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1000-119.-1-5
r , APPLICATION FOR APPROVAL OF PLAT UL I I T i" r f To the Planning Board of the Town of Southold: FLi;Pihuff;rt ?pD.. The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Riles end Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be . .. .. . lot.line.change. far.Penelope .BuschmarJM� . . . . . .. .. .. .. .. .. .. .. . . .. . . .. .. . .. . . . . . . . . . . . . . . . . . .. .. . . . . . . . . .. .. .. . . .. .. .. .. . . . . . . . . . . . . . . . . 1 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) a 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber . f�S�. . . .� a��. . Page . A Q. . .. .. .. . . . . . . . . . On . .. .. .. . . . . . . .. . . . . .. . . ; Liber 49 ,360 .. Page . y�I On Liber . . . . . . . .. .. . . . . .. .. . . . . . Page . .. .. .. .. . . . . . . .. . . . . . On . . . .. .. .. . . .. .. . . . . . . . . ; Liber . . . . . .. .. . . .. .. .. .. . . . . . Page . . . .. .... .. . . . . . . . . .. . On . . . .. . . . . .. .. .. . . . . . . .. ; Liber . . . .. .. . . .. ... ... ....... Page . .. .. .. . . . . . . . . . . .. ... On . . . .. .. .... .. .. . . . . . . . . ; as devised under the Last Will and Testament of . TANA oras distributee . .. .... .. . . ...... .. .... .. . . . . . . . . .. . . .. .. . . .. . . .. . . .. .... ..... . . .. . . . .. . . . . . . . . .. .. . . .. . . ..... . .. .. ...... .............. . . . . . . . . . . . . .. . . . . . . .. . . .. .. .. ........ . ... . . . . . . . 5. The area of the land is . . . . .90,.$72. SF.. . acres. 6. All taxes which are liens on the land at the date hereof have been paid except . .. . . . . . . . . . i . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . — . . . . . . . . . .. . . . . . . . . . . . . .. .. . . .. .. . .. . . .. . . . . . . . 7. The land is encumbered by . ... . ... . .. .... . . . . . . . . . . . . . . .. . . . . .. .. .. . . . . . . . . .. . .. .. . . . . . . mortgage (s) as follows: (a) Mortgage recorded in Liber . .. .. . . . . . . . . . Page . . . . . . . .. . . . . . . . . . in original amount of $. . . .. . . . . . . .. . unpaid amount $ . . . .. . . . . . . . . . . . . . .. . held by . . . .. .. .. .. . . .. . . . . . . . . .... .. .. .. . . . address . . . .. .. . ... . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . .. . . (b) Mortgage recorded in Liber . . . . . .. .. Page . . . . . . . . . . . .. . . . .. . . .. . in original amount of . . . .. . . .. . . . . . unpaid amount $. . . . . . . . . . . . . .. . . . . . . . held by . .. .. . . . . .... .. .. . .. .. I . .. ... . .. .. .. . address ... .. ... . .. . . . .. . . . . . . . . . . . . . . . . . . . .. . . .. .. .. .. . . . . . . . . . . . . ... . i I (c) Mortgage recorded in Liber . . . . . .. . . .. . . . Page . . . . . . . .. . . .. . . . in original amount of . . . ... . . . . . . . . unpaid amount $. . . . . . . . . . . . . .. . . . . .. . held by . . . .. . . .. . . . . . . .. . . . . . . .. .. .... .. .... . ... .. . address . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. .. .. .. . . . . . . . . . . . . .... 8. There are no other encumbrances or liens against the land except . . . .. .. .. .. . . . . .. .. . . .. .. . . . . .. .. .. . . .. . . .. . . . . . . . . .. . . . . . . .. . . . . . . .. . . .. . . .. ... . .. . .. . . . . .. .. . . . . . . 9• The land lies in the following zoning use districts . . . . . . Ar4Q.. .. .. .. .. . . .... .. . . .. . . . . .. ... . . .. .. .... . . .. .. .. .. .. .. . . .. .. .. . . . . .. . . . . . . .. .. .. .. . . . . .. .. .. . . .. .... ... . . .. .. . . . . . . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex- cept . . . . . . . . . . . . NONE . .. .. . . .. . . . . . . . .. . . . . . . .. .. . . .. .. . . .. . . .. .. .. .. . . . . . . . . . . .. . . . . . 11. The applicant shall at his expense install all required public improvements. 12. The land (> (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . .. .. . . . . . . .. .. . . .. .. . . . . .. . . . . . . . . . . .. .. .. . . . .. . . . . . . . . . .. .. . 13. Water mains will be laid by . . . . . . . . . .P/A . . . . . . . .. . . .. . . . . . . . . .. . . . . . ... . . . . . .. . . . . .. . . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . .. .. . . .,n/a . . . . . . . . . .. . . .. .. . . . . . . .. . . . . .. •• •• • • • • • . .• .• •• . • . . .. ... .. . . .. . . . . . and (a) (no) charge will be made for installing said lines. 15. Gas mains will be installed by . .. .. . . . . .n/a . . . . . . . . . . . . . .. .. .. . . . . . . . . .... . . . . . . . .. . . . . . . and (a) (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public streets in the Suffolk County Highway system, annex Schedule "P" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold Highway system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the land which are not located and shown on the plat. 19. Where the plat shows proposed streets which are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing maps at their conjunctions with the proposed streets. 20. In the course of these proceedings, the applicant will offer proof of title as required by Sec. 335 of the Real Property Law. 21. Submit a copy of proposed deed for lots showing all restrictions, covenants, etc. Annex Schedule "D". • 22. The applicant estimates that the cost of grading and required public improvements will be $• . . . . .. . . . as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . . . .. .. .. . . . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule✓"F'•. DATE ... .. .. . . . . .. .. . . .��/�. . . .. 19.9 . . .`!.u ,!l . .Cl.d . (Name of Applicant) Bye:/. ... .. .. .. � . . . .. . .. .. .. . . . . . . . . . (Signature andTitle) . . . . ... . . ..�.-�. . . . .�: .. '•. L/� y. /D12 ` (Address) SSTATE OF NEW YORK. COUNTY OF . .1 /� , ..'S4.. . . . . .. .. .. .. . . .. ss: llL - �y�/' On the . . . .. . . . . .. .. . . .. . day of. . . .. �✓t. .. . . . . . . .. .. 19.R/I , before me personally carne 1..� /1�t��Qt • • R.. .!s!�`.S.!CMAV. to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . . .V.! .. , executed the same. Notar r ublic JAS""Y•�`�"�.^ lL ►dCyTAF1Y f', ^u,', " -ta of hlaw York Qa h ,zd in f: Ccsnty L STATE OF NEW YORK, COUNTY OF . . . .. . . . . . . . . . . . . .. . . . . . . . . . ss, C a: ioT Mfr tawrcn 5), t�9n On the . . . . . . . . . .. . . . . . day . . . .. .. .. .. . of . . . . . . . . . . . . . .. 19. .. . . ., before me personally came . . . . . . . . . . . . . . . . . . to me known, who being by me duly sworn did de- pose and say that . .. .. . . .. . . . resides at No. . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . .. .. . . . . . . . . . . .. .. . . .. .. . is the . .. . . . . .. . . . . . . . . . . .. . . .. .. . of . .. .. .. . . .. .. ... . . . .. . . . . .. . . . . . . . . . . . . . . . . . . .. . . .. . . .. .... .. .. . .. . . .. . . . . the corporation described in and which executed the foregoing instrument; that . .. .. . . . . .. . knows the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. :end that . . . . . . . . . . . . signed . . . .. .... . . .. . name thereto by like order. . .. . . . . .. . . ... . . . . . . . . .. .. . . . . . . . .... .. .... ... . Notary Public 40 East 88 Street, Apt 8A New York, NY 10128 March 15, 1994 To Whom It May Concern: I , Penelope Bushman Gemma, hereby authorize Henry E. Raynor, Jr . to act on my behalf to obtain a lot line change for lots 77 and 78 of Nassau Point . (?4u� PENELOPE FBUSHMAN GEMMA Ptr n:r,,'n *ART 1—PROJECT INFORMATWI Prepared by Project Sponsor " NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information cura y a oN�@@ olve new studies, research or investigation. If information requiring such additional work isli vcify each instance. q I? aI , NAME OF ACTION lot line change of Penelope Buschman LOCATION OF ACTION(Include Street Address, Municipality and County) $pljiHGLD TO'A!N Peconic Bay Boulevard , Mattituck, New York PLAMIINGBC'KD NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Henry E . Raynor , Jr . (516 ) 298-8420 ADDRESS //3pp20 Love Lane CITMMattituck STATE ZIP CODE NY 11952 NAME OF OWNER(If different) t BUSINESS TELEPHONE Penelope Buschman ( ) ADDRESS CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION lot line change l Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ®Residential (suburban) ❑Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 2 • 0 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? topsoil , sandy loam a. Soil drainage: ❑Well drained �1 4 % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? Dyes 11INo a. What is depth to bedrock? (in feet) 2 nM 14-16-2 (2187)-7c • 617.21 SEAR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date 1 5. Approximate percentage of propolaroject site with slopes: 00-10% % ®10-15% 5 % ❑15% or greater _ % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? Dyes ®No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ❑No 8. What is the depth of the water table? +50 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? Dyes INNo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Dyes €r7No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? Dyes 12No According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Dyes EJNo Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? Dyes EN o If yes, explain 14. Does the present site include scenic views known to be important to the community? Dyes 27No 15. Streams within or contiguous to project area: Peconic Bay a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17. Is the site served by existing public utilities? ❑Nes ❑No a) If Yes, does sufficient capacity exist to allow connection? L3Yes ❑No b) If Yes, will improvements be necessary to allow connection? Dyes LINo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Dyes [NNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? Dyes 5dNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes ®No B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 2 . 0 acres. b. Project acreage to be developed: 2 0 acres initially; 2 . 0 acres ultimately. c. Project acreage to remain undeveloped 0 acres. d. Length of project, in miles: 0 (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed 0 %; f. Number of off-street parking spaces existing Per code proposed per code g. Maximum vehicular trips generated per hour 0 (upon completion of project)? In. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 1 Ultimately 1 i. Dimensions (in feet) of largest proposed structure 2 height; 36 width; 38 length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 228 ft. 3 2. How much natural material 00ock, earth, etc.) will be removed from9site? O tons/cubic yards 3. Will disturbed areas be reclaimed? Dyes ❑No ❑N/A a. If yes, for what intend_.: purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? Dyes KNo 6. If single phase project: Anticipated period of construction g months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated 0 (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? Dyes ❑No 8. Will blasting occur during construction? Dyes ®No 9. Number of jobs generated: during construction 0 after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? ❑Yes 13N If yes, explain 12. Is surface liquid waste disposal involved? Dyes Colo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? Dyes CJNo Type 14. Will surface area of an existing water body increase or decrease by proposal? Dyes ®No C Explain 15. Is project or any portion of project located in a 100 year flood plain? Dyes ONo 16. Will the project generate solid waste? ❑Yes ®No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? Dyes ❑No c. If yes, give name - ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Dyes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes ©No ` a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes B:No 19. Will project routinely produce odors (more than one hour per day)? Dyes ❑No 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes f7No 21. Will project result in an increase in energy use? ❑Yes ®No If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. Per SCDOHS 23. Total anticipated water usage per day 7 7 5 gallons/day. 24. Does project involve Local, State or Federal funding? Cl Yes ®No If Yes, explain 4 25. Approvals Required: • Submittal Date City, Town, Village Board Dyes ❑No City, Town, Village Planning Board Dyes ❑No City, Town Zoning Board Dyes ❑No City, County Health Department Dyes ❑No Other Local Agencies ❑Yes ❑No Other Regional Agencies ®Yes ❑No SCPC State Agencies ❑Yes []No Federal Agencies Dyes ❑No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? ®Yes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit &]subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R40 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 2 dwellings 4. What is the proposed zoning of the site? R40 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 2 dwellings C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? [Res ❑No 7. What are the predR40 ant land use(s) and zoning classifications within a 1/ mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/. mile? ayes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? 2 a. What is the minimum lot size proposed? 40 , 000 sf 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes ®No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? Dyes InNo a. If yes, is existing capacity sufficient to handle projected demand? Dyes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes fffNo a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. p Applicant/ r Name t��N�L O I�J�AS1>7 Date Signature Title Q 9- 911 — If the action is in the Coa tal Area, and y u are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Part 2r'R0JECT IMPACTS AND THEI�AGNITUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact; also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change ONO DYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ El Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes 1:1 No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ El Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ Dyes ❑No • Construction in a designated floodway. ❑ ❑ Dyes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect t.-. _.ry un,que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO DYES • Specific land forms: ❑ ❑ ❑Yes ❑No 6 11 UaERJ403 PA jig� i . r '1 ✓..[ W aLYMKKRC,INC..LAW aLANK PURL �� l!RCAOWAY AND 1 RKCMR 3T..N"YORK i ) e DS 11,IL tt enture Nand� e the �D �"" day of September, , nineteen hundred fifty—one, MANUFACTURERS TRUST COMPANY, a domestic banking corporation, having its principal place of business at 55 Broad Street, New York, Successor bar merger to Brooklyn Trust Company, I as ezecut or of the3OmWa x6c xn=h%XkrJast will and testament of George Weiderman, Jr. , X*mKxk / deceased, party of the first part, V and HERBERT BUSCHMAN and JANET BUSCHMAN, as wife, as tenants by the entirety, both residing at 221 Rolling Street, Malverne, New York, part i e sof the second part, ltlt¢��etj, that the part y of the first part, by virtue of the power and authority to it given in and by said last will and testament, and in consideration of FOUR THOUSAND ONE HUNDRED ($4,100.00) - - - - - Dollars, lawful money of the United States, paid by the parti e s of the second part, do es hereby grant and release unto the part iesof the second part, their heirs V g go and assigns forever, that lot, piece or pa°renel°ofQluan-dldeituate, lying and being at Nassau Point or Little Hog Neck, County of Suffolk, State of New York, end known and designated as Lot Number Seventy-seven (77) , on map entitled "Map of Proposed Subdivision, Section B. Nassau Point Club Properties, Inc. , situate on Nassau Point, Suffolk County, N.Y. ", surveyed June, 1919 by Wallace H. Halsey, C.E. , and filed in the office of the County Clerk, Suffolk County, N.Y. TOGETHER with all right, title and interest of the party of the first part of, in and to the land under water in Little Peoonic Bay, abutting said premises. TOGETHER with all right, title and interest of the party of the first part of, in and to any street, road or avenue lying immediately in i front of or adjacent to said premises to the center line thereof. SUBJECT to an easement over a strip of land extending fifteen feet in width along and above high water mark which shall form part of a common roadway for the benefit of all persons owning lands on said Nassau Point . SUBJECT to Covenants and Restrictions contained in deed recorded in the Suffolk County Clerk ' s Office in Liber 1050 of Deeds at page 88. i i I i � I The,I grantor, in com4bnce with Section 13 of the Lien Lacovenants that the grantor will I receive the consideration for this cormeyaace 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 the improveme and that the grantor will apply the same first to the payment of the cost of the improvement before usingt any par of the total Of the same for any other purpose. I Aim I i i i I I I � xm I �Rna - I �Rb amni�ndfm>erL QTY ihte�� �fjereof, the part y of the fust part he s hereunto set i t s hand and seal the day and year first above written. i I i 3n tpt�,.L f MANUFACTURERS TRUST. COMPANY, Successor , �_• ?rte �t by merger as aforesaid, as Executor, y Ym*,F, %Bye % h VICE•PBE64IDENT i i State of )) ,County of 1ss.: On the day of nineteen hundred and before me came to we known and known to me to be the individual described in, and who executed, the foregoing instrument, and acknowledged to me that he executed the same. i i I i I I!I i : BER3265 FAGE229 State of NEW YORK County of NEW YORK am On the /0 da popfuu September nineteen hundred and fifty—one, before me came �/L4a/KA 4�• �i to me known, who, being by me duly sworn, did depose and say that he resides Am at that he is,tae q, V tIC11- of MANUFACTURERS TRUST COMPANY, the corporation described in, and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affized by order of the board of Directors of said corporation; and that he signed his name thereto by like order. n/ A/��C��� n \/�oy EMWRY F. WILLTA M. XIXIL Notary Public.State of New York No. 41-4293100 Qualified in Queen.County RECORDED �.:filedRichmond. Naas N,S York,Rrcox,cst Kim, Richmond.Nnssau.Suffolk @ Westcfiester Counties end Queen.,N.Y., Bronx d King, Registev Office Commission Expires March 80, 1963 SEP IS 1951 R. FORD HUGHES CLERK OF SUFFOLK Cot MT-f Vt w Jw • � •E a° . +3 .. , _.. O N rd U w Cd ®® O « . t'n @l'i J't1 O s a, Ea ho 411 4J a. H N Q 4w� A O ~ w F � bU_ O p O E-4 O ,'7 $4 4-3 u Y "" - C N QE+ O ? Y� V9 I 41 m uCd a .1 - 7 -v LAJ O y ti a - a v 0-1 420 cc la.l U LL J � C= C vy LL �_S M a° • • Standard N.Y.B.T.U.Form 8007.933.1OM—BntBain and S.I.D.I4.ith Cn,aa uat assioat a Acta—Iudividu r Loa( ' 0 THIS INDENTU made the 7 U.S.I .5.- .�L..rr II�At7 ?A&Ey� th d Of October nineteen hundred and fifty-Pour, BETWEEN ARTHUR DeMBIANO residing at Bayview Drive (no street number ) „ Sodus Point, New York, parry of the first part; and JANET K. BUSCHMAN, residing at 221 Rolling Street, 'Malverile,7r "au County, New York, r. party of the second part, WITNESSETH,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 part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, situate, lying and being i at Nassau Point or Little Hog Neck, Suffolk County, N. Y., and known, and: designated as Lot No. 78 on map entitled "Map of Proposed: Subdivielony Section B. Nassau Point Club Properties, Inc. , situate on Nasaeu Poin"t",' Suffolk County, N. Y." surveyed June 7, 1919 by Wallace H. Halsey, C. E . Town of Southold TOGETHER .with all the right, title and interest of the party of the first part in and to the - land running under water''in Little Peconic Bay abutting said premises . SUBJECT, however to' an-easement over a strip of land extendin fifteen feet in width along and above high water mark which shall form part of a common roadway fqr the benefit of all persons owning lands on said Nassau Point, including the grantee herein. SUBJECT to all other covenants, restrictions and reservations of record affecting the said premises. BEING the same premises heretofore conveyed to the party of the first part by NASSAU POINT CLUB PROPERTIES, INC., by deed dated September 29, 1921, and recorded in the Office of�, t�;�� $ of Suffolk County in Liber 1036 of Deeds page 471 on JanuaQ 21'a V2. TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 part in and to said ; 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 that the party of the first part has not doneor 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 Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the 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 be construed as if it read "parties" whenever th o this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly execu dee da d year first above written. IN BNCS O ,u i LIBERUM PABEMU STATE OF NEW YORK, COUNTY OF NEW YORK ..: STATE OF NEW YORK, COUNTY OF. _ y; On the 7th day of OotobeT 1954 , before me On the day of 19 , before me personally came ARTHUR DGBEBIAN personally came to me knownto be a individu described in and who to me known to be the individual described in and who executed the forego ins and acknowledged that executed the foregoing instrument, and acknowledged that he executed same. � executedthe same. ,C0A STATE OF NEW YORK, COUNTY OF ..: STATE OF NEW YORK, COUNTY OF u; On the day of 19 before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that he resides at No. whom Is am personally acquainted, who, being by me duly sworn; did depose and_say that he resides at No. that he is the of that he knows the corporation described in and which executed the foregoing instrument; that he to be the individual knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instrument is such corporate seal; that it was 'so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- execute the same; and that he, said witness, tion, and that he signed h name thereto by like order. at the same time subscribed h name as witness thereto. RECORDED OCT 2 3 1954 e /I l M, ' =z WILLIA-A NAY r ps*rf siR.r z . Okir, 1. A a o �` w w 01 too, Fq 01. �9 43 0 " Han >' Fq i 1. , 6 , tea N :; , V. w w a t, w ick LL.ii ZPILrI 0 G W 2� a 3¢ IM 4 u-y 444 S tG3 v L=� N a ., ..r. . - W }T „ 4. PLANNING BOARD MEMBERS ��� ' �• Richard G. Ward, Chairman Town Hall,53095 Main Road George Ritchie Latham,Jr. i P. O. Box 1179 Bennett Orlowski,Jr. T, ' t ;(r Southold, New York 11971 Mark S. McDonaldFax(516)765-3136 Kenneth L. Edwards ,u Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD I �� July 19, 1994 Henry E. Raynor PO Box 1459 320 Love Lane Mattituck, NY 11952 RE: Proposed Lot Line Change for Penelope Buschmann Zoning District: Low Density Residential R-40 SCTM# 1000-119-1-5 & 6 Dear Mr. Raynor, The Board has received your letter of July 7, 1994, requesting guidance on the best configuration for the above proposed lot line change. The Boards feels that the best configuration is to leave the line as originally shown. If you have any questions, or require further information, please contact this office. in erIf ichard d. Ward Chairman • su(e . 320 Love Lane Mattituck, NY 11952 July 7 , 1994 Southold Town Planning Board Richard Ward , Chairman Main Road Southold , NY 11971 RE : Buschman lot line change at Mattituck, New York Dear Mr . Ward : With regard to your letter of the 7th, please advise as to alternative configurations that would be acceptable to the Board on the above captioned matter . Sincerely, ry Rayn J HER :ml cc : Buschman i� JLL Is IF4 sour�� PI'' AIDS 2K 320 Love Lane Mattituck, NY 11952 June 29 , 1994 Southold Town Planning Board Main Road Southold , NY 11971 RE : Lot line change for Penelope Buschman at Mattituck Dear Sirs : Please find enclosed the completed Long Environmental Assessment Form for the above referenced , as requested . Sincere1 , "HenryRayn HR:ml Enc . U JUL 7 1994 SOUTNOLDTOWN PLANNING BOARD PLANNING BOARD MEMBERS Richard G.Ward, Chairman ti § s a i Town Hall,53095 Main Road George Ritchie Latham,Jr. P. O. Box 1179 Bennett Orlowski,Jr. Southold, New York 11971 Mark S.McDonald ��( yaa Y Fax(516)765-3136 Kenneth L. Edwards , Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 7, 1994 Henry E. Raynor PO Box 1459 320 Love Lane Mattituck, NY 11952 RE: Proposed Lot Line Change for Penelope Buschmann Zoning District: Low Density Residential R-40 SCTM# 1000-119-1-5 & 6 Dear Mr. Raynor, The Board has received your letter of June 16, 1994. The Board is not in favor of the proposal as submitted on the map dated February 9, 1994. If you have any questions, or require further information, please contact this office. Si c el f y, 1411, War Ric and G. d Chairman RK. SUBMISSION WITHOUT COVER LETTER DATE: (2-3lqLf SENDER: IP F_CUpt.c sckr✓cyaL fru I IP/1t YY �QYVy)t SUBJECT: QuscA(nann / SCTM#: COMMENTS: Prinfis JUN 2 31994 souTH0LD TD'NN PLANNING 52ARD HENRY E. RAYNOR PO BOX 1459 320 LOVE LANE MATTITUCK, N.Y. 11952 516-298-8420 516-298 2127 (FAX) JUNE 16, 1994 TO: SOUTHOLD TOWN PLANNING BOARD 45t RE:LOTLINE CHANGE FOR BUSCHMANN Gfec4c fn draweti 1000-119-01-05 AND 1000-119-01-06 ENCLOSED HERWITH ARE MAPS, FILING FEE, DEEDS, APPLICATION, AND LETTER OF AGENCY TO PROCEED WITH THE ABOVE CAPTIONED LOTLINE CHANGE. SHOULD YOU HAVE ANY QUESTIONS, PLEASE DO NOT HESITATE TO CALL ME AT THE ABOVE NUMBER. THANK YOU, M1 �JN SOUTH OLD TOWN PLANNING 80ARI) TOWN OF SOU � � THOLD PROPERTY RECORD CARD �- OWNER / STREET 5 VILLAGE DISTRICT SUB.. LOT `�dsaau Po ;n7` Aad C�v �cya ve O ` " ct is orf FORMER OWNER N E ACREAGE �f S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. I IND. CB. I MISC. ND IMP. TOTAL DATE REMARKS D ` �— �G�1.�1'�� EJt,Co✓t¢ GGG t Nui �¢L a� a o¢Li!`.on. 7S Bev /'r` 713 2 A3 io CA t'. CG ��ooc) !/ 3D 7 L C a3 76 L/ilD , 7f3000yI a 3Qa 3aa s' s 6Z \ yZov Gyo �96o '/Yd 6 770 a AGE .53 00 / BUILDING CON (TION tr � NEW NORMAL BELOW ABOVE °0 Do i dl 2 929� o v // 1, eadad, Farm Acre Value Per Acre Value Til& 1 Tillable 2 Tillable, 3 Wcodland — pu 3 Swampland Brushlan—J' House Plot — 4 Totalti . wA y` - immamoluolm ■■■■■C�■■[�■�Il■■■■■UMM■ ■■■■■EM ■■■ MEN MEN M■M■■■■M■Err■■■■■MEN zs ■E■■■■■■■■■�■■■■■■■■ .r MEMO ■■■■■ ■■■■■■■■ ■■NONE■■■■■■■■■■■■■■ MEME■EEM■■ENO M■■■M■■ o _ TOWN OF SOUTHOLD ROPERTY RECORD CARD M - OWNER STREET pp JJt V I LLAGE DISTRICT SUB. LOT 7e 1 9 if .L✓ t' + „tvr d e Q v e FORMER OWNER N E ACREAGE S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. NO IMP. TOTAL DATE REMARKS v 6e ✓ S" AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Form Acre Value Per Acre Value Tilfdk 1 Tillable 2 Tillable 3 Woodland Swampland Brushland' House Plot ------------- r- Y Total a L rl l 4 3 .'F u I 1 y i � N4 —ry— i � - �% a✓I�s- - UTILE PECOMIC //!Y N 1 �,' � NF'• •`� .of\ ` I 14 1 � \ la• O2J 1 ti_ b 1 z- • r.���oLlr.x� �i'r_�� _ZI...•.m .y_ L.a.xd Y..IMII,.I.. I.w..'r�.•I.. •wl.. u.p.,ILi.. _�I.._. Nr..^�ar,wle.__.N._. 4.rn^l.y F[ixV ....0 >u.�..i.L�—� © COUNTY OF SUFFOLK *�'^!SOUTHOLD uaiar x.. --' "L" _ °�'a'"•"'- L ® u.0 a.�.x^ •r. ' '4 -- t1 Real Property To Service __- _ 119 .N, LLLIIIIII .a.....r^..n... ,.u• —_—_ ra„N�Lw. ..r. ..ux.. Y [e AgeneY riumen a1,.Ct p. IODO -._.I._' s..au^!""� ms flu.0`^ •• - Ilir.rh.ad.1.L,N.w Yer4 PROPERTY MAI NINI GININM' NNId 1LAGpay �4 NMOL OlON100$ Ire f \ c R P661 L I NM ^ o as _ Li GI D €I 9 SITE Tl � � n r LOT 78 511.07' R1 KEY MAP \ Scale: Y'= 600' 9� m °L O n nj � n O z� I N. 78'4,01a' E f d' ft. t0 tie 1 m 50,872 sq lines (� OT Z 77 4 53. mo 0 2 �fnd °rm �. 69' loci ti t EI "4, 63.85'1 3 Fo hurt ' :° zip 10. .4.8'30' k" v e ,(v• N 78 e I ro v O ni �j . .F / tnN rn• :Irry �\ a1 I •A ', •� _, � N •pro o g ti �. y,N �' 7g I ►� 6, p . 6'20. ELOj D OA ? l vl9ise"'1h`�f R 207.2 7 bQ 6432 11 /� Fes• N. 78'48'30" E. a.e,°mN 3g' mid P°d 40,00 0 5 e9 394.9 Qy to ile lin 6 PIP, /so,� dor S 78"54'50' W' LOT 79 O SURVEY FOR LOT LINE CHANGE FOR PENELOPE BUSCHMANN 41 51 cors h� x�f.�s A T NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. ZONING DISTRICT R40 1000 - 119 - 01- 05 & 06 + OWNER Scale: i'rr= 50r PENELOPE BUSCHMANN Oct 27, 1993 40 EAST 88 TH STREET Feb. 9, 1994 (new lot tine) APT. BA IVEW YORK, N.Y. 10128 LOT LINES ARE REFERENCED TO " AMENDED MAP A ��pE3p9L OF NASSAU POINT, OWNED BY NASSAU POINT CLUB PROPERTIES, INC.' FILED IN THE OFFICE OF THE p SUFFOLK COUNTY CLERK ON AUG. 16,1922 AS p MAP NO. 156 V. 4 i 1000 - I19 - Ol — OS FOFNeN� AREA = 48,089 sq.1l. to tie lines Prepared In accordance with the minimum n 7' 1000 - 1/9 - 0/ - 06 p . '///,.0 N.Y.S. LIC. NO. 49618 AREA = 42, 785 sq.Jl. to lie lines standards for title 'surveys as established by the L.I.A.L.S. and approved and ad led ECON/C SURVEYORS, P.C. for such use by The New York Stale Land 15161 765 - 5020 TOTAL AREA = 90,872 sq.1t. Title Association. P. 0. BOX 909 2.0861 acres to lie lines MAIN SOUTHOLD N.Y. usn 93 - 273 \ a 4 � r0 • \ N \ I 1 SITE LOT 76 Su.oT m KEY MAP ey\\ \ sca(s: M 600' �l W �• \ 1 Ci S N N \1 m 1 n ° Frivaa.9e n! O x& I N 7g•42'10' E• mea ft. to tie 5 0,872 sq. Imes 4r 50' N 164.18' fn6 m LOT e ; .. P a m• T Z 63.65' .9 Foo p co°ri 3 p11SO, 226 s�q.(L s Y �� S ••_ � c .� �, e 9 , o• d. r � .�' e ` p N 1• h a 1 A m o bJO ff •% i� ranee W_�1 . .19 29ryo C A a,�<< �•ba,e � ,�, A ,a E LOT Z ry„9�1e•;r"i�' 202.10. o 6 N. ' 2Q" D 78-48'30' E. e.eaN 63.13 P^"l 40r0p054•ft' p„ mi°' 394.94' ^i Q _ to fje lines P1v (no O79 = 5 78.54,50• W. LOT ' Q � SURVEY FOR LOT LINE CHANGE FOR PENEL OPE BUSCHMA. NN A T NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. ZONING DISTRICT R40 1000 - 119 - 01- 05& 06 II Scale: 1”= 50' ,99161➢ 23P,24 ? I, POPE BLISCMWAMV Oct 27, 1993 40 EAST 88TH STREET Feb. 9 1994iiewlotine) PANP11N690A2D i APT. 8A June 2 1894 revised lot line) NEW YORK, N.Y. 10128 sea uNo v�a�NN T.b`cT?G,flL ce' °a LOT LINES ARE REFERENCED TO ' AMENDED MAP A OF NASSAU POINT, OWNED BY NASSAU POINT CLUB 9c��°*sale PROPERTIES, INC.' FILED IN THE OFFICE OF THE aFNEw YOQ,F SUFFOLK COUNTY CLERK ON AUG. /6,1922 AS MAP NO. 156 1000 - 1/9 - 0/ — 05 AREA = 48,089.sq.1t. to tie lines Prepared in accordance with the minimum 1000 - 119 - 0l - 06 standards for title surveys as established �s'/""' %L' ti— N.Y.S. LIC. NO. 496/8 AREA = 42, 785 sq.tt. to lie lines by /he L.I.A.L.S. and approved and adopted ECONIC SURVEYORS, P.C. 15161 765 -SURVEYORS, for such use by The New York State Land TOTAL AREA = 90,872 sq.tl. Title Association. 15020 0. BOX 909 2.0861 acres to lie lines MAIN ROAD SOUTHOLD, N.Y. 1/97/. 93 - 273