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Home My WebLink About1000-75.-1-20.1 To: MAIliNG ADDRESS: P.O. Box 1179 ~ \)f SOUltt Southold, NY 11971 !-~ :!;':'E::: ~_~ (cor. Main Rd. & Youngs Ave.) r,fCOUNii,\\"" Southold, NY :reJephone: 631 76~~. ".. r;;;;;.;.......d!~if.IM.~Ymr--"'" · .r',"",- 1 P~';,:~~g~c", 0 ,E I: I< ~ \lJJtfRI., '"',' Town of Southold Planning Board . JUN - 6 2006\~ I . _.~ / c KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair From: Mark Teny, LWRP Coordinator Amy Ford, Senior Planner Re: ~I! l~. ....rf !1 P'f':""~~ ~ ~.~'.... Amended Site Plan for Osprey's Dominion Conservatory Located on the nisi 0 New York State Road 25 and 1,506' elo Peconic Lane known as 44075 Main Road in Peconic SCIM#: 1000-75-1-20.1 &20.2 $otJt'r;l1'C :",~n 'la':1:l'\\::\:I f50-~~d Date: June 5, 2006 ~ ---'j --r Zoning District: AC The applicant proposes the alteration and expansion of an existing 1,357 sq. ft. building and approved conservatory building and dormer of 1,995 sq. ft. to include a 1,462 sq. ft. addition wbich includes a site plan change in parking to 41 required spaces and 59 overllow spaces provided on 4.46 acres in the AC Zone located on the nisi 0 New York State Road 25 and 1,506' elo Peconic Lane known as 44075 Main Road in Peconic. The proposed action has been reviewed to Cbapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (L WRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department as well as the records available to me, it is my determination that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the L WRP provided that the following standard best management practices are implemented. Pursuant to Olapter 95, the Planning Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Policy 5. Protect and improve water quality and supply in the Town of South old. To further Policy 5, and protect and improve the water quality and supply in the area, consider the following: 1. Encourage the use of ap.propriate grass varieties (eg,. sun tolerant vs. shade tolerant). 2. Require a three (3) year survival requirement for all planted vegetation. . 3. If applicable. recorrunend the use of mulch materials generated by the Town of Southold Compost Facility in order to contribute to the replenishment of Olianic matter in local soils and help reduce the reliance of fertilizers and herbicides and minimize the reduction of fertilizers and herbicides in the Town's ground and surface waters. 4. Require native and dro~t-tolerant plants in landscaping. 5. Recorrunend low flow toilets to conserve water usage when and if a structure is constructed. In sununaty, please consider the following best management practices in review of the site plan: 1. Encourage the use of appropriate grass varieties (e~. sun tolerant vs. shade tolerant). 2. Require a three (3) year survival requirement for all planted vegetation. 3. If ap.plicable. recormnend the use of mulch materials generated by the Town of Southold Compost Facility in order to contribute to the replenishment of olianic matter in local soils and help reduce the reliance of fertilizers and herbicides and minimize the reduction of fertilizers and herbicides in the Town's ground and surface waters. 4. Require native and drought-tolerant plants in landscaping. 5. Recorrunend low flow toilets to conserve water usage when and if a structure is constructed. Please contact this office at (631) 765-1938 should you have any questions regarding the above. Cc: Bruno Semon, Senior Site Plan Reviewer File m7 KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTH OLD MEMORANDUM To: Michael J. Verity, Chief Building Inspector James Richter, Town Engineer Mark Terry, Local Water Revitalization Program Coordinator ..-~~ ,...:;...."...."'...,.....- , if" ~- \ \ r;~ ~;. !I \1 ii' I .-~ RE: Osprey Dominion Conservatory \ '; ',,' , \I.~R \ 0 2000 44075 Main Road, Peconic : ~", .' J SCTM#: 1000-75.-1-20.1 &20.2 '. L---'.. _ t' 'r~ -~---- ' In reference to the above, attached you will find a site pla~ T e Site P.l~~;~e~ts me (:u~;fi('-' proposed build out of this site. Please review for commenfll~l.1J.llXmsaIi.d certification. From: Amy Ford, Senior Planner ~ --~(~\\ C' ....,1,'") .t',l ". \ , " . . -, ~. ': '-, , . Date: March 9, 2006 This site plan is for the proposed alteration and expansion of an existing 1,357 sq. ft. building and approved conservatory building and dormer of 1,995 sq. ft. to include a 1,462 sq. ft. addition which includes a site plan change in parking to 41 required spaces and 59 landbanked spaces provided on 4.46 acres in the AC Zone located on the n/s/o New York State Road 25 and 1,506' e/o Peconic Lane known as 44075 Main Road in Peconic. SCTM#(s) 1000-75.-1-201 &20.2. Site plan enclosed is for your review and records and does not need to be returned to the Planning Board. Thank you in advance. Cc: File 1 site plan prepared by J. Grammas Consulting dated December 17, 2003 and last amended February 16,2006. Attachments MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE WCA110N: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Southold Town Zoning Board of Appeals Southold Town Building Department:K' Southold Town Clerk for Southold Town Board Scott Russell, Southold Town Supervisor Southold Town Board of Trustees Southold Town Engineer ~ Mark Terry, LWRP Coordinator From: Amy Ford, Senior Planner ~ Date: March 9, 2006 Suffolk County Department of Health Services NYSDEC - Stony Brook New York State Department of Transportation' Suffolk County Water Authority Suffolk County Planning Department Architectural Review Committee RE: Agency referral requests required under Southold Town Code Article XXV 100-254 Review Procedure part C the Planning Board refers this site plan for concerns comments and Jurisdiction requirements if applicable. Dear Reviewer: The site plan status is a New Active Site Plan. Below is site plan application information pertaining to the listed project: Osprey Dominion Conservatory 44075 Main Road, Peconic, SCTM #: 1000-75.-1-20.1 & 20.2 This site plan is for the proposed alteration and expansion of an existing 1,357 sq. ft. building and approved conservatory building and dormer of 1,995 sq. ft. to include a 1,462 sq. ft. addition which includes a site plan change in parking to 41 required spaces and 59 landbanked spaces provided on 4.46 acres in the AC Zone located on the n/s/o New York State Road 25 and 1,506' e/o Peconic Lane known as 44075 Main Road in Peconic. SCTM#(s) 1000-75.-1-201 & 20.2. Attached is a copy of the site plan application for your review. Thank you in advance. cc: File, attachment, 'Maps are enclosed for your review FEB-07-2006 10:06 AM P.02 -' ," :::, .:":,. ,~'.:'7;;::~t ~,~\ ,- .\;,;: ~. " 1 \ 11, l'~ ' Site Plan Name: 0:yP~ 00>-('..100.l ~.!et'~s ~\JI"\EL'f n.\ \~a6 rr'(l , A Suffolk County Tax Map #1000- -roO - ...l.- - '2-0.1 __ZO..z.. TOWN OF SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION h~dL SECTION A: Site Plan Name and Location , , \ Application Date: ~f.!i-f () (0 .\ ," Other SCTM #s; I. 1"-":""""'" lIamiet: ~1)S~Ie- . OF,P~L"C- 16kl;=- .'~" .."". Street Address: 1.1-01(;' MAt'-l 12.'1o/lh Distance to nearest intersection: ::!: '/5ef", FT'. E~"T Type of Site Plan: _New / Amended If Amended, last approval date: J1:J IB /'2tvt- Residential SECT(QN B: Owners/AlIent Contact Information . Please list name, mailin address. and hone number or the Property Owner ~ il!-lL- \.r I. ~ LFP Street 44r?"16 MA.,>-l ~A.l:> CitY~~7'o/..llC- State ~Yoex- Zip Uqgo Home Telephone Other b51' 1i.>S. iol Bf:> Applicant 'FPP'1)F3' ~ Street P D , 1::>C>'l- City':"'~.c-- w.. \l-,Dal~ l48 State..,J~ 'L)Vv Zip t\%B Other 1001. t 10 '5. blef:;> Home Telephone Applicant's Agent or Representative: Contact Person(s). Street City State Zip Office Telephone Other .Unless otherwise requested, correspondence will be sent only to the contact person noted here. Page 1 of2 10/05/05 FEB-07-2006 10:07 AM P.03 . SECTION C: Site Data Propoted conltructlon type: _New /Modification of Existing Structure _Agricultural Change of use Property totalacrealle or square footalle: 4.i.>O ~q. ft. Site Plan bulld-out acrealle or square footage: ~ . eO tliC)sq, ft, / Is there an existing or proposed Sale ofDcvelopment Rights on the property? Yes _ No j-/' If yes, explain: Property ZoUIBII Diltrlct(I): A<2...- /::"'C'V!..'(, }L-1"Ul2AL.. Couc.=VAnod Dl<;'"T'IZIC-1 Building Department Notice of Disapproval Date: --'!--1_ Is an application to the Southold Town Zoning Board of Appeals required? Yes _ No V' If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use, If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: Ar:"TZ_;(' uL.. TlJl1 AI I t-1>=1lr ^'''TlLF List all proposed property uses: A.c~,c, 1'- "h)<<,!..'-t I-'lIa?C A" nU=: Other accessory uses: Existing lot coverage: . 0'3 % Proposed lot coverage: . 0 r:;; % Gross floor area of existing structure(s): 1.1&1 2.. sq. ft. Gross floor area of proposed structure(s): 10, Ind.:>4=. . , Parldng Space Data: # of existing spaces: ~ # of proposed spaces: q'} L~ading Berth: Yes /NO~ (5'1 L-~ObU~ ) Landscaping Details: Existing landscape coverage: . re % Proposed landscape coverage: .09 % , Waterfront Data: Is this ro arty within 500" of a wetland area? Ves ../ No I, the undersigned, certify '~tre abo e inti ~~t~ Oo-!- ';;,-re If yes explain:' c: " Signature ofPreparer: 10/05lgs .J Date: Page 2 of2 'i\ \ \ \ 0 Lr . FEB-07-2006 10:14 AM P.16 , Town of So lithoid LWRP CONSISTENCY ASSESSMENT FORl\1 A. INSTRUCTIONS I. All applicants for permits. including Town of Southold agencies, shall complete this CCAP 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 EroIIion 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 Southald Local Waterfront Revitalization Program. A DroDOsed action wil~ ~e eval:~~ : to its silmificant beneficial and adverse effects UDOD the coastal area (which inclu_~_ all of __ oL Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thul. each _er mUlt be eml-'Iled In det.,1. Ilstlnr both sUDDort!nr .od oo~. SUDDOrtlOI! facts. If an action cannot be certified as consistent with the LWRP policy standards and" ,,,.' conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork~et), the Board of Trustees Office, the P1annil'!8 D~artment, aIllocaJ libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION ~t\j \ ,\ 'LGGo SCTM# f 00(') - "1 c;; --' - 20. i -t ~, 'L PR()JECTNAME DS1>I?..::>r ~'I..lIO....t \L1I..le-r~ ~ I.<L~~l,;, ,~ The AppUcation bu been submitted to (oheck appropriate l'CSponse): , ~ Town Board ca P1BDnlolBoardg BuDdJngDept Ii B08rdofTrustees Cd I. Category of Town of South old agency action (check appropriate fespoDSC): .,; ", ,~ cA- .. ~..".. ...,.' (a) Aotion undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) Financial assist~cc (e.g. grant, loan, subsidy) G ca (b) (c) Permit, approval, license, certification: G Nature and extent of action: /.5 FEB-07-2996 10:14 AM P.17 . , Location of action: 44015 KAt-l 't2-o~..D..rj)ECD41 c-r-J.t::r. I ~SB Site acreage: r:;Q. ~~ Prosentland use: A..G.eJ e.c)L TtJI2.AL Present zoning classification: A. -L D ts '1"e.t~....L. 2. If an application for the proposed action has been filed with the Town of Southold agency, the following infonnation shail be provided: (a) Nameofapplicant: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, ifany: Will the action be ,reedy undertaken, require funding, or approval by a state or federal agency? Yes 0 No [g' rfyes, which state or federal agency'? C. Evaluate the project to the followlnll poUeles by analyzing how the project will further support or not IUpport the pOllcles. Provide 11II proposed Best Management Practices that will further each policy. Incomplete anlwen will require that the form be returned for completion. DEVELOPED COAST POUCY Polley 1. Foster a pattem of development In the Town of Southold that enbances community cbaracter, preserves open Ipace, makes efDcJeDt ule of Infrastructure, makes beaeficlal use of a coastallocatlOD, and minimizes advene eft'ectll of development. See L WRP Sectloll III - Policies; Page 2 Cor evaluation criteria. Dy. 0 No ~otAPPIICable Attaoh addilioolllheete IfDCOOuary Polley 2. Protect and preserve historic IDd archaeoloalcal resources of the Town of Soutbold, See L WRP Sectlon m - PO&lea ~ 3 throup 6 lor evaluation crlterfa ca Yea ca No C0"NotAppucable -',& -FEB-07-2006 l0'lS AM p.le . Attach additional oheets Itnece,sDry Policy 3. Enbance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria ca Ves ca No ~ot Applicable' Attach additiOlUlI sbeetl if_essary NATURAL COAST POLICIES , Policy 4. MlDlmize loss of life, structures, and natural resources from noodlnll and erosion. See L WRP Section III - Policies Pages 8 througb 16 for evaluation criteria ca V~s ca No ut Not Applicable Attach adcIitlona18heets If neceasary Policy 5. Protect and Improve water quality aud supply In the Town of Southold. See L WRP Seetlou m - Polldes Paaes 16 tbroll}" Zl for evaluation crIteria ca Yes ca No ~NotAPPllc.ble Attach addltl0ll81 sheets If necessary Policy 6. Protect aud re.tore the quality and function of the Town of Sontbold eCOsy.teDII IDclud1na SlpJfkaut ColItaI Flth aDd Wildlife HabltatJ aDd wetlands. See LWRP Section m - Policies; Pqes 22 tbrouah 32 for evaluation criteria. G 'YeI ca No ~ot ApplJeable .3,k FEB-07-2006 10:16 AM P.19 . Attach additional sheets if necessary Policy 7. Protect and Improve air quality in tbe Town of Soutbold. See L WRP Section III _ Policies Pages 32 througb 34 fo/valuatlon criteria. G Yes G No g Not Applicable Attach additional sheets ifnece..ary Polley 8. Minimize environmental degradation In Town of Southold from solid wa.te and hazardoUl .ubstances and wa.t~See L WRP Section III - Policies; Pages 34 through 38 for evaluation crlteriL G Yes 0 No ~ Not Applicable PUBLIC COAST POLICIES Polley 9. Provide tor public access to, and recreational use of, cosstal waten. public landl, and public resources ot the Tzwn 0 Soutbold. See L WRP Section m - Policies: Pages 38 through 46 tor evaluation criteria. G Yes 0 No Not Applicable .. . Attach additional sheel8 If necessary WORKING COAST POLICIES 1s. FEB-07-2006 10:16 AM P.20 POlic. Y 10. protec~tout old's water-dependent uses and promote siting of new water-dependent DSes in suitable locations. Se L WRP Sectlon III - Policies; Pages 47 through 56 for evaluation criteria. . G Yes 0 No Not Applicable Attach additionalsh.e16 ifnec.ssary Polley 11. promo~e sust in able use of living marine resources in Loog Island Sound, the Peconlc Estuary and Town waters. S WRP Section 1lI- Policies; Pages 57 through 62 for evaluation criteria. G Yes 0 No Not Applicable Attach additional sheets ifnec..sary Policy 12. Protect agricultural lands in the Town of South old. See LWRP Section In _ Policies; Pages 62 through 65 for evalu,,"on criteria. . G Yes 0 No rY1 Not Applicable Attach additional shee16 If neceasary Policy 13. Promote ap roprlate use aad development of energy and mineral resources.. See LWRP Section In - Policies; ges 65 through 68 for evaluation criteria. ca Yes 0 No Not Applicable PREPARED BY TITLE DATE Amended on 8/1I0S 4 FEB-07-2006 10:09 AM P.06 617.20 Appendix A St.te Environment.1 Qu.,lty R,vltw FULL ENVIRONMENTAL ASSESSMENT FORM ':~:'f~;:I:,: " ~~:)l!!\,f\JI,,~J~,de~~ to help eppli~I,~ ~I.. determine. In In olllerty IIlIIrmer/ whether e proJ~ot or lIotlon mrr llj j/gnllloeiit; '\'IIi ~on of whettllll' In Ictltili I!1lI'f be iiIgnIftcanlll not IlwtyllNY to enewer. Frlquemtv. !here Ire uPeOt8Of e ",ojeOl Ihlt lrellllljocflvl or unmleulllIe. IIII 1110 U'lCIlI'Ilood Ihll tho.. who determlnl Ilgnlllolnce may hlVI UIlII or no formel knOWlldgl 01 lhe onv~Onlllllnl or mlv not bl lechnlclll'( IlCpon In envlronmentallnllylll. In oddklon, mlny who hlvl knoWledge In one penlculll' 11'11 may not bl IWII'I 01 the broedll' cono"",, Iffeotlng thl qullllon 01 a1gnlfloenOI. Thl lull !A~ Illnlended to provide e method Wherlby eppllclntl end Igenclll cln be IlIUm thet the detemllnltlcn procue h.. been orderly, compllhenllve In nllUrl, yet Ilexlblllllough 10 IUOW Introduotlon of Inlormltlon to III I projlot or llOtion. I'uIl tAP Componen\l: Thi full EAF II Comprlled of three Pins: PIIt 1 . Provid.. objectlvl dltl Ind Inlomlltlon lbout I glvln prOJlot Ind It I 1111. By Idlntlfylng blllc prollol dill, It HIlItS I revlewlr In thl InllYll1 Ihllllkll pileI In Partl 2 Ind 3. ParI 2. Focul.. on Id,ntKylng the ring' of pONlbll ImplOlllhlt mlY 00011' Irom I projlOl or aotlon. It provIdel guldince 1110 whether In ImplC! II Uklly 10 be considered Imlll to mod.1tS or whether It I. I pOtenll,lly-IlI'ge Il\lPeOl. The 101m ellO IdenlIflll whither In Impec! con bl mltlglted or reduced, PIl't 3, II lAY Implct In Plrt 2 'I ldenliflld II potlnfl.nY~lrgl, thin Pert 3 I. Uled 10 IV.IUlle whether or nollhllmplCt II lotIlIII'( Importlnl. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE.. Type 1 and Unlisted Actlona kllntlfy lhe PcrlIonl of lAP comp/8t8d lor thIa projact, 0 Plrt 1 OPlrt 2 DPert 3 Upon revllw 01 the InfOmllflon recorded an thl. I!Af IPlrtl 1 Ind 2 sAd 3 II IPproprlltlt. Ind eny o1h8r IUpporting Irtformetlon. end conelcllnng both the mlgnlltlde Ind Impartlncl 01 ,och ImplOl, IIII rellOnobly determined by thl loed lOoney thlt, DA. OS. CJc. TheprcjlOl wi! nal rllult In Iny IIfge end Importent Implotll' Ind, therstore, I. one which wiN not hive I Ilgnlflclnt Implct on Ihe Invlranment thl..fare I negetlvl deal_ WIH be prepered. Atmough the praloet could havl I .Ignlflcent Ifflot an thl Invlrorvnlnt. 1h8.. WIN nOI bl I IIgnifiaenl effeot lor lhIl Unlllted Aotlan bIOIU.I thl mltlgetlon milIUm dllcnbed In PART 3 hive been ~red, thereforl I CONDmONID NlIettve cIIoIlI'IlIon will be _llI'8d.' The prcf80l mey ..lull In one or ma.. large lAd Importlnl mpeote thll may hevI I s1gnlflclnllmplot on the tr1vIfonm8nt, therstore I poIIIIVI decllNtlon will be preplll'8d. . A Conditioned Naglnv. Ooellratlan la only Vllld lor Unllltld Actlonl Nernl 01 Action ", Nernl of Llld Ageney PrInt or TyPI NIIIIlt of RtlllOnllbtl OffiCII In lied Agency ml olllllpanelbll OIftCll' SI",ItU.. of Relponelbll OIftcer In L"d Aglncy , IIIgnIlln of f'Ntllrer III different frorn fllpOflllllll offlc'" webeItt 0ItI Page 1 of 21 FEB-07-2006 10:09 AM p.e7 J PART 1-PROJECT INFORMATION Prep.red by Project Sponsor NOTICE: This document Is designed to 18sislln determining whelherthe eetlon proposed may have a slgnlnOlntelleol on \he environment. Ple88e oompletelhe enUrelorm. Parts A through E. Answers to thess qussllone will be con'Idered .s part ollhe application lor approval and may be subject 10 further var\floetlon and publlo review. Provide any additlonallnlormallon you bel eve . wtll be needed to complete Parts 2 and 3. Ifl$txPeOll!d \hilt ~on oll"e full EAF wilt be dlIptndW on Informallon currently avaRable and will not Involve new a\Ucllet, rasearch or Inv,,"gallon. If Informallon requiting .veh llddlllonal work Is unlvlDlble. 10 Indloate and lpeolfy eloh Instanoa. Name 01 Aotion O~~ A-f 'bOMI"-ltO<.1 c.n<1=ejJA.\CJf2........ ADbl no...! Location of Action (lnchIda S1re8t Add..... MunldpaHty and County) 44015 M/l.;l-( 'i2oAD. "'PetOAlI<!-1 LJAaI 'f~t l135'6 N.me 01 Applloant/Sponaor ~f37V"iI'.,J.. ~~ Address 440/6 MAli..! 'tZvA....\. P.O. Q')J... \4f:? CIty/PO ...:J+t'y.> II L ' Stata..6Ja./fOe\aIPcode l(Q'S2, Buslne.s relephone 10 OJ 1 (,> '5 . .,LP ( eB I I N8me 01 Owner (II dIIfwtnI) . / Addreos CIty / PO St8ta Zip Cod. f /' BUllnese Telephone Oa.c:rlpllon 01 Action: f~ f>..L..-~A.Tla.i A.-Jp ~fA'-J6104 6t:: />.il 1:,,\(,JS"'~ e.JlLJ>/kic, OF 1,5151 ;:>;=. TO luC-.L01)E A.. FIe ~, FLOoe. ~bl"Oo-( oC A .:t Q. B I Q. ;s. 'F. ~~ eol1~"'A\Ve.."f' AJ-..l() A.. &::a:lub I='~ ~(CA4E j: 1046 ~, T~ 1:>01 l.bllJ c:, A.~ AFTElt- COtlfLet'700J WILL "BE' r 4. 814- SF" \.U~iC<l I.Lll(..L \tiLL.\.:JOE, A;DblTlDtJAL- l'~tiG F"t20lJ..H.l ~lA.lc; .':)1 ::,:;pAee5 tv b- 'TO\AL. 0-;: 93 :5pl>.c.€":> I !TI of "-L1.ht.H \.<.ilLL- ~ LALI bTOtul.K~tl . Page 2 0121 . FEB-07-2006 10:10 AM P.0S I Pleese Complete Each Questlon..lndlcete N.A. If not IIPplicable A. SITE DESCRIPTION Phyaleal aeltlng 01 ovtrtll projaet. both developed end undaveloped areas. 1. Pralent Land U..: 0 Urban 0 Industria' Ef Commerclar 0 RI.ldlnlial (suburb,n) o Forett IZl Agriculture 0 Other D Rural (non-Iarm) 2. Totalacteage 01 project area: ~acreo. (.4(.,,2'2.A,,- :;011:- ~"uL""eM- u8E Ol..lLV') APPFlOXIMA TE ACREAGE Forel'lad PRESENTLY AFTER COMPLETION 5:2..-7 a"e' -1.:z..~lcr.. acre. act.. acres _.. acres lICl'II , 02-+ acrn .0:2-4- 1- aores .cre. \.~ ,ere. ir? i~ Berti .o~ 8eres ,2...1 IctIO Matdow or Bruahland {Non.agricultura" AgrleulWrelllncludaa orcharda. cropland, pasture, ete.l We1Iand (Fteohwtter or ~d., eo per Artlcleo 24,26 01 ECLl '. Wiler Surfeol Arol , ~/ Unvlget'tld IRock. eaith or llIil Roada, bu!ldlngs and oll1ar paved ourf.c.. OIlIer (lndlctte typal ," Ll n "-< "'-~b 3. Whet i. predominant loll typelo) on project oito7 e. Soli dr"n.gl: LEfw," droinld 45:..% 01 aile 0 Moderelely well drained -"- % 01 olte. D Poorly droined ..2... % 01 aite b. If eny IgrlcultlJrtlland I. Involved. how many ocra. 01 0011 ore creoolfled within 0011 group 1 Ihrough 4 01 the NVS LInd CI..olllce1lon SYlleml ooroo (soo 1 NVCRR 3701. 4. Are there bedrock outcropping. on project oitol D Yes ~o I, Whet I. dopth to bodroek lin foeti 6. Appr.xlmete porcantogo of propoood proJact silO with .Iopo.. DO-l0%~% 010,16%_% 0Iti%Orgrutor_% . 8, 10 project .ubatantlaJb;.iontlguous t~ontoln 0 building. lite. or district, 1I0ted on the State or Notlonol Reglatera of Hlatorio Places I U Vat I.k:] No 7. la prolectoubotentlelly oontlguoul to a .itoUsted on thl Rlg;ot" 01 National Natural Landmarkal Dves m'o 8. What II tho depth 01 the water ublel 1:: Q.. IIn lte1I 9. Is .Ita located ov\!( a primary. prlnoipol. or soia 10urGe oquil,,1 Dves ~o 10. Do hunting, fiShing or ohell fishing opportunities ...e..ntly I.iotln the project "007 o Yes ~o Page 3 of 21 FEB-07-2006 10:10 AM P.09 . 11. Do.. prol.ot'elt. contoln ony op.cl.. 01 plent or enlmellirolhlllaldentiliod "Ihr.eloned or endongorodl Oy.. ~o According to: I \2-lc.L\~ -.d. C";15li~r 1 lZ-l.-S I 15A.. Identifv .och .""c1..: I 12. A.. Ih... .ny unl~ ~nueuollond lorma on the pro)oot ell.l (I.... cl~I., dun.e, other goologlool formollono? Dyes m' No O..orlbe: I I 13. lolh. prO)lOt e". pro88nlly u.od by till community 0' n.lgnborhood 88 on opon spoc. or reer.otlon .,..7 . Dv.o ~o 14. If v.e, .'"Ioln: , ." Do.. tho pr...nt oll"~oi"ud. .oonic vlows known 10 b.lmportant 10 the community? DVe. ~NO / I <. .I "'1----"-- t<o e. Nome 01 Stream end nome 01 River 10 which It Ie lrIbulery I I I 16. Loko., :> .. -pOl.lD 'PA.I2.:r"i t.,l-L'f LOCA.TeD 01..\ n\E .$o0n.\ \de:;, r =e.J€!- 61=., l'lZ<?ps2-l''1 . b. Slu (In ecr..I, TOtA.L A.i?-S>- b..~!-A.= poiJl:> c>c ,0 24-A(!... Is ~e.o.t-.., 'LAC. J u) In\ A. ~11oJ1\L WI1l\iu. ~ 6..:eNea P<Ccpe2..T'f. Page 4 of 21 FEB-07-2006 10:11 AM P.10 17. Is the site served by e~l.tlng public utilities? ~e D~ ~Yes DNa .. If YES, does .ufflelent capoclty e.ist to .lIow connection? b. If YES, will Improvement. be n.c..my to allow connection? DYes ~ 18. Is the site locetlld In en .gnculturel dl.lrict certified pureuant to Agriculture end Merkets L.w, Artlclo 2ij-AA, 8eotion 303 and 3041 DYes ONO 1 e. Ii the slt.localed In ~lIantl.I~lguous to 0 Critlcol environmentol Aroo do.lgno,lId pursu.nt to Artlcl. 8 of the eeL, and e NYCRR 8171 LJY" U2]No 20. Hea ths alte ever been used for tho disposel of solid or hnerdou. was,..? elYs, ~ B. Project Oascrlptlon 1. Phyolool dlmenslone IncI eoale of proJoct (fill in dlmsnllons "' appropriot.). ""-D ..,.., C'4,ldOAc:-- e. Totaloontiguous ocreage owned or controlllld by proJ.ct .ponaor: '=" .o"-.oro.. b. ProJect acroago to ba daveloped: . ~ acraelnitle/ly; "L. 0 I_a.", ultlmetely. o. Project "c""g" to remeln undeveloped: t.5'b .cres. d. Longth of project. In miles: IIf oppropriot.) ) I .11-%/ , e. If tha prolectlo on e.p.n.lon, Indlce" percent of expan.lon propo..d. f. Number of off-street plrklng ",acee ..Istlng ~: g. M..lmum v.h~l" trips gsnaratod per hour: propo.~ 5.2..(15'1 LA...lO&u~) 'UP7100mp,et'Oh 01 proleo!)7 h. If rseldenllal: Number end typ. of hOUSing unllO: One Femlly Two Family Multiple F.mlly Condominium Initially Ultimetely I, Dlmon.lonelln 'sel) oll"gut ptOPOleel llrueture: t.\q!..f!," height; 4';>'-0. width: f.,fj'-o" length, I, Linasr feet of frontogo along I pUblio thoroughflrl project will ocCUpy Ie? 354-.1:f2. ft. o tons/cubic vord.. 3. Will dllturbad Ir... be reclelmed 2, How much nlturol materl,III... rock, earth, etc.) will be removed from ths oItsl ~A OYOI DNo e. If yes, lor whit Intended purpo18lo tho alte ~ng reclelmldl I I b. Will topooll be Itookplled for reolarnltlon? ~aa 0 No ., . : c, Will UPlltr subloll b. Itockplled fot reellmltlon? ~Ol 0 No 4. How many acr.. of v.glll't1on Ilroas, shrubs, ground coverll will bl removed ;rom sltl? -..i2.._._ lerea. Page 5 0121 FEB-07-2006 10:11 AM P.11 6. Will any maturafor..t ~r 100 YII.. old) Dr otherIDc.lly.lmportont vag.tatlon be removed by this proJact? o v.. mNO e. If singla pha.. project: Antioipe/ad period of conatrUc!ion, 4- months, lIncludlng demolition} 7. "multl.phlSed: .. Totol number of ph.ses anticipated _ Inumber) b. Antlclpltod dlle of commancornent phlSa 1: _ month _ y"ar. lIncludlng damolltlon) c. Appro_lmlle completion dIll of flnal phssa: _ month _ y..r. d. Is phlsa 1 lunatlonllly dependent on subaequant Pha~O V.. 0 No 8. Will bI~edng oocur during conatruction? 0 Va. [9" No 9. Number of Jobs gsn.rated: during construction ~ ; etter projact Is compllt, 10. Number of lob. ellmlnaled by thl. projact C) 11. Will prol.ct raqulra ralocedon of .ny projecta or faclllti..? 0 V.. ~ If y.a. a_pllln: i ( , .' 12. la aurfaca liquid wlat. dl,po'.'lnvolv~1 0 V.. No I. If yaa. Indlcale typa of walta ,aaw.g.. Induttn". Ito) Ind amount b. Nema of WIW body Into which afflu.nt will ba d1achergad 13. la aubsurflcaliquld w..t. dlapcaallnvolvad? ~vaa 0 No Typa ~l>.J:i ,-rlI.1? " 14. wm surfa.. era. of en exlltlng wat... body Inor.... or d.cr.... by propoaa" DYea~ / ( ~'f.S=H If yaa, axplaln: lB. Is proJect Or anv portion of projeotloClled,... 100 year flood plain? OYea 18. Will the proJect g.nerata aolld west.? [!I V.. ClNo s. If yes. wh.tl. ths emount PO( month? L ton.~ b. If V", win en exl.llng eolld wlltafaclllty be uaed? [!J Vas 0 No m;;o I c. 1/ yas. glv. name '1'Co.JJJ cF .::>DU~l.x. : location B'~o d. Will eny Wlltll not go Into e IIwega dlapo..1 aystem or Into e IInltery landllll? elves Page 6 of 21 FEB-07-2006 10:12 AM P.12 . . e. " YII, e~pleln: 17. Will the project involve the disposal of .olld wlltel Ov" No e. II Y", what I. thl .ntlclpeled rete of di'pollll _ ton./month. b. If ye.. whit II tho end.Clplled .It, IIfel _ !:ry 18. WlhproJectullhlllllloldesorpestlold..1 OV.. [B'NO --/" 19. Will project routinely produce odo.. Imcre than one hour plr day17 DVllli1No 20. WlII prcllc, produce operating noi.. I.co.dlng th~~ Imblen. noisa'"vel.1 OVo. ~o 21.WIII project re8\Jltln on increese in energy u.el [!J'VOI 0 No I , ./11 ye., indloete tyPI'S) ~e=^ ~.A.i.-- e. L~c.AL- 06e- 22. II weter luppIy 'I from Will., Indlclle pumping cepeclty _ gallcne/mlnule. 23. Toter e"ticlplled weter u,"oe per dl. _ oellon./de.. 24. Do.. pro!oct Involvl Locll. Sllte or Faderal fundlngl D Ve. ~o If ye., I.pleln: Page 7 of 21 FEB-07-2006 10:12 AM . 26. Approve" Roqulrocl' City, Town, Villagl BOlrd l!'hea City, Town, Villagl PI Inning Board ~as City, Town Zoning Botrd City, County Hlllth Dlptrtmlnt Stlto Aglnel.. Flderel Aglncil. C. Zoning end Pllnnlng Inf"""atlon OVaa ONo DNo rg;;o ~Ia. 0 No G1y.. D No Oy.. ~o 1. DOl. propotld Ictlon Involva a planning or zoning dloltlon? II Y.a, Indlolte dloltlon roquirod: o Zoning amandment ~Slt. pion CI Zoning varlanol [J Splclal UII permit Fage 8 of 21 Typa f. ) \(_1)1>1 (, "PEl1MI\ ~rtF 'PI A. ( A.W:lf'h7./Al- P.13 Submittal clta "1/>6Tl=i../~ Mb'IJ\~lBlr ~A...r..7lYYp ~A,J.- I ~T'. l)F""rt7AaI~~"t1OJ orT.\~ ~hGlW~'(\JoeIL ~I"- - e-1c>\ D...~h). ~s ON? ~.i.. CI Nlwlrovlelon of mal11< plln D Rosourea mlnlgamlnt plln CJ Subdlvl.lon o Other FEB-07-2006 10:13 AM P.14 . , 2. What Is tha zoning cla..lllcatlonla) 01 tha .It.? AC!.- - AC--!l-(('uL.-WfAL- t'Qll'5ee-\/A.:nQL/ I 3. What 'a the maximum potential davalopmant of the silt if dtvaloped II permltt,d by the p'taent zoning? 2ifIo L?t- c.ioJ~ ~r:~ 4. Whet 'a the propoted zoning of the .It.? I ~/A - kiO C~C,E: I 6. What 'a the maximum pot.ntlal davelopmant 01 tha altell da..loped II permitted by the propotad zoning? /J./~ ..... 6. la the propoaad action aonsl,tent with tha r.commanded u... In .daptad looalland u.. p1.n.? I!I Vaa eNO ) 7. Whit are tha pladomlnant land u..l.) .nd zoning otanllleatlona W~hln . 16 mila redlua .~f prepos.d action? Ac..12-1 C..JL.-T0Qj...L, 12-e<51D~T1~' ! I . . 8. la the propoud 8Otlon oompalibla with ad)olnlng/aurrOUlldlng land utla with a 14 mil,? VII DNO 9. If the proposed letion iothe subdivision 01 I.nd, how many Iota ar. proootld? 1'0 What Is the minimum lot .Ize proposed? _..___...___.__,,_ Plge 9 of 21 FEB-07-2006 10:13 AM P.15 . . , . 10. Will propOlld ectlon requiro eny eutho,izetlon!.' f.r th. form.tlon 01 .ewer or weIst distrlct.1 0 Yes riNo 11. Will th~"d .ctlon cre.t. . dem.nd lor eny communl!y provided servl.e. lreer..tlon. edue.tlon, pOlle., lire pr.teC1ion7 f2I Ve. D N. .. "y.s, I. existing cepeolly sufllclent to hlltldle prO/ectod dom.nd? ~. ONO 12. Will the pr.p..,d .ctlon reault In the generetlon 01 tr.lIIc elgnlllcentlV ebove pro.ant leve,.1 .. If Y.S, Ia th. exfstlng rood network adequete to hendle the eddltlonol tr.fflo. OV" o V.. ONo No I I D. Inform.tlonol DataNs / Alt.~h ..V 'ddltlonallnlorm.tion II mlV be)\eaded to oIe~ty your projaot. "thera or. .r m.y be .ny odvstlllmpeata ....oI.ted with your proposal. pl.... dioau.. ,",ell Imp.cts .nd the mea.ur.. which you propo.. to ml1lg.te .r .vold them. E. Vorllloallan Appllc.nt/Sponsor N.me / / t~I{'-OV Ooto SIgneturo Title "th. ,.tl.n I, In tho Co..tol Ar... ,.d yo. ... I ltel. ooanoy. ....p1"t th. eolet,1 AII,....,nt Form bof... pro...dlna with lhlo .....'Iln.nt. . Page 10 of 21