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OFFICE LOCATION: /V�� MAILING ADDRESS: Town Hall Annex 5 � P.O. Box 1179 54375 State Route 25 � , , Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southol dtownny.gov OOUNTY PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 12, 2016 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Approval - Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 Main Road, ±525' e/o Stars Road, East Marion SCTM#1000-31-3-11.31 Zoning District: HB/R-40 Dear Ms. Vista: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, January 11, 2016: WHEREAS, this Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 1 00' above ground level of the approved 11 0' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts; and WHEREAS, on August 25, 2015, pursuant to §280-74A(4) of the Town Code, the Planning Board entered into a Letter of Agreement with CityScape Consultants, Inc. to assist the Board in reviewing and evaluating the proposed Wireless Application to co-locate; and WHEREAS, on October 19, 2015, Denise Vista, Esq., agent, submitted a Site Plan Application for review; and WHEREAS, on November 5, 2015, the Planning Board found the application incomplete for review; and WHEREAS, on November 19, 2015, the applicant submitted the remainder of the Application Fee for review; and Verizon Wireless na East Marion FD Page 2 January 12, 2016 WHEREAS, on December 7, 2015, the Southold Town Planning Board pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, determined that the proposed action is an Unlisted Action as it does not meet any of the thresholds of a Type I Action, nor does it meet any of the criteria on the Type II list of actions; and WHEREAS, pursuant to SEQRA 6 NYCRR Part 617, the Planning Board performed an uncoordinated review of the Unlisted Action; and WHEREAS, on December 11, 2015, the Planning Board received a report from their Technical Consultant, CityScape Consultants, Inc., regarding the proposed co-location; and WHEREAS, on December 21, 2015, the Planning Board formally accepted the application as complete for review; and WHEREAS, on December 28, 2015, the Planning Board, pursuant to Southold Town Code §280-131 C., distributed the application to the required agencies for their comments; and WHEREAS, the proposed action is exempt from Suffolk County Planning Commission review because the proposed action is less than 5,000 sq. ft. of renovated floor area or less than 10,000 square feet of land disturbance; and WHEREAS, on December 29, 2015, the Southold Town Fire Inspector reviewed and determined that there was adequate fire protection and emergency access for the site; and WHEREAS, on January 5, 2016, the Southold Town Chief Building Inspector reviewed and certified the proposed Wireless Communication Facility as a permitted use in the R-40 Zoning District; and WHEREAS, on January 6, 2016, the Office of the Town Engineer determined the existing site to be in accordance with Chapter 236 and that the proposed action does not require additional storm water management controls; and WHEREAS, on January 11, 2016, a public hearing was held and closed; and WHEREAS, the Southold Town Planning Board, pursuant to Southold Town Code §280-131 B (5), has the discretion to vary or waive the parking requirements for Site Plan Applications where doing so would not have a detrimental effect on the public health, safety or general welfare, and will not have the effect of nullifying the intent and provision of the Site Plan Requirements chapter of the Town Code. The Planning Board has found that this application is eligible for a waiver of the parking requirements because the proposed co-location does not generate the need for parking, with exception of a single vehicle periodically; there is ample existing parking on the East Marion Fire District site; and WHEREAS, at a Work Session held on January 11, 2016, the Planning Board reviewed the report issued by CityScape Consultants including the recommendation of three (3) conditions; and Verizon Wireless East Marion FD Page 3 Januar 12, 2016 WHEREAS, on January 11, 2016, the Southold Town Planning Board determined that all applicable requirements of the Site Plan Regulations, Article XXIV, §280 — Site Plan Approval of the Town of Southold, have been met; therefore, be it RESOLVED, that the Southold Town Planning Board hereby waives the parking requirements as noted above; and be it further RESOLVED, that the Southold Town Planning Board, as Lead Agency pursuant to SEQRA, hereby makes a determination of non-significance for the proposed action and grants a Negative Declaration; and be it further RESOLVED, that the Southold Town Planning Board approves the Site Plan with three (3) conditions entitled "Verizon Wireless at East Marion", prepared by Neil Alexander Macdonald, WFC Architects, dated February 18, 2015 and last revised September 23, 2015, and authorizes the Chairman to endorse the Site Plan including the following seven (7) plans: 1. T-100.00: Title Sheet 2. SP-100.00: Site Plan, Key Map and Notes 3. A-100.00: Enlarged Equipment Plan West Elevation and Details 4. A-101.00: Canopy Framing Plan and Details 5. A-102.00: Antenna and Equipment Info. 6. E-100.00: Electrical Riser Diagram and Details 7. E-101.00: Grounding Plan and Info. Conditions: 1. All of the applicant's feed lines/cables shall be installed inside the monopole structure; and 2. All ports shall remain sufficiently sealed to prevent access by birds and other wildlife; and 3. The facility shall remain secured and protected from unauthorized personnel. Please also note the following requirements relating to Site Plans: 1. Any changes from the Approved Site Plan shall require Planning Board approval, including new uses, additional or new lighting, additional or new signs, and additional pavement or parking spaces. 2. Proposed storm water run-off containment systems must be inspected by the Town Engineer at the time of installation. Please call the Southold Town Engineer prior to beginning this work. 3. Approved Site Plans are valid for eighteen months from the date of approval, within which time all proposed work must be completed, unless the Planning Board grants an extension. Verizon Wireless (a)- East Marion FD Page 4 January 12, 2016 4. Prior to the issuance of a Certificate of Occupancy, the Planning Board must inspect the site to ensure it is in conformity with the Approved Site Plan, and issue a final site inspection approval letter. Should the site be found not in conformance with the Approved Site Plan, no Certificate of Occupancy may be issued unless the Planning Board approves the changes to the plan. A copy of the Approved Site Plan is enclosed for your records. One copy will also be sent to the Building Department and the Town Engineer/Highway Department. If you have any questions regarding the above, please contact this office. Very truly yours, occ Donald, Wilcenski Chairman Encl. cc: Building Dept. w/map Town Engineer w/map By signing this letter, the applicant acknowledges that there are Town Code requirements and conditions, including those listed above, that must be satisfied prior to the issuance of a Certificate of Occupancy. n Print name: , Applicant/Agent Signature: Date: � r MAILING ADDRESS: PLANNING BOARD MEMBERS dSot ..„ P.O. Box 1179 DONALD J. ILCENS .,y Southold, NY 11971 Chair "�z OFFICE LOCATION: WILLIAM J. CRESS CAP. Town Hall Annex PIERCE RAFFERTY „ �„ „' �� 54375 State Route 25 JAMES H.RICH III a (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR � ' y�� Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 19, 2016 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Approved Site Plan: Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion,'NY 11939 SCTM#1000-31-3-11.31 Zoning District: HB & R-40 Dear Ms. Vista: The Planning Board has found that the requirements of the above-referenced Site Plan have been completed based on the site inspection made May 11, 2016 and the Work Session held on May 16, 2016. The site is now in conformance with the Site Plan entitled "Verizon Wireless at East Marion", prepared by Neil Alexander MacDonald, WFC Architects, dated February 18, 2015 and last revised September 23, 2015. This letter does not condone any changes from the approved Site Plan and from approvals permitted by other agencies; Planning Board approval is required prior to any significant changes to the site. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office at 631-765-1938. Very truly yours, Donald J. Wilcenski Chairman cc: Michael Verity, Chief Building Inspector Jamie Richter, Town Engineering Inspector MAILING ADDRESS. PLANNING BOARD MEMBERS P.O. Box 1179 Southold, NY 11971 DONALD J. WILCENSKI , + Chair OFFICE LOCATION: Town Hall Annex WILLIAM J. CREMERS cr '� 54375 State Route 25 PIERCE RAFFERTY JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR ,."7 Southold, NY OOUNT`I, Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 19, 2016 MAY 1 9 2016 Denise J. Vista, Esq. Amato Law Group, PLLC ` 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Approved Site Plan: Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion,'NY 11939 SCTM#1000-31-3-11.31 Zoning District: HB & R-40 Dear Ms. Vista: The Planning Board has found that the requirements of the above-referenced Site Plan have been completed based on the site inspection made May 11, 2016 and the Work Session held on May 16, 2016. The site is now in conformance with the Site Plan entitled "Verizon Wireless at East Marion", prepared by Neil Alexander MacDonald, WFC Architects, dated February 18, 2015 and last revised September 23, 2015. This letter does not condone any changes from the approved Site Plan and from approvals permitted by other agencies; Planning Board approval is required prior to any significant changes to the site. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office at 631-765-1938. Very truly yours, Donald J. Wilcenski Chairman cc: Michael Verity, Chief Building Inspector Jamie Richter, Town Engineering Inspector Sout,iold Planning Department Stag Report Site Plan Application Work Session — Request for Final Site Inspection Date: May 16, 2016 Prepared By: Brian Cummings I. Application Information Project Title: Verizon Wireless Co-location @ East Marion Applicant: Verizon Wireless Approved: January 1, 2016 Tax Map Number: 31.-3-11.31 Project Location: 9245 Main Road Hamlet: East Marion Zoning District: HB / R-40 II. Description of Project Type of Site Plan: Wireless Acreage of Project Site: 3.1 acres Building Size This Amended Site Plan III: Analysis A. Approved a. Verizon wireless co-location within existing space at 90' - 100' on the existing 110' pole; b. Diesel generator; Staff: yes, see photos c. Associated ground equipment and equipment enclosure expanded; Staff: yes, see photos d. Thirty-three (33) Leyland Cypress; Staff: yes, see photos e. Parking requirement waived; B. SEQRA —Unlisted; negative declaration I C. Site plan approval conditions: 1. All of the applicant's feed lines / cables shall be installed inside the monopole structure; and Staff: yes, see photos 2. All ports shall remain sufficiently sealed to prevent access by birds and other wildlife; and Staff: yes, see photos 3. The facility shall remain secured and protected from unauthorized personnel. Staff: yes, see photos V: Staff Recommendation All elements of the approved site plan have been constructed as designed and it is recommended to support the issuance of a Certificate of Occupancy. 2 Southold Town Plan iina Board Work. Session - Ma Ll6. 2016 --Page 2 Project Name: Cornell Properties Amended SCTM#: 1000-63-1-1.5 ' y ane, ±360 s/e/o County Road 48 and Hortons Lane, Southold. Description: This Amended Agricultural Site Plan is for the proposed construction of a 60' x 25' (1,500 sq. ft.) addition to an existing 60' x 42' (2,520 sq. ft.) barn for agricultural equipment storage on 8.5 acres of Southold TownL. r Development Rights land in the R-80 Zoning District. Status _. New Application u. em. . Action Review for completeness . ..°° w..... Attachments ........ ..Staff Report . _ Project Name: Verizon Wireless at East Marion SCTM ' 1000-31-3-11.31 Fire District ,.,Location: 9245 NYS Route 2 mm 5, ±525' w/o Stars Road and NYS Rt 25, East Marion Description: This approved Amended Wireless Communications Application is for a Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the i approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the i existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District. Status: Approved Pending Final Inspection Action: Review comments from final site inspection. Attachments: Staff Report Board i Com. im r Main Road ,on NY 11939 X77 �� P ) 4 ..y E .a:fi.l. f°, FDistr:o.ct �(' �optonal..oiie.nct /f% oN,nNNi"I�"G 9dr° January 27, 2016 Brian Cummings Town Planner Southold Town Hall 54375 State Route 25 PO Box 1179 Southold, NY 11971 RE: Amended Wireless Communications Application for the proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100'above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse.There are+9,800 SQ. FT. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Mr.Cummings, After review by the East Marion Fire Department Chief and the East Marion Fire District Board of Commissioners, it has been found that they approve without any issues or concerns the site plan for the Verizen Ce!!tewer referenced uwovc. Sincerely, w d Laura Fauteux Chair Commissioner of East Marion Fire District OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex 0 � P.O. Box 1179 54375 State Route 25Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 v^ w.southoldtownny.gov S en'UN11 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significance January 11, 2016 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: Verizon Wireless at East Marion Fire District SCTM#: 1000-31-3-11.31 Location: 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion SEAR Status: Type I (X) Unlisted ( ) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. SL R Negative Declaration —January 11, 16 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. The property is currently improved with community facility (fire house) use. The property is zoned Hamlet Business (HB). Zoning Districts located within the vicinity of the parcel include HB to the west and Residential (R-40) to the north, south and east. The dominant surrounding land uses within the vicinity of the site include mixed residential and a small area of commercial. The site is improved with a fire house, therefore, the proposed action will not result in the significant removal or destruction of large quantities of vegetation. The impact to soils resulting from the construction of the new equipment cabinets would be negligible. The design includes the placement of a concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. Based on the existing use and improved facilities, the proposed action will not cause a substantial intensification of use over the current use. No agricultural soils, open space or recreational resources occur on site, therefore, the proposed action will not cause significant impacts to agricultural, open space or recreational resources. No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise level will occur as a result of the proposed action. The proposed monopole is visible from State Route 25, located to the south of the parcel. The roadway is a New York State Scenic Byway. The proposed action will not result in significant aesthetic impacts over existing conditions due to the mitigation proposed, concealment of antennas. Therefore, the Planning Board has determined that the action would not result in significant impacts to view sheds from SR 25 or those identified as important to the community. The proposed action is located within an Archeo-sensitive area (Mapinfo 2015). The applicant has submitted a map (Landmarks in the Surrounding Area) showing 8 properties within a 300' radius that are eligible for National Register of Historic Places listing. Since the pole structure is installed and the proposed antennae will be concealed within the structure, no impacts to the potential historic impacts would occur. Due to the improvements on the parcel and the minimal new ground disturbance proposed, the action would not result in adverse impacts to cultural/historic resources nor impair the character or quality of important historical or architectural resources. 2 S, R Negative Declaration —January 11, 16 The site is currently improved and the proposed action will not result in significant adverse impacts to aesthetic resources or to existing community or neighborhood character or result in a material conflict with the community's current plans or goals as officially approved. Based upon such, no significant, adverse impacts to the environment are expected to occur should the project be implemented as planned. This determination is based, in part, on the Antenna Site FCC RF Compliance Assessment and Report (August 13 2015) prepared by Pinnacle Telecom Group and Telecommunications Site Review Colocation Application (Cityscape 2015). For Further Information: Contact Person: Mark Terry, Principal Planner Southold Town Planning Board, 6311765-1938 cc: Town Board Building Department Environmental Notice Bulletin 3 Agency Use Only[If applicable] Full Environmental Assessment Form Project, Part 2-Identification of Potential Project Impacts DateID2205 Part 2 is to be completed by the lead agency. Part 2 is designed to help the lead agency inventory all potential resources that could be affected by a proposed project or action. We recognize that the lead agency's reviewer(s)will not necessarily be environmental professionals. So,the questions are designed to walk a reviewer through the assessment process by providing a series of questions that can be answered using the information found in Part 1. To further assist the lead agency in completing Part 2,the form identifies the most relevant questions in Part I that will provide the information needed to answer the Part 2 question. When Part 2 is completed,the lead agency will have identified the relevant environmental areas that may be impacted by the proposed activity. If the lead agency is a state agency and the action is in any Coastal Area,complete the Coastal Assessment Form before proceeding with this assessment. Tips for completing Part 2: • Review all of the information provided in Part 1. • Review any application,maps,supporting materials and the Full EAF Workbook. • Answer each of the 18 questions in Part 2. • If you answer"Yes"to a numbered question,please complete all the questions that follow in that section. • If you answer"No"to a numbered question,move on to the next numbered question. • Check appropriate column to indicate the anticipated size of the impact. • Proposed projects that would exceed a numeric threshold contained in a question should result in the reviewing agency checking the box"Moderate to large impact may occur." • The reviewer is not expected to be an expert in environmental analysis. • If you are not sure or undecided about the size of an impact,it may help to review the sub-questions for the general question and consult the workbook. • When answering a question consider all components of the proposed activity,that is,the"whole action". • Consider the possibility for long-term and cumulative impacts as well as direct impacts. • Answer the question in a reasonable manner considering the scale and context of the project. ..........— 1. Impact on Land Proposed action may involve construction on, or physical alteration of, ONO ❑YES the land surface of the proposed site. (See Part 1.DA) "Yes", answerqz��tions_q,J.,_ "No", move on to Section 2. Relevant No,or Moderate Part I small to large Question(s) impact impact may a.The proposed action may involve construction on land where depth to water table is E2d less than 3 feet. b.The proposed action may involve construction on slopes of 15%or greater, E2f Ei c.The proposed action may involve construction on land where bedrock is exposed,or Eta U generally within 5 feet of existing ground surface. d.The proposed action may involve the excavation and removal of more than 1,000 tons D2a of natural material. e.The proposed action may involve construction that continues for more than one year Dl ❑ or in multiple phases. .....------- ............. ............ ............. f.The proposed action may result in increased erosion,whether from physical D2e,D2q disturbance or vegetation removal(including from treatment by herbicides). g.The proposed action is,or may be, located within a Coastal Erosion hazard area. Bli LJ ...................... ------------------............... h.Other impacts: . ...................................................... .............................................. ..... ...... .......................... ........---—---........... ...... ......... Page 1 of 10 2. Impact on Geological Feato res mm -� � � """""" The proposed action may result in the modification or destruction of, or inhibit access to, any unique or unusual land forms on the site(e.g., cliffs, dunes, ONO E]YES minerals, fossils, caves). (See Part 1. E.2.g) a-c. If"No", move on to Section 3. .. If"Yes", answer questtons .... �. ...._... .......� .._ .... ., Relevant No,or Moderate Part I small to large Question(s) impact impact may Q s( ) P P Y may occur J occur a.Identify the specific land form(s)attached: E2g D b.The proposed action may affect or is adjacent to a geological feature listed as a De El registered National Natural Landmark. Specific feature: c. Other impacts: u 3. Impacts on Surface Water The proposed action may affect one or more wetlands or other surface water NO ❑YES bodies(e.g., streams,rivers,ponds or lakes). (See Part 1.D.2,E.2.h) If"Yes", answer questzons a-1. If"No", move on to Section 4. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a."Thep o or p.._.._..�.. a ............ .�...___...... ..�.-....�.. sed action may create a new water body, D2b,Dlh b.The proposed action may result in an increase or decrease p p y ase of over 10%or more than a D2b 10 acre increase or decrease in the surface area of any body of water. c.The proposed action may involve dredging more than 100 cubic yards of material D2a from a wetland or water body. d.The proposed action may involve construction within or adjoining a freshwater or E2h 0 tidal wetland,or in the bed or banks of any other water body. e.The proposed action may create turbidity in a waterbody,either from upland erosion, D2a,D2h runoff or by disturbing bottom sediments. f.The proposed action may include construction of one or more intake(s)for withdrawal D2c a:'i LA of water from surface water. g.The proposed action may include construction of one or more outfall(s)for discharge D2d of wastewater to surface water(s). h.The proposed action may cause soil erosion,or otherwise create a source of D2e stormwater discharge that may lead to siltation or other degradation of receiving water bodies. i.The proposed action may affect the water quality of any water bodies within or E2h E.J downstream of the site of the proposed action. j.The proposed action may involve the application of pesticides or herbicides in or D2q,E2h around any water body. k.The proposed action may require the construction of new,or expansion of existing, Dl a,D2d [A D wastewater treatment facilities. Page 2 of 10 .... .......... I.Other impacts: ....... r; The proposed action may result in new or 4. Impact on groundwater p p y additional use of ground water,or ©NO ❑YES may have the potential to introduce contaminants to ground water or an aquifer,. (See Part 1.D.2.a,D.2.c,D.2.d,D.2.p,D.2.q,D.2.t) If"Yes", answer questions a-h. If"No", move on to Section S. _ ... ..._. ._ ... _�-._._.... ..Relevant No,..... .. _mmm or Moderate Part I small to large Question(s) impact impact may 6 � ..... ....... �.._..mm _...._ . ..........._...._. . m.. _....ra occur occu a.The proposed action may require new water supply wells,or create additional demand D2c ❑ ❑ on supplies from existing water supply wells. b.Water supply demand from the proposed action may exceed safe and sustainable D2c r_.w ❑ withdrawal capacity rate of the local supply or aquifer. Cite Source: c.The proposed action may allow or result in residential uses in areas without water and Dla,D2c ❑ ❑ sewer services. d.The proposed action may include or require wastewater discharged to groundwater. D2d,E21 ❑ e.The proposed action may result in the construction of water supply wells in locations D2c,Elf, ❑ ❑ where groundwater is,or is suspected to be,contaminated. Elg,Elh f.The proposed action may require the bulk storage of petroleum or chemical products D2p,E21 �' ❑ over ground water or an aquifer. g.The proposed action may involve the commercial application of pesticides within 100 E2h,132q, ❑ �'.:;b feet of potable drinking water or irrigation sources. E21,D2c h. Other impacts: ❑ ............................ ----------- .............. L-A ........... 5. Impact on Floodingproposed actiomay result in development on lands subject to flooding. V]NO ❑YES (See Part 1. E.2) " Section 6. If"Yes , answcr_questions a-�. Il"'No", move on to S _.._ _. ..... RelevantFNo, Moderate Part I to large Question(s) impact may ur occur a.The proposed action may result in development in a designated floodway. E2i :a �m b.The proposed action may result in development within a 100 year floodplain. E2j N ❑ c.The proposed action may result in development within a 500 year floodplain. Elk [:u d.The proposed action may result in,or require,modification of existing drainage D2b,D2e 't patterns. e.The proposed action may change flood water flows that contribute to flooding. D2b,E2i, E2j,E2k f.If there is a dam located on the site of the proposed action, is the dam in need of repair, El e or upgrade? .mm.. .. .m„_ m. Page 3 of 10 g.Other impacts: ................................. ..........----------------------- .. ... _...� .m. �� 6. Impacts on Air The proposed action may include a state regulated air emission source. ZNO ❑YES (See Part 1.D.2.f.,D,2,h,D.2.g) If"Yes", answer questions a-f If"No", move on to Section 7. _ ...�..................................-.......,.„ _.....................�.__..me....... n-. Relevant.. ....... —-.... No,or M � .- Moderate Part I small to large Question(s) impact impact may may occur occur a.If the proposed action requires federal or state air emission permits,the action may also emit one or more greenhouse gases at or above the following levels: i. More than 1000 tons/year of carbon dioxide(CO2) D2g ° ii. More than 3.5 tons/year of nitrous oxide(N20) D2g ° ° iii.More than 1000 tons/year of carbon equivalent of perfluorocarbons(PFCs) D2g ° iv.More than .045 tons/year of sulfur hexafluoride(SF6) D2g ° ° v. More than 1000 tons/year of carbon dioxide equivalent of D2g El hydrochloroflourocarbons(I FCs)emissions vi.43 tons/year or more of methane D2h ° ° b.The proposed action may generate 10 tons/year or more of any one designated D2g [3 hazardous air pollutant,or 25 tons/year or more of any combination of such hazardous air pollutants. c.The proposed action may require a state air registration,or may produce an emissions D2f,D2g tit rate of total contaminants that may exceed 5 lbs.per hour,or may include a heat source capable of producing morethan10 million BTU's per hour. ..... d.The proposed action may reach 50%of any of the thresholds in"a"through"c", D2g ❑ a::� above. e.The proposed action may result in the combustion or thermal treatment of more than 1 D2s UJ E ton of refuse per hour. f.Other impacts:.. .... U 7. The aro proposed action may result in a loss of flora or ( q) ❑..... Plants and Animals p p ed fauna. See Part 1.E.2. m. NO YES If"Yes", answer qyesttons a- � No", move on to Section 8 -...... .Relevant No,�_... . or Moderate Part I small to large Question(s) impact impact may n1aV occur occur a.The proposed action may cause reduction in population or loss of individuals of any E2oID _ threatened or endangered species,as listed by New York State or the Federal government,that use the site,or are found on,over,or near the site. b.The proposed action may result in a reduction or degradation of any habitat used by 122o ID any rare,threatened or endangered species,as listed by New York State or the federal government. c.The proposed action may cause reduction in population,or loss of individuals,of any E2p D VJ species of special concern or conservation need,as listed by New York State or the Federal government,that use the site,or are found on,over,or near the site. d.The proposed action may result in a reduction or degradation of any habitat used by E2p u ° any species of special concern and conservation need,as listed by New York State or the Federal government. _.._ ..........A,�,. Page 4 of 10 e.The proposed action may diminish the capacity of a registered National Natural E3c U Landmark to supliort the biological community it was established to protecl f.The proposed action may result in the removal of,or ground disturbance in,any E2n n G portion of a designated significant natural community. Source: g.The proposed ..... action may substantially interfere with nestin breeding,foraging,ng,°r Elm over-wintering habitat for the predominant species that occupy or use the project site. h.The proposed action requires the conversion of more than 10 acres of forest, Elb + grassland or any other regionally or locally important habitat. Habitat type&information source: i.Proposed action(commercial,industrial or recreational projects,only)involves use of D2q 1.3 herbicides or pesticides. j.Other impacts: ° ... .,. ..._ _ _ ......IT. 8. Impact on Agricultural Resources resources. (See Part 1.E The proposed action may impact agricultural r so .. .3.a. and b.) W]NO ❑YES Section 9.If"Yes", answer questions a-h• If'w No", move on to Semm _ Relevant � No,or Moderate Part I small to large Question(s) impact impact may a.The proposed action may impact soil classified within soil group 1 through 4 of the Etc,E3b D „ NYS Land Classification SYmstem. __ m....... _.. b.The proposed action may sever,cross or otherwise limit access to agricultural land Ela,Elb (includes cropland,hayfields,pasture,vineyard,orchard etc c.The proposed action may result in the excavation or compaction of the soil profile of E3b : active agricultural land. d.The proposed action may irreversibly convert agricultural land to non-agricultural Elb,E3a ["A uses,either more than 2.5 acres if located in an Agricultural District,or more than 10 acres if not within an Agricultural District. e.The proposed action may disrupt or prevent installation of an agricultural land El a,Elb management system. f.The proposed action may result,directly or indirectly,in increased development C2c,C3, u potential or pressure on farmland. 132c D2d g.The proposed project is not consistent with the adopted municipal Farmland Protection Plan. h.Other impacts: 11111-11-- Page 5 of 10 9. The land use es the propos Impact ounces ed action are obviously different from, or are in [::]NO ®YES sharp contrast to, current land use patterns between the proposed project and a scenic or aesthetic resource. (Part 1. E.La,E.Lb,E.3.h.) If"Yes", answer questions a-g. If"No", go to Section 10. Relevant No,or Moderate Part I small to large Question(s) impact impact may occur occur _...,. - .... --may .....-..�..-- a.Proposed action may be visible from any officially designated federal,state,or local E3h ® ❑ scenic or aesthetic resource. .. ...... � �— b.The proposed action may result in the obstruction,elimination or significant E3h,C2b ❑ screening of one or more officially designated scenic views. c.The proposed action may be visible from publicly accessible vantage points: E3h i.Seasonally(e.g.,screened by summer foliage,but visible during other seasons) ❑ ❑ ii.Year round ❑ ❑ d.The situation or activity in which viewers are engaged while viewing the proposed E3h action is: E2q, i. Routine travel by residents,including travel to and from work IZI 1] ii.Recreational or tourism based activities Elc ® ❑ e.The proposed action may cause a diminishment of the public enjoyment and E3h ® ❑ appreciation of the designated aesthetic resource. f. There are similar projects visible within the following distance of the proposed Dl a,Ela, ® ❑ project: Dlf,Dlg 0-1/2 mile '/z-3 mile 3-5 mile 5+ mile g.Other impacts: .. ❑ ❑ .. .................... ---------------------—. .....- 10. Impact on Historic and Archeological Resources The proposed action may occur in or adjacent to a historic or archaeological []NO ©YES resource. (Part 1. E.3.e,f. and g.) If"Yes", answer questions a-e. If"No,", go to Section 11. Relevant No,or Moderate Part I small to large Question(s) impact impact may ..may occur occur.. a.The proposed action may occur wholly or partially within,or substantially contiguous E3e ❑ to,any buildings,archaeological site or district which is listed on or has been nominated by the NYS Board of Historic Preservation for inclusion on the State or National Register of Historic Places. b.The proposed action may occur wholly or partially within,or substantially contiguous E3f to, an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory. c.The proposed action may occur wholly or partially within,or substantially contiguous I Il3g 17J ❑ to,an archaeological site not included on the NY SHPO inventory. Source: Page 6 of 10 d.Other impacts: 0 e.if any of the above(a-d)are answered"Yes",continue with the following questions to help support conclusions in Part 3: i. The proposed action may result in the destruction or alteration of all or part E3e,E3g, 0 of the site or property. E3f ii. The proposed action may result in the alteration of the property's setting or De,E3f, integrity. E3g,Ela, Elb iii. The proposed action may result in the introduction of visual elements which De,E3f, are out of character with the site or property,or may alter its setting. E3g,E3h, C2,C3 11. ImpThe act onOpen Sp ce and Rena los of recreational � proposed y opportunities or a [Z]NO YES reduction of an open space resource as designated in any adopted municipal open space plan. (See Part 1. C.2.c,E.l.c.,E.2.q.) If"Yes answer questions a-e. If No_ o to Section 12. _.._ .... ....m.7� _. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur i a.The proposed action may result in an impairment of natural functions,or"ecosystem D2e,Elb ❑ �:::� services",provided by an undeveloped area,including but not limited to stormwater E2h, storage,nutrient cycling,wildlife habitat. E2m,Ego, E2n,E2 b.The proposed action may result in the loss of a current or future recreational resource. C2a,EIc, ❑ a::� C2c,E2q r ....... ._ n. c.The proposed action may eliminate open space or recreational resource in an area C2a,C2c Q with few such resources. Elc,E2q d.The proposed action may result in loss of an area now used informally by the C2c,Elc ❑ ❑ community as an open space resource. e. Other impacts:.... ❑ ❑ 12 ImpactEnvironmental Areas The proposed action may be located within or adjacent to a critical �NO YES environmental area(CEA). (See Part 1. E.3.d) If"Yes",. answer questions a c If"No", go to Section 13. Relevant No,or Moderate Part I small to large Question(s) impact impact may y ccur occur a.The proposed action may result in a reduction in the quantity of the resource or E3d ❑ characteristic which was the basis for designation of the CEA b.The proposed action may result in a reduction in the quality of the resource or E3d characteristic which was the basis for designation of the CEA. c.Other impacts: G-u LA -- ......... ...._.... Page 7 of 10 The proposed ansp may result in a ch - 13. Impact on Transportation change to existing transportation systems. NO YES (See Part 1. D.2.j) I f"Yes", answer questions a- If"No Section 14. �. �..., m. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.Projected traffic increase may exceed capacity of existing road network. D2j b.The proposed action may result in the construction of paved parking area for 500 or D2j more vehicles. c.The proposed action will degrade existing transit access. D2j r:u d.The proposed action will degrade existing pedestrian or bicycle accommodations, D2j e.The proposed action may alter the present pattern of movement of people or goods. D2j D ❑ f. Other impacts: w�.-.m_..._. �...........�� _.. © �... 14. Impact on Energy Theproposed action may cause an increase in the use of any form of energy, NO YES (See Part 1.D.21) .f f., 15. I "Yes". answer uestions a-e. I No", o to Section__mmmmmmmmmm IT m_ITIT� ww µwww_„ Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The propI'llq i or an upgrade to an existing,substation. D2k ❑ ❑ proposed action will re uire a new,_m__m b.The proposed action will require the creation or extension of an energy transmission Dlf, Ea or supply system to serve more than 50 single or two-family residences or to serve a Dlq,D2k commercial or industrial use. c.The proposed action may utilize more than 2,500 MWhrs per year of electricity. D2k ❑ o d.The proposed action may involve heating and/or cooling of more than 100,000 square Dlg ❑ 171 feet of building area when completed. e.Other Impacts:. ... ...... ..�. ......._... ..�.,,, 15. Impact on Noise,Odor, and Light The proposed action may result in an increase in noise,odors, or outdoor lighting. NO ❑YES (See Part 1. D.2.m.,n.,and o.) If"Yes", answer questions a-f. If"No", go to Section 16. Relevant No,or 1-1- oderato t e Part I small olarge Question(s) impact impact may _ may occur occur proposed action mproduce sound above noise levels established l �p p �y p u �� a.The ooa - blished by local D2rn ❑ D regulation. b.The proposed action may result in blasting within 1,500 feet of any residence, D2m,Eld hospital,school,licensed day care center,or nursing home. a The �o.....osed action . .... __ p p may result in routine odors for more than one hour per day. D2o ❑ ii:::u Page 8 of 10 d.The proposed action may result in light shining onto adjoining properties. D2n ID ❑ e.The proposed action may result in lighting creating sky-glow brighter than existing D2n,Ela IEJ ❑ area conditions. f.Other impacts: 16. Impact on Human Health ._._..,._ _ �,, ...�_...�._ ._......_�...._. _�._..._ ... . .m........._ The proposed action may have an impact on human health from exposure ©NO YES to new or existing sources of contaminants. (See Part 1.D.2.q.,E.1. d. f. g. and h.) If Yes answer questions a-m. If No", o to Section 17. Relevant....... N.. ,...-..............._ .� o,or Moderate Part I small to large Question(s) impact impact may occur occur a.The proposed action is located within 1500 feet of a school,hospital,licensed day Eld ter grou home,nursing home or retirement communitmy.......m mmmmm care cen , b.The site of the proposed action is currently undergoing remediation. Elg,Elh d::::� ❑ c.There is a completed emergency spill remediation,or a completed environmental site Elg,Elh ❑ remediation on,or adjacent to,the site of the proposed action. d.The site of the action is subject to an institutional control limiting the use of the Elg,Elh I property(e.g.,easement or deed restriction). e.The proposed action may affect institutional control measures that were put in place Elg,Elh I� ❑ to ensure that the site remains protective of the environment and human health. f.The proposed action has adequate control measures in place to ensure that future D2t i::a ❑ generation,treatment and/or disposal of hazardous wastes will be protective of the environment and human health. g.The proposed action involves construction or modification of a solid waste D2q,Elf management facility. _ h.The proposed action may result the unearthing � � � p y arthing of solid or hazardous waste. D2q,Elf t:� ID i.The proposed action may result in an increase in the rate of disposal,or processing,of D2r,D2s G-) t:r solid waste. j.The proposed action may result in excavation or other disturbance within 2000 feet of Elf,Elg F.] r.:1 a site used for the disposal of solid or hazardous waste. Elh k.The proposed action may result in the migration of explosive gases from a landfill Elf,Elg �;::a ❑ site to adjacent off site structures. 1.The proposed action may result in the release of contaminated leachate from the D2s,Elf, L] u project site. D2r m.Other impacts: M_ �... ......— Page 9 of 10 17. Consistency with Community Plans The proposed action is consistent with�adopted land use plans - � W]NO ®YES (See Part 1. C.1, C.2. and C.3.) If "Yes", answer questions a-h. I "No", go to Section 18. .�,....�.. ...:.. _..e...m. Relevant No ... or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed actions land use components may be different from,or in sharp C2,C3,Dla contrast to,current surrounding land use pattern(s). Y Ela,Elb .. ...... b.The proposed action will cause the permanent population of the city,town or village C2 :: =a in which the project is located to grow by more than 5%. c ITmThe mmmro osed action is inconsistent with local lammm �m p p land use plans or zoning regulations C2,C2,C3 C"t ❑ d.The proposed action is inconsistent with any County plans,or other regional land use C2,C2 :i LI plans. _ e.The proposed action may cause a change in the density of development that is not C3,Dlc, ❑ 0 supported by existing infrastructure or is distant from existing infrastructure. Dld,Dlf, Dld,Elb f.The proposed action is located in _....__. an area characterized by low density development C4,D2c,D2d 0 dw� that will require new or expanded public infrastructure. D2j g.The proposed action may induce secondary development impacts(e.g.,residential or C2a ❑ nw:� commercial development not included in the proposed action) h.Other: U ED 18. Consistency with Community Character The proposed project is inconsistent with the existing communitycharacter.-mmmmmm� �❑T�NO ©YEmSITmm�n�- (See Part 1. C.2, C.3,D.2,E.3) I "Yes". answeruestions a-X. If"No", proceed to Part 3. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur -a.Thema ro osed action ace or eliminate existing... �...... T p p y replace p facilities,structures,or areas E3e,E3f,E3g 0 [] of historic importance to the community. b.The proposed action may create a demand for additional community se w. p p y community services(e.g. C4 0 schools,_police_and fire) - c.The proposed action may displace affordable or low-income housing in an area where C2,C3,Dlf 0 0 there is a shortage of such housing. Dlg,Ela d.The proposed action may interfere with the use or enjoyment of officially recognized C2,E3 0 _.....w P P Y J Y Y g 0 or designated public resources. e.The proposed action is inconsistent with the predominant architectural scale and C2,C3 0 D character. f.Proposed action is inconsistent with the character aracter of the existing natural landscape. C2,C3 0 Ela,El E2 E2.h....... ..... g ... _ ..... .. .... — —_..— Other impacts: ❑ C1 PRINT FULL FORM Page 10 of 10 AgemtcyUsefluly itto"ppliclablCl Project: 'Verizon wireless al Easl Marion Fire Dislrici. Date' 12/22/95 Full Environmental Assessment Form Part 3-Evaluation of the Magnitude and Importance of Project Impacts and Determination of Significance Part 3 provides the reasons in support of the determination of significance. The lead agency must complete Part 3 for every question in Part 2 where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. Based on the analysis in Part 3,the lead agency must decide whether to require an environmental impact statement to further assess the proposed action or whether available information is sufficient for the lead agency to conclude that the proposed action will not have a significant adverse environmental impact. By completing the certification on the next page,the lead agency can complete its determination of significance. Reasons Supporting This Determination: To complete this section: • Identify the impact based on the Part 2 responses and describe its magnitude. Magnitude considers factors such as severity, size or extent of an impact. • Assess the importance of the impact. Importance relates to the geographic scope,duration,probability of the impact occurring,number of people affected by the impact and any additional environmental consequences if the impact were to occur. • The assessment should take into consideration any design element or project changes. • Repeat this process for each Part 2 question where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. • Provide the reason(s)why the impact may,or will not,result in a significant adverse environmental impact • For Conditional Negative Declarations identify the specific condition(s)imposed that will modify the proposed action so that no significant adverse environmental impacts will result. • Attach additional sheets,as needed. See Attached State Environmental Quality Review Negative Declaration Notice of Determination Non-Significance December 22,2015. Determination of Significance -Type 1 and Unlisted Actions SEQR Status: ® Type 1 ❑ Unlisted Identify portions of EAF completed for this Project: ®Part 1 ®Part 2 ®Part 3 Upon review of the information recorded on this EAF,as noted,plus this additional support information .a .....�, ... .. ... . ... � �.....�............ ....,..... � ..�.._. ... .._ .... and considering both the magnitude and importance of each identified potential impact,it is the conclusion of the Southold Board „ , as lead agency that: A. This project will result in no significant adverse impacts on the environment,and,therefore,an environmental impact statement need not be prepared. Accordingly,this negative declaration is issued. B. Although this project could have a significant adverse impact on the environment,that impact will be avoided or substantially mitigated because of the following conditions which will be required by the lead agency: "P'.h:>,de9e� oa�k:s-ksas�:d>..ma�up,,art,..a.ao�..C9�em.�+aauts�ta.�ite�C9m[�orrrg.�larar �a:.ssrrae�dt.aced.�"aq��rrp..11.' ar�a.us�.t i.241.15j.prop��raad..tay.P�a� � � .,�7 Group and Teleconirnanicatl gi,,is Site Review Colocaflon Application(01 scape 2015) _ There will,therefore,be no significant adverse impacts from the project as conditioned,and,therefore,this conditioned negative declaration is issued. A conditioned negative declaration may be used only for UNLISTED actions(see 6 NYCRR 617A). C. This Project may result in one or more significant adverse impacts on the environment,and an environmental impact statement must be prepared to further assess the impact(s)and possible mitigation and to explore alternatives to avoid or reduce those impacts. Accordingly,this positive declaration is issued. Name of Action: Verizon Wireless at East Marion Fire District Name of Lead Agency: Southold Planning Board Name of Responsible Officer in Lead Agency: Donald Wilcenski Title of Responsible Officer: Chair Signature of Responsible Officer in Lead Ag t mate y� enc ate Signature of Preparer(if different from Responsible Office ) : ko For Further Information: Contact Person: Mark Terry,Principal Planner Address: 54375 State Route 25,P.O.Box 1179,Southold,NY 11971 Telephone Number:631-765-1938 E-mail: Mark.Terry@town.southold.ny.us For Type 1 Actions and Conditioned Negative Declarations,a copy of this Notice is sent to: Chief Executive Officer of the political subdivision in which the action will be principally located(e.g.,Town/City/Village of) Other involved agencies(if any) Applicant(if any) Environmental Notice Bulletin: httl)://www.dee.nv.gov/enb/eiib.htinl PRINT FULL FORM Page 2 of 2 OFFICE LOCATION: .,. MAILING ADDRESS: Town Hall Annex �OF SOti,, P.O. Box 1179 54375 State Route 25a Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov 'COU ) PLANNING BOARD OFFICE TOWN OF SOUTHOLD - 1d January 12, 2016 Denise J. Vista, Esq. �- Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Approval - Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 Main Road, ±525' e/o Stars Road, East Marion SCTM#1000-31-3-11.31 Zoning District: HB/R-40 Dear Ms. Vista: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, January 11, 2016: WHEREAS, this Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 1 00' above ground level of the approved 11 0' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts; and WHEREAS, on August 25, 2015, pursuant to §280-74A(4) of the Town Code, the Planning Board entered into a Letter of Agreement with Cityscape Consultants, Inc. to assist the Board in reviewing and evaluating the proposed Wireless Application to co-locate; and WHEREAS, on October 19, 2015, Denise Vista, Esq., agent, submitted a Site Plan Application for review; and WHEREAS, on November 5, 2015, the Planning Board found the application incomplete for review; and WHEREAS, on November 19, 2015, the applicant submitted the remainder of the Application Fee for review; and Southold Planning Department Staff Report Site Plan Application Work Session — Referral Review Date January 11, 2016 Prepared By: Brian Cummings I. Application Information Project Title: Verizon Wireless Co-location at East Marion Fire District Applicant: Verizon Wireless Date of Submission: October 19, 2015 Tax Map Number: 31.-3-11.31 Project Location: 9245 NYS Rt. 25 Hamlet: East Marion Zoning District: HB / R-40 II. Description of Project Type of Site Plan: Wireless co-location Acreage of Project Site: 3.1 acres Building Size ±184sf equipment compound This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. III. Analysis A. East Marion Fire Department (EMFD): ±9,800sf of existing buildings associated with MFD operations a. Approved 2007 site plan for New Cingular Wireless to construct 110' monopole and associated ground equipment; a. EMFD whip antenna 110' — 118' AGL b. AT&T antennas 100' — 110' AGL c. 90' — 100' Vacant (proposed co-location) d. T-Mobile antennas 87' AGL e. MetroPCS antennas 77' AGL b. Existing compounds for the carriers listed above containing associated ground equipment; 1 Verizon Wireless @ EMFD B. Proposed Verizon Wireless co-location: a. Three (3) interior mounted panel antennas within the concealment cylinder between 90' and 100' above ground level; b. ±184sf wireless telecommunication equipment platform located on the roof of the existing two story fire house with vinyl brick fagade enclosure, GPS and cable transfers; c. Proposed 50kw Diesel generator with sound enclosure located within the proposed equipment area (see elevations); d. Thirty-three (33) Leyland Cypress trees planted around the new Verizon Wireless compound @ 6' tall and 6' on center and double alternating rows; C. Referrals; (similar to wireless upgrade/modification) a. Fire Marshall No comments or concerns regarding the proposed Site Plan b. Suffolk County Planning Commission (SCPC) exempt from review because the proposed action is less than 5,000 sq. ft. of renovated floor area or renovated floor area or less than 10,000 square feet of land disturbance; c. Chief Building Inspector/Zoning Administrator certified the proposed Wireless Communication Facility as a permitted use in the R-40 zoning district; D. Cityscape report received December 11, 2015: a. Following reports included in proposal are sufficient: i. Structural analysis dated October 23, 2014; ii. Federal Communications Commission (FCC) RF Compliance Report dated August 13, 2015; b. The application conforms to the requirements of Town code and the State of New York and is recommended to be approved with the following three (3) conditions: i. All of Applicant's feed lines/cables shall be installed inside the monopole structure; and ii. All ports shall remain sufficiently sealed to prevent access by birds and other wildlife; and iii. The facility shall remain secured and protected from unauthorized personnel. 2 Verizon Wireless @ EF IV: Staff Recommendations 1. It is recommended to implement the three (3) conditions from the CityScape consultant report as conditions of site plan approval; 2. This is an Unlisted Action under SEQR, please review the negative declaration to be included as part of the determination resolution; 3. The Public Hearing is set for tonight and if no substantial comments are made it is recommended that all site plan requirements listed in §280-133 of the Town Code have been met and it is recommended that the above referenced site plan application be scheduled for determination by the Planning Board at tonight's public meeting. 3 Southold Town Planning Board Work Session — January 11 2016�Pa 2 Project Name: Mazzoni, 500 Soundview Drive, SCTM#: 1000-13-2-8.2 1 LLC Location: 500 Soundview Drive, approximately 782' to the north of NYS Route 25 and 256' to the east of Sound View Drive,, Orient .... Description: This proposal is for a Standard Subdivision of a 22.94 acre parcel into 5 lots where Lot 1 = 2.27 acres, Lot 2 = 1.67 acres, Lot 3 = 2.13 acres, Lot 4 = 0.59 acres, Lot 5 = 16.28 acres inclusive of a 1.21 acres right-of- way, 8.58 acres of Open Space and 6 acres of a Conservation Easement held by the Peconic Land Trust (PLT) located in the R-80 Zoning District. Status: Conditional Sketch Approval m _. Action: Review for SEAR Determination Attachments; Draft SEQRA document ..... ..... 1000-122-7-9Pro1ctame #:itness Club SCTM cation- ...r� 9300 .Route 2,5.,-A 41 s/w/o Sigsbee Road & NYS Route 25, Mattituck Description: This Site Plan is for a proposed multi-sport membership club consisting of an outdoor soccer field and five (5) tennis courts, a 150' x 500' (75,000 sq. ft.) building to include a pool, basketball court, soccer field and space for physical fitness activities with 224 parking spaces on 20.8 acres in the R 80 Zoning DistI'llrict .... _ - Status: New Application Action: Review for comments to ZBA. Project Name: Verizon Wireless at East Marion SCTM#. 1000-31-3-11.31 Fire District Location: i 9245 NYS Route 25, ±525' w/o Stars Road and NYS Rt. 25, East Marion ..... Description: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District. Status: Pending Action: Review referrals. Attachments: Staff Report Discussion: ➢ Draft Planning Board Monthly Report for December 2015 SCOTT A. RUSSELL JAMES A. RICHTER, R.A. SUPERVISOR „o MICHAEL M. COLLINS, P.E. TOWN HALL — 53095 MAIN ROAD e �'iw� TOWN OF SOUTHOLD,NEW YORK 11971 Tel. (631)—765—1560 Fax. (631) 765 9015 o , "° X17 re u „_.... %d6& �C�^�a HAY"q��1,��n���11q1� !l.P'�`^1"�".I�1��, d�r'� p n� J/5u�a.�lH�ltll( 1N"'Np��reI�u4�1P�1,o¢,yl,���'11t"rV I�;.h»^a �i'� OFFICE OF THE ENGINEER TOWN OF SOUTHOLD }^ ��r✓� Donald J. Wilcenski January 7, 2016 1��-1 itv� BC Chairman - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Re: East Marion Fire District—Amended Site Plan Wireless Telecom Tower SCTM #: 1000-31-03-11.31 Dear Mr. Wilcenski: As per a request from your office, I have reviewed the Site Plan prepared by the office of WFC Architects, dated 2/18/15, for the co-location of Verizon Wireless Antenna to be located within the existing 110" high utility pole. This project also includes ground equipment with contiguous landscaping. Please consider the following: 1. The proposed Verizon Wireless Antenna is to be constructed inside of the existing pole located in the open lawn area of the East Marion Fire Department. Therefore, this addition should not create any additional and/or challenging visual concerns for the adjacent property owners. 2. The proposed area of new impervious surfaces for this project will not generate a significant amount of storm-water run-off. Therefore, it is recommended that the proposed landscaped areas be constructed within a slight depression to contain and recharge run-off that will be generated by the additional development of this site. With the exception of the items listed herein, the site plan meets the minimum requirements of the Town Code. If you have any questions regarding this review, please contact my office. If you have any questions regarding this review, please contact my office. ""9i"u erely, ' '` James A. Richter, R.A. AMATO LAW GROUP, PLLC COUNSELORS AT LAW 666 OLD COUNTRY ROAD 9TH FLOOR 405 LEXINGTON AVE GARDEN CITY,NEW YORK 11530 402 MAIN ST. CHRYSLER BLDG,26TH FLR SUITE 204 NEW YORK,N.Y.10174 TEL:(516)227-6363 METUCHEN,NJ 08840 TEL:(212)485-6000 FAX:(516)227-6367 TEL:(732)317-1511 FAX:(212)485-6001 FAX:(732)317-1513 v4�� ' January 7, 2016 :ry BY HAND DELIVERY Planning Board Town of Southold Town Hall Annex 54375 State Route 25 Southold,New York 11971 Attn: Carol Kalin Re: Site Plan Application(the"Application")by New York SMSA Limited Partnership d/b/a Verizon Wireless("Verizon Wireless")to the Town of Southold in connection with the proposed public utility wireless communication facility to be collocated at 9245 Main Road, East Marion,New York, known and designated as District 1000, Section 31, Block 3, and Lot 11.031 Public Hearing Date: January 11,2016 NYSMSA Site 1Zel"Cr N1cew:East Marlon/ Our File No. 100-0859 Dear Ms. Kalin: In connection with Verizon Wireless' Application to the Planning Board, enclosed are the following notice materials: I. Affidavit of Mailing,with eleven(11)original white certified mail return receipts and five (5) green return receipt cards, attached thereto; 2. Affidavit of Posting; and 3. Original Agricultural Data Statement, executed by Verizon Wireless. Thank you for your time and attention to this Application. Very truly yours, Denise J. Vista Enclosures AGRICULTURAL DATA STATEMENT TOWN OF SOUTHOLD When to use this form: This form must be completed by the applicant for any special use permit, site plan approval, use 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 this form must be referred to the Suffolk County Planning Commission in accordance with Sections 239-m and 239-n of the General Municipal Law. Applicant Name: Verizon Wireless c/o Amato Law Group Address: 666 Old Country Road, Suite 901, Garden City, NY 11530 Land Owner(if other than applicant): East Marion Fire District Land Owner Address: P.O. Box 131, East Marion, NY 11939 Description of Proposed Project: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Property Location (road and tax map #): 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion; SCTM#1000-31-3-11.31 Are these parcels actively farmed? No Names & addresses of any landowners within the agricultural district containing active farm operations located 500 feet of the boundary of the proposed project: SCTM#1000-31-2-32.5: Suffolk County Water Authority, 4060 Sunrise Highway, Oakdale, NY 11769-0901 Attach a tax map or other map showing the site of the property where the project is proposed relative to the location of farm operations identified above. By 12/18/15 pplicant/Agent Signature Date Name: ttin Walden Title: Senior Engineer-Equipment AFFIDAVIT OF mAni G This is to serve notice that I personally posted the property known as 9245 Maaiaa. Road as t Marion New York 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 oin Your Name (print) Signature on b^,. L C b6b 01d Cousa1Lr Suite f 1 Garden City, NY 11530 Address 12/29/15 Date --'ii � tarye ub c *ti 4 " c� a LOED wry LK GU comm.C m'" "0 4 C „". PLEASE RETURN SIS° FIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: 12:00 noon Fri. 1/8/16 Ree: ProPosed Amended Site Plan for Verizon Wireless at Past Marion Fire District SC'TM#s, 1000-31-3-11.31 Date of Public Hearing: Monda Januar 11 2016 4:31 .m. AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 9245 Main Road, East Marion, New York 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 January 11, 2016 Lisa Covert, Esq., on behalf of Amato Law Group, PLLC Your Name (print) w Signature Amato Law Group, PLLC, 666 Old Country Rd., Suite 901, Garden City, NY 11530 Address Date No6i�y �11blic � Jose, ,Admanzar NOTARY N UBUC,STATE OF NEW YORK ReWsheilcmwi�� 1 fi d ns C U CoMMIon ExpikMes . PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Fri., 1/8/16 Re: Proposed Amended Site Plan for Verizon Wireless at East Marion Fire District SCTM#s: 1000-31-3-11.31 Date of Public Hearing: Monday, January 11, 2016, 4:31 p.m. Notice to Adjacent Property Owners Verizon Wireless @ East Marion Fire District 9245 NYS Route 25 East Marion, NY SCTM#1000-31.-3-11.31 V 2. 31A.- 11.11 0 A- - Q7 -MMAICYN -43. 31.-3-1.1.32 6D� 05 Z-JS9 Qoclq PD%Rk rL8 �- %\Ac,,,Vk ON-\, I k J4. 31.-3-12 Gcockyo-W ,W \o-VA5 U-1 I 5th A-ve. qn i 0 2,vs� ,15. 31.-3-17 OaAN PC) 5-74 -C . M0Jvxo-(-\ oqv) J 6. 31..-3...18 C. KAO,-vt b ri W ov r\ARjAA.A s6 o c, IP C) V , OYN k\ 39 J -7. 31.-3.-20 t '2-1.5-0 'fl-aZPA S+, 8. 31.--8-2 CA(0-r\4-,eAk '2 \fe5+vLj S4 . N Q'q ✓ 1.0. 310.3...4 Z 0-C e tQ— �f L k 4 n bC) C6 C Ca-n,b a C-W P$$ I I Z Gr6g�pWA I H4q AGRICULTURAL DATA STATEMENT TOWN OF SOUTHOLD When to use this form: This form must be completed by the applicant for any special use permit, site plan approval, use 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 this form must be referred to the Suffolk County Planning Commission in accordance with Sections 239-m and 239-n of the General Municipal Law. Applicant Name: Verizon Wireless c/o Amato Law Group Address: 666 Old Country Road, Suite 901, Garden City, NY 11530 Land Owner (if other than applicant): East Marion Fire District Land Owner Address: P.O. Box 131, East Marion, NY 11939 Description of Proposed Project: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Property Location (road and tax map #): 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion; SCTM#1000-31-3-11.31 Are these parcels actively farmed? No Names & addresses of any landowners within the agricultural district containing active farm operations located 500 feet of the boundary of the proposed project: SCTM#1000-31-2-32.5: Suffolk County Water Authority, 4060 Sunrise Highway, Oakdale, NY 11769-0901 Attach a tax map or other map showing the site of the property where the project is proposed relative to the location of farm operations identified above. ...... ....._. ........... Applicant/Agent Signature Date �®Ilm � lu Illlllr � IIUII � pllll VIII mW Lr) III. co ^ W.: W •. W '� W m u uum 11,Mm u. ow ffl: I � r # M m t.�aa�r�uad M Ceii,fl ed 11 sacs m a arratrrurrda C3 tO urodaRetuaaaurrt F��tllFee � _:.. Pbo uneyk, O nets rn D'taecwj t Fee �.».� g^Dslim O I"ova O QEuudamament tta uukedp C3 C3 Rostilicdpdflveryuata^scusJeRrcwy:::ea ulll tmiruad) O (Enoif3aart tayArrad) p ._ ,._._.�.mm.._. ._.....w.... 0 LrI Turrtaay II eostea a u:::A.-- Ln T"oW Postage& M Lekakis Artemis&Despm Cheryl L Bondarchuk ' ma ,� ^_... Desig. 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O (F uuWrS arxlNa Amlto9 ed) M ..�._, r_3 '9 F �� trll:ull, Colinty Wmer ALillhority, r-4 F 4060 �Sr11111;e, 111�„1r rr M r r4F'M' ." r.- rsfPOB c Oakdale, Y 11769-0901 ,Ina '; rrnrra raD: 31-2-32.5 MO EMMIMMEMUM & . 0 0 Complete Items 1,2,wid 3,Also cornpletd A 8 ro Itorta 4 If estrlc',fod Delivery Is desired. � A�ent Print ycaul ra�ame Glad address can the reverse aap�l���w� ❑Adressee SO that we can return the card to you, � Attach this c argil to t.he�I'mck of the mailpiece, I1+ l d t�� (f rsfNam ) �atn rrd or on the front If space pernits; X '- � � � .—C�1-r�ilv- � r 1. Article Addressed to: D. Is dellve address different from item 17 ❑Yes If YES,enter delivery address below: ❑ No Suffolk County Water Authority 4060 Sunrise Highwayi Oakdale,NY 1 1769-0901 ur 31-2-32.5 3. sIce Type evertlfied Mall ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4 Restricted...-Delivery ?(Extra Fee) ❑Yes (Transfer from service labeq7`011- 3500 0lJ(7 3 13?? � 12. Article Number w- mm 1346 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 �..n . p tray 2,and 3.Also Complete A, [' aa" f.,orn Tete Iteh 1, p g Item 4 If Pc� icted Delivery is desired. ■ Print your name and address on the reversewwr•Q A so that we can return the card to you. Y oe.... or on the ..� p p �B rad 8a i' a Asa .. ;r permits. � c tee esl D Ilv ■ Attach this card to the back of the mail iece front if space , 1. Article Addressed to: � - U rir lr address w,#If r1t Nle ? C1 Ye Vzy IfY.ES,enter delivery ritlydarrs ;�x�rp)r� m w C-. ,„P�"+�,���` ;E Marion War Mem Assc PO Box 313 -East Marion, NY 11939 31-3-18 3. SaS Ice Type ;,Certified Mail ❑Express Mall ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restrlc 12. e e livery?(Extra Fe) ❑Yes Article Number (r-ransfer from service label) 7 011 3500 0003 1377 1391 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 6 Complete Hems 1,2,and 3 Also complete A. ftnaturta @tent 4 If Restricted tricted t elivery as desired, i ■ I"rirlt your laarne and address ora tlao revome X ❑Agent so that we cyan retr.rrrj the card to youo � :�f ��'�w 11 Addressee Attach h this card era the back of tlie n aallplecs, nted Name) C. Date of Delivery or o on thtr front If space per"ratd°t B. Rec e . 1. Article Addressed..._... D. Is delivery ..-_ to: I ry address different from item 1? 0 Yes If YES,enter delivery address below: ❑No Lekakis Artemis&Despina Desig, Status:Trust 1152 E. 8"'St Brooklyn,NY 11230w. 3. Sey'lce Type 31-3-11.10 Q Certifled Mail ❑Express Mall ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. ... r W .. _.. 4. RestrictedDelivery?(Extra Fee) 13Yes 2. Article Number —VS from service label) 7 011 3500 0003 1377 1445 PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540 ■ Complete items 1 z.2,and 3.Also complete A. Siµ ab7by item 4 if Restricted Delivery is desirrd. e�t Y averse B. Recei 1 �sfr � a0 ■ Print cur rbrYrrbe t1nl erJdrraa orY tile i^so that we r t retdrin'the .ar i tc you, me ame ]�1 r� 11'�crllua{i�p ■ Attach this card to the back of the mailpiece, F.. or on the front if space permits. ...... D I���4�r n+;iaddress o � � afferent from hiqra� � 1 Yes - 1. Article Addressed to: ,,y delivery sfJdrq�,gs belo Sylvia M Daley � Vl A PO Box 574 b7l, East Marion,NY 11939 31-3-17 3. Ice Type Se7ertified Mail ❑Express Mail ❑ Registered ❑Return Receipt for Merchandise _❑ Insured Mail_ ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number - 7011 3500 0003 1377 1407 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540 ■ Complete items 1,2,and 3.Also complete e Agent item 4 if Restricted Delivery is desired. AIzr�'' �r , Y you. B. rlecolvo d� Printed ItPslmrl" C. Date Adr zsc�ua ■ Print our name and address on the reverse _ y ■ Attach this card to the back of the mailpiece, .. Delivery so that we can return the card to n the front if space permits. oro D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Rogers Jacqueline Revc Tr 1500 Brecknock Rd, Apt 112 tgreenport,NY 11944-3129 "" _ 3." Se Ic 31-8-4 e Type Vertified Mail ❑Express Mall ❑Registered ❑Return Receipt for Merchandise ❑Insured Mall ❑C.O.D. 4. Restricted..,.�aw.„„„„. -�............ ...e . Delivery?(Extra Fee) ❑Yes _.. _._... .._..........._.-- 2. Article Number 7011 3500 0003 1377 1353 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 I i t "o Town Hall Annex � Telephone(631)765-1802 54375 '� Fax 631 765-9502 54375 Main Road (, ° �� �,� ( ) P.O.Box 1179 Southold,NY 11971-0959 d° z' M vt BUILDING DEPARTMENT TOWN OF SOUTHOLD j � " " s , u I" MEMORANDUM TO: Donald J. Wilcenski, Planning Board Chairman FROM: Michael J. Verity, Chief Building Inspector DATE: January 5, 2016 REQUIREMENTS FOR SITE PLAN ELEMENTS & CERTIFICATION Project: Verizon Wireless Co-location East Marion Fire District Location: 9245 NYS Rt. 25, East Marion SCTM# 1000— Section 31 - Block 3 - Lots 11.31 Date: February 18, 2015 Revised Date: ,Sept,emb,er 23,20.15 1. ALL BUILDINGS AND USES SHALL COMPLY WITH CHAPTERS 144 AND 280 OF THE SOUTHOLD TOWN CODE. 2. OFF STREET PARKING BY AUTHORITY OF THE PLANNING BOARD. 3. ALL FENCING, SCREENING AND LANDSCAPING BY AUTHORITY OF THE PLANNING BOARD. 4. THE PROPOSED USE Wireless Cominunication Facility IS A PERMITTED USE IN THIS R-40 DISTRICT AND IS SO CERTIFIED. Michael J. Ver(1!f/ Chief Bij i lding Inspector Michaelis, Jessica From: Cummings, Brian A. Sent: Monday, January 04, 2016 3:49 PM To: Michaelis,Jessica Subject: FW:Amended Site Plan @ East Marion Fire District SCTM# 1000-31.-3-11.31 From: DohertyPeter Sent: Tuesday, December 29, 2015 10:07 AM h To: Cummings, Brian A. Subject: Amended Site Plan @ East Marion Fire District SCTM# 1000-31.-3-11.31 y Brian, G: ubn. As of 12/29/2015,there are no code violations on record on the above property Thanks Peter Doherty 1 Michaelis, Jessica From: Cummings, Brian A. Sent: Monday, January 04, 2016 3:49 PM To: Michaelis, Jessica Subject: FW: E Marion 31-3-11.31 r From: Fisher, Robert Sent: Tuesday, December 29, 2015 10:16 AM To: Cummings, Brian A. Subject: E Marion 31-3-11.31 Brian I have no reservations in reference to this application. Robert Fisher Fire Marshall,Town of Southold Robert.fisher@town.southold.nv.us (W)765-1802 - (C) 786-9180 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 OFFICE LOCATION: ' ' . MAILING ADDRESS: Town Hall Annex ANX\ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) + Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 22, 2015 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Proposed Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion, NY 11939 SCTM#1000-31-3-11.31 Zoning District: HB & R-40 Dear Ms. Vista: I am writing as a follow-up to the Work Session held on December 21, 2015 where the Planning Board accepted the above-referenced Site Plan Application as complete for review. Pursuant to §280-130A of the Southold Town Code, the Planning Department is required to provide a report concerning the proposed co-location to determine whether the guidelines for wireless facilities are met. Our consultant, CityScape Consultants, Inc., may contact you directly regarding this application. The Planning Board, its Staff, Town departments and relevant agencies will provide additional comments following full review. If you have any questions regarding this Site Plan or its process, please do not hesitate to call this office at 631/765-1938. Very truly yours, Brian A. Cummings Planner J f OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �f11,r �� °'" '�� �� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) < �` Southold, NY 1 Telephone: 631765-1938 N www.southoldtownny.gov vE PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUMf �r °r��IRWtv"'46 Town To: Mark Terry, LWRP Coordinator � From: Brian Cummings, Planner R4� Date: December 28, 2015 Re: Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 NYS Rt. 25, ±525' w/o Stars Road & NYS Rt. 25, East Marion SCTM#1000-31-3-11.31 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. The file is available for your convenience. This Amended Wireless Communications Application is for a proposed Verizon Wireless co- location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Thank you for your cooperation. OFFICE LOCATION: Y' MAILING ADDRESS: Town Hall Annex ��9i P.O. Box 1179 54375 State Route 25 rl �u Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY �� + Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael J. Verity, Chief Building Inspector From: Brian Cummings, Planner � Date: December 28, 2015 Re: Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 NYS Rt. 25, ±525' w/o Stars Road & NYS Rt. 25, East Marion SCTM #1000-31-3-11.31 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Thank you for your cooperation. Encls.: Site Plan Application Site Plan OFFICE LOCATION: ,, MAILING ADDRESS: "� n� ° Town Hall Annex l� ��h� �, � P.O. Box 1179 54375 State Route 25 � Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 ra d �mrr IJ www.southoldtowriny.gov SII10, j PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Robert Fisher, Fire Marshall Peter Doherty, Code Enforcement Officer From: Brian Cummings, Planner ,�j�, Date: December 28, 2015 Re: Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 NYS Rt. 25, ±525' w/o Stars Road & NYS Rt. 25, East Marion SCTM#1000-31-3-11.31 The Planning Board refers this application to you for your information, comments, review, and any violations on record, if applicable. This Amended Wireless Communications Application is for a proposed Verizon Wireless co- location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Thank you for your cooperation. To View in Laser Fiche:Planning Dept.;Applications; Site Plans;Pending; 1000-31-3-11.31 OFFICE LOCATION: ��,`" MAILING ADDRESS: Town Hall Annex �' � � P.O. Box 1179 54375 State Route 25 1 �+ Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) t, Southold, NY Telephone: 631 765-1938 m www.southoldtownny.gov dp i r PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Robert Fisher, Fire Marshall Peter Doherty, Code Enforcement Officer From: Brian Cummings, Planner `bQ� Date: December 28, 2015 Re: Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 NYS Rt. 25, ±525' w/o Stars Road & NYS Rt. 25, East Marion SCTM#1000-31-3-11.31 The Planning Board refers this application to you for your information, comments, review, and any violations on record, if applicable. This Amended Wireless Communications Application is for a proposed Verizon Wireless co- location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Thank you for your cooperation. To View in Laser Fiche:Planning Dept.;Applications; Site Plans;Pending; 1000-31-3-11.31 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex +� ) � � P.O. Box 1179 54375 State Route 25 �9 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY +f Telephone: 631 765-1938 � �1 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 28, 2015 Mr. George Marsich, Chairman Board of Fire Commissioners East Marion Fire District P.O. Box 131 East Marion, NY 11939 Dear Mr. Marsich: The enclosed Site Plan 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 Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Please contact me at (631)765-1938 if you have any questions. Sincerely, Brian Cummings Planner Encls.: Site Plan Application Site Plan OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �}' P.O. Box 1179 54375 State Route 25 �JtSouthold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 � if www.southoldtowuny.gov M PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: James Richter, Engineering Inspector From: Brian Cummings, Planner q�x Date: December 28, 2015 Re: Amended Site Plan for Verizon Wireless @ East Marion Fire District Application Name: Verizon Wireless @ East Marion Fire District Tax Map Number: 1000-31-3-11.31 Location: 9245 NYS Rt. 25, ±525' w/o Stars Road & NYS Rt. 25, East Marion Type of Application: Sketch Subdivision Map Dated: Preliminary Subdivision Map Dated: Final Subdivision Map Dated: Road Profiles Dated: Grading and Drainage Plans Dated: Other Dated: Site Plan Dated: 2/18/15, revised 9/23/15 Revised Site Plan Dated: Grading and Drainage Plans Dated: Other (AS BUILT) Dated: Project Description: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Thank you for your cooperation. OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �� � �� ��' � P.O. Box 1179 54375 State Route 25 � Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ; Southold, NY Telephone: 631 765-1938 vzww.southoldt,ownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Mark Terry, LWRP Coordinator From: Brian Cummings, Planner Date: December 28, 2015 Re: Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 NYS Rt. 25, ±525' w/o Stars Road & NYS Rt. 25, East Marion SCTM#1000-31-3-11.31 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. The file is available for your convenience. This Amended Wireless Communications Application is for a proposed Verizon Wireless co- location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Thank you for your cooperation. OFFICE LOCATION: �0.1 MAILING ADDRESS: " Town Hall Annex a P.O. Box 1179 �� �� ,,+ �� 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov 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 XXIV 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 11th day of January, 2016 on the question of the following: 4:31 p.m. Proposed Site Plan for Verizon Wireless at East Marion Fire District, located at 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion, Town of Southold, County of Suffolk, State of New York. SCTM#1000-31-3-11.31 4:32 p.m. Proposed Lot Line Modification for Biggane & Yenicay, located at 8865, 8869 & 8871 Oregon Road, on the n/s/o Oregon Road, approximately 525' w/o Duck Pond Road, in Cutchogue, Town of Southold, County of Suffolk, State of New York. SCTM#s1000-83-1-33 & 34 and 95-1-11.2 4:34 p.m. Proposed Residential Site Plan & Draft Environmental Impact Statement for The Heritage at Cutchogue, located at 75 Schoolhouse Road, on the corner of Schoolhouse Road & Griffing Street, Cutchogue, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-102-1-33.3 Dated: 12/14/15 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Donald J. Wilcenski Chairman PLEASE PRINT ONCE ON WEDNESDAY, DECEMBER 30, 2015 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times Kalin, Carol From: legals <legals@timesreview.com> Sent: Monday, December 21, 2015 9:33 AM To: Kalin, Carol Subject: Re: Legal Ad for 12/30 issue of Suffolk Times Importance: High Good morning Carol, The legal is scheduled to be published in the 12/31 edition of the Suffolk Times. Thank you and Happy Holidays! Best regards, U�Ullllliluuuio u TVV!'utlES R Bill 1111 IN r n�dnnn� MEDIA O,gROUP Lindsay Riemer Assistant Sales Coordinator 631 x293,3200 ext, 235 631.354.8032(direct) 631298,0410(fax) 1riemer timesreview.com www,timesreview.com From: "Kalin, Carol"<Carol.Kalin@town.southold.nv.us> Date: Monday, December 21, 2015 9:32 AM To: Lee Peters<legals@timesreview.com> Subject: Legal Ad for 12/30 issue of Suffolk Times Please print the attached legal ad for the January 11, 2016 Planning Board Public Hearings regarding the Biggane & Yenicay Lot Line Modification, Amended Site Plan for Verizon Wireless at East Marion Fire District and the Residential Site Plan & Draft Environmental Impact Statement for The Heritage at Cutchogue in the 12/30/15 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 Town Hall Annex at Capital One Bank 54375 NYS Route 25, P.O. Box 1179 Southold, New York 11971 631/765-1938 phone 631/765-6640 fax t #12560 STATE OF NEW YORK) ) SS: 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 31 st day of December, 2015. Principal Clerk Sworn to before me this _ day of—WA 2016. r ��y°%rrrib�"lo f��a /�Jr��✓9� ro��i........... J �l CHRISTINA VOLINSKI rr NOTARY PUBLIC-STATE OF NEW YORK No. 01V06105050 Qualified 1n Suffolk County My Commission Expires February 28, 2016 /1 ! � /F r/! r r✓« r „ l/d;�f lF'1�Iria1%fJf;Jl��/�/11/I/1l/r irr /rr�l�i%I/ / � a r OFFICE LOCATION: �*,,, Town Hall Annex ` MAILING ADDRESS: P.O. Box 1179 54375 State Route 25 ,r�w ��R Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) r Southold, NY Telephone: 631 765-1938 Ptcy www.southoldtownny.gov < o . 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 XXIV 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 11th day of January, 2016 on the question of the following: 4:31 p.m. Proposed Site Plan for Verizon Wireless at East Marion Fire District, located at 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion, Town of Southold, County of Suffolk, State of New York. SCTM#1000-31-3-11.31 4:32 p.m. Proposed Lot Line Modification for Biggane & Yenicay, located at 8865, 8869 & 8871 Oregon Road, on the n/s/o Oregon Road, approximately 525' w/o Duck Pond Road, in Cutchogue, Town of Southold, County of Suffolk, State of New York. SCTM#s1000-83-1-33 & 34 and 95-1-11.2 4:34 p.m. Proposed Residential Site Plan & Draft Environmental Impact Statement for The Heritage at Cutchogue, located at 75 Schoolhouse Road, on the corner of Schoolhouse Road & Griffing Street, Cutchogue, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-102-1-33.3 Dated: 12/14/15 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 21st day of December, 2015 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 M ull 53095 Main Road, Southold, New Yark. 1/11/16 Public Meeting 4:31 p.m. Public Hearing for the proposed Amended Site Plan for Verizon Wireless at East Marion Fire District, SCTM#1000-31-3-11.31 4:32 p.m. Public Hearing for the proposed Lot Line Modification for Biggane & Yenicay, SCTM#s1000-83-1-33 & 34 and 95-1-11.2 4:34 p.m. Public Hearing for the proposed Residential Site Plan and Draft Environmental Impact Statement for The Heritage at Cutchogue, SCTM#1000-102-1-33.3 Carol Kali Secretary, Southold Town Planning Board Sworn to before me this day of�i )2 c CM^ 34v, 2015. taryclic MELANIE DOROSKI NOTARY PUBLIC,State of New York No. 01D04634870 Qualified in Suffolk County Commission Expires September 30, WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, December 21, 2015 2:30 p.m. Southold Town Annex Board Room 2ND Floor, Capital One Bank Building 2:30 p.m. Applications Project Name: Ridgway Standard Subdivision SCTM# 1000-6-1-3 Location: 1588 Fox Avenue, on the west side of Fox Avenue and adjacent to Hay Harbor on Fishers Island Description: T ., .... . . his proposal is to subdivide a 9.6 acre parcel into 3 clustered lots where Lot 1 equals 4.3 acres inclusive of 3.8 acres of open space and 1.4 acres; of unbuildable land, Lot 2 equals 1.6 acres and Lot 3 equals 3.7 acres inclusive of 2.0 acres of Open Space and 0.8 acres unbuildable land. The parcel is located in the R-80 Zoning ,District. Status. Pendine Action: Review for Preliminary Plat completeness. Attachments . Staff Report _ ...... Projectfireless at East Marion SCTM# , 1000-31-3-11.31 Fire District Name. Verizon 9245 NYS Route 25, ±525' w/o Stars Road and NYS Rt. 25 East Marion Description, ...... ..... Location: � _ _ o_ _ _ __. p � This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District. Status: New Application Action: Review for completeness. Attachments: i Staff Report Project Name: Inc. SCT Soundside M#: 1000-52-5-58.3 Location: 67575 Route 25,Landscape,275±275' s/w/o Albertson Lane & NYS Rt 25, Greenport ort } Description; This Site Plan Application is for the proposed construction of an 80' x 40' (3,200 sq. ft.) commercial building for a landscape contractor's yard on 0.93 acres in the Light Industrial Zoning District. Status: Pending Action: Status Up-date Attachments: Staff Report _ Discussion: ❖ ZBA Request for Comments re: Sports East Fitness Club (Paul Pawlowski) , 9300 Route 25, Mattituck, SCTM#1000-122-7-9 Southold Planning Department Staff Report Site Plan Application Work Session - Completeness Date December 21, 2015 Prepared By: Brian Cummings I. Application Information Project Title: Verizon Wireless Co-location at East Marion Fire District Applicant: Verizon Wireless Date of Submission: October 19, 2015 Tax Map Number: 31.-3-11.31 Project Location: 9245 NYS Rt. 25 Hamlet: East Marion Zoning District: Split R-40 / HB II. Description of Project Type of Site Plan: Wireless co-location Acreage of Project Site: 3.1 acres Building Size ±406sf This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 1 10' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District, East Marion. A. Existing: 1. East Marion Fire Department (EMFD) a. ±9,800sf of existing buildings associated with MFD operations 2. Approved 2007 Site Plan for New Cingular Wireless to construct 110' monopole and associated ground equipment; a. EMFD whip antenna 110' — 118' AGL b. AT&T antennas 100' — 110' AGL c. 90' — 100' Vacant d. T-Mobile antennas 87' AGL e. MetroPCS antennas 77' AGL 3. Existing compounds for the carriers listed above that contain all associated ground equipment; 1 Verizon Wireless @ EMFD B. Proposed Verizon Wireless co-location: 1. Three (3) interior mounted panel antennas within the concealment cylinder between 90' and 100' above ground level; 2. ±184sf wireless telecommunication equipment platform located on the roof of the existing two story fire house with vinyl brick facade enclosure, GPS and cable transfers; 3. Proposed 50kw Diesel generator with sound enclosure located within the proposed equipment area (see elevations); 4. Thirty-three (33) Leyland Cypress trees planted around the new Verizon Wireless compound @ 6' tall and 6' on center and double alternating rows C. With regard to the Planning Board letter dated November 6, 2015: • Provide the required fee of$1000.00 for a Wireless Modification where Site Plan Approval is required. $290.60 has been provided; the difference of $709.40 is required. Staff: Yes, the remainder of the fee ($709.40) has been provided as required. V: Staff Recommendations 1. It is recommended to find the application complete and accept it for review; 2. Set the public hearing for January 11, 2016. 2 OFFICE LOCATION: ;� -7���`� MAILING ADDRESS: Town Hall Annexe "' P.O. Box 1179 54375 State Route 25 �p, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov zzN PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 15, 2015 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Set Hearing - Proposed Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion, NY 11939 SCTM#1000-31-3-11.31 - Zoning District: HB & R-40 Dear Ms. Vista: A public hearing date has been set for Monday, January 11, 2016 at 4:31 p.m. regarding the Site Plan entitled "Verizon Wireless at East Marion", prepared by Neil Alexander Macdonald, WFC Architects, dated February 18, 2015 and last revised September 30, 2015. 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 Postingalon with the certified mailin receipts AND the si ned reen return receipt cards before 12:00 noon on Friday,, January 6t1 . Theai n and the post need to be returned to the Plartnin Board Office after the public hearing is closed. 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. Southold Town Plapgjp 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 an Amended Site Plan; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-31-3-11.31; 3. That the property which is the subject of this application is located in the Hamlet Business & R-40 Zoning Districts; 4. That this Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 1 10' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres. The property is located at 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion; 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 FI., 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: 1. Go to the Town of Southold website www.southoldtownny.gov; 2. Click on Weblink located on bottom left of home page; 3. Click on "Planning Dept." folder; 4. Click on "Applications", then "Site Plans", then "Pending"; 5. Click on the SCTM# (tax map #) of the application (found in #2 above). Or by sending an e-mail message to: Carol.KalinCa)-town.southold.ny.us; 6. That a Public Hearing regarding the Site Plan will be held on the matter by the Planning Board on Monday, January 11, 2016 at 4:31 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. 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SUFFOLK COUNTY AK MAP 16 I—IBITED • _wm .� --. •I— A ..1—N. ............... ............... N ................... D 111/1 W W, ' � 1 Notice to Adjacent Property Owners Verizon Wireless @ East Marion Fire District 9245 NYS Route 25 East Marion, NY SCTM#1000-31.-3-11.31 1. 31.-3-11.10 2. 31.-3- 11.11 3. 31.-3-11.32 4. 31.-3-12 5. 31.-3-17 6. 31.-3-18 7. 31.-3-20 8. 31.-8-2 9. 31.-8-3 10. 31.-8-4 AGRICULTURAL DATA STATEMENT TOWN OF SOUTHOLD When to use this form: This form must be completed by the applicant for any special use permit, site plan approval, use 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 this form must be referred to the Suffolk County Planning Commission in accordance with Sections 239-m and 239-n of the General Municipal Law. Applicant Name: Verizon Wireless c/o Amato Law Group Address: 666 Old Country Road, Suite 901, Garden City, NY 11530 Land Owner (if other than applicant): East Marion Fire District Land Owner Address: P.O. Box 131, East Marion, NY 11939 Description of Proposed Project: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. Property Location (road and tax map ft 9245 NYS Route 25, ±525' w/o Stars Road & NYS Rt. 25, in East Marion; SCTM#1000-31-3-11.31 Are these parcels actively farmed? No Names & addresses of any landowners within the agricultural district containing active farm operations located 500 feet of the boundary of the proposed project: SCTM#1000-31-2-32.5: Suffolk County Water Authority, 4060 Sunrise Highway, Oakdale, NY 11769-0901 Attach a tax map or other map showing the site of the property where the project is proposed relative to the location of farm operations identified above. Applicant/Agent Signature mm Date -- --- . . 62 LNzIWI,,dO„. M r^° :.,._._._.. ,.,..m.�.�.,.....,_. _.-,,.„.,.. ,,.„..____.....,..,_,�.�..,,,, ...... .....,. -. .... M;nlC:nq LINE _.. ... 27A Ec IVC ozz ..„�.w^'✓�d w ✓" /' FOR ra.tlso a:4�t:sl.:ri No SLY IkIAS CfI LINE ro. .,.x C. OR 1 SEE Lq N4^r CYJ. +""' F .. .., '•. 57111 U7 •�. 4+F,".&tiCr Ncr Y1 ddb"gym ,.�++'.y '" MAICK I,�C��l(�: r= iM1'w�"T MATCH LINE.,, � ...�/ ,.�� l� �j. CiSY U 4S/ rri�IrdY! ,. a 4,IAM_ `, / Iwl 91.20 .... 11 23 ^,�,rc ,,+"'.r r w., ;+ 4' �'7 £yam 1 7A ^ `... `M, / ,,/`�,. 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""" 'Hw _. ...-,..,....,,..- ..,�.. ..--.,..,,, -........ ..........-•.......�.....�,,,,w......,_.,,,.., ,....,. ,...�..w.,..,0� �. w� ...�....�� � n�✓ � 01i � TOVM OF SOUTHOLD SECTION NO �.. r ms, u;; COUNTY OF SUFFOLK © K ,". _.... m mm .. ---'-' wn ,, ..,. ms+.e wxie rNrvrk r�wrvr mwcwsaanne.a NOTICE a'7 d E -.-...,a TnnEuiMieYin 4iA luo H Y VNmk 0.trntl '•^••""w.�. .»'..�• 9rAwridl'Ft�i Lhm ECN-.��'•••• NgEmnl D6lMa I.I.Llm� MU- !r^' '� L'Pmye pur RW LlroY PI Real Property Tax Service Agency r :1 MLLA`EOF vwl,.mb=e latuxrvumq�n //21 derv ^^^'n Mw�Garsa Lbr. k-....••'.•^•._ 54440YY4 :E Lw4 YAt";d:..,.� " MAINTENANCE,ALTERATION.SALE OR �µ w"„ 03fiS 1�1 IAkrHv.Na. O _yY, FtiHmiml Oix4l LMe •-F6T--. M19V:rc ...,,^yy�,�,,,,, �. I OVti�Tm.., ,.� -.... SIIFFOBK COUNTY UTION OF TA%M0.PTIS PROHIBITED Ilrn��M1 „ 6CAlE 1N FEET: M x.r�Yy�: 132 - .�-"••••-",•,,•••- �� U:* ...,.�- 1ryy� I:ni=iP 4➢Mwxe4uu ww„u„..r��.r.um, la .. 11...::..... de E .1w CountyCenter Riverhead. Y11901 caa A ''..",,. orsTRicT rvo 'IDOD F SubL.B�ntdL .� 9 arrr..mu..fw,r ,.....�..W... �. nmrswmre tm F.a d.we M.••••.^ rmraw„A_,„„,.]9:P_ N'.rwrr.� wR rTFN PERMISSION OF THE d` '� 4-�x"d'd"+d" vu�u ".✓ m'�-✓F aunn.." .......... . .._ 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., 1/8/16 Re: Proposed Amended Site Plan for Verizon Wireless at East Marion Fire District SCTM#s: 1000-31-3-11.31 Date of Public Hearing: Monday, January 11, 2016, 4:31 p.m. Town of Southold PC/Codebook for Windows § 55-1. Providing notice of public hearings. [Amended 6-3-2003 by L.L. No. 12-20031 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 property which 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 EAST MARION FIRE DISTRICT AMENDED SITE PLAN FOR VERIZON WIRELESS AT EAST MARION FIRE DISTRICT 1 000 =31 =3 = 1 1 m3l This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning Districts. MON DAY - JAN UARY 11 2016 - 4 : 31 P . M . OFFICE LOCATION: MAILING MAILING ADDRESS: Town Hall Annex " UC/ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 766-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 8, 2015 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: SEQRA Classification —Amended Site Plan for Verizon Wireless @ East Marion Fire District 9245 Main Road, ±525' e/o Stars Road, East Marion SCTM#1000-31-3-11.31 Zoning District: HB/R-40 Dear Ms. Vista: The Southold Town Planning Board adopted the following resolution at a meeting held on Monday, December 7, 2015: WHEREAS, this Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District, East Marion; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, has determined that the proposed action is an Unlisted Action as it does not meet any of the thresholds of a Type I Action, nor does it meet any of the criteria on the Type II list of actions; be it therefore RESOLVED, that the Southold Town Planning Board has determined that this proposed action is an Unlisted Action under SEQRA as described above. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Very truly yours, Donald J. Wilc nsi Chairman AMATO LAW GROUP, PLLC COUNSELORS AT LAW 666 OLD COUNTRY ROAD 9TH FLOOR 405 LEXINGTON AVE GARDEN CITY,NEW YORK 11530 402 MAIN ST. CHRYSLER BLDG,26TH FLRSUITE 204 NEW YORK,N.Y.10174 TEL:(516)227-6363 METUCHEN,NJ 08840 TEL:(212)485-6000 FAX:(516)227-6367 TEL:(732)317-1511 FAX:(212)485-6001 FAX:(732)317-1513 November 18, 2015 BY FEDERAL EXPRESS Mr. Brian Cummings, Planner Planning Department snag��tVQ�N .� Town of Southold `` �u l'vin Town Hall Annex soar`j 54375 Main Road Southold,New York 11971 Re: Site Plan Application(the"Application")by New York SMSA Limited Partnership d/b/a Verizon Wireless("Verizon Wireless")to the Town of Southold in connection with the proposed public utility wireless communication facility to be collocated at 9245 Main Road, East Marion, New York, known and designated as District 1000, Section 31, Block 3, and Lot 11.031 NYS SA Si(e Fz 1ereiiee..._>~ast 1' a�rion / Our 'ile No,_100-085 Dear Mr. Cummings: In response to your correspondence of November 6,2015,enclosed is a check,made payable to the Town of Southold, in the amount of$709.40, representing the remaining Application fee. If you should require anything further, please do not hesitate to contact me. Thank you for your attention to this Application. V l,y truly yours, I)e iise J. Vista Enclosures cc: Verizon Wireless (via email, without enclosures) Southold Town Piannin_g Board Work Session — Ncvemr er 2 2015 _Eq e . w. _. Project Name: Verizon Wireless at East Marion SCTM#. 1000-31-3-11.31 Fire District Location: 9245 NYS Route 25, ±525 w/o Stars Road and NYS Rt. 25, East Marion Description: This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres; in the R-40 and Hamlet Business Zoning District ... ., ... Status: New Application ction: Review for completeness. Attachments: Staff Report, ........... .. Project name: Strom Marine s Mine Pavilion SCTM#: 1000-114-3-1 Location: 2255 Wickham Avenue, Mattituck Description: This Amended Site Plan Application 's i for the proposed p °sed construction of a 32' x 24' (640 sq. ft.) pool cabana with two (2) pergolas at 14' x 20', storage and attached changing rooms with no plumbing on 8.8 acres in e . the Marine II Zoning District. _. Status: Approved Pending Final Inspection Action: ( Review request for Approval Extension. w. Staff Report ort Project Nam_e: ( East End Tick ,& Mosquito Pest Control SCTM#: 1 1000-97-3-2 570 Location: 36�" _.. Route 25, ±420' s/w/o of Skunk Lane. & Main Road, Cutchogue Description;. , m... _ This Site Plan is for the proposed conversion of an existing residential dwelling to a single family dwelling with an attached business office with four (4) parking stalls on 0.25 acres in the Limited Business (LB) Zoning District. i Status: New Application Action: Review ZBA decision. Attachments Staff Report 1 Discussion: ✓ Revised Site Plan Proposal for Filipkowski Air, Inc., 41250 CR 48, Southold, SCTM#1000-59-10-5 ✓ Draft Planning Board Monthly Report for October 2015 ✓ Draft 2016 Planning Board Meeting Schedule ✓ Draft criteria for waiving Site Plan Public Hearings Southold Planning Department Staff Report Site Plan Application Work Session - Completeness Date November 2, 2015 Prepared By: Brian Cummings I. Application Information Project Title: Verizon Wireless Collocation at East Marion Fire District Applicant: Verizon Wireless Date of Submission: October 19, 2015 Tax Map Number: 31.-3-11.31 Project Location: 9245 NYS Rt. 25 Hamlet: East Marion Zoning District: Split R-40 / HB II. Description of Project Type of Site Plan: Wireless collocation Acreage of Project Site: 3.1 acres Building Size ±406sf This Amended Wireless Communications Application is for a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District, East Marion. A. Existing: 1. East Marion Fire Department (EMFD) a. ±9,800sf of existing buildings associated with MFD operations 2. Approved 2007 site plan for New Cingular Wireless to construct 110' monopole and associated ground equipment; a. EMFD whip antenna 110' — 118' AGL b. AT&T antennas 100' — 110' AGL c. 90' — 100' Vacant d. T-Mobile antennas 87' AGL e. MetroPCS antennas 77' AGL 3. Existing compounds for the carriers listed above that contain all associated ground equipment; 1 Verizon Wireless @ EMFD B. Proposed Verizon Wireless collocation:. 1. Three (3) interior mounted panel antennas within the concealment cylinder between 90' and 1 00' above ground level; 2. ±184sf wireless telecommunication equipment platform located on the roof of the existing two story fire house with vinyl brick fagade enclosure, GPS and cable transfers; 3. Proposed 50kw Diesel generator with sound enclosure located within the proposed equipment area (see elevations); 4. Thirty-three (33) Leyland Cypress trees planted around the new Verizon Wireless compound @ 6' tall and 6' on center and double alternating rows (height at planting unknown) C. Cityscape Report (see attached) V: Staff Recommendations 1. It is recommended to find the application incomplete and require the following to be provided: a. Wireless modification fee of $1000 i. $290.60 was provided; the difference of$709.40 is required b. Any application items the wireless consultant may require; 2 Southold Planning Department Checklist for Site Plan Application Completeness - Section 280-133 Project Name: Verizon Wireless Collocation @ East Marion Fire District Completed by: Brian Cummings Date: November 2, 2015 Received Comment A. Submission of a complete site plan application shall consist of: (1) A completed site plan application form. (2) The site plan review fee, as specified in Subsection B $290.60 submitted below. Editor's Note: See now § 280-138, Fee schedule for X with $4,000 for site plan applications. consultant; site plan application modification is $"i 8000 (3) A completed environmental assessment form. Full (4) Nine copies of the site plan. ! (1) Four copies of a property survey, certified by a licensed land surveyor. �l B. Standards. Site plan design shall include the following items: (1) Technical data: (a) The lot, block and section number of the property, taken from the latest tax records. �l (b) The name and address of the landowner on record: �l [1] The names and addresses of adjoining landowners. [2] The name and address of the applicant, if not the same as the landowner. (c) The name and address of the person, firm or organization preparing the map, sealed with the �l applicable New York State license seal and signature. (d) Date, graphic scale and North point, whether true or magnetic; if magnetic, show the date of reading. (e) A survey prepared by a licensed surveyor or civil engineer. The site plan may reference a land surveyor's map or base reference map. All distances shall be in feet and hundredths of a foot. All angles shall be given to the nearest 10 seconds or closer. The error of closure shall not exceed one in 10,000. (f) The locations, names and widths of all rights-of-way within 500 feet of property lines. If none exist within 500 �I feet of the subject property, indicate the distance to the nearest intersection with a public street. (g) A separate key map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet. 1 Checklist for Site Plan Application Completeness Southold Planning Department (h) The location, width and purpose of all existing and proposed easements, setbacks, reservations and areas �l dedicated to public use within or adjoining the property. (i) A complete outline of other existing easements, deed �l restrictions or covenants applying to the property. (j) Existing zoning, including zone lines and dimensions. X Use GIS (k) Site plans drawn at the scale of one inch equals 20 feet. If all required information cannot be shown clearly on one plan, the information should be separated as �l follows: [1] Alignment and schedule plan. [2] Grading and drainage. [3] Landscaping. [4] Other, e.g., site utilities. (2) Natural features: Received Comment (a) Existing contours with intervals of two feet or less, referred to mean sea level as per United States �l Geological Survey datum. (b) Boundaries of any areas subject to flooding or stormwater overflows, tidal bays, saltwater marshes, beaches and all freshwater bodies, including wetlands N/A and intermittent streams, perimeter boundaries of shoreline bluffs, dunes and beaches. (c) The location of existing natural features, including but not limited to natural drainage swales, watercourses, wooded areas and wetlands, as defined by the New York State Department of Environmental Conservation and the Board of Trustees of Southold Town, marshes, ponds, dunes, bluffs, beaches, kettleholes, N/A escarpments, wildlife habitats, flood hazard areas, erosion-prone areas and trees of six inches in diameter at a point three feet above the trunk base. (d) The location of any existing cultural and historical features within 500 feet of the property boundaries. 4 (3) Existing building structures and utilities: (a) The locations, dimensions and outlines of all buildings, as defined in § 280-4 of this chapter, and all uses of the 4 site. (b) Paved areas, including parking areas, sidewalks and vehicular access between the site and public streets. 4 (c) The locations, dimensions, grades and flow directions of any existing culverts, waterlines or sewage disposal systems, as well as other underground and 4 aboveground utility poles and utility lines within and adjacent to the property. (d) The location and use of all buildings and structures, 2 Checklist for Site Plan Application Completeness Southold Planning Department including curbcuts, within 200 feet of the boundary of the subject property. (4) Proposed construction: Received Comment (a) The location of proposed buildings or structural improvements, indicating setbacks from all property �l lines and horizontal distances from existing structures. (b) The location and design of all uses not requiring structures, such as off-street parking and loading areas and pedestrian circulation. (c) The location, direction, power level and time of use for any proposed outdoor lighting or public address N/A systems. (d) The location and plans for any outdoor signs must be in accordance with applicable sign regulations. (e) The location and details of aprons, curbs, sidewalks, fencing (type and location), and grading, including existing and proposed topography with two-foot contours (on site and 200 feet beyond the property line) and spot elevations for buildings and all structures, drainage calculations, details of drainage structures and watershed areas, where applicable. (f) Grading and drainage plans shall be based upon site stormwater retention, in conformance with Chapter 161, N/A Highway Specifications. (g) The location and listing of landscaping, buffering and street tree plans, including type, material, size, quantity �l and location. (h) The location of water and sewer mains, electrical service, cablevision and telephone installations, ground transformers, fire wells and fire hydrants and/or any �l alternate means of water supply and sewage disposal and treatment. (i) Building elevations for all facades and floor plans showing the proposed use of floor area. Notes: N/A = Not Applicable Site Plan Application elements waivers: § 280-133 C. Notwithstanding the foregoing, the Planning Board shall have the discretion to waive any or all of the requirements of this § 280-133 by resolution at a duly noticed public meeting, for those applications involving modifications to existing structures with no substantial change to the existing footprint, where the Planning Board determines that such modifications or any change in use will not require significant changes to existing major site design features, as well as applications involving uses strictly related to agriculture (but excepting retail winery operations), if it determines such requirements are not necessary to protect and maintain the public health, safety, or welfare and to further the objectives set forth in § 280-129. 3 Checklist for Site Plan Application Completeness AMATO LAW GROUP, PLLC COUNSELORS AT LAW 666 OLD COUNTRY ROAD 9TH FLOOR 405 LEXINGTON AVE GARDEN CITY,NEW YORK 11530 402 MAIN ST. CHRYSLER BLDG,26TH FLR "- ' ' SUITE 204 NEW YORK,N.Y.10174 TEL:(516)227-6363 METUCHEN,NJ 08840 TEL:(212)485-6000 FAX:(516)227-6367 TEL:(732)317-1511 FAX:(212)485-6001 FAX:(732)317-1513 October 15, 2015 (j BY FEDERAL EXPRESS D `' _C E,. Ell Mr. Brian Cummings, Planner � - Planning Department Town of Southold Soufluld goni . Town Hall Annex F lWirrrn Baird 54375 Main Road Southold,New York 11971 Re: Site Plan Application(the"Application")by New York SMSA Limited Partnership d/b/a Verizon Wireless("Verizon Wireless")to the Town of Southold(the"Town") in connection with the proposed public utility wireless communication facility(the "Communication Facility")to be collocated at 9245 Main Road, East Marion,New York, known and designated as District 1000, Section 31, Block 3, and Lot 11.031 (the "Property") NYSMSA Site Reference: East Marion/ Our File No. 100-0859 Dear Mr. Cummings: In connection with Verizon Wireless' Application for the proposed Communication Facility to be collocated on the existing monopole on the Property, enclosed are the following materials-. '-- 1. Site Plan Application Form; --, 2, Notice of Disapproval issued by the Town, dated August 3, 2015, for the proposed Communication Facility; 3, Notice of Disapproval issued by the Town, dated August 3, 2015, for the proposed generator; —4. Applicant's Affidavit, executed by Verizon Wireless; �5. Applicant Transactional Disclosure Form, executed by Verizon Wireless; �6. Authorization and Consent, executed by the Property owner; '--7. LWRP Consistency Assessment Form, prepared by VHB Engineering, Surveying and Landscape Architecture, P.C., dated September 28, 2015; \8. Full Environmental Assessment Form, prepared by VHB Engineering, Surveying and Landscape Architecture, P.C., dated September 28, 2015; 9, Title Report for the Property, prepared by First American Title Insurance Company National Commercial Services; 10, Four (4) copies of a Property survey; —1L Nine(9)sets of site plans,prepared,signed and sealed,by William F.Collins, AMATO LAW GROUP) PLLC AIA Architects, LLP, fast revised September 23, 2015- 12. 500' aerial prepared by VB Engineering, Surveying and Landscape Architecture,P.C.,depicting all land uses,structures and zoning within 500' of the Property; 13. Antenna Site FCC RF Compliance Assessment and Report, prepared by Pinnacle Telecom Group, dated August 13, 2015; 14. Photographs of the existing wireless facilities located on the Property; 15. 300' aerial, prepared by VHB Engineering, Surveying and Landscape Architecture, P.C.,which depicts the landmarks within 300' of the Property 16. Application fee in the amount of$290.60; and 17. A check, in the amount of$4,000.00,to establish an escrow account for the Town's wireless consultant to review the Application, pursuant to the enclosed correspondence from the Town, dated August 26, 2015. If you should have any questions regarding the foregoing, please do not hesitate to contact me. Thank you for your attention to this Application. Ver truly ycmrs, �� _ .......... 1:7li i i s c J. Vista Enclosures cc: Verizon Wireless (via email, without enclosures) ,. MAILING ADDRESS: PLANNING BOARD MEMBERS �w' � ��" P.O. Box 1179 � DONALD J.WILCENSSouthold,NY 1197.1 HI � �^�,. �„� Chair C �` OFFICE LOCATION: it Town Hall Annex WILLIAM J.CREMERS 0 0 PIERCE RAFFERTY � ' �� " rye 54375 State Route 25 JAMES H.RICH III °°" " y (cor.Main Rd. &Youngs Ave.) MARTIN H.smog Southold,NY Telephone:631 765-1938 www.southoldtowuny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 26, 2015 d u ;f'a Denise J. Vista, Esq. Amato Law Group, PLLC ifl�r�d i 666 old Country Road, Suite 901 �� ° Garden City, NY 11530 Re: Proposed Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion, NY 11939 SCTM#1000-31-3-11.31 Zoning District: HB & R-40 Dear Ms. Vista: The Planning Department is in receipt of an application to co-locate on an existing wireless facility and related equipment at the existing site referenced above. Pursuant to §280-74A(d) of the Town Code, the Planning Board will hire a Technical Consultant to aid in the review of the application and hereby requires the submission of $4,000.00 into an escrow account with the Town Comptroller's Office to cover the cost of the Technical Consultant's review. Please remit a check in the amount of$4,000.00 payable to the Town of Southold. Any unused portion of the Technical Consultant's Fee will be returned to you. Our consultant is CityScape Consultants, Inc. They may contact you directly regarding this application. If you have any questions regarding this application or its process, please do not hesitate to call this office. Thank you in advance for your prompt payment. Very truly yours, Brian A. Cummings Planner SOUTHOLD PLANNING BOARD � SITE PLAN APPLICATION FORM F(� C 201,15 r) W9 Baru Site Plan Name and LocationNew „ York SMSA L p ._ v� 13�__. Site Plan Name, 411! a Verizon Wireless Partnershi.........A�eee - Application Date 10 / 2015 Suffolk County Tax Map #1000- 31 - 3 -11.031 Other SCTM#s Street Address: 9245 Main Road Hamlet: East Marion Distance to nearest intersection: 5251± east of Stars Road Type of Site Plan: New x Amended Residential Zoning District' HB and R-40 Owners/Agent Contact Information Please list tacrttre, matltrt ttciclr „ angp nne number n the ITI? below: Property Owner East Marion Fire Department Street 9245 Marion Road City East Marion � tate NY �.�Zip 11939 Home Telephone (631)1 477-0539 Other„ Applicant. ,...�rnr� .. t _ rte r twb .: / s•.azon.- r .... ......__ Street c la Amato Law GrmW, PLIC. 666 old Country Road. Sui to 901 ."ity Garden cit ___ ........ ��........ State .........rte._- - ��.. Zi1)_._11-53oma.... _ Home Telephone...., )._227 63.6, Other,_ Applicant's Agent or Representative: � � Vista, PLLC Contact PerSOri S *__..,.Denise J. Vita ..�w. - ' Esq., Amato Law Gou.... ..,.- -__.. .._. ..s.... ..._.— Street 666 Old Country Road, Suite 901 City Garaen city ,—.--,,,,,,—State—.....—State rn......m �... _ ... ....ZiP 11530 Office Telepliotie_(510).....127-4:L 3 ..._ Other ...,._ Unless otherwise requested, correspondence wila sent to the contact person noted here,.. . Site Plan Application Form 2/1812010 Site Data Proposed construction type: x New x Modification of Existing Structure Agricultural —,--.-Change of use Property total acreage or square footage: 3.1 ac./sq. ft. Site Plan build-out acreage or square footage:o-o-L/4o6± ac./sq. ft, . ........... ---------..................................................... .... ............. ..- 111-................. -,---....................... ........................ Is there an existing or proposed Sale of Development Rights on the property? Yes—No x If yes, exl)lain:.,,........ ......... Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y -X N If"yes", explain (and attach any necessary documentation–title report, subdivision approval, etc.) See attached Title Repott Building Department Notice of Disapproval Date: 8 / 3 / 15 Is an application to the Southold Town Zoning Board of Appeals required? Yes—No X If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses° Fire Department and public wireless communication facility . ........ ...... List all proposed property uses: Same and new public utility communication facili I ty............... -—---- ................................—1-1..................... .......... Other accessory uses:,_,...... ..........--- -�........... ............. ............ ......... Existing lot coverage: 7.248 ...............% Proposed lot coverage: 7.5" % Gross floor area of existing structure(s): 9,831.26 sq. ft. Gross floor area of proposed structure(s):_ 10.237.26 .......... ................ ............ ............... P�rkin Space Data:NA#of existing spaces: of proposed spaces: Loading Berth: Yes No .......... Land scaKira g Details: Existing land sc:ip e coverage: 1.78 % Pi-oposed landscape coverage:2.366 % Wetlands: Is this property within 500' of a wetland area? Yes No Maybe_ --........ ......—=== 1, the undersigned, certify that all the above information is true. New York SMSA LimitV d Partnership d/b/a Verizon Wireless Signature of Preparer: Date:— 10/2/1-5 Nalse John Walden TitlY Senior Engineer-Equipment2 Site Plan Application Form 211812010 m E APPLICANT'S AFFIDAVIT f l' 9 ZOO') STATE OF NEW YORK pzar jro i oar COUNTY OF SUFFOLK ��N ��u��gr011���.u'�1 mm John Walden on behalf of New York SMSA Limited Partnership d/b/a Verizon Wireless ....--be6ig duly sworn, deposes and says that he resides at c/o Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, New York 1]530 in the State of New York, and that he is the owner of the above property, or that he is the New York SMSA Limited Partnership Senior Engineer-Equipmentd/b/a Verizon Wireless (Title) (Specify whether Partnership or Corp.) which is hereby making application; that there are not existing structures or improvements on the land which are not shown on the Site Plan; that the title to the entire parcel, including all rights- of-way, has been clearly established and is shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be alter or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will be installed in strict accordance with the plan as approved by the Planning Board. Signed_, .. .......A�...._ Owner New Work SMSA Limited Partnership d/b/a Verzion Wireless Signed Altiner orr me: John �7orate Officer anen e)1 � Title) Title: Senior Engineer-Equipment Sworn to me this 2 rd day of 2� . ..... u Notary Public .......... ROXANNEL.HERNANDEZ NOTARY PUBLIC,STATE OF NEW YORK Registratlon No.01 HE6322291 Qualified in Suffolk County Commission ..,Fres March 30 0.N .. ��. ... . .,... Southold Plannin De a °tment Applicant Transactional Disclosure Formaw��a°bor ,fl 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. John Walden, on behalf of New York SMSA Your Name: Limited Partnership d/b/a Verizon Wireless - mm � -"— Last,First,middle initialm...-- unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan—g_.._._ Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the 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 If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold ________ Title or position of that person — Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her 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 noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this day of 20 New York SMSA Limited P" r Hca; .Ia d/b/a Verizon Wireless 7 r Signature Print Name John Walden Disclosure Form jlfr mwv IIIA ��il III ............ol IL auu uum ll -:aLiL dcft,� 1L can- 11 CA <> XXX-IL-tr-4y 645; uk i it oz�: IS> 4c) I 4C3F- <--I 4Em,-xx C:�1-t -1*41%%Tc, S _3 C� Cl AE:, I gajrxcl <:)p C�:r i I I - -1111 V-3� qCTJF-m-4=,:m- 4c, x x X--r<A vxt> iqc,- -t-x-t i--t:y Yx-iLy-jr-x-u-&x-jL IL 4cz)p IFIL L i lL-x < 4 NAV-Xa <3 Cl Z�::l <A I T jrL �r� C:: c> -ILX X-IL-t-%e- jr4z::: 4"caa ]p]r4c:> 4Chl, :y I <> Ic'.- C.M�<A zA--t <90 T%O.OT -aj X--IL IEE� EL;E; x T I 271 4C:t I C) C) C3 11 !�3 ILX JFIFOC> I Ic- .4E3 it -a-it c=,=N- 1'%%4 can--%�p I)e-<=)p IrIc"o,51 3r-x L X--x;EL-t OQ�L JL 14C ow I C)O 3 ]L 4C 3L E30 11-IL � � Ir<=,=.-11 cm,-.cs f F. :ixx c> X-cl -T- -L<:Io lx�k E;-t 111 r lc<::> c>x--rxx-jrx xAurx x �-UiL<=>Y OL 4cl- X- t x--ir-xi--t -L<:> -t 1 r- rr X--k x r-A Ig c]L/cio Etjpo I ' r r -- cirri i jr-k x r-x c:l/<=o -r- ]L>-Lx I I cl i X-x cn x rx-j-IL -t -ELIP -Eut X- C>lr-X:Err -t<:> T- JILL C> MWELEZ; zLx-X-3e- -tl--X 40,-X7 I x -- r x-x-xx <4 t-x IL X�40',"' -EMLYIP -r-<=)p -JF<:> X7- -t kk C!.- r<:>-x:><:io :s; <A irx!s; -aL IL I��-t I <> x-x aL Y--t 4DO C.M:x--w-EctiL <.-:!o Irx < -tl-]L c;=,:b- fir-<:>1p fs 4E!M,- x Zut X --rx 1=1 f:3F 1 X;zz;;p<:�� X IL rr 1 i rr ori r� r E3 dt�:3C-1 4c:l � � � i�� err �� fir- r�� DO C�:X-x 4c>3CX :s. 4�3 -s-, -arA IL 1--JL ziLc:;IL zaus I ijr-x-x IT c�� X-XlL JF<=>-K- TIFIL 42�� -C3 NAIXX<=,m-X- 1U- :>r -tZ:IP C,=%-r—X7X7X 1-1t-tirr T—:i <z>X--]L rx rrC> X-3, 1:31 Cl- ;Fa :F <Z> :f' Sm 936-<A x-x:t zaL -Bo oom,- r r A X-X 4C>X7<A MP rr -de r-I 40,1- qcm- C, Zljp]p X7<:)O -SrZaA <3 ELXXCI i-t OE3 -t<:> i 73L E.--T--:3L X—OdELILlt JE—JL C!: ]pp rx -ELIC,- :,IL it -IX 4E�� IPIALX—X:><:> Q3.4Z�� C:> :F ]PIO dC�, X7r- X-V IL lt-C -IL 21P-4=0 lr7lkL It E> s-.1-� I I Cm,1:5,r JE4C:>X- 1L 3rIkL - -EV :s :S.- -t<z> lz3p it X-x -t Yv<:,m- X--3L c,--- <=,N- s'! ;E=. ]P]pXr � rrcr- YPr ]PP Xx-:L X-X-x-ILM X-IL I lLiL � �� �� � � � r �� � r � JL 4C,=& C::O JF X-X C:)� J500 X74Z7,dZ�� Cl 422�1- JFIF42,0- 4z:>X--ILII -I--I:,IqL -ILXILI--l-llc>X-I iLC>X-JL OEA�x I -t C=,N.L m x-x---L x ra-zxAL c� IL IrC�: 4;:3 IL -9%0E-4e-mll !E; cl c::x- IL 4EL X- C=,%-4C,- 423: 1plx�C> -%�r 9EI-Irx 1::>40,W X-xr--�x T clft C:>Xx-xxy:L-uxx-v-1i ;OL-tiL X--IL ZILC!� �1� moo, aa wo ;rw, Illi oar,*` IF 41r. JitAl X- X 1. � o . . . .......... Moo lM6- .............. ........ low.— C-3 E_— -S Zip- �w amw %mop< 49F-dW IF ff- dr Mr r 9 2I TOWN OF SOUTHOLD FORM NO. 3 �u �d�ti "�wa� . PlWii*q Board NOTICE OF DISAPPROVAL DATE: August 3, 2015 TO: Amato Law Group(Verizon Wireless) 666 Old Country Road Suite 901 Garden City, NY 11530 Please take notice that your application dated July 13, 2015 For permit for construction of a new public utility wireless facility at Location of property: _9245 Main Road, East Marion, NY County Tax Map No. 1000- Section 31 Block 3 Lot 11.031 Is returned herewith and disapproved on the following grounds: I"� ai o aos�cB �l�c � tlais in the 1-113 Zoncjs pqc tt � unsua-nt to Sitelain 1 vi w by 1 1i I1la„mip B ,ard. . arized Signature CC: file, planning Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. ,.. .,,, ,,, ,... �� / ✓iii / /„'///. ,.,,,,,.. / ,r... // / ,r ✓r,. /., r/ / i,:,, /„ „t / r //: / /, / // /////„/ //iii ,...., �,,,, / r r.✓.. r ,/,.: ,� / / ,,,ri�: ,v i, /;c.. r / .v 1 i-.///„ K, //ri/ r / i / /i✓ r rrr �r /� ✓r/� � / r // � %� s+; � /„ / r//i/// / ri /. // !� ./::/ / /.. // i„✓ //// �//. 1 //i r ,, �,,, ,G,„, / �,,,,,. -/// /�; or ,//://!// %::� J /.%// �r=./D,/ / ./r o/ / ,r/`/ ,✓i%// �, ,;: ,,,/„,,,,,,'sr o � // it /„ � ,. /J� ;,. ,,; .✓/ � /' / /ri / / oo % / /"/ :"./ rii ,,,, ri,, ,,,,/i a .� / :; ;,,,,;"' /, /.. /, ,. / o/... % %/iii/;.rrr!;! i//,/ '// /�i/�/// %%r ,:/ /�'ih ,/fi / i / r,, „' ,,,, i /� ✓, r ; / ���. s..f /// v� it/. .-/ p rr .,✓ / ..�/ :,., // i �/r.:r ,,,, s ,,,. r/,r, /i/ /, �„„,,,,,/ „>,.. i., +# ,i/!, „.✓ //,„/.. / / //i / ,�, //: „✓ yr ,,,, „. / c, rip,, mi � G / rr'Mo + 1/� fir //// ,,,✓r / ,.�J r , r // / r / / r i / // a's.' 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INSTRUCTIONSZ f, J I:Il ivlimit I asrtl I All applicants for permits*including Town of Southold agencies,shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterflunt 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 Waterfiont Revitalization Prograrn A pMpgsed action will be evaluated as to its sigriificant beneficial and adverse effects upon the coastal area(which includes all of Southold'l bwr"t). 3. Ifany question in Section C on this form is answered"yes"or no"then the proposed action will affect the achievement ofthe LWRP policy standards and conditions contained in the consistency review law. 'Thus each answer inust be explained in detail listing both supporting and non- su facts.If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the 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# 031.00 03.00 - 011.031 PROJECI'NANIE Proposed Verizon Wireless Communications Facility Collocation The Application has been submitted to (check appropriate response): Town Board F] Planning Board MBuilding Dept. 0 Board of Trustees I. 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: The lrrol�roscd action involves the collocation of a Verizon Wireless communications facility within the existhig 110±-foot above grade.level - ca� pro contains wireless l��c�,ll e�rar�uettrirruer�wt pculc'ioe.uted at �9245 �'I�rrri Road,Road, FastFastaarc��wn ,The exrstrrtg concealment pole and overall subject �erty property� coutwnnttrrrcatioris es cw faciIit"rt d action, Verizola Wireless wwotuld nrstarll tlirec antennas,sixW �.diplexers, ml : t"e�iltc,r°carriers. ll�utdcr tite �rcw cwse associated cables widiiri tlrc existinwg corracalrnc.ipole,watt° �, l'lie iwrolwt.wsecl antennas wcrrrid r:eacai a maximum ireigitt.crl'99.5± let alta withirw the _ iii g c abiruc�ts„main distributicwr�t l.�cwses�acrd a 1.acic-uli diesel crreralor�idi Boor . bole l.r�r adclittcwr Veu�zon Wireless'e�clr rlwnrc;�nt, rrwcirucli M" -- t td. crtelosure�wxotrld be cttstaHed upon a proposed ;x'24{-sc t � � p l l 1 cure d"ocul (51�l concrete pad witlw tr lwrcrpc5se�d c,�°etirdlse�r crx��cal�y above, proxilrlsItc to the t ed w ea canopy P g Y. ( fecaar 1. Firually°, 1yopcased c srrceminuerrt acr„e s wotr' lir rnourrrtecl atop the proposed cavo at a to hre„ilwt of 1 G' I J ,uro antennas m_ 1.° Four GPS"� nnit, icN .� � l p p ..� -. antennas caMcs wcrnicl'lie.rcatrt+°cl. ulcru l a proposed ice bridge to tine conc,etdnieiii pole,arud proposed t,rtrlilres�w mild be routed in cou�tc tilts - ��. treNucNtied frorn existing u.tulrty corrnectiion ecit6lsmeO:. Location of action:East Marion Fire Department,9245 Main Road,East Marion(SUFM#1000-031.00-03.00-011.031) Site acreage:3.1±-acre subject parcel/0.01±-acre Verizon Wireless ground-based equipment compound Present land use:Fire Department use and wireless communications facilities Present zoning classification:Hamlet Business(HB)and Residential Density(R-40) -.......... ......................... ................. ...... 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 ofapphcmt,New York SMSA Limited Partnership d/b/a Verizon Wireless (b)Mailing adckess:c/o Amato Law Group,PLLC,666 Old Country Road, Suite 901,Garden City,New York 11530 (c)Telephone number:Area Code(516) 227-6363 (Att: Denise Vista,Esq.) (d)Application nuniher,if any.N/A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes L1 11b Z If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Z Ye, [] -I\b [] Not Applicable The proposed Verizon Wireless antennas would be installed within the existing concealment pole and its proposed associated equipment area would be installed proximate to the existing equipment compound,upon a portion of the overall East Marion Fire Department property that already contains wireless communications facilities of other Providers,thus,collocating the use upon existing infrastructure.Verizon Wireless'equipment area would occupy only 0.01±-acre(0.3%of the subject parcel). The wireless communications facility would be situated in the vicinity of a hamlet center,rather than along the shoreline or in an agricultural area.Finally,the collocation ofthe proposed communications facility along(or visible from)the Main Road(Route 25)corridor would not be precedent setting,as the proposed facility would be within and proximate to an existing concealment pole that already contains such uses. ---.......................................... Attach acklitional sheets ifnecessary 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 N Yes [:] 11,b [:] Not Applicable The applicant consulted with the'Town of Southold's Historian and New York State Office of Parks,Recreation and Historic Preservation,as part of the Federal --—---------- Communications Commission(FCC)Section 106 process,to ensure that the proposed facility has been designed and sited such that it would have minimal impacts upon historic and/or archaeological resources. Such consultation confirmed that there would be no adverse affect upon such historic or archaeological resources. Attach additional sheets ifnecessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold- See LVVRP Section M-Policies Pages 6 through 7 for evaluation criteria F71 Ln,j Yes [:] -lb [:1 Not Applicable Although the existing concealment pole and equipment compound are visible from the surrounding area,installation of the proposed Verizon Wireless communications facility would not be visibly different from the existing views of the of the wireless communications facilities of others, as the proposed Verizon Wireless antennas would be concealed within the existing pole and the proposed equipment area would be screened by a proposed 6-0"high fence and the plathing of leyland cypress trees.Further,the existing facilities are obscured from view from many locations by intervening structures and vegetation from many locations,and the proposed Verizon Wireless facility would be similarly obscured. ...... ...... Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4.Minimize loss offfe, ,and natural resources from flooding and erosion See LNVRP Section M-Policies Pages 8 through 16 for evaluation criteria [] Yes [:] lb X Not Applicable The proposed facility location is approximately 0.56-mile from the nearest shoreline.Moreover,the proposed installation will result in the minimal disturbance of only 0.01±-acre of existing lawn area on the overall Fire Department property(not including the ground disturbance associated with utility trenching), and any stormwater runoff generated by the minimal addition of impervious surface would mm be collected and recharged on-site.Finally,the proposed facility would be unmanned. As such,there would be no risk to life, structures .............. ........... and natural resources as a result of flooding and erosion. ................. Attach additional sheets ifnecessary Policy 5.Protect and improve water quality and supply in the Town of Southold See LVV7RP Section Ill Policies Pages 16 through 21 for evaluation criteria Yes [:1 No Not Applicable As the proposed facility would be unmanned,it would not require potable water,nor would any sewage or solid waste be generated. Thus,there would be no benefits or impacts to water quality or quantity. ............... ............ ......... ........ ..................... Attach addition al sheets ifnecessary 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 LNVRP Section M-Policies;Pages 22 through 32 for evaluation criteria. 11 Yes D -11b X Not Applicable p y' location is approximately 0.56-mile from the nearest shoreline and is not in close proximity to As �reviousl indicated,the proposed site pp � y significant Coastal Fish and Wildlife Habitats and wetlands.Further,the proposed installation would be on a previously disturbed, manicured lawn area,and would not result in any significant adverse impacts to ecosystems. ' ms. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold See ENVRP Section III - Policies Pages 32 through 34 for evaluation criteria. Yes [N 11b Not Applicable As the proposed facility would be unmanned and remotely monitored,requiring minimal vehicular trips,there would be no significant p quality g �il emissions.In addition the proposed diesel generator would only be used as a adverse impacts to the air ualit resulting from automobile ....- back-up power source in emergency situations.Moreover,the proposed action does not involve the creation of an industrial use.As such, it is not anticipated that the proposed facility would have any adverse impacts upon the air quality in the ' p Town of Southold. Attach additional _..........�. sheets ifnecessmy .� Policy 8.Minimize enviro=ental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L Section III-Policies;Pages 34 through 38 for evaluation criteria. Dyes 0 _tb N Not Applicable The proposed action „ .. .. . waste,hazardous involves the collocation of an unmanned wireless communications facility,thus,no solid .......... substances or other wastes would be generated. PUBLIC COAST POLICIES Policy 9.Provide for public access to,and oral use of,coastal waters,public lands,and public resources ofthe Town of Southold See UVRP Secfion III-Policies;Pages 38 through 46 for evaluation criteria. Yes NoF71 Not Applicable As previously indicated,the proposed action involves the collocation of a wireless communications facility upon a previously disturbed portion of the East Marion Fire Departmentproperty.As such,this does not provide public access to,or rec..reational use of,nor .. would it interfere with,coastal waters,public lands and public resources. Attach additional sheets ifnecessary WORKING COAST POLICIES Policy 10. Protect Southold's waxer-dependent uses arid promote siting ofnew water-dependent uses in suitable locations. See LVWRP Section III-Policies-Pages 47 through 56 for evaluation criteria. N Yes No [:] Not Applicable As the proposed action is a wireless communications facility,it would not directly protect or promote the siting of water-dependent . w .. ...wwww..............._......................................... ........ ........ _�............ ........ resources.However, existing and future water-dependent uses would potentially benefit in emergency situations,as Verizon Wireless cellular service would be enhanced. Attachadditional sheets ifnecessary ..... ._............................................................................................................................................................ Policy 11.Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary and Town waters. See LVV RP Section III-Policies;Pages 57 through 62 for evaluation criteria. E Yes El No X Not Applicable As the proposed facility would be unmanned,is unrelated to marine resources,and is 0.56±-mile from the nearest shoreline,it would ....... -----m, mmmm...._ mmm_.-----m neither benefit nor impact living marine resources. Attach additional sheets ifnecessary Policy 12.Protect agricultural lands m the Town of Southold See LWRP Section III -Policies;Pages 62 through 65 for evaluation criteria. LJ Yes El No X Not Applicable The proposed action would have no impact on agricultural lands in the Town, as the proposed facility would be situated on a previously disturbed,manicured lawn area of the East Marion Fire Department property. Attach additional sheets ifnecessary 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 [:1 NbO Not Applicable The proposed project would use minimal electricity and would be unmanned,therefore,the effect on energy and mineral resources would e minimal. PREPARED BY ,,,,,., TI'I'L,E Project Manager DAM September z a,2015 14ran i+�ha r tob��aiV VHB Engineering,Surveying and Landscape Architecture, P.C.as Environmental Consultant to the Applicant Amended on 8/1/05 29588.07:Southhold LWRP Form 9-15 L IE Full Environmental Assessment Form J_ . ........ Part I -Project and Setting Instructions for Completing Part I a0ut oW Vo Part 1 is to be completed by the applicant or project sponsor. Responses become part of the igp&icitti ciilsraseE� fnrl^ g 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; indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part Iis accurate and complete. A.Project and Sponsor Information. __________ - .......... Name of Action or ....�-- Project: Proposed Verizon Wireless Communications Facility Collocation Project Location describe.......-"- . ............__g __..... p) .� ....... __ ..... ( and attach a eneral location ma 9245 Main Road,Hamlet of East Marion,Town of Southold,Suffolk County(SCTM: 1000-03100-0300-011031)(See attached site location map) ' ...........m. ______ ........ a.a.- .......... -..__..__ -_------------. -- _______ Br .— ief Description of Proposed Action(include purpose or need): The proposed action involves the collocation of a Verizon Wireless communications facility within the existing 110±-foot above grade level(agl) concealment pole located at 9245 Main Road,East Marion.The existing concealment pole and overall subject property contain wireless communications facilities of other carriers.Under the proposed action,Verizon Wireless would install three antennas,six diplexers,and associated cables within the existing concealment pole.The proposed antennas would reach a maximum height of 99.5±feet agl within the pole.In addition,Verizon Wireless' equipment,including cabinets,main distribution boxes and a back-up diesel generator with sound enclosure would be installed upon a proposed 324 ±-square foot(SF)concrete pad with a proposed weather canopy above,proximate to the concealment pole.Four GPS units would be mounted atop the proposed weather canopy at a top height of 10.5±feet agl.Finally,proposed antenna cables would be routed along a proposed ice bridge to the concealment pole,and proposed utility service would be routed in conduits trenched from existing utility connection equipment. Name of Applicant/Sponsor: Telephone:See Project Contact,below New York SMSA Limited Partnership d/b/a Verizon Wireless E-Mail. See Project Contact,below Address: ry/PO ck Road ---- .-........ ....-.....,.,....... StateNew York � ._.W... pZip-Code:10094 West Nyack m .. Project Contact(if not same as sponsor;give name and title/role). Telephone:(516)227-6363 Denise J.Vista,Esq.,Amato Law Group,PLLC E-Mail:dvista@amatofirm.com Address: 666 Old Country Road,Suite 901 City/PO: State: 2ip Code: Garden City New York 11530 Property --_w --�....�.. ..... .....- �.-- y Owner (if not same as sponsor): Telephone: (631)653-6603 East Marion Fire Department E..._..........._.. _-................-.............n.nmm_...._ p -Mail: .. .. Address: 436A Montauk Highway,P.O.Box 3042 East Ouogu �_- New York 11924 City/PO State: ripde: - e mm�.. Page 1 of 13 B.Government Approvals B.Government Approvals,_._ �� _...... Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes: Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑Yes®No or Village Board of Trustees b.City,Town or Village ®Yes❑No Site Plan Approval-Town of Southold TBD Planning Board or Commission c.City Council,Town or ❑Yes®No Village Zoning Board of Appeals d.Other local agencies ❑YesONo e.County agencies ❑YesONo f.Regional agencies ❑Yes®No g.State agencies ❑Yes®No h.Federal agencies ❑YesmNo i...•Coastal ..Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? Yes o If yes, ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? 0 Yes No iii. Is the project site within a Coastal Erosion Hazard Area? El Yes No C.Planning and Zoning C.1.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ❑Yes®No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. ..........................._ ...__.� ..._. _._._. _. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ®Yes❑No where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ❑Yes®No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway Yes No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): NYS Heritage Areas Long Island North Shore,Heritage Area ......... ......... ......... ......... ......... ......... �., ...e. c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes®No or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. ®Yes❑No If Yes,what is the zoning classification(s)including any applicable overlay district? HB-_Hamlet Business and R-40-Residential Low Density zoning districts of the Town of Southold. _._. .............. ...........----� b. Is the use permitted or allowed by a special or conditional use permit? Yes No ..... ..................................................... ...._................ c.Is a zoning change requested as part of the proposed action? ❑Yes®No If Yes, L What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? Oysterponds Union Free School District b.What police or other public protection forces serve the project site? Southold Town Department_ � . c.Which fire protection and emergency medical services serve the project site? The property owner,East Marion Fire Department provides fire protection and emegenc medical services to the site ................___ .................. d.What parks serve the project site? N/A-Proposed wireless communications facility will be unmanned and will not place a demand on or utilize parks. D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all components)? Wireless communications facility collmocation b.a.Total acreage of the site of the proposed action? 3.1± acres(overall subject property) b.Total acreage to be physically disturbed? _ ..„ ---------- 0.01± acres* c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .... 0.01± acres ** c.Is the proposed action an expansion of an existing project or use? ®Yes❑No *** i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, . ----.._ ........ . acres square feet). % 40__,.. . Units t m®.nnnn d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes®No If Yes, L Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) .,......... ---- A __-- ...�.�, ,,,,,, ...... ......... ......... ......... ii. Is a cluster/conservation layout proposed? ❑Yes❑No iii. Number of lots proposed? iv. Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? ❑Yes®No L If No,anticipated period of construction: ................ t months ii. If Yes: • Total number of phases anticipated _ • Anticipated commencement date of phase 1 (including demolition) month year • Anticipated completion date of final phase month year • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: --.--- *Represents ground disturbance associated with installation of the Verizon Wireless 406±-square-foot equipment compound. This does not include the ground disturbance associated with utility trenching. **Represents the Verizon Wireless 406±-square-foot equipment compound area only. Page 3 of 13 ***Proposed action involves the expansion of the existing ground-based equipment area. f.Does the project include new residential uses? ❑Yes®No If Yes,show numbers of units proposed. One Family Two Family Three Family Multiple Family four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? ❑YesNo If Yes, i.Total number of structures ii. Dimensions(in feet)of largest proposed structure: height; width; and length iii. Approximate extent of building space to be heated or cooled: ............................................................................................________ square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes®No liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i. Purpose of the impoundment: ._ ii. If a water impoundment,the principal source of the water: ❑Ground water❑Surface water streams❑Other specify: iii. If other than water,identify the type of impounded/contained liquids and their source. -..x..... m ........ ....... ..... ........ ... iv. Approiate size of the ro osed im oundment. Volume: _ _million gallons; area acres v. Dimensions of the proposed dam or impounding structure: height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑Yes No (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? „ ----- ii. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. _______ --_...... ------ .... .—... _ ------ -.. ----- ------ iv. Will there be onsite dewatering or processing of excavated materials? ❑Yes❑No If yes,describe v. What is the total area to be dredged or excavated? „ ...,M. _������, ..... ...., acres vi. What is the maximum area to be worked at any one time?. acres vii. What would be the maximum depth of excavation or dredging? ..___–_____ ....... feet viii. Will the excavation require blasting? ❑Yes❑No ix. Summarize site reclamation goals and plan: ______ b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment ❑YesZNo into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 ii. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: tat. Will proposed acti-o-n cause or result in disturbance m 3? to bottom sediments? ❑Yes❑No If Yes,describe _ _____ iv. Will proposed action cause or result in the destruction or removal of a uati p p q c vegetation? ❑Yes❑No If Yes: • acres of aquatic vegetation proposed to be removed: ......... .-_.-.—.-.-. --- • expected acreage of aquatic vegetation remaining after project completion:- • purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): . . • proposed method of plant removal: . • if chemical/herbicide treatment will be used,specify product(s): .... .. v. Describe any proposed reclamation/mitigation following disturbance:-- c.Will the proposed action use,or create a new demand for water? ❑Yes o If Yes: (Unmanned facility-no potable water L Total anticipated water usage/demand per day: _gallons/day required) ii. Will the proposed action obtain water from an existing public water supply? ❑Yes❑No If Yes: • Name of district or service area: • Does the existingusupply public water pp y h ave capacity to serve the proposal? ❑Yes❑No • Is the project site in the existing district? ❑Yes❑No • Is expansion of the district needed? ❑Yes❑No • Do existing lines serve the project site? ❑Yes❑No iii. Will line extension within an existing district be necessary to supply the project? ❑Yes❑No If Yes: • Describe extensions or capacity expansions proposed to serve this project: ................. . ....... • Source(s)of supply for the district — ---- ---- iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes❑No If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated:.... • Proposed source(s)of supply for new district .... _- ......... ......... m, v. If a public water supply will not be used,describe plans to provide water supply for the project: ..... -- ....... .... ®.. ......... .. Vi.If water supply will be from wells(public or private),maximum pumping capacity: gallons/minute. d.Will the proposed action generate liquid wastes? ❑Yes®No If Yes: (Unmanned facility-no liquid waste L Total anticipated liquid waste generation per day: m.„mmm gallons/day generation) ii.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): iii. Will the proposed action use an existing public waste t..,o ..w. p p y g p water treatment facilities? ❑Yes❑No If Yes: • Name of wastewater treatment plant to be used: ____ _ • Name of district: _ • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No • Is the project site in the existing district? ❑Yes❑No • Is expansion of the district needed? ❑Yes❑No Page 5 of 13 a Do existing sewer lines serve the project site? E]YesE]No 0 Will line extension within an existing district be necessary to serve the project? E]Yes[]No If Yes: 9 Describe extensions or capacity expansions proposed to serve this project: ..............................................—-—------------ .. ......... ........................................................................... .................................................................................................................. .............................................................................................. ",I.I............................................................................. ----—--- iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? E]YesE]No If Yes: • Applicant/sponsor for new district: ------------------------................................................................ ... ........................................... • Date application submitted or anticipated: . ..............._ .............................................................. .............................................. 0 What is the receiving water for the wastewater discharge?----—--- ---—- ---------------------- v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): ...................................................................... __1_111� ..................................... -------------_..................----------.................. ------ -111-11111..........------------ —--------------------------------- ........................................................................................................................................ Vi. Describe any plans or designs to capture,recycle or reuse liquid waste:-- ----------------- �............................................... ................................................................................... ................................................................................................... ........................................................ ... ------- .................................................................................................................... .. ....................................................................................... e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point []YesoNo sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point source(i.e.sheet flow)during construction or post construction? If Yes: i. How much impervious surface will the project create in relation to total size of project parcel? Square feet or _acres(impervious surface) Square feet or _acres(parcel size) ii. Describe types of new point sources, .................................................................................................. -----------------------------.................... I--................ .......................................................................................... iii. Where..........will stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-site surface waters)? ........................................................................................................ ...... ...... —-111 -------....................................................................................... —----- - ------------- • If to surface waters,identify receiving water bodies or wetlands: ............. --------------------. .......... -----—----------— ---------- —----------- ........................................................ • Will stormwater runoff flow to adjacent properties? E]YesE]No iv. Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? E]YesE]No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel OYes[]No combustion,waste incineration,or other processes or operations? If Yes,identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) N/A .......................................................... ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) N/A ............................................................................................. ...................................... iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) Back-up diesel generator ................................................................................. ........................................................................... -------- ---------------...................................... g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, E]YesoNo or Federal Clean Air Act Title IV or Title V Permit? If Yes: L Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet E]YesE]No ambient air quality standards for all or some parts of the year) ii. In addition to emissions as calculated in the application,the project will generate: 0 .....................................................................-,lons/year(short tons)of Carbon Dioxide(CO2) a ----- ............................ '1'ons(year(short tons)of Nitrous Oxide(N20) 0 ,1"ons/year(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • lonsJyeAir(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • ..........-----------l'ons/year(short tons)of Hazardous Air Pollutants(HAPS) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, YesONo landfills,composting facilities)? If Yes: L Estimate methane generation in tons/year(metric): ii.Describe an capture,control or elimination measures included in project y methane ca ,p design(e.g.,combustion to generate heat or electricity,flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes®No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ❑Yes0No new demand for transportation facilities or services? (Unmanned facility) If Yes: i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend ❑Randomly between hours of ........... to ii. For commercial activities only,projected number of semi-trailer truck trips/day: _. -------- X. Parking spaces: Existing __A Proposed Net increase/decrease iv. Does the proposed action include any shared use parking? ❑Yes❑No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private transportation service(s)or facilities available within 1/2 mile of the proposed site? ❑Yes❑No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑Yes❑No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes❑No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ®Yes❑No for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action: TBD-Minor increase in electricity demand may ------ result from proposed facility installation. ii. Anticipated sources/suppliers of electricity for the project oject(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): Local utility provider(PSEG Long Island) iii. Will the proposed action require a new,or an upgrade to,an existing substation? ❑Yes®No 1.Hours of operation. Answer all items which apply. i. During Construction: ii. During Operations: • Monday-Friday: 8:.00 a.m.to 6:00 p.m.* • Monday-Friday: 24 hours/day • Saturday: 8„00 a.m.to 6:00 p.m.* • Saturday:r 24 hours/day** ......... ......... ........ • Sunday: ---------8.00 a.m.to 6:00 p.m.” • Sunday: 24 hours/day** • Holidays: 8:00 a.m.to 6:OO p.m.* • Holidays: 24 hours/day** *Represents typical construction hours. "*Remotely monitored, unmanned facility, Page 7 of 13 m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ®Yes❑No operation,or both? If yes: i. Provide details including sources,time of day and duration: Ambient noise levels may be temporarily increased during facility construction activities. However,the applicant would comply with applicable noise regu"'tations.� m,-------------------- .,,,,,, ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen p p ? El Yes®No Describe: n.. Will the proposed action have outdoor lighting? ®Yes❑No If yes: i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: I hrefla_l.aght flx4u-res wu_a9 .be surfgs e,d11¢ata at c a�a,the rarudr d_sd N of tl�;e_taroposod„ foot gaw,gY�v� Cka c �rricTay Loh-fi tg wouldb oporaC cl lay„a 6Ni,i tla--- switch and would be fully shielded,as required by the Town of Southold. ----. — .....__ ......... ......... _ ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes®No Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes®No If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes®No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i. Product(s)to be stored ii. Volumes per unit O p ' time � e (e.g.,month,year) iii. Generally describe proposed storage facilities: q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes ®No insecticides)during construction or operation? If Yes: i. Describe proposed treatment(s): ---- ii. Will the ro sed action use Inte rated Pest"Mana ement Practices? ❑ Yes ❑N....�.... - - o r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes ONo of solid waste(excluding hazardous materials)? If Yes: i. Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation: tons per --- —(unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: - - — • Operation ........-. ......—----- ® ..m _,. ..... ---..................................................................... iii. Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation ......... ...... _„._ ------------- Page8of13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑Yes® No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life: ........ ____ years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous ❑Yes®No waste? If Yes: i. Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ,,----------___ ® _.__ ...- -- --- ..... ii. Generally describe processes or activities involving hazardous wastes or constituents: iii. Specify amount to be handled or generated to ns/month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: ...... ......... ........ ......... ----------------------------------------- v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes❑No If Yes:provide name and location of facility: If No. s describe proposed management of any hazardous wastes which will not be sent to a ® --- hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site ........._ ..._ ........�. a.Existing land uses i. Check all uses that occur on,adjoining and near the project site. ❑ Urban ❑ Industrial ® Commercial 0 Residential(suburban) ❑ Rural(non-farm) ❑ Forest ❑ Agriculture ❑ Aquatic ® Other(specify) Past Marion Post Office East Marion Fire Department ........ ------- ......... H. If mix of uses,generally describe: The aatfic:t prop rly i developr^d With the East MarionMFire Iwtelm nc nt_ ww�r ll as„fan exnstir�g c i�n�t fry,@urogrft pc�tle itN_i wireless communications facilities therein„in a predorninan0y single-family residential rnrea,with commercial bed-and-breakfast uses located beyond b-Land uses and covertypes on the p �roject site. __________ Cui _ _ .-. -...m.m.. . _ Change Land or urrent CortYPeAcreage Project Completion (Acres+/- � .�.... • Roads,buildings,and other paved or impervious 0 0.01±* +0.01 surfaces • Forested 0 0 0 agricultural,cultural, . grasslands or brushlands(non g ' including abandoned agricultural) 0 0 0 • Agricultural 0 0 0 active orchards,field,greenhouse etc.) • Surface water features 0 0 0 (lakes,ponds,streams,rivers,etc.) • Wetlands freshwater �-� �- �- � ( or tidal) 0 0 0 • Non-vegetat --- ........ _ ed(bare rock,earth or fill) 0 0 0 • Other Describe:Lawn 0.011* 0 -0.01 *Represents 406±-square foot proposed equipment compound area only. Note that this does not include the area to be disturbed for utility routing,as it is anticipated that any ground cover disturbed for utility installation would be replaced in-kind. Page 9 of 13 c.Is the project site resent] used b me.. �... [1Y....._�-� p � presently y tubers of the community for public recreations es❑No i. If Yes: explain: ........... d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes®No day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities: e.Does the project site contain an s exi ..,.. ting dam? ❑Yes®No If Yes: i. Dimensions of the dam and impoundment: • Dam height: feet • Dam length: feet .- ..... __...._ • Surface area: acres ......... ......... ......... • Volume impounded: a gallons OR acre-feet ii. Dam's existing hazard classification: W. Provide date and summarize results of last inspection: ...... f.Has the project site ever been used as a municipal commercial or industrial solid waste � t facility,.. . . m . ................................. management ❑Yes®No or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation: ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: ------------- iii. Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes®No._.............. property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred: 1-111111111111........ h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any [--]Yes® No remedial actions been conducted at or adjacent to the proposed site? If Yes: L Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s) ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures. ......... ......... ........ .....-.___ r iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes❑NO If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property uses? ❑Yes❑No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): • Describe any use limitations: ................-_ ...... .. ... • Describe any engineering controls:ols • Will the project affect the institutional or engineering controls in place? ❑Yes❑No • Explain: ------- -------- ----- - E.2. Natural Resources On or Near Project Site a.What is the . average depth to bedrock on the project site. -___5001 feet below grade surface b.Are there bedrock outcroppings on the project sitemm ❑Yes®No If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: Haven -am,0-2%slopes(HaA) 50t% . ------.....-.-.-._..................................................._.......-.- . .......... ... ..... —._ _..........................................................._. Riverhead sandy loam,0-3%slopes(RdA) 50±% d.What is the average depth to the water table on the project site? Average: 30 feet below grade surface ....... ........ ...................................1111-11,11-11111".....". e.Drainage status of project site soils.® Well Drained: 100,%of site E] Moderately Well Drained: %of site ❑ Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: ® 0-10%: 97t %of site ® 10-15%: 1±_%of site ® 15%or greater: - .2t %of site g.Are there any unique geologic features on the project s'rtme?m .......... ❑Yes®No If Yes,describer ......................................................................................... h. Surface water features. i. Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes®No ponds or lakes)? ii. Do any wetlands or other waterbodies adjoin the project site? ❑Yes®No If Yes to either i or ii,continue. If No,skip to E.2.i. iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes❑No state or local agency? iv. For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification • Lakes or Ponds: Name Classification u .. • Wetlands: Name Approximate Size • Wetland No.(if regulated by DEC)e,,,, v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired El Yes❑No waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway? ❑Yes ONo j.Is the project site in the 100 year Floodplain? � [-]Yes❑No - k.Is the project site in the 500 year Floodplain? Yes❑.... No 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ®Yes ❑No If Yes: i. Name of aquifer: Nassau-Suffolk Sole SourceAquifer Page 11 of 13 m. Identify the predominant wildlife species that occupy or use the project site: Typical suburban species may occur on overall property. However,there are no natural areas existing on the project site(i,e„on the concealment pole or at the site o epi proposed equipni�area.) .. m ,,. n.Does the project site contain a designated significant natural community? ❑Yes®No If Yes: i. Describe the habitat/community(composition,function,and basis for designation): ---------------------------------- ... ...... ....... ii. Source(s)of description or evaluation: W. Extent of community/habitat: • Currently: acres • Following completion of project as proposed: .....-----------......................--..........----................................. acres • Gain or loss(indicate+or-): acres o.Does project site contain a species of plant or animal that is listed b the federal government or NYS as.._........ .... P J any P P Y g ❑Yes[Z]No endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? Does the ro'ect srt ..... ... �.. ww ----------- .m m m m mm.._m. ..� 6-....... ,...a ..... p. p j contain any species of plant or animal that is listed by NYS as rare,or as a species of Yes❑No special concern? q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes®No If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site . . .. a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes®No Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive o soils present. ❑Y s[ No i. If Yes:acreage(s)on project site? --- ii. Source(s)of soil rating(s): c. Does the project site contain all or p.......t y , gister� ❑ e ®............ o art of,or is it substantially contiguous to are registered National Yes No Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature ii.Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical al Environmental Area? ❑Yes®No If Yes: i. CEA name: ii. Basis for designation: W. Designating agency and date: Page 12 of 13 e.Does the project site contain,or is it substantially contiguous to a building,archaeological site or district ®Y....sEl g g, es❑No which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: i. Nature ofhistorilai ciirillrlci iciii resource: El Archaeological Site ®Historic Building or District Capt.WM Leek hl+ruse(U rid 10 1 f31'ii)1153),World War I and II Monument and Memorial Post Office(USN 10210 001155),Deacon WH Tuthill House(USN 10310.001154),BC Tuthill ii. Name:Hnusa_Lulsj �att.l ISS>1 �aPiut.. til flrk,H (.! -a.43,1a-Qo�.��7� �.WA........ iii. Brief description of attributes on which listing is based:. *See below -.-.... ---------------- f.Is the project site,or any portion of it,located in ...... � ........�.._ - or adjacent to an area designated as sensitive for ❑Yes®No archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? Have additional archaeological or historic sites or resources g. g' O sources been identified on the project site? ❑Yes®No If Yes: i.Describe possible resource(s): ii. Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ®Yes❑No scenic or aesthetic resource? If Yes: L Identify resource: **See below ii. Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): .. ........ ............ iii. Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers ❑YesONo Program 6 NYCRR 666? If Yes: i. Identify the name of the river and its designation ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑Yes❑No F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. VHB Engineering,Surveying and Landscape Architecture, P.C.as Environmental Consultant to Verizon Wireless Applicant/Sponsor NameDate September 28,2015 Signature ;r nature Title Protect Manager Erin Echevarn *The above-referenced historic resources have been determined eligible for listing in the National Register of Historic Places. These resources,with the exception of the Memorial Post Office,are nineteenth-century residences that are noted as being significant for contributing to the historic East Marion streetscape. The Memorial Post Office is noted as significant for being the first post office built as a war memorial. **Note that there are a number of scenic and aesthetic resources within a five-mile radius of the proposed action. However,given the nature of the proposed action(i.e.,installation of a wireless communications facility within and proximate to an existing concealment pole),there would be no discernible visual impact to any of the resources as a result of the proposed action. Page 13 of 13 29588 07:projrecfindoc_NYS EAF_9-15 .re n ti �µ PLUM:ILAND ..-� � GAR[71tUERS5. 1 r' l SHELTER ISLAND � -SOUTHQLD j k EAST HAMPTONIr 5OUT HAMPI ON SITE LOCATION SITE NAME: Verizon Wireless Communications Facility Collocation STREET ADDRESS: 9245 Main Road, East Marion N MUNICIPALITY, STATE,ZIP: Town of Southold, New York, 11939 PROJECT NO.: 29588.07 Legend E' SOURCE:;2013 NYS Digital Ortho-imagery,©NYSITS,2013;Suffolk County Tax Parcels,Streets: Site S NYSITS,2014. 0 Overall Subject Property Feet 1 inch = 110 feet 0 40 80 160 MAILING ADDRESS: OFFICE LOCATION: ����� , � "'�� P.O. Box 1179 Town Hall Annex siM 54375 State Route 25 , Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY www,southoldtownny.gov 0OUNTI1j PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 26, 2016 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion, NY 11939 SCTM#1000-31-3-11.31 Zoning District: HB & R-40 Dear Ms. Vista: Pursuant to §280=74A(d) of the Town Code, the Planning Board hired a Technical Consultant to aid in the review of the application and the submission from your office of Check#5961, $4,000.00, was placed into an escrow account with the Town Comptroller's Office to cover the cost of the review by Cityscape Consultants. Enclosed please find a copy of Amato Law Group Check #5961 with the memo transmitting it to our Accounting Department, the Purchase Order#29175, the "Voucher, the invoice from Cityscape Consultants, Inc., a copy of their report (dated. December 10, 2015) and a print-out verifying payment to them. If I can be of further assistance in this matter, please contact me. Very truly yours, Brian A. Cummings Planner Encls.. GL108S 20 TOWN OF SOUT OLD Disburs Inquiry by Vendor Name View 1 Actual Hi . . . . . . . . . . . . . .D ail--GL100N. . . . . . . . . . . , Vendor . . 003373 CITYSCAIL CONSULTAN : W-01192016-87u Line= 88 Formula: 0 Y=Select : Account . . B .8020.4. 500.350 = - JE ateTrx Date___ lit n(l Ac cs�t.aid F Acct Desc WIRELESS CONSULTANTS r_ -- . . _ . _. . -- - Use Acti Trx Date. . . . . 1/19/2016 SDT 1/20/16 7/28/2015 7/28/2015 B .8020.4.5 Trx Amount . . . 4,000.00 7/28/2015 7/28/2015 B . 691 Description. . WIRELESS APP 31-3-11.31 7/28/2015 7/28/2015 B .2115.40 Vendor Code. . 003373 Pay Method: 12/01/2015 12/01/2015 B .8020.4.5 Vendor Name. . CITYSCAPE CONSULTANTS, I 12/01/2015 12/01/2015 B .691 Alt Vnd. . 12/01/2015 12/01/2015 B .2115.40 CHECK. . . . . . . . 127385 SCNB 12/01/2015 12/01/2015 B .8020.4.5 Invoice Code. 3261 12/01/2015 12/01/2015 B .691 = VOUCHER. . . . . . 12/01/2015 12/01/2015 B .2115.40 P.O. Code. . . . 29175 12/01/2015 12/01/2015 B .8020.4.5 Project Code. 12/01/2015 12/01/2015 B .691 Final Payment F Liquid. 12/01/2015 12/01/2015 B .2115.40 Type of 1099. N BOX. Addl . Y, 1/19/2016 1/19/2016 B .8020.4.5 Fixed Asset . . N Y 1/19/2016 1/19/2016 B .691 Date Released 1/19/2016 Y 1/19/2016 1/19/2016 B 2115.40 Date Cleared. .... ._... _____.....--------- a _...-_- E F3=Ex i t F 12=Cance l F2=Shift Up F3=Exit F10=Prev View = Select Record(s) or Use Action Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : !Vendor No. �Cbeck No, 3373 Town of Southold, New York - Payment Voucher Vendor Name Vcridor Address 1�nTere d by CITYSCAPE CONSULTANTS, INC. 7050 W Palmetto Park Road j [moi°ut Dare Vendor Telephone Number (561)558-2808 I #15-PMB 652 i E ��oxva- Cier=<: Vendor Contact Kay Miles(954)609-9797 Direct Boca Raton,FL 33433 Invoice Invoice Invoice Net Purchase Order Numbcr Date Total Discount (Amount Claimed Number Description of Goods or Services Cereml red^g:t=uns and. cu.z ,,.bcr 3261 12/15/2015 $4,000.00 n/a $4,000.00 29175 Consultingservices re:Wireles ar �,. application for collocation for Verizon Wireless at � I _ 9245 NYS Route 29,East Mari n Fire DistrictcA . SCTM#1000-31-3-11.31 i I — i E , Payee Certification a rt ent Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and tFt taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved_ p Sig attire- Title t Company Nam t _ r Title Daze CkyScape INVOICE CON S U LTA N T S I N C . DATE INVOICE# 7050 W. Palmetto Park Rd#15-652 12/15/2015 3261 Boca Raton, FL 33433 .. - BILL TO Town of S. .. ... m... ................... .�. ... outhold Heather Lanza, AICP, Planning Dir P.O. Box 1179 Southold, NY 11971 Project Ref/PO: VZW 9245 NYS Route 25 Description Rate Amount Site Application Review and Analysis: VZW EAST MARION FIRE4 �� ��� s' ,000.00 4,000.00 DISTRICT" Site Application submitted by Verizon Wireless;to collocate and add NY equipment on existing facility located at 9245 NYS Route 25, East Marion, Review completed 12-10-2015 Public Hearing N/A SCTM: 1000-31-3-11.31 PURCHASE ORDER#29175 Please check your records to reflect that CityScape address is noted as per below: CityScape Consultants, Inc. 7050 W Palmetto Park Rd. Suite#15-PMB 652 Boca Raton,FL 33433 ....... _ m..m...m ............ Total $4,000.00 Should you have any questions or need information„please contact CityScape Administration. Telfa(377)4.39-2951 Fax(377)229-4593 www.CKyScapeGov.Corn f I 5 TOWN OF SOUTHOLu I, Purchase Order# __ . 29175 _�___� -- Account#Date x ... � .. �,. Deliver,and � � g�, � � ��� end �r�� � � �� � � send billing V Department° �� , �0'I �`�I� ro � (, �i .r,,. u � m ' .............. Address .........rP LI 6L, b o VENDOR **Return this copy and Town of Southold voucher itemized and signed for payment** ITEM QUANTITYDESCRIPTIONUNIT COST TOTAL �,. J� f� � g p✓�; dl" u N I f n � i l 4 THIS PURCHASE ORDER IS NOT VALID WITHOUT THE SIGNATURES OF THE DEPT. HEAD AND THE SUPERVISOR j I CERTIFY THAT THERE ARE SUFFICIENT FUNDS AVAILABLE IN THE AP1pPRIATION CHARGED Dept Head I CERTIFY THIS TO BE A JUST AND TRUE PURCHASE ORDER -� Supervisor MAILING DRESS: souPLANNING BOARD E P.O. Box 1179 DONALD J.WILCENSKI � Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY S( 54375 State Route 25 JAMES H.RICH III ' f (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR [" �A Southold, NY Telephone: 631 765-1938 www.s outholdtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 6, 2015 Denise J. Vista, Esq. Amato Law Group, PLLC 666 Old Country Road, Suite 901 Garden City, NY 11530 Re: Proposed Verizon Wireless Co-location at East Marion Fire District Located at 9245 NYS Route 25, East Marion, NY 11939 SCTM#1000-31-3-11.31 Zoning District: HB & R-40 Dear Ms. Vista: am writing as a follow-up to the Work Session held on November 2, 2015 where the Planning Board determined that the above-referenced Site Plan Application is incomplete. Before the Board can commence its full review, it is necessary to complete the application by submitting the following directly to this department: • Provide the required fee of $1000.00 for a Wireless Modification where Site Plan Approval is required. $290.60 has been provided; the difference of$709.40 is required. Pursuant to §280-130A of the Southold Town Code, the Planning Department is required to provide a report concerning the proposed co-location to determine whether the guidelines for wireless facilities are met. Our consultant, CityScape Consultants, Inc., may contact you directly regarding information pertinent in completing this review. If you have any questions regarding this application or its process, please do not hesitate to call this office. Thank you in advance for your prompt payment. Very truly yours, Brian A. Cummings Planner MAILING ADDRESS: PLANNING BOARD MEMBERS P.O.P.O.Box 1179 DONALD J.WILCENSHI � Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY * 54375 State Route 25 JAMES H.RICH III " . (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR '+ N1 Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 5, 2015 Mr. Richard L. Edwards d/b/a CityScape Consultants, Inc. 7050 Palmetto Park Road Boca Raton, FL 33433 Re: Consulting Services for Verizon Wireless at East Marion Fire District Located at 9245 NYS Route 25, East Marion, NY 11939 SCTM#1000-31-3-11.31 Zoning District: Hamlet Business & R-40 Dear Mr. Edwards:: The Planning Board has authorized your scope of services in connection with the above. This letter will authorize you to proceed with the consulting work as outlined in the Agreement. Enclosed is the approved Purchase Order#29175 with amount not to be exceeded. Any work beyond this amount must be authorized in writing prior to being started. Also enclosed for your convenience is a Southold Town Voucher Form for your use with each invoice submitted to this department. Following are directions to review the file: 1. Go to the Town of Southold website www.southoldtownny.gov; 2. Click on Weblink located on bottom left of home page; 3. Click on "Planning Dept." folder; 4. Click on "Applications" then "Site Plans" then "Pending;" 5. Click on the SCTM# (tax map #) of the application (found above). If you have any questions, please contact me directly at 631/765-1938 between 8:00 a.m. and 4:00 p.m. Sincerely, b Brian Cummings Planner Encls. TOWN OF SOUTHOLD 00J, Purchase Order# 29175 Date , __ Account #" send trail@erg o: FVendo0 7/Deliver and _Delrtrrerrt, C7+ 7 � � �� �4 ��� OU)n &F Address 1 and Ro.f_L 334,39 VENDOR "Return this copy and Town of Southold voucher itemized and signed for payment' ITEM QUANTITY DESCRIPTION UNIT COST TOTAL �u41-r r r r nr s . THIS PURCHASE ORDER IS NOT VALID WITHOUT THE SIGNATURES OF THE DEPT. HEAD AND THE SUPERVISOR I CERTIFY THAT THERE ARE SUFFICIENT FUNDS AVAILABLE IN THE AP OPRIATION CHARGED .... ..w- .--..............................._........... Dept. Hn.. .. ..ad I CERTIFY T,,HIS TO BE A JUST AND TRU 3URCI-IAI E ORDER Supervisor 0 y � Y i v w Ed) ow U Y y O N y i.w O .8 C y G � O C ® ® w 00 `o b a o v � a v c ® E v 0 -0 CL O as X A O Q -91, , — m.,.,.,.,, ,. , c t� c - ro U °G° °c°LE .0 'o °) Q atwi w as a+ c w c i U Y d az eu Z bb v > e > o a c ax a� n o G c ov 'Fcd o ctl n c 4-4 o c a c E ob CL a) aai � n U OFFICE LOCATION: ' .'Z;11��41ILING ADDRESS: Town Hall Annex f P.O. Box 1179 54375 State Route 25 `e:, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) y'" Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 16, 2015 Re: Deferred Revenue The Site Plan Application referenced below has been accepted by the Planning Board and the funds may be processed to Planning Applications Revenue Account 82115.10. Thank you. ..__..._ ... Applicant/Project Name & Tax Map # Amount Check _ YpType Date/No. Verizon Wireless ......_ .�..... ....m.mm .. _..._.� at East Marion 31-3-11.31 $290.60 10/2/15 -#5960 Fire District—Site Plan Application Amato Law Fee & & 11/12/15 -#6119 $709.40 Amato Law JM x MAILING ADDRESS: PLANNING>3 D MEMBERS S0 P.O. sox 1179 DONALD J.WILCENSKI ° ' w� Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY 54375 State Route 25 JAMES H.RICH III / (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR t�.y Southold, NY Telephone: 631 765-19 3 S www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Departmer .. Date: November 19, 2015 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. 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LCLNSKI �'� � �� Southold, 21971 Chaff, OFFICE LOCATION: LL J.CRMFRS Town Hall Annex PIERCE FERTY s, 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDORCOUN ,'°��:t� Southold, NY Telephone: 631 765-193 S www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From; Planning Department Date: October 19, 2015 Re: Checks The attached check is for a Consultant Escrow Fee for the project review listed below. Please deposit into B691 Deferred Revenue Account. Thank you. 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