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HomeMy WebLinkAbout1000-81.-2-4RESOLUTION 2011-635 ADOPTED DOC ID: 7108 THIS IS TO CERTIFY THAT TIlE FOLLOWING RESOLUTION NO. 2011-635 WAS ADOPTED AT TIlE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 13, 2011: Resolved, that subdivision application fees paid to the Town totaling $1,750 be refunded to the applicant, Eric David Heacock and Caren A. Heacock. The application has been withdrawn by the applicant. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William Ruland, Councilman SECONDER: Vincent Orlando, Councilman AYES: Ruland, Orlando, Talbot, Krupski Jr., Evans, Russell Town of Southold, New York V~ndor Name Eric David and Caren A. Heacock Vendor T~lc'phono Number Invoice Invoice Invoice Number Total $1,750. Vendor No. - Pament Vouc,h,er Vendor Add~s 1425 Paradise Point Rd. Mouthold, NY 11971-5120 Net $1,750. Pu~chesc Number n/a return of subdiv, fee d'eferred acc't. Payee Certification Sig~mture Title Company Name Date Department Certification REQUEST FOR INFORMATION OR ASSISTANCE Name: Telephone: ~-(0~---I& b Mailing Address: ~, ~:::)--~)o,.~.~,_~,~ ~ ~L AUG 15 2011 SCTM# of site you are inquiring about: Query: (Please be specific about the information you need. Provide supporting documentation - surveys, maps, sketches - where possible.) Planning Staff will attempt to respond as quickly as the workload permits. But, depending on the questions, and the research involved to answer them, please understand that it may be several days before we can get beck to you. For Office Use Only- Routed to: ~ 1425 Paradise Point Road Southold, NY 11971 631-765-1207 Map # 81-2-4 May9,2011 Southold Town Planning Board: Enclosed, please find 5 copies of Survey, Sketch Plan, Property Deed, Title, for our request for a standard subdivision for above location. Eric's family has been local residents since 1964, and Caren and Eric have been residents in Southold since 1981. It is our dream to be able to continue to live here, operating our successful business: Southold Professional Cleaning Service; for Caren to continue working at the Mattituck Presbyterian Church, and for us to retire in this place that we love. In light of this, we are requesting a standard subdivision of our property, so that we might live in the smaller house, and sell the original house. We look forward to hiring local contractors for this project. It was actually our neighbors: Jim and Barbara Miller, who suggested that we convert the garage into a home. Our neighbors: Mark Miller, Tom Hart, Jon Rand, and Jerry and Fred Callis, as well as John Romanelli, are all in support of this project. The house we propose to build will look almost like the existing garage does now with 1 story, 1 bath, 1 bedroom, with the added garage. There will be no basement, no fireplace, no central air. We are looking to heat the house with either solar or propane. There will be no additional driveway cut, as we will use the existing driveway as a right-of-way. As we are representing ourselves, we ask that you excuse anything we have filled out incorrectly, and we will be more than glad to make any corrections, or provide any additional information. We thank you for your time and consideration of our request, and look forward to working with the Board. Respectfully submitted, Eric and Caren Heacock MAY - 9 2011 SOUTHOLD PLANNING DEPARTMENT Subdivision Application Form - Sketch Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCIt APPROVAL for the subdivision described herein. 1. Name of Subdivision 2. Suffolk County Tax Map # 3. Type of Subdivision 4. Hamlet 5. Street Address/ Project Location 6. Acreage of Site 7. Proposed Yield 8. Number of Lots Proposed Standard,~ Conservation [ ] 9. Zoning District 10. Date of Submission 11. people: Applicant: Please provide the names, addresses and phone numbers for the following Sketch Plan.4pplication Form Agent: Property Owner(s): Surveyor: Engineer: ~ ttorney: 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and whether or not approval was granted by the Planning Board. 13. Has a pre-submission conference been held with the Planning Board? If so, provide date. ~. ~r-~'~ ~9~ I "~},~ 14. Does the parcel(s) meet the Lot Reeogni, t, ion standard in Town Code §280-9 Lot Recognition? Yes . No ~. If"yes', explain how. 15. Has the owner/applicant met with Land Preservation? If so, provide date. ~ C~ 16. Is any part of the property in agricultural use? If so, how many acres? ,~ 17. Is there an existing or proposed sale of development rights on the property? 18. Does the o.w~er own any adjacent properties? If so, please indicate the properties by SCTM#. ~ 19. Are there any building permits currently pending on this property? If yes, please provide permit number(s). 20. The site will be serviced by the following special districts or utility companies: Fire District Post Office School District Water 21. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please provide proof that service will be provided. /xO cD 22. Please indicate the type of open space proposed and how it will be managed? 23. Are there any existing structures on the property? lfso, please indicate the type of structure and its use(s). Will these structures remain, be removed or altered? 24. Based on the parcel yield and the affordable"~ousing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 20% of the yield, please indicate how you intend on satis~ing the req.uirement (see Town Code {}240-10 B (2)(c) for options). 25. Application completed by o~wner [ ] agent [ ] other Signature of Preparer (/~.~--~.-o-~ ~ate Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics vrohibits conflicts of interest on the part of town officers and emolovees. The ouroose of this form is to orovide information which can alert the town of pessible conflicts of interest and allow it to take whatever action is necessary to avoid same. last name, first name, middle initial unless g~u are applying in the name oJ'someone else or other entity, such as a company, ff so, indicate the other person 's or company's name. Natnre 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, spmtse, sibling, parent or child) have a relationship with any officer or employee of the Town of Sonthold? "Relationship includes by bio,d, marriage or hasi~ss interest. ~'Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a coq~omtion in which the tow~a officer or employee owns more than 5% of the shares. Yes No ~, If you answered "Yes" complete thc 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 (wben 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 aclual applicant Description of Relationship: Disclosure Form Submitted this Signature Print Name Southold Planning Department Sample Authorization Letters for Subdivision Applications: i, John Smith, owner of the property identified as SCTM# 1000-100-10-10 in Mattituck, NY, hereby authorize Southold Consultants Inc. to act as my agent and handle all necessary work involved in the subdivision process with the Southold Planning Board. Signature: Sworn before me this 30t~ day of August 2004, [ Notary Stamp] 2. We, John and Jane Smith, owner of the property identified as SCTM# 1000-100- 10-10 in Mattituck, NY, hereby authorize Southold Consultants Inc. to apply for a subdivision on our property and hire any agents necessary to complete the work involved in the subdivision process with the Southold Planning Board. Signature: Sworn before me this 30th day of August 2004, [NotaryStamp] 3. I, John Smith, President of Southold Consultants Inc., hereby authorize Jim Joneso Esq. to act as my agent on the property of SCTM#1000-100-10-10 in Mattimck, NY and handle all necessary work involved in the subdivision process with the Southold Planning Board. Signature: Sworn before me this 30th day of August 2004, [NotaryStamp] Sample authorization letters for subdivisions ~n.~-8f'--~_,~L TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET/Z/~_~ VILLAGE DIST. SUB. ,E")? . . ACR. ~O'?'J-~h ~::~oo,,:::{,~'~ ~C~h~J~u' S ,.q, ~ ~ ~ W . TYPE OF BUILDING ~'ES~'!L~)/~ SEAS. VL FARM COMM. CB. MISC. Mkt. Value ~ __ __ LAND IMP. TOTAL DATE REMARKS I FARM Acre Value Per ~alue / ' Tillable 1 ~J3Ol~'~ff ~0~ - . Tillable 3 Woodlond Swampland .FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ~ ',3 J, /' '~ Hou~ P~t DEPTH ~ BULKH~D ~ Totol D~K ' ;Extension J Porch Porch Garage Patio O.B. Total COLOR TRI,M undation ~ c.~ Bath Basement V u t{ Wails Interior Finish r~ ~ !~-~- LR. Place ~"; ,/ DR. Type Roof ~' R~ms ist Floor ~ ~ BR. reation 2nd Flor FIN. B. Dormer Driveway FOP. M NO. 4 No S-24149 Date FEBRUARY 2~ 1996 THIS CERTIFIES that the building Location of Property 1425 FA~ADISR POINT ROAD HOUSe NO. Street County Tax Map NO. ~000 Section S! Block 2 Subdivision Filed Map NO. SOUT~OLD ~ N. Y. Hamlet Lot 4 Lot No, conforms substantially to the Requirements for a One Family Dwelling built Prior to~ APRIL 9~ 1957 pursuant to which CERTIFICATE OF (own.r) R/A SUBDIVISION NAI~ OF Ol~/~gR (s) MAP NO. LOT(s) JOSEPH BOODIN OCCUPANCY SIN~LK FAMILY (type) (owner-tenant) ADHITi'BD BT: JOAI~ [IA~ILTON ACC(~IPANIBD BT: ~ DWELLING: TYPE OF CONSTRUCTION FOUNDATION BRICK TOTAL ROOMS: IST FLR, BATBROO~t Is) O~ PORCH TYPK BREEZEWAY ACCESSORY STRUCTURES: 2-1/2 CAR ~OOD NTOR~CE, TYPE CONST. , CUEST, T~PE CONST. LOCATION DESCRIPTION ART. SEC. REHAE£S: BP ~fSII8Z-CO z-4210 (Addition) BP #6887-Z-COZ-5485 (Addition) INSPECTED BY DATE OF INSPECTION F~B. l, 1996 TlR START 9:45 AN KND I0:15 Aid VVEST ELEVATION - 5CMEME A O?I~O?O,~ED FLOOi~ FLAN SCHEME A \ / ~ ~T~'O '"~-~ Owner's Policy of Titlelnsurance Fidelity National Title Insurance Company of New York POLICY A Stock Company NUMBER FNT9817361 OWNER'S POLICY OF TITLE INSURANCE SUBJECT TO THE EXCLUSIONS FROM COVERAGE, THE EXCEPTIONS FROM COVERAGE CONTAINED IN SCHEDULE B AND THE CONDITIONS AND STIPULATIONS, FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, a New York corporation, herein called the Company, insures, as of Date of Policy shown in Schedule A, against loss or damage, not exceeding the Amount of Insurance stated in Schedule a, sustained or incurred by the insured by reason of' 1. Title to the estate or interest described in Schedule A being vested other than as stated herein; 2. Any defect in or lien or encumbrance on the title; 3. Unmarketability of the title; 4. Lack of a right of access to and from the land. The Company will also pay the costs, attomeys' fe~es and expenses i.ncurred in defense of the title, as insured, §ut only to the extent provided in the Conditions and Stipulations. IN WITNESS WHEREOF, FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, has caused this policy to be signed and sealed by its duly authorized officers as of Date of Policy shown in Schedule A. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK Authoriz~ Signature FORM 26-031-92-X(4/1~3) ALTA OWNER'S POLICY - 1992 (Reviled 10-17-92) rr~r~nd~ ~ m~ in thc custody or conh~ol of a third parly~ '4. DEFI~SE AND PROSECUTION OF A~; DUTY OF I~U~,S~ c°"'~r77-- ~-:---thel~dmnaoe. All informafion des gnated~sconIlacntlai (a) Upon wrlRcn requ.~t uy u,~ ~;~[~i~ns, th~ Company, at its own cost and O National Title Insurance Fidelity Company Schedule A - Owner's Policy Amount of Insurance: $207,000.00 Policy No.: FNT9817361F Date of Policy: October 13, 1998 1. Name of Insured: ERIC HEACOCK AND CAREN HEACOCK, HIS WWE · ' '~'' i Ii 2. The estate or interest tn the land whichls covered:by th s po cy is: Fee Simple 3. Title to the estate or interest in the.ia~d is ~esteO in~: ' ERIC HEACOCK AND CAREN HEACOCK, HIS WIFE by means of a Deed dated October 13, 1998 from BRENDAN P. DOHERTY, AS ADMINISTRATOR recorded October 23, 1998 in the Suffolk County Clerk's Office, The land referred to in'this policy is described as follows; 1425 Pardise Point Road Southold, New York (516) 727-0600 FIDELITY NATIONAL TITLE INSURANCE COMPANY 13th day of October 19 98 Brendan P. Doherty as Administrator(Jrix) of the Estate of Ellen D. Dohe~ late of New York CounW, CiW and State of New York 3rd day of June who died intestate on the Eridand Caren Heacock, 1997 party of the first part, party of the second pmrt; ~l~llelllleI[~, That whereas ~ letters o/administration were issued to the party of the first part by the Surrogate's C~,~ 0'4#nty o/ New York New York on October 2 1998 and by vJet~t~of .t, he power and authority given in and by Article 11 of the Estates, Powers and Trusts Law, ~ ~ ~endm~t thereof from time to time made, and in paid by the party of the second p~t~e r~li~reo/ is hereby acknowledged, does hereby grant and release unto the party of the second mt, and assigns forever, all ALL that Certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New york. bounded and described as follows: BEGINNING at a point marked by a monument on the westerly line of Paradise point Road at thc northeasterly comer of the premises herein described and' the southeasterly comer of other land of Jerry H. Callis, which point is distant southerly 672,05 feet as measured along the westerly line of Paradise Point Road from its intersection with the southerly line of North Bayview Road; RUNNING THENCE along the westerly line of Paradise Point Road, the following four (4) courses and distances; 1) South 10 degrees 49 minutes 20 seconds West, a distance of 40.30 feet; 2) South 09 degrees 42 minutes 20 seconds East, 99.50 feet; 3) South 09 degrees 56 minutes 20 seconds East, 345.00 feet; 4) South 23 degrees 13 minutes 40 seconds West, 50.00 feet to land of Robert L. Stott; RUNNING THENCE along said land of Stott, North 66 degrees 46 minutes 20 seconds West, a distance of 609.55 feet to land now or formerly of Jenkins Estate; RUNNING THENCE along said last mentioned land and partly along land now o' formerly of H.B. Case, North 18 degrees 51 minutes 40 seconds East, 377.69 feet; RUNNING THENCE along land of Jerry J. Callis, South 79 degrees 10 mint' seconds East, a distance of 396.05 feet to the point or place of BEGINNING. ,~ ....?..~ ...~- ,' .& /,: ~,~-,- '":o <~,~c- ::>./~/>cp~ ,<~,.)c<*c~d- 2',v (~c~-~/ ~.l<_z,~4/ ' with all rig~tle and i~ervst, if any, of the party ~ first part in and to any streets a~ roads abutting the above d~scrlbvd ~omis~ to the cent~ lines thereof; ~ ~th the appurtv~nces, and also all the vstato Wh~h tho said Decedent had at the ti~ o/death, in said Wvm~es~ and also the estate therein, which the party o/the first part has or has power to convey or dispose o/~ whether i~ividually~ or by virtue o/said Estate or statute or other;se. the praises · ~mn granted unto the party o/the second part, a~ assigns/or~er. 8ub/ect to the trust fu~ Wove;ohs q soctlon thffteon o/the L~n Law. A~ the party o/the first part covvnants that the party q the first part ~$ not done or suffered anything wh~eby the said Wv~as have been ~c~b~ad in any way whatev~. Whenever the text hereof requires, the singular number as used herein shall include the plural and all genders. ~11 ~[Itl~ltlt ~rllof, the party o/the first part has duly executed this deed the day and year first above written. Iresente of: "~Brendan P. Doherty ~.~_~ L.8. as administrator of the estate of ~) Ellen D. Doherty State of New York, County of Suffolk ss. On this 13th day of October 1998 be/ore me, personally appeared .the Administrator(¢~,4~-) of the Estate of Ellen D. Ooherty to me personally known and known to me to be the same person described in and who executed the within Instrument, and he acknowledged to me that he executed the same as such Administrator(trix) as afo. resaid, for the purposes therein mentioned, and in accordance with the provisions of statute therein mentioned and other provisions of law in such case made and provided. I~1 LAURA GENT/LE otary Public, State of New ¥orl: No. 24-4976025 C)uelified n Kings County Commiss on Expires January 7, 199_~. .- .-. i2454 '11924P~664 ~'~8~vEo "[~? $_72Z __. Numar of pascs ~ ; R~L ES~'~E 0c~Z3 12 oo TO~EENS OCT 2 ~ Ct EgE OF SU, ~ 0,~,~ OOUNTY Cedfi~te ~ SUFFOLK COU~ 1 ~o,C~.. ~d / Mo~gage Ins~ent ~ / Mo~age T~ S~p R~or~ng / Filing Page / Filing F~ ~ · ~ Mo~gagc AmL H~dling~ ' 1. B~ic Tax ~-5~ ~ · ~ 2. Addition~ T~ Nomfion Sub To~l EA-5217 (County) ~~ .~ SubTo~l · __ S~./Add. ..P.~.~.~. ~5. ~ ~o~. ~. Du~ Town Dual C~nty Comm. of Ed. 5 . ~ I , Held for Ap~ffion~ent ~ Affi~vit . * T~fer T~ ~ ~. Ce~ Copy . ~sion T~ ~ ~e pro~ cove~ by ~s mortgage is Reg. Copy ~. /[~ ~ will be improved by a one or two family Sub To~~[ D dwelling only. O~er ~ '. / ~S or NO -- If NO, ~ ap~opdam m clau~ on page GRAND TOTAL ~ of ~ ~s~ment. ~.:~:~ '~ ~, R~I Pro~ T~ ~i~ ASe~c~ Yeri¢~ation ~tle Company Informtion - ~*~.:::;..~st.~,~.,. . Section Bl~k m ~t ~d/~/ s >'/¢¢E~ ~?/.~ ¢¢.~ ¢¢¢.~ Com¢~y ~ Initials~ J :~ 7~/7~ / ¢~ ~fle Numar ~1 8 I~EPAIDBY' ~n/p/~ ¢~C l/ Payer sme ~ R & R~ /~ / ~ /~ ~ /) ~ ~ / l/ _ ~ (oriffliffemnt) I4 (ADDRESS) ' Suffolk County Recgrding & Endorsement Page ~is page fores pm of~e atmch~ ~ ~ made by: -~0~ ~ F ~' ' (SPEC~Y T~E OF IN~U~) ~/~-'~O~ ~e p~mises hem~ is simat~ ~ m me VmLAGE or H~ of BO~S 5 T~U 9 ~ST BE TYPED OR PROD ~ BLACK ~K O~Y P~OR TO ~CO~ING OR ~G. 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 BuddSng 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail~ listing both supporting aud non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. Bo sCrM# & '-/- PROJECT NAME A copy of the LWRP is available in the following places: online at the Town ofSouthold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has b~ubmitted to (check appropriate response): TownBoard~l"l Planning Board ~-] Building Dept. ['--] BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) (b) (c) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) Financial assistance (e.g. grant, loan, subsidy) Permit, approval, license, certification: Nature and extent of action: Location of action: Site ?+0-4 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: ~'~.~_ q-~oqx_. (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the actio~ undertaken, require funding, or approval by a state or federal agency? Yes [] No I ~1 If yes, which state or federal agency? C. Evaluate the project to tbe following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 lII- Policies; Page 2 for evaluation criteria. ~Yes ~ No [] Not Applicable Attach additional sheets if necessa~ Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section IH - Policies~ugh 6 for evaluation criteria ~ Yes [] No~~1 Not Applicable Attach additional sheets ff necessary Policy 3. Enhance visual quality and protect scenic resources thronghout the Town of Southold. See LWRP Section II1 - Policies Pages 6 through 7 for evaluation criteria Attach additional sheets ff 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,.,~lhrough 16 for evaluation criteria ~ Yes [] No [~Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section 11I - Policies Pages 16 th~valuation criteria [~ Yes [] No~1 '~lNot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section HI - Policies; Pages 22 through 32 for evalu~a. [] Yes [] No I ~[Notapplicable Attach additional sheets if necessa~ Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Attach additional sheets if necessapy Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section HI - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [~Not Applicable PUBLIC COAST POLICLES 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 IH - Policies; Pages 38 through 46 for evaluation criteria. [~ Yes [~ No [~Not Applicable Attach additional sh¢cts if necessary. WORKING COAST POLICIlgS Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section IH - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No ~NNot Applicable Attach additional shccts if ncccssary. Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [] No ~Not Applicable Attach additional shccts if naccssary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluatio~r~iteria. I lyes I I Nol [ Not Applicable Attach additional shects ff ncccssavy Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section 111 - Polic~5 through 68 for evaluation criteria. [~ Yes [] No~l~l Not Applicable PREPARED BY TITLE DATE Amended on &'//05 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant, The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE -- Type I and Unlisted Actions identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 [] Pa~3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ~ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. [] B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prePared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency MAY - 9 2011 Si~rat~o~ Officer in Leao~Agency Signature of Preparer (if different from responsible officer} Date PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information 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 ot Action (include IBtreet Address, Munimpality and County) Name or Appticant/~ponsor Uusmess I elephone ( ) ~tate Zip Code Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. Present land use: [3 Urban [] Industrial [] Commercial [] Forest [] Agriculture [] Other Total acreage of project area: ~5 acres. APPROXIMATE ACREAGE PRESENTLY Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) ~tial(suburban) [] Rural(non-farm) AFTER COMPLETION What is predominant s~ type(s) on project site? a. Soll drainage: [~rWell drained / ~)C~% of site [] Moderately well drained % of site [] Poorly drained % of site b. If any agricultural land is involved, how many acres of soll are classified within soil group I through 4 of the NYS Land Classification System? acres (See I NYCRR 370). Wetland(Freshwater or tidal as par Articles 24,25 of ECL) ~. ~ ~ k~'~ acres ..~ Water Surface Area acres acres Unvegetated (Rock, earth or fill) ~,~on_ .~(~t.4,,%t,~t~,__acres acres Roads, buildings and other paved surfaces '"-) acres acres Other (Indicate type), acres acres 4. Are there bedrock outcroppings on project site? [] Yes a. What is depth to bedrock? (in feet) S. Approximate percentage of proposed project site with slopes: [] 0-10% % [] 10-15% % [] 15% or greater % 6. Is project substantially contiguo, u~,ec'Contain a building, site, or district, listed on the State or the National Registers of Historic Places? [] Yes [~No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? [] Yes 8. What is the depth of the water table7 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? [] Yes ~ 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? [] Yes ~No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? [] Yes [~o According to. Identify each species 12. Are th~,~ny unique or unusual land forms on the project site?(i.e., cliffs, dunes, other geological formations) []i~Yes [] No Describe ~J'~--'~ ~ 13. Is the pr~een project site tJy used by the community or neighborhood as an open space or recreation area? [] Yes ~L~mO If yes, explain 14. Does the present~ude scenic views known to be important to the community? [] Yes 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 _~'~-C--- ~'A.~.~¥'¥,~'~ 17. Is the site served by existing public utilities? ~ [] No a) If Yes, does sufficient capacity exist to allow connection? (~es El No b) If Yes, will improvements be necessary to allow connection? ~es [] No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 3047 [] Yes 19. Is the site located in or substantially contiguous to a~ritical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 [] Yes Gi~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? [] Yes []lR~rb~'~'''' B. Project Description 1. Physical dimensions and scale of project {fi~l in dimensions as appropriate) ~ a. Total contiguous acreage owned or controlled by project sponsor ¢~ acres. b. Project acreage to be developedl~,~'~/acres initially; ~ · ~/Z~-/~acres ultimately. c. Project acreage to remain undeveloped __.acres. m%L3'~ ~-- O~ i 'ti-- d. Length of project, in miles:~//,'~ {if appropriate). e. If the project is an expansion, indicate percent of expansion proposed/{//~- %. f. Number of off-street parking spaces existing ~/~; proposed__ g. Maximum vehicular trips generated per hour/~//41- (upon completion of project). h. If residential, Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure ) ~ll'~(~eight; ~3~,~"~width; ~)-'~ length. 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? tons/cubic yards. 3. Will disturbed areas be reclaimed7 [] Yes E] No 6~'lq/A ~ o<~ ~ a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? [] Yes c. Will upper subsoil be stockpiled for reclamation? [] Yes 4. How many acres of vegetation (trees. shrubs, ground covers) will be removed from site? ~ acres. 5. Will any mature ~,~(over 100 years old) or other locally-important vegetation be removed by this project? [] Yes ~No 6. If single phase project: Anticipated period of construction }~) months, {including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 __month c. Approximate completion date of final phase month __year,{including demolition . __.year. d. Is phase I functionally dependent on subsequent phases? [] Yes [] No 8. Will blasting occur during construction? [] Yes 9. Number of jobs ~enerated: during construction7 .~ ; after project is complete? 10. Number of jobs eliminated by this project? . 11. Will project require relocation of any projects or facilities7 [] Yes I~1~o/ If yes, explain 12. Is surface liquid waste disposal involved? E] Yes a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharg~ 13. Is subsurface liquid waste disposal involved? [3 Yes [~1~o Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain 15. Is project, or any portion of project, located in a 100 year flood plain? [] Yes 16. Will the project generate solid waste? [] Yes a. If yes, what is the amount per month? tons. b. If yes, wi[l an existing solid waste facility be used? [] Yes [] No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? [] Yes e. If Yes, explain 17. Will the project involve the disposal of solid waste? [] Yes I~o a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? yea~ 18. Will project use herbicides or pesticides? [] Yes 19. Will project routinely produce odors (more than one hour per day)? E] Yes [] Yes ~ r~ No 20. Will project produce operating noise exceeding the local ambient noise levels? [] Yes ~o 21. Will project result in an increase in energy use? ~es [] No 22. If water supply is from wells, indicate pumping capacity /q,///~ gaUons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? [] Yes ~ If yes, explain 25. Approvals Required: City, Town, Village Board City, Town, Village Planning Board City, Town Zoning Board City, County Health Department Other Local Agencies Other Regional Agencies State Agencies Federal Agencies [] Yes D No ~ [] No ~ees (3 No ~Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Type Submittal Date C. ZONING and PLANNING INFORMATION 1. Does proposed action involve a planning or zoning decision? I~Yes [] No If Yes, indicate decision required: [] zoning amendment [] zoning variance [] special use permit n [] site plan [] new/revision of master plan [] resource management plan [] other 2. What is the zoning classification(s) of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? _-~ \ 0-~'" 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ~ [] No 7. What are the predominant land use(s) and zoning classifications within a 1/4 mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/4 mile? E~es [] No 9. If the proposed action is the subdivision of land, how many lots are proposed? ~ a. What is the minimum lot size proposed? ~ ' ~ ~e ~t ~ C~(-~3---'J---~ 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? [~es [] No 11. Will the proposed action create a demandingly community provided services (recreation, education, police, fire protection)? [] Yes [~1o a. If yes, is existing capacity sufficient to hand{e projected demand? [] Yes [] No 12. Will the proposed action result in the generation of traffic significantly above present levels? [] Yes o~ a. If yes, is the existing road network adequate to hand{e the additional traffic? [] Yes [] No D. Informational Details Attach any additional information as may be needed to clarify your project. )f there are, or may be, any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them, E. Verification I certify that the information provided above is true to the best of my knowledge, j App,cant,Spo~.or~ ~--~L~-~. A~ ~-~< O~te .~/~//it If the action is in the Coastal Area, and you are a state agency, complete th~ Coastal Assessment Form before proceeding with this assessment, PLANNING BOARD MEMBERS MARTIN H. SIDOR Chair WILLIAM J. CREMERS KENNETH L. EDWARDS JAMES H. RICH III DONALD J. WILCENSKI PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Accounting From: Planning Department Date: May 9, 2011 Re: Checks Please deposit the attached checks into deferred Account B691. Fee is for a Sketch Plan application not yet accepted by the Planning Board. Thank you. Project Nome & Type Tax Mop # Amount Check Dote & Number Heacock SubdJvision 81-2-4 $1,000.00 5/9/11 - #103 Heacock Subdivision 81-2-4 $750.00 5/9/11 - #104 LR Arts. 104 SKETCH PLAN. PROPOSF:ID SUDOIVISION 51TUA I i-~ PAI~NPl..'..'..'..'..'..5~ POINT TOINN~ 50UTHOLD SUFFOLK COUNT'K, NY F'~EPAR~D APRIL 2q, 2011 5UPPOLI~ OOUNT'¢ TAX ~ 81~ DATA: PROPOSED LOT 2 TOTAL LOT BZZE NOTES. · i"fONUHENT FOUNO (07'.2 NORTH BAYVIEW ROAD ~'°7' / / i! ~_/. ®~,,PHIC, 5GALE I"= 50' N S JOHN C. EHI.ERS LAND SURVEYOR 6 EAST MAIN STREET N.Y,S. LIC. NO. 50202 RIVEPJ1EAD, N.Y. 11901 369-8288 F~x 369-8287 ~L.ASER FICHE FORM SUBDIVISIONS Proiect Type: Standard Status: Withdrawn SCTM #: 1000 - 81.-2-4 Project Name: Heacock, Eric & Caren Location: 1425 Paradise Point Road, Southold Hamlet: Southold Applicant Name: Eric and Caren Heacock Owner Name: Heacock, Eric D. Zone 1: A-C Approval Date: PLAT Si.qned Date: /',///~ 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 Records Management