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HomeMy WebLinkAbout1000-78.-3-26 eA I.. SCDHS R•1. N SI0-II-0010 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SEPTIC SYSTEM PLOT I IAS BUILT) �^R HAUPPAUGE, N.Y. A S SEP 2 8 2012 ST 23' DATE 24' i N Iwecl KEY MAP THIS IS TO CERTIFY ttT THE.Pa0P0 1 LTY SUBDNlSIQN OR - SITE I� soo• DEVELOPMENT OR �i IN THE S �u� WITH A TOTAL OF,1_ S WAS APPROVED ON THE ABOVE GATE WATER SUPPLIES AND SEWAGE DISPOSAL .FACILITIES MUST CONFORM TO CONSTRUCTION STANDARDS IN EMECT NAWAnu° PArN AT THE TIME OF CONSTRUCTION AND ARE SUBJECT 0 SEPARA RATE $ PERMITS PURSUANT TO THOSE STANDARDS THS APPROVAL SHALL BE U VALID ONLY IF THE REALTY SUBDIVISIONIDEVELOPMENT MAP IS DULY FILED WITH THE COUNTY CLERK WITHIN ONE YEAR OF THIS DATE. -� CONSENT IS HEREBY GIVEN FOR FILING OF THIS MAP ON WHICH THIS ENDORSEMENT APPEARS N THE OFFICE OF THE COUNTY CLERK IN '^ ACCORDA COE WITH UNTY SANITARY CODE PUBLIC HEALTH LAW AND THE NIOIF KEVINk VALUAM HARDINGSUFFOi (pWELIJNG) ' WulUrDawytieL,h,P.E. WELL & SEPTIC 150* .:, 270.00' DIRECTOR, DIVISION OF ENVIRONMENTAL QUALITY O_Ino N. B4'21'00'E. a u.e o SNEJ n 4, O F s. ,3 / E� w o x l \\ AREA = 31,057 sq.ft. m - mv v ,w STY sAMrAR � ~O o o �I o L --���� TR. TBr m 0 I r � 1� LIPB D 2 n UI UTILITY ° -TER- E• DV4_MED WA _A (S �5��� ae D �,X SYS : .+' Z Q D to PIXE_ - -� .. o .. _ _ � W - - O T� AS 6ULT 'Z WAI "DETER pprySRAR N O 1� \QAI V > k \ —. ms q or O Lw D :'�i c m S F _ A. 270.00' 1 fL RDl _` - 1M1 1 270.00' \ / N Do TYPICAL PLOT PLAN 0 is - s. 114.21'00' W- • a u� I NOT TO WALE/ 3 a m N. 114'21'00' m � FINAL PLAT PRom '' LNW7 STANDARD SUBDIVISION 1- DAVID JRITYCFOR "HOUSE srr 1 1 AT UGH GEWATERS o 11 FR. NW- w A�� �se,840 04ft• ° � TOWN OF SOUTHOLDSUFFOLK COUNTY, N.Y. 100.4- 7l- 09-20 LEACHNB 1 i e �� ' Srafm I"a 30' I.. I 1i' POOL 1p ' I 1 0• 101 it_ ar M mk.. '^ SIie �/ � SEPT. 10, 2012 ROAD m - a mo / 171.1 4w N8530 00 W v+ Town of Southold _TWA,,,,-100.40' 584-2100 W Vol"Gu 1Covenants ARM(Iction11 ; APPROVED 6Y 1 L1BEBMa"- ePAGE TEST HOLE DATA PR MoaNDAU) "mma yHAL pF RA"SNF I m RA ' PLANNING BOARD 10/13/11 41A4 PATH 1 SO' WIDE TOWN OF SOLITHOLD -WATER MAN (APPROX. LOCATIONI ,HIAWATEA S yr I DATE BRAWN SILTY SAND w -- (PUBLIC wATEN IN 51REE� --/ BPOvm FINE SAND 5P (p WELLING) WELL k SEPTICE 7 0 15 1 THIS IS TO CERTIFY, BASED UPON AN EVALUATION `n AND VISUAL INSPECTION OF THE SEWAGE DISPOSAL BROWN SILTY SAND SM `5 SYSTEM(S) AND WATER SUPPLY SERVING THE EXISTING K'YO yx BUILDING %SCOL YAPPEAR T;5 -2SOUTHOLD NG EDF NEW -_-"-- °' v PROPER L ADEQUATE 1 HEREBY CERTIFY THAT THE WATER SUPPLYISI ANDIOR�SEWAGE , � co a Err 9� A.P of\SCH EXISTING BUILDINGS) DISPO L $YSTEM(SI FOR THIS PROJECT WERE DESIGNED BY ME OR C�7 r m PALE BROWN MNE SAND SIA r- UNDER Y DIRECTION BASED ON A CAREFUL AND THOROUGH STUDY [z' o `s w n OF TH OIL, SITE D GROUND WATER CONDITIONS, ALL LOTS AS FISCHETTI, PROPO CONF M O THE SUFFOLK COUNTY DEPARTMENT OF y m DISTRICT' HEALTH VICE CON STRUCTION STANDARDS IN EFFECT AS OF i1Fn'0 0525NTHIS DA OCT 1 9 2012 DISTRICT -- Ess10 " werEn 1°•�' FIRE DISTRICT, 28 SOUTHOLDI CLEARING LIMITS JO PH FISCHETTI, P. ���OF WATCH IN PAIS BROWN 7NE SAND SP PLOT 1 ^ 50% PLOT 2 60% '1 HEREBY CERTIFY THAT THIS SUBDIVISION PLAT WASACTUAM B 1N ME;=?G SURVEY$ COMPLETED 8118102 THAT ALL MONIJ SHOWNL LTHUS 11 ACTUALLY EXIST AND THEIR POSITIONS,ERTS a0 F,p ' ■-MONUMEN7 SHOWN AND ALL DIMENSIONS AND GEODETIC DETAILS AR R , PECON/C SURVEYORS, P.C. ANY AL"AnM! Os A=nM M nes SUR@ IS A BMA RMI /J p 5191rn. (6311 765 - 5020 FX (6311 765 - 1797 i r .gena+ nDRLr ME NEW ILNR /SrA W9 muco new LA < �- P.O. BOX 909 r� ' NrRFZ AS MR S£rCN WIS NAP T. Au rP cNi news JOHN T. MET G Rr N.Y.S. L.S. LIC. NO. 4961E /Vo 496�s 1230 TRAVELER STREET SAID IO-I9G HFPFT' ArFF VAUO !M Mli NAn ANO CMF p.F m Ov(Y P M` SAID MP DP D ICS SCAR ME IMPRESSED SEAL LW' ME SVRYE/pP AREA=57,397 SO. FT. �uNo WOg AQIA NRE APPEARS HENEMI, • MAILING ADDRESS: PLANNING BOARD MEMBERS OF soar P.O.Box 1179 DONALD J.WILCENSKI O�� y0l Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH III %�' �� (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR �Ii�COU,M'� Southold,NY f111 Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 23, 2012 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Final Plat Approval: Standard Subdivision of David Verity Located at 865 Nakomis Road, Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Southold Town Planning Board, at a meeting held on Monday, October 22, 2012, adopted the following resolutions: WHEREAS, this proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District; and WHEREAS, on June 2, 2011, the Zoning Board of Appeals granted variances for minimum lot size and side yard set backs; and WHEREAS, on July 6, 2012, the Town of Southold Local Waterfront Revitalization Program (LWRP) Coordinator reviewed this application and has recommended the proposed project be found consistent with the policies of the Southold Town LWRP; and WHEREAS, on July 9, 2012, the Southold Town Planning Board granted Preliminary Plat Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters, Town of Southold, Suffolk County, NY", dated September 23, 2011 and last revised April 9, 2012; and WHEREAS, on August 21, 2012, the agent submitted a Final Plat Application with the application fee; and WHEREAS, on September 7, 2012, a referral was sent to the Southold Fire District; and r David Verity Page Two October 23, 2012 WHEREAS, on September 12, 2012, the agent submitted two prints of the Final Plat and requested that the Board waive a second public hearing on the basis that there were no changes to the plat; and WHEREAS, on September 12, 2012, the Southold Fire District reviewed the application and found that there is adequate fire protection for the property; and WHEREAS, on October 1, 2012, the Planning Board, at their Work Session, reviewed referral responses from the Southold Fire District, the LWRP Coordinator, and the Office of the Town Engineer. The Board also agreed to waive the public hearing, pursuant to Section 240-57 of the Southold Town Code, and defer the Park and Playground Fee and the Administration Fee due to the financial constraints of the applicant; and WHEREAS, on October 4, 2012, the attorney sent a letter requesting a deferral of the Park and Playground Fee and the Administration Fee; and WHEREAS, on October 4, 2012, the applicant submitted revised draft Covenants and Restrictions; and WHEREAS, on October 9, 2012, the Southold Town Board, at their regular meeting, approved the deferral of the Park and Playground and Administrative Fees subject to the Planning Board's approval and the condition that the subdivision will be null and void if the fees are not paid immediately upon the sale of the subject premises; and WHEREAS, on October 9, 2012, the agent submitted 10 copies of the Health Department approved Final Plat; and WHEREAS, on October 11, 2012, the revised draft Covenants and Restrictions were sent to the Planning Board for review and approval; and WHEREAS, the Planning Board approved the revised draft Covenants and Restrictions; and WHEREAS, on October 11, 2012, the Southold Town Board, at their Work Session, agreed to waive the street tree requirement because both lots are improved and landscaped. The Board also agreed to waive the street light requirements to preserve the night sky in the area; be it therefore RESOLVED, that the Southold Town Planning Board hereby agrees to waive the street tree requirement pursuant to §161-44. Street Trees. and agrees to waive the street lighting requirements §161-46. Lighting, as described above; and be it further RESOLVED, that the Southold Town Planning Board approves the deferral of the Park and Playground Fee in the amount of$7,000.00 and the Administrative Fee in the amount of $2,000.00 subject to the condition that the subdivision will be null and void if the fees are not paid within seven (7) days of the sale of the subject premises; and be it further David Verity Page Three October 23, 2012 RESOLVED, that the Southold Town Planning Board has determined that this proposed action is consistent with the policies of the Town of Southold LWRP; and be it further RESOLVED, that the Southold Town Planning Board hereby grants Final Plat Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Final Plat Standard Subdivision for David Verity at Laughing Waters, Town of Southold, Suffolk County, NY', dated September 10, 2012, and authorizes the Chairman to endorse the map. Upon endorsement of the Final Plat by the Chairman, the mylars and paper prints must be picked up at this office and the Final Plat filed with the Suffolk County Clerk by the applicant within 62 days of the date of Final Plat Approval, or such approval shall expire. Final Plat Approval shall be determined in accordance with §276 of the New York State Town Law. Final Plat is void if revised after approval. No changes, erasures, modification(s), or revisions shall be made to any Final Plat after it has been approved by the Planning Board, and such approval has been endorsed in writing on the plat, unless the said plat is first re-submitted to the Planning Board and the Planning Board approves any modifications. In the event that any such Final Plat is filed without complying with this requirement, the same shall be considered null and void, and the Planning Board shall institute proceedings to have the Final Plat stricken from the records of the Suffolk County Clerk. Please be advised that there is a condition attached to this approval requiring that the fees that are deferred (referenced above) are paid within seven days of the sale of the subject premises, or the Final Plat Approval will be revoked by the Planning Board. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Very truly yours, 1 Donald J, ilcenski Chairman Encls. cc: Assessors with map Building Dept. with map Town Attorney I I CC 0: C12-409e9 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUN1y OFSUPFOLK I, JUDITH A PASCALE,Clerk Of the County Of Suffolk and the Court Of Record thereof do hereby Car0y MA I hove Oanparad the annexed with the otinaf DECLARATION recorded in my Office On 10119!2012 under Liber 000012709 mrd page 932 and, that the same k a true Oopy Owed.and of the whole of such original. In Testimony Whereof.I have hereunto am my hand ami aMxed are a"of said County and Court gds 10119112 SUMPOLK COMTE CLSRE, g� �aLa. A JUDITH A PASCALE SEAL IINII��NI N���I� Illli�p��� MEN i�n�u �nn SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instry—ent: DECLAVATION Recorded: 10/18/2012 Number of Pages: 6 At: 03:24:44 PM Receipt Number : 12-0120400 LIBER: D00012708 PAGE• 932 District: Section: Block: Lot: 1000 078.00 03.00 026.000 MMMIN&D AND CSARQXD AS FOLLOWS Received the Following Pees For Above Instrument Hxespt Hxempt Page/Filing $30.00 ND Handling $20.00 LPO COH $5.00 No NYS SRCHO $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $135.20 THIS PADS IS A PART OF THS INSTRDNSNT THIS IS NOT A HILL JUDITH A. PASCALS County Clerk, Suffolk County 1 2 Number of pips RECWM) 2012 Oct 10 03:24:44 FM JWIiM P. FASC4_E This document will be public CLERK OF 50FFCLF COUNTY record. Please remove all L DM12708 Social Security Numbers 4 z prior to recording. Deed J Mortgage Inatnunent Deed Mortgage Tax Stamp Recording/Filing' Stamps 3 FA65 Page/Filing Fee Mortgage Amt. _ 1. Belie Tax _ Aug- Handling 20. 00 2. Additional Tax _ TV-584 Sub Total _ Notation SpecJAssit. or EA-52 17(County) Sub Total Spee./Add. _ RA-5217(State) TOT.MTG.TAX -- RP.T.SA. Li Dunt Th"—Dual County_ Held for Appoinanent Comm.of Ed. 5. 00 Transfer Tax _ _ Affidavit Tax m _ _ _ Mansion —.._ The property covered by this mrgage is I Certified Copy .� �i or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total 13 , dc> If NO,see appmpristo test clave on T page t_of this ins tnunent. U 4 1 Dist. 1000 07800 0300 026000 5 Community Preservation Fund Real Property R Tu ServiceA Canaideratlon Amotmt$ Agcy T-OCT-1 CFF Tax Due $ Verification 6 Satisfactionsmiseh Improved — "COPDList Property Owners Mailing Address RECORD 11 REETUUM TO: Vaunt Land �4'rplC,A G�,. //� / TD �^:!y/v Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Colinvany information 310 Center Drive,Riverhead, NY 11901 JpCrrr,FS S�tcr�—,�c. wwwsuffolkooun"y.gov/ciark 15ue♦ 81 Suffolk County Recording & Endorsement Page Ibis page forms pan of the attached r l$,9P9T/e-J made by. 1 (SPECIFY TYPE OF INSTRUhlEbm y,EQI T j/ The premises herein is eimated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of C 1DJ?M04 in the VILLAGE or HAJ I=of BQ=6 THRU 8 MUST BE TYPED OR PRWI'RD IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. CJ DECLARATION OF COVE Burn AND RESTRICTION DECLARATION made than=day of October, 2012,by BARBARA J.VERITY, PMserhtiy residing at 13820 PIr"Detre,Fort Myers,FL 33908,hereinafter referred to as the DECLARANT. WITNESSETH: WHEREAS,the Deciarent Is the owner of certain real Property situate on Nakomis Road, Southold,New York Tom of Southold,County of Suffolk,State of New York,more particularly bounded and described In Schedule'A'annexed hereto orerainafter referred to as the Property);and WHEREAS,the Dedarard has made an application to the Plarnkp Board of Bre Town of Southold to subdivide said real property Into two(2)building lots as shown on the SubdiAslon Map entitled 'Final Plat Standard Subdivaion for David VeW(hereinafter"Subdivision Map), prepared by Peconb Surveyors,PC,leaf dated September 10, 2012;and WHEREAS,for and In conskloraton of the granting of said-subdivision application for tax map parcel number 1000-78328,shown on tiro,Subdivision Map,and as a Condition of granting said approval, the Town of Southold Planning Board has required that Cas Declaration be recorded in the Suffolk County Clerk's Ofgos;and WHEREAS,the DECLARANT has considered the foregoing and has determined that the sauna wtg be for the best interests of the DECLARANT and subsequent owners of saki Iota. NOW,THEREFORE,THIS DECLARATION WITNESSETH: That the DECLARANT for the purpose of carrying out the intentions above awessed, does hereby make known,adml,publish,covenant and agree that the srrld premises herein desalted shall hereafter be subject to the covenants and restrlotions as herein cited,which shag run with the land and shall be binding upon all purchasers and holders of said lots,their heirs,executors,leges representatives,distributees,erccessore and assigns,to wit 5. New driveways serving the lob on to Subdivision Map shall be constructed of pervious materials and shag remain pervious Into perpetuity. S. Each of the lots shown on the Subdivision Map Is subject to clearing restrictions as follms:lot t-50%.Lot 2-40%,pursuant to Southold Town Code$24449. The within Covenants and Restrictions shag run with Ow land and shag be binding upon the DECLARANT,is successors and mars,and upon all persons or entities claiming under tem,and may not be snnulled,waived.changed,modified,terminated,revoked,or emended by subsequent owners of Ow premises unless and until approved by a majority plus one vote of the Planning Board of the Tam of Southold or Its succeaaor,following a public hearing. If any section,subsection,paragraph clause,phrase or provision of hese covenants and restrictions shag,by a Court of competent jurisdiction,be adjudged illegal,unlawful,invalid or told to be unconstitutional,the same shy not affect the validity of these covenants as a whol%or any other part or provision hereof other than the part so adjudged to be ftal, unlawful,kwa1M,or unconsttutonal. The aforementioned covenants end restrictions are intended for the benefit of and shag be enforceable by the Town of Southold,State of New York,by injunctive relief or by any other remedy in equity or at law. If a Court of competent jurisdiction determines that a violation of these covenants and reatdctions has occurred,to Declarant shall pay,either directly or by went to the Town all reasonable atorrWs fees,court coats and other expenses Incurred by the Town In connection with any proceedings to enforce the provisions of the covenants and restrictions set forth herein The failure of the Town of Southold or any of its agendas to enforce same shag not be deemed to affect the validity of this covenant nor to Impose any liability whatsoever upon to Town of Southold or any officer or employee thereof. • 1. There shall be no further subdivislon,resulting in additional building lots, to any of the 2 rots,as shown on the aforesaid SubdWlaion Map in perpetuity. No lot lines shall be changed unless authorized by the Town Planning Board. 2. AN stonhmatsr nuwff resulting from the development of any a an of the lots on the Subdhision Map shall be retained on site and shelf be the responsibility of each lot owner. 3. New utilities,including but not limited to electric,gas,telephone and television,must be located underground. 4. The use of synthetic fertilizers,herbicides or pesticides on Lots 1 and 21s prohibited: 1. The use of native,drought-tolerant plants shall are required in landscaping said lots. H. Apply fenitzer products only,during the growing season(December tat though April 1st) iii. Only organic fergAzere where the water soluble nitrogen is no more then 20%of the total nidogen in the mixture may be uNzed on the lots. W. A maxknum of 1 pound of nitrogen per 1000 square feet in any one application,with a cumulative application of no more than 2 pounds per 1,000 square feet per year is permitted. V. The use of phosphorous oontaiMrg lawn fertilizer is prohibited unless establishing a new lam or sot test stows that the lawn does riot have srxxvh phosphorus. A. The use of now underground storage tanks are prohibited(except those with Will.overfill and corrosion protection requirements in pace). The within De ieratlon Is made subject to the Provisions of d laws required by-law or by their Provisions to be incorporated herein and made a part hereof,as though fully sat forth herein. That the within Covenants and Restrictions shag run with the land and shag be binding upon the DECLARANT and Its successors and assigns,and upon all persons or entitles daimbv under them,and may not be annulled,waved,changed,modified,terminated,revoked or amended by subsequent owners of the premises unless and urdg approved by a majority Plea one vote of the Plannkv Board of the Town of Southold or its successor,following a public hearing. IN WITNESS WHEREOF,the DECLARANT above named has duly executed this Declaration the day and year first above written. DECLARANT: BARBARA V VER STATE OF NEW YORK) )as.: COUNTY OF SUFFOLK) On this�of October,in the year 2012,before me personaty appeared BARBARA J.VERITY,I010"to me Or proved to ms on the basis of satisfactory evidence to be the indhddual whose name is subscribed to the within instrument and acknowledged to me that he executed the same In his capacity and that by his signature on the Instrument,the Individual,or the person upon behalf of which the Individual scladpexecuted the instrument. Notary P e BETBYA.PEFXM Nobly PhrW0.State of Newyork No.01PESISO 8 oAmed to Co Commission EpknJkiy 1%%0 l� Fidelity National Title Insurance Company !'o11ey NLS 77tMNo.:IY74o5-i15376SUFf SCf2SOULB A-1 Daeripaon AIL dWmtfmm pia,pimor pwd ofbA sheets,yitand beingin the ToxoofSOUOO ,CamaofSolRdlk,Store of 14M York a"Dashing Water,"pomaded and 4sswW a Abovis: BEGINNING at a mmomeot 10 dw sasmrly Amer oflRobisb Rad,%%*Isappadmmtey759.53 fat ban apoim famed W dw intersection of the xcsdw1y ticn ofBq WaerAamw and tbo wWy Rea ofNdkmots Road•, THENCE NMA M dosses21 mhmta Bat a dismexe m270 i!t alms MOPP NWingto a momimett, THENCE Som&S degwm45 min ses Heel&dis samof215.72 fed ONE MW.Ody NOIF MaskmrMw anwtamera aw"twmerlwmy Ih a of mawsswS 14th, THENCE Soodt 94&W m 21 Wmas West Wong the anxhMy How of HimwadwY Path a dkuroe of 171.1 fW4 THPNCENordt 15 desrem SO mhmtm Wastdangdw nM6erly ib ofHiwwamaY Peth adlmow of 100A term w a moxamem m dw hwmcedon of the ewuy Ow of Nokomis Road sod Me sadeerly Rae of miswad eta Path•, THENCE ohms the aataly line of Nokomis Rod Nut 5 dapam45 minmm Won Ounce d19U fm to a monrmmt m the pdm arplaa d'BEGNMNO. For loformaion 0*Pamims known is sd5 Nokomis Rod,Somhohi,NY Iw.t(neeateelen) Lew Neer Mx • MAILING ADDRESS: PLANNING BOARD MEMBERSP.O.Box 1179 DONALD J.WILCENSKI �O��OF SOUjyQIO Southold,NY 11971 ChairOFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH III %�� �� (cor. Main Rd.&Youngs Ave.) MARTIN H.SIDORlyC(71) Southold,NY Telephone: 631765-1938 Fax:631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 23, 2012 I 2 D Patricia C. Moore, Esq. OCT 2 4 012 51020 Main Road Southold, NY 11971elDr DFPT T9s'ri o.S,117HOLD Re: Final Plat Approval: Standard Subdivision of David Verity Located at 865 Nakomis Road, Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Southold Town Planning Board, at a meeting held on Monday, October 22, 2012, adopted the following resolutions: WHEREAS, this proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District; and WHEREAS, on June 2, 2011, the Zoning Board of Appeals granted variances for minimum lot size and side yard set backs; and WHEREAS, on July 6, 2012, the Town of Southold Local Waterfront Revitalization Program (LWRP) Coordinator reviewed this application and has recommended the proposed project be found consistent with the policies of the Southold Town LWRP; and WHEREAS, on July 9, 2012, the Southold Town Planning Board granted Preliminary Plat Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters, Town of Southold, Suffolk County, NY", dated September 23, 2011 and last revised April 9, 2012; and WHEREAS, on August 21, 2012, the agent submitted a Final Plat Application with the application fee; and WHEREAS, on September 7, 2012, a referral was sent to the Southold Fire District; and 0 0 Southold Town Planning Board Work Session — October 22, 2012 — Page Three Project name: Baxter, William J. Jr. SCTM#: 1000-102-5-9.4 Location 260 Grilling Avenue, Cutchogue . .....-. - Description: This proposal is a Standard Subdivision of a 2.38 acre parcel into 4 lots where Lot 1 = 0.62 acres, Lot 2 = 0.63 acres, Lot 3 = 0.62 acres and Lot 4 = 0.52 acres, in the Hamlet Business Zoning District. ..... Status: Conditional Sketch Approval .-. ...... 1 Action: i Rev ew for Preliminary Plat completeness. . Atta ............................... Project name. Verity, David SCTM#: 1000-78-3-26 Location: 860 Nokomis Road, Southold ____- ___ Description: This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1 equals 0.60 acres and Lot 2 equals 0.71 acres, located iin the R-40 Zoning District. Status: Conditional Preliminary Approval Action: Review for Final Approval. - .-.-.. ........... Attachments: Staff Report .. .. ......... ....- Project name: Battaglia, Joseph and Heidi SCTM#: 1000-64-3-3 Location West side of Hobart Road, approx 1,059 feet north of Terry Ln, Southold . .. ............ Description: ; This standard subdivision is to subdivide 2.32 acres into two lots where Lot 1 = 43,213 s.f. and Lot 2 = 57,809 s.f. in the R-40 Zoning District. Status: Final Approval ... Action: Review request to remove trees. Attachments: I Map re: location of trees For Discussion: 4 Local Law re: Amendments to Chapter 83, Animals, in connection with Pet & Livestock Waste 4 Local Law re: Amendments to Chapter 280, Zoning, in connection with Use Regulations within LIO and LI Zoning Districts PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel:(631)7654330 Fax:(631)7654643 December 13, 2012 Southold Town Planning Board Main Road PO Box 1799 Southold, NY 11971 DEC 1 4 2012 RE: DAVID VERITY PROPERTY: 865 NAKOMIS ROAD, SOUTHOLD SCTM: 1000-78-3-26 Dear Chairman and Board: With reference to the above and pursuant to the Planning Board Resolution of October 22, 2012, enclosed please find my attorneys check in the amount of $9, 000 . 00 which represents the Administration fee of $2, 000. 00 and the park and playground fee of $7, 000. 00 . Thank you. Very t yours, ricia C. Moore PCM/bp C: Mr. & Mrs . David Verity r PLANNING BOARD MEMBERSMAILING ADDRESS: DONALD J.WILCENSKI QF so P.O.Box 1179 Chair �� Q/ Southold,NY 11971 `O EDWAR OFFICE LOCATION: WILLIAM J. S. Town Hall Annex KENNETH L. DWARDS H G �Q 54375StateRoute 25 JAMES H.RICH 111 7% MARTIN H.SIDOR �� (ir•Min Rd. &Youngs Ave.) Southold,NY Telephone: 631765-1938 Fax:631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 14, 2012 Re: Payment Attached is a check as detailed below. Please process these funds as follows: $7,000— Park & Playground Fees; $2,000— B2115.20 Administration Fees (aka Planning Inspection Fees). Fees are for the David Verity Standard Subdivision. Thank you. Project Name & Type Tax Map. Amount Check # & Revenue Line # Date David Verity Std. Subdiv.Admin. 78-3-26 $2,000.00 #2294-12/13/12 82115.20 Planning fee aka Planning Inspection fee Inspection Fees David Verity Std.Subdiv.Park& 78-3-26 $7,000.00 #2294-12113/12 Park&Playground Playground fee fees Aft. LR PATRICIA C. MOORE Attomey at Law 51020 Main Road Southold,New York 11971 Tel: (631)7654330 Fax: (631)7654643 October 19, 2012 Southold Town Planning Board Main Road Southold, NY 11971 by email RE: DAVID VERITY PROPERTY: 865 NAKOMIS ROAD, SOUTHOLD SCTM: 1000-78-3-26 Dear Chairman and Board: With reference to the above and in response to your letter of October 3, 2012, enclosed please find four mylars and 12 paper prints which have now been stamped approved by the Health Department Thank you for your continued cooperation in this matter and I look forward to receiving final approval on Monday, October 22, 2012 . Very trulp- rs, OCT 19 2012 (--Patricia C. Moore PCM/bp C: Mr. & Mrs . David Verity . PRl tt t t1 Page 1 of 1 Sabatino, Alyxandra K. From: betsy@mooreattys.com Sent: Friday, October 19, 2012 8:20 AM To: Sabatino, Alyxandra K. Cc: William Sweeney; Russell Burcheri; pat Subject: VERITY(NAKOMIS ROAD SOUTHOLD) Attachments: doc20121019071604.pdf Aly: Pursuant to our conversation yesterday, attached please find the recorded C & R's. We look forward to receiving the Final Approval at the work session on Monday, October 22, 2012. Thank you. Betsy Perkins LA Moore Law Offices William D. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 OCT 1 9 2012 10/19/2012 • P(�i�.,MTAS Page 1 of 1 Sabatino, Alyxandra K. i IG From: betsy@mooreattys.com Sent: Tuesday, October 16, 2012 8:22 AM To: Sabatino, Alyxandra K. Cc: pat;William Sweeney; Russell Burcheri Subject: verity(nakomis road) Attachments: doc20121016071915.pdf hi, Aly. Pat hand delivered the mylars & paper prints to the HD yesterday. attached is the cover letter with their stamp evidencing receipt. We will bring them over as soon as they are stamped by HD for endorsement by the Chair. In the meantime, the C & R's are being recorded with your minor changes. thank you for you continued cooperation. Betsy Perkins LA Moore Law Offices William b. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing d physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 OCT 1 6 2012 10/16/2012 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 October 15, 2012 HAND DELIVERED Attn: Jim McGuire Suffolk County Health Department Office of Waste Water Management 360 Yaphank Ave. , Suite 2C Yaphank NY 11980 RE: VERITY SCTM: 1000-78-3-26 S10-11-0010 Dear Jim: With reference to the above, enclo ase find 4 mylars and 12 paper prints. Please arrange to have them stamped by your office and call us when ready and we will make arrangements to pick them up. Thank you. OCT 16 2012 Very truly yours, Patricia C. Moore PCM/bp encl.s. C: Mr. & Mrs. David Verity Lanza, Heather I� From: pcmoore@mooreattys.com Sent: Thursday, October 11, 2012 6:33 PM To: Lanza, Heather Cc: Betsy Perkins Subject: RE: FW: Verity& Misc Map Hi Heather- Please disregard my letter, we will be filing the map- I will get Mylars & prints as soon as they are printed. Our title company assured us that the filing was not required in this case & deeds would be accepted for recording. i.e.The way the Planning Board does lot line changes. Please proceed with the final approval on the 22nd. Here is our issue: This is an unusual case because these lots appeared on a subdivision map (you have a copy of the map in the file). I hope I do not have problems with filing this 2 lot map with the Suffolk County Clerk- the two lots appear on the Old un-filed map of Wickham BUT the road improvements in the subdivision were filed with the Suffolk County Clerk. When there is a previous filed map there is an extra step & complications with an "abandonment of the previous map" . The Verity subdivision is not the norm... it is more like a lot line change (re-subdivision)than a subdivision, both lots are improved. We avoid this complication if the map is filed with the Miscellaneous Department of the Suffolk County Clerk. I will submit the map for filing and if there is a problem I will let your office know. Sorry to create confusion- I am trying to minimize the cost to the client & filing in the usual method costs $1,000 in title searches for the County Clerk- and I do not know what other headaches we will be presented with. Pat OCT 12 2012 -------- Original Message -------- Subject: FW: Verity & Misc Map From: "Lanza, Heather" <heather.Ianza@town.southold.ny.us> Date: Thu, October 11, 2012 3:26 pm To: "pat" <pcmoore@mooreattys.com>, <betsy@mooreattys.com> Cc: "Sabatino, Alyxandra K." <alyxandra.sabatino@town.southold.ny.us> Dear Pat, You have advised this office that you intend to file the Verity subdivision as a Miscellaneous map. The Planning Board has never received such a request in the past and has therefore never allowed this to be done. It is our understanding that Miscellaneous maps are filed for informational purposes only and are not considered official subdivision maps that comply with New York Real Property Law. The Planning Board has always required the filing of subdivision maps to ensure that lots are properly created and the rights of future owners are protected. i Please be advised that the PIA Board will not be in a position to sigreon a Miscellaneous map unless you can establish that such a filing will be the equivalent to the filing of a subdivision map. If there exists a regulation, rule or statute that authorizes such a filing, please provide it to the Planning Board together with a written request that they allow the filing prior to the meeting on the 22"d so that final approval of the subdivision is not delayed. Please feel free to call me to discuss further, but we will need something more in writing to get this done in this way since it is outside what we usually do. Regards, Heather Heather Lanza,AICP Town Planning Director Southold Town Planning 53095 Route 25 P.O. Box 1179 Southold,New York 11971 Phone: (631)765-1938 E-mail: heather.lanzantown.southold.ny.its 2 • • Page 1 of 1 Sabatino, Alyxandra K. From: Lanza, Heather Sent: Thursday, October 11, 2012 3:27 PM To: pat; betsy@mooreattys.com Cc: Sabatino, Alyxandra K. Subject: FW: Verity& Misc Map Dear Pat, You have advised this office that you intend to file the Verity subdivision as a Miscellaneous map.The Planning Board has never received such a request in the past and has therefore never allowed this to be done. It is our understanding that Miscellaneous maps are filed for informational purposes only and are not considered official subdivision maps that comply with New York Real Property Law. The Planning Board has always required the filing of subdivision maps to ensure that lots are properly created and the rights of future owners are protected. Please be advised that the Planning Board will not be in a position to sign off on a Miscellaneous map unless you can establish that such a filing will be the equivalent to the filing of a subdivision map. If there exists a regulation, rule or statute that authorizes such a filing,please provide it to the Planning Board together with a written request that they allow the filing prior to the meeting on the 22nd so that final approval of the subdivision is not delayed. Please feel free to call me to discuss further,but we will need something more in writing to get this done in this way since it is outside what we usually do. Regards, Heather Heather Lanza,AICP Town Planning Director Southold Town Planning 53o95 Route 25 P.O.Box 1179 Southold,New York 11971 Phone: (631)765-1938 E-mail: heather.lanza@town.southold.ny.us 10/11/2012 Page 1 of I Sabatino, Alyxandra K. From: Sabatino, Alyxandra K. Sent: Thursday, October 11, 2012 3:14 PM To: 'billcre@optonline.net'; 'don@briarclifflandscape.com'; 'jamesRich3@optonline.net'; 'SIDOR@optonline.net'; 'pappy@fi.net'; 'ficlub@Fl.net' Cc: 'mark.terry@town.southold.ny.us'; Lanza, Heather Subject: Verity C&Rs Attachments: Draft Covenants Restrictions Verity.pdf Good Afternoon Board Members, Attached are the draft covenants and restrictions for the David Verity Subdivision. Pat Moore is eager to file these, as she hoping for Final Approval at the Oct 22nd Meeting. Please let me know if you have any changes to the document. Thanks, Aly Alyxandra K. Sabatino Southold Town Planning Department 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: (631)765-1938 10/11/2012 • • I �',� IM I fts PATRICIA C. MOORE Attorney at Law U 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 October 9, 2012 Southold Town Planning Board Main Road OCT 11 2012 Southold, NY 11971 by email RE: DAVID VERITY PROPERTY: 865 NAKOMIS ROAD, SOUTHOLD SCTM: 1000-78-3-26 Dear Chairman and Board: With reference to the above and in response to your letter of October 3, 2012 : 1 . Thank you for waiving the final public hearing. 2 . We have submitted the proposed C & R' s and as soon as reviewed and approved by your office, we will arrange to have them recorded. 3 . We are waiting for the Town Board' s resolution deferring payment of the administration fee and park and playground fees . 0 4 . Enclosed please find copies of the Health Department approved subdivision map. Since this property is an improved parcel, with existing sanitary, we will be able to file this map with the Miscellaneous Clerk therefore we do not need to provide to you the requested number of Mylar and paper prints . Thank you for your continued cooperation in this matter. Very truly yours, Patricia C. Moore PCM/bp C: Mr. & Mrs . David Verity °"`° • RESOLUTION 2012-771 ADOPTED DOC ID: 8192 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2012-771 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 9, 2012: RESOLVED that the Town Board of the Town of Southold hereby approves the deferral of the Park and Playground and Administrative Fees due in connection with the proposed Standard Subdivision of David Verity, subject to the Planning Board's approval and the condition that the Subdivision will be null and void if the fees are not paid immediately upon the sale of the subject premises. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William Ruland, Councilman SECONDER:Albert Krupski Jr., Councilman AYES: Ruland, Talbot, Krupski Jr., Evans, Russell ABSENT: Jill Doherty k-rI�S Page 1 of 1 �n�4 Sabatino, Alyxandra K. From: betsy@mooreattys.com Sent: Thursday, October 04, 2012 12:22 PM To: Sabatino, Alyxandra K. Subject: verity Attachments: Draft Covenants Restrictions Verity.pdf Aly: Per conversation with Pat earlier today, enclosed is the revised draft C & R's since these lots have existing dwellings on them. Thank you. Betsy Perkins LA Moore Law Offices William D. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing b physical address: 51020 Main Road Southold NY 11971 fax number for both 0�T 631.765.4643 10/4/2012 DECLARATION OF COVENANTS AND RESTRICTIONS DECLARATION made this_day of October, 2012, by BARBARA J. VERITY, presently residing at 13620 Pintail Drive, Fort Myers, FL __ , hereinafter referred to as the DECLARANT. WITNESSETH: WHEREAS, the Declarant is the owner of certain real property situate on Nakomis Road, Southold, New York Town of Southold, County of Suffolk, State of New York, more particularly bounded and described in Schedule "A" annexed hereto (hereinafter referred to as the Property); and WHEREAS, the Declarant has made an application to the Planning Board of the Town of Southold to subdivide said real property into two (2) building lots as shown on the Subdivision Map entitled "Final Plat Standard Subdivsion for David Verity" (hereinafter"Subdivision Map"), prepared by Peconic Surveyors, PC, last dated September 10, 2012; and WHEREAS, for and in consideration of the granting of said subdivision application for tax map parcel numbers shown on the Subdivision Map, and as a condition of granting said approval, the Town of Southold Planning Board has required that this Declaration be recorded in the Suffolk County Clerk's Office; and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of said lots. NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the DECLARANT for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said premises herein described shall hereafter be subject to the covenants and restrictions as herein cited, which shall run with the land and shall be binding upon all purchasers and holders of said lots, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 0 0 1. There shall be no further subdivision, resulting in additional building lots, to any of the 2 lots, as shown on the aforesaid Subdivision Map in perpetuity. No lot lines shall be changed unless authorized by the Town Planning Board. 2. All stormwater run-off resulting from the development of any or all of the lots on the Subdivision Map shall be retained on site and shall be the responsibility of each lot owner. 3. New utilities, including but not limited to electric, gas, telephone and television, must be located underground. 4. The use of synthetic fertilizers, herbicides or pesticides on Lots 1 and 2 is prohibited: i. The use of native, drought-tolerant plants shall are required in landscaping said lots. ii. Apply fertilizer products only during the growing season (December 1 st though April 1st.) iii. Only organic fertilizers where the water soluble nitrogen is no more than 20% of the total nitrogen in the mixture may be utilized on the lots. iv. A maximum of 1 pound of nitrogen per 1000 square feet in any one application, with a cumulative application of no more than 2 pounds per 1,000 square feet per year is permitted. V. The use of phosphorous containing law fertilizer is prohibited unless establishing a new lawn or soil test shows that the lawn does not have enough phosphorus. vii. The use of new underground storage tanks are prohibited (except those with spill, overfill and corrosion protection requirements in place). 5. New driveways serving the lots on the Subdivision Map shall be constructed of pervious materials and shall remain pervious into perpetuity. 6. Each of the lots shown on the Subdivision Map is subject to clearing restrictions as follows: Lot 1 -50%, Lot 2 -40%, pursuant to Southold Town Code §240-49. The within Covenants and Restrictions shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified, terminated, revoked, or amended by subsequent owners of the premises unless and until approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor, following a public hearing. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. The aforementioned covenants and restrictions are intended for the benefit of and shall be enforceable by the Town of Southold, State of New York, by injunctive relief or by any other remedy in equity or at law. If a Court of competent jurisdiction determines that a violation of these covenants and restrictions has occurred, the Declarant shall pay, either directly or by reimbursement to the Town all reasonable attorney's fees, court costs and other expenses incurred by the Town in connection with any proceedings to enforce the provisions of the covenants and restrictions set forth herein. The failure of the Town of Southold or any of its agencies to enforce same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the Town of Southold or any officer or employee thereof. The within Declaration is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and made a part hereof, as though fully set forth herein. That the within Covenants and Restrictions shall run with the land and shall be binding upon the DECLARANT and its successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified, terminated, revoked or amended by subsequent owners of the premises unless and until approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor, following a public hearing. IN WITNESS WHEREOF, the DECLARANT above named has duly executed this Declaration the day and year first above written. DECLARANT: By: BARBARA J. VERITY STATE OF NEW YORK ) ) ss.: COUNTY OF SUFFOLK) On this day of October, in the year 2012, before me personally appeared BARBARA J. VERITY , known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public 1010312012 13:16 MOORE LAW 9CES 4C176WA P.0011001 P(�, H MT1 AS PATRICIA C. MOORE �( I Attomey at Law 51020 Main Road Southold,New York 11971 Tel:(631)765.4350 Fax:(631)7654643 October 3, 2012 Southold Town Planning Board Main Road Southold, NY 11971 by email OCT - 4 2012 RE: DAVID VERITY PROPERTY: 865 NAKOMI$ ROAD, SOUTHOLD SCTX: 1000-78-3-26 Dear Chairman and Board: Thank you for reviewing their subdivision application, and we will expect the final map approval at your next public meeting. As soon as I receive your letter with the language for the Covenants, we will prepare the standard Planning Board covenants. The property is under contract and we are awaiting final approval in order to close. My clients do not have the funds to pay the park and playground fee or the administration fee. We respectfully request that the Board ask the Town Board to defer payment of these fees until closing. The money is in my attorney escrow account but it can not be released until closing of title with the purchasers. V yours, ricia C. Moore PCM/bp C: Mr. & Mrs. David Verity • • MAILING ADDRESS: PLANNING BOARD MEMBERS �pF so P.O.Southold,1NY 11971 DONALD J.WILCENSKI 0� �l Chair Q OFFICE LOCATION: WILLIAM J.CREMERS 411 Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH III icR (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOft l�'COU '� Southold, NY Telephone: 631 765-1935 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 3, 2012 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Standard Subdivision for David Verity Located at 865 Nakomis Road in Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Planning Board reviewed the above referenced application at their October 1, 2012 Work Session and agreed to the following; 1. Pursuant to section 240-57, Waivers of Certain Provisions, the Board agreed to waive the Final Plat Hearing on the basis that the maps have not changed from the Preliminary Plat Public Hearing. 2. Submit draft Covenants and Restrictions (Draft enclosed). 3. Pursuant to sections 240-37 & 240-54, Submission. a $7,000 Park and Playground fee and a $2,000 Administration fee are required. Due to financial constraints of the applicant, the Planning Board agreed to recommend to the Town Board that the Park and Playground fee and the Administration fee be paid at the time of property sale. Please submit a letter requesting that the fees be deferred. 4. Submit twelve paper copies and four Mylar copies of the final plat endorsed by the Heath Department. If you have any questions regarding the above, please contact this office. Sincerely, �,� SCbck-" Alyxandra Sabatino Planner cc: Heather Lanza, Planning Director Planning Board DECLARATION OF COVENANTS AND RESTRICTIONS DECLARATION made this day of 20_, by presently residing at hereinafter referred to as the DECLARANT. WITNESSETH: WHEREAS, the Declarant is the owner of certain real property situate on , Town of Southold, County of Suffolk, State of New York, more particularly bounded and described in Schedule "A" annexed hereto (hereinafter referred to as the Property); and WHEREAS, the Declarant has made an application to the Planning Board of the Town of Southold to subdivide said real property into_ building lots as shown on the Subdivision Map entitled (hereinafter "Filed Map"), prepared by last dated ; and WHEREAS, for and in consideration of the granting of said subdivision application for tax map parcel numbers , shown on the Filed Map, and as a condition of granting said approval, the Town of Southold Planning Board has required that this Declaration be recorded in the Suffolk County Clerk's Office; and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of said lots. NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the DECLARANT for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said premises herein described shall hereafter be subject to the covenants and restrictions as herein cited, which shall run with the land and shall be binding upon all purchasers and holders of said lots, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. There shall be no further subdivision, resulting in additional building lots, to any of the 2 lots, as shown on the aforesaid Filed Map in perpetuity. No lot lines shall be changed unless authorized by the Town Planning Board. 2. All stormwater run-off resulting from the development of any or all of the lots on the Filed Map shall be retained on site and shall be the responsibility of each lot owner. 3. Utilities, including but not limited to electric, gas, telephone and television, must be located underground. 4. The use of synthetic fertilizers, herbicides or pesticides on Lots 1 and 2 is prohibited: i. The use of native, drought-tolerant plants shall are required in landscaping said lots. ii. Apply fertilizer products only during the growing season (December 1st though April 1st.) 2 iii. Only organic fertilizers where the water soluble nitrogen is no more than 20% of the total nitrogen in the mixture may be utilized on the lots. iv. A maximum of 1 pound of nitrogen per 1000 square feet in any one application, with a cumulative application of no more than 2 pounds per 1,000 square feet per year is permitted. V. The use of phosphorous containing law fertilizer is prohibited unless establishing a new lawn or soil test shows that the lawn does not have enough phosphorus. vii. The use of underground storage tanks are prohibited (except those with spill, overfill and corrosion protection requirements in place). 5. Driveways serving the lots on the Filed Map shall be constructed of pervious materials and shall remain pervious into perpetuity. 6. Each of the lots shown on the Filed Map is subject to clearing restrictions as follows: Lot 1 -50%, Lot 2 - 40%, pursuant to Southold Town Code §240-49. The within Covenants and Restrictions shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified, terminated, revoked, or amended by subsequent owners of the premises unless and until approved by a majority plus one vote of the 3 Planning Board of the Town of Southold or its successor, following a public hearing. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. The aforementioned covenants and restrictions are intended for the benefit of and shall be enforceable by the Town of Southold, State of New York, by injunctive relief or by any other remedy in equity or at law. If a Court of competent jurisdiction determines that a violation of these covenants and restrictions has occurred, the Declarant shall pay, either directly or by reimbursement to the Town all reasonable attorney's fees, court costs and other expenses incurred by the Town in connection with any proceedings to enforce the provisions of the covenants and restrictions set forth herein. The failure of the Town of Southold or any of its agencies to enforce same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the Town of Southold or any officer or employee thereof. The within Declaration is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and made a part hereof, as though fully set forth herein. That the within Covenants and Restrictions shall run with the land and shall be binding upon the DECLARANT 4 and its successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified, terminated, revoked or amended by subsequent owners of the premises unless and until approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor, following a public hearing. IN WITNESS WHEREOF, the DECLARANT above named has duly executed this Declaration the day and year first above written. DECLARANT: By: STATE OF NEW YORK ) ) ss.: COUNTY OF SUFFOLK) On this_day of , in the year 20_, before me personally appeared , known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public 5 �qe oista� SOUTHOLD FIRE DISTRICT P.O. BOX 908. SOUTHOLD, N.Y. 11971 (631) 765-4305 FAX (631) 765-5076 September 12, 2012 Ms. Alyxandra Sabatino, Planner Southold Town Planning Board P.O. Box 1179 Southold, NY 11971 Re: David Verity Standard Subdivision Dear Ms. Sabatino: Please be advised that the Board of Fire Commissioners have reviewed the above mentioned standard subdivision application and found that there is adequate fire protection for this property. The Board would like to reserve the right to review the above site plan if any changes occur to this property or to other property in the immediate area. Sincerely, ce--lu-�. Carol A. Miller Fire District Secretary SEP 13 2012 PATRICIA C. MOORE fL Attorney at Law 51020 Main Road A✓ Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 September 12, 2012 J Attn: Donald Wilcenski, Chairman Planning Board Town of Southold Main Road SEP 13 PO Box 1179 i Southold NY 11971 RE: DAVID VERITY PREMISES: 860 NAKOMIS ROAD, SOUTHOLD Dear Chairman Wilcenski & Board members : With reference to the above, enclosed please find two prints of the "Final" Plat plan. Once the Health Department stamps the map, we will submit the stamped prints & mylars at that time. We respectfully request the Board waive a second public hearing on this matter. There have been no changes to the map, we had a public hearing on the preliminary map as well as a public hearing with the ZBA and there has never been opposition. It is costly to have public hearings and delays final approval . Mr. & Mrs . Verity have had to scrape together the funds for the fees and are not wealthy people . This property has been in their family as two homes since the 1940 ' s . Thank you for considering this request and if you should have any questions, please do not hesitate to call . Very truly yours, L P-,itricia C. Moore PCM/bp • MAILING ADDRESS: PLANNING BOARD MEMBERS QF so or P.O. Box 1179 DONALD J.WILCENSKI �V` y�l Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS H Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH III (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR lij'COU ' Southold, NY Telephone- 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 7, 2012 Ms. Carol Miller Southold Fire District P.O. Box 908 Southold, N.Y. 11971 Re: Request for Review on David Verity Standard Subdivision Located at 865 Nokomis Road, Southold SCTM#1000-78-3-26 Dear Ms. Miller: The enclosed subdivision application is being referred to you for your comment on matters of interest to the fire department, including fire department equipment access, emergency services, and any other issue that may be of concern or relevance to this application. Please respond with your recommendations at your earliest convenience. This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. Please contact me at (631)765-1938 if you have any questions. Thank you for your cooperation. Sincerely, Alyxandra Sabatino Planner Encls.: Subdivision Application Subdivision Plat Page 1 of 1 Sabatino, Alyxandra K. From: betsy@mooreattys.com Sent: Friday, September 07, 2012 2:49 PM To: Sabatino, Alyxandra K. Subject: RE: Verity hi aly. HD required one minor revision to the map. we will have it back to them on monday. should have that approval week of 17th. when is the next pb meeting? Betsy Perkins LA Moore Law Offices William b. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 -------- Original Message -------- Subject: Verity From: "Sabatino, Alyxandra K." <alvxandra.sabatino0town.southold.nv.us> Date: Fri, September 07, 2012 2:41 pm To: <betsv(amooreattvs.com> Betsy, I am reviewing the Verity file. How far along are you on Health Department Approval? Thanks, Aly Alyxandra K. Sabatino Southold Town Planning Department 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: (631)765-1938 9/7/2012 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 August 21, 2012 Attn: Donald Wilcenski, Chairman Planning Board Town of Southold Main Road PO BOX 1179 Southold NY 11971 RE: DAVID VERITY PREMISES: 860 NAKOMIS ROAD, SOUTHOLD Dear Chairman Wilcenski & Board members : With reference to the above, enclosed please find the Final Plat Application together with my clients check in the amount of $500 . 00 . Thank you and please do not hesitate to call should you have any questions . yricia yours, . Moore PCM/bp encls . 0 • MAILING ADDRESS: PLANNING BOARD MEMBERS OF sour P.O. Box 1179 DONALD J.WILCENSKI O�� yQl Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS 411 Town Hall Annex KENNETH L.EDWARDS GO Q 54375 State Route 25 JAMES H.RICH III _ �� (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR I,yCOU ml,a Southold, NY 1111 Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 10, 2012 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Preliminary Plat Approval: Standard Subdivision of David Verity Located at 865 Nakomis Road, Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Southold Town Planning Board, at a meeting held on Monday, July 9, 2012, adopted the following resolution: The preliminary public hearing was closed. WHEREAS, this proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District; and WHEREAS, on June 2, 2011, the Zoning Board of Appeals granted variances for minimum lot size and side yard set backs; and WHEREAS, on July 25, 2011, the Planning Board reviewed this application and found it complete; and WHEREAS, on August 29, 2011, a referral was sent to the Office of the Town Engineer for review; and WHEREAS, on November 10, 2011, the applicant submitted revised maps; and WHEREAS, the Southold Town Planning Board reviewed the revised plans at their November 28, 2011 Work Session and found that this application met the Town Code requirements for Sketch Plan and was ready for Sketch Plan determination; and WHEREAS, on December 13, 2011, the Southold Town Planning Board granted Sketch Plan Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters, Town of Southold, Suffolk County, NY", dated September 23, 2011 with one condition; and 0 David Verity Page Two July 10, 2012 WHEREAS, on April 27, 2012 the agent submitted four Preliminary Plats, a Preliminary Plat Application Fee in the amount of $1,000.00; and WHEREAS, on May 21, 2012, the Planning Board reviewed the application at their Work Session and considered State Environmental Quality Review (SEQR), an Extension of Sketch Approval, and reviewed the Preliminary Plat application; and WHEREAS, on May 25, 2012, the agent submitted a letter requesting an Extension of Sketch Approval; and WHEREAS, on June 5, 2012, the Planning Board, at their Public Meeting, granted an Extension of Sketch Approval, a SEQR Negative Declaration, and set a Public Hearing; and WHEREAS, in a letter dated June 18, 2012, the Office of the Town Engineer indicated that the application complies with Chapter 236; and WHEREAS, on July 9, 2012, the Public Hearing was held and closed; be it therefore RESOLVED, that the Southold Town Planning Board hereby grants Preliminary Plat Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters, Town of Southold, Suffolk County, NY", dated September 23, 2011 and last revised April 9, 2012. The applicant is advised that specific covenants and restrictions and/or map changes may be required depending on comments received from other regulatory agencies, including the Town LWRP Coordinator, Town Engineer, Town Trustees, Highway Superintendent, Suffolk County Planning Commission, Suffolk County Department of Health Services, and the New York State Department of Environmental Conservation. Preliminary Plat Approval shall expire six months from the date the Planning Board adopted its resolution of approval, unless extended by further resolution of the Planning Board, such extension not to exceed a total of 180 days. In the event that the applicant shall fail to apply for approval of a final subdivision plat prior to expiration of the Preliminary Approval, all documents required by this section shall be re-submitted and a second preliminary filing fee shall be paid before any application for Final Plat Approval shall be accepted or processed. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Very truly yours, / --, 'Z `Z? Donald J, Wilcenski Chairman 4�l� , S , LR- l Cc� OFFICE LOCATION: OF SOUjyO 7,41-C MAIIJNG ADDRESS: Town Hall Annex ,`O l0 P.O. Box 1179 54375 State Route 25 y Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) T CA Telephone: 631 765-1938 Southold, NY 11971 i� Fax: 631 765-3136 com,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM J To: Don Wilcenski, Chair Town of Southold Planning Board From: Mark Terry, Principal Planner LWRP Coordinator 2b Date: July 5, 2012 - Re: Proposed Standard Subdivision of David Verity SCTM# 1000- 78.-3-26 Zoning District: R-40 This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, the proposed action is CONSISTENT with the LWRP, provided that the below recommendations are required in the subdivision approval. The New York Department of State GIS- Public Access map was referenced for occurrence of archeo-sensitive areas on site. The area is included NOT identified as an archeo-sensitive site and therefore no action is recommended. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. E. Preserve existing vegetation and establish new indigenous vegetation to enhance scenic quality: 3. Restore historic or important designed landscapes to preserve intended or designed aesthetic values. The parcels are wooded in the rear. Clearing limits require that 50 percent of plot 1 and 40 percent of plot 2 remain wooded, therefore the woodland will be retained. Additionally the lots are both improved and landscaped. It is therefore recommended that the Board waive street trees pursuant to (§ 161-44. Street trees.) Figure 1. Subject parcel showing treed areas and landscaping. K. Protect visual quality associated with agricultural land, open space and natural resources. 3. Avoid structures or activities which introduce visual interruptions to natural landscapes including: a. introduction of intrusive artificial light sources It is recommended that the Board waive the street lighting requirements (§ 240-46. Lighting) to preserve the night sky in the area. To further Policy 5, and protect and improve the water quality and supply in the area, to protect the water quality of the sole source aquifer, it is recommended that the following best management practices be required: 1. Require the use of native plants, drought-tolerant plants in future landscaping. 2. Prohibit the residential application and use of synthetic fertilizers and pesticides capable of entering the potable water supply. a. Require only the use of organic fertilizers where the water-soluble nitrogen is no more than 20% of the total nitrogen in the mixture. b. Require a maximum of 1 Ib. of nitrogen per 1000 square feet in any one application, with a cumulative application of no more than 2 lbs. per 1,000 square feet per year. c. Apply fertilizer products only during the growing season (typically mid-March through mid-October). Please contact me at (631) 765-1938 if you have any questions regarding the above. Cc: Alyxandra Sabatino, Planner 4k M11 AS PLANNING BOARD Piz- TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF DAVID VERITY SIGN POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-78-3-26 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE, residing at 370 Terry Lane, Southold, NY, being duly sworn, depose and say that: On the26th day of June, 2012, 1 personally placed the Town's official Poster, with the date of hearing and nature of the application noted thereon, securely upon the property, located ten (10) feet of the front property line facing the street(s) where it can easily be seen; and that I hereby confirm that the Poster has remained in place for seven days prior to the date of the subject hearing date, which hearing date was shown to be MONDAY, JULY 9, 2012 at 6:00 p.m. Pa is C. Moore Sworn to before me this '-' day of kme, 2012 0 U L j 0 2012 I r ` otary P is Il� BE$�S ,BINS Notl!'Fubl'. ate �t;Nork !,� No. r g Q,,Qua!ified tftclk County copIRlti6oi2n xpi s July 18, near the entrance or driveway entrance f th property,, as tFie area most visible to passersby. BETSY A.PERKINS Mtltary Public,State of New yak No.01 PE6130630 Qion in Suffolk Commission Expires Juy 1 PATRICIA C. MOORS, ATTORNEY LAW Lfo 51020 Main Road Southold, NY 11971 LETTER (631) 765-4330 email: pcmoore@mooreattys.com _ ZJ Date \ / �7 To \` .(t `L� .1. W.A�i„� __.... Subject V A 6- ' ( Y c0+7-, 0t �o STA. 12-e7 c c:� , P T� ❑ Please reply ❑ No reply necessary IfIll PLANNING BOARD TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------x In the Matter of the Application of AFFIDAVIT DAVID J. VERITY OF (Name of Applicant) MAILINGS CTM Parcel #1000-78-3-26 -------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, BETSY PERKINS, residing at Mattituck, New York, being duly sworn, depose and say that: On thday of June, 2012, 1 personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to current owners shown on the current assessment roll verified from the official records on file with the ( X ) Assessors, or ( ) County Real Property Office for every property which abuts and is across a public or private street, or vehicular right-of-way of record, surrounding the applicant's property. (Signature BETSY P RKI S Sworn to before me this a� day of June, 2012 ( otary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. DAVID J. VERITY NEIGBHOR LIST 1000-78-3-26 NICHOLAS J. &NANNETTE GIBBONS ELLEN CRESCENZO & OTHERS 8 GARDINER PLACE 95 EVERGREEN LANE HUNTINGTON STATION NY 11746 E. PATCHOGUE NY 11772 SCTM: 1000-78-3-25 SCTM: 1000-78-3-17 SUSAN MACKENZIE MICHAEL & JOAN COLAVITO PO BOX 1940 198 DERBY STREET SOUTHOLD NY 11971 E. WILLISTON NY 11596 SCTM: 1000-78-3-51.1 SCTM: 1000-78-3-27 RICHARD HOCKANSON 1635 NOKOMIS ROAD SOUTHOLD NY 11971 SCTM: 1000-78-3-18 RECEIPT RECEIPT 7192 6463 3110 0001 1863 7192 6463 3110 0001 1870 71826 6ECEo0001188]IPT RECEIPT RECEIPT FROMFROM: ]192 6463 3110 0001 1894 7192 6463 3110 0001 1900 : Moore Law Offices Moore Law Offices FROM FROM: FROM: RE'.VERITY PLANNING BOARD RE'.VERITY PLANNING BOARD Moore Law Offices Moore Law Offices Moore Law Offices RE VERI�T C,"NNWII BOARD RE.VERITY PLANNING BOARD RE:VERITY p LANNING BOARD /l7 SENDTO: SEND TO: �'` ,��p PJY 77J �p NY 7 NICHOLAS J.BNANNETTE GIBBC SUSAN MACK SE TO: SENDT � SEN '�� B GARDINER PLACE PO BOX I I•!Y 77 ICHAR, tCKANSON ELLEN �SCENZO BOTHERS/ M EL 8 , HUNTINGTON STATION NY 11746 SOUTFi�1��14'11971 ��� 635 NONNOOMIS ROAD 95 EV GREEN LANE JOAN COLAVITO 7r' 7 ` UTHOLD NY 11971 E PAT HOGUE NY,11772', 1 DERBY STREET_ // 1 1 bOILLISTQN NY 11596 FEES: Ip �`... . 1�' U>� ' 1,,,0. FEES t" FEES: Postage 045 po age �•,�r 0.45 s" FEES: FEES. Certified Fee 295 Gert ietl Fee' 2.45 Postage _ 0.45 postage Return Receipt 2.35 Ceridietl Fae 2.95 J@ Postag QS Retu Receipt 235 CenirietlFee US .45 Restricted - Return Receipt 2.35 Return Fee 295 Resin tl S Restricted Return Receipt 2.35 TOTAL $5.75 TOTAL 5 TOTAL $5.75 Restricted Restrrlctedceipt 2.35 POSTMARK OR DATE POSTMARK OR DATE TOTAL $5.75 TOTAL $5.75 POSTMARK OR DATE POSTMARK OR DATE POSTMARK OR DATE 0 I'tOUKL ZAw OFFICES 4. Restricted Delivery? 3.Service Type 51020 MAIN ROAD (Extra Fee) ❑Yes CERTIFIED SOUTHOLD NY 11971 2. Article Number 7192 6463 3110 0001 1894 A. signs re: (DAssee or[3Agent) IN Ilii)111111111111111111111111111 BC 7192 6463 3110 0001 1894 Re slued By: (Pie riot clearly) 1. Article Addressed To: II c.Date of Delivery Sds/I ELLEN CRESCENZO s OTHERS I ' D.Addressee'sAddresslnose rF Amnouseenys 95 EVERGREEN LANE YI ZIOl £ E. PATCHOGUE NY 11772 Cb.1M . .......................... r(Please PNnt Secondary Adtlreve I Sults 1 Apt ` �~ I . ...........................................-tnb��_ .. � I -Delivery Addrecf � ;' 11VOKL LAW VES ow 4 cotleFF"IC - - 51020 MAIN ROAD 4. Restricted Delivery? 3.Service Type SOUTHOLD NY 11971 (Extra Fee) []Yes CERTIFIED 2. Article Number - - _-- C O of y 7192 6463 3110 0001 18 - ' " `ri n 0rid y O k e , °. 2 O R By`❑PaedreesPrnoOle tly)nt) Hill 11111111111111 lllilllllllllllilll a z Z H 7192 6463 3110 0001 1887 K w r o C.Date of Delivery 7. Article Addressed 70: m � -D d . 3 � O • � r Address rnoa.n.IPmmaee weu.eaysem.a RICHARD HOCKANSON $ 1635 NOKOMIS ROAD f eeea.r near. o . r_._ SOUTHOLD NY 11971 ..... 91 . .. uvvrcL Law vrriCES 4. Restricted Delivery? 3.Service Type "' g 51020 MAIN ROAD SOUTHOLD NY 11971 (Extra Fee) Yes CER TIF rn v rn ' 7 Article Number o o c C N 7192 6463 3110 0001 12y ou n ti ]( // 'Y/ ature: Add see orOAA nt) IIIIII III II IIII II III IIIIIIIIIIIII I III III K c In z a 117 B. Recely d By: (Please Print Clearly) 719 2 6 4 6 3 3110 0001 18 6 3 e' m •°N -1 W ru ,. C� , W r 3 ❑C.Date of eliv 1. Article Adtlressed To: W WNICHOLAS J• & NANNETTE GIBBONSD.Address e'sA dress rnoa em.mmaeer...:u..eaysenaea 8 GARDINER PLACEsv HUNTINGTON STATION NY 11746o rn`` � ADeWwy Address _......._ o r y 0 ntr wale ziP.a csa: SCOTT A. RUSSELL �0o�o�1FFOt��a JAMES A. RICHTER,0R.A. SUPERVISOR ENGINEER TOWN HALL - 53095 MAP]ROAD TOWN OF SOUTHOLD,NEW YORK 11971 Fax. (631)-765-9015 '` Tel.(631)-765-1560 JAMIE.RICHTER@TOWN.SOUTHOLD.NY.US OFFICE OF THE ENGINEER TOWN OF SOUTHOLD Donald J. Wilcenski June 15, 2012 Chairman - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Re: David Verity Standard Subdivision J„n� } g 2012 865 Nakomis Road, Southold SCTM: 1000-78-03-26 Dear Mr. Wilcenski: As per a request from your office, I have reviewed the Site Plan for the proposed subdivision. This site plan /survey was prepared by the office of John Metzger and has been dated 8/18/10. Please consider the following: 1. This proposed subdivision of a 1.32 acre parcel does not appear to require additional drainage to comply with Chapter 236. The existing development is relatively small and leaders and gutters appear on all structures where the downspouts are directed to expansive lawn areas that are directed away from the MS4. 2. The Building Department should be requested to review any non-conforming issues or setbacks that may be created as a result of this subdivision. If you have any questions regarding this review, please contact my office. Sin er ly, / J mes A. Richter, R.A. I Y µ r e > i X14 00000000/ • I / . • / ' / WOVs. 0000 / • • *,Irp • a z a �x ii � t { #107551 STATE OF NEW YORK) ACG-{-_ ) SS: (J COUNTY OF SUFFOLK) Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 week(s), successfully commencing on the 28th day of June, 2012. l Principal Clerk Sworn to before me this day of 2012. LEGAL NOTICE C, ,t , Notice of Public Hearing NOTICE IS HEREBY GIVEN that, CNRI$TINA VOLIN$KI pursuant to Section 276 of the Town Law and ArticleXXVoftheCodeoftheTown NOTARY PUBLIC-STATE Of NEW YORK of Southold,a public hearing will be held No. 01V06105060 by the Southold Town Planning Board, at the Town Hall,Main Road,Southold, Qualified In Suffolk County New York on the 9th day of July,7.012 on my commission Expires February 28, 2016 the question of the following: 6:00 p.m.Proposed Standard Subdivi- sion for David Verity located at 865 Na- komis Road,on the n/c/o the intersection of Nakomis Road & Hiawatha's Path, Southold, Town of Southold, County of Suffolk,State of New York. Suffolk County Tax Map Number 1000-78-3-26 6:02 p.m.Proposed Site Plan for Pe- conic Land Trust Greenhouses located at 3005 Youngs Avenue,±1/4 mile s/o Mid- dle Road,Southold,Town of Southold, County of Suffolk,State of New York. Suffolk County Tax Map Number 1000- 63-1-25.3,25.4 6:04 p.m. Proposed Site Plan for T- Mobile NE at LIPA located at 69685 NYS Route 25,±500'w/o Chapel Lane, Greenport,Town of Southold, County rt Suffolk,State of New York. Suffolk County Tax Map Number 100045-1- 14.1 Dated:6/6/12 BY ORDER OFTHE SOUTHOLD TOWN PLANNING BOARD Donald I.Wilcenski Chairman 10 755-1T 6/28 • • MAILING ADDRESS: PLANNING BOARD MEMBERS tf SUUT P.O.Box 1179 DONALD J.WILCENSKI O�� yQl Southold, NY 11971 Chair .1L . OFFICE LOCATION: WILLIAM J.CREMERS T Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH IIT (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR Southold, NY 11 Telephone: 631 765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 9th day of July, 2012 on the question of the following: 6:00 p.m. Proposed Standard Subdivision for David Verity located at 865 Nakomis Road, on the n/c/o the intersection of Nakomis Road & Hiawatha's Path, Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-78-3-26 6:02 p.m. Proposed Site Plan for Peconic Land Trust Greenhouses located at 3005 Youngs Avenue, ±1/4 mile s/o Middle Road, Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-63-1-25.3, 25.4 6:04 p.m. Proposed Site Plan for T-Mobile NE at LIPA located at 69685 NYS Route 25, ±500' w/o Chapel Lane, Greenport, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-45-1-14.1 Dated: 6/6/12 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Donald J. Wilcenski Chairman PLEASE PRINT ONCE ON THURSDAY, JUNE 28, 2012 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times Page 1 of 1 Kalin, Carol From: Candice Schott[cschott@timesreview.com] Sent: Thursday, June 07, 2012 10:13 AM To: Kalin, Carol Subject: RE: Legal Ad for 6/28/12 Suffolk Times HI Carol, I have received the notice and we are good to go for the 6/28 issue. Thanks and have a great day! Candice From: Kalin, Carol [mailto:Carol.Kalin@town.southold.ny.us] Sent: Thursday, June 07, 2012 9:57 AM To: tr-legals Subject: Legal Ad for 6/28/12 Suffolk Times Please print the attached legal ad for the July 9, 2012 Planning Board Public Hearings regarding the Verity Standard Subdivision, Peconic Land Trust Greenhouses Site Plan & the T-Mobile at LIPA Site Plan in the June 28, 2012 edition of the Suffolk Times. An e-mail confirmation of receipt for our files will be appreciated. Thanks. Carol Kalin, Secretarial Assistant Southold Town Planning Board Southold Town Annex, 54375 NYS Rt. 25 P.O. Box 1179 Southold, NY 11971 Phone: (631)765-1938 Fax: (631)765-3136 Carol.Kalin(a?town.southold.nv.us 6/7/2012 • • MAILING ADDRESS: PLANNING BOARD MEMBERS OF soy P.O.Box 1179 DONALD J.WILCENSKI O�� jy�lw Southold,NY 11971 Chair ` v OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH III O �� (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR l''COU rtV Southold,NY I11, Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 9th day of July, 2012 on the question of the following: 6:00 p.m. Proposed Standard Subdivision for David Verity located at 865 Nakomis Road, on the n/c/o the intersection of Nakomis Road & Hiawatha's Path, Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-78-3-26 6:02 p.m. Proposed Site Plan for Peconic Land Trust Greenhouses located at 3005 Youngs Avenue, ±1/4 mile s/o Middle Road, Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-63-1-25.3, 25.4 6:04 p.m. Proposed Site Plan for T-Mobile NE at LIPA located at 69685 NYS Route 25, ±500' w/o Chapel Lane, Greenport, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-45-1-14.1 Dated: 6/6/12 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Donald J. Wilcenski Chairman STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) CAROL KALIN, Secretary to the Planning Board of the Town of Southold, New York being duly sworn, says that on the 7th day of June, 2012 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board Southold Town Hall 53095 Main Road, Southold, New York 7/9/12 Regular Meeting: 6:00 p.m. Public Hearing for the proposed Standard Subdivision for David Verity, SCTM#1000-78-3-26 6:02 p.m. Public Hearing for the proposed Site Plan for Peconic Land Trust Greenhouses, SCTM#1000-63-1-25.3, 25.4 6:04 p.m. Public Hearing for the proposed Site Plan for T-Mobile NE at LIPA, SCTM#1000-45-1-14.1 Carol Kalin Secretary, Southold Town Planning Board Sworn to before me this r]d y of 2012. Q Notary``Public NOI'ARtP8 0.RAO 0I.PH SIM of New Yolk 111600 f ; MAILING ADDRESS: PLANNING BOARD MEMBERSP.O. Box 1179 DONALD J.WILCENSKI o���F 0(/j�pl Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex KENNETH L.EDWARDS G Q 54375 State Route 25 JAMES H.RICH IH :N\ ,�a�� (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR I�COU m �`(,`' Southold, NY 11 Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 5, 2012 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Sketch Plan Approval Extension, Negative Declaration & Set Hearing for the Standard Subdivision of David Verity Located at 865 Nakomis Road, Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Southold Town Planning Board, at a meeting held on Monday, June 4, 2012, adopted the following resolutions: WHEREAS, this proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District; and WHEREAS, on December 13, 2011, the Southold Town Planning Board granted Sketch Plan Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters Town of Southold Suffolk County, NY", dated September 23, 2011 with one condition; and WHEREAS, the Planning Board performed an uncoordinated review of this Unlisted Action pursuant to 6 NYCRR Part 617, Section 617.7 of the State Environmental Quality Review Act (SEQRA); and ' r WHEREAS, Sketch Plan Approval expired; and " WHEREAS, on May 25, 2012, the agent requested an extension; be it further RESOLVED, that the Southold Town Planning Board hereby grants an Extension of Sketch Plan Approval through December 4, 2012, upon the map prepared by David Verity Page Two June 5. 2012 Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters Town of Southold Suffolk County, NY", dated September 23, 2011; and be it further RESOLVED, that the Southold Town Planning Board, pursuant to SEQRA, hereby makes a determination of non-significance for the proposed standard subdivision and grants a Negative Declaration; and be it further RESOLVED, that the Southold Town Planning Board sets Monday, July 9, 2012 at 6:00 p.m. for a public hearing regarding the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters Town of Southold Suffolk County, NY", dated September 23, 2011. Please refer to the enclosed copy of Chapter 55, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Annex. Please return the enclosed Affidavit of Posting along with the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on Friday July 6th. The sian and the post need to be returned to the Planning Board Office after the public hearina. The Extension of Sketch Plan Approval is valid for six months unless an extension of time is requested and granted by the Planning Board. Note that specifics regarding map changes, content of the Covenants and Restrictions, other legal documents and submission requirements needed for subdivision approval will be provided to the applicant by the Planning Board upon completion of the environmental review and receipt of comments from other involved agencies. The applicant is advised that design changes may be required prior to Final Plat Approval. i Also enclosed is a copy of the Negative Declaration for your records. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Very truly yours, Donald J. Wilcenski Chairman Encls. r MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF SO(/Ty0 P.O. Box 1179 DONALD J.WILCENSKI �0 l0 Southold,NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS A Town Hall Annex KENNETH L.EDWARD5 %, • �O 54375 State Route 25 JAMES H.RICH III 27, (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR COU Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Nonsignificant June 4, 2012 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Standard Subdivision of David Verity SCTM#: 1000-78-3-26 Location: 865 Nakomis Road in Southold SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. i SEQRA Negative Declaration —Verity— Page Two The determination was based upon the following: 1. It is estimated that the proposed two residential lots will use approximately 600 gallons of water per day. Sanitary disposal within the proposed subdivision will be managed by on-site underground sewage leaching systems. In 1978, the Long Island Regional Planning Board published the Long Island Comprehensive Waste Treatment Management Plan (208 Study). The 208 Study identified eight (8) hydrogeologic zones in Nassau and Suffolk Counties. These zones were distinguished based upon differences in underlying groundwater flow patterns and water quality. The subject site is located within SCDHS Groundwater Management Zone IV, which according to Article VI of the Suffolk County Sanitary Code, has an allowable flow of 600 gallons per day (gpd) per acre in areas served by public water. The parcel is 1.32 acres in size with an allowable flow of 792 acres. The sanitary design flow is computed using SCDHS manual Standards for Approval of Plans and Construction for Sewage Disposal Systems for Other Than Single Family Residences. The manual establishes the design flow as follows: SINGLE FAMILY DWELLING:300 cind x 2 dwellings = 600 gpd Based upon such, the allotted gpd are less than calculated allowable flow. The proposed application will conform to Article VI of the Suffolk County Sanitary Code and will not be expected to adversely affect groundwater quality provided properly functioning systems are designed and installed. No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels, no substantial increase in solid waste production, potential of erosion, flooding, leaching or drainage problems will occur as a result of this action. 2. No protective natural features are located on the parcel, therefore, no significant adverse impacts will occur to the natural features as a result of this action. Both Lots 1 and 2 are improved with a single family residences and landscaped. The rear of the property is wooded with large oak (Quercus spp.) trees and are subject to clearing limits to preserve the existing vegetation. Significant trees (>18" DBH) will be preserved within the area to remain wooded. No significant removal or destruction of large quantities of vegetation or fauna, no substantial interference with the movement of any resident or migratory fish or wildlife species, no significant impacts on a significant habitat area, no substantial adverse impacts on a threatened or endangered species of animal or plant or the habitat of such a species, and no other significant adverse impacts to natural resources will occur. The locations of the proposed lots are such as to avoid the wetlands and wooded portions of the property. 2 ARA Ne-gative Declaration —Verityloage Three 3. The proposed action is located within the Residential 40 (R-40) Zoning District and is not in material conflict with a community's current plans or goals as officially approved or adopted nor will the action significantly adversely affect existing community or neighborhood character. Both lots are currently improved with single family residences. 4. The proposed action will not significantly impair the character or quality of important historical, archaeological, architectural, or aesthetic resources. 5. No major change in the use of either the quantity or type of energy will occur. 6. No creation of a hazard to human health will occur. 7. The proposed action will not cause a substantial change in the use, or intensity of use of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. 8. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: Contact Person: Mark Terry, Principal Planner Address: Southold Town Planning Board Telephone Number: (631) 765-1938 encl. cc: Suffolk County Planning Commission Suffolk County Department of Health Services 3 Southold Town Plannina Board Notice to Adjacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a standard subdivision; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-78-3-26; 3. That the property which is the subject of this application is located in the R-40 Zoning District; 4. That the application is for a standard subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.). The property is located at 865 Nakomis Road, on the north corner of the intersection of Nakomis Road and Hiawatha's Path, Southold; 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. in the Planning Department located in the Town Hall Annex on the corner of Youngs Ave. & NYS Rte. 25, Southold (2nd Fl., Capital One Bank). If you have any questions, you can call the Planning Board Office at (631)765-1938. Information can also be obtained via the internet by sending an e-mail message to: Carol.KalinCD_town.southold.ny.us; The office will be closed on Wednesday, July 4, 2012. 6. That a preliminary public hearing will be held on the matter by the Planning Board on Monday. July 9. 2012 at 6:00 p.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in The Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner Name: David Verity Date: 6/5/12 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on I have sent notices by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Fri., 7/6/12 ******k****kk*kkkk*****k*k**kkk*k**k**k***********k*******************kkkkkk**k***********kk******** Re: Proposed Standard Subdivision for David Verity SCTM#s: 1000-78-3-26 Date of Preliminary Hearing: Monday, July 9. 2012, 6:00 p.m. Town of Southold PGCodebook for Windows § 55-1. Providing notice of public hearings. [Amended 6-3-2003 by L.L.No. 12-2003] Whenever the Code calls for a public hearing this section shall apply. Upon determining that an application or petition is complete, the board or commission reviewing the same shall fix a time and place for a public hearing thereon. Notice relating to a public hearing on an application or petition shall be provided as follows: A. Town responsibility for publication of notice. The reviewing board or commission shall cause a notice giving the time, date,place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. Applicant or petitioner responsibility for posting and mailing notice. An application or petition, initiated,proposed or requested by an applicant or petitioner,other than a Town board or commission, shall also be subject to additional notice requirements set forth below: (1) The applicant or petitioner is required to erect the sign provided by the Town,which shall be prominently displayed on the premises facing each public or private street which the property involved in the application or petition abuts, giving notice of the application or petition, the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more than 10 feet from the property line. The sign shall be displayed for a period of not less than seven days immediately preceding the date of the public hearing. The applicant,petitioner or his/her agent shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. (2) The applicant or petitioner is required to send notice to the owners of record of every propertywhich abuts and every property which is across from any public or private street from the property included in the application or petition. Such notice shall be made by certified mail, return receipt requested, posted at least seven days prior to the date of the initial public hearing on the application or petition and addressed to the owners at the addresses listed for them on the local assessment roll. The notice shall include description of the street location and area of the subject property, nature of relief or approval involved, and date, time and place of hearing. The applicant, petitioner or agent shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. 1 BARBARA J . VERITY STANDARD SUBDIVISON FOR DAVID VERITY 1000 =78 =3 -26 Proposal for a standard subdivision of a 1 .32 acre parcel into two lots where Lot 1 = 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31 ,057 s.f.) in the R-40 Zoning District. MO ,NDAY - JULY 2012 - 6 : 00 P . M . --_..._. � • �ua6y a�Lnlag xel l(lladadlea2l eN-� �n�,.r.,dti,e.r' v,�... � a � --...—_ �,...¢.�... --.—_ _.....¢ a —.-�.m _—____ ..,r, 3 oNN L:335 aeoLlEnos mN.m. lx{ am H O wiau s=1O A1Nnoo MOON '�.'rn""°'^'„� --� — �,..¢..w --'a-- 3 i vx na Bu, _ 3N11_ {ql }aB A hht b 4 _ w o Bl E'BL <t p ZB w ye 8 I el ' 7 `S-03 � lV1'1 I'tEl tt a O �lB w A tle'L h w � BC {(p �/�•1 3 �.{ C _ a w r / 4i ce 5l w� \�� W �F iF- h1N'` A � m A / / ♦r�r ra ® c� w cr N a w N. : • rr 1 / LF. [ o f 4 Wm 58 O ' La' esw w 3 h of a w G I rl< '"'tiro lrrl z{ P zl.' 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(a)o't 4i m m �oH`q�, VOL m © " zioi $ rl m es mut Stbt (aA'o.1 i � - �.,; ��� tem ONl • n Yol ..� � WILL _ r x 0512512012 12:58 MOORE LAMN ICES �A)W1765WA P.0011001 PA*t PATR tC.MOORT Attorneome y at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631) 765-4643 May 25, 2012 Attn: Donald Wilcenski, Chairman Planning Board Town of Southold Main Road PO Box 1179 kA; 2012 Southold NY 11971 RE: DAVID VERITY PREMISES: 860 NAKC(MIS ROAD, SOVTHOIA Dear Chairman Wilcenski & Board members: With reference to the above please let this serve as a request for an extension of Sketch Plan approval. Thank you and please do not hesitate to call should you have any questions. VE �rJ�!rLu{/lc/, 400y�' yours, at- icia C. PCM/bp e"is. MAILING ADDRESS: PLANNING BOARD MEMBERS ��Of soUlyoP.O. Box 1179 DONALD J.WILCENSKI � �� Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS u+ ac Town Hall Annex KENNETH L.EDWARDS ,�p�O 54375 State Route 25 JAMES H.RICH IIIOl�COU ��.` (cor.M uYoungs Ave .) MARTIN H.SIDOR Southold, NY Telephone: 631 765-1938 Fag: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 23, 2012 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Standard Subdivision for David Verity Located at 865 Nakomis Road in Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Planning Board reviewed the above-referenced application at their May 21, 2012 Work Session and have agreed to issue a SEQRA determination, set a Public Hearing and consider an extension of Sketch Approval at the June 4th Public Meeting. Please submit a letter to the Planning Department requesting an Extension of Sketch Approval no later than May 30th. If you have any questions regarding the above, please contact this office. Very truly yours, Q"� &- Alyxandra Sabatino Planner 0 WORK SESSION AGENDA • SOUTHOLD TOWN PLANNING BOARD Monday, May 21, 2012 4:00 p.m. Southold Town Meeting Hall 4:00 p.m. Applications Project name: Fischer, Daniel & Nancy SCTM#: 1000-15-8-1.1 Location: 38785 NYS Rt. 25, Orient Description: This is a proposed 2-lot standard subdivision of a 1.67-acre parcel where Lot 1 = 36,333 sq. ft & Lot 2 = 36,332 sq. ft. in the R-40 Zoning District. Status: Cond. Preliminary Approval Action: Review revised C & R's. Attachments: Staff Report Project name: Manor Grove Conservation SCTM#: 1000-53-1-1.2 & 1.3 Subdivision Location: Northeast corner of Albertson Lane and Main Road, Greenport Description: This proposal is for an 80/60 clustered conservation subdivision of a 29.8-acre parcel into two lots where Lot 1 = 0.72 acres in the LB Zoning District, and Lot 2 = 28.74 acres to be preserved as open space in the R-80 & LB Zoning Districts. An undevelopable 'Y4 acre strip of land will also be subdivided in the R-80 Zoning District to be merged with adjacent parcels. Status: Conditional Final Approval Action: Review C & R's Attachments: Staff Report -Project-name: Verity, David SCTM#: 1000-78-3-26 Location: 860 Nokomis Road, Southold Description: This proposal is a Standard Subdivision of a 1.32-acre parcel into two lots where Lot 1= 0.60 acres (26,340 sq. ft.) and Lot 2 = 0.71 acres (31,057 sq .ft.) in the R-40 Zoning District. Status: Sketch Approval Action: Consider for SEQR determination and Sketch Extension Attachments: Staff Report Project name: Platinum East Properties, LLC SCTM#: 1000-69-6-3 Location: 48205 Route 25, ±956.85' west of Ackerly Pond Lane, Southold Description: This site plan is for the proposed construction of a 2,880 sq. ft. electrical contractor office/warehouse on 0.9 acres in the General Business (B) Zoning District, Southold. Status: New Application Action: Review for completeness Attachments: Staff Report Discussion: Sterling Harbor Inc. at Bayview Barn, SCTM#1000-88-2-15.5 PATRICIA C. MOORE Attorney at Law 51020 Main Road l Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 April 27, 2012 Attn: Donald Wilcenski, Chairman Planning Board Town of Southold Main Road PC BOX 1179 Southold NY 11971 APR 3 0 2012 RE: DAVID VERITY PREMISES : 860 NAKOMIS ROAD, SOUTHOLD Dear Chairman Wilcenski & Board members : With reference to the above and in accordance with the December 12, 2011 resolution which granted Sketch Plan approval, enclosed please find Preliminary Plat application, my client' s $1, 000 . 00 check for the filing fee and four (9 ) prints of the subdivision map. Thank you and please do not hesitate to call should you have any questions . vej`y truly y zs, / u Pat iY ckia C. I PCM/bp / encls . 1 MEMBERS QF SOS MAILING ADDRESS: PLANNING BOARD ME �� Tyo P.O. Box 1179 MARTIN H.SIDOR �� �� Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G Town Hall Annex KENNETH L.EDWARDS H.RICH IIIaG"��O 54375 State Route 25 DONALJAMD J. WIL ENSKI IyC�VOI,w (cor. MaSoutholdYoNuings Ave.) Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 13, 2011 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Sketch Plan Approval: Standard Subdivision of David Verity Located at 865 Nakomis Road, Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Southold Town Planning Board, at a meeting held on Monday, December 12, 2011, adopted the following resolution: WHEREAS, this proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District; and WHEREAS, on April 1, 2011, the applicant submitted their application; and WHEREAS, on June 2, 2011, the Zoning Board of Appeals granted variances for minimum lot size and side yard set backs; and WHEREAS, on June 2, 2011, the applicant submitted the application fee in the amount of $1,750; and WHEREAS, on July 25, 2011, the Planning Board reviewed this application and found it complete; and WHEREAS, on August 29, 2011, referrals were sent to the Suffolk County Department of Health Services, LWRP Coordinator, and the Town Engineer for their review; and WHEREAS, on November 10, 2011, the applicant submitted revised maps; and 0 David Verity Page Two December 13, 2011 WHEREAS, the Southold Town Planning Board reviewed the revised plans at their November 28, 2011 Work Session and found that this application met the Town Code requirements for Sketch Plan and was ready for Sketch Plan determination; be it therefore RESOLVED, that the Southold Town Planning Board hereby grants Sketch Plan Approval upon the map prepared by Peconic Surveyors, P.C., entitled "Preliminary Plat Standard Subdivision for David Verity at Laughing Waters Town of Southold Suffolk County, NY", dated September 23, 2011 with one condition as follows: 1. Remove the building envelopes from the plan before submitting the Preliminary Plat Application. The building envelopes (front, side and rear yard setbacks) do not reflect the distances required in the Town Code for this zoning district. The pre-existing non-conforming buildings located on this property will remain as such and future construction will be subject to the standard setbacks for the district. Sketch Plan Approval is valid for six months unless an extension of time is requested and granted by the Planning Board. The next step in the subdivision process is the Preliminary Plat Application. Please submit a complete Preliminary Plat Application at your earliest convenience. Note that specifics regarding map changes, content of the Covenants and Restrictions, other legal documents and submission requirements needed for subdivision approval will be provided to the applicant by the Planning Board upon completion of the environmental review and receipt of comments from other involved agencies. The applicant is advised that design changes may be required prior to Final Plat Approval. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Very ntruly yours, �p { Martin H. Sidor Chairman • • MAILING ADDRESS: PLANNING BOARD MEMBERS pf soUr�o Southold, of 1179 MARTIN H.SIDOR �Q l� Char OFFICE LOCATION: WILLIAM J.CREMERS y Town Hall Annex KENNETH L.EDWARDS 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI �COUNT'1 Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 1, 2011 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Standard Subdivision for David Verity Located at 865 Nakomis Road in Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Planning Board reviewed this application at their November 28, 2011 Work Session and will consider issuing Sketch Approval at the December 12, 2011 Public Meeting. If you have any questions regarding the above, please contact this office. Very truly'yours, Salo�:�iN-e- Alyxandra Sabatino Planner cc: Heather Lanza, Planning Director Planning Board Southold Town Planning Boa Page Two Povember 28. 2011 Project name___If , Winston, Eve SCTM#:i 1000-105-1 4 _ Location: - Private Road #13, Mat ituck —--- -- iDescription: dard Subdivision of a 5.58 acre parcel into two lots, where Lot 1= acres (80,003 s.f.) and Lot 2 = 3.7 acres (163,044 s.f.) in the R-80 -_ District. Status: - - - Pending — ------...------ Action: Review comments to ZBA. ------- — Att ---achments: Staff Re ort --m —�------- ---- - — -----Project name: Veri David SCTM#: 100T p 78 3.26 Location: 860 N mis Road, Southold -- Description: This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f. in the R-40 Zonin District. Status: Pendin Action: Review for Sketch A royal. Attachments: Staff Re ort Project name: Stanton, Phil & Jennifer SCTM#: 1000-64-1-29 Location: Ma le Lane, Southold Description: This proposal is for a 3 lot standard subdivision in the R-40 Zoning District. Status: Pre-submission Action: Review request for s ecial e-x tion to Town Code. Attachments:_ Staff Report - - — - Jl For Discussion: � ■ Town Board Local Law re: Solar Energy Permits ■ 2012 Planning Board Meeting Agenda WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, November 28, 2011 2:30 p.m. Executive Board Room, Town Hall Annex 2:30 p.m. Applications Project name: Seifert Construction Corp. I SCTM#: 1000-141-3-44 Location: 11780 Sound Avenue, in Mattituck Description: This proposed site plan is for construction of a new building 3,965 sq. ft. (38'x78' plus a 38' x 6' porch overhang) with approximately 2,191 sq. ft. of warehouse, 773 sq. ft. of display area, 228 sq. ft. of porch and 773 sq. ft. of second floor office to be used as an office, warehouse/custom cabinet workshop on a 11,517.67 sq. ft. parcel in the LI Zone located approximatel 520' w/o Pack Street on the s/s/o Sound Avenue. Status: Approved Site Plan Pending Final Inspection Action: Review Final Site Inspection. Attachments: Draft Final Ins ection Letter Project name: T.K. Alpha, LLC Shopping Ctr. SCTM#: 1000-140-2-20 Location: 535 Pike Street, on the north side of Pike street, approximately 100 feet east of Love Lane, in the Hamlet Business Zoning District, Mattituck Description: This site plan is for the proposed construction of a 2,475 s.f. mix-use building consisting of two store fronts for a 1,100 s.f. dry store & 1,375 s.f. wet store. There is an existing 605 s.f. building proposed to be removed on an 11,561 s.f. parcel. Status: Pendin Action: Review draft ZBA comments. Attachments: I Draft Comments Project name: La Gran Villa I SCTM#: 1000-114-11-12 Location: 13000 Route 25, Mattituck Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant in the HB District. On the 19,857 s.f. (.48 acre) parcel, currently exist a dry store, medical office, Crystal Clear Cleaning Corp. office and storage. There are 22 existing parking spaces on site and no more are proposed. _ Status: Pending _ Action: Status Up-date Attachments: Draft Letter Project name: Battaglia, Joseph and Heidi SCTM#: 1000-64-3-3 Location: w/s/o Hobart Road, approx. 1,059 feet n/o Terry Lane, Southold Description: This standard subdivision is to subdivide 2.32 acres into two lots where Lot 1 = 43,213 s.f. and Lot 2 = 57,809 s.f. in the R-40 Zoning District. Status: Conditional Preliminary Approval Action: Review Final Map, C & Rs and Drainage Easement. Attachments: C & Rs, Drainage Easement -AW MO LETTER PATRICIA C. MOORE, APORNEY AT LAW 51020 Main Road Southold,NY 11971 q T( A S (631)765-4330 email:pcmoorel®opton ine.net Le email: �, DATE l TO SUBJECT �A�u�u L,21 3 nC= 72�Z1 > -1 t �JAec u L las 11 SIGNED � Please reply No replynecessary 0 0 Page 1 of 1 Sabatino, Alyxandra K. From: Sabatino, Alyxandra K. Sent: Tuesday, September 13, 2011 10:56 AM To: 'Betsy@mooreattys.com' Subject: David Verity Dear Ms. Moore, The Planning Board reviewed this application at their July 25, 2011 work session and found the application complete. For sketch plan we are waiving the following plan notation corrections however, they must be added to the Preliminary Plat when submitted, a. Clearing restrictions will apply and should be located around the existing wooded areas on the parcel, particularly in the back of the lots. b. Use an appropriate title as required by Town Code including the words "Standard Subdivision". c. Add a site key 1"=500' to the plat. i. Remove the old lot line from the Sketch Plan. If you have any questions regarding the above, please contact this office. Sincerely, Alyxandra Sabatino Planner Alyxandra K. Sabatino Southold Town Planning Department 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: (631)765-1938 9/13/2011 • MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF svoryo P.O.Box 1179 MARTIN H.SIDOR ,`0 �� Southold,NY 11971 Chair # OFFICE LOCATION: WILLIAM J.CREMERS N bw Town Hall Annex KENNETH L.EDWARDSG �O 54375 State Route 25 JAMES H.RICH III CO,n,ru (cor.Main lid. dY Youngs Ave.) DONALD J.WIL ENSKI o ul1 Telephone:631765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: James Richter, Engineering Inspector From: Alyxandra Sabatino, Planner a S. Date: August 29, 2011 Re: David Verity Standard Subdivision Application Name: David Verity Tax Map Number: SCTM#1000-78-3-26 Location: 865 Nakomis Road, Southold Type of Application: X_ Sketch Subdivision Map (Dated:Auslust, 18, 2010) Preliminary Subdivision Map (Dated: 1 Final Subdivision Map (Dated: 1 Road Profiles (Dated: 1 Grading and Drainage Plans (Dated: 1 Other (Dated: ), Sketch Site Plan (Dated: 1 Preliminary Site Plan (Dated: ) Grading and Drainage Plans (Dated: ) Other (AS BUILT) (Dated: ) Project Description: This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1 = 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. Thank you for your cooperation. Enc: 1 Sketch Plan • MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF SOpj�o P.O.Box 1179 MARTIN H.SIDOR Southold,NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G C Town Hall Annex KENNETH L.EDWARDS �O 54375 State Route 25 JAMES H.RICH III ���. (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI COUNT(, Southold, NY Telephone:631 765-1938 Fax:631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Mark Terry, LWRP Coordinator From: Alyxandra Sabatino, Planner `A.S- Date: August 29, 2011 Re: Request for Review on: David Verity Standard Subdivision 865 Nakomis Road, Southold SCTM#1000-78-3-26 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. The file is available at your convenience. This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1 = 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. Thank you for your cooperation. PLANNING BOARD MEMBERSQF so • MAILING ADDRESS: �a Tye P.O. Box 1179 MARTIN H.SIDOR �0 l0 Southold,NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G Town Hall Annex KENNETH L.EDWARDS �O 54375 State Route 25 JAMES H.RICH III Oly (cor.Main Rd. &Youngs Ave.) DONALD J.WILCENSKI COU Southold,Southold, NY Telephone: 631765-1938 Fax:631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Suffolk County Department of Health Services From: Alyxandra Sabatino, Planner ( Date: August 29, 2011 ° RE: Sketch Plan Application Review • Request for comments pursuant to Southold Town Code §280-131 Dear Reviewer: The purpose of this request is to seek comments from your agency. Please provide the following, as applicable: 1. Comments or requirements the Planning Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated. Project Name: David Verity Standard Subdivision Address: 865 Nakomis Road Southold, NY Tax Map #: 1000-78-3-26 Contact Person: Alyxandra Sabatino, Planner (631) 765-1938 Enclosures: 0 Sketch Plan PLANNING BOARD MEMBERS �AOF SOuMAILING ADDRESS: ryO �Q � P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair G COFFICE LOCATION: WILLIAM J.CREMERS �pTown Hall Annex 54375 State Route 25 JAMES H.RICKENNETH L. H III �I�COU '� (cor.Main Rd. &Youngs Ave.) DONALD J.WILCENSKI Southold, NY Telephone: 631 765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 27, 2011 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Standard Subdivision for David Verity Located at 865 Nakomis Road in Southold SCTM#1000-78-3-26 Zoning District: R-40 Dear Ms. Moore: The Planning Board reviewed this application at their July 25, 2011 Work Session and found the application complete. The Board is waiving the following Sketch Plan requirements, however, they must be added to the Preliminary Plat when submitted. a. Pursuant to § 240-49 clearing restrictions will apply and shall be located around the existing wooded areas on the rear of the lots. The clearing restrictions must be noted on the Preliminary Plat which includes a 60% clearing limit on the lot with 26,340 square feet and a 50% clearing limit will be placed on the lot with 31,057 square feet. b. Use an appropriate title as required by Town Code including the words"Standard Subdivision". c. Add a site key 1"=500' to the Preliminary Plat. d. Remove the old lot line from the Sketch Plan. If you have any questions regarding the above, please contact this office. Sincerely, Alyxandra Sabatino Planner cc: Heather Lanza, Planning Director Planning Board 0 WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, July 25, 2011 4:00 p.m. Applications Project name: Winston, Eve SCTM#: 1000-105-1-4 Location: 3450 Private Road #13, Mattituck Description: Standard Subdivision of a 5.58 acre parcel into two lots, where Lot 1= 1.84 acres (80,003 s.f.) and Lot 2 = 3.7 acres (163,044 s.f.) in the R-80 Zoning District. Status: Pending Action: Reconsider Sketch Plan determination Attachments: None Project name: Colony PondSCTM# 1000-52-5-60.3 ... Location: on the s/s/o Colony Road, approximately 470' e/o Bayview Avenue, in Southold Description: This proposal is for a standard subdivision to subdivide a 13.540-acre parcel into five lots where Lot 1 = 35,567 sq. ft.; Lot 2 = 336,916 sq. ft., inclusive of a 41,424 sq. ft. building envelope and 6.8 acres of preserved open space; Lot 3 = 30,471 sq. ft.; Lot 4 = 30,029 sq. ft. and Lot 5 = 29,358 sq. ft. in the R-80 Zoning District. Status: Conditional Sketch Approval Action: Consider setting Preliminary Plat Hearing at 8/8/11 Public Meeting for 9/12/11. Attachments: Staff Report Project name: - and SCTM# : 1000-78-3-26 Location: 860 Nokomis Road, Southold -.-..... ............ Description: This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 ' s.f.) in the R-40 Zoning District. Status: Pending Action: Review application for acceptance by Planning Board. Attachments: StaffReport Project name: Sherwood House Vineyards SCTM#: ! 1000-1004-5.3 Location: 2600 Oregon Road, Mattduck Description: This site plan is for the proposed construction of two brick patios, one at 160 s.f. and the other at 706 s.f., for an outdoor wine tasting area that will include a 3,888 s.f, gravel parking lot with connecting paved footpaths. Status; Pending Action: Review revised site plan and Planning Board requirements Attachments: Staff Report WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, July 11, 2011 4:00 p.m. Applications Project name: Currie, Lawrence SCTM#: 1000-59-6-18.1, 19.1 & 19.2 Location: on Soundview Avenue, +/- 101.85 feet north east of Kenny's Road, in Southold Description: This proposed Lot Line Modification transfers 0.67 11 a11 cres from SCTM#1000-59-6-19.2 to SCTM#1000-59-6-18.1 and SCTM#1000-59-6 19.1. SCTM#1000-59-6-19.2 decreased in size from 0.67 acres to 0.00 acres; SCTM#1000-59-6-18.1 increased from 0.27 acres to 0.67 acres, and SCTM#1000-59-6-19.1 increased from 0.24 acres to 0.51 acres. Status: New Application Action: Accept for review. Attachments: Staff Report .... - Project name: Sutton, Alexander& Tracy SCTM# 1000-78-9-54 & 78 Location: 1160 North Bayview Road, 111.56 feet northeast of Liberty Lane and Victoria Drive, Southold Description: This proposal is for standard subdivision where two parcels, SCTM#1000-78-09-54 (1.82 ac.) and SCTM#1000-78-09-78 (0.624 ac) will be re-subdivided into two new parcels. Proposed Lot 1 will be 49,291 s.f. and proposed Lot 2 will be 30,000 s f in the R 40 Zoning District. ....... Status: Denied Action: Review plans recently submitted. Attachments: Staff Report Project name: ] David Verity_ SCTM#: 1000-78-3-26 . - _. Location: 860 Nakomis Road, Southold Description: This proposal is a Standard Subdivision of a 1.32 acre parcel into two lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. Status: Review Application Action: Review application for acceptance by Planning Board. Attachments: Staff Report; Draft Letter Project name: James Creek Landing SCTM#. 1000-122-3-1.4 Location: West side of Main Road, approx 280' south of New Suffolk Ave, Mattituck. Description: This proposal is to subdivide a split-zoned parcel into five lots where Lot 1 equals 40,686 sq. ft.; Lot 2 equals 33,007 sq. ft.; Lot 3 equals 44,986 sq. ft.; and Lot 4 equals 43,520 sq. ft. in the R-80 Zoning District. Lot 5 equals 77,747 sq. ft. and is located in the B Zoning District. The open space is equal to 5.59 acres or 60% of the upland area. Status: Sketch Approval -.. ........... Action: Review draft resolution for Cond. Preliminary Approval. Attachments: , Draft Resolution PATRICIA C. MOORE, AORNEY AT LAW MO LETTER 51020 Main Road „ Southold,NY 11971 (531)765-0330 email:pcmoorel @optonline.net / DATE S s To /J6 suelEcrAJ �� 1 2- arcs L i Cl+�c l -7 S • �S 8C I JUN - IGNP _ _ Please reply ❑ No reply necessary C '�0 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, Chairperson O��OF SO(/TyOI 03095 Main Road•P.O. Box 1179 p Southold,NY 11971-0959 James Dinizio, Jr. Office Location: Gerard P. Goehringer QTown Annex/First Floor,Capital One Bank George Horning • �O 54375 Main Road(at Youngs Avenue) Ken Schneider l/CO Southold, NY 11971 http://souLholdtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631)765-1809•Fax(631) 765-9064 L 2ai1 I U'; FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF MAY 18,2011 ZBA FILE: 6470 NAME OF APPLICANT: David J.Verity SCTM#1000-78-3-26 PROPERTY LOCATION: 865 Nokomis Rd. (Hiawatha's Path), o— u o d, NY SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type 11 category of the State's List of Actions, without further steps under SEQRA. LWRP: This application is not subject to review under Chapter 268 because does not involve features that relate to a regulated natural feature or a bulkhead or other shoreline. PROPERTY FACTS/DESCRIPTION: Subject parcel consists of 57,397 sq. ft. it is improved with a one story framed house, framed garage, one and a half story framed building and a framed cottage. It has 198.60 feet of frontage on Nokomis Rd., 271.50 feet of frontage on Hiawatha's Path, 215.72 feet along the east property line and 270.00 feet along the north property line as shown on the survey prepared by Peconic Surveyors, dated August 18, 2010. BASIS OF APPLICATION: Request for Variance under Article IV Section 280-18 and the Building Inspector's March 23, 2011 Notice of Disapproval based on an application for building permit for a subdivision, at: proposed Lot 1; 1) less than the code required minimum lot size of 40,000 sq. ft., 2) less than the code required width of 150 linear ft., 3) side yard setback at less than the code required 15 feet, proposed Lot 2; 1) at less than the code required minimum lot size of 40,000 sq. ft., 2) less than the code required width of 150 linear ft RELIEF REQUESTED: The applicant is seeking variances to subdivide his property into two non- conforming lots, requiring lot area of 31,057 sq. ft. for Lot 1 and 26,340 sq. ft. for Lot 2 where the code requires 40,000 sq. ft. and lot frontage of 115.03 feet for Lot 1 and 83.57 feet for Lot 2 where the code requires 150 linear feet. Additionally, on proposed Lot 1 a side yard setback of 7.9 feet is requested where the code requires 15 feet. Page 2—May 18,2011 ZBA File#6470-Verity CTM: 1000-78-3-26 ADDITIONAL INFORMATION: The Zoning Board requested comments from the Planning Board and in a response dated February 9, 2011, the Planning Board stated the applicant would need to apply to their department for a lot line modification and did not state any objections to the requested area variances. Additionally, the agent for the applicant presented a deed that was dated November 12, 1941, which is prior to current zoning, but was not recorded until August 25, 1983,which as after the code required date of June 30, 1983 for lot recognition. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on May 5, 2011,at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence, the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1) Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The proposed subdivision is in keeping with the neighborhood because the majority of the lots in the area are equal to or smaller than the two proposed lots. Additionally, both proposed lots are improved and have existed as such since prior to the zoning code of 1957 and no changes to the existing structures are being proposed by the applicant. 2. Town Law 4267-b(3)(b)(2) The benefit sought by the applicant can not be achieved by some method feasible for the applicant to pursue, other than an area variance. Since the deed was not recorded until after the date for lot recognition,the applicant has to pursue an area variance. 3. Town Law&267-b(3)(b)(3) The variances requested herein are substantial.The lot area variances are as follows: Lot 1, a 23% variance, for Lot 2, a 34%variance based upon present code requirements. As for the non-conforming side yard setback,this represents a 47%variance from the present code requirements. However,the creation of two lots with one dwelling on each will eliminate the existing non-conformity of two dwellings on a single lot. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that the variances requested in this residential community will cause an adverse impact on the physical or environmental conditions in the neighborhood. The structures pre-exist zoning and no changes are proposed by the applicant. 5. Town Law 4267-b(3)(b)(5) The alleged difficulty has not been self created in so far as the deed was not recorded on one of the lots at the time the lots were created. 6. Town Law 4267-b The grant of this application is the minimum necessary to allow the applicant to enjoy his property while taking into consideration the health, safety and welfare of the community. 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 Member Weisman (Chairperson), and duly carried,to Page 3—May 18,2011 ZBA FIIeH6470-Verity CTM: 1000-78-3-26 GRANT,the variance as applied for, and shown on the survey prepared 8/18/2010 by Peconic Surveyors. Applying the following identification to each lot: Lot 1 as the most northerly lot consisting of 31,057 sq. ft and Lot 2 the most southerly lot consisting of 26,340 sq. ft. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. 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. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes: Members Weisman (Chairperson), Horning, Goehringer, Dinizio, Schneider. This so tion was duly ad pted(5-0). Leslie Kane Weisman, Chairperson Approved for filing -5 J /2011 PLANNING BOARD MEMBER • MAILING ADDRESS: x 1179 MARTIN H.SIDOR ����Of SOury�j_ SouthP. old,oNY 11971 T WILLIAM J.CREMERS OFFICE LOCATION: CO3 Town Hall Annex KENNETH L.EDWARDS G Q JAMES H.RICH III 54375 State Route 25 DONALD J.WILCENSKI lij'COU '� (cor.Main Southold, NY Ave.) Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Leslie Weisman, ZBA Chairperson Members of the Zoning Board of Appeals From: Martin H. Sidor, Chair aq?57 Members of the Planning Board Date: February 9, 2011 Re: ZBA#6452, Request for Lot Recognition SCTM#1000-73-3-26 Zoning District: R-40 Location: Southold The Planning Board has received your request for comments regarding the above referenced application requesting lot recognition. The Planning Board requests that should the Zoning Board of Appeals grant the requested lot recognition a condition be made requiring the applicant to either apply to the Planning Board for a lot line modification to ensure that the existing house which would then straddle the newly recognized property line be addressed or that the existing house be removed. Should you have any questions or need additional information, please contact the Planning Department. Thank you. Southold Town Plannino*ard Work Session – Page Two F*uary 14 2011 Project name: Eve Winston SCTM#: 1000-105-1 4 Location: 3450 Private Road #13, Mattituck Description: This proposal is to subdivide a 5.58 acre parcel into two lots, where Lot 1= 1.84 acres (80,003 s.f.) and Lot 2 = 3.7 acres (163,044 s.f.) in the R- 80 Zoning District. Status: Oen — Action: Review site visit — — —� Attachments: I Staff Report Project name: Droskoski and Se enoski SCTM#: 1000-18-4-7.4 & 7.8 Location: 27835 NYS Route 25, Orient Description: This proposed lot line change will transfer SCTM#1000-18-4-7.8 (0.3185 acres) to SCTM#1000-18-4-7.4 as part of a Stipulation of Settlement. SCTM#1000-18-4-7.4 will increase in size from approximately 40,800 sq. ft. toNproximately 54,000 sq. ft. Status: Oen Action: Accept application with modifications. Attachments: Staff Report Project name: David Verity, SCTM#: 1000-78-3-26 Location: 860 Nakomis Road, Southold Description: Requesting lot reco niton of two separate parcels. Status: Action: Review Draft ZBA Comments. Attachments: Draft ZBA Comments 5:30 p.m. Review Public Meeting Agenda For Discussion: Comprehensive Plan Team Meeting Schedule 2 1 q1 BOARD MEMBERS • ��OF so Southold • Southold Town Hall !� Leslie Kanes Weisman, Chairperson 53095 Main Road • P.O. Box 1179 1 Southold,NY 11971-0959 James Dinizio # Office Location: Gerard P. Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning p �� 54375 Main Road(at Youngs Avenue) Ken Schneider CQUIdi'1,�c� Southold, NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809• Fax (631)765-9064 MEMO TO: Planning Board JAN 10 2011 FROM: Leslie K. Weisman, ZBA Chairperson DATE: January 19, 2011 SUBJECT: Request for Comments ZBA #6452 — Lot Recognition As confirmed with your office, the ZBA is reviewing the following application, and enclosed copies of, ZBA application, and latest map. The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning), and your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. NAME TAX #/ ZBA BD NOD VARIANCE SURVEY PREPARER ZONE DATE DATE STAMPED David VERITY 78-3-26 #6452 11/17/10 280-9 1/19/11 John R 40 1/19/11 Metzger, Zone updated Peconic Surve ors Your comments are appreciated by February 16, 2011. Thank you. Ends. �a FORM NO. 3 �� TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date: November 17, 2010 Updated: January 19, 2011 TO: Patricia Moore for Helen Verity 51020 Main Rd. Southold, NY 11971 Please take notice that your application dated August 24, 2010 For lot recognition at Location of property 865 Nokomis Rd, Southold, NY Tax Map No. 1000— Section 78 Block 3 Lot 26 Is returned herewith and disapproved on the following grounds: The subject lot is not recognized pursuant to Article II, Section 280-9 which states: "A lot created by deed or Town approval shall be recognized by the Town if any of on of the following standards apply and if the lots have not merged. (1) The identical lot was created by deed recorded in the Suffolk County Clerk's Office on or after June 30, 1983, and the lot conformed to the minimum lot requirements set forth in the Bulk Schedule AA as of the date of lot creation." The deed for the proposed subject lot was registered in the County Clerks Office on 8/25/83. n Authorized Signature CC: File, Z.B.A. 0 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (63 1) 765-4643 January 19, 2011 Attn: Vicki Zoning Board of Appeals Town of Southold Main Road PO Box 1179 Southold NY 11971 hand delivered Re: DAVID VERITY Premises: 860 Nakomis Road, Southold Dear Chairman Weisman and Board members : With reference to above, enclosed please find an original and 7 sets of the following: 1. Notice of Disapproval updated January 19, 2011 2 . Application together with authorization 3 . Applicant' s project description and Questionnaire 4 . Transactional Disclosure form 5 . Survey dated 8/18/2010 showing 2 deeded parcels 6 . Agricultural Data form 7 . Town property card 8 . LWRP form (1) 9 . Environmental Assessment form 10 . Pre-C.0, for house & cottage and C.O. for accessory storage building 11 . Copy of subdivision map 12 . My clients check in the amount of $600 . 00 representing the filing fee . Please place this matter on your next available calendar. Thank you and please do not hesitate to call should you have any questions . �e�y truly yours, PP�ytricia encls . APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS House No. 865 Street Nokomis Road Hamlet Southold SCTM 1000 Section 78 Block 3 Lot(s) 26 Lot Size 57,397 sa.ft. Zone R-40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED November 17,2010 and January 19,2011 BASED ON MAP dated August 18,2010 Applicants)/Owner(s): David Verity Mailing Address: P.O.Box 151 .Southold NY 11971 Telephone: 765-4980 Fax#: Email:pcmoorel(a)optonline.net NOTE: In addition to the above, please complete below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc. and name of person who agent represents: Name of Representative: Patricia C. Moore Esq. for( X ) Owner,or ( ) Other: _ Agents Address: 51020 Main Road, Southold NY 11971 Telephone 765-4330 Fax th 765-4643 Email: pcmpore I(a),optonline.net Please check box to specify who you wish correspondence to be mailed to,from the above names: y Applicant/Owner(s), or X Authorized-Representative, or y Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED August 18,2010 (survey) and DENIED AN APPLICATION DATED August 24, 2010 FOR: Provision of the Zoning Ordinance Appealed. Article I1, Section 280-9 (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code.) Article II, Section 280-9: Property consists of two deeds: Northerly lot is 26,622 sq.ft. , Map of Section 2 Laughing Water dated November 1, 1950. Southerly lot is 30, 775 sq.ft.. The Verity family purchased two separate parcels and developed both parcels with single family dwellings in the 1940'x. The deed for the southerly parcel was conveyed by Cedric and Claretta Wickham in 1941,the Verity family took possession and control of the property & built a house on the property, however the deed was not recorded until 8/25/83. An Appeal is made for`lot recognition" Type of Appeal. An Appeal is made for: (X) A Variance to the Zoning Code or Zoning'Map. Y A Variance due to lack of access required by'New York Town Law-Section 280-A. Y Interpretation of the Town Code,Article Section (X) Reversal or Other_Lot Recognition A prior appeal has , y has not been made at an, time ime with respect to this property,UNDER Appeal No. Year_(Please be sure to research before completing this question or call our office for assistance.) None Name of Owner:Verity ZBA File# REASONS FOR APPEAL (additional sheets may be used with prenarer's signature): AREA VARIANCE REASONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: The properties are shown on Map of Section 2 Laughing Water subdivision developed by Cedric H. Wickham and Claretta S. Wickham in the 1940's. The subject property appear on the subdivision map as two separate parcels,owned by the Verity family. HISTORY: The two properties owned by the Verity family were described parcels with meets and bounds descriptions which match the parcels shown on the Map of Section 2 Laughing Water subdivision map. The lots have historically been treated and maintained as separate and independent residential lots by the Verity family since the date of their original creation. The First property purchased was the southerly lot on 11/12/1941, the lot is on the corner of Nakomis Road & Hiawatha's Path. The 30,775 square foot parcel was purchased from Cedric H. Wickham and Claretta S. Wickham by John Verity and Helen Verity. The Verity family built their home and detached garage on this parcel prior to zoning(1941-1944). The Verity family paid for the property Not unk own to anyone the deed for the separate southerly parcel was not recorded at the Suffolk County Clerk. The deed was found (unrecorded) after Mr. Verity died and recorded on August 25, 1983. The northerly lot was purchased after the house parcel(4 years later)from Cedric H. Wickham and Claretta S. Wickham by John & Helen Verity on September 7, 1944 and recorded at the Suffolk County Clerk 1/22/46. The separate vacant parcel was purchased during the war and Mr. Verity built a small year round house in 1950. A barn was later built in the 1970's by Mr. Verity. This house, built prior to zoning, provided year round dwelling for a local family. The house remains occupied. The Verity family purchased two separate parcels,at different times,by separate deeds and developed each parcel with a single family dwelling. Two houses existed on two separate parcels and the Verity family intended that the parcels be separate. The assessors combined the parcels with one tax lot number when the Town first established tax cards in 1961. The Town records provide no explanation why the two properties were combined, particularly when the recorded deed description was for only one of the separate parcels. The property card may have been an error because the deed for the larger house (southerly lot)was signed in 1941 but not recorded until 1983. The Assessors property card does not match the schedule "A" descriptions on the deeds. The Assessors should have corrected their property card in 1983 when the unrecorded deed was recorded. The two properties have always been held with separate deeds and continue to be held as separate parcels. The southerly lot would be "recognized" if the deed had been recorded prior to June 30, 1983. The original 1941 deed was recorded on August 25, 1983. The application before this Board would "recognize" the separate southerly parcel from the northerly parcel. The two parcels are developed and have been occupied by two families since the homes were built. The two properties are the original parcels developed in 1941. In the neighborhood, there will be no perceptible change to the character of the community. (2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,other than an area variance, because: The two parcels were created prior to zoning, as described parcels on the map of Laughing Water. Both lots were developed prior to zoning with single family dwellings, however the failure to record the original deed till 1983 affected the"recognition"of the pre-existing nonconforming southerly lot. The two parcels are developed and are larger then most of the lots of the Laughing Water subdivision. The Laughing Water subdivision is well established and the majority of the properties are developed. Because the houses were constructed in the 1940's without surveys the house on the northerly parcel encroaches on the deeded property line. If the lot is recognized then the dwellings could remain, unchanged, until the Verity family is ready to construct a new dwelling on the northerly parcel. Alternatively, the property line can be adjusted as the Zoning Board sees appropriate. If the variances are not granted the family will loose the benefit of two separate properties with two separate homes they have owned since the 1940'x. (3) The amount of relief requested is not substantial because: The parcels have been developed since the 1940's and appear on the Map of Section 2 Laughing Water subdivision. In addition the roads in this subdivision were riled mapped roads since 1941. The two homes on the two parcels are the original homes and lots in this subdivision. Recognition of the parcel which dates back to 1940's is fair and reasonable. The Laughing Water subdivision,developed in the 1950's,contains properties which are on average 15,000-20,000 sq.ft.. The recognition of this property will maintain an existing condition. The property contains two single-family dwellings and have provided a home to two families since the 1940's. (5) Has the alleged difficulty been self-created? ( )Yes,or ( x)No The Verity family has owned two properties sinee the 1940's without knowing that the Town of Southold did not recognize the existence of the separate southerly parcel. The Assessor's records did not conform to the deeds on record. The northerly lot was created by deed in 1944 and remains the same. Only as to the Southerly parcel, the deed was not recorded until 8/25/83 the Notice of Disapproval raises the issue of"Lot Recognition". As evidenced from the deed itself, the deed was siened and notarized in 1941. An injustice exists where merely failure to record the deed, signed in 1941, and developed with a single family dwelling, results in the "non-recognition" to the family of this parcel. The southerly parcel, in fact, exists. The surrounding lots (northerly and easterly lot) were sold off by C.H. Wickham in the 1940's. Wickham acquired all the land in 1935. On July 24, 1941 C.H.Wickham filed a map of the roads of Laughing Water. (See File Map #917) Thereafter he began to sell the individual lots which he had mapped. The Verity family was one of the first property owners in the subdivision and some of the first homes built in Laughing Waters subdivision. As was common practice, Wickham retained the title (deed) until the property was paid off. In this case the property was paid off but the deed delivered to Mr. Verity was inadvertently not recorded until it was discovered, unrecorded, after Mr. Verity died. According to the records at the Suffolk County Clerk's Office, the separate southerly Verity parcel remained in the title of Cedric & Claretta Wickham until 1983. The parcel dimensions remained unchanged and the surrounding parcels were sold off as follows: To the north) The original owner, Cedric H. Wickham and Claretta S. Wickham sold off the northerly parcel (northerly part 1000-78-3-26) to John and Helen Verity in 1944. The Verity family built a house on the parcel. To the east) The easterly parcel (1000-78-3-51.1) was sold to the Town of Southold in 1949(North Fork Housing Alliance developed the parcel for the affordable housing program in 1989). As a described parcel,what remained of the 30,775 sq.ft., meets Article II, Section 280-9,the identical lot was created by deed(s) (surrounding parcels) recorded in the Suffolk County Clerk's office on or before June 30, 1983. Are there Covenants and Restrictions concerning this land: X No. Yes (please,furnish cggy). This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety, and welfare of the community. Check this box( ) IFA USE VARIANCE IS BEING REQUESTED,AND PLEASE COMPLETE THE ATTACHED USE VARIANCE SHEET.• (Please be sure to consult your attorney.) Signature of Appellant or Authorized Agent Sworn t eforc me this �9 day o 4)201 Q Notary Pu is BUSY PEHION9 Norory Pudic.slate of New YCA, No.01PE 6130596 OUcllfled In Suffolk County j "} ConM9Wion EN*aa July 16, t...J David J. Verity Barbara Verity PO Box 151 Southold NY 11971 December 10, 2010 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: We, David J. & Barbara Verity, authorize you to make any and all applications and appear on my behalf to the Southold Town Zoning Board of Appeals, Suffolk County Department of Health Services and any other necessary agencies on our behalf regarding properties located at 860 Nokomis Road , Southold (sctm: 1000-78-3-26) Oavicff A V*,\;y Barbara Verity APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant:_David Verity Date Prepared: January 5, 2011 1. For Demolition of Existing Building Areas Please describe areas being removed: none II. New Construction Areas (New Dwelling or New Add itions/Extensions): Dimensions of first floor extension: none Dimensions of new second floor: none Dimensions of floor above second level: none Height (from finished ground to top of ridge) Is basement or lowest floor area being constructed If yes, please provide height (above ground) measured from natural existing grade to first floor: III. Proposed Alterations or Interior Structural Changes without enlargement/extension (attach extra sheet if necessary) - Please describe building areas: n/a Number of Floors and General Characteristics BEFORE Alterations: _ Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property.: Square footage of your lot: Tax Lot # 1000-78-3-26 Total lot area 57,397 sq.ft. Deed of northerly parcel: 26,622 sq.ft. Existing House: @730 sq.ft. with 330.89 accessory building Deed of southerly parcel: 30,775 sq.ft. Existing house: @ 838.75 sq.ft. and 241.9 sq.ft. Garage Percentage of coverage of your lot by building area: for northerly parcel less than 4% Percentage of coverage of your lot by building area: for southerly parcel less than 4% V. Purpose of New Construction Requested VI. Please describe the land contours (flat, slope%, etc.) as exist and how it relates to the difficulty in meeting the code requirement(s): flat Please submit seven (7) photos, labeled to show all yard areas of proposed construction after staking corners for new construction), or photos of existing building area to be altered (area of requested changes). 7/2002; 2/2005; 1/2006 QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION A. Is the sulbi"t premises listed on the real estate market for sale? Yes XNo B. ire there any proposals to change or alter land contours? IiNo Ely es, please explain on attached sheet. p C. I) Are there areas that contain sand or wetland grasses? 1� 2) Are these areas shown on the map submitted with this application? V�) 3) Is the property bulkheaded between the wetlands area and the upland building area?\ 4) If your property contains wetlands or pond areas, hav ou ontacted the office of the� Town Trustees for its determination of jurisdicsttonZ Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved map. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? E. Are there any patios, concrete barriers, bulkheads offence hat exist and are not shown on the survey map that you are submitting? )�� (Please show area of these structures on a diagram if any exist. Or state"none" on the above line, if applicable.) F. Do you have any construction taking place at this time concerning your premises? If yes, please submit a copy 0yoyf building permit and map as approved by the Building Department and describe: \!`� G. Do you or any co-owner also own other land close to this parcel? L OuAaA If yes, please label the proximity of your lands on your map with this application. t H. Please list present use or operations conducted at this parcel �ea1 -? oynd to" and proposed use a-r-k n-n e a cAA CJ GUMC c Q J,examples: ex ng: single-family; proposed: same with garage or pool,or other descrippon.) ori ignature and Date 2/05; vol APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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. YOURNAME: V����`� ` �AJ x S —l_ c .C�12 Or I4(_L.C_N (Last name, fifsj name, middle initial,unless you are applying in the name _J of someone else or other entity,such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance X /�ji re,(I e.;—/I fj CO Special Exception j If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Do you personally,(or through your company, spouse, sibling, parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by)a corporation in which the Town officer or employee owns more than 5%of the shares. YES NO Complete the balance of this form and date and sign belowwhere indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant)and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse,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 non-corporate 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 Signature: t IT- Print Name: C C A— C NL C)0<� la_ w_LJ A41UCULTVRAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WI&N Td t=Tlff,3 FORM: The fornc must be completed by,the applicant for any special-usee permit'site PI" approval, Ytse varidnee,•.or subdivision approval on properly widdn an agricultural d"id OR Within S00 feet of a farm operation locakef in agrieultu rd districR All applications.requiring an agl edairaCdtita statement HMV(be rdferre$to the Suffolk.CoutiOrDepartntent of Planning in accllPdanes with seddolm 239 m dxd Z39=n of the Yreiiietal ilfunicipdd,L'aw. 1)Name cif Applicant:Df)� i. q -� 02 ( , d S ���� PLC-( " 2)AddtM of Applicant . 3)Name of Land'OW&r(if other than applicant); V Ea- Nk sJ 4)Address of Land Owbt r- _: ,... 5)besetiptimi of Vropbsed Protect Lad rcC c� , YGLiN '6)'Loratibn ofloo _ lWProperiy arrd tad "p nurnber): SCT ) 7)Ts the parcel within an Itg6bulhi l district?. No L.Yes if yes,'Agricultural District Number .. 8) Ts this p&6el'aio ively,iat'tned7)0.'No E.Yes 9) Narne and address of any owners) of land within the agricuhural district containing active £azm operstion(s) located 500 feet of the boundary.of•the proposed protect. (Information may be available through the Town Assessors Office,,Town .Tall looatiod (765-1937) of from any public taotnputer at the Town M locations by viewing the parcel numbers on the Town of Southold Real Property Tax System Natne'aiid.Address 2. 3. 4. S: (Please use back side of page ifftore that,six ptoperty owners are identified.) . The lot numbers may be obtained 5inad oe,When iegdested,from tht Orriceof the'Planning Board at 765-1938 or theZa ;oesls 765-1809. ' Sigf AlDate Note: 1.Thr local bbh�td'will Solicit cototimts from the owners of land identified above in order to consider the effect of the proposed action on*r farts operation Solicitation will be made by supplying a copy of this statement. 2.CAanncuts returned to the local beard will-bo taken into consideratiop as part of the overall review of this application. 3.The clerk to the local board is respodsiblb lot sending copies of the completed Agriewrural Data Stsecmoht to the property owners id entified above.The cost for rhailiog shall be paid by the applicant at the time the application is-submitted for review.Failure to pay at such time means die application isnot complete and cannot be acted upon by the board. 1.14-09 16.761(9195)—Text 12 PROJECT I.D. NUMBER 617.20 SEQR Appendix C State Environmental Ouality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only _PART [—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME LIZ c 0. PROJECT LOCATION: , r Municipality V' County S 1r1 r4�01_ r, a. PRECISE LOCATION (Street address and road Intersections, prominent landmarks,etc.,or provide map) e_ r-► o�J- `� - 3- 2 ca S. 16 PROPOSED ACTION: ❑ EDM s�i�r. ��S Now Expansion Modlflcalloallerallon 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially r < acres Ultimately + acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes ®No 11 No,describe briefly V 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Q'Residential ❑Industrial ❑commercial ❑AgriwIture ❑Parwronestiopen space Cl Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)?? , ❑Yes lEl No If yes,Ilat agwcy(s)and parmlVapprovas, 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT on APPROVAL? ❑Yea W.No If yea, list agency name and panniVepproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑Yea %No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IB TRUE TO THE BEST OF MY KNOWLEDGE O� AppllcartUspon o nyne;'lY ""✓ '� `' Date: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER • PART II—ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A DOSS ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.ev If yes, coordinate the review process and use me FULL EAF _-,Yes No B. 'WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIOED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.61 It NC.a negative Ceclaralio-- may be suoereeoed by anomer mvolvec agency. _ Yes r No C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING.IA:ewers may oe handwnllen, it legmlel C1 Existing dV quality, surface or groundwater quality or Quantity, noise levels, existing traffic Patterns, solid waste proauci,on Or di..Ozal potential for erosion.drainage or l000mg problems? Explain quietly: C2. Aeslhelic. agricultural. archaeological, historic, or other natural or cultural resources: or community or nelghbornOOd Character' Explain briefly. CD. Vegetation or launa. bsn. sneilhsn or wildbte species, significant ha0nats, or threatened or endangered species? Explain briefly: Ca A community's existing plans or goals as officially adopted.or a change in use or intensity of use of land or other natural resources?Explain orally, C5. Growth. subsequent development. or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term. short term,cumulative, or other effects not identified In C1•C57 Explain briefly. C7. Other impacts(including Changes in use of either quantity or type of energy)? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑Yes ❑No E. 15 THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? _)Yes ❑No It Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above.determine whether It is substantial,large,important or otherwise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility;(e) geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have Dean identified and adequately addressed. II" question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of lead Agency Print Or Type Name of Responsible Cl ,n Lead AeenCY Title OI Ropons,ble Officer Semature of ResOOrsi IC Office,m Lea Aaen<y Signature or Preparer(It different lrom responsible omcerl Date 2 FORD NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34791 Date: 01/10/11 THIS CERTIFIES that the building DWELLING AND COTTAGE Location of Property 865 NOKOMIS RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 078 Block 0003 Lot 026 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 34791 dated JANUARY 10, 2011 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH 2 COVERED PORCHES AND ACCESSORY COTTAGE.* The certificate is issued to DAVID J VERITY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. rh4izo Si ature Rev. 1/81 tlU1LU1Nli UY:YAK'1'MrN'1' • TOWN OF SOUTHOLD . HOUSING CODE INSPECTION REPORT LOCATION: 865 NOKOMIS RD SOUTHOLD SUBDMSION- MAP NO.: IAT (S) NAME OF OWNER (S) : DAVID J VERITY OCCUPANCY: ONE FAMILY DWELLING DAVID J VERITY ADMITTED BY: BARBARA VERITY ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP MO.: 78.-3-26 SOURCE OF REQUEST: BARBARA VERITY DATE: 01/10/11 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROCKS: 1ST PLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: COVERED DECK TYPE: PATIO TYPE: BREEZAi2kY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRC@IDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATBN: X OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: SWI41NG POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART SEC REMARKS: BP 36135 STG BLDG COZ-34789 INSPECTED BY: DATE ON INSPECTION: 12/15/10 GARY J TIME START: END: OU1LL1lV CLHrt 11IC 1V1 • TOWN OF SOUTHOLD • HOUSING CODE INSPECTION REPORT LOCATION: 865 NOKOMIS RD SOUTHOLD SUBDIVISION- NAP NO.: LOT (S) NAME OF OWNER (S): DAVID J VERITY OCCUPANCY: ACCESSORY ONE FAMILY COTTAGE DAVID J VERITY ADKITTED BY: BARBARA VERITY ACCOMPANIED BY: KEY AVAILABLE: SUFF, CO. TAX MAP NO.: 78.-3-26 SOURCE OF REQUEST: BARBARA VERITY OATH: O1/10/11 DWELLING: TYPE OF CONSTRUCTION: CEMENT BLOCK & STUCCO # STORIES: 1.0 # EXITS: 2 FOUNDATION- SLAB CELLAR: FULL CRAWL SPACE- TO'TAL ROCKS: IST FLR.: 3 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) PORCH TYPE: DECK TYPE: PATIO TYPE: BREE2ZWAY- FIREPLACE- GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: OFF BOILER AIRCONDTTIONING- TYPE HEAT: OIL H.W. MARK AIR: HOTHATER: X OTHER- UTILILTY ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.. SWI MIING POOL: GUEST, TYPE CONST-: SEE ABOVE INFORMATION OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART SEC REMARKS: INSPECTED BY: ,✓ 1 DATE ON INSPECTION: 12/15/10 GARY J SH TIME START: END: Form No.6 D TOWN OF SOUTHOLD DEC � p BUILDING DEPARTMENT 1 + p TOWN HALL 765-1802 6tGG. 1oWN OF DEPT.APPLICATION FOR CERTIFICATE OF OCCUPANCY SOUiHOtO This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets, and unusual natural or topographic features. .2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,a certificate Of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval o£6ompleted site plan requirements. B. For existing.buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of propertyshowing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 /Date. '" IO New Construction: Old or Pre-existing Building: /� (check one) Location of Property: �l'(-$- \CO eA . House-No. nr Street Hamlet Owner or Owners of Property: ' J ije6 Ve. Suffolk CountyNo Map No 1.600, Section Block No Lot , oZlp Subdivision -1 �p�x4umc,�/� ,i5 K��SOFiled Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: heck one) Fee Submitted: $ �UbGQty•xo n Vre aLx iCLY- twny QCkij 4 z � CIO I Applic Signatu ----VORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34789 Date: 01/10/11 THIS CERTIFIES that the building ACCESSORY BUILDING Location of Property: 865 NOKOMIS RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 26 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 2011 pursuant to which Building Permit No. 36135-Z dated JANUARY 10, 2011 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to DAVID J VERITY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "rizeure Rev. 1/81 D bale. 23 fem Ym 1x.1 41E1 or 12.11 id`X" M Nehkl 1.v -a - lafmry oehkr lb-..-- 4y61ryYg 1451Y.A of Iv-ol ,m F os-oo-m m O611-OI $� +n OeIJ-OI iei i 45 36 39 10.11 ra Nrtp4 OV'14-01 ^ 1.041c1 nv F f➢N3[Bv.Kr _ 10ee♦e----o0IS6--0039 .mM ] 4 a .J'• . r: . ]0 .12 2 o SLEEPY HOLL 34.1 -12'0 !q ' tl u _ 5,3M.) 10 0 i" Io.z3 10t0e 10.917SP L011d u 5-26-0d 2 df m 10.10 0'110 m] 10.5 m 10.14 .0 1'09-0 9 J 1.011c1 Loticl 5 . a 10.15 15 11 0 1-06 6 t O m 10.4 �ilr 'H M1J LO1fc 520-0v 14a £ d w ni 10.3 m IN l w .t5 ld��w Pl 42 2 m W 19 M .z 2m ori m '2 z� 3 is w. na s m5 v� ]9 M DR.m m asot t z ^ 33.1 �y16 Lo11c1 ,.t a g ?6' 3CL y1.1 5c m m] 3z ®�/\� S9h 9 l O 76--3-17 n lm.wa' CL Z H 11. l✓ _ _i Is 21 22 5 13 te.♦ - E la 18.2 I6 A LS4Icl.` 1441c) Y Y� .y •a 4 SEE SEC.N0.016 52.2 p� x] .1�41cM1 - bzPlc\� R� P O M w pi 22 M1 'o M1,ta<c ZO g m'20 N m512P ^ J •y ` `f6 G 2 j9p m s S ] 2µJ w )1 a 4 19.2� � » M1S bP4 u 6 J16 ♦a4 f 5y1 29 '129 M 9A s 1.TPlC l5pq u TB %" JJ V A§ t � PPZH f75o.1 `� Y� 54w 5M1£pM1w1'� n0 tt ♦ $4 n 0 ptHP�s 21 m 65 1 55 WCY^" 9 •'t^< 26 .14 � H\PN 16 m vN J` M10 ae 2 ayaf a \pplJ .A 2B 29 O q9 c 56 n9F 25 4 )Q ♦J 15 O +p.] 4B Y 51 S m m w15 �f 24 °^ J2 4O,I 66 5q ' 3pR 4t 50w O 9 1.01d ® 0/ % ]PlJ `w O? a 60 15 M 2l 1.2 ye • � )] )61 N W •• 'O- 29P 'y 42.3 61 45.1 m ]5 •O I6 i 2 L141d 12.1 w .r 62 0 11 16.3 o k 5.6A(o) )t 41.3 42.2 _ 150'1 .m8 4RiCX LINE �' p Z w -�-SEE SEC.ND.087 I �• 1ez p, - ,m"v a �� 417,L m w1ti ..m.1.�.d ,>' lwl ---- bmewrrNl lr --zcw- .ryml o.lrcl u. --" - .g6Ess ...w ieir+ensai°l E (21) O O ses�;4m l.�1M _---- °°°°°"^"„ m " Mm wm�l le. --.-- rmmw.yl lr -n.-- ms E lr lr. -_- la.Neeyl le. -_.-_ ver.ln le.-_.__ Lul 11 'Al'l N 23 wm Yw 12.1 4m1 or 1234 vb -__ be bvel w 12.1 Rlcl TOWN OF SOUTHOLD • BUILDING PERMIT APPLICATION CHECKLIS BUILDING DEPARTMENT Do you have or need the following, before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey, www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Examined 211 Contact:Trustees — Approved 20 Mail to: t/Disapproved a/c* — / Phone: Expiration ,20 Building Inspector LICATION FOR BUILDING PERMIT AUG 2 4 2010 Date 20 /9 INSTRUCTIONS /d INSTRUCTIONS This app gff be com tely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of an n o scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Signature off aap�plicant or nnaame, if as corpo_ration,)e Co2l7 '' /Q/tom /� f7QcY CdZ, TCO (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on thE/'tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whichproposed work will P5 done: Q Al or—om(l Dad /yra (A/C4 /tGl w House Number Street Hamlet County Tax Map No. 1000 Section 7F Block Lot Subdivision Filed Ma P (Name) 2. State existing use and occupancy of premises and intended use andgccu ancy of pro-posed construction: a. Existing use and occupancy ? Gy7� ) b. Intended use and occupancy a ZQ7'S 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 1 _ 9. Size of lot: Front Rear Depth — --. 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_NO—Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED, 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S: COUNTY OF ( ( � C / l `'` being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor, Agent, Cyporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have per;ormed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo t before me this day of 20 A tary Public Signature of Applicant Nd.yAffiM61dNwrMOA • Na MPE6i]0670 iKtll 4oPwe ` `• OL j� .'SI' a. O a] • o L / ' /. .. • •Y se, a y6�........ 0ws , + N po 4 uY Y N 3 N � °1zl [ l Y.d er i 1 YY a, y 106 V ^Y•nq 0 ] N a ,• Y n . I m h = m. . '_ nJ �`�:ry� 1 "-�{I. Y 7 �� c,. r.� i M „ N .M ` L Vi `` .� -" h 9 ^' 999 p ^•^Y _sem. n' -10,Y 0 d 9 - ( 133x\15 N e ,�aasas M / i•+ If `U WL + J h5 o a pf 110: • Z 1 } Z Pm < �-sar • e. I,ucw ,x +cw B M J I d p `. 3' "ly � ,� ' '-a.. o � '"- 10 y� N / w+- � t� •c_ W"_ y d o .yl- Y ���_6 r _ F. - I iN L - Ylµ Ol^� v u 2 Ill4 n 24 � ' ^ • f 4 i{ I IN O N .vc I S da Z d U/ Y YY i o e L. V _w _ c4 — I a N _ ] Z � � .^�• M � O I1^ -v 7 �N / 1 � ��� O 0 Y / pQj e6naeBYW.I Y� , 0+` N } . ➢ I V .N J N Le r ' i i. ,� y...., . E3•o�P S.}3f U,2 :1Lc: , .•itih z p/" TOWN OF SOUTHOLD XOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT I SUB. LOT l .t =OYAER O . , R N r E ACREAGE 7, Vee S W TYPE OF BUILDING 7ES. SEAS. VL, FARM COMM. I IND. CB. I MISC. I Est. Mkt. Value 0 LAND IMP. TOTAL DATE REMARKS — VQ2 Q die--eAve // - k 4 ICA V/ v, 344r / 2' 19 20 '/8) tmS R P# // 72 5 - o-f , xo LDING CON NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD O O illable 1 BULKHEAD illable 2 DOCK illable, 3 7Q /oodland .vamplondo rushland ouse Plot otal °-Y ■�w�■i■■■■i■■I■E�i■IA7!! { , ■i■■!'F!■0■til■■■■Efii Nig■e�s��■■i■■■E■■■■■ 3 NAi M.. 1 r 1 865 Nakomis Rd, Southold, Nti 97~1 �1 \ t { µ c r. � .` �'. � + r 02011WGoosb'� �'•" l 11 "1' � aYOW. h&2010':.` 'H'02'ss!05'N,724p W'e E t 331i Ak TV4 it , -Y Ir!' 1 0. •.Y i � ,+�r.. 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Ay4 �a�� �� •' '*� !i�•'�� �.,�^k � 'r g�`nd�'.a��'f� n .µ � `O�,�,Y+��_�ic�n {i! � J ��4 fit ��a� ��i�gY�,� , � ���'�"►�,�� � �^�: yrtw1 JA'i I"� j� L' {�I�" 91•Sa S���i � �` � {�r� ��j yjr 4 ! I• r I _ Ar, ? 41.`"� :t. .Te .d' � 3 .- ta; p qG` -.•Ja. - � AK n v rrt ��+ter �,. � ti]q'.-.a dE•,-F�'S 8. y L"..t ��„��,,,�wCf Y j '_���.".^.�,�y' „� e 1. `� f *-n _ xt ,. Li'S_ ►M` 7$pq(��} !"I 1� ., r�'2"" i..''^"r 5=,.�., x.2J-„d��..,`.> F - X;:•' yi m, I 0 Project Status Report for Standard Subdivisions ,t a Prttjet�ei ?tftii7kinga i� � r #Z iyMtr L'�p4P... {'r s+vliprta x �� FSI ";� Sketch Application Dates Pre-Submission Conference SEQRA Determination i T Sketch Application Received SC Planning Commission Referral Application Fees Paid SC Planning Commission Comments ERSAP Submitted Fire Department Referral Yield Plan Submitted Fire Department Comments Concept Design Determined Engineer Co>3nce Z I IZ Fire Department Comments Sketch Plan Submission SEQRA Coordination Conditional Sketch Approval Landscape Plan Sketch Approval 12IZ--� l- Soil Conservation Plan Ns L Wap Preliminary Plat Application Dates(6 months after Sketch Plan Approval) Preliminary Application Received `, 2 J Z DEIS Submission NA Application Fees Paid /3')/( Z Referral of Legal Documents to Town Aftornev Referral of Road and Drainage Plans 1 Comments from Legal Department Received Engineer Conference FEIS Submission j,1 F'• Comments from Town Engineer Preliminary Hearing Set Draft Performance Estimate 1 Preliminary Hearing Held T, I- Draft Covenants and Restrictions Preliminary Hearing Closed Draft Homeowner's Association Agreement Conditional Preliminary Approval Draft Road Maintenance Agreement Preliminary Approval Scoping Session r - Final Plat Application Dates(6 months after Preliminary Plat Approval) Final Application Received �/2T16� Affordable Housing Fee Paid 1; Application Fees Paid /,531 Administrative Fee Paid Mylars Received(5) NYSDEC Wetlands Permit Received Paper Prints Received (8) NYSDOT/DPW Permit Received Final Road and Drainage Plans Trustee Permit Received Performance Guarantee Received Final Hearing Set \ . Performance Guarantee to Town Board Final Hearing Held/Closed P Final Covenants and Restrictions Filed Legal Documents Final Homeowner's Agreement `i\ Conditional Final Approval Final Road Maintenance Agreement Final Approval I D 91162 Park and Playground Fee Paid i` Map Endorsed by Chair Conservation Agreement 1 '' LWRP Consistency Review Final Mau Routing: Tax Assessors Building Department Land Preservation Highway Department Additional Notes: SOUR Planning Department Stalfteport Subdivision Application Work Session Review Date 10/22/12 Prepared By: Aly Sabatino I. Application Information Project Title: David Verity Applicant: David Verity Date of Submission: April 1, 2010 Tax Map Number: 1000-78-03-26 Project Location: 865 Nokomis Road Hamlet: Southold Zoning District: R-40 II. Description of Project Type of Subdivision: Standard Subdivision Acreage of Project Site: 1.32 acres # of Lots Proposed: 2 III: Status Preliminary Approval IV: Action to review Review for Final Approval at the 10/22/12 Public Meeting. V: Analysis • This is a standard subdivision. The lot area does not meet the R-40 zoning requirements for minimum lot area. The applicant obtained an area variance from the ZBA and received it on May 18, 2011. Timeline following the 10/1/12 Work Session: 1. At the 10/1/12 work session the Board agreed to recommend a deferral of the submission of a Park and Playground fee in the amount of $7,000 and the Administration fee in the amount of $2,000 until the sale of the subject premises. 2. The Town Board approved the deferral of the above mentioned fees at their October 9, 2012 Board Meeting. 3. Draft covenants and restrictions were provided to the applicant and sent to the Board for approval. The agent has filed the approved C&Rs and submitted a copy on 4. The agent submitted 10 Paper Print copies of the endorsed Health Department plat. The requirement of 4 Mylar copies however, was not met. The agent was hoping to submit the application under a miscellaneous filing to the County. Under a miscellaneous filing, the applicant is only required to submit paper prints Soutad Planning Department StaAeport and not mylars. However, the agent decided against this and has submitted both the required 4 Mylars and 12 Paper Prints to the Heath Department for endorsement. VI: Staff Recommendations 1. All requirements for Final Plat pursuant to section 240-25 have been met; with the exception of the submission of 4 Mylars endorsed by the Heath Department. As stated above, the applicant has previously submitted the above mentioned Paper Prints endorsed by the Heath Department. 2. Recommend that the Board issue Final Approval at the 10/22/12 Public Meeting and once the Heath Department endorsed Mylars and Prints are submitted to the Planning Department the Chairman will then endorse all plats. If the endorsed Mylars are not received in one month from the date of Final Plat Approval, the subdivision will be rendered null and void. 2 Southold Planning Department Stal'Report Subdivision Application Work Session Review Date 5/21/12 Prepared By: Aly Sabatino I. Application Information Project Title: David Verity Applicant: David Verity Date of Submission: April 1, 2010 Tax Map Number: 1000-78-03-26 Project Location: 865 Nakomis Road Hamlet: Southold Zoning District: R-40 II. Description of Project Type of Subdivision: Standard Subdivision Acreage of Project Site: 1.32 acres # of Lots Proposed: 2 III: Action to review • Consider granting an extension and SEQRA at the next public meeting • Consider setting a Public Hearing at the May 7th Public Meeting. IV: Analysis This is a standard subdivision. The lot area does not meet the R-40 zoning requirements for minimum lot area. The applicant obtained an area variance from the ZBA and received it on May 18, 2011.. Applicant submitted revised plats and preliminary plat application fee. V: Staff Recommendations 1. Grant a Negative Declaration and set Public Hearing that the May 7`h Public Meeting. Souted Planning Department Stafteport Subdivision Application Work Session Review Date 11/28/11 Prepared By: Aly Sabatino I. Application Information Project Title: David Verity Applicant: David Verity Date of Submission: April 1, 2010 Tax Map Number: 1000-78-03-26 Project Location: 865 Nokomis Road Hamlet: Southold Zoning District: R-40 II. Description of Project Type of Subdivision: Standard Subdivision Acreage of Project Site: 1.32 acres # of Lots Proposed: 2 III: Action to review • Review revised maps submitted by the applicant. • Consider granting Sketch Plan at the December 12th Public Meeting. • Consider setting a Public Hearing at the December 12th Public Meeting. IV: Analysis This is a standard subdivision. The lot area does not meet the R-40 zoning requirements for minimum lot area. The applicant obtained an area variance from the ZBA and received it on May 18, 2011. There appear to be significant trees on the property which are evident by the clearing restrictions. V: Staff Recommendations 1. Recommend that the applicant clarify setbacks. The front yard setback must be 50' not 40' pursuant to the Bulk Schedule for Residential Districts. 2. Recommend that the applicant on proposed plot 1 put overhead wires underground and clarify how the overhead wires cross from the adjacent south property (Susan Mackenzie) to proposed plot 1. 3. Consider granting Sketch at the December 12th Public Meeting. 4. Set a Public Hearing at the December 12th Public Meeting. SOUAd Planning Department StaReport Subdivision Application Work Session Review Date 07/06/11 Prepared By: Aly Sabatino I. Application Information Project Title: David Verity Standard Subdivision Applicant: David Verity Date of Submission: April 1, 2010 Tax Map Number: 1000-78-03-26 Project Location: 865 Nokomis Road Hamlet: Southold Zoning District: R-40 II. Description of Project Type of Subdivision: Standard Subdivision Acreage of Project Site: 1.32 acres # of Lots Proposed: 2 III: Action to review Staff Completeness Review IV: Analysis This is a standard subdivision. The lot area does not meet the R-40 zoning requirements for minimum lot area. The applicant obtained an area variance from the ZBA on May 18, 2011. • On July 14`h staff went on a field inspection to the David Verity Property and found that there are no slopes of 15% or greater on 25% or more of the property and no mature forests over 100 years old. This application is to subdivide what were formerly two lots on an old filed map. The applicant missed the deed filing date for Lot Recognition in the code by several months back in 1983, so the lots were merged despite two homes being located on the parcel and several other details unique to this property. These details are recounted in detail in the Zoning Board of Appeals application #6452. V: Staff Recommendations 1. Waive the ERSAP requirements entirely due to the above site inspection information which revealed no significant existing natural resources on site. Soutod Planning Department StaAeport 2. Waive the following plan notation corrections (they must be added to the Preliminary Plat when submitted): a. Clearing restrictions will apply and should be located around the existing wooded areas on the parcel, particularly in the back of the lots. b. Use an appropriate title as required by Town Code including the words "Standard Subdivision" c. Add a site key 1'=500' to the plat d. Remove the old lot line from the Sketch Plan. 3. Accept application for review. 2 South% Planning Department Staftqeport Subdivision Application Work Session Review Date 07/06/11 Prepared By: Aly Sabatino I. Application Information Project Title: David Verity Applicant: David Verity Date of Submission: April 1, 2010 Tax Map Number: 1000-78-03-26 Project Location: 865 Nokomis Road Hamlet: Southold Zoning District: R-40 II. Description of Project Type of Subdivision: Standard Subdivision Acreage of Project Site: 1.32 acres # of Lots Proposed: 2 III: Action to review Staff Completeness Review IV: Analysis This is a standard subdivision. The lot area does not meet the R-40 zoning requirements for minimum lot area. The applicant obtained an area variance from the ZBA and received it on May 18, 2011. There appear to be significant trees on the property which will require a limited ERSAP. V: Staff Recommendations • Consider finding the application incomplete. • Send a letter to the applicant requesting the following items be submitted to complete the application: o Add a site key 1'=500' to the plat o Submit a limited ERSAP that includes, 1. Basic topography 2. Significant trees o Remove old lot line from the Sketch Plan. South& Planning Department Staftqeport o Change plat name from "Survey of Property at Laughing Water" to a more distinctive subdivision name including the words "Sketch Plan" and "Standard Subdivision" and submit the required number of copies. 2 • • Pagel of 2 Randolph, Linda From: Lanza, Heather Sent: Friday, April 01, 2011 11:27 AM To: Randolph, Linda Subject: FW: presubmission meeting-David Verity 78—3—26 Linda, Please print for the file. Thank you Heather From: Lanza, Heather Sent: Friday, April 01, 2011 11:27 AM To: Bill Cremers (billcre@optonline.net); Don Wilcenski (don@briarcliffsod.com); James Rich (JamesRich3@optonline.net); Kenneth Edwards (E-mail); Martin Sidor (E-mail) Cc: Terry, Mark Subject: presubmission meeting-David Verity 78— 3 — 26 I met with Pat Moore today for a pre-submission conference on a two lot subdivision. This one requires an area variance and we have a request from the ZBA for comments(in May). This is located on the northeast corner of Nokomis Road and Hiawatha's Path in Southold. This tax map number was actually two lots created on the filed map of Laughing Water in 1941 (pre- Planning Board). Two homes were built, one on each lot,back in the 40s. The two lots merged in the 80's. Typically when an old filed map parcel has a house on it, it can't be merged with another parcel with a house on it even if they are both in the same ownership. In this case, they did merge because there is a minimum size for what counts as a house when considering whether to merge two lots. That minimum size is 850 ft? and one of the houses on the two lots is less than 850 square feet. Both houses have"pre-CO's" which is proof that they were built prior to zoning. Pat asked whether any of the steps of a standard subdivision could be waived given these circumstances. They had previously gone to the ZBA to have the lot recognized,but the ZBA's hands were tied because the code specifically states a date by when the deed for a lot must be recorded in order to be recognized on old-filed maps. Abe deed for one of the lots was filed after that date by just a few months. Their only remedy is to subdivide the property via a standard subdivision application, and a lot area variance along with setback variances for the existing home. I thought that perhaps the Planning Board could consider waiving the Preliminary plat step(much like is done for conservation subdivisions)given the circumstances in this case: 1. The lots appeared on an old filed subdivision map 2. Both lots were developed with homes shortly after the subdivision map was filed back in the 40s 3. The two homes have pre-CO's proving they were built legally and a long time ago In cases like these you want to be certain that you aren't inadvertently rewarding someone for ignoring the code and building a second house on a single lot. At first glance,this case seems clear that two homes were built on two lots,the owners were just caught by an unfortunate set of circumstances. Pat also asked if the Park and Playground fee is relevant in this case for the same reasons as above.No new homes are being created. She also brought up the same issue for the"per lot" fee. I told her I would look into whether the Planning Board has any ability to not require certain fees. 4/1/2011 • Page 2 of 2 Pat submitted the Sketch Plan Application today,and this will be scheduled for a work session to consider comments to the ZBA in early May. Heather Lanza, AICP Town Planning Director 53095 Route 25 P.O. Box 1179 Southold,New York 11971 Phone: (631)765-1938 E-mail: heather.lana@town.southold.ny.us 4/1/2011 AUG 2 1 2012 Application for Final Plat Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for FINAL PLAT APPROVAL for the subdivision described herein. \ 1. Name of Subdivision 'D�J � � V t✓P-- t 7y r 2. Suffolk County Tax Map# 3. Hamlet �� _� 4. Street Location N `�JJ \\ S tJf1 5. Zoning District �— _l 6. Date of Submission 7. Sketch Plan Approval Date 8. Preliminary Approval Date T 9. Number of Lots Proposed C 10. Acreage of Open Space/Reserved Area 11. Affordable Housing Units Proposed V 12. Percentage of Affordable Housing (� 13. If providing less than 25%Moderate Income Family Dwelling Units(MIFDU),please indicate how the property owner intends on satisfying the affordable housing requirement pursuant to Section A106-11 (B)of the Town Code. 14. Does the Final Plat conform substantially to the approved Preliminary Plat? If not,please explain the differences. 15. Application prepared b [] owner agent [�] other Signature of Preparer Date b -a I - jzq- �r o fn x F APR SOUTHOLD PLANNING DEPARTMENT Subdivision Application Form - Preliminary Plat APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for PRELIMINARY PLAT APPROVAL for the subdivision\described herein. 1. Name of Subdivision 2. Suffolk County Tax Map 3. Hamlet 4. Street Address Project Location 11 � 5. Zoning District - l 6. Date of Submission1- 7. Sketch Plan Approval Date 8. Acreage of Site 1 , 9. Parcel Yield 10. Number of Lots Proposed a. Number of Affordable Lots Required: b. Number of Affordable Lots Proposed: c. Alternative Method/Payment Proposed to Satisfy Affordable Housing Requirement: Preliminary PlacApplication Form �QS�FFD(�CO MAILING ADDRES PLANNING BOARD MEMBERS �.r� l/,y P.O. Box 1179 JERILYN B.WOODHOUSE Southold, NY 11971 Chair y rz OFFICE LOCATION: • Town Hall Annex JOSKENNETH LOWNSEND S y��.( �a�� 54375 State Route 25 (cor. Main Rd. &Youngs Ave.) MARTIN H. SIDOR Southold, NY GEORGE D. SOLOMON Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD APR - 1 2011 Application for Sketch Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. 1. Name of Subdivision 2. Suffolk County Tax Map # e oo O — -7 -3 a 3. Type of Subdivision Standard Conservation [ ] 4. Hamlet Q�p � /G.( 5. Street Address/ (C0py��s Project Location 6. Acreage of Site 57. 3 c/`7 7. Proposed Yield o? 8. Number of Lots Proposed o2. 9. Zoning District CD 10. Date of Submission 3 - C)�/- // 11. Please provide the names, addresses and phone numbers for the following people: Applicant: AV /19; 1 Agent: Z920,'A 420e-pd Property Owner(s): � Q �-�14 ela) /71. yej"rt7t_�-Cr_ Surveyor: 1(_2 -nil h n/� SLYUi��oY 5 9&? thio%� Engineer: Attorney: 12. Has an application for subdivision ever been filed for this property? If so,please indicate when and whether or not approval was granted by the Planning Board. j.7 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. W1 N 15. Is any part of the property in agricultural use? (1 16. Is there an existing or proposed sale of development rights on the property? 0 0 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). �c7o , 19 ,Jo 'ale C- S .0 ?o 19.The site will be serviced by the following special districts or utility companies: Fire District p �� 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. Please indicate the type of open space proposed and how it will be managed? /V00— 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? v&U-4 191-ee 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 ] agent [ ] other Signature of Prepare r Date ( z = � I Ov• 0 t P I `\\ , t " I m " N s 2 . Fi L sch 1 m + b' t +Y 31 " . r 21 Y ery U. LS.e I tF3 N _ 9� Q ZO 27 'els qr- 45 --- a_ i S m1 3t I 3 44' n o- _ Q ♦ d / 4 4 t• �+ 15 s S F e I 16 I x h S MAP OF Z5ECT ION 2 'a _ L LAUGHING WATEP— N.- , "a 9 hi PT a -u*' SOUTHCLD3 L.L,N.Y. Scele' 100'=1� � U `t p fi 1 OThj° craetnq m<aea Nov.l,1950 Teo 1V`4P 4 I-�iyhwa�. 1� Sec*icn 2— No+w: L # tll.nana:eni shewn a � JY" L 5/�tiiny Wp#aY' mecl e. by OQ Yea deetlY •frem Y.brleu5 o+Ner um I\i 6dN1'ed Juno,1929[\ Morcl+_t9��.. _euve .a ura approai�=u+e only '✓yy ti CV Y \ llcena<d B✓ry C=lnenul+laM 6vavn Po.t, N Ya:w 2aviasd NI(ay�T,195T. 6� Kw:oaG Jor,.2T,t956 ' _ TOWN OFSOUTHOLD NOPERTY RECORD CARD /1- _��-.� Z OWNER STREET < VILLAGE DISTRICT SUB. LOT J FCYAER OWAKR N + E ACREAGE T v 1 � kol W TYPE OF BUILDING ES. SEAS. VL:, FARM COMM. IND. CB. I MISC. Est. Mkt. Value D IMP. TOTAL DATE REMARKS c1q I fn 4 Ile'a d 41 FC �� �4 3. 7� �e.e.��',c.s�e ✓ !<Q2�Q' dsea,gse 0 3360 b l9�0 �3 4--0 o-o 000 sy-v ?S-d-6 ' �0--rj 2 3 20 0 � ��� lueS P>P# 11725 - /Z/07 ``xo aG� LDING CON l'Q0 7 . ' Z l /O rdGJ NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD �> a � d "ill 1 BULKHEAD 'illable 2 DOCK 'illable. 3 70 Voodland wompland..,, rushland louse Plot 'otal qmj Mir e■■■■■N■e■■■e■■ecce ■e■■•�eN■N■eN■■� ■������N��■■■vim■ g .f` ti 3�.0 P • IIr ' y *' x E �y -moi �• � •• x 5i _ APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics Rrohibits conflicts of interest on the part of Town officers and employees. The ourpose of this form is to provide information which can alert the Town of vossible conflicts of interest and allow it to take whatever action is necessary�to avoid same. YOUR NAME: _, (_ (Last name, fa4 name,middle initial, unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance Special Exception If"Other". name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other h ! J r 5•�'vJ Do you personally,(or through your company, spouse,sibling, parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by)a corporation in which the Town officer or employee owns more than 5%of the shares. YES NO Complete the balance of this form and date and sign belowwhere indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant)and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse,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 non-corporate 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 lel 05 Submitted this da �6—:7-"� Signature: L1 IT-7 Irl Print Name: C (dh C /2 i� l �_ fI-J David J. Verity Barbara Verity PO Box 151 Southold NY 11971 December 10, 2010 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: We, David J. & Barbara Verity, authorize you to make any and all applications and appear on my behalf to the Southold Town Zoning Board of Appeals, Suffolk County Department of Health Services and any other necessary agencies on our behalf regarding properties located at 860 Nokomis Road , Southold (sctm: 1000-78-3-2 ) avid J. ity o Barbara Verity T PGI c„V B11 p•tlXMT�WLeii .d m.q�,Iga.., 14T{WII{ Juuu[eLY"[[„a.INc..4'w aMYN[au[uIN[[[ CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUN�IS INSTRUMENT SHOULD BE USED"BY LAWYERS ONLY • THIS INDENTURE,made the 29 day of December ,ab arum hmdead aod5ighty-Three BETWEEN Helen Verity, individually and as executrix of the last will and testament of John Verity, party of First part ��I�1�. Ny nol Perry of the first part,and To 1 ('A�If/��- - fry nc/ � f party of the second part, Helen Verity, party of second part,tl ' Iq ruy''y, V � WITNESSETH,that the party of the first part,in cmaideratim of Tan Dollen and other valuable oonsidesation paid by the party of the second part,does hereby grant and release men the party of the second patt,the heirs or suocnwn and auigns of the party of the second part forever, - o ALL that certain plot, piece or panel of land,with the buildings and improvements thereon erected, situate, 0 ` lying and being in the that parcel of land at "Laughing Water" near Southold, Southold Town, Suffolk County, New York, bounded and described as follows: Beginning at a point in the easterly line of Nakomis Road l� this point at the northwest corner of property of John Verity, 0 thence North 50 451 West 98,61 feet by and along the easterly 0 line of Nakomis Road to a point, thence North 840 2I1 East 270 (y) feet by and 4lomg the property of John Schimlich to a point, Pp thence South 50 451 East 98,61 feet along property of Cedric H. Wickham to a point at the Northeast corner of property of John Verity, thence South 840 2I1 West 270 feet along property IN of John"Verity, to the point or place of beginning, $...... fa=— I 0 REAL 'ESTATE O DEC -.3n 1993 I TFANSFF_R 1NX �.� SUrFO!K I . MUNTY 1 TOGETHER with all right, the and ieterest, B my, of the party of the fins ppart iv and m my streets and roads abutting the above described promises to the canter lines thereof; TOGETf�It with the•ppuSummo s, Bud all the erste and rights of the party of the flat part in and m said premises; ,a HAVE NIM HOLD the premises heroin granted unto the parry of the word pan,the heirs or surceuon and aura of the party of h the swond part forever. AND the party of the.first part covenants teat the party of the first pan has not time or suffered anything whereby the said premieas It..been meumbend e an)�wry whatavw,except u afaressid. AND the party of the fins Part,in complimu wkh Seoden 13 of the Lim Law,covmants that the pp��ccM tyty of the fir pan will Inner.the canuderatim for this canve,anca and will held the right to renews Ruch m..idaration as trust fund to be applied first for the purpose of paying the out of the improvement and will apply the same fins to the payment of the eat of the improvwent beton using my part of the total of the name for my other Purpose. ?J 71��i The word"party"shall be com¢"ed as H it read"parties'whenever rhe same of this iedanDue so regmres. IN WITNESS WHEREOF,the patty of the first part has dol,exccutad this dead the day and year fiat above written. In ynrscxce F. 14,14 CONSULT YOVR LAWYER BEFORE SIGNING THIS INST&-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,madethe 29 dayof December ,nineteen hundred and Eighty-three I BETWEEN Helen Verity, individually and as executrix of the last will and testament of John Verity, party of 1 t1h1e,^,'�f�i'.r�st p1a1r`t. -71 I n party of the fire part,and UU n To p party of the second port, Helen Verity, party of second par t7 �OLX�lpNy WITNESSETH,that the parry of the first par I.mneiduatlon of Ten Dollars and other valuable covsidereioh paid by the party of the second part,does hereby gnat and release unto the party of the secevd part,the heirs O or suoceuon and soigne of the party of the second pert forcer, ALL that certain plot, tete or pared of land with the buildings and improvements thereon creased, situate, �D lying and being io the t�iat parcel of fond at "Laughing Water" near Southold, Southold Town, Suffolk County, New York, bounded and described as follows; Beginning at a point in the easterly line of Nakomis Road, this Point 858,13 feet from a point formed by the `intWrsei:£ion of the southerly line of Bab Water Avenue and the easterly line of Nokomis O Road; thence North 811 211 East 270 feet by a5d along property of Cedric H. Wioltham to a point; thence South 5 451 East II7,12 feet to m a...point In the northerly line of Hiawatha's Path; thence South 84 2IOWest 171.10 feet along Hiawatha's Path to a monument; thence North 85 50t West 100,40 feet to a monument at the intersection point of Q the easterly line of Nakomis Road and the northerly line of O iawathat.s Path; thence North 5 451 West 100 feet by and along the easterly line of Nokomis Road to the point orplaoe of beginnings Ips Together with all the right, title and interest of the first �C\ parties of, in and to land lying within the bounds of Nakomis Road and Hiawatha's Path adjacent to said premises to the center line Q thereof, Said Baywater Avenue, Nakomis Road and Hiawathals Path above referred to are located as shown and laid out upon a certain map en- titled "Map of Laughing Water, Southold, Long Island, New York, roperty of Cedric H. Wickham, Mattituck, Long Island, New York r ado from actual surveys completed June 301 1938 and plotted by I� Daniel R, Young, P,R',and L.S,n, and filed in Suffolk County Clerkls I office July 24, 1941 as map #917. Subject to the following restrictions: Minimum cost of cottage on this plot shall be 51000.00 The parties of the first part give to the parties of the second part the refusal to purchase the adjoining lot to the north before they consider the sale of same to another purchaser. TOGETHER with all right, title and interest, if any, of the pa of the fist ppart in and to any areels and roads abuning the above dexrihed promisee to the center lino thereof; TOGETHFA with the sppGreensnm and all the astate and rights of the party of the fire pare in and m said premises; TO HAVE AND TO HOLD I the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part fomver. AND the party of the&rt put eevevanb that the party of the first part has not done or suffered anything whereby the said premrses have bean encumbered in my way whatever,seen pt u aforesaid. AND the party of the first part,in compliance with Section 13 of the en law,covmmts that the puryry of the fire �u part will receive the consideration for this waveyance and will hold the right to receive such coral tion As a Haat fmd to be applied first for the purpose of *,the cost at the ireprovsmv,t sod wW apply the acme fire to ��I �� the payment of the cost of tits improvasent 6e ere mivg any pert of the mW of the same(or any other purpose. � ewer "party"Fhall be construed asif it reed"pardu"whwuu the scow of thi indelNure m regmres. IN WITNESS WHEREOF,the parry of the fine part has duly executed this dead the dry md4, est above wriaen. ,\ IN Pe6e8HC6 OF: ..... ¢,t �py� I FEA.L ESTATE 1 l UFC li18d }I i w' BAER roe COUNTY, ��w L 3 OEE0252� PAGE 38" • lT�hxitlil='1�, Made the 7th day of September Nintsen Hundred and f'�joQr��tyyy�t-„ff���our ^Bt VYtn CEDRIC H. WIC-KHAM MD CLARETTA S. WI,12iAY., his wife, residing at Mattituek, Southold Town, Suffolk County, New York, part is s of the first part,and JOLT VERITY AND HELLP VERITY,his wife, residing at 522 3rd Street, Brooklyn, New York, Parties of the second part, l^UI{sK iak that the parties of the ftrst part, in consideration of One and 00/100 Dollar a I 1.00 1 lamfal many of the United States, paid by the parties of the second part, do hereby remise, release, and quitclaim unto the parties of the second part, their heirs and a8sipm forager, all that parcel of land at "Laugh- ing Water” near Southold, Southold Town, Suffolk County, New York, bounded and described as follows; Seginning at a point in the easterly line of Nakcmis Road, this point at She Northwest corner of property of John Verity, thence North 5 451 ifeat 98.6; fast by and along the easterly line of Nakomis Road to a point, thence North 840 211 cast 270 feet by end along the proporty of John Schimlich to a point, thence South 50 451 East 98.6i* feet along property of Cedric H. V+ickhto a point at the Northeast corner of property of John Verity, thence South 640 211 'West 270 feat along property of John Verity to the point or place of bazinning. sm Nom'` C Nom ^ ��+ e0nR>�5�72 racE�b4 T�� utith the appurtenances and all the estate and rights of the part ies of the first part in and-to said premises, the premzses herein Panted"unto7ie5yai�tYes of the second part, their heirs and asaipw forever. the part ies of the fust part have hereunto set their hands and seals the day and year first above written. 3upresence of Mate of Vark . ....� 1 GEE�2 C7nun522) PAGE 385 • i� of SM CL% 33. On this 'day of '$eptember Wnet m Hwndred and Forty-four before me, the subscriber, personally appeared CEDRIC R. WICIMMi and CLARrZTTA S. WICAHAM to me personally known and known to me to be the same persons described in and who a wted the within Inetrwmemt, andt hey duly wknowledped to me that t hey esacwted the ltB�ED M- 3t�46. , � �+ y�ui:wa..eq. w _ 1pC A O x m a 7 g 0 t 'u, !� E' �. 1' w G1 a 10w It tel` x_. 3281 • C C"J Made the 12th dayof November Nineteen Hundred and VA y�fforty-one Vtf MM CEDRIC H. WICEMAM and CLARETTA S. WICERAH, his wife, residing at Mattituck, Southold Town, Suffolk County, New York =I - parties of the first part,and 0 a O JOHN VERITY and HELEN VERITY, his wife, residing at 522 3rd Street, Brooklyn, New Ybrk �9 v i �p�,.y,,,.�,+,,+ ` part Ise of the second part, L"Us rtwt4h,that the parties of the first part, in consideration of One Dollar _Q (4 1.00 ) lawful many of the United States, O paid by the paries of the second part, eb. do hereby grant and release unto the part Ise of the second part, their O hairs and assigns forever, ¢ll that parcel of land at "taugh- ing Water" near Southold, Southold Town, Suffolk County, New York, O .Q bounded and described as follows; �..9 Beginning at a point in ,the easterly line of Nakomis Road, this I point 858.13 feet from a point formed by the intersection of the southerly line of Bay Water Avenue and the easterly line of Nakomis Road; thence North 840 21' East 270 feet by and along property of ' Sout& Cedric H. Wiokham to a point; thence,5 45'East 117.12'feet to a point In the northerly line of Hiawatha's Path ; thence South 840 21' West 1.10 .feet along Hiawatha's Path to a monument; thence North 850 50' West 100.40 feet to a monument at the intersection point of the east- erly line of Nakomis Road and the northerly line of Hiawatha's Path; thence North 50 45' West 100 feet by and along the easterly line of. Nakomis Road to the point or place of beginning. Together with all the right, title and interest of the first parties of, in end to land lying within the bounds of Makomis Road and Hiawatha's Path adjacent to said premises to the center line thereof. !I Said Baywster Avenue, NakcmisR ad and Hiawatha's Path above referred to are located as shown amid out upon a certain map • entitled "Map of Laughing Water, Southold, Long Island, New York, property of Cedric H. Wickham, Mattituck, Long ialand, New York made from actual surveys completed June 30, 1938 and plotted by Daniel R. i Youngs P. E. and L. S.", and filed i.» Suffolk County Clark's office I July 24, 1941 as map #917. i Subject to the following restrictions: Minimum cost of cottage on this plot shall be $1000.00 The parties of the first part give to the parties of the second part the refusal to purchase the adjoining lot to the North before j they consider the sale of same to another purchaser, I I .if . I 404tr with the appurtenances and all the estate and riQhta of the parties of the first part in and to said 41M, • hxiip 'tQ 40a the premises herein granted unto the part is s of the second part, thair hairs and assigns forever. i Aub said 77Q��� Parties of the first part covenant as follows: ,36-#f. That said parties of the first part seized of said premises in fee simple, and have good right-to convey the same;.- *WPA That the parties of the second part shall quietly &?Voy the said premises; , ghi4r. That the said premises are free from incumbrances; 77pp ,TII0dk. That the part Sea of the first part will execute or procure any furtessr��necessary assurance of the title to said premises; c��hWh, 17t att said parties of the first part will forever CC UrrMl the title to said premises. rJn 4 C hmof, the parties of the flrst part have hereunto set their hand and seal a the day and year fret above written. �nmseiur of Suitt of X'AuSurk CRuunt�J of S, • ' of on this /,Z YAG dayof November Nineteen Hundred and forty-one before me, the subscriber, personally appeared Cedric H. Wickham and Claretta S. Wickham to me personally known and known to me to be the same persona described L in and who executed the within Instrument, c nd they duly acknowledged to me that they executed thaAame —y-- . Nntnry Vnhli n� Snffnllr (:mmtqE 1 41 C: L_ `7 7g _ -;-',— w•q REC-E4 o. REAL�T£ AUG- 2�'b983 ?' TRANSFER TAX SUFFOLK u COUNTY y� AC I W q tl 0I � Us ® >� P a N H n F o W x o HWW H f+1 IZfN x to Ser UO I Fr FORM, NO. 4 • • TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 34791 Date: 01/10/11 THIS CERTIFIES that the building DWELLING AND COTTAGE Location of Property 865 NOKOMIS RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 078 Block 0003 Lot 026 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 34791 dated JANUARY 10, 2011 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH 2 COVERED PORCHES AND ACCESSORY COTTAGE. * The certificate is issued to DAVID J VERITY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. , A Xri: Siggature Rev. 1/81 RUT,mr NO D Epmm-- TONN OF SOUTROLD HOUSING, CODE INSPECTION REPORT LOCATION: 865 NOKOMIS RD ---,—.-sotrrl4oLD SURDmaxamt — " NAP M. Xor (5) NAPIR OF OWNER (S). DAVID a VERITY OWWRANCY; ONE FAMILY DWELLING DAVTD J VERITY AUNITrav, By. BARBARA vVR17y AOCCOV?AWW" BY. KEY AVAllARLR- SO". CO- TAX NAP NO,; 78.-3-26 SOURCE OF RmQUwr; BARBARA vRxzTY mmm! ox/10/1 VWVLLING: TYPE OF CONSTNDMOm: WOOD FW11 I STORIES: 1,0 2 PUqWZWTX0ff' CZMENT BLOCK CULLAR2 FULL CRAIM splumt Tum. ROOMS: isr PLR.: s 2ED FLA.: a 3RD FLK.-. 0 BATHROOM(S)- 1.0 TOILlcr ROOM(5) 0.o Urrf= ROM(9) PORCR 'TRPS: COVERED DECK TYPE- PATIO TYPE; RRANkmay: FIHHPIALRa 1 GAP-k=; DCKL9rlC BOTmTzRs YES 7TPH NEATER: OP.F,BDXLER AXAcaHl)=cNnm; TYM BEAT: OIL WARM AIR: lKYT-WRTER! X OTHER: ACCBS DOE Y STRUCTURES: GAXAGB. TYPE OF COwfur.: i CAR w000 pRAms ErURRUE. TYPE ColWr-: swxpoam Pow.: CxntsT, TYRE COMT.; VIOLALTIONS, CHAPM 49 N.Y. STATR UNIFORM FIRE pREvRNTION & BUILDING CODE LOCATION DESCRIPTION ART. I SEC. REMARKS; BP 36135 Sn BLDG CO2-34709 mrzCm by; MTR ON DWF=0H: 12/15/10 TIM START,GARY PIS own o Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy 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 SCTM# - 3 - c2 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board® Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ❑ Nature and extent of action: �Z 6t cixc - /J dLxl'r�is�chZ lhfs 0 Location of action: Kom/ �,,d Site acreage: 5 ---37—7 � r— Present land use: 1/.GLG %1 Present zoning classification: 1:2. �/D 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ��ZZ1tic�c/ (b) Mailing address: 100�"Izez " ` (c) Telephone number: Area Code ( ) Aj /c ICAO/ P 7�s" L�3�2 0 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ N04 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 a�i�sa dlE��tt-i� �l erl��� Attach additional 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 'DT] 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 9 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No � Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No IxNotApplicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ No [4 Not Applicable 0 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 ❑ Nol�] 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 V] Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No 141 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. ❑ Yes ❑ No Not Applicable • • 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 1� Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No VQ 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 Q Not Applicable Created on 5/25/05 11:20 AM 61.20 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. II� - 1 2011 Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evalua P'hether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ® Part 1 11 Part 2 17 Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the 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.* FC. 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 Nam VIf Action 6I22/l�i / � >d Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) website Date Page 1 of 21 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. Name of Action Location of Action(include Street Address, Municipality and County) Y&-s— A/a &/We /loop � Name of Applicant/Sponsor 4 c Address l,$ /U4IG.O/}q S /` 4)e{ City/PO s&�tt6�� State / Zip Code Business Telephone Name of Owner(if different) Address City/PO State Zip Code Business Telephone Description of Action: //o u ��dt ✓lc%ec/ and C7PI/PIc�e � INDS dc-fi t)eZJ 41ed JvGJCP( p':�lbJ� f l Page 2 of 21 Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. 1. Present Land Use: DUrban 11 Industrial ®Commercial Residential (suburban) ©Rural (non-farm) DForest F Agriculture r-1 Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) y acres acres Forested acres n acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) (7) acres acres Water Surface Area l/ acres acres Unvegetated (Rock, earth or fill) (acres acres Roads, buildings and other paved surfaces acres l acres Other (Indicate type) �19 k0 U5CS acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained ILD % of site ©Moderately well drained _% of site. Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ® Yes ® No a. What is depth to bedrock lin feet) 5. Approximate percentage of proposed project site with slopes: ®0-10% r1D % 17110- 15%_% 17 15% or greater_% 6. Is project substantially-contiguous to, orcontain a building, site, or district, listed on the State or National Registers of Historic Places? Yes "K No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ElYes ®No 8. What is the depth of the water table? g (in feet) 9. Is site located over a primary, principal, or sole source aquifer? 7Yes IT No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Yes IN No Page 3 of 21 1 1. Does project site contain any species of plant or animal life that is identified as threatened or endangered? OYes FV1 No According to: Identify each species: 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? E]Yes ®No Describe: 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ®Yes MNO If yes, explain: 14. Does the present site include scenic views known to be important to the community? Yes RV 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: b. Size (in acres): Page 4 of 21 17. Is the site served by existing public utilities? Pq Yes No a. If YES, does sufficient capacity exist to allow connection? R Yes No b. If YES, will improvements be necessary to allow connection? 11Yes RNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ElNo 19. Is the site located in or substantial) contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes substantially 20. Has the site ever been used for the disposal of solid or hazardous wastes? Yes 1VNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: 14 0 acres. / b. Project acreage to be developed: IZ , W acres initially; 111�0_acres ultimately. 1 5 I S ) c. Project acreage to remain undeveloped: _acres. d. Length of project, in miles: _ko_fit appropriate) e. If the project is an expansion, indicate percent of expansion proposed.. qL% f. Number of off-street parking spaces existing )_ ; proposed g. Maximum vehicular trips generated per hour: /JC ,,�p[�E. AW"'nlpon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions lin feet) of largest proposed structure: height; qU - width; w7 u length. i j. Linear feet of frontage along a public thoroughfare project will occupy is? 1 h / 1 ft. 2. How much natural material (i.e. rock, earth, etc.) will be removed from the site? —K ( Ltons/cubic yards. 3. Will disturbed areas be reclaimed ®Yes No rV a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? F Yes F] No c. Will upper subsoil be stockpiled for reclamation? R Yes F] No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? _No-ra acreS. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? Yes � No , fC7 6. If single phase project: Anticipated period of construction: _months, (including demolition) 7. If multi-phased: i a. Total number of phases anticipated ` (number). b. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ® Yes ® No 8. Will blasting occur during construction? F�YesI® No (� 9. Number of jobs generated: during construction ; after project is complete 10. Number of jobs eliminated by this project 1 1. Will project require relocation of any projects or facilities? M Yes No If yes, explain: 12. Is surface liquid waste disposal involved? E]Yes LM a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ®Yes [�D No Type 14. Will surface area of an existing water body increase or decrease by proposal? Yes®No If yes, explain: 15. Is project or any portion of project located in a 100 year flood plain? ®Yes 6 Y INo 16. Will the project generate solid waste? 11 Yes IR No a. If yes, what is the amount per month? tons b. If yes, will an existing solid waste facility be used? F Yes F No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? CYes El No Page 6 of 21 e. If yes, explain: 17. Will the project involve the disposal of solid waste? FYes 17%]No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? FYes IT]No 19. Will project routinely produce odors (more than one hour per day)? FYes R1No 20. Will project produce operating noise exceeding the local ambient noise levels? F]Yes KNo 21. Will project result in an increase in energy use? ®Yes ® No If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day U12 gallons/day. (LCiY1(� J 24. Does project involve Local, State or Federal funding? F Yes M No If yes, explain: Page 7 of 21 25. Approvals Required: Type Submittal Date City, Town, Village Board M Yes F1No 15 cam` City, Town, Village Planning Board MYes ® No -,ecAA va-Ylc4u City, Town Zoning Board ®Yes ® No 'l Q1ct�tC-,1 6� City, County Health Department Yes No Other Local Agencies Yes ® No Other Regional Agencies M Yes F No State Agencies FYes F No Federal Agencies ®Yes FNo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? M7Yes F No If Yes, indicate decision required: "````�iiiill����kk Zoning amendment Zoning variance New/revision of master plan Subdivision F7Site plan Special use permit ®Resource management plan Other Page 8 of 21 0 2. What is the zoning classification(s) of the site? F4-- q 0 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? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? �-- V�'"1' gM t-ra 6. Is the proposed action consistent with the recommended uses in adopted locallanduse plans? ®Yes ®No 7. What are the predominant land use(s) and zoning classifications within a %< mile radius of proposed action? P "'u, -q,-t 41-1 C � WCAL t,- .�1���Jt scO-VX 8. Is the proposed action compatible with adjoining/surrounding land uses with a '/< mile? LN `�I Yes ® No g. If the proposed action is the subdivision of land, how many lots are proposed? `-1-' a. What is the minimum lot size proposed? 30, (foo t Page 9 of 21 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? F-1 Yes V/V No 11. Will the proposed action create crr����eate a demand for any community provided services (recreation, education, police, fire protection? Yes f77�:1,No a. If yes, is existing caapp�ac_ity sufficient to handle projected demand? 7 Yes E] No 12. Will the proposed action result in the generation of traffic significantly above present levels? ElYes 9 No a. If yes, is the existing road network adequate to handle the additional traffic. Yes 171 No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. / Applicant/Sponsor Name Date Signature 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. Page 10 of 21 PART 2 - PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But,for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response,thus requiring evaluation in Part 3. • The impacts of each project,on each site, in each locality,will vary. Therefore,the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts,consider long term,short term and cumulative effects. Instructions (Read carefully) a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. C. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided,check column 2. If impact will occur but threshold is lower than example,check column 1. d. Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact,also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential - Can Impact Be Moderate Large Mitigated by Impact Impact Project Change Impact on Land 1. Will the Proposed Action result in a physical change to the project site? NO F] YES Examples that would apply to column 2 • Any construction on slopes of 15%or greater,(15 foot El E] 17 Yes ©No rise per 100 foot of length),or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table 0 F ® Yes ©No is less than 3 feet. • Construction of paved parking area for 1,000 or more ® ® E Yes ©No vehicles. • Construction on land where bedrock is exposed or F] ® Yes ®No generally within 3 feet of existing ground surface. • Construction that will continue for more than 1 year or © ® 17 Yes ®No involve more than one phase or stage. • Excavation for mining purposes that would remove ® ® ® Yes ®No more than 1,000 tons of natural material (i.e., rock or soil)per year. Page 11 of 21 0 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill. Q Q ®Yes O No • Construction in a designated floodway. 0 El 17Yes MNo • Other impacts: ❑ Cl 17Yes E]No 2. Will there be an effect to any unique or unusual land forms found on the site?(i.e.,cliffs,dunes,geological formations,etc.) ®NO ®YES • Specific land forms: 0 QYes Q No Impact on Water 3. Will Proposed Action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) F1NO YES Examples that would apply to column 2 • Developable area of site contains a protected water body. Yes ❑No • Dredging more than 100 cubic yards of material from channel of ©Yes ®No a protected stream. • Extension of utility distribution facilities through a protected water n Yes R No body. • Construction in a designated freshwater or tidal wetland. El 0 0 Yes EINo • Other impacts: ❑ 171 Yes ❑No 4, Will Proposed Action affect any non-protected existing or new body of water? nNO ®YES Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body of © Ryes ®No water or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface © © ®Yes FINo area. • Other impacts: © © ©Yes ®No Page 12 of 21 0 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 5. Will Proposed Action affect surface or groundwater quality or quantity? F�NO MYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ® El El Yes EINo • Proposed Action requires use of a source of water that does not ❑ ❑Yes D No have approval to serve proposed(project)action. • Proposed Action requires water supply from wells with greater E ® 11 Yes ❑No than 45 gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ® Yes 0 No supply system. • Proposed Action will adversely affect groundwater. D ® ❑Yes 1:1 No • Liquid effluent will be conveyed off the site to facilities which ® El E]Yes D No presently do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons ® ❑Yes D No per day. • Proposed Action will likely cause siltation or other discharge into ® ® Dyes ®No an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or ® ❑Yes E]No chemical products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without ® ❑Yes D No water and/or sewer services. • Proposed Action locates commercial and/or industrial uses ® Yes ❑ No which may require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ©Yes ® No Page 13 of 21 0 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 6. Will Proposed Action alter drainage flow or patterns,or surface water runoff? 7N DYES Examples that would apply to column 2 • Proposed Action would change flood water flows 0 0 DYes DNo • Proposed Action may cause substantial erosion. ® D ®Yes 0 No • Proposed Action is incompatible with existing drainage patterns. D ®Yes 0 No • Proposed Action will allow development in a designated 0 0 Yes []No floodway. • Other impacts: 0 DYes DNo IMPACT ON AIR 7. Will Proposed Action affect air quality? 7N DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any D ®Yes 0 No given hour. • Proposed Action will result in the incineration of more than 1 ton 0 0 D Yes 0 No of refuse per hour. • Emission rate of total contaminants will exceed S lbs. per hour ❑ D DYes 0 No or a heat source producing more than 10 million BTU's per hour. • Proposed Action will allow an increase in the amount of land D 0 DYes ®No committed to industrial use. • Proposed Action will allow an increase in the density of 0 D ®Yes 17No industrial development within existing industrial areas. • Other impacts: © 0 DYes DNo IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? 7N DYES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or © © ®Yes D No Federal list, using the site, over or near the site,or found on the site. Page 14 of 21 0 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Removal of any portion of a critical or significant wildlife habitat. 17 M Yes [:]No • Application of pesticide or herbicide more than twice a year, ❑ 171 Yes DNo other than for agricultural purposes. • Other impacts: ® El E]Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non- endangered species? F1 NO F1 YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident M Yes r No or migratory fish,shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres of E] F Yes r7No mature forest(over 100 years of age)or other locally important vegetation. • Other impacts: ® ❑ E]Yes []No IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will Proposed Action affect agricultural land resources? F NO ❑YES Examples that would apply to column 2 • The Proposed Action would sever,cross or limit access to ❑ ❑Yes No agricultural land(includes cropland, hayfields, pasture,vineyard, orchard,etc.) • Construction activity would excavate or compact the soil profile of ® ®Yes r7No agricultural land. • The Proposed Action would irreversibly convert more than 10 ® ❑Yes F No acres of agricultural land or,if located in an Agricultural District, more than 2.5 acres of agricultural land. Page 15 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • The Proposed Action would disrupt or prevent installation of ® Yes F1 No agricultural land management systems(e.g.,subsurface drain lines, outlet ditches,strip cropping);or create a need for such measures(e.g.cause a farm field to drain poorly due to increased runoff). • Other impacts: 11 ®Yes ®No IMPACT ON AESTHETIC RESOURCES 11. Will Proposed Action affect aesthetic resources? (If necessary,use the Visual EAF Addendum in Section 617.20,Appendix B.) FNO ❑YES Examples that would apply to column 2 • Proposed land uses,or project components obviously different 11 El D Yes ❑No from or in sharp contrast to current surrounding land use patterns,whether man-made or natural. • Proposed land uses,or project components visible to users of ❑ El ®Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or E] E]Yes E No significant screening of scenic views known to be important to the area. • Other impacts: Q ❑ E]Yes 0 No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance? ®NO OYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or © ® ® Yes E] No substantially contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within Q ® Yes 11 No the project site. • Proposed Action will occur in an area designated as sensitive El El [] Yes ® No for archaeological sites on the NYS Site Inventory. Page 16 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Other impacts: ❑ ® ❑Yes []No IMPACT ON OPEN SPACE AND RECREATION 13. Will proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? ❑ NO ❑YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity. ® ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes ❑No IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14, Will Proposed Action impact the exceptional or unique characteristics of a critical environmental area(CEA)established pursuant to subdivision 6NYCRR 617.14(g)? ❑NO ❑YES List the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2 • Proposed Action to locate within the CEA? ❑ ❑ ❑Yes []No • Proposed Action will result in a reduction in the quantity of the ❑ ® [] Yes ❑No resource? • Proposed Action will result in a reduction in the quality of the ❑ ❑ ❑Yes ❑No resource? • Proposed Action will impact the use,function or enjoyment of the ❑ ❑ ❑Yes ❑No resource? • Other impacts: ❑ ® Dyes ❑No Page 17 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation systems? NO ®YES Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or 0 [:]Yes ®No goods. • Proposed Action will result in major traffic problems. ❑ El []Yes ❑No • Other impacts: D 1 ®Yes ❑No IMPACT ON ENERGY 16. Will Proposed Action affect the community's sources of fuel or energy supply? ®NO YES Examples that would apply to column 2 • Proposed Action will cause a greater than 5%increase in the 0 El El Yes ❑No use of any form of energy in the municipality. • Proposed Action will require the creation or extension of an 1:1 []Yes []No energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: E] El El Yes El No NOISE AND ODOR IMPACT 17. Will there be objectionable odors, noise,or vibration as a result of the Proposed Action? rNO MYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive 0 El ©Yes ©No facility. • Odors will occur routinely(more than one hour per day). ® ©Yes No • Proposed Action will produce operating noise exceeding the ®Yes ®No local ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ®Yes ©No noise screen. • Other impacts: ® El ®Yes ®No Page 18 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety? F1NO EYES • Proposed Action may cause a risk of explosion or release of ® ® ❑Yes ®No hazardous substances(i.e. oil,pesticides, chemicals,radiation, etc.)in the event of accident or upset conditions,or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of"hazardous wastes' © 1:1 ®Yes ONO in any form(i.e.toxic,poisonous,highly reactive,radioactive, irritating,infectious,etc.) • Storage facilities for one million or more gallons of liquefied ® ®Yes ONO natural gas or other flammable liquids. • Proposed Action may result in the excavation or other ❑ ❑ []Yes ❑No disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ❑ ❑ ❑Yes ONO IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will Proposed Action affect the character of the existing community? r�NO 17 YES Examples that would apply to column 2 • The permanent population of the city,town or village in which the ❑ ® DYes ONO project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating MYes FNo services will increase by more than 5%per year as a result of this project. • Proposed Action will conflict with officially adopted plans or D D ®Yes ®No goals. • Proposed Action will cause a change in the density of land use. ® ® E]Yes ©No • Proposed Action will replace or eliminate existing facilities, ® ® ©Yes ©No structures or areas of historic importance to the community. • Development will create a demand for additional community ® ® ®Yes ®No services(e.g. schools, police and fire, etc.) Page 19 of 21 • 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Proposed Action will set an important precedent for future ® ® ®Yes ❑No projects. • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 20. Is there,or is there likely to be, public controversy related to potential adverse environment impacts? ❑NO ❑YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21 Part 3 - EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s)is considered to be potentially large,even if the impact(s)may be mitigated. Instructions (If you need more space,attach additional sheets) Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available,decide if it is reasonable to conclude that this impact is important. To answer the question of importance,consider: •The probability of the impact occurring •The duration of the impact • Its irreversibility,including permanently lost resources of value •Whether the impact can or will be controlled •The regional consequence of the impact •Its potential divergence from local needs and goals •Whether known objections to the project relate to this impact. Page 21 of 21 em • • MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 DONALD J.WILCENSKI O�.`QF �Q�/jtQl Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex KENNETH L.EDWARDS GQ 54375 State Route 25 JAMES H.RICH III A, �� (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR Q�y��UNT'I Southold, NY Telephone: 631 765-1938 Faze: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: October 23, 2012 Re: Deferred Revenue The Subdivision Final Plat application referenced below has been accepted by the Planning Board and the funds may now be processed to Planning Applications revenue account B2115.10. Thank you. Project Name & Type Tax Map # Amount Check Date & Number David Verity Subdivision: Final Plat 78-3-26 $500.00 8/13112-#1153 application fee LR • • MAILING ADDRESS: PLANNING BOARD MEMBERS �q soplP.O.Box 1179 DONALD J.WILCENSKI Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Cn Town Hall Annex KENNETH L.EDWARDS �0 54375 State Route 25 JAMES H.RICH III �� (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR yCOUNT'1, Southold,NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: August 21, 2012 Re: Checks Please deposit the attached check into 8691: Deferred Revenue. Fee is for a Final Plat application not yet accepted by the Planning Board. Thank you. Project Name & Type Tax Map # Amount Check Date & Number David Verity Subdivision: Final Plat 78-3-26 $500.00 8113/12-#1153 application fee LR BARBARA J vt_Rrry 1153 Att. D"10 J VER" es aisazssi PINTML oA roRTMYERS,FL 33M __rA, n 07D a0 I $ SCt�• 3 �: 2&319138'7C©pDt7i499$ 7835 '01L'S 3�— j a 11m..V n" a .. • • MAILING ADDRESS: PLANNING BOARD MEMBERS QF sorry P.O. Box 1179 DONALD J.WILCENSKI ��V` Old Southold, NY 11971 Chair 411 OFFICE LOCATION: WILLIAM J.CREMERS H Town Hall Annex KENNETH L.EDWARDS G @ 54375 State Route 25 JAMES H.RICH III (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR �COUNT'1 �`c.` Southold, NY 11 Telephone: 631765-1938 Fax:631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: July 12, 2012 Re: Deferred Revenue The Final Plat application referenced below has been accepted by the Planning Board and the funds may now be processed to the Planning Applications revenue account B2115.10. Thank you. Project Name & Type Tax Map ## Amount Check bate & Number David Verity Subdivision: Final Plat 78-3-26 $1,000.00 4/23/12-#1103 application LR • • MAILING ADDRESS: PLANNING BOARD MEMBERS �QF Sr7�ly P.O. Box 1179 DONALD J.WILCENSKI �0� Southold, NY 11971 Chair vO OFFICE LOCATION: WILLIAM J.CREMERS y Town Hall Annex KENNETH L.EDWARDS G Q JAMES H.RICH III �0 54375 State Route 25 (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR COU01 Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: April 30, 2012 Re: Checks Please deposit the attached check into B691: Deferred Revenue. Fee is for a Preliminary Plat Subdivision application not yet accepted by the Planning Board. Thank you. Project Name & Type Tax Map # Amount Check Date & Number David Verity Subdivision: Preliminary 78-3-26 $1,000 4/23/12-#1103 Plat Application fee LR BAF RA J.VSRITY 1103 DA 9�aEoq� 6"138=1 Aft. F30 O"I YERS,FL 93908 „h, 7 s - wr w ems 263i91U040000it.998783511'0i103 P ��Of so MAILING MAILING ADDRESS: LANNING BOARD MEMBERS �Q �� P.O.Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair G ae OFFICE LOCATION: WILLIAM J.CREMERS �O Town Hall Annex KENNETH L. JAMES H.RICH IIII CUM 54375 State Route 25 DONALD J.WILCENSKI (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone:631 765-1935 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: July 27, 2011 Re: Deferred Revenue The referenced Subdivision sketch plan application has been accepted by the Planning Board and the funds may be processed to revenue. Thank you. Project Name & Tax Map Amount Revenue Line Check Date & # Type # David Verity Std. Subdiv. 78-3-26 1 $1,750.00 6.2115.10 1-5/31/11 -#123 LR 0 MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF SO(/ryoP.O.Box 1179 MARTIN H.SIDOR Southold,NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS H >c Town Hall Annex KENNETH L.EDWARDS % • �O 54375 State Route 25 JAMES DJ.WILCENSKI H.RICH III ��Sppp (cor. MainSouth dY Youngs Ave.) DO Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: June 2, 2011 Re: Checks Please deposit the attached check into deferred Account B691. Fee is for a Sketch Plan application not yet accepted by the Planning Board. Thank you. Project Name & Type Tax Map # Amount Check bate & Number Verity Std. Subdivision 78-3-26 1 $1,750.0015/31/11 -#123 LR Aft' HELEN VERITY 50-W214 123 DAVID J VERITY 865 NAKOMIS RD. SOUTHOLD, NY 11971 �qjy Bddgehuw=Natlogil — �� team v ➢ ' g m/nal� •IUw � M 1:0 2 140666 71: 058000899311' 0123 N d� #"'xy,� N/0/f KEVIN & VAWAM HARDING d I270.00' $ITE N84'21'00'E � sHE0 - N I 31,057 sq. pUo oAREA KEY MAP Z� 500' I y �! `i PLOT 157Y F� O C i o Z �6LDG. 80 0 0 unum��, o O MFEuwI , D�GEsenIV! ARR P •GSNALA AtBM STAKE YT ,Iy rrZy, rO gWAY \RACD Z SUFFOLK COUNTY DEPARTMENT OF HEAL TN SER VICES �c:0. XXNCTt D HAUPPAUGE, N.Y. °rte F :` \ 21.5• OAT£ p v.B ,� � ' 270.00' \ O TE6 \ /unutt 10 m oke 3co \\ o "pro N. 84'21'00' E. = p� IIL p„J4OF m "'pe IIA' THIS IS TO CERTFY THAT THE PROPOSED REAL TY SiAMOS M OR _ DEVELOPMENT FOR O �\ N 7HE GAR.0 `�'\ n oo rA WITH A TOTAL OF _LOTS IAS AH'PROVID ON THE ABOVE DATE. WATER SUWPLES AAV SEIA6E AW VSAL EL 21 (N 21.5' CGNG WIMP SYSM �O T In u tq FACILITES MUST COAraw TO CAVSnWTION STANMNTS N EFFECT li Cil 10 y �� o 1- .I AT THE TGE OF CAVSTRUCIION AAV ARE S"CT TO SEPARA 1f p m o 1 STY. O 00 / �? BERVALID ONLY II Ti E'RE SU40lVlSIUN/�as-AENT 1NP Is '+y, b o cuvalE,E „ HR. Hs£. �Q AREA = 26,340 sq. fi. -+ i' ti DULY FILED WITH THE COIAVTY CLERK www OIF YEAR OF TNS DA TE J E li PLOT 2 CONSENT!S HEREBY"o FOR FL/1G of TNS YAP ON WKA! TNS I . ENDORSEMENT APPEARS IV THE OFFICE OF TIE COLNTY CLERK IN ACCORDANCE W/TH PROV)MS OF PLGLIC HEALTH LAW AAV I� / - THE SUFFOLK COUNTY Smutty CODE. i _ ✓ 2 DIRECTOR, D/VISION Of ENVROAWENTAL OIMClJY N85,5 uTwrr 171.10' O'D0'W wA 100. pqE IOTN 40' $84'21'OO�W aY MRE TYPICAL PLOT PLAN TEST HOLE DATA ' `(NOT TO SCALE) McDONDMD GEDSCENM SPHA 1D/1s/n EDGE or PAVEMENT I ! 50• WIDE ! PROPERTY LWE IIIAFATHAIS PATH PATER MAW M'M0.«f 1 BROWN SILTY SAND SM � I --� ------ 1 _----___ 2 �--�-- l UR(ITY POLE ElPTICTA) - ---" BROW FINE SAND SP T' BROWN 51_TY SAND SM LpCHIN6' PREL IMINAR Y PL A T ________ 5' ZONING DISTRICT° R40 PAU BRf WN nNE SAND W STANDARD SUBDIVISION FOR SCHOOL DISTRICT I SOUTHOLD (5) ROAD DA VID VERITY FIRE DISTRICT' SOUTHOLD (281 A T LAUGHING WA TER CLEARING LIMITS PLOTI - 50% __ WATER m.r TOWN OF SOUTHOLD PLOT 2 - 60% WRER IN PAIS BROWN FINE SAND SP SUFFOLK COUNTY, N Y. 1000 - 79 - 03 - 26 Scale: 1"= 30' APPROVED PRELIM.PLAT Sept. 23 2011 APRIL 9; 2012 (revisfuns)7NCw1'�4/i� 5 rNY.rAEr2�O'Pt I HEREBY CERTIFY 7XA r THE WATER SLA9°L Y(S) AN)/OR SEWA6E OLSPOSAL e� � SYSTEM(S) FOR TNS PRAECT WERE DESISTED By IE OR I% My TR DIRECTION �.4 BASED ON UPON A CAREFUL AAD 7hVROV iHI STUDY OF TSE SOIL, SITE AND GROUND WATER CONOITIONS, ALL LOTS AS PROPOSED, COAFARM TO THE APR 3 0 2012 SUFFOLK COUNTY DEPEFFECT S OF T WS HEALTH SERVICES CONSTRUCTION _ _I I HEREBY CERTIFY THAT T SI! S7ANOAROS IN EFFECT AS OF TNS DATE: _ ACTUAL SWVEYS COAELETED_ ALL T WAS FRAM - SHOWN THUS 8 ACTUALLY EXIST AN) THER POSTRHNS ARE CORRECTLY -- ---- - SHOWN AND ALL D/MENS/ONS AN7 GEODETIC DETALS ARE CORRECT JOSEPH FISC7ETTl, P.E // �y�� PECON/C SURVEYORS, P.C. TOTAL AREA = 57,887 SQ.ff. TOPOGRAPHICAL INFORMATION FROM THE FIVE �`�AAE-�L Lo.--, (63N 765 - 5020 FX (63/) 765 - 1797 EASTERN TOWNS TOPOGRAPHIC MAPS �/ JOHN T. MEPC ER, NY.S L.S. LIC. NO. 4-We 1230 BOX TRAVELER STREET SOUTHOLD, N.Y. 11971 l 0 -192 N IA• N/0/F KEVIN & WILLIAM HARDIN L\ 270.00 N84'21'00 E SITE o sHm� u, — SLOG wVF1GPE Q \ U a Q O 6 g ,To �y � Q) W N 51,057 sq. fl. �o AREA 0 —� w m~ KEY MAP L' I y a m o Scale, 1' = 500' 90. PLOT 1 1 112 STY. z p 1 FR. BLDG m �. uwm Z o c uwT PIXE oLtFHEAO WRES 2a]' r' 'DIE - - - �\ _ _ — _ _ _— _ _ 16A' P - STAX SET O z MEWA�TS p 6.Yo I Z w DMWWAY u 0 1 J �5 i ; SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I s�v , - cac °w % m n HAUPPAUGE, N.Y. 21.6' 270.00' \ Z DATE o m rn In cr 9LGG, w"EEGPE _ THIS IS TO CERTIFY THAT THE PROPOSED REALTY SUBDIVISION OR D' p DEVELOPMENT FORCAR N THE nG. .0 WITH A TOTAL OF _LOTS WAS APPROVED m27.5' c°`I 4 zT ao W 1 '6 ON THE ABOVE DATE. WATER SUPPLIES AM SEWAGE DISPOSAL EL 21p r N FACILITES MUST CONFORM TO CONSTRUCTION STANDARDS iv EFFECT AT THE TIME OF CONSTRUCTION AM ARE SL&ECT TO SEPARATE y a w IfS t. HSE. sea° 26,340 sq. f 1• �1~ i'Y PERMITS PURSUANT TO THOSE STANDARDS. THS APPROVAL SHALL 0 ` AREII+ BE VALID ONLY N TIDE REALTY SU5VIVZ5 N/OEVELOP1ffNT MAP IS b I� PLOT 2 DULY FILED WITH THE COUNTY CLERK W1THN ONE YEAR OF THS DATE CONSENT IS HEREBY G/YEN FOR FILNG OF THS MAP ON WHCH THS ENDORSEMENT APPEARS N THE OFFICE OF THE COUNTY am �9.] i - IN ACCORDANCE WITH PROVISIONS OF PUBLIC HEALTH LAW AM / fa THE SUFFOLK COUNTY SANITARY CODE. - DIRECTOR, DIVISION OF ENV/ROAMENTAL DUALITY _ — —— ' N85�0'00"WuPIE WN 171.10 wn7 100.40' c S8421�,00•W GUYWRE TYPICAL PLOT PLAN (NOT TO SCALE) sPRnL EDGE A PATH I ( 50' WIDE 1 IIIAfIPXTHAS PROPERTY LINE HI WATER MAW Arrrta+ J 1 1� LMIN. %',OV 1 4 2011 PRELIMINARY FLATLEPOOL ALHW6 ZONING DISTRICT° R40 STANDARD SUBDIVISION FOR SCHOOL DISTRICT ' SOUTHOLD (5) FIRE DISTRICT' SOUTHOLD (281 DA VID VERITY ROAD CLEARING 0% A T LAUGHING WA TER PPLOT 1 LOT 2=60% TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 78 - 03 - 26 S SCAN Scale: 1" = 30' Sept. 23, 2011 A. I HEREBY CERTIFY THAT THE WATER SU°PLY(SI AND/OR SEWAGE DISPOSAL -1 Aj, SYSTEM(S) FOR THS PRO„ECT WERE DESKNED BY ME OR !AIDER MY DRECTION * uOR, s t BASED ON UPON A CAREFUL AM THOROUGH STUDY OF THE SOIL SYTE AND GROUND WATER CONDITIONS, ALL LOTS AS PROPOSED, CONFORM �O THE ER SUFFOLK COUNTY DEPARTMENT OF EALTH SERVICES CONSTRUCTION TIFY THAT THIS SUBDIVISION PLAT WAS MADE FROM STANDARDS N EFFECT AS OF THIS DATE, N° ¢ VEYS COMPLETED fieeeo THAT ALL WAU(ENTS 'T 5 9 ACTUALLY EXIST AM THEIR POSAONS ARE CORRECTLY SLA ND ALL DIMENSIONS AND GEODETIC DETAILS ARE CORRECT PECONIC SURVEYORS, P.C. (63/) 765 - 5020 FX (631) 765 - 1797 JOSEPH FISOETTI, P.E TOPOGRAPHICAL INFORMATION FROM THE FIVER P.O. BOX 909 r7 TOTAL AREA = 57,397 sgft EASTERN TOWNS TOPOGRAPHIC MAPS JOHN T. ER, N.Y.S. L. LIC. NO. 49618 1230 TRAVELER T STREETSOU71 10-192 O-I DG I 1 N I SURVEY OF PROPERTY NIp/F KEEN 8 MUJAM HARDING AT LAUGHING WATER I 270.00' TOWN OF SOUTHOLD SUFFOLK COUNTY, MY N84'21'00E 1000-78-03-26 SCALE. 1'=30' g SHE AUGUST 18, 2010 oLn ON "MAP OF SECnON 2 LAUGHING C — 1950 U LOT UNE AS SF1NOV p p z o AREA 31,057 sq. ff. WATER' DA7E0 NOVEMBER 1, o w rn (n o ;12 LOC• o 0 � � x <; c U7{,ITY 1NJ1Y 0WRNEAD MARES _ _ _ _ 26.3 P 3 23 STAKE SET 7- WATER WATER A 6.Y� - - - j 4 Z hwTER \ prAYEL DMvEWAY_ S u— b o` CONG 21.6' X Z Z t 270.00' \ O _._ 9p�0ppSED LOT LM r o 1C,0o-78-03-26 rn N, 84'21'00" E. POLE cn n.a 0 \ c. 0 a ZONING DISTRICT R40 W 27.5 V Cn N OD 1 STY Boo y o FR. HSE. eeo AfiEA = 26,340 sq. ft. b �Q 27.6' - - 49.3• umily 171.10' r N85,50' WW100.40' S84'21'00W GGUQ�Y WRE a o VAL ME fi AL EDGE OF PAMOENI I (�' `CIC NO. 49618 R=MONUMENT 5 PATH ECONIC S PC` Y;._ ANY ECWN 72O DR THE All W 70 K S 7E'VEYEDU/S I NDLATIgV p (631) 765-5020 Fd X. �6c31�,1 5-1797 OF sAUER 72D80F A NEW TO T STATE EDUCA7A LAW. H1AVr" '� EXCEPT AS Por SEC77ON 7209-S WWS)Cw 2 ALL CERTMCA Revs P.O. BOX 909 HERSAO M ARE YALID FOR TTNB IE A MID M SE THEREOF LMKY lF 10-192 SAO E S MA URE A �� "ERSO'�' D � � '"� W AREA=57,397 SQ. FT. 1230 TRAVELER STREET MAKUE scwAnwE AP's"��' SOUTHOLD, N. Y. 11971