? Dyes MN a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? Oyes ❑No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes m.No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes Flo 19. Will project routinely produce odors (more than one hour per day)? Dyes C).No 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes iKNo 21. Will project result in an increase in energy use? ❑Yes C9No If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity A-11/r gallons/minute. 23. Total anticipated water usage per day � gallons/day. 24. Does project involve Local, State or Federal funding? Dyes IANo If Yes, explain 4 25. Approvals Required: • Submittal Type Date City, Town, Village Board Dyes ❑No City, Town, Village Planning Board Dyes ❑No City, Town Zoning Board SLYes ❑No N4p&dkkf.5 SW City, County Health Department Dyes ❑No Other Local Agencies ❑Yes ❑No Other Regional Agencies Dyes ❑No State Agencies Dyes ❑No Federal Agencies Dyes ❑No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? ( Yes ❑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? 101 Ar—/y Mm( 3. What is the maximum potential development of the site if developed as permitted by the present zoning? LLC pfc-seW74 f x I J�• 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? /9-S �/CiJTty �X[STs C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? RYes ❑No 7. What are the predominant land use(s) and zoning classifications within a 1/ mile radius of proposed action? fir[lP�c 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? Ayes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? 3 a. What is the minimum lot size proposed? czsgrF- 14 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes RNo 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? Dyes [No a. If yes, is existing capacity sufficient to handle projected demand? Dyes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes UNo a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the inform ion provid d above is true to the best of my knowledge. Applicant/Sponsor/Name g Date Jt�p4 Signature Title f=bf— 40"IA1 e 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 Part 2—PRO-*T IMPACTS AND THEIR MAGI*DE 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 been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the 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 small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change '<NO DYES Examples that would apply to column 2 • Any construction an 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 []No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 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. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect t:. ..,ry unique or unusual land forms found on �- the site?(i.e., cliffs, dunes, geological formations, etc.)❑NO DYES L • Specific land forms: ❑ ❑ ❑Yes ❑No 6 • 1 2 3 Small to Potential Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) `{ZINO DYES Examples that would apply to column 2 • 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. ❑ ❑ 11 Yes []No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No 4. Will proposed action affect any non-protected existing or new body of water? XNO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ El Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? 5QNO 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 ❑ ❑ Dyes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes []No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likely cau5,2 siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical El El ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes [--]No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No f 6. Will proposed action alter drainage flow or patterns, or surface ` water runoff? 5(NO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes []No 7 1 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. • Proposed Action is incompatible with existing drainage patterns. El❑ ❑ ❑Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ Eyes ❑No • Other impacts: ❑ ❑Yes []No ❑ ❑ El Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ANO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ hour. ❑ ❑Yes ❑No • Proposed Action will result in the incineration of more than 1 ton of ❑ refuse per hour. ❑ ❑Yes ❑No • Emission rate of total contaminants will exceed 5 lbs. per hour ora ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed to industrial use. ❑ ❑ ❑Yes ❑No • Proposed action will allow an increase in the density of industrial ❑ development within existing industrial areas. El Dyes ❑No • Other impacts: ❑ ❑ Dyes ❑No IMPACT ON PLANTS AND ANIMALS Will Proposed Action affect any threatened or endangered species? O DYES Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal ❑ list, using the site, over or near site or found on the site. El ❑Yes ❑No Removal of any portion of a critical or significant wildlife habitat. ❑ Application of pesticide or herbicide more than twice a year, other El El Yes ❑No than for agricultural purposes. ❑ ❑ ❑Yes ❑No Other impacts: ❑ ❑ ❑Yes ❑No F— Will Proposed Action substantially affect non-threatened or non-endangered species? ANO DYES Examples that would apply to column 2 j Proposed Action would substantially interfere with any resident or Migratory fish, shellfish or wildlife species. ❑ ❑ []Yes ❑No Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important ❑ ❑ ❑Yes []No ~ vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? Examples that would apply to column 2 'XNO DYES l on would sever, cross or imit and (includes cropland, hayfields, pasture,lvineyard, orcharrd,cetc,ral ❑ ❑ ❑Yes ❑No 8 • 1 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 ❑ ❑ ❑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 ❑ ❑ ❑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? DKNO 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 ❑ ❑ ❑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 ❑ ❑ El 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? fl(NO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ []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 ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ []Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ Dyes ❑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 VVO DYES r The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes []No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ [:]Yes []No 9 IMPACT ON TRANSPORTATION 1 3 Small to 14. Will there be an effect to existing transportations stems? Moderate Potential Can Impact Be y y 9 Mitigated By Examples that would apply to column 2 kNO ❑YES Impact Impact Project Change - • Alteration of present patterns of movement of people and/or goods. ❑ • Proposed Action will result in major traffic problems. ❑ ❑Yes ONO ❑ ❑ Eyes ONO • Other impacts: ❑ ❑ Eyes ONO IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? Examples that would apply to column 2 &O DYES • Proposed Action will cause a greater than 5% increase in the use of ❑ any form of energy in the municipality. El E-1 Yes []No = • Proposed Action will require the creation or extension of an energy ❑ x transmission or supply system to serve more than 50 single or two family ❑ ❑Yes ONO residences or to serve a major commercial or industrial use. ? • Other impacts: '. ❑ ❑ El Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? �NO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ facility E-1 ❑Yes ENO • Odors will occur routinely (more than one hour per day). ❑ ❑ �_ - Proposed Action will produce operating noise exceeding the local ❑Yes ❑No ambient noise levels for noise outside of structures. ❑ ❑ 11 Yes ENO Proposed Action will remove natural barriers that would act a ❑ noise screen. as ❑ Eyes ENO Other impacts: ❑ ❑ ❑Yes ONO - IMPACT ON PUBLIC HEALTH 7. Will Proposed Action affect public health and safety? Examples that would apply to column 2 (KNO DYES Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of Eyes ❑No 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 ❑ ~ form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, ❑ ❑Yes ENO infectious, etc.) Storage facilities for one million or more gallons of liquified natural ❑ gas or other flammable liquids. ❑ Eyes ENO Proposed action may result in the excavation or other disturbance .vithin 2,000 feet of a site used for the disposal of solid or hazardous ❑ ❑ Eyes ENO vaste. t Other impacts: �I ❑ ❑ Ely es ENO 10 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existi community? Impact Impact Project Change �NO OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ [--]Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ Dyes []No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ Dyes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ Dyes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ Dyes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? XNO DYES If Any Action in Part 2 Is Identified as a Potential Large Impact or LIf 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 14.14.11 (T 87)-9c 617.21 . SEQR Appendix B State Environmental Quality Review Visual EAE 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: 0-1/4 1/4-1/2 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 ❑ O ❑ ❑ ❑ 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 ❑ ❑ ❑ ❑ ❑ 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? ❑ O ❑ ❑ ❑ • 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 I used by the public during the time of year during which the project will be visible? ❑Yes ❑No 1 DESCRIPTION OF EXISTING ISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *'/a mile *1 mile Essentially undeveloped ❑ ❑ Forested ❑ ❑ Agricultural ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *'h mile ❑Yes El No *1 miles ❑Yes El No *2 miles ❑Yes ❑No *3 miles ❑Yes E]No * Distance from project site are provided for assistance. Substitute othek distances as appropriate. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ L 2 !4" IFA j ifod So III ANN il I t • {I a ,1 Ii Il,f,lltllq°N 1hl l i b YIr rti►e t � *erwrrrlFew..r , TIMI 4.I ! NI tl4' .%d AJ Mol 1 L14 us wife, {vel" at f 100 NJ* t r• r., WhICa,. Ncrlx setts: 021;9 �Mstfl�wf!•t ., / .1 � o o #00, owS4 ns ompo� nflrtw"Isgem. 7araOM/q s`.. ' .,... + er p A t bloc*00 11i,I ilUtis I'r✓1It� fes, ° •$ -o a Unitsrt7 laulb l wsd Nsssttsf Y f•il•rs: S-h vs •1s i In tt r Ctrl I S�•kseH, r .4w wt a P01141 , I IKIVI!.res st t r .I w of the blwwaow am" IN 1 .1. "1A 45.11 Lr• said West 1.714.'17 fMt Frm a i�(fwrMtiErx r 5. ioe "EMIS"i A., usssr to 1.1. . corns 1t•et. ewi.• Allo( fk.ail• 1.. I r-1 f{rt•ri. nl1 - 1 l.0. U111wo O.?1 law J� id bld Ics. I mer Ii of .1. 9,.r of 1910. •t d, g"Wom10 fiwt� ?1 IAmores 70 snexx 1 f•wl Iso" Soft tleMtMt11� -3 We 'li az he .Omdr f M& ' 1 i RfMt of Mqs 5* x7 �' •.• ,, e' It" MI wl III ds i het aim! me voistooft 011111* 1 t".,. asR _1/e M1.42 LP 1 x pq.r n1 Lw. row s• fatw3>r lrtlt0 T to jroo• Z. dustrw Al., /xtw1:. Seat InIs" last. amos/J�•., �r - jM4 b s In I. i' ,.e el IAgIM AI;. y .6 oft It : 10,:r-!** t o not sf n m m NAA }ni1(sPs A 14 1 •J MI ;.`t ft.-K 411. Fs" too m wrr IM,•, 'ly( � i,Mo�1I� ,1• '1 ,t1*L' 1 Its b I� t4a�, r. n�a. fw�,lwrlt +c� T � F • IJ9{ it ��[! U }} li ;I o.. •'E 1 .q 1 r. wf tl I I }r tI b r to' " •r .r1 :MINI i "AiMillu�b i Woo"Olme"Mo U .bdww•i +hoA 4R M ,YMw ♦R. IlilrnMnlw:.in. M. h► ► loom wlw�I.wi'/11 .a• .. hIF- M -.. wt. •dw�♦�rFs• ►.n w. .101 r w tww i . Ift AUG rlp ♦ e�<,. vwm _ • Irswom MOW r 3 �r «..{ +Mw....�•IM�nfr+.�Mwwn}iiw+Mrw�rr�w _ SEQR NEGATIVE DECLARATION Notice of Determination of Non-Significance Lead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Date: January 2, 1990 This notice is issued pursuant to 6 NYCRR Part 617, and local law # Chapter 44, 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. Title of Action: Thomas A. Sar&ent Minor Subdivision (3 lots) SCTM #1000-6-6-Lots 7 and 12 SEQR Status: Unlisted Action Location: Located on a Private Road off of Fox Avenue, Fishers Island, Southold, New York Project Description: The project involves a request for a minor subdivision of three lots on two parcels of land. Three houses presently exist. Landis zoned A-1 Agricultural/Residential. Page 1 of 3 HOME Trzz DIVISION CHimw Trirz I14SUR m COMPANY OOUNIT OF ) Tr= PA. 8908-01157 )SS. 93P= OF NEW YORK) THIS to to Certify that Thomas A. Sargent & Allison Ljams, his wife Ile (are) the owner(s) of record of southwesterly corner of the hereinafter described premises; sd point being North 4 , 585. 93 feet & West 1,719 . 37 feet from U.S. Coast & Geodetic survey Station "PROS" Dist. 1000 Sec. 006. 00 Block 06 . 00 Lot 007 .000 THAT they acquired title thereto by deed dated 11/3/86 recorded in Libel 10169 cp 01 an 11/14/86 1 that I have made a search of the records of the Suffolk County Clerk and/or Registrar's Office, and that said search shows that neither the said owner nor any predecessor in title of the said premises owned oontighcus property at any time silhce 1957 except as follows: PREMISES ON NORTH That the applicant herein does not awn any oontiguous property swept as follows: PREMISES ON SOUTH This certification is made with the intention of the reliance thereon by the Boaztil of Appeal'8 and/or Building Dep&jtMMt of the Toon of SOUTHOLD . Y7C CAROLY14 PIC PHERSON Law Departnmaht adorn to before me this 19th day Of JA�PRIL� 19 89 Notary Public, Suffolk County, N.Y. RONALD KANKA NOTARY PUBLIC,State of New Yorh No. 52-7753235, Suffolk County Commission Expiresa_a _�' SUBJECT PREMISES: Dist. 1000 Sec. 006. 00 Blk. 06 . 00 Lot 007 . 000 Robert Hammond McLeod Dated: 8/23/49 to Rec'd: 9/25/50 Albert D. Dawson and Liber 3130 cp 427 Dorothy M. Dawson, his wife Albert D. Dawson and Dated: 5/2/64 Dorothy M. Dawson, his wife Rec'd: 5/5/64 to Liber 5537 cp 580 J.B. Hartsfield and Audrey Hartsfield, his wife J.B. Hartsfield and Dated: 11/3/86 Audrey Hartsfield, Rec 'd: 11/14/86 to Liber 10169 cD O1 Thomas A. Sargent and Allison Ijams, his wife LAST OWNER OF RECORD PREMISES ON NORTH: Dist. 1000 Sec. 006. 00 Blk. 06 . 00 Lot 006 . 000 Cornelius Duncan and Dated: 3/--/23 Ella Duncan, his wife Rec 'd: 4/14/23 to Liber 1069 cp 221 William Lawson and Florence Lawson, his wife Florence Lawson died 10/16/35, William Lawson died 10/5/40 Administration leaving G. William Lawson, son, Albert Lawson, son and Charlotte Berrian, daughter. G. William Lawson and Dated: 8/30/66 Louise Lawson Rec 'd: 9/28/66 to Liber 6040 cp 266 J.B. Hartsfield, Audrey Hartsfield and Dana May Hartsfield LAST OWNER OF RECORD PREMISES ON EAST: RIGHT OF WAY -continued- 8908-01157 Page 1 PREMISES ON SOUTH: Dist. 1000 Sec. 006 . 00 Blk. 06 .00 Lot 012 . 000 Kate M. Newton Dated: 8/22/22 to Rec 'd: 9/13/22 Elizabeth W. Abbott Liber 1050 cp 485 George W. Abbott Dated: 12/2/85 to Rec 'd: 12/10/85 Cecilia Smith Abbott Liber 9932 cp 383 Mildred W. Simpson Dated: 11/19/85 to Recd: 12/10/85 Cecilia Smith Abbott Liber 9932 cp 391 James F. Nimblett Dated: 1/8/86 to Rec ' d: 2/6/86 Cecilia Smith Abbott Liber 9974 cp 435 William H. Witt Jr. Dated: 1/21/86 to Rec 'd: 2/6/86 Cecilia Smith Abbott Liber 9974 cp 433 Helene Abbott Warrek Dated: 4/8/86 to Recd: 5/6/86 Cecilia Smith Abbott Liber 10031 cp 511 Cecilia Smith Abbott Dated: 5/20/87 to Rec'd: 5/29/87 Thomas A. Sargent and Liber 10330 cp 251 Alison D. !jams LAST OWNER OF RECORD PREMISES ON WEST: Dist. 1000 Sec. 006 . 00 Blk. 06. 00 Lot 003 .000 Nina Tilford Cameron Dated: 11/14/38 to Rec 'd: 11/18/38 George H. Cameron, an Liber 2016 cp 72 undivided 1/2 int. Nina Tilford Cameron CORRECTION DEED: to Dated: 1/3/39 George H. Cameron, an Rec 'd: 1/9/39 undivided 1/2 int. Liber 2022 cp 520 -continued- 8908-01157 Page 2 PREMISES ON WEST: (CONTINUED) The Augusta National Bank Dated: 2/23/55 of Staunton, as ancillary Rec 'd: 3/4/55 Admin. of LW&T of George 11. Liber 3848 cp 123 Cameron to Alfred F. King Jr. and Nancy N. King, his wife Cornelia Tilford Cameron a/k/a Dated: 2/1/55 Nina Tilford Cameron, Rec 'd: 3/4/55 Margaret Cameron Creel Liber 3848 cp 126 Nina Cameron Thompson, indiv. and heirs at law and distributees Of George H. Cameron , dec'd to Alfred F. King Jr. and Nancy N. King, his wife LAST OWNER OF RECORD 8908-01157 Page 3 Contract of Sale-Transactions over$50.000 CONSULT YOUR LAWYER BEFOOIGNING THIS INSTRUMENT—THIS INSTRUNO;HOULD BE USED BY LAWYERS ONLY. NOTE: FIRE LOSSES. This form of contract contains no express provision as to risk of loss by fire or other casualty Wore delivery of the deed. Unless express provision is made,the provisions of Section 5-1311 of the General Obligations Law will apply. This section also places risk of loss upon purchaser if title or possession is transferred prior to closing. t THIS AGREEMENT, made the day of May nineteen hundred and eighty-nine BETWEEN THOMAS A. SARGENT and ALLISON D . IJAMS , now residing at Fishers Island , New York , hereinafter described as the seller, and THOMAS BENTON, now residing at 33 Otis Street , Cambridge , Massachusetts , hereinafter described as the purchaser. WITNESSETH, that the seller agrees to sell and convey, and the purchaser agrees to purchase, all that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beingiwakoc at Fishers Island , Town of Southold , . County of Suffolk and State of New York , more particularly bounded and' described as follows : Beginning at a point on the .Westerly line of a Right of Way which runs Southerly from. Fox Avenue to • and along the Easterly line of the herein described tract , said point being located 4657 .08 feet North of a point which is 1604 . 83 feet West of a monument marking the United States Coast and Geodetic' Survey Triangulation Station "PROS" and running thence South 77 degrees , 16 minutes and 30 seconds West 120 . 46 feet to a point ; thence North 03 degrees , 47 minutes and 30 seconds West 43 . 00 feet to a monument ; thence North 78 degrees , 41 minutes and 30 seconds East 120 . 00 feet to a monument on the said Westerly line of said Right -of Way ; thence South 03 degrees , 47 minutes and 30 seconds East 40 . 00 feet along said Right ofiWay to the point of beginning. Containing 4930 square feet , more or less . Together with a right of way, 25 .00 feet in width , for all purposes running Northerly from the Easterly line of the above described tract to Fox Avenue . TAX MAP - ESIGNATION c. k. a(s): I. This sale includes all right, title and interest, if any, of the seller in and to any land lying in the bed of any street, road or avenue opened orproposed, in front of or adjoining said premises, to the center line thereof. and all right, title and interest of the seller in and to any award made or to be made in lieu thereof and in and to any unpaid award for damapt to said ��renlilal b r1 Ian of Ellinofof @@reds of en rtrlat l end ho 111111 will 1eQcull a ,,t�l{ dillylr to Ills �fureluun in �b�la�t r;� It11At RC rl rEq�of, Rn IINInN11fII NIl prRpeR IR1�IRmag11 IRR I�IE cRRTNyaRCE Rf loch �t110 sing IhC on It Ment and ca ec to o any lush awar 2., The price is ONE HUNUED SEVENTY THOUSAND-AND OUI00 ($170 ,000 . 00) - - Dollars, payable as follows: THIRTY-FOUR THOUSAND AND 00/100 ($34 ,000 .00) - - - - - - -- - - - Dollars, on the signing of this contract, by check subject to collection, the receipt of which is hereby acknowledged; ONE HUNDRED THIRTY-SIX THOUSAND AND 00/100 ($136 , 000 .00) - - Dollars. in cash or good certified check to the order of the seller on the delivery of the deed as hereinafter. provided; by taking title subject to a mortgage now a lien on said premises in that amount, bearing interest the rate of per cent per annum, the principal being due and payable Dollars, by the purchaser or assigns executing, acknowledging and delivering to the seller a bond or, at the tion of the seller, a note secured by a purchase money mortgage on the above premises, in that amount, p able together with inter t at the rate of per cent per annum payable 3. Any bond or note and mortgage to be given hereunder sh a drawn on the TICOR TITLE GUARANTEE COMPANY standard form for mortgages of like lien;and shall be draw y the attomey for the seller at the expense of the purchaser,who shall also pay the mortgage recording tax and recordin ees. 4. If such purchase money mortgage is to be a suinate mortgage on the premises it shall provide that it shall be subject and subordinate to the lien of the existing mortgage of $ , any extensions thereof and to any mortgage or consolidate mortgage which may be placed on the premises in lieu thereof, and to any extensions thereof provided (a) that the i rest rate thereof shall not be greater than per cent per annum and (b) that, if the principal amount thereof s I exceed the amount of principal owing and unpaid on said existing mortgage at the time of placing such new mort a or consolidated mortgage; the excess be paid to the holder of such purchase money mortgage in reduction of the pri rpal thereof. Such purchase money mortgage shall also provide that such payment to the holder thereof shall not alter r affect the regular installments, if any, of principal payable thereunder and shall further provide that the holder the I will, on demand and without charge therefor, execute, acknowledge and deliver any agree- ment or agreement, forth to effectuate such subordination. 5. If there be amort ge on the premises the seller agrees to deliver to the purchaser at the time of delivery of the deed a proper certificate executed nd acknowledged by the holder of such mortgage and in form for recording, certifying as to the amount of the unpaid pr' cipal and interest thereon, date of maturity thereof and rate of interest thereon, and the seller shall pay the fees for recor ng such certificate. Should the mortgagee be a bank or other institution as defined in Section 274-a, Real Property w, the mortgagee may, in lieu of the said certificate, furnish a letter signed by a duly authorized officer, or em- ployee, agent, containing the information required to be set forth in said certificate. Seller represents that such mortgage will be in default at or as a result of the delivery of the deed hereunder and that neither said mortgage, nor any modification th eof contains any provision to accelerate payment, or to change any of the other terms or provisions thereof by reason of the elwery-of-the-ked-hereunder— 6. Said premises are sold and are to be conveyed subject to: a. Zoning regulations and ordinances of the city, town or village in which the premises lie which are not violated by existing structures. .. b. Consents by the seller or any former owner of premises for the erection of any structure or structures on, under or above any street or streets on which said premises may abut. e. Encroachments of stoops, areas, cellar steps, trim and cornices, if any, upon any street or highway. d . Any state of facts an accurate survey or personal inspection may reveal , provided title is not rendered unmarketable thereby. e . Terms , covenants and restrictions contained in an instrument recorded in Liber 243 cp 126 . f . Lease agreement with Nettie VanCoure , as described in the Rider hereto . 7. All notes or notices of violations of law or municipal ordinances, orders or requirements noted in or issued by the Depart- ments of Housing and Buildings. Fire, Labor. Health, or other State or Municipal Department having jurisdiction, against or affecting the premises at the date hereof, shall be complied with by the seller and the premises shall be conveyed free of the same, and this provision of this contract shall survive delivery of the deed hereunder. The seller shall furnish the purchaser with an authorization to make the necessary searches therefor. CTu a wn ssesyncurred-amfeHhe-C�ner n Re era.,.s;f lD O"s-e� in>��'P*ent ge cy- parrs-movisions-of if.. Administra f is:oi ^,.ry the City of New York (Sections 564-18.0, etc.) prior to the delivery of the deed shall be paid and y the seller re,city o/ upon the, delivery of the deed. This provision shall survive the delivery of the dee N.N.York. 9 'If, at the time of the deliver of the deed, the remises or ereof shall be or shall have been affected by an assess- Yo „ Y P assess- "'..11y ment or assessments which are or may 6eco a to annual installments, of which the first installment is then a charge ��� y or lien.. or has been paid e those whi come due and purposes of this contract all the unpaid installments of any such assessment, including ii.City of payable after the delivery of the deed, shall be deemed to be due and payable and Nm-York, t tens-upon-the-premises-affected there6y-and-shall-brpaid-and-discharged-6y-the-seller,-uporthe-delivery of-the-deed; 10. The following are to be apportioned: (a) Rents as and when collected. (6•)-Interest-ort-mortgages:•-(e)-Premiums-on=existing-transferable-insurenee-polities 7 I. If the closing of the title shall occur before the lax rate is fixed, the apportionment of taxes shall be upon the basis of the tax rate for the next preceding yeloplied to the latest assessed valuation. i 12. If there be a water meter on the premises, the seller shall furnish a reading to a die not more than thirty days prior to the time herein set for closing title, and the unfixed meter charge and the unfixed sewer rent• if any, based thereon for the intervening time shall be apportioned on the basis of such last reading. . ; 13. The deed shall be the usual bargain and sale with covenant against grantor ' s acts deed in proper statutory short form for record and shall be duly executed and acknowledged so as to convey to the purchaser the fee simple of the said premises, free of all encumbrances, except as herein stated, and shall cont;in the covenant required by subdivision 5 of Section 13 of the Lien Law. iftheseflerirazorporation-it-vill-deliver-to-the-pureheseA Hhe-time-of-the-dclivery-oflhe-deed hares f its Board of Directors authorizing the sale and delivery of the deed, and a c «clary or Assistant Secretary of the corporation certifying such resolution and s s sowing that the conveyance is in conformity with the requirements of Sec ' usmess Corporation Law. The deed in such case shall contain a recital sufficient to '" purchaser ' s title company 14. At the closing of the title the seller shall deliver to the purchaser aXViH&&check to the order of 1heXecD07dCsgrt/�06XrXgf rY`d{r7t 7t➢{�lbidb77frr'Xr123t1}GX}D}bj[XCLDCDtOd for the amount of the documentary stamps to be affixed :othey in at-Oldanee with Article 31 of the Tax Law, and a certified check to the order of the appropriate officer for any x payQey reason of the delivery of the deed• and a return, if any be required, duly signed and sworn to by the sellthe palso agrees to sign and swear to the return and to cause the check and the return to be delivered to topriatpromptly after the closing of title. e 0m;, 1 r�v r it istrator for the amount of the Real Property Transfer Tax imposed by Title 11 of C mtntstrative Code of the Cil of New York and will also deliver to the porch a utre the said statute and the regulations issued Ile Gry of Y q Y H N y".r. pursuant to the autho ' rgne an sworn to by the seller; the purchaser agrees to sign and swear to the reui= 11— A..Ir ian� the relorn 1, he delivered W the Y f�eeuleFPsosnptfyaftar-ihe eaeame6: 1he e. 16. The seller shall give and the purchaser shall accept a title such as TICOR TITLE GUARANTEE COMPANY will be willing to approve and insuife in accordance with the standard form of title policy approved by the New York State Insurance Department,subject onto the matters provided for in this contract. x av staudard fates 17. All sums paid on account of this contract• and the reasonable expenses of the examination of t e title to said premises and of the survey, if any made in connection therewith are hereby made liens on said premises, but such liens shall not continue after default by the purchaser under this contract. ' 18. All fixtures and articles of personal property attached or appurtenant to or used in connection with said premises are repre- sented to be owned by the seller, free from all liens and encumbrances except as herein stated, and are included in this sale; without limiting the generality of the foregoing• such fixtures and articles of personal property include plumbing, heating, lighting and cooking fixtures, air conditioning fixtures and units, ranges• refrigerators, radio and television aerials, bathroom and kitchen cabinets, mantels, door mirrors, venetian blinds, shades, screens, awnings, storm windows, window boxes, storm doors, mail boxes, weather vanes, flagpoles, pumps, shrubbery and outdoor statuary., to the extent the same are on the premises on the date hereof , together with all other items of personal property now on the premises to the,extent owned by the seller . 19. The amount of any unpaid taxes• assessments, water charges and sewer rents which the seller is obligated to pay and dis- charge, with the interest and penalties thereon to a dale rot less than two business days after the date of closing title, may at the option of the seller be allowed to the purchaser out of the balance of the purchase price, provided official bills therefor with interest and penalties thereon figured to said date are furnished by the seller at the closing. 20. If at the date of closing there may be any other liens or encumbrances which the seller is obligated to pay and discharge, the seller may use any portion of the balance of the purchase price to satisfy the same, provided the seller shall simultaneously either deliver to the purchaser at the closing of title instruments in recordable form and sufficient to satisfy such liens and en- cumbrances of record together with the cost of recording or filing said instruments: or, provided that the seller has made arrangements with the title company employed by the purchaser in advance of closing, seller will deposit with said company sufficient monies, acceptable to and required by it to insure obtaining and the recording of such satisfactions and the issuance of title insurance to the purchaser either free of any such liens and encumbrances, or with insurance against enforcement of same out of the insured premises. The purchaser, if request is made within a reasonable time prior to the date of closing of title, agrees to provide at the closing separate certified checks as requested, aggregating the amount of the balance of the purchase price, to facilitate the satisfaction of any such liens or encumbrances. The existence of any such taxes or other liens and encumbrances shall not be deemed objections to title if the seller shall comply with the foregoing requirements. 21. If a search of the title discloses judgments, bankruptcies or other returns against other persons having names the same as or similar to that of the seller, the seller will on request deliver to the purchaser an affidavit showing that such judgments, bank- ruptcies or other returns are not against the seller. 22. In the event that the seller is unable to convey title in accordance with the terms of this contract,the sole liability of the seller will be to refund to the purchaser the amount paid on account of the purchase price and to pay the net cost of examining the title, which cost is not to exceed the charges approved by the New York State Insurance Department and the net cost of any survey made in connection therewith incurred by the purchaser,and upon such refund and payment being made this contract shall be considered canceled. 23. The deed shall be delivered upon the receipt of said payments at the office of Michael P. Deasy , 1 Denison Avenue , Mystic , Connecticut at 11 : 00 A.Mo'clockOn/°iA P ril 1, 1990 . 24. The parties agree that no broker AMq � brought about this sale axdr HrKXr�18tS0,IfnCCtxQ{p�:6Rg{cplpipi4uA lc➢7ACSj3fIM7E}{gr 25. It is understood and agreed that all understandings and agreements heretofore had between the parties hereto are merged in this contract, which alone fully and completely expresses their agreement, and that the same is entered into after full investi- gation, neither party relying upon any statement or representation, not embodied in this contract, made by the other. The purchaser has inspected the buildings standing on said premises and is thoroughly acquainted with their condition and agrees to take title "as is" and in their present condition and subject to reasonable use, wear, tear, and natural deterioration between the date thereof and the closing of title. 26. This agreement may not be changed or terminated orally. The stipulations aforesaid are to apply to and bind the heirs, executors, administrators, successors and assigns of the respective parties, subject to, Section 12 of Rider. 27. If two or more persons:constitute either the seller or the purchaser, the word "seller" or the word "purchaser" shall be construed as if it read "sellers' or "purchasers" whenever the sense of this agreement so requires.SEE RIDER ATTACHED 1N WITNESS WHEREOF this agreement has been duly executed b t HERETO AND MADE A H Y y parties eret ! PA T HEREOF. In presence of: � � J RIDER OF CONTRACT OF SALE BETWEEN THOMAS A. SARGENT and ALLISON D. IJAMS, as SELLERS and THOMAS BENTON, as PURCHASER 1. The down payment hereunder shall be paid directly to Sellers who shall have the use thereof until closing. Said down payment shall be credited against the purchase price at closing. In the event Sellers shall be unable to convey title in accordance with the terms hereof or under any of the circumstances contemplated in Sections 2 , 5 and 11. hereof, Sellers shall refund to Purchaser an amount equal to such down payment, together with interest thereon computed at the rate of seven percent (7%) per annum from the date the check for the down payment is negotiated to the date such refund is made. 2 . The parties obligation to close hereunder is expressly conditional upon the approval by the Planning Board of the Town of Southold of a minor subdivision recognizing the subject premises as a separate lot. Sellers agree to make diligent application for such approval, to make diligent application to the Zoning Board of Appeals to obtain any necessary variances, and to use their best efforts to obtain such approval by the closing date specified in the printed form portion of the contract. If such approval is not obtained by such date, then Sellers shall be entitled to a reasonable adjournment of the closing and the closing shall be held within three weeks after the subdivision map has been filed with the Town of Southold or, if required by the Planning Board, with the Clerk of Suffolk County. If such approval is denied, then this agreement shall terminate and neither party shall thereafter have any rights or obligations hereunder other than the obligation of Sellers to refund an amount equal to the down payment with accrued interest thereon to Purchaser. Anything herein to the contrary notwithstanding, if such approval is not obtained by July 1, 1990, then Purchaser may elect to cancel this agreement, whereupon the parties shall have no further rights or obligations hereunder other than the obligation of Sellers to refund an amount equal to the down payment and accrued interest thereon to Purchaser. 3 . (A) Sellers agree to lease the single-family dwelling on the subject premises to Purchaser for the sum of seven hundred fifty dollars ($750) per month for a term commencing on July 1, 1989 and ending on the first to occur of: (i) the closing date hereunder; (ii) the date this agreement is terminated under the terms hereof; or (iii) a date thirty days after notice is given pursuant to the last sentence of this subsection (A) . The monthly rent shall be payable on the first day of each month in the lease term. Purchaser shall quit and surrender the premises to Sellers if the lease term ends pursuant to clauses (ii) or (iii) above and the premises shall thereupon be returned in good condition, ordinary wear and tear and natural deterioration excepted. If Purchaser has paid rent for a month in which the lease term ends, he shall be entitled to a pro rata adjustment in the same proportion that the number of days in the month *remaining after the end of the term bears to the total number of days in the month of termination. On or after July 1, 1990, either party may terminate the lease term by giving thirty days notice to the other. (B) Purchaser acknowledges that, under a certain leasehold agreement, the garage apartment on the subject premises is currently being leased to one Nettie VanCoure for the sum of 1 two hundred dollars ($200) per month and that the lease term under such agreement shall run for a period of fifteen years from the closing date. Purchaser further acknowledges and agrees to be bound by such agreement from• and after the closing. The parties acknowledge that such agreement will terminate upon the happening of any of the following events: (i) death of such lesseet (ii) failure of such lessee to make a monthly rental payment for a period of thirty days after the same shall have become due; (iii) vacation of the premises .by such lesseet or (iv) other goad cause for which a landlord would be entitled to bring an action to terminate a tenancy under the laws of the State of New York. The foregoing terms of the lease agreement with Nettie VanCoure shall be incorporated in the deed delivered at closing. 4 . Sellers warrant that the plumbing, heating and electrical systems and all appliances included in the sale will be in working order on closing of title, unless the same are not in working order due to the fault or neglect of the Purchaser. Sellers agree to deliver the single-family dwelling vacant and broom clean on July 1, 1989 at the commencement of Purchaser' s occupancy. 5. Anything in this contract to the contrary notwithstanding, in the event there are any defects in Sellers ' title to which Purchaser is not required to take subject in accordance with the terms hereof, Sellers shall be entitled to adjourn the closing for a period not exceeding thirty (30) days after notice of such defects or objections have been given to them in order to eliminate the same, but Sellers shall be under no obligation to remove any such defects or objections and Sellers shall not be required to bring any action or proceeding or otherwise to incur any expenses in excess of $500 in the aggregate in order to render the title insurable or marketable. However, Purchaser shall have the privilege of waiving any defects and accepting such title as Sellers are able to convey, without abatement in the purchase price. If Purchaser shall refuse to accept title under such circumstances, then Sellers may rescind this contract and, upon return of an amount equal to the down payment and accrued interest thereon to the Purchaser, together with Purchaser's net costs for examining title (without policy issuing) and obtaining a survey, neither party shall have any further rights or obligations hereunder. 6 . Purchaser acknowledges that he has been afforded an opportunity to make an exterior and interior inspection of the subject premises and has either made such an inspection or caused the same to be made. Purchaser further acknowledges that the subject premises are being sold "AS IS" , without any representations or warranties as to their condition, express or implied, written or oral, except as otherwise provided herein, and he agrees to accept the subject premises at the closing in their present condition and state of repair, subject to reasonable use, wear, tear and natural deterioration between the date hereof and the date of the closing. 7. All notices hereunder shall be delivered by hand, or mailed by certified mail (return receipt requested) , postage prepaid, to the parties at the following addresses: If to Sellers: c/o Michael P. Deasy, Esq. 1 Denison Avenue P.O. Box 102 Mystic, CT 06355-0102 2 If to Purchaser: c/o Stephen L. Ham, III, Esq. Matthews & Ham 45 Hampton Road Southampton, NY 11968 The parties addresses for notices may be changed by notice to the other delivered as provided above. 8. Sellers represent that they are not foreign persons or nonresident aliens for purposes of U.S. income taxation and agree to provide a certification or affidavit to such effect at closing in accordance with Section 1445 of the Internal Revenue Code. 9 . Sellers represent Sellers that his social security number is 10. Sellers agree at or before closing to deliver to Purchaser a Certificate of Occupancy from the Town of Southold for all buildings and structures on the premises requiring the same covering uses as a single-family dwelling and garage apartment. In the event that a current survey is required, Purchaser agrees at Purchaser' s own cost and expense not less than ten days prior to closing, to provide Sellers' attorney with a print of the same. 11. Purchaser shall have twenty days from the date hereof to have the premises inspected for termite or other wood- destroying insect infestation or damage. In the event such inspection reveals termite infestation or damage, the Sellers shall treat the infestation and correct the damage unless the reasonable cost thereof shall exceed $1, 500, in which event they shall have the option of cancelling this contract and refunding an amount equal to the down payment and accrued interest thereon, provided that if the Sellers elect such option, the Purchaser shall have the right to take title subject to such condition, in which event Purchaser shall be credited with a $1, 500 adjustment at closing. If Sellers or Sellers ' attorney are not notified within the aforesaid twenty-day period of the existence of any such infestation or damage, then this Section 11 shall be of no force or effect. 12 . This contract may not be assigned by Purchaser without the express written consent of Sellers. 13 . This agreement, consisting of the form contract of sale and this Rider, constitutes the entire contract between the parties hereto. )7, 4 Thomas A. Sar en , Sel- er Allison D. jam • , geller Thomas Benton, Purchaser 3 STATE OF NEW YORK, COUNTY OF se: STATE OF NEW YORK, OUNTT OF sa: On the day of �19 before me On the day 19 before me Pcrlvnally Cama PsrtgnElly same to me known to be the individual described in and who executed to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that the foregoing instrument, and acknowledged that executed the same. executed the same. STATE OF NEW YORK, COUNTY OF - STATE OF NEW.YORK, COUNTY OF In On the day of 19 before me On the day of 19 before me personally came c personally came to me known, who, being by me duly sworn, did depose and say, to me known and known to me to be a partner in - that he resides at No. a partnership, and known to me to be the person described in and of that he is the '`5 who executed the foregoing instrument in the partnership name, and said';, duly the corporation describe'd acknowledged that he executed the foregoing instrument for and in and which executed the foregoing instrument; that he knows on behalf of said partnership. the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board of directors of said corporation, and that he signed h name thereto by like order. I Closing of title under the within contract is hereby adjourned to 19 at o'clock, at I ; as of title to be closed and all adjustments to be made ,... 19 Dated, 19 1. For value received, the within contract and all the right, title and interest of the purchaser thereunder are hereby assigned, transferred and set over unto I and said assignee hereby assumes all obligations of the purchaser thereunder. Dated, 19 ........................................................................................................................................................... Purchaser ........................................_........_..................................................................................:... Assignee of Purchaser TUIIYra—al of tt1r PREMISES , TITLE No, I• SECTION •+'• BLOCK LOT THOMAS A. SARGENT and COUNTY OR TOWN ' ALLISON D. IJAMS STREET ADDRESS TO TAX BILLING ADDRESS - THOMAS BENTON Recorded At Request of Ticor Title Guarantee Company RETURN BY MAIL TO: - f J TICOR TITLE GUARANTEE - .. .. ., Zip No. The SELLER should bring with him all insurance policies and duplicates, receipted bills for taxes, assessments and walei rates, and any leases, deeds or agreements affecting the property. When there is a water meter on the.premises; he should order it read, and bring bills therefor to the closing. If there are mortgages on the property, he should promptly arrange to obtaln the evidence required under Paragraph 5 of this contract. He should furnish to the purchaser a full list of tenants, giving the names, rent paid by each, and date to which the rent has been paid. The PURCHASER should be prepared with cash or certified check drawn to the order of the seller. The check may PG r4-NI G'BOAI D TOgV 0 SOU ;H QLD SG' Fa Y 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. ) es No phe,n3ce Ger-6YCc 20 , v� ofheq p�_- 4pW,44S 5. 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 Q!5 No I certify that the above statements are true and will be relied on by thePlanningBoard in considering this application. Signature of prop rty owner or aut razed agent date Attachment to questionnaire for. the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss : On the 6th day of June 19 9p before me personally came_ MICHAEL N. HILLS to me known to be the individual described in' and ho exe pted the foregoi in ument and acknowledged that lie execu th same. i No a y ublic 6 1NwNAt expka rune 2 9 +a4�+' 's, ��;au�luMMi .,.,._ z,. , .. ut: V ' :.� Southold Town Planning Board Town Hall Southold, New York 11971 Re: THOMAS A. SARGENT MINOR SUBDIVISION Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours/ �f THOMAS A. SARGENT BY: MICHAEL N. HILLS ATTORNEY TOWN CLERK TOWN OF SOUTDOLD Suffolk County, New York 516 • 765-1801 1 37596 RECEIVED OF S9uLN2-m- og For ai— CaeC � 3own Clerk s1' 3 TOWN CLERK "�'�'�' "•+ TOWN OF SOUTHOLD Suffolk County. New York 516 - 765.1801 N® 37361 Southold, N. Y. 19`� d RECEIVED OF lAn e J 'th T. Terry, Town Clerk c�h ❑ cheek fig { 1 ] L By PHONE: 852-2000 SUFFOLK COUNTY CLERK'S OFFICE Edward P. Romani"., COUNTY CLERK "V-1-At,, N6w YORK 11901 own of Southold Assessor Town of Southold Planning Board Chief Deputy CountyTreasurer To Whom This May Concern: The Subdivision Map of : l-f'YY�.rC-�- Was Filed , 171 9 Filed Number , Afstract Number , Township , Southold Owner : Very truly yours, County Clerk Map Department oR 7 i Form No. 4 9 u-Isr:else �1 { LAW OFFICES CRUSER & HILLS 206 ROANOKE AVENUE RIVERHEAD, N. Y. 11901.2794 518.727.3904 FAX NO:316-727-3940 EDGAR HILLS GEORGE L. CRUSER MICHAEL N. HILLS COUNSEL March 30, 1992 Planning Board Office Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Attention: Bennett Orlowski, Jr. Chairman Re: Thomas A. Sargent SCTM#1000-6-6-7 Dear Mr. Orlowski: In response to your letter of March 24th, 1992 in connection with the above matter, enclosed please find copy of map showing the filing of same in the County Clerk's office on July 9th, 1991. Very truly/ yours, Kchael N. Hills MNH:jb W3 11W SOUTHOLD TOWN PLANNING BOARD I � 1 Wj w. i � • ` Si m r COUNTY CLERKS OFFICE ® ? STATE OF NEW YORK SS.: COUNTY OF SUFFOLK r E, Edward P. Romaine, Clerk of the Counlyof Suffolk and d am[ rn2rL 'r / the Court of Record lherof,do h reby certify that I have compared the ` Q / annexed withOff SWIG-007- the original �/-�y, r FILED in my office , Es and,that the same is a true [, I copy thereof,and of the whole of such original. \O\\ N,AN ej - f In Testimony Whereof,)have hereun tm handarldal6xed o a °' the seal of said County and Court this .r� � r u; �r�1 / rt •.FI cauxn afluiiY[xra N[uln s[mK[5 / uec tun J_pp."a lea f I i_ V Eat n .M.aaN< �' _ / • _ d--•' 177. 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LE 5 allowSEW� sura,' K[iIETN6M . 407a: / I'caroccv O0L1bIF5O..r RUNx"Al W4lY5rSTE1 1.COr Z 15 SIxU Err TO 11c15 N n,,,M uT E 'ec 6 SIR IS 5[[%1c[0 q'NUNKIIAL NLTE[Ml[M. "OSE WO WUNTNNTIM E[ (LIW. - TH0i1A$ A. SAC6lNT KT1L'L F$n LINE. LOT OI 4Nb[0O.I[. � O.. Fa 4VGVUn LOr © 55�Iz SNIT. LOT 0 I1J14=54<T, u.un 1KC0%INIME TC LWuxX CT1g1 FU WATt[MAI4 140 G[MCCS or'^rvu,n ry eo e9 6Y THDW-j ASLCUIZo[YT L11I IS H . ^rE e'^D"'IN No<wicli Ce U4ecTIcuT tl UT X-b IUEXTI"MAIL ME zusnusVlSOF:LI E 1Il Mene rl.yE e[e,1T]trM.e ee0� ��[ WiEI.YD NE1NTlIN ME e'.USTW(N[T[C LIN[. u,T,1511 5LW 1[CLME IIFN dll[}IaT 6 1990 iMAR 31M ;t� t S— SOUTH+OL'Jii PLANNING EGr?;) -_ yNj FO1 1 PLANNING BOARD MEMBERS w `.k, t? SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman `'- Supervisor George Ritchie Latham, Jr. 'FJ 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 March 24, 1992 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, NY 11901 RE: Thomas A. Sargent SCTM#1000-6-6-7 Dear Mr. Hills: The final maps for the above mentioned subdivision were endorsed on June 4, 1991. The mylar maps were to be filed in the office of the County Clerk within sixty ( 60 ) days of the date of endorsement. The Board' s records do not show whether the maps were filed with the County Clerk. If, indeed, the maps were filed, please supply this office with a copy of the filed map. If the maps were not filed, please indicate in writing, the reasons for this omission. Upon submission of the information requested above, the Board will make a determination as to the status of the approval. Please contact this office if you have any questions regarding the above. Verr�y truly yours, Bennett Orlowski, Jr. "'s Chairman PLANNING BOARD • 2 June 4, 01 Subdivisions - Final Mr. Orlowski: Next order of business at 7: 30 p.m. is Thomas A. Sargent - This minor subdivision is for three lots on 26,983 square feet located on a private right-of-way to Fox Avenue on Fishers Island. SCTM #1000-6-6-7. We have proof of publication in both local papers and at this time everything is in order for a final hearing. I ' ll ask if there are any objections to this subdivision? Hearing none, are there any endorsements of this subdivision? Hearing none, is there anyone out there neither pro nor con but may have information pertaining to this subdivision that would be of interest to the Board? Hearing none, any questions from the Board? Board: No questions. Mr. Orlowski: Being there are no further questions, I ' ll declare this hearing closed. Everything is in order, does the Board have any pleasure on this? Mr. Edwards: Mr. Chairman, I would like to offer the following resolution. WHEREAS, Thomas A. Sargent is owner of the property known and designated as SCTM # 1000-6-6-7 & 12, located on a private right-of-way to Fox Avenue on Fishers Island; and WHEREAS, this minor subdivision, to be known as Minor Subdivision for Thomas A. Sargent, is for three lots on 26, 983 square feet; and WHEREAS, a variance to the Zoning Ordinance for approval of insufficient area, width and depth of each parcel was granted by the Zoning Board of Appeals on October 17, 1990; 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 January 14, 1991; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final survey dated January 22, 1991. Mr. Latham: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? PLANNING BOARD • 3 June 4, 1 CAyes: Mr. Latham, Mr. Edwards, Mr. Orlowski, Mr. Ward. Mr. Orlowski: Opposed? So ordered. Mr. Michael Hills: I would just like to say thank you for the Sargents. x*******xxx**************xxxxxxxxxxxxxxx Mr. Orlowski: 7: 35 p.m. John Zuhoski and Murray & Constance Klapper - This lot line change is to subtract 7,125 square feet from a 41. 27 acre parcel and to add it to a 1.2 acre parcel at Cutchogue. SCTM #1000-83-2-13 & 6. 6. We have proof of publication in both local papers. At this time everything is in order for this final hearing, I ' ll ask if there are any objections to this lot line change? Hearing none, are there any endorsements? Mr. Lark: I represent Mr. and Mrs. Zuhoski and unless the Board has any questions, I respectfully move that you approve this lot line change so they can legalize an already existing situation. Mr. Orlowski: O.K. , any other endorsements? Hearing none, is there anyone out there neither pro nor con but may have information pertaining to the Board? Hearing none, any questions from the Board? ` Board: No questions. Mr. Orlowski: Being there are no further questions , I will declare this hearing closed. Does the Board have any pleasure? Mr. Ward: Mr. Chairman, I would like to offer the following resolution. WHEREAS, Murray and Constance Klapper is the owner of the property known and designed as SCTM #1000-83-2-13 & 6.5, located north of Oregon Road, west of Duck Pond Road in Cutchogue; and WHEREAS, this lot-line change, to be known as lot line change for John Zuhoski, is for a lot line change subtracting 7,125 square feet from a 41 . 27 acre parcel and adding it to a 1.2 acre parcel; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on April 1, 1991; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on June 4, 1991 ; and PUBLISHER'S CERTIFICATE State of Connecticut ) County of New London, ) ss. New London On this 29th day of May A.D. 1991, personally appeared before the undersigned, a Notary Public, within and for said County and State. LEGAL sse T of SouthbM f+�aN' J. L. Zielinski, Legal Adv. Clerk is to ever met aMMNSUMMLa ro secumPUNIC 4M of the Town Law,a public IUWAVwill M10 bq ma 9 "*W rowl !enr of THE DAY, a daily Town aRose,Saullwle, nlew York k 111 N UM Town an me I�m adty►rr1 of,ApR 1491 Tal ills 7:SO o P�k,al� elmMe newspaper published at New London, County of New mkw KftU& n for Tlnmes A. sero" located N. RYrra Is- wA in me Town of soumdo, ca�lt�rofsmroastaro London, State of Connecticut, who being duly sworn, .lOMIs 44 1bW*r 10 W " '� °r or m states on oath, that the Order of Notice in the case of r11m 'oM W now m16pmof of Rapkla�5 Legal Adv. 556 Iw« *0 momvd by ftw Reok�e 5. u*fatrN d 5lovae G P�Mlps. a true copy of which MaM on Nls above msllar eeieer N me tkne an0 oemeswmold is hereunto annexed, was published in said newspaper in soma cnannen its issues of the 23rd days of May A. D. 1991. Subscribed and sw r to b ore me this 29th day of May A. D. 1991 . Notary Public. y - 31991 - ' AL NOTICE - - Notice of Public Hearing NOTICE IS HEREBY GIVEN that punuam to Section 276 of the Town Law,a public hewing wfiH*held by STATE OF NEW YORK) the Southold Town Planning Board,at )SS: the Town Hall.Main Read,Southold, COUNTY OF SUFFOLK) New York in said Town on the 4th K) day of June 1991 on the question of ,/J f the :30 Rang. 1!C//-U�tk— of Mattltuck, In 7:30 P.M. Final approval of the,. ®mr subdivision f«Thom a A.Sri` said County,being duly sworn,says that he/she Is Principal ' Sent Southold.Coua�'y of m the Clerk of THE SUFFOLK TIMES, a Weekly Newspaper, and the State of New York,Suffolk County Tax Map Numb T.,�7 published at MattRuck, In the Town of Southold, County of &1Z Suffolk and State of New York,and that the Notice of which The Property is bordered on the the annexed Is a printed copy,hall been regularly published In north 6J land now by laorf y law of now B. Hasaid Newspaper once each week for I weeks Hartsfield;am the eau nd now or formerly of Stephen Figall and by a Oesslvely, eorrincing on the Z3 day of land now or formerly of Anthony ,/AE! Marshall; on the southeast by land now a formerly of Regime S.o Pyle.no sae southwest by by Land now farmer- Iy of Regina S.Pyle;on the west by 1 land now or formerly of Stowe C. Phelps. 7:35 P.M. Final approval of a lot line change for John Zuhoski and Principal Clerk Murray and Constance Klepper in Cutchogoe,in the Town of Southold, County of Suffolk and the State of New York.Suffolk County Tax Map Number 1000-83-2-13&6.6. Sworn tobefore nle this The property is bordered on the north by Long Island Sound;on the day of ea / wnw st by lend now or formerly of David Dignan:on the south land 17ataty/Pyhgq Stew of Neo Yolk IjO.52-4605206•SOIf01k � now or fomedy of John Zuhoski;an t9 q 3 the west by land now or formerly or C,jrhT,r�]n apbal April 30. Murry Klapper. 7:40 P.M. Final approval of a lot line change for John Zuhoski and Maury Klepper in Cutchogue,in the Town of Southold,County of Suffolk and the State of New York. Suffolk - Camty Tax Map Number.1000-83-2- 13&6.5. The Property is bordered on the north by Long Island Sound;on the OM by hand now or formerly of Mur- ray and Constance Klepper, on the south by land now or formerly of John Zuhoski; on the west by land now or formerly of Daniel C.Shelly. 7:45 P.M. Public hearing for the Board of Fire Commissiomen to give testimony as to the necessity and plana ant for the fire well in High- Point at Ent Marion,Section Three. - Suffolk County Tax Map Number 1000.31-3.11.25. Any perm'detiting to be heard on the above manor should appear at the dew Dred:May116,1 � BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Emmett Orlowski,Jr. 7039-1TM23 Chaiman i LAW OFFICES CRUSER & HILLS �s 206 ROANOKE AVENUE ASS• Dom`. RIVERHEAD, N. Y. 11901-2794 516.727-3904 FAX NO: 516-727-3940 GEORGE L. CRUSER EDGAR HILLS MICHAEL N. HILLS May 23, 1991 Planning Board of Southold Town Hall 53095 Main Raod P.O. Box 1179 Southold, New York 11971 Attention: Holly Re: Thomas A. Sargent SCTM#1000-6-6-7 Dear Holly: Pursuant to your request, enclosed please find copy of recorded covenants and restrictions for Thomas Sargent. Very truly yours, X_. � � Michael N. Hills MNH:jb Enc. MAY 2 4 1'991 1 COUNTY OF SUFFOLK 0 LEGALS NOTICE STA 1'[- 01= NEW YORK ss: Notice of Public Hearing NOTICE IS HEREBY GIV- Patricia Wood,' being duly sworn, says that she is the ENthat eTownsLaw,apublSection 276 Editor, of THE LONG ISLAND TRAVELER-WATCHMAN of the Town Law,a public hear- ingwill beheld bythe Southold a public newspaper printed at Southold, in Suffolk County; Town Planning Board, at the and that the notice of which the annexed is a printed copy, Town Hall, Main Road, Southold, New York in said haS been ,published in said Long Island Traveler-Watchman Town on the 4th day of June once each week for . . . . . . . . . . . . . . . . . . . . l. . . . . . weeks 1991 on the question of the f 7ou30 PM. Final approval of successively, commencing on the . . . . . . . . . . . . . . . . . . . . . . the-•sonar subdivision for 7�yt Thomas A. Saguia located in Fishers Island, in the 76wn of Southold, County of Suffolk, and the State of New fork.Suf-- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . folk County Tax Map Number 1000-6.6-7 & 12. The property is bordered on the north by land now ora 3 A/ formerly of J.B. Hartsfield; on Sworn Io before me this . . . . . . . . d. . . . . . . . . . clay of the east by land now or former- ly of Stephen Figall and by land now or formerly of Anthony . . . . . . . . . . P7e.7. . . . , 19 . 9/. . Marshall; on the southeast by land now or formerly of Regina S. Pyle; on the southwest by land now or formerly of Regina S.Pyle;on the west by land now � or formerly of Stowe C.Phelps. ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7:35 P.M.Final approval of a Notary Public lot tine change for John Zuboski BARBARA A. SCHNEIDER and Murray and Constance NOTARY PUBLIC, Stte of New York Mapper in Cutchogue, in the No. 4806846 Town of Southold, County of Qualified in Suffolk Coynty Suffolk and the State'of New Commission Expires 8 3r�J� York.Suffolk County Tax Map Number 1000-83-2-13 &6.6. The property is bordered on the north by Long Island Sound; on the east by land now or formerly of David Dignan; on the south by land now or formerly of John Zuhoski; on 7:4 P.M.Public Hearing for the west by land now or former- the of Fire Commis- ly of Murray Mapper. sion to give testimony as to 7:40 P.M.Final approval of a the n - try and placement for lot line change for John Zuhoski. the f well in Highpoint at East and Murray $tapper in Cut- Mari n,Section Three.Suffolk chogue, in the Town of CounyTax Map Number l000- Southold, County of Suffolk 31-3.11.25. and the State of New York.Suf- An person desiring to be folk County Tax Map Number heard on the above matter 1000-83-2-13 &6.5. shout I_appearof the time and. The property is bordered on place above specified, the north by Long Island Sound; Date May 16, 1991 on the esat by land now or BY ORDER OF THE formerly of Murray and Con- SOUTHOLD TOWN stance Mapper;on the south by PLANNING BOARD _ land now or formerly of John Be nn t Orlowski, Jr. Zuhoski; on the west by land Chairman now or formerly of Daniel C. IX-5/23/91(61) Shelly. SUBMISSION WITHOUT COVER LETTER SENDER: SUBJECT: . SCTM# : COMMENTS: PLANNING BOARD MEMBERS Vim. ra FiYf'u .T SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman .�.� '� s' .0 Supervisor George Ritchie Latham, Jr. •:i 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 May 16, 1991 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901 RE: Thomas A. Sargent SCTM#1000-6-6-7 Dear Mr. Hills: Please note that the Southold Town Planning Board has changed their meeting date from Monday, June 3, 1991 to Tuesday, June 4, 1991 . Accordingly, the public hearing on the above mentioned minor subdivision will be at 7: 30 P.M. on June 4, 1991. Very truly yours, Bennett Orlowski, Jr. Chairman • i PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ,y -�_. . ,w •,.� ;? Supervisor George Richie Latham, Jr. Richard G. Ward ��� S Mark S. McDonald Town Hall, 53095 P.O. Box 1 Main Road ' �' Kenneth L. Edwards 179 PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 May 14, 1991 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901 RE: Thomas A. Sargent SCTM#1000-6-6-7 Dear Mr. Hills: The following resolution was adopted by the Southold Town Planning Board on Monday, May 13, 1991. Be it RESOLVED that the Southold Town Planning Board set Monday, June 3, 1991 at 7: 30 P.M. for a final public hearing on the subdivision maps last dated January 22, 1991 . Very truly yours, �nnte0,4 , li • s Bennett Orlowski, Jr. Chairman U�RK 1 SUBMISSION WITHOUT COVER LETTER SENDER: SUBJECT: SCTM# : COMMENTS: M1 PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman •y� 1' '" ; Supervisor George Ritchie Latham, Jr. V Richard G. Ward 'ti 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 April 23 , 1991 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901 RE: Thomas A. Sargent SCTM# 1000-6-6-7 Dear Mr. Hills: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, April 22 , 1991. BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from May 13, 1991 to November 13 , 1991. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr �S Chairman PLANNING BOARD MEMBERS 'c SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman v© �"`�►� 0�.. Supervisor George Ritchie Latham, Jr. 3y� Richard G. Ward 1 = 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 January 15, 1991 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901 RE: Minor Subdivision Thomas A. Sargent SCTM#1000-6-6-7 Dear Mr. Hills: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, January 14, 1991. Be it RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, assume lead agency, make a determination of non-significance, and grant a Negative Declaration on this unlisted action. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, ajew-01 Bennett Orlowski, Jr. �1S Chairman Encl. /Bennett NG BOARD MEMBERS r—j ^ SCOTTL. HARRIS Orlowski, Jr., ChairmanSupervisor e Ritchie Latham, Jr. Richard G. Ward { 3 i 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 SEQR NEGATIVE DECLARATION Notice of Determination of Non-Significance Lead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 i Southold, New York 11971 I Date: January 2, 1990 This notice is issued pursuant to 6 NYCRR Part 617, and local law # Chapter 44, 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. Title ofAction: Thomas A. Sargent Minor Subdivision (3 lots) SCTM #1000-6-6-Lots 7 and 12 a SEQR Status: Unlisted Action Location: Located on a Private Road off of Fox Avenue, Fishers Island, Southold, New York Project Description: The project involves a request for a minor subdivision of three lots on two parcels of land. Three houses presently exist. Land is zoned A-1 Agricultural/Residential. Page 1 of 3 • Thomas Sargent Negative Dmiaration 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. In addition, a Long Environmental Assessment Form Parts I, II has been prepared by the Town, and has been fully considered by the Planning Board in the preparation of this determination. This Negative Declaration is issued in compliance with Part 617.8(e)(1)(ii), and in full consideration of the documentation and other relevant information provided. The following specific reasons are offered in support of this determination: 1) The subject site is presently occupied by three dwellings. Lot Number 3 is 16,714 square feet in size and includes one dwelling. The other lot is 10,269 square feet in size and is occupied by two dwellings. The proposal would split the northern lot between the two existing dwellings, thereby creating a lot for each existing dwelling. 2) The uses already exist on the site; therefore, the project will not increase the intensity of land use. 3) The project will not increase demand for services, or set an unwarranted precedent, due to the fact that the uses presently exist on the site. 3) The site does not contain any unique environmental resources. The topography is moderate, the soils are well drained, the site is dominated by landscaped areas and woodlot, and is subject to human impacts presently resulting from existing site use. 4) The Town of Southold Zoning Board of Appeals has considered lot area and setback variances in connection with the subject application. The Board of Appeals has imposed several conditions of approval,which are valid and would tend to minimize environmental impacts. These conditions are noted as follows: 1. That there be no further subdivision, set-off or conveyance of land other than that as applied for and as shown by the minor subdivision plan dated August 6, 1990, prepared by Chandler Palmer & King; 2. That the accessory shed structure on Lot #3 (referred to as 16,714 sq. ft.) be used only for storage purposes (and never to be converted or used for sleeping or habitable purposes); 3. That the accessory garage (gar. & apt.) structure on proposed Lot #1 may continue its present nonconformance (without any increase in size) for a period of not more than ten (10) years, or when the structure is abandoned or permanently vacated by the present tenant, whichever shall occur first. The occupancy of this nonconforming garage-apartment shall then automatically cease and become null and void, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. Page 2 or 3 Thomas Sargent Negative Declaration For Further Information: Contact Person: Bennett Orlowski, Jr. Chairman Address: Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Phone No.: (516) 765-1938 Copies of this Notice Sent to: Commissioner - New York State Deoartment of Environmental Conservation, 50 Wolf Road, Albany, New York 12233-0001. Regional Director - NYSDEC, Building 40, The Loop Road, SUNY at Stony Brook, Stony Brook, New York 11794 Southold Zoning Board of Appeals, Southold, New York Southold Town Board, Southold, New York Suffolk County Department of Health Services, Riverhead, New York Applicant Suffolk County Planning Commission Page 3 of 3 �oS�FFOIK�OG< PLANNING BOARD MEMBERS '=T' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman JO O� Supervisor George Ritchie Latham, Jr. Richard G. Ward �Ol 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 SEQR NEGATIVE DECLARATION Notice of Determination of Non-Significance Lead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Date: January 2, 1990 This notice is issued pursuant to 6 NYCRR Part 617, and local law # Chapter 44, 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. Title of Action: Thomas A. Sargent Minor Subdivision (3 lots) SCTM #1000-6-6-Lots 7 and 12 SEQR Status: Unlisted Action Location: Located on a Private Road off of Fox Avenue, Fishers Island, Southold, New York Project Description: The project involves a request for a minor subdivision of three lots on two parcels of land. Three houses presently exist. Land is zoned A-1 Agricultural/Residential. Page 1 of 3 r Thomas Sargent Negative Declaration 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. In addition, a Long Environmental Assessment Form Parts I, II has been Prepared by the Town, and has been fully considered by the Planning Board in the preparation of this determination. This Negative Declaration is issued in compliance with Part 617.8(e)(1)(ii), and in full consideration of the documentation and other relevant information provided. The following specific reasons are offered in support of this determination: 1) The sub*ect site is presently occupied by three dwellings. Lot Number 3 is 16,714 square feet in size and includes one dwelling. The other lot is 10,269 square feet in size and is occupied by two dwellings. The proposal would split the northern lot between the two existing dwellings, thereby creating a lot for each existing dwelling. 2) The uses already exist on the site; therefore, the project will not increase the intensity of land use. 3) The project will not increase demand for services, or set an unwarranted precedent, due to the fact that the uses presently exist on the site. 3) The site does not contain any unique environmental resources. The topography is moderate, the soils are well drained, the site is dominated by landscaped areas and woodlot, and is subject to human impacts presently resulting from existing site use. 4) The Town of Southold Zoning Board of Appeals has considered lot area and setback variances in connection with the subject application. The Board of Appeals has imposed several conditions of approval, which are valid and would tend to minimize environmental impacts. These conditions are noted as follows: 1. That there be no further subdivision, set-off or conveyance of land other than that as applied for and as shown by the minor subdivision plan dated August 6, 1990, prepared by Chandler Palmer& King; 2. That the accessory shed structure on Lot #3 (referred to as 16,714 sq. ft.) be used only for storage purposes (and never to be converted or used for sleeping or habitable purposes); 3. That the accessory garage (gar. & apt.) structure on proposed Lot #1 may continue its present nonconformance (without any increase in size) for a period of not more than ten (10)years, or when the structure is abandoned or permanently vacated by the present tenant,whichever shall occur first. The occupancy of this nonconforming garage-apartment shall then automatically cease and become null and void, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. Page 2 or 3 Thomas Sargent Negative Declaration For Further Information: Contact Person: Bennett Orlowski,Jr. Chairman Address: Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Phone No.: (516) 765-1938 Copies of this Notice Sent to: Commissioner - New York State Department of Environmental Conservation, 50 Wolf Road, Albany, New York 12233-0001. Regional Director - NYSDEC, Building 40, The Loop Road, SUNY at Stony Brook, Stony Brook, New York 11794 Southold Zoning Board of Appeals, Southold, New York Southold Town Board, Southold, New York Suffolk County Department of Health Services, Riverhead, New York Applicant Suffolk County Planning Commission Page 3 of 3 PLANNING BOARD MEMBERS ^ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. '+J "_ _-._� Richard G. Ward i'� t Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING OFFICE Southold, New York 11971 BYl"� Telephone (516) 765-1938 NURTM VMMMION Fax (516) 765-1823 Notice of Determination of Non-Significance Lead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Date: January 2, 1990 This notice is issued pursuant to 6 NYCRR Part 617, and local law # Chapter 44, 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. Title of Action: Thomas A. Sargent Minor Subdivision (3 lots) SCTM #1000-6-6-Lots 7 and 12 SEQR Status: Unlisted Action Location: Located on a Private Road off of Fox Avenue, Fishers Island, Southold, New York Project Description: The project involves a request for a minor subdivision of three lots on two parcels of land. Three houses presently exist. Land is zoned A-1 AgricuI Lural/Residential. Page 1 of 3 Thomas Sargent Negative Declaration 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. In addition, a Long Environmental Assessment Form Parts I, II has been Prepared by the Town, and has been fully considered by the Planning Board in the preparation of this determination. This Negative Declaration is issued in compliance with Part 617.8(e)(1)(ii), and in full consideration of the documentation and other relevant information provided. The following specific reasons are offered in support of this determination: 1) The sub'ect site is presently occupied by three dwellings. Lot Number 3 is 16,714 square t)eet in size and includes one dwelling. The other lot is 10,269 square feet in size and is occupied by two dwellings. The proposal would split the northern lot between the two existing dwellings, thereby creating a lot for each existing dwelling. 2) The uses already exist on the site; therefore, the project will not increase the intensity of land use. 3) The pro''ect will not increase demand for services, or set an unwarranted precedent, due to the fact that the uses presently exist on the site. 3) The site does not contain any unique environmental resources. The topography is moderate, the soils are well drained, the site is dominated by landscaped areas and woodlot, and is subject to human impacts presently resulting from existing site use. 4) The Town of Southold Zoning Board of Appeals has considered lot area and setback variances in connection with the subject application. The Board of Appeals has imposed several conditions of approval,which are valid and would tend to minimize environmental impacts. These conditions are noted as follows: 1. That there be no further subdivision, set-off or conveyance of land other than that as applied for and as shown by the minor subdivision plan dated August 6, 1990, prepared by Chandler Palmer & King; 2. That the accessory shed structure on Lot #3 (referred to as 16,714 sq. ft.)be used only for storage purposes {and never to be converted or used for sleeping or habitable purposes}; 3. That the accessory garage (gar. & apt.) structure on proposed Lot #1 may continue its present nonconformance (without any increase in size) for a period of not more than ten (10)years, or when the structure is abandoned or permanently vacated by the present tenant, whichever shall occur first. The occupancy of this nonconforming garage-apartment shall then automatically nd cease and become null avoid, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. Page 2 of 3 Thomas Sargent Negative Declaration For Further Information: Contact Person: Bennett Orlowski, Jr. Chairman Address: Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Phone No.: (516) 765-1938 Copies of this Notice Sent to: Commissioner - New York State Department of Environmental Conservation, 50 Wolf Road, Albany, New York 12233-0001. Regional Director - NYSDEC, Building 40, The Loop Road, SUNY at Stony Brook, Stony Brook, New York 11794 Southold Zoning Board of Appeals, Southold, New York Southold Town Board, Southold, New York Suffolk County Department of Health Services, Riverhead, New York Applicant Suffolk County Planning Commission Page 3 or 3 CRAMER, V RHf OCIATES RK Z ENVIRONMENT ° G CONSULTANTS A� January 2, 1991 Mr. Bennett Orlowski, Jr. Chairman Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Thomas A. Sargent, Fisher's Island Minor Subdivision SCTM No. 1000-6-6-Lots 7 and 12 Dear Benny: We have completed the review of the above referenced minor subdivision in order to provide input to the Planning Board regarding the environmental significance of this action. Attached, please find Parts I and II of the Long Environmental Assessment Form, completed in accordance with SEQR procedures. Based upon Part II, we find that none of the impacts will result in a Potential Large Impact, and therefore, it is not necessary to complete a Part III narrative. Our findings are based upon the fact that the project involves a division of land to accommodate dwellings which already exist. The subject application involves two (2) parcels, upon which there are presently three (3) houses. T'he subdivision would split the northern lot to provide one lot for each dwelling. Therefore the project will not increase the intensity of land use, increase demand for services or impact unique environmental resources. In addition, we note the ZBA has included conditions on their decision of October 17, 1990, which also tend to minimize potential environmental impacts. These are noted in the determination of significance. Utilizing the EAF and the ZBA decision as a basis for conclusions, we haveprepared a Negative Declaration for your use. If you have any questions, please do not hesitate to call. Very ly , rs, harles J. oorhis cc: Valerie Scopaz Melissa Spiro 54 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 14-16-2 (2187)-7c x ' 617.21 SEAR Appendix A State Environmental Quality Review it FULL ENVIRONMENTAL ASSESSMENT FORM y 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. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a 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 CUpon 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.' Cl 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. MA Conditioned Negative Declaration is only valid for Unlisted Actions / /�Nd� cSyQO�✓IS�Da / dMs?S 79 JA/�P.J� Name of Action � io Name of Lead Agency Printer Type .U6/ywa_T 0/2 Own, r �2 ype Name of Responsible Officer in Lead Agency Title of Re onsib/le Officer ( Signature of Responsible Officer in Lead Agency gnatureof P parer(ifdifferentfromresponsibleofficer) 2�6irzran 2Z, /9 90 Date 1 P IF 1—PROJECT INFORMATI00 Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effec on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and may be subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involy: new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specif; each instance. NAME OF ACTION /NO LOCATION//,�pF��A.CITION(Inpude Street Address,Municipality and County) /tC/t/r7�e ,C// Ae-Vw- COUNT /V. NAMEyF APPLICANT/SPONSOR BUSINESS TELEPHONE '7'/(d.-rAs �. .S .✓f l8ao )�1'336673 ADDRESS /6 /y/ilPC e fJ/!r CITY/PO _ /vel-1 STATE ZIP CODE 1-Vg53 I 63..fS 9 NAME OF OWNER(If different) BUSINESS TELEPHONE ( ) ADDRESS --_- CITY/PO --- — STATE ZIP CODE DESCRIPTION OF ACTION – -- /y/.n dt tSvBO�vrs�a l' 'Aere /.QTS o r tt ik A o_seSe CrSTiA11r, a e yc!7 DoT_ •2.Co7S cuefv 12eSuI7 cel= 11V"1Vni6'C>1 Z'Jele6Ce j//lit 7n _43 �I ✓5P ham- �+�i�eiJ ��h ,4 CcfV2T�-c7ro,✓ /-=er�/C_ 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 CKResidential (suburban) ❑Rural (non-farm; ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 01007, acres. O APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres V acres Forested O' acres 0./1 acres Agricultural (Includes orchards, cropland, pasture, etc.) O acres — n acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) O acres n acres Water Surface Area O acres o acres Unvegetated (Rock, earth or fill) n acres LZ_ acres Roads, buildings and other paved SU If es �0 l—�{orr acres 0 , 0A acres Other (Indicate type) 07' 4- / acres _ A. `�/ acres /vEYLHD LYMoVTN ✓crLY 30VVD.YZy 5uy�g 3. What is predominant soil type(s) on project site? a. Soil drainage: ❑Well drained % of site IRIModerately well chained/0O % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of Soil are classified within soil up 1 through 4 of the NYE Land Classification System? 0 acres. (See 1 NYCRR 370). L 4. Are there bedrock outcroppings on project site? Dyes I$NO a. What is depth to bedrock? /001, (in feet) 2 5. Approximate percentage of proposed pr site with slopes: 00-10% ❑10-15% 5'0 _% 015% or greater 'J 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 16N C '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ❑No 8. What is the depth of the water table? SO (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes I-dNo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Dyes WNo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes l2lNo According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes I$No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes ®No If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes 5JNo 15. Streams within or contiguous to project area: XV4 a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17. Is the site served by existing public utilities? (BlYes ❑No NuA/ic iPIZ_ cV/f--� POuJL a) If Yes, does sufficient capacity exist to allow connection? ($,Yes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes WNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes JZNo 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? Dyes (ZNO 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes 1 10 B. Project Description s-V 3 L_W_ 517'C--/s 1. Physical dimensions and scale of project (fill in dimensions as appropriate) 26/983 r SC7.F7: a. Total contiguous acreage owned or controlled by project sponsor A9. &Z acres. 3 /'iOUsG_S G-(/s77A1, b. Project acreage to be developed: O. &Z: acres initially; D. P2O�"T w'r� - Y; �2Z- acres ultimately. c. Project acreage to remain undeveloped n acres. DIV/OC- Z L075 /P d. Length of project, in miles: O (If appropriate) 3 UNE Lpr F'aA e. If the project is an expansion, indicate percent gf expansion proposed %; cvf-ct+ FfOUSr-- f. Number of off-street parking spaces existing s` ; proposed g. Maximum vehicular trips generated per hour O 3A (upon completion of project)? 012C-S CD�J7Ly h. If residential: Number and type of housing units: t7Ceu✓Z/L/1V6 One Family Two Family Multiple Family Condominium Initially Ultimately 3 i. Dimensions (in feet) of largest proposed structure height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 0— ft. 3 2. How much natural material (i.e., ro*arth, etc.) will be removed from the siy tons/cubit yards, 3. Will disturbed areas be reclaimed? Dyes ONO k9 N/A s/7€ tG2E7TOy 0EVcWP67Z> a. If yes, for what intender: purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ONO c. Will upper subsoil be stockpiled for reclamation? Dyes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 acres. S. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes QffNo 6. If single phase project: Anticipated period of construction 0 months, (including demolition). 7. If multi-phased: NA C-7ris 7-/^/l7 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 ONO 8. Will blasting occur during construction? Dyes XNo 9. Number of jobs generated: during construction a after project is complete Ni4 10. Number of jobs eliminated by this project O 11. Will project require relocation of any projects or facilities? Dyes INNo If yes, explain 12. Is surface liquid waste disposal involved? Dyes WNo 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? Mes &No Type '5r--sAN-&4- ZKAi E3 C;XzS _ 14. Will surface area of an existing water body increase or decrease by proposal? Dyes [&No Explain 15. Is project or any portion of project located in a 100 year flood plain? Dyes K 16. Will the project generate solid waste? Yes MN a. If yes, what is the amount per month 0. 3 J tons C=1t/51-7/V7o b. If yes, will an existing solid waste facility be used? XYes ONO c. If yes, give name Fisc>.sTu,.n Aiyor" ; location 17_c/ _ /c/.,r1 d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes NNo e. If Yes, explain 17. Will the project involve the disposal of solid waste? Dyes ®,No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes 53..0 19. Will project routinely produce odors (more than one hour per day)? Dyes `ANN 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes XNo 21. Will project result in an increase in energy use? Dyes Q�N0 If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity �l`rr gallons/minute. 23. Total anticipated water usage per day 'A-� gallons/day. 900 CAPD E?v5;7 v7, ( � 24. Does project involve Local, State or Federal funding? Dyes GIN 0 If Yes, explain 4 25. Approvals Required: Submittal Type Date City, Town, Village Board Dyes ❑No City, Town, Village Planning Board MYes ❑No /Y/A/02 .TU&,Q1L/S/0n/ City, Town-Zoning Board RLYes ❑No 49FA'T"7Y 4�2G/�O City, County Health Department Dyes ❑No Other Local Agencies )(Yes ❑No Other Regional Agencies Dyes ❑No State Agencies Dyes ❑No Federal Agencies Dyes ❑No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? IaYes ❑No If Yes, indicate decision required: ❑zoning amendment 3520ning 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? /911 ,gQi—n ZlQcC 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 11C Q/LSiii11��' �X.I�i�lq 4. What is the proposed zoning of the site? SAMP 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? /9'S �/CiJIC� £)Ct S3 T C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? R Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a Y. mile radius of proposed action? ZSn l P� 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? 3 a. What is the minimum lot size proposed? .r F— `13Ff Sn cetT 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes WNo 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? Dyes EWo a. If yes, is existing capacity sufficient to handle projected demand? Ryes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes UNo a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the info_rmmaako_n proved d above is true t the best of my knowledge. Applicant/Sponsor Name �' ""`�7 — n Date Signature 71 tam. fS SitE rv7• Title /Cdr' dwVLOe 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 Part 2—PROOT IMPACTS AND THEIR MAG9 UDE 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 been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the 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 small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change Examples that would apply to column 2 ANO DYES • 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. ❑ ❑ Dyes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 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. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect ta. ...jy un,que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc, No DYES lL • Specific land forms: ❑ ❑ ❑Yes ❑No 6 ' � 1 2 3 Small to Potential Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) `ONO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ONO protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes []No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes ONO 4. Will proposed action affect any non-protected existing or new body of water? ANO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ Cl Yes ONO or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes ONO 5. Will Proposed Action affect surface or groundwater quality or quantity? 9NO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ONO 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 ❑ ❑ []Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ONO supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ Dyes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ Dyes ONO day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the exte t that there will be an obvious visual contrast to naturai conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ONO products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ONO and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ I❑ ❑Yes ONO require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ONO 6. Will proposed action alter drainage flow or patterns, or surface water runoff? 5(N0 DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ONO 7 3 FMod;eraatte Po ential Can Impact Be Large Mitigated By Impact Project Change • Proposed Action may cause substantial erosion. C • Proposed Action is incompatible with existing drainage patterns. OYes ONo • Proposed Action will allow development in a designated floodway. O OYes ❑No • Other impacts: OYes ONO O Dyes ONO IMPACT ON AIR 7. Will proposed action affect air quality? Examples that would apply to column 2 UO OYES • Proposed Action will induce 1,000 or more vehicle trips in any given hour. O ❑ OYes ONO • Proposed Action will result in the incineration of more than 1 ton of refuse per hour. O ❑ OYes ONO • Emission rate of total contaminants will exceed S lbs. per hour or a heat source producing more than 10 million BTU's per hour. O O OYes ONO • Proposed action will allow an increase in the amount of land committed to industrial use. O O OYes ONo Proposed action will allow an increase in the density of industrial development within existing industrial areas. O O ❑Yes ONO Other impacts: 0 13 ❑Yes ONO IMPACT ON PLANTS AND ANIMALS Will Proposed Action affect any threatened or endangered species? [Z{NO DYES a Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. O O OYes ONO Removal of any portion of a critical or significant wildlife habitat. Application of pesticide or herbicide more than twice a year, other O O OYes ❑No than for agricultural purposes. O O OYes ONO Other impacts: O O Oyes ONO L Will Proposed Action substantially affect non-threatened or non-endangered species? 5gNO DYES ' Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or nigratory fish, shellfish or wildlife species. O O OYes ONO 'roposed Action requires the removal of more than 10 acres _ >f mature forest (over 100 years of age) Or other locally i O O OYes ONO ~ 'egetation. mportant IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? Examples that would apply to column 2 RNO DYES I— he proposed action would sever, cross or limit access to agricultural nd (includes cropland, hayfields, pasture, vineyard, orchard, etc.) O O Oyes ONO 8 • 1 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 ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ 1-1 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 ❑ ❑ ❑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: ❑ ❑ EJ Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? NNO ❑YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑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 ❑ ❑ ❑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? (IKNO ❑YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑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 ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • 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 Q)N0 ❑YES r The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 IMPACT ON TRANSPORTAN 1 '3 14. stems?Will there be an effect to existing transportation s Small to Potential Can Impact Be y Moderate Large Mitigated By (�NO DYES Impact Impact Project Change Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ • Proposed Action will result in major traffic problems. []Yes []No❑ • Other impacts: ❑ El Yes ❑No❑ ❑ ❑Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? AVO DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ any form of energy in the municipality. El El Yes ❑No = • Proposed Action will require the creation or extension of an energy ❑ transmission or supply system to serve more than 50 single or two family Dyes ❑No residences or to serve a major commercial or industrial use. • Other impacts: e ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS i6. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? XNO DYES Examples that would apply to column 2 Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ facility. El Yes ❑No Odors will occur routinely (more than one hour per day). ❑ �. Dyes EJ No Proposed Action will produce operating noise exceeding the local ❑ ambient noise levels for noise outside of structures. ❑ El ❑Yes ❑No Proposed Action will remove natural barriers that would act as a ❑ noise screen. ❑ ❑Yes ❑No Other impacts: ❑ ❑ E3 Yes ❑No IMPACT ON PUBLIC HEALTH Will Proposed Action affect public health and safety? L Examples that would apply to column 2 IRNO DYES Proposed Action may cause a risk of explosion or release of hazardous ❑ substances(i.e. oil, pesticides, chemicals, radiation, etc.)in the event of El El Yes ❑No accident or upset conditions, or there may be a chronic low level Jischarge or emission. Proposed Action may result in the burial of "hazardous wastes" in any ❑ orm (i.e. toxic, poisonous, highly reactive, radioactive, irritating, El El Yes ❑No nfectious, etc.) storage facilities for one million or more gallons of liquified natural as or other flammable liquids. EJ Dyes ❑No 'reposed action may result in the excavation or other disturbance ,it e2,000 feet of a site used for the disposal of solid or hazardous El ❑Yes EJ NO rite. � 7ther impacts: LI ❑ ❑ ❑Yes ❑No 10 7 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existi g community? Impact Impact Project Change NO DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ []Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? XNO 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 �oc��FfOlkc�Gy` APPEALS BOARD MEMBERS SCOTT L. HARRIS Supervisor Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Town Hall, 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 INTER—DEPARTMENTAL MEMORANDUM TO: Planning Board Office Attn: Holly FROM: Linda Kowalski Board of Appeal i DATE: December 17, 1990 SUBJECT: Letter Dated 12/14/90 from Michael N. Hills, Esq. Thomas Sargent Minor Subdivision (Approved 11/13/90) Attached is the above-referred letter which was delivered to our office, in error. [EDW� LAW OFFICES r CRUSER, MILLS, HILLS & BESUNDER DLC 206 ROANOKE AVENUE RIV ERH EAO, N.Y. 11901-2794 S16-727-3904 FAX NO: 516-727-3940 J 60UTHAMPT�N OFFICE GEORGE L. CRUSER 77 HAMPTON ROAD EOSAR HILLS SOUTHAMPTON,N.Y. IIS99-4529 MICHAEL N. HILLS 516263 M85 HARVEY E.HESUNDER NANCY BURNER December 14, 1990 Planning Board Office Town of Southold Town Hall P.O. Box 1179 53095 Main Road Southold, New York 11971 Gentlemen: The undersigned represents Thomas Sargent for whom you approved a minor subdivision on November 13, 1990. Your approval expires six months from that date. Mr. Sargent has applied to the Board of Health for a variance on the size of the lot, and we have been advised by said board that the application will not be heard for a period of six months. It therefore may be necessary for us to have an extension of time within which to file the covenants and restrictions. This letter is to serve to put you on notice that it may be necessary for us to apply for an extension of time. Should there be anything further you require from the undersigned at this time, please advise me. Very truly yours, Michael N. Hills MNH:jb cc: Mr. Thomas Sargent �, l pT 3568 _ `;) I � AN�OFSOUTHOLD y= w 1: tlaw e � urchase Order # Account # � +'Date yfy+�' ..y)ym d y,�T Denver and send billing to: .; i`,, + Vendor A W4xp M h 'fr Department Address DEPARTMENT BILLING'COPY ki •*Return this copy with signed certification and Town of Southold voucher rtem¢ed and signed by vendor to Accounting for Processm9 ITEM QUANTITY § DESCyRIPTION ) UNIT COST TOTAL ,qr `f a )i, p��GP t �4' u C ,�y,. �t A ,.'}{' a "`Y 3 ) b F t`Y� y'��Y ! 5.✓ l i 7 R a hry�d fi ,N 'S x 1 / ART."'t vyr a" k' 4i {' �! � �tfr 2 � ru� 'YX"� �T� ' `"f6F`��} �♦. h e t 1 +� w 4'07, IIYk r64F t ° + #r drSt ' 3a ° a ` » a I 4A '- 'kr THIS PURCHASE ORDER IS NOT VALID WITHOUT THE SIGNATURES OF THE DEPT HEAD AND THE SUPERVISOR w : r 14SAa41114.r2 DEPARTMENT'S CERTIFICATION CERTIFICATION OF GOODS OR s M �H:I, CE RTI FY THAT THERE ARE ; SERVICES �sY SUFFICIENT FUNDS AVAILABLE p , ' �; -0' ,"� i,f` w � 4 IN APPROPR ION C14ARGF I j° certify that the goods or services were received bey this °# = ' w Department and all exceptions duly noted a n ept Head `M Signed ,I, CERTIFY THIS TO BE A JUST; nt' ` .: to ; , : "� t � _ 'SAND TRUE URCHASE,ORDER,- Date Ai+`F %� l3. TT ,T�{,� t, f [ i t l i ..'-R4-Y1Lh'TM � �. l •:,. k � »:�"""—'c`� ,�k * ,f =rein a l-,kYro r..., :.T..KY+,wH•a ar;,.,�sf�+. ,t-.r,. _uai LAW OFFICES �I/�✓ /`�� CRUSER, HILLS, HILLS & BESUNDER Afs 200 ROANOKE AVENUE RIVERHEAO, N.Y. I1S01-2754 516-727-3904 FAX NO: 516-727-3940 SOUTHAMPTON OFFICE GEORGE L.CRUSER 77 HAMPTON ROAD EDGAR HILLS SOUTHAMPTON, N.Y. 11965-4529 MICHAEL N. HILLS 56 283 HARVEY E.SESUNUER NANCY BURNER November 26 , 1990 Planning Board Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Attention: Bennett Orlowski , Jr . , Chairman Re: Minor Subdivision Thomas A. Sargent SCTM#1000-6-6-7 Dear Mr . Orlowski : Pursuant to your letter of November 14th, 1990 , enclosed please find check of our client, Thomas A. Sargent, to the order of the Planning Board in the sum of $400 . 00 . Please proceed with your review. Thanking you, we are, Very truly yours , r / Michael N. Hills MNH: jb Enc . 0 21 ,,q�n l � PLANNING BOARD MEMBERS F '� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �Y� `7A r O� Supervisor George Ritchie Latham, Jr. Richard G. Ward �1 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 November 14, 1990 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901-2794 RE: Minor Subdivision Thomas A. Sargent SCTM# 1000-6-6-7 Dear Mr. Hills: The Planning Board has received a cost estimate of $400.00 from their Environmental Consultant for review of Long Environmental Assessment Forms. The above mentioned sum must be paid in full by your client before we can authorize our consultant to proceed with the review. The check should be made payable to the Town of Southold. When the consultants complete their review, the Planning Board will consider their findings in making a determination of whether the project will have a significant environmental impact. Very truly yours, Bennett Orlowski, Jr. /his Chairman Y PLANNING BOARD MEMBERS _ F `-r SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman oe+� '��► Supervisor George Ritchie Latham, Jr. 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 ! 12rnpe4Z l4� 1990 RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3 . Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: a✓1o2 SJOQtUl 10-r) • '(hom c, S �n r a e n t' SC-T/Yl �*1000- 6 - 6 - 7 Requested Action: 1s . c �P nce. lnr J17, •parrzlg. SEQRA Classification: ( ) Type I ( 7C ) Unlisted Contact Person: !1'rjs5A 11zo ( 516) -765-193 The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty ( 30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: ( ) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other. ( See comments below) . Comments: Please feel free to contact this office for further information. Sincerely, &'n Bennett Orlowski, Jr. Chairman cc: RG ra of Trustees audAAi_pY Southold Town Board acSuffolk County Dept. of Health Services WNYSDEC - Stony Brook A YSBESl-bany 2 C Dept o€ D b-lic-Works 2'---ArmY -Corp-o€-Engineers N Y S Dept e€ ranaper-tation * Maps are enclosed for your review Coordinating agencies s PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennet[ Orlowski, Jr., Chairman �; j 1 �.T-y Supervisor George Ritchie Latham, Jr. lopa Richard G. Ward } '' ✓ Town Hall, 53095 Main Road Mark S. McDonald -7"L 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 November 14, 1990 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901 RE: Minor Subdivision of Thomas A. Sargent SCTM# 1000-6-6-7 , 12 Dear Mr. Hills: The following resolution was duly adopted by the Southold Town Planning Board at a meeting held on Tuesday, November 13, 1990. RESOLVED that the Southold Town Planning Board start the coordination process on this unlisted action. The Board makes an initial determination of non-significance. RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated October 22, 1990, subject to the following conditions: 1 . All conditions as stated in the July 25 , 1990 decision of the Zoning Board of Appeals. 2. The final maps must be at a scale of 1 inch equals 100 feet, and must also be in accordance with all filing requirements of the Suffolk County Clerk' s office. 3. The correct zone, R-40 Low-Density, must be stated on the final map. 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. Page 2 Thomas Sargent Please note that five ( 5 ) paper prints and two (2) mylars of the final map, containing a current stamp of Health Department approval, must be submitted before a final public hearing will be set. The Planning Board is requiring that a Declaration of Covenants and Restrictions be filed stating that: 1. There shall be no further subdivision in perpetuity. 2. That the accessory garage (gar. & apt. ) structure on proposed Lot #1 may continue its present non conformance (without any increase in size) for a period of not more than ten ( 10) years, or when the structure is abandoned or permanently vacated by the present tenant, whichever shall occur first. The occupancy of this nonconforming garage-apartment shall then automatically cease and become null and void, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. 3 . These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of a majority of the Planning Board of the Town of Southold after a public hearing. Adjoining property owner shall be entitled to notice of such public hearing but their consent to such modification shall not be required. Please incorporate the above mentioned covenants and restrictions into proper legal form. A copy of the draft Declaration of Covenants and Restrictions must be submitted to the Planning Board office for review by the Planning Board and the Town Attorney. Once the document is approved, it must be filed in the Office of the County Clerk prior to any endorsement of the map by the Chairman. In addition, a notation that the document has been filed, including the Liber and Page number, must be affixed to the final map. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. �tlf Chairman ��� p� ���\ • " �VFF01K� L /"/S �G< APPEALS BOARD MEMBERS o rn SCOTT L. HARRIS Gerard P. Gcehringer, Chairmanv'0 � O� Supervisor Ch yns, Jr. Sergerge Doyen, Jr. �1 ., Town Hall, 53095 Main Road Joseph H. Sawicki P.O. Box 1179Southold, New York 11971 James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 8 ACTION OF THE BOARD OF APPEALS Upon Application of THOMAS SARGENT for a Variance to the Zoning Ordinance, Article IIIA, Section 100-30A. 3 for approval of insufficient area, width and depth of parcels, each with an existing single-family dwelling, in this pending division or reseparation of merged properties, and for approval of reduced yard setbacks between existing structures and property lines as proposed. Property location: Private Road off Fox Avenue, Fishers Island, NY; County Tax Map No. 1000-006-06-007. WHEREAS, public hearings were held on July 25, 1990 and on September 26 , 1990, in the Matter of the Application of THOMAS SARGENT under Appeal No. 3960; and WHEREAS, at said hearings all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located in the "Low-Density Residential R-40" Zone District and is referred to as District Page 2 - Appl. No. 3960 Matter of THOMAS SARGENT Decision Rendered October 17, 1990 1000, Section 006, Block 06, Lots 012 and 007 on the Suffolk County Tax Maps, situate along a private right-of-way off Fox Avenue, Fishers Island, Town of Southold, New York, as conveyed to Thomas A. Sargent and Allison D. Ijams. 2. The subject premises as exists: (a) contains a total combined lot area of 26,983+-sq. ft. and has frontage along a private right-of-way off Fox Avenue; (b) was conveyed by separate deeds to the Sargents as follows: (1) County Tax Map Lot No. 12 was conveyed on May 20, 1987 by deed at Liber 10330 cp 251 from Cecilia Smith Abbott; (2) County Tax Map Lot No. 7 was conveyed on Novem- ber 3, 1986 by deed at Liber 10169 cp 01 from J.B. Hartsfield and Audrey Hartsfield; (c) the minimum lot area requirement in effect during the 1986 and 1987 conveyances was 80,000 sq. ft. per lot and were merged due to common ownership. 3 . Article IIIA, Section 100-30A.3 of the current zoning code (as amended January 9, 1989) requires a minimum lot area per lot of 40,000 square feet. 4. The relief sought by this application is a variance for approval of: (a) proposed Lot #1 with a lot area of 4,938 sq. ft. and lot width of 40 feet, said land presently improved with an existing one-family dwelling and accessory garage structure; (b) proposed Lot #2 with a lot area of 5,331+- sq. ft. and lot width of 44.92 feet, said land presently improved with an existing one-family dwelling; (c) proposed Lot #3 with a lot area of 16,714 +- square feet and 25 ft. frontage along a private right-of-way, said land also improved with an existing single-family dwelling and accessory (storage) shed structure. 5. For the record, it is noted that: Page 3 - Appl. No. 3960 Matter of THOMAS SARGENT Decision Rendered October 17, 1990 (a) the subject premises are nonconforming not only as to lot area and width but as to the number of separate dwelling units {three of which are believed to be preexisting of zoning) , however, a Certificate of Nonconforming Premises and Buildings (Pre-COs) for Lot Nos. 7 and 12 must be obtained and be in full force and effect prior to effectuation of this variance; (b) lots adjacent to the subject premises to the north consist of lot areas each of approximately 6,000 sq. ft. in area; 6. In considering this application, the Board also finds and determines: (a) the relief as granted will not in turn increase the dwelling unit density, since there are three preexisting dwellings; (b) the evidence submitted and practical difficulties claimed are sufficient to warrant a grant of this variance; (c) there will be no substantial change in the character of the neighborhood or detriment to adjoining properties for reasons as noted in the above paragraphs; (d) the difficulties cannot be obviated by some method feasible to the appellant to pursue, other than a variance; (e) that in view of the manner in which the difficulties arose, and in considering all the above factors, the interests of justice will be served by granting the variance, as conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Doyen, it was RESOLVED, to GRANT the relief as requested (and noted in paragraph #4, supra) , in the Matter of the Application of THOMAS SARGENT under Appl. No. 3960, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That there be no further subdivision, set-off or conveyance of land other than that as applied for and as shown by the minor subdivision plan dated August 6, 1990, prepared by Chandler Palmer & King; 2. That the accessory shed structure on Lot #3 (referred to as 16,714 sq. ft. ) be used only for storage purposes {and never to be converted or used for sleeping or habitable purposes) ; 3. That the accessory garage (gar. & apt. ) structure on proposed Lot #1 may continue its present nonconformance (without any increase in size) for a period of not more than ten (10) years, or when the structure is abandoned or permanently vacated by the present tenant, whichever shall occur first. The Page 4 - Appl. No. 3960 Matter of THOMAS SARGENT Decision Rendered October 17, 1990 occupancy of this nonconforming garage-apartment shall then automatically cease and become null and void, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. Vote of the Board: Ayes: Messrs: Goehringer, Grigonis, Doyen and Dinizio. (Absent was: Member Sawicki. ) This resolution was duly adopted. lk / .GERARD P. GOEHRINGER, CHAIRMAN .4 JF oc��FfOur �o%BFrc� PLANNING BOARD MEMBERS 'z SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman BYO O� Supervisor George Ritchie Latham, Jr. Richard G. Ward l l� 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 September 26, 1990 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901-2794 RE: Minor Subdivision Thomas A. Sargent SCTM# 1000-6-6-7 Dear Mr. Hills: The Planning Board received a partial application for the above mentioned subdivision on September 25, 1990. The following items were omitted from the submission: 1. The application fee; 2. A completed Environmental Assessment Form; 3 . The correct number of maps. I I '�/ /" ay The Board cannot proceed with their review until the above mentioned items are submitted. An application packet is enclosed for your assistance. The Planning Board has requested that the Zoning Board of Appeals keep their September 26, 1990, hearing open until the Planning Board has had time to submit their comments on the subdivision proposal. Upon submission of the above items, the Board will proceed with their review. Very truly yours, Bennett Orlowski, Jr. S Chairman enc. cc: Gerard P. Goehringer, Chairman Zoning Board of Appeals qW APPEALS BOARD MEMBERS rzr+ SCOTT L. HARRIS ,i Supervisor Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. �1! .' Town Hall, 53095 Main Road P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS 9 Upon Application of THOMAS SARGENT for a Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3 for approval of insufficient area, width and depth of parcels, each with an existing single-family dwelling, in this pending division or reseparation of merged properties, and for approval of reduced yard setbacks between existing structures and property lines as proposed. Property location: Private Road off Fox Avenue, Fishers Island, NY; County Tax Map No. 1000-006-06-007. WHEREAS, public hearings were held on July 25, 1990 and on September 26, 1990, in the Matter of the Application of THOMAS SARGENT under Appeal No. 3960; and WHEREAS, at said hearings all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located in the "Low-Density Residential R-40" Zone District and is referred to as District Page 2 - Appl. No. 3960 Matter of THOMAS SARGENT Decision Rendered October 17, 1990 1000, Section 006, Block 06, Lots 012 and 007 on the Suffolk County Tax Maps, situate along a private right-of-way off Fox Avenue, Fishers Island, Town of Southold, New York, as conveyed to Thomas A. Sargent and Allison D. Ijams. 2. The subject premises as exists: (a) contains a total combined lot area of 26, 983+-sq. ft. and has frontage along a private right-of-way off Fox Avenue; (b) was conveyed by separate deeds to the Sargents as follows: ( 1) County Tax Map Lot No. 12 was conveyed on May 20, 1987 by deed at Liber 10330 cp 251 from Cecilia Smith Abbott; (2 ) County Tax Map Lot No. 7 was conveyed on Novem- ber 3 , 1986 by deed at Liber 10169 cp 01 from J.B. Hartsfield and Audrey Hartsfield; (c) the minimum lot area requirement in effect during the 1986 and 1987 conveyances was 80, 000 sq. ft. per lot and were merged due to common ownership. 3 . Article IIIA, Section 100-30A. 3 of the current zoning code (as amended January 9, 1989) requires a minimum lot area per lot of 40 ,000 square feet. 4. The relief sought by this application is a variance for approval of: (a) proposed Lot #1 with a lot area of 4,938 sq. ft. and lot width of 40 feet, said land presently improved with an existing one-family dwelling and accessory garage structure; (b) proposed Lot #2 with a lot area of 5, 331+- sq. ft. and lot width of 44 . 92 feet, said land presently improved with an existing one-family dwelling; (c) proposed Lot #3 with a lot area of 16 ,714 +- square feet and 25 ft. frontage along a private right-of-way, said land also improved with an existing single-family dwelling and accessory (storage) shed structure. 5. For the record, it is noted that: Page 3 - Appl. No. 3960 Matter of THOMAS SARGENT Decision Rendered October 17, 1990 (a) the subject premises are nonconforming not only as to lot area and width but as to the number of separate dwelling units (three of which are believed to be preexisting of zoning) , however, a Certificate of Nonconforming Premises and Buildings (Pre-COs) for Lot Nos. 7 and 12 must be obtained and be in full force and effect prior to effectuation of this variance; (b) lots adjacent to the subject premises to the north consist of lot areas each of approximately 6,000 sq. ft. in area; 6. In considering this application, the Board also finds and determines: (a) the relief as granted will not in turn increase the dwelling unit density, since there are three preexisting dwellings; (b) the evidence submitted and practical difficulties claimed are sufficient to warrant a grant of this variance; (c) there will be no substantial change in the character of the neighborhood or detriment to adjoining properties for reasons as noted in the above paragraphs; (d) the difficulties cannot be obviated by some method feasible to the appellant to pursue, other than a variance; (e) that in view of the manner in which the difficulties arose, and in considering all the above factors, the interests of justice will be served by granting the variance, as conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Doyen, it was RESOLVED, to GRANT the relief as requested (and noted in paragraph #4, supra) , in the Matter of the Application of THOMAS SARGENT under Appl. No. 3960, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That there be no further subdivision, set-off or conveyance of land other than that as applied for and as shown by the minor subdivision plan dated August 6, 1990, prepared by Chandler Palmer & King; 2. That the accessory shed structure on Lot #3 (referred to as 16,714 sq. ft. ) be used only for storage purposes {and never to be converted or used for sleeping or habitable purposes) ; 3 . That the accessory garage (gar. & apt. ) structure on proposed Lot #1 may continue its present nonconformance (without any increase in size) for a period of not more than ten (10) years, or when the structure is abandoned or permanently vacated by the present tenant, whichever shall occur first. The Page 4 - Appl. No. 3960 Matter of THOMAS SARGENT Decision Rendered October 17, 1990 occupancy of this nonconforming garage-apartment shall then automatically cease and become null and void, and the kitchen and cooking facilities must be removed, returning the use of the building to an accessory storage/garage building without evidence of sleeping quarters or habitability. Vote of the Board: Ayes: Messrs: Goehringer, Grigonis, Doyen and Dinizio. (Absent was: Member Sawicki. ) This resolution was duly adopted. lk GERARD P. GOEHRINGER, 7 IRMAN ti $ f )1 PLANNING BOARD MEMBERS j a f ^ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. 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 September 26, 1990 Michael N. Hills Cruser, Hills, Hills & Besunder 206 Roanoke Avenue Riverhead, New York 11901-2794 RE: Minor Subdivision Thomas A. Sargent SCTM# 1000-6-6-7 Dear Mr. Hills: The Planning Board received a partial application for the above mentioned subdivision on September 25 , 1990. The following items were omitted from the submission: 1. The application fee; 2. A completed Environmental Assessment Form; 3. The correct number of maps. The Board cannot proceed with their review until the above mentioned items are submitted. An application packet is enclosed for your assistance. The Planning Board has requested that the Zoning Board of Appeals keep their September 26, 1990 , hearing open until the Planning Board has had time to submit their comments on the subdivision proposal. Upon submission of the above items, the Board will proceed with their review. Very truly yours, Bennett Orlowski, JY. "15 Chairman enc. CC: Gerard P. Goehringer, Chairman Zoning Board of Appeals LAW OFFICES CRUSER, FILLS, DILLS & BESUNDER �cr�GiL� 206 ROANOKE AVENUE RN ERHSAM, N.Y. 1IS01- 27S4 516-727-3904 FAX NO' 516-727-3940 6OIITHA MPSON OF FIC£ GEORGE L.CRUSER 77 HAMPTON ROA❑ E➢GAR HILLS SOUTHAMPTON, N.Y. 11969-4029 MICHAEL N. HILLS sis 283 4455 HARVEY S.BESUNDER NANCY BURNER October 24 , 1990 Southold Town Planning Board Main Road Southold, New York RE: MINOR SUB-DIVISION THREE LOT THOMAS SARGENT Dear Sir/Madam: Enclosed please find new surveys on Thomas Sar- gent' s Application. You will also find enclosed a check in the amount of $500 . 00 , representing the additional filing fee. Please note that this is an Application for a three ( 3 ) lot Minor Sub-Division, and all records should indicate that fact. Should there be anything further, please contact the undersigned. Thank you. Very truly yours , CRUSER, LS, HILLS & BESUNDER ae Hills MNH: llc Encs . OCT 25 ' LAW OFFICES CRUSER, HILLS, HILLS & BESUNDEROUM arark-_` ��- 206 ROANKE AVEN E S RIV ERH EAD, N.Y. 11SOI-2'754 OD 516-727-3904 llll,J FAX NO: 516-727-3940 SOUTHAMPTON OFFICE GEORGE L.CRUSER 77 HAMPTON ROAD EDGAR HILLS SOUTHAMPTON, N.Y. II866-4925 MICHAEL N.HILLS sib-zea 4 85 HARVEY B. BEGUM02R NANCY BURNER September 24 , 1990 Southold Town Hall Planning Board 53095 Main Road BOX 1179 Southold, New York 11971 ATTN: Planning Board RE: Thomas Sargent Ap 1. No. 3960 Dear Sir/Madam: Enclosed please find application for a minor sub- division of property located at Fishers Island, New York. Please be advised that a hearing is scheduled for September 26 , 1990 at 8 : 00 p.m. If you have any questions, please feel free to contact the undersigned. Thank you. Very truly yours , CRUSER, HILLS, HILLS & BESUNDER � i /M ael N. Hills MNH: llc Enc . i i "; LAW OFFICES CRUSER, HILLS, HILLS & BF-SUNDER 20S ROANOKE AVENUE RIVERHEAO, N.Y. 11SO1-2794 516-727-3904 FAX NO: 516-727-3940 SOUTHAMPTON OFFICE GEORGE L. CRUSER 77 HAMPTON ROAD EDGAR HILLS SOUTHAMPTON, N.Y. IISSS-4925 MICHAEL N.HILLS 283-4585 HARVEY H. SESUNOER NANCY BURNER June 6 , 1990 Southold Town Planning Board Town Hall Southold, New York 11971 RE: THOMAS A. SARGENT MINOR SUBDIVISION Gentlemen: The undersigned represents Thomas A. Sargent who hereby makes application for a minor subdivision of property at Fishers Island, New York. The property consists of two ( 2 ) residences on one ( 1) lot. It is Mr. Sargents desire to subdivide the property so that he may sell off one ( 1) of the houses . There are no changes to the property what so ever, and we are making applica- tion to the zoning board for variances . The tax map number for the property is 1000-006-06-007 . Thank you. Very truly yours , CRUSER, HILLS, HILLS & BESUNDER Michael N. Hills MNH: llc APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies forZQfFaI#'&M*4$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 .Subdivision of Thomas A. Sargent .. .. .. .. .. .. . . . . .. . . .. . ... .. .. . .... . . . . . . . . . . ..... .... .. .... .. .. .. . . ..... .... ...... . . ... .. . . .. .. . . . . .. .. .. . . .. . . .. .... .... . ... ... . . .. . .. . 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 . ••10169 Page CP 1 11/14/86 Liber . ... . .. .. .. ............. Page . . . .. .. .. .. . . .. .. .. .. . On . . . .. .. . . ... . ... . .. . . . . . Liber . .. . . .. .. .. .. ...... . . .. . Page . .. .. . . .. . . . . . . . . . . .. Liber . .. . . .. .. . . .. .. . . .... . . . Page Liber . ... . .. .. . . .. .... ...... . Page as devised under the Last Will and Testament of . . . . . . . .. .. .. . . .. . . .. .. . . .. . . . . . . . or as distributee . . . . . .. . . . . .. . . .. ......... . . . . . . . . .. . . .. . . . . .... .. . :.. ... ...... ..... . . .. . .. .. .. .. .. .. .. . . .............. . . . . . . . . . . . . . . . . . . . . . . . . .... . . . .... . ..... ... .. .. . 5. The area of the land is . .. .. . . .1�4 . . .. . acres. 6. All taxes which are liens on the land at the date hereof have been paid . . . .. . . .. . . .... . . . .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . ..... . . . . . . . . . . . 7. The land is encumbered by . . . . . . . , one (1) . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . mortgage (s) as follows: " " " " ' 14346 102 (a) Mortgagc recorded in Liber . .. . . . . . . . . . . . Page - • -• • - . . . . . . . . in original amount If $j3 , OPO , OOunpaid amount $ . . . . . . . . 13 400. 00 held b Wilomatic Savings institute . . . . . . . .. . . . . . address . .. . . .. . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Afortgage recorded in Liber . .. . . . . . . in original amount ( ) Page . . . . . . . . . . . .. . . . 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 lani . . .. ...... .. . . . . . . .. .. . . . .. . . . . .. . . .. . . . . . . . . . . . . . . .. .. .. .... .. ... .. . . . . ........ 9. The land lies in the following zoning use districts . . ,A-1 Agriculture/Residence .. .. .. .. .. .. .. .. .. .. ..... . . . . . .. . . . ... . . . . . . .. .. . . .. .. . . . . . . .... .. ... .... . . .. ... .... . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, 1�)� QNZ . . . . . . . . .. .. . . .. .... .... .. ... ...... .: .. . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (31LiP uta) fie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . .. .. . . . . ,Fishers Island . . . . . . . .. .. .. .. .. . . . . . . .. .. . . .. . . .. . ...... ... . 13. Water mains will be laid by . . . .. • . •Not ,applieable . .. . . . . . . . . .. . . .. . . . . . .. .. . . ... . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . . . . .RQt_ •applicable . . .. .. . . .. .. . . . . . . .. "" • •• .. . . .. .. •• • • •• •• .• • • • • . .. . . . and (a) (no) charge will be made for installing said lines. 15. Gas mains will be installed by , an (a) (no) char .. , • • • •]dot, ,agpl•1Cable ge 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 IIightway system, annex Schedule "E" 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 shote same. 18. There are no existing buildings or structures on the land trhich arc not located and shown on the plata 19. Where the plat shotrs proposed streets which are extensions of streets nn adjoining sub- . d .1ston maps heretofore filed, there are no reserve strips at the end of the streets on said txisting maps at their conjunctions with the proposed streets. 20. In the course of these proceedings, the applieuu will offer proof of title as required by Sec, 33-5 of the Real Prnperty Law. 21. Submit a copy of proposed deed for lots shutting all restrictions, cotenants, etc. :annex Schedule "D" 22. The applicant estimates that the cost of grading and required public improvements will be $•...Q.. .. . as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . . . .. ..Q... . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE . .........June... .1... .. .. . . ., 19. .90 .�hQmas.A,. .Sar gen t.. .. ....... . . .... . . ... . (Name of Applicant) (5 g ure and Title) MICHAEL N. HILLS ATTORNEY 206 Roanoke Ave. , Riverhead, NY (Address) STATE OFNEW PORK, COUNTY OF . .. .SUFFOLK. .. . . . . . . . . . . . . . . .... . . . . . . .. ss: On the . ... . . 15 t ,, , day of. .. . , , , June 19.9 0. . ., before me personally came MICHAEL N. HILLS , , , . , , to me knovn'to be the individual descr' d i and who b g g lt .•. . .HE.. .. , exe uted th am . executed the foregoing instrument, and acknowledged th . .. .. ,�. . . . . . . . . . .. . taey Public i J 1 v 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 b v order of the board of directors of said corporation. and that signed . . . . . . . . . . . . . . name thereto by like order. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Votary Public FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . .Jung.?5.. . . . . . . . . . . . . . . .. 19 .90. . To Thomas.A,. ,✓},Allison,$arggnX. . . . . . . Z Michael N. Hills ?90.Ww".Avg I. . . . . . . . . . . . . . . . . . RIVERHEAD, N.Y. 11901 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . .JVJPg. !9. . . . . . . . . . . . . . . . .. 19 .90. . for permit to subdivide a non-conforming lot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at Location of PropertyPvt_ Rd. off Fox Ave. Fishers Island House No. . . . . . . . . . . . . . . . . . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . .Hamlet County Tax Map No. 1000 Section . . .90. . . . . . . . . Block . .94. . . . . . . . . . Lot . . .OZ. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following groundsUnder Article.IIIA . . . . . . . . . . . . . . . . Section 100-30A3--nronosed new lot will have insafficienr wi drha dorrh and total lot area for this district. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... . ...... ... .... .... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i ng Ins for - THOMAS J. FISHER RV 1/80 s 0 1 V x_99 i.LE�SQ`'P qua+ �i IL 110TVV S-rnly 2,.,vJ 4s y ID,• I T CACCOINATE DISTANCES ACE NEAWUD 8041 U.S COAS- AND GFdpETlc y)EVEy T<IA�JGNLATID4 5TATIoN L Ii u.'565.43 I / RDS TNOMI y�4�'F� I'o"EL SubDIVIDEr . TNCI.iSS s.'Az�[E: 1A0 d16 St. CwCLESTGu,11ASS. :Z�Z4 c�o��.I, >a'o 4 C�01'EETY IS Lo".TCD W ZONE k-I 46ri1;"CES. uyD� 9 Zo 1.SITE IS LACKED IN _ SU, TAx :J. 6 I1t y SC4XL D15'CO R14.gab, T4%WI.6'wCC L. .OT yp `-01fE0U- 1NTTCVLL 4 = 5 °fET BASE Foe.teVELS: wTCIKJV -E M.s l.. I'uq SPA $EYlAGF Di IS E11STIU6 DN S:TF �� O DENTES ISFCT�w AtC SFR SITE 15 Seol.ctD by 4/UNICIFAL WATF[ Y51f4 ToS�l AZC1' OI -"S6; JC] FT THbMAS t� SALE c I X[IIYY CLRIIY AMT tN':6 xY a[5 NgNaIFY _ IRM 'est SUNST[cMY:RfC AINt I..If.It[5 1N0 N18 116 5[T Y' I1L`. y -1 06cLA11tIDx 01 COv[N1N16 y,0 11y{1ICTt 11RCiIxG TN6 LOT9 1N AIS6 pso,v161Ox IW C ¢ LHAY DICC �L f61N IIL6Y IM tN6 OIIIIY Ol 4t �� 0.9 f1" MGt 5 eWX}i epf[ ex Lt21 116 sutpG6 fa No�W1cN Ge�NG(•T IC 19 cL, e- r I h z ti is Cv= iP+ I C+i ki� FD r O €' I •J/ �� vo E i .o, T ry O., CF 5 ENi p 4V y o ^ � o A 9 a o c I �I x o I� I a_ 41 _00 / � .... �� f`L`•o l� N 0 I/ .6D T ON \L,w to �1 d'S X�1 1 �p0 O 4L n A \ �\ GTd FOX puE. gL.Sq.Ob W,I 0 �� 1'EO'' U • 1 T 0 J F 14EAW uLTE m U.5 ES A[F A \\�\\C�\H AND EED ETIC 5 LLS COAT n 1 II AND GFODE?K y,RVEY rrJ"ULATIDN 5!A7I0N 1� 0- •rEOS" vJ !• i W 1 n 9.37 / W i VT / 111 i s vC ry� YJi I r t m DOTES I.OWNEL y SVGDIVIDEC: TWC,4l A.'�E6E1. �' 100 ,11611 57. (NLELESiCN, 1.1L55. •,�E4.?a•'os: Via.. - LKA�ED IU ZD J A-I 4Gnl/[E$ yic 5.SITE 15 D,V6ED IN ,TAF i „9J�'1 SOWL D1.DISiVCT IDrb.T4�!M.11r SnvrK D15TnCT4, 4,r• k5' �" t.CONTOOr INTECV.LL5 °!Ei - - �W,y - SASE FDD LEVELS )Jr TnV, ON 4tst-. 5 S 5CM46E D1}TbSLL IS EtISTIW ON SATE O DEN ES LlIETtlx♦r! "E <W^EN tGCi 7115. -- z<p F. .,$1TE IS >ET.V1<ED by NN9-AL WFr r51EL( SAR TOTAL diCld," 1n Cren T J OI 4.956 r Jp FT I NCDur c[[riry rVlr rx:a w Yy NRD[ Y - - o Ers lRON ,cN,t aUrvara cW:aEaD.IVNa if."af Al— rml. aaTY' aR`IelDeCLNy!(Ox or cweNNRt .WD REaratcalCqcao aueul v(uoI w Tif. ,CGI !(LLD 1M aN[O!r(Ct DI}xa dVlp(.[ < o CWXrr CLaRI la LIKa f,oa • NoCWKN GoyNCCTIC' •>- LIST_6 Elm1 i 4n' u. 1 Y.,rl �r1,1 Y , 4 uj S— N 0 L. 00,kTION MAP 'C' ��s— m— r SCA -m 1 " >• 60o'rt �804i �;� ` Z po\ IN'O�s7 P�.vgW �� b i 25 I SLC C_ z v�j.?���b 30 4s 1 y / / s 5I� ?1 OTE: i COOKDIMATE DISTANCES AKE IAE45UVM F74 U.S. COAST AND GEODETIC 507VEy TQ) NGUI.ATIDU 5TA'QON p / _ _ - �� / Z "F'r I -P /_ _ _ _ pa-` I 147 N -1 N.-4685.43 I oN• `-��� I �I / W W. 1 719.37 CM. oa 0 / A� / o / � m � r uY Vk Zp / QOlivH // /" / N mo is 90, // P15Y. Loq• 'FT HOTES : k_ 3.,5 ,' / 9a' ��� 2 5 I��o OWUEZ 5UKIVIDEr,-: THOMAS A.sA7-6EN7 I �e�ou P P u• 78'03_ / / / 0 00 tOO HIGH ST., (HAVLESTOXI, MASS . 02124 uNb� 2a"W f, MDFEET( IS 'LXATeD IQ MMM A-1 AGVI/VES. / IIz,�,. / O• 3. SITE 15 LOCATED IN SUFFOLK 000 ITY, TOWN DF p MUT DISTCICT f, F O 1000, TAX MAY 6 f IDLY-6, LOT 7, �y fog?a� M Ih1 O>� S�S>71 �I 1s1o1J T�L.Am 4. C'ONTOUV- INTEKVAL = 5 FEETIWA SUTL.VF.Y Mts.P BASE FOV. LCNELS : APv'rvxI 4ATE M.S.L.. S" PYLE � � ��\ 5 SEWAGE D\SPOSAL IS EXISTI DN SITE V "" F'iCE P,4Z E.D F02. DENOTES A4P¢pXIMATE SEPTIC SYSTEM LOCATI0u5 , A C 6. SITE 15 5ErVIGED $Y MUM ICIFAL WATER 5Y5TFM. THbMAS !-�. �7ARGE't-4"'I' 7 , 701,LL I0.Z69 *. 5Q . FT O1 4,°138 " .50. FT. CFF Fox AVENUE of 0 5,331 SQ,FT. yv-- H. Sw yO FISH EKS 1SLOND NEW YoeK I HEREBY CERTIFY THAT THIS MAP WAS MADE; Tq0 '�' FROM ACTUAL SURVEYS COMPLETED JUNE 16,1989 DAND MONUMENTS ARE SET AS SHOWN. 4• m CJCALE I' = ZO' ` ". D " O CFk A�.1DLEe Pa Mez F Klin "A DECLARATION OF COVENANTS AND RESTRICTIONS OF 'Yo, p AFFECTING THE LOTS IN THIS SUBDIVISION HAS `sE P Np�y�ryCl-I, Co1.lNECI' C UT .>u ., . BEEN FILED IN THE OFFICE OF THE SUFFOLK - -.—, COUNTY CLERK IN LIBER PAGE AUCjU`JT (0 1990 \ moo``• OO • r arYtl , 'a 1, 4 w • t a unr •, \ 4 • W O f , 7 / LOCATION yII MaN '-Al F\cE\iT OkWA.f O Td Fox.w� r 0 O \ N'4bo48a �Oi / Z 0.47 F-Lc C. mos 1 ` m �cK qI0 Eo W I Q o --Y �e€ ry mm FI COORDINATE D0TA-NOES AVE m 311 \ \ MEASUPED mm U.S. ELv- COAST � � Ao (EODETc 5UKVEY --I— TQKOsuLATiDN sTATIoU Jo„'rj / / I X47 Z m % Gi�Ya U I 0 / a N.-¢x85.43 / .S7?•122'.zo � ' / / J � W. 1 719 3% �7 /� L _ 1 / I 0 / pYIUTIES / / Lu 0Ilk - MOTES : k_ 9.,5 ' / qg• I. OWNEK I, 5ADIVIDEE�-: THOMAS A,sAQGENT I eco N PIP u• 78°o3_ / / / 00 5 IDD HIGH ST., (HjAZLESTOW, 1V1ASs . 001 Z4 utipO 2. PkDPEYTV IS LZ4TED IN Z9ME. A-1 A.GKIAES. 3. SITE IS LOCATED IN 511FF01-K 000 tI-Y, TOWN OF 500%91-D, D15TPI(T 1000, TAX MA7 b WCV-6, LOT 7, 56HOOL F �5 .so�j M ItJO� S�So1 V Islo�l PLAttI 4'• CONT007 )NTEKVAL = 5 fefT ��GIN �� 5U2VEY MAP MSE 604 Y66-MS : EXISTXIvVIATE M. S.L . P� E S SCWAGE D15POSAL IS EXISTIUG ON SITE PILE PAKE.D FOQ Z DENOTES LP OXIVk rE SEPTIC SY5TEM LOC4TIOMS . 6, SITE 15 5eKVICED 6Y MUNICIPAL WATER 5Y5TE:M, THbMAS A. SARGEI.1 T 7 T`0TNL ATZE4: In zb9 + 50 , FT Qt 4,938 � `JQ, PT. OFF Fox .4venlut= Ot 5,331 ” SQ,FT. OF New Y° I HEREBY CERTIFY THAT THIS MAP WAS MADF. Fo �pPO M'SJq- 9y. FI SI-� EKS ISL ANO NEW YoY�K FROM ACTUAL SURVEYS COMPLETED JUNE 16,1989 U q•7n AND MONUMENTS ARE SET AS SHOWN. ' Y —JC.4LE I =20 CNAJJ OLEO �aLMEK 'A DECLARATION OF COVENANTS AND RESTRICTIONS OF.� tia. 0496�', d0 r;�' KW6 AFFECTING THE LOTS IN THIS SUBDIVISION HAS Sl�O LA BEEN FILED IN THE OFFICE OF THE SUFFOLK - C='1NECTICLIT COUNTY CLERK IN LIBER PAGE AU� (, 1990 I auY, • ' I , ) Y ! ' 1 v t 5 e�e9 <1 v crvlo • �� L• f- � N 0 3111 Hh�SFICI-cry i �\ /< LOCATION �MA,P 71 SC.0.L.E t 60y'•t Al 3p �r�-l- -1 -K0� s 1 1'781zOo°sem o c —�0 x' \ O �IcRHT O�W4Y m /rS \ZO � A G m Lo 50 Q p €t;C• h / / r >R SIA NOTE'. U; COOKDINATE DOTkNCE5 AKE NE45UM F74 M U.5.66A57 AND GEODETIC 5U7Ey -I - TQA9GULA71Du STATIonI !! / z _ v1° P14741' 41 _I_ H•, 1 LU W 1 7 t 9.3 J CRpaa=7 Homan / Ae- II Q /// al / ul W W, / PDY4 r / / C-%QST. UI Z '4� J i MOLL. Q o O- / P16Y. lz 1.09. O 5� /OI N / MC NOTES L OWUE� SUBDIYIpE� THOM45 A.�.�.26ENT I neo u P1� N• 78°os_ / / / 00 - "' 2 Iux IDD NIGH ST., (aZj-.ESTON , MASS . OZI Z4 utip� E 20 1, PZOPEQTY IS 'LX4TfD IU ZOUE A-1 kGKIAES. / ' IIz,c"o• / h 3. SITE 15 LOCATED IN 5OFFOLK COb> TY, TOWN OF p < 50UTFIOLD, I)Ml(T 1000, TAX MAP b $LOCK&, LOTS 7,,��-\Z kG�/ ?�� M I S o� SVF�i71 V Is10 1 PLAkt 5(f"XL D15TZILT -t F �o 4. CONTOUV- 1NTEKVAL = 5 FOET G1W.4, L SLJiL.V>=Y M6,P EASE F07 1-ENELS : Wrre>XIMATE 5 $CWAGE p)S405AL 15 EMSTIU6 DN SITE f'ZE PA CED FOQ i� DENOTES k. ?QXIWIATE SEPTIC SY5TEM LOCATIONS , 4. SITE 15 5MVICED by MUNICIPAL WATEZ 5Y5TF>A. OF Nelpk. THbMAS Q. SARGEt.1T 7 TvTA L AZFla: 1(I.Z69 , FT y'`P�PPO H.STgO O1 4,956t 5Q. FT. 4VENUF O 5331 SQ,FY. FISHEQ6 IZLAN0 New YozK I HEREBY CERTIFY THAT THIS MAP WAS MADE •^ ? FROM ACTUAL SURVEYS COMPLETED JUNE 16, 1989 �t�ti A'o p49 AO AND MONUMENTS ARE SET AS SHOWN. •S•F SGALE I = 'r'O' IA C Ht+.wloLEe �AI-MEl' F "A DECLARATION OF COVENANTS AND RESTRICTIONS KjwG AFFECTING THE LOTS IN THIS SUBDIVISION HAS No�WIC H, Coi.INECTIC LIT BEEN FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK IN LIBER PAGE AUGUST b� 1990 P-DDIT 1014 S: 10- 22-90 i o w•ur �' ur .' ' 5 w u• gr3Y � `1 •.,i ..... rL hC' y « Hh`�T�'Flg\-tom SO _ / / N O L OCA T 10 N MAP Z xp '(IMoly. �r�.' c7v-,,v EV✓P /i� t3 7S fix,gTJ O K,c ,T O'k'WaY Fox GAp4 O \ 4bokg8Qp II z P m / 0'.4 -I V,jID m P z cj-7 I I O 30 -E / / r Tq �I� UDTE'. AGI Z CooKDINATE DOTANCE5 AU to b I \ EL t-- // / 1 ` wEmUt FZDM 0.5 COAST AND GEODETIC 5UQVEY n p, Z rVjAN�uLATIDu 5TATloN P �i���r / I X47 z TrI / "Z'.zd I I " // w N,4585,43 � W 1719.37 ��7 /uY^�Tl�s IR U, �V e /4 01 r m � A_ W C%QST. W M.U. 5r. 900 O� F / 1.oq• m / O /��QG�,E�-1 / li FT / /C1I � A�oeAAg I / / MOTESI. 199Q oDNN GH ST.gDCF1AYL SkOW , MASS . OZ124ENT I neo Nbl>�1 j 78�o3_zo,rw / / / o \gyp 2. MDYE2TK IS 1-0C4TEq IU ZDUE A-1 AGKVKES. 3. 5ITE I5 LOCATED IN SUFFOLK COUSTY, TOA6F 506THOLD, 015 CU 1000, TAX MAI' b $LOCk6, L0T5 7�\Z 5 ? M Ifs oe S�6o\V Islo�l PLA F t a SCF4A'IL D15TCI 7 4. c, K� VE ' AL = 5 ET 6fIN� SUTL Y MG.P 4• CONTOU'� 1NTEKV FE S P Y EASE FOV. t_EVELS : Ia4VCOXIMATs M• S.L-. LE GE I E PILE VA6CE� FOQ 5. SC'WA D\SPOSdL IS EXISTILI6 ON 5 T Z DENOTES APP¢pXIMA'FE SFPTIC SY5Tetil LXX VIOLAS , 6. SITE 15 5EYVICED by MUMICMAL WATrZ 5YSTtU. THbMAS A. SARGEN'r' 7 OF NEN,y Oi 4958 ``- 5Q FT. y�G�PaDH srgoo9,� oFv Fox AVENUE zO 5331 sFZ,F C. m I HEREBY CERTIFY THAT THIS MAP WAS MADE FI SH EKS ISLAND , NEW YOI'[K O 1 (,,71+t SQ.FT. FROM ACTUAL SURVEYS COMPLETED JUNE 16, 1989 <. Q AND MONUMENTS ARE SET AS SHOWN. `�ti Ho 09 JO SC.YLE I' ' ZOr sF P,0 U CH4N�LE� �G.1-MEQ yCn` �l1�IG ' 'A DECLARATION OF COVENANTS AND RESTRICTIONS AFFECTING THE LOTS IN THIS SUBDIVISION HAS Iu Oz,W IC 1-{ Co1.IN�CYIC 11T BEEN FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK IN LIBER PAGE AUGUST b� 1 q I Ip O ADD I T 101.f S: 10- 22-90 F x. 180 1 i ase-• J.e Nr�.eLo „- i u �' .13p' \N 78�4t�3a E��Lo � •'- p//�/J� J ! V �f12�lot. lfv� 5.77=22w4QY A" too,y1,Q,ro;w 0^p 0D e QYeo Is a4 SU 15-JFLT F"KKOF'Er-TY __ cr SCALE : 1 = 10C) Appruvrd it,aremdance +v6hU arl of Reeirw FiL . , t nno �"' •T ""� C drcenninalion dared _. .,.. ill• ::. .::^ ' y: �' y-'+ r+• ""` g-C �'� A SUS )LK COUNTY DEPART ENT F HEALTH SERVICES N 0 199Q '' ',�' • SF,Et- Hauppau e, New York This is to certify that the pro osed arr n megisf r water Supp y '< and sew di posal for s kRC ENS in the TU fA wthatotalof_ —los LOCATION MAP � � Gig— '�r� m— T were approved on the above date These facilities must conform o - Z 0 -t construction standards in effect at the time of construction, Th s 5CA.LE 1 " 600 , Q(- p rL, -I t0\ approval shall be valid only in the event said subdivision/dev b opment plan is duly filed with the County Clerk within 6 months of yrs t20o g�-oti eve wi ,p, I vl this date. Consent is hereby given for the filing of this map cn 125 which this endorsement appears in the Office of the County Clark n i614T 19AW ^ accordance with provisions ft ePubtle He,Mth Law and the 5uffe k U -T.a FoxQ'VEE I County Sanitary Crxle• Director, Division of Envo'onmerttal 0060 O c`rJ' `cE --P' < I / Y O. SIE C_ z o.4 • I..- - - - q.lo �Eo c� N to N 50 50 UOTE'. 0 gee 9ooiw�t�l No�s� �I� Z cooKDINATE DISTANCES AKE m ME-kalub MM U.5.COAST AND GEODETIC 5UYVEY 0. j I C> �o t � ' ? 4= Z TVjANSULATIDN sTATlonl - - ��� I 7 (n �17� Ara II i i We =0 -- Z 2CJ`!`I ' - S��• Lo N.4585:43 0, W. 171lees 9.97 cuts . / o i ' / 01 T o / N 7- U) 0 / v13T. ,.oq• III ' � O / QC,Ea / FT / dp U\ / 'b 0. i8 Q{ ib kJOTES : _, D0 5' APR�301991 L OWNEK SUBDIVIpE2 THO11A5 t aASCGENT I c.a� PIPE 7B"03.20„ / / IDD 91(14 ST., CHAtvLE5TOIJ, MAS5 , OZIZ4 � D> M'• P. P20PEL'TY IS 'LOCATED lu ZOidE R--40 3. SITE 15 LOCATED IN 51JFF6LK rDUtSTY, TOWN OF �O 01�a� 50UTHOLD, 915MICT 1000, TAX MAP 6 BLODCb, LOTS Z -\Z �y �o, M I1J oe S�Sflt V Into l PLsa l 5NXL D1Sf!16T 4, F 4. COIJTOU> 1NTEKVAL = 5 FOET GIN 4 SURVEY MQ P BASE HIE. l-ENELS : P.PPrE>XIMATE M•5A- �Y�E �. 5CWA6E D\51705AL 15 E)(I5TI"6 ON SITE PtzE'QAFCE.D FOQ. NOTE Q!II)ENOTES Q?QXlVXrE- SEPTIC SY5TEM LOCATIOKe, , II, LOT ZI55UgJECT 7ali;IGHT51AIFd-VOQOFLOT 1 THbMAS A. SARGEt,IT 6• SITE 15 5e7VICEU by MUNICIPAL WATER 5Y5TEM . T005E ANO MA\NTAINTHE EXISTIM6 WATE7 LINE . or- 7. TOTAL ATLP_G.: 10.Z6L!9 :K S - FT LOT Oi 4,938 '— 5Q. FT. GSPPp -I. STHOO�'F OFF Fox AVE�tUF t_aT 5331 ' SGt.F T. 7�� m ;. Ft5N EK6 tsL AtiD , New Yo G I HEREBY CERTIFY THAT THIS MAP WAS MADE it pE t LOT t, O Ifo 71�}-t s4.FT. FROM ACTUAL SURVEYS COMPLETED JUNE L6,1989 AND MONUMENTS ARE SET A6 SHOWN. i�2 No p49 � 0 SCALE I = 20' 8._-- -- 45 EXI5TIRG CONITOUZS s I,-- - APIrizOXIMATE LOUTIO1.1 A C Aw1DLE� �4 ME' �e KIUG OP WATEK 1•AA.11.1 ANIO SEr_VICL-5 A.5 "A DECLARATION OF COVENANTS AND RESTRICTIONS FUQtllStle� �� THOMAS A. SSYGEUT, AFFECTING THE LOTS IN THIS SUBDIVISION HAS o�WICH, Co 1NECTlcVT BEEN FILED IN THE OFFICE OF THE SUFFOLK D ITION OF K16NT 10, LOT 1155UBJECTTO7-16RT5INFAVOICOf' UT TO COUNTY CLERK IN LIBER PAGE FOQWATEtCLINE 1-!2-91 AUGUST /oma. 1990 USF AND MANTAIAI TIRE EILISTIUG WATEK LINE . AnDlTlaus: 10- =%9 F.Ziao