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1000-94.-3-1.6
CONSERVATION SUBDIVISION N FOR RAMY S H UR WE SITUATE: MATTITUCK TOWN: 5OUTHOLD SUFFOLK COUNTY, NY S 5UFFOLK COUNTY TAX >< 1001 FIRE 015TRIGT No. 50 SGHOOL DI5TRIGT No5. G A „zw APPLIGANT: PEGONIG LAND TRUST orm�a��" < T yq< P.O. BOX 1-1-16 B SOUTHAMPTON, NEW YORK 11969 Y y-Dq' Yk� 4 SURVEYED h°0����'\ ,°y�O�• PROP05ED DIVISIO060-1-2006 ak' REVISED 05-31-2006, 09-16-2006 qof NyB l 0OD / SUFFOLK COUNTY DEPT. OF HEALTH SERVICES REFERENCE # 510 - 06 - 000-7 Q��hEq �rL� \� / ?- p)o� dm•A Sr W / HILL SUFFOLK COUNTY DEPAII OF HEALTH SERVICES to epmpoed eRealty 9vbdivltioa ar Develapmevt This is lh ca:hfvLLlhel �Q �O Q,S0 f with amodId Wcwu ✓���, ,; Sy . oPIT RIO t' 'l ��pppp¢¢oovN ®tho ebmo dote. Water Supplies evd Sawege DUPo•et � �' dschlveftect We husof 1 generaLo�" ,-' PseBides vmet confor W spusshucffie.b at lJy conmuctim mod am sultsot m eepenla permits t to thane A°o'+ <J �o �p saL R HEE e 2 0. abndards. This sppmval aWll be valid only if the malty •�'��' ''c" tt��QDoq fT"aney mbdiHalov/aevebpment map is duly filed withthe Camp elect wiWm e oncrearofthiadam.Ccovestishetebr givenforthe5lingof thiemsp 'A onwhich this mdommanta,,cm in the Office of the County Clarkin ea with vieiove of the Publle Dsadc Lawaodthe Suffolk Ana aNg may. •p• " HALF C� C ZA+ A wax o cs tory Wal" s VITOA.pudQ a,wds�o I)ft&fiup,.Divlsiov ofl3nviroemeegl Quality lily ev shy, w� pm`t ,-- S BJECTTOCOVENANTS&RESTwrT=s.inE91I8/rj %., �p Blocl: �ereeLt?ijpO PAGE -SoD y 99-.yAlJb" o. ° 0 2 Q No 3 s?sa d o o°E w k 2m� S g, �To .s fig° 6.�Pv6 i S eNpr�P °G To o P ^ z5T-lei 50 �°nF� �CN� m m06i P \ 2mKa o i Q J ta� APPROVED BY. 0 o PLANNING BOARD yom 9 o TQWN OF SOUTHOLD DATE 'OCT T,P N �o P�aP o 0" 6�W6 - Oe- PpyP - i° 9h �o 4 � pp o stim �� VolF z G -� qP O o�� 0 3 111 11114 4 o c ao �s GQ D q- 60 Test Hole McDONAI_D 6E05GIENGEa �5- 2 VSh G �O p po S? RAP FT zB' LATEL EI,F ART w g15�3 5,10 60 THE TC stay zc rIB NnTea EouNB OC SOC E"!L �O aR�TNE \pt` P q-T LQ�d oRx'cQ pop OF Np WhNN111 THIS 15 TO CERTIFY THAT T14I5 91BDIN510N PLAT HAS BEEN APPROVED BY THE PLAM 1115 TYPICAL PLOT PLAN BOARD OF THE TOWN OF 501TNOL0 BY RE50LOON DATED,__ SEPTIC- SYSTEM DETAIL NOT TO 5GALE not t0 50QI6 DATE._ 13Y IART Nan F.1 A-11-1 AID . — ROAD oa H 5 "I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR SEWAGELTTIR „ ; DISPOSAL 5YSTEMR) FOR THIS PROJECT WERE DF_SIGNED BY ME OR seam Tulw. d3 UNDER MY DIRECTION BA5ED UPON A CAREFUL AND THOROUGH STUDY GTERI OF THE SOIL, SITE AND GROUNDWATER CONDITION5 , ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY DEPARTMENT OF IEALTH MALA 5ERVICES 6ON5TRUOTION STANDARDS IN EFFECT AS OF THIS DATE." vE IMPENCTs salt WTHIN HALT 5 r Ur<Av-T ART n uEar��ALL., house s"e°Rc'Ier-FIL-WTHaenx NArea'L a NEfNQu of 4�p,El- D. Mqa OP ENo�xD EATEN �p4 ICO * � MICHAEL D M 5 NYSPE LIC :L1o501 la / Y w I^IELL DETAIL well e ° m not to scale t% HaLIT N OL,eal �Fp 070501 4,2 mBwuoe o" BE oF, IT ...d.. i0R e\P�' I„IENEDRADE a: OFE5510 —. ez anuON ' a'-D' no RICRAC, ANK "I FIEREY CERTIFY THAT THI5 MAP WA5 MADE BY LS FROM AGTUAL SURVEYS COMPLETED JUNE 30, 2006 6 THAT ALL CONCRETE MONUMENTS SHOWN THUS N g HEREON AGTUALLY FXI5T AND THEIR POSITIONS OORREGTLY SHOWN AND ALL DIMEN5I0NAL AND GEODETIC DETAILS ARE GORREOT P _ sRWNO WATER - .. � _ i0 I•L-LL SCREEu ISSETEE��SLE ___ b��1tlt_l__llcr ----- o� IS G HLERS N Y P L 5 LIG % 50202 1 WELL INAreR wPPLY naTEs. DExo IVIDUALLUTRwnERETHFRUTwATERINIERPALF r NTPRED LESS THAN +O FEET BELOW THE EATER TABLE HE WELL SCREEN MAT BE IN5TALLEO AT A SHALLOHER DEPTH PROVIDED THAT THE TOP OF THE WELL l✓ SCREEN ISR LEAST IO FEET BELOW THE WATER TABLE ALL THE HC IZONTAL REPARATION ATEUEN THE HILL AND -- I N6 ROLE IS AT LEAST BE FEET. O uJ NOTES: By— MONUMENT FOUND INEI7:.i-SE NTTIEN 6RAPHIG 5GALE III= 1001 AREA = 121,163 S.F. or 16.1016 Acres JOHN C. EHLERS LAND SURVEYOR O 100 200 300 fi EAST MAIN STREET N.Y.S. LIC. N0.50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REFA\Compagearve6prcs\06\06-206 SUBDMSIDI PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND October 17, 2006 n PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Stephen Searl, Project Manager Director of Conservation Programs Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 Re: Proposed Conservation Subdivision of Randy Shur The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SCTM# 1000-94-3-1.6 Zoning District: R-80 Dear Mr. Searl: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, October 16, 2006: The public hearing was closed. WHEREAS, this proposal is for an 80/60 Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold; and WHEREAS, an application for sketch approval was submitted to the Planning Board on July 12, 2006 and includes the subdivision map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and WHEREAS, on July 24, 2006 the Southold Town Planning Board granted a Negative Declaration for the project pursuant to SEQRA; and WHEREAS, on July 24, 2006, the Southold Town Planning Board granted Sketch Approval upon the map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and MAILING ADDRESS: EDF Sorry P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: N Town Hall Annex 54375 State Route 25 O (cor. Main Rd. & Youngs Ave.) COU NiV,Nc� Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Stephen Searl, Project Manager Director of Conservation Programs Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 Re: Proposed Conservation Subdivision of Randy Shur The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SCTM# 1000-94-3-1.6 Zoning District: R-80 Dear Mr. Searl: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, October 16, 2006: The public hearing was closed. WHEREAS, this proposal is for an 80/60 Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold; and WHEREAS, an application for sketch approval was submitted to the Planning Board on July 12, 2006 and includes the subdivision map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and WHEREAS, on July 24, 2006 the Southold Town Planning Board granted a Negative Declaration for the project pursuant to SEQRA; and WHEREAS, on July 24, 2006, the Southold Town Planning Board granted Sketch Approval upon the map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and f 0 Ll Randy Shur Subdivision Page Two October 17, 2006 WHEREAS, on July 28, 2006, the Town of Southold closed on the sale of the development rights with the Deed of Development Rights Sale recorded on August 7, 2006; and WHEREAS, on September 20,2006, the applicant submitted one (1) copy of the draft Declaration of Covenants and Restrictions to be filed simultaneously with the final map; and WHEREAS, on October 16, 2006, the applicant submitted five (5) mylars and eight (8) paper prints of the final map, each containing the Health Department stamp of approval; be it therefore RESOLVED, that the Southold Town Planning Board hereby grant Final Plat Approval upon the plat prepared by John C. Ehlers dated June 30, 2006 and last revised on September 16, 2006 and authorize the Chairperson to endorse the maps, which shall be filed simultaneously with the Declaration of Covenants and Restrictions at the Office of the County Clerk. Upon endorsement by the Chairperson, the mylars and paper prints must be picked up at this office and filed in the Office of the Suffolk County Clerk along with the Declaration of Covenants and Restrictions. Any plat not so filed or recorded within sixty-two (62) days of the date of final approval shall become null and void. If you have any questions regarding the above, please contact this office. Very truly yours, erilyn . Wous� Chairperson cc: Melissa Spiro, Land Preservation Coordinator SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Number of Pages: 6 Receipt Number : 06-0112786 Recorded: 11/22/2006 At: 08:55:02 AM LIBER: PAGE: District: Section: Block: 1000 094.00 03.00 $0.00 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Page/Filing $18.00 NO Handling COE $5.00 NO NYS SRCHG TP -584 $0.00 NO Notation Cert.Copies $5.00 NO RPT SCTM $0.00 NO Fees Paid THIS PAGE IS A PART OF THE INS' THIS IS NOT A BILL D00012479 797 Lot: 001.011 Judith A. Pascale County Clerk, Suffolk County $98.00 Exempt $5.00 NO $15.00 NO $0.00 NO $50.00 NO $98.00 Serial # p T S P Certificate # Agency t�_Nov Prior Ctf. # Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording ! Filing Stamps 3%1 FEES Mortgage _ MortgageAmL Page /Filing Fee 1. Basic Tax Handling 5. 00 2. Additional Tax _ TP -584 Sub Total Spec./Assit. Notation — or EA -52 17 (County) _ Sub Total-- Spec. /Add. TOT. MTG. TAX EA -5217 (State) — Dual Town _ Dual County _ R.P.T.S.A. ` Held for Appointment Comm. of Ed. 5. 00 Transfer Tax _ • Mansion Tax Affidavit•� The property covered by this mortgage is Certified Copy 5 — or will be improved by a one or two NYS Surcharge 15. 00n Sub Total /5 family dwelling only. YES or NO Other Grand Total If NO, see appropriate tax clause on p7A- page # �_ of this instrument. 4 1 Dist. Real Propert p T S Tax Service R SFL A Agency t�_Nov Verification , 1000 09400 0300 001011 1000 09400 0300 001012 5 1Community Preservation Fund Consideration Amount $ CPF Tax Due $ Improved Vacant Land 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address TD RECORD & RETURN TO: Peconic Land Trust Incorporated TD 296 Hampton Road PO Box 1776 TD Southampton, NY 11969 7 Title Company Information Co. Name Title # 8 Suffolk County Recording & Endorsement Page This page forms part of.the attached QPotaratinn of Cnyonant-a F RostxictioP,, made by: (SPECIFY TYPE OF INSTRUMENT) gam, cr,,,,- The premises herein is situated in SUFF01 K COUNTY NW YORK WITNESSETH: WHEREAS, the DECLARANTS are owners of certain real property situate at the Southeast terminus of Soundview Avenue in Mattituck, Town of Southold, Suffolk County, New York, more particularly bounded and described in Schedule "A" attached hereto (hereinafter referred to as the Property); and WHEREAS, the DECLARANTS have made an application for and have received conditional approval from the Planning Board of the Town of Southold to implement a conservation subdivision, as shown on the Final Plat—Conservation Subdivision for Randy Shur prepared by John C. Ehlers Land Surveyor last dated September 16, 2006 which will simultaneously be filed in the Office of the Suffolk County Clerk; 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 in the best interests of the Town of Southold and the owners and prospective owners of said lots that the within Covenants and Restrictions be imposed, 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 DECLARANTS have considered the foregoing and have determined that the same will be for the best interests of the DECLARANTS and subsequent owners of said parcels; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the DECLARANTS; for the purpose of carrying out the intentions above expressed, hereby make known, admit, publish, covenant and agree that the said lots within said subdivision map shall hereafter be subject to the following covenants and restrictions as herein cited, which shall run with the land and shall be binding upon all purchasers, lot owners and holders of said Property, their heirs, executors, administrators, legal representatives, distributees, successors and assigns, to wit: 1) By this Declaration, future residents of the lots which comprise the subdivision are advised that the lots may be subject to noise, dust and odors normally associated with agricultural activities pursuant to Article XXII, Farmland Bill of Rights, of the Southold Town Code. 2) There shall be no further subdivision of Lot 1, in perpetuity. 3) The scenic/no structure area on Lot 2 as shown on the approved subdivision map shall remain free of all structures. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. The within Declaration is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and made a part hereof, as though fully set forth. enlurceaule oy L[lc lowil ul Juut[lulu, JLale u11Vcw I olri, Uy 111j U11UL1VC 1011c1 vi Uy 4UY Vwcl remedy in equity or at law. The failure of said agencies or the Town of Southold to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the Town of Southold or any officer or employee thereof. IN WITNESS WHEREOF, the DECLARANT above named has executed the foregoing instrument the day and year first written above. COUNTY CLERK'S OFFICE NSTATE OF NEW YORK SS.: COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court on lea of, do .hereby certify that I have compared the annexe wi the of Record..... ...... RECORDED in the office on L under LIBER................PAGE .7??..7.... and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I ahereunto set my hagd and affixed the deal of said County and Court on this . . v ...day of .....OZV ............... 20....1P CLERK, "AA:& ..ar.A -/ Not ublic: State of North Carolina Da�lr 7- i-aoro M STATE OF NEW YORK) ss.: COUNTY OF SUFFOLK) On the _[ day of J in the year 2006 before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public: State of New York Alolry� MNwrWk con=N 11 V. te, Title No: ST -S -8046 -SS Schedule A Description ALL that certain plot, piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the Northeast corner of Soundview Avenue and from said point of beginning; RUNNING THENCE along land now or formerly of Diane Smith; 1. North 49 degrees 52 minutes 20 seconds East, 154.92 feet to lands now or formerly Sanford F. Hanover Family Trust; 2. North 57 degrees 08 minutes 50 seconds East, 208.72 feet along said lands to land now or formerly of Jorg Menger; THENCE along said land, South 26 degrees 10 minutes 50 seconds East, 2015.81 feet to land now or formerly of Allan Arieto; THENCE along said land, South 63 degrees 25 minutes 10 seconds West, 375.73 feet to land now or formerly of Robert G. Rowehl; THENCE along said land the following 4 courses and distances: 1. North 25 degrees 40 minutes 00 seconds West, 403.20 feet; 2. North 25 degrees 27 minutes 00 seconds West, 824.65 feet; 4. North 26 degrees 02 minutes 10 seconds West, 222.82 feet to the Northeast comer of Soundview Avenue, the point or place of BEGINNING. TOGETHER with all right, title and interest of the party of the first part, in and to the land lying in the street in front of and adjoining said premises. 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 re ned 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) which is across on LIc�.So..,,.ji 5T' i>6 Your Name (print) Signature Address Notary Public Perl L. Grand*" MYNublic o. 01Y086e0422'S9Now Y** OusiiNed in Suffolk Cou�n�yy Commission Expires WW2WV PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Fri., 10/13/06 Re: Proposed Conservation Subdivision of Randy Shur SCTM#: 1000-94-3-1.6 Date of Hearing: Monday, October 16, 2006, 6:15 p.m. 0 0 o M1 GSent To 0 ' M1 Street Apt. Mo.; or Po Box No. Ciy State, ZIP+4 me i 0 ant To C3 �p�l M1 b`tre -OF PO Box No. _._ ___t ate..........._ L City, state, ZIP+4 C3ant To 0 a M1 Sliest. Ao[ Na._--_ 1- ekiri+ f— .L 1 0 To ` 0 ti1N M1 Street._.2 No.; _-_.--.-._.--.-. Ap----- �80� or PO Box No. [a A. ❑ Agent Datevf Delivery di%erent from Item 1? ❑ Yes D. b dalNery address address below: 13 No If YES, enter delivery 3. Service 'rw Express Mall CMtffl d Mall 0 Reatm Receipt for Merchandise ❑ Registered I 4. Restricted D"Nety7= tiDomestic Return Receipt 2. sfe ren ---- PS Form 3811, February 2004 s .................. 19259 ferenfMom Item I? u Y - - address below: 0 No --V I' 1 ��� N m O Express Mail J.._ -------- i aLn M 0 Registered d 0 Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Fxae Fee) 0 Yale J 2. Article Number ' (rra,taferfromSamoalanaq 7006 0810 0006 0606 4798 PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 . lYr • 0 ,� HI 'OT}�QiS .N , •# ,.� t ■ ComPlate Items 1, 2, and 3. is domplate cred. Item 4 if f±esMcted De1Nery Is desired. d asson the reverse 1 0 �L postage �( 9 ._' ;.'} ■ Print Your name and address card to YOU - so that we can return k of the mallplece, the bac -D i 0 C3 C ' .:' - " -'' Cj1 O I Attach this card to or on the front if space rrrllts. C3 Return RFee - �� (Endorsement Resinoted Dy�_ , t t- Art tcle Addressed t0: � y" CO (Endorsemen ')u�J �/ /^� � tA� � 0 -0 ($�,INJ Total Postage &Fees ,$ 2. Article Number 7006 0810 0006 0606 4811 ....................(Transfer l% 0 r- Sent To ............ ........_. PS Form 3811, February 2004 Domestic Return Receipt 102596021.1-1540 orPo Box No. orreet, Apt No.; W i�if7••( _..._._.._._...._....__.___� __....... s ' City State, ZIP+4 0 0 o M1 GSent To 0 ' M1 Street Apt. Mo.; or Po Box No. Ciy State, ZIP+4 me i 0 ant To C3 �p�l M1 b`tre -OF PO Box No. _._ ___t ate..........._ L City, state, ZIP+4 C3ant To 0 a M1 Sliest. Ao[ Na._--_ 1- ekiri+ f— .L 1 0 To ` 0 ti1N M1 Street._.2 No.; _-_.--.-._.--.-. Ap----- �80� or PO Box No. [a A. ❑ Agent Datevf Delivery di%erent from Item 1? ❑ Yes D. b dalNery address address below: 13 No If YES, enter delivery 3. Service 'rw Express Mall CMtffl d Mall 0 Reatm Receipt for Merchandise ❑ Registered I 4. Restricted D"Nety7= tiDomestic Return Receipt 2. sfe ren ---- PS Form 3811, February 2004 s .................. 19259 ferenfMom Item I? u Y - - address below: 0 No --V I' 1 ��� N m O Express Mail J.._ -------- i 0 Registered d 0 Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Fxae Fee) 0 Yale J 2. Article Number ' (rra,taferfromSamoalanaq 7006 0810 0006 0606 4798 PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 . lYr c a o: arca If YES,} delivery 13 No Al.)G S1tit45vt _ Y `ltd! Q .................... 1 IJp Ulsto 3. SService Type Mail 13 ExpressMail a egiie 13 Registered O Rehm Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted DeliveV (Extra Fee) 0 Yale 2. Article Number 7006 0810 0006 0606 4811 ....................(Transfer l% from seMce label) PS Form 3811, February 2004 Domestic Return Receipt 102596021.1-1540 ■ Complete items 1, 2, and 3. Also complete A Signature Rem 4 If Restricted Delivery is desired. X 0 Agent ■ Print your name and address on the reverse 0 Addressee so th can return the card to you. 1r B. Received by (Printed Name) C. Date of Delivery ■ A to the back of the meiipieoe, or H space permits. D. Is delivery address different from Rem 1? 0 Yes 1 • ' to' If YES, enter delivery address below: 0 No /f - 3. Service Type m.6egiier Mail 0 Mail ❑ Registered ❑Return Receipt for Merchandise Return 1 C 4t (C ❑ Insured Mall 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes •. 2. Article Number 7006-0810 0006 0606 4835 (Transfer from swvke few) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540; 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, commencing on the 5th day of October 2006. Principal Clerk Sworn to before me this day of Vl..jU kU _ x. 2006 CHRISTINA VOLINSKI NOTARY PUBLIC•STATE OF NEW y No. 01 •VO6106060 Qualified In Suffolk County Commission Expires February 26, LEGAL NOTICE Notice of Public Housing NOTICE IS HEREBY GIVEN that, pursuant to Section. 276 of the Town Law of the Code of the Town of South- old, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 16th day of October, 2806 on the question of the following: PM. State of the n/s/o Oregon Road, approximately 135' w/o Alvah's Lane, in Cutchogue, Town of Southold,. County of Suffolk, State of New York.=§nd'A County Tax Map Number 1000-95-1-5. 6:10 p.m. Proposed conservation subdivision. for J.Myron Young et al., located on the o/ue Mein Hoed;. ap- proximately 1,422 feet e/o-Aldrich lane ORK 200e of Southold, County at the e/o Southold,,, (?qunty;pf Sinfolk, State of New York: "Suffolk County Tint Map Number 11100-94-3-1.6. Dated: 10/3/06 BY ORDER OF THE souTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse CbpGperson 8M -IT 1015 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND F-1LJ 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 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 on the 16th day of October, 2006 on the question of the following: 6:00 p.m. Proposed conservation subdivision for Oregon LLC/Morrell LLC, located on the n/s/o Oregon Road at the terminus of Cox Lane in Cutchogue., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000- 83.-2- 11.5 & 12. 6:05 p.m. Proposed conservation subdivision for Luigi Badenchini, located on the n/s/o Oregon Road, approximately 135' w/o Alvah's Lane, in Cutchogue., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-95-1-5. 6:10 p.m. Proposed conservation subdivision for J.Myron Young et al., located on the n/s/o Main Road, approximately 1422 feet e/o Aldrich Lane in Laurel., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000-125-1-6.3 & 6.4. 6:15 p.m. Proposed conservation subdivision for Randy Shur, located at the terminus of Sound View Avenue, e/o Saltaire Way in Mattituck., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-94-3-1.6. Dated: 10/3/06 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLEASE PRINT ONCE ON THURSDAY, October 5, 2006 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times MAILING ADDRESS: pF SOpIyQ�P.O.sox 79 11hold, NY 11971 Southold, 41 41 OFFICE LOCATION: Town Hall Annex G� • 54375 State Route 25 Q �yCOU (cor. Main Rd. & Youngs Ave.) NTI,�`� Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 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 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 on the 16th day of October, 2006 on the question of the following: 6:00 p.m. Proposed conservation subdivision for Oregon LLC/Morrell LLC, located on the n/s/o Oregon Road at the terminus of Cox Lane in Cutchogue., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000- 83.-2- 11.5 & 12. 6:05 p.m. Proposed conservation subdivision for Luigi Badenchini, located on the n/s/o Oregon Road, approximately 135' w/o Alvah's Lane, in Cutchogue., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-95-1-5. 6:10 p.m. Proposed conservation subdivision for J.Myron Young et al., located on the n/s/o Main Road, approximately 1422 feet e/o Aldrich Lane in Laurel., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000-125-1-6.3 & 6.4. 6:15 p.m. Proposed conservation subdivision for Randy Shur, located at the terminus of Sound View Avenue, e/o Saltaire Way in Mattituck., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-94-3-1.6. Dated: 10/3/06 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLEASE PRINT ONCE ON THURSDAY, October 5, 2006 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times Page 1 of 1 Randolph, Linda From: JOAN ANN Daweber@timesreview.coml Sent: Tuesday, October 03, 2006 10:09 AM To: Randolph, Linda Subject: Re: legal ad for 10/5 edition Received! Joan Ann ----- Original Message ----- From: Randolph Linda To: iaweber@timesreview.com Sent: Tuesday, October 03, 2006 9:00 AM Subject: legal ad for 10/5 edition Joan Ann, Please publish the attached legal notice of the October 16 Planning Board Public Hearings, and send confirmation of receipt. Thank you, Linda 10/3/2006 • • MAILING ADDRESS: PLANNING BOARD MEMBERS rg S0P.O. Box 1179 JERILYN B. WOODHOUSE Old Southold, NY 11971 Chair ��V` OFFICE LOCATION: KENNETH L. EDWARDS Town Hall Annex MARTIN H. SIDOR GEORGE D. SOLOMONl G • O 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND ��'�Un 1 1 IY Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 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 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 on the 16th day of October, 2006 on the question of the following: 6:00 p.m. Proposed conservation subdivision for Oregon LLC/Morrell LLC, located on the n/s/o Oregon Road at the terminus of Cox Lane in Cutchogue., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000- 83.-2- 11.5 & 12. 6:05 p.m. Proposed conservation subdivision for Luigi Badenchini, located on the n/s/o Oregon Road, approximately 135' w/o Alvah's Lane, in Cutchogue., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-95-1-5. 6:10 p.m. Proposed conservation subdivision for J.Myron Young et al., located on the n/s/o Main Road, approximately 1422 feet e/o Aldrich Lane in Laurel., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000-125-1-6.3 & 6.4. 6:15 p.m. Proposed conservation subdivision for Randy Shur, located at the terminus of Sound View Avenue, e/o Saltaire Way in Mattituck., Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-94-3-1.6. Dated: 10/3/06 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) LINDA RANDOLPH, Secretary to the Planning Board of the Town of Southold, New York, being duly sworn, says that on the 3rd day of October, 2006, 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. 10/16/06 Special Meeting: 6:00 p.m. Public Hearing for the proposed conservation subdivision for Oregon LLC/Morrell LLC — SCTM#'s1000-83.-2-11.5 & 12. 6:05 p.m. Public Hearing for the proposed conservation subdivision for Luigi Badenchini — SCTM#1000-95-1-5 6:10 p.m. Public Hearing for the proposed conservation subdivision for Myron Young et al. — SCTM#'s1000-125-1-6.3 & 6.4. 6:15 p.m. Public Hearing for the proposed conservation subdivision for Randy Shur— SCTM#1000-94-3-1.6. Sworn to before me this qday of , 2006. Notary Public C7tik� � Linda ndolph Secretary, Southold Town Planning Board BARBARA ANN RUDDER Notary Public, State of New York No.4855805 Qualified in Suffolk County Commission Expires April 14,2p 1 .. 0 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND September 20, 2006 n �J PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Stephen Sead, Project Manager Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 Re: Conservation Subdivision of Randy Shur SCTM#1000-94-3-1.6 Dear Mr Searl: The final public hearing regarding the maps for the above -referenced subdivision has been scheduled for Monday, October 16, 2006, at 6:15 p.m. 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 12:00 noon on Friday, October 13, 2006. The sign and the post need to be returned to the Planning Board Office after the public hearing. If you have any questions regarding the above, please contact this office. Senior Planner Encs. MAILING ADDRESS: OF SO(/ryolo Box h NY111971 SoP.O. Southold, T T OFFICE LOCATION: Town Hall Annex �0 IyCQUN 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Stephen Sead, Project Manager Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 Re: Conservation Subdivision of Randy Shur SCTM#1000-94-3-1.6 Dear Mr Searl: The final public hearing regarding the maps for the above -referenced subdivision has been scheduled for Monday, October 16, 2006, at 6:15 p.m. 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 12:00 noon on Friday, October 13, 2006. The sign and the post need to be returned to the Planning Board Office after the public hearing. If you have any questions regarding the above, please contact this office. Senior Planner Encs. 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 a conservation subdivision; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#'s1000-94-3-1.6; 3. That the property which is the subject of this application is located in the Residential Low Density District R-80 Zone; 4. That this proposal is for a Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights have been sold to the Town of Southold. The property is located at the terminus of Sound View Avenue, e/o Saltaire Way in Mattituck.; 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. (2nd 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. October 16. 2006 at 6.15 p.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 Name: Randy Shur Date: 9/21/06 0 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 THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon. Fri.. 10/13/06 Re: Proposed Conservation Subdivision of Randy Shi SCTMM 1000-94-3-1.6 Date of Hearing: Monday, October. 16, 2006 6.15 p.m, RANDY SHUR CONSERVATION SUBDIVISION • 1000-94-3-1.6 Proposal is for a conservation subdivision to subdivide a 16.7076 -acre parcel into two lots in the R-80 Zone. MONDAY, OCTOBER 16, 2006 - 6:15 P.M. • 4 2 SEE SEC. 110. 130 1A, xw E .ASNUI. er 1 QQ. PID O• �a �a. 4.1 9 10.1A O• LB 2.uml 1.10 � 2.3.Ic, 20 y 9 .3A<L '•. IB .3AIc Sl -5AIc .SA(c) 16-3 ase a• ,� t FORPCL. xO. ]O.oA.Al SEE SEC. NO. 100-02-001 \ SEE SEC. NO. 100 SEE F. Ip. OBN MATCH _ F '?O 0°'"DI NO 1000 'a 0.NTY OF cfvELrcufrvl TOWN CF SOIITMRD IDf+E[wuExr PICxf SI \ O FON PCI. NO. SEE SEC. NO. 100-02-006.1 — —7 14 — urxEss oP.. x E brIREPNOTICE � — smw o -..TR IIT — —` cx — Ypm. m:.Y. Iu< _ _ 'mob d15 rNE buDNinc DlsrP¢rs: FYIEA L ...�s N [.. a.l.�T.:>.b :Y. MAX lwR t is — _ N — _ 9 Pb NMHTENANCf 4LTEPAHI0N, SALE 0P �+q 11A1[1 ' 1 a.m:Wamaa le_ (ZS) ytiy O Twrrkl uT O' N —xii-- 12.1 w xKP.A, pSiFBUipN CE ANY PW1CN OF ilE L- V 1.2AId 3 --x el:k kl llT Lgxi v uRP 56FOLK C"TY TAX NAP IS PPOp1iEN 2.2 LOAN wauNn :. LAX �_—� LW wnk. ll:. — _ L — _ N.:y.v 1.1:11 w — - v— 21 .lAlcl lA a �vTSLEr.iEP rrt-I NPirrEN PE -I- OF INE I sra -�.` v N _ _ .A x .:. O LIAId A - G 9 c - AYbAAMF AS PEAL PROPERTY HAM SERVICE AGENCY. Zl m�N 12.1 Mm br 12.1A I°" L.e vtivlrkr Ibr D amlr. ^, 12.1 Ale) 11 5 se.a 1n.1r w. QQ. $ BAId 1 JI t A 0 ♦� e5'`ZO• BAgc) 5 fi d s 9 # B i 6 FOR PCL. NJ.Ltli FCL. NO. FOR PLL. NO. SEE SEC. NO. SEE SEC. NO. SEE SEC.NU, LOO -oz -o03 10-02-001 t0a-02-002 t FORPCL. xO. ]O.oA.Al SEE SEC. NO. 100-02-001 \ SEE SEC. NO. 100 SEE F. Ip. OBN MATCH _ F '?O 0°'"DI NO 1000 'a 0.NTY OF cfvELrcufrvl TOWN CF SOIITMRD IDf+E[wuExr PICxf SI \ O FON PCI. NO. SEE SEC. NO. 100-02-006.1 — —7 2 26.OA 3 25.34 2 31.3AId 1.3 12.5A(c) 11 I1.BA SEE SEC -NO. 100 COUNTY 0'"" L' FSUFFLK (� A ,° Red Property Tax Service Agency Co1ntY Center AlverNead,N Y 11901 4 SIA If M FF£i: P e m w � I HOOK PF SOUTHOLD MWT K9 1000 cN, RSKN UlE: AnP a., nn 3 '-P. NO. SEE SEC. NO. 095-01-OOL1 e — urxEss oP.. x E brIREPNOTICE � — smw o -..TR IIT — —` cx — Ypm. m:.Y. Iu< _ _ nPE BrrNlx rNE buDNinc DlsrP¢rs: FYIEA L ...�s N [.. a.l.�T.:>.b :Y. MAX lwR — _ N — _ 9 NMHTENANCf 4LTEPAHI0N, SALE 0P E In «em we �e —� a.m:Wamaa le_ (ZS) ytiy O Twrrkl uT N —xii-- spa xKP.A, pSiFBUipN CE ANY PW1CN OF ilE L- P pv MMl 4T --x el:k kl llT Lgxi v uRP 56FOLK C"TY TAX NAP IS PPOp1iEN vre lal I� _____ E Wq wauNn :. LAX �_—� LW wnk. ll:. — _ L — _ N.:y.v 1.1:11 w — - v— x, lA a �vTSLEr.iEP rrt-I NPirrEN PE -I- OF INE I sra -�.` v N _ _ .A x .:. - G K Lem. bvn el x:i —A — - AYbAAMF AS PEAL PROPERTY HAM SERVICE AGENCY. Zl m�N 12.1 Mm br 12.1A I°" L.e vtivlrkr Ibr D amlr. 12.1 Ale) k41nr se.a 1n.1r w. 2 26.OA 3 25.34 2 31.3AId 1.3 12.5A(c) 11 I1.BA SEE SEC -NO. 100 COUNTY 0'"" L' FSUFFLK (� A ,° Red Property Tax Service Agency Co1ntY Center AlverNead,N Y 11901 4 SIA If M FF£i: P e m w � I HOOK PF SOUTHOLD MWT K9 1000 cN, RSKN UlE: AnP a., nn 3 '-P. NO. SEE SEC. NO. 095-01-OOL1 e It/L- • PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND July 25, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Ms. Marian P. Sumner, Director of Conservation Programs Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 Re: Proposed Conservation Subdivision of Randy Shur The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SCTM# 1000-94-3-1.6 Zoning District: R-80 Dear Ms. Sumner: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, July 24, 2006: WHEREAS, this proposal is for an 80/60 Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold; and WHEREAS, an application for sketch approval was submitted to the Planning Board on July 12, 2006 and includes the subdivision map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and WHEREAS, the Southold Town Planning Board reviewed and discussed this proposal at several work sessions prior to the submission of the formal application and determined that no significant impacts will occur as a result of this subdivision because no new residential lots are being proposed; be it therefore RESOLVED, that in consideration of the preservation and density reduction components of the project, the Southold Town Planning Board hereby waives the Existing Resources and Site Analysis Plan (ERSAP) requirement pursuant to Section 240-10A of the Town Code; and be it further MAILING ADDRESS: P.O. Box 1179 Of soojyo Southold, NY 11971 OFFICE LOCATION: Town Hall Annex G Q 54375 State Route 25 • �O (cor. Main Rd. & Youngs Ave.) O�yC,OUfm Southold, NY Telephone: 631 765-1935 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Ms. Marian P. Sumner, Director of Conservation Programs Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 Re: Proposed Conservation Subdivision of Randy Shur The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SCTM# 1000-94-3-1.6 Zoning District: R-80 Dear Ms. Sumner: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, July 24, 2006: WHEREAS, this proposal is for an 80/60 Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold; and WHEREAS, an application for sketch approval was submitted to the Planning Board on July 12, 2006 and includes the subdivision map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and WHEREAS, the Southold Town Planning Board reviewed and discussed this proposal at several work sessions prior to the submission of the formal application and determined that no significant impacts will occur as a result of this subdivision because no new residential lots are being proposed; be it therefore RESOLVED, that in consideration of the preservation and density reduction components of the project, the Southold Town Planning Board hereby waives the Existing Resources and Site Analysis Plan (ERSAP) requirement pursuant to Section 240-10A of the Town Code; and be it further 0 • Shur Conservation Subdivision Page Two July 24, 2006 RESOLVED, that the Southold Town Planning Board, acting under the State Environmental Quality Review Act pursuant to 6 NYCRR Part 617, Section 617.7, do an uncoordinated review of this Unlisted Action. The Planning Board establishes itself as lead agency and, as lead agency, makes a determination of non -significance and grants a Negative Declaration; and be it further RESOLVED, that because no new residential lots are being created, the Park and Playground Fee is not required for this project; and be it further RESOLVED, that the Southold Town Planning Board hereby finds the proposal to be consistent with the Local Waterfront Revitalization Plan (LWRP), based on the recommendation from the LWRP Coordinator; and be it further RESOLVED, that the Southold Town Planning Board hereby grant Sketch Approval upon the map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006, subject to the following conditions: 1) Submission of the application for Final Plat Approval and fee in the amount of $500. The final map shall contain the following revisions: i) Add a notation that states 'The final map shall be rendered null and void and the approval of the subdivision invalid in the event the closing of the development rights sale is not completed and proof of such closing in not submitted to the Southold Town Planning Board." ii) Add a notation that states "The Southold Town Building Department shall not issue building permits for any lot depicted on the final map until the development rights sale is completed in accordance with the approved map and proof of such closing is submitted to the Southold Town Planning Board." iii) Indicate whether the greenhouse will be removed or relocated to conform to the required setbacks. iv) Label the improved parcel as "Lot 1" and the PDR parcel as "Lot 2." v) The final map shall contain the Health Department stamp of approval. 2) Submission of draft Covenants and Restrictions which contain the following clauses: i) 'The final map shall be rendered null and void and the approval of the subdivision invalid in the event the closing of the development rights sale is not completed and proof of such closing in not submitted to the Southold Town Planning Board." • 0 Shur Conservation Subdivision Page Three July 24, 2006 ii) "The Southold Town Building Department shall not issue building permits for any lot depicted on the final map until the development rights sale is completed in accordance with the approved map and proof of such closing is submitted to the Southold Town Planning Board." iii) "By this Declaration, future residents of the lots which comprise the subdivision are advised that the lots may be subject to noise, dust and odors normally associated with agricultural activities pursuant to Article XXII, Farmland Bill of Rights, of the Southold Town Code." iv) There shall be no further subdivision of Lot 1, in perpetuity. v) The scenic/no structure area on Lot 2 as shown on the approved subdivision map shall remain free of all structures. Enclosed is a copy of the Negative Declaration for your records. This approval is valid for six (6) months from the date of resolution unless an extension of time is requested by the applicant and granted by the Planning Board. Upon submission of the Application for Final Plat Approval, including the final map containing the necessary revisions and the Health Department stamp of approval, a final hearing will be scheduled for this application. If you have any questions regarding the above, please contact this office. Very truly yours, Jerilyn B. Woodhouse Chairperson enc. ! PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non -Significant July 24, 2006 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: Conservation Subdivision of Randy Shur SCTM#: 1000-94-3-1.6 Location: The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes( ) No (X) Description of Action: This proposal is for a Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The determination was based upon the following: • MAILING ADDRESS: P.O. Box 1179 SOUJ�O Southold, NY 11971 OFFICE LOCATION: Town Hall Annex G Q 54375 State Route 25 • �O OI�COUlm,� (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non -Significant July 24, 2006 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: Conservation Subdivision of Randy Shur SCTM#: 1000-94-3-1.6 Location: The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes( ) No (X) Description of Action: This proposal is for a Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The determination was based upon the following: I Jr Shur Negative Declarao Page Two • July 24, 2006 No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels, no substantial increase in solid waste production, potential of erosion, flooding, leaching or drainage problems will occur as a result of this action. No additional residential lots are being created with this subdivision. The parcel is simply being subdivided to create a separate lot for the existing residence with the balance of the parcel to be preserved through the sale of Development Rights. No significant removal or destruction of large quantities of vegetation or fauna, no substantial interference with the movement of any resident or migratory fish or wildlife species, no significant impacts on a significant habitat area, no substantial adverse impacts on a threatened or endangered species of animal or plant or the habitat of such a species, and no other significant adverse impacts to natural resources will occur. The proposed action is not in a material conflict with a community's current plans or goals as officially approved or adopted. The proposed action will not impair the character or quality of important historical, archaeological, architectural, or aesthetic resources or of existing community or neighborhood character. No additional development will occur as a result of the subdivision. No major change in the use of either the quantity or type of energy will occur. No creation of a hazard to human health will occur. The proposed action will not cause a substantial change in the use, or intensity of use, of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: Contact Person: Anthony Trezza, Senior Planner Address: Southold Town Planning Board Telephone Number: (631) 765-1938 enc. cc: Elizabeth Neville, Town Clerk Applicant Melissa Spiro, Land Preservation Coordinator FACSIMILE To: Stephen Searl, Project Manager From: Anthony Trezza, Sr. Planner Date: July 25, 2006 Re: Conservation Subdivision of Randy Shur 1000-94-3-1.6 Attached please find a copy of the Negative Declaration and the Planning Board resolution granting sketch approval for the above -referenced property. The originals will be mailed to your office. Please call me if you need anything further. • MAILING ADDRESS: PLANNING BOARD MEMBE P.O. Box 1179 JERILYN B. WOODHOUSE ``O� S�UryOlO Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L. EDWARDS Town Hall Annex MARTIN H. SIDOR 54375 State Route 25 GEORGE D. SOLOMON G Q �p ��yCOU,M'�..A (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD FACSIMILE To: Stephen Searl, Project Manager From: Anthony Trezza, Sr. Planner Date: July 25, 2006 Re: Conservation Subdivision of Randy Shur 1000-94-3-1.6 Attached please find a copy of the Negative Declaration and the Planning Board resolution granting sketch approval for the above -referenced property. The originals will be mailed to your office. Please call me if you need anything further. C� PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND July 25, 2006 0 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Ms. Marian P. Sumner, Director of Conservation Programs Peconic Land Trust P.O. Box 1776 Southampton, NY 11969 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631765-3136 Re: Proposed Conservation Subdivision of Randy Shur The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SCTM# 1000-94-3-1.6 Zoning District: R-80 Dear Ms. Sumner: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, July 24, 2006: WHEREAS, this proposal is for an 80/60 Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold; and WHEREAS, an application for sketch approval was submitted to the Planning Board on July 12, 2006 and includes the subdivision map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006; and WHEREAS, the Southold Town Planning Board reviewed and discussed this proposal at several work sessions prior to the submission of the formal application and determined that no significant impacts will occur as a result of this subdivision because no new residential lots are being proposed; be it therefore RESOLVED, that in consideration of the preservation and density reduction components of the project, the Southold Town Planning Board hereby waives the Existing Resources and Site Analysis Plan (ERSAP) requirement pursuant to Section 240-10A of the Town Code; and be it further 0 • Shur Conservation Subdivision Page Two July 24, 2006 RESOLVED, that the Southold Town Planning Board, acting under the State Environmental Quality Review Act pursuant to 6 NYCRR Part 617, Section 617.7, do an uncoordinated review of this Unlisted Action. The Planning Board establishes itself as lead agency and, as lead agency, makes a determination of non -significance and grants a Negative Declaration; and be it further RESOLVED, that because no new residential lots are being created, the Park and Playground Fee is not required for this project; and be it further RESOLVED, that the Southold Town Planning Board hereby finds the proposal to be consistent with the Local Waterfront Revitalization Plan (LWRP), based on the recommendation from the LWRP Coordinator; and be it further RESOLVED, that the Southold Town Planning Board hereby grant Sketch Approval upon the map prepared by John C. Ehlers dated June 30, 2006 and last revised on July 7, 2006, subject to the following conditions: 1) Submission of the application for Final Plat Approval and fee in the amount of $500. The final map shall contain the following revisions: Add a notation that states 'The final map shall be rendered null and void and the approval of the subdivision invalid in the event the closing of the development rights sale is not completed and proof of such closing in not submitted to the Southold Town Planning Board." ii) Add a notation that states 'The Southold Town Building Department shall not issue building permits for any lot depicted on the final map until the development rights sale is completed in accordance with the approved map and proof of such closing is submitted to the Southold Town Planning Board." iii) Indicate whether the greenhouse will be removed or relocated to conform to the required setbacks. iv) Label the improved parcel as "Lot 1" and the PDR parcel as "Lot 2." v) The final map shall contain the Health Department stamp of approval. 2) Submission of draft Covenants and Restrictions which contain the following clauses: i) 'The final map shall be rendered null and void and the approval of the subdivision invalid in the event the closing of the development rights sale is not completed and proof of such closing in not submitted to the Southold Town Planning Board." 0 • Shur Conservation Subdivision Page Three July 24, 2006 ii) "The Southold Town Building Department shall not issue building permits for any lot depicted on the final map until the development rights sale is completed in accordance with the approved map and proof of such closing is submitted to the Southold Town Planning Board." iii) "By this Declaration, future residents of the lots which comprise the subdivision are advised that the lots may be subject to noise, dust and odors normally associated with agricultural activities pursuant to Article XXII, Farmland Bill of Rights, of the Southold Town Code." iv) There shall be no further subdivision of Lot 1, in perpetuity. v) The scenic/no structure area on Lot 2 as shown on the approved subdivision map shall remain free of all structures. Enclosed is a copy of the Negative Declaration for your records. This approval is valid for six (6) months from the date of resolution unless an extension of time is requested by the applicant and granted by the Planning Board. Upon submission of the Application for Final Plat Approval, including the final map containing the necessary revisions and the Health Department stamp of approval, a final hearing will be scheduled for this application. If you have any questions regarding the above, please contact this office. Very truly yours, Jerily�dhouse Chairperson enc. 0 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD n U State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non -Significant July 24, 2006 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1935 Fax: 631 765-3136 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: Conservation Subdivision of Randy Shur SCTM#: 1000-94-3-1.6 Location: The property is located at the terminus of Sound View Avenue, east of Saltaire Way in Mattituck. SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes( ) No (X) Description of Action: This proposal is for a Conservation Subdivision to subdivide a 16.7076 -acre parcel into two lots where Lot 1 is 3.4805 acres and is currently improved with a single-family residence and accessory structures, and Lot 2 equals 13.2271 acres upon which the development rights are proposed to be sold to the Town of Southold. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The determination was based upon the following: Shur Negative Declaration Page Two 0 July 24, 2006 No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels, no substantial increase in solid waste production, potential of erosion, flooding, leaching or drainage problems will occur as a result of this action. No additional residential lots are being created with this subdivision. The parcel is simply being subdivided to create a separate lot for the existing residence with the balance of the parcel to be preserved through the sale of Development Rights. No significant removal or destruction of large quantities of vegetation or fauna, no substantial interference with the movement of any resident or migratory fish or wildlife species, no significant impacts on a significant habitat area, no substantial adverse impacts on a threatened or endangered species of animal or plant or the habitat of such a species, and no other significant adverse impacts to natural resources will occur. The proposed action is not in a material conflict with a community's current plans or goals as officially approved or adopted. The proposed action will not impair the character or quality of important historical, archaeological, architectural, or aesthetic resources or of existing community or neighborhood character. No additional development will occur as a result of the subdivision. No major change in the use of either the quantity or type of energy will occur. No creation of a hazard to human health will occur. The proposed action will not cause a substantial change in the use, or intensity of use, of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: Contact Person: Anthony Trezza, Senior Planner Address: Southold Town Planning Board Telephone Number: (631) 765-1938 enc. cc: Elizabeth Neville, Town Clerk Applicant Melissa Spiro, Land Preservation Coordinator • PECONIC LAND TRUST July 12, 2006 Honorable Jerilyn B. Woodhouse D c, C F y:+ Town of Southold Planning Board lb V PO Box 1179 Oil Southold, NY 11971 JUL 1 2 2006 I 00^)5 - Re: Shur Subdivision; SCTM#: 1000-94-3-1.6 Southold Town ;,,� ' PlanningBoard ?t i Dear Chairperson Woodhouse: As per our discussion at the Planning Board's work session, Peconic Land Trust (PLT) is submitting a 2 -lot subdivision of Shur property. PLT will be purchasing the proposed farm lot and the house is being set-off for sale by the Shurs. The Town of Southold is purchasing the development rights on the farm lot. Attached please find the: - Completed Sketch Plan Application form, - Landowner Authorization letter, - Copy of the Property deed, - Part I of the EAF, - Application fee, and �'% f • # %[D���/ ���• /� �l�A�<7Fs� - LWRP Coastal Consistency Form. Six surveys/subdivision plans were submitted for the July 10`h work session. As I will be out of the office until August 1", Stephen Searl, Project Manager, will be the contact person for Peconic Land Trust. Thank you for your facilitation of this conservation project. If you need any additional information, please do not hesitate to contact Stephen at 283-3195. Sincerely, Marian P. Sumner Director of Conservation Programs cc: Anthony Trezza Stephen Sear] 296 HAMPTON ROAD I POST OFFICE BOX 17761 SOUTHAMPTON NEW YORK 119691 PHONE (631) 283-31951 FAX (631) 204-0711 w .peconiclandtrust.org Sender: Subject: SCTM#: 1000 - Date: Comments: • • ffT Submission Without a Cover Letter 51)(kv,,- a Lf— 3-1- fo 1V -7/0 IiW Prepared By: Dawn Haigh, 2OSeptember Q5 _ � the Lands of Tax Map Nun, Peconic Land Trust P.th.x1T/6 Shur Base Map , 9ouMemgoa New Yotk I1'M9 Town Of $OpLf101d 16311 2113- 31% Suffolk County, New York SEE SEC. NO. 110 17 V FOR PCL. NO. 3 61AI0 SEE SEC. W. 2 100-02-001 l.1Alc1 1—� 1.IAIC1 MATCH W n� E NwM ✓ In E °.:,r.. L,�,°m. —�— N s«•®r N.• •_. o n2.. x. 23 Ow Lm 12.1 A( or 12.104 T - LL< - .�........_ or u.L vW- - LINE 1ti T 1, 'O FOP PCL. NO. % O y � SEE SE[. N0. P 095-01-005 O 6 •.l A 9 to.0 •O FOR PCL. NO. OEs m11 SEE SEC.NO. / x" 095-01-OOt.J 2.0 S I.B /•• 2]Alc) / 4 1.10 .A40 \�V 20 �#� 0 Fw PCL. NO. .19 UA1. A 2 SEE SEC. NO. 1B JAlc ". 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S15 /a•76S arras eo5-pt✓-e<< ( 6 �c�a��� 1'Z,76 prcbLtodr JUL 12 2006 Application for Sketch Approval ° { Southold owe Planni Board ( f APPLICATION IS HEREBY MADE to the Town of oURianningBoar„ d for SKETCH APPROVAL for the subdivision described 1heerrein. 1. Name of Subdivision S ) Y 2. Suffolk County Tax Map # 1 o 0p — �[— ?— 1, (P- 3. Type of Subdivision Standard � [ ] Conservation 4. Hamlet I v loft i fu C 5. Street Address/�. Project Location 6. Acreage of Site 7. Proposed Yield 3 (Oa C(�eyykyliz-,) 8. Number of Lots Proposed l eXtS(�1 Vl I lt1u� d hcX �i) O ✓W�� 9. Zoning District Vey 10. Date of Submission 7LI Z VtI) 11. Please provide the names, addresses and phone numbers for the following people: Q� Applicant: `C Q tG � aviOws. a -v k f�Y) i N{ l 1`1(01 SUFFO(,�coGy ! S: N PLANING BOARD MEMBER P O Booz 1179 JERILYN B. WOODHOUSE Southold, NY 11971 Chair y OFFICE LOCATION: RICHARD CAGGIANO• WILLIAM J. CREMERS W- yifol Town Hall Annex 54375 State Route 25 KENNETH L. EDWARDS �.a�� (cor. Main Rd. & Youngs Ave.) MARTIN H. SIDOR Southold, NY GEORGE D. SOLOMON Telephone: 631 765-1938 PLANNING BOARD OFFICIE TOWN OF SOUTHOLD' prcbLtodr JUL 12 2006 Application for Sketch Approval ° { Southold owe Planni Board ( f APPLICATION IS HEREBY MADE to the Town of oURianningBoar„ d for SKETCH APPROVAL for the subdivision described 1heerrein. 1. Name of Subdivision S ) Y 2. Suffolk County Tax Map # 1 o 0p — �[— ?— 1, (P- 3. Type of Subdivision Standard � [ ] Conservation 4. Hamlet I v loft i fu C 5. Street Address/�. Project Location 6. Acreage of Site 7. Proposed Yield 3 (Oa C(�eyykyliz-,) 8. Number of Lots Proposed l eXtS(�1 Vl I lt1u� d hcX �i) O ✓W�� 9. Zoning District Vey 10. Date of Submission 7LI Z VtI) 11. Please provide the names, addresses and phone numbers for the following people: Q� Applicant: `C Q tG � aviOws. a -v k f�Y) i N{ l 1`1(01 i f &aka V) vn vleV f�O S+'Ve-vi �euyrl Agent: Property Owner(s): Pay\aN SV)l l V' rAd j1kz I AS -Z Surveyor: 'no C, " Uuj&j'' " — (Jv C9- Malyll Engineer: 5 _ (V\ ` 1 Attorney: V1 - 1, -- , - \ I �' !XL 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and volether or not approval was granted by the Planning Board. 13. Has a held with the Planning Board? If so, provide 14. Has the owner/apVlicant met with Land Preservation? If so, 1S. Is any part of the property in agricultural use? 16. Is there an existing or proposed sale of development rights on the property? 11 0 17. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. t, In 18. Are there any building permits currently pending on this property? If yes, please provide permit.number(s). 19.The site will be serviced by the following special districts or utility companies: Fire District X14 -'(fit t t )c Post Office School District. Water 20. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please -1 provide proof that service will be provided. lS Y1U Se1/VICP� 7 21fc�IlY� rt�U� �J 21. Please indicate the type of open space it will be 22. Are there any existing structures on the property? If so, please indicate the type of structure end its use(s). Will these, structures remain, be removed or altered?_ „ 23. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 25% of the yield, please indicate how you intend on satisfying the requirement. _ r n �2Jf l lG W. V�Y 24. Application completed by [ ] own [ ] agent other x34271 - Signature of Prepare r Dater_ POW— I L OWNER'S ENDORSEMENT 0 Kandy yhur being duly sworn, depose and says: I am: (check one) apart owner in fee, or __2�_ the sole owner in fee; or an officer of the corporation which is the owner in fee of the premises described in the foregoing application. I reside st: 4050 Sound View Avenue Mailing Address NY 11952 'Yost I bave aatborized FECONIC [.AND TRUST, INC. to reptlimt me with regard to the eoaservatioe sabdlrisioe applicatien for SCTMN:1000-943-1.6. igaatu tle Date ([f the owner is a corporation, please indicate the name of the corporation and the title of the corporation officer whose signature appears above.) qptete, dt V;i�vt k% -k toa»'� t1CFt`� Notary public ��tt�s� 7t12 0 Applicant Transactional Disclosure Form 0 The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: �� U(!y� yea/ I V 1Q�(�� P last name, first name, mid le initial unless you are applying in the name ojsomeone else or other entity, such as a company. /jso, indicate the other person's or company's name. Nature of Application: (Check all that apply) Tax grievance Building Variance Trustee Special Exception Coastal Erosion Change of zone Mooring Subdivision Plat Planning Site Plan Other (Please name other activity) Do you personally (or through your company, spouse, sibling, parent or child) have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood, marriage or business interest. `Business interest" means abusiness, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. Yes—No— 1( If you cowered "Yes" complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Descnbe the relationship between yourself (the applicant) and the town officer or employee. Either check appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse, 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); B. the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation); C. an officer, director, partner or employee of the applicant; or D. the actual applicant Description of Relationship: Submitted this C u 2tivap Signature Print Name Li i wl, .own of Southold • LWRP CONSISTENCY ASSESSMENT FORM All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken.; A copy of the LWRP is available in the following places: onlrSouthold (southoldtown.northfork.net), the Board of Trustees Office, then al o1 libraries and the Town Clerk's office. i -U B. DESCRIPTION OF SITE AND PROPOSED ACTION2006 SCTM#�D- �L - 3-L10 own The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board 9 Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ❑ Nature and extent \/W) k -s Location of action: Site acreage: Present land Present zoning classification: �— OU v 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of (b) Mailing address: �I (c) Telephone number: Area Code( )au)—lz ( q� (d) Application number, if Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No C4 If yes, which state or federal agency? C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III — Policies; Page 2 for evaluation criteria. VYes ❑ No ❑ Not Applicable roe-& Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III — Policies Pages 3 through 6 for evaluation criteria Ex Yes ❑ No ❑ Not Attach additional sheets if necessary • • Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria 9 Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No.2 Not Applicable additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria aYes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ No I �Not Applicable Attach additional sheets Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. 5Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes ❑ No D<Not Applicable Attach additional sheets WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III — Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No XNot Applicable I Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No XNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. KYes ❑ No ❑ Not Applicable I Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable Created on 5/25/0511:20 AM .ea.a.a . Dtr_. JIM3 am.co slack JpWiT. 0 IM OM.006 meal. agrr Yaws ..e C.-.ra y.r �.��w. Y9Lr r..T'/ 1 VM VAMAlm'E.aeatllr SCt& +ti;r, id Co!eb4' ew.ms aarlad Ma etaotyr eIve- Ilaflfffq 51XFOXD HARAM ASSOCIATCS PM3011 POND, P.O. Sri L430. So I to-aad" 1mw Am &tt%ft"it, New York. 7795: par of 6e dna Wali rd taXDT SCOTT SNVI. reeldten at 71 Lakentde Drive, larmiearille, Saw Turk 11732 year M lie .toed pa.. fllfeat1df87M.ii.. de paa..d it Parr pea. ,.ar:iesrrw.r $10.00 sod any atk*T good •md taloahle conalderatiea kn8a 4w'43 a lid Ciaw:Ran. POW bp6rpep.feY.erwi W.do" heasp Sam aidKlntr.aw 61 perpofd..N per. llxiw .mats. . MA "ca, d IN papa Ade WNW pan fanw. ALL nr ftMlll pw. pkw at panel N lea. wWl ON NNMP p std lmpl*rAaal dtmaa rls[Id. a61ft blas and WM at Mattlemak., towe of SpyeLnld. Ceiar.7 &f-Saffilk arA &tete at low fork, bsuadad and described u follows: arclUD(C at ■ paint at tke Xartivat earner of iaaadriew deem" and frwt sold polar, at heaintnat toXal3G rows alosa land now or formerly of Rebert ami Jean Lasreerthe followiv- 2 covrsev an* diatasceal 1. North 44' 52' 200 teat, 12&,41 r"141 2. Barth 37' Od' 10" Glia. 301.72 feat is Iliad. Nov lir formerly Ne Ziapaskit THUME &lett& said land, Seeth 260 10' 50" Gat, 2015.81 teat to Use new lir formerly of Robert and Jean Leaa*arr TME -%CZ along said land, South a3' 25' 10" Wept. 175.73 teat to laudsew or fhrmarlp of O.ithalackal ' lip%=& plea& inti load the f011ewpa; . cearaoe end 1lntnm1,ee3 1. North 25. 40' 000 Vest, 401.20 feet -t 2. 7larth 35' 27' 006 'lest. 824.bs rest; J. dart6 Be 41' Clow Vest, %06.27 redLa A. Worth, 26w 02' Ina Vast.. 222.62 teak to the Northeast carnar of Ssetdriaw Avenw. tlm plat lir plias a2 ZZCINp2NF• RrSERrlNO. Yowetar,. to Soafora Xawues wallSumf. Xasasr, him wife. for the bea■fir of promises •weed by tiom at &CTX f 1000-44-1- 1.007 as teaeaaat lir right-qr-.ery 40.5 foot is vrdth rvoala{.even premixed hrrala from Souadriaw Avenue &Lona the suraAsrly Itis* If the promises herein described 191 purposme of rmbisslar mad poi■■triam lo&rosN oci :.%room to proal*ea, at SCTR 11000 -Vi -3-1.007 sad rat Installation w:aa neietaseaca at Utility tinea Mad mainly to tkNaa preaLB&s. (See Litter 95V3, -Page 1071 Ceeotae *►reaaats end aaraaa that a po=tiex of the lead hereto soar;p&a 301 is width running sldm8 the northerly time of the promises eanvaped Immediately aoVeh &i the show indicated rtaat-cf- way shall Youata foray*r hh latorha3 Na4 as its present ■stareL •tete As ■ ecoarrsatton buffer area. Grantorrsrther reranae Le and-'iireas that psamia*m karats casvaled obalt be ooreicod Ill an woo than Nall (2) driveway oft at X14 a.ato dsaC1016d Tighe-hf-wa1 mal that said driveway ahalt cater at the vaster■moot 73'- of the property hernia oahveyed. 0 - 0 4rantla further rnr.na.ta ar.d Strad that rhe Pre NrseP harain 0"Vit-d nh.l7 nerfr !r. mctdi7i5rA i*t� Lfe than three 411 htiWind -res. ^.ha shwas resrrrrd ^_asetwnt and rantricttfo eatana.as seal] rat with tho load dM shall le hindins UPON Cray LtM Ons tttolr aaacecaors rid orf 11,ne04e4 to tio"M SCIMIF fOD0-94-T1.OD}. 611kIFGT TO alt lascrfaahrs A r■ccrd. 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Yrp"04Wm.prtir&Aywsrwlielt A4dM dw6044" No*wgwi n ebotact un SACPOtD mix Andclarcs FUSION Pt1D by. --SIS NF'ORD HASADE . Trustee I mnD►■sNYClKQ 1M"0F U,I RATE OF MW vcmC WT& w clu am .w IV . wow w a W J10 d IF _Yelr s r..l.wir.aar 4 v k—A r, kr t, k,*WmA awasda Is W .Y. w W k■ON& f. bs ■kC 1■1fYY11114 1kvclikr4 IN ■ W Willa Ya..a■ol Ota �kw4 Mg1w■t+..1N .dw.ldiW dm w•aµy Y■ N11:yWye bww �� WiW d1k wr<J W uxrzawfar+o.■courfr or suekxx ■■I"An Oa Ka VOK Mara N alkr vr5r6■r IV Q$ .1■6■ IN on du _ A..r fr .rfs.■Y tWZjW°"" �.or■■a wo.�.r 4tiYww 1�11e� MT■1.Jif�� ■IK -f m, AW fe eA�y0falIC1 ■ U]C, fit[f cucl ]Y,•16r Mme:bf fmd■IY wmn. a:J igws.■d ■qr did NfLOeu 7ntN :; Mtlkr M WWW SUFGKD W L490 Lan PLUM no 1YAd . Newry A*Uc� ��a••�•YA-f1kf1.7»- MMM UIkLNV�l0■a'la r■wYgc■1 A1p1 SAJI=D DAWM &MOCI US HMO FO]D w L43DT 3= SPUR f1k111■rit►r11■Y�l0t1 F11�1f 111■ M■IwNrY■ � RLANI 11■sdwM4-�mdMlm*t f x. Ik1OC ielywu Ibs■1ar4F■■'im4WtlWll�1ff16■il■Eikdrrit iwNwleR YA** WxfWs A. NNO..'.IA•�Y0wi :14x1 •t+flti`ww>,fkwnagwM■.....IMw! f1As4N■fi .x111! 4e1se lytte war:. rc'r■ty talcs' VY RA'NIY.R ..KS Q—,dd-1 Kr 4coLmomm-ru Lou Tn1►1M:1'R&WM CD4PAhh !1 Donath F6(1 { 11i0 Unrwei_IK1e ]Iar.� t Far1SR■t1a lls. X7 i,1iia 4.1- tL 0 } ate— � K -•e __ j Lr .rr.or. •w 0 • 617.20 • Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not 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 enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place In Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. it provides guidance as to whether an impact is likely to be considered small to moderate or whether It is a potentially -large impact. The form also identifies whether an Impact can be mitigated or reduced. Part 3: If any impact in Part 2 is Identified as potentially -large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY 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 magnitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. EIB. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described In PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* .❑ C. The project may result in one or more large and important impacts that may have a significant Impact on the environment, therefore a positive declaration wia be prepared. •A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) website Date Page 1 of 21 • 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 effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of th e application for approval and maybe subject to further verification and public review. Provide any additional information you bell eve will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work Is unavailable, so Indicate and specify each instance. Name of Acton U-jo Location of Action (include Street Address, Municipality and County) Name of ApplicanUSponsor Address city / PO Business Telephone Name of Owner (if different) M State_ Zip Code (f 9 (fl Address t �Aia-DJ /`Ve—� . City / PO 1 v t Q tt_._ State Zip Code Business Telephone �aq� Description of Action: Se- -o F F ac\/e5 Fwm 13 2Z� 1 rcve TJ- ryn . Page 2 of 21 :! 1, . . • Please Complete Each Question --Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. 1. Present Land Use: E]Urban 1�®1IIndustrial Commercial L©y. Residential (suburban) ❑ Rural (non-farm) ®Forest I.* QAgricultura E] Other `t `-4 P�c-�S -�1 C%�. 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow orarushland Won -agricultural) acres acres Forested acres�— acres Agricultural (Includes orchards, cropland, pasture, etc.) acres 1 -3,2 -acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres Water Surface Area acres acres J Unvegetated (Rock, earth or fill) acres acres CC` Roads, buildings and other paved surfaces 2,Zacres ?115— acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: E—awell drained(()% of site ® Moderately well drained _% of site. ®Poorly drained _% of site b. If any agricultural land isttinvolved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System) 1 ; acres Isee 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ® Yes 0 No a. What is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: Dct -10% (70 % M10- 15%�% ❑ 15% or greater_% 6. Is project substantiall contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? Yes 1�1 No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ®Yes MNo 8. What is the depth of the water table? (in feet) g. Is site located over a primary, principal, or sole source aquifer? ®Yes 0 No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Yes 0 No h Ltyl"h h� Page 3 of 21 11 Does project site contain any species of plant or animal life that is identified as threatened or endangered? ®Yes I! No 12. each ❑Yes (N0 Describe: 13. Is the project site presently used by ti.e community or neighborhood as an open space or recreation area? . ®Yes [NO If yes, explain: 14. Does the present site ig6lude scenic views known to be important to the community? 15. Streams within or contiouous to oroiect area: 16. a. Name of Stream and name of River to which it is tributary pones, weuane areas wimm or conugu L'Jr(y :�sluvtd �w b. Size (in acres): to project area: - &00/ nu✓ Page 4 of 21 ONo d 17. Is the site served by existing public utilities? ayes a. If YES, does sufficient capacity exist to allow connection? b. If YES, will improvements be necessary to allow connection? E]No Iles 1:1 No 13 Yes gNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25 -AA, Section 303 and 304? 1`11:1 -'es No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes No 20. Has the site ever been used for the disposal of solid or hazardous wastes? B. Project Description ® Yes fi�No 1. Physical dimensions and scale of project (fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: +7 acres. b. Project acreage to be developed: Z,5— acres initially; 215acres ultimately. c. Project acreage to remain undeveloped:—a.2 acres. d. Length of project, in miles: (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed. % f. Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour: _(upon/ ompletion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially I Ultimately t I. Dimensions (in feet) of largest proposed structure: height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? LH.. 57 ft. 2. How much natural material (i.e. rock, earth, etc.) will be removed from the site? D tons/cubic yards. 3. Will disturbed areas be reclaimed ®Yes ®No JRN/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ® Yes E]No NA nn . c. Will upper subsoil be stockpiled for reclamation? © Yes ® No Ivn 4, How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? C__ acres. Page 5 of 21 5. Will any mature forest lover 100years old) or other locally -important vegetation b• moved by this project? ® Yes 0 No 6. If single phase project: Anticipated period of construction: _ months, (including demolition) 1V' 1 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 B. Will blasting occur during construction? ❑ Yes No n 1 9. Number of jobs generated: during construction ; after project is complete ' A 10. Number_ of jobs eliminated by this project Iv� 11. Will project require relocation of any projects or facilities? ❑ Yes �@ No If yes, explain: 0 12. Is surface liquid waste disposal involved? ❑ Yes �lo 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 �ANo Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑ YesIMNo If yes, explain: 16. Is project or any portion of project located in a 100 year flood plaint 11 Yes No 16. Will the. project generate solid waste? ❑ Yes rRNo 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 Page 6 of 21 C e. If yes, explain: 17. Will the project involve the disposal of solid waste? ❑Yes 1No a. If yes, what is the anticipated rate of disposal? tons/month. 0 b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes ❑ No Pu I I ILL ly 6vro 19. Will project routinely produce odors (more than one hour per day)? ❑Yes Jallo 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes ONO 21. -,Will project result in an increase in energy use? 1:1Yes No If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons/day. ^ ( � 24. Does project involve Local, State or Federal funding? 1 74Yes ❑ No tj� vv- / VL0-90 �1 If yes, explain: i� vv-A, ✓i12311"1 y c��. Page 7 of 21 26. Approvals Required: Type Submittal Date City, Town, Village Board ® Yes P(No t� �j�l✓ISIuJ7� City, Town, Village Planning Board MYes ® No City, Town Zoning Board El Yes Ig No City, County Health Department Yes ® No Other Local Agencies E]Yes C3�No ' Other Regional Are ies ® Yes dNo State Agencies ❑Yes WNo Federal Agencies ®Yes bwo C. Zoning and Planning Information �y� 1. Does proposed action involve a planning or zoning decision? i �I,yes ® No If Yes, indicate decision required: i ® Zoning amendment ® Zoning variance ® New/revision of master plan [`Subdivision ® Site plan © Special use permit ® Resource management plan ® Other Page 8 of 21 9 2. What is the zoning classification(s) of the site? 3. R �o What is the maximum potential development of the site if developed as permitted by the present zoning? 3- CO vena-v4s 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? Yes 7. What are the predominant land use(s) and zoning classifications within a %. mile radius oyproposed action? VtCu.�UVa( QVJ-il��� No 8. Is the proposed action compatible with adjoining/surrounding land uses with a % mile? Yes No 9. If the proposed action is the subdivision of land, how many lots are proposed? r a. What is the minimum lot size proposed? _. _� z�V ✓l _ _ _ Page 9 of 21 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ® Yes bNo 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? ®Yes ON a. If yes, is existing capacity sufficient to handle projected demand? © Yes ©No 12. Will the proposed action result in the generation of traffic significantly above present levels? ® YezNo a. If yes, is the existing road network adequate to handle the additional traffic. OYes ❑ No D. Informational Details Attach any additional information as may be"teeded to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. / Applicant/Sponsor Name W-�aV)SuvhVleI IL�1,V� (t�,t�Date Signat 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. t Page 10 of 21 Town Of Southold P.O Box 1179 • Southold, NY 11971 ***RECEIPT*** Date: 07/17/06 Transaction(s): 1 1 Application Fees Check#: 16702 Name: Shur, Randy Scott 4050 Soundview Avenue Mattituck, NY 11952 Receipt#: 16702 Reference 94-3-1.6 Subtotal $500.00 Total Paid: $500.00 Clerk ID: LINDAC Internal ID: 94-3-1.6 PLANNING BOARD MEMBER JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk From: Planning Department Date: July 17, 2006 Re: Check(s) • MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 RECEIVE D J U L 17 2006 Souilx(laa T(,., -r Clerk Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project Type §CTM # Amount Check # Shur, Randy Cons. Sub. 94-3-1.6 $500.00 16702 Sketch Appl. Fee enc(s). LASER FICHE FORM SUBDIVISIONS Proiect Tvpe: Conservation Status: Final Approval SCTM #: 1000 - 94.-3-1.6 Project Name: Shur, Randv Location: The property is located at the terminus of Sound View Avenue east of Saltaire Way in Mattituck Hamlet: Mattituck Applicant Name: Randy Shur Owner Name: Randy Shur Zone 1: R-80 Approval Date: 10/16/2006 PLAT Signed Date: OPTIONAL ADDITIONAL INFORMATION A date Indicates that we have received the related Information Zone 2: Zone 3: Cand R's : Homeowners Association R and M Agreement: Address: 4050 Sound View Avenue Mattituck County Filing Date: SCANNED NOV-32'.; Records Management SCAN Date: SURVEY OF PROPERTY N SITUATE: MATTITUGKp�pry MMMSI�H eryoa"°" TOWN: SOUTHOLD SUFFOLK COUNTY, NY e 7�°R W E ���ti SURVEYED 06-30-2006 P°d°°e 0 5 PROP05FD DIV151ON 07-0"1-2006 spa o�' -J �5 / SUFFOLK GOUNTY TAX hoz wr 5 ooh / m...rr,,;�,,,. v 1 0 2006 �,I i -' I dUL I Souulola imvn Plunnin bard OJ � �n� pane / ` �y�y' `�1'3'1�W"JWW✓"� ,,,.,_ r,/ `� aWd m @b� tl�.s � � 8 House 'OP ovetl On Wt \q Ql , .' steps �yQO Wy�IM"'_ r� 61'0 `9 NO � blalck bfm�f�'�ve� APPROM SKM PLAN G 1Q Q �✓ \ NIeH,°�PpE� � / 7 PPEr 0 0 5- .9 � \9 k s 0 9% 0 G T o Z m 0 V-3 ✓f 9� >T 9 4 o G T uo o p o *Vo 6�5.O 6 a ° OCT"`6° NOTES: d y. ■ MONUMENT FOUND`" GRAPHIG 5GALE I"= 100'ywi`a^�'d' AREA = 727,783 S.F. or I6.70T6 Acres JOHN C. EHLERS LAND SURVEYOR O 100 200 300 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 _ RIVERHEAD, N.Y. 11901 3694288 Fax 369-8287 REF:\\Compegsemer\pms\06\06-206.pm