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1000-100.-2-3
1 4 6 2 #FILE No, .5893#ABS. No. FILED NOV 09 2006 FILED CLERK OF SUFFO~ ~U~ TYPICAL W~LL (NOT TO SCALE) TYPICAL PLOT PLAN (NOT TO SCALE,) ROAD TEST HOLE DA TA AREAS LOT 1-6,3,551 sq. f. or 1.4589 Acres LOT 2-559985 ACRES TOTAL AREA=57.4574 Acres THIS IS TO CERTIFY THAT THE SUBDIVISION PLAT HAS BEEN APPROVED BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLB BY RESOLUTION OF APPROVAL BATEB CHAIRNAN PLANNING BOARD BY bO,~ 2 KEY MAP SCALE: 1 "=600' SUBDIVISION OF KRUPSKI FAMILY LC A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-100-02-03 SCALE: 1'=100' FEBRUARY 24, 2005 JUNE ~$, 200~ JULY 2~, 2005 (REVISIONS) JANUARY 20, 2006 JUL Y 20~ 2006 ICERTIFICA T/ON) THE KRUPSKI FAMILY LIMITED LIABILITY COMPANY NO. I 'EUGENE P. KRUPSKI AND MARYANN KRUPSKI ..55 CERTIFIED TO, MACGREGOR ABSTRACT CORP. CHEVY CHASE BANK EUGENE KRUPSKI MARYANN KRUPSKI I HEREBY CERTIFY THAT THIS SUBDIVISION PLAT VAS MADE FROM ACTUAL SURVEYS COMPLETED ~/B#/05, THAT ALL MONUMENTS SHOVN THUS · ACTUALLY EXIST AND THEIR POSITIONS ARE CORRECT SHO~N AND ALL -nIMENSIONAL AND BE01% TIC DETAILS ARE CORRECF JOHN. T..(METZGER, i~[S£LS LID, NO. 49628 / HERt~Y CERDFY THAT THE WATER SUPPLY(S) AND/OR SEWAGE DISPOSAL SYS?EM(S) FOR THIS PROJECT WERE DESIGNED MY DIRECTION BASED UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY ' CONSTRUCTION STANDARDS IN EFFECT AS OF THIS DA TE P.E. LIC NO. 0525~0 ZONING OlSTRICZ F/RE DISTRICZ' 30 SCHOOL OISTR!CTi 9 - PRIVATE WELL - /ND/V/DUAL SEPTIC SYSTEM - ELECTRIC - CABLE /~t_ ~PGP~K/ ~4MIL Y L/M/TED LIABIL F~ COMPANY //7 1055 OREGON ~OAD M~FFI~UCK, N.~ 11~2. CONGOUR LINES APE REFERENCED TO ~E FIVE EASTERN TOWNS TOPOGRAPHIC MAPS. ANY AL~RA~ON OR ADDITION TO ~iS EU~Y IS A HOLATiON OF SEC~ON 72090F ~E NEW YO~K STA~ EDUCATOR ~ PLANNING BOAP~D GHEE T OF 2 SUBJE~CT TO COVENANTS & RESTRICTIONS LIBER 12459 PAGE SUFFOLK COUNTY DEPARTMENT OF HEALTH HAUPPAUOE, N.Y. SERVICES THIS IS TO CERTIFY THAT THE [~RO.,B-OSED. REALTY SUBDIVISION OR DEVELOPMENT FOR~Cr~j~k, r~mn, l~ LI_C~ IN THE ~ WITH A TOTAL OFlr ~, LOTS WAS APPROVED ON THE ABOVE DATE_ WATER SUPPLIES AND SEWAGE UISPOSAL FACILITIES MUST CONFORM TO CONSTRUCTION STANDARDS IN EFFECT AT THE TIME OF CONSTRUCTION AND ARE SUBJECT TO SEPARATE PERMITS PURSUANT TO THOSE STANDARDS. THIS APPROVAL SHALL BE VALID ONLY IF THE REALTY SUBDIVISION/DEVELOPMENT MAP IS DULY FILED WITH THE COUNTY CLERK WITHIN ONE YEAR OF THIS DATE CONSENT ~S .-E::B ' SI' £N FOR THE FILING OF T~IS 'JAP ON W¼ICH THIS ENDORS~IM£NT APPLARS iN THE OFFICE OF THE COUNTY CLERK IN ACCORDANCE 'WITH PROVISIONS OF THE PUBLIC HEALTH LAW AND THE SUFF~./~DNTyDIK CO SANITARY CODE. DIRECTOR, DIVISION OFENVIROMENT QUALITY · =MONUMENT · =PIPE N. YiS L/C. NO. 4.9516 PECONIC SUR'/EYOR5, P.C. (631) 765-5020 FAX (6~;1) 785-1797 P O. BOX 909 ~2,~o TRAVELER S~R~ET ~'PICAL W~LL t 1 1 4 6 2. #PlUg 15 B 9 3 # ABS. No. FILED NOV 09 FILED Judith A.Pa~Io CLERK OF SUFFOLK~ bO1 ?' KEY MAP SCALE) 1 "=~00' SUBDIVISION OF I<R UPSK[ FA MIL Y £ C A T MA TTITUCK TO WN OF SOUTHOLD SUFFOLK COUNT}', N. K 1000-100-02-03 SCALE' i'-100' FE,3RUARY 24, 2005 THE KRUPSKI FAMILY LIMITED LIABILITY COMPANY NO, I EU~£NE P. KRUPSKI AND MARYANN KRUPSNI TYPICAL PLOt PLAN (NOT TO SOAL£) ROAD HOLE DA TA Wt. $C AREAS LOT 1--63,551 sq It. or 1.4,589 Ac.- es LOT 2--55.9985 ACRE_S TOTAL AR~A:57.4574 Acres THIS rs TO CERTIFY THAT THE SUBOfVfSfgN = 4T HAS BEEN APPROVED BY THE PLAF,i'I[FIG BOARO OF THE TO~I OF SC_ THOLO BY RE~OLUT[ON OF AP,°,~O'/,4L DA TED I HEREBY CERtiFY I-HAP fide WERE [HE SOIL, W4TER SUPPLY(S) ANO/OR SEWACE OISPOSAL SYS£EM(SJ FOR ?HIS PROJECT BY ,WE OR UNDER MY Ol~cCfl~ .BASEO UPON A CAREFUL AND ~QRQUGB SFUOY OF AND ~ONOIflONE, ALL LOTS, AS PROPOSED, CONFORM FO THE SUFFOLK COL/NTT ~FRUCv ~',N STANDARDS IN EFFECT AS OF THIS OA [~, P,~ LIC NO 052510 ZONING OlSTR, Ch' A- C F/RE OISFRIC?- ~0 CON?OUR LINES ARE RLkERE,VCEO FO [HE FIVE ASTERN APPROVED BY PLANNING BOAR,D TOWN OF $OUTHOLD SHEC T 2 OF 2 SUBJECt FOCOVENANTS & RESfRICf/OIVS L/DER 12459 PA GE 533 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES HAUPPAUGE, N.Y. THIS IS TO CERTIFY THAT TH£ P'~OPOS,':O F~EALTY SLJB©IVISI©N OR · --,WONUMEN [ · =RIPE N, YS LIC NO. 4~7F~ PECONIC SURVEYORS, (631) /65-50_0 FAX (6J1) 765 17~ 7 P.O BOX 909 S?REEFrJ 12~0 ?RAVELER MAILING ADDRESS: PLANNING BOARD MEMBE ~~F SO(/jy • P.O. Box 1179 JERILYN B. WOODHOUSE Old Southold, NY 11971 Chair OFFICE LOCATION: KENNETH I,. EDWARDS ~ ~ Town Hall Annex MAR'L'IN H. SIDOR G • ~ 54375 State Route 25 GEORGE ll. SOLOMON ~Ol` (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND OC~UnI, Southold, NY 11 ~ ~ Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 12, 2006 Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786 Re: Proposed Standard Subdivision of the Krupski Family LLC Located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1,385' east of Saltaire Way, in Mattituck SCTM#1000-100-2-3 Zoning District: A-C Dear Ms.Toth: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, September 11, 2006: WHEREAS, this proposal is for a standard subdivision of a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres; and WHEREAS, an application for sketch approval was submitted to the Planning Board on May 6, 2005; and WHEREAS, the Southold Planning Board granted sketch approval and issued a Negative Declaration pursuant to SEORA on August 8, 2005 upon the map prepared by John T. Metzger, L.S. dated February 24, 2005; and WHEREAS, an application for preliminary plat approval was submitted to the Planning Board on September 12, 2005; and WHEREAS, on October 17, 2005, the Southold Town Planning Board granted preliminary plat approval upon the map prepared by John T. Metzger, L.S. dated February 24, 2005 and last revised on July 29, 2005; and WHEREAS, on August 29, 2006, the applicant submitted the application and fee for final plat approval, one (1) copy of the recorded Declaration of Covenants and Restrictions, and five (5) mylars and eight (8) paper prints of the final map prepared by John T. Metzger dated February 24, 2005 and last revised on July 20, 2006, each containing the Health Department stamp of approval; and Krupski Family LLC Page Two September 12, 2006 WHEREAS, the Southold Town Planning Board finds that the final map is in substantial agreement with the preliminary map and therefore waives the final public hearing for this project; and WHEREAS, the Southold Town Planning Board finds that all of the conditions of preliminary plat approval have been satisfied; be it therefore RESOLVED, that the Southold Town Planning Board hereby grant Final Plat Approval upon the plat prepared by John T. Metzger dated February 24, 2005 and last revised on July 20, 2006, and authorize the Chairperson to endorse the maps. Upon endorsement by the Chairperson, the mylar maps must be picked up at this office and filed in the Office of the Suffolk County Clerk. Any plat not filed or recorded within sixty-two (62) days of the date of final approval shall become null and void. If you have any questions, please contact us. Very truly yours, ~~~~~~~t~~~ Jerilyn B. Woodhouse Chairperson Cc: Elizabeth Neville, Town Clerk ` ' . { I}ECLARATION_nN COVENANTS AIVU I2EST_[tICTIONS 'This declaration made. and dated this - 1__-, day r~l'___ ~j I _ - 2t~6, by'`Krupski i~'amiJy. l?,C, ~.tiith oftr~+a ~r~. Ins t ~'>r:~~,~,on Koawl, 1?eattituck, ~lc~~ Yi<,rk 11952, hereinafter referred to as "Declarant": WIfNESSF:fII: W!HERF?AS, the Declarant is the owner of certain real property described io Schedule "A" attached hereto and made part hereof; and WIFIEREAS, the DTiC'LAKANT has rnade an application tar and has received conditional approval from the Planning Board cif the Town of Southold to subdivide fiaid property 'into two (2) lots, as shown on the subdivision map of "Krupski Pninily LLC~' t preparediby Peconic Land Surveyors, last dated !%c~ f~Cc= which map wijl be ftled herewith! in the Office of the Suffolk County Clerk; and VUHERF.;AS, for and in consideratipn of the granting of saidapprov~L the T'lai~ning ~ board of~,the Town of Southold has deemed it to be in the best: interests of tote "town of # SoutTold and the owners and pmspeetive owners of said lots that the within. C'ovenarits and Restk•ietions he imposed on said lots, and as a condition of said approv~l, said Ptarttring Board has required that the within Declaration 6e recorded in the Suffolk County ~'~terk's Office; WFfF.RF3AS, the DEiCi,AKAN"1' has considered the foregoing and have determined that the same will be for the best interests cif the DF,CI,A(~ANT and srrb4equrtnt owners of said pam.el: NOW, 1(fIf;RFsrORT~, ~T1~fS DF_('l_ARA'ftON'JfT"IPJF~`;STI l: That the'DECT~ARANT, for the purpose oi'carrying out the intentions aboie expres~ed, does hereby make known, admit, publish, covertant and free that the said {ots within said subdivision map shall hereaTter he subject to the lallowing covenants and restrictions as herein cited, which shall rim with the land and shall be binding upon all prrrchascrs, blot owners and holders of said Property. their heirs. executors. administrators, Tegal representatives, ctistributecs, successors and assigns to wit: ~lo Comply with Chapter A-106 future yield calculations requirements. 'I"he fi ~ clustered open space for l.ot I equals 3'77 acres and is inclusive and part of l.,ot which equals 55:99 acres. When determining iirture parcel yield, t1r~ cluster Upcrr space shall he subtracted i~rom the T,ot 2 parcel. area 1;55.99 aares) at un-huildablr l~rrds. To comply with Chapter A-10(,, required duster ripen tip;ace requ%xetnksnt, tar Standard Sub-divisions on a parcel equal to or greater than 7 acres :In the cv~ nt that the: parcel is further sub-divided, the cluster openspacc resulting from L{~t 1 f377 acres) shall be c;oRrti~uous gird inclusive of the cumulative h>t~l percenl~.,t olnster open space required nn the parcel. • _ ~ _._s .W. ~ _ _ e ~ .,M,,. , .,~„c ~i v^w.~ ' ~ _ :~",+i 3lTo ccim I with Cha ter A--1(16 Aftixdable Fknisin~ re uirement ~ in he P Y t c.bc,nt p g q the?parcel is further subdivided, Lot. 2 shall be considered a created ~ot and sh~til be ir~eiuded as Lot 1 of any futrire yield. 'T'hereti>re, the AtT'ordable T~olrsir?g requirement shall apply to any proposal of 4 or more created: lots 4'or the parcel. ~M " By this Declaration, iiitiire residents of tl?e lots which cornprso the subdivision a~e advised that-the lots may be subject to the noise: dust and odors normally ~ associated by agricultural activities pursuant to Article XX[[, l:annland 13111 c>If I2'~ights, of the Southold Town Code. 5{ No changes shall be made to any of the lot lines on the approved and filed ~ subdivision map without approval by the St~uth~~ld '1'uwn (Tanning 13oar`d. hj Ac;cess to the building envelope and proposed residence: im Lot 2 jahall he t}otil Squncl View Avenue. These covenants and restrictions shall run with the land anti shall be~binding >upon the DECLARANTS, its heirs, its successors and assigns, and upon ail persons or entities claiming under them, and maybe terminated, revoked or amended by the ownerof tfte prgpertyionly with the written caitsent ivf thc'!'owu granted by a majority plus crate vote of ttie Planning board alter a public hearing:. x if any section, pa~Fagraph elaotie. phrase nr provititt~n of these covemamr~. artd reslricti ttas sha}I. hy~a (:Dort ofeompetent lurisdicfion; he adjudged illegal, unlawful, invalid or ~eld to unoon~titutional; the sameshall not aftectthe validity ofthcse covenant~aea who~e nr any other' part or provision fiereof ol:iter than tlac part so adjudged to be illegal, tanlai~ful_ ' invalid o~' unconstitutional. The aforementioned Restrictive Covenants are intended firr the benefit of and shall hk~ w' enforcea~ale by the townof Southold. State of New Ynrk. by~ir~junetive relief or b~~ a'v ciilter retuedy in egitity or at law 'the failure of sand agencies of the 'town of Southa~dao enforce t~e satttite shall not he deemed to atTeot`the'validity of this covenant nor tp imposti any liahi~ity whatsoever upon the tntvn of Southold nr any officer or cmplaayee iherccif T-he with~n Declaration. is made subject: to the provisions of all laws required by law I' r by r ~teitrprovisions tube incorporated herein and-made part hereof; as though dally sot forth. That the hvithin Declaration snail run with the land and shall lae binding u{ittn the Declarant and its successors and assigns, and upon all persons or entities cftaiming ar~der _ them, anal may not be annulled; waived, changed,. modified, terminated, revoked, or j 4, amendedfby subsequent owners of t}ie property utiless and untitapprovecl by a majrtr~ty pies one ,vote of the Planning board Hof the "Trtwn of Southold or its successors, after a~ i ~ F= t- ,K~k,psKr Far~~ly~ G.LC COUNTY CLERK'S OFFICE STATE OF NEW YORK SS.: COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof, do herebx'c rtify that I have compared the annexed with the original D~~A71~.C~F.~.~.....RECORDED in my office on .7:~.~:'.~.~.).. under LIBER .~.~!-N.S.q ................PAGE ~.~a.....and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court on this ..~~~h...day of ....`~...4-y 20Q~+... CLERK.~.~.~? ..Cl~-~A...~.~.. Fidelity National Title INS~URANCF, COMPANY TITLE N0. 06-7404-65151.SS-BUFF SCHEDULER ALL that certain plot, piece or parcel of land, situate, lying and being in the To~~m of Southold, County cf Suffolk and State of New York, at Mattituck, and being more particularly bounded and described as follows: BEGINNING at a point on the northerly line of Oregon Road, 1070 feet, more or Tess, easterly along said northerly line from Mill Road, being the southeasterly corner of land of Mattituck Shores Association; RUNNING THENCE northerly along said land of Mattituck Shores Association, 3,816 feet, more or less, to the southerly line of Soundview Avenue; THENCE easterly along said southerly line of Soundview Avenue, 353 feet, more or less, to the land of Mount; THENCE southerly along said land of Mount and land of Robinson, 1.71 feet, more or less; THENCE still along land of Robinson, two courses, one course easterly, 322 feet, more or less, and then southerly, 3618 feet, more or less to said northerly line of Oregon Road; THENCE westerly along said line of Oregon Road, 690 feet more or less, to the point or place of BEGINNING. 24 Commerce llrivc • Riverhead, New Yorl< 1 I )Ol • (631 j 727-0600 • fax: (631) 727-0606 Project Status Report for Standard Subdivisions ~i7 Sketch Application Dates Pre-Submission Conference SEQRA Determination Sketch Application Received c7 " ~ t~ S / SC Planning Commission Referral ~ Application Fees Pai(d~~l i, ~ ~I SC Planning Commission Comments i1 ERSAP Submitted SG~15 FjGc~ Fire Department Referral a7~~ Yield Plan Submitted (1 `rti Fire Department Comments Concept Design Determined Engineer Conference _ Fire Department Comments ~~~'?y~ Sketch Plan Submission SEQRA Coordination Conditional Sketch Approval Landscape Plan Sketch Approval Sgil Conservation Plan Preliminary Plat Application Dates I6 months after Sketch Plan Approval) Preliminary Application Received %'/1'OS DEISSubmission Application Fees Paid ~ Referral of Legal Documents to Town Attorney Referral of Road and Drainage Plans Comments from Legal Department Received Engineer Conference FEIS Submission Comments from Town Engineer Preliminary Hearing Set Draft Performance Estimate Preliminary Hearing Held Draft Covenants and Restrictions Preliminary Hearing Closed Draft Homeowner's Association Agreemeni Conditional Preliminary Approval Draft Road Maintenance Agreement Preliminary Approval Scoping Session Final Plat Application Dates I6 months after Preliminary Plat Approval) Final Application Received Affordable Housing Fee Paid Application Fees Paid Administrative Fee Paid Mvlars Received 151 NYSDEC Wetlands Permit Received Paper Prints Received (81 NYSDOT/DPW Permit Received Final Road and Drainage Plans Trustee Permit Received Performance Guarantee Received Final Hearing Set Performance Guarantee to Town Board Final Hearing HeIdlClosed Final Covenants and Restrictions Filed Legal Documents Final Homeowner's Agreement Conditional Final Aporoval Final Road Maintenance Agreement Final Approval Park and Playground Fee Paid ~ '7Q d C Map Endorsed by Chair Conservation Agreement LWRP Consistency Review Final Map Routing: Tax Assessors Building Department Land Preservation Highway Department Additional Notes: ~gUFFO(,~~o MAILING ADDRESS: PLANNING BOARD MEMBERS h.Z~ ~ P.O. Box 1179 JERILYN B. WOODHOUSE ~ Southold, NY 11971 Z Chair ap OFFICE LOCATION: RICHARD CAGGIANO ~ • Town Hall Annex WILLIAM J. CREMERS y~o! 54375 State Route 25 KENNETH L. EDWARDS # (cor. Main Rd. & Youngs Ave.) MARTIN H. SIDOR Southold, NY Telephone: 631 766-1835 Fea: 631 786-3138 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Application for Sketch Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. II II ~ ,Q L Name of Subdivision ~ rrl,l.D S ~ ~~x~N L..~~ CI - ~ ~ a ~ ~ / ,i ~ 2. Suffolk County Tax Map # ~6~ - ~ ~ U ~ p~ ' 3 3. Type of Subdivision Standards~ [X""J I_Conseprvation [ ] 4. Hamlet ~~-~"(I Thll~l~-- 5. Street Address/ / ~r~icm Project Location ~-7 6. Acreage of Site ~ 7 ~C S / 7. Proposed Yield ~ I~ 8. Number of Lots Proposed 9. Zoning District / 10. Date of Submission ~ /0 d 11. Please provide the names, addresses and phone numbers for the following people: Applicant: C~ ~ ~4 lc, t~l Ny 73s- Agent: V i C~ t To1~' ' Po (fox ~o I ~~nnlP ~nA /~1 111 ~10 ~35~ai q Property Owner(s): T t? k~~"ki ~~JVIt~CCJ ~.~QUi~~~~-"' 0 ru RA. Mak~+u.c~~fN y" s a Surveyor: ~SL.GOYVLG ~~iYdQc~InYS p O ~JOx 40°/ So ~1tho (dam n~ t l r(7/ 7Jn+-; ~ifai7 Engineer: Attorney: 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and whether or not approval was granted by the Planning Board. 13. Has apre-submission conference been held with the Planning Boazd? If so, provide date.l~S ~ ~ ~~~~OS - 14. Has the owner/applicant met with Land Preservation? If so, provide date.~(~ 15. Is any part of the property in agricultural use? ~ Q,5 16. Is there an existing or proposed sale of development rights on the property? L • • 17. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. (]O 18. Are there any building permits currently pending on this property? If yes, please provide permit number(s). nc~ 19.The site will be serviced by the following special districts or utility companies: Fire District Post Office L School District ~ L do0 ~lS+YIG~-- Waier TY1~~ ~l-e ~1~~-l 20. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please provide proof that service will be provided. I'1D 21. Please indicate the type of open space proposed and how i> will be managed? -~I ~ ~ % 22. Are there any existing structures on the property? If so, please indicate the type of kucture an(d~ its use(s). Will these structures remain, be removed or altered? ink ? tO.Y~,4 YeS~'(~n.~,cJt~ lei ~1~1~1-fl-~'~ ?VI S y-- ~~b~,_1ck~ ~.~;~1 rerv~a.~n 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. I() ~ 24. Application completed by [ ]owner ~ agent [ ] other I l Signature of Preparer \ l~l~.l. B r"~-I"w- Date S `0 c~ Aoolicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part 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. h Your Name: ~~~S~fl~ EJGCtI a P. last name, first ,middle initial unless you are applying in the name ofsomeone else or other entity, such as a company. Ifso, indicate the other person's or company's name. Nature of Application: (Check all that apply) Tax grievance Building Vaziance 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, pazent or child) have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood, mamage or business interest. "Business interest" means a business, 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. YesNo If you answered "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 Describe the relationship between yourself (the applicant) and the town officer or employee. Eithor check the appropriate line Athrough Dand/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: hh ~ N. X Submitted this of200915 Signature tt, Print Name E~u,tr~ C RrJF J f _ _ _ r • ~gUFFO(,~co • MAILING ADDRESS: PLANNING BOARD MEMBERS h~~ Gy P.O. Box 1179 JERILYN B. WOODHOUSE ~ ~ Southold, NY 11971 Z Chair N OFFICE LOCATION: WILLL9MDJ. CREMERS oy~o 0~~~ 5 375 StatelRoute 25 KENNETH L. EDWARDS ~ ~ (cor. Main Rd. & Youngs Ave.) MARTIN H. SIDOR Southold, NY Telephone: 831 786-1838 Faz: 831 786-3138 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Application for Preliminary Plat Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for PRELIMINARY PLAT APPROVAL for the subdivision described herein. 1. Name of Subdivision Kt-u,p~`j{~t_~~ 2. Suffolk County Tax Map # I bbd- I D(~ - ~ - 3 3. Hamlet m Q,+~-j ~A,~ 'nn J J 4. Street Address / ~,`-1"rJ r'P [T7L ~GI f ! I (~l-1`f7 ~1~ Project Location ~~II 5. Zoning District A - C.. 6. Date of Submission ~ ~ Lo ~ C~~j 7. Sketch Plan Approval Date ~ i g I (?~J 8. Acreage of Site 5 7. ~ ~j 9. Parcel Yield N J A" 10. P~; ~u,ber of Lots Proposed a. Number of Affordable Lots Required: ,rV A b. Number of Affordable Lots Proposed: c. Alternative Method/Payment Proposed to Satisfy A ordable Housing Requirement: 11. Acreage of Open Space IJ ~ 12. Percentage of Open Space 11'~ 0 13. Range of Lot Sizes "n ~~~l 14. Average Lot Size Y~ / ~ A 15. Private or Public Streets ~Uh~\ G 16. Length of Road(s) N I t'~ 17. Acreage of Road(s) ~V] I 18. Does the Preliminary Plat differ from the Sketch Plan previously approved by the Planning Board? Explain. n~ 19. In addition to the application to the Town of Southold Planning Board, what other approvals are you seeking for this subdivision from state or other agencies? r-lease list other applications which are currently pending involving this project. I~f' possible, please rovide application reference numbers. , SU ~'-Fvf1< ~~~lln~, ~p - r~~ a-~FC 1~n ~yV1 20. Application completed by [ ]owner ~ agent [ ]other Signature of Preparer V ~C.IGI p r'~{-vim.-~ Date q ~ q I ~j MARYANN KRUPSKI EUGENE KRUPSKI s°a11°iz21a 2 3 2 4 29 FRANK AVE. , FARMINGDALE, NV 77735 Da~~l'~"]lO~ ?1 • l I Is "Pay To ~ ~ ° ~ ~ ~!l/1j1 ~Tha Order OF ~ I ~`€b~. ~ i ~ a' THE AOSLYN SAVIN BANK Dollars = 16'CON KLIN ST. F~[A'(g~~MINGOALyE, N'.V^r. `1/1)]/3`5 /y ,c, l.~ 2 2 i 4 7 l i 0 4 is 0 5 7 3 0 0 8 6 3 8 ~i ~ l ' 2324 oAEOw~A,~,o.,,,,...~~.~w~..m,.a~em ioo-a- 3 ®s~rsF~oAO.~~~E~sEOars~=~s=~ ~ix . ~ s~ , p c A5~ ~ , ~ 9c i ~ Y. ^ - ,A~ " ~7t Y~'~u r~~}5 x),.14 j p v w F ~ .'WY ~a+W ~ d R ~v 3,~ , 3 ~~~n br~,~td#Yd ~ OrdBT of ~ ~ I r ~ , Ii 8p(YNrbdY MY 1194 ~ ( p . TOWN OF SOUTHOLD AUTHORIZATION LETTER EuSerx. P. Kn,pski I, E•>~utt.P?4'vptlti P.o•A. ~ C~''C`.ne k~ntgsk~ president of Krupski Family Limited Liability Company #1, hereby authorize Vicki Toth to act as my agent on the property of SCTM#1000-100-02-03 in Mattituck, NY and handle all necessary work involved in the subdivision process with the Southold Planning Board. Signature: Sworn to before me this ~Q day of ~ /I I , 2005. STATE OF NEW YORK) I )ss.: COUNT OF On the day of /1 f in the year 2005 before~imee the undersigned, a Notary Public in and for the State, personally ap d ~(q ~-E rl `c. K Yt! T ~ ,personally known to me or proved tome on the basis of satisfactory evidence to 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 i trument the individual, or the person upon behalf of which the individual acted, ex ted the in ent. 1 ~ ~e.v'forK Notary Public Tc Town Of Southold C~ • P.O Box 1179 • ? Southold, NY 11971 * * * RECEIPT Date: 09/20/06 Receipt: 1005 Transactions): Reference Subtotal 1 1 Application Fees 100-2-3 $500.00 Check: 1005 Total Paid: $500.00 D ~ I;r . ; .,~w,. Name: Krupski, Eugene & Maryann 1095 Track Ave Cutchogue, NY 11935 Clerk ID: LINDAC Internal ID: too-z-3 ~ _ • • MAILING ADDRESS: PLANNING BOARD MEMBERS 1~~~0~ SQf jTyOlO P.O. Box 1179 JERILYN B. WOODHOUSE Southold, NY 11971 Chair ,IL ~ OFFICE LOCATION: KENNETH L. EDWARDS T Town Hall Annex MARTIN H. 5IDOR ~ • ~ 54375 State Route 2b GEORGE D. SOLOMON Ol (wr. Main Rd. & Younge AveJ JOSEPH L. TOWNSEND 'YCOUNi'1 Southold, NY Telephone: B31 765-1935 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk " From: Planning Department - Date: September 20, 2006 a:4" ~ , Re: Checks ~ 1 Enclosed herewith are the checks listed below. Pte~s2 return a receipt to us: . Thank you. ' Project Name & Type Tnx Mnp # Amount ante of Check Pope Lot Line Change 126-4-15.1, $500 app fee 8/21/06 16.1 & 17.1 Kru ski Subdiv. loo-z-3 $500 app fee 8/28/06 Flower Hill Subdiv. 69-3-10.1 $1,100 & $12,900 P&P 9/6/06 $4,532.76 adm. Old Orchard at Cutchogue 109-6-9.1 $500 app fee 9/5/06 Std. Subdivision $21,000 P&P Oregon Landing II Cluster 95-1-5 $500 app fee 9/5/06 Conservation Subdivision $10,500 P&P LR enc. ' HENRY P POPE TTEE /f~/~ 17HG t i 41 CACHE GAY DRIVE y/~/~ Cash Management Account° - VERO BEACH, FL 32963 DATE 2 5-8 01440 e, PAY TO THE Q~ /y~~1'C~ ORDER OF ~ ~ Ul./ 6665 Merrill Lyncch L/ I cBoW~kb~ua ap'nN~O~mn' 3a T _'~i~1/, .~r7~O/. 6JI I 'I rvr MEMv O _ 1:0440008041: 04 1 1 5 2 136 3 30ffG%'%~6 /~'Z'- - ~ MARYANN KRUPSKI I-7ose/zzeo 1005 EUGENE P. KRUPSKI a363oss71a 1095 TRACK AVE. ' CUTCHOGUE, NY 11935 vAl'E_ ~~>_~~'~Se~~ I Is PAY TO THE Q` ~ ~w ~aS~ ~U~~~ OROEH OP y. ~r 1~~ ~ DOLLARS 8 0,„„0,.,,,°' Apple Apple Bank for Savings ~ III~~ ' 3655ovth Oysrei Eay Road i~/1~~ PLvwiew, NY 11803 o MEMO'~O /IY//~•~I~11'~ ~1yI~~/``~y1\,~~WJVV~Y/~~~_._.np 1:2 260 70 58 41: 438 30697i51f' 1005 - - ~ _ - - mow: y,, FLOWER HILL BLDG. CORP s=75sess 417 C/O CHRISTIAN E UHL 411013 4 ' - 8243 JERICHO TURNPIKE / WOODBURY, NY 11797 (O O / u b ni I s PAS TO THE ~ F•O Oa~F /d'w'1c i $ /a~ 900 . x ~ ~ 13 / ~ Q-°- ~ p W LL9RS 8 p a+~unx oe..w..e wm,~mro., h Ex ense ~k ~ Code WO~""ON°a Monet Market FuMS GheckwriGng ~~cs'CRYr'1J~'~toOO-~9'o3 -1-•I I, MEMO LIiiAC fie'- Rp I t:031100i571: 411013i7741f' 0417 HENRY P POPE TTEE 1736 a1 cncHECnvoRivE {~/I//C Cash Management Account` VERO BEACH, FL 32963 J ~ DATE Z%//3~ 26-80/440 /f K~ _ ORD/EyR O~FE ~ ~J~ ~ - - - ~ ~ OC/ _ _ i _ _~/_T _ _ _ _ _ _ _ _ _ r ~q S~4IAerrill lrynch ) ~.~j\ MEMO 1:0440008041: 04 i ~ 5 2136330~i' X736 MARYANN KRUPSKI r~oeslszso T ~~10 0 5 EUGENE P KRUPSKI ass3ass~is 7095 TRACK AVE. yl~ CUTCHOGUE, NY 71935 pg1~p. PAY TO'1 HE ~ (Zy~ ORllEH O[ ,J(~J _ Ue ~~d~ ~ _~oL~,RS ~ ~y A e Apple Bank For Savings , ~ _ 365 South Oyster Bay Road i /14 , gf pP4urrv/yiew, NY 1180} ~ 4 it b~MO ~QQ ~ 7d ~1"~~~` ~ ~ Y i 1:2 260 70 5841: 438 30697i5~1' 1005 r~. ~ NO CONSIDERATION Quitclaim Deed This Indenture, made the 26th day of November, Two Thousand and Two, BL+'TWLEN JOSEPH F. KRCIPSKI, residing 1055 Oregon Road, Mattituck, New York 11952, party of the first part, and THG KRUPSKI b'AMILY LIMITED LIABILITY COMPANY #1, a Ncw York Limited Liability Company with olFices at 1055 Oregon Road, Mattituck, New York 1.1.952; party of the second part, WITNESSETII, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second pan, the heirs or successors and assigns of the party of the second part forever, in Tnx n~tar ~rstcNnnoN ALL that certain plot, piece or parcel of land, with buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk Dlst.: 1000 and State of New York, at Mattituck, and being more particularly bounded and described as follows: Sec.: 100.00 BEGINNING at a point on the northerly line of Oregon Road, 1070 feet, more or less, Blk.: 02.00 easterly along said northerly line from Mill Road, being the southeasterly corner of Lot(s): 003.000 land of Mattituck Shores Association; RUNNING THENCE northerly along said land of Mattituck Shores Association, 3,816 feet, more or Icss, to the southerly line of Soundview Avenue; THENCE easterly along said southerly line of Soundview Avenue, 353 feet, more or less, to the land of Mount; Ti IIJi~CE southeriy along said land ui~ iviouut and land of Rubiiisuii, i 7 i feet, rnorc i,i less: TH1?NCE still along said land of Kobinson, two courses, one course easterly, 322 feet, more or Icss, and then southerly, 3618 feet, more or less to said northerly line of Oregon Road; THENCE westerly along said line of Oregon Road, 690 feet, more or less, to the point or place of BEGINNING. BEING AND INTENDED TO IIE the same premises conveyed to the Grantor by Deed dated Angus[ 21, 1996 and recorded in the Suffolk County Clerk's Olficc on August 29, 1996 in Liber 11789 page 895, the Grantor being the same person described as the Grantee in said Deed. Together with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above-described premises to the center lines thereof; Together with the appurtenances and all the estate and rights of the party of the first parCin and to said premises; i To have and to hold the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. And the party of the first part covenants drat the party of the firs[ part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. And the party of the first part, in compliance with Section 13 of the Licn L.aw, covenants that the party of the first pan will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall he construed as if it read "parties" whenever the sense of this indenture so requires. r In Witness Whereof, the party of the first part has duly executed this lleed the Jay and year first above written. IN PRESENCE OP: ~ ` L.S. J -PI3 . KR SK STATE OF NEw YORK) COUNTY OF SUFFOLK) ss.: On the 26th day of November in the year 2002 before me, the undersigned, personally appeared 70SEPH E KRUPSKl, personally known to me or proved to me on the basis of sadsfacrory 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. ___~1.-- - Notary~P blic r,~ , QUITCLAIM DEF,D ~isTxlcT: iooo SECTION: 100 00 ,JOSEPH F. KRUYSKI nLOCK: oz.oo TO ~_oT: 003.000 THE KRUPSHI FAMILY LIMITED couNTY ox TowN. s~,~a,<~i~~ LIABILITY COMPANY #I TAX 6Ti,LWG ADDxESS. Soundview Avenue Ma~timck RETURN BY MALI. TO: Jay P. Quar[araro, Gsq. Twomey, Latham, Shea & Kelley, LLP 33 West Second Street P.O. Box 398 Riverhead, New York 11901 Page 2 of 2 Pages uaiZtfi 05 12:01 FA% BJ17271767 TWOMEY LATHAM.. - ~ ~ ~J007 - • • Durable General Power CQQ~ of Attorney CATHERINE M. KRUPSKI TO EUGENE P. KRUPSKI Or FRANK J. KRUPSKI JAY P. QIIARTARARO, ESQ. Twomey, Latham, Shea & Ke11ey Attoxaeys at Law 33 West Seoond Street P.O. Bax 398 Riverhead, NY 11901 (631) 727-2180 Page 6 of 6 Pages 04/28/05 12:00 FAX 8017271787 TfVOMEY I:ATHAM.. f~002 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD SE USED BY LAWYERS ONLY DURABLE GENERAL POWER OF ATTORNEY revised 1/1/97 NEW YORE STATOTORY LONG FORffi THE POWERS YOU CiRA18T BELOW CONTINUE TO 8E EFFECTIVE SHOULD YOII BECOT~lE DISABLED OR INCONpETENT CAUTION: This is as important do^•~^~*+t. It gives the person whom you designate (your "Agent") broad powers to handle your property during Your lifetime, which may include powers to mortgage, sell, or otherwise dispose of any real or personal property without advance notice to you or approval by you. These powers will continue to exist even after you become disabled or incompetent. These powers are explained more fully is New York Geaerai Obligations Law, Article 5, Title 15, Sections 5-1502A through 5-1503, which expressly permit the use of nay other or different form of power of attorney. This document does not authorize anyone to make medical or other health care decisions. You may execute a health care proxy to do this. If there is anything about this form that you do not understand, you should ask a lawyer to explain it to you. THIS is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: I, CATHERINE M. KRUPSKI Residing etc 1055 OREGON ROAD MATTITUQ{, NY 11952 Do xereby Appoint: EUGENE P. KRUPSRr Residing at: 29 FRANR AVENQE FARl'~ATGpALE, NY 11735 OR FRANK J. KRUPSKI Residing at: 1895 ALDRZCH LANE LAUREL, NY 1198 Page 1 of 6 Pages 04/28/05 12:00 FA1I 8317271767 T{90MEY LATHAM.. ~ 003 ~ my attorney(s)-in-fact TO ACT (If more than one agent is designated, CHOOSE ONE of the following two choices by putting your initials in ONE of the blank spaces to the left of your choice:) ( )Each agent may SEPARATELY act. ( )All agents must act TOGETHER. (xf neither blank space is initialed, the agents will be required to act TOGETHER) IN MY NAME, PLACE AND STEAD in any way which I myself could do, if I were personally present, with respect to the following matters as each of them is defined in Title 15 of Article 5 of the New York General obligations Law to the extent that I am permitted by law to act through an Agent: (DIRECTIONS: Tn+tial in the black space to the right of your choice nay one or mole of the following lettered subdivisions as to which you WANT to give your agent authority. If the blank space to the right of any particular lettered subdivision is NOT initialed, NO ADTSORITY WILL 8E GRANTED for matters that are included in that subdivision. IA) real estate transactions ] (B) chattel and goods transactions ] (C) bond, share and commodity transactions ] (D) banking transactions ] (E) business operating transactions ] (F) insurance transactions ] (G) estate transactions ) (H) claims and litigaeion l (I) personal relationships and affairs ] (JI benefits from military service ) (K) records, reports and statements ] (L) full and unqualified authority to my attorney(s)-in-fact to delegate any or all of the fore- going powers to any person or persons whom my [ ] attorney(s)-in-fact shall select (M) all other matters ......................................................C ] Page 2 of 6 Pages 04/28/05 12:00 FAX 8917271767 TWOMEY LATHAM.. C~j004 _ (N) make gifts on my behalf, even if such gifts are to my attorney-in- [ ] fact (0) make gifts for estate tax and/or gift tax planning.-• ] (p) make gifts to the following class of people: spouse/children/grandchildren/issue/etc. in equal or unequal amounts- [ ] (Q) Join with mS' spouse in split gifts J (a) prepare, execute and file income, gift and other tax returns required by the laws of the United States or of any state or subdivision thereof to confer with revenue agents, execute and file refund claims, collect any tax refunds, execute agreements extending the statute of limitations, represent the principal or obtaia representation for the principal before the Tax Court of the Vnited States or any other court in connection with all income, gift or other tax matters; sign federal Form 2948 and any similar state form as may be necessary and permissible by the taxing authority...--.......( 1 (5) represent Lhe principal in all matters before the Social Security Administration, any state Medicaid agency, or any other governmental agency in charge of benefits and entitlement programs, including, but not limited co, the power to make an application for benefits, and appeal the denial, reduction, or discontinuation of benefits.-.........[ ] (TI represent the principal in all matters before any governmental agency, board or tribunal on the federal, state or local level.........[ ] (U) exercise my rights over and/or make decisions pertaining to n4Y retirement plans, including individual retirement accounts, rollovers and voluntary contributions; to apply for and receive benefits thereunder; to alter designated beneficiaries of ERISA and/or all . other retirement plans.........' 1 (V) exercise all rights which the principal may have in life insurance policies, including, but not limited to, the right to borrow against or assign said policy, to change the designated beneficiary thereof, eo exercise any options under said policy, and to transfer ownership.. thereof ] (W) create trusts, whether revocable or irrevocable, on behalf of the principal; to fund such trusts on half of the principal or to make transfers and additions to any trusts already in existence ] iX) Disclaim, in whole or in part, any interest or' power passing to the principal by will or by intestate succession or by any other means.....[ ] (Y) Exercise all SC3LI1L Ory elections against the eSLate Or property of any person fzom which such right is derived 7``~~ (Z) Each of the above matters identified by Lhe following letters: (A) ~ ! through and including (Y) J V Page 3 of 6 Pages 04/28/05 12:01 FA% 6917271767 TWOMEY LATHAM.. IaJ005 i (Special provisions and limitations may be included in the statutory Long form durable power of attorney only if they conform to the requirements of Section 5-1503 of the New York General Obligations Law.) Special Additional Provision: The powers granted, under (A) through (C) above shall include the sale of a cooperative housing unit and are enlarged so that all fixtures and articles of personal property which at the time of such transaction are or which may thereafter be attached to or used in connection with the real or personal property may be included in the agreements or other instruments to be executed and delivered in connection with any transactions and which may be described in said instruments with more particularity. This Power of Attorney is not subject to question because an instrument executed hereunder fails to recite or recites only nominal consideration paid therefore and any person dealing with the subject matter of such instrument may do so as if full consideration had been expressed herein. This Durable Power of Attorney shall not be affected by my subsegneat disability or inoo~petence. If every agent named above is unable or unwilling to serve, I appoint: residing at: (insert name and address of successor] to be my agent for all purposes hereunder. TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY EXECUTID COPY OR FACSIMILE OF THIS INSTRUrffiVT MAY ACT HEREUNDER, AND THAT REVOCATION OR TERMINATION HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE OR KNOTnTLEDGE OF SUCH REVOCATION OR TERMINATION SHALL HAVE EEE[~T RECEIVED BY SUCH THIRD PARTY, AND I FOR MYSELF AND FOR MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREE TO INDEMNIFX AND HOLD HARMLESS ANY SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY 'ARISE AGAINST SUCH THIRD PARTX BY REASON OF SUCH THIRD PARTY HAVING RELIED ON THE PROVISIONS OF THIS INSTRUN~IT. Page A of 6 Pages - 04/28/05 12:01 FAX 6017271787 TVYOMEY LAT MFI~..__. !~j006 • • This Durable General Power of Attorney may be ranoked by me at any time. In Witness Whereof, I have hereunto signed my name this 26th day of November, 2002. c uzAr~L~` z . s . CATHERINE M. KRUPSKI Ac]mawledgment STATE OF NEW YORK) ss.: COUNTY OF SUFFOLK) on the 26th day of November in the year 2002 before me, the undersigned, personally appeared CATHERINE M. T~iUPSRI, personally knowtl 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 she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which he individual acted, executed the instrument. _ ! ~ 9~ iFaTCFgao Nota i of the to of New York ~lotar`/ •':!,!;he. ~•,s;c o* N£W York 'd^ 'i.'1;:5055395 My Commission Expires • c(}.l°~~~~~ 6!~:;I!ir.~d r~+ °~urio!k wurry Cornm!es'ior, ~xpv25 Peb; nary 2U, Page 5 of 6 Pages PLEASE TYPE OR PRINT CLEARLY The Full Environmental Assessment Form (EAF) is intended to provide a method whereby appRcents and agencies can be assurod that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. ~ EAF Compprrrrta: The full EAF is comprised of three parts: part 1: Provides objective data and information afwut a given project and its site. BY identifying basic data, tt assists a revievlrer in the analysis that takes place in Parts II and I I I. part 11: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guftlance as to wRrodter an impact is likely to be considered small to moderate or whetlter it is a potentiaAy large impact. Ths forth also identifies whether an impact can be mitigated or reduced, If any impact in Part II is identified as potentially large, then Part I I I is used to evaluate whether or hat the impact is actualy important. DETERMINATION OF SN3NIFlCANCE - type I and Ut>tbtad Actlpns I~I.lfllyll9IIlOns of EAF completed for oacweect: ? Part I ? Part I I ? Part I I I '-Upon review of the inforntation recorded on this EAF (Parts I, II and I I Irf appropriate) and arty 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 wtl not result in arty large and impoRaM ?mPact (s) and, therefore, is one that wiA rrot have a signiNcant irttpact wl the environment; therefore, a NEt3AT1VE DECLARATION wW be prepared. ? B. Although the project caild have a aignificeM effect on the environment, there will not be a sigNfiwnt effect for this Unlisted Action because the mMigatfon measures deacrRred in PART 3 have been required; therefore, a CONDRIONED NECiA VE DECLARATION' will be prepared. ? C. The projeG may result in one or more large and important impacts that may have a signficant impact on the environment; therefore, a POSRINE DECLARATION will be prepared. 'A conditioned Negative Dedarafion is only valid for Unlisted Actions. 1. NAME OF AC110X: ~ru~Sk-l n~D b, y l s i o~J . MM1ECf - ~ ~ ~ ~ ~ 1 '1 j l~ & NAMEOi OFreGE x+1.EAG A(i@ICY: 0.81pNTlNtEO AF8P0lKI&E OFFICERMIEADK3EMG~': ~v4(/'it /U.tUpLl/I~EdF ER a. wiE: 1 PLEAiE TYfE OR PRINT CLEARLY Part 1-PROJECT INFORMATION Prepared by Praject Sponaar NOTICE: This document is designed to assist in determining whether the adorn proposed may have a slgnlliwnt effect on the environment. Please complete the entire form Part A through O. Answers to these questlons will be considered as part of the appNcatiom for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts II and I!I. It is expected that cample6on Ld the full EAF will he dependent on information curently available and will not inwlve new studies, research or inuesOgatiort. If information requiring suds additional work is unavarlabk, so indicate and spedfy each iratance. S 4M1[QPRWfdT KY Ll ~'Sk l_ (--~N ~_~L~(_iSi a,~J z morecr wcA~roR. k, ~ Po x (i'1 Shofe ,n ' iuar~EaeFr~oaE 3. NFAH A"DMORE886 dM1ER, IF dFFEAFAR: e i-! dq ri-a.n~ A~~~ _r~ l e e ac. r~z wmcE~ aAaa~.: oRreFM e.[EndaPrwN CF ACrnxe ~EAeE Re averrc;DTrAw Anomorw. a,F~rrr~cFSSaaM , ~`on ~f ,v parCP~(n-I-c~ o?lc~~S' Pl F•SE t,`YQYpLETE E.eGt! t1UE3TtON d INCNCA'[E "N!A" tF NOT APPLNilABL: q, + dun t r'gE': {If not appMCable, check hero and go to section B) ? N!A Physical aettlng W overall project, both developed and undeveloped areas. 1. Present tend use'. ? Urban ? Industrial Q Corxnerdal Resider>bal Suburban Rural (non-farm) O Farost Agriculture Q Other {Spedfy} _ e. 1. lathe site boated in or substar>halry corstiguous to a Critical Environment Area designated pursuant tp Artick 8 of the ECL, and 6 NYCRR 617? ? YES {~NO O N/A C. 1. Daas proposed action ktvnlve a planning or zoning dedsion? YES ? NO 1(y~,gggQlde 1-13 below: if no. oo to aec6on D ~ Zoning Amendment ? Zoning Variance ? Special Use Aertnit ~subdivisbrt ? Site Plan ? New (Revision) of Land Use Plan Reeaxca Managernent Plan ? Other ~ 2. 1Mrat is the zoning dassification(s) of the site? A ',L 2 3. What is the maximu• ential development of thF site if developed armitted by the present zoning? A) I 4. What is the PROPOSED zoning of the site? /J' V~ 5. What is the maximum potential development of the sit^ `f/ieyeloped as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended usled~'f fa""dopted or recommended in local land use plans? YES ? NO 7. What are the predominant land use(s) and zoning classifications within a Y. mile radius of proposed action? ) P~'»~ip n 8. Is the proposed action compatible with adjoining/surrounding land used within a Y+ mile? J~'YES ? NO 9. If the proposed action is a subdivision of land, what is the number of lots proposed? 02- a. What is the minimum sized lot proposed? i . k 4 G.,C~U°-p 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ? YES ®NO 11. Is the project site presently used by the community or neighborhood as an open space or recreation area? ? YES ~ NO 12. Will the proposed action create a sign cant demand for any community provided services (recreation, education, police, fire protection)? ? YES ~ NO a. If YES, is existing capacity sufficient to handle projected demand? ? YES ? NO 13. Will the proposed action result in the generation of traffic significantly above present levels? ? YES (~(NO a. If YES, are existing roads adequate to handle the additional traffic? ? YES ? NO D. SITE DESCRIPTION: (If not applicable, check here & go to Section E) ? N/A Total Lot Area: - 5' ~ ? square feet ~ acres PRESENTLY AFTER COMPLETION Meadow or Old Field (non-agriculture) ~ ~ Q O Q ~ O~ U Forested f Q D y ~ ~ AgricuRural (include orchards, pasture etc.) ~ 0 a ~ 3 u ,3. a ~ Unvegetated (rode, earth or fiIQ Roads, build'mgs and other paved surfaces (J Q Beach, Dune or Bluff ~ ~ Surface Water ~Q(7() ~ DOU Tidal Wetlands (as per Chapter 81 and Art. 25 Q O Freshwater Wetlands or 24 of the ECL) ~ Landscaped Q D ~ ~ a ~ Other (indicate type) 3 E. PROJECT DESCRIPTION: of applicable, check here and go to Section F• ~ /A 1. Physical dimensions and scale of project (fill in dimensions as appropriate): a. Total contiguous acreage owned or controlled by project sponsor: b. Project area to be developed: initially; ultimately ? square feet ? acres c. Project area to remain undeveloped ? square feet ? acres d. Length of project, in feet and/or miles, if appropriate: ? feet ? miles e. If the project is an expansion, indicate percent of expansion f. Number of off-sVeet parking spaces existing ,proposed g. Maximum vehicular trips generated upon completion of the project? hourly h. Frontage along a public thoroughfare linear feet i. If residential: Number and type of housing units: ONE FAMILY TNA FAMILY MUFTI-FAMILY CONDOMINIUM Initially: Ultimately: j. Dimensions of largest proposed structure. Height Width Length 2. Will blasting occur during construction? ? YES ? NO 3. Will project require relocation of any facilities? ? YES ? NO If YES, explain F. LAND RESOURCES: (If not applicable, check here and go to Section G) ? N/A 1. What is/are the predominant soil type(s) on project site? (Please consult Suffolk County Soil Survey and Soil Conservation S rvice Phone: 7 7-2 15 I,J / List types: Ha 'f~4~~ l / ~/YI~i I~c!C . ~~'{it 2. Is project or any portion of project located in a 100-year flood plain? ? YES ~'NO ? N/A 3. Soil drainage: Well-drained % of site Moderately well drained of site 1 % of site Poorly drained °h of site 4. If any agricultural land is involved, how many acres of soil are classified within soil groups 1 through 4 of the NYS Land Classification System? (See 1 NYCRR 370 (1).) acres ? N/A 5. Are fliere any dunes, bluffs, swales, kettleholes, strands or other geological formations on the project site? ? YES ~ NO If YES, Describe: 6. Are there bedrock outcroppings on project site? ? YES ~NO a. What is depth to bedrock? (in feet) ? N/A 7. Approximate pe ¢y~~ge- of the project site wit slopes (0-100%): 0-10% ` ' l ~ 10-15°k 15% or greater 8. How much natural material (i.e. rock, earth, etc.) will be removed from the site? cubic yards 9. Will the disturbed areas be reclaimed? ? YES ? NO ~/A a. If YES, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ? YES ? NO c. Will upper subsoil be stockpiled for reclamation? ? YES ? NO 10. Grading: ? YES ? NO N/A If yes, complete a. through i. a. Total area to be regraded: ? square feet ? acres b. Total wbic yards of cut: cubic yards c. Total cubic yards of fill: cubic yards d. Greatest depth of excavation or cut: feet (excluding recharge basin) e. Greatest depth of any recharge basin: feet f. Greatest depth of fill: feet g. Greatest depth of excavation or cut: feet (excluding recharge basins) h. Maximum artificial slopes after construction (check one ) ? 2:1 or greater ? 3:1 ? 5:1 ? 10:1 or less i. Will the project require the use of retaining walls? ? YES ? NO j. Briefly describe method(s) to reduce erosion/runoff during and after construclion: 4 G. VISUAL-CULTURAL RESOURCES: (If not applicable, check here and go to Section H) ? N/A 1. Visusl: a. Will the project be ticeably visible from surrounding areas after its completion? ? YES ,~NO ? N/A b. Will the project remo a vegetation that currently screens the project site from surrounding areas? ? YES ~JO ? N/A c. Will the project partially or completely block, or contrast with, scenic views from surzounding areas or from the site? ? YES J~ NO ? N/A d. Does the present sr include scenic views known to be important to the community? OYES NO If yes, please explain: 2. Cultural: a. Does the project site contain a building or site, and/or is it located within or substantially contiguous to a building, site or district listed on the State or the National Registers of Historic Places or Register of National Landma ? ? YES NO ? N/A b. Does the project sRe contain a building or site, which is substantially contiguous to or within a Town Historic District or T Historic District Transition Zone? ? YES NO ? N/A c. Is the project site co guous to a does it contain a site or building which is designated a Town Landmark? ? YES ~ NO ? N/A d. Will the project be noticeably visible from, be adjacent to, or result in the partial or complete demoltion of any shucWres li on the State or Natlonal Registers of Historic Places, or a Town Historic Landmark? ? YES ~NO ? N/A e. Will the project result in the partial or complete demolition or relocation of any structures greater than 50 years old? ? YES NO ? N/A f. Will the project resuR the partial or complete rema2l of arty documented or known Native American site? ? YES ~O ? N/A g. Does the project ~si contain or is it located adjacent to a cemetery or gravesite? ? YES $j N0 ? N/A H. WATER RESOURCES: (If not applicable, check here and go to Section I) N/A 1. Wdl there be a potential discharge as a resuR of an approval of this application into a body of water either on or off-site? ? YES ~NO ? N/A If Yes, please explain: 2. Method of handling runoff (check all that apply): ? leaching Pools ? Dry Wells ? Recharge Basin (off-site) ? Recharge Basin (on-site) ? Other (describe): 3. What is the minimum depth to the water table on site? feet (Please cite date and source of information) a. Seasonal variation feet 4. Are there any lakes, ponds, swamps, bogs, marshes, or freshwater wetlands wi~in or contiguous to project area? j~YES ? NO ? N/A a. Name of lake/pond or wetland: ti i~ ti r1 ~ ra l 5. Are there any streams within or contiguous to the project site? ? YES O ? N/A Name: a. Name of body of water to which it is tributary: 6. Are there any Creeks, Embayments, Harbors or tidal wetland areas within or contiguous to the project area? ? YES ~iJO ? N/A Name(s) a. Name of body of water to which it is tributary: 5 - 7. Is the site I ed over a primary, principal or sole source aquifer? YES ? NO ? N/A 8. Will surface area of an exis' water body increase or decrease by proposal? ? YES NO Please explain: 1. FLORA-FAUNA-AQUATICS: (If not applicable, check here and go to Section J) ? N/A 1. Do hunting, fishing or shellfis ing opportunities presently exist in the project area? ? YES ~ NO ? N/A 2. Is the project site utilized by, or contain any species of plant or animal life that is identified as rare, threatened, endangered, protected or id tified as a specied of special concern? ? YES ~O ? UNKNOWN If yes, identify each species: 3. What wildlife species have been confirmed or would be expected to occur on site? S ~ ~ i r r~.~s -P a r~~-~4-? bi ?cjs ~-n 1~b iks 4. What vegetation species have been confirmed or would be expected to occur on site? 5. Are there any rare or protecte plants or unique plant communities present on site? ? YES NO If yes, identify each species: 6. How many acres/sq. ft. of vegetation (trees, shrubs, ground covers) would be removed from site? ? acres ? square feet ? N/A 7. Will any mature forest (over 100 ars old) or any other locally important vegetation be removed by this project? ? YES ? N/A J. UTILITIES: (If not applicable, check here and go to Section K) N/A 1. Is the site served by existing public utilRies? ? YES ? NO a. If yes, does sufficient capacity exist to allow connection? ? YES ? NO b. If yes, will improvements be necessary to alllow connection? ? YES ? NO 2. Will project resuR in an increase in energy use? ? YES ? NO If yes, indicate types: 3. What type water supply is from wells, indicate pumping capacity: gallons/minute. 4. Total anticipated water usage per day: gallons/day. K. WASTE DISPOSAL: (If not applicable, check here and go to Section L) N/A 1. Will a Safe Pollutant Discharge Elimination System (SPDES) permit be required? ? YES ? NO If yes, for what type of material? 2. Is surface liquid waste disposal or storage involved? ? YES ? NO a. If yes, indicate type of waste (sewage, industrial, etc.) amount and method of disposal 3. Is subsurface liquid waste disposal involved (including sanitary)? ? YES ? NO If yes, please indicate: a. Type of waste: b. Volume of waste: gallons per day c. Sanitary waste treatment ? on-site septic-system ? municipal treatment plant ? modified subsurface sewage disposal system ? community sewage disposal system ? other 6 4. Are there any point source discharges not previously described associated with this project? ? YES ? NO ? N/A If yes, explain: 5. Will the project generate solid waste? ? YES ? NO ? N/A 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 If yes, explain: 6. Will the project involve the storage or disposal of solid waste? ? YES ? NO (If yes, please attach a list itemizing same) a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site Irfe? years. 7. As part of the construction or use of the site will the project routinely use herbicides or pesticides? ? YES ? NO If yes, describe the type, amount and method of application: 8. Has the site ever been used for the disposal of solid or hazardous wastes? ? YES ? NO ? UNKNOWN If yes, explain fully on a separate sheet. 9. If an industrial use is proposed for the site, describe the product and the manufacturing process involved: 10. Will any hazardous or toxic substances or waste be stored or generated on site? ? YES ? NO ? N/A a. If yes, identify the substance, amount and method of storage or disposal. 11. Will project routinely project odors more than 1 hour/day? ? YES ? NO 12. Will project produce operating noise exceeding the local ambient noise levels? ? YES ? NO If yes, source of noise: L. ECONOMICAL IMPACTS: Completed for all commercial/industrlaJ.drojects and residential projects greater than 10 units. (If not applicable, check here and go to Section M) N/A 1. Does project involved Local, State or Federal funding? ? YES ? NO 2. If single phase project: anticipated period of construction months, (including demolition) 3. Ifmulti-phased: a. Total number of phases anticipated: b. Expected date of commencement phase 1 (including demolition): c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ? YES ? NO 4. Number ofjobs generated during construction .After project is complete 5. Number of jobs eliminated by this project: 6. What are the current tax revenues generated by the project site? dollars 7. What tax revenues will project generate after completion? dollars 8. What is the estimated cost of construction? dollars 9. How many schoolchildren is the project expected to generate? ? N/A 10. What is the estimated cost of educating the school-age children generated by the completion of this project? ? N/A 7 M. APPROVALS REQUIRED: TYPE SUBMITTAL DATE Town Board ?YES j~1J0 Tovm Planning Board J~YES ?NO S Town Zoning Board ?YES BNO Town; Environmental Protection ?YES {i]NO Town; Building Department ?YES ~4}NO Country Health Department ®YES ?NO V o n Local Agencies ?YES ENO State Agencies ?YES ®NO Federal Agencies ?YES ENO Other Agencies ?YES ~10 N. ADDITIONAL INFORMATION: Attach arty additional information as may be needed to Garify 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. O. VERIFICATION: I certify that the information provided above is true to the best of my knowledge. 1.NMIE OFAPWCANTI^ePIXI50R: ].SIGNATURE: 3. TITLE: A. GATE; AC 6N 7~ 5 ~co ~o s 5. NAME OF ONMER: e. SIGNATURE: r. TITIE: S. OATS: Note: If the action is in the Coastal Area and you are a state agency, complete the Coastal Assessment Form before proceeding wfth the assessment. 8 1 C~ Town Of Southold • P.O Box 1179 • Southold, NY 11971 ***RECEIPT*** Date: 09/20/05 Receipt#: 2324 Transaction(s): Reference Subtotal 1 1 Park & Playground 100-2-3 $7,000.00 Check#: 2324 Total Paid: $7,000.00 - _ - __----f I ~ ~ ~ 11 ~i~ J~ I r _ Name: Krupski, Family Ltd Liability Co 29 Frank Avenue Farmingdale, NY 11735 Clerk ID: LINDAC Internal ID: 100-2-3 - • • • MAILING ADDRESS: PLANNING BOARD MEMBERS ``OF SOVl P.O. Box 1179 JERILYN B. WOODHOUSE O~r y0 Southold, NY 11971 Chair ~ ~ OFFICE LOCATION: WILLIAM J. CREMERS ~ ~ Town Hall Annex KENNETH L. EDWARDS G • ~ 54375 State Route 25 MARTIN H. SIDOR ~ (cor. Main Rd. & Youngs Ave.) GEORGE D. SOLOMON ~li`COU,M'~ Southold, NY 1111 Telephone: 631 766-1935 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD RECEIVED MEMORANDUM SEP 2 0 2605 To: Elizabeth Neville, Town Clerk ~ Southold Town Clerk From: Planning Department ' Date: September 20, 2005 Re: Check s Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project SCTM Amount Check T e # # Krupski Family Ltd. Liability Co. Stand. Sub. 100-2-3 $7,000.00 2324 #1 P&P Fee / enc(s). PT.ANNTN!"_ sznenn n.r~ws.,~,..• ~r~~Z2a, • MAILING ADDRESS: Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 09/20/05 Receipt#: 1366 Transaction(s): Reference Subtotal 1 1 Application Fees 100-2-3 $1,000.00 Check#:1366 ~ Total Paid: $1,000.00 Name: Krupski, Family Ltd Liability Co 29 Frank Avenue Farmingdale, NY 11735 Clerk ID: LINDAC Internal ID: 100-23 • . MAILING ADDRESS: PLANNING BOARD MEMBERS pOF SDU~L' P.O. Box 1179 JERILYN B. WOODHOLJSE O~\~ '7~l Southold, NY 11971 Chair ~ OFFICE LOCATION: WILLIAM J. CREMERS Town Hall Annex KENNETH L. EDWARDS G Q 54375 State Route 25 MARTIN H. SIDOR ~ ~ (cor. Main Rd. & Youngs Ave.) GEORGE D. SOLOMON ~li~'COU'M'~~ Southold, NY 1111 Telephone: 631 76b-1938 Fax: 631 ?65-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk From: Planning Department Date: September 20, 2005 Re: Check s Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project SCTM Amount Check T e # # Krupski Family Ltd. Stand. Sub. 100-2- $1,000.00 1366 Liabilit Co. #1 3 Prelim. Plat Appl. Fee ~~ia~~~~$~ ff~, ~ ' ~ 13~f3 ~ . 29 ~R11NK A1VE (~/1 fl ~ t-7t00/228Q FARMIN(ipALE, NY 117$,5 Date 11 \ I `Q~3p3 d Order df v~ ,p ~'VI~J ~I Pay to fhe'~" {-+uf ~(~'~.~...~.~F v DoOars 8 ~or~ ~ «Y roan ~ n a~~~ 1/~: 2'~~,0 71G1b41;~ ' ~~lQ 30G~~e'~cl'~,W;~1" 1, 361x1 • • MAILING ADDRESS: PLANNING BOARD MEMBERS ~0 f SQU L' P.O. Box 1179 JERILYN B. WOODHOUSE O~ ryOl Southold, NY 11971 Chair ~ Q OFFICE LOCATION: WILLIAM J. CREMERS ~ ~ Town Hall Annex KENNETH L. EDWARDS G • O 54375 State Route 25 MARTIN H. SIDOR ~ (cor. Main Rd. & Youngs AveJ GEORGE D. SOLOMON IyC~Ulrl' Southold, NY 11„ Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk From: Planning Department Date: September 20, 2005 Re: Check s Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project SCTM Amount Check T e # # Krupski Family Ltd. Liability Co. Stand. Sub. 100-2-3 $7,000.00 2324 #1 P&P Fee MARYANN KRUPSKI ~ soalloizzl4 2 3 2 4 EUGENE KRUPSKI 29 FRANK AVE. FARMINGDALE, NY 11735 ' n~~Dete 1 ~ I Pay To ~ ~i r~ ~e EThe Order OF I © ~ (y~J ~ 1 ~ ~ ~ ~~I~ Dollars o., g THE RO6LYN SAVING BANK = 14 CONKLIN 3T. +rv ~ ry,,, V FARMINGDALE, N.Y. 11]35 F~~k~ (z~Cv-~Cx~-I ~ ~ ,,,n,~~,u,~~~l,~l YJ 1:22i47ii04~: 0 5 7 30086 38i~' 2324 .oAEO~o~,~ m,~~~~oo-a- 3 bs~,rs~aF~~~~.~~~E~sroa,s~=,==oo t ~ • • MAILING ADDRESS: PLANNING BOARD MEMBERS ~aOF SOf/jyo South 1d,eNY 11971 JERILYN B. WOODHOUSE ,`O l~ Chair OFFICE LOCATION: WILLIAM J. CREMERS N ]c Town Hall Annex KENNETH L. EDWARDS G ~ a~O 54375 State Route 25 GEORGEI D SOLOMON ~OlyCOU~ (cor. M Sou ho1dYNY gs Ave.) Telephone: 631 766-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM ~IJeI) oMOi PIo4lnog To: Elizabeth Neville, Town Clerk SOOZ I 1 ~bW From: Planning Department Date: May 9, 2005 43AI3J38 Re: Check s Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project SCTM Amount Check T e # # Krupski Family Ltd. Liability Co. Stand. Sub. 100-2-3 $1,750.00 1351 #1 A I. Fee enc(s). Town Of Southold • P.O Box 1179 • r,,,rp Southold, NY 11971 ***RECEIPT*** Date: 05/11 /OS Receipt: 1351 Transaction(s): Reference Subtotal 1 1 Application Fees 100-2-3 $1,750.00 Check#:1351 Total Paid: $1,750.00 I v Name: Krupski, Family Ltd Liability Co 29 Frank Avenue Farmingdale, NY 11735 Clerk ID: LYNDAB Internal ID: 100-2-3 • • MAILING ADDRESS: PLANNING BOARD MEMBERS ~~OF SO(/j~o SouthOold,oNY 11971 JERILYN B. WOODHOUSE ,`O l~ Chair ~ y OFFICE LOCATION: WILLL9M J. CREMERS N ar Town Hall Annex KENNETH L. EDWARDS ~ ~ ~O 54375 State Route 25 MARTIN H. SIDOR 0~ (cor. Main Rd. & Youngs Ave.) GEORGE D. SOLOMON ~~vu~v,~ Southold, NY Telephone: 831 786-1835 Fex: 831 785-3138 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk From: Planning Department Date: May 9, 2005 Re: Check s Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project SCTM Amount Check T e # # Krupski Family Ltd. Liability Co. Stand. Sub. 100-2-3 $1,750.00 1351 #1 A I. Fee ~r ~ . ~~~c., a ,'PBKI 131 ~ ( E-n~i22 ~ Date~1~~'. ~ ~~NI~, CIr tt~as °~g"'7~C~G1C~h s~~xhc~ic I ~ ~~'7~`1Cp->-. ~ 2 oc>~v~d `32t~~ h ~ 6 rr w ~ e J~) i~~ f M. • ~ ~v~ Submission Without a Cover Letter Sender: V l G~( ~~T'~'`_' Subject: ~~~t-s ~~C-l ~"'i tit fl'~ ~ ~ ~ ~ ~ ~ ' ~~i p,,,,, ~ ~ ~ . scTM#: loon - t o~ - a - 3 - L.._ Date: Comments: ~YD c? ~-~t~- (i ~ I G4,'YS ~ <S 11 b yt ~rl~ ~ S ~ ~v~ ~~w -2,~~. c~-~~ ~~oo , ~ ~ FROM _GUTriQLp TnIIN FLRNNIhJG~RD FRX N0. 631 ?6~ ~"E • Ruy. Eli 2Ew3E lEFM FI PI.A.*INING BUAkD MEMBEI(4 ~ oy f pU ,a P.±7. Bcx 11?9 ~rz~ii-ti'N s.wuvvxor~s~: ti0~~ TH~lO a Snvthotd, NY 11971 Chair 1 OFFICE LUtL~TI(31: KEtiNETH L. EUWAitDS ~ ~ Town Hall Annex MARTIN H SIDUB ~ ~ N 543 7S State Roule 2v CJEOkGE ll. BULUbfON .Q, y0 ~ (cor. Main Rd 81oun~s Ave. .li!SE.PIi L. TOti'NaEND ~~I Southold. N1' ~in-%`'~~~ '1'el6phpne: 631 766~193R F'ax: 631 ?Bb-3188 P7LA1VriTIVG BOAItA OFFICE TOWN OF 60UTHOLI) R . FACSIMILE - ~~1'~=_ To: Vicky Toth ffax # 765-3508) { , From: Anthony Trezza. Sr. Planner , Date: August 1, 2006 ' 4 ' ~.m.,. ,,:s ~.s'':::... _ , ;.j~' r Re: Standard Subdivision of Krupski Family L.LG 1000-100-2-3 - As per our conversation, the following items need to be submitted in order to ootain final subdivision approval: 1. Application and fee for final Plat Approval. The application fee is $500. 2. Submission of fve (5) mylars and eight (8) paper pants of the final map, each Cgntaining the Health Department stamp of approval. 3. Submission of a copy of the recorded Declaration of Covenants and Restrictions. Please feel free to contact this office if yoia have any questions. • Application for Final Plat Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for FINAL PLAT APPROVAL for the subdivision d'elscribed herein. 1. Name of Subdivision Y1 rl lei ~~'n f'~ 2. Suffolk County Tax Map # [ o ors - ~ ao - - 3 3. Hamlet ~tl ~ ' 4. Street Location ~ f711~(~ U I ~ C1J / `V CI ~ _ 5. Zoning District ~ ~ 6. Date of Submission / ~ ~5 7. Sketch Plan Approval Date 8. Preliminary Approval Date 1 0 ~ ~ k I~ 9. Number of Lots Proposed 10. Acreage of Open Space/Reserved Area ~ - 11. Affordable Housing Units Proposed ~ ~f 12. Percentage of Affordable Housing NT! 13. If providing less than 25% Moderate Income Family Dwelling Units (MIFDU), please indicate how the property owner intends on satisfying the affordable housing requirement pursuant to Section A106-11 (B) of the Town Code. 14. Does the Final Plat conform substantially to the approved Preliminary Plat? If not, please explain the differences 15. Application prepared by [ ]owner [ agent [ ]other i Signature of Preparer C ~ ~ Date ! ~ ~D ~ ~ IIIIIIIIIIIIVIIIIIIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII 111111 VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Recorded: 07/14/2006 Number of Pages: 5 At: 02:16:10 PM Receipt Number 06-0068281 LIBER: D00012459 PAGE: 532 District: Section: Block: Lot: 1000 100.00 02.00 003.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15.00 NO Handling $5.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.00 NO RPT $30.00 NO SCTM $0.00 NO Fees Paid $75.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County . 2 • Number of pages ~ J'.n71 LI'. rg_C3i TORRENS - __,.ra~, Serial # - g Certificate # Prior Ctf. # Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Recording /Filing Stamps 3 FEES ! Mortgage Amt. Page /Filing Fee Tti1S document will be Basie Tax Handling 5. 00 ~'~yn,~ n pUbl~ 2 Additional Tax _ ~ww~~VV J'lease remove a(I TP-584 Nu Sub Total Seasnty 1Y tubers Spec./A55it. Notation tv recording. or EA-52 17 (County) Sub Total 3U Spec. /Add. EA-5217 (State) TOT. MTG. TAX ~~[lg~ Dual Town Dual County R.P.T.S.A. ~ ~®b ~ Held for Appointment Comm. of Ed. 5. 00 ~ ~ m ~ Transfer Tax Affidavit ~ ~ ~ c Mansion Tax moo, ¢QE The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 S S family dwelling only. Sub Total YES or NO Other Grand Total ~ S If NO, see appropriate tax clause on C i1~1 page # of this instrument. 4 Dist. Section Block Lot 5 Community Preservation Fund Real Froper 1000 10000 0200 003000 Consideration Amount $ Tax Service Agency R JME A CPF Tax Due $ Verification 14~IUL-06 Improved Vacant Land 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: TD TD Po ~dx Ca( TD ~ { ~ ~ ~ ! ~ ~ ~O 7 Title Com an Information Yl Co. Name Title # g Suffolk Count Recordin,,/~ & Endorseme ,,t1Pa e This page forms part of the attached ~r~-~~1 t~ ~y~lQ,l't~ Vl d~ made by: r (SPECIFY TYPE OF INSTRUMENT) Krt,~o~(LQ //tir\ 1 t~L/ ~ C- The premises herein is situated in SUFFOLK COUNTY, NEW YORK. / / / T~O In the Township of SC) L(. `~"Li 0 /a PIQVIVI! IC70Gt ~"C~. In the VILLAGE / T~T' K-~ ~ or HAMLET of ~Q '~~l G{ ~ _ BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FLING. (over) ~MPORTANT NOTIC~ If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact your local Town Tax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10~' and on or before May 31=°. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tas Receiver with any questions regarding property tas payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst, N.Y. 11757 Riverhead, N.Y. 11901 (631) 957-3004 (631) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes 250 East Main Street Shelter Island Town Hall Port Jefferson, N.Y. 11777 Shelter Island, N.Y. 11964 (631) 473-0236 (631) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton, N.Y. 11937 Smithtown, N.Y. 11787 (631) 324-2770 (631) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington, N.Y. 11743 Southampton, N.Y. 11968 (631) 351-3217 (631) 283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip, N.Y. 11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 Sincerely, 4f'14~t.~L~ Edward P. Romaine Suffolk County Clerk dw 2/99 12-0104:: 09/02cg MAILING ADDRESS: PLANNING BOARD MEMBER • P.O. Box 1179 JERILYN B. WOODHOU5E ~O-``a0F S~UryOIO Southold, NY 11971 Chair V~ '7 OFFICE LOCATION: KENNETH L. EDWARDS # ~ Town Hall Annex MARTIN H. SIDOR ~ Q 54375 State Route 25 GEORGE D. SOLOMON ~ O (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND OIyC~UIY 11 Southold, NY I'111 Telephone: 631 765-1838 Fax: 631 76b-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 15, 2006 Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786 Re: Proposed Standard Subdivision of the Krupski Family LLC Located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1,385' east of Saltaire Way, in Mattituck SCTM#1000-100-2-3 Zoning District: A-C Dear Ms.Toth: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, August 14, 2006: WHEREAS, this proposal is for a standard subdivision of a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres; and WHEREAS, on October 17, 2005, the Southold Town Planning Board granted Preliminary Plat Approval upon the map prepared by John T Metzger, L.S. dated February 24, 2005 and last revised on July 29, 2005; and WHEREAS, by letter dated July 24, 2006, the applicant has requested an extension of time in order to meet the conditions of Preliminary Plat Approval; be it therefore RESOLVED, that the Southold Town Planning Board hereby grants an extension of time, effective April 17, 2006 until October 17, 2006. If you have any questions, please contact us. Very truly yours, ~ rilyn B. Woodhouse Chairperson cc: Elizabeth Neville, Town Clerk . MAILING ADDRESS: PLANNING BOARD MEMBER P.O. Box 1179 JERLLYN B. WOODHOUSE ~~Of ~OVT~O Southold, NY 11971 Chair ti0 l0y OFFICE LOCATION: KENNETH L. EDWARDS ~ Town Hall Annex MARTIN H. 5IDOR N ~c 54375 State Route 25 GEORGE D. SOLOMON ~ ~ ~O (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND OlyC~UIY l' Southold, NY IY 1' Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD FACSIMILE To: Vicky Toth (fax # 765-9508) From: Anthony Trezza, Sr. Planner Date: August 1, 2006 Re: Standard Subdivision of Krugski Family LLC 1000-100-2-3 As per our conversation, the following items need to be submitted in order to obtain final subdivision approval: 1. Application and fee for Final Plat Approval. The application fee is $500. 2. Submission of five (5) mylars and eight (8) paper prints of the final map, each containing the Health Department stamp of approval. 3. Submission of a copy of the recorded Declaration of Covenants and Restrictions. Please feel free to contact this office if you have any questions. • • s~ ~ Vicki Toth Expediting Services P.O. Box 61 Shoreham, New York 11786-0061 (631)235-2219 Fax (631) 765-9508 .,~-°F";,, July 24, 2006 ,r"~'",,.~""'"" ~ t, ~ Town of Southold n6 Planning Boazd ~ 1 ~U~ 2 ~ 2~- 1 Main Road ~ Southold, NY 11971 S~ t,,,r P•. f~^ RE: Krupski Family LLC, sub-division ~,.~rx°"'A°""rte Deaz Planning Boazd members: On behalf of my client, Eugene Krupski, I am requesting an extension for the final approval of the this sub-division. The Boazd of Health application has taken longer than expected. We are expecting to have the final map approved this month and then we will file it. Please extended our preliminary approval for another 6 months. Thank you for your attention to this matter. Sinc rely, ___~,l Vicki Toth ~ C; _ _ 5~ Submission Without a Cover Letter Sender: ~GK-/~7'"v Subject: ~l~C ~.7 ~7 L C71~ ~1~ ~y,,," vrh~~';awwui ~r~ SCTM#:.1000- D ~ ~ v A?R ~ ' °~n6 Date: ~ Q~ ~ _ i - - , 's Comments: ~ '`////////9/~ u~ ~~v '41Y 1L8`SpYYY9P W+H'N ~.~a r~~sM~i 1 V ~ fl Cct ~7C/l'~- G~1~2 -f j-~~ ~~1- l~~1-X35=-~~T . MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B. WOODHOUSE o~~OE SOUTyOI Southold, NY 11971 Chair /yy.~ Oyy OFFICE LOCATION: KENNETH L. EDWARDS T T Town Hall Annex MARTIN H. SIDOR y ~ 54375 State Route 25 GEORGE D. SOLOMON G ~ ~O (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND '~`O Southold, NY ~'~OOUNTV Telephone: 631 766-1938 Fax: 631 76b-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD FACSIMILE To: Vicky Toth (765-9508) From: Anthony Trezza, Sr. Planner Date: April 12, 2006 Re: Krupski Family Limited Partnership LLC 1000-100-2-3 The Planning Board reviewed the draft Covenants and Restrictions for the above-referenced subdivision at their work session on April 3, 2006. The following additional clauses are required: 1. By this Declaration, future residents of the lots which comprise the subdivision are advised that the lots may be subject to the noise, dust and odors normally associated agricultural activities pursuant to Article XXII, Farmland Bill of Rights, of the Southold Town Code. 2. No changes shall be made to any of the lot lines on the approved and filed subdivision map without approval by the Southold Town Planning Board. 3. Access to the building envelope and proposed residence on Lot 2 shall be from Sound View Avenue. If you have any questions or need additional information, please feel free to contact this office. ~~;~~~~y, S~~3F ~ ~ W. - Vicki Toth Expediting Services P.O. Box 61 Shoreham, New York 11786-0061 E (631)235-2219 • Fax (631)765-9508 " e-mail: vrt7@optonline.net , TRANSMITTAL .w.. Date D t(~ For your: , /Information Use To: -Reply V Review RE: ~r'upSk~~ 0v Q~G~?l'~ S~ ~~L~ ~ c~Y1f ~ ~ PQS'~ CA l 1 M-c' ~ ~1 S-P • w f~ Albert J.:£rupski, President • N S~OF~ ~ Town Flail James Kia~.g, Vice-President ~ ~p ~ C, 53096 Route 26 Art: ~ Foster .IL .1f,' P.O. Box 1119 Ksn F'.~liwoda ~ T Southold. New York 3.1991-0958 H 3c Peggy A. 1lickerson ~ p y 4 Telephone t63I1766-189:. lt'CO~ Fe:.1631) 765-6641. BOARD OF TOWN TRiJSTEE3 TowN of sou'rxoLr~ December 21, 2005 Eugene Kn.)pski 29 Frank Ave. Farmingdale, NY 11735 Re: Oregon Road and 3outhvlew :we., Mattituck SCTM# 100-2-3 Dear Mr. Krupski: T'he Board of Town Trustees tack the following action during its regular meeting held on ';Nednesday, December 21, 20U5 regarding the above matter: WHEREAS, Vicki Toth as agent for EUGENE KRUPSKI api;lied to the Southold Town Trustees far a permit under the provisions of Chapter 97 of thc. Southold Town Code, the Wetland Ordinance of the Tawn of Southold, application date i October 3i, 2005, and WHEREAS, said application vras referred to the Southold Town Conserv<aion Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to sa):i application on December 2~ , 2005 at which time all : iterested persons were given ::n opportunity to be heard, and, WHEREAS, the Board members have personally vir:wed and are familiar with the premises in question and the surrounding area, and 1E'JHEREAS, the Board has wnsidered all the testimtmy and documentation submitted concerning this application, and, WHEREAS, the praposa! complies wish the standard, set forth in Chapter 97 of the Southold Town Code. WHEREAS, tha Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, • • NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of EUGENE KRUPSKI to install a pervious driveway, and all as depicted on the plan prepared by John fv~etzger last dated July 23, 2005. Perrnit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. insF,;ctions are required at a fee of $50.00 per inspection. (See attached schedule. i Fer-s: 550.00 Ver ~ tru:y yours, n ~ ; h ~JamEa F. Kng~ Vrce-t' esider~t, Soard of Trustees JFK:hkc - ::x' Board Of South~~ld Town Trustee 50UTHOLf3, NEW YORK ` PERMIT NO. ~'~~'y DATE: _n.QC..._41.,_..2no~ i ISSUED TO .FL ;ENE KRtJPSK,_,._. . ~ ~`l~li~4~4 `~GiS i4~6F c Pursdant +o the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the l.ews of the S+ate of New York 1952; and +he Southold Tavrn Ordinance en- tit9 d "REGULATING ANf' TiiE PLACING. OK OBSTRUC7jQNS , IN r~.*tD ON TOWN WATERS AND Pd)BLIC LANDS end the REMO'.'.AL OF SAND, GRA`'!~L OR OTHER tdAi'ERIALS.F$OM LANDS L!NDER TOWN WATERS;•` and in accordance with'the Resolution of The Board adopted at r mooting held on ..??ec,..,, °~~'~5 _ end in <:onsideretion of the sum of >?Sa,.QR..__. paid by _Fugene Krupski , . B 'tattituck of N. Y, and subject to the Terms and Conditions listed on fhe reverse side hereof, of Souti old Towri Trustoe: +,uthorizes and permits fhe fogawinq: Wetland Per~¢it to install ~ pervious driveway and a.11 as depicter. -nx the glans sun a,~d by .;~hr. Metzger last ?ated Jul}• 23• ._005. aM in acco dance witi, the deteiled speeficatwns as presented 'sn the origina..ng applichtion. IN WiTNE55 Vri1EREC7F, The said Board of Trustees here- by eausei itf ':orporate Seel to be affixed, end tfiese presents to be subscribed y a maia ity of the said Board as of this data. 5~~F0t~- a \ ' sn ~ x. O ,,~L_ y A ~b rt .T. ;.rrpski, Jr.-RECrtSED rrw.sr TERMS and CONO{flG~S p~ Eugene Krupski aedding at ~a c t i, t u^ c k • N. 't:. a of tlxe coruidetadon toefa dxe 7s'xunoe of the Pit doa wxdattand aad f•*~er1Fx to the +ol: 8r i. That the said #iaatd of Trustees and thc. Town of Soudwld .a rrleturd (roan arrr aril nU damaga5 or d•lw fa of saht ~nG duad' a fndlteony n a e+esr~k of .nr o}+a- uloa perfoemed pauwaar:~ dhis. ~stolt. t±eA .tbe sdd 4etndttse -will, M Gk of bx aavn et~ws+t, ,aciead .n~ •ad afl such sdts`loidated b1 third parties, and ehe raid l;ecmf^tee assmrw fall lishiliq *cdt respxt thetaoa fo-f1>assooroplcte e:chsdon of ebe Board o[ Tmsoees of dx Torn t of Soudv+ld L That tNs Het~tk is slid tot • period of 24 snoa. whitb k dObtldab~" M 6e tfx ad^r+tred Bose re.;uired to oo~hmplrte the wudc fa~slrod, fur should drrsmssatsrxs warru ~ rap*est for a~ eztenslon aoay 6e made to the l3o•rr1 u a lstrr daft. a, ;riwt ehls Prm+it shsuld 6e rcalned hrdeEiaitrly, or as long u the s+3d Paaoiav~ witha to s,slotu~ the rxnstrne• of ptoj«c lavolved, ro provide evideaa m ar~yoos cxiarnaf thr..adr- cah.att~ao w xs 1 oLsained. ~f. ?i.xt .the P•rotk Ls~alrod will ht sulrjeca to the Lnxpection .ad appro+ai of tlx Board a is ag•urs, and nonwaspUaax with ehe provisions of the odgia•tlag appliadoc_ may lx for sctoca~ion •i this frlmlt hl tcsoludon of the said Board. S. Thsit u+are wlll be ao unteasoaahle intuferena with travigadan as • rt~rk at the vtGtjr htnir: audwriztd. 6. 'f Tut theft sbaYl be ew lnetrfercnoe widr the right of she publk to psx aid t~ alntg tha laeath bcareen !slab aad low wa0er eaatirs. T. Tha+ g f+.+aite ~pa•doar of rho To<~•n of fonthoid tt~lre dsa t~emnad and/or daiatiooa fn the inou3:xx o+' da wvdc 6erda wathodzai, or IE. h the ~ of the. Aoanl a+f Tmsoaay fhe . wadc sha`.f ea+xe esareas~+flabk obsttuttwn ~ ftte mvig•den, the saW iwamdttee will be tt+quited„ tt~wn due uotia, ±o tearovt a dta this wudt cr project 6etda stssed widteut stpeuoa to eta '!'own' ` of $ottd»ld. ' g. Thu dx raid lira-d will be nodfled h1 the t'eemittee w the ogooj0etbn of the week aMh- tkh+ed. g. That rbf i4er+dtteo sail( obtain aft trthec ~1a and ttxaentt ~ a:y bt ttugtdeed asp plemearal m thin i .vhitit mq 6e abject to ttrvloe trpoo taiitev a ohai±rs sa•m. : , ~ MAILING ADDRESS: PLANNING BOARD MEMBE~ • P.O. Box 1179 o~~OF SOUTypI southola, NY 11971 JERILYN B. WOODHOUSE Chair ~ Q OFFICE LOCATION: WILLIAM J. CREMERS ~ ~ Town Hall Annex KENNETH L. EllWARDS G Q 54375 State Route L5 MARTIN H. SIDOR Q ~ ~0 (wr. Main Rd. & Youngs Ave. ) GEORGE D. SOLOMON IiYCOU~'~~ Southold, NY Telephone: 631 765-1935 Fax: 631 765.3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 18, 2005 Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786 Re: Proposed Standard Subdivision of the Krupski Family LLC Located on the n!s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1,385' east of Saltaire Way, in Mattituck SCTM#1000-100-2-3 Zoning District: A-C Dear Ms.Toth: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, October 17, 2005: The public hearing was closed. WHEREAS, this proposal is for a standard subdivision of a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres; and WHEREAS, an application for sketch approval was submitted to the Planning Board on May 6, 2005; and WHEREAS, the Southold Planning Board granted Sketch Approval and issued a Negative Declaration pursuant to SEORA on August 8, 2005 upon the map dated February 24, 2005; and WHEREAS, an application for preliminary plat approval was submitted to the Planning Board on September 12, 2005; be it therefore RESOLVED, that the Southold Town Planning Board hereby grant Preliminary Plat Approval upon the map dated February 24, 2005 and last revised on July 29, 2005, subject to the following conditions: 1. Submission of the final application form and fee in the amount $500. 2. Submission of the final maps (5 mylars, 8 paper prints) containing the Health Department stamp of approval. 3. LWRP Coastal Consistency Review. f` • • Krupski Familv LLP Page Two October 18, 2005 4. Submission of the filed Declaration of Covenants and Restrictions. This approval is valid for six (6) months from the date of the resolution unless an extension of time is requested by the applicant and granted by the Planning Board. If you have any questions, please contact us. Very truly yours, William Creme Vice Chairman ~ + • ~JnN 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 OG lw.v Ih. 7_oa~' 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 ~ r on 2Q~ C~ n~ ,Sri and V i P w A ,M n -J~-, k, ~ ~ lc 11 ~'c,K,i' To-~ Your Name (print) 1~~ Signature ~f~5 ~Sacobh , ~ou~(-~,o~d N~1 i~97/ Address I6 I I `1 ~ o~ Date I ~ Notary ublic STATE OF NEW YORK BONNIEJ. DOROSKI COUNTY OF SUFFO Notary Public, State Of New'btk No. 01006095328, Suffolk uq oo the 1~ dq ~ efors Term Expiroa July 1, 20 me pereunall~GIDe _,to nu lmowa q be the hdgments ['roofs of Eaecutbn lndlddad dsecribed in, -z!~o e~~scuted, the folegoiog hutrumsnt, d ~a thst he/ OleNted the _a. n W PLEASE RETURN THIS AFFIDAVIT ERT C IFIED M L RECEIPTS & GREEN RETURN RECEIPT CARDS BY: noon, Fri., 10/14/05 Re: Proposed Subdivision: Krupski Familv LLC SCTM#: 1000-100-2-3 Date of Hearing: Monday. October 17. 2005. 6:05 p.m. ~ _ _ - _ o ~ . r• tt~~'' Addressee ~ NA~L~(~ IliSE ~ r ~ ~ ~ (printed Name) c. oat or u~ s Pmam,3e $ 0.37 UNIT,, ~0 6q ~ ?'S. '-\~-I• cress ditfereM from Item 77 ? 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(Extra Fee) rt S ~ $ 3 7 J Q• (ntlorsemem neyuna,.r ~,r ~ r, ~ 4.424.42 r, I1J Total Postage 8 Fees L._-~~ 1~.- / PS Form 3811, February 2004 ~ eipt u 7 \ . _ _ ` ~ ant o ~ D J . S O To I ?I ? Ex M1 ~`freet Apt NO.;. ' f n ~l r or PO BOx NO ~~~..1! ll..«:c..._S.A (y~` Q~ ~ yv'~-_.i-`.r}!J--___ I ?Return Receipt for f~ Street. Apt: No.; _ ~ - City. State ZIP+4 - ~ I or PO BOx NO. _{oZ._4.~QYYJUr__~~} /t all ?C.O.D. Q~ lJG - - - - --------^--'~---I--- Ci(y,$tete, Z 4 f (~~f / ilivery7 (EMra Fea) I : r r r r 1? I ~ • . • r r r . O ant o ~ _ M1 sYieei,:ipCrro.: PS Form 3811, February 2004 Domestic Return Receipt foz or PO BOx Na t~Q(d ~~r G~•____________ - rorm r•osrege a tees ~ ~ • • - ~,-%1 _~-_=z- ~ C1ry, Ste LPt4 / Op enr o l L Mail ?Express Mail :rr - r - ~7- t _rO ~Y"T7 Q.-S d ? Retum Receipt for S f~ 34ieet Apt No..; - - S~ff •F ~ tail ? C.O.D. O Sera or PO BOZ NO.t LC / ~ [ TlC/ Y o - _PoB~x-N,~s---B~ce~!~-ma_PaY~.~~cf----- :rr „ City. Stets, ZIPW _ D0~ 3 PS Form JAi u,reoruary zuuv ~~,~~e„~,:..o,,.~~~„o„o~r, toz :rr r - • , MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B. h OODHOUSE ~O~``Of SO~ryOIO Southold, NY 11971 OFFICE LOCATION: WILLIAM J. CRF.MERS Town Hall Annex KENNETH L. EDWARDS ~ Q 54375 State Route 25 MARTIN H. SIDOR ~ ~ (cor. Main Rd. & Youngs Ave.) GEORGE D. SOLOMON ~lifepU,M'~~ Southold, NY 1111 Telephone: 631 765-1935 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Vicki Toth From: Anthony Trezza, Sr. Planner Date: October 18, 2005 Re: Standard Subdivision of Krupski Family LLC 1000-100-2-3 Enclosed, please find one copy of the filed Covenants and Restrictions for the Elysian Fields Subdivision. You may use this format as a guide to prepare the Covenants and Restrictions for the above-captioned -subdivision application. However, do not file the C & R's until you submit another draft to this office for review. {f you have any questions or need additional information COUNTY OF SUFFOLK STATE OF NEW YORK ss: Nancy M. Mclaughlin, being duly sworn, says that she is the Legal Advertising Coordinator, of the Traveler Watchman, a public newspaper printed at Southold, in Suffolk County; and that the notice of which the annexed is a LEC,rALNOTIGE printed copy, has been published in said Notiee ofP,ubl3c ~Tearing Trav~ler Watchman once each week NOTICE i$ HERBY GIVEN for.. .weeks successivel that' pursuant tq Section 27b of • • • • • • • • • Y~ tht; Town, a public keaJ3tug will a ing on the ................day of be held by the Sbnt7zold' Town 2005. Planning Board, at'fhe Town ' ' Ball, Main Road, Sbtathold, New York on. the 17th day of Ohtober 2005 on the question ofthe fo~lotvin~g: 5:00 p.m. F`roposesl subdivi- lion for GregerSen, s Keep, LLC, locdted at the termmtis off' Gdll Fond Lane in Greenport; Town S t before me this.~.....day of of Southold, County of Suffolk,. 2005. ..State of New.. York. .Suffolk County Tax Map Number 1000- ~ 3~-3-12.6-& 12.7 _ 6:05 p.m. Fm s d s - subdivision fot . C..~......:: . . LLC, located on t_ b ;nfsdo Notary Public Oregon Road and the s/s/o $qund View Avenue, appprgxi- Inately 1383' e/q $altaire Way in Mattituck, Town o€ Southold, Emily Hamill COlltltyOf $Uffglk, State Of NeW NOTARY PUBLIC, Stale of New York York. SllffOlk: COnnty Tax Map Na. OI HA5059994 Number IQ(1~-]t)D-2- Qualified in Surfolk Coun[y Dated: 10/3/05 Commission expires May 06, 2006 BY ORDER OF THE SOUTHOLD TOWN PI.AN- NAIG BOARD Jerilyn B: Woodhouse Chairperson 1X 10/b/OS (124) • MAILING ADDRESS: PLANNING BOARD MEMBERS • P.O. Box 1179 o~~pf SOUryol southola, NY 11971 JERILYN B. WOODHOUSE Chair ~ Q OFFICE LOCATION: WILLL9M J. CREMER.S ~ ~ Town Hall Annex KENNETH L. EDWARDS G Q 54375 State Route 25 MARTIN H. SIDOR ~ (cor. Main Rd. & Youngs Ave.) GEORGE D. SOLOMON li('COU,M'~~ Southold, NY n I 1 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, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 17th day of October, 2005 on the question of the following: 6:00 p.m. Proposed subdivision for Gregersen's Keep, LLC, located at the terminus of Gull Pond Lane in Greenport, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-35-3-12.6 & 12.7 6:05 p.m. Proposed standard subdivision for Krupski Family LLC, located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1385' e/o Saltaire Way in Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-100-2-3 Dated: 10/3/05 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLEASE PRINT ONCE ON THURSDAY, OCTOBER 6, 2005 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Traveler/Watchman • • MAILING ADDRESS: PLANNING BOARD MEMBERS ~OF S~Ur P.O. Box 1179 JERILYN B. WOODHOUSE ~O~ '701 Southold, NY 11971 Chair !Q OFFICE LOCATION: WILLIAM J. CREMERS Town Hall Annex KENNETH L. EDWARDS G Q 54375 State Route 25 MARTIN H. SIDOR ~ ~ (cor. Main Rd. & Youngs Ave.) GEORGE D. SOLOMON ~iYCOU~'~~ Southold, NY Telephone: 631 76 b-1938 Fax: 631 76b-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, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 17th day of October, 2005 on the question of the following: 6:00 p.m. Proposed subdivision for Gregersen's Keep, LLC, located at the terminus of Gull Pond Lane in Greenport, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-35-3-12.6 & 12.7 6:05 p.m. Proposed standard subdivision for Krupski Family LLC, located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1385' elo Saltaire Way in Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-100-2-3 Dated: 10/3/05 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 4th day of October, 2005 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 10/17/05 Regular Meeting: 6:00 p.m. Public Hearing for the proposed subdivision of Gregersen's Keep, LLC - SCTM#1000-35-3-12.6 & 12.7 6:05 p.m. Public Hearing for the proposed subdivision of Krupski Family LLC - SCTM#1000-100-2-3 Linda andolph Secretary, Southold Town Planning Board Sworn to before me this day of ~c~a Vj~4~, 2005. Note is MELANIE DOROSKI NOTARY PUBLIC, State of New York No. 01004634870 Qualified in Suffolk County Commission Expires September 30~,~~ S t- ~ ~ P~~~~- r}.~ Vicki Toth Expediting Services P.O. Box 61 Shoreham, New York 11786-0061 (631)235-2219 Fax (631)765-9508 TRANSMITTAL Daten"I, I a ~ ~ O5 For your: Information Use To: ~-~1-~'1JY1 U ! Y~~~~Z9~_ -Reply Review RE: Kr~~sK~ ~a~1~~ J t~~ C S~~bd,vis~~,r, ~~-1-~.c~e-d i5 ~-Ine C~irct-~-~ Cv~'enavl~s 0.lav~ w~-Nn -~-I~,~ t-~ufzP. SF? 2 ~ 2uG5 _ _ _ Mme, ~ Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 standazds and conditions. If an action cannot be certified as consistent with the LWRP policy standazds and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold'$ website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. ' B. DESCRIPTION OF SITE AND PROPOSED ACTION = ~,5 SCTM# i D o 3 The Application has been submitted to (check appropriate response): Town Board ? Planning Board ® 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 of action: , ~~~cb~ay~slo~ ~ ~G~r`~c2~ CL 1~; na I-e -~a,~~/.( t~ r~ g t ©n ~-o~-~_-// DoT r Y~ Q `S -PSL,I ~.'`i'tZ ?1 i /l U' ~ fQl'Gt - l~~~l ~(?D 14 PX~ _ Location of action: ~ 5 p~C l9t'1 5 S D 0 P QU~YIV~- , ~S/ / Site acreage: ci 1 ~ ~ ~'7'~'_~J~ A L) Present land use:~C`p S ~ C~YI,~C 2 (/~~,y~(~0~'C~ Present zoning classification:- ~G U 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 applicant: ~ U Q Q,{i(_,~~/~~1' 1~, SOLI ~l (b) Mailing address:_~__~"'Y'Q,y~~ Y'~ V`~- ,~?1M~ nq C~ceIP N`I 1~135~ (c) Telephone number: Area Code ( ) ,ham ~ ~ S (d) Application number, if any: Will the action b~e directly undertaken, require funding, or approval by a state or federal agency? Yes ? No IL]I If yes, which state or federal agency? C. DEVELOPED COAST POLICY Policy I. 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 LW)tP Section III -Policies; Page 2 for evaluation criteria. Yes ~ No ~ Not Applicable 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 Q Yes ? No ? Not Applicable Attach additional sheets if necessary • • Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LW1tP Section III -Policies Pages 6 through 7 for evaluation criteria 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 ? Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LW13P Section III -Policies Pages 16 through 21 for evaluation criteria Yes ? 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 Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LW13P Section III -Policies Pages 32 through 34 for evaluation criteria. Yes ? 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 ~ Not Applicable Attach additional sheets if necessary WORHING 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 ®Not Applicable Attach additional sheets if necessary Policy 1l. 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 ®Not 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. ® Yes ? No ? Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LW)2P Section III -Policies; Pages 65 through 68 for evaluation criteria. ? Yes ? No ® Not Applicable Created on S/25/OS 11:20 AM MAILING ADDRESS: PLANNING BOARD MEMBERS • Y.O. Box 1179 o~~pF SO(/Tyo! sonthnla, NY I19n JERILYN B. WOODHOUSE Chair ~ Q OFFICE LOCATION: WILLIAM J. CREMERS ~ ~ Town Hall Annex KENNETH L. EDWARDS G Q 54375 State Route 25 MARTIN H. SIDOR ~`0 ~ ~0 (cor. Main Rd. & Youngs AveJ GEORGE D. SOLOMON ly~~UNTY,~`~ Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 13, 2005 Ms. Vicki Toth 425 Jacobs Lane Southold, NY 11971 Re: Proposed Standard Subdivision of Krupski Family Ltd. Liability Co. The property is located on the north side of Oregon Road and the south side of Sound View Avenue, approximately 1385' east of Saltaire Way in Mattituck. SCTM#1000-100-2-3 Zone A-C Dear Ms. Toth: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, September 12, 2005: WHEREAS, this proposal is for a standard subdivision to subdivide a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres; be it therefore RESOLVED, that the Southold Town Planning Board set Monday, October 17, 2005, at 6:05 p.m, for a preliminary public hearing on the maps dated February 24, 2005 and last revised July 29, 2005. With regard to the Town's notification procedure, please refer to the enclosed copy of Chapter 58, Notice of Public Hearing. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Annex (2"d Floor, North Fork Bank). 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 Fridav. October 14, 2005. The sign needs to be returned to the Planning Board Office after the Public Hearing. If you have any questions regarding the above, please contact this office. Very truly yours, erilyn B. Woodhouse Chairperson 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 standard subdivision; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-100-2-3; 3. That the property which is the subject of this application is located in the Agricultural Conservation District, Zone A-C; 4. That the application is to subdivide a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres located on the north side of Oregon Road and the south side of Sound View Avenue, approximately 1385' east of 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. (2"d FI., North Fork Bank). Or, if you have any questions, you can call the Planning Board Office at (631)765-1938; 6. That a public hearing will be held on the matter by the Planning Board on Monday, October 17. 2005 at 6:05 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 Traveler Watchman, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner's Name(s): Krupski Family LLC Date: 9//16/05 KRU PSKI FAMILY LLC KRU PS KI FAMILY LLC STANDARD SUBDIVISION • 1000-100-2-3 Proposal to subdivide a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres. ~ MONDAY -OCTOBER 17, 2005 - 6:05 P.M. . • ~ 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: noon, Fri., 10/14/05 Re: Proposed Subdivision: Krupski Familv LLC SCTM#: 1000-100-2-3 Date of Hearing: Mondav, October 17. 2005. 6:05 p.m. ~ ~ Vicki Toth Expediting Services P.O. Box 61 Shoreham, New York 11786-0061 (631)235-2219 Fax (631)765-9508 TRANSMITTAL Date: ~ ~ / C.% For your: Information Use To: 'r~ i Reply ?Review ~ I ~[Y~ ~ 1, RE: ~ S~i. ~LC~~I~/i5(L~/~ ' (fit ~ ~ rl « ~ ~=~~~VS 1 ~ 11~~~ C~ ~,~~l.k ~1~~~ sL~l. I~Gu~-~~ ~tilC,t C~'~y" ~-~C,l,t! .1~' ~'-~-hcf~ ~l ~ lc rcc~ ~~c~~~ . j~IECtS~ CSC( ~ 6~c~' ' ~ ~ ~ GC-/ fl/i~l ~l.~,Qlr~rt C ilL~ _ _ - - _ _ s~~~ Submission Wi out a Cover Letter Sender: V ~ ('~<-l' , l C_~"? \ ~c~~`J~-~-l Subject: scTM#: too- ~(~U d - C~ 3 Date:~~~j~~dS~ Comments: ~~~~1.~-~< < ~ ~ V " ~ r ~ r ~',_~a Vicki Toth Expediting Services P.O. Box 61 Shoreham, New York 11786-0061 (631)235-2219 Fax (631)765-9508 August 16, 2005 Town of Southold Planning Department Attn: Anthony RE: Krupski Family LLC, Subdivision Deaz Anthony: Attached aze three revised surveys for this project. Please use only these surveys and discazd - ALL other surveys that you have in the file. As per the planning board meeting of August 8, 2005, the covenants will not state any percentage of preserved lands. It will state that Lot 1 will be added to the yield for Lot 2 if any further subdivision is proposed for Lot 2. Also, per Mazk Terry, please remove the requirement for a letter of non jurisdiction from the New York State DEC, since we purposely kept the driveway faz enough away from the pond so we would not have to deal with the NYS DEC. We will get a letter from the Southold Town Trustees. Please provide me with the covenant language as soon as possible so I can get them typed up and submitted to the Krupski's for their review. Thank you for your attention to this matter. Sink 1 , , Vicki Toth Agent for Owner attachments 1 ~ ~v . MAILING ADDRESS: t PLANNING BOARD MEMBE~ Y.O. Box 1179 JERILYN B. WOODHOUSE o~~OF SOUjy~l Southold, NY 11971 Chair ~ y ~ OFFICE LOCATION: WILLIAM J. CREMERS T Town Hall Annex KENNETH L. EDWARDS ~ ~ ~ 54375 State Route 25 MARTIN H. SIDOR ~ ~ (cor. Main Rd. & Youngs AveJ GEORGE D. SOLOMON ~y~DUNS'r,~c~ Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 9, 2005 Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786 Re: Proposed Standard Subdivision of the Krupski Family LLC Located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1,385' east of Saltaire Way, in Mattituck SCTM#1000-100-2-3 Zoning District: A-C Dear Ms.Toth: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, August 8, 2005: WHEREAS, this proposal is for a standard subdivision of a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres; and WHEREAS, an application for sketch approval was submitted on May 6, 2005; be it therefore RESOLVED, that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed a coordinated 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 therefore further RESOLVED, that the Southold Town Planning Board hereby grant Sketch Approval upon the map dated February 24, 2005 and last revised on July 29, 2005, subject to the following conditions: 1. Submission of a permit or letter of non-jurisdiction from the New York State Department of Environmental Conservation and the Town Trustees. 2. Submission of the LWRP Coastal Consistency Form. 3. Submission of an application for Preliminary Plat Approval and fees. 4. Submission of draft Covenants and Restrictions which contain the following clauses: Krupski Familv LLC - Paae Two - 8/9/05 a. To comply with Chapter A-106 future yield calculation requirements. The clustered open space for Lot 1 equals .377 acres and is inclusive and part of Lot 2, which equals 55.99 acres. When determining future parcel yield, the cluster open space shall be subtracted from the Lot 2 parcel area (55.99 acres) as un-buildable lands. b. To comply with Chapter A-106, required cluster open space requirements for Standard Subdivisions on a parcel equal to or greater than 7 acres. In the event that the parcel is further subdivided, the cluster open space resulting from Lot 1 (.377 acres) shall be contiguous and inclusive of the cumulative total percent of cluster open space required on the parcel. c. To comply with Chapter A-106 Affordable Housing requirements, in the event the parcel is further subdivided, Lot 2 shall be considered a created lot and shall be included as Lot 1 of any future yield. Therefore, the Affordable Housing requirement shall apply to any proposal of 4 or more created lots for the parcel. 5. Submission of the Park and Playground Fee in the amount of $7000. This fee is payable prior to the issuance of final approval. This approval is valid for six (6) months from the date of the resolution unless an extension of time is requested by the applicant and granted by the Planning Board. If you have any questions, please contact us. Very truly yours, %Jerilyn B. Woodhouse Chairperson enc. c..~ MAILING ADDRESS: PLANNING BOARD MEMBE OF S~Ul • P.O. Box 1179 JERILYN B. WOODHOUSE O~~ y0l Southold, NY 11971 Chair ~ Q OFFICE LOCATION: WILLIAM J. CREMERS ~ ~ Town Hall Annex KENNE'PH L. EDWARDS G • ~ 54375 State Route 25 MARTIN H. SIDOA ~ Ap~ (cor. Main Rd. & Youngs AveJ GEORGE D. SOLOMON I~COU M Southold, NY r111 Telephone: 631 765-1935 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant August 9, 2005 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed Standard Subdivision of the Krupski Family LLC SCTM#: 1000-100-2-3 Location: The property is located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1,385' east of Saltaire Way, in Mattituck SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This proposal is for a standard subdivision to subdivide a 57.4574-acre parcel into two lots where Lot 1 equals 1.4589 acres and Lot 2 equals 55.9985 acres. 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. Krupski SEAR Negati~eclaration -Page Two -August 905 The determination was based upon the following: 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 for erosion, flooding, leaching or drainage problems will occur as a result of this action. 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; 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 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: NYSDEC Elizabeth Neville, Town Clerk Applicant i Submission Without a Cover Letter Sender: V I 1 (j~ Subject: 1~ `f l/~-~ ~J~' I S 101' ~i SCTM#: 1000 - I ~ ~ O ~ ' C7 ~ ~ I ' L AUG - 4 2005 Date: ~ I ~ w"I 1, ~ . _ _ Comments: ~p-~'~1bn~( ~ one, ~c~:~~ sum - A o ~ ~ ~ . ~ a e~2.Qi> ~-F Sin ~~ws ~~uS~~ ~ ~ ~ ~ 51<< vJ~x~ ~ ~ -~~Y e ~[sa ~r . ~ p ~ Lek ~ ~~n dw ~ ~ ~ ~ ~f -~.e C~p~w~ ~ ~w~ rub. I a~~ ~f . ~ c~~~, I~ Cell- C~~\- a3~-~1~1 o-~- c~~~- ~c~s- (~as~ ~ ~ 5~~ ~-1 Submission Without a Cover Letter Sender: ~ ~ ` ' ` Subject: ~ lti 1~ SCTM#: 1000 - l d U ' ~ ~ f Date: lQ a ~ ~ C`) ~ l,_-- 1 Comments: ~ S Q,~~ 5~ MA~ITUCK FIRE DISTRICT • PO BOX 666, PIKE STREET MATTITUCK, NEW YORK 11952-0666 Commissioners MARTIN LGRIFFIN, SR. Chairman John C. Harrison, Secretary Barbara Dickerson, Treasurer Greg N. Tyler, Vice Chairman James D. Roache Norman 0. Reilly, Jr. Jerome Zuhoski June 15, 2005 I- Mr. Anthony P. Trezza r Senior Planner - . Southold Town Planning Board' ~ ~oOl r _ P O Box 1179 ~ Nnr Southold, NY 11971-0959 RE: SCTM# 1000-1042-3 L- Dear Mr. Semon; At the Regular meeting of the Board of Fire. Commissioners, the Board reviewed the site plan for Krupski Family LLC (SCTM# 100410423) at your request. The Board has no recommendations for additional fire wells in conjunction with this subdivision. Thank you In advance for your cooperation in this mattes Sincerely, John C. Harrison Secretary cc: Board of Fire Commissioners Chief Office (631) 298-8837 Facsimile (631) 298-8841 • • MAILING ADDRESS: PI,ANNIN~ O ARD MEMBERS ~o~~OF SOUly~lo n~uthOold,oNY 11971 Chair OFFICE LOCATION: WILLIAM J. CREMERS N ac Town Hall Annex KENNETH L. EDWARDS ~ ~ ~O 54375 State Route 25 GEORGE D SO OMON ~~~Cl7U~ 1 ~ ~ (cor. M Sou h aY~ gs Ave.) IY ~ ~ Telephone: 831 785-1935 Fax: 831 786-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 14, 2005 Ms. Vicki Toth P.O. Box 61 Shoreham, NY 11786 Re: Proposed Standard Subdivision of the Krupski Family LLC Located on the n/s/o Oregon Road and the s/s/o Sound View Avenue, approximately 1,385' east of Saltaire Way, in Mattituck SCTM#1000-100-2-3 Zoning District: A-C Dear Ms. Toth: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, June 13, 2005: WHEREAS, this proposal is for a standard subdivision to subdivide a 57.4574-acre parcel into two lots where Lot 1 equals 1.8366 acres and Lot 2 equals 55.9985 acres; and WHEREAS, an application for sketch approval was submitted on May 6, 2005; be it therefore RESOLVED, that the Southold Town Planning Board start the SEQRA lead agency coordination process for this Unlisted Action. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson r MAILING ADDRESS: PLANNING BOARD MEMBER ~~0~ SD(/)yO • P.O. Box 1179 JERILYN B. WOODHOUSE ~Q l~ Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J. CREMERS y ~ Town Hall Annex KENNETH L. EDWARDS ~ ~ ~p~O 54375 State Route 25 GEORGE D SOLOMON Ol~~'oU'M (cor. Mason h &dYoNu~ngs Ave.) Ir 1 , Telephone: 631 766-1938 Fax: 631 76b-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 14, 2005 Re: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: Standard Subdivision of Krupski Family, LLC SCTM#1000-100-2-3 Zoning District: A-C Requested Action: This proposal is for a standard subdivision to subdivide a 57.4574 acre parcel into two lots where Lot 1 equals 1.8366 acres and Lot 2 equals 55.9985 acres SEQRA Classification: ()Type I (X) Unlisted Contact Person: Anthony P. Trezza, Senior Planner (631) 765-1938 x 5022 ~ • • Page 2 Lead Agency Coordination Request The lead agency will determine the need for any supplemental information on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. In addition please provide any information that should be considered during this review. Planning Board Position: (X) This agency wishes to assume lead agency status for this action. ( )This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Please feel free to contact this office for further information. Very truly yours, ~ ~¢U u erilyn B. oodhouse Chairperson cc: Joshua Y. Horton, Supervisor Southold Town Board Patricia Finnegan, Town Attorney *Board of Trustees Building Department Southold Conservation Advisory Committee Suffolk County Department of Health Services *NYSDEC -Stony Brook, Sheri Aicher *Maps are enclosed for your review Enc. `f PLEASE TYPE OR PRINT CLEARLY The Full Erwlronmental Assessment form (EAF) is intended to provide a method whereby applicants and agencies can be assured that the detenninatiat process has been orderly, comprehensive in nature, yet flebble to allow irttroduetion of information to fit a project or action. EIIII EAF Comeonarna: The full EAF is Comprised of three parts: Part I: Provides objective data and information about a given project and its ske. By identifying basic data, k assists a reviewer in the anatysis that takes place in Parts I I and III. PaR II: Focuses on identifying the rangy of possible impacts that may occur hom a project or action. It provides guidance as to whether an impact is likely to be Conaidercd small to moderate or whether k is a poterrtiaAy large impact. The form also iderrtifies whether an impact can be mitigated or reduced. If any impact in Part II is identified as potentially large, then Part III is used to evaluate whether or nor[ the impact is actually important. DETERMINATION OF 3N3NIFICANCE - Type I and Unlisted Actlans ' I~Ibf Rortlons of FJ~F comMeted for oroiect ? Part I ? Part I I ? PaR I I I ' Upon review of the iMOmation recorded on this EAF (Parts I, II and III if appropriate) and any other supporting information, and considering both the magnitude and importance of each impact, k is reasonably determined by the lead agenq that: ? A. The project wAl not resuA in arty large and unportant impact (s) and, 9herefore, is one tleat wiA rwt have a significant impact an the environment; therefore, a NEGATNE DECLARATION wW be prepared. ? B. Akhough the project could have a significant effect on the environment, there wiU not be a sigriflcarrt effect for this Unlisted Action because the nitigaiton maasurca described in PART 3 have been required; therefore, a CONDITIONED NECiA VE DECLARATION' wilt 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 DECORATION will be prepared. 'A condkioned Negative DeGaration is only valid for UnAsted Actions. MANE OFACTION: ~ruP51~) LAn~~ D,~IS~o~J NAME DF IEAD,KSIICY _ ~r7 ~ 61 ~ ~ 1in~ - s RANE a Drrlce w SAO AcENCV. 0. aCINATURE OF RFP~01161&E OFFICER MLEAD Ar3ENG1'. yGNAN,/RE ~JF ER e. DArE. 1 • • ' PLEA8E TYPE OR PRONT CLEARLY Part I -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 errvironment Please complete the entire form Part A through O. Answers to thane questions will be considered as part of the appFcation for approval and may be autrject to further verification and public review, Provide any additatal information you believe will be needed to complete Parts II and 111. Et is expected that completion of the fuU EAF will be dependent on information curentty available and will not involve new studies, research ar investigation. It information requiring such additional work is unava8able, so indicate and specify each instanx. NAME a PIIOAXT Iti PSk-t _ C,/-~N I~ 1J ~ ELLS i o ~ mwECr LoumoN~. 1 _ " C3oay ~~l-c~ Q~x ,L7-f 1 7 a a ai V iCk~ -Tot-h max (l S~O+' yn , ~I ~ `l 3. NAME ANDACORE886 pM1ER, IF pFFE1fEM - -e Kr L'l ~9 Fran, g,r r le ~~/1735- e. sc. rAx PAROEL mnasA:. r. RREBEIIr retie 00 - oc~-o a- - eCEdCR1P'rldI OF ACTION', (PLEA8E PE BFEGIFIC AC01110fN1 ffiIFETIF MECES8ARV1 L,t~S~-~r~L L.S / o r~ ~F ~~CJ pc~r c Pa l' ll-~ o'~ 1 c~ f~ - - Pr cAsE C(~tPy~g EACH (~aT1pN _ INDICATE IF NOT APPLICABLE: A. {,Srjp USE: (lf not applicable, check hero and go fo SeGion B) ? N1A Physical setting of overall project, bath developed and urtdevabped areas. 1. Presets land use: ? Urban ? Industrial ? Commercial Residential Suburban ? Rurai (norrdami) O Forest Agriarkuro ? Other (Spedfy) B. ~Rt?IGAL F~/IRONMENTAL APIA: 1. Is the site boated in or substantially contiguous to a Critical Ernrfronmerst Area designated pursuant tc Article 8 of the ECL, and 6 NYCRR 6177 ? YES (~NO ? NIA C. 1. Does proposed action involve a planning or zoning deasion? YES ?NO l~I@a complete 1],~ below: if no gg_t0 section D: ? Zoning Amendment ? Zoning Variance ? Special Use Pertnlt Subdivision ? Site Plan ? New (Revision) of Land Use Plan ? Resource Management Plan ? Other - 2. What is the zoning classification(s) of the site? ~ , ~ 2 I ~ 3. What is the maximur~otential development of th site if developed as• fitted by the present zoning? Al 4. What is the PROPOSED zoning of the site? /.1 5. What is the maximum potential development of the sit^ `f~e,~reloped as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended use/d/~-tadopted or recommended in local land use plans? YES ? NO 7. What are the predominant land use(s) and zoning classifications within a'/.mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land used within a'/, mile? J,~'YES ? NO 9. If the proposed action is a subdivision of land, what is the number of lots proposed? o~- a. What is the minimum sized lot proposed? I . k `I (.~c~,,eA 10. Will proposed action require any authorization(s) for the formation of sewer or water disVids? ? YES ®NO 11. Is the project site presently used by the community or neighborhood as an open space or recreation area? ? YES ~ NO 12. Will the proposed action create a significant demand for any community provided services (recreation, education, police, fire protection)? ? YES ~ NO a. If YES, is existing capacity sufficient to handle projected demand? ? YES ? NO 13. Will the proposed action result in the generation of Vaffic significantly above present levels? ? YES I$(NO a. If YES, are existing roads adequate to handle the additional traffic? ? YES ? NO D. SITE DESCRIPTION: (If not applicable, check here & go to Section E) ? N/A Total Lot Area: - 57 L{ ? square feet ~ acres PRESENTLY AFTER COMPLETION Meadow or Old Field (non-agriculture) ~ tJ r7 ~ U OCR O ~ ,F Forested s-1lav yDZ.~ y$ Agricultural Qnclude orchards, pasture etc.) ~j a a ~ 3 ~ ~ a ~ "T Unvegetated (rock, earth or fill) Roads, buildings and other paved surfaces Q ~ Beach, Dune or Bluff ~ ~ Surtacewater ~Q~G c~ ~pU Tidal Wetlands (as per Chapter 81 and Art. 25 ~ ~ Freshwater Wetlands or 24 of the ECL) (7 Landscaped ~ p ~ ~ a ~ ~ Other (indicate type) 3 • ~ ~ , E. PROJECT DESCRIPTION: (If not applicable, check here and go to Section F} ~/A v ~ 1. Physical dimensions and scale of project (fill in dimensions as appropriate): a. Total contiguous acreage owned or controlled by project sponsor: b. Project area to be developed: initially; ultimately ? square feet ? acres c. Project area to remain undeveloped ? square feei ? acres d. Length of project, in feet and/or miles, if appropriate: ? feet ? miles e. If the project is an expansion, indicate percent of expansion % f Number ofoff-street parking spaces existing ,proposed g. Maximum vehicular trips generated upon completion of the project? _ hourly h. Frontage along a public thoroughfare linear feet i. If residential: Number and type of housing units: ONE FAMILY TVrO FAMILY MULTI-FAMILY CONDOMINIUM Initially: Ultimately: j. Dimensions of largest proposed structure. Height Width Length 2. Will blasting occur during construction? ? YES ? NO 3. Will project require relocation of any facilities? ? YES ? NO If YES, explain F. LAND RESOURCES: (If not applicable, check here and go to Section G) ? N/A 1. What is/are the predominant soil type(s) on project site? (Please consult Suffolk County Soil Survey and Soil Conservation S rvice~~ P//hone: 7 7-23,15 ~I ~ I List types: Ha ~ ~ /h IY~T N(~F t~lyl ` ~ ~CC~ (3/ ~C . ~7~ 2. Is project or any portion of project located in a 100-year flood plain? ? YES ENO ? N/A 3. Soil drainage: Well-drained % of site Moderately well drained of site 1(Lr~ °k of site Poorly drained % of site 4. If any agricultural land is involved, how many acres of soil are classrted within soil groups 1 through 4 of the NYS Land Classification System? {See 1 NYCRR 370 (1).) acres ? N/A 5. Are there any dunes, bluffs, swales, kettleholes, strands or other geological formations on the project site? ? YES @jc NO If YES, Describe: 6. Are there bedrock outcroppings on project site? ? YES ,j~J NO a. What is depth to bedrock? (in feet) ? N/A 7. Approximate pero ge of the project site wit slopes (0-100°k): 0-10% 10-15°h 15°~orgreater 8. How much natural material (i.e. rock, earth, etc.) will be removed from the site? ~ cubic yards 9. Will the disturbed areas be reclaimed? ? YES ? NO ~/A a. If YES, for what intended purpose is the site being reclaimed?_ b. Will topsoil be stockpiled for reclamation? ? YES ? NO c. Will upper subsoil be stockpiled for reclamation? ? YES ? NO 10. Grading: ? YES ? NO N/A If yes, complete a. through i. a. Total area to be regraded: ? square feet ? acres b. Total cubic yards of cut: cubic yards c. Total cubic yards of fill: cubic yards d. Greatest depth of excavation or cut: feet (excluding recharge basin) e. Greatest depth of arty recharge basin; feet f. Greatest depth of fill: feet g. Greatest depth of excavation or cut: feet (excluding recharge basins) h. Maximum artificial slopes after construction (check one ) ? 2:1 or greater ? 3:1 O 5:1 ? 10:1 or less i. Will the project require the use of retaining walls? ? YES ? NO j. Briefly describe method(s) to reduce erosion/runoff during and after construction: 4 • G. VISUAL-CULTURAL RESOURCES: (If not applicable, check here and go to Section H) ? N/A 1. Visual: a. Will the project be ticeably visible from surrounding areas after fts completion? ? YES .~NO ? N/A b. Will the project remo a vegetation that currently screens the project site from surrounding areas? ? YES ~JO ? N/A c. Will the project partially or completely block, or contrast with, scenic views from surrounding areas or from the site? ? YES ~O ? N/A d. Does the present si include scenic views known to be important to the community? ? YES ~O If yes, please explain: 2. Culturel: a. Does the project site contain a building or site, and/or is it located wRhin or substantially contiguous to a building, site or district listed on the State or the National Registers of Historic Places or Register of National Landma ? ? YES O ? N/A b. Does the project site contain a building or site, which is substantially contiguous to or within a Town Historic District or Tpwn Historic District Transition Zone? ? YES ~ZJ NO ? N/A c. Is the project site contguous to or does d contain a site or building which is designated a Town Landmark? ? YES ~ NO ? N/A d. Will the project be noticeably visible from, be adjacent to, or result in the partial or complete demolition of any structures list on the State or Nafionat Registers of Historic Places, or a Town Historic Landmark? ? YES NO ? N/A e. Will the project result in the partial or complete demolition or relocation of any structures greater than 50 years old? ? YES ~O ? N/A f Will the project resuR' the partial or complete removal of any documented or known Native American sde? ? YES ~ ? N/A g. Does the project si contain or is it located adjacent to a cemetery or gravesite? ? YES NO ? N/A H. WATER RESOURCES: (If not applicable, check here and go to Section I) N/A 1. Will the O YEpSotential dischaN eO as a result o?f aN~ pproval of this application into a body of water either on or off-site? If Yes, please explain: 2. Method of handling runoff (check all that apply): ? Leaching Pools ? Dry Wells ? Recharge Basin (off-site) ? Recharge Basin (on-site) ? Other (describe): 3. What is the minimum depth to the water table on site? feet (Please cite date and source of information) a. Seasonal variation feet 4. Are there any lakes, ponds, swamps, bogs, marshes, or freshwaterwetlands within or contiguous to project area? Q~YES ? NO ? N/A a. Name of lake/pond or wetland: N~o N ,~~R~ ralrQ-( 5. Are there any streams withinyr contiguous to the project site? ? YES ~O ? N/A Name: a. Name of body of water to which it is tributary: 6. Are there any Creeks, Embayments, Harbors or tidal wetland areas within or contiguous to the project area? ? YES ~NO ? N/A Name(s) a. Name of body of water to which it is tributary: 5 7. Is the site 1gcated over a primary, principal or sole source aquifer? • ,,YES ? NO ? N/A 8. Will surface area of an ew'stjaJwater body increase or decrease by proposal? ? YES NO Please explain: I. FLORA-FAUNA-AQUATICS: (If not applicable, check here and go to Section J) ? N/A 1. Do hunting, fishing or shellfis ing opportunities presently exist in the project area? ? YES ~O ? N/A 2. Is the project site utilized by, or contain any species of plant or animal life that is identified as rare, threatened, endangered, protected or id tified as a specied of special concern? ? YES ~O ? UNKNOWN If yes, identify each species: 3. What wildlife species have been confirmed or would be expected'tJo occur on site? ~O,.PX SF i~.crrP~~ ~ '~"LIY~F ~ i~YP ~l?(7~~ 1~S 4. Wtwt vegetation species have been confirmed or would be expected to occur on site? 5. Are there any rare or protede plants or unique plant communities present on site? ? YES NO If yes, identify each species: 6. How many acres/sq. ft. of vegetation (trees, shrubs, ground covers) would be removed from site? © ? acres ? square feet ? NIA 7. WiN any mature forest (over 100 ors old) or any other locally important vegetation be removed by this project? ? YES ~lO ? N/A J. UTILITIES: (If not applicable, check here and go to Section K) N/A 1. Is the site served by existing public utilities? ? YES ? NO a. If yes, does sufficient capacity exist to allow connection? ? YES ? NO b. If yes, will improvements be necessary to alllow connection? ? YES ? NO 2. Will project result in an increase in energy use? ? YES ? NO If yes, indicate types: _ 3. What type water supply is from wells, indicate pumping capacity: gallons/minute. 4. Total anticipated water usage per day: gallons/day. K. WASTE DISPOSAL: (If not applicable, check here and go to Section L) N/A f. Will a Safe Pollutant Discharge Elimination System (SPDES) permit be required? ? YES ? NO If yes, for what type of material? 2. Is surface liquid waste disposal or storage involved? ? YES ? NO a. If yes, indicate type of waste (sewage, industrial, etc.) amount and method of disposal 3. Is subsurtace liquid waste disposal involved (including sandary)? ? YES ? NO If yes, please indicate: a. Type of waste: b. Volume of waste: gallons per day c. Sanitary waste treatment ? on-site septic-system ? municipal treatment plant ? modified subsurface sewage disposal system ? community sewage disposal system ? other 6 , 4. Are there any point sa6rce discharges not previously described associated with this project? ? YES ? NO ? N/A If yes, explain: 5. Will the project generate solid waste? ? YES ? NO ? N/A 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 If yes, explain: 6. Will the project involve the storage or disposal of solid waste? ? YES ? NO (If yes, please attach a list itemizing same) a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site I'rfe? years. 7. As part of the construction or use of the site will the project routinely use herbicides or pesticides? ? YES ? NO If yes, describe the type, amount and method of application: 8. Has the site ever been used for the disposal of solid or hazardous wastes? ? YES ? NO ? UNKNOWN If yes, explain fully on a separate sheet. 9. If an industrial use is proposed for the site, describe the product and the manufacturing process involved: 10. Will any hazardous or toxic substances or waste be stored or generated on site? ? YES ? NO ? N/A a. If yes, identify the substance, amount and method of storage or disposal. 11. Will project routinely project odors more than 1 hour/day? ? YES ? NO 12. Will project produce operating noise exceeding the local ambient noise levels? ? YES ? NO If yes, source of noise: _ _ L. ECONOMICAL IMPACTS: Completed for all commercial/indus a ojects and residential projects greater than 10 units. (If not applicable, check here and go to Section M) N/A 1. Does project involved Local, State or Federal funding? ? YES ? NO 2. If single phase project: anticipated period of construction months, (including demolition) 3. If multi-phased: a. Total number of phases anticipated: b. Expected date of commencement phase 1 (including demolition): c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ? YES ? NO 4. Number of jobs generated during construction .After project is complete 5. Number of jobs eliminated by this project: 6. What are the current tax revenues generated by the project site? dollars 7. What tax revenues will project generate after completion? dollars 8. What is the estimated cost of construction? dollars 9. How many schoolchildren is the project expected to generate? _ ? N/A 10. What is the estimated cost of educating the school-age children generated by the completion of this project? ? NIA 7 • ~ M. APPROVALS REQUIRED: TYPE SUBMITTAL DATE Town Board ?YES ENO Town Planning Board J$jYES ?NO - 5 Town Zoning Board ?YES HNO Town; Environmental Protection ?YES {L]NO Town; Building Department ?YES j~ri0 Country Health Department AYES ?NO IV d ~ Local Agencies ?YES ENO State Agencies ?YES ®NO Federal Agencies ?YES J~NO Other Agencies ?YES f~grv0 N. ADDITIONAL INFORMATION: Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. O. VERIFICATION: I certify that the information provided above is true to the best of my knowledge. 1. NAME OFAPPLICANT/SPONSOR: Z. SIGNATURE 3. TITLE: 1. DATE: a~~N ~ ~ I~ to s 5. NAME OF ONMER: 8. SIGNATURE T. TITLE: B. DATE: Note: If the action is in the Coastal Area and you are a state agency, complete the Coastal Assessment Form before proceeding with the assessment. 8 MAILING ADDRESS: PLANNING BOARD MOEMBERS h~~aOf SUUlyolO So uhold,oNY 11971 Chair OFFICE LOCATION: WILLIAM J. CREMERS ua ~ Town Hall Annex KENNETH L. EDWARDS ~ ~ ~O 54375 State Route 25 GEO GE D SOLOMON 0~~~'oU,M (cor. MaSou ho1dYNY gs AveJ I11, Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 31, 2005 Mr. John A. Keogh Mattituck Fire District _ PO Box 666 Mattituck, NY 11952 Dear Mr. Keogh: Enclosed please find one (1) subdivision plan, dated as last revised April 27, 2005 for the Subdivision of Krupski Family LLC, located on the south side of Sound View Avenue and the north side of Oregon Road, Mattituck SCTM#1000-100-2-3. O The enclosed site plan is being referred to you for fire access review and for your recommendations as to whether any fire- wells are needed. Please specify whether firewells are shallow or electric. The enclosed subdivision is being referred to you for your recommendation at to whether any firewells are needed. Please specify whether firewells are shallow or electric. Thank you for your coo eration. Ve yours, Anthony P. rezza Senior PI ner enc. Vicki Toth, Expediter P.O. Box 61 Shoreham, New York 11786-0061 (631)235-2219 Fax (631)765-9508 TRANSMITTAL May 6, 2005 C,L' ~ 1, ~~d . ~ nl -D12~r4WC~~ To: Anthony Trezza Town of Southold Planning Re: Sketch Plan Application for Krupski Attached aze the following for your review; Sketch Plan application Authorization letter Copy of the deed for the property, with the power of attorney Long EAF form Application fee Five (5) copies of the survey showing the proposed request If you should have any questions or need further information please call me. Thank you for your attention to this matter. Sincerely, Vicki Toth agent attachments ~ • P~ DECLARATION OF COVENANTS AND RESTRICTIONS This declaration made and dated this day of September, 2005, by Eugene Krupski, on behalf of the Krupski Family, LLC, with offices at 1055 Oregon Road, Mattituck, New York 11952, hereinafter referred to as "Declarant": WITNESSETH: Whereas, the Declarant is the owner in fee of the real property described in Schedule "A" attached hereto and made part hereof; and Whereas, an application for a standazd subdivision of the property described in schedule "A" has been filed with the planning department of the Town of Southold; and Whereas, the application of the Declarant was duly gamed, subject to certain terms and conditions; and Whereas, the Declarant deems it advisable and in the best interests of the Town of Southold to impose certain covenants and restrictions upon said real property. Now, Therefore, in consideration of the premises, the Declarant declares that the above described real property is held subject to the following covenants: 1. To comply with Chapter A-106 future yield calculations requirements. The clustered open space for Lot 1 equals .377 acres and is inclusive and part of Lot 2, which equals 55.99 acres. When determining future parcel yield, the cluster open space shall be subtracted from the Lot 2 parcel area (55.99 acres) as un- buildable lands. 2. To comply with Chapter A-106, requred cluster open space requirements for Standard Sub-divisions on a parcel equal to or Beater than 7 acres. In the event that the parcel is further sub-divided, the cluster open space resulting from Lot 1 (.377 acres) shall be contiguous and inclusive of the cumulative total percent of cluster open space required on the parcel. 3. To comply with Chapter A-106 Affordable Housing requirements, in the event the parcel is further subdivided, Lot 2 shall be considered a created lot and shall be included as Lot 1 of any future yield. Therefore, the Affordable Housing requirement shall apply to any proposal of 4 or more created tots for the parcel. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANTS, its heirs, its successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended only with a vote of the majority plus one of the Town of Southold Planning Boazd and with a public hearing. In Witness Whereof, the Declarant has executed the Declaration the day and year first written above. Eugene Krupski STATE OF NEW YORK) )ss.: COUNTY OF SUFFOLK) On the day of in the year 2005 before me, the undersigned, a Notary Public in and for the State, personally appeared Eugene Krvpski, 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 tome 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 LASER FICHE FORM SUBDIVISIONS SCANNED MAR 2 0 2001 Records Management Project Type: Subdivision Status: Final Approval SCTM # : 1000 - 100.-2-3 Project Name: Krupski Familv Ltd. Liability Co. Location• The property is located on the north side. of Oregon Road and the south side of Sound View Avenue approximately 1385' east of Saltaire Way in Mattituck. Hamlet: Mattituck Applicant Name: Eugene & Marv Ann Krupski Owner Name: Krupski Familv Ltd. Liability Co. # Zone 1: A-C Approval Date: 9/11 /2006 PLAT Signed Date: ~~/~~O~a OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information Zone 2: Zone 3: CandR's: Homeowners Association R and M Agreement: Address: County Filing Date: 11/9/2006 SCAN Date: )\ q, L / / SUBDIVISION OF KRUPSKI FAMIL Y, LL C A T MA TTITUCK TO N OF $OUTHOLD SUFFOLK COUNTY, N. Y 1000-100-0~-05 SCALE' 1'-=100' FEBRUARY 24, 2005 ZONING D/STRICT' FIRE D/STRICT' JO SCHOOL DISTRICT, 9 AREAS OF EI.J~RE~ OF 15~ OR GREATER SUFFOLK COUNTY SOILS C~.ASSIFICATIONS RaB~HuA~ MIB, PIB, PmCS, RdB~RdC & SdA r 6o / KEY MAP SCALE' I'~ 600' LONG OR£C~N UTILITIES ~ PR/VA TE WELL INDIVIDUAL ~RTIC SYSTEM - ELECt[RIO - CAGtLE TEST HOLE B Y ~LD ~DSCIENCE TI~S IS TO CERTIFY TI-IA T THE SUBDIVISION PL~ T HAS BEEN ABRRO. VED. BY THE( PLANNIN6 BOARD OF THE TOWN OF $OUTHO!_~ BY R~OLUTION OF APPROVAL DA TED BY CH~ll~iviAN PLaNNiNG BOARD I HERBY CERTIFY THAT THIS SUBDIVISION PLAT WAS MADE FROM ACTUAL SURVEYS COMPLETED 071,610~. THAT ALL MONUMENTS SHOWN TMUS. m ACTUALLY E~IST AND TILE. POSITIONS ARE CORRECTLY SHOWN AND ALL DIMEN~ONAL AND GEODETIC DETA~S ~0~ T. M~TZeER~ N,%& ~.8. Lie. NO. ~el8 SUFFOLK COUNTY DEPARTI~ENT OF REAL TH SERVICES HAUPPAUGE, N, Y. DATE THIS ~ TO CERTIFY TEAT THE pIROPOSEO REALTY SU~IVIEION OR DEI,~J.~T FOR IN THE ~ A TOTAL OF LOTS WAS APPROVE~ ON TI~ ABOVE DATE tlIAi~tg S~UPPI.~S ANO ~'~/A~E DL~aOSAL FACIETIE$ MUST CONFOI~ TO CtDNETRUCTION STANDARDS IN EFFECT AT THE T~E OF COI¢~TRUC~N Ai~ AR£ SUa~ECT TO $EP~ATE ~R~T$ P~SU~T TO TH~ STEWARDS, THIg ~PROV~L S~ BE VAL~ O~Y IF T~ REALTY ~DI~I~IDN ,L DE~ ~P ~ D~Y F[ED THE COUNTY CLERK WIT~N ONE YEAR OF T~ D~A ~. COGENT ~S ~Y ~1~ ~OR T~ ~N~ OF THIS MAP ON WHI~ T~ ENDORSE~NT A~PPE~ ~ T~ OFFICE OF THE COUNTY CLERK iN ACCO~AINCE ~1~ PRO~SlONS OF THE PUBLIC HEALTH LAW A~ T~ S~FO~ COUNTY SANITARY CODE. DIRECTOR~ DIVISION OF ENVIROMENT QUA~TY OWNERS/ APPLICANTS THE KRUPSKI FAMILY LIMITED LIABILITY COMPANY 1055 OREGON ROAD MA TTITUCK, NE~ YORK II95~ I HEREBY CERTIFY THAT THE WA TER SU~P~L YFS) AND/OR SEWAGE DISPOSAL SYSTEM(SI FOR THIS PROJECT WERE DESIGNED BY.ME OR UNDER MY DIRECTION 8ABED ON UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL SITE AND GROUND WA TER CONDITION$~ ALL LOTS AS PROPO~D~ CONFORM ~0 T~ ~F~K ~UNTY ,~ART~T OF ~L TH ~RV~$ C~STRUCT~N JOSEPH FISCHETTE~ P.E. -/ ROAD TYPICAL PLOT PLAN TYPICAL WELL (NOT TO ~CALE) LOT 1= ~,~1 w~ft. or II.4~Acre LOT 2 = ..m~.~ ACRES, TOTAL ACRES= 57,4574 ACRES LINE ARE NEFER~NCED, TO THE t~.$TERN, TOWNS TOP~GRAPHIC' MAPS LoT ~ 5O \ / \ \ P.O. BOX 909 12,70 T~AVELER STREET SOU TNOLD, N, )~. ,I