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HomeMy WebLinkAbout1000-31.-13-7IllOI DETAIL 1 "=50' .N / / / 1 ./ / / PROJECT NO. OO-- O984 FILE No oov~.A.',s AND RESTRICTIONS:(£'~,/ )Z..I ¢77,, \ "PI'PIOAL PLOTPLAN TEST HOLE# 1. , *, 1/3/0, EL:194 K Y MAP . 1) NO FURmER SUBDIVISION IS PERMITf~D OF SlmER 'gE4. P---40 SE 40,000 5C~.F=T FILED NOVO 92004 FILLED NOV O 9 2OO,~ "¢ E ' EDWARD ~. R~ c4.ERK OF SUFFOLK COUNTY ~4ATER HAIN ST[~ST __ 17' / ~ MARfON LAKE -h"3 SEE DETAIL APPROVED BY. PLANNIHG BOARO TOWN OF sOUTHOLD 8EP 1 5 200 ~FFOLK COUNrf DEPAR'II/IENT OF HEAL1H SERVICES This is to certify _that the proposed Realty Subdivision or Development for in Sat.,~l'~bl~, ' with (] tom of.~.._ approved on the (]boys dele, Water Supplies (]nd Sewage Disposal Focililties must conform to construction standards in effect et th, e time of construction end ore subject to seperote permits pursuant fo those stondsrds. This approval shell be valid only if the realty subsdivision/ development mop is duly filed with the County Clerk within one year of this dote. Consent is hereby given for the filing of this map on which this endorsement (]ppeers the Office of the County Clerk in accordance with of the Public Health Low end the Suffolk Code. 7////~~ Vita Minei, P.E, Director, Division of Environmental Quality / / SEPTIC LOCATIONS OF HOUSEHOLD SYS~'EM PRO'VlDED AS PER MORRIS CESSPOOLS METES OF SUBJECT IPREMISES AS PER DEED L. 7468p529 DATED 8/07/1973 REVISIONS ITEM DATE THIS SUBDIVISION SECTION 51 IN TAX MAP. WILL APPEAR IN DISTRICT 10OO ON BLOCK 1.3 OF THE SUFFOLK COUNTY SITE DATA: AREA: 5.43 AC ELECTRICITY: bi.P.A. WATER: S.C.W.A. FIRE DISTRICT: EAST MARION POST OFFICE: EAST MARION SCHOOL DISTRICT: OYSTERPONDS ZONED: R40 RESIDENTIAL USFD OWNER: VICKY PAPSON 6,3 REVONAH CIRCLE STRATFORD CT /, r'o6905 I HEREBY CERTIFY THAT THIS ACTUAL SURVEY COMPLETED MONUMENTS HAVE BEEN SET PLAT WAS MADE FROM AN 11 /21 ,/2000 ; THAT THE AS SHOWN AND THAT THE LOT(S) ON THIS PLAT ARE ALL IN CONFORMANCE WITH REQUIREMENTS OF,~,~I,..~,~STRICT R4-O RESIDENTIAL HAWKINS, WEBB, JAEGER ASSOCIATES P.C. I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR DISPOSAL SYSTEM(S) FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION. BASED UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL, SITE AND GROUNDWATER CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CONSTRUCTIO,~__~NDARDS~IN EFFECT AS OF THIS DATE. WILLIAM L, JAEGER II J/~/ N.Y.S. LICENSE NO. O4(~4-8 P.E., L.S. V APPROVED BY THE TOWN OF SOUTHOLD PLANNING BOARD. DATE: CHAIRMAN: SECRETARY: JUN 18 2004 LAND DIVISION MAP PAPSON EAST MARION, SOUTHOLD SUFFOLK COUNTY. NEW YORK MAY 12 $0uth0[5 Town 51JRVEYEO BY HAWKINS, W~BB, JAEGER ASSOCIA][S P.C, -- CONSULTING ENGINEERS ~ LAND SURVEYORS PORT JEFFERSON, LONS ISLAND, NEW YORK V~LLIAM L, JAEGER II N,Y.S. LICENSE NO. 046148 P,E,, L,S, S.C.T.M, NO, 1000--.31--13--~ FILE NO. 00--0984- PLANNING BOARD MEMBE • o~pS~FFO(,f-co JERILYN B. WOODHOUSE ~`t Gy P.O. Box 1179 Chair o ~ Town Hall, 53095 State Route 25 H Z Southold, New York 11971-0969 RICHARD CAGGLANO W ~ Telephone (631) 765-1938 WILLIAM J. CREMERS ~ ~ KENNETH L. EDWARDS yTJQl ~ap~ Fax (631) 765-3136 MARTIN H. SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 14, 2004 Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson Located on the south side of Main Rd, 400' east o` Kayleigh's Court, in East Marion SCTM#1000-31-3-7 Zoning District: R-40 Dear Ms. Papson: The Southold Town Planning Board, at a meeting held on Monday, September 13, 2004, adopted the following resolution: The public hearing was closed. WHEREAS, this proposal is to set off a 2.29 acre lot (1) from a 5.43 acre lot (2); and WHEREAS, a Zoning Board of Appeals Variance (Appl. No. 4981) was issued on August 16, 2001 granting relief of the minimum road frontage and lot widths for Lots 1 and 2; and WHEREAS, the Suffolk County Department of Health Services issued approval for the action on March 12, 2004; and WHEREAS, Covenants and Restrictions pertaining to the action have been filed with the Clerk of Suffolk County in Liber 12321, Page 839; and WHEREAS, the applicant establishes a vegetative buffer beginning at the western property line of Lots 1 and 2, 5 feet east, for the purpose of retaining the existing trees east of Truman's Path; and WHEREAS, the property owner of Lots 1 and 2 retain the right to trim and/or remove dead, diseased or decayed tree limbs or trees within the 5 foot vegetative buffer; therefore, be it Paoson -Page Two - 9/14/04 RESOLVED, that the Southold Town Planning Board grant final approval on the maps, dated June 17, 2003. Enclosed please find a copy of the map that was endorsed by the Chairperson. The mylar maps, which were also endorsed by the Chairperson, must be picked up at this office and filed in the Office of the County Clerk. Any plat not so filed or recorded within sixty (60) days of the date of final approval shall become null and void. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson encl. cc: Tax Assessors ~ Building Dept. 7II15 PROPOSAL IS TO 5EI' OFF A ACR1: PARCEL FR0.14 AN EXISTING ACRE PARCEL LOCATED ON _ IN SCTivt# 1000-31,. ~ ~j SET 0[F C°mplete application rcceived to u~ol aoi Application reviewed at work session Z~'"ro ~=1 ~O1 OK m.o. Applicant advised of necessary revisions o ° ?v°~ .~l + Revised submission received '"f°~ °K d,~ ` ox ~ inro. N o Sketch plan approval rc 1 Z y b -with conditions o m N Lead Agency Coordination 'Mu.t c.1~ 1 \ 2 ~2 ~ ~ SEQRA determination !V~ ac,c~ ~pZ ~ ° . . ° Sent to Fire Commissioner Receipt of firewell location o Notification to applicant to include on final map o ~ ua~ •o Sent to County Planning Commission lfn~r~ti~2.2~ ox ~ c°y ~ Receipt of County Report 1M r J ~ oK N ° o ~ Review of SCPC report 1-a.) c1~~Kr„v4rt~~~ a~, ow ~ 1 ~j x ~ Draft Covenants and Restrictions received rCgv~~t'<-v ~ L~J o a. Draft Covenants and Restrictions reviewed y. `1131 nil ~nro. oK ° w ~ Filed Covenants and Restrictions received ~Z3C ~ • I _ ~ ~ , a, 4, > .o Receipt of mylars and paper prints with S ~1 ~ N llealih a ~ 1 pproval Final Public Hearing Approval of set off -with conditions 5 ' pfl R K mil- p~. tt Jr~' Ro u. /'rIl FE% OOp , Endorsement of set off ~ ~ '~l~p) ~ i 4 ~ 7' rC.(, ~ C ~ C G S~ ~J ~ ~ d,t~"~ ~ K. is i 1 ~ b ~ ~ ~1 3 2~~°3 D PLANNING BOARD MEMBERS o~gUFFUI,~~oo Town Hall, 53095 State Route 25 BENNETT ORLOWSKI, JR. y~ P.O. Box 1179 Chairman Southold, New York 11971-0969 WILLIAM J. CREMERS W ~ Telephone (631) 766-1938 KENNETH L. EDWARDS ~ ~ Fax (631) 766-3136 GEORGE RiTCHIE LATHAM, JR. RICHARD CAGGL4N0 y~01 ~ PLANNING BOARD OFFICE TOWN OF SOUTHOLD Subdivision Application Form C~-sT MRR+on Name of Subdivision: ? l1 ~R~So 1 ~ o3~3a Suffolk County Tax Map # 1000- 3 ~ - i 3 r1 ~ ¢ _ /~~i1~ Type of Subdivision: Major Minor et-Off// / !Lot?-Lin_el Cluster Subdivision: Yes 1~0 Hamlet: ~ ~ ~ R ~ b N , ~ ~ 1 I 3 9 Street Location: 1 1 1'2.0 - R + (V t~o 1~- D ) Acreage: ~ , 5 Number of Lots: Zoning District: ~'V , ~ ~ Date: I O - a.,b - o I Please list name, mailing address, and phone member for the people below: Applicant: a e,b( ~ 5 a ~3 yon iRe e ~r-t o RcQ t N't' - 0 ~l oT Agent handling the application: ~ A M, p A s A B a t) ~ (Contact Person) Property Owner(s): ~ R-1,-I e ilS ~ ~a J e~ Surveyor: we 3 SR oe, . ao ~ sT Flo ~4T Q s o N N. 1 1 Engineer: .S~ M, ~e ~4 S P~~ J Q Attorney: N Other Agent(s): IV Has this property had a previous application to the Planning Board? Yes Has this property previously received a SEQRA review? Yes No Have you had any pre-submission conferences with the Planning Board? Yes No Does this application have variances from the Zoning Board of Appeals? Yes No Appl. No. ~ _ Date /tU9 ~.'~1~~2ao 1 Is this property adjacent to any bodies of water? Yes No Are there any wetlands on the property? Yes o Are there public water mains in an adjacent street? es No Is public water proposed for the subdivision? es No Is the majority of the property forested? Yes No Is any part of the property in active agricultural use? Yes Io Is there an existing or proposed sale of development rights on the property? Yes No Is there a mortgage on the property? Yes No Does the owner own any adjacent properties? Yes No Are there any building permits currently pending on this property? Yes No Signature of Prepare Date `~~b PLANNING BOARD MEMBERS gOFfOt;,~ BENNETT ORLOWSKI, JR. CQ Town Hall, 53095 State Route 25 Chairman Gy~ P.O. Box 1179 WILLL4M J. CREMERS O - Southold, New York 11971-0969 KENNETH L. EDWARDS yj, ~ Telephone (631) 766-1938 GEORGE RITCHIE LATHAM, JR. G ~ Fax (631) 765-3136 RICHARD CAGGIANO 'yiJJQ! ~aO~ T PLANNING BOARD OFFICE TOWN OF SOUTHOLD The following information is provided to help you in preparing your subdivision application: Cover letters should be included with all submittals. The cover letter should include the name of the subdivision, tax map number, date, items submitted, and agent's name and phone number where they can be reached. All maps should be folded, with the subdivision name visible on the top. We do not have the room to store rolled maps or the time to fold them. The Planning Board reserves the right to request more maps at any time. Federal, state, county, and town laws require us to provide other agencies with maps of all proposed subdivisions. The majority of maps that we request are sent to other agencies. Projects that are large in scope, or are adjacent to federal, state, or countyjurisdictions, may require more maps. All requirements for roads and drainage can be found in the Town Highway Code. The Town of Southold requires that all subdivisions of over 10 acres be clustered. The Planning Board may also recommend clustering on lots of less than 10 acres. The park and playground requirement for subdivisions is 5 acres for every 100 dwelling units. The Planning Board may require a park and playground fee of $5,000 per vacant lot in place of the land dedication. PLANNING BOARD MEMBERS ~gUFFO(,~c ~ Town Hall, 53095 State Route 25 BENNETT ORLOWSKI, JR. ~y0 G,y Chairman ~ ~ P.O. Box 1179 WILLIAM J. CREMERS W Southold, New York 11971-0959 KENNETH L. EDWARD5 ~ Telephone (631) 765-1938 GEORGE RITCHIE LATHAM, JR. ~if~ ~ 0`~ Fax (631) 765-3136 RICHARD CAGGL4N0 ~Ql ~ PLANNING BOARD OFFICE TOWN OF SOUTHOLD Items Required on the Map Legend Items: Title ("Minor Subdivision of Gray Hills" or "Clustered Set-Off for Ralph Jones") Tax map number Hamlet name Owners' names and addresses Acreage of entire property Zoning of property Date of original survey Date of revisions Scale 1 inch = 100 feet Surveyor's and Engineer's seal *Cluster notation -Cluster subdivisions should have the following or similaz language: "This map is a cluster subdivision designed in accordance with NYS Town Law Section 278 and Southold Town Code Section 100-180" Map Items: North arrow Five-foot (5') contow lines (major subdivisions require 2' contour lines) Key map (preferred 1 inch = 600 feet) Tie line to nearest street intersection Metes and bounds of parcel Existing surveyors' monuments Proposed lot numbers Proposed lot azeas Proposed lot widths and depths Building envelopes for all lots Approximate boundaries of forested azeas Existing buildings Existing vehiculaz paths Notation and/or location of existing easements (including right-of--ways and development rights sales) Map Items (continued): Notation and/or location of proposed easements (including right-of--ways and development rights sales) Zone boundaries (if the property has multiple zones) Test hole diagram Name of person that drilled test hole and date Proposed water supply and sewage treatment Bodies of water on site and within 200 feet Wetlands on site and within 200 feet Name of person that flagged wetlands and date Setback line 100 feet from wetlands Names of adjacent property owners Property lines within 200 feet Approximate location of houses or commercial buildings within 200 feet (simple rectangles are fine, does not have to be to scale) Existing streets within 200 feet Fire wells and hydrants on site or within 200 feet All major and minor subdivision and set-off maps are required to be filed in the Office of the County Cleric The surveyor, not the Planning Boarcr; is responsible for making sure that all map requirements of the County Clerk are met. Exceptions for lot-line changes: The lot-line map does not have to be drawn at 1 inch = 100 feet. Because it does not have to be filed with the County Clerk or Health Department, the test hole information and proposed water supply and sewage disposal items can usually be left off the map (but existing on site systems should be shown). The new proposed lot-lines should be solid, while the existing lines that will be eliminated should be dashed. The original and proposed areas of each lot should be provided, either directly on the lots or off to the side. V • • PLANNING BOARD MEMBERS ~gUFfO(,~c BENNETT ORLOWSKI, JR. =,r0 O~jy Town Hall, 53095 State Route 25 Chairman C ~ P.O. Box 1179 WILLIAM J. CREMERS N Z Southold, New York 11971-0959 KENNETH L. EDWARDS ~ ~ Telephone (631) 765-1938 GEORGE RITCHIE LATHAM, JR. ~ ~ Fax (631) 765-3136 RICHARD CAGGIANO y~ol y PLANNING BOARD OFFICE TOWN OF SOUTHOLD Summary of Subdivision Process Preanolication Conference with Planning Board (ootionall -Provides basic input on the proposed maps to produce swell-designed subdivision. Formal Aonlication and Submission -Planning Boazd begins the full review of the subdivision, and will communicate to the applicant if any changes need to be made. Environmental Review -The Planning Board can conduct the environmental review at any point in the subdivision process, but it is usually done after the formal apphcation is made or sketch approval is granted. This process is mandated by the State Environmental Quality Review Act (SEQRA). Southold typically uses an outside consultant to conduct ` this review. If there aze no or limited environmental concerns, a Negative Declaration can be prepazed, and the subdivision process moves on. The review may result in changes to the subdivision map even though no impact is expected. If there aze some important environmental concerns, a Conditional Negative Declazation or Positive Declaration can be prepazed. At this point the applicant will be asked to mitigate potential problems or to prepaze a more detailed environmental review. Sketch or Conditional Sketch Aooroval -The Planning Bord accepts the general design of the subdivision map by granting sketch or conditional sketch approval. Any conditions that aze listed need to be resolved before the next approval is granted. After ' this is granted, maps will be sent to any involved agencies for their comment, including local fire departments, the County Planning Commission, the Town Trustees, and the Town Engineer. Their responses may result in changes to the map. If it has not already been done, the applicant should now apply for approval from the County Department of Health Services. Lot-line changes do not undergo the sketch approval stage and typically do not require Dept. of Health approval. Preparation of Road and Drainage Plans (if required) - If road and/or drainage work will be required for the subdivision, the plans should be prepazed and sent to the Planning Boazd, which will forward them to the ToWII Engineer for review. If the road is opening onto a State or County road, the applicant will have to apply to the appropriate agency for a curb cut permit. elimina or Conditional Prelimina A royal ma'or su 'tuns on -Major sub ' 'sions aze required to seek preliminary approval. rocess involves a prelimin will only be set after t vironmental review has been completed, preliminary maps are ound acceptable (showing all changes requested to date), and preli ad an e fans have been reviewed by the Town Engineer. An i ions that are listed need to e r ore approval is granted. Preparation of Final Road and Drainage Plans and Bond Estimate (if required) - The final road and drainage plans must be submitted in accordance with the changes requested by the Planning Boazd and Town Engineer. Along with the plans, an estimate of the cost to construct the improvements is required. The Town Engineer will review the bond estimate and revise it. The Engineer's revised bond estimate must be adopted by the Planning Boazd and Town Boazd. Bettina the Final Public Hearing - In order to set the final public hearing, the following items aze needed: final subdivision map approved by the County Dept. of Health Services, a letter of availability or valid water contract with the Suffolk County Water Authority, draft Declaration of Covenants and Restrictions, draft Homeowners' Association agreement, bond estimate accepted by Town Board, and DEC or curb cut permits. The Planning Board will let you know which of these items apply to your subdivision. Final or Conditional Final Approval - ARer the final public hearing is held and closed, final or conditional final approval will be granted. In order to get final approval, the following items aze needed: minimum of five paper and two mylaz final maps with County Dept. of Health Services approval (the Town keeps four paper maps - if you want more than one, you can submit more), the Declaration of Covenants and Restrictions and/or Homeowners's Association agreement must be legally filed and proof of filing must be submitted, the performance guarantee (letter of credit, bond, or cash) must be accepted by the Town Boazd, the bond administration fee must be paid, and the pazk and playground fee must be paid. The Planning Board will let you know which of these items apply to your subdivision. After final approval, the maps will be signed by the Chairman and must be filed with the County Clerk. Lot-line changes do not get filed and do not require mylazs. They always stazt with conditional final approval, and one of the conditions i9 that new deeds with the revised lot boundaries aze filed with the Office of the County Clerk. Proof of filing must be submitted to the Planning Boazd. Release of Performance Guarantee (if required) - If a performance guazantee was provided, then the process is not yet complete. The Town Engineer will inspect the site work and report when all of the road and drainage requirements aze complete. If any of the improvements are to be dedicated to the Town, it occurs at this ttme. The Town Boazd will release the performance guazantee upon the recommendation of the Town Engineer and Planning Boazd. nrrl.[cneT TItnNSAC'l'lONnl, IIISCLOSIInR POItM The Town of Southold's Code of 6thlcs prohibits conrlicts of interest on the Dart of _towN of[Icers and employees. The Purpose of this form is to ~rovlde lnformatlou which ca_n alert the town of op ssible conflicts of interest and al_iow it Co take whatever action is necessa~bo avoid same_ , YOl/R NAMR: S~r~~/_~, _ (Las name,~(~st nar+le, mlddLe l~l~La l,un ler;a you ace applying Li the name of someone slse vc other enClty, such as a company. If so, lndLcal:e the other peCS 011'5 yr company's name.) NA'l'11RR OP AI'P LLCn'1'ION: (Check al). I;hat apply. ) 'l'ax grievance variance Change of zone nppcoval of plat Rxemptfon from pia or off is lal +nap Other (IE "O lher," name the activity.) 0. O _ , - Uo you persona l.ty (or L•hrouylr your company, spoons, sibling, parent, or child) have a celatfonslrip vlth any oEElcer ar employee of the Tovn of Snu thold7 'Relationship" !nr_ludes by blood, marriage, or bus Lnesa in terent_ "RUSinees interest" means a buslneso, including a parhnershlp, i.n which the town ofELcer or employee has even n partial ovuerahlp of (o[ employment by) a corporation In which the t-ovn oEElcer or employee Duns more I:Iran SX of the - sharee_ V/// YRS NO IE you anevered "Y F.S,^ complete the balance of this Corm and date and sign where indicated. (~1 Name of personemployed by the Town of SouChold Title or position of that person Describe the re latlonahlp between yourself (the applleant) and the town off leer or employee. Either chock the appropriate line A) through D) and/oc descrLbe In the space provided. 'Ehe town office[ or employee or Iris or her spohse, »Lblt~y, parent, or child Ss (clrecK al.t that appLy)r n) the owner of greater than 5% of the abates of the Corporate stock of the applLraat (when 'tha_ appl.Lrant is a corporation); _ D) the legal or beneflclal vvnec of any Snterest in a nonco[po[a le entity (when the appli.caat is not a corpora lion C) an oEElcer, dtrecl;or, partner, Ar employee of the applicanC; or O) the actual appllcan t. URSCRT DTION OP Rfihn'I'IONSII II` - iu hart t. l'.n ..this ~~rlay of~,}~ .^.IUn~Lurn I`r I nl: morns ~~A ^ C . - ~-t'~. ~ci's+v~ ~O s,_z~,erz~;, 525 p1~KY pAPSON ~ o~so~asas 83 WEVONAW C15CLE A ~ f STAMFOF~, GT Q69O5 ~ ~ DATE V ~ ~ ~ e PAY TO THE ORDER OF ~J-J-cs oLl.Axs e ~ - _ pearpte~ bank C 0 A._A.. @ 4 T L. C..U T p obpl~o.oo of . M MEMO -~-~C22ii72i86~: 036 Oi33845ii' 0525_ NAME ADDRESS CITY STATE ZIP LOT NUMBER Edward Paul Forte 750 Tnmwns Path E. Marion, NY 11939 31-12-3 Michael 4 6eroldina Dunphy 1170 Tromans Poth E. Marion, NY 11939 31-12-7 W M Bremen 1050 Trumann Path E. Marion, NY 11939 3-12-5.1. Hector 6 Linda Colombo 1500 Trwnans Path E. Marion, NY 11939 31-12-14 Edward Paul Forts 107 Vanderbilt Aveme Manhasset, NY 11030 31-12-3 John J. 6orga P.O. Box 402 E. Marion, NY 11939 31-12-13 ~ Robert Ketcham Jr. P.O. Box 195 E. Martin, NY 11939 31-12-6 ~ W M Bremen 48 Spring Lons Lcvitown, NY 11756 3-12-5.1. Michael it 6erakiine Dwiphy 3423 Homestead Avenue Wantaugh, NY 11793 , 31-12-7 Ronald Edeen P.O. Box 335 E. Marion, NY 11939 31-12-6 John 6 Charbtte Petersen P.O. Box 268 E. Marion, NY 11939 31-12-5.2. - taeonge 6 Margaret Reinhardt P O Box 285 E. Marion, NY 11939 31-12-10 Elizabeth Brennan P O. Box 785 E. Marion, NY 11939 31-12-8 Susan E. flick P.O. Box 153 E. Marion, NY 11939 31-13-6 Eugene 4 Barbaro Perino P.G. Box 175 E Mahon, NY 11939 31-12 16 Nancy Eder 6 W M Emerson 510 Trumann Path E Marion, NY 11939 ~ ~ 31-12 1 Merlin b Isabel Wiggin 10940 Main Road E. Marion, NY 11939 I 31-11-3 - - + Robert Ungerls~dsr 9 Jones Street New York, NY 10014 i 31-13 9 1 Matthew Block 8 Manlyn Pasierb 675 Water Street 19F New York, NY 10002 31-12 2 Artemios Tsisminakis 1701 E. 22nd Street Brooklyn, NY 11229 31-13 8.1 ~ David 6iuglionotti _ _ P.O. Box 232 E. Marion NY 11939 31-12-11 .9 W M Billmon c% John Bsllman RRi, 10850 Main Road E. Marion, NY 11939 ~ 31-11-4 _ John 6orga P.O. Box 402 E. Marion, NY 11939 31-12-15 Daniel McConlogue P.O. Box 8 E. Marion, NY 11939 31-12-4 Artemios Tsismimkis 11230 Main Road E. Marion, NY 11939 ~3-8.1 Odors Butz 121 Nassau Avenue Manhasset, NY 11030 i 31-12-2 Hector 6 Linda Colombo 755 Plsntation Court Marco Island, FL 34145 31-12-4 Dolores Butz 1420 Trumann Path E. Marion. NY 11939 31-12-2 Matthew Black 680 Trumann Path E. Marion, NY 11939 31-12-2 Robert d Ruth Ungerleider 11292 Main Road E. Marion, NY 11939 31-13-9-1. . APPEALS BOARD MEMBERS UfFO( O~0$ ~'CO Southold Town Hall Gerard P. Goehringer, Chairman Gy 53095 Main Road James Dinizio, h. c ~ P.O. Box 1179 Lydia A. Tortora y x Southold, New York 11971-0959 Lora S. Collins ~O ~ ~ ZBA Fax (631) 765-9064 George Horning y'~1Q1 # Telephone (631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD August 24, 2001 Ms. Vicky Papson 63 Revonah Circle Stamford, CT 06905 Re: Appl. No. 4981 -Area Variance for Lot Set-Off Project Dear Ms. Papson: Enclosed please find a copy of the determination with conditions rendered by the Board of Appeals at our August 16, 2001 Meeting. Please be sure to return to the Planning Board Office and, if necessary, the Building Department, to submit any other documentation which may become necessary in their Departmental reviews. The Planning Board may be reached at 765-1938 and the Building Department at 765-1802. A copy of this determination was furnished today to the Planning Board and Building Department secretaries today for permanent record-keepipg. Very truly yours, GERARD P. GOEHRINGE ` CHAIRMAN Enclosure , Copy of Decision to: Building Department Planning Board Office fiPPE.~LS BOARD MEMBERS ~ ~fFO( • O~0$ k~+0 Southold Town Hall Gerard P. Goehringer, Chairman ~ Gy 53095 Main Road James Dinizio, Jr. p ~ P.O. Box 1179 Lydia A. Tortora ~ r? Southold, New York 11971-0959 Lora S. Collins ~ ~ `Ze ZBA Fax (631) 765-9064 George Horning y~10,(~ ,~`a~~ Telephone (631) 765-]809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF AUGUST 16, 2001 Appl. No. 4981 -Vicky Paxson Location of Property: 111020 Main Road, East Marion 1000-31-13-7 Date of Public Hearing: August 16, 2001 FINDINGS OF FACT PROPERTY FACTS: The subject property is a deep but narrow lot of 5.43 acres in East Marion, with frontage of 144.6 feet on Main Road and 151 feet on Gardiner's Bay, and side lot lines of about 1700 feet (East) and 1850 feet (West). It is improved with a frame house close to Gardiner's Bay. BASIS OF APPEAL: Building Inspector's Notice of Disapproval, dated May 29, 2001, denying a proposed lot set-off because the proposed new lot has a width of 127 feet whereas Code sectioq 100- 32 requires 150 feeC. AREA VARIANCE RELIEF REQUESTED: Applicant requests a variance authorizing the proposed set-off, which will result in a new lot with frontage of 127 feet on Main Road, leaving the remaining 3.14 acre lot with +-17 feet on Main Road. REASONS FOR BOARD ACTION. DESCRIBED BELOW; On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: 1. Applicant proposes to divide the subject property approximately in half by setting oTf a lot of 2.29 acres fronting on Main Road (Parcel 1), leaving a lot of 3.14 acres on Gardiner's Bay (Parcel 2). Access to Parcel 2 will be via a strip 17.4 feet wide along the east side of Parcel 1; t~ris strip will not be included in the set-off and will remain a part of Parcel 2. s Retention of the 17.4-foot strip reduces the width of Parcel 1 from the current ]44.6 feet to 127.2 feet. Because the Code requires a lot width of 150 feet in the R-40 zone, no set-off, creating a new Iot,is possible without a variance. This reduction in lot width reflects the split in ownership and will not change the appearance of the property or produce an undesirable change in the character of the neighborhood or detriment to nearby properties. 3. Grant of the requested variance will allow, ultimately, the construction of a house on Parcel 1, which at 2.29 acres is more than twice the minimum lot size required in the R-40 zone. The addition of one house will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties. 4. There is no evidence that grant of the relief set forth below will have an adverse effect or impact on physical or environmental conditions. Page 2 -August 18, 2001 • • ZBA Appl. No. 4981- V. Papson 100031-13-7 at East Marion •i 5. The action set forth below is the minimum necessary to enab{e applicant to divide her 5.43 acre lot roughly in half while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/ACTION: On motion by Chairman Goehringer, seconded by Member Horning, it was RESOLVED, to GRANT the variance applied for. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Goehringer (Chairman), Dinizio, Collins, and Horning. (member Tortora was absent due to illness.) This esolution was duly adopted (4-ll). Approved for Filing u; lH[~~ ~lE]Bl6 ~AIE~IEllg ~~e l[~~, ENGINEERS ¦ ARCHITECTS ¦ SURVEYORS ¦ PLANNERS WILLIAM L JAE6ER 11 P.E., LS. MATTHEW D. CRANE, LS. MKHAEL F. MORBILLO, ALA FRANCIS A. HAWKINS 1913 HERMAN P. HAWKINS 1962 CHARLES S. WEBS JR. L.S. Febuary 1ST 2001 Vicky Papson 63 Revonah Circle Stanford, CT 06905 Dear Ms. Papson: Please find attached the East Marion land division modified to reflect the topography derived from the "Five Towns Sewer Maps" from the 1960's. I have also attached the New York State D.E.C. application for signature and return (there is no application fee). Also included is copy of our application to the Suffolk County Dept. of Health Services and an invoice as per our contract. Call me at (631) 473-1900 ext. 105 if you have any questions. Very truly yours, Matthew Crane, L.S. r_ Visit us at our website at www.hwjaeger.com 200 EAST BROADWAY ¦ PORT JEFFERSON, NY 11777 ¦ (631) 473-1900 AX (631) 473-0486 ESTABLISHED 1872 ~ • - • sCS_~,_~-x' D New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 FAX: (631) 444-0360 - John P. Cahill Commissioner Letter of Non-Jurisdiction -Freshwater Wetlands Act & Tidal Wetlands Act Vicky Papson March 20, 2001 63 Revonah Circle Stamford, Ct 06905 Re:1-4738-02833/00001 Main Road/Trumans Path SCTM 1000-31-13-7 Dear Ms Papson, Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The proposed 3 lot subdivision as shown on the site plan by William L Jaeger dated 12/27/2000, is located above the 10 foot contour on a natural gradual slope and greater than 100 feet from the regulated freshwater wetlands located at Marion Lake (GP-1) Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) and Freshwater Wetland Regulations (6NYCRR Part 663) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place within the Tidal or Freshwaterjurisdictionalboundaries, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands or Freshwater Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Ve~ trulyy o Ro Evans r , De~p~y~Regional Permit Administrator cc:file BOH MHP Hawkins Webb & Jaeger r • • New York State Department of Emtironmental Conservation ~ivisinn of t?nvironmenptl Permits, Region Ona ` ~ . Building 4d • SUNY, Storry Hrook. Now Yortt 11~-2358 Prrone~ (631){440385 FAX: (831)444-0360 4" F _ _ ' TIDAL t1y~~1NDS JUfiliSDICTIONAL iNDIN i~F t' For us to detem~line that the Depactrnent does not have jurisdiction, you must provide documentaton that your project/propei'ty 3atisfles rile of thfeo Conditions (please see i,ll, and iN, ttslotir). Please ~ make Lure that your inquiry indndes all required documentation. Inadequate submissions or discrepanUes Cannot tie intelprettad in your favor. Alt inquiries muse iet:ltrAa; 1. A cover latter (or app8eation form) stating tM nsson deaatttthtetlon b needed; rtatun? ~ pro)ect; r addras4lnd tstaphons dumber of Ipndowner; and the same infonrrelion for anY contact parson (stttttorizatlon letter regutr~a} , 2. Recent cNttr photographs (dated) showing lslwant condkiottt: st tM site: f a. A location map showing the property in relation to local roads an ht~tteAm. 4. DocumetMatton as ezipiained below (I,fl,HI). ~:"1 . IF THE PROJEI:"ppROPEF~TY 1 ~M,ylt.. ~r.a.r+a ~N~substerKlil mananade structuro that ig greater tlian iD8 feet Iona. was constru d arior . 20.14'11•. arrd Iles leotaiasdtuncUOnai; ~l Provide two copies of a atirvey of she silo dated batoro Auoust.20. ! 477 which desrty -shows the shvdure (i.e. paved ..react: bultdatad, seawall. retaining wad, ete.);and confirms its length. Tvro copies ttt a plan having a0 proposed u. eonstrucUan moat scCOttepany the survey. Photographs must show erdtre abudurs: if a surwy cannot t1e provided that eordlnns these conditions. py a/she tidal wetlarWs aerial photo map' indicatirq the lordtion of the you must proykle a to pfoperty In qusslion and dearly showing the structure. zF ~Y' f III ) landward of flee 10 foot iiN3Ll skvatloer eoMOw on a aradwl. natu~ atom; w landward 4tfha f toDOOraohic crest of a bhAF cl duns in expas of 10 feet (a apewrtion: ~ ~r-'. Provide two copies of a survey of the sits,showing the axed location of a8 proposed mnstruction pnGuding dearlr>g, ft, gn4ding. aocnvatutg and Buing). This survey moat stww akvWbn contour BASS ~ two foot tnttxvals. must !>e completed by a licensed surveyor, and must be referenced to United States Geologipl Verti~sl Datum (USflVD). J" ~rV lit C,raatartttan Sf~Q,feat___T,~ir~Tidat wetlands: Provide Iwo copies of a survey of the sits showing the exact location of ad proposed cotlsWetlon (including clearing, grading, excavating. and fi~np). in adtl'tiwn, provide two spies of a pigs smie Map alwwing the parcel in relation w the wetlands or apparent high water. tt a map cannot be provided, you mus proWde a ropy of the tidal wedanda aerial photo u mep• ittdicasidg the location of the property in question. "s ° ' 'TO detain an aerial photo map. corrta+xNassau-SuffolK Blueprint'Ca. (510) 234.0668 with specific site location - ~ irdcrrnation or she map index number. The map index numbers are obtsirmble from: 4; p'„ NASSAU COUNTY CLERK'S OFFICE b SUFFOt:K COUNTY Ct.ERK'S OFFICE MOST TOWN AND VILLAGE CLERit;'S OFFICES, AND NYSOEC BUREAU OF MARINE HA91TA7 PROTECTION, (K16) 444tY2$5. - _ 06/20/2001 te:ne ex4i~o~oo - HA~::'i~EBB JAEGER ASSOC. P.C. ENGINEERS Af3GHITECTS • SURVEYORS • PLANNERS ESTAB. tfr2 ~ ~ 7~LIAY L JAEOEIt 1 PI~.E., L.a. - MATTMEIN D. fJ-SANE L8, MICHAEL R AIA HERMAN P. HAYN(INS 1982 CHARLES 5. WEBS JR L.S. June Z0, 2001 Vicky Papson 63 Revonah Circle Stanford, CT 06905 RE: Clarihcation of metes :shoWn.on land division map (Map of Papson, SCTM # 1000- 31-13-7). Dear Ms. Papson: In response to the cerK~A1S rgised about the distance along Main Road for this land division, i can assure yati.ttied~ypurtotal frontage akx~g Main Road is still 144.62' as shown on your deed and e91N9r'surveys. A close look at the proposed land division map Hlustrates this total ot..14+t:1~2`• asbrokifn-down akxg the proposed division lines. These dlstarxxas are indicated>as':1Z7:19' (road frontage of Parcel 1) and 17.43' (road frontage Parcel 2), which totals ^F.4d,62'. If you have any further:ques#ions please feel free to call me at (631) 473-1900 ext. 105. Very troy yours, Matthew Crane, L.S. 2~F~^I,R~1Y ..PORT~~~1R ~03N~NY~ 11777 V~ng stvnrw: ee9eccom JWN 12 '01 1035 FR WELLS FRRGO F1011E P``1TG 203 840 7945 TG 916314772923 P.01i0S. ~I~~1~_l ~;~~I{~~d~~ s~~~~ g g g$ ~Q p,g ~9 B~ R~gFk ~~~59 Ri~ ~~y'~jg ~C~ g F7~&««r. 7.«.G«. «.L ««x'««« ~j ~ ~ ~ ~ - R ~ a~ , $ e ~ x > > Iz Y a z> i X i _y~pp~ ~ppp! tZ i > i> i iiY!Lj2 ~iZ ~5~6¦6¦5¦6SiF ~w-4 w 6-86 1~ i RA Kee~~ 6S $~~g~$ $ f CC ~ ~ ~~~~I~ °a8dd d~s~d~e-w.. KRK~1CxRR1:CeA~Ee"e~~"^~weC"c5E_w^"^"e's'3= 6~ w w w n n w w Z w n w w~ n n g w n, n n n n n ni n .3 ~ n w w w w $~g~ it 7 1 i3 ~ 1. i 3~i3 ~ :~~i ~ ~ cooisoo~ " 1209 459 9858 FIDELITY TITLE • C~oo2i005 n..aaz /vna L fu.A.dM. T.aY,v.Yslai•!l6.1Y+a.cmr,O~•, ..Cr;.~~ Z~ ~~'Sv~ t'a;elltR rdlR N~~ aav~ 111nte/Y 71tr llea Mbar latOYa i 1~~•'f aatMa~i , r ,~r 1>ml iam~rtniM dmde sha ~ ~ ai gnat . ate; haadtd ead aeoaaaty t~asa:'='~~°~ dlfl9•WQmd b~ GY76?A L. PAPSOB, rest ag at 699 Neat 239th StroBt, 8ro;a,' tiev York , .1YY , r • 1 u saeoar @ I ds 7\et arID aad a~ma3 aE ;,~u ri- LP[t1~LHS C. ~+APSObT "~'~?`'h 79 t1111age i~a~d, ldeahaseat, I Ybrit. ~ ~ ..,~i~~~.-. pe;q o! dae Ern pats, asd , 1 • YxCKY S`fAQADl)y$S, ake LAXE9 :aeidirtq 8Y 4S Fast 89th • Street. Her York, Me\t York ' .'f~+ :'jY~ NRl4~T1[r ~ PtC d the Stet paa, h!1 Van' ;OC d tSe pD.er gad mhm~b d~ ~s aad Iq aid LR q.l~ sad aad lwewmq and as meaideedim aF ~ '1~2i (~1~0} ddb '~:~~k ~•r'•'• L~ aaaee~ ~ tLe Ualood 56~, I p~ $ ~ PST d ~0 ;~';'u~ ^'.a ,email paq dxa heetry was rag adage um }I6e pasq aF qc .mvrd F~ me edss or amo~oor and ~;•et +re~e at the pw~r ai qc eeooad past 5oto.s. - •:i~. . Ali amet vNia prat, pies Q paaad ~ Lad. the 6uilmge and LeisoRmmta 4~®ao sadtd, a3~et,~' ~ `"y . i~ ifi4sadhdaalaMe Village o! Bast sign. TcMa of Soatnald, ita i'ha ; 'a CbuatyoY saEfolk„ Btat.e of F York, boaadi3 and desCSiiaed se ' ~\~~'I lollove; ~~~~~~4T' ,K H£f:SBLiIYO at a poinc on tLa ebtsth side of the twain zp3d at the ~:~`1 .y- y, ~ norihVedt corms oP 3and of SpJeia 8ei]ar and ot'6rxs: thetace i $ runlsittq aloe<< last meat:iotaed Ilea13 t3te Eo lloring Footage and • 4.I. ~ dlstattceas Illbi~a :'g (1) Sorai;n 26 8egswes 11 toes 20 sacnhds; eiet, 372.29 :.1~,• it, 4: £ese to a poste I ~ ~ y S2} SpuY]t 26 dtegrees.26 ~rta~s 86 es~onds eept, 400 (3 } south 2g desmea+ pb:• ' . ~g ~4, 91, eO6aY' 33° , . ~ ` (6) Sot:tL 27 dagraee 49 a QG ,dagY'iwlk' eaet:y, ~1'~A~3.,, • Vii' to a goat attd 3aod of $idry¢y'lidl+~s-~~'r~#~.•.~~~~_'I~ 1 ' memti6du:a 3Attd south 29 degs<loe.3t}•.m3zaiidieel"~p;•%~pU~'~ , ' '~~1 PaeC to the sign vat:,er manic tis: ash.;?~D4~!...#,bey~:;3lltiY?r~Q:'~-1@~?jF`hLr' ` 40 decrees 13 minutes AO eacbadgi;~eM4ti.~i14~3;~?P }ligtir,~7~i4.= ~~'6P'"~' +r Orie..` Ba rbom 151. D7 feet to ]an4 0~ Sari"att~l~lr cheats '3.,•,~~;; along Is at me:atiotved land and passing through a mamIIneat stoi'tn , 29 degsoe3 46 minatae 2O;eetnnda t{kstir $31.3:O,.~feat t}~'.al.~as,Ci•••,•;•;,~,~~'~~, thence raanie9 alnttg the eaatmr3y Aida .ol'a''7C3gbC•nYl i!tl+,~'~.~R'i'eR':' '`4y" _ Cbur~eti 4ae 3iBt:aaoear ' a'\ . il} ewrth Z7 degrees 41 tn3nates anlasewrtdi:.Ment.: 157_63, fN!ta:~_ (2} nort3tti 25 degroea 54 mlioyY~Re Db ee~iiadsi'-aae:e~. 353..79'. t'~'~';`.'" ~ (3} mst3t 23 degrees 14 aiawtes JD.aleeDnds. vest. 6I:23 fptski`=-'-~~'s.:~;•~ 'k'L:a' ~ f ~ .:94 .4•, f~yfi ~ ~•~a'•~ 1 .i 01/23/01 T'UE 14:28 [TX/RX NO 9958] I~002 IQ~UU3/uuo ~ _ FIDELITX TITLE 1 1203 d59 9858 .,iii irni 003/005 ~¢?x.68 ~'~i ~ ~~~~rq~w '~Y' 64~ . ~rH (4) north 26 degrees 38 mi~te9 50 ~amCOads va8ti, 300 Yoatt. I5) north 28 degrees 57 miautias dO aeeolgds rTest, 7S.9,'~. Sae#ps ;y:'~~c (5) nosth 35 degrees 4B _mi~ak@s IO .sA4bniys toeaC. 3BK?Z, ,£le~ts,: vx~. (7) inartb 32 degrees 53 sn3.netes l.P'~CUA~.S~,e. lt7$:,~#;~ept~?-~~~V (8) raarth 31 degrees OG miaates ,50 mesh! 1~.~;f:~=;'~y . {9) north 25 degsoas 06 miAatea• 44;'~i;~Cpii7s vresL,, figt3d..feq~r`,'.'~~•„„ _r ;,tr (10} north z4 degrees 22 minutes 4o secoeads weax. 34Q:&9-:,f~ `;.xe (il) ~aostb 23 degrees 18 uafY;isaes OD se~ekt~da mast 2.21.:?r!M.';t4~'~~i~'v~% a paint oa the si~uth side oR tbs. main xoa&.:x3~euca z+a..: .~1 :a. the aoutlh side o7F the ma3a zo38•+afl11C?•4'8T QegsaeA 32';mis ~ east, 14*4.62 £eei: to the poftlt oz pl~ee of'~E+31~2~G~ n ~ The a}7Uye .dl~scri~ptia~a. ~eiag'.F~~sA~ ~+o: e~~-. ~ Q'C3,~' ii,. ~ Van '.4ugl & Safe, +~tpfl' Osierbas'. ~ ,Y~9'~ ' ~,7 ~i Seiulq the sLme prevLiaee con~veQype~d, to C'., PA~~:78Y,. :;_~.~e~ by deed Sated fDeceml~es 3Q, .14S9y. L~':,:iso thin of-Yr~e.'~tf';2~.:c;~y~~r~" Clark of Sut£olk CcQAty iA•2,i~er,•4?~: bf'•.a4~.-;~t',page`~,S' S,'%% Tunuasy 13, 1960. ~ ~ ~ ~ r`~ Let~ass Teatae~sataryarore •iss¢ed to Vista L., S~Psoa.:Yxs Executor. one of tbn $172rbtfllf:els Conn. ]iassau 4b8't[t~, Fs~e. 1tos7e-;,: .?.~~~,r~ F . on 3uly 20. 1993 uncles curse fip. kfa3~Qm. : '"}j' i.::> ' ~ Q C.:Y ;'i7a ~ : 4~ ~'e r.ey'q;'~...M r ~~^y~, i7~,yr . ''~iih,~.i i. sr `,l• . , ~.'ri'r' 01/23!01 TUti 14:28 [TX/RX \0 9988] ~ Oo3 x1203 459 9858 FIDELITY TITLFi r1LY:L11'Y NA1 L [004/00o i '[+OG~71166t aid? all ~4 ltls etyl b~R. ~ tm~, of tte pasty id the &re ptet Ja aad fc a~ ~ ad;. V`s, , toads aEsrttS~ the iLnte Aeam'6~ prmiee b the aetier 5mn t6~ . '7`~ 7~OGSIi~JB trftb ttm ame1. tid alo eL the eaote ~ tbC mid deetdua IDd ai the d' "'"T: dtsaleat's diach m oid Iiantier, asd ~ the e4ita ~ •b'xh th6~utp of the fNC fleet bas ~ bar ya?v ` ~ . .:r ra ~7 oe d'otwse ed, et«ybee L1y, oe ~ SRaie o! acid X11 m' u5etiae, ~ e~, ,R 'rO HAY3 wltb 20 liOW we ptemitw Lrx1s parme3 tma the yusp of as esseA pae4 the Liss vt c ~ soaawn and aam~ai cE fibs pttt) d too te00od past {oiCra. ~ !*"~~,:w ' "'4 r'~~ .ice - -G~E'~x5 :;rf. di7= l;c " k;~~;,~. ~ :w ~~:r. "~~_u. ~ah~. ^'.'f ..r ~ nT'~0 n~~ ~ ~ • i ~ a . i,~~hP 3,1~ wlmtbepuegoFebesertp.eseoesserY~lt4e~oFtitt.Lprsetae.,edr tiL aui psemmts bate baA feO~~6t1f off J.e7ti~~. YY~T~d-. ~i ..~..:..a~~ ~iv A!@thel~7dthefait • . _ ~;,..•..1.i'.,~i 'piQl Yatll'.~Jr ~fL1i3hLL+ Y fitic wiHraeivethetswodmtioutaetblseeecMe~~sau"l~~ 1lfb,: Os ~ put !n'k~M., r~... ~ taut ta0dto b< iv tar t.,.. , , .petica a ,Lepmpo.at.p~,~±ct; ~ . . d+eaiymaatdebetesad•~ebs~sm~'DefaaasfCZ-~~kl,', a~. ~ - TZC /IOid ~ f~tl 11e ~ tl ~ it 3vu 1.~ ~ ~ ~ " Y"5,.,~3 ~ p! /1 Pa~ 'rppK~"'s'ri`ebedet5altaat:~tiiiiio~e^b°~ ~ .,m~t~: ~~.owi,YY. Eye. pent ['E the ftt>Z p1S tW !may Zsmm~~mY ~d ®~i} >A~ 1at ~eRiUeei•~v Nom' ~7~}i wrletea a'~^;' / .t~L.yi~ ::y ~I ~ I CnaLt:'7L. Pap' n, mclCa.~pT J.*;k . 1 ,.~ij,1- . . ~ /'•~~i..~Y -.l'4i . , 01/23/01 TUE 14:28 [TX/R~L \'0 99881 ~QOD4 S ~y12~~0pp3 459 9858 FIDELITY T3fiLE-L ®j0o5lo05 HER `ia afl v uaa wtrt taurrr an 9~a York o non v lbw raaR eeHrer ar ~ t, r;-. OB 16m C/ ~51 0( lluqust t9 73, Le[ae me t]n the A~ a( t9 . ~efae~ . ' P~~y cme Costa L. Papaoa, executor ~0°~Y~ :;,~y~~~s` of tba estate of Leoaidta c, papyon ~5k- ro tea Imove tD ba ace tadividtal ductabd is aad arhe Do ier lmoera W 7v,tbC eCdinitO! ~.iD. esmtred ffx faeaolae feuu>~_, ud u.Lmvladyed Wt eaeerted ~e f iotlsmamC aad atma~ 6h[ atma pus~8~?mc ; r,.Z. ~P ~ t~' ...f I P}.•...t ..p SFr ,':~yy .7~...' ~ .I1.. ND.. ~ , 1 1. 'i t. . i t. r (,m rtY¢Da uym L'ym 30, 73 ~ ~j atAn m YtY taP!<, aaCr10F rt tTlln a! Nla 1atiS Na1CR A • ~ t - t t ' bit _ - t, ;'a: ~ Oa the dtY:4~ t r ~ .1$-, . t~s{ofe, toe Oa, 'att~ 19 141af_r . (KfaBSlhr ~n ,1~~y±~s,~ r 3 : .xrr r,f : r' a:':'F f: >a ter 7alovret, Rhe, y~a~ by au daty~ rmetq ~ ~r° 'tharw~®IS•tvCW'Pr' 1a tt~,leleQt2r~ . ~y dmt 6a~mida acNa t trb.R9•:~- F''dMa'.. t tfui ha iG the'• , , • . L agora. did ii71~a[` ^.T; ~F~r*;ej.-~~" t ,thEtrat@BezrAB1C`-detet46ri' SG?'£ t 3'7: ..F.e y M Bad trhleh artt:atgd ~'{ear6"!eri h1tlr10nrat• That ba • ~ . ''14~~ ~ ~ ~..1i r h114•D. th; rOt at ~ OOtparr~t01: i1,aL 6~h.B$q~ Qr1G:ltpd Lt rD1d rtW msLWd iha w. ' to said :.,ti.~ C'fB raeH 66ipotrte BeaC if~~61F tla2"-~.' ead'poiLem~g ~nlOt'Bt~ Rq' ~mf~ ~ atfixcd tN Wdri of t17e imrd of diarQata aE ~ aeePora- taa~ifp the aete• aad ripe. LF. ' , dm. aad ektoe he rigrN b aum dta3o M late ceder: 'aT4he sale shot aU6:aibtd h' `tmi4d'7X'$1&j o- r :..3 ~°a' ~';.r,,t ..:Y t ' L . it ~ C8• Tits Sii ^ / .jJ Btaar ~''tn `t" ooata L. Papeortt. cvtas o! the oaQern v ~wu ~ i,~. E73tratse o£ Icoaid9a C. papeon ~ n7,• ~ - Vicky stavznlakas, aka zakea i.,.A,B.ry~.ta'asB.arr.: m~atessvyta:yer, eorrraue.Bnr.rd.raC*unBSn. .ta~.w.+4 lbwCa L. papA.aR..~i~~%;.:~:~i ?HS 71TLB GUdRAJVTF.6 COAlPdJYY Il`7i'ist .aFaaa.sL~-•.;:.,: litti!5~! 5. 7kv `IR„x V t - i - ~ i fGi'~f ~ i • ~ yyrr ? 4 'J 1~ v F r i , ~ r:.. G ~ ~Oe ~"~'t4u o ~~:e a " [d ~ ~ ~ Sim .~,;1; . u w• r ~ • ~ -5 J ~ - ~a . :Y v... t4 V:~e i - w:ri'a 01/23/01 TL'E 14:28 [TXlRX AO 99681 @.'005 „~,.c~ J' Il/l(U Y IYlUJ1 UL 1 YrLU '/ll 1'IUIV 1LU IIV ULAI..ri 1lVri Vtv r.t 'IUVI( t V 1(L~.VIlUllll, r ~ 1 SUFFOLK COUNTY CLE Z 3 ~ 18912 fC753 _ m m Number of pages m TORRF: C _ - G~ $CI'iaf ~ 07 A ta'I'liaCatC ` - CG rn u~ Decd / Mortgage Inatrunlent Deed / Mortgage Tax Stamp Rceo+•+fillg /Filing $tanlils 4 FEE 1'oge /Filing F'ce Mortgage Amt. ILmdling 1. Dasic'1'az 'CP-584 2. SONYIIIA Nolagon V Sub Tolnl EA-5217 (County) Sub Total 3. Spec./Add. EA-5217 (Stale) TUT. M'1'C.'rAX _ ~ ~a~ ILP.T.S.A. ~ Dual 'Pnrvn _llual Comlty ~v ` , Ileld fur Apportionment _ Comnl. of Ed. S ._UU_ ~jj + + Transfer Taz _ Affidavit Mansion Tax _ Certified Cupy The properly covered by this mortgage is or will be improved by a one or hro Rcg. Copy _ Sub Total 4 V,_ family dwelling only. -7 YES _ ur NO _ Olller GRAND TUTAL u NU, sec approprinie lnz clause on page # of Ihis instrument. ~ Real Property Tax Service Agency Verification G' Title Cmupany Information Dia cctlun BI ck Lol ccwN 1000 031.00 13.00 007.000 South Bay Abstract, Inc. .A y 7 CompanyNamc b l J 647-5-2609 Title Number FEE PAID BY: 7 Caah Check~Charge Ms. Vicky Papson 63 Revonah Circle Payer aan+c as R & R_ Stamford, CT 06905 ORi ~Q 8 < RECORD & RETURN TO 9 Suffolk County Recording ~k Endorsement Page Tllis page forms pal•t of file attached Satisfaction of Mortgage made by• (Deed, Mortgage, etc.) North Fork Bank The premises herein is silualell iu SUFFOLK COUNTY, NEW YOItIC. 'I'O i In tltc TOWN of Southoia Lt the VILLAGE ~1~~,~} ~'~"y;Ptps°n orIIAMLE'Tof _East Marion i vn~nn ~iai STATE Oi NEW YORK, COYNTY OF• n: STATE Oi NEW Y~ COYNTY Oi u: On the day of 19 ,before me On the day of 19 .before me personally came personally tune 18912 fG753 to me known to be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the foregoing instrument, and acknowledged that executed the same. executed the same. fTATE OF NEW TORR. COUNTY' OP Suffolk STATE OF NEW YORR, COUNT,' G"r ast On the 25th day of January 19 95 ,before me On the day of 19 ,before me personally came Karen E. Melinnis personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that she resides at No. c/o 9025 Route 25, whom I am personally acquainted, who, being by me duly Mattituck, New York 11952 sworn, did depose and say that he resides at No. that she is the Assistant Vice President that he knows of North Fork Bank ,the corporation described in and which executed the foregoing instrument; that she to be the individual knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- execute the same; and that he, said witness, lion, and that she signed her name thereto by like order. at the same time subscribed h name as witness thereto i L-l ~/1'Z/9L3-~ ELIZABETH A ANNE NOTARY PUBLIC, $hte p( (fir Y•OIIc No. b5366A . Suffolk COSY Term E~pirW Nor,,' N9.5 ~DdtlSldt1I01I OI l~IOTlgAgt r SECTION TITLB NO. BLOCK LOT ~RldMBkXAt TOWN of Southold North Fork Bank County of Suffolk TO Vicky Papson Retarded AI Request d ricor rnle 6uuanlee ComPenY RETURN BY MAIL i0: Duvi6,,,rd 6y TICOR TITLE GUARANTEE Zip No. Y S G Yi W ~ N W V O N N_ W i - Mona BU35• -Rnlinfnc\ion of j~t6n6o-Individunl or Corpurotion. . CONSULT YOUR LAWYER BEFORE SIGNINv TN14 INSTRUMENT-THIS INSTRUMENT SNOULD BE USED BY LAWYERS ONLY. KNOW ALL MEN BY THFSE PRESENTS, that lwrrn•rridrwrr;J'w- NORTH FORK BANK, a New York banking corporation having its principal office at diridwr7. a•prinripd 245 Love Lane, Mattituck, New York 11952, formerly known as SOUTHOLD SAVINGS SANK a®irs, iJ regaurirn, tivin, rlrrrt Ind ,hen Hombre. DO ESHEREBY CERTIFY that the following Mortgage IS PAID, and do es hereby consent that the same be discharged of record. Mortgage dated the 17th day of June 19 87 ,made by Vicky Papson to Southold Savings Bank in the principal sum of $ 300,000.00 and recorded on the 23rd day of June 19 87 , in (Liber) ~(B(uxs~31i}~t~}x~BUt) 13011 RkiFiexliatx of Mortgages, page 96 in the office of the Clerk of the County of Suffolk n,ert "Jrrebri' wbew which mortgage has not been assigned of record. «gmrrd. Dated the 25th day of January , 19 95 , IN PRESENCE OP: NORTH FORK BANK, by: Karen E. Mel nnis Assistant Vice President SeeNOw 321 aJ the Rea! PrapMY Law erp•erdY prptddsr who mwrt errrwte eke «rtifiratr a/ dinharge in rperi¢¢c ea+e+ swd alre p+ovider, wmony ptksr thigpt tko! (fl wa eerbhrate rhall Dwepart to discM•gs ww•e then awe mertpape, (<rceDL that mortpayer 'aBrrted by iwtbwnuner of cowralida- tirx, rprsadrr, nwdific Yiow M ra«ectiow may br Jnclwdrd ,n wne «rNb«te it eke mrtrvmextr arc ret jortk in drtaif in rrpa•ote foraprapkr)~ (21 if eke mortpape !w bsrn wsripned,. in whole a in parq tkr «rtihrale r nt /ortk; (r) tks date of cork anipnmewt in tkr chore q dt(r of ehr pevow or pr«onr riyniwp the cMrpcatq (b) ehr wpw,rr o/ eke a,signos wed wripue, (c) eke intns,t auipnrd, and (d) i/ ehr w,ipnment hat Drrn recorded, eke book and page where it hat btrn rrrordrd w !kr «na7 nwmber o/ +wrh mo•d, or (r) i/ eke auipnmrnt it briny •srordrd rime/trnewa fY with eke rnlibrote of Euskarpe, eke «rtifirotr o/ dirrkarOr rkall ro rtatq and it tkr wwrtaape her woe bern arsipnrd of •erord, tkr rotihcWr shall ,o mate; (7) i/ eke w,ortpapr a held by awY dwtiary, ,wdwdinp aw uecutor o• administrator, Ih< «rtibewh aJ dlrckarpr rkall ,cite /ke name aJ ehr cowri and ehr vrnwr o) l1w No[erdinpr in which k,r aYt'aintmrnt war made or in which eke ord« m ds«rr vsrtinp h:.n with reek title or aaehor(tY war rnt«ed. • 14761 (Z/871-Text 12 PROJEC7I.D. NUMBER ~ 617.21 SEAR Appendix C State Environmental Oualily Review SHORT ENVIRONMENTAt ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (fo be completed by Applicant or Project sponsor) t. APPLICANT/SPONSOR ~ 2. PROJECT NAME 9. PROJECT LOCATION: MunlciPallty County , PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide 11 17.0 ~ c~._L.rJ ?Qr~L. ~.a~d~' Yv)aLnc~, N ~ ~ • ~ ~ ~ 39 5. IS PPOPpSED ACTION: New ? Expansion ? Modllication/alteration 8. DESCRIBE PROJECT BRIEpFL~: vU 0' a ~'~.I ~hs~" y~lt_m~-'~J 4~ u` .3'C~LCIz-2, -Q--4-x-d.~-t-~-.q- ~~-e-Q-.Q- , u 7. AMOUNT OFcL~ANGLA+FFECTED: 0 INtlally C1 ~.=7 acres Ultimately ~C ~ 2] acres B. WJL~ PROPOSED ACTION COMPLY WITH EXISTING 20NING OR OTHER EXISTING L4N0 USE RESTRICTIONST Yes ? No II No, describe briefly 9. WFI/1T IS PRESENT LAND USE IN VICINITY OF PROJ ECT7 DI4q'I' Residential ? Intlusirlal ? Commercial ? Agriculture ? ParklFOresVOpen space ? Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMEt~T~AL GEyN/CY (FEDERAL, STAT OR LOCAL)T / ,~F~~" ~l Yes ? No If yes, list agency(s) and permlVapprovals Q-~-Q_.0..~.e~ I~ l . "1° d-~ ' ~.~.ad . /1. ~ES ANY f OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVALT Yes If yes, list agency name anE permiVapProval y.e. 12. AS A RESULT OF PROPOSED ACTION WILL EXISTINO PERMIT/APPROVALREOUIRE MODIFICATiON7 ? Yos No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE \1l^ O AppllcanV onsor Y ~ ~ v ~ Sc~, ) Date: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 Town Of Southold -S~~C~- • P.O Box 1179 Southold, NY 11971 ***RECEIPT*** Date: 08/27/04 Receipt: 2277 Transaction(s): Subtotal 1 Park R Playground $5,000.00 Check#: 2277 Total Paid: $5,000.00 o ~ ~21~ Ilanni BoarA Name: Papson, Vicky 11120 Main Road East Marion, NY 11939 Clerk ID: LINDAC Internal ID: 99972 "FP c0~34 i~:l: FR ~JEL!_°_ F~RG~ MGRTGGGE03 84°_~ 2?di TO IE?1iE53136 P.01i01 ~ M GK / SEPTERABER 20, 2004 TO : SOUTHOLD PLANNING BOARD ' MARK TERRY FROM: VICKY PAPSON PLEASE GIVE MYLARS OF 11120 MAIN ~D EAST MARION NY 11838 TO CATHY OR BILL FAINGLAS . 'HANK YOU. ANY QUESTIONS MY CELL 15 203 253182 VICKY PAPSON D SEP 21 2004 Southold sown Plannin BoarA !w TOTRL PRGE.01 - ice-: ~ ~ • y/~ 3/0~ John Wizer, Suffolk County Water Authority 631-563-0308 he called back Fri., 9/10/04 re following households on Trumann Path serviced by Suffolk County Water Authority: SCTM No. Address Famil 1000-31-12-2 680 Trumans Path Bloch 1000-31-12-16 820 Trumans Path Perino 1000-31-12-4 900 Trumann Path McConlo ue 1000-31-12-5.2 970 Trumans Path Petersen 1000-31-12-5.1 1050 Trumann Path Brennen, William 1000-31-12-6 1120 Trumann Path Ketcham 1000-31-12-8 1270 Trumann Path Brennan, Elizabeth 1000-31-12-11 1410 Trumann Path Giu lianotti 1000-31-12-13 1450 Trumann Path Gor a 1000-31-11-13 10940 Main Road Wi in 1000-31-11-12 10850 Main Road Billman 1000-31-13-2 1955 Trumann Path O'Brien 1000-31-13-3 1825 Trumann Path Gould 1000-31-13-4 1755 Trumann Path Bollman 1000-31-13-5 1705 Trumann Path Gambino 1000-31-13-6 1655 Trumann Path Click 1000-31-13-7 11120 Main Road Pa son Not connected to Suffolk County Water: SCTM No. Address Famil 1000-31-11-14 220 Trumann Path Billman 1000-31-12-1 510 Trumann Path Eder 1000-31-12-3 750 Trumans Path Forte e ~3a 1000-31-12-7 1170 Trumann Path Dun h 1000-31-12-9 1330 Trumann Path Giu lianotti 1000-31-12-10 1380 Trumann Path Reinhardt 1000-31-12-12 1420 Trumann Path Butr 1000-31-12-14 1500 Trumann Path Colombo 1000-31-12-15 1710 Trumann Path Gor a % • ~ i ~ a ~ & ' : ~ v ` + JY ! 8 • ~ s.r vs i~~~ `b Y y r t v, ! jl L! 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Mr. O'Brien from Truman's Path was not notified of the august 9,2004 hearing ,since he is not an adjacent neighbor and was not on the list provided by the planning board. As for the trees that line Truman's Path that create a non disturbance buffer, I will allow them to remain five feet from the property line; however, I reserve the right to determine if a tree is diseased and needs to be removed. Please find enclosed a check for $5000 made payable to the Southold Town Clerk for the Park and Recreation Dept. I look forward to the completion of my approval and the signed plans. Sincerely yours, Vicky Papson p ~~~pd D AUG 2 5 2n~4 ~ J Sac'~old 1or;n F'. ~ ~ : ~ . _ ' • ~ gOFFO~,~ O • PLANNING BOARD MEMBERS O C JERILYN B. WOODHOUSE ~~0 Gy P.O. Box 1179 Chair o= ~ Town Hall, 53096 State Route 25 y = Southold, New York 11971-0959 RICHARD CAGGIANO ~ ~ Telephone (631) 765-1938 WILLIAM J. CREMERS ~ Fax (631) 765-3136 KENNETH L. EDWARD3 ?ICl ~ ~a~ MARTIN H. SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 23, 2004 Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson Located on the south side of Main Rd, 400' east of Kayleigh's Court, in East Marion SCTM#1000-31-3-7 Zoning District: R-40 ~~ar Ms. Papson: On August 16, 2004 a site inspection was performed of the property. Three issues were presented at the public hearing held on August 10, 2004 they include; 1. The residents on Truman's Path were concerned about the removal of street trees that contribute to the rural character of the private road. The establishment of anon-disturbed vegetative buffer to retain the trees was proposed. The Planning Board is in favor of establishing a buffer to retain the trees along the western property line of proposed lot 1. 2. Residents were concerned on how the proposed action would affect a "ravine" to the west of the proposed lot 1. The "ravine" is located west of Truman's Path and no impacts to the "ravine" are expected as a result of this. action. 3. Residents to the west of the proposed action indicated that although public water is noted on the plat as the water source serving the residences, many are utilizing private wells for water supply. Due to the misinformation on the plat, the distance of the proposed septic system to the existing private wells is unknown. The Planning Board will not address the issue and has alerted the Suffolk County Department of Health Services and the Building Department that further analysis of the placement of the septic system is required prior to any approval from the Building Department. Sincerely, rk Terry Senior E ronmental Planner ~cc~ ~o~xte ~ !Oi i "a~~clerbill .~I ve [ldnnhasset, NY' 11030-I>l> August 16, 2004 Mr. Mark Terry e% Planning Board of the Town of Southold PO Box 1179 Southold, NY 11971 Dear Mr. Terry, This letter is written in reference to the application of Ms. Vicky Papson's to set off a parcel of land from the property identified as SCTM3s1000-31- 3-7. We are weekend residents and where unable to attend the Planning Board hearing on August 9, 2004. From that hearing we learned via our neighbors that the Department of Health has issued a permit to Ms. Papson for future construction. It is my understanding that the permit was issued on the premise that all residents along Trumans Path where connected to city water. Please be advised the premise of the Department of Health is incorrect and must have been based on false information. Our property, at 710 Trumans Path, is located immediately opposite the proposed construction and we do not have city water. In fact, our well is located within I S feet of the road right of way. If in fact a permit has been issued on incorrect information we request that the permit be held until such time that a full and proper assessment of the requirements of a permit be properly investigated. Thank you for your attention in this matter. Very Truly Yours, L~~0~7~ . Edward P. Forte, P.E. ~ ~ i ' D u~ Auc t 9 7ooa so~mma rows Planning Boar Rug 15 04 12:38p aron 204 ?012 p.l ~ • ~v~,r August 15, 2004 Dear Southhold Town Planting Boatel, I attended the hearing on August 9, 2004 regarding the Vicky Papson property to set off a 2.29 acre lot (1) from a 5.43 acre pazcel. (Lot 2) and is described as SCTM#s1000-31-3-7. R'e own a house across Truman's Path from Ms. Papson's property. The big, old trees whose's branches overhang Ttvman's Path are beautiful and provide a lovely, calm, quiet atmosphere for the residents who have the good fortune to drive down the Path to get to their homes. It would be a real shame if these big, old trees are cut down right up to the edge of Tniman's Path on the Papson's property line. It would destroy the natural beauty which 30 or more residents enjoy for the sake of one house. I would very much appreciate if the Planning Boazd would consider restricting the size of the property or house or if that is not possible restrict the cutting of the old trees to within so many feet of Truman's Path so that the beauty of the Path can be maintained. (.4s you mentioned at the Town Meeting go take a look at Truman's Path.) As was also mentioned at the meeting this is a habitat area far deer, raccoons, rabbits, squirrels, and a large number of birds. Thank you for your consideration and attention to this matter. Sincerely, ~ry-~ ~~GNY~ ~arilyn Pasterb~& l~fatthew Bloch 680 Truman's Path East Marion, New York ,~~~i 1.~~~ 1,~ ~ r ` ` ,q y, ~ ; U , h'~ d town Soy m~"ua~a~~ p1z PLANNING BOARD MEMBE• o~pgUFFO(,~~oG • JERILYN B. WOODHOUSE P.O. Box 1179 Chair ~ Z Town Hall, 53095 State Route 25 Southold, New York 11971-0959 RICHARD CAGGIANO O ~ 'F Telephone (631) 765-1938 KENN TH L. EDWARDS y'~'0,(~ Fax (631) 765-3136 MARTIN H. SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 10, 2004 Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson Located on the south side of Main Rd, 400' east of Kayleigh's Court, in East Marion SCTM#1000-31-3-7 Zoning District: R-40 Dear Ms. Papson: The Southold Town Planning Board, at a meeting held on Monday, August 9, 2004, adopted the following resolution: BE IT RESOLVED that the Southold Town Planning Board hereby holds the public hearing for the Set-Off of Vicky Papson open. The next regularly scheduled Planning Board Meeting will be held on September 13, 2004 at 6:00 p.m. Please contact this office if you have any questions regarding the above. Very truly yours, ~~d~ Jerilyn B. Woodhouse Chairperson AFFIDAVIT OF POSTING This is to serve notice t t I personally posted the prope own as ~ ~ by placing the Town's ofFcial poster notice(s) within 10 feet of the front property\~ line facing the street(s) w ere it can be easily seen, and that I have checked to be sure the poster has r d 'n I e for seven days prior to the date of the public hearing on I have sent notices, by certified mail -return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of eve property which abuts and every property which is across on \'~.o z~~ Your Name (pant Signature 2 C.: ~ 11~~~~ Addr s ~ D to ~l Notary Public ~C~~o~ ~ MELANIE DOROSIO ~YNoU01~Ob46346 0~~ ~nrn fill DuallfiedinSuffolkCou~r'nnL A.UG - G CaamNsion E~ykea seDtunber 3Q~(dJ~C~ Southold Town Planning Bcar~+ PLEASE RETURN TH/S AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: 12:00 p.m.. Fri.. 8/6/04 Re: Proposed Set-Off for Vickv Payson SCTM#s: 1000-31-3-7 Date of Hearing: Mondav. Auaust 9. 2004. 6:00 p.m. _ - ~ ui • ' o ~ . V~ ..0 ~ RJ ~ w ~ E~~OF~W9 A~ ~S~ a a 0.37 I~iIT ID: 0404 o c«unea Fae 2.30 FoeVnvlt Rehm RedepA Fee Here ~ (Entlwaenanl RepWreEJ 1.75 m (Eedor~tReytlred Clerk: KCK6N7 ° 4.42 07/20/04 ~ Tolel PoelaOe 8 Faee RJ O M1 ~6eer,%ln. f~ aPO Box .17~......-`=•~ O . •e fU ' ~ ~ e. e ~ fLl Q' ' ~ Rdlece s 0.37 lRlIT ID: 0904 .7 retuned Fee poanned d ~ Retum Redept Fee 1.75 Here ~ (EeaotwmancReatured) Clerk: KCKbH7 ~ Reetrk4ed pe0very Fae ~ T (bndotaenrent Required) 0 4.42 07/20/04 N Total Poete9e a Feee Y N fo O C ~1~Y p 9iresC Q' . C~'1 ~ . a~ ~ l ~ t f ~ ~ Postage $ ' A ra ~ ~ Certifletl Fee ~ ~ ~ ~ _ Postmark m m Return Receipt Fee Here ~ ~ (Entlorsemant Required) O O Restricted Delivery Fee O q (Crdoraement Required) q q Total POete9e & FeN M1 f~ To ~~a~ ~ ~ 'L - q O S q~. No' BoxN M1 M1 + t . ¦ Complete kerns i, 2, and 3. Also complete A. Received by (Please Print gesdy) B. Date of Delkrery kern 4 if Rastdcted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailplece, x ? Agent or on the front if space permits. ? Addressee D. Is delivery address dikereM from kern 17 ? Yes ' . r~ If YES, enter delivery address Uelow: ? No \ rV~ 3. Type ifled Mall ? Express Mall i, q ~ eglstered ? Return Receipt for Merchandise \I"'1 ? Insured Mail ? C.OD. 4. Reetrkted Degvery7 (Extra Feel ? Yes 2, Articlgjittmber(Cop /iom ~a r PS Pdrjm 3/181~/1~,1JUly 1999 Domestic Return Receipt fo2585-00-M-OS525-oe-M-OS52 ~ t m m m ui g ~ gg ~ ~ Postage S ~ r9 rrr t,rl cedmed Fee Poslmerk - m m Return RecaiPf Fee Hxe A (EMareement Required) ~ae~e~ O ~ ResMCted Delivery Fee (Endorsemem Required) q q Tate) Poetege & Fees M1 M1 Derr-tea ~ „`D,~ Sent O O Street q O O O - l r r cry, + e ~r ¦ Complete Name 1, 2, end 3. Also complete A. Received by tPlee~ PrMt Clearly) B. Date of Delivery Item 4 k ReaMCted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the hack of the mallplece, X ~ Agent or on the front if space Permits. ~ Addressee 1. Anl Addressed to: D. Ia delWety address diRarentfiort+Nem 1T Yes ` N YES, enter delivery address below: ? No 3. lypa \ I } _ - CMlged Mail ? Expreae Mell \{"J~`T~~~'t__ l Jr, ` latered O Return Recelpt for Mercheralise ~i ^ ^ ~ ? Iruured Mail ? C.O.D. \v~;llr <Ll 4. Restricted Delivery? (EMra Fee) ? Vas 2. Articl mbar (Copy Irom MbeIJ ~~01,3 ~115~ q~` PS Form 38 ,Jury Domestic Rehtm Receipt f025BS00-M-0952 o lerS N!D ~ ~ O O SUS~J~~,~ O O oN xoB Od ~o ..",_1 '1ea1S O O Z 0 lueS E' k'' 0" 0" eaed y eaelsod IaWl v v O O (pe~InbeH lueweswpu3) O O ' aaj ~+a,iiac peaweaH o o (PeAn~H luaweswpu3) Y t' eieH ae j ltlieoatl wnlaH W W \J aiewlsod _ aBj PS91HeD ll'1 Lr1 t' $ eeelsod ~ L-' ~ y¢ pg ^pg pq ~ gy p+~p 5g, y9 Oa W :t~ "B fi 3 3 i! 3 0.f p k KP Ss ~ ~ ~ r r o- tr II o 0 ~ r ~ a • • • a ¦ Complete trams 1, 2, end 3. Also complete A. Received by (Please Print Clearty) a. Date W Delivery tram 4 if Re9tdctatf Delivery is desired.' ¦ Pnnt your name andaddress onthe reverse so that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailplece, ? Agent or on the front k specs permits. X ? Addressee \~,J1}.~^A\rticle Atljdres~sed t~o: ` D. Is delivery ~itlress ditlerent horn tram 17 ? Yes V~" kYEB, enter delivery address below: ? No 3 ce Type Certified Mall ? Express Mell t\\ ~ Registered ? Return Receipt for Merchandise ~ ~ ~ ? Insured Mail ? C.O.D. 4. ResMcted Dalivery7 (Extra Fee) ? yB3 2. Article u bar (COPY horn service IabeQ 16~~~~ 51n~ ~1~~ PS Form 3811, JUIy 1999 Domestk Return Receipt 10259500-M-0952 ~ ~ • r r r r- r r ~ ~ = ~ ~ Postage $ ' A A u7 IJ7 Certified Fee Postmark m m Return Receipt Fee Here ~ A (Endorsement Requiretl) r_~ 0 ~ ReslrkNed Delivery Fee (Endorsement Required) O O Total POeieas a Faea $ ' ~~ar^ ~ a San o O ~ for B o . 0 0 ° o a ~s , r r ,ail I I ¦ Complete Items 1, 2, antl 3. Also completB A Received by (Plmae Pdnr Cleatiy) B. Date of Delivery ' ' tram 4 k Reabictisd Delivery is desired. ¦ Print your name and adtlress on the reverse ao that we can return the card fo you. C. signature ¦ Attach this card to the back of the meilpiece, x ~ A17ent or on the front k apace penults. ? Addressee D. b delivery address diMerent from kern 1T ? Ves 1.`~ Artcle Addressed to: k YES, enter delivery address below: ? No 1 v ~ y 3. eType n CtatMetl Mall O Expross Mall iZ epistered ? Return Receipt fa Merchandise C~ ? Inetaed Meil ? C.D.D. a. ReaMCted DenvtayT (Ezaa real ? vea 2. Ankh Nu (copy liorrr servce l ~ PS Fonn 3811, July 1999 Domesdc Return Receipt 102595-00-M-0952 i , 1 ~ ~ m m ~ ~ Postage i • ~ ri rl ,a r-a cenmed Fae ~ ~ ~ ~ Postmark m R'I Retum Receipt Poe Here ~ (Endorsement Requlretl) O ~ Restdcled Delivery Fee (Endorsement Requiredl e O O r r Total Postage 6 Fees .a \ ,-a r-i Senr o - - - l5. ~ - - - - O O Street, > Na.; ar Po aox No. O O f~ M1 cIN. Sfer /P \J 1_ 1 • 1 I~i ¦ Complete kerns 1, 2, and 3. Also complete ' A. ReceNed by (Please Print Clearly) B. Date of DelNery kem 4 k Restdcted Delivery is desired. ¦ Print your name and address on the reverse C. Signature so that wa can return the card to you. ? A9B<k ¦ Attach this card to the beck of the mailpiece, X or on the front if space permits. ? Addressee D. Is delvery address tlklerent from earn 11 ? Yes 1. Mole Addressed to: ! ~ Ii VES, enter delivery address below: ? No ~ V ~T"~~ ~2 3a ~sA-;~~ 3 ke Type CertlRed Mafl ? Express Mall . ? Registered ? Retum Receipt for Merchandise II ~ ~ ? Insuretl Mail ? C.O.D. ryorp` 44. Reablcted Delivery? (Extra Feel ~Xy ? Ves 2. A~G~e N~~\ \ t~.~l ~ ~J ~ ` ll~ PS ForrA 3811, duty lsss Domestic Retum Receipt 1a2595~00-M-0952 1 • ~ ~ Ir 1 e a r-9 ~ Q- yy ea ~ Postage S ~ ~ ~ ~ Certified Gee ~ Postmark Return Receipt Fee Here m m iEntlorsemant Requlratl) e>_~r_r ra N eae~~r O ~ ResMaed Delivery Fee O O iEntlorsement Repaired) O O To41 Postage 8 Feea r M1 a .-a O O Sr Mt. No' or No. f~ M1 C S + . ~ / ' ~ 1 I~ ¦ Complete kerns 1, 2, and 3. Also complete A Received by (Please Print Cleerry) B. Date of L1eINery kern 4 k Restricted Delivery is decked. ¦ Print your name and address on the reverse C. Signature so that we can return the card to you. _ ? A9ent ~ Attach this card to the back of the mallplece, X or on the front if space permts. ? '~resa~ 1. Mole Addressed to: ~ D. 19 delivery address dklerent from aan 19 ? Yes C'\V`^Jl p\\V`T!~-C'-y~~ ~ H YES, emer delivery address bebw: ? No \21 Q-°~~~ 3. Type Cerdged MaN ? Express Mail ~ ~ ? egistered ? Return Receipt for Merchandise ? Insured Mall ? C.O.D. 4. pestrkted DeINery7 (EMre Feel ? Yes 2. Micle~l ) 7~ ~7~~ ~L~ PS Form 3811, July 1999 Damestlc Return RecNpt 1g25s5~00-M-0B52 ' i .e M1 r 0 0 0 ru w tr rr t _ ~ ~ Postage $ a r-l - r9 A ~ urt Certified Fee Postmark Return Receipt Fee Here m m (Endorsement Required) r~ ~ ~ O Restricted DelWery Fea ~ O (Entlorsement Re Weed) O O Total Postage & Feea M1 r J\ .n .n ,-a ~ t. - - ~ O Street, ~ w Po !o. O O O 5 O -Gh Stet P+4 J ~ / ¦ Complete Rams 1, 2, end 3. Also complete A. Received by (Please Pn^t CteaM) B• Date of DelNery Item 4 R Restricted Delivery is desired. ¦ Print your name end address on the reverse C. Signature so that we can return the card to you. ~ A9ent • Attach this caRl to the back of the mailpiece, X ~ Addressee or on the front R space permits. D. R delNery address different from item 14 ? Ym 1. Article Addressed to: If VES, enter delNery atldress below: ? No Q©c~o~,~ 3 Typo C ` 1 Certifletl Mall ? Express Mall G ~ ~~~QJ epistered O Return Fiecelpt fa Merohandisa / ? Insured Mall ? C.O.D. a. Restricted Delivery? (Extra Feel ?pYes~ 2. ArtiGa."txr~`~opyi~ ~1~ .rv"`~3 "L\~~2SL~L_ PS Form 3-81(1, July 1999 Domesdc Return Receipt c 1a2595~00-M~0952 ee e ~ , ~ e • r A A rL rL Y j R O- r . `a ~ Postage $ ~e~y A A ~ ~ CeriRed Fee ~ ~ ~ ~ Poslmedc m m Return RecelptFee Hera ~ ~ (Endorsement Required) ~ ~ Restrictetl Delivery Fee O O (Endorsement ReWhed) ~ ~ Total Poelage 8 Fees M1 f~ ..o -a senr w-.n ' p O St . No.; w No. O O ~u~1_ ~err_e 0 O city Se ~lA+a Ltq, f ~'V ~ i ~ ~ . ¦ Complete Items t, 2, and 3. Also cortlplete A. Received Dy (Please Print Clearly) B. Date of Delivery Item 4 If Restricted Delivery Is desired. ¦ Print your name and address on the reverse se that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailplece, X ~ Agent tx tm the tram R apace pemllts. ? Addressee D. b delvery address tAlfererd horn Item 19 ? Yes 1~Art\ide Addressed to: RYES, emer delivery address bebw: ? No (~~o_ Qa ~ 3 Ice Type ` '-~,.c1 Certified Meil 0 Express Mall V ~ egletared ? Relum Receipt for MerctrerMfse \ ^ ~ ? Insured Mell ? C.O.D. \~~J1L 4. Restricted OeNvary4 fflraa Fee) ? Vas z. Aniry~l0 t~ 70 ~L~~ q~ 2~ PS Fofrm~3811. July 1989 Donrstlc Return RetaIM - . m m nu ~ tr tr ~ ~ Postage $ r~ ,a ,a ri _ t,rT un Certified Fee Postmark m m Return Receipt Fee Here a (Entlorsement Raquimtl) O O Restricted Delivery Fee (Entlorsement Required) O O M1 M1 Total Poslega S Feea ~ ~ ~ ~ ~ S nt (y~~ O D q f. No.; or~-edx Na o Q M1 M1 , s ---z a • ~ • ~ ¦ Complete (terns 1; 2, and 3. Also complete A. Received by (Please PAnr Clearly) e. Date of DelNery ttem 4 if ResMeted Delivery Is desired. ¦ Print ytwrntutte and address on the reverse 0. Signature so that we can return the card to you. ¦ Attach this card to the back of the mailplece, X O Agent w on the front if space penntts. ? Addressee D. Is delNery address diffemt ham kern ~1 ? Yea 1. Artk(\b~A~dtlresse\tl`tAo:~ ~ H YES, enter delivery address below: ? No ' ~t V~ VV _ ~ n 3 ~Meil ? ~ for Merchandise `!\*.~1K••1~'.' ~~~J, I ? tenured Mail ? C.O.D. 4. Restricted DeINery7 (Exrre Fee) ? Yes PS Form 3811 ury 1999 Dorttostic RaNm Receipt 10258S0g-M-0852 ~ x « • N tt't ~ ~ ~ ~ ~ Postage $ ~ ,a A \/1 ~ N ~ Certified Fee , Postmark m m Return Receipt Fee Here - ~ ~ (Endorsement Required) ~ O O Restricted Delivery Fee O O (Endorsement Required) ~ ~ Total Postage a Fees f~ f~ a r9 ......v.... C~a~®_Vl.{...._... O O Street, Apt /\1~~., r PO Bo(~.OI~q. O O M1 M1 Crfy, State, ZlP+ t ¦ Complete ttems 1, 2, and 3. Also complete A. ReceNed by (Please Pant Chanty) B. Date of Delivery ttem 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse 0. Signature so that we can return the card to you. ~ Agent ¦ Attach this card to the beck of the mailpiece, X or on the front ff space permits: ~ Addressee 1. Article Addressssaaaddd ttto: D. Is delvery address different from ttem 11 ? Vas ~ ff YES, enter delivery address below: ? No i ~ QD~~. Z~2 3.~"~~/rvIts Type I jC Certiflad Mail ? Express Mail ~yitOZ7 Registered ? Retum Receipt Tor Merchandise InstaedMall ?C.O.D. vL f 4. Restricted DeINery7 (Fxha Feel ? Yes PS Fonn 3811. July 1999 Donbatic Retum Receipt ts2sesm-st-oes2 , rv n.l rrt TLI fl.t - m' IT ~ ~ Postage $ r~r_ r9 ra _ rl ra ~ yt yt Ceditied Fee ~ Postmark m m Return Receipt Fee Here - ~ (Entlorsement Required) O O Restricted Delivery Fee (Entlorsement Required) O O Total Postage & Fees f~ f~ ~ A Sent cam. C ^ , ---A-_V~. _ ~ 1...... O t7 St q A o.; or Box No. ' 0 0 o o _ - - - - - M1 rv , e, IPA ¦ Complete Rams 1, 2, end 3. AISO Complete A. Received by (Please Print Cleeriy) B. Date of De1Nery Item 4 if Regtricfed Delivery is desired. ¦ Print your name end address on the reverse so that we can return the card to you. c. signature ¦ Attach this card to the beck of the mailpiece, X ~ Agent w on the front ifs oe ~ Addressee Pa permits. D. Is delivery address dRlereM frem Item 1? ~ Yes ~ressed t[o\~`-~ K YES, enter delivery address below: ? No ~~01 ~ . 22.5 a CertiRed Meil ? Express Mail eglateratl ? ReNm Receipt for Merchandise ? Insured Mall ? C,O.D. Ie~ ~ ~ q~~,1Y~ (~~c 4. Restricted DelNery? (Extre FFee) ? Vas 2. Adiclq Numbe\ 9. Y 1 n 1 V \ I~~~~ ~ \ l \ a,~2 S~ PS FOrrn 3811, JUIy 1999 Domestk: Retum Receipt T~ 102595-00-M-OS52 • ~ ~ ~ ~ ~ n" ~p g°' g p p p ~ `R ~ Peerage S a ra ~ a ~ ~ yT CMlfietl Fee Postmark m m Retum Receipt Fee Hera ~ ~ (Endorsemen[Requiretl) O O Restricted Delivery Fee D O (Endorsement Required) ~ ~ Total PotleOa 8 Fees A ~ n Tc - - o~:S:,-~ O D S Na.~ ar NO - ° ° c ,ire"' -,a---~A~----.~~ ~------.~,'Y_- I ~ I i ¦ Complete Items 1, 2, and 3. Also complete A. Received by (Please Pdnt Clearly). B. Data of De1Nery Item 4 H ResMcted Delivery Is desired. ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this cans to the back Of the mailpiece, ? Agent or on the front if space permits. _ X ? Addressee 1. Article Addressed to: D. Is delvery address diRerem from Rem 1? ? Vea t ~ ~ ^ c It YES, enter delivery address below: ? No ~~-'(sue Cerifled Mail ? Express Mell (~1 ` ~ ? Registered ? Return Receipt for Merchandise v ~1` ~ ? Insured Mail ? C.O.D. F~ - 4. Restdctetl Delivery? (Extra Feel ? Yes PS F1oYrth ~ 811, July 1999 Domestic Retum Receipt 102595-00.M-0952 l ~ ti ti € t ~ ~ Postage $ ,a rR ~ ~ ~ Gertitied Fee Postmark - m m Return Receipt Fee Hera ~ ~ (Endorsement Required) O O Rastrictetl Delivery Fee ~ O lEntlorsement Requiretl) O O Total Poatege a Fees f~ f~ ..o .n ~ ~ Se T , .._....-v3--' _ _ _ _ ~ O St~,~r, t. No ,ycf'ABox O t7 vt 1\ ~`g kk y ~ v rem o o - r M1 cay, s te, Pr4 1~/ a a e • 1~ • • I ¦ Complete Items 1, 2, and 3. Also complete A. Received M' (Please Pant Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired, ¦ Print your name and address on the reverse so that we can return the card to you. c. signature f Attach this card to the back of the mailpiece, X ? Agent or On the front H space permits. ? Addressee D. Is delWery adtlress diilereM from item l7 ? Yea ~ . 1. Article Addressed to: If YES, enter delivery edtlreaa below: ? No V `J- ~.L~ 3. Service Type . n ~ ` ~ ~ ? Cettlfled Mail ? Expresg Mail U11,vn`~(,-~_ ^~1.~1~L ? Registered ? Return Receipt for Merchandise ? Insured Mail ? C.O.D. selV Inblpq~O~ (~~~a. Reamaed Delivery? (ExveF/e'al~L ? Y^es 2. Prtlcmber (wP from c'1 1~ ~g ~ ~ I lit, PS ForrR 3911~J~UI~y 1_899-\l Domeatio Return Receipt L102~595-00I M-0852 I ~ ~ ~ • ~ a .n ..o r r ~ i ~ ~I~~I sa m .a Postage S ~ N ~ CerHfetl Fee - ~ - Postmark m m Rehm Reoelpl Fee Here ~ ~ (EMweement Rapuiree) a~aaaas~~ ~ ~ ReeMCled Delivery Fee O O (Endorsemem Required) ~ M1 Total Postage a Fen ..o .a ~ O q o.; or Box 0 0 ,v- ~ r` - L- 'I~ II i ¦ Complete Rams 1, 2, and 3. Also complete A. Received by (Pfease Print Cleary) B. Date of Delivery item 4 H Restricted Delivery is desired. ¦ Print your nerve and address on the reverse so that we can return the Card tO you. C. Signature ¦ Attach this card to the back of the mailplece, X ? A9~ or on the front if space permits. ? Addressee D. la delvery address dlRerent from item 17 ? Yes ~1. AQrtic~le~Addre1ssed to: c C d YES, enter desvery address below: ? No \ V 4~O ~ 3. a Type armed Mail ? Ezpresa Mail ? egistered ? Return Receipt for Merchandise ' - ^ ~ ? Insured Mall ? C.O.D. ~V~(yl~ 4. ReatACted Delivery? (Fxtre Fee) ? Yes 2. Amcl bar (Copy from servke `~12,~ PS Form 3 11, JUIy 1999 Domestic Return Receipt 10259500-M-0952 q_ 1 ~ Ir D" 2.. 4 fi i~ f ~ ~h 1-~- , 3 ~ a ~ Postage $ - rl l!'r V7 Certified Fea Postmark m m Return Receipt Fee Here ~ (Entlarsamant Required) O O Residctetl Delivery Fee (Entlorsement Requiretl) O O r M1 Tatal Poetege & Feea .d ~r_ ~ A n O O St ,~pf No.; or lo. o t7 ~F_SJ o o ~ - Crty fat - M1 r- ¦ Complete Rams 1, 2, and 3. Also complete A. Received by (Please Rant Clearty) B. Date d Delivery Item 4 If Restricted Delivery Is desired. ¦ Pdnt your name and address on the reverse so that we can retum the card to you. C. Signature ~ Attach this card to the back of the ma(Iplece, ? Agent or on the front R space pertnlta. X ~ Addressee D. la delNery atldrees dHletent floor ttem 19 ? Yee 1. Artcle Addressed to I1 YES, eater delivery adtlresa below: ? No ` Q~ ~V ~ ~T~e . t~ ~ Mall ? Express Meil \`~~A\J\`(`]`~-L ~ Iatered ? Retum Receipt far Merchandise ? Ireured Mall O C.O.D. . ResMctetl DelNery! (Extra Fee) ? Vas PS Form 3811, July 1999 DdrrlBetlC Retum Receipt 1025a5-0PM-0B52 ~ ~ ~ a ~ 4" ~ ~ ~ Postage S rl A ~ Certirretl Fee ~ ~ ~ Postmark m m Raturn Receipt Fee Here ~ ~ (EMOreernent Requiretll ~ O ~ ResMded DeMery Fee O ~ (Endareemem Requlrecl) O O Torel Poetaae a Fees M1 M1 'a S To A A - - ....~t------._''.~~-_16~'?- t, No. r-~ O O O O ~ City, State +0 , M1 M1 - _ _ l_ e e I ¦ Complete Items 1, 2, and 3. Also complete A. Received by (Please Print Beady) B. Dare of Delivery Rem 4 R Restricted Delivery Is desired. , ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailpiece, X ~ Agent or on the front if space permits. ? Addressee D. la delivery address dMereM from Item 1? ~ Yes 1. Article Addressed toe,-\, \ R yES, enter delivery address below: ? No 3. Ice Type V I.y(Certlfletl Meil ? Express Mail r \ ` ~ _ _ " ~ `I pppppp111~pppR~~ egisteretl ? Retum Receipt for Merchentlise V~-~_'"(-, 7~-j ) ? Insured Mall ? C.O.D. ~y\c ry~~ ~E4. Re's"h~icted Daliveryl (Extra Fee) ? Ves 2. ArtlOlaiyu©ber (CoS~m se \a~'1 l O \ 1\ )l, < PS Fofm 811, July 1999 Domestic Return Receipt 102595-00-M~0952 • . 0 0 ,T~ g r• a r; ~ ~ Postage $ rl r1 _ ~ 111 ~ Certified Fee _ Postmark m m Return Receipt Fea Here ~ ~ (Entlorsemant Required) O O Resirictetl Delivery Fee ~ D (Endorsement Required) J ~ ~ Total Postage 8 Fees M1M1 ~ r"'a.~ Sen[T~ O O (I~- ClN Z1P+9 M1M1 L ~ ¦ Complete kerns 1, 2, end 3, Also complete A. Received M' (Please Prim Clearly) 13. Date of Delivery Item 4 k Restricted Delivery is desired. ¦ Print your name and address on the reverse C. Signature so that we can return the card to you. ? Agent ¦ Attach this card to the back of the mailpieca, X ~ Addressee or on the front if space permits. D. Is delivery address different horn item 17 ? Yes 1. Artcle Addressed to: Ii YES, enter delivery address below: ? No ~,5~ 3. S Ice Type `-A` (fled Mall ? Express Mall ~ J Registered ? Return Receipt for Merchandise ~Q ? Insured Meil ? C.O.D. L 4. Restricted Delivery?~(Extr~a Fee) ? Yes~~,;~~~~ 2. Number' (COPY hrxn sen'~ label) ~ ` 1 ~ n- ~_7 Ps Fom, 381 , y 1999 \Ft~- _ Domestic Return ReCelpt `-1'012r5'95~-OO~M-0952 ~ ~ • r • r ..L D O ~ ~ Postage $ ra ra a ra ~ N tr1 Certified Fee Postmark m m Return Recelpt Fee Here ~ ~ (Endorsement Raquiretl) ~ OO Restrictetl Delivery Fee (Endorsement Required) O O Total Postage 8 Fees ' ~ a Sent TO~ 1--~------ ~ ~ Apt. No.; o Box No. - 0 0 M1 M1 a • Complete kerns 1, 2, and 3. Also complete A. RecaNed by (Please PrMt CleaAy~ B. Date w Delivery kern 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. G Sgnature ¦ Attach this card to the back of the mailpiece, ~ Agent or on the front If space permts.- X O Addressee D. Is delvery atlMess different from Item 17 ? Vee 1. Article Addressed to: If VES, emer delivery address below: ? No Q ~ n~N ~ V v e TYpe \ ~x\ Certified Mail ? Express Mail \x~L\ LlT~~~-Y ? Registered ? Return Receipt for Merchantllsa n ? Insuretl Mail ? C.O.D. I 3~ 4. Restricted DeINery7 (Extra Fee) ? yes PS Form 3811, July 1999 Domestic Return Receipt 102595.00 M-0952 i • r - m rn w m s w ~ ~ ~ Postage $ ~ A A ~ ~~+'1 ~ Certified Fee ~ Postmark rTt Ill Retum Receipt Fee Hare (EMOrsement Requlretl) ~r• 0 O Rasirict¢d Delivery Fee (Endorsement Required) O G M1 M1 Total Postage & Fees ~ San o ~ D Sf - -NO.: a -------y o - - O O p M1 Cxy, Srere~ ~ ~ ¦ Complete llama 1, 2, end 3. Also complete A Received by (Please Pant Clearly) B. Dare M Delivery ttem 4 H Restricted Delivery is desiretl. ¦ Print your name and address on the reverse C Signature so that we can tetum the card to you. ~ A9ent ~ Attach this card to the back of the mailpiece, ~ Adtlressee or on the front tt space permits. D. Is delNery atldress diRerent from item 17 ~ Y~ to: a YES. enter delivery address below: ? No t 3. 9 Ice Typo ~~V Certifletl Mail ?.Express Mall ~eglatered ? Retum Receipt for Merchandise l ? Insured Mail ? C.O.D. L y ~pgl)L 4. flesMcted Delivery? (Extra Fee) ? Yes 2. Artbre l ~ ~ ~ servfce~ln~l) l 3J~~~~~ q PS Form 3811, July 1999 Domestic Retum Receipt 102695-0IFM-0952 ' . e ~ ~ ~ ~ ~ ~ a. • a• . .a ~ c~'~~ _ ~ ~ ~ Postage $ A ra ~ ~ Cediaed Fee ~ ~ ~ rl'1 Postmark m m Retum Receipt Fee Here ~ ~ (Endorsement Required) ~ d RestdMed Da9vary Fee 0 to (EndoraerneM Repaired) O Q Total POetege 8 Fees M1 t". .D ra_aer. ~ ~ 0 o srreer, Ayr. . yqD 0 0 _ FI r-a~ O I d Clly Stet~LF „L~C~1 J V l J- L _ a e • ~ ¦ Complete Items i, 2, and 3. Also complete a Received by (Please Print CleadY) B. Date W Delivery Hem 4 if Restricted Delivery is desired. ¦ Pdnt your name and address on the reverse C. Signature so that we can return the card to you. - • Attach this Carl to the back of the mailplece, X ? Agent a on the frontrf space permits. ~ Addressee 1. Article Adtlressetl to: D. Is delivery address tlMerent from item 71 ? Vea ) ~ _ If YES, enter deNvery address below: ? No , 3. ke Type - ~ CemNied Mail ? Express Mall ~~~7VVV O RegbtereO [].Return Receipt for Merchandise n ~ ? Insured Mall ? C.O.D. S 4. ResMcted Delivery? fExtra Fee) C7 Yes 2.,~plolOe Namber (CpPY ~ ~ '7 S l ~~a~~~~~ PS' F/orm3\(8~1V11,~~Jury t999 Domestic Return Receipt to2sas-oo-M-ossx . ~ i. . 00 _ as ry.I h ~ 4 ~ ~ Postage $ - rl rR rR rR - rrr uT CedRatl Fee Postmark m m Return Receipt Fee Hera ~ A (Endorsement Required) O O Restricted Delivery Fee O D (ErWOrsement Required) \\\\J\ O O Total Poatega a Feee M1M1 ~ ~ San .Y _ O t No.; or PO Box O O ~ M1 C% , Sfa IPiJ _ I ~ • • • • a ¦ Complete Items 1, 2, and 3. Also complete A. Received by (Please Pnnt CleanYJ e. Date of DelNery Item 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailpiece, X ? Agent or on the front if space pennRs. ? Addressee D. Is delvery address dNferem from irern 17 ? Yes ,1. Article reseed to: If YES, enter delivery address below: ? No ~~123 . 7it•}t 3. ke Type 1, ~ ~ V ~ ertmed Mail ? Express Meil \W- n ~ ` f ? egistered ? Retum Receipt for Merchandise _1 ? Insured Mell ? C.O.D. vyJ~~ ~ sp`rv ~(ap~1al);~\ 4. Resbicted De1liveryc7?~~/Exfre Fee) Q- Q? Yes 2. A" IN~L~I~~m \I~ GV 0~~~ 4~U ~C~U PS Form 3811, July 7999 Domest~ Retum Receipt 102595-0O~M-og52 'a • ~ ~ a. • • • ~ m m gg~__ g ~c Postage S a a ~ ~ CertiSed Fee ~ rn Lrl Postmark Retum Receipt Fee Here m m (Endorsement Required) ~ A A O ~ Restrkted Delivery Fes O ~ (ErMOrsemeirt Required) O O Total Postaty a Fese M1 M1 ~r_ ~ ~ tTO Jul .....S~w.t._ O O Apt. r B ~ o. ~ O O ~ ~ ~ CI -a< . ~_1~_____........____________.._..... M1 r~ N. ¦ Complete Remy 1, 2, and 3. Also complete A. Received by (Please Pnnr Cam') e. Data m Delivery Rem 4 If Restdded Delivery is desiretl. ¦ Print your name and eddrees on the reverse O Signature \ so that we can retum the card to you. ? Agem \i , ¦ Attach this card to the back of the mallplece, or on the from R space permita~ X ? Addressee o. Is delivery eddre~ NRerent earn Rem 1? Yes 1. Article Addressed to: If YES, enter delvery edtlreas Debw: ? No ---ICS QO~D~ 3. u Type ~ Certified Mall O Express Mall Lx~ Reglelered Retum Receipt for MerchnrMise ~ ? Insured Mall ? C.O.D. 4. petdricted I~INery7 (ExBa Feel ? Vas 2. a Number (Copy born Ica PS Form~811, July 1999 Domesdo Ratum Receipt • 102595~0g-M-0852 M1 r tr tr 99 ~ ~ ~ n . ~ @ ~~ggF•y t R a*h# ~ ~ Postage $ ~ rl A A A _ V'1 ~ Gertif~ed Fee Postmark m m Retum Receipt Fee Hare ~ ra (Entlarsament Requketl) O O Resirictetl Delivery Fee (Endorsement Required) O O Total Poataae 8 Feea .L .S ~ Sent ~ ~ . -~j O O St Apt. o P Box No. l~"~~~Ar'~G O O (7~~j~ M1 M1 ~ ~ V~ • Complete kema 1, 2, end 3. Also complete A. ReceNed by {Freese Print Chedy) B. Date of DelWery kem 4 k Restricted DAlivery Is desired. ¦ Print your name and address on the reverse C. Slpneture so that we can return the card to you. ~ A9~t ¦ Attach thid card to the back of the mailpiece, X ~ ~ or on the from H apace pennita. 1. Article Addressed to: D. b delNery address dlHeram hen Hem 17 ~ Yes It YES, enter delivery address below: ? No ~ ~ 3. Type L~iA)C'1 i5ed Mall ? Express Mell Q Registered ? Retum Receipt hx Merchandise ? Insured Mail ? C.O.D. 4. Restricted Delivery? (FxrTe Fee) ? Yes 2. Num~(COpY hom V V P$ FOrrrt 3$11, JUIy 1999 Darlestk Retum Receipt 102585.OPM-0B52 ~ ~ a• • • ~ m m 0 0 ~ ~ Postage $ ~ ~ ~ Certified Fee A rl \\\L ~ ~ ~ Postmark m m Retum Receipt Fee Here ~ ~ (Endorsemen[Required) O O gasldctetl Dallvery Fea O O (Endorsement Required) ~ O Total PwteBe 8 Feea f~ M1 ..D .-a n To ' a r~ ti~~~....... O O O ~ Cr S LP+4 Tp o _ ~ ~ f~ M1 V~ e ¦ Complete kerns 1, 2, and 3. Also complete A. Received of (Please Print Clearly) B. Date of Dallvery \ , Hem 4 it Restricted Delivery Is desired. ¦ Pdnt your name antl address on the reverse so that we can return the card to you. C. signature ¦ Attach this card to the back of tfie mallpiece, X Q'~"t or on the front H space permits. ~ Addressee 1. Article Addressed to: D. IS delivery address diRerent horn kern 17 ? Yes It YES, enter delvery address below: ~ No ~ ~.c~'j ~Ct S 3. rvke Type Certified Mail ? Express Mall L ` ~ ~ ? Registered ? Return Receipt tor_Merchandlse \{r`('QyG ? Insured Mall ? C.O.D. ~~~~\\CCoo~t~pp (~~e,`~[) ~A 4. Restdcted Dallveryt (Extra Fee)/y1 ? Yes 2. ~berW /rom ~~J ~ l~-~~~ ~ y~~ ~ li~ PS Form 3811, July 1999 Domestic Return Receipt 102595-0t}M-0952 o n ~ ~ tr o- _ ~ i~ ~ m a Postage $ r 7 ,-7 ~ N'1 ltl Certified Fee Postmark m m Return Receipt Fee Here rr•~ A ra (Endorsement Required) n 4 geetdded Degve Fee O O (Entlarsement Raquiretl) O O M1 f~ Total Postage 8 Fees ~i_ ..a ~ a senr r 0 0 - - - - ~ar.' ~ 4 ciry, -ate 2ia------~.---. ~'C,IJ` • Complete Remy 1, 2, and 3. Also complete A Received - Rem 4 If R&yMctad Delivery is desired. - ~ (fie Print Clearly) B. Date of Delivery ¦ Print your name and address on the reverse so that we can return the card to you. - C. Signature • Attach this card to the beck of the mailpiece, or on the front R space permts. X ? Agent 1.~ Artlcb Add D. y tlel ? Addressee ' reseed to: Ivery address dmerent horn item 17 ? Yes ~ RYES, emer de9very address below: ? No Qo Q~ 2 Q 3 ~ Type L ~ \ ly, f~.e~ CerGfled MaN ? Expreyq ~I tl t~ ~ ? latered ? Return Receipt for Merchandise ? IrrsOred Mail ? C.O.D. 4. Restricted Delivery? (Extra Feel . Ntnrrber (COPY Roar ? Yes PS Fonn 38 1, July 1999 Dorrteatic Return Receipt - - 102595-00-M~0852 'a ~ ~ ar • r r r ru ru ~ ~ Postage $ ,a .-a ra a _ ~ ~ ~ CertlSed Fee Postmark m m Return Receipt Fes Here left ~ ~ (Endorsement Required) O O Restrictetl Delivery Fea O O (Endorsement Required) O O Total Postage 8 Fen t`- f`- ~ ~ Sent o.; o F ox o. .,(fit. O O Stree4 M - - - \ - - n 0 O O -.51..7`- r`- M1 Qefe. IP+ i ¦ Complete Rams 1, 2, and 3. Also complete A. Received by (Please Print Clearly) B. Date of De1Wery Rem 4 If Restricted Delivery is desired. ¦ PNnt your name and address on the reverse C. Signature so that we can return the card to you. ? AfRnt ¦ Attach this card to the back of the mailpiece, or on the front If space permits. X ? Addressee D. Is delivery address diRerent Vorn Item 17 ? Yes 1. a Addressed to: RYES, emer delivery address below: ? No low ~ + ~ 3. ce Type l~ \ ~ ^ - ~r • MeN ? Express Mall \v~arwv +s""11\\VV~~ ]~J`~JI ? Registered ? Return Receipt for Merchandise ? Insured MaN ? C.O.D. 4. R~esftri~cted Delivery? (Extra Fse) ~~y~?~-%Yes a//~ oc Fr..rn ~Ri 1. July 1999 Domestic Return Receipt 102595-00-M.o9sz _ ~ ~i m m rr ~ ~ s _ m m - ~ ~ Postage $ ~ a - A r-l _ ~ uT Ceriifietl Fee Postmark m m Return Receipt Fee Hers - A ~ (Endorsement Requiretl) \\\•\7 ae~ O O Restricted Delivery Fee D O (Endosement Required) ~ ~ Total Poste9e a Fees f`- f~ _ ~ To rl rl i _ lita.____ . O O ~ t F'. 01 OX L'ul O O ~ ~ Clue, slP ~ 11 ~ lip 1 ~ ~ ¦ Complete nerrre 1, 2, and 3. Also complete a Receved by (Freese pant CleeAy) B. Date of DelWery kem 4 K ReaMcted Delivery is desired. \ ~ Print your name and address on the reverse \Tl so that we can return the card to you. 0. Signature ¦ Attach this card to the back of the mailpiece, X ? Agem or on the front M apace pennks. p p,ddmyyre 1. Article Atklreseed to: D• re ~~erY address dkferent irony kern 17 ? Yes 1~~ If YES, emer delvery addrreasa below: ? No 3. k6 Type A~ c-~~ -for ~ ~CertHled Mail ? Express Mell i lJ""^"~ t V ~ ~ ~ ? Re9iatered ? Return Receipt for Merchendlae ? Insured Meil ? C.O.D. 4. Restricted Delivery? (Exba Feel ? yB9 ,~lAnre~le Number f~opy //dn 8arvke label) PS Form 3811, July 1999 Domeatb Return Receipt 102595-00-M-0B52 'a • ~ ~ • e •r ri A ~ ? ~-a ~ ~ Postage S A ra - A ra ~ tTr Certified Feo Postmark Return Receipt Fee Hera m m ra (EiMOrsement Required) O ~ Reatrlctetl Delivery Fee (Endorsement Requlretl) M1 r Total Poafa9e 6 Fees ..D _0 A ,a SentT __i_ ...5...... D O freeq Apt or No. o o ~a---------- - - - - - r r~ c r. ra. rP+ c~ Vim) • •I ¦ Complete Items 1, 2, and 3. Also complete A. Received by (Pbese Print Creertyl B. Date of Delivery kern 4 K Restricted Delivery is desired. . ¦ Print your name end address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the beck of the mailpiece, X ~ Agent or onthe iroM N space permits. ~ Addressee 1. Arcle Addressed to: D. re dekvxy eddreea dlRererrt Irnrn kem 17 ? Vea k YES, enter delivery address below: ? No v' "^'lvl 3. Type Certkred Mell O ExpeaS Mall ~ ~A ? Regletered ? Return Receipt for Merchandise ~ \ I ? Insured Mail ? C.O.D. 4. Restricted Delivery? (Exne Fee) ? Vag 2 Number (Copy from service rebel) `~~lcrn 1~s~~ Ali\~ ~N,'~ PS Form 3811, July 1999 Dorrbatlc Return Receipt 1o2sa5aaM-oesz .-a k . rr ~ _ ~ ~ ~ Postage $ - rl ra ~ ~ ~ Certified Fee Postmark m m Pretwn Raceipc Fee Hera ~ ~ (Endorsement Required) rr~~ O O Restrictetl Delivery Fee O ~ (Endorsement Required) ~ ~ Total Postage B Fees y f~ F `D Sent To A ,9 ~ - O O Sbeep Apt. No.; or Po ox Na. c , ~ O ~MbC'Z~___.__ ~y.x-... - III 0 0 - - ~ra M1 ~ Cey, to IP `~1 ¦ Complete Items 1, 2, and 3. Also complete A. Received try (PIeBSe PrMt l.leady) B. Date rn Delivery ilerlt 4 if Restricted DeYwery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. c. Signature ¦ Attach this card to the beck of the mailpiece, X ?.Agent or on the troll if space permits. Q Addressee 1. Artkb Addressed to: D. b delvery address differera from item 17 ? Yes C„ ~kJ~_ \ If YES, eraer delivery address Delow: ? No 1~ 3. ce Type . C\\\ ~ ` _ w CeraOed Mail ? Express Meil Y-~~, ~ "I Registered ? Return Receipt fa Merchandise O Insurers Mall ? C.O.D. ,~+~-~I 4. Rasalcted DelNeryl (Extra Fee)f/_ ? Ves 2.,~ticl6 N~ Y /tpm~s~eOlebel) IJV~~ ~t ~ ~ ~ `E]~ PS Forrn 3811, Jury 19gs Domestic Return Receipt 1025g5-0PM-0952 as ~ ~ ra m r+l V'1 rr_~ ~ ~ Postage $ a .a ~r_. a a ~ ~ ~ Certifietl Fee ~ Postmark Return Receipt Fee Here m m (Endorsement Required) a ~ O O Rastdded Delivery Fee O ~ (Endorsement Required) ' O O Total Postage 8 Feea f~ f~ 'a "a S tT A r9 O O t t. eo No. 0 o L~Q~`.~~---~--~~ - - o o state, Z. - - - - - - 1 .I~ ¦ Complete Items 1, 2, and 3. Also complete A. Received by (Please Pdnt Clearly) B. Date of Da1Nery item 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailpiece, X ? Agent or on the hoot if space permits. Q Addressee D. Is delivery address different from item 17 ? Vas 1. A~rticl~e Addressed to: If YES, enter delivery address below: ? No V ~c ~c-~~.S 3. Typo F~-~ l~ Mail ? Express Meil t ' Gx~ ~`~"i Q RegUtaed ? Return Receipt for MerchmMfse it ` ^ ~ L7 Insured Meil ? C.O.D. 4. Restrk:led Dellvery7 IExtre Fee) ? ygs 2. Article Number (Copy from service /shell {1 Clr'~,c~ `~C~7C~ \ ~ ~ ~I SC xr ~ v . . C Items 1', 2, and 3., o~a A. Received by (Please Pont Clearly) B. D to of livery item 4 if Restricted Delivery is desiretl. D ~ ~ 0 ¦ Print your name ark address on the reverse so that we can re.'rtn the card to you. C. Signature ¦ Attach this card to the back of the mailpiece, X ? Agent or on the front If space permits. ? Addressee 7. Artcle Adtlre o: , D. Is delivery address tlilfereM from 17 ? Yes If VES, enter delvery address below: ? No Q~~. fjg 3. rce Type ~~~'z-~1 ~C~) Certified Mall ? Express Mail Registered ? Retum Receipt dpr.lylerchendise ~\O?~ ?Insuretl Mail ?C.O.D. J V~ Q 4. Restricted Delivery? (Extra fee) ? Vas _ ~,t 2. qrt V asiF _ PS FC- - 0259500-M-0B6L,:' ~ • • ~ ¦ Complete items 1, 2, end 3. Also complete A. Received by (P Pont Clearly) B. Date of Delivery kem 4 'rf ResMcted Delivery is desired. - ~ Z,~~ R1s.~ ¦ Print your name and address on the reverse so that we can return the card to you.. C. Signature ¦ Attach this card tc the back of the mailpiece, x~~ ?'0'g~t or on the front R space permits. '~`f" ? ~d D. Is ivory erkl 7 ? Yes 1. Article Addressed ro: H YES, enter address fret ? No Y n~ Il~Typa _ \ 1~ fix` 1t ~ ~ Certiged Mail ? EzPr~ Mail ~ \X~\ -7~y~_~ uJ__/\ ? Registered ? Retum Receipt fa Merchantllse ? Insured Mail ? C.O.D. 3~ 4. RestrlCted DeINery9 (Extra Fee) ? Vas 2. OCR c~~\`,~ fS~~~ PS Form 3811, July 1999 Domesac Rehm Receipt - 10259500-M-0952 1 i r r j .r ~ - ~ ¦ Complete Rams f , 2, and 3. Also complete A. R by (Please Pont Clearly) B. Date Delivery Rem 4 R Restricted Delivery Ia desired. l~,G(A~~ ~ ~j,( \ ¦ PdM your name and address on the reveres .Sign ~re so that we can retum the card to you. ? ~t ¦ Attach this card to the Back of the mailpiece, or on the front R space permits. ? D. (lelivery y ? ~a ~1. (Article Addreee2d ro:~-, If YES, smart dal below. No ^ ~tW~ ~1C~ ` a~ ~7 ~ ~ ~.l ~ ~~2.:r~: 1~ ~r rub?{ 3. ~YPe Certi9ed Mall ? Exprea6 Mail ~ D Registered ? Retum Receipt for Merchandise l ` I ? Insured Meil ? C.O.D. 4. Restricted Delivery? (Extra Fee) ? Yes 2 cle Number (Copy Irorrr service least) ~'le~n 1f `lc'~ ~C~~`~ ~lA~ ~G~RI~, PS Form 3811, July 1999 Ddmeatic Retum Receipt 102595-0O~M-0952 a • • ~ . ¦ Complete Items 1, 2, end 3. Also complete A. Rec~eN/ed by (P Print ) B. D e of Delivery Rem 4 R Restricted Delivery is desired. pk t R K p ~ a ¦ PriM your name end address on the reverse C. Signature so that we can retum the card to you.. p~Agent • Attach this card to the back of the mailpiece, X ? Addressee or on the front it space permtts. D. Is delvery address diRerem aem 17 ? Ves 1. icle~Ad~dr~ss~ed to: If YES, enter delivery add trelow: ? No Y 3. Se a Type a ~ CertMetl Mall ? ExP~ Mafl \N~~l ? egietered ? ReNm Receipt for Merchandise 1 \ Q ~ ? Insured MaN ? C.O.D. 4. R~Wcted Delivery? (Extra Fee) ? Yes 2. Article opY. ~ kel ~Q oc Fn.m .';Ai 1'.. krN 11998 Domeatlc Relum Receipt \V 102595-04M-0952 ¦ Complete items 1, 2, and 3. completB A. Received by (Please Pdnr Clee B. Date of Delivery item 4 if Restricted Delivery is desired. i,yia~ Ca ~O py hU ¦ Print your name and address on the reverse ~`~~j~ so that we can return the card to you. ~ CvSlgnetG/"'~" ¦ Attach this card to the back of the mailpiece, x ? Agent or on the front if space permits. ? Addressee D. Is delivery adtlresS~ 17 ? Yes \1. Article Addressed to: If YES, enter tlelivery address I ? No p~ V U ~ L 3. ice TYPe I ru Cerlifled Mail ~ Express Mail <Z~ eglstered ? Return Receipt for Merchandise C!~ ? Insured Mail ? C.O.D. 4. Restricted Delivery? (Extra Fee) ? Ves 2. Artcle Nu It;opy /ran service la p ~ PS Fans 3811, .fury 1999 Domeatb Relum Receipt 10258500-M-0B52 ¦ Complete Hama 1, 2, end 3, Also complete A. ReceNetl by (Please Prlnr Clearly) B. Date of DelNery Item a rc Restricted Delivery Is desired. StA.S/~F N Ci. C K 7 0 ¦ Pdnt your name and address on the reverse so that we can return the card to you. C. S ature ¦ Attach this card to the beck of the mailplece, X ~ ~ Agent or on the front 'rf space pertnita. ~ ~ delivery address different Irorrl Item 17 O vas . t. Artlcle Atldressed to: If VES, enter delivery address lxlow: ? No ~,5~ 3. ke Type MaH ? Express Mail Registered ? Return Receipt for Merchendlae ~a ? Insued Mall ? C.O.D. L 4. Restrk~ted Delivery? (Extra Feel. ? Vas PS Form 381 1999 DomeatlC Return Receipt 102585-00.M-0952 • Complete name 1, 2, and 3. Also complete by (Pkesa PrMrCleary) 9. Date of Delivery Warn a rc ResMcted I~Iivery la desired. ¦Print your name and address on the reverse so that we can return the card to you. Signature ~ Attach this card to the back of the mailpigce, X L7 Agent or on the hoM rc space Permrcs. ? Addressee 1. Artcle Addras9ed to: D. Is delhrery sern 17 ? Yes ~ If YES, ant ? No , `,~G/1 M ~ Q O ~p~ ~ ~ ~g~ 3. Ice Type S Certiffod Mail ~ Mall G~ ~ ~~1 ~ egiatered ? Return Receipt for Merchendlae ~ ? Insured Mail ? C.O.D. ~g~ba-I)\ 4. Restrict`e`d D1elivery? (Erma Fee) I^'?2es 2. Adkla Nu~~f~a~e / l '~.J` ~ J ` ~ 1 J PS FOlyr1'~811, JUIy 1999, 1(~ Dgrysdo Return Receipt 1025s5-0PM-0952 's a 4• ¦ Complete Items 1, 2, and 3. Also complete A. Received by (Pkes~Prlnr ClmAy) B. Dat ivory item 4 if Restricted Delivery is desired. rL,~~y~ , ¦ Prnt your name end address on the reverse so that we can return the card to you. ~ C. Signature ¦ Attach this card to the back of the mailpiece, X ~ ~ t or on the front if space permits. Addressee D. Is del address different from Item 17 Yes le Addressed to: If YES, enter delivery addreae below: o j~o~. r~ ~ _ iffetl Mall ? Express Mall \ "„-@S~ ~ ~ 3. Type ? Registered O Return Receipt fw Merchandise ? Insured Mall ? C.O.D. 4. ResMCtetl Delivery? (Extra Fee) p Vea ~ e.w.V u,,,.,w m.,..,, n.,.., ro~.r.,e er..n _ _ r'~.v. ¦ Compl ems. 2 and 3;,AIso omplet~, ;S~n item 4 rf Restncted Delivery is desired. ,X:. ? Agent f" ¦ Print your name and address on tie reverse ~ ~ $ ? Adtlressee ' so that we can return the card to jou. ReceiVed..by (Punted Name) C. Dale of Delivery ¦ Attach this card to the back of the~.mailpiece, a or on the front if's aa~'permits. ,f ~ : - ~ Dr is dalNery adtlress different em 17 ?Yes 1. Articl$Ad`d It YES, enter delivery add love: ~ ? No t. _ t . S t C2\p~ '~/`;~d: 3. Service Yy~pe'.' ' , ? Cedtried Mail ? FxPress ail $ ' ? Registered. Q Return eoeipt forM~Ohandise ? Insared:Mall O'C.O.D ' / 4. Rdstdcted'belrverl/! (Extra Fee) ~f~ Yes " 7: Article Number (lmnsfer from seryM.e label) YV1 PS t(F~mb IP~((gg st ~(~4tt t ds i ~ie ur ~ ipt 1T T . Il 1 E~ ~ iozSe5b2-Ma54p ~~~i{1 ~ ~ ii II ~1~ i {t 4 it4 ~ ~ ~ ~ ~ ~ ~ ¦ Complete items 1, 2, and 3. Also complete A. Received by (Please Pnnt ClearlyA) B. Date of elivery ' item 4 if Restricted Delivery is desired. /3 ~-~~/N A<Y ~ 7 „2) D ¦ Print your name and address on the reverse so that we can return the card to you. C. Signature ¦ Attach this card to the back of the mailpiece, Agent . or on the front if space permits. Atldressee D. is delivery address ~ Brent from item 17 ~ Yes 1. Article Atldressetl to: If YES, enter deli ry address below: ? No - ry -~'''r`t\,1 -l 3. Sgrvlce Yype " V~ C`~ V Codified Mail ? Express Mail y~7 Registenad ? Return Receip[for Merchandise ` ? Insured Mail ? C.O.D. • ~ V ~ L 4. Restrictetl Delivery? (Exrre Fee) ?Yes 2. Article N bar (Copy from servke bei) ~t2~~ fi(~'1c~ q2~3 P$ Form 3$11, July 1999 Domestic Return Receipt 192595-00-M-0952 ¦ Complete items 1, 2, and 3. Also complete A. Received by (Please Print Cleary) B. Date of Delivery item 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse C. Signature so that we can return the card to you. Agem ¦ Attach this card to the back of the mailpiece, X or on the front ff space pertni[s. ? D. Is delivery address different from item 11 ?Yes 1. Art\ IUe Addressed t°: If YES, enter delivery atldress below: ? No \y-ci-~~W a\a\.~, ~~-~1~ ~oN1ECRF~, ,~0~ ~ . 2~ • ai JUL V~~~ 3. eT f~ ~zP real Mail f ~ Return Receipt fa Mechandise ? lnsu ? C.O.D. /rte, ~ 4. Restricted Delivery? (Extra Fee) Q ?~Y`e's' ^7 2. ArtJplq Num\ 7~ 1 1 s~~~~~~~~~~`~ tl2 L PS Form 3$11, JUIy 1999 Domestic Return Receipt 702595-W-M-0952 . f' 6 - .-t4 ' '.So- if ~'i~ M ¦ Complete items 1; 2, and 3. Also complete A. ReceNed ~ (Please Pdnr Cpeerry) e. Date of Delivery item 4 H Restricted Delivery is desired. ¦ Print your name and address on the reverse C. SI so;tjlat we can return the card to you. Agent ¦ Attach this card to the back of the mailpiece, X addressee or on the front tF space permits. ?Yes D. la del add "7?No 1. Artida Atldrassed to: If YES, enter del address bel ~~~0 V~ ~-~Y 3. Type A ~ ertifazl Mail ? Express Mail ? stared ? Return Receipl for Merchandise ~ ? Insured Mail ? C.O.D. 4. Restricted De1Nery7 (Exha Fee) ? Vas p ~~orq` ~ t'ip' l~{~qen:.~"~ item t Stn~tod 6ellu I I ~ ' 3 ~ ' GI"Add i see, ¦ Prmt t4 rn@ and add h ~ - i so m ard~smrri t¢ t ya>J.~ lv ' d~ ,d a l D~ ~ 5~~"~ry p ¦ Attac ~I~gerd.tame,b~,' ~ ~ a , a' a ~ r.E or on ~~ir~nt rf sj~Ae pe lts~ it t7 r[~ Wes p `I~ ;il ro „aid I~ 1_ Adiole d ~ tdG .`er # i~~ ~~Y~1~ tar'I Iad~e 'w: - ~o t t r ~ti. r jj + P Y: ~,p, f k ? t t 9, ~ r I ~ ~ u 1 ~ i- I ~ I Y~ Y"~ ~ F r stt ~ p ~ _ t ~ ~ ~ri~ ~a 1 ~ A ~ ~ 'f t p; ~ ~ ~ ~ , e Sao , ~i1 ~ - Pr Mail - , Ji .`~~~y~~`C~~ At = g91 `ered,"~~n G]' Receipt fol Merchandise GS7F~ . sw~ Matl ~1 P; r ~ ; k 2, ANcI urPber, 3;'~.. r ~t ,k i )1 ' `(i'ran serv ceN r ~ t r ~ 1YI~ti '2~r.1~75UJ.1 P3 For ~ - gus , a ; , 'p. :d ~r~ 3 I t•~ 'r ~ ~ . . ¦ Complete items 1, 2, and 3. Also Complete A. Received by (Please Print CleartyJ B. Dat of De' ry item 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse 0. Si naUae q ~ ~ so that we can return the card to you. ~fl A A ? Agent ¦ Attach this card to the back of the mailpiece, 7V - or on the front if space permits. ? Addressee - D. Is deliv adtlress different from item 77 ? Yes \u1w. A1Article Addressed to: t`,` It VES, enter delivery address below: ? No 1 S 4i l~ 3. S ice TYPa - Certified Mail ? Express Mail ~ cvl~ ? Registered ? Return Receipt for Merchandise •\J~ ` ? Insured Mail ? C.O.D. 4. R`es~tricted D~elive~ry`?!w(Extre Fee) ? y~ 2. ArpgU(! ~ bar (~CoPy /rom sarvJ a la6e~ ( ) \ 1`) \ l \ \ \ (L~ PS Fortn 811',''Jyly 1999 Domest~ Return Receipt to2595~oaM-os52 ¦ Complete Items 1, 2, and 3. Also complete Rece ed by (Please print Cleadyl B. D of item 4 if Restricted Delivery is desired. c!~ U ~ ¦ Print your name and address on the reverse so that we can return the card to you. C. Sign re • Attach this card to the back of the mailpiece, X ? Agent or on the hoot If specs permits. ~ ? gddres~ 1. Article Addressed to; D. Is del' add different flour kern 17 ? Vas \ If YES, enter delivery atldress below: ? No ~v~\r`~~ ' V L~ 3. ~°~tce 7yfx ~ l~Certified Mell ? Express Mall pppp111iggqq~ee~ggggistered ? Return Receipt tar Merchandise ~1) ? Insured Mall ? C.O.D. 4. Reaeicted oeliverY7 !Extra Feel ? vea/l'i~~ 2. Adi (COPY /roar L - M~ ~ 1 ~"'1"~5rc~~~ ~eC~1 c~c~ 2 P~rm $11, JUIy 1999 Domestic Return Receipt 102595-00-M~0952 e e ¦ Complete items 1, 2, and 3. Also complete A Received - Item 4 ff Restdcted Delivery is desired. ~ ~^r Cleer/Y) 8. Date of Delivery ¦ Print your name and address on the reverse ^ZZ^ so that we can return the card to you. re ¦ Attach this card to the back of the mallplece, or on the front Ifs ace ? Agent P permits. ? Addressee 1`. Article Addressed to: del' rasa d' from item 17 ? Yes ~ ) If YES, enter delvery address below: ? No VQ 0 ~ ' 3. k:e Type Certified Mail ? Express Mall (t ~ ~ Ra9lstered O Return Receipt for Merchandise \I ~ ? Insured Mail ? C.O.D. 4. Restricted DeINey1 (Extra Feej ? Vas 2. icle Number (Cppy rvice label ¦ Complete items 1, 2, 3. Also complete A. eived by (Please P early) B. D Delivery item 4 if Restricted Delivery is desired. e ¦ Print your name and address on the reverse so that we can return the card to you. C~natura ¦ Attach this card to the back of the meilpiece, X ? Agen or on the front if space permits. ? Addressee t. Article Addressed to: D. Is tlefrvery adtl iflerant from tt 1? ? Yes ~ ~ If YES, enter delivery address below: ? No ®Q©~ ~2 3~~~ S))))))rvice Type ` ~ertified Mail ? Express Mail P ? egistered ? Return Receipt f r Merchandise l~j ? Insured Mall f] C.O.D. 11 4. Restricted Delivery? (Extra Fee) ? yes I I 102585-0OM-0852 z • I ¦ Complete Items 1; 2, and 3. Also complete a Receives by a Prim CleeAy) B. f faelNery Item 4 if Restricted Delivery is desired. ~ 1 ¦ Print your name and address on the reverse so that we can return the cab to you. C. nature )Attach this card to the back of the mailpiece, ? Agent or on the front if space permts. . ? Addressee D. Is tlelHery address different 1? ? Yes 1. Ardcle Addessed to: If YES, enter delivery address bebw: ? No (a_ 3 e Type ` ~~2, ~ Certlfled Mail ? Express Mail TT ~.J stared ? Return Receipt for Merchandise \ ? Insured Mell ? C.O.D. \V 4. Restricted DeINery7 (Extra Fee) ? Yes 2. Artir~lutpper ryCopQ f ~ll 1.~ a2z1 _ PC Fr`(:..~R4~ 11~VrUIY 19~ C Return Reeelpt 10259500-M-0852 a • ¦ Complete Items 1, 2, and 3. Also complete Received by (Please Prim Clearly) S. a Delvery kern 4if Restricted Delivery is tlesired. x(5 ~ S jey~/ jq-yV1 7 /C/ p ¦ Print your name and address on the reverse so that we can return the caM to you. C. re ~ Attach this card to the back of the meilpiece, ? Agent or on the front If space permits. ? Addressee 1. Article Adtlreasetl to: D. Is delNery address dMerent from kern 11 ? Yes If YES, enter delivery address below: ? No ©Qt~~ ~~t S 3. Type Ifled Meil ? Express Mail ~ , ~ ~y ? Registered ? Return Receipt for Merchandise 1D r~ ? Insured Mail ? C.O.D. 4. Restricted Da1NevryY7 (Exaa~~-F(eel) T Yea 2. Art~J,ynber~(Copy rrom a@rv)ce lepepc ©O ~ y~p U~l~•--~ fortnll$Bul Judy 7999 {I~~'/W,C Domestk Retwn Receipt 102585-00-M-o852 a a • • a ¦ Complete Items 1, 2, and 3. Also complete ReceNed by (Flee ) .Date Delivery kern 4If ResMcted Delivery is desired. ¦ Print your name and address on the reverse nature so that we can return the card to you ant ¦ Attach this card to the back of the mailpiece, or on the front if space permts. D. Is delivery 1 1. Article Addressed to: If YES, enter de very below: ~ Z~~ ~ Certified Mail ? Express Mail 1V~-'~...lt.~° t ~ 3 ice TYPe egistered ? Return Receipt for Merchandise / l7 Insured Mail ? C.O.D. y,,ba1l ~1-~ /~'~4. RR,estrictetl Delivery'? (ExCtr"a~Fee) /~'~t ?c-y~es~ 2. Article N LC yl~` ` . Yr / t. _ 1 _ ~ 7-Y~ _ ` ' R k~SJ J • PLANNING BOARD MEMBE• O~OgUFFO[,~coG • p.0. Box 1179 JERILYN B. WOODHOUSE y. Chair ~ y Town Hall, 53095 State Route 25 ~ Southold, New York 11971-0359 N RICHARD CAGGIANO ,y • ~ Telephone (631) 765-1938 WILLIAM J. CREMERS ~ Fax (631) 765-3136 MART N HESIDORDS y~ol ~ ~aO~ PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town. of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York in said Town on the 9th day of August, 2004 on the question of the following: 6:00 p.m. Proposed Set-Off for Vicky Papson. The property is located on the south side of Main Rd, 400' east of Kayleigh's Court, in East Marion, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-31-13-7 6:05 p.m. Proposed Minor Subdivision for John Scott and Sandra Tuffy (formerly Scott). The property is located at 3102~i Main Road, in Cutchogue, Town of Southold, County of Suffolk, State of New °(vrk. St1rfolk County Tax Map Number 1000-102-2-23.4 6:10 p.m. Proposed Major Subdivision of John McFeely. The property is located n/o NYS Route 25 and the LIRR easement in Laurel, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-125-1-14 6:15 p.m. Proposed Set-Off and Lot Line Change for the Estate of Alice G. Duffy. The property is located on the east side of Railroad Avenue, 365.25' north of Hummel Avenue, in Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 63-2-5 & 6 6:20 p.m. Proposed Site Plan for Bill Fox Grounds Maintenance. The property is located approximately 725' s/o County Road 48, on the w/s/o Peconic Lane, known as 2595 Peconic Lane, in Peconic, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-74-5-4.1 Dated: 7/20/04 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLEASE PRINT ONCE ON THURSDAY, JULY 29, 2004 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times 97/29/2934 13:49 6312993^^<97 -IMESREVIEW PAUL 91 : SOUTHOL4 TOWN FtRNNlhl~lfiRA FRk N0. :631 755 3136 ~ul. 20 ~4 11:30RM P1 P.O. Box 1179 53095 Raute 25 Southold, NY 11971 Phone: (631) 765.1938 : . Fax: (831) 765-3136 E-Mail: planninq(~southold.org Ta The Suffolk Tlm~ From; Valerie ScopazJCeroi Fax: ~ Payee 2 Phone; ef#lk 7/20/04 Rs: Legal Ad fur 7!29104 EdiWtt cc; U1ys;tR Fer Revievr Pleaste Comment Please Ropy Ae Requoabd Please print the folbwing legal ad in the 7/29/04 editbn. Thanks. 8/9104 tiegular Meeting: % 6:00 p,m. Papaon Set•Off 6:05 p.m. 9cotf1Tufl~r Minor Subdivision 8:10 p.m. McPosly MaJor Subdivision 6:15 p.m. Autry Set-QfF 8 Lot Line Change 6;,20 p.m. Fox Site Plan Klndty acknowledge receipt by signing below and f~dng cover latter back. Thank you! ~ Received by: /'j,~r/~ PLANNING BOARD MEMBE• ~~SUFFO(,~co • JERILYN B. WOODHOUSE ~0 P.O. Box 1179 Chair o Z~ Town Hall, 53095 State Route 25 y Southold, New York 11971-0359 RICHARD CAGGIANO ~ • Telephone (631) 765-1938 WILLIAM J. CREMERS ~ Fax (631) 765-3136 KENNETH L. EDWARDS MARTIN H. SIDOR ~l ~ ~a PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York in paid Town on the 9th day of August, 2004 on the question of the following: 6:00 p.m. Proposed Set-Off for Vicky Papson. The property is located on the south side of Main Rd, 400' east of Kayleigh's Court, in East Marion, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-31-13-7 6:05 p.m. Proposed Minor Subdivision for John Scott and Sandra Tuffy (formerly Scott). The property is located at 31025 Main Road, in Cutchogue, Town ~f Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 10()J-102-2-23.4 6:10 p.m. Proposed Major Subdivision of John McFeely. The property is located n/o NYS Route 25 and the LIRR easement in Laurel, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-125-1-14 6:15 p.m. Proposed Set-Off and Lot Line Change for the Estate of Alice G. Duffy. The property is located on the east side of Railroad Avenue, 365.25' north of Hummel Avenue, in Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 63-2-5 & 6 6:20 p.m. Proposed Site Plan for Bill Fox Grounds Maintenance. The property is located approximately 725' s/o County Road 48, on the w/s/o Peconic Lane, known as 2595 Peconic Lane, in Peconic, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-74-5-4.1 Dated: 7/20/04 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) CAROL KALIN, Secretary to the Planning Board of the Town of Southold, New York being duly sworn, says that on the 20th day of July, 2004 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board. Southold Town Hall, 53095 Main Road, Southold, New York 8/9/04 Regular Meeting: 6:00 p.m. Public Hearing for the proposed Set-Off for Vicky Papson SCTM#1000-31-13-7 6:05 p.m. Public Hearing for the proposed Minor Subdivision of John Scott and Sandra Tuffy (formerly Scott) SCTM#1000-102-2-23.4 6:10 p.m. Public Hearing for the proposed Major Subdivision of John McFeely SCTM#1000-125-1-14 i 6:15 p.m. Public Hearing for the proposed Set-Off & Lot Line Change of the Estate of j~ Alice G. Duffy SCTM#1000-63-2-5 & 6 6:20 p.m. Public Hearing for the proposed Site Plan for Bill Fox Grounds Maintenance SCTM#1000-74-5-4.1 Carol Kalin Secretary, Southold Town Planning Board Sworn to before me this day of JUI~ , 2004. r MELANIE pOROSKI ~T~No 0 D!)~4870~~ puaNfiedinSutfoikCouMY ~6 Nota/ ublic CortNrdstlonExpkesSeDtember30, • , ~ • C~. #7053 STATE OF NEW YORK) )SS: COUNTY OF SUFFOLK) Joan Ann Weber of Mattituck, in said county, being duly sworn, says that he/she is Principal clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 weeks successively, commencing on the 29th day of July , 2004. l„dz=.../l~i~.r Principal Clerk Sworn to before me this ~ day of 2004 CHRISTINA VOLINSKI N~ u I~f~Y titttt, NOTARY PUBLIC-STATE Of NEW YORK p~usurt b Ser2ioa 276 a[ the Town L+v and Amick X7fY of 6e Cade of NO. Ol -V06105050 the Town of Southold, a public hearing QOOlifled In Sulfolk CounTy will be held by the Southold Town PlamNng Board, a[ the Town Hall, Mein COmmisslon Expires February 28, 2008 Road, Southold, New Yoh in said Town on the 9th day ofAu~us6 2004 on the question of the following: 6:00 p.m. Proposed Set-Off for The property is located on the south side of Main Rd., +/-0W' east of Kayleigh's Court, m fins[ Matioq Towv of Southold, County of Suffolk, State of New York Suffolk Cowry Tax Map Number 1000-31-13-7 6:05 p.m. Proposed Minor Subdivision for John Scott and Sandra ThITY (formerly Scott). The property is located at 31025. Main Road, iryryn Sfase of Ntnr He,t. Saaalk Cainty'f?x'ft4p t!IrleNiu 100.102-2- 23.4 6:I0 p.u. Subdivisioe of JeYMcPealy. 'Phe ptepmtyr laeasad ys IVYS Route 25 and the LIRR easemwt in Laurel, Town of Southold. Couuy of Suftolk, State of New Yoh. SuffoOC Covey T§x Map Number 1000-125-1-14 6:15 pm. Proposed Set-0H and Lot Line Chmge for the Berate of Alice G, Dully. The pmQetty is' loaned on. the east side of Rathoatl Ayenue, 365.25' north of Hummel Avenue, in Southold, Town of Southold of Suffolk, State of New Yoh. Suffo County'I),x Map Number 63-2-5 & 6 6:20 p.m. Proposed Site Plan for Hill Fox Grounds Maintenance. The proper ty is located approximately 725' s/o County Road 48, tin the w/s/o Peconic Lane, known as 2595 Peccoic Lane, m Pec~ic, Town of Soalbold, Coupty of SuffoOt, State of New Yotk: Suffolk PLANNING BOARD MEMBZ ~ o~~gUFFO(,~~o ~ p o. Box 17 LYN B. WOODHOUSE G 1 9 Chair C y~ Town Hall, 53095 State Route 25 RICHARD CAGGIANO y Z Southold, New York 11971-0959 ~ • Telephone (631) 765-1938 WILLIAM J. CREMERS ~ Fax (631) 765-3136 KENNETH L. EDWARDS MARTIN H. SIDOR `~aO PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 13, 2004 Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson Located on the south side of Main Rd, 400' east of Kayleigh's Court, in East Marion SCTM#1000-31-3-7 Zoning District: R-40 Dear Ms. Papson: The Southold Town Planning Board, at a meeting held on Monday, June 14, 2004, adopted the following resolution: ~ RESOLVED that the Southold Town Planning Board set Monday, August 9, 2004, at 6:00 p.m. for a final public hearing. Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Hall. Please return the enclosed Affidavit of Posting along with the certified mailing receipts AND the signed green return receipt cards before 11:30 a.m. on Fridav. August 6, 2004. The sign needs to be returned to the Planning Board Office after the public hearing. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson Encl. Southold Town Planning Board Notice to Adjacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for aset-off; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#s1000-31-3-7; 3. That the property which is the subject of this application is located in the R-40 Zoning District; 4. That the application is to set off a 2.29 acre lot (1) from a 5.43 acre parcel (Lot 2) in the R-40 Zoning District. The property is located on the south side of Main Rd., 400' east of Kayleigh's Court, in East Marion; 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. (2"d FI., North Fork Bank). Or, if you have any questions, you can call the Planning Board Office at (631)765-1938; 6. That a public hearing will be held on the matter by the Planning Board on Monday, August 9. 2004 at 6:00 g.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner's Name(s): Vicky Papson Date: 7/14/04 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on I have sent notices, by certified mail -return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN TH/S AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: 12:00 a.m.. Fri.. 8/6/04 Re: Proposed Set-Off for Vickv Paxson SCTM#s: 1000-31-3-7 Date of Hearing: Monday. August 9. 2004.6:00 p.m. - §~b8-1 NOTICE OF PUBLIC F~EA1tING § bg.l Chapter 68 NOTICE OF PUBLIC RETAKING § 68.1. Providing notiao of Publla hearings. [HIBTORY~ Adopted by the Town Board of the 'Down of Southold 12-E7.1986 as E.E. No. ~S•1886: Amendments noted where applicable.] ~ 68.1. Providing notice of public hearings. . VPhettever the Code Della for a publla hearing, thts section shall apply. Upon determining that an agplloation ie complete, the board or cosunisaton reviewing the same shall fla a. time • , and place for a public hearing thereoq. The board or commission reviewing an appUcation shall provide for the giving of notice; A..By causing a notice giving the ttme, date, place and nature of the hearing to be publlahQd in the offioisl ' newspaper within the period prescribed by law. B. 'Bq roquhing the appU~nt to areal the sign provided by ~ the town, which shsyifbe prominentltr dlaplagod on the I premises facing each publla 6r private street which the property involved in the appUaation abute,.glving notice of the appUcation, the nature of the approval sought thereby and the time and place of the" public hearing thereon. The alga shall be eel back not more than ten (10) foot $om ills property line. Tho , sign shall be _ ~db3pleyed for a period of not lees tl?an seven ('n daps hamedlatalq preceding the date .of the pnhUo heartag. ' _ The..>~p#ioa_nt or,hie/her a0ent shall ffie au affidavlt.that • sibs has oompUed wit~i t6le pivvleion. C. By requhing the appUoant to Bead notice to the owners . of record of Query Property which abuts and ovary Property which is aaroee ftnm aqv pubUo or private street. 6801 t-u-ee § b8-1 SOLITHOI:D CODE § b8-1 from the property included in the application. Such notice. shall be made by certified mail, return receipt requested, posted at least seven (7) days prior to the date of the initial public hearing on the application and addressed to the owners at the addressee listed for them on the local assessment roll, The applicant or agent shall file an affidavit that sAte has wmplied with this provision. t r saoz t VICKY PAPSON ~APSON SET-OFF 1000-31-3-7 Proposal to set off a 2.29 acre lot (1) from a 5.43 acre parcel (Lot 2) in the R-40 Zoning District. jVION. -AUGUST 9, 2004 - 6:00 P.M. ~ ~ MT TWOMEY, LATHAM, SHEA & KELLEY, r.r,e Svb ATTORNEYS AT LAW THOMAS A. TWOMEV, JR. 33 WEST SECOND STREET EAST HAMPTON OFFICE STEPHEN B. LATHAM M81110g AtlOfBeS: 20 MAIN STREET JOHN F. SHEA, III P. BOX 9398 EAST HAMPTON. N. V. 1183] CHRISTOPHER O. KELLEY RIVERHEAD, NEW YORK 11901 (831) 324-1200 MAUREEN T. LICCIONE DAVID M. DUBINO SOUTHAMPTON OFFICE P. EDWARD REALE TELEPHONE: (631) 727-2180 61 HILL STREET PETER M. MOTT FACSIMILE: (631) 727-1767 SOUTHAMPTON, N.V. 11988 SUZANNE V. SHANE (631) 2R]-0090 JAV P. OUARTARARO~ W W W.suffolklew.com PORT JEFFERSON OFFICE JANICE L. SNEAO MARTHA L. LUFT 108 MAIN STREET JANE DIGIACOMO email address: PNykamp@suffolklaw.com PORT JEFFERSON STA., N.Y. 11]]6 PHILIP D. NVKAMP 1 (831) 828-4400 OE COUNSEL Exten$u)n 261 BAV SHORE OFFICE KENNETH P. LAVALLE ONE EAST MAIN STREET, SUITE 1 JOAN C. HATFIELD BAV SHORE, N. V. 11]08 ALICIA SHEEHAN O'CONNOR~ June 17, 2U04 (831) BBS-8300 ANNE MARIE GOODALE HAUPPAUGE OFFICE LAURA I. SGUAZZIN~ 400 TOWNLINE ROAD MARTIN D. FINNEGANO HAUPPAUGE. N.V. 11]88 TRACY KARSCH PALUMBO (831) 288-1414 BRYAN C. VAN COTTi „p IO ELENA L. TOMARO ~ ~ ~ O U III} rvv n LR 9FRs CVRU3 G. DOLCE~~ D LL.M. IN T1%.LTION VIA FEDERAL EXPRESS (631) 473-1900 D NY 6 CT BRR6 NV, NJ, d PA B1R6 NV l NJ BRRB NV. NJ, 6 FL BARS Mark Terry, Senior Environmental Planner ~~N ~ g 2004 LL.M IN EBTATE PLRNNINO Planning Board, Town of Southold Town Hall 53095 State Route 25 Southold Town P.O. Box 1179 Plannin Board Southold, New York 11971-0959 Re: Proposed Setoff for Papson Located on the South side of Main Road, 400 ft. East of Kayleigh's Court in East Marion SCTM#: 1000-31-13-7 Dear Mr. Terry: I am writing in response to your letter to me dated May 26, 2004. 1) Enclosed are three (3) mylars and seven (7) paper copies of the surveys with respect to the above-referenced application. The correction regarding the number of lots has been made by the Suffolk County Department of Health. 2) We filed the Covenants and Restrictions with the Suffolk County Clerk, they were recorded in Liber 12321 Page 839. This has been recorded at the top of the plat. 3) We do not want to be appointed as an agent for this matter. The application was filed by Hawkins Webb & Jaeger and they should be the party appointed as agent. If you have any questions, please do not hesitate to contact me. Very truly yours, Philip D. ka' P PDN/kjc cc: Vicky Papson (w/o ends. via First Class Mail) h1~Y' 26 2004 1?:24 FR '~JFLLS G~R60 M`RTSRG° 2E38452?47 TO lE?17E5313E x.01 /01 ~ ~ . urn w D May 26, 2004 '~'~I ~t~hr 2 ' ~06~ I TO: MARK TBRRY , DIRECTOR OF PLANArIIVG 1"OWN OF SO T'H Souii'°Id T°wn Board Planning FROM; VICKY PAP501V THLS IS TO CONFIRb1 TI1.A'T PFITLIP Iv`YI4.AMP,ATTORNEY, MAY ACT AS MY AGENT w 1T'li MY SETOFF PROJECT FOR 11120 MAIN RD EAST MARION NY - 11939. ANY QUESTIONS PLEASE CAI,I.203 253 1382. THANK. XOTJ. i I TOTAL °RGE.01 PLANNING BOARD MEMBE• O~QSUff~(A'CO • p O. Box 1179 JERILYN B. WOODHOUSE G Chair o y~ Town Hall, 53095 State Route 25 y Southold, New York 11971-0359 RICHARD CAGGL9N0 y. ~ Telephone (631) 765-1938 WILLIAM J. CREMERS G Fax (631) 765-3136 MART N HESIDORDS 'yifr0 ~ `~aQt' PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 26, 2004 Philip Nykaznp Twomey, Latham. Shea & Kelly, LLP 33 West Second Street P.O. Box 9398 Riverhead, New York 11901 Re: Set-off of Vicki Papson SCTM# 1000-31-13-7 Dear Mr. Nykamp: The Planning Board reviewed the above referenced application at the May 24, 2004 worksession. The following comments were issued: 1. The plat signed by the Suffolk County Department of Health referenced approval for 3 lots. The application before the Planning Boazd proposes 2 lots. Please have the plat corrected. 2. The Planning Boazd issued no comments on the draft Covenant and Restrictions. Please file the document with the Office of the Suffolk County Clerk and record the Tiber and page number upon the final map. 3. Please provide a letter endorsed by the applicant appointing you as an agent for the action. Please contact the Planning Department at 765-1938 with any questions. Sincerely, ~ . azk T~y Senior Envirt{nmental l Enc. . . ~~~~jr L Submission Without a Cover Letter Sender: ~J ~ ~ U ~c5o N c I s~+_~p~~~Bd~ Subject: ~ ~ ~ ~ ~ IS 1 O ~ D MAY ~ 22004 SCTM#: 1000 - ' ~ ~ $outhald Town ,,,n Plannin Boar Date: , ' I ~ ~ a'/ ~ ~ Comments: C~~~ ~oN~ ~ ~~3- ~ S3- 13 8a~ S r • . - PLANNING BOARD MEMBERS ~OgUFFO(,~cO JERILYN B. WOODHOUSE .Z.~ P.O. Box 1179 Chair C y~ Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RICHARD CAGGLSNO ~ • Telephone (631) 765-1938 WILLIAM J. CREMERS ~ Fax (631) 765-3136 MART N HESIDORDS •f,~! * '~~Q PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Patricia Finnegan, Town Attorney From: Mark Terry, Senior Environmental Planner Date: Apri123, 2004 Re: Proposed Set-Off of Vicki Papson SCTM# 1000-31-13-7 Enclosed, please find a draft Covenant and Restrictions for the above application~t'or your review and comments. Enc. ~/;Y ~ TWOiv[EY, LATHAM, SHEA & KEL•Y, ~r.r ATTORNEYS AT LAW THOMAS A. TWOMEY. JR. 33 WEST SECOND STREET EAST HAMPTON OFFICE STEPHEN B. LATHAM P. O. BOX 9398 20 MAIN BTREET JOHN F. SHEA. III RVERHEAD, NEW YORK 11901 EAST HAMPTON, N. V. 1193] CHRISTOPHER D. KELLEY (831) 324-1200 MAUREEN T. LICCIONE DAVID M. DUBINO TELEPHONE: (631) 727-2180 SOUTHAMPTON OFFICE P. EDWARD REALE FACSIMILE: (831) 727-1 J87 51 HILL STREET PETER M. MOTT SOUTHAMPTON, N.V. 11988 SUZANNE V. SHANE - (831) 2B]-0080 JAV P. OUARTARAR01 WWW.3Uff01(IBW.CORI JANICE L. 8NEAD PORT JEFFERSON OFFICE MARTHA L. LUFT 105 MAIN STREET JANE DIGIACOMO CI1IBI~N({!]I'USS: 11NVk8RlP1(l~Sll}}O~k~BW.C081 PORTJEFFERSON 3TA.,NN. 11 ]98 PHILIP D. NVKAMP - (631) 828-4400 OF COONBBL BAV SHORE OFFICE KENNETH P. LAVALLE f:XIenSIOn 261 ONE EAST MAIN STREET, SUITE 1 JOAN C. HATFIELD BAY SHORE, N. V. 11708 ALICIA SHEEHAN O'CONNOR~ (831) 885-0300 ELENA L TOMARO ' ANNE MARIE GOODALE HAUPPAUOE OFFICE DENISE R. SCHOEN ^ 400 TOWNLINE ROAD LAURA I. 3OUAZZINA Apr}I 7, 2004 HAUPPAUOE. N.V. 11988 MARTIN D. FINNEGANB (831) 285-1414 TRACY KARSCH PALUMBO BRYAN C. VAN COTTA ~ NV ! LA BAR9 1 LL.M. IN TAXATION ~ NV l CT BAR9 ~ B NV. NJ. A PA BARB I , NV 6 NJ BARB VIA FIRST CLASS MAiL ~ s,l ! ''I l' r t Mark Terry, Senior Environmental Planner ~ ~ A('l ( I Planning Board, Town of Southold Town Hall s"-"~t`'~ 53095 State Route 25 % ~J P.O. Box 1179 / Southold, New York 11971-0959 ~Re: Proposed Setoff' for Papson Located on the South side of Main Road, 400 ft. East of Kayleigh's Court in East Marion SCTM#: 1000-31- 13-7 Deaz Mr. Terry: In furtherance of the above-referenced application, t have enclosed a draft Declazation of Covenants and Restrictions for the Planning Board's review. Kindly let me know the schedule for any upcoming w-crk sessiars nn this app!~caticn. Of course, if you have any questions, please do not hesitate to contact me. Ver truly y Ph}, ip D. Nyk mp PDN/kjc cc: Vicky Papson (via First Class I\-flail) DECLARATION OF COVENANTS AND RESTRICTIONS D ~ This DECLARATION, made the day of April, 2004, by Vicky Papson, residing at 63 Revonah Circle, Stanford, Connecticut, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owners of certain real property known situate at 11120 Main Road, East Marion, Town of Southold, Suffolk-County, New York (SCTM: L000-31-13-7);-and WHEREAS, the Declarant made application to the planning Board of the Town of Southold for approval to set off a 2.29 acre lot (1) from a 5.43 acre lot (2); and W~.'REAS, for and in consideration of the granting of said approval, the Planning Board of the Town of Southold has deemed it to be for the best interest cf the Town of Southold and the owners and prospective owners of said parcels that the within covenants and restrictions be imposed on said parcels, and as a condition of said approval said Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office, and WHEREAS, the Declarant has considered the foregoing and determined that the same will be for the best interests of the Declarant and subsequent owners of said parcel; NOW, THEREFORE, THIS DECLARATION WITNESSETH: . ~ That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said premises herein described shall hereafter be subject to the following covenants which shall run with said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. That at no time hereafter shall there be any further subdivision of either Lot 1 or Lot 2 is perpetuity. 2. Lots 1 and 2 shall be accessed by the existing curb cut with Main Road (S.R. 25) and the existing driveway to be designated as a common driveway on the final subdivision map. No future curb cuts along Main Road (S.R. 25) to gain ingress or egress to Lot 1 is permitted. 3. .Lots 1 and 2 shall share a common driveway for ,~urposes of ingress and egress, which common driveway is depicted on the final Land Division Map for Papson, dated , 2004. The owner of Lot 2 hereby grants an easement in perpetuity for ingress and egress over this common driveway to the owners of Lot 1, their heirs, successors and assigns. The owners of lots 1 and 2 agree to share the cost of construction, repairing and maintaining the common driveway. 4. These covenants shall be enforceable by the Town of Southold. The Declarant above-named has executed the foregoing Declaration the day and year first above written. IN WITNESS WHEREOF, the Declarant has hereunto set her hand and seal as of the date and year first above written. State of ) ss. County of ) On the day of in the year 2004 before me, the undersigned, personally appeared Vicky Papson personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies) and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed this instrument. Notary Public . ~ ~ ~~~F TWOMEY, LATHAM, SHEA & KELLEY, LLP ATTORNEYS AT LAW THOMAS A. TWOMEY, JR. 33 WEST SECOND STREET EAST HAMPTON OFFICE STEPHEN B. LATHAM P. O. BOX 9398 20 MAIN STREET JOHN F. SHEA, 111 RIVERH EAD, NEW YORK 11901 EAST HAMPTON, N. V. 1183] CHRISTOPHER D. KELLEY (831) 324-1200 MAUREEN T. LICCIONE DAVID M. DUBINO TELEPHONE: (631) 727-2180 SOUTHAMPTON OFFICE P. EDWARD REALE FAO$IMLE: (631) 727-1787 51 HILL STREET PETER M. MOTT SOUTHAMPTON, N.V. 11888 SUZANNE V. SHANE (831) 28]-0090 JAV P. pUARTARAR01 W W W.SUNOIKIBW.CORI JANICE L. SNEAD PORT JEFFERSON OFFICE MARTHA L. LUFT 105 MAIN STREET JANE DiOIAGOMO UR1H1 i1((II'C~S. I'N'~\~iII11p~O.9111U~k~fl\V.CORI PORT JEFFERSON 6TA., N.V. 11 ]]8 PHILIP D. NVKAMP (831)828-4400 oP coorvseL < BAV SHORE OFFICE KENNETH P. LAVALLE I;xtcn$)on 261 ONE EAST MAIN STREET, SUITE 1 JOAN C. HATFIELDA BAV SHORE, N. V. 11]08 ALICIA SH EEHAN O'CONNORA ELENA L. TOMARO (831) 885-8300 ANNE MARIE GOODALE q HAUPPAUGE OFFICE DENISE R. SCHOEN ;~pnl 7. ZOO4 400 TOWNLINE ROAD LAURA 1. SG UAZZIND HAUPPAUGE. N. V. 11]88 MARTIN D. FINNEGANO (831)285-1414 TRACY KARSGH PALUMBO BRYAN C. VAN COTTA O NY 6 LP SPRS 1 LL.M.I %PTION A NY ! CT BPRB 0 NV. NJ. 6 PP B.VRB I I t ~ NV 5 NJ BRRB VIA FIRST CLASS MAIL ~ `W'!" ~ _ ~ 1, I 1,,~~, Mark Terry, Senior Environmental PlannL r ~1 ~ A~~R ( L ~ Planning Board, Town of Southold Town Hall ~ T~''"~. -.~I,. 53095 State Route 25 F ~ ^""y P.O. Box 1179 Southold, New York 11971-0959 Re: Proposed Setoff for Papson Located on the South side Df Main Road, 400 ft. East of Kayleigh's Court in East Marion SCTM#: 10(10-31- 13-7 Dear Mr. Terry: In furtherance of the above-referenced application, 1 have enclosed a draft Declazation of Covenants and Restrictions for the Planning Board's review. Kindly let me know the schedule for aay cpcomu;g wcrl: sessi:;ns or. t.",; ; nppl i; a:icn. Of course, if you have any questions, please do not hesitate to contact me. Vcr truly y Ph( ip D. Nyk mp PDN/kjc cc: Vicky Papson (via First Class Muil) DECLARATION OF COVENANTS AND RESTRICTIONS D This DECLARATION, made the day of April, 2004, by Vicky Papson, residing at 63 Revonah Circle, Stanford, Connecticut, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owners of certain real property known situate at 11120 Main Road, East Marion, Town of Southold, Suffolk County, Ncsa Yor;c (SCTM: 1000-31-13-7); and WHEREAS, the Declarant made application to the planning Board of the Town of Southold for approval to set off a 2.29 acre lot (1) from a 5.43 acre lot (2); and WHEREAS, for and in consideration of the granting of said approval, the Planning Board of the Town of Southold has deemed it to be for the best interest of the Town of Southold and the owners and prospective owners of said parcels that the within covenants and restrictions be imposed on said parcels, and as a condition of said approval said Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office, and WHEREAS, the Declarant has considered the foregoing and determined that the same will be for the best interests of the Declarant and subsequent owners of said parcel; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said premises herein described shall hereafter be subject to the following covenants which shall run with said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. That at no time hereafter shall there be any further subdivision of either Lot 1 or Lot 2 in perpetuity. 2. Lots 1 and 2 shall be accessed by the existing curb cut with Main Road (S.R. 25) and the existing driveway to be designated as a common driveway on the final subdivision map. No future curb cuts along Main Road (S.R. 25) to gain ingress or egress to Lot 1 is permitted. 3. Lots 1 and 2 shall share a common driveway for purposes of ingress and egress, which common driveway is depicted on the final Land Division Map for Papson, dated , 2004. The owner of Lot 2 hereby grants an easement in perpetuity for ingress and egress over this common driveway to the owners of Lot 1, their heirs, successors and assigns. The owners of lots 1 and 2 agree to share the cost of construction, repairing and maintaining the common driveway. 4. These covenants shall be enforceable by the Town of Southold. The Declarant above-named has executed the foregoing Declaration the day and year first above written. ~ ~ ~ IN WITNESS WHEREOF, the Declarant has hereunto set her hand and seal as of the date and year first above written. State of ) ss. County of ) On the day of in the year 2004 before me, the undersigned, personally appeared Vicky Papson personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies) and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed this instrument. Notary Public . • ~ s~~~- Sen.rler: ~ ~ Q S Sub,~ect: ' ~ ~ ~~t2--~ r GeV SCTM#: I000- 3 `-l~ ~ D DaEe: ~ ~2 ~ ~ 3 APR 2 51003 soutlrofd town Plennin Board Commett~s: ~`-e:.~- ~ ~ sue, a ~_o~ , ~ _ _ _ RPr ?2 t73 1G:52a HRWKIfiS WEHH JREGER 6314730486 P•2 • • - ~ I l~ ~ 1 w SUFFOLK COUNTY WATER AUTHORITY 624 Old Riverhead Road, Westhampton Beach, N,Y. 11978-7407 March 27, 2003 (516) 288-1034 Fax No.: (516) tae-7937 Hawkins Webb Saeger Assoc. P.C. 200 East Broadway Port Jefferson, NY 11777 Attn: Matthew Crane, L.S. Re: SCTM #1000-31-13-7 AUTH #98-221-CRC SCDHS ~S10-U1-3 Dear Mr. Crane: You have applied for water service for the above referenced pazcel. Our records indicate that the pazcel is located within an area of public water service and that water is currently available for the subject parcel. This letter of availability is not to be considered an action by the Suffolk County Water Authority as defitted by the New York State Environmental Quality Review Act regulations or a determination that the pazcel is approved for building. You aze responsible for obtaining any other permits or approvals that may be required for the proposed project. The Water Authority shall not be required to provide water for the project until all required approvals have been obtained. Please contact the Water Authority's New Service Department in Westhampton at (631} 288- 1034 for information including the fees and conditions of service. The New Service Department will detemline if a main extension is required to serve this pazcel and the cost and timetable for such an extension. If the extension is along a private road, additional requirements may apply. This letter should not be deemed a guarantee of water auailability at the time you wish to hook- up and is subject to recision. Si a ely, De s eimer Assistant Manager DRcbhr RPR 02 2003 1057 6314730496 PAGE.02 6314730486 P•2 Mar• 18 Q3 02:45p HflWKINS WEBS .IREGER WWM, 025 (Rev. 7/OI) SUFF• COUNTY DEPARTMENT OF HEALTH SI 'ICES • OFFICE OF WASTEWATER MANAOEMENT • SUFFOLK COUNTY CENTER RIVERIIEAI),NEW YORK 11901 NGTIt~ I (631) 852-2100 GMZ 4 NOTICE OF INCOMPLETE APPLICATION -SUBDIVISION TO: Hawkins Webb Jaeger Associates SUB NAME: Papson 200 East Broadway REF. NO.: S10-O1-0003 Port Jefferson, N.Y. 11777 SCTM NO: 1000-31-13-7 Your submission for the referenced subdivision has been reviewed. This office will require the following for further review and/or approval: ? Application form signed by licensed design professional and owner ? Yield map, minimum square foot lots. ? Filing fee $ due. ~_J Test hole(s) located and witnessed by: ? Health Dept.-Call 852-2097 to schedule inspection. Install in azea of proposed sewage disposal system. ? Test well{s) sampled by Health Department. Follow procedures enclosed. (Test well does not indicate a waiver of requirement for connection to public water) -See location map enclosed. ® Public water availability letter from water district (Include distance & cost if water main extension is required). ? Public sewer availability letter from local sewer district. ? Wetlands permit or determination letter. ? Design report by licensed design professional for the onsite sewage disposal system and water supply, ® Covenants ? Instructions enclosed. See Special pazagraph(s) for; ® Board of Review variance. ®Non-conformance notice enclosed. ? SEQRA determination from Town. ? Certificate of Authorization, or disclaimer. In addition, the following is required to be shown on a preliminary/final map or on a separate sewage disposaUwater supply plan signed and sealed by a licensed desi n professional: ? Metes and Bounds Description* ? Lot Areas* ? Key Map* ~ Suffolk County Tax Map Number* ® Sewage disposal & water supply locations for all existing buildings on property (specify if none) for parcel # 2 ®Neighboring wells and sewage disposal systems within 150 feet of property (specify if none) ? Design for the onsite sewage disposal and water supply per Deparlrnent standards ? Design for sewer main extension approved by local sewer district (for existing sewers in Sewer District#3, sewer stubs must be marked by district on plan) ? Topographic contours. (5 ft. interval) ® Water main location(s) (label as existing/proposed)* ®Test well locations" ? Comer elevations and test hole elevation ? Department approval stamp* ? Test hole location(s)/details* ? Typical lot layout: water & sewage disposal* ? L.S. certification and ?certification of sewage disposal & water supply design by P.E., R.A., or L.S. with exemption (original signatures & seals required)*. FINAL maps to be filed with County Clerk require items marked above with asterisk ® Other: Please note that if the applicant wishes to use to providea well to serve parcel # 1 when a public water main exists at the site then a variance maybe required from this office In this case please obtain an updated water availability letter Clearly show the location of the disposal system components servinf the existing dwelline 9n parcel #2 Axe these within the applicant's own.pronerty line or is a portion of the system located on the adjacent niehboring lot? Also is the existine water service line located on land owned by the applicant? If not. then a copy of a leaeai easement or a covenant must be provided. _ _ _ _ _ CC: Vicky Papson REVIEWED BY: Douglas 7. Feldman~/° f. ~ ~ 63 Revonah Circle ~ Stanford, CT 06905 DATE: March 13, 2003 PLEASE RETURN A /COPY OF THIS/ F-ORM WITH ANY ]2ESU13MISSION(SI 6314730486 PRGE.02 MRR 18 2003 14:49 _ 6314730486 P•3 Mar 18 03 02:45p HRWKIMS WEHH JFEGER WWM - 026 (Rev, 12/01) • ~ ~ ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RIVERHEAD, NEW YORK 11901 NOTICE 1 (G31) 852-2100 GMZ 4 NOTICE OFNON-CONFORMANCE -REALTY SUBDIVISION OR DEVELOPMENT TO: Hawkins Webb Jaeger Associates SUB NAME: Papson 200 East Broadway Port Jefferson, N.Y. 11777 REF. NO.: S 10-01-0003 ZONING: This application is not being processed for approval because it does not conform with the requirements of Article 6 of the Suffolk County Sanitary Code. This code requires that a realty subdivision or development comply with the following as marked: ? Parcels to be served by public water and individual sewerage systems must have minimum lot areas of 20,000 squaze feet or equivalent yield, Section 760-605, Paragraphs A.3 and B.1, or Section 760-607, Paragraphs A.2 and B.2. ? Parcels to be served by private wells and individual sewerage systems must have minimum lot areas of 40,000 square feet, Section 760-606, Paragraphs A.5 and C.1. ? Parcels [o be served by individual sewerage systems must have minimum lat azeas of 40,000 square feet or equivalent yield, Section 760-605, Paragraphs A.4 and B.2,or Section 760-607, Paragraphs A.1 and B.1. ? A community sewerage system method of sewage disposal is required when subsoil or groundwater conditions are not conducive to the. proper functioning of individual sewage systems, Section 760-605, Paragraph A.2. ®A community water system method of water supply is required when [he realty subdivision or development is located within, or is reasonably accessible to, an existing water district or service area, Section 760-606, Paragraphs A.1 and A.2. ? A community water system method of water supply is required when the groundwaters in the area are non- potable, or potentially hazardous, Section 760-605, Pazagraph A.4. ® Other/Comments: Please submit an undated water availability letter from the SCWA. For reconsideration, proof should be submitted that this project conforms with, or is exempt from, these requirements of Article 6 of the Suffolk County Sanitary Code. If this matter cannot be resolved, you may request a variance from these standards by applying to the Department's Board of Review (forms and instructions enclosed). Prior to applying to the Board of Review, the subdivisionJdevelopment application must be compete. CC: Vicky Papson REVIEWED BY: Douglas J. Feldman~~", C'• 63 Revonah Circle 4 - - Stanford, CT 06905 I DATE: March 13, 2003 ~ Y i f------------------.------------- PLEASE RETURN A COPY OF THIS FORM WITH ANY RESUBMISSION(Sl MRR 18 2003 14 49 6314730486 PRGE.03 PLANNING BOARD MEMBES SENNETT ORLOWSKI, JR. 5`UFFO(,~ P.O. Box 1179 Chairman ~~0 CQ Town Hall, 53095 State Route 25 WILLLAM J. CREMERS G'y~ Southold, New York 11971-0959 KENNETH L. EDWARDS O Telephone (631) 765-1938 Z GEORGE RITCHIE LATHAM, JR. ti Fax (631) 765-3136 RICHARD CAGGIANO Gy ~ ~Ql ~ Sao PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 14, 2002 Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson - Located on the south side of Main Rd, 400' east of Kayleigh's Court in East Marion SCTM#1000-31-3-7 Zoning District: R-40 Dear Ms. Papson: The Southold Town Planning Board, at a meeting held on Monday, May 13, 2002, adopted the following resolution: WHEREAS, this proposal is to set off 2.29 acre lot (1) from a 5.43 acre lot (2) on the south side of Main Road S.R. 25, Hamlet of East Marion, Town of Southold; and WHEREAS, a Zoning Board of Appeals Variance (Appl. No. 4981) was issued on August 16, 2001 granting relief of the minimum road frontage and lot widths for Lots 1 and 2; therefore BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, establishes itself as lead agency, and as lead agency, makes a determination of non-significance and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Please contact this office if you have any questions regarding the above. Very truly your , ennett Orlowski, Jr. Chairman encl. PLANNING BOARD MEMBEII•S BENNETT ORLOWSKI, JR. g~FFO(,~ P.O. Box 1179 Chairman ~~0 CD Town Hall, 53095 State Route 25 Gy Southold, New York 11971-0959 WILLIAM J. CREMERS O KENNETH L. EDWARDS O - Telephone (631) 765-1938 GEORGE RITCHIE LATHAM, JR. H x Fax (631) 765-3136 RICHARD CAGGL4N0 WOy ~ ~~l * ~a0 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant May 13, 2002 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed set-off for Papson, Vicky SCTM#: 1000-31-3-7 Location: South side of Main Road, 400' east of Kayleigh's Court, East Marion SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: Applicant, proposes to set off an unimproved 2.29 acre lot from a 5.43 acre improved parcel on the south side of Main Road S. R. 25, Hamlet of East Marion, Town of Southold. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed, and it was determined that no significant adverse impacts to the environment were likely to occur should the project be implemented as planned. SEAR Negative Declaration -Pape Two For Further Information: Contact Person: Mark Terry, Senior Environmental Planner Address: Planning Board Telephone Number: (631) 765-1938 cc: Roger Evans, DEC Stony Brook Suffolk County Department of Health Elizabeth Neville, Town Clerk Applicant ^-w • COUNTY OF SUFFOLK ?V~ $r .I1'f ' ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES CLARE B. BRADLEY, M.D., M.P.H. COMMISSIONER Apri12, 2002 Bennett Orlowski, Jr. Town of Southold r_.. _ P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 ~ Af'k U ~ 20U2 RE: Proposed Set-off for Vicki Papson SCTM 1000-31-3-7 ®uthold Tovur~ Deaz Mr. Orlowski: ~'l;;.:~7i~1~ ~OiiaLi The Suffolk County Department of Health Services (SCDHS) has received your letter dated 3/12/02 concerning the above-referenced application, and has no objection to the Town's designation as lead agency. Article 6 Application Status: Our agency has no record of a current subdivision application for the proposed action as required by Article VI of the Suffolk County Sanitary Code (SCSC). We recommend that the project sponsor submit an application to our agency's Bureau of Wastewater Management at the earliest possible date so that a complete technical assessment of this proposal can be undertaken. This correspondence is intended primazily to expedite the procedural requirements of SEQRA pertaining to the establishment of lead agency. The comments provided below are, therefore, general in nature, representing several of our most common concerns regazding Suffolk County projects. The department wishes, however, to reserve its right to provide more detailed information within the comment period(s) established for this action. I. Suffolk County Sanitary Code (SCSC) 1. The SCDHS maintains jurisdiction over the final location of sewage disposal and water supply systems, pursuant to the authority and requirements of Articles 4, 5, 6 and 7 of the SCSC. ?llNISION OF ENVIRONMENTAL QUALITY ~ OFFICE OF ECOLOGY ~ RNERHEAD COUNTY CENTER ~ RIVERHEAO NY 11901-3397 Phone (631) 852-2077 Fax (631) 862-2743 ` • • Applications must comply with all relevant density and construction standazds for water supply and sewage disposal. Applicants should not undertake the construction of, or connection to, either system without Health Department approval. 2. Where applicable, the department regulates the storage, handling and dischazge of restricted toxic and hazazdous materials pursuant to the requirements of Articles 7 & 12 of the SCSC. 3. If an application has not yet been submitted to the SCDHS, one should be filed at the eazliest date to allow for the technical review of the proposed action. Project designs submitted to the department should be fully consistent with any action currently under review through the SEQRA process. 4. Design and flow specifications, information regarding subsurface soil conditions, water supply information, and complete design details aze essential to the review of this project, and are evaluated fully at the time of application review. Should the town require additional environmental information (such as a DEIS), discussion of the compliance requirements of the SCDHS should be required. 5. Of particulaz concern to the department aze those azeas, which because of elevated. groundwater conditions, or soils, which aze not conducive to the proper functioning of conventional subsurface sanitary sewage disposal systems. Your agency should be aware that such conditions frequently require the use of fill or the excavation of subsurface soils to accommodate subsurface sanitary disposal systems constructed in conformance with the requirements of the SCSC. 6. The department is also significantly concerned with areas where access to potable water may be constrained by unacceptable groundwater quality and the lack of an available public water supply. All private water supply systems must be constructed in conformance with requirements of the SCSC. II. NATURAL RESOURCES: 1. The SCDHS fully supports all efforts to maximize protection of natural resources, which may be impacted upon by construction and development activities. It is the position of the department that the SEQRA review process provides the greatest opportunity for comprehensive consideration of these resources, and those all-practicable planning measures should be employed to help ensure their protection. Of particular concern to department is the adequate protection of the on site wetlands., surface waters, natural communities, contiguous natural habitats, and rare, threatened and endangered species. In addition, efforts to protect sensitive physical resources such groundwaters, dunes, bluffs, shorelines, natural drainage channels, groundwater rechazge areas, and steep slopes are fully supported and encouraged by the SCDHS. . . • In general, the department encourages the following land use measures be considered (where appropriate) to actions being reviewed pursuant to SEQRA: • Maximum practicable confinement of development to areas with slopes of less than 10%. • Maximum use of native species for landscaping purposes. Minimal use of fertilizer-dependent turf and landscaping. • Employment of stormwater runoff control measures necessary to maintain runoff on-site. The department appreciates the opportunity to participate in the SEQRA review of this proposal. Additional information may be provided prior to the close of the established comment period. Should you have any questions or require additional information, please feel free to contact the Office of Ecology at 852-2741. Sincerely, Kim Shaw Principal Environmental Analyst KS/bh cc: Walter Dawydiak, P.E. Stephen Costa, P.E. COUNTY OF SUFFOLK A ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE THOMAS ISLES, A.I.C. P. DEPARTMENT OF PLANNING DIRECTOR OF PLANNING March 22, 2002 Mr. Bennett Orlowski, Jr., Chairman Town of Southold Planning Bd. Main Road ~ tl~~ ~ Southold, NY 11971 ~I y Plat Name: Papson 'APR 0 4 2002 Tax Map No.: 1000-31-13-07 SCPD File No.: S-SD-02-O1 Sduthoid Town Planning Hoard Dear Mr. Orlowski: Pursuant to the requirements of Section A14-24, Article XIV of the Suffolk County Administrative Code, the above captioned proposed final plat which has been referred to the Suffolk County Planning Commission is considered to be a matter for local determination. A decision of local determination should not be construed as either an approval or disapproval. Sincerely, Thomas Isles Director of Planning I ndre~ng~ P Principal Planner APF:cc o ecxoxxv~sueonKOmozauxaooxnuex LOCATION MAILING ADDRESS H. LEE DENNISON BLDG. - 4TH FLOOR ¦ P. O. BOX 61 00 ¦ (83 I) 853-5 190 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY I 1 788-0099 TELECOPIER (631) 853-4044 -~pIYNiF[F • • yam"" EAST MARION FIRE DISTRICT 1EMY P. O. BOX 131 MAIN ROAD EAST MARION, NEW YORK 11939 BOARD OF FIRE COMMISSIONERS March 24, 2002 Mazk Terry, Senior Environmental Planner Town of Southold PO Box 1179 Town Hall, 53095 State Route 25 Southold, NY 11971-0959 Mr. Terry: The enclosed survey for the Set-Off for Vicky Papson located on the south side of the Main road in East Marion has been reviewed by the Boazd of Fire Commissioners. No firewells are needed. Thank you. Sincerely, Christina Goldsmith ~ ~ a., ' ~ ~ ~ C Secretary/Treasurer ~ ~ ~ F ~ East Marion Fire District. 1~rpk L 6 2002 Southold Town Manning Board T v State of New York Department of Transportation State Office Building 250 Veterans Memorial Highway Hauppauge, NY 11788-5518 Thomas F. Oelerich, P.E. Joseph H. Boardman Commissioner Acting Regional Director March 18, 2002 Mr. Mark Terry Southold Planning Board P. O. Box 1179 Southold, NY 11971-0959 RE: Papson, Vicki Main Road East Marion SCTM 1000-31-13-7 Dear Mr. Terry: We have received the referenced Lead Agency Coordination Request. We agree that the Planning Board should assume SEQR Lead Agency status. Thank you for advising us of this proposed set-off. Sincere~ly~,~ MICHAEL J. GEIGER, .E. ~ Scoping Unit Supervisor ~ ^ a~ PIN1! L ~ 2~~2 1~~ ~o~thold Town =~liAi~g Qo~rd ~ PLANNING BOARD MEMBE• O~O$VFF~(~CO • BENNETT ORLOWSKI, JR. h~ Gy P.O. Box 1179 Chairman ~ ~ Town Hall, 53095 State Route 25 WILLIAM J. CREMERS w Z Southold, New York 11971-0959 KENNETH L. EDWARDS p ~ .F Telephone (631) 765-1938 GEORRICI-LARD CA G O ' JR. d'flpl ~ ~a~~ Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 12, 2002 Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson Located on the south side of Main Rd, 400' east of Kayleigh's Court in East Marion SCTM#1000-31-3-7 Zoning District: R-40 Dear Ms. Papson: The Southold Town Planning Board, at a meeting held on Monday, March 11, 2002, adopted the following resolutions. WHEREAS, this proposal is to set off 2.29 acre lot (1) from a 5.43 acre lot (2) on the south side of Main Road S.R. 25, Hamlet of East Marion, Town of Southold; and W HEREAS, a Zoning Board of Appeals Variance (Appl. No. 4981) was issued on August 16, 2001 granting relief of the minimum road frontage and lot widths for Lots 1 and 2; be it therefore RESOLVED, that the Southold Town Planning Board grant sketch plan approval to set off a 2.29 acre lot from the 5.43 acre lot with the following conditions: 1. Show on the map, a building envelope limited to 40,000 square feet for Lot 1. 2. The Planning Board is requesting a common driveway over the existing pave drive; please revise the map to read "common driveway". 3. The following restrictions must be contained in a Declaration of Covenants and Restrictions. A draft Declaration must be submitted for Planning Board's review prior to filing. Papson -Page Two - 3/12/02 i. No further subdivision is permitted of either Lot 1 or Lot 2 in perpetuity; ii. Lots 1 & 2 shall be accessed by the existing curb cut with Main Road (S.R. 25) and the existing driveway to be designated as a common driveway on the final subdivision map. Each of the lot owners shall use the common driveway and shall be responsible for equal costs of repairing and maintaining the common driveway. No future curb cut along Main Road (S.R. 25) to gain ingress or egress to Lot 1 is permitted; iii. The deed for Lot 1 must reflect access over the common driveway; and BE IT FURTHER RESOLVED, that the Southold Town Planning Board start the SEAR lead agency coordination process for this unlisted action. Sketch plan approval is conditional upon the submission of final maps within six months of the date of sketch plan approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. The final maps, six (6) paper prints and two (2) mylars must contain a current stamp of Health Department approval and must be submitted before a final public hearing will be set. The Planning Board has reviewed the property and has decided that it is inadequate for a reservation of land for park and playground use. Therefore, a cash payment in lieu of land reservation will be required. The amount to be deposited with the Town Board shall be $5,000 ($5,000 per vacant lot in the subdivision). Payment is required prior to any final endorsement of the map. The Sketch Plans have been referred to the Suffolk County Planning Commission, the Town of Southold Police Department and the East Marion Fire Department for review and comment. Once we are in receipt of the above-requested information, the application will be scheduled for an upcoming work session. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman ~ PLANNING BOARD MEMBEZ• ~~SOFFO~,~co • BENNETT ORLOWSKI, JR. Gy P.O. Box 1179 Chairman ~ ~ Town Hall, 53095 State Route 25 WILLIAM J. CREMERS y Z Southold, New York 11971-0959 KENNETH L. EDWARDS O ~ .LC Telephone (631) 765-1938 GEOR ICHAR CIA G O ' JR. y'11p1 ~ ~aO! Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 12, 2002 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. Yourjurisdiction 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: Proposed Set-Off for Papson, Vicki Located on the south side of Main Rd, 400' east of Kayleigh's Court in East Marion SCTM#1000-31-3-7 Requested Action: The applicant is proposing to set off 2.29 acres (Parcel 1) from 5.43 acres (Parcel 2) on the south side of Main Road S.R. 25, Hamlet of East Marion, Town of Southold SEQRA Classification: ()Type I (X) Unlisted Contact Person: Mark Terry (631) 765-1938 Page 2 Lead Agency Coordination Request The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (X) This agency wishes to assume lead agency status for this action. ( )This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Please feel free to contact this office for further information. Very truly yours, nnett Or ski, Jr. ~,r- Chairman '°'4 cc: ~eais- Board of Trustees Building Department Southold Town Board '1FS~#eFl~County Department of Health Services ~ NYSDEC -Stony Brook New York State Department of Transportation ~ Suffolk County Water Authority Maps are enclosed for your review • ~'~144W (7/871-Tent 17 PROJECT I.D. NUMBER 617.21 SEAR Appendix C State Environmental Oualily Review SHORT ENVIRONMENTAL ASSESSMENT FORM Fo'r UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Protect sponsor) 1. APPLICANT (SPONSOR /1 2. PROJECT NAME 0. PROJECT LOCATION: f1J Municipality County, PRECISE LOCATION (Street address and road intersections, Drominenl landmarks, etc., or provide 5. IS P OP SEO ACTION: New ? Expansion ? Modification/alteration 6. DESCRIBE PROJECT BRIEFLY:S p ^ r h n „ _ 1 j'^ ~~~r ?Q~---cG. tiv'vJT~iVJ1 Ll-~(f~,` d~ O~' `fU~Wr"rv V 7. AMOUNT OF~LAND AFFECTED: Initially ~1 ~ S acres Ultimately ~ ~7 acres 6. WIL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ? No If No, describe briefly 9. WH T IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ? Industrial ? Commercial ? Agriculture ? ParklForesVOpen space ? Olner ' eacribe: 10. GOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMEMT~AL GENCY (FEDERAL, STAT~E,OR IOCAUT ~ / 1. 7YC/'T' Yes ? No II yes, Ilst aganay(s) and permiVapprovals Y 11. ~ES ANY Ci OF THE ACTIOfI HAVE A CURRENTLY VAUO PERMIT OR APPROVAL? Yas If yes, list agency name and permiVapproval ~o.e. 12. AS A RESULT OF PROPOSED ACTION WILL F~(ISTING PERMIT/APPROVALREOUIRE MOD(FICATIONT ? Yes No - I CERTIF\Y'THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE aEST Of MY KNOWLEDGE Appncanu onsor Y~G ~~~,CJCc~n Date: O ~ Signature: If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding wlih this assessment OVER 1 f r PLANNING BOARD MEMBEI• ~OgpFFU(,~CO • BENNETT ORLOWSKI, JR. =~Q P.O. Box 1179 Chairman Town Hall, 53095 State Route 25 WILLIAM J. CREMERS w Z Southold, New York 11971-0959 ~ • ~ Telephone (631) 765-1938 KENNETH L. EDWARDS O b GEORRICHARD CAGG ANO ' JR. y?1Q1 ~ Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 12, 2002 Suffolk County Planning Commission 220 Rabro Drive P.O. Box 6100 Hauppauge, NY 11788-0099 Attention: Andrew Freleng, Principal Planner Subdivision Review Division Gentlemen: Pursuant to Section A14-24, Suffolk County Administrative Code, the Southold Town Planning Board hereby refers the foilowing proposed subdivision to the Suffolk County Planning Commission: Map of: ~rn ~jor~ ~ ~ Ck , Hamlet(Locality: ~a UV~cI.`r ~ d ~ S.C.D.P.W. Topo No.: Zoning: S.C. Tax Map No.: 1000 - ~1 - ~ - -1 Major Sub. Minor Sub. Site Plan Cluster Lot Line Change Se~o~ MATERIAL SUBMITTED: Preliminary Plat (3 copies) Z c~0 Road Profiles (1) Drainage Plans (1) Topographical Map (1) Site Plan (1) Grading Plan (1) Other materials (specify and give number of copies) vile 1e TF2r c,4~fC YV~arL~ 1Zt ZooZ, C~~ T~~,n~nfn ~-~e 1q~25~ V~~G.,nn:n~ ~7~,-c~~S CAc~j ~hL Waiver of Subdivision Requirements -See attached sheet r ~ • Page 2 Southold Town Planning Board Referral Referral Criteria: SEQRA STATUS: / 1. The project is an (1~ Unlisted Action ( ) TYPe I Action _ ( ) TYPe II Action _ - 2. A ( )Negative Declaration ( )Positive Declaration ( )Determination of Non-significance has been adopted by the Planning Board. 3. E.I.S. statement enclosed. ( )Yes No 4. The proposed division has received approval from the Suffolk County Department of Health. ( )Yes (X)No Comments: I h~1 7~TDO\wl 1, ~ SC T'C~~ 2 Z~1 \\G~~rC~ l~/2]+V~ G _ ~ acr r,cA , ~ p t- l ~4 We request acknowledgement of receipt of this referral (~C) Yes ( ) No Referral received 200a.by the Suffolk County Planning Commission and assigned File No. Sincerely, ennett Orlows~y~~ Chairman gpFFO(,~ ' PLANNING BOARD MEMBERS C~ BENNETT ORLOWSKI, JR. =~O ~jy~ P.O. Box 1179 Chairman Town Hall, 53095 State Route 25 WILLIAM J. CREMERS H Z Southold, New York 11971-0959 W • ~ Telephone (631) 765-1938 KENNETH L. EDWARDS O GEO RICHARD CAGG O JR ~~Qj ~ Fax (631) 766-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD -_March 12, 2002.:- Ms. Vicky Papson 63 Renovah Circle Stamford, CT 06905 Re: Proposed Set-Off for Papson Located on the south side of Main Rd, 400' east of Kayleigh's Court in East Marion SCTM#1000-31-3-7 Zoning District: R-40 Dear Ms. Papson: The Southold Town Planning Board, at a meeting held on Monday, March 11, 2002, adopted the following resolutions. WHEREAS, this proposal is to set off 2.29 acre lot (1) from a 5.43 acre lot (2) on the south side of Main Road S.R. 25, Hamlet of East Marion, Town of Southold; and WHEREAS, a Zoning Board of Appeals Variance (Appl. No. 4981) was issued on August 16, 2001 granting relief of the minimum road frontage and lot widths for Lots 1 and 2; be it therefore RESOLVED, that the Southold Town Planning Board grant sketch plan approval to set off a 2.29 acre lot from the 5.43 acre lot with the following conditions: ~ 1. Show on the map, a building envelope limited to 40,000 square feet for Lot 1. MC 2. The Planning Board is requesting a common driveway over the existing pave,.~~`~ drive; please revise the map to read "common driveway". 3. The following restrictions must be contained in a Declaration of Covenants ~~,+y' and Restrictions. A draft Declaration must be submitted for Planning Board's review prior to filing. Papson -Page Two - 3/12/02 i. No further subdivision is permitted of either Lot 1 or Lot 2 in ?,n perpetuity; ii. Lots 1 & 2 shall be accessed by the existing curb cut with Main Road (S.R. 25) and the existing driveway to be designated as a common driveway on the final subdivision map. Each of the lot owners shall use the common driveway and shall be responsible for equal costs of repairing and maintaining the common driveway. No future curb cut along Main Road (S.R. 25) to gain ingress or egress to Lot 1 is permitted; iii. The deed for Lot 1 must reflect access over the common driveway; and BE IT FURTHER RESOLVED, that the Southold Town Planning Board start the SEAR lead agency coordination process for this unlisted action. Sketch plan approval is conditional upon the submission of final maps within six months of the date of sketch plan approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. The final maps, six (6) paper prints and two (2) mylars must contain a current stamp of Health Department approval and must be submitted before a final public hearing will be set. The Planning Board has reviewed the property and has decided that it is inadequate for a reservation of land for park and playground use. Therefore, a cash payment in lieu of land reservation will be required. The amount to be deposited with the Town Board shall be $5,000 ($5,000 per vacant lot in the subdivision). Payment is required prior to any final endorsement of the map. The Sketch Plans have been referred to the Suffolk County Planning Commission, the Town of Southold Police Department and the East Marion Fire Department for review and comment. Once we are in receipt of the above-requested information, the application will be scheduled for an upcoming work session. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman • ~ g~FFO(,~ o PLANNING BOARD MEMBERS O C BENNETT ORLOWSKI, JR. h~~ ~ P.O. Box 1179 Chairman G ~ Town Hall, 53095 State Route 25 WILLIAM J. CREMERS ~ Z Southold, New York 11971-0959 KENNETH L. EDWARDS O ~ Telephone (631) 765-1938 GEORRICHARD CAGGIANO ~ JR. y~~ ~ ~a~l~ Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 14, 2002 Cynthia Goldsmith, Secretary East Marion Fire District P.O. Box 131 East Marion, New York 11939 Dear Ms. Goldsmith: Enclosed please find one (1) survey for the Set-Off for Vicky Papson located on the south side of Main Road in East Marion. SCTM# 1000-31-3-7 0 The enclosed site plan is being referred to you for fire access review and for your recommendations as to whether any fire- wells are needed. Please specify whether farewells are shallow or electric. The enclosed subdivision is being referred to you for your recommendation at to whether any farewells are needed. Please specify whether farewells are shallow or electric. Thank you for your cooperation. Very truly yours, ark Ter Sena nviro ental Planner enc. f Y PLANNING BOARD MEMBE~ ~~$UFFO[,~~o BENNETT ORLOWSKI, JR. h~~ Gy P.O. Box 1179 Chairman ~ ~ Town Hall, 53095 State Route 25 WILLIAM J. CREMERS H Z Southold, New York 11971-0959 KENNETH L. EDWARDS WO ~ ~ Telephone (631) 765-1938 GEORRICHARD CAGGI OM, JR. y'f101 ~ ~aO~ Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 22, 2002 Vicki Papson 63 Revonah Circle Stamford, CT 06905 Re: Set-off Papson, Vicki SCTM# 1000-31-13-7 Completion of Revised Environmental Assessment Form Section D. Informational Details and Water Supply Narrative Dear Ms. Papson: Water supply and quality within the Town of Southold is a serious colrimunity issue. Public water supply, although provided by the Suffolk County Water Authority, is determined through the current and projected use of the community. To date, the supply does not meet the demand, however, water use is controlled by an individuals' actions and can often be mitigated through numerous water conservation measures implemented during the planning process. Water quality is very difficult to control. Although point source pollution can usually be traced to its origin, non-point source pollution is boundless and one of the largest threats to local environmental and community health. Non-point source pollution has been identified as the primary cause of water quality degradation in more than 90 percent of New York State's impaired water bodies. In the Town of Southold, localized well and surface water contamination already exists. Consequently, the Town of Southold Planning Board in cooperation with the Suffolk County Water Authority now requires the completion and submittal of the attached Environmental Assessment Form, Section D. Informational Details and Water Supply Narrative as part of the SEQR review process. Until a completed Environmental Assessment Form, Section D. Informational Details and Water Supply Narrative is submitted, applications will be considered incomplete and the SEQR review will not proceed. Sincerely, Bennett Orlowski Jr. Chairman Enclosure r D. INFORMATIONAL DETAILS AND WATER SUPPLY NARRATIVE REQUEST 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. 1. Provide explanation of existing site use, occupancy, structures, sanitary flow, water use; compare to proposed use, occupancy, structures, sanitary flow, water use. 2. Indicate the source of water supply, nearest public water main, nearest public well field, and adjacent private wells (if known). 3. If public water supply is proposed, indicate the ability of the water utility to provide water supply to the project. Provide letter of water availability or detailed explanation of status of review by water utility. 4. If private water supply is proposed, indicate the well specifications, water quality based on on-site water quality data. Provide Suffolk County Department of Health Services approval or detailed explanation of status of review by agency. 5. Indicate proposed water conservation measures that will mitigate for unavoidable adverse impacts (If any). Conservation measures should include, but not be limited to: a. The use of drought tolerant plants for landscaping. b. The preservation of existing native vegetative buffers. c. The conservation of existing open space areas. d. The implementation of "natural" stormwater management practices (grass swales, filter strips, created wetlands, etc...). E. VERIFICATION I certify that the information provided above is true to the best of my knowledge. ApplicanUSponsor Name Date Signature Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 6 - ~ ~ ~ sal,;. Vicky Papson 63 Revonah Circle TS Syr Stamford CT 06905 " ~ 203-325-4454 d; `lam January 1s, 2002 JAN 1$ 2002 Southold Town Mr. Mark Terry Planning Board Sr. Enviromental Director Southold Planning Board Southold Town Hall 53095 Main Rd Southold NY 11971 RE: 11120 Main Rd East Marion NY 11939 Dear Mr. Terry, On November 4,2001 I submitted an application fora "Set-off' on my property in East Marion (letter attached). Due to a financial hardship my family would like to list the property spring 2002. I would be very grateful if you would take a look at my application so that the process can proceed. Sincerely, ~S Vicky Paps n . M Vicky Papson 63 Revonah Circle ' Stamford CT 06905 203-325-4454 November 4, 2001 Ms. Jean Cochron Supervisor Planning Board Southold Town Hall 53095 Main Rd Southold NY 11971 RE: 11120 Main Rd East Marion NY 11939 1000-31-13-7 Dear Ms. Cochron, • The enclosed application is expressly fora "set-off' for the subject property. Attachments and $250 check are enclosed. I have had several discussions and meetings with Craig Turner in planning and zoning who advised that I consider a "Setoff' as opposed to a "Subdivision". My father, Leonidas Papson, purchased the subject property as our vacation home in 1955. Our family has had many wonderful memories since that time. My childhood, my children's childhood and now their children have spent summers and many spring and fall weekends enjoying the house and property on Orient Bay. It was important to improve the property over the years which required increasing the mortgage from time to time. The time has come for the mortgage to be paid off since I can no longer carry the burden of two mortgages on my two homes. My children and their families are not in a position to assume this debt, but want very much to hold onto their summer home and enjoy the area for many generations to come. Needless to say after 46 years of spending time in East Marion, my family would be mast appreciative if we could have this "setoff "granted. Sinc Vic y apson ~ ~ \ i ~ ~ Vicky Papson ?`1 63 Revonah Circle ~?'J Stamford CT 06905 203-325-4454 November 4, 2001 Ms. Jean Cochron Supervisor Planning Board Southold Town Hall 53095 Main Rd Southold NY 11971 RE: 11120 Main Rd East Marion NY 11939 1000-31-13-7 Dear Ms. Cochron, The enclosed application is expressly fora "set-off' for the subject property. Attachments and $250 check are enclosed. I have had several discussions and meetings with Craig Turner in planning and zoning who advised that I consider a "Setoff' as opposed to a "Subdivision". My father, Leonidas Papson, purchased the subject property as our vacation home in 1955. Our family has had many wonderful memories since that time. My childhood, my children's childhood and now their children have spent summers and many spring and fall weekends enjoying the house and property on Orient Bay. It was important to improve the property over the years which required increasing the mortgage from time to time. The time has come for the mortgage to be paid off since I can no longer carry the burden of two mortgages on my two homes. My children and their families are not in a position to assume this debt, but want very much to hold onto their summer home and enjoy the area for many generations to come. Needless to say after 46 years of spending time in East Marion, my family would be most appreciative if we could have this "setoff "granted. Sinc T~'19~R r....n.. V ' Vic y apson ' ~``~ci f,? f ' NOV 0 7 2001 ` ~~outht~~~ Town ?'fanning Board • Merrit[view Building 383 Main Avenue /i""~' Norwalk, CT 06851 C~ ~ 203-840-7764 203-840-7845 Fax D APR 19 2uui April 16, 2001 c~hOldTown Craig Turner ~{(j Planner Town of Southold Southold Town Hall 53095 State RT 25 Southold, NY 11971 RE: 11120 Main Rd East Marion NY 11939 Deaz Craig I am enclosing a recent survey, a NYS Dept of Environmental Conservation Application, Suffolk County Health Services application and a Suffolk County Water Authority application. As we discussed, I would like to subdivide my property. After some consideration, it was determined by the surveyor and myself that the "highest and best use" of the property would be to subdivide into two additional pazcels. You mentioned that a "setoff' would simplify thy process; however, I would like to explore the economics of my first position. I would appreciate your direction with my next steps and when the Boazd is scheduled to meet again. you all your assistance and look forward to a mutually beneficial outcome. Sincerely, apson W WM-025 (Rev. 1112719b) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER t RIVERHEAD, NEW YORK 11901 NOTICE / .(631) 852-2100 GMZ NOTICE OF INCOMPLETE APPLICATION -SUBDIVISION ,A . ; PTO: ~ IL`"P~~ - SUB NAME: t7fl you !--"~'1' 3ao~ ~ .,rd y o loti~ Sr,r« i-~;' I/~~~- ,P REF. NO. 5.p. o / 3 SCTM NO: /oo~J - 3 / - Your submission for the referenced subdivision has been reviewed. This office will require the following for further review and/or approval: [ ] Application form signed by licensed design professional/owner. [ ]Filing fee $ _ due. [ ] Yield map, minimum square foot lots. [ ] Test hole(s) located and witnessed by: [ ]Licensed design professional. Instal] in area of proposed sewage disposal system(s). [ ]Health Department. Ca11852-2100 for appointment. [ ]See location map enclosed. [ ] Test well(s) sampled by Health Department. Follow procedures enclosed. (Test well does not indicate a waiver of requirement for connection to public water.) ,~~~j See location map enclosed. [ ] To be located on property by the design professional. Public water availability letter from water district. (include distance and cost if water main extension is required) [ ] Approval of private/public water mains from Drinking Water Bureau. [ ] Public sewer availability letter from local sewer district [ ] design report for onsite sewage disposal system water supply by licensed design professional [ v~ Covenants [ ]Instructions enclosed. See Special paragraph(s) T~ •3.t A,<-,.c.~,.,, 4~q [ ] Board of Review variance. [ ] I3og-conformance notice enclosed. 'w..N( y}~'SEQRA determination from Town/Village. [ etlands permit or deternurtation letter. ~ 8L In addition, the following is required to be shown on a pretirninar~IRnaI man or on a separate sewage disp water supply plan signed and sealed by a licensed design professional. ['1/~~ewaee dismosal and water su ly locations for all existing buildings on propeR at~d wells within 150 R radius. v ~ [ ] Design for onsite sewage disposa water`supply per Department standards. r' [ ] Design for sewer main extension approved by local sewer district (for existing sewers in Sewer District#3, ewer stubs must be marked by district on plan). [ ]Water mainspecifications. t~Corner elevations and test hole elevation. [ ]Topographic contours. (5 ft.interval) [ ] Test hole location(s)/details.* [ ]Test well locations.* ~1~[ Water main/sewer locations (identify as existing or proposed.)* _ _ ~T ical lot layout water and sewage disposal!` [ ] Department approval stamp.* [ c~S. Viand seal.* Certification of sewage disposal and water supply design by P.E.,R.A., or L.S. with exemption.* ~ FINAL maps to be filed with County Clerk require items marked above with asterisk [ ] Other ~ v.J .-.~V....WED BY : CC: I A. SD 63 _ ~jTA~J,=oN~~ C y0 i_I)ATE: Papson, Vicky From: Schilling, Shay Sent: Wednesday, April 11, 2001 10:54 AM To: Diodati, Valerie T; Allison Trobaugh; Clifford Frohn; Cynthia Jenkins; DONNELLA ROSE; ELIZABETH JACOBSON; Gary Martinek; Katherine Krause; Pamela Onusko; Ralph Snyder Jr; Richard Cole; Robert Welsh; Sandra Miller; Sherry Dorathy; Aaron Heimowitr; Barry Leifer; CESAR CHICA; Coleen Kulchar; Craig Kowalski; DAVE DEBONIS; DAVID COX; David Perilli; Diane Levine; Gail Scarpa; Glenn O'brien; Joan Sawicki; Joesph Malerba; Michael Deluca; MICHAEL NEISSER; Paul Heimbrock; Pompeo Gatto; Rene Perrin; Richard Vidal; Robert Deiorio; Roni Spillane; Steven Elkin; James Watson; Vicky Papson; Alessandra Valenza; ANNETTE ROBERTS-RATHWICK; Becky Damer; Charlotte Bunnell; Cherie Ford; Dario DeLeon; Darrell Pruitte; DAVID MONTOYA; Elizabeth Duncan; Frederick Veck; GEORGE BROWN; Ginger Fields; Henry Apodaca Jr; Jennifer Nava; John Giddiens; John Poindexter; Ken Young; Leonel Guerrero; Linda Keith; Lisa Hampton; LISA SESSIONS; Lynne Goupil; Mac Manes; MANUEL VALDES; Marc Vetter; Matt Martinez; MICHAEL GINDLING; Noel Kay; Paul Keane; Randy Soria; Ricardo Rincones; Robert Sanchez; Robin Hill; Steven Jeffries; Stewart Logan; Vella Lopez; Walter Edler; William Flamm; Yvonne Utz; C BRAINARD; David Carlson; DAVID WLOSTOWSKI; Douglas Vargo; James Febbo; Janet Notartrancesco; Jason Bochniak; Jeff Rech; JOHN ROWLEY; Kimbedy Hogan; Nisheka Nelson; Patrick Mulcahey; RICHARD GUMBRAVICH JR; Rick Talanca; ROBERT FLYNN; Robert Porzucek; Sandy Walentynowicz; Sherri Moore; Ted Kowalick; Teresa Urban; Tracy Quinn; JEFFREY MACAVERY; Joseph Strauch; Lawrence Diggs; MARY LANGE; Michael Colotti; Robert Carroll; Lawrence Parente; Susan Lassiter; Tracey Spencer; Jeffrey Gunther; KEVIN BUTLER; Sonya Hornsby Cc: Long, Gray; Cassidy, Susan; Barrilleaux, Ronnie Subject: 4-10 MORE Retail Sales INFO The following information is included in this weeks MORE Retail Sales INFO: • Credit Policy Revisions -effective immediately No Ratio (NORA) Program • NORA Credit Matrix Update • Training Tips WFHM Compensation Plan - Q&A "A"Full Doc Loans Declined Due to Debt Ratio or Income • 4/16MoMgageWeekArticle MORE has a new look on HomeScenes 410 MORE Sales INFO.pdf Shny Schilling Field Consultant/Baton Rouge Wells Fargo Mortgage REsources PH: (877) 240-7414 ext. 2630 FX: (888) 775-3480 6 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 (631) 852-2100 VICKY PAPSON 63 REVONAH CIRCLE STANFORD CT 06905 CASH RECEIPT 4***********++ Date Processed: 02/07/01 Receipt 78118-P-47837-12092 SUBDIVISION - PER LOT Hdref No: S10-O1-0003 Fee: $300.00 Received From: VICKY PAPSON Amount Paid: $300.00 Check Number: 180 Project Name: PAPSON Location: GE0155 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Fo[ O(ficcttse QOT ~ r`~~~yti.~ +a~`k n OFFICE OF WASTEWATER MANAGEMENT '~~a,~ ~ E SUFFOLK COUNIY CENTER - RNEI2HEAD. D1Y 1 I901 Health'De t Ref )VOi ~ m (631) 852-2100 ~ pattHte~ s r"= ~ ~ i x kp Slhe ^x3fli tP fi¢ iv APPLICATION FOR APPROVAL OF REALTY SUBDIVISIONS AND DEVELOPMENTS (PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION) SECTION 1 Name of Subdivision or Development (As shown on Proposed Map) Hamlet Town LAN v' F ~c N C~t~-I- ~10N SGcrr-r, District (s) Section(s) Block(s) Lot(s) Tax Map No.:. I OClJ 51 f j Name of Applicant ~ Telephone No, , ~/t 2CG ~ZZ Address: ~ ~ Name of Design Professional (If Not Applicant) Tele hone No. vl k N A ~ A ~I - 00 Address: OO L~ A .j E - ~ Name of.Pro~erty OvJner (IfNot Applicant) ~ °'f`elephonc~Sfo ` A~ ~ I~ =Address= ° • n ? r - ; a Name of Agent (If Not Applicant) Telephone No. ( ) Address: Specify total acreage of property to be pacify the total number of tots proposed Specify Town Zoning subdivided: ~ ,.~f ~ 240 ~ 1 ~N~ ~ Specify Method of Water Supply: Specify the distance (in feet) from the nearest water main to pC] Connect to Existing Public Water Supply the property: R )sr ~c_l1J!!ri t g tt r 1 MAt N P~ . [ ]Construct Private Well Supply Is a water main extension proposed? _ ~n [ ]Other Name of the water district 5~ W Specify Method of Sewage Disposal Is property partially or totally within sewer district? Nn [~C) Individual Sewage Disposal Systems [ ]Connect to Existing Public Sewers If yes, name of district 1.1~.t'c [ ) Construct A Sewage Treatment Plant [ ]Other (explain) If no, name of and distance to nearest district Specify Topography (e.g., flat, rolling, steep, etc.): Specify intended use of proposed lots: [X] Single family residences [ ]Two family residences [ ]Multi-family residences [ ]Commercial or industrial buildings ( ]Other SUMbIARY OF APPLICATION REQUIREMENTS FOR FILING REALTY SUBDIVISION OR DEVELOPMENT MAPS Complete Instructions for filing an application are contained in the Bulletin "Application Requirements for Fili Realty Subdivision Development " (WWM-022). Before filing subdivision applications with the Department, y should be familiar with Article 6 of the Suffolk County Sanitary Code which describes conditions under whi subdivision or development maps are required by this Department and the general qualifications for approv Copies are available from the Department. A. PRELIMINARY REVIEW -The following must be submitted with the initial application as a minimum f review. 1. Application Form for Approval of Realty Subdivisions and Development (Form WWM-023). This forn must be completely filled out and signed by the owner, applicant and design professional. 2. Application Fee -check or money order, $85.00 for each lot (vacant or improved), made payable to Suffolk County Environmental Health. 3. Three. (3) prints of preliminary map. B. FINAL REVIEW -The following should be submitted prior to final approval: 1. A public water availability letter from local water district, including the distance to existing main if wale main extensions are required. 2. A SEQRA environmental determination from the lead agency (usually town or village) is required print to final approval. 3. Three prints of final map. 4. For clustered subdivisions or developments, a 20,000 or 40,000 square foot yield map, as appropriate, is required. Yield maps must show all lot dimensions, square footage and drainage calculations to meet town or village zoning requirements and must be stamped by a licensed surveyor. 5. A copy of recorded covenants as required by the Department . Model covenants and instructions are available from the Department. 6. Wetlands Permit or " Letter of Non-Jurisdiction" from NYSDEC or Town/Village, if the nearest portion of your property is located within 100 ft. of surface waters or wetlands. 7. For proposals within or accessible to a public sewer district, a sewer availability letter is required from the sewer district having jurisdiction. Proposals for sewer main extensions require plan approval from the district. 8. A design for on-site sewage disposal system and water supply by a licensed design professional as required by the Department. 9. Approval from the Department's Drinking Water Section for the design of water distribution mains under private ownership. Additional information may be required to facilitate review. Applicants will be notified in writing of proposal which do not conform with the Suffolk County Sanitary Code. Such proposals may require a variance or waive from the Department's Board of Review. Variance applications will be sent with a notice of non-conformance an are available upon request. A technical report by a design professional may be required to justify any variances c waivers. WWM_ma /Rrv F/qR1 _ _ SECTION 2 ENVIRONMENTAL UALITY AND HEALTH REVIEW YES NO 1. Are an of the followin rmits re wired? a. Tidal Wetlands Permit or Approvals b: Wild Scenic and Recreation Rivers Permit - NYSDEC c. Fresh Water Wetlands Permit or Approval X 2. Is the property located within or substantially contiguous to a local or county designated Critical Environmental Area (CEA) pursuant to Article 8 of the ECL and X 6NYCRR 617 (SE RA ? 3. Is the property located wholly or partially within the Pine Barrens "Core .X Preservation Area" ursuant to the Pine Barrens Protection Act of 1993? 4. Is any portion of the subject property in a "Coastal Erosion Hazard Area" (pursuant to 6NYCRR Part 505} or subject to imminent erosion or flooding? If es, show area on relimin ma and/or ex lain in Section 4. 5. Has a determination of Environmental Significance (Negative or Positive Declaration) been issued by any other permitting agency for this project? x If es, ravide co of determination and/or details in Section 4. 6. Has a determination been made by any other permitting agency that this project is a Type I action pursuant to SEQRA? If yes, explain is Section 4. 7. Will the completed project routinely produce odors? If yes, explain in Section 4. 8. Wilt the completed project produce operating noise which exceeds the local ambient noise levels? x If yes, explain in Section 4. 9. Has the property ever been used for the disposal of solid waste or hazardous waste? If es, show area on relimina ma and/or ex lain in Section 4. 10. Are there any existing environmental factors which may affect the public health and safety of the completed project's occupants (for example, neighboring landfills, petroleum spills, toxic materials, noise sources, odors, etc.)? x If yes, explain in Section 4. 11, Is the subject property within 100' of any surface water(s) or wetland{s)? If es, show on relimin ma . 12. Is the parcel subject to existing covenants or restrictions? If yes, explain in Section 4. X 13. Does the project require a change in zoning or a zoning variance? If yes, explain in Section 4. X 14. Is there a public water welltield within 1,500 feet of property boundaries? ' / If es, show on relimina ma 7` SECTION 3 APPLICATION IS HEREBY MADE FOR APPROVAL TO SUBDIVIDE LAND INTO PARCELS IN ACCORDANCI WITH THIS APPLICATION, SURVEY(S) AND PLAN(S) SUBMITTED. I CERTIFY THAT THE INFORMATION 0[ ALL THE PAGES OF THIS APPLICATION AND ALL TFIE ATTACHMENTS HAVE BEEN REVIEWED BY ME ANI THAT, BASED ON MY INQUIRIES, SITE INVESTIGATION(S) ANDlOR OTHER STUDIES, I BELIEVE THAT THE INFORMATION IS TRUE, ACCURATE AND COMPLETE. FUKTHERMORE, THE OWNER/APPLICANT AGREE: THAT THE INSTALLATION OF THE REQUIRED WATER SUPPLY AND SEWAGE DISPOSAL FACILITIES WILI BE NIABE IN ACCORDANCE WITH THE DETAILS SHOWN ON THE APPROVED PLANS. I UNDERSTAND THAT FALSE STATEMENTS Mt~DE REIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR PURSUANT TC SECTION 210.45 OF THE PEN L L Property Owner's Signature s) Print Name ~ Date ~ 1 ~ Applicant's Signatu Print Name ( ~ 1.,) Date ~ Design Professional's Signature Print Name License # Date SECTION 4 COMMENTSlEXPLANATIONS: WWM-023 (Rev. 6l98) Page 3 of 4 New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 FAX: (631) 444-0360 - John P. Cahill Commissioner Letter of Non-Jurisdiction -Freshwater Wetlands Act & Tidal Wetlands Act Vicky Papson March 20, 2001 63 Revonah Circle Stamford, Ct 06905 Re: 1-473 8-02833/00001 Main Road/Trumans Path SCTM 1000-31-13-7 Dear Ms Papson, Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The proposed 3 lot subdivision as shown on the site plan by William L Jaeger dated 12/27/2000, is located above the 10 foot contour on a natural gradual slope and greater than 100 feet from the regulated freshwater wetlands located at Marion Lake (GP-1) Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) and Freshwater Wetland Regulations (6NYCRR Part 663) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place within the Tidal or Freshwaterjurisdictionalboundaries, as indicated above, without apermit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands or Freshwater Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Ve~ trulyy o ~q~ Ro Evans ~J f t De~Pxry xegional Permit Administrator cc:file BOH MHP Hawkins Webb & Jaeger BANNER BUSINESS FORMS (5181 382-8321 95-19-3 110/98)-q DEC APPLICATION NUMBER DISTRIBUTION NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 1ST COPY Permit Administrator OFFICE OF GENERAL SERVICES 2ND COPY Corps of Engineers UNITED STATES ARMY CORPS OF ENGINEERS US ARMY CORPS OF ENGINEERS 3RD COPY Program JOINT APPLICATION ~ 4TH COPY NYS Agency FOR PERMIT' STH COPY Applicant 1. Please read ALL instructions on k. Check permits applied tor. Attach additional information as needed. ? FRESHWATER WETLANDS ~TIDAI WETLANDS ? WATER SUPPLY ? LONG ISLAND WELI ? PROTECTION OF WATERS FOR: ? A. Construction or placement of docks and moorings ? B. Construction, reconstruction, or repair of a DAM or other impoundment structure ? C. Disturbance of a STREAM BED or BANKS or excavation in or fill of NAVIGABLE WATERS ? 401 WATER QUALITY CERTIFICATION ? COASTAL EROSION CONTROL ? IAKE GEORGE PARK COMMISSION (Docks and Moorings) ? WILD, SCENIC OR RECREATIONAL RIVERS ? AQUATIC PEST CONTROL FOR: ? A. Aquatic Vegetation Control ? B. Fish Control ? C. Insect Control ? LEASE, LICENSE, EASEMENT, or other real property interest in state-owned lands under water ? UTILITY EASEMENTS (Pipelines, Conduits, Cables, etc. 2. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES (lf any) 3. IF OTHER THAN INDIVIDUAL, PROVIDE TAXPAYER ID NUMBER 4. APPLICryA~NT IS A/AN: IU Owner ? Operator ? Lessee ? Municipality/Governmental Agency 1Check as many as apply ? Agent 5. NAME OF APPLICANT (use full name) 1 e.. MAILING ADDRESS TELEPHONE NUMBER Daytime) Ca3 ~ fie. It>731 Syo ~~z2 POST OFFICE STATE ZIP CODE g ~ o 6. NAME OF OWNER (if different than number 5 above) ? Owner ~ Agent/Contact Parson MAILING ADDRESS TELEPHONE NUMBER (Daytime) ( I POST OFFICE STATE ZIP CODE ¢ aP1 L ~1 7. PROJECT/FACILIN LOCATION (mark location on map, sae number 1 a on reverse side) 1 ''i \ ~ ~3 County Town/CiyNillage ~ ~ Tax Map Section/BIocWLot Number ADDRESS including street or road TELEPHONE NUMBER (daytime) ~ ~5 1 1 POS7 OFFICE STATE ZIP C//O~]DE~1 DEC USE ONLY ~M1 ,,,7 NYTM-E NYTM-N 4 B.NAME OF STREAM OR BODY OF WATER (on or near protect site) 9. Name of USGS QUAD MAP 10. HAS WORK BEGUN ON PROJECT2 (If YES, attac}t explanation on starting work without permit, include dates) 11. PROPOSED STARTING DATE Show work on map or drawing ? Yes KM-a No Y 12. APPRO%IMATE COMPLETION DATE 13..pPLROPOSED USE: 14. WILL PROJECT OCCUP STATE LAND2 ~Oz µu Private ? Public ? Commercial ? Yes ~ No 15. PROJECT DESCRIPTION AND PROPOSED PURPOSE: (e.q. quantity and type of material to be excavated, dredged or used to fill or riprap; I«ation of disposal sites; type of structure to be installed; height of dam; sire of impoundment; capacities of proposed water sources; extent of distribution system; sire of marina and types of d«ks and moorings to be installed; et\c.) (1 L, 1-~ L4v10 ~rUtStoc~ ~r "T hrROr ~1Vlq`2 t~ay'V.~~y 1~2-~~~PVIe„~~ Parcel 3, 1.Jn~~,roc~s~ ~o~ LS, a`~eo`du.{ o?~eue~oped wL`~h a 1-jL~l~~,n.oc~, stior~~or,~ . 16 WILI THIS PROJECT R(E~QUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS2 ? Noy If1YES~ istf ~ 1 ~ ~~vl ~ ns~(1 .~-4 ~~hn~'~L rvr~ ~ SLOfI a~.5 Y1~(.'tgy~+~L °1}~}-'O-.1yr'rN a"'. I hereby offam Ihot information provided on this form and all attachments submitted herewith is true to the best of m know) d e and elief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 710.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the protect described herein and ogress to indemnify and save harmless the State from suits, a0ions, damages and costs of every name and description resulting from said protest."In addition, Federal law, 18 U.S.C., Section 1001 provides for a fine of not more than f 10,000 or imprisonment for not more Ihan five years, or both, where an applicant knowingly and willfully falsities, conceals, or cov rs up a e O; or knowingly makes or uses a false, fictitious or fraudulent statement. ^ ~ eruoy^;orixa fha agent na ed i Number 4 a ve to submit Ihis application on my behalf. For SCWA Ollka lJw OMy ~j, ACCOUNT NO. 1 t-, -02-7-016-000-1 J\~ AtITH. No. cwag~kG PROJECT TERMINATION DATE SUFFOLK COUNTY WATER AUTHORITY PUBLIC WATER MAIN EXTENSION AGREEMENT Respond by and SERVICE APPLICATION (Seventy-Five Foot Rule) C+wners Name and Billing Address: Premises Address: Vicki Papson 11120 Trumap's Path (Main Road) 63 R vonah Circle Stamford Ct 06905 Tax Map No. Telephone No. 203-840-7722 DiaMct Section Biotic Lot Drivers License No. L7E,+3t \~l2.c~rs Sods! Se^.a:rity No. vx+~ 3 y u""z.~"~1 Proposed Project Area The SuBdk county water Authority is cortaiderirg extending ifs water mains to bring public water to yotu area. The proposed Protect area irtdudes The Autitorily has apprpved fttndirtg for this Project urxler its Seventy-Five Foot Rub provided at bast 5096 of the honteowrtters in the proposed project arm apply for water by ~4Sta If 5096 of ttte homeoavners apply for water, 75 feet of Authority water main wtil be exterxfed free of charge for every eligible premise within the project area. For residential customers, the cost of water main b excess of 75 feet b payable over a ten (10) year period. There is also a water Tapping Fee of 5800.00. which moat be paid with this application. An additlonal Meter Vault Fee of 5175.00 may be required at the tirrle the service connection is inaPacFed which is in additon b the main extension costs indicated below. Residential apptieants may pay one hati of the Tapping Fee ($400.00) with title appYcation and pay the remaining balance plus interest over two years with your water bit. Tofal Cosh may be paid at any time in lull to terminate interest charges. Break~±wn of Maln EQion C±+sis Tapping Fee (t inch service connection) $800.00• _~irst 75 feet of main . _ FREE Average excess footage per tAlstlNrler $ 583.00 Total Coats $ 175.00 vault fee j~ `~'k < (itrj Breakdown of Fir~nced Payments (Residential Customers Only) 'Tapping Fee -Quarterly payment for two years (if $400.00 of Tapping Fee is ftnanced) $ 53.43'•' ''Main Extension - Ouartery payment for ten years (®696 annual interest rata) $ «'Bilbd quarterly in addition lb the service charge and cprrxrwdity charge portion of your water bib I hereby apply to become a alstonter of the Authority 8t the premises indicated above. Enclosed is a check made payable to "SCWA" for Tapping Fees in the amount of 540015800 (circle one). I have read and agree to the tams and txxtditions on the back of tltis Agreement. I agree to connect for service wititirt sixty (80) days of water avaibbiity artd to disconnect domestic service from the private weN ourrentiy used at the .i I agree to pay the Toil Coats indicated above for a period often (10) years, unbss the r;osLt are paid in full to. I nee to pay the Total Costs stHl unpaid, whetller not due as a quarterly payment, upon sab of the premises termin don of service. W Customer ate NOTE: Non~partieipards who apply for water service one year slier the data the waMr main is placed in awvics wia be required to pay the Total Cosh DiiNF 6CX. IIDDIF Sd. DIL b. Y Y D T aETF pf YP. e1 _ D n~~n nn Apptketian is heraDy made to the Sulfolk County Waver TAP a-----6tlE/:aIV- AWhorgy for inabllation to supply water servke at the Draperry PERMR a c IECation es given on Ihic aDDliulion. 17C X Od his urMentootl entl epreatl that weUr servce shall be supplietl METER VAULT a J erM UBBd OOIy In aKOldenCB WRh tlIB RUI84, RepUlalioo9 erb ARY f Rates b the Authority es now on file at the Authority's oflica, aM any motlilications, BRerations, or emendment9 thereof, which YERVICE DEPOSIT t may be home/tar adopted by the Authori(y. II is undarstootl arb apreetl Thal failure of the apDliunt w viva 125-1 s 583,00 Drompt written notice to have the water service discominue0 e O will make Me applicant lisbb for all water cMrpes against These c TOTAL a ~>~ese llll premises until the time of written notification. c REDEIyfDiaOM OneA thousand fivehandred fifty eight - Dokuss LL RECEIVED NP. CUSTOMER'B NAME k 1 Vick Pa son W U DOTE O ADORE98 ~ APPEICANT'S SIDHAa/EO/oo Dm3N BeAvonah Circle a Stamford, CT 06905 U PREMISES d SERVICE DEPOSIT AMOUNT a 11120 7nm+ana Path RECEIVED AT ~~~r~~E SERVICE6 METER6 VAULTS 11-WHB XO sIS! NO fpE MO f4f The service tleposil amount as shown on this receipt is is6ue0 as security for payment for water end service bills. Thls tlepp6it is not negotiable or trarMferable end any refuntl due, leas any unpaitl bills for service, will be refunded to the depositor named herein, upon tliscominuanca of service. SUFFOLK COUNTY WATER AUTHORITY TWELVE 11 1 MONTH I IMU H ACCORDING TO METER SIZE, CUSTOMER RECEIPT-RETAIN THIS COPY I e _ _ ?~,t,~~= L~ I Daniel J. McCONLOGUE P.O. Box # 8 r-.,...--....-~.-~* m.-..-s-,r~-+. EAST MARION, N.Y. 11939 ~~1,, y" SOUTHOLD PLANNING BOARD, ~ . ~ Town Hall, Main Road DEC 2 6 2000 Southold, N.Y. 11971 SOU~IOKI Tti1NT1 Dear Southold Planning Board: PIBI)I)11MJ ~39~1Fd I live on TRUMAN'S PATH in EAST MARION, a small dirt road that services approximately twenty houses. Recently Surveyors markers were placed on this road. I am concerned that an application might be made to utilize this road for additional houses that do not enjoy deeded access. My concern's range from safety problems, --to all the usage that stem from over crowding. All my neighbors aze greatly concerned for the safety of our children and grandchildren, (there aze no sidewalks on this one lane dirt road.) Further utilization of this road would add to the many problems we already have. Respectfully yours. ~ DANIEL J. McCONLOGUE 900 TRUMAN'S PATH EAST MARION, N.Y. 11939 ' PLANNING BOARD MEMBERS OSUffU~~C BENNETT ORLOWSKI, JR. QG Town Hall, 53095 State Route 25 Chairman tiZ' y P.O. Box 1179 WILLIAM J. CREMERS O ~ Southold, New York 11971-0969 KENNETH L. EDWARDS yy, ~ Telephone (631) 765-1938 GEORGE RITCHIE LATHAM, JR. ~ ~ 'F Fax (631) 765-3136 RICHARD CAGGIANO 'yifJOl ~ ~a0`' PLANNING BOARD OFFICE TOWN OF SOUTHOLD Items Required for Application Cover Letter identifying the applicant/agent and describing the proposed action Subdivision Application Form Authorization Letter from the owners for the applicant (if the applicant does not own the property) and from the applicant for the agent, signed and notarized - sample attached Copy of Property Deed Part I of the Environmental Assessment Form Long Fotm for Major and Minor Subdivisions Short Form for Set-Offs and Lot-Line Changes *The Planning Board may require the Long Form for Set-Offs or Lot-Line Changes Transactional Disclosure Form Application Fee Major Subdivision (5+ lots) _ $1,000 + ($100 per acre or fraction thereof) Minor Subdivision (2-4 lots) _ ' $1,000 + ($500 per lot) Set-Off= $250 Lot-Line Change = $250 8 Copies of the Sketch Plan (minimum -please contact the Platuting Board to determine the actual amount required) 6 Copies of the Yield Map if it is a cluster subdivision *All maps are to be FOLDED by the APPLICANT with title block visible Incomplete applications will not be processed until all materials are submitted PLANNING BOARD MEMBERS ~g~FFO(~-C BENNETT ORLOWSKI, JR. QG Town Hall, 53095 State Route 25 Chairman y~ P.O. Box 1179 WILLL9M J. CREMERS ~ - Southold, New York 11971-0959 KENNETH L. EDWARDS yy, ~ Telephone (631) 765-1938 GEORGE RITCHIE LATHAM, JR. ~ ~ ~ Fax (631) 765-3136 RICHnRD caGGlnNO 'yfjQl # dap! PLANNING BOARD OFFICE TOWN OF SOUTHOLD Subdivision Application Form Name of Subdivision: ek l~ ~A p S ~ ~ Suffolk County Tax Map # 1000- ,3 ~ I ~ 1 Type of Subdivision: Major Mlno ° ~ et-Offs Lot-Line Cluster Subdivision: es No Hamlet: M~ Y I o r~ i N T Street Location: 1 1 1 ~ ~ I ~ ~d Acreage: ` 5 Number of Lots: o't` ~ rz, 3 Zoning District: ~ - ~ Date: ~ I~„I © l Please list name, mailing address, and phone number for the people below: Applicant: a S-h~7n~arrl ('-h 46~joh ,pop _ ~a-5-44sy .~~3- ~~a -~~yr Agent handling the application: (Contact Person) /a Property Owner(s): V ~ ~d ti5 6 - /5AM2 cis 1 ~o ) Surveyor: I-~ A ~ ki ry u1 e ~ Engineer: S a m e a s S i r dP n 2, Attorney: /J Other Agent(s): /1J Has this property had a previous application to the Planning Boazd? Yes ~Io~ Has this property previously received a 5EQRA review? Yes Have you had any pre-submissiop conferences with the Planning Board? Yes No uJt~ ~raiG I J ~tNe 12 Does this application have variances from the Zoning Board of Appeals? Yes No Appl. No. Date Is this property adjacent to any bodies of water? Yes No Are there any wetlands on the property? Yes No Are there public water mains in an adjacent street? Yes No Is public water proposed for the subdivision? Ye No Are there any existing easements on the property? Yes No Is there a proposed sale of development rights on part of the property? Yes No Is there a mortgage on the property? es No Does the owner own any adjacent properties? ~ Yes CNoJ Are there any building permits currently pending on this property? Yes Io Signature of Prepar Date PLANNING BOARD MEMBERS gUFFO(,~ ~ C Town Hall, 63095 State Route 25 BENNETT ORLOWSKI, JR. Q~' ~G Chairman C~ y~ P.O. Box 1179 WILLIAM J. CREMER5 Southold, New York 11971-0959 KENNETH L. EDWARDS W ~ Telephone (631) 766-1938 GEORGE RITCHIE LATHAM, JR. ~ • ~ Fax (631) 765-3136 RICHARD CAGGIANO y~ol * ~a0~ PLANNING BOARD OFFICE TOWN OF SOUTHOLD The following information is provided to help you in preparing your subdivision application: Cover letters should be included with all submittals. The cover letter should include the name of the subdivision, tax map number, date, items submitted, and agent's name and phone number where they can be reached. All maps should be folded, with the subdivision name visible on the top. We do not have the room to store rolled maps or the time to fold them. The Planning Board reserves the right to request more maps at any time. Federal, state, county, and town laws require us to provide other agencies with maps of all proposed subdivisions. The majority of maps that we request aze sent to other agencies. Projects that are large in scope, or are adjacent to federal, state, or county jurisdictions, may require more maps. All requirements for roads and drainage can be found in the Town Highway Code. The Town of Southold requires that all subdivisions of over 10 acres be clustered. The Planning Board may also recommend clustering on lots of less than 10 acres. The park and playground requirement for subdivisions is 5 acres for every 100 dweil'mg units. The Planning Board may require a park and playground fee of $5,000 per vacant lot in place of the land dedication. PLANNING BOARD MEMBERS gOFFO(,~ BENNETT ORLOWSKI, JR. O~0 C~ Town Hall, 5309b State Route 25 Chairman C~ Gy~ P.O. Box 1179 WILLIAM S. CREMERS Southold, New York 11971-0969 KENNETH L. EDWARDS W ~ Telephone (631) 765-1938 GEORGE RITCHIE LATHAM, JR. O ~ ~ Fax (631) 765-3136 RICHARD CAGGIANO d~JJO~ J ~~0~ PLANNING BOARD OFFICE TOWN OF SOUTHOLD Sample authorization letters: 1. I Jose hp Smith, owner of the property at SCTM# 1000-100-10-10 in Mattituck, NY, hereby authorize Southold Consultants Inc. to act as my agent and handle all necessary work involved in the subdivision process with the Southold Planning Board. Signature: Q AR, ~md.'~, Sworn before me this 30a' day of February 2000, I14CYIIL1~i pt1Yi [ Michael Hill's Notary stamp ] 2. We John and Jane Smith, owners of the property at SCTM# 1000-88-8-8 in Southold, NY, hereby authorize Home Builders Inc. to apply for a subdivision on our property and hire any agents necessary to complete the work involved in the subdivision process with the Southold Pianning Board. Signatures: ~~nr~171. -m Sworn before me this 30s' day of February 2000. 1i41y~ I4t,fYi [ Michael Hill's Notary stamp ] 3. I Jim Davis. President of Home Builders Inc., hereby authorize John Jones. Esa. to act as my agent on the property of SCTM# 1000-88-8-8 in Southold NY, and handle all necessary work involved in the subdivision process with the Southold Planning Board. Signature: ~ ~ptNd, n a~ Sworn before me this 30a' day of Februar~200Q Iil~q~i >4tldi [ Michael Hill's Notary stamp ] ~FFO(,~ P s T D SL 1,~.~ r Southold, N.Y. 11971 (516) 76x1938 OUTLINE OF PROCEDURES FOR .'ZNOR SUBDIVISIONS 1. Submit application and surveys with all other required information. 2. Planning Staff reviews and Board reviews at work session. 3. If revisions are needed, applicant is advised and changes are to he made. 4. When all is in order, placed on agenda, Board can take action on sketch plan. 5. If sketch plan approval granted, six copies of final map are submitted Board declares itself lead agency, and makes determination under State Environmental Quality Review Act. 6. Upon receipt of final map, Planning Board makes referrals to County ; Planning Commission, and any other necessary referrals. 7. Applicant applies to the Suffolk County Health Department for Article 6 approval. ~ 8. When applicant receives approval from the Health Department, three ~ r surveys with their endorsement submitted to Planning Board. i 9. Upon receipt of Article 6, endorsed surveys and all referrals 10. Following public hearing the Planning Board has 45 days to make a determination on an application. County Clerk's Map Filing Regulations: I ~ _ MAP NAME SLIP MUST BE UPDATED r' ` c d i ~ i NAME 6 MAP TO BE APPROVED BY MICROGRAPHICS SUURIOtD TOWN ~ M r HEALTH DEPT. STAMP (DATED WITHIN 6 MONTHS) PUNNING DOARD TOWN OR VILLAGE PLANNING BD. (SIGNATURE & DATE WITHIN 90 DAXS) SURVEYOR.i NOTATIOtl (SIGNAT URE, LICENSE NUMBER AND [LATE) REAL PROP. TAX SERVICE AG. STAMP AND SIGNATURE WITH OP.TE (GOOD FOR 90 DAYS) KEY MAP (i"-600') NOR~PH ARROW ON NAP LOTS & BLOCKS TO RUN IN ORDER CONCRETE MONUMBENTS "SET"(AT STREET INTERSECTIONS)OR COMPLIANCE BOND RECEIVE.' AND ACCEPTED BY TOWN TIE LINE T7 E%ISTING STREET (ON SAME SIDE OF STREET) ALL ADJACENT PROPERTY IDENTIFIED O{4NER'S NAtUi ON MAP AND ABSTRACT MUST MATCH - MAP NAME ON MAP AND ABSTRACT MUST HATCH NUMBER OF COPIES NEEDED-3 (ONE MUST HE MYLAR FOA SUFF. CO. CLERK) (ONE FOR TOWN PLANNING BOARD, 2 IF HUNTINGTON OR BROOKHAVEN) (ONE FOR THE TN. ASSESSOR) IF INCORPORATED VILLAGE.- 5 IF PROPERTY REGISTERED TORRENS - SIZE OF MAP MUST BE 18"x20" OR 20" x 36" 1JP~ o~ ABSTRACT - 20 YEAR CHAIN OF TITLE, IF TAX 2i@lFN~IS PRESENT_GO HACK 20 .YEARS PRIOR TO DATE OF TAX SALE ALL TAXES PAID IN FULL TO DATE SEARCH REQUISITION SIGNED SY TITLE COMPANY OR PERSON TO DATE IF ALL OR PART IS REGISTERED PROP.,AREA MUSTE BE OUTLINED IN RED AND CERTc NUMBER NOTED~ON MAP AND SHOWN IN ABSTRACT. OWNER'9 DUPLICATE CERT. OF TYTLE 6 MAP PRESENTED TO TORRENS BEFORE FILING COLLECT FEE $iD.PER MAP $4.00 pet certification CHECK ALL COPIES OF MAP FOR SIGNATURES AND STAMPS PLUS DATES CHECK DESCRIPTION IN ABSTRACT AGAINST MAP BEING FILED ZF MAP IS SECTION 2; 3 ETC. CHECK THAT LOTS BEGIN WHERE PREVIOUS SECTION LEAVES OFF WHEN OUT PARCEL AAE SHOWN WITH LOP # FROM AN EARLIER MAP FILED HERE, SURVEYOR MUST YDENTIFY WHAT MAP THEY ARE ON. TOTAL LOTS APPROVED BY HEALTH SERVICES AGREE WITH # OF LOTS ON MAP PLANNING~QARD TO~,`N O~';SOUTEiCiLD StiF,:OLIC`COL'~TY r 1 i~,. Southold, N.Y. 11971 (516) 76-1935 ~(E?'.0 T0: Whom it may concern FRO2L• Tocm of Southold Planning Board DATE: June 30, 1987 RE: Inspections on Road Construction Please beadvised the pursuant to, Section ;1108 5, the Highway Department (765-3140) must be contacted 48 hours prior to commencing any work on roads within subdivisions in order that the wor!: can be inspected. Any work done on any road caithout notifiying the Highway Superintendent shall be considered unacceptable pursuant to Section A108-43. =;s'." . L 'L BOND ESTIMATE FOR (NAME OF SUBDIVISION) AT (HAMLET), TOWN OF SOUTHOLD SCTM ll 1000 - XX - XX - XX . (DATE) ITEM QUANTITY DESCRIPTION UNIT PRICE AMOUNT 1. 3 ACRE CLEARING & GRUBBING $ 2,500.00 $ 7,500.00 2. 4,500 C.Y. ROUGH GRADING / UNCLASSIFIED EXCAVATION 6.00 27,000.00 3. 90 L.F. SAWCUT 3.00 270.00 4. 160 S.Y. CONCRETE PAVEMENT REMOVAL 5.00 800.00 5. 4,990 L.F. CONCRETE CURBING 10.00 49,900.00 6. 4,630 S.Y. FINE GRADING 1.50 6,945.00 DRAINAGE: 7, 16 EA. CATCH BASINS 3,500.00 56,000.00 8. 6 EA. MANHOLES 3,000.00 18,000.00 9. 256 V.F. LEACHING BASINS (8'0) 250.00 64,000.00 10. 1,480 L.F. 18" ¢ RCP 30.00 44,400.00 11. 4 EA. HEADWALL & APRON 800.00 3,200.00 SURFACING• 12. 1,465 TONS BASE COURSE (4" STONE BLEND) 25.00 36,625.00 13. 1,080 TONS BINDER COURSE (2~" ASPHALT) 60.00 64,800.00 14. 650 TONS WEARING COURSE (1~" ASPHALT) 60.00 39,000.00 15. 710 L.F. 6' VINYL CLAD C.L.F. 25.00 17,750.00 16. 1 EA. 6' x 10' VINYL CLAD C.L.F. GATE 900.00 900.00 17. 125 EA. STREET TREES 200.00 25,000.00 18. 14 EA. STREET SIGNS 250.00 3,500.00 19. 56 EA. CONCRETE MONUMENTS 100.00 5,600.00 20. 8 EA. STREET LIGHTS 2,000.00 16,000.00 21. 240 L.F. DIRECT BURIAL CABLE 2.00 480.00 22. 4 EA. FIRE WELL 10,000.00 40,000.00 23. 2,150 S.Y. TOPSOIL & SEED 30.00, 64,500.00 24. JOB MAINTENANCE & PROTECTION OF TRAFFIC L.S. 5,000.00 SUB-TOTAL = $ 597,170.00 + 6% INSPECTION FEE _ $ 35,830.00 TOTAL = $ 633,000.-00 Q D PAGE 1 OF 1 1992 ESTIMATED UNIT PRICES FOR BONDING OF - SUBDIVISION CONSTRUCTION ITEM DESCRIPTION UNIT AMOUNT CLEARING d GRUBBING (Light Trees b" 0) ACRE $ 2.650.00 CL FARING b GRUBBING (Medium Trees l2" 0) ACRE 7.775.00 CLEARING BRUSH (Medium Bro sh 4" 0) ACRE 2,800.00 i0P50 [L - STRIPPING b STOCKP LL EINC (b" Deep) C.Y. x.00 UNCLASSIFIED EXCAVATION C.Y. 6.00 BORROW FILL - SELECT GPANULAA C.Y. 7.00 BACKFILL - SAND d GRAVEL C.Y. 2.00 FINE GRADING S.Y. 0.50 .MANHOLES EA. 7.000.00 CATCH BASINS EA. J,000. 00 LEACHING BASINS (8' 0 x 4' deep) EA. 1,000.00 LEACHING BASINS (8' 0 x 8' deep) EA. 1,600.00 _ (Add $ 200.00 for each vertical foot over H) LEACH LNC BASINS (10' 0 x 4' deep) EA. 1,200.00 LEACHLYC BASINS (10' Q x 8'deep) EA. 2.000.00 (Add $ 250.00 for each vertleal foot aver 8) FUANISS AND LAY PIPE l2" CFlP L,P. 20.00 FU&`IISH AND LAY PIPE l8" C`8 L.F. 30.00 FURNISH AND LAY PLPE Z4" CHP L.F. J5.00 CONCRETE HEADWALL b APRON EA. 1,600.00 CONCRETE SIDEWALKS (4' sridex 4" [hick) L. P. 11.00 CONCRETE DRIVE11AY5 E APRONS S. F. 4.50 3.000 PSI CONCRETE C.Y. 300.00 CONCRFfE RETAINING WALLS - REINFORCED C.Y. 400.00 CONCRETE CURBING - 6" x l8" Straight L.F. 6.50 CONCRETE CURSING - 6" x 10" Curved L.F. L2.00 CONCRETE CVRH ING b GUTTER L.F. 15.00 GAANIIE CURBING L.F. 18.00 AIP RAP - RANDOM SIZED, MACHINE PLACED C.Y. 28.00 3/6" STONE BLEND - 4" THICK ROAD BASE TON 25.00 ASPHALT CURBING (8" Wide x b" High) L.F. 2.00 ' BTTUMINOUS ASPHALT PAVEMENT TON 60.00 BITUMINOUS ASPHALT BINDER (24" Thick) S.Y. 5.50 HITVMINOUS ASPHALT WEARING COURSE (1l1" Thick) S.Y. 3.50 BINCLE APPLIED SURFACE TREATMENT ( OIL 6 STONE S.Y. 1.50 DOUBLE APPLIED SURFACE SAFATMFvYi ( OLL b STONE S.Y. 2.50 PAVEMENT MARAINGS L.F. x 4"vide 0.50 SAW Cllr (Uvlt price per ivch of chitknesa) L.F. 1.00 CMIN LINK FENCE - 6' HIGH - Vinyl Clad L.F. 25.00 6' x 10' CSAIN LINK GATE - Vinyl Clad EA. 900.00 TOPSOIL b $EEB S.Y. 5.50 PLANTING SOD - Benc Graas S.Y. 6.50 SHEEP ING 6 CLEANING S.T. 0.25 HYDROSEED ING - SLOPE STAHALIZAIION ACRE 2.000.00 EROSION CONTROL ACRE L,000.00 STREET TREES EA. 200.00 TREE CUY ING - J" to-4" Caliper - J Scakes EA. 40.00 THEE TARN SPLANTING - On Slte EA. 40.00 METAL BEAN TYPE GUIDE RAILING L.F. 60.00 TEST HOLES EA. 600.00 , STREET SIGNS - NSgh Intensity EA. 200.00 CONCRETE SURVEY MONUMENTS EA. 100.00 STREETLIGHT FIXTURE 6 STANDARDS EA. 2,000.00 STREEILICHT FIXTURE ON EXISTING UTILITY POLE EA. 500.00 DIRECT BURIAL CABLE - AWG 0 fi L.F. 2.00 ELECTRIC CABLE IN Ik" Caly. Sceel Condaic L.F. 10.00 FIRE WELL - fi" Submersible ca 150' EA. 5.000.00 FIRE WELL - b" Subme rs Sble co 500' EA. 6,000.00 *ADOPTED DECEMBER 23, 1991, BY SOUTHOLD TOWN PLANNING BOARD v ~~~on~ OEC 17 1991 D SOUTNOLD TOWN ~C3 sr~"F - y~. • ' P~s~ - ~ JUDITH T. TERRY ~ti~ ' Town Hall, 53095 Main Road TOWN CLERK - 117 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS = ~ J Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 r,' Telephone (516) 765-1801 e OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JULY 30, 1991: RESOLVED that the Town Board of the Town of Southold hereby orders that, effective immediately, passbooks shall not be accepted as a performance bond for any reason whatsoever; the Town of Southold will only accept cash, Letters of Credit, or Performance Bonds from a recognized bonding company. G~~a~c,G~s~G Judith T. Terri!/~~ Southold Town Clerk August 1, 1991 nor 617.21 S EQ R - Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed [o 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 [o be considered small to moderate or whether i[ is a po[en[ially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE-Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ? Part 1 ? Part 2 ?Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ? A. The protect 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, F 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 Ite prepared. • A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signatun• of Responsible Offic'cr in lead Ai;rncy Signatureol I'reparer(Ifdiffrrentfromresponsibleofficer) Oate 1 - •w PART 1-PROJECT INFORMATION 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< -az part of the application for approval and may be subject to further verification and public review. Provide any additionz information you believe will be needed [o complete Parts :and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involvt new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify. each instance. NAME OF ACTION LOCATION OF ACTION (lnclutle Street Atltlress, Municipality antl County) NAME OF APPLICANTIS PONSOR i 6USIN ESS TELEPHONE ( 1 ADDRESS CITY/PO i STATE I ZIP CODE NAbIE OF OV/NER (II tlillerenp ! 6U61NESS TELEPHONE I ( I ADDRESS CITYIPO ~ STATE I ZIP CODE OESCAIPTION OF ACTION Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ?Urban ?Industrial ?Commercial ?.3jesidential (suburban) ?Rural (non-farm ?Forest ?Agriculture ?Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE ~ PRESENTLY AFTER CO~~tPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Kock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: ?Well drained 40 of cite ?Modcratcly well drained °.o of site ?Poorl~~ drained `;o of site b. If any agricultural land is involved, how many acres of soil are rlassifir•d within coil group 1 through -t of the NYS land Classification System? acres. (Sec 1 NYCItR 3701 4. Arc there bedrock outcroppings on project sitr? ?Yes ?No tea. What is depth to bedrock? (in fccU 2 Approximate percentage of proposed project site with slopes: CO-1046 96 GlU-1546 _ ?15%'° or greater "6 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ?Yes ?No 7.-Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ?Yes ?No 8. What is [he depth of the water fable? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ?Yes ?No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ?Yes ?No - 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ?Yes ?No According to Identify each species - 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ?Yes ?No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ?Yes ?No If yes, explain 14. Does the present site include scenic views known to be important to the community? ?Yes ?No 15. Streams within or contiguous [o project area: 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? ?Yes ?No a) If Yes, does sufficient capacity exist to allow connection? ?Yes ?No ti b) If Yes, will improvements be necessary to allow connection? ?Yes ?No 18. Is the site located in an agricultural district certified pursuant to ~\gricul[ure and ~~larkets Law, Article 25-AA, Section 303 and 304? ?Yes ?No 19. Is the site located in or substantially contiguous to a Critical Enviromnental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ?Yes ?No 20. Has the site ever been used for the disposal of solid or hazardous wast45? ?Yes ?No B. Project Description ' 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor acres. _ b. Projec( acreage to be developed: acres initially; acres ultimately. c. Project acreage to remain undeveloped acres. d. Length of projr-ct, in miles: (If appropriate) e. If the project is an expansion, indicate pen-en[ of expansion proposed 46; f. Number of off-street parking spaces existin{; propox'.d g. Maximum vehicular trips generated per hour (upon completion of projecU? h. If residentia l: Number and tvpc of hnusin{; units: One Family Twn family Multi{>le I anuly Condonunhim Innially Ultimately i. Dimensions (in feet) of largest proprned structure height: wiJth; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 3 'A \ - - 2. How much natural material (i.e., ruck, eanh, etc.) ~.vill be removed from the site? tons/cubic yards ' ~ 3. Will disturbed areas be reclaimed? ?Ycs ?No ?NM a. If yes, for what intend_~ purpose is the site beinr; 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? acres. S. Will any mature forest (over 100 years old) or other locally-important ve,etation be removed by this project? ?Yes ?No 6. If single phase project: Anticipated period of construction 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? ?Yes ?No 9. Number of jobs generated: during construction ;after protect is complete 10. Number or jobs eliminated by this project 11, Will project require relocation of any projects or facilities? GYes ~ ?NO If yes, explain 12. Is surface liquid waste disposal involved? ?Yes ?No a. IF yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ?Yes ?No Type 14. Will surface area of an existing water body increa~e or decrease by proposal? ?Yes ?No Explain 15. Is project or any portion of protect located in a 100 year flood plain? ?Yes ?No 1(i. Will the project generate solid waste? ?Yes ?No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? ?Yes ?No c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ?Yes ?No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ?Ycs ?No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? yenrs. l6. Will project use herbicides or pesticides? ?Yes ?Nn 19. Will project routinely produce odors (more than one hour per day)! ?Yes ?No 20. Will project produce operating; noise r~xceedint; the local aurbient noise levels? ?Ycs ?No 21. Will project result in an increax• in rn~•rgy u,~~? ?Yes ?Nu If yes ,indicate type(s) 22. If water supply iti from w~~lP., indicatr {nrmpmq eapaerty gallons/minute. 23. Total anticipated water usago per day gallunslday. ~ 24. Does protect involve Local, State or federal (undini;r ?Yes ?No If Yes, explain 4 'A ' 25. Approvals Required: Submittal Type Date City, Town, Village Board ?Yes ?No City, Town, Village Planning Board ?Yes ?No City, Town Zoning Board ?Yes ?No City, County Health Department ?Yes ?No Other Local Agencies ?Yes ?No Other Regional Agencies ?Yes ?No State Agencies ?Yes ?No Federal Agencies ?Yes ?No C. Zoning and Planning Information l . Does proposed action involve a planning or zoning decision? ?Yes ?No If Yes, indicate decision required: ?zoning amendment ?zoning variance ?special use permit ?subdivisiort ?site plan ?newlrevision of master plan ?resource management plan ?other 2. What is the zoning classifications)of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? 5. 1Nhat is the maximum potential development of the site if developed as permitted by the proposed zoning? C 6. fs the proposed action consistent with the recommended uses in adopted local land use plans? ?Yes Cho 7. What are the predominant land use(s) and zoning classifications within a mile radius of proposed action? 8. Is [he proposed action compatible with adjoininglsurrounding land uses within a mile? ?Yes ?No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of'9evver or water districts? ?Yes 17No 11. WiII the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ?Yes ?No a. If yes, is existing capacity sufficient to handle proj<~cted demand? ?Yes ?No 12. Will the proposed action result in the generation of traffic significantly above present levels? ?Yes ?No a. If yes, is the existing road network adequate to handle the additional traffic? ?Yes ?No D. Informational Details Attach any additional information as may be needed to clarify your protect. If there arc or may be any adverse impacts associated with your propo+a 1, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information providrd abov~• is Iruc to Ih~• best of my knowledge. Appliautt;Sponsor Name Date Signature Title I( the action is in the Coaslat Area, and you arc a stale agency, atmplele the Coastal Assessment Form before proceeding with This assessment. 1 5 - +w y+ JPAN W. COCHRAN l,(IO~OSUFf t,(~L+O'i~f 5uporvieor LALTitY L. DOWD Gy~~, Town r-Intl, F3095 Mnin Bond 'TOWN A'1"I'ORNF.Y vii .TZ' P.O. Box 1179 Southold, New Ym'Ic l 1971 r~ y~ ~ li~ 'Celophone (516) 7G5-1.$R9 7~ `a I I'nx (61G) 7fifi-1.R'L7 ~ ( I%FICI' OP'I'FI 'C( WN A'I"I'OILNhY 'T'OWN OP' SOUTI-TOLD MEMORANDUM TO: Town Board Board of Assessors Planning Board Zoning Board of Appeals Trustees Board of Assessment Review FROM: Laury L. Dowd, Town Attorney DATE: August 21, 1997 RE: Transactional Disclosure Form .Enclosed please find a Transactional Disclosure form, recommended by the Board of Ethics and adopted by the Town Board. This form should be given to all applicants seeking relief from your Board. The Ethics Board tried to make the form simple and understandable, so applicants should easilytie'able to fill it in. You should require afilled-in form with every application you receive, even if the applicant has no conflicts of interest. Please compare this form with any disclosure forms you are currently using, and substitute the new form if possible. Please set up a process for your board so that all forms which identify a possible conflict are circulated For board member information and review. You might consider circulating all forms, even those which do not identify conflicts. Please contact the Board of Ethics or myself if you have any questions about use of this form. I ~i , ~ ~~z.. ~ ~ I~! il ,~.li.) Z !g9T i, i. ~ r + ~~i nisi ~ ! APLLIOANq• ~-~ni~~~i ~ TRANSAC'1'i ONAh UISCLOSUIiR PORM The 'COWtI of Southold's Code of Ethics prohlblis conEllc is oC lnteresL on the pact of town ot[lcera and employees The purpose of this form is bo provide iufonna lion which can alert the town of possible conflicts of interest and allow It Co take whatever action is necessary to avoid same. Youu NANF,: I~A.C~ ~ (1).U"11- (LasC name, first name, middle Lniblal, unless you are applying Li the name oC someone else or ether entity, such as a r_ompany. IE so, lndLrate the other person's or company's name.) NA'CURR UP ApPLI C11T iOlI: (Check all that apply. ) Tax grievance _ Va dance Change of zone Approval of plat F.x ernptlon from plat or of H.c lal map Other (IE "Other," name the activity.) Do you persona.(ly (or through your company, spouse, sibling, parent, or child) have a rely tlonnhip with any officer or employee of the Tovn of Southold? •itelati wrslrl p" lncluden by blood, marriage, or business interest. "Ihralnese interest' means a business, including a partnership, in vhich the town of Eicer or employed has even a partial ownership of (or employment by) a corporation Sn vhich the town officer or employee Dune more Chan 596 of the shares. YRS NO If you answered "YES," complete the balance of this form and date and sign where indicated. Name of person employed by bhe 'PUwn of Southold Qn e 'Citle or position of that person ~OUJ~Il IA_lA)r(li lv_ 7.(~c,1(>jer Describe the relationship between yourse-l F"'~(`t~l"ie~applica~Utn t-) and the town officer or employee. ELther check the appropriate line A) through D) and/or describe In the space provided. The town officer oc employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); D) the legal or beneficial owner of any interest in a noncorpora to entity (when the applicant ie not a corporation); C) an off icer, director, partner, or employee of the applicant; or O) Che actual applicant. DGSCRI P'C ION OF RELATIONSIIIP - - ~~IL'Ull~, i,F(1. " ~lluml.(~,e~ ~ p,~on.(~ , " a b ueuRea/, ~C.r~a~ L im~~f~1711~ Submitted this 11(' day of ~ 199 Siqna lure ~J..C~K ~~`,Q1,,1,,11j(,L Print name ~I->ICK 1~r\WN AI•l'I,1CAN'C TRANSAC'CI'.ON A1. nCSCL0511RR PORN The '1'o wn of Southold's Code of L•bhics_pr olri bits conElic is of interest mr the park of town oEllcers and employees. The purpose of this form is to provide information which can alert the town of possible conElic is of interest and allow it to take whatever action is necessary _to avoid same. YOUR NANR: _ (Last name, First name, middle inltia 1, unless you are applying in bhe name of someone else or oth er entity, such as a company. if so, indtcabe the other person's or company's name.) NATURR OP APPLICATION: (Check all. that apply.) 'l'ax yrievaur_e Vaciance Change of zone Approval of plat Exemption Erom plat or of El.clal map _ Other (IE "O the r,•' name the activity.) Uo you personally (or through your company, epoune, niUllnq, parent, or child) have a celationship vl tlr any oEEicer or employee of the Tovn of Southold? 'Relationship^ includes by blood, marriage, or business interest. ^OUSinese interest" means a business, including a partners hl p, in vhich the town officer or employee has even a partial ownership o£ (or emp.l oyment by) a corporation in vhich the town officer or employee owns more than 5% of the shares. YES NO If you answered ^YES," complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Sou tiro ld Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or hla or her spouse, sibling, parent, or child is (check all that apply)r A) the owner of greater than 5% of the shares of the corporate stock of thr_ applicant (when the applicant is a corporation); O) the legal or beneficial owner of any interest in a noncorpora Ce enCil:y (when the applicant is not a corporation); C) an oEf leer, dtrecl;or, par l;ner, or employee of the a ppllcanC; or D) the actual applicant. DESCRIPTION OP RGLATIONSIIiP Submitted this .day of 199_ Signature 1'r I nl; name / / DETAIL 1 '=90' S- / / / / / / ? COVENANTS AND RESTRICTTONS:(-L''k~ 1) NO fURTHER SUBDiWS~ON is PERMmlEs OF E~ER LOT 1 OR LOT 2 IN P~PE~I~ 2) LOTS I · 2 SHA~ SE ACCESSED BY ~E EXIS~NO CUrB CUT ~ MAIN ROAD AND ~E EXISqNO TYPICAL PLOT PLAN R-40 RESIPENCE 40,000 5(~,FT. 1,4ATER MAIN STREET PROJECT NO. TESTHOLE# 1 KEY MAP M3/ol 17' 1" : 600' 00--0984 SEE DE FAIL SUFFOLK COUNTY OEP,~'II, ENT OF HEALIH SERVICES HAUPPAUG[, N.Y. DATE HAR This is to certify that the proposed Reolty Subdivision or with o totol of ~ lots wos opproved on the .bore dote. Woter Supplies ond Sewege Disposol Focililties must conform to construction stondards effect ct the time of construction ond ore subject to permits pursuont to those stondords. This opprovol sholl be volid only if the reolty subsdivision/ development mop is duly filed with the County Clerk within one yeor of this dote. Consent is hereby given for the filing of this mop on which this endorsement oppears in the Office of the County Clerk in occerdonce with of the Public Heelth Low and the Suffolk 6ode, Vito Minei, P E, Director, Division of Environmental Quality SEPTIC LOCATIONS OF HOUSEHOLD SYSTEM PROVIDED AS PER MORRIS CESSPOOLS METES OF SUBJECT PREMISES AS PER DEED L, 7468p529 DATED 8/07/1975 REVISIONS ITEM H,D,/TOWN COMMENTS HEALTH COMMENTS HEAL~tCOMMENTS DATE THIS SUBDIVISION SECTION 51 IN TAX MAP. SITE DATA: AREA: 5.43 AC WILL APPEAR IN DISTRICT 1OOO ON BLOCK 15 OF THE SUFFOLK COUNTY ELECTRICITY: bi.P.A. WATER: S.C.W.A. FIRE DISTRICT: EAST MARION POST OFFICE: EAST MARION SCHOOL DISTRICT: OYSTERPONDS ZONED: R/FO RESIDENTIAL USFD OWNER: VICKY PAPSON 65 REVONAH CIRCLE STRATFORD CT 06905 I HEREBY CERTIFY THAT THIS PLAT WAS MADE FROM AN ACTUAL SURVEY COMPLETED 11/21/2000 ; THAT THE MONUMENTS HAVE BEEN SET AS SHOWN AND THAT THE LOT(S) ON THIS PLAT ARE ALL IN CONFORMANCE WITH REQUIREMENTS DISTRICT R40 RESIDENTIAL HAWKINS, WEBB, JAEGER ASSOCIATES P.C. I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR DISPOSAL SYSTEM(S) FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION. BASED UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL, SITE AND GROUNDWATER CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CONSTRUCTION ST>NDA,~._.,~FECT AS OF THIS DATE. WILLIAM L. JAEGER I1 ill N.Y.S, LICENSE NO. 0461~ R E,, L.S. APPROVED BY THE TOWN OF SOUTHOLD PLANNING BOARD. DATE: CHAIRMAN: SECRETARY: LAND DIVISION MAP FOR PAPSON EAST MARION, SOUTHOLD Nh SUFFOLK COUNTY, NEW YORK MAY 1 2 2004 Southold Town DRAWN BY: RAD DATE: 12/27/2000 S.C.T.M. NO. 1000--..~1--1.,~--7 FILE NO. 00--0984 \ \ DETAIL 1'=50' 0 / ? / / COVENANTS AND RESIRICTIONS:[~Jber ~KPICAL P10T PLAN R-40 RESIPENOE 40,000 ~C~.FT. STR~ST PROJECT NO. TEST HOLE # 1 K E Y M A P 1/5/01 EL=19.4' 17' 1" = 600' 00--0984 / / SEE ~ ' -o / s,Is r.'~ /~ APPROVED BY PLANNING BOARD TOWN OF 50UTHOLD 8EP ]. 5 2OO SUFFOLK COUNTY DEPARNENT OF HEAL~ SER~ICES HAUPPAUE, N,Y, DATE MAR ! 2 200,~ SEPTIC LOCATIONS OF HOUSEHOLD SYSTD4 PROV~DED AS PER MORRIS CESSPOOLS METES OF SUBJECT PF, EMISES AS PER DEED L. 7468p529 DATED 8/07/1975 THIS SUBDIVISION SECTION .31 IN TAX MAP. SITE DATA: AREA: 5.43 AC ELECTRICITY: L.I.P.A. WATER: S.C.W.A, WILL APPEAR IN DISTRICT 1OOO ON BLOCK 13 OF THE SUFFOLK COUNTY FIRE DISTRICT: EAST MARION POST OFFICE: EAST MARION SCHOOL DISTRICT: OYSTERPONDS ZONED: RdO RESIDENTIAL USFD OWNER: VICKY PAPSON 6.5 REVONAH CIRCLE STRATFORD CT 06905 I HFREBY CERTIFY THAT THIC~ °LAT \~/AS MADE FROM .AN ACTUAL SURVEY COMPLETED 11/21/2OOO ; THAT THE MONUMENTS HAVE BEEN SET AS SHOWN AND THAT THE LOT(S) ON THIS PLAT ARE ALL IN CONFORMANCE WITH REQUIREMENTS DISTRICT RdO RESIDENTIAL HAWKINS, WEBB, JAEGER ASSOCIATES P.C. I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR DISPOSAL SYSTEM(S) FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION. BASED UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL, SITE AND GROUNDWATER CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CONSTRUCTION STA)NDA~_~______~FECT AS OF THIS DATE. WILLIAM L. JAEGER II ~ J/ N.Y.S. LICENSE NO. 04614~ P.E., LS. APPROVED BY THE TOWN OF SOUTHOLD PLANNING BOARD. DATE: CHAIRMAN: SECRETARY: This is to certify that the proposed Realty Subdivision or s total ofe.~..~ lots was approved on the above date. Water Supplles and Sewage Disposal Facililties mast conform to construction standards in effect at the time of construction and are sub]ed to separate permits pursuant to those standards. This approval shall be valid only if the realty subdivision/ development map is duly filed with the County Clerk within one yeor of this dote. Consent is hereby given for the filing of this map on which this endorsement oppears the Office of the County Clerk in accordance with of the Public Health Law and the Suffolk Code. ITEM REVISIONS DATE LAND E lAP FOR PAPSON EAST MARION, SOUTHOLD SUFFOLK COUNTY, NEW SURVEYED BY HAWKINS, WEBB, JAEGER ASSOCIATES P.O. -- CONSULTING ENGINEERS ~c LAND SURVEYORS PORT JEFFERSON, LONG ISLAND, NEW YORK V~LLIAM L, JAEGER II N,Y,S, LICENSE NO, 046148 P,E,, SCALE: AREA: DRAWN BY: RAD DATE: 12/27/2000 S.C.T.M, NO. 1000--31--13--7 FILE NO. 00--0984 Vita Mind, P,E, DTrector, DTvlsion of Environmental TAX MAP.'- ELECTRICITY:,, L.I.P,A. , wATER: S.C.W.A.,, ,, : , F'IRE DISTRICT: EAS~ MARtQN SCHO L DIS~:R'ICT: O ----''----ZONED; R4( OWNER 6 ', 'LOT(S) oF RE RE~UI , HA'WKINS; '~EBB. ' J~EGER BY' ME" Dp UNDER: G R O U N D W~TE R' C O~ APPROgED BY THE' DATE:, ' METES 0F SUBJECT PREMISES DATED 8/07/1973 REVISIONS ' , ,~ ' ,,