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Z I S LOT -3 f (�Ses P k�Fl4 O S 'B<rC "G N .� 441 o X41 I I 11� 1 S p 0' a CIV 1 1 1 1 1 1 \\ \ vFJ �C) I 1 \ , \ \x..Z \ \ g 1 \ \ \ \ Y. 1 W Z ,Q \ \\ \\ \\\\/` F 9c S N 41'21 25.30 ° , �Tosl 1 \ \\\ \\\/ \\ \` \` \�\\ \`� ` \`�a`\ 11 r \ �\\ 87-17'11099 E 3 m �', 2.61 FOUND N BUIX AIL OBIAKHEAO// Q • / \ \ \ \ \ \ \ 8-\� 9� \ FENCE. r0 D-Aw.1 / LAWN AREA/ / ' / x I 1 \ \ \ \ \ \ \ \ EDGE OF LAWN / _ _ _ / f `CD oc� — — ,C.• ,may I.x �lON\\Tar. x FolCONC. wm. 40 \ IR 0 N 00' .54 VACANT DWELLING (USES PUBLIC WATER) HOLE � 12,4 / rjV YYY / J 5 O"' LJg� �l SURVEY OF LOTS 8 & 9 MAP OF PARADISE POINT SECTION No. 1 FILE No. 3761 FILED APRIL 11, 1963 SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81-01-10.1 SCALE 1 "=50' MAY 14, 2002 AUGUST 27, 2002 ADDED ADDED TEST HOLE OCTOBER 12, 2002 ADDED PROPOSED HOUSE FEBRUARY 14, 2003 REVISED PROPOSED HOUSE NOVEMBER 13, 2007 SET STAKES ON WEST PROPERTY LINE MAY 13, 2014 UPDATE SURVEY AREA = 50,137 sq. ft. (TO BULKHEAD) 1 . 15 1 aC. CERTIFIED TO: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK STEVEN T. KOLYER ANDREA KOLYER NOTES, 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: JkQ 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 3. MINIMUM LEACHING SYSTEM FOR A i TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 2 POOLS; 6' DEEP, 8' di.. ��(�\�� PROPOSED EXPANSION POOL �1��� TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON JUNE 26, 2002) O' MN SILTY SAND SM 6' ilE BROWN FINE TO COARSE SAND SW 10.7' SER IN PALE BROWN IE 70 COARSE SAND SW 17• PROPOSED LEACHING POOL PROPOSED SEPTIC TANK APR Is 2015 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 5. FLOOD ZONE INFORMATION TAKEN FROM: T,,,,,,� FLOOD INSURANCE RATE MAP No. 3610300167 G D�1RLL�Y ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X': AREAS OF 500 -YEAR FLOOD: AREAS OF 1DO-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100 -YEAR FLOOD. ZONE X: AREAS DETERMINED TO BE OUTSIDE 500 -YEAR FLOODPLAIN. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LIALS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND To THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor Successor To: Stanley J. Isoksen, Jr. L.S. Joseph A Ingegno L.S. Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1566 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 SURVEY OF TEST HOLE DATA LOT 8 (TEST HOLE DUG 8Y McDONALD GEOSCIENCE ON JUNE 26, 2002) MAP OF EL. 12.0' 0• PARADISE POINT a L OTO SECTION No. 1 3z �U D SFS FILE No. 3761 FILED APRIL 11, 1963 -0 P e(/CC /HC' BROWN SILTY SANG SM SITUATED AT s wgTFR BAYVIEW 6633, TOWN OF SOUTHOLD Iq,,ca, p 40'' F 6• SUFFOLK COUNTY, NEW YORK (il qj m pct 5 7 I I T = o I 11 I �' 4 '. S.C. TAX No. 1000-81-01-10 "=40' w96 '>4'NGE I�� SCALE 1 PALE BROWN FINE TO COARSE SAND SW MAY 14, 2002 2002 ADDED ADDED TEST HOLE p� p QQOS\i 1 x7 1 1 �'D• 1 1 1 ..LAB �• 05� - a a- EL 1.3' AUGUST 27, OCTOBER 12. 2002 ADDED FEBRUARY 14. 2003 REVISEDPROPOSED PROPOSEDHOUSE HOUSE Op ^ 3 1 O 10.7' NOVEMBER 13, 2007 SET STAKES ON WEST PROPERLY UNE MAY 13. 2UPDATE SURVEY = 3 1 ; \\ \ \\ \\ 1 \ \ �y o ' AREA = 25,873 sq. ft. 25, (To BULKHEAD) 0.594 ac. op � � / �- \ \ \ \ \ \ \\ 'gyp �'j� \\ O 3PALE � \ \Yr\\\\\ �\ \ ! �G� /PQOgtw 1\k \ \ � BRWN FlNE TONCOARSE SSAND SW DtOODCIE I Z �, \ \ \ \ \\ \. \ \ G� �� I o \ \ \ \ \\ \�\o ti O N CERTIFIED T0: 17. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK I \ \ \ \ \ \ \ \ ♦ \ \ STEVEN T. KOLYER 1 1 \\ ANDREA KOLYER ' o) \ \ \cP\%Z 1 1 \ \\ \ \ \ \ \ NOTES, 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM MQ '� �O b~ ( \ \ O \ \ \ '� EXISTING ELEVATIONS ARE SHOWN THUS: 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 2 Ap y 2 _ ::•. k I § \ O \ \ _::::_ ;:: :_ \ ^ \\ 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq 0 SIDEWALL AREA. : . ..... :. :::::. �\ \ 1� •::-'•..:::::.'::•`' I \ \ \ 0 2 POOLS: 6' DEEP. 8' dia. PROPOSED EXPANSION POOL ... .......•• `�`.............. ........ ;;• = \ \ \ \ 1"' �. / 68 • \ I / �rr \ ® PROPOSED LEACHING POOL a• h \ '_ I \ PROPOSE) SEPTIC TANK SHOWN HEREON ARE FROM FIELD .`: _'• i / �`O. �� JPO �O� ` / \ c r 4. THE LOCATION OF WELLS AND CESSPOOLS OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. FROM: 6/ / •:� 1 I iH I GO X / 5. FLOOD ZONE INFORMATION TAKEN FLOOD INSURANCE RATE MAP No. 36103CO167 G ZONE AE: BASE FLOOD ELEVATIONS DETERMINED 1 -I 1.T O / `� I " / ZONE X AREAS OF 500—YEAR FLOOD; AREAS OF 100—YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 9�9 . 8 / /�/-. _ (Q / // \�� 1�0 y� O g�� iI' 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD. ZONE X• AREAS DETERMINED TO BE OUTSIDE 500 -YEAR FLOODPLAIN. ,yS \� 10 �� Zo�� `, ���1 IN (tR STPAWSM �� \�G / 1 ���r\'G`�P O / Gj ,2 of� t�� DRAINAGE SY r" CALCULATIONS: � � � � (Ilj � � t RDS AREA: 1,600 sq. it. p �.c U \ 1.800 :q. tt, x o.n = sos cu. ft. r- 306 cu. ff. / 42.2 = 8 vertical ft. of 8' dia. leaching pool required1- ' ' PROVIDE (2) 8dia. X 4high STORM DRAIN POOLS Z I 4-.-, APR 1.8 -2015 PROPOSED 8' DLA. X 4 DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: I" •5/ �� I y'� �O • p T .TEST HOLE GO� F QJ0 Y Lic. No. 50467 �(VV� Q QJ�\G UNAUTHORIZED ALTERATION OR ADDITION ETHIS SURVEY � A VIOLATION OF CS T THE NEW YORK STATE Nathan Taft Corwin III . �� INKED E16055ED SEAL SHALL NOT BE CONSIDERED Land Surveyor - TO BE-- VAIA TRITE COPY. CERTIFlU1TK INS WOICATYD HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON His BEHALF TO THE TI1LE COMPANY, GOVERNMENTAL D.1CY AND rHe Surveys - Subdivisions - Site Plans - COnsiruCfion Layout LENOtHG INSTIII1110N LISTED HEREON. ANO LENDING INS111— nloTO �N. TIOASSIGNEESN � NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727 - THE EXISTENCE 'OF RIGHT OF WAYS OFFICES LOCATED AT MNLMIG ADDRESS AND/OR EASEMENTS OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED. 1566 Mown Road P.O. Box Jamespat, New York 11947 Jomespat, New York 11947 TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON JUNE 26, 2002) 0' TOWN SILTY SAND SM 6' LE BROWN FINE TO COARSE SAND SW 10.7' TER IN PALE BROWN IE TO COARSE SAND SW SURVEY OF LOT 9 MAP OF PARADISE POINT SECTION No. > FILE No. 3761 FILED APRIL 11, 1963 SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81-01-09 SCALE 1"=40' MAY 14, 2002 AUGUST 27, 2002 ADDED ADDED TEST HOLE OCTOBER 12, 2002 ADDED PROPOSED HOUSE FEBRUARY 14, 2003 REVISED PROPOSED HOUSE NOVEMBER 13. 2007 SET STAKES ON WEST PROPERTY UNE MAY 13. 2014 UPDATE SURVEY AREA = 24,263 sq. ft. (TO BULKHEAD) 0.557 OC. ,r CERTIFIED TO.- FIDELITY O.FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK STEVEN T. KOLYER ANDREA KOLYER NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: IM 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 2 POOLS; 6' DEEP, 8' dia. PROPOSED EXPANSION POOL ® PROPOSED LEACHING POOL ® PROPOSED SEPTI: TANK 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 5. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO167 G ZONE AE. BASE FLOOD ELEVATIONS DETERMINED ZONE X': AREAS OF 500—YEAR FLOOD; AREAS OF 100—YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN i FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD. ZONE X: AREAS DETERMINED TO BE OUTSIDE 500—YEAR FLOODPLAIN. APR 1:$-2015 UNAUTHORIZED ALTERATION OR AMMON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE (EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING e1SDTUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan -" #t Corwin Ili Land Surveyor Title Surveys — Sukwisans — Site Plons — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Moin Road P.O. Box 16 Imesport. New York 11947 Jamesport. New York 11947 pA 17, 177Z- -7 um •«e ��p,�r r{�' .Y-f.�, l+illb�dl Jlrn. 41 f i Apt, J+h•.:yt �}' e`(/1,�I•Rt�a�,.,..,`"s"*+'' f Xi, iF/;;..9f Orr WA do -� ? ti� 3 t ''' f 1 � 1 -'+J ♦ f t r ". �� • f z kt J 7 1 3 ' ^, . int s ' I t r,'' _.' s � r •� � ./ i., r l� r >i "t p .t e t 4. a. I !• II �� tyr"�+�l�((•t J P4�yA�N •y s � t( 3 �{ F f JrJI ,. .Y,.. �~o� �.;-:.::-.agir'✓,+.+.s.; x `I+,"�Z't'.� •� __fsc!< �iif ... .. _-r "'pit >�� ._ .-_. ..... '�, i St -: .r ,r H w er. x 5 a fid.. r �l T- .sailddnS a:ki4o M ndH 3df11S AW -- 6u18 q ... ulPejl :Sx3paj .•ajdnS pniDgaM 9 sdeN 6uig q ...d y61H :: awoH -r ..lploUlnos*n Wv u ...:)1nD-j:)n1i11eN ...am aXeas�JOM -; 31 wois T.09TaaSS9LSp93S3xO:SDL»St7P6D668a68xOSTiTLUEiZult7i£aTiTul£i=Plt?PIW06Z"6T88L�� 'L LLT viU9J�rT :`si„'�;'� SUZ�1a�eld/sdE :r;iuo�a�6oc x iwed asipeJed SOZV CA g . . tj meds)lj. Office Location: Town Annex /First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 MEMO SO�ryo� �yCOUNIV http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: April 13, 2015 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 U �T A ►i�VEF APR 18 2015 SUBJECT: Request for Comments ZBA # 6860 KOLYER, Steven & Andrea Board The ZBA is reviewing the following application. Enclosed are copies of Building Department's Notice of Disapproval, ZBA application, current map on file. 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. APPLICANT TAX # ZONE DIST ZBA# HEARING CODE SECTION DATE OF STAMPED PREPARER OF SURVEY DATE SURVEY KOLYER, Steven & Andrea 1000-81- 1-10.1 6860 JUNE 4, 2015 ART. III Sec. 280-14 May 13, 2014 Nathan Taft Corwin III Your comments are requested 1 week prior to hearing date. Thank you. Encls. House No. 4075 and 4205 Paradise Point Road Hamlet Southold SCTM 1000 Section 81 Block 1- Lot(sU0.1(formerly tax lot 9 & 10)Lot Size Lot 9: 24,263 sq.ft. Lot 10: 25,873 sq.ft. Zone R-80 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED March 9, 2015 BASED ON A MAP 5-13-14 prepared by Nathan Taft Corwin III land surveyor with proposed house and sanitary Applicant(s)/Owner(s): Steven & Andrea Kolyer Mailing Address: -2 Gristmill Lane, Manhasset, New York 11030: c/o Pat Moore 765-4330 Fax #: 765-4663 Email: pcmooreQmooreattys.com 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 #: 765-4643 Email: pcmoormooreattys.com Please check to sped who you wish correspondence to be mailed to, from the above names: ❑ Applicant/Owner(s), or E Authorized Representative, or ❑ Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 5-13, 2014 and DENIED AN APPLICATION DATED February 25, 2015 FOR: E Building Permit (Area Variance for re -subdivision of Paradise Point lots) ❑ Certificate of Occupancy ❑ Pre -Certificate of Occupancy ❑ Change of Use ❑ Permit for As -Built Construction ❑ Other: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code.) Type of Appeal. An Appeal is made for: A Variance to the Zoning Code or Zoning Map. 0 A Variance due to lack of access required by New York Town Law -Section 280-A. ❑ Interpretation of the Town Code, Article Section ❑ Reversal or Other A prior appeal , X has not been made at anytime with respect to this property UNDER (Please be sure to research before completing this question or call our office for assistance.) Name of Owner: Steven & Andrea Kolyer ZBA File # REASONS FOR APPEAL (additional sheets may be used with preparer'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 two vacant parcels are located along the basin of the Paradise Point Subdivision, Section One. Paradise Point at Bayview contains 16 lots on 9.18 acres. The subdivision was approved by the Southold Town Planning Board in 1963. The two vacant parcels were originally approved as separate lots in the 1963 subdivision and are two of the remaining three vacant parcels. Both parcels are improved with bulkhead and separate marine structures; Map Lot 8 has a wood dock, ramp and float, and has independent electric service and lights. Map Lot 9 has a concrete boat ramp. Each lot was given it's own separate address. The dock was constructed on lot 8 (Tax Map #10) is located at a conforming setback (151) from the property line between the two lots. Each lot has a generous and conforming building envelope, each lot is able to support a conforming a house at least the same size and character of the other homes in 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 prior owner Elfers acquired the two parcels in 1963 on one deed, described as lot 8 and lot 9 of the Paradise Point subdivision. Thereafter in 2003 the Kolyers purchased the property on one deed. The parcels received separate tax bills until the Kolyers asked the assessors for one real estate tax bill. The two parcels merged and do not qualify for a waiver of merger. In order to re -subdivide the two lots, area variances are required. (3) The amount of relief requested is not substantial because: The attached list of lots in the original Paradise Point at Bayview subdivision and the lots along the bay side of street are similarly % acre in size. The Kolyer parcels are each over % acre in size. While the variance request is substantial, due to the zoning designation of R-80, the subdivision was developed with lots that are less than % acre and less than 175' in width. The largest lots located on the Bay have approximately % acre of"buildable area" making the homes on theses lots conforming to the character of the neighborhood. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in -the neighborhood or district because: The two parcels would be developed outside of the flood zone; the building envelopes are in flood zone X. Each lot is completely fronted by a well maintained bulkhead which protects each parcel from flooding or erosion. Each lot can construct a sanitary system which is more than 100' feet from the bulkhead. There is public water in the street, with separate meters and a t -joint hook-up for each parcel. Each house can be constructed with conforming setbacks for a 1h acre parcel. As a combined parcel, the setbacks from the road increase to 50' and side yards increase to 20'. (S) Has the alleged difficulty been self-created? (X )Yes, or ()No The "merger law" has changed over the years. The prior owners, Mr. and Mrs. Elfers died owning the parcels. The estate of Mrs. Elfers sold the parcels to the Kolyers. The Kolyers had no idea that the two lots in a well established and fully developed subdivision would merge. The lots were separately created lots in a subdivision that had open space and amenities for the separate lots. If the lots remain merged as one oversized parcel, the development of the single parcel would allow an oversized house which would be out of character to the neighborhood. Covenants and Restrictions concerning this land: No Yes (please furnish copy). Attached This is the MINIMUMthat 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.) rl-- � Signature of Appellant or Authorized Agent (Agent must submit written Authorization from Owner) Sworn befor me this a of 20 i BETSY A. PERKINS Notary Public, State of New York No. 01PE6130636 Qualified in Suffolk Cou1 Commission Expires July 18, l Finat 6., - 01- B"W.�M W. orgy ■M Omm"m WISO ao,k•'s Aft— Yam"W or"nom mW amo sa146a►T "UK LAV M Man I"In TM efpT>tlWW_INti aatammtr sm U UM of �57.y % fNdf dNdENTtIRN, made the '% �' dal/%!�, ahreteca hond0sd and sixty-three tliWam PARADISE POINT CORPORATION, a corporation organised and u existing under the laws of the State of New York with its pr1nc1_pa2� orrice at Main Street (no mmsber), Southold, New York, b perry of the Seat Vary and HENRY C. SLFERS, residing at 565 Gifford Avenuo 'yy4� Oceanside, Nassau County, Now York, i .i WW of dw seeosd FW% Wdi'NI that tho parw of *a furaE so eoaaid --m of Ten Dollars and other vds" eoa to Pm brr- - PmW of der ar part, doom ba'aby.J� asd release sato tlra Party of the Wood PWk tdw lobs or s ooaoms and assigns of ohs 9604' of da seosad part foresa w. do oe " IVN - Pared d bra, M t bft cad b g s tx at Eaytisws near Southold, in the Tonin of Southold, County of Suffolk an State of New To%** known and desig- nated as lots ntatbered sight (a) and nine (9) on a certain map entitled "Map of Section I, Paradise Point at Rayriew, Toxo of Southold, Suffolk County* New York," surveyed March 25, 3963. by Otto N. Van Tuyj & Son, Licensed Land Surveyors, Greenport, L Y., and filed ed inhOOffice off Clark of Surfolk Oouaty an the lith day , eb Nup No. 3761. SUUWT to the covenants and restriatioaa contained in Schedule "A." attached hereto and Slade a part hsreof- • X5427 FaS30 Schedule "A" PAUME POIE ESTA- BB Covenants and Restrictions 1. Ito building or etrMture 8ha11 bs created. altered, placed or permitted to rasain an mW rwidential building 7of other than one (1) Singh redly dwel"; hoose sad a private garage !or fade Vag. 2. No trailers, teats or Gasping shall be perodttad dna said prpoiame at ash Most. 3. 116 Structure or structures, including but not limitod to, ei+esllinga. outbuildlimga and ransom, 93x11 be created or soaatsVeted or allowed to remasa makes the plana and spediHouttoos• tharos'i W MA the inmation tbe"ot shall bavo first been atsbmsftt'ed to sad .APPieIO by the Suilding Oawaittee of tbo Paradise rolat Corporation, its soo- caseorc and asaigsa, in writiag. �. No trade, craft, business, m -mots otor � , indnetry eoateorae. profbaAion or otbor coSmareiil enterprise, including boteia. motels► boarding and rar I housess abali be oondwtod on tbw pradmoo, enc odptiag that nothing he"In contained Shall preVMt the PAradiao P910 OorporaUc s or the Paradise Point Ass"SALUGms treat areoti ag, operatus anA ausisitainsiSg boat baa3nm, yacht oh+ beach, ciOe, bath bows,¢ mud other rder atioaal tacilitise or parmItting others to do so, with or without roshanaet'atias. 5. No blhildilg, Aomtuft or struatures on, above or below the surh'ase other, thea pablia utility pipes or nines, bhali be arogte4p, ooaatrudted or ssaintain•d within twenty (W) fast from the adJolaing propa662o fowl, paabft eemisais ea or UvAstoek, other thdomestic }sousabold pets shall be wept on the proud ges. %, No outside pririse, toilets or wateralosets AM be aramtady p&x%Ltte4 or maintained apon the premiass. An adagaato asp tie tont or oesspool dwU be erested and maintained to take oars of the 3"0 disposal at cash dwelling sad the sass shall be of such defil" mW acustrrstion as mq be approved bt the agemy of gdmere NMt llsvirg jWAfAM 'tom tbMa". .A. gaols owner of a lot within said promises etosagt Paradise Point Corporation s1mi1 $1a ti kha Paradise Point Laosiaftem Us. and mutatain tborein end abide by the m1mot Ond rmatisnse of the Paradis4 Po -Association loo. aa. net rortb in the sharter and by- � b�h association and as determined Proms times to tine by ita To the extort that tba most of saintonance of the private roads within the aroreeaid premises, which are subject to a oanaaoR right or ase by the amen or the lots within the prodaes, and this east of uelntenmee of the Yacht Clteb and other streroturea los3udi+- docks, tloats and W kheads and beach preperjky, or which alt ar theT ueubari of Pandise Point Assooiatiou Zoo, have acne In Geeaeeus, is not ooverad by papments sada by the Pared se Pbfnt,Assoaiation Inc. is am oalendar Tear, *sob owners of an individual lot on the psoesos aheill be liable pro rata, in aeeordMa with the A300102011 valUe Of eueh PPO - party for the preceding year, for sat derieiesurt. Provided, hmover, that ovj lots a med by Parodies Point Corporations shall ba excluded for pm'pasas af' atneh eoaratatift and it shall not bo assessed for ori portion or tush derl"Orsy. q. The rwadise Point Oorporabion, its suosessore and AssAVA mat raises*., alter amend end asmul ail or er U10156 eovemonts and restriotfons idth the Gdmbant In writing at all priepany mnm in the said ppracle,on. to, TWX C4YBLL11Th1 AND E=2RMC'tMDM shall run with the land and shall be construed am real covenants and restrictions attached to and sht WAM wilds j�b,nlend. or svoeesran aaa f ft antpact rweawb dot the w of ft firm perm iw eet done or suffered =14 4 add pts=ee have bwomb ad isfey wp whaam, exeept 0dot"" f tha brat pare. hr oaapB"m whh Sanaa !b of Au Iia taw, tavewtib tbd the pprqqXi�� tq tcodve the oosfhi�eradoa for thtt roaveymeee am ww bw dK richt to feoeire 81" s trent dwd to<K sppGad Ent for tia ofhappayint tie oast o the improvaaeae K s2me Est b do payment of the roreaumt 6efow aft air part of U- !or =7 alba Dwpwi- tW he eoodmed as i! it ►a+[ parlor' xhamw the gem of this I"-ture eo JOIN. the parw of tie int part hss MY eneeated"dyed the day and par first w,4 PARADISE PGIV. COMMATION (L.3.) ,4 c► F SEAL:N; c,')..., - Garret SiMinftr ='4 18 QQ . Oren 1i �a+a• i =6421.wW Qn the 1#43, bd= M percord�etc. co to nit W, d=dw ba vu ...A6 wid -, -Mmuclod it • cc -it .44 VRI, 6 L SrAU Of KIW TM Gomm of credo dir of TA WA7A *4*ftb~ amaltsd*A IN j I I QSM61t 7°djeW~ do ii A 1:41 IV .4 W_ "Aum pWYr. OOMMOF BUPROIdC asrSlAnOtJOWMAMODWYOF -Nr.7 .., *, -t -.r%- (-vj r: I I. , r. .... .; . to I ! low 0464 W -0–v On die 40 p ral I [:I-. !- ?14 . k3fb k �itX dam I -V 'Allit. '),paWAU --aM 0,414M -9-iVet6dp� it me44t ).C)6 WLtohwV Isit no, wow jelpse a AdiMt be fuNNA No. 2"61 t ie tl,a Pvaaid*nt so Point CorpapatiaA dot be fal A n lb! as"" — AMA be *e W&ddW bivi: low 1400 tall coepostYdas; th3e lk sad Asold dw&d k 091 Am awdcd 00 hMft b*UO"O. did be. am WAMd now ad OW. wdal: k wo w ft 'Mfm�Klju of Q.&CAM 13419 dup". excow tie saw; wAvO *11� be. b snulk is F, by so 1, at dw Mw dM4 66f�9 h 3UNK • RMUM P. A Mabry RN WL Wds T" 00ft VAftl% Me 1*4 Owl 94( CIO "Ou "d lowm Tat OF ^a b id Ora &.v ex Ir Zrl Wig v RECO- RDEO Avk'i E 1. For Demolition of Existing Building Areas Please describe areas being removed: /VV17-e- — )ESCRIPTION DATE PREPARED: L/ 3 C) I II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: NI.4 Dimensions of new second floor: Dimensions of floor above second level: Height (from finished ground to top of ridge): N /14 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 Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: N/4 IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: Square footage of your lot: Percentage of coverage of your lot by building area: / V. Purpose of New Construction: i�/ - S Uhd I Vi Ode Pee -.;v /-'se i5ozz2t o6212 VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement (s): Please submit 8 sets of photos, labeled to show different angles of yard areas after staking corners for new construction, and photos of building area to be altered with yard view. 4/2012 QVC APR 13 2015 QUESTIONNAIRE I FOR FILING WITH YOUR ZBA APPLICATION Southold Town Planning Board A. Is the subject premiselisted on the real estate market for sale? Yes ✓✓ No B. Are tWe any proposals to change or alter land contours? V No Yes please explain on attached sheet. C. 1.) Are there areas that contain sand or wetland grasses? Afo 2.) Are those areas shown on the survey submitted with this application? G ,_ 3.) Is the property bulk headed between the wetlands area and the upland building area? V25 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? K A Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? . kro E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? N c Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? Av If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre -certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel and the proposed use VVkeo- LT (ex: existing single family, proposed: same with garage, pool or other) u orized signature and Date mo FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL DATE: March 9, 2015 TO: Patricia Moore, Esq. (fin For: Steven & Andrea Kolyer D E C E U 51020 Main Road Southold, NY 11971 APR1 20316 k Please take notice that your application dated: February 25, 2015 SouthakTTown Plammno Rnarn For a permit for a subdivision at: Location of property: 4075 Paradise Point Road Southold, NY County Tax Map No. 1000 – Section 81 Block 1 Lot 10.1 Is returned herewith and disapproved on the following grounds: The reposed two lot subdivision on this 1 16 acre lot in the Residential R-80 District is not permitted pursuant to Article I1I, Sectio 8 -14, which states, No building or premise5 shall be used and no building or part thereof shall be erected or ilt re —in the R-80 District unless the same conforms to the requirements of the Bulk Schedule and of the narking Schedule with the same force and effect as if such relations were set forth herein in full. Proposed Lot 1 (Lot 10)- Bulk Schedule mquires a minimum lot size of 80.000square feet and width of 175 feet. Following the proposed subdivision Lot 1 will be non -conforming, measuring 25.873 square. feet with a lot width of 122.50. Proposed Lot 2 (Lot 9)- Bulk Schedule requiremi mininutm lot size of 80,000 square feet and depth of 175 feet. -Fol lowing the proposed subdivision Lot 2 will be non -conforming measuring 24.263 sQymq feet with a lot dgl2th of 152.79 feet. Throposed subdivision requires approval from the Southold Town Planning Board. Awhorized Sign aturc Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. F APR 13 2015 BPv Southold Town •�" SOUTHOLD Planning Board SEE SEC NO 133 PE 24.3 a 2.8A(c) fxONEtw( � w 245 F. D. 28 s 17 16 ,y a° ro 4N r 161 ,67 cl ¢ A °BASIN ^a1 N I �0. F 11901 of 15.7 15.6 15.5 16.3 2.3A 1.8A 2.3A 2.3A(c) sI 8 « 6 1 � u 1.4A(e) 13.9A 4- 15.9, AA( ) a c « 1 to tz � 3 E ROB1NSOf(rea +" 9 � ; 2.8NC) [° b f•A(c) 8 t f52 3'c) / r SEE SEC, NO. 133 15.7 Eq +" 2.9A 15.3 l2 t a. O13 4 27.1 >.. 27z :b 3w _ 5.4A(c) «. 3'SA(c) O _ l l o (,JV/0-1 19.6 3.7A P1 Ir ) 7Y LE�� J/ Iv1� 4-0 t zy 19.7 O &tA 4 5.OA(ca y JI 19,4 3.5A(c) 22 20 23 i f.7 Z FOR SEE SEC, PARCEL O NO.A(o) H 06- 079-016.1 242 y� —3 —Y 2-3A N I r4 j ILI f $ �I Q 26.1 3-3A [i ,Y .,.,.m.E..� 1� COUNTY OF SUFFOLK © E NOTICE Tax Service envy — — x n..ow...... — — «— — °exoa se n TY✓JO 1MIxTENM�GE.IILTERAT10fliKEOR h d� Real property 9 owe.. — — msTwau*ax or wxr aoxnOn ac T°IE t.osnTy pnuT ilFrsrM[d. N Y 11901 M 1 —w x.raiPwdw--••°r— [YfFOIx GOUNTV Tw1(rw.PM MTOx.«lEb y� [G1LLE MrE[T� A om... — _ — . — _ T` r w°wuT ww.TT[x .EwEuuwx of T.a •)'9 '0° P M+ — —� o,..w uw ——•wnr1— — Mw[Tlw.[x IIEK MOKxTV TNt KiIMG[/.OExGv v✓ AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD APR 14 2015 'town Board L WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use pernut, site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: �1� C— 0 2. Address of Applicant: C--2 WC -t- t (-L- La r-loL Sc=T 3. Name of Land Owner (if other than Applicant): 4. Address of Land Owner: 5. Description Pro osed Project: z—) 9) 6. Location of Property: (road and Tax map S C1"l'� '- �� ' t t 1rKA '/- I �/ number) L401-5- 4 '-4 O2 .S p(xo-Q 1 �. P� � zo 1d 7. Is the parcel within 500 feet of a farm operation? { } Yes } No 8. Is this parcel actively fanned? { } Yes Wo 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) 3i .30 l /� Si of Applicant Date Note: 1. The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. Steven & Andrea Kolyer 3 Gristmill Lane Manhasset, New York 11030 March 13, 2015 Patricia C. Moore 51020 Main Road Southold NY 11971 Dear Ms. Moore: We, Steven Kolyer and Andrea Kolyer,k owners of property located 4075 Paradise Point Road, Southod, New York (sctm: 1000-81-1-10.1) hereby authorize you to act as our agent regarding any and all applications with the Town of Southold Zoning Board of Appeals, Planning Board, Suffolk County Board of Health, and any other agencies. Very truly yours, Steven Kolyer Andrea Kolyer APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) DEC -E� dE APR 13: 2015 Southold Town Planning Board The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Steven & Andrea Kolyer and Patricia C. Moore (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance x Special Exception If "Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees 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_X Complete the balance of this fonn and date and sign below where 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 this /_ day r S Lam. l l !�� Steven Kolyer Andrea Ko r to C. Moore Town of 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). 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# 1000-81-1-10.1(formerly 9 & 10) AGENT: Patricia C. Moore for Steven & Andrea Kolyer The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. X Building Dept. ❑ Board of Trustees ❑ Zoning Board of Appeals X_ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: ❑ Type: _ Nature and extent of action: re -subdivide two lots in Paradise Point at Ba iyv ew Location of action: Paradise Point Road Town of Southold LWR Consistency Assessment Form Site acreage: Lot 9: 24,263 sq.ft Lot 10: 25,873 sq.ft. Present land use: vacant with bulkhead, dock and boat ramp Present zoning classification: r-80 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: Steven & Andrea Kolyer (b) Mailing address: 2 Gristmill Lane, Manhasset, NY 11030 (c) Telephone number: (__) 765-4330 (d) Application number, if any: _ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No X If yes, which state or federal agency: _ 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): Paradise Point subdivision is fully developed with single family homes on subdivision lots. Kolyer lots are last remaining vacant parcels. The lots merged and must be re -subdivided. The infastructure of the subdivision and the bulkhead of each lot anticipated development of two homes on two parcels. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III- Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _ 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 Town of Southold LWR Consistency Assessment Form 2 Yes ❑ No ❑ Not Applicable X Lots are adjacent to existing private boat basin. Discussion (if appropriate): _ 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): Both Lots are zone X Flood Zone- and have functional bulkheads without likelihood of flooding or erosion. 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 X No ❑ Not Applicable ❑ Discussion (if appropriate): Both lots have water meters for separate water connections. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _ Lots are in an existing boat basin and bulkhead. No wetlands are affected by proposed re -subdivision and development of single family dwelling. Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): — Policy 8. Minimize environmental degradation in Town of Southoldftom solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Town of Southold LWR Consistency Assessment Form Discussion (if appropriate): _ PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): Private Boat Basin does not allow public access 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 X Discussion (if appropriate): _ Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies, Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies, Pages 62 through 65 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _ Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ❑ Not Applicable X Discussion (if appropriate): _ *copy of Town form created on 2/11/06 Town of Southold LWR Consistency Assessment Form 4 617.20 - Appeni ixB APR 13 2015 Short Environmental Assessment Form III I– Planning Board Instructions for Completing Part 1- Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1- Project and Sponsor Information 4 dream o � Name of Action or Project: a Gr t c l 1 ZoA\R - Man- h ass Project Location (describe, and attach a location map): 0 2-S-- o 1s.e . S v Brief Description of Proposed Action: �e- 5�tx1�v`�e oZ LC`i� (LL d 9� Name of Applicant or Sponsor: Telephone: La E -Mail: r (l C.6 {a- C ce—_ Address: L a<D. 1-�l� ► bJ City/PO:� �� l, State: t� ZipLCod�l 1 (��I(j 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: BA 3.a. Total acreage of the site of the proposed action? 1 acres b. Total acreage to be physically disturbed? —� acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial 04esidential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other (specify): ❑ Parkland Page 1 of 4 CZOLf . 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: V/A NO YES 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: 55--W A NO YES ✓ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: (t'1��� 5CR/Y1 �� NO YES ✓ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 5 NO YES 14. Ide the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid -successional ❑ Wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? 1�N0 ❑ YES b. Will storm water discharges be directed to established conveyance systems (runoffand storm drains)? If Yes, briefly describe: "0 ❑ YES NO YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES small to large 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE O ope Date: Applicant/sponsor w7�YC GCGL t, /970 Signature: Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 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. Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) Page 4 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems. 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 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. Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) Page 4 of 4 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT$' FORMER -OWNER N E ACR. S W TYPE OF BUILDING RES. SEAS, VL 31\ FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS k LLD -3/ o o -29 1 //0,7 114,71- 1.3 '—'Y f (44' -Aa 1<of Y W4 f -rap o Wdit Z. te o gf4tswu-u- IP Ar"r- R(I 1) 2- v AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total IDOCK TOWN OF SOUTHI OWNER STREET Z;"gj VILLAGE DIST. SUB. LOT ( t a4L,- Uil�.va-Q t FORME OWNER N E ACR. 7 I e S W TYPE OF BUILDING . RES. SEAS. VL. ' .!/ FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7 A'S 7d'�' 9%��.-° s 1, ,.-' 42 7 p ,G -Z9 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER �� _ 2. Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK