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Cooper's Farm
COUNTY OF SUFFOLK RECEIVED re FEB 9 2012 Southold Town Clerk STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING SARAH LANSDALE,AICP Director of Planning February 3, 2012 Town of Southold PO Box 1179 Southold,New York 11935 Att: Ms. Elizabeth A.Neville, Clerk Applicant: Cooper Farm Zoning Action: Change of Zone R-80 to Ag PDD S.C.T.M.No.: 0100 10600 0900 002003 Resolution No.: 2011-870 S.C.P.D. File-No.:- SD-12-LD Dear Ms.Neville: - Pursuant to the requirements of Sections A14-14 thru A14-25 of the Suffolk County Administrative Code, the above referenced application which has been submitted to the Suffolk County Planning Commission is considered to be a matter for Local Determination as there is no apparent significant county wide or inter-community impact. A decision of Local Determination should not be construed as either an approval or disapproval. Very truly yours, Sarah Lansdale Director of Planning Andrew P. Frel: "g Chief Planner ' APF:ds LOCATION MAILING ADDRESS H.LEE DENNISON BLDG.-4TH FLOOR P.O.BOX 6100 (631)853-5191 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 TELECOPIER(631)853-4044 Neville, Elizabeth From: Krauza, Lynne Sent: Tuesday,January 10, 2012 8:50 AM To: Neville, Elizabeth Cc: Cooper, Linda; Finnegan, Martin Subject: Cooper Farm AgPDD Change of Zone Attachments: Memo PB & LPC.rtf Hi Betty, Martin asked me to send you the attached draft Memorandum to be sent to the Planning Board and Melissa in connection with the referenced matter. Please send us a copy of the Memo only once it is sent. Thank you. Please call if you have any questions. Lynne r%-71-7-2 , NcPs 014 fan&c- 4, rue,=et, _ . . . .t.12.42.- c/..4.4.1-, ,,i2 ,G,GZ.) Er 17Z ...,:,.... .,e_.e.., r , 3 a....12--,,LY d..z..e..„L gA, c-0-,,,,,„0/ tm.,), 1 o ......,,,,...„--...4„.r ms' s o-n( • 4 � 4' l (5' 4 . 1 Kc- (e b s.. ob. 1 TOWN Mai �� %®gUFFOLA ELIZABETH A.NEVILLE,MMC ����� ®4 Town Hall,53095 Main Road TOWN CLERK d P.O.Box 1179 eta Southold,New York 11971 REGISTRAR OF VITAL STATISTICS : 0 Fax(631)765-6145 MARRIAGE OFFICERQ� ,0 Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER : ®1 '147" southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER •••,•,,,,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MEMORANDUM To: Members of the Planning Board Ms. Melissa Spiro, Land Preservatio ; - dinator From: Elizabeth A. Neville, Town Clerk (- Date: January 12, 2012 Subject: Cooper Farm Agricultural Planned Development District Attached for your review is the Cooper Farm Change of Zone Application which is being referred to you for review pursuant to Town Board resolution #2011-870 (copy attached). Kindly review the application in accordance with the criteria and requirements set forth in Section 280-174 of the Town Code and provide your comments and recommendations to my office within 60 days. Enclosures eir r` RESOLUTION 2011-870 NeT4I ' ADOPTED DOC ID: 7437 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2011-870 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 20,2011: WHEREAS the Town Board of the Town of Southold has received a Change of Zone application for the property known as SCTM#1000-106-9-2.3, owned by David Cooper Jr., Donald Cooper and Doug Cooper(Cooper Farm) from Low Density Residential R-80 to Cooper Farm Agricultural Planned Development District; and WHEREAS the property meets the Requirements for Eligibility for rezoning to AgPDD as per Section 280-173 of the Town Code; and WHEREAS the Town Board reviewed the application at a work session held on December 20, 2011, and made a preliminary determination of interest in considering the rezoning; be it therefore RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to forward the Change of Zone application for Cooper Farm(SCTM #1000- 106-9-2.3) to the Southold Town Planning Board and the Land Preservation Committee for review and recommendation in accordance with Section 280-173 of the Town Code. aja446s Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William Ruland, Councilman SECONDER:Vincent Orlando, Councilman AYES: Ruland, Orlando, Talbot, Krupski Jr., Evans, Russell ��/ ogUFFOL,�CoG ELIZABETH A.NEVILLE,MMC 4 y Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 _ Southold New York 11971 REGISTRAR OF VITAL STATISTICS `�O ,, Fax(631)765-6145 MARRIAGE OFFICER \ 44 �� 00 RECORDS OF MANAGEMENT OFFICER s- (j * *too" Telephone n.no th7fork n FREEDOM OF INFORMATION OFFICER ,,, �' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 21, 2011 Re: Resolution Number 2011-870 "A Local Law to amend the Zoning Map of the Town of Southold by Changing the Zoning Designation of that portion of SCTM #1000-106-0-2.3 from R-80 to AgPDD as per Section of 280-173 of Town Code Martin Sidor, Chairman Southold Town Planning Board Southold Town Hall 53095 Main Road Post Office Box 1179 Southold, New York 11971 Dear Mr. Sidor: The Southold Town Board at their regular meeting held on December 20, 2011 adopted the resolution referenced above. A certified copy is enclosed. Please prepare an official report defining the Planning Department's recommendations with regard to this proposed local law and forward it to me at your earliest convenience. This proposed local law is also being sent to the Suffolk County Department of Planning for their review. The date and time for this public hearing has not yet been set. Please do not hesitate to contact me, if you have any questions. Thank you. Very truly yours, �-�(.,��G�� Elizabe A. Neville Southold Town Clerk Enclosure cc:Town Board Town Attorney ELIZABETH A.NEVILLE,MMC $10 a�y Town Hall,53095 Main Road TOWN CLERK ti o P.O.Box 1179 ti _ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS • p Fax(631)765-6145 MARRIAGE OFFICER ��',�� Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER ': £j southoldtown.northfork.net �►a i� FREEDOM OF INFORMATION OFFICER �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 21, 2011 Re: Resolution Number 2011-870 "A Local Law to amend the Zoning Map of the Town of Southold by Changing the Zoning Designation of that portion of SCTM#100-106-2.3 from R-80 to AgPDD as per Section 280-173 of the Town Code Andrew P. Freleng, Chief Planner Suffolk County Department of Planning Post Office Box 6100 Hauppauge, New York 11788-0099 Dear Mr. Freleng: The Southold Town Board at their regular meeting held on December 20, 2011 adopted the resolution referenced above. A certified copy is enclosed. Please prepare an official report defining the Planning Department's recommendations with regard to this proposed local law and forward it to me at your earliest convenience. This proposed local law is also being sent to the Southold Town Planning Department for their review. The date and time for this public hearing has not yet been set. Please do not hesitate to contact me, if you have any questions. Thank you. Very truly yours, Elizabgth A. Neville Southold Town Clerk Enclosure cc: Town Board Town Attorney r e - ,ii" OFFOLt OFFICE LOCATION: MELISSA A.SPIRO '��' s.. 00G Town Hall Annex LAND PRESERVATION COORDINATOR , � y ; 54375 State Route 25 melissa.spiro@town.southoldny.us I (corner of Main Rd&Youngs Ave) Southold,New York Telephone(631)765-5711 �. $ Facsimile(631)765-6640 O ����� MAILING ADDRESS: y .6 v� P.O.Box 1179 °1 00�/ Southold,NY 11971-0959 r irrrr�� DEPARTMENT OF LAND PRESERVATION TOWN OF SOUTHOLD TO: Elizabeth A. Neville, Town Clerk FROM: Melissa Spiro, Land Preservation Coordinator RE: Agricultural Planned Development District Change of Zone Application Cooper Farm SCTM# 1000-106-9-2.3 DATE: December 15, 2011 I have reviewed the Cooper Farm Change of Zone application and find that it is complete and ready for consideration by the Town Board. The application was presented with an incorrect tax map number. The correct tax map number is 1000-106-9-2.3,please revise your records accordingly. Cc: Martin Finnegan, Town Attorney Heather Lanza, Planning Director ,°%Apf SOQT6o ELIZABETH A.NEVILLE,RMC,CMC ,`O ' l0 Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 1 Southold,New York 11971 REGISTRAR OF VITAL,STATISTICS • G Fax(631)765-6145 MARRIAGE OFFICER .4` RECORDS MANAGEMENT OFFICERN `AC,�' ��� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER =teouN1 �.''.� southoldtown.northfork.net %.., rot OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Martin D. Finnegan,Town Attorney Heather Lanza, Planning Director • From: Elizabeth A. Neville,Town Clerk Re: Agricultural Planned Development District Change of Zone application of Cooper's Farm Date: October 17, 2011 The enclosed change of zone application was submitted to my office on Friday, October 14, 2011 by Doug Cooper(276-6215) and Don Cooper(807-6123). Please review it and send me your recommendation as to whether or not this application meets the criteria for acceptance for filing of the Town. Thank you. Cc:Supervisor&Town Board Members Z5/12/2011 15:48 6317656640 LAND PIES PAGE 05 APPLICATION FORM EEOUEST yort AGRICULTURAL P) ANNED DEVELOPMENT DISTRICT{AgPDD) • CHANGE OF ZONE APFLICATION NAME:L©�© }-f al--i77 101.57-4-1-:e D{ L)eLJ/1 (� P"-', • (b ame under which apply tion shall be known) SUFFOLK COUNTY TAX MAP NO.: 1000- / 00.0 -laL -..7 '-�-0,'/i3, District Block Parcel A. SUBMISSION INFORMATION: Application is hereby made to the Southold Town Board for a change to a zoning classification on the current Zoning Map to create ati Agricultural Planned Development District in accordance with Article XXX(Agricultural Planned Development District)Section 280-174 of the Southold Town Code. Two 2)copies of each of the following are required as part of the application: 1. Completed application form; tI/2_ Disclosure affidavit; ? V3. Deed covering each parcel for which the application is made; V 4. Surveyor map showing each parcel proposed to be rezoned to AgPDD and any. improvements on each parcel; 5. Completed Environmental Assessment Form(BAF). _ _ AgPDD Application Form Page l of 7 5/4/2011 - LAND PRES PAGE 06 05/12/2011 15:48 6317656540 • B. GENERAL INFORMATION: 1. Name of Applicant(s): Vap& L; , id e ;G ye rs, `176.745 A & Address: Email Address: Telephone No. _ - _ • 2. If the applicant is a corporation(or partnership),give the name and title of the responlible officer: Name: Title: - Address:(if different) --- Telephone No.: If the owner is a Corporation or a Partnership,prepare endorsepent at the end of this form establishing owner's authorization e� t.tlop `Ji FJi ' l4 '-' 7 3. List all Landowner(s): . _ Tr; M,, �'%� _ . : - ..._ . !. ti r . s J <�k`( Address: • Telephone No(s): tf :; • , • , 4. Name of Attorney,or Agent authorized to represent the property owner and/or applicant: Name: r7=P Title: Name of Firm: - Address: Telephone No.:,____�_ 5. All communications with regard to this application shall be addressed to the following person until further notice: - • Name: ,)ern /i Ao- e Title- 49Gtr f] Y+ • Address: po a631y3 il,, p7 /7"t` , E-mail Address: - Telephone No.: _1 ,0 • C.SITE/PROJECT DATA: I. Existing zoning district(s) ,-c go _ 2: Requested zoning districts) 1 . P 1 3. Total Lot Area of property: acres. AgPDD Application Form Page 2 of'7 • 514/2011 • 05/12/2011 15:48 6317656640 LAND PRES PAGE 07 • 4. Total area of requested zone change to AgPDD •acres. 5. Are all buildings and structures shown on the attached survey? Yes ?S No 6. Existing Building Area .%,5ta0©, Z sq.ff. Lot coverage .4/i/ fir. 7. Is a residential structure area(s)or Aber area(s)requested to be reserved(Reserve Area) from the AgPDD Area? Yes A No If yes,describe approximate location of Reserve Arca(s) //t42,4.- .- «gitrhi /°7'."' number of acres /d /3/7 8. 3 ,- 8. Is an agricultural structure area requested? Yes X No If yes,describe approximate location ( e,� and number of acres • • _• 9. Number of development.rlglxts offered for initial sale: 10.Are there encumbrances r liens against this land other than mortgages? Yes No 11.In order to be considered for rezoning to AgPDD,the land must meet all of the following criteria.Please answer the following questions: A Is the parcel a subdividable parcel of at least seven acres? Yes: No._ ;if No, • • Is the parcel<7 acres,but contiguous to property already zoned AgPLD or already - 1reserved? Yes: No. 13. Is the parcel on the Community Preservation Project PIan? Yes: }< No. C. Is the parcel enrolled in an agricultural district or individual commitment pursuant to Article of New York State Agriculture and Markets Law? Yes: No. • D. Describe why the parcel provides an environmental,physical,economic,aesthetic, social or cultural benefit to the Town. • a r AgPDD Application Form Page 3 of 7 ' 5/4/2011 • .r 'fin. / • U5/12/2811 15:48 6317•:b640 , LAND P' , PAGE 68 4/ / r• t/ / :eA J. KE SI--ER Notary Public, State of New or /1)//r.' a No.01KE5006684 Qualified in-Suffolk County E. I her&rdei9aftEtfdlirei-Weiiita t above statements of information,and information contained in the supporting documents and drawings aached hereto are true and correct. Q e1 e„,...„0,, , - �f' 1i Al �l ,C7 6 sk a I 1 4 - ' -4.c .. , NotaryPublic, State of New York • wash = << ,•':/ , No.01KE5006684 S he f0 Qualified in Suffolk Count da .f' /.LF , P 7. - CaMmission Expires January4,y ,J ,— da 11/ 9 " / / N CYNTHIA J. KESS!ER r Notary Public,State of New York ����� ��� No.01 KE5006684 *TAM(P �' ' Qualified in Suffolk County m Commission Expires January 4, 4, F. OWNER'S ENDORSEMENT (To be signed if applicant is not the owner or if the owner - , is a corporation or partnership) • State of New York County of Suffolk • being duly sworn,deposes and says that he/she resides at .. .. in the-County of and the State of- and that he/she is(the owner or the officer of the corporation or part ieerssbip which is the owner In fee(circle))of the premises described in the foregoing application and that he/she has authorized - to make the foregoing appnation for amendment and/or change of zone as described here in. NAME . SIGNATURE If a corporation,name of corporation and , Off'icer's title • Sworn before me this Day of ,20--- - • NOTARY-PUBLIC AgPDD Application Form Page 4 of 7 ' - 5/4/2011 05/12/2011 15:48 6317656640 • LAND PRES PAGE 09 . • • G. DISCLOSURE AFFIDAVIT State of New York County of Suffolk • being by me duly sworn,deposes and says: • 1. I am an applicant for a project or an owner of the land which is the subject of a pending application before the Southold Town Board for change of zone to AgPDD. 2. The project name is: .✓., / • 3. Iresideat .eu/� Ii , ,I1 • 4. The Officers of the applicant corporation or owner corporation are as follows: NAME TITLE • • 5. I make and complete this affidavit wader the penalty of perjury and swear to the truth- herein. -6. I am aware that this affidavit is required by General Municipal Law 809 and that I shall • be guilty of a misdemeanor as provided by General Municipal Law 809 should I knowingly or intentionally;fail to make all disclosures herein. 7. During the 12 months before the filing of this application,have any of the following individuals made campaign contributions exceeding$100 in total,in cash or in kind,to members of the Town Board or political committees designate&to alit donations behalf: I. Owner Yea No 2. Applicant 3. Agent for owner or applicant 4. Attorney 5. Other If the answer to Question 7 is yes,Town Code Chapter 26 requires that the information be provided below: AgPDD Application Form Page 5of7 6/9/2011 05/12/2011 15:48 6317656640 LAND PRES PAGE 10 Name Title (Uwner,Agent,Attorney.otheirl Amount • .****************************************************************************** For the purpose of this disclosure, an official or employee or either the Town of Southold or the County of Suffolk,shall be deemed to have an interest in the applicant and or owner when that, official or employee,their spouse,brothers,sisters,parents,children,grand children or the '• , spouse of any of them: a. Is the applicant or owner b. Ls an officer,director,partner,or employee of the applicant or owner c. Legally ar beneficially owns or controls stock of a corporate applicant or owner, • • or is a member of a partnership or association applicant or owner, or d_ Is a party to an agreement with the applicant or owner,express or implied, whereby said official or employee may receive any payment or other benefit-- whether or not for services rendered,dependent or contingent upon the favorable approval of such application. Ownership of less than five percent of the stock of a corporation whose stock is listed on the New York Stock or American Stock Exchanges shall not constitute an interest for the purposes • of this disclosure **************************#***************************4,**************** ****** YOU MUST ANSWER•THE-FOLLOWING QUESTION YES OR NO Do any of the following. viduals have an interest in the applicant or owner,as defined above? YES _ NO I.., Any official New York-State_ YES )c NO 2. Any official or employee of Southold Town or Suffolk County? YES, /\NO • If the answer above is yes,-to any of the questions,General Municipal Law Section 809 requires that you disclose the name and residence and the nature and extent of the Interest of said individual($)in the applicant or owner. NAME • RESIDENCE NATURE OF INTEREST • • AgPDD Application Form Page 6 of 7 5/4/2011 1 J 85/12/2011 15:48 - 6317656640 lo '" PAGE 11 CYNTHIA . KESS!Efo !!U // Notary Public, State of New York ! 7 No.01 KE5006684 • Qualified in Suffolk County Commission Expires J= u-ry 4, �� „ 23110 41°171/' /,C/ AirL/� / Wary Public,State of New York No.01 KE5006684 w , 7 eraite. r ' . .. 'Lea' — _ d mmission Expires Janpary 4, Of/0/ • SIGNATURE ? Sworn before me this • CYNTHIA J.KESSI_ER Day :f e9 it 20 Notary Public,State of New York No.01 KE5006684 • Qualified in Suffolk County �` �� 1'.,- Commission Expires January 4, l 1'0 ARY P L C " • • • • • • • • AgPDD Application Form Page 7 of 7' ' • • 5/412011 • • • • • • r r"" 10707- n35 . , ---- . .. _..__.. o, ;; ...c�Pc ,.c • • - 9 I l)Y.‘,. Executor's mea 9130 • Indenture, made the/$• day of-June, nineteen hundred and eighty-eight, '. Between DONALD a. COOPER, residing at Breakwater Road, P.O. Box • 952, Mattituck, New York 11952, and DOUGLAS A. COOPER,•residing at 'No # Bergen Avenue, P.O. Box 246, Mattituck, New York 11952,. as ( executors of the last will and testament of DAVID W. COOPER, late `` of Mattituck, of the Town of Southold in the County of Suffolk and State of New York, who died on the 12th dVvwir�, �y�M d(aJof October, nineteen hundred ableg. kvthree, party 0118 _ Uand /0 / ( "' 1 Of �.,. RUTH ANN BARTRA q2 1•: '1 at 228M101 Breakw,g KRoEraad, Wet ak,---6:41 • \ New York 11952, !nOD.� Ild/1EZ1 ���Ir 3 U of the sec ed �- Z L1CC��jj — t� • ! lit, J. J7 ii Witnesseth, that the Y of the-first earl;•to•�ahom letters mentary were r issued by the Surs ats s Court, Su f folk'Countty, New York on Dm�Tr`.3 1983 'Y and by virtue Qf the power and authority given in and by s d last will and p testament and/or by Article 11 of the Estate,5 Powers and Trusts Law, and pursuant to Article the Fourth of said last will and testament, does hereby . grant and release unto the partyof the second part, the distributees or successors and assigns.of the partof the second part forever, . ALL that certain plot, piece or parcel of land, situate, lying and DIST being in the Town of Southold, County of Suffolk, State of New • 1000 York, bounded and described as follows, to wit: 1 XI•BEGINNING at a concrete monument located at a point on the 'northerly line of the subject premises where the westerly line of • land now or formerly of J. T. •Maran intersects and said northerly line abruptly, changes direction; RUNNING THENCE from said point of BEGINNING along the southerly . line of said land now or formerly of J. T. Maran south 80 degrees 34 minutes 50 seconds east, 55.46 feet to a point; ••• • THENCE •south 9•degrees 25 minutes•10 seconds west;• 155.92 feet to - 002.100 a point; • THENCE south 82 degrees 20 minutes 10 seconds west, 252.30 feet to the easterly side of Breakwater Road; THENCE along the easterly side of Breakwater Road north 7 degrees 39 minutes 50 seconds west, 150.0 feet to the southerly line of • other land now or"formerly of J. T. Maran; THENCE along the southerly line of said other land now or formerly j40(p0D of J. T. Maran north 78 degrees 45 minutes 30 seconds east, 245.57 feet to the point or place of BEGINNING. f7 7aa PREMISES HEREIN DESCRIBED are and intended to be part of the 002 premises described in deed recorded in Liber 1797 pc 512. Together with all right, title and interest, if any of the of the first • ...."-NIEtrt in and to an seem rnd tgads $al tintr the a{ave descr� Yremi.Irthteo e center lines ereo , one er w e a pur enances a so a . r lam estate which the•said decedent had at the time of decedent a death in said s, and also•the estate therein which the pArt3 of the first part s or • �•,.,.► er . o�vey or xli.spoee of, whether individua7Iy, or by virtue of said w�r otherwise; To Have And To Hold the premises herein rantefi unto the ty of the second second part, thehedistributees or Successors and assigns of the OCi 6 � ' of kffthe party of the first part covenants that the,party of the first �x has done• or suffered anything said premises have been ncerted in J waywhatsoever, '/ Subjedt. to the trust fund provisions of Section 13 of the Lien Law. i( st. o e d "partyt shall be construed as if to read "parties" whenever the-sense zna equire Witness (thereof, the party of the first part has duly executed this deed ...s.\ day and year first above written. (In the Presence Of; - i. ZS:.[Z_.,,,__-- DONALD J. COOOP . 913q REAL Esrar� ='•. �(I ' oCr G 190 nnn e , 1:161.;17-S _ Tr RECORQEO u' 198 " Cla kfof ESullolk County • r. ... • J sy , ,� / .. Yor Iarnoi or uC• CM,wM M.,la,..e.TfKa nnam. ooncvwwp.0mcnnw Y // ogN4w.yun [ue,n.eer C ' , '. �;," rtl- r\ •� , ,.n. rzwweeuc e.,, /. .,,,,.,,.....`°:::::, /� 4r , `` � ... r�A �o i � .,..n ... wnen..m.ecrave „vr.er. °9Ar fr r 9 �+ \� \� / '4.- 4,„\...,1, y b \\ ;.Yo- `J "'e°�' r / qo� pO•'ee /� \\ °.. ooS„ i ` %�� -�„"P s ...i \� \,� �`o-p a Sd m,°tee.. s ..�Ty�� \\ 4R� oeo,,a ' 00o D .:l'04g. 1 "A/: _� 1 p\�D..• °a w \\\ ROPE , .56.?-:, \\ a o'.••a,mIra ,� 1 _ < 4ng I''' �\\ e�aomn gym°", yam':+i '%••9.ie'o9 g�WJ `\1 V�p ------------- ----.to _�yy,l[-•. I �T�eT $IZT_TAL ° `•, • r'-Tgea'•� `, I I TOTAL AREA• II70I49.l,r 200629 ADRE9 `• 2 TOTAL NQ OF STI•0 $ i ` `.` rw'E� ` 3 ZONING RUS 0E pRE91 RESIDENTIAL LOW DENSITY A .. IA L ' n° o N�. `'-� �% / 'inea0ero 5 _ 6_ v. //` rpeme.H N Pw I --_--'e---Y s ° -- I ,"/ . 1 ,-i MINOR SUI DIVISION �� s. T,.nwa.,,,1.,: n.r„T..,-Or3-rt lP �, ,002..078 PREPARED FOR 4 • • sT�.. �� "°..,,..° -t.,,Yaa-aor ESTATE OF 9AVID W. COOPER I I AT MATTITUCK i LW e. " ��•:•• 8a i'F'.:;.ara°a ,,. a e TOWN OF SOUTHOLD ..;,_ L. 1 I °u^rwLLW.-a^`{ . . ,. .. ,n I SUFFOLK COUNTY, N.Y. .-,"'"'•,,, 4 0--{.....i Li r. ,...".,I Ca��i., xn,i.nT or vu.. .,^ •,,44 • ' .. _I _" _- .,... niece-uxin.nemL., ..R. len: -4,..\4 a+ 1.0C • _- ~¢_-31.53. a e.,.., Mwp cw..r.ei 1,.,nu,e ,. s a , LAP Young&Young, Land Suruoyora ili11 •••Da 100 0,hart.r.1 h•.y A'w Yark MO, IN C til-nr-094] j c sal bid aOV.147:,,,..; 4 e.'«w°.wl./:H1w1M DR!i a'^en a. or fp \ w Try>Idr 2 • _ � ss M oar d 'S �&r Z N 00 I'Dono/Hy CflrnmeY ., W /�r c°gym / �1° r Cena N t'ocaper& c /. Ac \ I I SIZE DATA __ ff(d• % Bc7° \ roto AxeA=:asaas Acres ;Id ` - .I' — • �\ •' '>&p / I j \�`Zay, .tori .uuDm USES iI� w till f ••••••••.„,1o,r wem m 1Drs 4 Ruth Ann Snarly i�I7.i, / b �, III j /j "``\ bvone5 `. '?�uwc use o¢mcr m amen w.Dash I 1s ! no. •Y%� lux nsl tato liVilil IgnaNua formerly $rnn l !l • \ _ � 1 I j!% 44{{�t Coltrane F >aubto $(y%/ \ �^ b• ?f 'avD T' /7 '\. ��' II =;``—,` ENGINEER'S CERTFIGTON r AVIA. //////// i t\\ I 1 r •l I.RBv m116r nu 1 I I I II av u "�v>e x{01 NF Du�>i Wl1e*aFaE L�viiD // '/OMp9 W I I I I 1I I 9.04411 SNOT Or>4Ssm.WM u4 040114 Av 1131 Ax0 01'''1*,n G • \ I ...1k14 ....„.. D s�+,e„a � •.ALL LOTS �rRxO�x�o00S1A��9,1m�m"'a` rj•`y.1 coo^" >Z / 04rrylO s1AMM=w O CI b OF NO DAIS. / ucMl c or rormaro h v.1.\,.,„,-,_,E� ,°" s \'\ �� G'W / 11 a l Thomas r.Nms ccoo ---- �1 4/ \ n .w c IYx re u xD wD, l EP,zabetn L Uti'`'`4 \\ feB� 'v✓e \, I x.rx v.c xn e,.e� / I _ :_mow— ` ) ```1^. v __,�; - % SURVEYORS CERTIFICATION 4I 1>- "� . SURVEYOR'S / •Das YAP WAS WIC 111x14 mix D.0 wru�,�w /j,l �°`' \ �.� S.M.MOW.nn bus on DAm *ILI .^ `�IQi •� f• / Pnrexu4 BY uswl� {,(t I�( '\C(/vi i ! ) won` r/ % • ��yyl✓ I Z oI vie RpRO ` ' irk/i R c /�p.vac I,�f..o s I('----- .s. 11...'zgiC IoI(—� ;_. 7)�an O. `\ /� • :::,.. D.wuRw4rm ""•••••,',(84)----, '? CA U R,,v61-7..... \ l ' I s�p w rot MEM:. �1m4 t, �b qk�>FR RO • N`°fh'1114;6.11 Av any x.m�.Vgla rD. hi' TEST HOLE `}I � '1 1,t --� Phy ¢ 4n `;!.I TYPICAL PLOT PLAN SUFFOLK COUNTY DEPAR1NF21T OF HEALTH SEANCES WC eMNI �W I . ., ^4SE7-DEF'PREPARED FOR Illi HAUPPAUGE N.Y -I �l ' JEFFREY C. GRATHWOHL 'I'd -•- 4,h__ IJr& tQ I k AUOREY GRATHWOHL O IrI I..THAT C CIRATHWOHHTMm�Ma'04 PO 1 y I 8 4 At NuffolkcCk.TOwy al York oIC i y 'r�'•, oN 6 c Suffolk County Ne*York .o111,41I n41,4. I �" AseoG-ae4 w I �C County la•4010 sn.1000 o-n.100 r.8 u 2] !q nzo kik e An.. u 41 O AI 1145 LOcoma es NSOLDITMOM.SO O.01111.0042, pl I SET—OFF I /\µ9- Ig i 44.. IN `117.— - .4 �D THIS SURVEY NOT TO - BE USED FOR TITLE MC.Aaw1w 4x®%Vintn PURPOSES re.t aI I MARTIN D.FINNEGAN SCOTT A.RUSSELL TOWN ATTORNEY �i�'' Supervisor martin.finnegan@town.southold:ny.us Moil *®F S®(/4;' JENNIFER ANDALORO t k®� 4 Town Hall Annex,54375 Route 25 ASSISTANT TOWN ATTORNEY 111 * P.O.Box 1179 Jennifer.andaloro@town.southold.ny.us ; G Southold,New York 11971-0959 LORI M.IEULSE � �� Telephone (631) 765-1939 ASSISTANT TOWN ATTORNEY =�4c®UNT`l N;1i° Facsimile(631) 765-6639 lori.hulse@town.southold.ny.us - ;'OD OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD MEMORANDUM To: Ms. Elizabeth A. Neville, Town Clerk From: Martin D. Finnegan, Town Attorney Date: December 20, 2011 Subject: Cooper Farm AgPDD Change of Zone Application • This Office has reviewed the referenced Application and it appears to be complete and acceptable for processing. Thank you. MDF/Ik Neville, Elizabeth From: Spiro, Melissa Sent: Wednesday, October 19, 2011 9:35 AM To: Finnegan, Martin; Neville, Elizabeth; Lanza, Heather Cc: Krauza, Lynne Subject: RE: Emailing: Coopers Farm AgPDD CofZ_20111017101206 Hi- I reviewed the deed submitted with the application. The deed is not for the subject property. It is for the adjacent"set-off" property,which I believe went to a sister years ago. I spoke to Doug Cooper. He said he got the deed from Bob Scott. He said that he will contact Bob again, and if necessary, his attorney,to try to find the proper deed. . I told him that application incomplete until we have•the proper information. Will keep you posted. Melissa Original Message From: Finnegan, Martin Sent:Tuesday,October 18, 2011 12:29 PM To: Neville, Elizabeth; Lanza, Heather;Spiro, Melissa Cc: Krauza, Lynne Subject: RE: Emailing: Coopers Farm AgPDD CofZ_20111017101206 Betty-It appears that the applicants have neglected to include the completed EAF form. I am not sure if they submitted a deed but I understand that title was conveyed by will here. Melissa may reach out to Mr.Cooper and ask him to submit the EAF but you should be sure to receive it before you deem the application complete. Please let me know if you have any questions. Martin D. Finnegan,Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, NY 11971-0959 Office: (631)765-1939 Fax: (631)765-6639 Email: martin.finnegan@town.southold.ny.us Original Message From: Neville, Elizabeth , Sent: Monday, October 17,2011 10:28 AM To:Spiro, Melissa; Lanza, Heather;Al Krupski;Andaloro,Jennifer; Christopher Talbot; Evans, Louisa; Finnegan, Martin; Krauza, Lynne; Orlando,Vincent; Phillip Beltz; Russell,Scott;William Ruland;Woodhull, Ruthanne Subject: Emailing:Coopers Farm AgPDD CofZ_20111017101206 1 FYI Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 J 2 gFOL OFFICE LOCATION: MELISSA A.SPIRO 4ti, 4pG Town Hall Annex LAND PRESERVATION COORDINATOR �.�.1. .�. 54375 State Route 25 melissa.spiro@town.southold.ny.us 1 (corner of Main Rd&Youngs Ave) Southold,New York Telephone(631)765-5711 Z til.. Facsimile(631)765-6640 ZO � � , MAILING ADDRESS: P.O.Box 1179 : +,,,fr Southold,NY 11971-0959 DEPARTMENT OF LAND PRESERVATION TOWN OF SOUTHOLD TO: Elizabeth A.Neville, Town Clerk FROM: Melissa Spiro, Land Preservation Coordinator RE: Agricultural Planned Development District Change of Zone Application Cooper Farm SCTM# 1000-106-9-2.3 DATE: December 15, 2011 I have reviewed the Cooper Farm Change of Zone application and find that it is complete and ready for consideration by the Town Board. The application was presented with an incorrect tax map number. The correct tax map number is 1000-106-9-2.3,please revise your records accordingly. Cc: Martin Finnegan, Town Attorney Heather Lanza, Planning Director •':'*of SO04;- ELIZABETH A.NEVILLE,RMC,CMC 1�i•,t' • Ol0 Town Hall, 53095 Main Road TOWN CLERK lig lR , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER � � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER -ycouN 11,*1��� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Martin D. Finnegan,Town Attorney • Heather Lanza,, Planning Director. From: Elizabeth A. Neville,Town Clerk Re: Agricultural Planned Development District Change of Zone application of Cooper's Farm , Date: October 17, 2011 The enclosed change of zone application was submitted to my office on Friday, October 14, 2011 by Doug Cooper (276-6215) and Don Cooper (807-6123). Please review it and send me your recommendation as to whether or not this application meets the criteria`=for acceptance for filing of the Town. Thank you. cc: Supervisor&Town Board Members D5/12/2011 15:48 6317656640 LAND PRES PAGE 05 APPLICATION FORM , RE(J ST FOR AGRICULTURAL PLANNED DEVELOPMENT DISTRICT (AgPDD) CHANGE OF ZONE APPLICATION NAME: ,- Lepop....0.— y Cti—J,77 1,49eL11749 Or Dact/ii e.ye..._....„ e under which appl tion shall be known) SUFFOLK COUNTY TAX MAP NO.: 1000- / 00 0 -10 ro -..7 _-:1°Y District Block Parcel A. SUBMISSION INFORMATION: Application is hereby made to the Southold Town Board for a change to a zoning classification on the current Zoning Map to create an Agricultural Planned Development District in accordance with Article XXX(Agricultural PIanned Development District)Section 280-174 of the Southold Town Code. Two 2) copies of each of the following are required as part of the application: 1. Completed application form; v/2_ Disclosure affidavit; 2 �3. Deed covering each parcel for which the application is made; t/ 4. Surveyor map showing each parcel proposed to be rezoned to AgPDD and any improvements on each parcel; 5. Completed Environmental Assessment Form(EAF). , AgPDD Application Form. Page 1 of 7 5/4/2011 -/ ;)_24;1?-2;,. -/12/ • PAGE 06 /12/2011 15:48 6317656640 LAND PRES • B. GENERAL INFORMATION: - '/ 1. Name of Applicant(s): �•- v� (.) �o�1 ;i 0 ' v5'- Da 45 A A Address:' Email Address; Telephone No. y _ , . _ e i- ;0 �3 2. If the applicant is a corporation(or partnership),give the name and title of the respongible officer: Name: - _Title: Address:(if different) Telephone No.: W If the owner is a Corporation or a Partnership,prepare endorsexnt at the end of this -16 form establishing owner's authorization t7?L.i��P `� • 5 lraW e64-1/t" 3. List all Landowner(s): Address: , _ _ �•�� 4� -� `' .-_ c ( Telephone No(s) : 4 4. Name of Attorney,or Agent authorized to represent the property owner and/or applicant: Name: /-74' Title: • Name of Firm: Address: Telephone No.: 5. All communications With regard to this application shall be addressed to the following person until further notice: Name: ,1)es1f7a/J C` d Title: et lei/7 41-� Address: Po Bok 93it- Il dt /7-a c% E-T):1ail Address: Telephone No.: k3 go7 • C.SITE/PROJECT DATA: 1. Existing zoning district(s)A, f� 2: Requested zoning district(s) . P h _ 3. Total Lot Area of property: g4 acres. AgPDD Application Form Page 2 of 7 5/4/2011 05/12/2011 15:48 6317656640 LAND PRES PAGE 07 4. Total area o£requested zone change to AgPDD � �� •acres. 5. ,Are all buildings and structures shown on the attached survey? Yes ,( No 6. Existing Building Area .:% coo Z sq. ft. Lot coverage 7. Is a residential structure area(s)orer area(s)requested to be reserved(Reserve Area) from the AgPDD'Area? Yes lo No If yes,describe approximate location of Reserve Area(s) .d.,,_2.- tz''hicV number of acres /d �� 8. Is an agricultural structure area requested? Yes x No If yes,describe approximate location and number of acres • 9. Number of developmentrights offered for initial sale: 171 _ 10. Are there encumbrances r liens against this land other than mortgages? Yes No 11. In order to be considered for rezoning to AgPDD, the land must meet all of the following criteria.Please answer the following questions: A Is the parcel a subdividable parcel of at least seven acres? Yes:_No. ; if No, Is the parcel,<7 acres,but contiguous to property already zoned AgPDD or already presented? Yes: No. B. Is the parcel on the Community Preservation Project Plan? Yes: No. C. Is the parcel enrolled in an agricultural district or individual commitment pursuant to Article; -AA of New York State Agriculture and Markets Law? Yes: No. • D. Describe why the parcel provides an environmental,physical,economic, aesthetic, social or cultural benefit to the Town. AgPDD Applipation Form Page 3 of 7 • 5/4/2011 i 05/12/2011 15:48 6317•=6640 LAND PRA"- PAGE 08 - / / KA J. KESSLER Notary Public, State of New or /�fjlf // No.01KE5006684 Qualified:in Suffolk County E. I here a ' s' t iit a tlt- above statements of'information,and information contained in the supporting documents and drawings a ached hereto are true and correct. 2 aklerfi'-‘-- . '--�; _ � !� Notary Publliic, State of New York Swo efor °��� / 1 KE5006684 � Qualified in Suffolk Count li da /f /0 _ -. t r, Li Mission Expires January 4,y . /(� 4 1/ • CYNTHIA J. KESSLER ii�A / I `�' Notary Public, State 6 New York ..�— Ne. 01 KE5006684 NOTARY P " Qualified in Suffolk County a Commission Expires January 4, F. OWNER'S ENDORSEMENT (To be signed if applicant is not the owner or if the owner , is a corporation or partnership) • State of New York County of Suffolk • • being duly sworn, deposes and says that he/she resides at in the County of and the State of and that he/she is(the owner or the officer of the corporation or partnership which is the owner in fee(circle))of thepremisesdescribed in the foregoing application and that he/she has authorized to make the foregoing applkation for amendment and/or change of zone as described here in. NAME • SIGNATURE If a corporation, name of corporation and Officer's title _ Sworn before me this Day of ,20____ 7\ NOTARY PUBLIC AgPDD Application Form Page4of7 - 5/4/2011 .. 05/12/2011 15:48 6317656640 LAND PRES PAGE 09 G. DISCLOSURE AFFIDAVIT State of New York County of Suffolk being by me duly sworn,deposes and says: 1. I am an applicant for a project organ owner of the land which is the subject of a pending application before the Southold Town'Board for change of zone to AgPDD. 2. The project name is: .✓.r / .e 1^" r 3. I reside at �// L/p f'�..,eu/< / 4. The Officers of the applicant corporation or owner corporation are as follows: NAME TITLE • 5. I make and complete this affidavit under the penalty of perjury and swear to the truth herein. 6. I am aware that this affidavit is required by General Municipal Law 809 and that I shall• be guilty of a misdemeanor as provided by General Municipal Law 809 should I knowingly or intentionally fail to make all disclosures herein. 7. During the 12 months before the fling of this application,have any of the following individuals'made campaign contributions exceeding$100 in total,in cash or in kind,to members of the Town Board or political committees designated to accept donations behalf: I. Owner Yes No 2. Applicant 3. Agent for owner or applicant 4. Attorney 5. Other If the answer to Question 7 is yes,Town Code Chapter 26 requires that the information be provided•below: Ag PDD Application Form Page 5 of 7 5/4/2011 y�� i - --- • 05/12/2011 - 15:48 6317656640 LAND PRES PAGE 10 Name Title' (Owner.Agent,Attorney,other) Amount .***********mc*********#******************************************************** For the purpose of this disclosure, an official or employee or either the Town of Southold or the County;of Suffolk,shall be deemed to have an interest in the applicant and or owner when that. ,official or employee,their spouse,brothers,sisters,parents, children, grand children or the , spouse of any of them: , a. Is the applicant or owner b. Is an officer,director,partner,or'cmployee of the applicant or owner , c. Legally ar beneficially owns or controls stock of a corporate applicant or owner, , or is a member of a partnership or association applicant or owner,or ' - d. Is a party to anagreernent with the applicant or owner, express or implied, - whereby said official or employee may receive any payment or ether benefit-- whether or not for services rendered,dependent or contingent upon the favorable approval,of such application. Ownership of less than five percent of the stock of a corporation whose stock is listed on the New York Stock or American Stock Exchanges shall not constitute an interest for the purposes • of this disclosure ************* ************ ***************************i******************* *** • YOU MUST ANSWER:THE FOLLOWING QUESTION YES OR NO • - ' ' ' Do any of the following.inividuals'have an interest in the applicant or owner,as defined above? YES _ ' . • NO ' 1. Any official New York State YES '\ NO 2. Any official or employee of Southold Town or Suffolk County? YES. /\No If the answer above is yes,to any of the questions,General Municipal Law Section 809 requires . that you disclose the name and residence and the nature and extent of the Interest of said individual(a)in the applicant,or owner. NAME RESIDENCE NATURE OF INTEREST • AgPDD Application Form Page 6 of 7 5/4/2011 i • - - -05/12/2011 15:48 6317656640 `ND PR s PAGE 11 / #0.7.0:, - CYNTHIA . KESS!-E> ` // , Notary'PPuubliic, State of New York r W l 1KE5006684 Qualified in Suffolk County / Commission Expires-J-nu-ry 4, v/ ' 4% /i` ' / / ./ '� Fr7e / _ _jam.:// ^� _.. , Notary Public, State of-New York / /� No.01KE50066840 ..4_ , fl Puaiiea - .i , GOSnmission Expires Jan�ary'4, / 7 °l°`//7 ' , SIGNATURE Sworn'before me this V J CYNTHIA J. KESSLER Day :f 60 20 ' i Notary Public, State of New York ' No.01 KE5006684 Qualified in Suffolk County �, ` S ,/ �� = Commission Expires January 4, ' `O ARYP ''.LC . 1 • • • • • AgPDD Application Form Page 7 of 7' . • 5/4/2011 ' a> J fG . o — 1-,:tic 10707 . K351 f . � HSL • 1 Executor's Deed 9130 Indenture, made the/ =day of-Thine, nineteen hundred and eighty-eight, • Between DONALD J. COOPER, residing at Breakwater Road, P.O. Box ' 952, Mattituck, New York 11952, and DOUGLAS A. COOPER, residing at 'No # Bergen Avenue, P.O. Box 246, Mattituck, New York 11952, as, executors of the last will and testament of DAVID W. COOPER, late I1 of Mattituok, of the-Town of Southold in the County of Suffolk and State of New York, 'who died on the 12th d of October, nineteen hundred agthree, / PAY oher*41f } l00.3sa71dr1 and /D !/�J_ - - , ‘ Y av/rr,rc rw++iw�3 ++ \ RUTH ANN BARTRA -%-4•L at 2 M Breakw,g kRoad, Mat ck,"57 7 r 1 New York 11952, ' f QO• EMI ® �' J QV party of the searri pit, )z - il7 t . - �,t—' ■liar Withesseth, that the y-of the first part, to whom letters- Mary were, issued by the Surrogates amort, Suffolk'county, New York on De�er-'13, 1983 \S and by virtue 9f the power and authority given in and by said last will and �, testament ander/or by Article 11 of the Estates Powers and Trusts Law, and \ pursuant ntd Articlrelease tithento Fourth of said last will and testament, does hereby , grantuccessors and•assi of the party of thehesecond part, the distributees or qns party part forever, ALL that certain plot, piece or parcel of land, situate, lying and DIST being in the Town of Southold, County of Suffolk, State of New ' 1000 York, bounded and described as follows, to wit: S T 10BEGINNING at a concrete monument located at a point on the . 0 gL 00 0 northerly line of the subject premises where the westerly line of land now or formerly of J. T. Maran intersects and said northerly line abruptly changes direction; RUNNING THENCE from said point of BEGINNING along the southerly line of said land now or formerly of J. T. Maran south 80 degrees T 34 minutes 50 seconds east, 55.46 feet to a point; p/o • - THENCE south 9 degrees 25 minutes-10 seconds west, 155.92 feet to - - 002.100 a point; - THENCE south 82 degrees 20 minutes 10 seconds west, 252.30 feet to the easterly side of Breakwater Road; THENCE along the easterly-side of Breakwater Road north 7 degrees 39 minutes 50 seconds west, 150.0 feet to the southerly line of other land now or-formerly of J. T. Maran; W'D THENCE along the southerly line of said other land now or formerly 0 a of J. T. Maran north 78 degrees 45 minutes 30 seconds east, 245.57 feet to the point.or place of BEGINNING. O ?0a PREMISES HEREIN DESCRIBED are and intended to be part of the 02,dpremises described in deed recorded in Liber 1797 pc 512. Together with all right, title and interest, if any of the party of the first ,- part in and to anyt streets lind roads ab uttui r the a{ove descries remi s to s' a center lines hereo ; - oget er w h e appurtenances end also eii the wpm estate which the said decedent had at the time of decedent s death in said ppremises, and also the estate therein which the partyy of the first part has or �...� has er to vey or dispose•of, wfether individually, or by virtue of said willowr otherwise; To Have And To Hold the premises herein ranted unto the party of the second part, the distributees or successors and assigns of the OCT 6 emparty of the second part forever. ND the party of,the first part/ 0. covenants that the party of the first par has not done or suffered anything whereby the said premises have been encumbered in any waywhatsoever, except as aforesaid. SubjeOt to the trust fund provisions of Section 13 of the Lien Law. The word "party" shall be construed as if to read "parties" whenever the sense of this inien 'tune so requires. N ill In Witness Whereof, the party of the first part has duly executed this deed day and year first above written. 1( In the Presence Of: .�� �`--`-_. \\ It`'EP ED • DONALD J. COOP:' • REAL. ESTACE '', ._ �Q 913a OCT a f988 `FJU IETTE A. KINSELLA 4. 1988' RECORDED 6 is Clerk of Suffolk County D5/12/2011 15:48 6317656640 LAND PRES ' PAGE 05 APPLICATION FORM REOUEST FOIL AGRICULTURAL PLANNED DEVELOPMENT DISTRICT (AgPDD) CHANGE OF ZONE i • ' APPLICATION NAME:�►�o �� � �-r ��sc�,-,�—� D� Data p' A ��p ' F- , �G► U �(/ e.-� arae under which appli tion shall be known) , ' , ' SUFFOLK COUNTY TAX MAP NO.: 1000-I_ OE/. Q -le, L .....7 :"""i® District Block Parcel • A. SUBMISSION INFORMATION: , . Application is hereby made to the,Southold Town Board for a change to a zoning classification on the current Zoning Map to create,an Agricultural Planned Development District in accordance with Article XXX(Agricultural Planned Development District) Section 280-174,of the Southold Town Code. Two 2) copies of each of the following are required as part of the application: 2 1. Completed application form; V2:''.'r isolosure affidavit; • ? V3. Deed covering each parcel for which the application is made; 4/ 4. Surveyor map showing each parcel proposed to be rezoned to AgPDD"and-at>~y ' improvements on each parcel; . ' - 5. Completed Environmental Assessment Form(EAF). - • AgPDD Application Form Page 1 of 7 5/4/2011 .., l 05/12/2011 15:48, 6317656640 LAND PRES PAGE 06 • B. GENERAL INFORMATION: 1. Name of Applicant(s): 9, v/J GI; &O p - f 01U ,�� " / p S 4745 Ai/ Address: Email Address: - • Telephone No. " _ - a , _ • • { . ?',97 ' /a_3 2. If the applicant is a corporation(or partnership), give the name and title of the respongible officer: Name: - - Title: Address:(if different) - - Telephone No : If the owner is a Corporation or a Partnership,prepare endorsement at the end of this form establishing owner's authorization 3. List all Landowner(s): - • /' WilfirriegeWrgirrAtrigIVVIrlir "e/ Address: a - A r. : - .►,_- .�� r . - '4 ft4ek Telephone No(s) /) _. - 4. Name of Attorney,or Agent authorized to represent the property owner and/or applicant: Name: en-t Title:_ Name of Firm Address: Telephone No.: 5. All communications with regard to this application shall be addressed to the following person until further notice: Name:j21117,7,A/J (m d ✓ Title: (9G4Jr7 Address: Pd lga% - /fl o f','ta-C1 E-mail Address: Telephone C.SITE/PROJECT DATA: 1. Existing zoning district(s) A-c 8 2,• Requested zoning district(s) P h • 3. Total Lot Area of pr operty:;- acres. AgPDD Application Form Page 2 of•7 5/4/2011 05/12/2011 15:48 6317656640 LAND PRES PAGE 07 4. Total area of requested zone change to AgPDD. c ge •acres. 5. Are all buildings and structures shown on the attached survey? Yes ,?S No 6. Existing Building Area ,i ooe/ Z sq. ft. Lot coverage ,y/7/ ?v. 7. Is a residential-structure area(s)oro. er area(s)requested to be reserved(Reserve Area) from the AgPDD Area? Yes �X No ,, If yes,describe approximate location of Reserve Area(s) e �„ number of acres. /d 8. Is an agricultural structure area requested? Yes No If yes,describe approximate location and number of acres • 9. Number of development•rights offered for initial sale: /71 • 10. Are there encumbrances r liens against this land other than mortgages? _ Yes No 11. In order to be considered for rezoning to AgPDD, the land must tneet ail of the following criteria.Please answer the following questions: A Is the parcel a subdividable parcel of at least seven acres? - Yes: No._ _ ; if No, Is the parcel<7 acres, but contiguous to property already zoned AgPDD'or already preserved? ' Yes: No. B. Is the parcel on the Community Preservation Project Plan? Yes: No. C. Is the parcel enrolled in an agricultural district or individual commitment pursuant to Article 2 - A of New York State Agriculture and Markets Law? Yes: No. D. Describe why the parcel provides an environmental,physical,economic, aesthetic, social or cultural benefit to the Town. t 4' is A. / fir. / • AgPDD Application Form Page3of7 • 5/4/2011 ' , 05/12/2011 15:48 631 656 4.0 LAND PRES PAGE 08 '4"ii'/ . CYNTHIA J KESSI_ER Notary Public, State of New York No. 07 KE5006684 Qualified in Suffolk County �j� ‘ /:.,- Commission Expires January 4, ��1� E. I hereby depose and certify that all of the a ove statcme is of information, and information contained in the supporting documents and drawings ched hereto a` ° true nd rrect. ,6 - ,-> )9N;-l/ifiLj 6 ").g- j 7' ' "J_�� 1 �� �� CYNTHIA J. �L,of,NT'S SIG A RE Notary Public, State of New York No. 01 KE5006684 / 7 • Sworn b�•'ore a 's ,, � Qualified in Suffolk County day o. �, I / Commission Expires January 4, els f / i' ''/�L'/, ,/_..., t� CYNTHIA J. KESSLER Notary No. 01Public,KE5Sta006te of New684York . •1•TARY P CLIC Qualified in Suffolk County Commission Expires January 4, o��i S t / /rf' j F. OWNER'S ENDORSEMENT (To be signed if applicant is not the owner or if the owner is a corporation or partnership) • State of New York County of Suffolk being duly sworn, deposes and says that he/she resides at in the County of and the State of and that he/she is(the owner or the officer of the corporation or partnership which is the owner in fee(circle))of the premises described in the foregoing application and that he/she has authorized to make the foregoing application for amendment and/or change of zone as described here in. NAME SIGNATURE If a corporation, name of corporation and Officer's title • Sworn before me this Day of , 20_ NOTARY PUBLIC AgPDD Application Form Page 4 of 7 5/4/2011 05/12/2011 15:48 6317656640 LAND PRES PAGE 09 G. DISCLOSURE AFFIDAVIT State of New York County of Suffolk being by me duly sworn, deposes and says: 1. I am an applicant for a project or an owner of the land which is the subject of a pending application before the Southold Town Board for change of zone to AgPDD. 2. The project name is: 3. I reside at el/ t1/G Or.Qa ' jj f J � 4, The Officers of the applicant corporation or owner corporation are as follows! NAME TITLE 5. I make and complete this affidavit under the penalty of perjury and swear to the truth herein. I am aware that this affidavit is required by General Municipal Law 809 and that I shall be guilty of a misdemeanor as provided by General Municipal Law 809 should I knowingly or intentionally fail to make all disclosures herein. 7. During the 12 months before the filing of this application,have any of the following individuals made campaign contributions exceeding$100 in total,in cash or in kind,to members of the Town Board or political committees designated to accept donations behalf: Yes 1. Owner �d� 2. Applicant 3. Agent for owner or applicant 4. Attorney 5. Other If the answer to Question 7 is yes, Town Code Chapter 26 requires that the information be provided below: AgPDD Application Form Page 6 of 7 5/4/2011 n c 05/12/2011 15:48 6317656640 LAND PRES PAGE 10 • Name Title Owner A en Attorne other ' Amount ****************************************************************************** For the purpose of this disclosure, an official or employee or either the Town of Southold or the County of Suffolk, shall be deemed to have an interest in the applicant and or owner when that official or employee,their spouse,brothers,sisters,parents, children,grand children or the spouse of any of them: a. Is the applicant or owner b. Is an officer,director,partner, or employee of the applicant or owner c. Legally or beneficially owns or controls stock of a corporate applicant or owner, or is a member of a partnership or association applicant or owner,or d_ Is a party to an agreement with the applicant or owner,express or implied, whereby said official or employee may receive any payment or other benefit— whether or not for services rendered,dependent or contingent upon the favorable approval of such application. Ownership of less than five percent of the stock of a corporation whose stock is listed on the New York Stock or American Stock Exchanges shall not constitute an interest for the purposes of this disclosure ****************************************************************************** YOU MUST ANSWER THE FOLLOWING QUESTION YES OR NO Do any of the following individuals have an interest in the applicant or owner, as defined above? YES NO 1. Any official New York State YES )c NO 2. Any official or employee of Southold Town or Suffolk County? YES /\NO If the answer above is yes,to any of the questions, General Municipal Law Section 809 requires that you disclose the name and residence and the nature and extent of the Interest of said individual(s)in the applicant or owner. NAME RESIDENCE NATURE OF INTEREST AgPDD Application Form Page 6of7 5/4/2011 r 05/12/2011 15:48 6317656640 LAND PRES PAGE 11 b , 10 kf(f(CYNTHIA J KESSLER Not ,i Public, State of New York No 01KE5006684 f C ,tied In Suffolk Countyc// / Commis�,o�� expires January 4, Ai j j J ����f / Notary Public,State of New YoV r / / No.01KE5006684 _SO i4" j Qualified mJanuary 4ffolk y Commission Expires — SIGNATURE , i 1 Sworn before me this CYNTHIA J. KESSLER - Notary Public, State of New York Day .f 0 C> 20 No 01 KE5006684 / � Qualified in Suffolk County 1/ XCommission Expires January 4, old 1 s NOTARY r4i'e L C AgPDD Application Form Page 7 of 7 5/4/2011 • p — 'fin 10707-•07.. £C3 1 .4,.1 ,,,s... - ._ "II ' Y ms's Deed 9130 Indenture, made the/5-19. day of- ee, nineteen hundred and eighty-eight, ''' Between DONALD J. COOPER, residing at Breakwater Road, P.O. Box ' 952, Mattituck, New York 11952, and DOUGLAS A. COOPER, residing at 'No # Bergen Avenue, P:O. Box 246, Mattituck, New York 11952, as r executors of the last will and testament of DAVID W. COOPER, late I of Mattituck, of the Town of Southold in the County of Suffolk and State of New York, who died on the 12th d of October, nineteen hundred agmthree, l ., party of .."►i w vas,3�uavt and / D 6 - - i r 1.S mO m nod++ RUTH ANN BARTRA at 211 Breakw,g KRoad, Mattituckti--;.,,i1 ' New York 11952, (� ( f / i(/j ® LEI TT , 71 V party of the seoo[rl pl$t, • 1� -Lt l _ 1/71_/,1 - `• �-I ' 'nail Witnesseth, that the part of the first�rt;••to•whom letters, entary were �• _ issued by the Su rogate s Court, Suffolk tkunty, New York on Ds�"13, 1983 and by Virtue f the power and authority given in and by said last will and , b testament anAdr/or by Article 11 of the Estates Powers and�aTrusts Law, and , • \ pursuant nd to unto Fourth said parte the dist does ueeseor successors and assigns of the party of the second part forever, , ALL that certain plot, piece or parcel of land, situate, lying and ' DIST being in the Town of Southold, County of Suffolk, State of New ' 1000 York, bounded and described as follows, to wit: S T ('BEGINNING at a concrete monument located at a point on the 10 . 0 northerly line of the subject premises where the westerly line of land now or formerly of J. T. Maran intersects and said northerly BL line abruptly changes direction; 00 0 RUNNING THENCE from said point of BEGINNING along the southerly line of said land now or formerly of J. T. Maran south 80 degrees T 34 minutes 50 seconds east, 55.46 feet to a point; p/0 •• THENCE south 9 degrees 25 minutes•10 seconds west, 155.92 feet to - a point; 002.100 THNCE south 82 degrees 20 minutes 10 seconds west, 252.30 feet to the easterly side of Breakwater Road; THENCE along the easterly side of Breakwater Road north 7 degrees 'ic7 39 minutes 50 seconds west, 150.0 feet to the southerly line of other land now or-formerly of J. T. Maran; THENCE along the southerly line of said other land now or formerly 'D 1p 0 a of J. T. Maran north 7,8 degrees 45 minutes 30 seconds east, 245.57 O feet to the point or place of BEGINNING. 7O PREMISES HEREIN DESCRIBED are and intended to be part of the 0 0211premises described in deed recorded in Liber 1797 pc 512. Together with all right, title and interest, if any of the party of the first "• Mart in and to an street d rs� abutting the afove descries remi s to o'` �'� the center lines hereof; Together with ttre appurtenances end also �iil the : um estate which the said decedent had at the time of decedent s death in said premises, and also the estate therein which the part of the first cart has or ��..�,. has er to vey or dispose of, whether individua ly, or by v e of said willO1 otherwise; To Have And To Hold the premises herein granted unto the party of the second part, the distributees or successors and assigns of the OCT a warty of the second part forever. the party of the first part covenants that the party of the first part has of done or suffered anything whereby the said premises have been en red in 0,any way whatsoever, exL- pL as aforesaid. Subject to the trust fund provisions of Section 13 of the Lien Law. �. The word y" shall be construed as if to read "parties" whenever the sense of thi, i enture so requires. eewitness Whereof, the party of the first part has duly executed this deed \\`OV day and year first above written. f�In the Presence Of: , � \\ � ���Itt Ei'ED �^ , _, $ •• DONALD J. COOPo• REAL ESTAfE � • . 9130° OCT 6 1888 eiil/ i• a . r c ` JU IETTE A. KINSELLA ' :• - 1 RECORDED 1 ft 6 19B8i!• Clerk of Suffolk County . • J c‘v(fee- /5 617.20 r-e..Ck GIAAT-e t- 1 ex:711 e Appendix A State Environmental Quality Review 105:1/- FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently,there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ®Part 1 0 Part 2 ri Part 3 Upon review of the information recorded on this EAF(Parts 1 and-2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ®A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ®C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) , website Date ` Page 1 of 21 • PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. Name of Action I° DI) Location of Action(include Street Address, Municipality and County) -2(9v ) 'i-e , I(j 1))k#1/17,/ i( Name of Applicant/Sponsor /7, �j�, Nco .pv� �� pen-�a MX ( A� y- Sr poo ms's (21,9r). Address 7f 179 61,..-61/C / M 714 r.1< 17L" City/PO ,9 T"/ Tr ci< State yv Zip Code j/.13.---7 Business Telephone A3 , 607 / .2- Name Name of Owner(if different) SGS Address City/PO State Zip Code Business Telephone Description of Action Page 2of21 =; ;, D Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. 1. Present Land Use.E Urban E Industrial ❑Commercial 0 Residential (suburban) []Rural (non-farm) E.Forest q Agriculture C Other f/ 2. Total acreage of project area: hacres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 2 acres 1— acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) 3) acres 2--3,..5 - acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces 9 ) acres ./ acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained 90 %of site ®Moderately well drained n % of site. [1Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System'? acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ri Yes 1,20 No a. What is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: PAI0-10% 100% [10- 15% % [1 15% or greater % 6. Is project substantial) contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? f Yes No 7. Is project substantially contiguous too site listed on the Register of National Natural Landmarks? FlYes 1761 8. What is the depth of the water table? 6 0 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? MYes [ 1 No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? a Yes No Page 3of21 , , V 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? rlYes No According to: Identify each species: , 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? Yes g No Describe: i i 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ©Yes 1.,;cqNo If yes, explain: 14. Does the present site include scenic views known to be important to the community? Yes E No 15 Streams within or contiguous to project area: ,n/0 a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: ,rt—t2 i b. Size (in acres): I i Page 4 of 21 l 17. Is the site served by existing public utilities? `IpYes E No a. If YES, does sufficient capacity exist to allow connection? ©Yes ❑No W I' b. If YES, will improvements be necessary to allow connection? ri Yes NA ©No 18. Is the site located in n agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? Yes ©No 19. Is the site located in or substantiiall; contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? f Yes \A No 20. Has the site ever been used for tie disposal of solid or hazardous wastes? Yes "!'�No B. Project Description 1. Physical dimensions and scale of project(fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor:, ,gi acres. b. Project acreage to be developed: acres initially; acres ultimately. c. Project acreage to remain undeveloped. acres. d. Length of project, in miles: (if appropriate) e If the project is an expansion, indicate percent of expansion proposed. % f. Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour: (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure: height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 2. How much natural material (i.e. rock, earth, etc.) will be removed from the site? tons/cubic yards. PA. 3 Will disturbed areas be reclaimed ®Yes FINE) ..4 N/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? E.Yes C No c. Will upper subsoil be stockpiled for reclamation? E Yes L No 4 How many acres of vegetation (trees, shrubs, ground covers) will be removed'from site? © acres. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ri Yes li 1 No 6. If single phase project: Anticipated period of construction: 111/ onths, (including demolition) 7. If multi-phased: WA a. Total number of phases anticipated (number) b. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? 11 Yes [1 No 8. Will blasting occur during construction? 17 Yes 17,No 9. Number of jobs generated: during construction AM ; after project is complete 10. Number of jobs eliminated by this project titi A . 11 Will project require relocation of any projects or facilities? ri YesIf No If yes, explain: 12. Is surface liquid waste disposal involved? 11 Yes �''/I No a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? pi Yes V1 No Type 14 Will surface area of an existing water body increase or decrease by proposal? riYes No If yes, explain: t i 15. Is project or any portion of project located in a 100 year flood plain? ®YesNo 16. Will the project generate solid waste? 0 YesNo a. If yes, what is the amount per month? tons b. If yes, will an existing solid waste facility be used? 0 Yes ©No c. If yes, give name , location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? EYes © No Page 6 of 21 e If yes, explain: 17. Will the project involve the disposal of solid waste? EYes X�No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? 5-1K Yes t l No 19. Will project routinely produce odors (more than one hour per day)? FlYes k J No fi 20. Will project produce operating noise exceeding the local ambient noise levels?NYes r]No , 21. Will project result in an increase in energy use? [1 Yes No If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity anhq gallons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? . Yes IT No If yes, explain: L. Page 7 of 21 25. Approvals Required: Type Submittal Date City, Town, Village Board ipfl Yes El No City, Town, Village Planning BoardYes ® No City, Town Zoning Board ®Yes W 4 No City, County Health Department El Yes T No Other Local Agencies ri Yes iN No Other Regional Agencies 1-1 Yes X No State Agencies ©Yes R/No Federal Agencies El Yes kiNo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? Yes Elli No Ail If Yes, indicate decision required: Zoning amendment © Zoning variance © New/revision of master plan 11 Subdivision ! I Site plan ®Special use permit ©Resource management plan VC Other Page 8 of 21 2. What is the zoning classification(s) of the site? A- C20 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 13 4. What is the proposed zoning of the site? ftP m) 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 3.---.2-101- 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? Yes ©No 7. What are the predominant land use(s) and zoning classifications within a 1/4 mile radius of proposed action? RS 1/01x 9-e 1 j1 )1- Soar-el 1 /° . 8. Is the proposed action compatible with adjoining/surrounding land uses with a Y4 mile? N Yes E No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? Page 9 of 21 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? E Yes No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? Yes TN() No a. If yes, is existing capacity sufficient to handle projected demand? In Yes No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑YessNo a. If yes, is the existing road network adequate to handle the additional traffic. Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. pi)714,5 1 g '&'' Applicant/Sponsor Name pek !r,'cit D Colso i... rjjr 1)®/70 id (^�� er 3,. Date Signature Title 0 rt/17_x5 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 PART 2 -PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) ! In completing the form the reviewer should be guided by the question Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst ! The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2 The examples are generally applicable throughout the State and for most situations. But,for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response,thus requiring evaluation in Part 3. ! The impacts of each project,on each site, in each locality,will vary. Therefore,the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question ! The number of examples per question does not indicate the importance of each question ! In identifying impacts, consider long term,short term and cumulative effects Instructions (Read carefully) a Answer each of the 20 questions in PART 2 Answer Yes if there will be any impact b Maybe answers should be considered as Yes answers c. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact If impact threshold equals or exceeds any example provided,check column 2 If impact will occur but threshold is lower than example, check column 1 d Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant Any large impact must be evaluated in PART 3 to determine significance Identifying an impact in column 2 simply asks that it be looked at further. e If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact, also check the Yes box in column 3 A No response indicates that such a reduction is not possible. This must be explained in Part 3 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change Impact on Land 1. Will the Proposed Action result in a physical change to the project site'? NO YES 0 Examples that would apply to column 2 • Any construction on slopes of 15%or greater, (15 foot © El 0 Yes ONo rise per 100 foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table El ® © Yes ©No is less than 3 feet • Construction of paved parking area for 1,000 or more El ® © Yes ©No vehicles • Construction on land where bedrock is exposed or El 0 © Yes ©No generally within 3 feet of existing ground surface. • Construction that will continue for more than 1 year or El El ® Yes ONo involve more than one phase or stage • Excavation for mining purposes that would remove El © 0 Yes ElNo more than 1,000 tons of natural material(i e , rock or soil)per year Page 11 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill ❑ ❑ ❑Yes El No • Construction in a designated floodway ❑ ❑ Ekes ❑No • Other impacts I l I I ❑Yes ❑No 2. Will there be an effect to any unique or unusual land forms found on the site?(i.e ,cliffs,dunes,geological formations,etc.) FINO EYES • Specific land forms ❑ ❑ Dyes ❑No Impact on Water 3. Will Proposed Action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) ❑N O E1 YES Examples that would apply to column 2 • Developable area of site contains a protected water body ❑ 0 0 Yes ©No • Dredging more than 100 cubic yards of material from channel of © ❑Yes ❑No a protected stream • Extension of utility distribution facilities through a protected water ❑ ❑ ©Yes ®No body • Construction in a designated freshwater or tidal wetland © ❑ 0 Yes ®No • Other impacts: © © ©Yes ©No 4 Will Proposed Action affect any non-protected existing or new body of water? ❑NO YES Examples Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body of ❑ ❑ ❑Yes ❑No water or more than a 10 acre increase or decrease • Construction of a body of water that exceeds 10 acres of surface ❑ ❑ 0 Yes ❑No area. • Other impacts ❑ Li Eyes ❑No Page 12 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 5 Will Proposed Action affect surface or groundwater quality or quantity? ENO ❑YES Examples that would apply to column 2 • Proposed Action will require a discharge permit ❑ ❑ n Yes ❑No • Proposed Action requires use of a source of water that does not ❑ ❑ C Yes ❑No have approval to serve proposed(project)action • Proposed Action requires water supply from wells with greater n n n Yes ❑No than 45 gallons per minute pumping capacity • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes n No supply system • Proposed Action will adversely affect groundwater n © ©Yes ❑No • Liquid effluent will be conveyed off the site to facilities which ❑ ❑ ❑Yes ❑No presently do not exist or have inadequate capacity • Proposed Action would use water in excess of 20,000 gallons ❑ n ❑Yes ❑No per day. • Proposed Action will likely cause siltation or other discharge into ❑ n L I Yes ❑No an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or ❑ ❑ E Yes n No chemical products greater than 1,100 gallons • Proposed Action will allow residential uses in areas without ❑ ❑ ❑Yes ❑No water and/or sewer services • Proposed Action locates commercial and/or industrial uses ❑ n Yes n No which may require new or expansion of existing waste treatment and/or storage facilities. • Other impacts ❑ 0 Ekes ®No Page 13 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 6 Will Proposed Action alter drainage flow or patterns, or surface water runoff'? ❑N O ❑YES Examples that would apply to column 2 • Proposed Action would change flood water flows ❑ ❑ ❑Yes ❑No • Proposed Action may cause substantial erosion ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ Eyes ENO • Proposed Action will allow development in a designated ❑ ❑ ❑Yes ❑No floodway • Other impacts ❑ ❑ Eyes ❑No IMPACT ON AIR 7 Will Proposed Action affect air quality'? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any ❑ ❑ Eyes No given hour. • Proposed Action will result in the incineration of more than 1 ton ❑ ❑ Eyes ❑No of refuse per hour • Emission rate of total contaminants will exceed 5 lbs.per hour ❑ ❑ Eyes ❑No or a heat source producing more than 10 million BTU's per hour • Proposed Action will allow an increase in the amount of land ❑ El rives ❑No committed to industrial use • Proposed Action will allow an increase in the density of ❑ Eyes ❑No industrial development within existing industrial areas. • Other impacts: ❑ El ❑ [�Yes I INo IMPACT ON PLANTS AND ANIMALS 8 Will Proposed Action affect any threatened or endangered species'? ❑NO YES Examples Examples that would apply to column 2 • Reduction of one or more species listed on the New York or ❑ ❑ ❑Yes ri No Federal list, using the site,over or near the site, or found on the site. Page 14 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Removal of any portion of a critical or significant wildlife habitat ❑ ❑ ❑Yes ❑No • Application of pesticide or herbicide more than twice a year, ❑ El ElYes ElNo other than for agricultural purposes • Other impacts ❑ El 17 Yes ❑No 1 9. Will Proposed Action substantially affect non-threatened or non- endangered species? El NO ❑YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident ❑ © ❑Yes ❑No or migratory fish,shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres of ❑ ❑ ❑Yes ❑No mature forest(over 100 years of age)or other locally important vegetation. • Other impacts. ® © ❑Yes [I]No IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will Proposed Action affect agricultural land resources? ❑NO ❑YES Examples that would apply to column 2 • The Proposed Action would sever, cross or limit access to ❑ ❑ El Yes ❑No agricultural land(includes cropland, hayfields,pasture,vineyard, orchard,etc.) • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The Proposed Action would irreversibly convert more than 10 ❑ ❑ ❑Yes ❑No acres of agricultural land or,if located in an Agricultural District, more than 2 5 acres of agricultural land Page 15 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • The Proposed Action would disrupt or prevent installation of ❑ ❑ ❑Yes ❑No agricultural land management systems(e g.,subsurface drain lines,outlet ditches,strip cropping);or create a need for such measures(e g.cause a farm field to drain poorly due to increased runoff) • Other impacts. ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 Will Proposed Action affect aesthetic resources'?(If necessary, use the Visual EAF Addendum in Section 617 20,Appendix B) NO YES Examples Examples that would apply to column 2 • Proposed land uses,or project components obviously different ❑ ❑ ❑Yes ❑No from or in sharp contrast to current surrounding land use patterns,whether man-made or natural • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource • Project components that will result in the elimination or ❑ ❑ ❑Yes ❑No significant screening of scenic views known to be important to the area • Other impacts ❑ ❑ ❑Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance'? ❑NO OYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or ❑ ❑ ❑Yes ❑ No substantially contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within ❑ ❑ ❑ Yes ❑No the project site. • Proposed Action will occur in an area designated as sensitive ❑ ❑ ❑Yes ❑ No for archaeological sites on the NYS Site Inventory Page 16 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Other impacts- ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13 Will proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? © NO ❑YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity ❑ ❑ ❑Yes ❑No • A mayor reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14 Will Proposed Action impact the exceptional or unique characteristics of a critical environmental area(CEA)established pursuant to subdivision 6NYCRR 617.14(g)? E]NO YES List List the environmental characteristics that caused the designation of the CEA Examples that would apply to column 2 • Proposed Action to locate within the CEA? ❑ ❑ Dyes ❑No • Proposed Action will result in a reduction in the quantity of the ❑ ❑ ❑Yes ❑No resource? • Proposed Action will result in a reduction in the quality of the ❑ ❑ ❑Yes ❑No resource? • Proposed Action will impact the use,function or enjoyment of the ❑ ❑ ❑Yes ❑No resource? • Other impacts ❑ ❑ Dyes El No Page 17 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON TRANSPORTATION 15 Will there be an effect to existing transportation systems'? ❑NO fl YES Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or © ❑Yes ❑No goods. • Proposed Action will result in major traffic problems ❑ ❑ ❑Yes ❑No • Other impacts: F I ❑ [lYes ❑No IMPACT ON ENERGY 16. Will Proposed Action affect the community's sources of fuel or energy supply? El NO ❑YES Examples that would apply to column 2 • Proposed Action will cause a greater than 5%increase in the ❑ ❑ ❑Yes ❑No use of any form of energy in the municipality. • Proposed Action will require the creation or extension of an ❑ ❑ ❑Yes El No energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts. ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACT 17. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action'? El NO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive ❑ El El Yes El No facility • Odors will occur routinely(more than one hour per day) ❑ ❑ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the ❑ El Dyes ❑No local ambient noise levels for noise outside of structures • Proposed Action will remove natural barriers that would act as a El ❑ El Yes ❑No noise screen. • Other impactsEl ❑ Dyes ElNo Page 18 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON PUBLIC HEALTH 18- Will Proposed Action affect public health and safety? ❑NO DYES • Proposed Action may cause a risk of explosion or release of ❑ ❑ ❑Yes ❑No hazardous substances(i e.oil,pesticides, chemicals, radiation, etc)in the event of accident or upset conditions,or there may be • a chronic low level discharge or emission. • Proposed Action may result in the burial of"hazardous wastes" ❑ © likes ❑No in any form(i e.toxic,poisonous,highly reactive,radioactive, irritating,infectious,etc) • Storage facilities for one million or more gallons of liquefied ► 1 ❑ rlYes ❑No natural gas or other flammable liquids • Proposed Action may result in the excavation or other ❑ ❑ ❑Yes ❑No disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste • Other impacts ❑ ❑ Dyes ❑No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will Proposed Action affect the character of the existing community? ®NO DYES Examples that would apply to column 2 • The permanent population of the city,town or village in which the ❑ ❑ ❑Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating ❑ ❑ Dyes ❑No services will increase by more than 5%per year as a result of this project • Proposed Action will conflict with officially adopted plans or ❑ ❑ ❑Yes 17 No goals • Proposed Action will cause a change in the density of land use. ❑ ❑ ❑Yes E No • Proposed Action will replace or eliminate existing facilities, ❑ ❑ byes ❑No structures or areas of historic importance to the community • Development will create a demand for additional community ❑ ❑ Dyes ❑No services(e g schools,police and fire,etc.) Page 19 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Proposed Action will set an important precedent for future 1] El ©Yes No projects. • Proposed Action will create or eliminate employment 11 Yes Ti No • Other impacts. © © Tl Yes T1 No 20. Is there,or is there likely to be, public controversy related to potential adverse environment impacts'? fl NO ©YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21 Part 3 - EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s)is considered to be potentially large,even if the impact(s)may be mitigated. Instructions (If you need more space, attach additional sheets) • Discuss the following for each impact identified in Column 2 of Part 2 1 Briefly describe the impact _ 2 Describe(if applicable)how the impact could be rnitigated or reduced to a small to moderate_impact by project change(s). 3 Based on the information available,decide if it is reasonable to conclude that this impact is important To answer the question of importance,consider ! The probability of the impact occurring ! The duration of the impact ! Its irreversibility, including permanently lost resources of value ! Whether the impact can or will be controlled ! The regional consequence of the impact ! Its potential divergence from local needs and goals ! Whether known objections to the project relate to this impact ( 7 • 3 , Page 21 of 21 )Neville, Elizabeth ' From: Spiro, Melissa ' Sent: Tuesday, October 18, 2011 12:32 PM To: Finnegan, Martin; Neville, Elizabeth; Lanza, Heather Cc: Krauza, Lynne Subject: RE: Emailing: Coopers Farm AgPDD CofZ_20111017101206 He had the EAF filled out when he met with me last week, I'm not sure why he didn't submit it. I just spoke to Doug Cooper and told him that application incomplete until he submits it. Sounds like he will drop it off today or tomorrow. Melissa Original Message From: Finnegan, Martin , Sent:Tuesday,October 18, 2011 12:29 PM To: Neville, Elizabeth; Lanza, Heather;Spiro, Melissa Cc: Krauza, Lynne - - Subject: RE: Emailing: Coopers Farm AgPDD CofZ_20111017101206 Betty- It appears that the applicants have neglected to include the completed EAF form. I am not sure if they submitted a deed but I understand that title was conveyed by will here. Melissa may reach out to Mr. Cooper and ask him to submit the EAF but you should be sure to receive it before you deem the application complete. Please let me know if you have any questions. Martin D. Finnegan,Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, NY 11971-0959 Office: (631)765-1939 Fax: (631)765-6639 - Email: martin.finnegan@town.southold.nv.us Original Message ' From: Neville, Elizabeth Sent: Monday,October 17,2011 10:28 AM To:Spiro, Melissa; Lanza, Heather;Al Krupski;Andaloro,Jennifer;Christopher Talbot; Evans, Louisa; Finnegan, Martin; Krauza, Lynne;Orlando,Vincent; Phillip Beltz; Russell,Scott;William Ruland;Woodhull, Ruthanne • _ Subject: Emailing: Coopers Farm AgPDD CofZ_20111017101206 FYI Elizabeth A. Neville, MMC ' Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 1 I Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday, October 18, 2011 12:43 PM To: Finnegan, Martin Subject: RE: Emailing:Coopers Farm AgPDD CofZ_20111017101206 Thank you, Martin. Original Message From: Finnegan, Martin Sent:Tuesday,October 18, 2011 12:29 PM To: Neville, Elizabeth; Lanza, Heather;Spiro, Melissa Cc: Krauza, Lynne Subject: RE: Emailing: Coopers Farm AgPDD CofZ_20111017101206 Betty- It appears that the applicants have neglected to include the completed EAF form. I am not sure if they submitted a deed but I understand that title was conveyed by will here. Melissa may reach out to Mr.Cooper and ask him to submit the EAF but you should be sure to receive it before you deem the application complete. Please let me know if you have any questions. • Martin D. Finnegan,Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, NY 11971-0959 Office: (631) 765-1939 Fax: (631) 765-6639 Email: martin.finnegan@town.southold.ny.us Original Message From: Neville, Elizabeth Sent: Monday, October 17, 2011 10:28 AM To:Spiro, Melissa; Lanza, Heather;Al Krupski;Andaloro,Jennifer; Christopher Talbot; Evans, Louisa; Finnegan, Martin; Krauza, Lynne;Orlando,Vincent; Phillip Beltz; Russell,Scott;William Ruland;Woodhull, Ruthanne Subject: Emailing: Coopers Farm AgPDD CofZ_20111017101206 FYI Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Tracking: 1 .1,i1AV S01/74o ELIZABETH A.NEVILLE,RMC,CMC ,' A: O : Town Hall,53095 Main Road TOWN CLERK ; 4 P.O.Box 1179 REGISTRAR OF VITAL STATISTICS G Southold,New York 11971 MARRIAGE OFFICER ',�c'�. . ►► Fax(631)7656145 RECORDS MANAGEMENT OFFICER . �,y�, �,ru� '��� Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER -.. 0UN t 01/$11 OFFICE southoldtown.northfork.net .i OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Martin D. Finnegan,Town Attorney Heather Lanza, Planning Director From: Elizabeth A. Neville,Town Clerk Re: Agricultural Planned Development District Change of Zone application of Cooper's Farm Date: October 17,2011 The enclosed change of zone application was submitted to my office on Friday, October 14, 2011 by Doug Cooper(276-6215)and Don Cooper(807-6123). Please review it and send me your recommendation as to whether or not this application meets the criteria for acceptance for filing of the Town. Thank you. Cc:Supervisor&Town Board Members •65/12/2011 15:48 6317656640 LANDPRES PAGE 05 •r APPLICATION FORM ' REOUEST FOR AGRICULTURAL PLANNED DEVELOPMENT DISTRICT IAgPDD) CHANGE OF ZONE APPLICATION NAME:ii Leo -C y. c 6,-)-0 j." 1457;1-_-,0 S /)oev ife�D P"`� e under which apply tion shall be known) SUFFOLK COUNTY TAX MAP NO.: 1000- / alp -,,,,�d E -_," ':"' a District Mock Parcel A. SUBMISSION 1N'FORMATION: A plication is hereby made to the Southold Town Board for a change to a zoning classification on the current Zoning Map to create an Agricultural Planned Development District in accordance with Article XXX(Agricultural Planned Development District)Section 280-174 of the Southold Town Code. Two )copies of each of the following are required as part of the application: 1. Completed application form; i 172. Disclosure affidavit; Z �3. Deed covering each parcel for which the application is Made; v/ 4. Survey or map showing each parcel proposed to be rezoned to AgPDD and any improvements on each parcel; 5. Completed Environmental Assessment Form(EAR). • • AgPDD Appticatien Form ' Pagel of 5/4/2011 J 05/12/2011 -15:48 6317656640 LAND PRES PAGE 06 • B. GENERAL 1NRORIVIATION: - 1. Name of Applicant(s): p & fk r mm'i (tole?" ,1774$ A LQev,�• Address: y E-mail Address: Telephone No. ,4_ / 7/. fez !f ek a?/ . go 7 ..4../a_.3 2. If the applicant is a corporation(or partnership),give the name and title of the responsible officer: Name: Title: Address:(if different), Telephone No.: -- Ifthe owner is a Corporation or a Partnership;prepare endorsepent at the end of this form establishing owner's authorization aipt-110,4 `.�' Ff°ui 3. List all Landowner(s): • r/� r^w..r �,_��..�•wrY ___. ..�+AI�/Jl ,�.".,� a l~ , -tom stf/� L�'r+PA14...►#, -Z /may 1)14 :r Address: I ,� - J .� 7h 711-94roc � `" Telephone No(s): -- 4. Name of Attorney,or Agent authorized to represent the property owner and/or applicant: Name: i/41,24! Title: • Name of Firm: •.. - .Address: Telephone No.: ._., 5. All communications with regard to this application shall be addressed to the following person until further notice: Name: 1),077,44/ C Aa ppe Title:- Cie./n(4 I-• - • Address: Po Bek9S i!(4 rf/'*mak — E-mail Address: Telephone No.: „ ;D _ • C.SITE/PROJECT DATA: - 1. Existing zoning districts) 2.• Requested zoning district(s) f P /) 3. Total Lot Area of property:,/". 9 acres. AgPDD Application Form Page 2 of7 • • 5/4/2011 • 05/12/2011 15:48 6317656640 , LAND PRES PAGE 07 • • • 4. Total area of requested zone change to AgPDD acres. 5. Are all buildings and structures shown on tlae attached survey? Yes x No 6. Existing Building Area C:.%,5";;016/1---z' sq.ft. Lot coverage .4M Z. 7. Is a.residential structure area(s)or er area(s)requested to be reserved(Reserve Area) from the AgPDD.Areal Yes !X No If yes,describe approximate location of Reserve Arca(s) ,.e,J,•• number of acres 8. Is an agricultural structure area requested? Yes No If yes,describe approximate location and number of acres ' 9. Number of developinent•rights offered for initial sale: ' 10.Are there encumbrancissr liens against this land other than mortgages? Yes No 11.In order to be considered for rezoning to AgPDD,the land must meet all of the following criteria.Please answer the following questions: • A Is the parcel a subdividable parcel of at least seven acres? Yes: X No. ..__i if No, Is the parcel<7 ages,but contiguous to property already zoned AgPDD or already preserved? Yes: No. B. Is the parcel on the Community Preservation Project PIan? Yes: No. - C. Is the parcel enrolled in an agricultural district or individual commitment pursuant to Article2'�5-of New York State Agriculture and Markets Law? Yes: No. • D. Describe why the parcel provides an environmental,physical,economic,aesthetic, social or cultural benefit to the Town. AgPDD Application Form Page 3 of 7 5/4/2011 ;.t 4bRG11`: ' 05/12/2011 15:48 6317- -6640 LAND P-� PAGE 08 4/, / : ,St KEo SLER New / //f' /1 Notary Public,State of New or /� No.01 KE5006684 Qualified iniSuffolk County E. I her�ri eek i( �iauu f bove statements of Information,and information contained in the supporting documents and drawings attached hereto are true and correct. 2940 C > r / ,0 , , 'apiN�1r s� _ / / Notary Pubr�ic�at-fte of���G No.01 KE500 New York Swartefor= v_:�.' G?uerIfied in Suffolk County da % / , ' , ' 7. CoMmissron Expires January 4, 4.7.---0, ff /d� ��� CYNTHIA J. KESSLER • A„hit: / m/ �` Notary Puo.blic, 01KE50State0668of New4 York N Ne TAU'P ' Qualified in Suffolk County A Commission Expires January 4, 1 F.' OWNER'S ENDORSEMENT (To be signed if applicant is not the owner or if the owner . is a corporation or partnership) , • State of New York County of Suffolk • being duly sworn,deposes and says that he/she resides at • in the County of and the State of _ and that he/she is(the owner or the officer of the corporation or partnership which is the owner in fee(circle))of the premises described in the foregoing application and that he/she has authorized - • to make the foregoing appRation for amendment and/or change of zone as described here in, NAME . SIGNATURE • Ifs corporation,name of corporation and Officer's title Sworn before me this_ Day of ,20 _. NOTARY PUBLIC AgPDE Application Form Page 4 of 7 _' 5/4/2011 • • 05/12/2011 15:49 6317656640 LAND PRES PAGE 09 . • G. DISCLOSURE AFFIDAVIT State of New York County of Suffolk • being by me duly sworn,deposes and says: 1. I am an applicant for a project or an owner of the land which is the subject of a pending application before the Southold Town Board for change of zone to AgPDD. 2. The project name is: .p�-�S ri v- .__. . 3. I reside at,e-// '/D .,eftee< / _ 4. The Officers of the applicant corporation or owner corporation are as follows' NAME TITLE S. I make and complete this affidavit under the penalty of perjury and swear to the truth herein. G. I am aware that this.affidavit is required by General Municipal Law 809 and that I shall be guilty of a-misdemeanor as provided by General Municipal Law 809 should I knowingly or intentionally fail to make all disclosures herein. 7. During the 12 months before the filing of this application,have any of the following individuals made campaign contributions exceeding$100 in total,in cash or in kind,to members of the Town Board or political committees designated'to accept donations behalf: 1. Owner Yes No 2. Applicant 3. Agent for owner or applicant 4. Attorney 5. Other ^' If the answer to Question 7 is yes,Town Code Chapter 26 requires that the information be provided below: AgPDD Application Form Page 5 of 7 6/4/2011 • 05/12/2011 15:48 8317656640 LAND PRES PAGE 10 . Name Title Owner,Ag t,Afornev,otherl Amount •********+ ****e**********#********* ********** ******************************** For the purpose of this disclosure,an official or employee or either the Town of Southold or the County of Suffolk,shall be deemed to have an interest in the applicant and or owner when that. official or employee,their spouse,brothers,sisters,parents,children,grand children or the spouse of any of them: a. Is the applicant or owner b. Is an officer,director,partner,or employee of the applicant or owner ' c. Legally or beneficially owns or controls stock of a corporate applicant or owner, . . or is a member of a partnership or association applicant or owner,or d. Is a party to an agreement with the applicant or owner,express or implied, whereby said official or employee may receive any payment or other benefit. whether or not for services rendered,dependent or contingent upon the favorable approval of such application. Ownership of less than five percent of the stock of a corporation whose stock is listed on the New York Stock or American Stock Exchanges shall not constitute an interest for the purposes of this disclosure . ' - ************ :***************************************** *,***************4****** YOU MUST ANSWER•TIIE FOLLOWING QUESTION YES OR NO Do any of the following in ividuals have an interest in the applicant or owner,as defined above? YES _r . NO 1.. Arty official New York-State YES )c NO 2. Any official or employee of Southold Town or Suffolk County? YES ANO • If the answer above is yes,.to any of the questions,General Municipal Law Section 809 requires . that you disclose tale name and residence and the nature and extent of the Interest of said individual(s)in the applicant or owner. • NAME RESIDENCE NATURE OF INTEREST AgPDD Appiication Form Page 6 of 7 . 5/4/2011 • -`•"- . J • •r_ _ '' • '' PAC N P_ PAGE 11 85/.12/2011 15:48 6317556648 ,. , ,, /. CYNTHIA KESS!. /�U if - ^•_ _.-._, Notary Public,State of New York ! t No.01 KE5006684 Qualified in Suffolk County Commission Expires J=nu• y 4, , ®/ AS / 411 4„„,;,:i otary Public, State of New York ��/� No.01KE5006684 41, JIB, • I U • .4,„44,4 hwahfie. r • , •, '' - - / GC6mmission Expires Jan ary 4. • SIGNATURE Sworn before me this // ®� 20 otary CYNTHIA J. KESSI.ER • NPublic,State of New York • Day =f No.01KE5006684 I Qualified in Suffolk County IL /L_I // Commission Expires January 4, d l 4 O ARY P ' L C • • • • • • • • • ' AgFDD Application Form Page 7of7' • 5/4/2011 • • • x _4,. a– ''`an 10707- n351 [ . 9 I V. SDaed 9130 • - Indenture, made the/ref•day of-June, nineteen hundred and eighty-eight, 4 Between DONALD a. COOPER, residing at Breakwater Road, P.O. Box 952, Mattituck, New York 11952, and DOUGLAS A. COOPER,'residing at 'No I Bergen Avenue, P.O. Box 246, Mattituck, New York 11952,. as / executors of the last will and testament of DAVID W. COOPER, late I` of Mattituck, of the Town of Southold in the County of Suffolk and State of New York; who died on the 12th d of October, nineteen \ hundred %V athree, mi / .\ party a� N1eApaa. and /t ' I Y t St..NOa i14Ma RUTH ANN BARTRA x.61« at 2 Breakw,dlmacRoad, Mat ck7rert 7 New York 11952, !n�j©:� riga Er v party of the seccrd,p t, /� ..:_._ 17— l�,i`— ���'t itnes th, that the o£ the ft C. sued tey the to s (�ourt, Suffolk=pogo., Yanon �`13�198 e \g . and b virtue of t e_power and a thority given in and-by s id last wLll and b� testament and/or bycls 1 of a Estates, Powers and Trusts Law, and pursuant to Article the P o sa d last will and testament, does hereby . grant and release unto a partythe second part, the distributees or successors and assigns.of the part,of the second part forever, ALL that certain plot, piece or parcel of land, situate, lying and • DIST being in the Town of Southold, County of Suffolk, State of New • ' 1000 York, bounded and described as follows, to wit: ' t $ T •BEGINNING at a concrete monument located at a point on the 10 . 0 'northerly line of the subject premises where the westerly line of ' • land now or formerly of J. T. Maran intersects and said northerly . EL line abruptly changes direction; • 00 . 0 RUNNING THENCE from said point of BEGINNING along the southerly line of said land now or formerly of J. T. Maran south 80 degrees , 34 minutes 50 seconds east, 55.46 feet to a point; •- pip • • THENCE •south 9•degrees 25 minutes•10 seconds west; 255.92 feet to • • 002.100 a point; THENCE south 82 degrees 20 minutes 10 seconds west, 252.30 feet to the easterly side of Breakwater Road; ._y THENCE along the easterly side of Breakwater Road north 7 degrees QD39 minutes 50 seconds west, 150.0 feet to the southerly line of other land now or"formerly of J. T. Maran; THENCE along the southerly line of said other land now or formerly 1 04 OD of J. T. Maran north 78 degrees 45 minutes 30 seconds east, 245.57 feet to the point or place of BEGINNING. 0761b PREMISES HEREIN DESCRIBED are and intended to be part of the 002 premises described in deed recorded in Liber 1797 pc 512. . Together with all right, titl and interest, if any of the of the first "...Ns art in and to an ereo s magi tints%ce the a{�onre d kin— �remi �str e centn lines hereo ; o e er w a urtenances woe estate which the•said decedent had at the timerof decedent s death in said premises, and also•the estate therein which rt •of the first �t or �+...... has_power to convey or=noose of, wether .i.i�dividuaaly, o b virtue o ,aid wilt r otherwise; To Bay.eAnd To'Hold the premises herein granted unto the ty-of the second pa r�t the distributees or successors and assigns of the OCT 6 • of the second P 't forever. r/� ND the party of the fir part covenants that the,partly of the first part of done or suffered�whereb� said premises Have been en ua5en l'/vl anY way whatsoever, afasr Subject to the trust u provisions of Section 13 of the Lien Law. � I5tei ?t z of inbenthm as if to read "parties' whenever the sense Wit Bens Whereof, the party of the first part has duly executed this deedday and year first above written. \In the Presence Of: \ . $ H321) 9130 REAL MAI .4. DONALD J. COOP acr 6 ISO 4:2,", �P' • T gg!*' .111 iU IErrE A.KINSEw+ • RECORDEO �#'•I9 -t; Clerk of Suffolk County ..._.....mak.'•^ �_. '.i.::... -T..': 1 - • •