The URL can be used to link to this page

Home My WebLink About1000-19.-2-5 .. .. D LD y Southold. N.Y. 11971 (516) 765.1938 March 26, 1986 Mr. Anthony B. Tohill Attorney at Law P.O. Box 744 Riverhead, NY 11901 Re: Katherine and William Heins proposal for a set-off at Orient Dear Mr. Tohill: The following action was taken by th eSouthold Town Planning Board, Monday, March 24, 1986. RESOLVED that the Southold Town Planning Board refer the following recommendation to the Board of Appeals regarding the set-off proposal for Katherine and William Heins located at Orient: The Board is opposed to this proposal to set-off 18,984 square feet from 48,839 square feet, and recommends that the premises remain as one lot. However, if evidence is found, upon review by the Board of Appeals, to substantiate granting of a variance, the Board requests that the proposed lot line be relocated to provide for an even split of the property. If you have any questions, please don't hesitate to contact our office. Very truly yours, Be n fU tt r{){OW(J ICtJ ~cL n,::V BENNETT ORLOWSKI, JR., CHAIRMAN SOUTH OLD TOWN PLANNING BOARD By Diane M.Schultze, Secretary cc: Board of Appeals +{ E:.J tJ ~ 24 t1A= E::>LD - ~J!o,.VIOL>6L..Y ~""<::>I<.I::;' P.;,'( t:e.EJ;;, IN _ (co'5o (,:::"r:::, NOT" K'e..c.IE.\le,. pe, APPJZ.OVA0 - Doe.$ ~or MaT C;;U"''''e:.J'T"" c>e- ~lVse.c =~'~G -1r/5U/<ACJe.I.h- A/::eA f kJ-r- \'.1,'.>..... - P--OUI.1DA""'ON -t1A5 ~ ~-rA~ . . c-\\HDLk " P!~. D ,f:f2.,' ~ . ~ T~~~D ."'IlJ. t.l& 'fI,iS Southold. N. Y. 11971 (516) 765-1938 March 5, 1986 Mr. Anthony B. Tohill P.O. Box 744 Riverhead, NY 11901 Re: Katherine and William Heins Minor Subdivision proposal Dear Mr. Tohill: The Planning Board reviewed the file for the above mentioned subdivision at the Monday, March 3, 1986 meeting. It was the consensus of the Board to conduct a field inspection of the premises prior to any further recommendations or action. If you have any questions, please don't hesitate to contact our office. Very truly yours, ~~ C:rLau.n.h.J ~~ BENNETT ORLOWSKI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M.Schultze, Secretary cc: Board of Appeals . . ANTHONY B. TOHILL. P. C. FE8 20 1986 ATTORNEY AT LAW 9tJ ~?44 0' &d~.A-t - ~i L-<.A:W //.9t'/ 1516 727-6383 February 18, 1986 Ms. Diane M. Schultze, Secretary Planning Board Southold Town Hall Main Road Southold, NY 11971 Re: Katherine and William Heins Minor Subdivision Application 34685 Main Road, Orient SCTM: 1000-019-02-5 and 6 Dear Ms. Schultze: My client has inquired with respect to a likely calendar date with respect to the captioned matter and in stopping in at Town Hall had been advised by someone there that the matter is not even a filed application. You and I have corresponded on this application on January 10, January 16, and February 6 of this year. The application should be acknowledged as filed subject only to a calendar date. Could you advise, first, whether the file is intact and complete and, second, when it may likely be coming up on the Planning Board calendar. I don't need an exact date but merely an estimate. Thank you for your usual courtesy and cooperation. Very truly yours, ~ Anthony B. Tohill ABT:pk ~t:~o-~ . . ANTHONY B. TOHILL, P. C. ATTORNEY AT LAW FEB 7 1986 g; tJ. ~ 744 0' ~.L;.. ~ - ~~_L-< .A/W //.PtJ/ 1516 727-6363 February 6, 1986 Ms. Diane M. Schultze, Secretary Planning Board Southold Town Hall Main Road Southold, NY 11971 RE: Katherine and William Heins Dear Ms. Schultze: In accordance with our letter of January 16, 1986, enclosed are 12 copies of the survey on this matter with all your requirements thereon. Also enclosed are copies the deeds to the premises. I will appreciate your now reviewing these documents and providing us with the date this matter will be on the agenda. Please provide this information as soon as possible as my clients are most anxious to have this matter put on the agenda. Thanks for your assistance. Very truly yours, tv- Anthony B. Tohill ABT:pk Encls. "'" '.-;'_:i~'f1il/C-~)iii"i"":';3~"'~;0'-'Uii,,jJii~tl>'\:~:',' :''*'; ," -- ------. -.' , i I (\ l) ! ~^ ; --"9 , ).. r.,--.----..--.---- ' :::- \ ~ \\' \ o . , ~ ~';""-" ~ l'1 -,.. :};'" I \1,.,.;,,~ ,- I . ~ I K. g y tv1 A P -Ai!i:"J i ~C. 8ao'#,,, \ " ---------- ---. - --- .....---.----.\ Pg,OPQ-SED 5Er:.OFP -MAP'OF'PROPERTY SURVEYEP FOR K I".i TH.~I5./ /Y..#!f__ f! g:ll'! ~ ,...",..,0 AT ';';'Q /ii:, I ~ NT f=t:; INT 7:Q,lUrIV OF 50LJiHOL-.D !i"'c...l f)'f ~ . ..", ," con,'4i1fj/p"F"Ot.K CO., N ."": i"', 1 ~.'. (\. ',.'; ",',' ~ \ ~~/-~ \ ~ ~ () t( 1. - "- t ~ ~ (j i ! , , t , l-:E 1--1: Ii \ H. e/ 1:4;: . ~o I':~ 7"'Crr~~__./~lZ.eA :4:.&,133 '7 S1ft:~t "i$ Mopped f'O-iiI!h:~' /986 (i,;: RC1i'V;~~:t.{;Jt R~. . "~ t..iC-Imred '-<1Ind'.Sul'vc:yors ~_~ G'-"'~r1f?P,..tJ N. y. ~ lOX PCfrce/:loOO-Ol,-z-~1t6. ~\; FEB .:!.~ . ~.2. ~,a:.:t. ?....e.c::> -'''--~ /0- ..' ' '" '" -i ~ - ~ ~ ~ :..: IV ~ } ~ '\.. ~ ~ ~ 0 " 'l}. .N ~ g ~~ lJ\ 'Cl '1:)' 0 t '. ,0 ~ 'k i. II' , . ~ ~ Z 9, 85'S oS' 1- ft.. ~ ~ . ~ .... ~/ ~ <:::> ~~ hG~eQ" ",hail run )" i_.,~ ~.Jhf.lrn thg $;urvey .-n his o.O'I:'.'llf to the ,,, .,,,,,,,,,,t.',g,oc.sc.ale 5() = I 1L,;'':!d tlar90n flnd ,1 .iv; i",i',djng insti-. . "';': net trllll.able.::; ,,..,, DI ~ :',"~ "r ;;ubSl3('1UMt r r - f.". I::;: \.,', Si.ilfcit.. CO. 7 1986 p~,;.,. ~ ~ ,.. ~ t " "- , i ~ , ~ , \ ~ I ~ ,,' N I \\ I I ! I I I 1 I I I i , ! I / r '. .-r". '" \II " ~ - ~ >.. -.y~ ~ i. ,; ": ~ :::- 1') ~ .. toI " ~~r.:.~>'~. .~ _'w' ''''-~'''''''''.f':~~~__1i,,~~...;jl,.{. "..""._.~~._~ - Mopped p;-~h: 4, 1986 fZ.cd~?I.lcJ: V'4ff 11.1111, P! C. Alto' V oS "7:'~ ------ ._.-._._-~._-~. -" - I../clmre-d L"ndSuf"V{!.'Yors __ G'-"~;?fI"rt~ N. y. Ce;. r4X Pc'fr~el: 100f) -0" -]1,-!i Ii (J. ------e--------- - - --- u_ '\ \ " . R,u iw.s jIII. ,wf'i,,/I /:r.$ f. \ " ____h_.__ ~/ ~~'\ l ~ I (.) t( 1. - 't. ~ 14 ...\ CJ r-~----------- I - I : \~ \ . 0,'0. ,\ I ",\ ".O"~--., I "', II I -; ~~'.,: i, K.:. e y IY1 AF' - AiI:;;;'j .:Jc.800'tII'" \ P/20POSED Ser:.OFF MAP-ciFPROPE~TY SURVEYED FOR. K~ T I-f J=.. ~(IY.... ~_ H E:..~!'I ~ _ AI In->1"'~horn'!'d a'rq'"./I'if>l\ or .edd,tion -"'!"""""Ii..vi~<C>J &::N-r- r:::.-,~A IT _r.tlannOOofth8~M~- I ,---v,/v dj,{C9tkm L..cw. "'of"'l!I.u"""m;r~~ OF .sovrHcn..D e lend !urveycr'e IntMi Belli iL. ,_ -..../ m.........leh"llm.be_,.-Ol-K Co"N. ,. bIi of. \laUd true C1;Ipy. U<!r6ntNG indicated hereon l!IhaH run \" 10 t~ p$n;on for whom the survey "'_-ed. end on hi. ""hoW.o!110 I ~ '" , = / " kJ compeny, COb'WnmentGI 5g~ e ...;I '" .~ inetitutlon IilJied hereon GOO the asgigr:ae~ of the len6i~~stf~ _ . f!ion., GUG'-ShtOO", are n01 tr _ r" ,,..,, pi De. W'J~;c'Cl.'if~ ,nstitutions or subto.Jquent r- ,FEB ..e~ . ~..e. /9./1.~.;r.. 7~_~ -- ----- 10-- . ~ ~ 85'S- S'f.jt. .. ~ 29, '" ~ rv 'I " } ~ '" ":i ~ \;) 0 ~ '} .Iv. QJ a \D IJ\ -c ftJ' 0 "- ~ 0 0 L ~ ~ '"'"9~ \, \ -" \ . 'cf4 "-C-rA... AIZE:!A: .w./fCIt. 'j 1986 N p~$+ ~ ~ f ~ \ , \ "- "- ~ ,t d ~ '- lIj ~ , ~ 11)' I \ {. I ; i-J f:.l. ; ,~ e/ ig:< .. .,SA ';l. -0 I: +.8,83 $< S1lt..f~ .~ - - " ';,,:;:, r \ ~, , , I- - (,1' \ --\ \ .--..---.--....---.- '\ ~.. , \ \ \ \ \ , \ '\\ f !/ 1/ J .~--~-_. , "- " \ \ ~ ~ ~ rt. 1.. - " t C4 j \) Ruf't-I.$ w, Iwtn;/I &:.$ t. :.........:..........,;..;'.- .OJf~',;;:~.\.;..:",~~"'~",,~ .. ... ______. d"_ \FEB .z~ /9~..t:.:Jt.. ""Ia- .~.z .,.~.O '" \n t t.,y,:dr/Y,;..:":l . 'f....r ~ ,: ... , . <::l ~ VI ~ . ~ , Z 9.. 855' Sf-ft.. . ~ ~ >- -.--- -.:y ~ ~ \~ '. .,..6.... .', ';lIo,' 0"'- ...... ~ 'II -' \ '~\ii,.f' , -'t.. :\: ' . ,., , 'tf K.S'Y MAP - "H . ~o""J .$c. 80.0'0 ," \ '\ rl \-------..---......----.....--....---, "- .. 'ff1J!h$~~%:;~r; ~ SURVEYE"~ FOR KATHERINE: HEINS ~ ~ '"'9~ ~inq~rthOl"i;<"~ el~~61:iQ!'\ 0"- 12d<::1it'{lfl; A T ~l;:"'~~;~?~':'UJ;tG: NT PoINT Edvcetlon Low. CopI"of""""~~"4F .sOL/-rHOI-D the lend $t~r':>'evo~'9; iilk~ ~,,! fC~ .m_ ...I.l>e!! no' h......,.-....O' .,. ~ N ~ to bG B VI.id ttl:$ C~iJY '<oi;;lr.;,;rr-r- c -,...... c,..... 0., . ,. ~ ~ ~ ~~ tv \J ....... } 'k ~ 1') ~ I\) 0 ~ ~ .N Q) 8 ~ 0\ --Q f{)' . ~ ..... f. 0 ! 7 ',,;;lC. l",,'ld;~ POf;+ '--, ~ "'. ~ "- " , ~ J ~ N " I I I I I I 1 I I ' .t .i 1'.'j.1 I. ;. I ':., I-i' If" I.,.," 1- 4-8.8'3 '7 S1-ft::t:..r.., ~- . *..:", . . j: ~I .......ll..' ,. ~' :',..,j .. 'f ...... ~. 1#-. ;'1 !: . 'j ~. -t r-O-rA~ AIZt?A: II) ~ , ~ 11)' e/ . .$J .0 Mo,Pped F'eh.4, /986 Rcde~/cJ: V~.n/tjl, I-?c. ..e. V d . / #. i:f... -...- + --------- - ,.- '-;c8nr~d Ldlnd.surv~yors G'-"~Y1Iu:;'rtJ N, y. $i.i{fC1t.. Ce. 7"ox P.:rrce/:/OOO-O/9-Z-5't6. Gu~n;ntG08 Jndic~tf><:: har~oi1 ,.h:!!~ :nn MIl' 10 t~ ~r$O~ for v'!1:3J71. t"j'9 :"l.:tv~}V ~ pr~aC. Il:nd O'i hr.') {'N"!::J1f 10 t:~(" 1itJo .corr:P<~~~'. ~t"lV9;T;m:mtsJ .,;~'hQ,'o'.lJ Sj"/'J , = / 1/ lendln{l mf'tltut!On Jjg'iwl h<'l~")Gr;'~ e v to thEo t'~s'gi"'''J1'",' c.f t:u, j~,',cj!1ti !n~ti- t~t:~~:',G"UC;':~i~h~;_~ lb;> rr0~~nr,::.1" . C"" ":'_ ,- .' ",,',",'H ",":!,tp"5!"'_"1<<r~n pi ~e . ;.;-\- . . Southold. N.Y. 11971 (516) 765-1938 January 16, 1986 Mr. Anthony B. Tohill Attorney at La P.O. Box 744 Riverhead, NY 11901 Re: Katherine and William Heins Dear Mr. Tohill: We are in receipt of your correspondence of January 10, 1986, and will place your name on file in reference to the above mentioned subdivision. The application filed by Mr. and Mrs. Heins was complete with the exception of the surveys, and a deed. Would you please forward 12 surveys with the following information and a copy of the deed: 1. contours 2. key map 3. a scale of 1" = 100' 4. an indication as to which lot is to be set-off with square footage and metes and bounds of each proposed lot. 5. Name of owner and adjoining owners 6. County Tax Map Number Upon receipt of the above mentioned items, we will schedule this on the next available agenda and advise you of same. If you have any questions, please don't hesitate to contact our office. Very truly yours, Bml'Lttr O~J ~~ BENNETT ORLOWSKI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD 'R", n;:::lT'lC M C,...'hnl.............. ct"'\,....,........+-~.,..."7 . . ANTHONY B. TOHILL, P. C. ATTORNEY AT LAW "-ll\l\111 A '"' t"l...,.."" ~m l:~ pin] ~ t7. ~ 744 d'&.u-~~-~... L/.. f~ 1'1'.9t71' l516 727-8383 January 10, 1986 Ms. Diane Schultze Planning Board Southold Town Hall Main Road Southold, NY 11971 Dear Ms. Schultze: I have been retained by Katherine and William Heins in connection with their application to reseparate two lots at 34685 Main Road, Orient, under Suffolk County Tax Map number 1000- 019-02-5 & 6. Could you please place my name on the file and advise me of the proposed hearing dates. Very truly yours, ~ ABT:pk Anthony B. Tohill CT~ (-\1.0 -~ . . D;-E~{" r~ (' "(\'1" L "\J i"II.'", Southold Town Planning Board Town Hall Southold, New York 11971 Re: Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads. (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, /~r'~ . . APPLICATION FOR APPROVAL OF PLAT JEC ~'. (j !98~1 To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the South old Towll Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under applieation')l / _ . 2. The name of the subdivision is to be .?~~...~......._ ............................................................................................... 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) - 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber ........................ Page ...................... On . . . . . . . . . . . . . . . . . . . . . . . , Liber ........................ Page . . . . . . . . . . . . . . . . . . . . . . On ........................ Liber ........................ Page ...................... On ......................., Liber ........................ Page On ........................ Liber ........................ Page ...................... On ........................ as devised under the Last Will and Testament of ....................................... or as distributee ......................... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ ............................................................................................. 5. The area of the land is ...f.. !~.. acres. 6. All taxes which are liens on the land at the date hereof have been paid except ~ ./f.,f r .............................................................................................. 7. The land is-encumbered by .. .~.................................................._ mortgage (s) as follows: (a) Mortgage recorded in Liber .............. Page . . . . . . . . . . . . . . . . . . in original amount of $. . . . . . . . . . . . .. unpaid amount $ ..... . . . . . . . . . . . . . . .. held by ...................... . . . . . . . . . . . . .. address ................................................................ (b) Mortgage recorded in Liber ......... Page ...................:... in original amount of. .. .. .. . .. .... unpaid amount $. ... .. . .. .. .. .. .. .. ... held by ...................... . . . . . . . . . . . . .. address ............ _ . . . . .........,...'................................ . . (c) Mortgage recorded in Liber .............. Page ................ in original amount of .............. unpaid amount $...... . . . . . . . .. . . . . ... held by ...................... . . . . . . . . . . . . . . . . . . . . .. address ......................................................... 8. There are no other encumbrances or liens against the land except . .~. . . . . . . . . . . . ........................................................................................ 9. The land lies in the following :zoning use districts ..A.~........... ........................................................................................ 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, eX4 f)tp, cept .................................................................................:. 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (6~) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Water mains will be laid by ........................................... _............... and (a) (no) charge will be made for installing said mains. Electric lines and standards will be installed by ..;/! J. .e. . . . . .. .. . . .. .. . . ., .. . ... 14. and (a) (no) charge will be made for installing said lines. 15. Gas mains will be installed by ............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . and (a) (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public streets in the Suffolk County Highway system, annex Schedule HBH hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold Highway system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the land \vhich are not located and shown on the plat. 19. Where the plat shows proposed streets which are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing maps at their conjunctions with the proposed streets. 20. In the course of these proceedings. the app ticant will oifer proof of title as required by Sec. 335 of the Real Property Law, 21. Submit a copy of proposed deed for lots showing all restrictions, covenants, etc. Annex Schedule '~D". ~ . . 22. The applicant estimates that the cost of grading and required public improvements will be $. . . . . . . . .. as itemized in Scbedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at ............ .. years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE .)f!...:I.~..,..y"j-:'......, 19.... . .ta.7A.-e.XJ .?7..9.. ..H (/?(f... ..... (Name of Applicant) BY>'-,~~", !.leU~......... (Signature and Title) ...914!~:../Y......~... (Address) STATE OF NEW YORK. COUNTY OF . g~. If\- . . .. . . . . . . . . ., ss: On the.. .3.M..... day of... .J). l<;<:".-e. ~h.'?Y......., 19.8:5., before me personally came ....... .K~Cf1l.e.r.I:N.e.... .8. t:.,.'iV).. to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that. . . .~k. .. executed the same. ~r'::';60~ .~../:~rr!~.... Tn EIlIlIIIlIa'ch 3O.1~~' , STATE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . .. ss: On the................ day............ of .............., 19......, before me personally came . . . . . . . . . . . . . . . . . . . . . to me known, who being by me duly sworn did de- pose and say that. " .. . . . . ... resides at No. .................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . that .......................... is the .......... of .......................................................................... the corporation described in and which executed t he foregoing- instrument; that ............ knows tbe seal of said corporation; that the seal affixed by order of the board of directors of said corporation. and that ............ signed .............. name thereto by like order. Notary Public ~+16-4{9f~} ft ~~ . ROJECT I.D. NUMBER NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF RECULATORY AFFAIRS State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only DEe 3 0 19$~ PART I Project Information (To be completed by Applicant or Project sponsor) 1. Applicant/sponsor 2. Project Name 3. Project location: <"" .i/ P' Monicipality c/ ~--C/..- ... Is proposed action: (81 New 0 Expansion 0 Modification/alteration S. ~roj cer- County 6. Precise location (road intersections, prominent landmarks, etc. or provide map) 7. Amount of land affect,d: Initially acres Ultimately acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? D V" D!!- No If No. dm,;be b,;efly ~ ~ f?;I ~ 9. What is present land use in vicinity of prOjecU (k] Residential 0 Industrial 0 Commercial Describe; o Agriculture o Parkland/open space o Other 10. Does action involve a permit/approval, or funding, now or oltimately, from any other governmental agency {Federal. state or 10calH (i1I Ve, D No If ye,. Ii.. agen,y(,) and pe'm;~app,"val, ~ ~ ~ ". Does any aspect of the action have a currently valid permit or approvall ~ Yes _NO If yes, list agency nam~ and permit/approval type (J~ ~. a2h~ 12. As result of proposed action wlH existing permit/approval require modificationl D V" D No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ~ ?/et~ Date JJ./2, 8) 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 PART II . . Environmental Assessment (To be completed by Agency) .. . A. Does action exceed any Type I threshold in 6 NYCRR. Part 617.121 o Y.. 0 No If yes, coordinate the review process and use the FULLJlONG FORM EAF. B. Will action receive coordinated review as provided for Unlisted Actions in 6 NVCRR. Part 617.7? involved action. o Y.. 0 No If No, a negative declaration may be superceded by another C. Could action result in ANY adverse effects on, to, or arising from the following; (Answers may be handwritten. if legible) C1. Existing ail quality, surface or groundwater quality or quantity, noise levels. existing traffic patterns, solid waste production or disposal. potential for erosion, drainage or flooding problemsl Explain briefly: C2. Historic, archeological. visual or aesthetic, or other natural or cultural resources; agricultural districts; or community or neighborhood character1 Explain briefly C3. Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly; C4. A community's existing plans or goals as officially adopted. or a change in use or intensity of use of land or other natural resources? Explain briefly. C5. Growth. subsequent development. or related activities likely to be induced by the proposed action? Explain briefly. CG. Secondary, cumulative. or other effects not identified in (1-<:61 Explain briefly. .-. C7. A change in use of either quantity or type of energyl Explain briefly. PART III Determination 01 Signlllcance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (cl duration; (d) irreversibility; (el geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ens~re that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. o Check this box-if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration. o Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this determination: Agency Name. Agency Preparer's Name Preparer's Signat'i.H"elT.itle Date n" 0' Z',., "'- . nn ~~ i>>!.. <" . /~~ nn < ~ ,r-""'~ ,r / ~""j-, JJ... /~/ I ./ ......./ ;~...~") /2" "" _J"" / 0:-----::":';" Y ~ -'::'-c' 'J! '~ ' ,. .........- l " , 0 '.. "r, I \ " , ~ I '- r :1 , C), V:l I 0 ...:: " .',' il ::~ c '][1 ' ,-,." -~;;: ~ ::~;.: ~ I :~ f\" . ~,;: ~ ~ 11 (; . ':~ 0 ":: ~~: : co .' .,- ~ _1.::.!;~ ,-~ .. '" ~ '" o ~ ". (' ,r \'0 " o ~ o S '", ~ ., S '- ----"" r~ ~ ,- ' "'J;J~ N> .. 0 . " , ' ~I " ;:; , - ~ I" .,', .... ." '.. '0, ~ ~ , , < ;; , I ) " ~. '" " __r", -l,,- ~-' ~.....'o'o" ~ ~ l_........" - - , . ' " t,~ I L ;r ..,.- o , ro o,J C.:l " ,.., - ......... Ii-: :.....JJ-.. -. ..~. " ~ ~.....,...,../.. ,...........: & n " . \ ----- >z ,'-, \ " '. ---: " " i I U ..: , e .. J~ ~ , - : . .n .,0 ~. ",. ...... ',\ " - . :~ E ; .~ .:> I. ~ : ; 0 E . . 0- ~. . " .\. ~\ \' '\ . \\ ' - '0' .---.,,, ' , ') '\ ---' ~ ..,i .-- :.::y- 'I J~ ' /P,~ ~ , ,,[ ,--- '...----' '\;,.1'1, '!II _/ n ~" . ------ " 9''' n' .N . N . . -,~- , . . .... ,/? /",' <- /,..~/. -.' E- .< lj',IIoTC, ....1''; SeE src, 020' -- J,~[ I 7l -c:>- I - ~ . > - ~ ~ _~ r- ~ ~ ? f;: '" <.,'-' 1 ': I A.., 0" . \(o~"';.-" ':J",;- ~ Iv ~...." oS / "./\ :." '~~ I..'" ~.' v ' t, q~ M;.' .,-,f . . FORM NO.3 . ~tC 3 0 \98~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ~.~k. .~.~......., 19 /f.~-' To ~'t.~..~..,..,.."... . ,~~. ~ ~.~. . .m ~. f::..4:, ,. .. .. . . .. .. .O~.J. N: ~:......,..,..,..... PLEASE TAKE NOTICE that your application dated~ ~.~. . ,~.~, . . . . . . " 19 , . . . . for permit to ~. ~'.~P:.. .X~...,........,.:.......,....... at LocationofProperty . ~~ .~.~~...... m~. .t..cd...,.".... .~~.. .!Y...l!:...... House No. Street ,.) Hamlet County Tax Map No, 1000 Section .... Q.I. ':\ . , . . Block .... .0. ..;;.. . . . . Lot ..?: t:.~. . . . , . Subdivision. . . . . , . . . . . . . . . .. Filed Map No. ,..,.."..,..... Lot No. .,.........".... is returned herewith and disapproved on the following grounds , .Q.;t~. ,.,L,. .~.~, /P.~ >,:lO ~:~~,~"~, .q,~..~~,\.~.<t~J....", ~~ 7JL" .~~~, .1.J:"fJ, -:",:q J. ,~."i. .6?~~(..U ,~~t..J!-... ~~.d, '~'~~'d,~,~.1" .Clfr'~"""""""'"'''' ................................................................................................................................ .. .................................................................................................................................... .. ................................ ..................................................................................................... ................................................................................................................................ .. .......................................... ..................................................................................... ..................................................................................... . . .\).:'~..~.~.l........ Building Inspector RV 1/80