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HomeMy WebLinkAbout1000-89.-3-1.1Memo to File Date: 2/12/09 Re~ Proposed Standard Subdivision Application for Joseph DiSalvo SCTM# 1000-89-3-1.1 As of this date, the above-referenced file is hereby considered closed. The check for the sketch application fee was returned by the bank due to insufficient funds (#1028, $3,250.00). A letter was sent to the applicant by the Town Clerk's Office on 10/12/06. No activity submitted for the file since that date. Certified Fee CIAL USE OF THE TOWN CLERK WN OF SOUTHOLD October 12, 2006 CERTIFIED MAIL RETURN RECEIPT REQUESTED Olvasid Realty Inc 60 Main Parkway East Plainview, NY 11803 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 76fi-6145 Telephone (631) 765-1800 southoldtown.northfork.net Dear Sirs: The bank returned has returned your check no. 1028 the amount of odUe to "Not Sufficient Funds". The check was payment for a subdivision n fee for tax map no. 1000-89-3-1.1. This office is required to collect the money for the check and a $20 returned check charge for each check. Payment must be cash, money order, or certified check. The total amount due is $3270.00 ($3250.00 + 20.00). Payment must be received by the close of business on Friday, October 20, 2006. Failure to pay this amount Within the specified time will result in the referral to the Town Attorney's Office for collection. Thank you for your anticipated cooperation. cc: Town Attorney Planning Patricia Moore, Esq. Very tmly yours Lynda M. Bohn Deputy Town, Bridgehar~on National Bank 004 05 025 BRIDGEHAMPTON NATIONAL BANK 54970 MAIN ROAD SOUTHOLD NY 11971 PHONE: 631-765-1500 TOWN OF SOUTHOLD ELIZABETH A NEVILLE TOWN CLERK BOX 1179 SOUTHOLD NY 11971-0959 ACCOUNT: 500015466 AS OF: 10/05/06 PAGE 1 * FOR DEPOSITED ITEMS RETUR/iED * T~E FOLLOWING CHECKS HAVE BEEN RETURNED ....... PAYOR ............... REASON ....... OLIVASID REALTY INSUFFICIENT FLTNDS TOTAL ITEMS CHARGED BACK TO YOUR ACCOUNT YOUR ACCOUNT BALANCE IS ANOUNT 3,250.00 3,250.00 320,86~.55 R CEIVED OCT 17_ 20B$ :~O31OOnn4n, SO/OS/2ODL r 64141'9s'=m26 ~m~ 0 ....... This Is a LEGAL COpy of It your check. You can use the same way you WOuld use the original check. ?% .-,g'~ ~ A aa I NOT ~UFFzczENT "'OD &O 2.4,, ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 F~x (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 12, 2006 CERTIFIED MAlL RETURN RECEIPT REQUESTED Olvasid Realty Inc 60 Main Parkway East Plainview, NY 11803 Dear Sirs: The bank returned has returned your check ~a~.,.9~.2~8~ ~t~h.e.~o~E~_9,f ........... $325.00 due to "Not Sufficient Funds". The check~:~ent for a subdivision application fee for tax map no. 1000-89-3-1.1. This office is required to collect the money for the check and a $20 returned check charge for each check. Payment must be cash, money order, or certified check. The total amount due is $3270.00 ($3250.00 + 20.00). Payment must be received by the close of business on Friday, October 20, 2006. Failure to pay this amount within the specified time will result in the referral to the Town Attorney's Office for collection. Thank you for your anticipated cooperation. Very truly yours,._. Lynda M. Bolm Deputy Town Clerk cc: Town Attorney Patricia Moore, Esq. 51020 Main Road, Southold, NY 11971 (631) 765-4330 TO SUBJECT SIGNE Robert Kassner Legal Assistant PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, N.Y. 11952 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Betsey Perkins Secretaries September 11, 2006 Ms. Jerri Woodhouse, Chairwoman and Southold Town Planning Board 53095 Main Road P.O.Box 1179 Southold, NY 11971 Att: Anthony Dear Ms. Woodhouse: Re: Joseph DiSalvo- Ovlasid Realty SCTM#1000-89-03-1.1 Formerly the General Wayne In accordance with my meeting with Anthony, enclosed please find a proposed sketch plan for the above referenced property for today's work session. If you need anything please do not hesitate to contact me. ~Fatricia C. Moore PATRICIA C.~OORE, ATTORNEY AT L^[[~ 51020 Main Road, Southold, NY 11971 (631) 765-4330 L SIGNED 'APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman E'~) Gerard E Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 · Fax (631) 765-9064 Mailing Address: ~/ Southold Town Hall 53095 Main Road °EO. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex/First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MARCH 9, 2006 ZB File No. 5828 - OVLASID REALTY LLC Property Location: 1275 Cedar Beach Road and Orchard Lane, Southold SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 144,712 square foot parcel is improved with a small accessory building, and the land includes approximately 10,336 square feet of restricted right-of-way easement area, leaving 134,376 square feet for planning of a subdivision into two or more lots. The property is shown on 05~2005 and 11/2005 survey maps prepared by Destin G. Graf, Land Surveyor; the property is zoned at the westerly portion with approximately 64,723 square feet in the Hamlet Business (HB) District, and the remainder (71,933 square feet) zoned Agricultural-Conservation (AC) Zone District (excluding the 8,055 square foot restricted 50 ft. wide easement area of Clearview Road. BASIS OF APPLICATION: Zoning Code Chapter 100, Section 100-32, based on the Building inspector's December 9, 2005 Notice of Disapproval concerning the applicant's proposed division of land into four (4) lots. The reasons stated for the denial are that proposed Lots 3 and 4 will not meet the required 80,000 square feet of land area as proposed with a total land area of 35,940 square feet and 35,993 square feet, Lots 3 and 4 respectively in the Agricultural-Conservation Zone District. It is further noted that Lots 1 and 2 as proposed will not be less than the code required 20,000 square foot minimum in the Hamlet Business District. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on March 2, 2006, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: The applicant is requesting area variances for lots which do not meet the minimum size requirement of 80,000 square feet in area for the Agricultural-Conservation Zone District. The proposed sizes of future lots 3 and 4 will not meet the required 80,000 square feet of land area in the Agricultural-Conservation Zone District with 35,940 square feet for Lot 3 and 35,993 square feet for Lot 4. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of the variances will produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The surrounding neighborhood consists mainly of single-family dwellings on lots with one acre or greater in size, and in the Agricultural-Conservation Zone District. The variance between Pa~e 2 - March 9, 2006 ZB File No. 5828 - Ovlasid Realty LLC CTM No. 89-3-1.1 the size of the proposed 35,940 square feet and the code required size of 80,000 square feet, would produce an undesirable change in the neighborhood and cause detriment to properties that are nearby. The applicant owns a lot that is 134,376 square feet of usable land, and may be used for single-family dwellings in the A-C District portion, or uses allowable in the Hamlet Business portion, or both if planned to conform to the Zoning Code requirements. It is this Board's determination that it is not sufficient for an applicant to submit that a variance should be granted because of applicant's need for a fourth lot, instead of three lots as an alterative in meeting the code lot size requirements. It appears that the applicant's plan is for a greater economic return of his property, rather than a plan that is reasonably related to the codes and character of the neighborhood. The property has remained as a single 3.08 +/- acre lot, shown on the former Subdivision Map of Cedar Beach Park. In this instance, applicant has not offered any showing of economic loss or practical difficulty other than that found by this Board and the New York courts to be insufficient for a grant of area variances. 2. The benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance because the property is at least three acres in size as exists and the zoning would allow one lot of 80,000 square feet in the Agricultural-Conservation Zone District, and at least one lot of 20,000 square feet in the Hamlet-Business District. 3. The variances requested are substantial, representing a reduction of 44,000-/+ square feet for each of the two proposed lots, instead of the 80,000 square foot requirement for each in the Agricultural-Conservation Zone District. 4. The claimed difficulty has been self-created since the applicant is able to obtain a division of land to create two or more lots while meeting the lot size requirements of the Zoning Code, without variances. 5. Testimony was received by area landowners with concerns and reasons why variances should not be granted. The Board finds that the requested variances in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by Chairwoman Oliva, and duly carried, to DENY the variances as applied for. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Simon and Weisman. (Member Dinizio was absent.) This Resolution was duly~. ~)-~-.~ Ruth D. Oliva 6/~'/06 Approved for Filing PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND May 2, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 'State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Patricia C. Moore, Esq. 51020 NYS State Route 25 Southold, NY 11971 Re: Standard Subdivision Joseph DiSalvo SCTM#1000-89-3-1.1 Dear Ms. Moore: Enclosed, please find the check you submitted to this office with the above-referenced subdivision application. It is my understanding that you are not proceeding with that proposal at this time. If you have any questions, please feel free to contact this office. Senior Planner OLVASID REALTY LLC 80 MAIN PKWY E. PLA. INVIEW, NY 11803 Pay to the Commerce 1009 Date Ol~lI, Hoore Las OF~i~ S31 ?~S 4S~3 p,l ~o ,h~ ~ New ¥,)r< q !07i "~" ~, ~?~ - 7 2006 · Tel: Fax: (631 ~ 7~5-4643 FACSD~ILE COV[~ TOTAL NUMBER OF PAGES !NCLbDtNG COVER S~EET tF TRAnSMISSiON iS FAULTY OR !NCOMP~ETE, PLEASE CALL BACK AS SOON AS POSS!3LE. CLIENT' NAME: .... OPERATOR: PLANNING BOARD MEMBEI~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Date: Febmary23, 2006 To: Ruth Oliva, Chairperson Zoning Board of Appeals From: Jefilyn Woodhouse, Chairperson Planning Board Re: Request for comments on Olvasid Realty LLC ZBA Application SCTM# 1000-89-3-1.1 (General Wayne Inn Property) ZBA Application # 5828 In response to your request for comments, the Planning Board reviewed thc Zoning Board of Appeals application for the above referenced property and offers the following recommendations at this time. The proposed action involves a 144,712 square foot split-zoned parcel (HB and A-C). The applicant is proposing a standard subdivision that would create 4 lots. As per the yield plan, there are 3 conforming lots within the portion of the parcel zoned HB and 1 non-conforming lot within the portion of the parcel zoned A-C. Therefore, this property has a yield of three lots. In addition, because this property is split-zoned, any proposed lot located within the A-C Zone will require a variance. After a thorough review of the application and in consideration of the yield requirements pursuant to Section A106-11(B) of the Town Code, the Planning Board recommends a denial of the variance application to create four lots, based on the following: By granting the requested relief to create four lots, the property owner will be getting additional density that would not be allowed under the yield requirements of the subdivision regulations. Pursuant to §Al06-1 i(B) of the Town Code, "The permitted number of dwelling units shall not exceed the number of units that, in the Planning Board's judgment, would be permitted if the land were subdivided into lots conforming to the minimum lot size and density requirements of this chapter applicable to the zoning district (or districts) in which the land is situated and conforming to all other requirements of the Town Code. "This property yields three lots and should not be entitled to a fourth. It is for this reason that the Planning Board does not support the ZBA application as currently proposed. The areas surrounding the subject property are a mix of zoning districts, including A-C, R-80 and R-40. The lots to the north are zoned R-80; the lots to the west are A-C; and the lots to the east and south are zoned R-40. The proposed density of four lots is inconsistent with all of the zoning districts in the surrounding neighborhoods. If you have any questions or need additional information, please feel free to contact this office. Cc: Kieran Corcoran, Assistant Town Attorney PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 FACSIMILE To: Patricia Moore, Esq. From: Anthony Trezza, Sr. Planner Date: October 17, 2005 Re: Standard Subdivision of Joseph DiSalvo 1000-89-3-1.1 I have reviewed the updated yield map and sketch plan for the above-referenced property. The lot areas provided are based on the westerly property boundary extending to the centerline of Clearview Road. However, the metes and bounds description in the deed are different that what is shown on the map. Accordingly, the lot areas need to be adjusted on both maps to reflect the metes and bounds description of the deed. In addition, it appears that this project will require variances from the ZBA. We can discuss this application with the Planning Board at their work session on Monday October 24, 2005. If you have any questions or need additional information, please feel free to contact this office. APP~EALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio, Jr. Michael A. Simon Leslie Kanes Weisman TO: FROM: DATE: SUBJECT: Mailing Address: Southold Town Hall 53095 Main Road · P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex/First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809TOWN ° Fax (631) 765 - 9 .r ~'~'-'~-'~,~.:4d2.~- .~ ~~ .. _ ME___MO ' ~,,., Planning Board ! r~~ ~ , ~ Ruth D. Oliva, ZBA Chairwoman :' ~ FEB - 6 2006 February 3, 2006 . . J South01d Town , Pbnnin{ Board Request for Comments ..... .,,., Our Department has received and is reviewing the following application, and enclose copies of the Building Department's Notice of Disapproval, and application with the applicant's latest map. The Planning Board is involved under the subdivision review steps under Chapter 100 (Zoning), and your review and comments are requested at this time concerning the creation of a second lot in the AC Zone on less than 160,000 sq. ft. The file is available for review of additional documentation at your convenience. NAME TAX#/ ZBA BD NOD VARIANCE PLANS PREPARER ZONE DATE DATE STAMPED OLVASID 89-3-1.1 5828 12/9/05 Four-Lot 5/05 and Destin G. REALTY LLC HB and Subdivision 11/05 Graft, Land AC Surveyor Your comments are appreciated by 01/25/05, if possible. Thank you. Encls. FORM NO. 3 TOWN OF SOUTHOLD BU1/~,D ING DEPARTMENT $OUTHOLD N.Y. NOTICE OF DISAPPROVAL ~fO: Ovlasid Realty LLC [275 Cedar Beach Road Southold, NY 11971 DATE: December 9, 200~ Please take notice that yom' application d~tud December 9. 200S For a permit for a subdivision at Location of property: .I.2275 Cedar Beach Road. Southold, NY Coanty Tax Map No..'.. 000 ~ Section $_2) ~ Block_3 Lot 1.2,. Is returned herewith and disapproved on the following groan&: 3_'b~ ro oseds b 'visiono alotloc d artiall in th dA di tric i not e itted ur tX_Article 12II Section i00- 2 h' h es' .~rtl¢le 111 ~¢Ctlon [00_ 9~- h es{- "No bu .... t~,o ~uumng or uremise$ shall be used and no buildhut or can thereof shall be crected altered in th~ A-C. R-80, R-120. R-200 and R-400 Districts unless the same cordorms to Bulk Schedule and Parldmt Schedule incomorated into this chanter with tho ~ame rome an.I effect as if such remdat-ions wee ,~ B lkSo ed I¢ ir 'a~ ' 'mu lol:siz ofS0000s uare ct. Followin the r suds 'vis' m osedl 3willb non-co ' ' t otsizco 35 940s e fecund r os w'lI b no cn' _'n with a total~size of 35 993 s ua feet. Lots 1 and 2 wil e confl ' · ~ ur .~ :~ s ua teet. Lots 1 and 2 wil e caul ' Approval fi.om the Southold _Town Planning Board is also rcauired~ Authorized Sigm~ture Note to Applicant: Any change or deviation to the above referenced application may require t'urther review by ~e Southold Town Building Department CC: file, Z.B,A. ? / KEYMAP PRO POS EJ2..LA,IA~ DIVI // / L NOTELoT 3 - AREA 35,940 SQ FT INCLUDING R.O.W. ~ ,7'x[.~. AREA 32,101 sa FT EXCLUDING R.O.W. ' /~ O~ LOT'~ / LOT 4- AREA 35993 SQ FT INCLUDING R.O.W. / / / / / ~"~.~-'~ ~// ~- x ~ '~a ~ Ooo KEYMAP . ~ TEST HOLES 4/17/04 McDONALD GEOSCIENCE TEST HOLE # 1 SURFACE ELEV 11.3~ 0.E SAND AND LOAM ML BROWN SANDY SILT 4' BROWN FINE TO COURSE SW SAND 8.6' WATER IN FINE TO SW COURSE SAND TEST HOLE # 2 SURFACE ELEV 12.5" ML SC SW SW SP SAND AND LOAM ~ BROWN SiLT BROWN CLAYEY SAND 5' BROWN FINE TO COARSE SAND 9.8' WATER IN BROWN FINE TO 11' COURSE SAND WATER IN PALE BROWN FINE TO MEDIUM SAND 17 TEST HOLE # 3 SURFACE ELEV 10.5' OL SW SW SILTY LOAM COURSE TO FINE SAND 7.6' WATER IN BROWN COURSE TO FINE SAND .j~ FORM NO. 3 TOWN OF SOUTHOLD BUILDiNG DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: December 9, 2005 TO: Ovlasid Realty LLC 1275 Cedar Beach Road Southold, NY 11971 Please take notice that your application dated December 9, 2005 For a permit for a subdivision at Location of property: 1275 Cedar Beach Road, Southold, NY County Tax Map No. 1000 - Section 89 Block3 Lot 1 .~1 Is returned herewith and disapproved on the following grounds: The proposed subdivision of a lot located partially in the HB and AC districts is not permitted pursuant to Article III, Section 100-32, which states; "No building or premises shall be used and no building or part thereof shall be erected or altered in the A-C, R-80, R-120, R-200 and R-400 Districts unless the same conforms to the Bulk Schedule and Parking Schedule incorporated into this chapter with the same rome and effect as if such regulations were set forth herein full." Bulk Schedule requires a minimum lot size of 80,000 square feet. Following the proposed subdivision, proposed lot 3 will be non-conforming, with a total lot size of 35,940 square feet and proposed lot 4 will be nonconforming with a total lot size of 35,993 square feet. Lots 1 and 2 will be conforming. Approval from the Southold Town Planning Board is also required. Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 FACSIMILE To: Patricia Moore, Esq. From: Anthony Trezza, Sr. Planner Date: August 23, 2005 Re: Standard Subdivision of Joseph DiSalvo 1000-89-3-1.1 The Planning Board discussed the above-referenced subdivision application at their work session on August 22, 2005. The following comments and recommendations were made: 1. The yield plan depicts a line that labeled "80,000 sq.ft, east of this line." The Board was advised that this line is an error and should not be shown on the plan. In addition, there is a note on the map indicating the existence of a 200' setback line. Please clarify what this line is or have it removed from the map. 2. Revised the yield map to eliminate the proposed structures and show the building envelopes for each lot. 3. The split-zone boundary and the test hole data, including the location of the test holes, needs to be shown on the sketch plan. 4. Based on my conversations with Assistant Town Attorney Kieran Corcoran and Chief Building Inspector Michael Verity, it appears that the proposed sketch plan will require variances. However, a determination will be made once the split-zone line is shown on the plan. 5. The lots shown on the yield map conform to the zoning regulations of the Town Code and therefore would not require variances, assuming the split-zone line is correct as shown. Upon submission of the revised maps, staff will refer the application to the Building Department for a determination. If you have any questions or need additional information, please feel free to contact this office. OB NO. 03~,8C NEW BOUNDARY LOT 4- SUBJECT SQ FT SEPT C TANK LEACHING POOL GRADE SUBJECT PARCEL 144,7' LOT 1 21,480 SQ LOT 221,4~0 SQ FT Robert G. Kassner Legal Assistant PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Legal Secretary AUGUST 17, 2005 Anthony P. Terzza, Senior Planner Southold Town Planning Board Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Standard Subdivision of Joseph DiSalvo SCTM# 1000-89-3-1.1 Dear Mr. Trezza: Enclosed, as requested in your letter of July 19, 2005, is the EAF Form Part I (Long Form). If you have any questions, please contact this office. Encl Very truly yours, Patricia C. Moore Robert G. Kassner Legal Assistant PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Legal Secretary August 9, 2005 Jeri Woodhouse, Chairwoman Southold Town Planning Board Town Hall 53095 Main Road P.O. Box 1179 Southold, NYl1971 Re: Joseph DiSalvo, Standard/subdivision South Bayview & Cedar Beach Road SCTM# 1000-89-3-1.1 Dear Mrs. Woodhouse: Enclosed are four copies of the above project site plan and Storm Water Polution Prevention Plan (SWPPP) and ERSAP maps. A notice of intent (NOI) has been sent to the Department of Environmental Conservation (DEC) for a SPDES General Permit #GP- 02-01. If you have any questions, or require additional information, please contact this office. cc: Joseph DiSalvo Encls. Very truly yours, Patricia C. Moore Robert G. Kassner Legal Assistant PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631 ) 765-4643 Margaret Rutkowski Legal Secretary August 2, 2005 Anthony P. Terzza, Senior Planner Southold Town Planning Board Town Hall 53095 Main Road P. O. Box 1179 Southold, NY 11971 Standard Subdivision of Joseph DiSalvo SCTM# 1000-89-3-1.1 Dear Mr. Trezza: Enclosed, as requested in your letter of July 19, 2005, are the following items: 1. LWRP Costal Consistency Form 2. Copy of property deed 3. Disclosure Statement Form 4. Proof that Mr. DiSalvo is a managing member of Olvasid Reality LLC The EAF Form Part I (Long Form) will follow shortly. If you have any questions, or require additional datd, please contact this office. Very truly yours, Patricia C. Moore Town of Southold f~ LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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. 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). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's 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 The Application has been submitted to (check appropriate response): TownBoard I I PlannmgBoard[XJ BulldlngDept. J I Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, plamfing activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: /j~ LJ/~ Z O T' Site acreage: Presentland use: Present zoning classification: 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: (b) Mailing address: (c) Telephone number: Area Code /LC_.. (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~] No.~ If yes, which state or federal agency?. C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ,~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 [-~ Yes [] No ~ Not Applicable · Attach~additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria 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 Y3 No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~ Yes: No ~] Not Applicable ~..-i.)t[. At~ach 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 LWRP 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 (,~:/_~ ?Gj..{C~7 ¢ 7) 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 WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [5 Yes ~ No ~ Not Aoplicabie Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [--] Yes ~ No [] Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town' of Sonthold. 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 LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~ No ~ Not Applicable Created on 5/25/05 11.'20 AM SIEINBEKW ~iNEU BEKWEK Fax:l-blb-f4K-OS~2 NOV 2U 2U05 15:50 First America~n Title Insurance Company o~ew York BARGAIN and S3J.,E DEED, with COVENANT ] Agalast Graat~r,z Acts - IJadividual ur Corporation / T]~IS rND~rTUI~, made thc ~ day of November, ~a ~he ~ 2003 BE~EN N~e: ~ ~s~at~, h~ Ad~s: 1275 C~ar B~ ~ad, ~u~l~ ~ of ~e ~t p~ and N~: ~td ~al~, LLC A~ss: 14~7 Croa~ A~nue, B~nx, ~ 1~61 ~ of~ ~ud p~ WITNESSETtt, that the party of the first part, m consideration of Ten Dollars and other valuable consideration paid by the par~y of the second part, does h~reby grant and release unto thc party of the second part, thc heirs or successom and a~sig~l~ of ~he pat~y of t~ second party ~reve~, SEE SCI:I~.DULE A FOR PROPERTY DESCRIPTION TOGETHI~. with ail right, title and interest, ff auy, of th~ party of the f~rst part ia and to any sueets and wads estate and rights of the party of tl~ fa~t pan ia m~i to saad Prenases; TO HAVE AND TO HOLD the premises herein granted unto the party of the s~:ond pal% the heha et successors and assigns of the party of thc second part AND the party of the fa-st part oov~aents that tile part~ of the f~rst party has not done or suffered, aaythiag whereby thc said premise~ have bc~ t~mmbe~d ~ any way whnt~v~x, except as aforesaid. AND the party of tbe fa'st paxt, m comphanc~ with Section 13 of the Lien Law, covenar~ that the party of the fu'~t paxi will receive the considesation for this cunveya~c and will hold the right to receiv~ such consideration a~ a trust fund to be applied fu~t for the pttrpose of paY~g the cost of the improvement and will apply the same lust to thc payzaem of the cost of the improvemellt befor~ using any part of the total of the same for any other gurpose, The word "part~ shall be conswaed aa if it re. afl "parties" whenever the sense of this iadentu~e so requires. IN WITNESS W'H'EREOF, t~ parr of the fa'st part bas duly executed tllis deed th= day and year first above written. ~lgnat~re~ofLambd~ Asso~ates, I~c. -- FIRST AMERICAN TITLE INSURANCE COMPANY of New York, Hudson Valley Region Title No. 3004-8986 SCHEDULE A ALL that certain plot, piece or parcel of land situate, lying and being at Bayview, in the Town of Southhold, County Qf Suffolk and State of New York, shown on a certain map entitled, "Subdivision Map;.of Cedar Beach Park, situate at Bayview, Town of Southhold", and filed in the Suffolk County Clerk's Office on December 20, 1927 as Map No. 90, more particularly bounded and described as follows: BEGINNING at the comer formed by the intersection of the southerly side of Orchard Lane (private) with the easterly side of Cedar Beach Road; THENCE RUNNING along the southerly side of Orchard Lane South 66 Degrees 52' 20" East 451.63 feet (deed) (451.76 feet actual) feet to the westerly side of Clea~view Road (private); RUNNING THENCE along the westerly side of Clearview Road South 8 Degrees 07' 40" West 122.02 feet to the northwesterly side of Clearview Road, South 66 Degrees 10' 10" West 279.58 feet to the northerly side of Lot 51 on said map; RUNNING THENCE along the northerly side of said Lot 51, North 66 Degrees 52' 20" West 292.52 feet to the easterly side of Cedar Point Drive (private); RUNNING THENCE along the easterly side of Cedar Point Drive and along the easterly side of Cedar Beach Road North 23 Degrees 07' 40" East 322.11 feet (deed) (322.20 feet actual) to the comer first above mentioned at the point or place of BEGINNING. FOR CONVEYANCING ONLY The policy to be issued under this report will insure the title to such buildings and improvements erected on the premises which by law constitute real property. TOGETHER with all the right, title and interest of the party of the first part, of, in and to the land lying in the street in front of and adjoining said premises. Page 2 STEINBERG FINEO BERGER Fax:l-516-747-O$82 Nov 20 2003 13:50 P.11 . · .  First Amertcan Title Insurance Company of New York BARGAIN arid S3L~ DEED, with COVENANT Against Grantor's At'B - Individual or Corporation acknowledgment For acknowledgments taken in New York State, ADOLPH Fi. siEGEL Notary public, State of New york No, 8987215 ualifled in Suffolk County Q CommiSsion Expires May 31, ~ Bargain and Sale Deed TITLE NO. Lambda Associate% Inc. TO Ovinsid Realty, LLC Sheet Seetion 089.0 Block 03.00 Lot OOl.O0! Plate Volume District ~sx Map Des. Comity or Town Street Number PREMISES Suffolk 127~; Cedar B~ach Road Frank A. Racano, Esq. Steinberg, Fiueo, Berger & Fi~choff P.C. ~ Cro~s Park Drive W~dbu~ ~ 117~ Applicant 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. Your Name: last name, first name, middle initial unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the otherperson's or company's name. Nature of Application: (Check all that apply) Tax grievance Building Variance Trustee Special Exception Coastal Erosion Change of zone Mooring Subdivision Plat Planning Site Plan Other (Please name other activity) __ Do you personally (or through your company, spouse, sibling, parent or child) have a relationship with any officer or employee of the Tovm of Southold? "Relationship includes by blood, marriage or business interest. "Business interest" means a business, including a parmership, 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 mom than 5% of the shares. Yes No )~ 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. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse, sibling, parent or child is (check all that apply): A. the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B. the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation); C. an officer, director, partner or employee of the applicant; or D. the actual applicant Description of Relationship: Submitted ~his ~P ~.30ff4 ~-0o 5'-- Signa ~tl)re~~ AFFIRMATION Frank A. Racano, an attorney duly licensed to practice law before the Courts of the State of New York, hereby affirms the following to be tree under penalties of perjury: 1. I am associated with the law firm of Steinberg, Fineo, Berger & Fischoff, P.C., the attorneys for Ovlasid Realty LLC, and as such am fully familiar with the facts and circumstances involved herein. 2. The limited liability corporation OLVASID REALTY LLC was incorporated on February 25, 2003 A copy of the filing receipt is attached hereto. 3. Joseph L. DiSalvo is now and has always been since its incorporation the sole member of this limited liability corporation. Dated: Woodbury, New York July 25, 2005 STEINBERG, F ERGER & F SCHO ,4'.C/' j? FrafllF'A. Racano, Esq. 40 Crossw~s Park Drive Woodbur~, 3qew York 11787 (516) 7~-1136 First American Title Insurance Company of New York Proposed Insured Title No.: 3004--45481 Purchaser: Effective Date: 08/26/2004 Mortgagee: T.B.D., its successors and/or assigns as their Redated: interest may appear Amount of insurance: Fee: $0.00 Mortgage: $100,000.00 THIS COMPANY CERTZFZES that a good and marketable title to the premises described in Schedule "A", subject to the liens, encumbrances and other matter, if any, set forth in this certificate may be conveyed and or mortgaged by: OVLAS'[D REALTY, LLC //~who acquired title by deed dated November 25~ 2-002'3and recorded Mar~h 10, 2004 in Liber 12306 page 350 mede by ~.~ises described in Schedule "A" are known as: Address: 1275 Cedar Beach Road, Southold, New York County: Suffolk District'. Section: 089.00 Block: 03.00 Lot: 001.001 Town: Southold For~ ny~itle~lea ra~ce q~estions ~n tl~s Rei~ort pt~ease ~all ~ose~h D~alv6~ Esq.~ VicexPre~den~ and~:ou n~el ~914~28~41S wS/cz N. Y. S. DEPARTMENT OF DIVISION OF CORPORATIONS'~D STAT~ RE~6RDS OALBANY, NY 12231-0001 FILING RECEIPT ENTITY NAME: OLVASID REALTY LLC DOCUMENT TYPE: ARTICLES OF ORGANIZATION (DOM LLC) SERVICE COMPANY: GERALD WEINBERG, P.C. COUNTY: NASS SERVICE CODE: 13 * FILED:02/25/2003 DURATION:12/31/2099 CASH#:030225000890 FILM #:030225000864 ADDRESS FOR PROCESS STEINBERG, FINEO, BERGER & BARONE 1001 FRANKLIN AVENUE GARDEN CITY, NY 11530 SUITE 302 EXIST DATE 02/25/2003 REGISTERED AGENT FILER FEES 225.00 PAYMENTS 225.00 STEINBERG,FINEO,BERGER & BARONE PC 1001 FPJkNKLIN AVENUE SUITE 302 GARDEN CITY, NY 11530 FILING 200.00 CASH 0.00 TAX 0.00 CHECK 0.00 CERT 0.00 CHARGE 0.00 COPIES 0.00 DRAWDOWN 225.00 HANDLING 25.00 BILLED 0.00 REFUND 0.00 DOS-102~ ~i!/89) PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON July 19, 2005 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Patricia C. Moore, Esq. 51020 State Route 25 Southold, NY 11971 Re~ Standard Subdivision of Joseph DiSalvo SCTM#1000-89-3-1.1 Dear Ms. Moore: The Planning Department is in receipt of the above-referenced subdivision application. The application is incomplete pending the submission of the following items: 1. EAF Form Part I (Long Form) 2. Copy of the property deed 3. Proof that Mr. DiSalvo is a managing member of Olvasid Realty LLC 4. Disclosure Statement Form 5. LWRP Coastal Consistency Form I have enclosed an application for sketch approval. The additional forms you need to make this application complete are included. Upon submission of the aforementioned items, the Planning Board will process the application. If you have any questions or need additional information, please feel free to contact this Senior Planner PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 July 15, 2005 Southold Town Planning Board Jerilyn B. Woodhouse, Chair P.O.Box 1179 Southold, NY 11971 Attention: Anthony Re: Dear 1000-89-03-1.1 Formerly the General Wayne Inn Anthony: Enclosed are the following: Application Check from my client for.~,~-O. ~O 3 prints of Yield Map - previous print had typo- sufficient-~~,_ area for lots requested, no variance is required Conceptual sketch plan ERSAP issues incorporated into the conceptual plan- property was previously developed with the General Wayne Inn, the mature trees are identified in order to best position the house to limit disturbance of trees. The applicant has no objection to the Town re-zoning the HB parcels to r-40 after the owner files the subdivision map, the owner will file C&R's to limit the development of the parcels to single family residences until such time as the re-zoning is completed. Thank you for your courtesies. Proiect Status Report for Standard Subdivisions Sk~ch Application Dates Pre-Submission Conference Sketch Application Received Application Fees Paid *") It~/O ~ ERSAP Submitted Yield Plan Submitted Concept Desic,~ Determined Fire Department Comments SEQRA Coordination LandscapePlan Soil Conservation Plan SEQRA Determination SC P annin.q Commission Referral SC Planninq Commission Comments Fire Department Referral Fire Department Comments Enqineer Conference Sketch Plan Submission Conditional Sketch Approval Sketch Approval Pretiminary Plat Application Dates {6 months after Sketch Plan Approval) Preliminary Application Received Application Fees Paid Referral of Road and Drainaqe Plans Enqineer Conference Comments from Town Enqineer Draft Performance Estimate Draft Covenants and Restrictions Draft Homeowner's Association A,qreement Draft Road Maintenance Aqreement DEIS Submission Referral of Lef:lal Documents to Town Attorney Comments from Leqal Depadment Received FEIS Submission Preliminary Hearinq Set Preliminary Hearinq Held Preliminary Hearinq Closed Conditional Preliminary Approval Preliminary Approval Scopin,q Session Final Plat Application Dates (6 months after Preliminary Plat Approval) Final Application Received Application Fees Paid M¥1ars Received (5) Paper Pdnts Received (8) Final Road and Drainaqe Plans Performance Guarantee Received Performance Guarantee to Town Board Final Covenants and Resldctions Final Homeowner's Agreement Final Road Maintenance Aqreement Park and Playqround Fee Paid Conservation Agreement Affordable Housinq Fee Paid Administrative Fee Paid NYSDEC Wetlands Permit Received NYSDOT/DPW Permit Received Trustee Permit Received Final Hearing Set Final Headng Held/Closed Filed Legal Documents Conditional Final Approval Final Approval Map Endorsed by Chair LWRP Consistency Review Final Map Routin,q: Tax Assessors Building Department Land Preservation Highway Department Additional Notes: PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair RICHARD CAGGIANO WILLIAM J. CRRMERS KENNETH L. EDWARDS MARTIN H. SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD M~II ING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Application for Sketch Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. Name of Subdivision Suffolk County Tax Map # Type of Subdivision / St~dard ~ Conse~ation [ ] 4. Hamlet 5. Street Address/ Project Location 7. 8. 9. 10. Acreage of Site Proposed Yield Number of Lots Proposed Zoning District Date of Submission IqZ 1 7 ~ ~? ,~--r- / //6 11. Please provide the names, addresses and phone numbers for the following people: Agent: Property Owner(s): Surveyor: ,.... _ .P. YJ. Engineer: Attorney: 7 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and whether o~ not approval was granted by the Planning Board. 13. Has a pre-submission conference been held with the Planning Board? If so, provide date. ~,~ q/~t/~ ~' 14. Has the owner/applicant met with Land Preservation? If so, provide date. ~ 15. Is any part of the property in agricultural use? 16. Is there an existing or proposed sale of development rights on the property? 17. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. 18. Are there any building permits currently pending on this property? If yes, please provide permit number(s). 19.The site will be serviced by the following special districts or utility companies: Fire District Post Office School District Water 20. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please provide proof that service will be provided. ~,, 21. Ple;ase indicate the type of open space proposed and how it will be managed? 22. Are there any existing structures on the property? If so, please indicate the type of structure and its use(s). Will these structures remain, be removed or altered? 23. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 25% of the y/eld, please indicate how you intend on satisfying the requirement. ,t ,, 24. Application completed by _ [] owner Signature of Prepare~~ ~ a~gent [ ] other Date ~'-/'~'~'-~ PART 1--PROJECT INFORM/ Prepared by Projec! Sponsor NOTICE: This document is dost§ned to assist in determining whether the action proposed may have a significant effect on the enviro'~ment. Please complete the entire form, Part~ ^ through E. Answers to these questions will be consideced as part of the application for approval and may be subject to further verification and pubhc review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full E^F will be dependent on information currently available and will not involve new studies research or investigation, if information requiring such additional work is unavailable, so indicate and specify each instance. LOCATION OF ACTION (Include Streel Addre.~, Municipality and CountY) ~NAME OF APPLICANT/SPONSOR I BUSINESS TELEPHONE "' .~ .... ~ ' ~ 8USlN~LE~HONE ^DO,ESS O/C> OITY/PO o. ^OT,O. /ooo- - /. I Please Complete Each question-indicaiie N.A. If not applicable A. Site Description Physical setting of overall pro]ect~ botJ{ developed Znd undeveloped areas. 1. Present land use: rqOrban CIIndustrlal l~ommerclal ~j~q;[esidentiai (suburban) nForest nAgriculture []]Other _ 2. Total acreage-of project area:' ~ hl'~ / APPROXIMATE ACREAGE Meadow o.r Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) Watei; Surface Area Unvegetated (Rock, earth or fill) Roads, build!ngs and other paved surfaces Other (Indicate type] ClRural (non-farm] PRESENTLY AFTER COMPLETION acres acres ~. What is predominant soil type(s) on project site? ~L~/ Lo,~r~ - a. Soil drainage: [~Nell drained _ i Oo % of site E]Moderately well drained ~ % of site ' E]Poorl¥ drained -- % of site b. If any agricultural land is ii~volved, how many acres of soil are classified within soil group I through 4 of the Land Classification System~' -- acres, (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project slte~' C3Yes a. What is depth to bedrocki' (in feet) 2 5 Approxrmate percentage of proposed proiect site with slopes 0[~3-30% % ~]10-~ 5% E315% or greater 6. Is proiect substantially contiguous to, or contain a buildin8, site, or district, listed on the State or the National Registers of Historic Places? [:]Yes E]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? _ (in feet) 9. Is site located over a primary, principal, or sole source aquifer? I~es ONo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? OYes 11; Does proiect ;site coptain'any species of plant or animal life that is identified as threatened or endangered? OYes-/L~No According to C~-~/'t.~'~t/ identify ea~ch species 12. Are there any uniqu~..or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) OYes[2~'N o Describe 13. Is the project site. ?~esently used by the community or neighborhood as an op~n space or recreation area? C]Yes I~No If yes, explain 14. Does the' present~sit~nclude scenic views known to he important-:t~ the c6mmunitY? C]Yes E3No .15. Streams within or contiguous to project area: 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 ~/,a, b. Size (In acres) 17. Is the site served by existing public utilities? [~es I-INO a) If Yes, does sufficient capacity exist to allow ~onnection? C~es. 1:3No b) .If...Y. es, ~!11 lmproyements be necessary to allow connection? [:]Yes 18. Is time,site located in an agricultural_~strict· certified pursuant to Agriculture and Markets Law, Article 2S-AA, Section 303 and 304? C3Yes E~lo 19. Is the site located in or substantially contiguous toga. Critical Environmental Area designated pursuant to Article. 8 of theECL, and 6 NYCRR 6177 I-lYes 20. Has the site ever'been used for the disposal of solid or hazardous wastes~ I-lyes B. Project Desodptlon h. If residential: Number and type of housing units: One Family Two Family initially Ultimately i. Dimensions (in feet) ol~ largest proposed structure ~" height; 7~' j. Linear feet of frontage along a public thoroughfare project will occupy 3 Multiple Family Condominium · width; /7.~ length. ~.,~ ,~::, o ft. -.r~,o, Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by_prolect sponsor/~ ~'~ b. Project acreage to be developed: /~'~' acres Imtlally; /¥~:~ '~ a~c~es ultimately. c. Project acreage to remain undeveloped ~'~,, ~P~' .a~-,tes. d, Length of project, in miles: /~//~f (If appropriate) e. 'If the project is an expansion, indicate percent of expansion proposed f, Number of off-street parking spaces existing /o-~ ~ ; proposed g. Maximum vehicular trips generated per hour~///-/-4u/'~ · (upon' completion of project)? ~.~)' How much natural rock, earth, e~c) will be removed WiJi disturbed areas be reclaimed? OYes E]No a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? E]Yes [~No Ions/cubic yards c. Will upper subsoil be stockpiled for reclamation? OYes []No ~ _~,~e~s- 4 How many acres of vegetation (trees, shrubs, ground cove~s) will be removed-from site? Z°/O~:~O · 5. Will any mature~f, est(over 100 years old) or other locally-important vegetation be removed by this project? (~Yes t~No 6. If single phase project: Anticipated period ot construction __ /~'~f-'~- months, including demolition). 7. If multi-phased: a, Total number of phases anticipated _ (number). b. Anticipated ~late of. commencement phase I month c. Approximate completion date of final phase . month . , d, Is phase 1 functionally dependent on subsequent phases? E3Yes 8. Will bias.ting occur during construction? OYes 1~o 9. Number:Of jobs generated: during construction /O ...; after project is complete 10. Numb~'~bf jobs eliminated by this project 11. Will project require relocation of any projects or facilities? E]Yes [3~o If yes, explain year, (including demolition), year. ~ 12. Is surface liquid waste disposal involved? OYes I~o a. If yes, ndicate .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? IE~es FIIqo Type ~/~O/~z4~t/ 14. Will surface area of an existing water body increase or decrease by proposal? [3Yes Explain. 15, Is project or any portiOn of prolect located in a 10o year flood plain? I-lyes 16. Will the project generate solid was?el ~'es E]No a. If yes, What Is the amount per month 7-~ O.- tons ~.~,~/~O ~ b. If yes. will an existing'solid waste facility be used? ~ rlNo -~' ~/~_, c. If-.;es, give name ~'/~'/0/ 7~r/r/~/~'/z~'/'~ ; location r_,/ · d. will~ny wastes not go into a sewage disposal system or into a sanitary landfill? C]Yes e. If Y~es, :explain .17. Will the project involve the disposal of solid waste? ~Yes ~No a. if yes, what iS the anticipated rate of disposal? 7-~P' tonslmonth. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? [3Yes 19. Will project routinely produ~:e odors (more than one hour per day)? C]Yes 1~o 20. Will project produce operating noise exceeding the local ambient noise levels? [~Yes 1~o 21. Will project result in an increase in energy use? ~Yes [:3No If yes , indicate type{s) 22. if water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day ~ gallons/day./'~x.~ 24. Does project involve Local, State or Federal funding? OYes ~o If Yes, explain 25. Approvals Requited: Submilta[ Type Date City, Town, Village Board ~]Yes City, Town, Village Planning Board I~'~es LIND City, Town Zoning Board OYes City, County Health Department [~es Other Local Agencies OYes [~o Other Regional Agencies OYes E~o State Agencies E]Yes [~o Federal Agencies ~]Yes C. Zoning and Planning Information t. Does proposed action involve a planning or zoning decision? ~[~es []No If Yes, indicate de~ision required: ~ ..C]zoning amendment [-1zoning variance C]special use permit rE'subdivision I-Isite plan Onew/revision of master plan Oresource management plan Oother 2. What is the zoning classification(s)of the site? /"/.~ '/ /Z)C 3; What is the maximum potential development of the site if developed a~ permitted by the present zoning? · 4' ~Wbat;Js ~the. proposed zoning, of th~ site?. A//'4 5. What,is the maximum potential development of the site if developed as permitted by the'proposed Zoning? 6. 'ls. the~proposed action consistent with the recommended uses in adopted local land use plans? ~ ONo 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 uses within a % mile? ~s I-INn 9. If the proposed.action is the subdivision of land~ how many lots are proposed? -a. What Is the minimum lot size proposed? Z~, t~o ~) 10. Will proposed action requ ~e any authorization(s} for the formation of sewer or water districts? OYes 11. W.ill,~the proposed acti~ create a.demand~for:any.!community provided ser~,lces (recreation; education; police, fire protection}? ~es ' a. If yes, is existing capacity sufficient I~o handle projected demand? ~ ONo · 12. Will the proposed action result in the generation.of traffic significantly above present levels? OYes' I~o a. If yes, is the existing road network adequate to handle the additional traffic? ~ ONo 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 i.n_fo_r~_Lation provided above is true to the best of my knowledge. Applica n~Sp~.~.~/~~ ~ Date -- Signature , ~...~.c-.~/ - ~ ~ ~ Title ~ If the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 D. INFORMATIONAL DETAILS AND WATER SUPPLY NARRATIVE REQUEST Attach any additional information as may be needed to clarify your, project, If ther.e are or may be,~ny adverse impacts associated with your proposal, please discuss SUCh ~mpacts and the measures wmcn you propose to mitigate or avoid t-hem. 1. Provide explanation of existing site use, occupancy, structures, sanitary flow, water use; compare to proposed use, occupancy, structures, sanitary flow, water use. 2. Indicate the source of water supply, nearest public water main, nearest public well field, and adjacent private wells (if known). If publi~ water supply is proposed, indicate the ability of the water utility to provide water supply to the project. Provide letter of water availability or detailed explanation of status of review by water utility. 5 If private water supply is proposed, indicate the well specifications, water quality based on on-site water quality data. Provide Suffolk County Department of Health Services approval or detailed explanation of status of review by agency. Indicate proposed water conservation measures that will mitigate for unavoidable adverse impacts (If any). Conservation measures should include, but not be limited to: a. The use of drought tolerant plants for landscaping. b. The preservation of existing native vegetative buffers. c. The conservation of existing open space areas. d. The implementation of "natural" stormwater management practices (grass swales, filter strips, created wetlands, etc...). Applic anffS ponsor Nan~e~,~ f~/~"'~c~ C E. VERII*ICATION I certify that the Information provided above is hue to the best of my knowledge. Title ~ If the action Is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Joseph DiSalvo, member Olvasid Realty LLC 80 Main Parkway East Plainview NY 11803 September 13, 2006 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: I, Joseph DiSalvo, member of Olvasid Realty, LLC, as owner of premises known as 1275 Cedar Beach Drive, Southold, sctm: 1000-89-03-1.1, hereby authorize you to make any and all applications to the Suffolk County Health Department, Town of Southold, Town of Southold Planning Board, and any other necessary agencies on my behalf regarding my above referenced property. Very truly yours, ~~o,~member Olvasid Realty LLC Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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. 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 signifieapt beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's 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 Olvasid Realty, LLC (Joe DiSalvo, member) 80 Main Parkway East, Plainview NY 11803 SCTM# 1000-89-03-1.1 (Formerly General Wayne Inn) AGENT: Patricia C. Moore Esq., 51020 Main Road, Sonthold, NY 11971 The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. X Building Dept. [] Board of Trustees [] Zoning Board of Appeals El_ 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: [] Type: __ Town of Southold LWRP Consistency Assessment Form 1 Nature and extent of action: 3 lot subdivision with private park Location of action: 1275 Cedar Beach Drive, Southold NY 11971 Site acreage: 144,712 sq.ft. ,~ Present land use: General Wayne Inn Present zoning classification: HB 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: Ovlasid Realty, LLC (b) Mailing address: 80 Main Parkway East, Plainview NY 11803 (c) Telephone number: ( ) c/o attv (d) Application number, if any: __ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No ~ik If yes, which state or federal agency: __ Town of Southold LWRP Consistency Assessment Form 2 DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See IL WRP Section III - Policies; Page 2for evaluation criteria. Yes ~J No [] Not Applicable [] Discussion (if appropriate)'- Property is zoned HB- formerly opperated a restaurant, bar and Inn on the property. Building will be demolished and three lots developed with area "split zoned" AC remaining as recreational area for lots. The development is consistent with zoning and recreational uses and open space on residential- agriculturally zoned parcels. Policy Z Protect and preserve historic and archaeological resources of the Town of Southold. See LkVRP Section III - Policies Pages 3 through 6for evaluation criteria Yes ~ No [] Not Applicable [] Discussion (if appropriate): General Wayne Inn has been stripped of any historic or cultural architectural features by prior owners. Previous building permits have been issued and structure altered. Present building would require extensive renovations. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III- Policies Pages 6 through 7for evaluation criteria Yes I~ No [] Not Applicable [] Discussion (if appropriate): commercial use will be eliminated and residential use retained. Lots require no variances and are to be developed as permitted. 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 16for evaluation criteria Yes [] No [] Not Applicable ~i] Discussion (if appropriate): parcel is not in flood zone Policy 5. Protect and improve water quality and supply in the Town of Southold. See L I~'RP Section III- Policies Pages 16 through 21for evaluation criteria Town of Southold LWRP Consistency Assessment Form 3 Yes't~ No [] Not Applicable [] Discussion (if appropriate): residential use does not impact quality of water. Development will comply with Suffolk County Health Department standards, or a~ they may deem appropriate 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 L WRP Section III - Policies; Pages 22 through 32for evaluation criteria. Yes [] No [] Not ApplicableS~ Discussion (if appropriate)-' parcel is not adjacent to water bodies. Closest water body is bisected by residential devlopment Policy7. Protect and improve air quality in the Town of Southold. See L WRP Section lII- Policies Pages 32 through 34for evaluation criteria. See Section III - Policies' Pages; 34 through 38for evaluation criteria. Yes [] No [] Not Applicable~ Discussion (if appropriate): residential use will have no adverse impact on air quality Policy & Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III-Policies; Pages 34 through 38for evaluation criteria. Yes ~ No [] Not Applicable [] Discussion (if appropriate): commercial use will be terminated and residetial use applied. Town of Southold LWRP Consistency Assessment Form 4 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 LI4zRP Section III - Policies; Pages 38 through 46for evaluation criteria. Yes [] No [] Not Applicable~ Discussion (if appropriate): not adjacent to coastal waters }FORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LPVRP Section III- Policies; Pages 47 through 56for evaluation criteria. Yes [] No [] Not Applicable ~ Discussion (if appropriate)-' not impacting water dependent uses Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estua~T and Town waters. See L PVRP Section III - Policies; Pages 57 through 62for evaluation criteria. Yes [] No [] Not Applicable ~ Discussion (if appropriate): landward parcel- residential development will not directly impact marine resources Policy 12. Protect agricultural lands in the Town of Southold. See L VgRP Section III- Policies; Pages 62 through 65for evaluation criteria. Yes [] No [] Not Applicable ~ Discussion (if appropriate): not an agricultural parcel. Formerly a commercial restuarant, bar and Inn Policy 13. Promote appropriate use and development of energy and mineral resources. See LVgRP Section III - Policies; Pages 65 through 68for evaluation criteria. Yes [] No [] Not Applicable'~ Discussion (if appropriate): energy resources no greater than standard residential use Town of Southold LWRP Consistency Assessment Form 5 2006 31PM ~o 4965 D 2 II llllnll! Ilill TILMIBI'IJ'fJ~II~BilR: 03-33~ J' "]J J J JOOO Oil. JO 03,00 JJJiJJ J $130 JO0,,O0 'L'P~SB4 ~5.00 T~1"1~£I~ ~4l~. J J J iO Jl IJ-JJJjJ 03/U/3QO& D000~3306 390. TH~J TI ~ · 13;LL Omm. l;3, ~,J.erk. ~f¢'r. C2oun,?.¥ 2~6 l:31PM lin :31PM $C HBDL~Lr A POR ~*~I~AM~IN~I Ma(., 2006 I:3]PM No,4965 F', 6 · ~,r _ Mar. 2006 :32, M No,a965 P, 7 SEE'SCHEDOLE A FOR PROPERTY!'I)F,S~RIPTION - h~T~etn ~n~_ ~ ~.~t~_ __p~. ~_,.d~f nut ~ tn.~u.m~ ~*~ ~ a~y~0 ~NO~ b'~ $[ll~llrf er L~mbdO~ml~t~ 1~.. ~a r, 200( 32Pk/ ~i~st,~n~r~can T~tle lnsu~ (.~ap~ny of ~¢~ ~ort e STA?i~ Og N~W YORg ~1 Slloitu~P aiid Ofllee or 4965 ~ 8 TITI~ NO, TO Oq'l/d ib~,Z, LIJ: · ,. Mar, 2006 :32PM No,a965 P, 9 New Ym'k,'Hm Yde~ Rein SCHItDt~Lt ,~ . .~ ~_~m.~.~T~l~ .~1 ~.~ dN~ Yo~. ~ ~1 acer.th PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair RICHARD CAGGIKNO WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR MAILING ADDRESS: P,O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs -~ve.) Southold, NY PLANNING BOARD OFFICE TOWN OF SOUTHOLD Application for Sketch Approval Telephone: 631 765-1938 Fax: 631 765-3136 JUL 1,, ~ 2005 Sou~hold Town APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. 1. Name of Subdivision ). 2. SuffolkCountyTaxMap# /000- ~- OB-- / / / 3. TypeofSubdivision Standard D<] Conservation [ ] 4. Hamlet (.5o0 zT~ot. D, 5. Street Address/ Project Location 6. Acreage of Site 7. Proposed Yield 8. Number of Lots Proposed Y 9. Zoning District f~C ¢ /-/~ 10. Date of Submission 11. people: Applicant: Please provide the names, addresses and phone numbers for the following Agent: Property Owner(s): Surveyor: A ttorn ey: ,,qr~ av T - 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and whether m not approval was granted by the Planning Board. 13. Has a pre-submission conference been held with the Planning Board? If so, provide date. 14. Has the owner/applicant met with Land Preservation? If so, provide date. /4/4 15. Is any part of the property in agricultural use? /Vo 16. Is there an existing or proposed sale of development rights on the property? 17. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. 18. Are there any building permits currently pending on this property? If yes, please provide permit number(s). 19.The site will be serviced by the following special districts or utility companies: Fire District Post Office School District Water 20. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please provide proof that service will be provided. ~4-~ ,~b~/ rcerds ~ 21. Ple~se indicate the type of open space proposed and how it will be managed? 22. Are there any existing structures on the property? If so, please indicate the type of structure and its use(s). Will these structures remain, be removed or altered? 23. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 25% of the yield, please indicate how you intend on satisfying the requirement. 24. Application completed by [ ] owner p<J agent Signature of Preparer ~~/~ [ ] other Date /~-/5~- dvd'~ Joseph L. DiSalvo 80 Main Parkway East Plainview, NY 11803 July 15, 2005 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: I, Joseph L. DiSalvo residing at 80 Main Parkway East, Plainview, NY hereby authorize you to make any and all applications to the Suffolk County Health Department, Town of Southold Zoning Board, Town of Southold, Southold Town Trustees, DEC and any other necessary agencies on behalf of me. Very truly yours, 617.20 State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM be significant. The question of whether anac~on may besi~isnot always easy to answer. FmquenUy, there are aspacts ef a project that are s~ or unmeastgable. It is also unden~teod that those who determine sigei~:ance may have lithe or ne formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader conceres affecting the question of sagnificance. The full EAF is intended to provide a method whereby applicants and agencies can be assured Umt the determination process has been orcterly, comprehansNe in nature, yet flexible enoucj~ to allow introduction of information to t-~ a project or action. Full EAF Components: The ~11 EAF is comprised of three parts: Pa~t 1: Provides objective data and information about a given Ixoject and its site. By identifying basic project data, it assists a reviewer in the analysis Umt takes place in Parts 2 and 3. Pat 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as m whether an impact is llke~j to be ~ed small to moderate or whether it is a patandally-large impact. The form also identifies whether an impact can be mitigated or reduced. Prat 3: If any impact in Pat 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR ~ USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Upr~ review of the information recorded on this EAF (Parts I and 2 and 3 if appropriate), arid any other supporting information, and cons~ both the magnitude and importance of each impact, it is reasonably detam~ined by the lead agency that: The project will not result in any large and intportaflt intpact(s) and, therefore, is orle ~ ~ not have a signif~cam impact on the environment, therefore a negate declamlion d he prepared. Aithormuh Itm project couid have a signlfk-~-,nt effect en the env~'onment, there will not be a sigeificant effect for this Unlisted Aetk~ because the mitigation measures described in PART 3 have been required, therefore a CONDITIOflED ne~ dedmalion Wi~ be prepared. * The project may result in one or rn~re large and impataot impacts that may have a s~Jnificant impact an ~ envkaon'mm, therefore a pesi~ dedarahen w~ be prepared. *A Conditioned Negetive Declaratkm is only valid for Unlisted Actions Name of ActJon Name of Lead Agency Print or Type Name of Responsible Off~:er in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) I~IRT 1-PROJECT INFORMATION, Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will he considered as part of the application for approval and may be subject to fu[ther verification and public review. Provide any additional infomlafion 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 correnfly available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. Name of Action Location of Action (include Street Address, Municipality and County) State ,/t/Y Zip Code Name of Owner (if different) Address c~y/PO Business Telephone State Zip Code Description of Action: ( Pnn~ D nf 91 Pie?se Complete Each Ouesti~lndicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall pro~ect, both developed and undeveloped areas, []Eorest []Agr ul.e [] I~Jral (non-form) Total aereage of project area: .~. ~o~ acres. APPROXIMATE ACREAGE Meadow or Brushtand (Non-agricultural) Forested Agricuttoral 0ncludes urchafds, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24,25 of ECL) Water S~face Area Unvegetat~l (Rock, earth er fill) Roads, bulldogs and o~her paved surfaces Other (IndUe type) PRESENTLY AFTER COMPLETION acres acres acres acres acres ~ o V acres What is predominant soil type(s) on project site? a. Stat drainage: [~Well drained /c:~? % of site I~ Poorly drained __% of site C Moderately well draired __ % of site. 4. Are there bedrock outcroppings on project site? r~ Yes a. What is depth to bedrock ~ + (in feet) 5. Approximate percentage of proposed project site with slopes: F~0-10%1¢~0. . % r~lo- 15%__% r~ 15%o~ greater % Is pro~ect s~este~i~ontiguous to, or contein a building, 6. ~ site, ur district, listed on the State or National Registers of Historic Yes No If any agricultural land is involved, how many acres of soil are classiDed within soil group 1 through 4 of the NYS Land Classir~atlon System? acres (see I NYCRR 370). Is project substaltiatly conti~ to a site listed off the Register of Natleflal Natural Landmarks? NYes ~No r-"l No 8. What is the depth of the water table? ~ (in feet) 9. Is site located over a prima~J, principal, er sole source aquifer?. [~Yes 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Pnn~s ~ nf D1 :D°es p~oject sim contain a~y ~ or ammal #re that is ide~tJt-~d as threa~ or endangered?. According to: r'lYes J~No 12. Are there any tmique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? r~Yes r~,No Describe: 1 3. Is the project site presentty used by the communi~ or neighborhood as an open space or recreation area? explain: 1 4. Does the present site include sC~-liC v~mNs known to be important to the community?. NYes 1 5. Streams within or contiguous to project area: 16. a. Name of Stream ar~J name of River to which it is tributary I Lakes. ponds, wetland areas within or contiguous to project area: Size (in ac~): a. If YES, does s~ff~cient capacity exist to allow connection? ~,¥es [] No b. If YES, will improvements be necessary to allow connection? ~Yes [="]No 18. Is the site located i~ an agricu~toral disthct cecti¢~l pursuant to Ag[icultore and Markets Law. Aa~ide 25-AA. Section 303 and 304? E~Yes .~.No 19. Is Ihe site located in or s~bstan~ally ~ to a Crit~eal Env~*onmentel Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 r~Yes [~No- 20. Has the site ever been used for the disposal of sc~id or hazardous wastes? 1. Physical dimensions and scale of project (fiii in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: -~o ~ ~, b. Project acreage to be developed: -~. ~) ~ acres initial/y; c. Project acreage to remain Lmdeveleped: ~ acres. Length of project, in miles:/~//~ (if appropriate) d. e. If the project is an expansion, indicate percent of expansion proposed. ~_///~ % f. Number of off-sueet parking spaces existing (~ ~ ; proposed ~ g. Maximum vehicular b'ips generated per hour: ~ h. If residential: Number and type of honsing units: One Family Two Family l.i al/y V' Ultimate/y Y i. Dimensions (in feet) of largest proposed structure: j, Linear feet of frontage along a public thoroughfare project will occupy is? 2, How much natural material (i.e. rock, earth, etc.) will be removed from the site? 3. Wi, distuC0ed a~eas be reclaimed [~lYes r']No NN/A a. if yes, for what intended purpose is the site being reclaimed?. ['--']Yes [~No acFES. acres ultimately. (upcm completion of project)? Multiple Family Condominium height; ~,/o width; "~O length. tons/cubic yards. b. Will topsoil be stockpiled for reclamation? [~;~Yes [] No c. Will upper subsoil be stockpiled for reclamation? r~ Yes [] No How ma~y acres of vegetation (trees, s~rubs, gro~d covers) will be removed from site? ;~. ~r acres. Paoe .5 of 21 5. ,Will any mature forest (over 100 ~e~id) or other locally-important vegetation be Oved by this project? 6. If single phase pro,%t: Anticipated period of construction: ~ months, (including demolition) 7. if mu~U-phased: a. Total number of phases anticipated __ (number) b. Anticipated date of commencement phase 1: __ month __ year, (including demolition) 10. Number of jobs eliminated_ by this proj~ect O 1 1. Wil! pr~ect require relocation of any projects or f~i!itle_s? ~ Yes c. Approximate completion date of final phase: __ month __ year. d. Is phase I functionally dependent on subsequent phases? r-"l Yes r-1 No W~!! b!asting occur during construction.? r~ Yes ~ No Number of jobs generated: during construction / ~ : after pr~ect is complete r~No 1 2. Is surface liquid waste disposal im/oived?, r"l Yes [~.No a If yes, indicate typo of wa~e (sewage, in~L~T~al, etc) and arr~unt b. Name of water body into which effluent will be discharged 14. Will surface area of an existing water -~-y L.r~r..ease or decrease by proposa ? ~"lYes[~ No It yes, expia~n: 15. Is project or any portion of project Incated bi a 1OO year flood plain? .P~I. Yes r-]No 16. Will the project generate solid waste? [~Yes r='lNo a. If yes, what is the amonnt per month? ~)~ c/' tons b. If yes, will an existing solid waste facility be used?, r~ Yes [] No c. ffyes, grvename '~,~ ~f: ~.,~7-/~.~ z) L.~.v~.~; location d. Will any wastes not go into a sewago disposal system or into a san.tary .andfil'~ I~lYes r-] No P~n~ R nf ~)1 e it yes, ex~a~n: 1 7. Wilt the p~oject involve t/qe disposal of solid waste? r'lYes ~l. No a. If ~,s, wtmt is ~ anticipated rate of disposal? __ tons/mon~h. Will project use he~Dicides or pesticides? NYes r~No 19. Will project ra~:Jnoly produce odors (more than one hour per day)? N Yes I~1 No 20. Will project produce oporatlng noise exc~eding the local ambient noise levels? r'lYes ~7~No 2 I. Will pr~ect resuA in an increase in er~rgy use? ~] Yes ~ No it yes, ~nflicate [ype(s) 24, Does project involve Local, State or Federal funding? r'=] Yes r~ No Paoe 7 of 21 25..a~pr~;a~ Requ~ed: City, [own, viiiage I~Oard r'~ Yes r~_ No City, Town, Viiiage Planning Board ~ Yes r-'l No city, Town zoning Board [~1 Yes ~ No City, County Health Department ~ Yes [~No Other Reg~nai Agencies F]Yes ~;~ No State Agencies N Yes ~ No Federal Agencies NYes r~No k.. Zonm9 aaa Pmnn~ ~nmrn~t~ '~ Ooes ~3rooosed action invoive a oiannin~ or zonin~ decision? ~Yes ~ No F'~ Othe~ .~ ~na~ ~ ~r~ maximum po~en~ai 0~v~ioprnent or the s~ ~ oevelop~ as permi~teo o~ the p~e_~ zonm§? 4, What ~s the proposed zomn§ of the site? I the propused action consistent with the recommended uses in adopted iocat iand use ptans? ~Yes '-]No are the predominant land use(s) and zon~g classifications with, in a Y. mile radius of proposed action? ts the proposed action compatible with a~oin~n§/su~r~urtd~ng !and uses w~th a ¥4 mile? ~.Yes If th~ ~nn~rl a~t~n i~ th~ ~hrliviqinr, ~f !~d h~w mnt~v !ot~ ~re nrnrk-3~d9 ~ ~<~ ~ ~' F--1No P~n~ cl ~f 91 i i. VVm [r~e pro~o~] aC~dO~ crea[e a ~eman~ To~ an~/£ommLinl[y prov~ s~rvlce~ ~recrea[~on, e~udar~on, poise, ~re promc[ion~ r'~ v~,~ r""~ N,~. Will the proposed actK)n result in the §e .nerat[on of b~a~c significantly above present levels? a if yes, is ~ exist~g romic! ..network adequate to handie the additional [raffle. J~JYes I [~ yes J~q[ No assC~ated with your proposal, please discuss such impacts and the measures which you propose to miti~a[e og avoid [hem. £. VerJficatJorl certt,~/that the ~ntormat~on provKle~l~o the best ot my Imowle~lge. if the action i~ in [he Coastal Area, arid you are a 5tare a[lency, comp,~te the Coastal Assessmen~ Fo~m before p~oceegiiflg wi~h this 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 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 O~'ICE LOCATION: Town Hall Annex 54375 State Route 25 (car. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 F~x: 631 765-3136 To: Elizabeth Neville, Town Clerk From: Planning Department Date: September 28, 2006 Re: Checks Enclosed herewith are the checks listed below. Please return a receipt to us. Thank you. Project Nome & Type Tax Mop # Amount Dote of Check Mark Baxter Stand. Sub. 78-7-5.3 $7,OOO. P & P 3/6/06 Shinn Vineyard 5P 100-4-3.1 $1,500 app fee 8/10/06 North Fork Foster Sites 96-1-1.5 $2,500. sketch 8/17/06 Std. Sub. Sandy Ground LLChange 63-4-5.1 $500 app fee 8/29/06 FI Community Center SP 12-I-5.1 $1,OOO app fee 5/1/06 (~-Subdiv. 89-3-1.! $3,250 app fee 9/13/06 Cutchogue/New Suffolk lO9-6-2.2 $1,000 app fee 9/14/06 Free Library SP Orlowski Hardware SP 140-3-3.4 $500 app fee 8/25/06 Wexler, Allan & Ellen Sub. 79-8-18.! $!,750 app. 9/20/06 Oregon/Morrell Subdiv 83-2-!!.§ $17,500 P&P 9/28/06 JOB No 03-48B TAX I.D. hie. 1000789-03-1.1 TOTAL SUBJECT PARCEL 134,376 SO FT ~ [~0~1 AREA OF HAMLET BUSINESS 64,440 SQ FT 40% OF HAMLET BUSINESS AREA = 25,776 SQ FT AREA OF PROPQSED BUILDING 7,800 SQ FT PRELIMINARy SITE PLAN [ 6 SINGLE FAM Ly UNITS - 2 STORy ] CERTIFIED ONLy TO: JOE DISALVO BY DESTIN G GRAF N.Y.S. LIC No. 5o067 SURVEy OF: RESERVED AREA SUBDIVISION MAp OF CEDAR BEACH pARK BAyVIEW, TOWN OF SOUTHOLD DATE: JUN, E/2006 SCALE: 1"=50' DESTIN G. GRAF ,LAND SURVEYOR p p aox 704 ROCKy POINT, N.y. 11778 ( 631 ) 821-3442 JOB No. 03-.48C3 TAX I.D. No. 1000-89-03-1 / / SUBJECT PARCEL 144,712 SO FT LOT 1 21,480 SQ FT LOT 2 21,480 SQ FT LOT 3 2t,480 SQ FT LOT 4 80,272 SQ FT ELEVATIONS IN USCGS DATUM RRM NUMBER 36103C0167 G BASE FLOOD ELEVATION ZONE AE 8' SEP l1 2006 KEYMAP SKETCH PLAN STANDARD SUBDIVISION CERTIFIED ONLY TO: JOSEPH DISALVO BY DESTIN G, GRAF N.Y.S. LIC No. 50067 SURVEY OF: RESERVED AREA SUBDIVISION MAP OF CEDAR BEACH PARK BAYVIEW, TOWN OF SOUTHOLD DATE: SEPT 2006 SCALE: 1"=50' DESTIN G. GRAF LAND SURVEYOR P.O. BOX 704 ROCKY POINT, N,Y, 11778 (631) 821-3442 JOB No 03-48B TAX I D, No. 1000-89-03-1 1 7¸6' WATER IN BROWN COURSE SW TO FINE BAND 17' OL SILTY LOAM SAND AND LOAM 0 5' SAND AND LOAM SC BROWN CLAYEY SAND 4 ........ SUBDIVISION MAP ....... ,.. BAYVIEW, TOWN OF SOUTHOLD sw COURSESAN~ DATE: 05/04 SCALE: 1"=50' SP WATER IN PALE BROWN FINE TO ELEVATIONS IN USCGS E:)ATUM MEDiUm4 SAND CERTIFIED ONLY TO: 17' 17' FIRM NUMBER 36103C01167 G DESTIN G. GRAF BASE FLOOD ELEVATIO~,~ ZONE AE 8' REDDY INDUSTRIES, INC LAND SURVEYOR P 0 BOX 7O4 ROCKY POINT, NY. 11778 BY DESTIN G. GRAF N.y S. LIC No. 50067 (631) 821-3442 JOB No 03-48C NEW BOUNDARY LOT4-BUBJECTSQ FT TAX I.D. NO 1000-89-03-1.1 100 LOT 1 21,480 SQFT LOT 2 21,480 SQFT LOT 3 21,480 SQFT LOT4 80,272 SQFT ELEVATIONS iN USCGS DATUM FiRM NUMBER 36103C0167 G BASE FLOOD ELEVATION ZONE AE 8' TEST HOLES 4/17~4 McDONALD GEOSCiENCE TEST HOLE ~ 1 SURFACE ELEV 116` 0 E SAND AND LOAM ML BROWN SANDY SILT SW SAND 8.6' WATER IN FINE TO SW COURSE SAND 17' TEST HOLE # 2 SURFACE ELEV 12,5' SAND AND LOAM T ~ BROWN SILT SC BROWN CLAYEY SAND SW BROWN FINE TO COARSE SAND 9,E' WATER IN BROWN FINE TO SW COURSE SAND SP WATER IN PALE BROWN FINE TO MEDIUM SAND TEST HOLE # 3 SURFACE ELEV 105' OL SILTY LOAM SW COURSE TO FINE SAND 76' WATER I SW TO FiNE 17' PROPOSED LAND [ YIELD MAP ] JUL 1 8 2005 CERTIFIED ONLY TO: REDDY INDUSTRIES, INC BY DESTIN G. GRAF N.Y.S. LIC No. 50067 SURVEY OF: RESERVED AREA SUBDIVISION MAP OF CEDAR BEACH PARK BAYVIEW, TOWN OF SOUTHOLD DATE: 10/04 SCALE: 1"=50' DESTIN G. GRAF LAND SURVEYOR P.O, BOX 704 ROCKY POINT, N.Y. 11778 ( 631 ) 821-3442 JOB No. 03-48T POLLUTION CONTROL TAX I.D. No. 1000-89-03-1.1 CERTIFIED ONLY TO: 4]SED~NTS~LSE~PEDmmE$1TE~NOT ~O REtoRTING ~E OF mLC~S TOmE PROPER :....,~,.~='~ REDDY iNDUSTRIES, lNG BY DESTIN G. GRAF N.Y.S. LIC No. 50067 KEYMAP TOTAL AREA SUBJECT PROPERTY 144,712 SQ FT ELEVATIONS IN USCGS DATUM CONCEPTUAL SKETCH PLAN WITH TREE LOCATIONS SURVEY OF: RESERVED AREA SUBDIVISION MAP OF CEDAR BEACH PARK BAYVIEW, TOWN OF SOUTHOLD DATE 05/2005 SCALE, 1 "=50' DESTIN G. GRAF LAND SURVEYOR P O. BOX 704 ROCKY POINT, N.Y. 11778 ( 631 ) 821-3442 ,%.%u~ 1{}0 50 G RAPltIC SCALE 4OO PHBTOGRAPHY { IN FI~ET } _JOE PlIi[i IT ,lie ',/~, /NSAP MAP Ill V, y ''1:: RESERVED AREA SUDDIVISIBH HAP BF CEDAR BEACll PARK '3AYVIEW, I"E]WN OF SBUTHBLD SUFF[IL]< CBUNTY, NEW YBRK ,lil, ~ , ,~ t~l v , 5/a005 , ,3rE: 1'-i00' LASER FICHE FORM SUBDIVISIONS Project Type: Standard Status: Withdrawn SCTM # · 1000 - 89.-3-1.1 Project Name: DiSalvo, Joseph Location: Cedar Beach Road, Clearview Road and Orchard Lane Hamlet: Southold Applicant Name: Joseph DiSalvo, Olvasid Realty LLC Owner Name: Ovlasid Realty LLC Zone 1: HB Approval Date: A~¢~ ,~/~r~'~,/ PLAT Signed Date: /~,/~-~' ~/~3/~75e-~ OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information Zone 2: C and R's · Homeowners Association · R and M A,qreement: Address: County Filin,q Date: Zone 3: SCAN Date: SCANNED