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HomeMy WebLinkAbout1000-14.-2-25 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)h CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York 11901 tel. 631.727.2303 fax. 631.727.0144 TYPICAL PLOT PLAN Q admin®youngengineering.com / PROFtRTY LINEMINHoward W. Young, Land Surveyor w WELL WELL Thomas G. Wolpert, Professional Engineer n "` " ,' z zDouglas E. Adams, Professional Engineer in Robert G. Tost, Architect HOU5E HOU5E 5 ------- 2 SEPTIC ,��� SITE DATA , . J �� � �� •�2' TANK 1�1Q¢�.�1 c^0 0 OQ e MIN. TOTAL SITE AREA = 9.9331 AG (� "/ /,� �,' COQ LEACHING POOL '� 5EAWARD OF GEHA = 1.1'146 AG " BUILDABLE LANDS = 8.'7585 AG ROAD 9�1 001?4 // \\ >g ry // , ' \\�\ fi5 Bj�Yr �P`�e9 ALLOWABLE BUILDABLE AREA = b.7585 AG x 0.40 = 3.5034 AG 1�/j \\� �y f ,'� \ " REQUIRED OPEN SPACE = 8.7585 AG x 0.60 = 5.2551 AG °��� PROVIDED (OPEN SPACE = 5.2636 AG ` -O �p\E� / 1�r X16-•/; _ \\ S q \ j�z I ro\,� \\\ T T X33 e/ihe� or \ �R '� TOTAL NUMBER OF LOTS = 4 / ! •• (� O ~' C lOr ZONING USE DISTRICT = R-80 / o00 / 0�/6 o �•'/ Q��Q p ' �.\ 3 \\SO(1�,� O- e VOCE D/��e e /r' t uL�F r al J VERTICAL DATUM = NAVD 88 r / �D� R Q i \ Z SO elf P\ j , o F� 0 , \ �, p9�� } 4`Qnt�I 7j fiC� / OWNER = ORG/O EVA MALLIS r.i y 9, J I St m//(, / //" y dyo r'' \ �� MNE RE51DENTIAL PROPERTIES LLG '// j +`' \ �ry os / ` \.._4� / P. O. BOX 716 'e\��1Q' /�/ /.% � A`� ��7 �l `:�\ / HARRISON, NEW YORK 10525 /% ��i �\h/•� A�/ -,-��P/ //\ OOD WALK �$ i \ /�•\•� KEY MAP .! ,.�• / I � �oPo� , � / / � II _ I \� i �/ i \ Scale: 1 - 600 00 11 l6 Drormer C76/ oeQ / \\ �L \�� �T�SFO ?S \ !\\` �. 4, e 9e S y r5'----I ` ` Q`41 Al gnt Tr(i fig %n �=� ENGINEER'S CERTIFICATION C 0/�+ , I HEREBY CERTIFY THAT THE WATER SUPPLY(5) AND/OR 5EWAGE i i \._, 1. / •\ �1\°\5 e r 1 % uI ( ( , r. •�-, � t o �- `�`- \ �i� % % 1 a' n `•� `•� P15P05AL 5Y'STEM(5) FOR TH15 PROJECT WERE DE51 BY ME OR UNDER MY DIRECTION. BA5ED UPON A GA AND T OUCH 3?T S SFNcF % PO STUDY OF THE SOIL, SITE AND GROUNDWATE CONDITIONS, ALL ,\ S 3�, ooN��\ 7 \ \ % \ `�.� D ��, Sr& LOTS, AS PROPOSED, CONFORM TO THE 5UF ,OLr,,OOUNTY l`1Ir , \ i i pos '- �\ / Rq/� F / DEPARTMENT OF HEALTH SERVICES CONS GTPON STANDARDS) 14- 1�Ni Fo 4' \! / F�CF ,' EFFECT AS Or THIS DATE. HOWARD W. YOUNG N.Y.S. L.S. NO. 45893n ;,'� Ndr t I 0} li /vj� \� -- -- L T, N.Y.S. P.E. NO. 61483 � I / �. ,r' \� �� s' •`•� '� h0 THOMAS G. WO PER % I $G� '� Jr\\�. • `` h\`\? �.\ /�� O ` �.\ S/?°��\ Gem or �O DOUGLAS E. ADAMS N.Y.S. P.E. NO. SOSQ7 J�w�i\��, 'q 4J / I ,, \ ry ,.._ r \\\� f,. C[ saq `'�<< �\ ��'QCq �UR1(EYOR'S GERTIFIGATION Ce `•\ v rt!I-�-SSW \O Q�a Q� / \\\ CO // - \� \\\� /� eserV `•� �` \S 0-71 "I HEREBY CERTIFY THAT ALL LOTS SHOWN ON TH15 PLAT COMPLY e� / �W�, \\\ems / `\. e \�O• WITH THE BUILDING ZONE ORDINANCE OF THE TOWN OF SOUTHOLD, �J 0 J��Q� \\ 4)x$0 / 03,77 / \ "' \\ 3 EXCEPT A5 MODIFIED PURSUANT TO SECTION 278 OF THE N.Y.5. TOWN 0 / ( / cy / �� \ \\ "� ��\/ \ 00 LAW 8 ARTICLE XVIII OF THE CODE OF THE TOWN OF SOUTHOLD." ° U / `��v l Al% cr POST / t� s �Q O O \/�� 0�, �0` Nk FENCF & RAIL FFAC / / `� \\ ph�</ `\\` \.\ i / / N / Q w� / f �/ / O � \ ,Rt�` \ _ - \ JQ� / ' / 1 HEREBY CERTIFY THAT TH15 MAP WA5 MN `� s l �� ��\ / `� 40 �r 4 / pe Ate\ I�� qr \ 14- - r / L�12� SURVEYS COMPLETED _ AND THA i.LONREIN C110 0 \ / 0 / r / h S a= \� _ �'\.� �. 1 > / / MONUMENTS SIHOWN THUS: ■ ACTUALLY EXIS AND T{1Efi`i.P651ST1 5 ARE CORRECTLY 5HOWN AND ALL DIMEN51' NAI,,AND.GEOD TIC`- DETAILS ARE CORRECT." /.? ( F Ec. \ ° \ _V) r h �.. �y0 / O ♦I D( z \ !1 44 C -0 Ile Ae Ix 1z �'�`a��V �g 0�, \ \?� \\\ ry �`\�\ \ \\ J Zz /' H WARD W. YIOUN • .5. L.5 O. 45893 _..,.. � � ?$o \\\\� / o f ^�. �' � 5UBD 11151 ON MAP J�0 �o /�, \ \ // ,�\ / ,' / , '^ y '�� ORIENT AGRE5 E - / - ;�,�'S/ / Town of Southold at Orient, Suffolk County, New York A? 5KETGH PLAN CP / 0U 10 /.rye �" / County Tax Map District 1000 Section 14 Block 02 Lot 25 / -� �' MAP PREPARED AUG. 26, 2019 TABLE OF AREAS � �� TOTAL /� Record of Revisions GEHA POLE TO SOUND EASEMENT R.O.W. BUILDABLE LOT LOT AREA NON-BUILDADLE NON-BUILDADLE TO SOUND EVA'S PLACE LANDS BUILDABLE OPEN SPACE CLEARIN6 ALLOWED LOT / RECORD OF REV1510N5 DATE 1 2.8098 AG 1.0071 AG 0.0492 Ar- 2 G1.2944 AG 56,554. 5F 0.4591 AG 56,554 SF x 0.50 = 28,192 SF I 2 1.0747 AG 0.1675 AG 0.1564 AG I' 0.7508 AG 32,704 5F 32,704 5F x 0.50 = 16,352 5F 2 3 0.7466 AG 0.7466 AG 32,524 5F 32,524 SF x 0.50 = 16,262 5F 3 s 4 5.3020 AG OAL175 AG 4.8045 AG 2' 4 / IVED R TOTAL 9.9331 AG 1.1746 AG 0.1574 AG 0.04x2 AG 0.4x75 AG 8.7585 AG 2.'7918 AG 121,612 5F 5.2636 AG TOTAL 6' F--------- m SEP p , 2 9 60 0 30 60 120 150 I.LAMMARD OF GEHA /'/ - 0 2.OPEN SPACE A = 2.514?AC,OPEN SPACE B =Ma Ar, ' _ 5ca 1 e: 1" - 60' a Soutnold Town JOB 2 NO. 015-0011 Planning Board DWG. 2015 -COI I OF I El- MONUMENT SET ■= MONUMENT FOUND D= STAKE SET O= STAKE FOUND (T)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A MOUTON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)CORES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 5 THE LOCATION OF WELLS SEPTIC TANKS(ST)_&CESSPOOLS CP SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York II901 tel. 651.'72'1.2303 fax. 651.•72"1.0144 admin®youngengineering.com TABLE OF AREAS LOT TOTAL GEHA POLE TO SOUND EASEMENT R.O.W. BUILDABLE Howard W. Young, Land Surveyor � OT NON- iLnAOLE NON-BUILDADLE TO SOUND EVA'S PLACE LANDS BUILDABLE OPEN SPACE CLEARING ALLOWThomas G. Wolpert, Professional EngineerED LOT Douglas E. Adams, Professional Engineer I 2.8048 AG 1.0071 AG 0.0442 AGI• 1.2444 AG 56,584. SF 0.4541 AG 56,584 SF x 0.50 = 28,192 SF I A , 2 1.0-747 AC 0.1675 AG 0.1564 AGI 0.7508 AC 52,704 SF 32,704 SF x 0.50 = 16,352 SF 2 Robert G. Tast, Architect 3 0.7466 AG 0.746b AG 52,524 SF 32,524 5F x 0.50 = 16,262 SF 5 0 Q / 4.8045 AG 4 �,� +\� X40 '�/ ✓J{' 4 5.5020 AG 0.4475 AG 2. 01 �0 OQ 0 �! fir( TOTAL 4,4351 AG 1.1746 AG 0.1574 AG 0.0492 AG 0.4475 AG 8.7585 AG 2.7418 AG 121,612 SF 5.2636 AG TOTAL SITE DATA I.LANDWARD OP GEHA ��1.el 2.OPEN SPACE A-25141 AC,OPEN SPACE B= 228,015 AG FTOTAJL- 11EAREA A53I AC �� � / \\:8' ' , * 5EAWARD OF GEHA =� yI.X46 AG A�C/j \\\\ �y'�' ,•' ry * BUILDABLE LANDS = 8.7585 AG O ' �a� /' \�S�iLj / S/$o �4q'e �Oly * ALLOWABLE BUILDABLE AREA = 8.7585 AG x 0.40 = 5.5054 AG RT e P PROVIDED OPENS AGE D OPEN SPACE = 8.7585 AG x 0.60 =�26561 AC AG oQ rti o��e�J-' s ,ao'VND ry-w ASS a�� X46/ �e ry r9e TOTAL NUMBER OF LOTS = 4 ZONING USE DISTRICT = R-80 g / VERTICAL DATUM NAD 88 // "��'° ' �.' ✓JORIENT ACRES, LLC 0/0 EVA 4/luj/ / • OWNER = '` '- ` 1. �/ MINE RESIDENTIAL PROPERTIES, LLC / (^ moi'' g4jT ,•'' �P� WOODyfIALK ',` SCJ l� P. O. BOX 716 �.�0� rf" � I." ' � ' I-) a - �° HARRISON, NEW YORK 10528 bc� � 6$" \• "'1" " ' � �•�•� � T s., , � ,\,` (Dry ae/% �V O .,`, � O V, ^fro mer/ ' /3 .' � �� � �"� fw;► rs° „3 � �4?i �,�v...,, / ntJ SZc �j/y r �• -� t �J �o �� ' '' ter qtr,,,s g4 / ENGINEER'S CERTIFICATION I HEREBY CERTIFY THAT THE WATER 5UPPLY(S) AND/OR SEWAGE 4 /� � T,O `• a � '� / DISPOSAL SYSTEMS) FOR THIS PROJECT WERE DESI DBY ME 1 �S�• C }'; ' ; k. v� �, �} � �\ \� i' OR UNDER MY DIRECTION. BASED UPON A GA AND T UGH i � 'L� °�, .• ,�: , ��, � ioj� -; `��\� .,i ��`� STUDY OF THE SOIL, SITE AND GROUNDWATE GONDITIONS,;ALL g F ,-. • � �?,t ��r"., s ._,� ;j"� • Sv' /.a � ���.�. �\ ,CILj LOTS, AS PROPOSED, CONFORM TO THE SUF OLKGOUNTY,�',;' 01 DEPARTMENT OF HEALTH SERVICES CONS CTION STANDARDS 1 ST.gB/ tea I lii� j \ \ l EFFE hoh, �'YYai�•� � �� to y��0 Vj� / 14-lAol/T ,, Or Qc9W e arm HOARD W. YOUNG, N.Y.S. L.S. NO. 45895n '-�," \ 7F �' CLXer/ THOMAS G. WOLPERT, N.Y.5. P.E. NO. 61485 >,• ° . OJ g\ Y !� tq J X07, a \SVS / `4C 4 00"7EJ /o y DOUGLAS E. ADAMS, N.Y.S. P.E. NO. 80897 o �r�Q / Q r) / / /7.o� 903 I 3 5URVEYORF5 CERTIFICATION w v ;, x Q `��° "11) I HEREBY CERTIFY THAT ALL LOTS SHOWN ON THI5 PLAT COMPLY 0 0 Q Qr / " \\� <TOR� \,,\ WITH THE BUILDING ZONE ORDINANCE OF THE TOWN OF SOUTHOLD, 47 wpQu �� EXCEPT AS MODIFIED PURSUANT TO SECTION 278 OF THE N.Y.S. TOWN 0 OJz /' ��0• 49/ �rj 11l>`\•\ \• `�:= LAW $ ARTICLE XVIII OF THE CODE OF THE TOWN OF SOUTHOLD." ry I HEREBY CERTIFY THAT THIS MAP WAS MAD L k0 w Q v �' sem. `�.,, ° \\ GJ �( ��, SURVEYS COMPLETED AND THAT AL ONCRETE.,M UMENT5 QU �� e ti, �t i5/ "�\\ �IQ�o\Z SHOWN THUS: ■ ACTUALLY EXIST AND THEIR 051�'[ON5'`ARE� _• , �,t j� CORRECTLY 5HOWN AND ALL DIMENVONA AND GEODETIG_DETA S / �. ARE CORRECT." r 49 0 IID ? -'T k- U °•2�O x`11\1 \� \ \ �'''T, ,//� jl �''.;:.;- °Vr.: •.:`1,.a 14 U�k 7b -4 - JQ ,r1'Y HOWARD W. YOUNG, N.Y.5. L.5. NO. 45843 SUBDIVISION MAP Ur /` ORIENT ACRES E / o �9? , at Orient, Town of Southold 6°S?3$ Suffolk County, New York UW 0 (0 PRESENTATION q PRESENTATION 0 Co DK County Tax Map District 1000 Section 14 Block 02 Lot 25 o / � a U ``� JQ� MAP PREPARED MAR. 01, 2016 �a ¢ Record of Revislons / �� RECORD OF REVISIONS DATE pECE VE MAY 1 7.2016 Southold Town a Planning Board 0 60 0 30 60 120 180 m 0 IL Scale: I" = 60' J JOB NO. 2015-0011 E= MONUMENT SET ■= MONUMENT FOUND = STAKE SET ®= STAKE POUND DWG. 2015_0011_sketchplon 1 OF 6 (1)DI UNAUTHORIZED HEREON ALTERATION OR ADDITION TO THIS SURVEY ISA VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECT ON OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)ME LOCATION OF WELLS(W),SEPTIC TANKS(ST)6 CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York 11401 tel. 631-'12'7.2503 fax. 631.12'1.0144 admin®youngengineertng.com w 4"� 4 � Howard W- Young, Land Surveyor / Thomas G. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect O 51 TE DATA 1 �� / ��'��\¢ +�b 4 �0 TOTAL 51 TE AREA = q.g531 AG 0� �w�4 0 0 ' CEHA .1746 Ar, 0 �0 �P 4 -1"\e ' �QQ� " BUILDABLE L ANDS = 5.11555 AO � ALLOWABLE BUILDABLE AREA - 8.7585 AG x 0.40 = 3.5034 AG ryi '• REQUIRED OPEN SPACE = 8b.-7555 AG x 0.60 = 5.2551 AG � ¢ PROVIDED OPEN SPACE = 5.2656 AG /( S/$o q4e hal y SFW DR * TOTAL NUMBER OF LOTS = 4 NN -16- � 033 gA %f/e O/.• * ZONING USE DISTRICT = R-00 %/`�� >� G T'g6 T W/D 'pelma C' orm " �Fo�co * VERTICAL DATUM = NAD SS 3 O A RNS �Fa ooq(��,.oege / r / ,r0^�J{Ci94} �l�Q `�' T J� OWNER = ORIENT ACRES, LLG 0-" / / �, / rn ., ' QIG�OQ�i y 9�0� @fj cQnt� G/O EVA MALL15 x / MNE RESIDENTIAL PROPERTIES, LLC P. O. BOX -716 HARRISON, NEW YORK 10528 00D WALKS KEY MAP Or- Scale: 1" = 600' RUSy q @ ho`V co a //ire Or41 't\ � �ti / � � : l''`( < �0 P� � _, i � ; i \ �e 1'oC• Drormer A\ Ile � bo y �01''� ! Open S iq \� ee e C f � ' �„^--�,.�' , \ X41 •�.` ;i ry a ;i � �,` � / � -�- '7,� ENGINEER'S CERTIFICATION ptv I HEREBY CERTIFY THAT THE WATER 5UPPLY(5) AND/OR 5EWAGE DISPOSAL SY5TLM(S) FOR THIS PROJECT WERE DESI BY ME ' ^b 14� �,� �` OR UNDER MY DIRECTION. BASED UPON A GA AND T OUCH 4 RT J �� STUDY OF THE 501L, 51TE AND 6ROUNDWA GONDITION5, ALL hLOTS, AS PROPOSED, CONFORM TO THE SUF OLK COUNTY ��V DEPARTMENT OF HEALTH SERVICES CONS CTION STANDARDS I ,�i NGy4 ry� i i NS/�o Geo EFFECT AS OF THI5 DA ;; ���o ��/ r Sz.,� , \ O Sq r9e or a VQ �,``c, \\Pj 1 \ /�� / tel\ ;/ `� `\ ``\ �•\\\ 0' ?% S �•\\ 0�,'� �LqC �o�j 4) 0 J �b@� /� I� rq Z X07 �ry `� `� q/ �r e n HOWARD W. YOUNG, N. .5. L.S. NO. 458g3n ` (Jo l4-�g �"/ N �a`0 �� - �� �� �� eser {n 3 THOMAS G. WOLPERT, N.Y.5. F.E. N0. 61485 „ �` DOUGLAS E. ADAMS, N.Y.S. P.E. NO. 80641 -4 2 wa Q" / .1� / 903 / 30 ° �� CO ,��° � •77 CNA/iy Pp @RUSH /' \N/ \ `� qSp `�` \�•� \•�-.� O � / � 01 U J)�� / ��Nk SrcQ \ �� `fid'` y •� / - '�14- - / SURVEYORS CERTIFICATION o 0 W w 4� W 0 FfIyOE RAl( FfN / / �� ORS �•� JQ` / ,/' §ren �0 / QOwa Q� / in cf ��� / Op /A� ^. �wqY �� �\ -14- _ �� ,/ / / ��12� / 1 HEREBY CERTIFY THAT TH15 MAP WA5 P ARED UTILIZIN J O Jr�6 / / 'i / e� S �'�.� , / BOUNDARY AND TOPOGRAPHICAL SURVEYS ADE BY US AND/O ` / / UNDER OUR DIRECTION. $r N ° Ares 12- 0 / - Qjo o 0 -44 / 0 / O HOWARD W. YOUNG, N.Y. . L.S. NO. 458013 °�J �014, � / 5UBD I V 1510N MAP 4e ° O /4' � � // i ��\ �' �� � � �'� ORIENT AGRE5 at Orient, Town of Southold �Q ,\ '/]/� / Suffolk County, New York ODI o � � 'I06 11,23� /��� �/ O�J�� � / I �� � � SK�TGf-f PLAN COiy /, CO�' / County Tax Map District 1000 Section 14 Block 02 Lot 25 ��K MAP PREPARED MAR. 01, 2016 TABLE OF AREAS / � � /6 / Record of Revisions BUILDABLE i / RECORD OF REVISIONS DATE TOTAL GEHA POLE TO SOUND EASEMENT R.O W BUILDABLE OPEN SPACE CLEARING ALLOWED LOT / � / LOT LOT AREA NON-WILDADLE NON-SUILDADLE TO SOUND EVA'5 PLACE LANDS 1 2.50015 AG 1.00'71 AG 0.0442 AGI• 1.21144 AG 56,584. 5F 0.45011 AG 56,584 5F x 0.50 = 25,1112 5F I 2 1.0"141 AG 0.1675 AG 0.1564 AG 1' 0.7508 AG 52,704 SF 32,104 5F x 0.50 = 16 352 SF 2 5 0.1466 AG 0.7466 AG 52524 5F 52524 SF x 0.50 16,262 SF 3 / D 4 5.5020 AG 0.4475 AG 4.8045 AG 2' 4 i� / MAY 17 2016 TOTAL 01,01331 AG 1.1746 AG 0.15-74 AG 0.04012 AG 0.41175 AG 8."1585 AG 2.'70118 AG 121612 5F 5.2636 AG TOTAL `�' // 60 0 50 60 120 180 Southold Town Planning Doard DO Scale: 1" = 60' o I.LANDWARD OF GEHA 2.OPEN 5PACE A - 2.514T AG,OPEN SPACE B • 225g5 AC, DWG N205�0011-5ketchplon 2 OF 6 0 = MONUMENT 5ET ■= MONUMENT FOUND Q= 5TAKE SET A= 5TAKE FOUND (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(7)DISTANCES SHOWN HEPEON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE N07 TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTFICATON INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATONS AND OR DATA OBTAINED FROM OTHERS. / 400 Ostrander Avenue, Riverhead, New York 11901 tel. 631.727.2308 fax. 631.12-1.0144 admin@youngengineering,com r �2 a Howard W. Young, Land Surveyor 10 / /L DO J/ Thomas G. Wolpert, Professional Engineer / (i too A� ! I �? ¢/ Douglas E. Adams, Professional Engineer - 3 Q' _kms q + 4 FT. WIDE I N `�° + + to N �/ Robert G. Tast, Architect STABILIZED I NGO PATHWAY v POST & RAIL FENCE BRUSH DRAINAGE DE51GN CRITERIA t GALGULATIOIN5 J �' ------- Y�/---- - - -14- _� � Open Space A / / CO Y = A R G ^ q p eh + s o A = AREA OF TRIBUTARY (5.P.) L�. / J� R = RAINFALL (FT) /4 + / sc)ce \ GB 3 3 Agricultural Preserve / / ---- ------ '/ -16�IV- U� \7sr\ G = COEFFICIENT OF RUNOFF CI? N _ _ / J / \�, ' A = 45,312 S.F. GB 3.2 1 PROPOSED EDGE OF \ / GB 1.2 / lb / + + HP STA: 4+75 GB 2.2 ��� / IM= 40 2 \ IM=13.50 ASPHALT ROAD i / REQUIRED VOLUME Q 0 t 1 HP E.L=15.34 RIM=14.3 o IE=6.40 ) m IE=10.30 I _ _ J O� / 48,312 5.F. x 2/12 x 0.25 = 2,013 G.F. i� Y N _2 ^ rn ,a ;o PROVIDED VOLUME \ USE LEACHING FIELD 10' DIA. x 6' DEEP POOLS = 2,463 C. DO O ^ ^ _ - -- --- -- --- - - - - GB 2.1 4 2.2 rn ' Ln �- _ --- --� -- --�-- �< 05--- -- _ + fig- / °� o •� _ - --Z - -- -------�-- _ 0+ A = 43,065 S.F. ,�/ ^/!/ ��/ CO 1 �, ° \ �; REQUIRED VOLUME / �' �/4 I ; / � GB 2.1 �+ , + 43,065 S.F. x 2/12 x 0.25 = 1,7$4 G.F. (30 ; GB 3.1 / IM=14.30 ^ (0 ► a'' / IE=11.30 ^� J �rrnn PROVIDED VOLUME / // ` ^ ^ /^ IM=13.x0 / EXISTING EDGE OF IGB 1.1 v/ / USE LEACHING FIELD (�� A; , / 1 IE=10.110 ASPHALT DRI�(EWAY RIM ci. (3) 10' DIA. x q' DEEP POOLS = 1,84'1 C. ff' J I E 5.40 I ry��c�`� Open space B Gia 3.1. 3.2 3.3 � + 1 A = 36,6$4 S.F. N m �; / ---{ / Agricultural Preserve / I ��? ) / 41 0 / + /i / ^' I , �� / m REQUIRED VOLUME 3li S.F. x 2/12 x 0.25 = 152q G.F. "'o/!j (n / / PROVIDED VOLUME �� ^ �/' I \ ` ^ + BRUSH I ; DO / / \ '� USE LEACHING FIELD N / �, / O (3) 10 DIA. x 8 DEEP POOLS = 642 G. P�OST RAIL FENCE 'TDO o o o _ + � a, // ✓ I G _ - �°' �N �� ENGINEERS CERTIFICATION Ge LIM CHAIN LINK FENCE N co (0"" an ° °F ^ ^ ^ "� B I GST ROAD o (1) / '� Oa55ive + ecreQtlon RP�I�FEE OPEN c,1AG� + + �� • I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR SEWAGE I N ) DISPOSAL SY5TEM(5) FOR THIS PROJECT WERE DESI BY ME OR UNDER MY DIRECTION. BASED UPON A GA AND. OUCH STUDY OF THE SOIL, SITE AND GROUNDWATE CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUF OLK COUNTY _ I ' DEPARTMENT OF HEALTH SERVICES CONS GTION STANDARDS I o- WIDE 4 FT. I ' 3T�BIL1ZED I I `'" EFFECT AS OF THIS DATE. I P,Ti�WP\Y I I / SO /31 N.Y,�. L.S. NO. 45893n - HOWARD W. YOUNG, THOMAS C. WOLPERT, N.Y.S. P.E. NO. ill DOUGLAS E. ADAMS, N.Y.S. P.E. NO. 80897 s 01 N PLAN VIEW O� "E\/A'5 PLACE" RIGHT 01= WAY SURVEYOR'S CERTIFICATION 3 �. - •Odttl� ^J Y CAST IRON FRAME COVER Scale: 1" = 50' • I HEREBY CERTIFY THAT THISM6AyP WASP ABED UTILIZIN CAMPBELL FOUNDRY, PAT. NO. I 088808 340'1 OR APPROVED EQUAL. _` BOUNDARY AND TOPOGRAPHICAL SURVEYS ADE BY US AND/O x.` UNDER OUR DIRECTION. 0 0 00000ji ` s OOQ - nn % 0pUpp 00000 T 4000 PSI PRECAST CONCRETE DRAINAGE 4n 000008 BOX AS MFG. BY SUFFOLK PIPE GEMENT OR APPROVED 1=QUAL. - �� f • ` _ CAST IRON FRAME 4 COVER HIGH POINT ELEV = 15.34 HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 STA = 7+41.69 PROPOSED ASPHALT HIGH POINT STA = 4+75 PVI STA = 1+96.15 PVI STA = 0+87.33 STA = 0+00 CAMPBELL FOUNDRY, PAT. NO. GB 2.2 4 2.3 ELEV = 14.04 OVERLAY PVI STA = 4+75 PVI ELEV = 13.96 PVI ELEV = 9.83 ELEV = 8.96 DRAINAGE PIPE 1007C OR APPROVED EQUAL PVI ELEV = 15.64 STA: 2+80 VC = 75' VC = 75' GL ELEV: 14.47 811 26 ON INSPECTION POOL ONLY. vc = zoo' RIM ELEV: 14.30 SUBDIVISION MAP GB 1.1 1.2 PRECAST CONCRETE -0.600% - _ - - _ - _ - _ _ - - - 0.600% STA: 0+60 ORIENT ACRE5 TRAFFIC BEARING SLAB A5 _ - _ - - - - - - - - - - - _ GL ELEV: 9.58 MFG. BY SUFFOLK GEMENT 3.796 RIM ELEV: 9,40 O OR APPROVED EQUAL. EXI TING ASPHALT at Orient, Town of Southold 26" -_• DRI WAY 1.000 - _ Suffolk County, New York CO - 4000 PSI PRECAST CONCRETE PREL I M 11�lARY ROAD DRA I NAGE PLAi`l - BOX AS MFG. BY SUFFOLK s w GEMENT OR APPROVED EQUAL. �, 4 DRAINAGE PIPE z Z County Tax Map District 1000 Section 14 Block 02 Lot 25 o GROUT AROUND c ENTIRE PIPE Q D_ - =_=;, d MAP PREPARED MAR. 01, 2016 4000 PSI PRECAST CONCRETE d D w (x (V �= BOTTOM SLAB W/ SUMP AS > PRECAST CONCRETE p Z Record of Revisions IS" MFG. BY SUFFOLK GEMENT OR DRAIN RINGS A5 MFG. R DA?7IM ELEV DATUM ELEV RECORD OF REVISIONS DATE APPROVED EQUAL. Q BY SUFFOLK GEMENT OR APPROVED EQUAL. -ro.oo -io.00 z ❑❑ Ncr LOW LO NS Nr �(y NN Ot- OlT to Q1Q i�!!1 M- �(n NCO cD\O 8" 26" 8" - ®❑® 000 O N �dJ �- I`m rm �_ �c0 �� N cot- oN 1 d o N r24 r/i� �r � �� v9) qui 'tui qui �r� �� �f� rim �iN oO 61f C� NOTE: I.WALL REINFORCEMENT WILL NOT BE REC2UIRED TO A DEPTH OF 4'-O". 6W EL a 2.DEPTHS GREATER THAN el SHALL HAVE WIRE FABRIC CONCRETE 7+-00 6+00 5+00 4+00 3+00 2+00 '1+00 REINFORCEMENT 3"xIV, I AND 2 MIN.VERTICAL WIRE5- 12"O.G., 1/2"MIN.COVER. VARIES D C E � y L� 50 O 25 50 100 150 m �L 0 � � i "E\/A'5 �� 3 CATCH BA51N 2 x 4 FLUSH GRATE (NO SLAB) LEACHING POOL GL PROFILE OF PLACE RIGHT ii WAY MAY 1 7 2010 0. NTS NTS •�""� JOB NO. 2015-0011 Horizontal Scale: II' = 50' Vertical Scale: I" = 10' DWG. 2015-0011-sketchplan 3 OF 6 0 = MONUMENT SET ■= MONUMENT FOUND z�,= STAKE 5ET A= 5TAKE FOUND Southold Town (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTIRCATON INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(M.SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York 11901 tel. 631.127.2303 fax. 631.'127.0144 adm in�youngeng ineering.com Howard W. Young, Land Surveyor Thomas G. Wolpert, Professional Engineer • /' Douglas E. Adams, Professional Engineer Robert G. Tost, Architect / -'vr as TOP OF BLUFF �e•' , O e ,•' COASTAL EROSION �� {(i //,•� HAZARD LINE p 9zx, � Clc r o ry fi 6 aCQnEJ TIE—LINE ALONG / APPROXIMATE HIGH WATER MARK ///� , ,-'P��C, WALKS 12�A\h ' � • � � 4�y ho �� / / �� ` Vo br mer 0 q17 TOP OF BLUFF �. '� �s O .0. Y7 OOS/ 37�1�y \ ��Nd \ \ 3$3j$ S� „)o'� ENGINEER'S CERTIFICATION COASTAL EROSION 2 ?q3 O� `— T _ _ �! _ —14— HAZARD LINEC4h, i 8 i' \ \` • I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR SEWAGE '� DISPOSAL 5Y5TEM(5) FOR THIS PROJECT WERE DE51 BY ME OR UNDER MY DIRECTION. BASED UPON A GA AND T OUCH $/-7 STUDY OF THE SOIL, 51TE AND GROUNDI^lATE CONDITIONS ALL LOTS, AS PROPOSED, CONFORM TO THE 5UF OLK COUNTY; DEPARTMENT OF HEALTH SERVICES CONS CTION STANDARDS I O'V wa , / ',\ / / -�°$ Or AC) EFFECT AS OF THIS DA rp , CO� / i / — — ! HOWARD W. YOUNG, N.Y.S. L.5. NO. 45893n ." ;� ;' 8? THOMAS G. WOLPERT, N.Y.5. P.E. NO. 61455 �J J� 0 / 9p3 7 j 30 DOUGLAS E. ADAMS, N.Y.5. P.E. NO. 505cl T o 0 0 ' CID �� / 7 ?6' ' 3 o / \0 Q°1�a �� / w CO� / 3$ sfi R / / SURVEYORS CERT I F I0AT 10 / 0 J / �� / �, I HEREBY CERTIFY THAT THIS MAP WAS P ARED UTILIZIN a / UO / 4J ZO / / //�-\ �9 „/ / BOUNDARY AND TOPOGRAPHICAL SURVEYS ADE BY US AND/O N �0� / b`w��0 / 6 jj' / \ i ``-\ \ / UNDER OUR DIRECTION. �j i Q ��Q� / c tq� ft10. 0 / OJT / \�0 /� 0\ ) 0 • 0 0 ry X60 ��8, '' HOWARD W. YOUNG N.Y.S. L.5. NO. 45893 o J� \\ g7o8 , s�_, SUBDIVISION MAP / ;� '�o •/4" � , 3�, /' � , \-�-`.,'�/� ,-��� ��9 � �l ORIENT ANT � CRES at Orient, Town of Southold SuHoIk County, New York N X06 g'?3 'q�, / �1�� / I / Y 1 ELD MAP CID Vp(0 County Tax Map District 1000 Section 14 Block 02 Lot 25 ` tK�' � / MAP PREPARED MAR. 01, 2016 a / 0 Record of Revisions RECORD OF REVISIONS DATE q �. 60 O 30 60 120 150 ED o MAY 17 2016 a Southold Town JOB NO. 2015-0011 [11 = MONUMENT SET ■= MONUMENT FOUND = STAKE 5ET e= STAKE FOUND Planning Board DWG. 2015_0011—sketchpIon 4 OF 6 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO BASTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS 400 Ostrander Avenue, Riverhead, New York IIQOI tel. 631.121.2503 fax. 631.727.0144 admin@youngengineering.com Howard W. Young, Land Surveyor Thomas G. Wol ert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect i � TOP OF BLUFF—\\,,.J,J , O ' +� 0 x6 '' '• Y . /�' Y / / ^ e°j i'' COASTAL EROSION ��' / � �^i HAZARD LINE /�.6 x., .° •,— _ �= — S/$° �q4'e/hod' x X33 the Or 10 7 i'• x, yoc orme r/ x / h /mak '`' x^ �a d BR I�ICQnfJ ruS X ay tK TIE—LINE ALONG / / ° // �' �°` APPROXIMATE HIG \ / WATER MARK % o OOD WAtxs�� e X h x x ti c7�y O W �.�`lO:�G� /,°�?,� tee/ ^�° .•'' / x '� 44� ojo� X x °� i / �oocq� roe er� ,p•�`L / tom• ,'•�• cp �'��' 4 .��` x^ TOP OF BLUFF x o� h�• ti� ' ^off x o // ^p° 1h• 371, ^ x 1 L _ a_ -- — _ /° — ti° / �F"�F �� ,' ENGINEER'S GERTI F I CATI ON COASTAL EROSION ��. — — — — — \ — — HAZARD LINE x o h� o� 14� �o o� 1 HEREBY CERTIFY THAT THE WATER 5UPPLY(5) AND/OR SEWAGE DISPOSAL 5Y5TEM(5) FOR THI5 PROJECT WERE DE51 BY ME a x yw o OR UNDER MY DIRECTION. BASED UPON A GA AND T OUCH w` mak. °° ,� x h0 STUDY OF THE SOIL, 51TE AND GROUNDWATE�IvCONDITIONS, ALL _,IK�' (j O LOTS, AS PROPOSED, CONFORM TO THE SU F OLK COUNTY 0 p �� /2° er �` DEPARTMENT OF HEALTH SERVICES CONS GTION STANDARDS I $ rge orrh EFFECT AS OF THIS DATE. wa �� o' �qnt v/o y U�J � �� W w�� / c o t �\� Q � �C � /� � �C0 /� /� _'� �� ,�,, HOWARD W. YOUNG, N. .S. L.S. NO. 458R3n Q �0) �]O , \ �ti. THOMAS G. WOLPERT, N.Y.S. F.E. NO. 61483 0 Jr�� V �0 3 77F 9 / \ op '300 ho DOUGLA5 E. ADAMS, N.Y.S. P.E. NO. SOSQ7 DQ VO /' /' CyAl/y CllyK Ff POSr&Rq/ RUSH / \ /�N �'. gSph �t" 4ry —14— jr CO � '� ��• �wq r — �Ji SURVEYORS CERTIFICATION Ck p , 4)� o / ti° / — / / ��, • I HEREBY CERTIFY THAT THIS MAP WAS ARED UTILIZIN s 0� 0 •Z• a '� ^� BOUNDARY AND TOPOGRAPHICAL SURVEYS ADE BY US AND/O w�`0 UNDER OUR DIRECTION. 12 \IN oftK Q VOJr C �O. 1 1 y�ti ^j �� �l /12 pC 010 lb y I °' ——14' e ,1p' / / HOWARD W. YOUNG, N.Y.S. L.S. NO. 456013 / — �' iso/ ; ��� ^ ,,� r^�1 SUBDIVISION MAP lb- -r, ORIENT AORE5 / ,o� -1 / ,\ at Orient, Town of Southold E U h� ¢ / Suffolk County, New York 00' EX 15TI NG GOND I TI ON5 MAP / x°j. /y /' County Tax Map District 1000 Section 14 Block 02 Lot 25 a MAP PREPARED MAR. 01, 2016 o o�� ^6opj �P FIELD SURVEY COMPLETED MAR. 13, 2015 Record of Revisions RECORD OF REVISIONS DATE /- 1 // D CID 6° '��/ / ti��Y 1 7 2��5 60 O 30 60 120 180 o °^ ,ti i�/ Southold Town Scale: I" = 60' a h' Planning board O O. 2015-0011 n DWG. 2015_0011_sketchplon 5 OF 6 E = MONUMENT SET ■= MONUMENT FOUND L= STAKE SET ®= STAKE FOUND (1)ONAWT.CRI}ED,LLIEAATON CII..1.TO THIS.N Is A MCIATCN UE 3CTM 1 0.OF ME NEW Y Sun:EDUCATION LAW,(3)DISTANCES SHOW HEREON MON PROPERW LINES TO EMSONG S7WLETUMES ME FOR A S EESC PURPOSE AND ME NOT i0 RE Us TO ESTABLISH PROBEAr uNEs OR FOR ERECTOR DE `EWcEA.(J)col OE MIs WRWY MM NOT KANNIG ME LAND SURWYER's!MED SEAL OR EMBMSm SEAL SHALL NOT RE C OITED 70 BE A VALID TRUE CORY.(a)CDITDCATON INDICATED HEREON SHALL RUN ONLY TO ME PERSON FOR WHOM ME SIRKY IS PREPARED AND ON HIS SENAIT M ME TRE CCMPMY.GOKRNMENTAL AGETCY AND LENDING INSTNTON JITED HEREON.AND TO ME ASSGNEES Q ME LFNOMG INSTINnpN.CEWRTIGTCRS ARE NOT MMSEERARIE TO ADDITIONAL INSMTMS OR SUBYOAIT OWNERS 5 OR W ARDN o'XELL$ .SEPTIC TAN! •EESsrUdS CP .0W HEREON ARE iRdN DEN OBSERVATIONS AND OR DATA COTAINED TROD OTHERS lWoANNA ' - 400 Ostrander Avenue, Riverhead, New York 11901 • tel. 631.727.2303 fax. 631.'727.0144 adm lne youngeng sneer ing.com �,.. A; -" '� ~ �;•` t ':; Howard W. Young, Land Surveyor • "' •• Thomas G. Wolpert, Professional Engineer ,._.. Douglas E. Adams, Professional Engineer Robert G. Tast, Architect SITE DATA TOTAL AREA =q.9331 ACRES ERSAP DATA CONSERVATION AREA DATA THE AREA OF THE SUBJECT PARCEL SEAWARD OF THE / •• : ' "" - \ s COASTAL EROSION HAZARD LINE 15 DE5I6NATED AS A * \ PRIMARY CONSERVATION AREA" AS DEFINED IN THE TOWN OF e • - II ; , .,* - A \ - SOUTHOLD CODE UNDER ARTICLE II SECTION 240-3. - W, BID , - THE AREA OF THE SUBJECT PARCEL LANDWARD OF THE .t` _ COASTAL EROSION HAZARD LINE 15 DE51 N GATED A ar. 5 A °'� "�A- + , f \ "SECONDARY CONSERVATION AREA" AS DEFINED IN THE TOWN AliftF t', , �,,"' OF SOUTHOLD CODE UNDER ARTICLE 11 SECTION 240-3. a ;' t r• � i R \ SOILS DATA SOILS INFORMATION 15 FROM SOIL SURVEY OF SUFFOLK COUNTY, NEW YORK BEACHES ... N ' HoA = HAVEN LOAM, 0 To 2% SLOPES �)�.�— ,,v'� ' HaB = HAVEN LOAM, 2 TO 6% SLOPES ,< •'„ . + .r' °o+° / `' .. ..; He = HAVEN LOAM, THICK SURFACE LAYER kill NR` t J i•°! - . � ^AMY. ..:, •. Ilk i _ 1 Y• x' •�'y PIG PLYMOUTH LOAMY SAND, 8 TO 15% SLOPES RIVER°=Ot,�? ' m,� , m TIDAL MARSH SANDY LOA TO 15% SLOPES ° ^ \ ' , ISA.. ..�' i a. Nom}. A tk i i Tm TIDAL AR SA M 8 1 * PRIME FARMLAND " e 57, s�/ r •r. s T ' A'ALAS W,1 SLOPE DATA f ° t° �. 1 - • }� / - "*., yr,.. s ',}'` CONTOUR DATA SHOWN HEREON IS FROM TOPOGRAPHICAL xG -._ °• �- —..-.` ` .. , _ r a°_ SURVEY PREPARED BY US IN MAY, 2015. Air SLOPES OF 15% OR GREATER J Y iI e .Y 1... i to 0 EXISTING r' �� AERIAL PHOTOGRAPH W' SOURCE: NEW YORK STATE GEOGRAPHIC INFORMATION SYSTEM � Y ' YEAR: 2013 W, t ENGINEER'S CERTIFICATION I HEREBY CERTIFY THAT THE WATER 5UPPLY(5) AND/OR 5EWA6E DISPOSAL 5Y5TEM(5) FOR THIS PROJECT WERE DE51 BY ME OR UNDER MY DIRECTION. BASED UPON A GA AND T UGH T STUDY OF THE SOIL, SITE AND &ROUNDWATE CONDITIONS, ALL \ ?tG LOTS, AS PROPOSED, CONFORM TO THE SUF OL�';GOUNTY DEPARTMENT OF HEALTH SERVICES CONS (/ kDN STANDARDS I q , E •.tri-: - FFET AS OF THIS DA •• _ ItTjT„•r_�_ A y +' _ ,..... "`•� `/fly ( :; H✓ ,. '. _ r-`= " ' • .. - HOWARD W. YOUNG, N.Y.5. L5. NO. 45843n THOMAS G WOLPERT NYS P E NO 61483 M 1 �" - G'- •.a �.', '' DOUGLAS E. ADAMS, N.Y.5. P.E. NO. 80897 % 8 ILL ,,�/ e • �n #1 RU , NI IGATIO I<', `.• � " ' :_ SURVEYOR'S GERTIF "-11 ;, -� ,�:,," Lj • �• • I HEREBY CERTIFY THAT THIS MAP WAS P .•',T1, t.` BOUNDARY AND TOPOGRAPHICAL SURVEYS AD I ' UNDER OUR DIRECTION. All it Jill 1e • / E�, P HOWARD W. YOUNG, N.YY. L.5. NO. 45893 K 00 • � � � r. A M` ""� �, I ENT �GR�S t, . , � � � � BDI�/ISION MAP • l ` \ . V MAY 1 2016 t lent, Town of Southold y� I Y Southold town f olk Count New York r + W. Planning County, . .T ;� , • '� ?' existing resources 8 site analysis plan n ou ,w ti �y4a' r- 4 k. _ County STax�Map District 1000 s�GeoD 14 Block 02 Lot 25 * ' ` �_,}'. '" • "�•• MAP PREPARED FEB. 18, 2016 �. .�. •ri%�`� a ,, FIELD SURVEY ,COMPLETED MAR. 13, 2015 N .;,ti ° �I'• 'y.. A a ���}• .�4 »• Record of Revisions �E+ t t R� b, P r . ,� �. .,� ' ` .•'• 1. m' ` RECORD OF REVISIONS DATE / - - - — • t p r �.°,ew;. ��. � .. ��^T' F � j., 'fes'• ;1° T �`� 71. N w _ m '• � 'Q� r` `1R�! : : `'�a ��.�, ,� -1j.. ,Y • ..A ` 4'.�I� � / 100 O 50 100 200 300 ,q w ' gyp.# a :4�.• y• �' R Scale: I' - 100 -TA � rt' WWI , i H ..4 r y '�2. t ! "� ° T ``\A ' __ W ('4 , JOB NO. 2015-0011 \IL" ••`" "d `. f ,.,� '� '*''-: row C'- "- DWG. 20150011 6 OF b = MONUMENT SET = MONUMENT FOUND A= STAKE SET A= STAKE FOUND _ _ersa p OFFICE LOCATION: , MAILING AUDiRl♦J Town Hall Annexe w� P.O.Box 1179 54375 State Route 25 �' 7� ',�,T Southold„ NY 11971 (cor. Main Rd. &Youngs Ave.) ; w' "a Telephone: 631 765-1938 Southold, NY �Y .y www.southol�dtownny.gov F " PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 19, 2019 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Orient Acres Standard Subdivision Located at 32625 Main Road, Orient SCTM'#:1000-14-2-25 Dear Ms. Moore: The Planning Board reviewed the above-referenced application at their December 16, 2019 Work Session for the Sketch Plan design. The Board identified the components of the design that will need to be corrected when submitting a Preliminary Plat application and fee. Corrections to the map will be required as conditions of Conditional Sketch Plan Approval. A determination will be made on the Sketch Plan on January 13, 2020. The next step will be to submit a Preliminary Plat that satisfies the conditions of Conditional Sketch Plan Approval. If you have any other questions, (please do not hesitate to contact this office at (631) 765-1'938. Respectfully„ <' Erica Bufkins Planner Southold Town PlanningBoard Work Session — November 18 2019 — Page 2 _Projecctt Name: Baker ker & Baker Resubdivision _ SCTM_#.., : 1000-10-5-10 &12.3 y 113 Peninsula Road, Fishers Island Description,: This resubdivision proposes to reconfigure the location and direction of _1! � the lot line separating SCTM#1000-10.-5-10 & 12.3, including a transfer of 5 sq. ft. from SCTM#1000-10.-5-10 to SCTM#1000-10.-5-12.3, in the R-120 Zoning District. As a result of this resubdivision, Lot 10 will total 127,942 sq. ft. and Lot 12.3 will total 64,360 sq. ft. which is undersized in the R-120 Zoning District. Status: Pending Action: Completeness 6 Attachments: Staff Report ...... _.. . _..... Project name: i Orient Acres Subdivision SC TM* 1000-14-2-25 Locati�ti ry ...... 3262 Description: 5 Route 25, Orient ..eP� p his proposal is to subdivide a 9.93 acre parcel into 3 clustered lots and 1 open space lot where Lot 1 equals 2.81 acres inclusive of 0.45 acres of open space and 1.0 acre of unbuildable land, Lot 2 equals 1.07 acres j inclusive of 0.16 acres of unbuildable land, Lot 3 equals 0.75 acres and j Lot 4 equals 5.30 acres inclusive of 0.49 acres for a right of way and 4.80 acres of open space. The parcel is located in the R-80 Zoning District. l Status Pending _ Action: ... .. .r... om e.,,ess Attachments: Staff Report _ .............. n � Discussion: ❖ ZBA Request for Comments: Erin Streeter, 400 & 650 Town Creek Lane, Southold, SCTM#1000-64-1-14.5 & 14.6. (Comments Due: November 28, 2019) ❖ ZBA Request for Comments Introduction: Vincent & Margherita Posillico, 650 West Road & 719 Southern Cross Road, Mattituck, SCTM#1000-110-5-42 & 43. (Comments Due: December 20, 2019) Town Board Request for Comments: Local Law in Relation to an Amendment to Chapter 280 of the Southold Town Code, in connection with the Marine III (MIII) District. (Hearing Date: December 3, 2019) Southold Planning Department Staff Report Subdivision Application Work Session Review Date: November 18, 2019 Prepared By: Erica Bufkins I. Application Information Project Title: ORIENT ACRES STANDARD SUBDIVISION Applicant: Orient Acres LLC Date of Submission: May 17, 2016 Tax Map Number: 1000-14.-2-25 Project Location: Main Road Hamlet: Orient Zoning District: R-80 II. Description of Project Type of Subdivision: Standard Acreage of Project Site: 9.9 acres # of Lots Proposed: 3 residential lots, 1 open space This proposal is for the standard subdivision of 9.9 acres in the R-80 Zoning District into three clustered residential lots and an open space/agricultural lot, where Lot 1 is 1.29 acres, Lots 2 & 3 are 0.75 acres, and Lot 4 is 5.3 acres of open space bisected by a 620' long right-of-way. There is an existing residential structure on Lot 1 and an agricultural barn within the proposed open space on Lot 4. This parcel is located on the north side of SR 25, +/- 80' east of Bight Road in Orient. III: Action to review Application Completeness Review IV: Analysis June 6, 2016, the Planning Board found the application incompletepursuant to 240- 10 of the Southold Town Code with the following to be submitted: 1. Copies of all Certificate of Occupancy (COs) for the existing structure; • STAFF: Submitted September 6, 2017. 2. Proof that the parcel meets Lot Recognition; 0 STAFF: Property deed submitted September 6, 2017.. 3. Revisions to the Application Form; Southold Planning Department Staff Report • STAFF: Submitted September 6, 2017. 4. Revisions to the Environmental Assessment Form (EAF), • STAFF: Submitted September 6, 2017. 5. The proposed subdivision is identified by the NY State Historic Preservation Office as an archeo-sensitive area. Submit a project review cover form to the New York State Office of Parks, Recreation and Historic Preservation. • STAFF: Confirmation of submission provided. i. OPRHP required the submission of a Phase I archeolo ical stud to determine the resence or absence of cultural resources on this site. 6. Submission of a Request Natural Heritage Data Form to the Department of Environmental Conservation (DEC). All comments from the DEC must be submitted to the Planning Board for review and approval. • STAFF: The applicant indicated that Letter of Non-jurisdiction request was pending at the Planning Board's 5/7/18 work session. i. The applicant provided the DEC letter of nonjurisdiction to the Plannin De artment on November 8 2019. 7. In 1983 the subdivision was withdrawn by the Planning Board based upon the Health Department's denial due to limited water supply. Require the applicant to determine whether this site has potable water. • STAFF: See below. On February 8, 2018, the applicant reaffirmed that they were working to attain approval from the Health Department and requested to make alterations and improvements to the existing home on the property. NOTE: There is currently an open Building Permit on file with the Building Department for the construction of a barn. Building Permit #42278 was issued January 3, 2018 for the construction of this accessory structure. On May 7, 2018, the Planning Board permitted the applicant to complete improvements to the existing residential structure on the property. On September 13, 2019, the agent submitted a letter from the SCDHS confirming that potable water is available on this site. Additional Sketch Plan maps were submitted. Southold Planning Department Staff Report �_ ... .. ._.,..,, SKETCH PLAN......n,....m..�, � .... .._. COMPLETENESS .......... .__..................... ........... . ...... .... -..�.w __.. REQUIRED SUBMITTED NOTES Cover Letter&Subdivision Sketch Application Form Yes �— Authorization Letter&Transaction Disclosure Form Yes Standard Subdivision Fees Conservation Subdivision Fees Yes $3,250 • $1,000—flat fee • $500—flat fee ($750 x 3 = 2,250+$1,000) =3,250 • $750—per lot • $350—per lot Property Deed(s) &Certificates...of..0. anc p Y((COs) .................................�_-___�_ �_..—...��.-- ....�. Occupancy Yes Submitted 2017 for existingunit Copies of Easements, C&R's & legal encumbrances on the land No None existing F E A F or S EA F for S E QR A(Part rt 1) _ Yes Revised provided 2017 Required Cluster if 7 acres or greater - Yes CLUSTER SHO .... WN . . Lot Recognition Yes Deed prior to 1983 ERSAP (5 copies) Yes 2016 .. ........ . D Yield Plan (5 copies)—STANDARD SUBDIVISION ONLY Yes -- �-� -�—� 2016 Yield Plan checked for compliance with Town Code Yes 2016 meets Town Code 5 copies of the Primary&Secondary Conservation Area No 5 copies of the Sketch Plan Yes New Plan 9/13/19 .............. ..-­1w......... LWRP Consistency Assessment Form Yes 2016 Table of buildable, unbuildable, opens ace, g - __. p and preserved areas Yes Provided design to be reviewed Lot conforms with depth and width requirements Yes Yes,access must be discuss ed Existings .i..............mm _� —..������...����_ ...................._� buildings conform with front, rear, and side yard setbacks Yes Road specs to be reviewed . ROW,flags, cul-de-sac radii in conformance NO � To be addressed in conditions of Sketch Plan, cul-de-sac required Application meet.. ... s cluster design requirements Yes DESIGN TO BE REVIEWED VI: Planning Staff Review • Given the materials submitted by the applicant, the Sketch Plan application can be found complete. n From: Buffins, Erica Sent: Friday, November 08, 2019 11:36 AM To: Palmeri, Allison; Michaelis, Jessica Subject: FW: NYS DEC For incoming mail I Fromm: Betsy Perkins Sent: Friday, November 08, 2019 11:32 AM To: Bufkns, Erica Subject: Re: NYS DEC sorry. i had a mail glitch. Orient Acres ' Betsy Perkins LA Moore Law Off ices William D. Moore, Esq. 631.765.4663 Patricia C. A800re, Esu. 631765.4330 mailing 8physical address: 5102OMain Road Southold NY 11971 fax number for both 631765.4643 (}oFri, Nov 8, 20l9n1ll:2@AMBufkina, Erica wrote: HiBetsy, �ou|d you atLach J1 ter ofnuris�,Jict�mn and |clt me knuvvvvhat oects in re�erencatoo? Thank�! 1 Erica Bufkins Planner Southold Fown Plainning Departrnent 54375 NYS Route 25 P.O. Box 1.1.79 Southold, NY 11971 Phone- 631-765-1938 Emaik Ei'ic-,)lB@)southoicitownny.gov From: Betsy Perkins [mailto:beL$�bLilgorgZ65@qriiail.coniJ Sent: Friday, November 08, 2019 10:34 AM To: Bufkins, Erica Subject: Re: NYS DEC Betsy Perkins LA Moore Law Offices William D. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 www,mooreQML.corn 2 5q,�a iir i,�?' ,.co > wrote: On Fri,Nov 8, 2019 at 10:25 AM Betsy Perkins l�es;y.moore7��lm ,�w� , good morning all. attached please find NYS DEC Letter of Non-Jurisdiction. Erika, kindly pull the file and advise what the next steps are. Many thanks Betsy Perkins LA Moore Law Offices William D. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address:. 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 www,mooreatt Yd Z EC E1 V)) Q NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION N 0 V 0� 8 x`'019 Division of Environmental Permits,Region 1 0 it'10J01M I SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-0365 1 F:(631)444-0360 — www.dec.ny.gov LETTER OF NO—JURISDICTION November 4, 2019 Orient Acres LLC Re: Application ID 1-4738-04593/00001 P.O. Box 716 32625 Route 25 Harrison, NY 10528 Orient SCTM # 1000-14-2-25 ARNO-DEP Dear Applicant: Based on the information your agent submitted, the New York State Department of Environmental Conservation (DEC) has made the following determination. The portion of the referenced property landward of the top of the bluff/bank in excess of 10 feet in elevation, as shown and labeled as the "TOP OF BLUFF" on the survey prepared by Young & Young on AUG. 26, 2019, is beyond the jurisdiction of Article 25 Tidal Wetlands. In accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661), no permit is required for work occurring at the property landward of the jurisdictional boundary indicated above. Please be advised, however, that no construction, sedimentation, disturbance or proposed changes of any kind may take place seaward of the jurisdictional boundary without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within the DEC's jurisdiction which may result from your project. Such precautions may include maintaining an adequate work area (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the r�, p nsi bilily of obtaining any necessary permits or approvals from other agencies. This jurlsdigti ll,-�J~r 'termination rbnkwith the land, y ry t'il� a yours,— Permit Administrator JAW/mrp CC: Patricia C. Moore Marine Habitat Protection File an�wvYa r� Dopartrnent of > Envirrknrnerutal ,, Conservation PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel:(631)765-4330 Fax: (631)765-4643 ^^ September 13, 2019 Southold Town Planning Board 2nd r, .. Main l Road Annex _..... Ra10118 �.:p � � W I ��aHl Southold, NY 11971 M.._ By Hand Re: Orient Acres LLC subdivision SCTM #1000-14-2-25 Dear Mark: Pursuant to our last communication, enclosed please find the water analysis performed on the property. The water quality meets the HD regulations. Also enclosed are 5 prints of the subdivision map showing 9.9331 acre waterfront parcel containing an existing house along the Long Island Soundwhich is proposed to be subdivided into 3 residential lots and a 4th agricultural lot (no house is proposed for the agricultural parcel). The map shows a sanitary system and building envelope. There is presently an agricultural building (dry building) but a toilet/sink is proposed (once the HD approves the addition of a bathroom to the barn). I am checking with Young & Young with regard to the diagram they show overlapping the existing barn. This diagram may change. The existing 9.9 acres is farmed. The subdivision could be developed for four residential lots however the owner is developing only 3 lots with the 4th lot exclusively in agriculture. Thank you for your consideration. Very truly yours, Patricia C. Moore cc: Orient Acres LLC SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES - WATER ANALYSIS Requestor Name: JOE TEST Request No.: PR15-0002 Location: 123 MAIN ST., HAUPPAUGE Sample Date: 07/21/2015 Sample Location. TAP Sanitarian: SCDHS LABORATORY Treatment: NONE Field No.: 001-777-15-07 21 Notes: '<' symbol means "less than" indicating no detection. mg/L = milligrams per liter; ug/L :::: micrograms per liter. Alkalinity is reported. as mg/L as CaCO3. '*' symbol means level found exceeds the maximum contaminant level (MCL), or action level for lead and copper. Moderate.Ly restricted sodium diet should not exceed 270 mg/L. Severely restricted should not exceed 20 mg/L. The MCL for nickel is a proposed limit., Any MCL's not shown below have riot been established. Result Mc 11 Jtesu].t MCL --- Results for Sample Group: ALDTCARB PESTICIDES analyzed by Suffolk County Department of Health Services Total Aldicarb (calc) -_.. __ < 0. ug/L Carbaryl........ ......--..... .... < 015 50.00 UqIT, Aldicarb........--.................. < 0.5 3.00 ug/.F., < 0.5 50.00 uq/L Aldicarb-Sulfoxide.....-., -....... < 0.5 4.00 ug/L Methornyl... ......-...... < 0.5 50.00 ugll Aldicarb-Sulfone...., , ,, . . .....- < 0.5 2.00 ug/L Propoxur (Baygon).... .. . .---- < 0.5 50.00 ug/]:, Carbofuran........-. ......... . - - < 0.5 40.00 ug/L Methiocarb........... ....... .......... < 0.5 50.00 Uq/1, 3-Hydroxycarbofuran...........,,.,.,,,, <, 0.5 50.00 ug/L Methiocarb su.l.fone < 0.5 50,00 ug/1, Oxamyl..--,...-- 11- 1-11111111- < 0,5 50.00 ug/L --- Results for Sample Group: BACTERIOLOGECAL analyzed by Suffolk County Department of Health Services TColi...... < ABSENT ABSENT EColl.-........ ............---- < ABST.NT AB',�ENT Rcsults for Sample Group: CHLORNATI.3D ACIDS analyzed ).sy Suffolk CourO:.y Department of Health Serv.l.ces Acifluorfen........ .. < 0.1 50.00 ug/L., 2,4 DB.......-... . ...... -1 11 1.1-1, < 0.1. 50.00 ug/L Bentazon........... ..... < 0.1 50.00 uq/l, 3,5-Dickilorobenzoir Acid-_ < 0.1 50.00 ug/L Chloramben...,..... ........ ...... < 0.1 50.00 uq/I, 4-Nitrophenol,............... < 0.1 50.00 ug/L 2,4--D................. 1111- 1-11-1 < 0.1 50,00 ug/L Dinoseb.................... < 0.1 7.00 ug/L Dicarnba....... -............ < 0.1 50.00 ug/l, MCPA--......-__.......... < 0.1. 50.00 ug/l, Dichloroprop.--,.......... < 0.1 50.00 ug/k, MCPP---..--.... < 0.1. 50.00 ug/L Picloram............................... < 0.1 50.00 Lag/]:, Pentachlorophenol.... ... < 0.04 1.00 ug/L 2,4,5-TP (SlTVEX) _, ....... .. < 0.1 :1.0.00 u(j/I., 2,4,5-T-..... < 0.1. 50.00 ug/1. Re,,.,ults fol: saflipl.e Groujs. CHMORINATED PE'S'Tr.CMES ari,.O.yzed by Suffoik County Depart.ment of Heal.th Services alpha-BHC... . ..... 111.2 5.00 ug/L 4,4-DDD.-.... < 0.2 5.00 ug/L beta BHC.......... f1,2 5.00 ug/C, 4,4--DDT--.-........ < 0.2 5.00 ug/l, gamrna-BHC (Lindane) .... .. tlj 02 0.20 ug/L Endrin.......... ...... . .. < Mi 2.00 ug/l. delta-BHC...... . 0.2 5.00 Ug/L Chlordane..................., < 0.2 2.00 ug/.1, 0,04 0.40 ug/L Alachlor..... < 0.2 2.00 ug/L Heptachlor epoxide., ... .......... 0 C)2 0.20 ug/L Methoxychlor...,.......... < 0.1. 40.00 ug/L Aldrin.... ......... 0.2 5.00 ug/L Endosulfan ...... ...... < 0.2 5.00 ug/L Dieldrin....... 0,2 50.00 ug/l. Endosulfan Sulfate........ < 0.2 50.00 ug/L Endosulfan ............................. 0 2 5.00 ug/L 1,2 dibrornoethane..... < 0.01. 0.05 ug/L Dacthal......-.... ':;+,/ 50.00 ug/L 1,2 dibromo-3-chloropropane ... < 0.02 0.20 ug/L 4,4--DDE----... Q2 50,00 ug/L ................. Results for. Sample Group: DACTHAL PESTICIDES analyzed by Suffolk County Department of Health Services -- ---- MonometkiylLetrachloroterepkitlialate..,.. < 5. 50.00 ug/L Tetrachloroterephtnalic acid..,.....,,„. < 5, 50.00 ug/L Results for Sample Groupr DIOXANE analyzed by Suffolk County Department of Health Services 1,4 < 0.2 50,00 ug/L Results for Sample Group: HERBICIDE METABOLITES analyzed by Suffolk County Department of Health Services ....... Didealkylatrazine (G-28273).-__.... < 0,8 50.00 ug/1. Ibuprofen.............................. < 0.2 50,00 ug/L Deisopropylatrazine (G 28279).....__ < 0.2 50.00 ug/L Gemfibrozil..-.-.,,.......... < 0.4 SMO ug/L Desethylatrazine (G-30033)--..... < 0,4 50.00 ug/:L Metalaxyl........--.......---...... < 0,2 50.00 ug/L < 0.2 50.00 ug/l, Metolachlor......... .. ........ < 0.2 50.00 ug/l, Imidacloprid Urea................ < 0.2 50.00 ug/L Tebuthiuron.. ...... < 0.3 50.00 ug/l. Alachlor CA (Oxanilic Acid) < 0,4 50.00 Ug/l, Caffeine..........,................,... < 0.2 50.00 ug/L.. Alachlor. ESA (Sulfonic Acid)........ < 0..2 50.00 ug/L Dinoseb...... . ...... < 0.3 7.00 ug/L Metolachlor. metabolite (CGA--37735)-- < 0.2 50.00 ug/L Bisphenol < 0.2 50.00 ug/L Metolachlor OA (CGA..51202)........ < 0.3 50.00 ug/L < 0.2 50.00 Ug/L Metolachlor. ESA (CGA 354743)...___ < 0.3 50.00 ug/:u Phenytoin (Dilantin) ....... < 0.2 50.00 ug/L Metolachlor metabolite (CGA-41638) < 0.3 50.00 ug/L., 4-Hydroxyphenytoin.......................... < 0.5 50.00 ug/L Metolachlor metabolite (CGA--40172) < 0.3 50.00 ug/L Diethylto.Luamide (DEET)................. < 0.2 50.00 ug/L Metolachlor metabolite (CGA-67125) < 0.3 50.00 ug/L, Acetaminophen...,........,.....,......... < 0.2 50.00 ug/L 2-HydroxyAtrazine (G 34048)-......... < 0.3 50.00 ug/l, Bisphenol B------ < 0,2 50.00 ug/L Malaoxon............................... < 0.2 50.00 ug/L Estrone.,............ < 0.2 50.00 ug/l. Trichlorfon.........-..... < 0.3 50.00 ug/L 1.7 alpha Ethynyl.estradiol < 0.5 50.00 ug/:C. niduron ......... < 0.3 50.00 ug/L Diethylstilbestrol............,....,..... < 0,5 50.00 ug/L Dichlorvos........... ....... < 0,6 50.00 ug/l. 1.7 beta < 0.5 50.00 ug/L Propamocarb hydrochloride, ...... < 0,3 50.00 ug/L 4-Androstene--3,17-dione............. < 0.5 50.00 ug/L 2,6 Dichlorobenzamide...--.......- < 0.5 50.00 ug/L Picaridin.....,-...............-- < 0.5 50.00 ug/L RESUUTS C0NTTNUF,.M ON NEXT PAGE. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES - WATER ANALYSIS Requester Name:: JOE I'EST Request No.. PRI.5-0002 Location: 123 MAIN ST., HAUPPAUGE Samp-Le Date: 07/21/2015 Sample LocaLlLon: TAI: Sanitarian: SCIAIS LABORATORY Treatment:: NONE Field No- 001 777-1.5-07-21. Notes:: '<1 symbo.1 rneans "less than" indicating no detection. mg/L ::::: rn-l-L.I.i.grams per 1.1-ter; ug/L = rn..Lcrog.rams per liter. Alkalinity is reported as, mg/1, as CaCO3, 'k, symbo], means level found exceeds the maxi.murn contaminant level.. (MCI.,), or action leve.l. for lead and copper.. Modez..ate..Ly restricted sod.ium diet should not exceed 270 rng/I- Severe..Ly restricted shou.Ic:l not exceed 20 mg/I- The MC1, for nicke.1 is a p.roposed 1-Unit. Any MCL's not Shown below have riot been established. Result MCL Result MCI, RESULTS CONTINUED FROM PRECEDING PAGE =.-- Results for Sample GKoup; METALS analyzed by Suffolk County Departruent of. Health Services Lithiuffl--- - --- -- , 'I, ug/L Cadmium (Cd.)................ . ..... r L, 5.00 ug/l, Beryllium (Be).....,- _ < 0.2 4.00 ug/L ........... < 0.5 ug/f, Alurninum (A.I.) ug/L Antimony (Sb)............,..,:........... < 0.2 6.00 ug/r, Titanium (Ti.} ug/l, 0.5 ug/L Vanadium (V)........ .. ug/L Barium (LaIt I. 2000.00 ug/L Chromium (Cr)...... . ........ .... .... . 1 100.00 ug/L Mercury < O.3 2.00 ug/1, Manganese (Mrk)....... 45.00.1. 0,30 mg/:C, Thalliurn (TA�....... ,r, O.2 2.00 ug/1, Cobalt (Co).,.. lug/l, Lead ........... < 1. 1.5.00 uq/r., Nickel (Ni� U.'2 100.00 ug/1, Thorium < 2. ug/K.. Copper (CU) ........ ....... .... .. .. -1, 1.300.00 ug/L urani.um. . 30.00 ug/E 5 5000,00 ug/:[., < 0.1 nq/K Germanitun.. . . ...... -1- 0 Ug/L Iron (Fel.......... ....... < 0..:1. 0,310 mg/L Arsenic (Asl < 1, 10 00 ug/1, Iron + Manganese (Cornhined., Ca1c) < 0. 0.50 mg/L Selenium (Se).......................... 50.00 ug/L Potassium........ < 0.5 mg/), Strontium.... . , ... , , 'L., ug/l, 111agnesiuIn.. < 0.1 mg/T., Molybdenum (Mo) . ..... . , - ,, t, ug/L Sodium (Na) ............ < 1. rng/L Silver (Ag) ...... ..... .. :1.00,00 ug/L Results for Sample Group PERCHLORAIE analyzed by Suffoik County Depar.tinent of Health Services Perchlorate.......... < 0.2 1.8,00 ug/l, --- Results for Semple Group. RADIOLOGICAL analyzed by Suffo.1k County Department of Health Services Gross alpha. ........... r 1.. 15.00 pci/L ri ti urn. < 200, 20000 pci/l, Gross beta. < 1.. 50.00 PC.Ul, Results for Sample Group° STANDARD INORGANICS analyzed by Suffolk County Department of Realtfi Services SU 0.5 10.00 mg/l, Specific Conductivity um/cm Bromide........ 05 mq/L Chlorf.de (ClI < 3. 250.00 mg/:C, 0,5 mg/l, Sulfate (SO4),.......... < 5. 250.00 kiig/l, 0,2 2.20 Fngll, lVranonia (NH3-N) . ...... < 0.5 Ing/L T. ...... 11 ing/L Nitrite (NO2 < 0.1 :I-00 mg/:G Hexavalent Chromi um,. O.03 zkqlT., RESULTS CONTINUED 01.4 NEXT S'AG'E.... SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES - WATER ANALYSIS Requestor Maine:: JOE TEST Request No.; PR15-0002 Location. 123 MAIN ST.,, HAUPPAUGE Sample Date: 07/21/2015 Sample Location: TAP SanitarianSCDHS LABORATORY Treatment: NONE Field No..: 001-777-15-.07-21 Notes: '<' symbol means ".less than" indicating no detection. mg/L = milligrams per liter; ug/L ::::: micrograms per liter. Alkalinity is reported as mg/:L as CaCO3, '*' symbol. means level found exceeds the maximum contaminant level (MCL), or action level for lead and copper. Moderately restricted sodium diet should not exceed 270 mg/L. Severely restricted should not exceed 20 mg/L. The MCI, for nickel is a proposed limit. Any MCL's not shown below have riot been established. Re s u.1.t Mc r, Result MCI, RESULTS CONTINUED FROM PRECEDING PAGE ________= Results for Sample Group°. SE141-VOLATTLE ORGANICS METHOD 525 analyzed by Suffolk County Department of Health Services 1-Methylnaphthalene < 0.2 50.00 ug/T, Endosulfan sulfate.............. < 0.2 50.00 ug/L 2 Methy1napthalene..................... < 0.2 50,00 ug/L EPIC...................... < 0.2 50.00 ug/1, < 0.2 50.00 ug/:L Ethofumesate... < 0.2 50.00 ug/L Acenaphthylene-.... < 0.2 50.00 ug/L Ethyl Parathion...... ......... < 0,2 50.00 ug/L Acetochlor................................ < O.2 50.00 ug/L Fluoxanthene........ ...... < 0.2 50.00 Ug/1. < O�2 2.00 ug/l, < 0.2 50�00 ug/L Allethrin...................... . ..... < 0.2 50.00 ug/L Hexachlorobenzene...... < 0.1 1.00 ug/L Anthracene......... < 0.5 50,00 ug/L Hexachl.orocyclopentadiene........ < 0.1. 5.00 ug/l. Atrazine........... < 0.1 3,00 ug/1, Hexachloroethane....,.......... < 1. 5.00 ug/L Azoxystrobin........................... < 0.2 50.00 ug/.L Hexazinone...... < 1. 50.00 ug/L < 0.5 50.00 Ug/L I rid,-mo(1,2,3..cd)Pyrene. ........ < 0.2 50.00 ug/l. Benzo(A)Anthracene....''...---- < 0,5 50.00 ug/L lodoferiphos....-...-..........--. < 0.2 50.00 Ug/L Benzo(B)Fluo.ranthene................... < 0.2 50.00 ug/L Iprodionc......--.......-. ...... < 0.5 50.00 ug/L Benzo(GHI)Perylene..................... < 0.2 50,00 ug/L, Isofenphos---....... < 0.5 50.00 ug/L Senzo(K)F'Iuoranthene................... < 0.2 50.00 ug/1, Xelthane........... < 0.5 50.00 ug/L Benzo(A)Pyzene......................... < 0.02 0.20 ug/l, ...... < 0.5 50.00 ug/L Benzophenone.....---....... < 0.2 50.00 ug/L Metalaxyl..... ... < 0.2 50.00 ug/L Benzyl butyl < 0.2 50.00 ug/L Methoprene............---......... < 0.2 50.00 ug/l, Bis(2--ethylhexyl)adipate....... ........ < 0.5 50.00 ug/L < 0.1. 50.00 ug/L B.is(2 ethylkiexyl)plttkialate..,....,....... < 3.. 6.00 ug/L Methyl. Parathion......---....... < 0.2 50.00 Ug/1. Bispheriol < 0.5 50 00 ug/L Metolachlor............. < 0.2 50,00 ug/L. Bloc.. .. ............. < 0.2 50.00 ug/1, Metribuzin............... < 0.2 50.00 ug/L Bromacil........ < 0.5 50.00 ug/L Naled (Dibrom) < 0.2 50.00 ug/L Butachlor.,...... .......... ...... < 0.2 50.00 ug/Lp ......... < 0.2 50.00 ug/L Butylated hydroxyanisole.............. < 1. 50.00 ug/F, < 0,2 5.00 ug/L Butylated hydroxytoluene...............,. < 0.5 50�00 ug/L Pentachlorobenzene..... ........ ...... < 0.2 50.00 uq/L < 0.5 50,00 ug/L Pentackiloronitrobenzene............,.., < 0.2 50.00 ug/L Carbazole..... < 0.2 50.00 ug/l, Permethrin........----...... < 0.2 50.00 ug/L Carisoprodol........ ...... < 0.5 50.00 ug/I, Phenanthrene......... < 0.2 50.00 ug/L Chlordane....,.............. ........... < 0.2 2.00 ug/L Piperonyl butoxide..... < 0.5 50.00 ug/L Chlorofenvinphos.......................... < 0.2 50.00 ug/L Prometon.......... < 0.5 50.00 ug/L Chlorothalonil...--.........- < I. 50.00 ug/L Prometryne-.,.-,.... < 0.2 50.00 ug/L Ch.loroxylenol..... < 0,2 50.00 ug/L Propachlot................... < 0.2 50.00 ug/L Chlorpyriphos. < 0,2 50,00 ug/1, Propiconazole (Tilt) < 0.2 50.00 ug/L Chrysene... < 0.2 50.00 ug/L Pyrene.................,... ...... < 0.5 50.00 ug/L Cyfluthrin. < 0.2 50.00 ug/L Resmethiin...... < 0.2 50.00 ug/L Cypermethrin............................. < 0.5 50.00 Ug/L Ronstar....... < 0.2 50.00 ug/L < 0.2 50,00 ug/:L Simazine.... < 0.07 4.00 ug/L Deltamethrin........................... < 0.5 50.00 ug/:L Sumithrin........... < 0.2 50.00 Ug/L Dibenzo(A,H)Anthracene.................. < 0.2 50.00 ug/:L Tebuthiuron.......... < 0.5 50.00 ug/L Dibutyl Phthalate-... < 1. 50.00 ug/L Terbacil....,.......... ........ < 0.5 50.00 ug/L < 0.2 50.00 ug/L Triadime for) < 0.5 50.00 ug/L < 0.5 50,00 ug/L Triclosan............ ....... < 0.5 50.00 ug/L Dieldrin............. ............ < 0.2 50.00 Ug/L Trifluralin-...-.- ---- < 0.5 50.00 ug/L Diethyl phthalate.......-. ........ < 1. 50,00 ug/L Vinclozolin,......---.......--- < 0.5 50.00 ug/L Diethyltoluamide (DEET) < 0.2 50.00 ug/L Total Triazines + Metabolites (Calc)... < 0. 4.00 ug/L. Dimethyl phthalate........... < 0.2 50.00 ug/L Etofenprox......... ... < 0.2 50.00 ug/L Dioctyl Phthalate...... < 0.2 50.00 ug/l: Etofenprox alpha-CO.................,.. < 0.2 50.00 ug/l. < 0,5 50.00 ug/L Prallethrin.....,....... < 0.2 50,00 ug/L Disulfoton sulfone....................... < 0.2 50.00 Ug/L RESULTS CONTINUED ON NEXT PAGE..... SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES - WATER ANALYSIS Requestor Name:: JOE TEST Request No.: PR15-0002 Location. 123 MAIN ST_ HAUPPAUGE Sample Date. 07/21/2015 Sample Locati= TAP Sanitarian: SCDHS LABORATORY Treatynent� NONE Field No. 001-777-15-0'7-2.1 Notes. 1<1 symbol means "less than" indicating dno detection., mg/:L := milligrams per liter; ug/.L = micrograms per liter., Alkalinity is reported as ffig/L as CaCO3. '*' symbol means level found exceeds the maximum contaminant level (MCL), or action level :For lead and copper., Moderately restricted sodium diet shm.i.ld not exceed 270 ing/L., Severely restricted should not exceed 20 mg/L.. The MCL for nickel is a proposed limit. An.y MCL's not shown below have not been established. Result MCI, Result MCL RESULTS CONTINUED FROM PRECEDING PAGE -==== Results for Sample Group: VOLATILE ORGANECS analyzed by Suffolk County Department of Health Services ----...... Chlorodifluoroniethane.. < O.5 5.00 ug/L Chlorobenzene.......... ..... . (),5 5.00 ug/L K)icttlo:r.odifluoromethane..,.,..,.,.....,...,.. < O.5 5.00 ug/L Ettiylbenzene....,.,...,......,,,,,.,........ 0,5 5.00 ug/L Chloroethane, ....... < 0.5 5.00 ug/L o-Xylene.................... ....... 05 5.00 ug/L Bromomethane............. < 0.5 5.00 ug/L m & 0,5 5.00 ug/L Chloromethane........................ < O.'s 5.,00 ug/L Total Xylenes. 0,5 5.00 ug/L T:richlorofluoromethane.......,,...,..... < 0.5 5.00 ug/L 2-Chloroto.l.uexie.................,, 015 500 ug/L Vinyl Chloride < 0.5 2.00 ug/1; G.5 5.00 ug/L Methylene Chloride............ 0,5 5.00 ug/L Diethyl 0,5 50.00 ug/L 1,1 < 0.5 5.00 ug/L Acrylonitrile........ 0,5 5.00 ug/L trans :1,2 < 0.5 5.00 ug/L Ethyl Methacrylate.................... ... I:":1,5 50.00 ug/L Chloroform. < 0.5 80.00 ug/L 1,3,5 Trimethylbenzene........... 61.5 5.00 ug/L 1,2 Dichloroethane.. ............-- < 0.5 5.00 ug/L 1,2,4 Trimpthylberazene... 0,5 5.00 ug/L 1,1,1 < O.5 5.00 ug/L 1,2 Dichlorobenzene 0,5 5.00 ug/:G Carbon Tetrachloride..... < 0.5 5.00 ug/L 1,.3-Dichlorobenzene 0,S 5.00 ug/L 1-Bromo-2-Chloroetliaiie................... < 0.5 5.00 ug/L 1.4-Dichlorobenzene 0,5 5.00 ug/L 1.2 Dichloropropane.---......... < 0.5 500 ug/L p-DiethylberMzene..,...,.........,....., 1 5 500 ug/L Trichloroethene........... ...... < 0.5 5.:00 ug/L :1,2,4,5 Tetramethylbenzene... 05 5.00 ug/L Chlorodibromomethane....... �e 0.5 80.00 ug/L 1,2,4 Trichlorobenzene................... 0.5 5.00 ug/L 2-Bromo I-Chloropropane...... < 0.5 5.00 ug/L 1,2,3 rrichlorobenzene....,.......... 0,5 5.00 ug/L Sr"moforx .. c 0.5 80.00 ug/L Ethenylbenzene (Styrene)-.. ........... <• 0,5 5.00 ug/L < O.5 5,00 ug/L Isop:ropylbenzene,...,...,....,....,..., ,,, 05 5.00 ug/L cis-1,2-E)ichloroetherie.....,..,,,....... < 0.5 5.00 ug/L n-Propylbenzeiie...,..,.,..,.,,.,,,,.,. ,. 0.5 5.00 ug/:f Freon ................................. < 0.5 5.00 Ug/L Cert-Butylbenzene......... 0.k5 5.00 ug/:L < 0.5 5.00 Ug/L sec-Butylbenzene..... 0.5 5.00 ug/L 1,1 Dichloropropeiiie,...............,....... < 0.5 5.00 ug/L p-Isopropyltoluene........,.....,.,. I),`i 5.00 ug/L Methyl :Esothiocyanate...,,...,,,,,, .,,,,.,,,. < 2. 50.00 ug/L n-Butylbenzene.,..-........--.- , , , 0,5 5.00 Ug/L Carbon Disulfide......... < 0.:5 ug/L HexacP.ilo:robutadiene.,.,......,...... (1 15 5.00 ug/'L Methyl Methacrylate........... < 0.5 50.:00 ug/L Methyl-Tert-Butyl-Ether (MTBE).... 0,5 10.00 ug/L 1,1 Dichloroethene.... < O.5 5.00 ug/:f Naphthalene,....,.......:....:.............. D 5 50.00 ug/L Bromodi chlo route thane. < 0.5 80.00 tag/L 0,5 5.00 ug/L 2,3 < 0.15 5.00 ug/L Methyl 0,5 50.00 ug/:f cis-1,3-Dicliloropropene................. < O,5 5.00 ug/L Dimethyldisulfide..... 0,5 50.00 ug/L trans-1,3-D.I.cliloroproperie.,...... < 0.5 5.00 Ug/L Bromobenzene... ......... 0,5 5.00 ug/L 1,1,2 Trichloroetkiane.,.,......,.,..,.,......, < 0.5 5.00 ug/L 2-Butanone (111EK) .. .. .. 1.0, 50.00 ug/L 1,1,:1,2 Tetrachloroethane......--- < 0.5 5..00 ug/L 2t1. 50.00 ug/L 1,1,2,2-Tetrachloroethane.......,.,,,,.,,, < 0.:5 5.00 Ug/L Allyl 0,5 5.00 ug/L 1,2,3 Trichloropropane-......--.- < 0.5 5.00 ug/L 0.5 5.00 ug/L 2,2 Dickiloropropane.,,,,,,,,,,,,.,., .,,..,,.. < 0.5 5.00 ug/L d-Limoriene.................................. 0,5 50,00 ug/L 1,3 Dicb1oropropane........................ < 0.5 5.00 ug/:L 15. 50.00 ug/L Bromochloromethane........... < 0.5 5.00 ug/L e 2 50.00 ug/L < O,5 5.00 ug/.G < 2. 50.00 ug/:f Toluene................... < 0.5 5.00 Ug/L SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#10528 Field Number. 121-929-180619 Lab Number: 06-18-01065 Collection Date: 611 912 01 8 Submission Date: 6/19/2018 Collectlon Time: 11:15:00 AM Sample ID: ZF01065 Collected By: ABAZIS Sample Type: PRIVATE Field Cl Residual: Not Provided TC:0.6°C(0-6 Acceptable) source: PR18-0575 Thomas C Wolpert, P.E. 32625 Main Rd, Orient (S-135021T) VOLATILE ORGANIC ANALYSIS of POTABLE WATER-EPA Method 524.2 Analide Result DB# Analyte Result DB# Analyte Resulta C0615 Chlorodifluammethans <0.5 PPb C0307 1,1-Dichloroethenea <0.5 PPh C0436 Dlchforod[fluoromethanea <0.5 PP C0302 Bromodichioromethanea <0.5 PPbC0419 1,3,5-Tdmethylbenzene4 <0.5 mb C0612 Chloroethanes <0.5 ppb C0406 2,3-Dichloropropene <0.5 PPb C0418 1,2,4-Tdmethylbenzenea <0.5 PPb C0611 Bromomethanea <0.5 PPb' C0407 cis-1,3-Dlchloropropenea <0.5 PPb C0610 Chloromethane" <0.5 PPP" C0408 trans-1,3-Dichloropropene" <0.5 ppb 00412 1,2-Dichlorobenzens(o)s <0.5 PPb C0439 Tr[chlorofluoromethanea <0.5 Ppb C0322 1,1,2-Trichloroethanes <0.5 ppb V C0462 1,3-Dichlorobenzene(m)-1 <0.5 ppb 00306 Vinylchlorldea <0.5 ppb C0409 1,1,1,2-Tetrachloroethanes. <0.5 PPb C0463 1,4-Dichlorobenzene(p)a <0.5 ppb 00432 p-Diethylbenzerne <0.5 PPb' C0305 Methylene chloddea <0.5 ppb CO295 1,1,2,2-Tetrachloroethanes <0.5 PPb C0435 1,2,4,5-Tetramethylbenzene <0.5 Ppb C0323 1,1-Dichloroathane" <0.5 ppb C0433 1,2,3-Trichloropropanes <0.5 ape C0437 1,2,4-Trichlorobenzenea <0.5 ppb C0309 trans-1,2-Dichloroethenea <0.5 ppb C0450 2,2-Dichloropropanea <0.5 PPb C0438 1,2,3-Tdchlorobenzenea <0.5 ppb C0300 Chloroform" <0.5 Pit C0451 1,3-Dichloropropanea <0.5 ppb 00600 Ethenylbenzene(Styrene)a <0.5 PPb C0324 1,2-Dichloroethane" <0.5 ppbl CO290 Bromochloromethane" <0.5 PPb C0601 Isopropylbenzenea <0.5 PPb' C0321 1,1,1-Trichloroethanes <0.5 PPb C0602 n-Propylbenzene" <0.5 PPb C0304 Carbon tetrachlorides <0.5 rpb C0603 tart-Buty[benzenea <0.5 pati CO294 1-Bromo-2-chloroethane <0.5 PPb CO260 Benzenes <0.5 ppb 00604 sec-ButylbenzenO <0.5 Ppb C0405 1,2-Dichloropropanea <0.5 PPb CO251 Toluenea <0.5 PPb 00605 p4sopropyitoluenea <0.5 PPb C0310 Trlchloroethenes <0.6 ppb'' CO258 Chlorobenzenea <0.5 ppb 00606 n-Butylbenzenea <0.5 PP C0701 Naphthalenea <0.5 Ppb C0303 Chlorodlbromomethanea <0.5 Rb CO259 Ethylbenzenea <0.5 PPb C0607 Mexachlorobutadlenea <0.5 PO C0420 2-Bromo-l-chloropropane <0.5 PPb CO254 o-Xylene <0.5 PPIO C0301 Bromoforma <0.5 ppb CO260 m,p-Xylene <0.5 PPI C0311 Tetrachloroethene" <0.5 PPb CO255 Total Xylenes <0.5 mb CM59 1,4-Dichlorobutane <0.5 Ppb C0308 cis-1,2-Dichloroethenes <0.5 PPb C0620 Methyl sulfide <0.5 Ppb C0320 Freon 113. <0.5 ppb CO266 2-Chlorotoiuene" <0.5 Ppb, C0058 Dimethyldisulfide <0.5 PPb CO292 Dibromomethanea <0.5 PPb CO257 Bromobenzenea <0 5 C0613 1,1-Dichloropropene <0.5 PPb CO268 4-Chloroto[uenes <0.5 PPb C0619 2-Butanone(MEK) <20. PPb C0465 Methyl isothiocyanate <2. ppb C0453 Diethyl ether <D.5 PPb C0456 Acrylonitrile <0.5 PPb CD458 Methylmethacrylate <0.5 p° C0469 Ethylmethacrylate <0.5 PPb C0487 Methacrylonitrlle <0.5 PPb C0460 d-Umonene <0.5 ppb C0622 Propanal <15. PO C0721 Isobutane <2. C0722 n-Butane <2. ppb C0455 Carbon disulfide <0.5 PPb C0466 Allyl chloride <0.5 ppb+ 83 Components "-Analyte covered under ELAP accreditatlon for potable water,otherwise accreditation is not offered for this category. The tab is only responsible for the certified testing,and not for the integrity of the sample before laboratory receipt- Comments: eceiptComments: b Q Reviewed By: 1 Analyst(s): Date Analyzed:6/26/2018 Report Data: 6/28/2018 Page 1 of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF'ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#10528 Field Number. 001-929-181204 Lab Number: 12.18.00057 Collection Date: 121412018' Submisslon Date: 1214/2018 I Collection Time: 11:16`00 AM ;Sample ID: ZL00057 I Collected By, ABAZIS Sample Type: PRIVATE --Faeld-Cl-Reeldual:-.Not Provided-- _..w. _.-_.. TC 0,"6,C(0 6 P�eptable� - - source: PR18-0575, Thomas C. Wolpert P.E., 32525 Main Rd., Orient, Tank 8-135021T VOLATILE ORGANIC ANALYSIS of POTABLE WATER-EPA Method 524,2 Result DB# Analyte Resul€ C0615 Chlorodifluoromethane <0.5 Ob C0307 1,1-Dichioroethene"•• <0.5 ppb, C0436 Dichlorodlfluoromethanea. <0.5 pp r 00302 Bromodichloromethane- <0.5 ppb C0419 1,3,5-Trimethylbenzenep <'0.5 ppb C0612 Chloroethane- 40.6 ppb C0406 2,3-Dichloropropene 50.5 PPb C0418 1,2,4Trimethylbenzene- <0:5 wb C0611 Bromomethane' <0.5 ppb' i r 00407 de-1,3-DichloropropeneM <0.6 PPb C0610 Chloromethanes - <0.5 ppb C0408 tra6s-1,3-Dichloropropenea <0.5 pp� is C0412 1,2-Dichlorobenzene(o)8 <0.5 Pp C0439 Trichlorofluoromethane- <0.5 ppb C0322 1,1,2-Trichicroethane- <0:5 ppb 00462 1,3-Dichlorobenzene(m)" <0.5 Mb C0306 Vinyl chloride- <--0,5 ppb C0409 1,1,1,2-Tetrachloroethane- <0.5 ppb C0463 1,4-Dichlorobenzene(p)e <0.5 pry C0432 p-Diethylbenzene <0.5 ppb C0305 Methylene chloride' <0.5 PFb 60295 1,1,2,2-Tetrachloroethane' <0.5 PPb C0435 1,2,4,5-Tetramethylbenzens <0.5 pry C0323 1,1-Dichloroethane- <0.5 ppb C0433 IA3-Trich'loropropane- <•0.5 PPb 00437 1,2,4-Trichlorobenzene- <0.5 PPb C0309 trans-1,2-Dichloroethenes <0.5 ppb 1x0450 2,2-Dichloropropane° <0.5 ppb C0438 1,2,3-TridhlorobenzeW- <0.5 Ppb C0300 -Chloroform- <0.5 PPb 00451 1,3-Didiloroproponee <o.5 PPb C0600 Ethenylbenzene(Slyrene)' <•0.5 ppb` 00324 1,2-Dichloroethanee <0.5 pp CO290 Bromochloromethanea <0.5 Rpt C0601 IsopropylbenzeAe- <0.5 Pry C0321 1,1,1-Trichloroethane4 <0.5 ppb C0602 n-Propylbenzene" <0.5 PPb CO3H Carbon tetrachloride- <0.5 PPb C0603 tort-Butylbenzene- <0.5 CO294 1-9romo-2-chloroethane <0,5 PPbI CO260 Benzene° <0.6 pPb C0604 sec-Butylbenzene8 <0.5 Pit C0405 1,2-Dichloropropane- <0.5 PPb 00251 Toluenes <0.5 . .PPb C0605 p4sopropyftoluene- <0.6 C0310 Trichloroethene- <0:5 ppb, CO268 Chlorobenzenee -0.5 ppb C0606 n-Butylbenzene-• <0.5 prb C0701 Naphthalene- <0.5 Ppb 00303 Chlorodibromomethanee <0.5 pPb' CO259 Ethylbenzene8 <0.5 pp C0607 Hexachlorobutodlene- <0.5 PPb 00420 2-Bromo-l-chloropropane NR Ppb CO254 oAylene <0.5 pp C0301 Bromoforms <0.5 PPb CO260 m,p-Xylene <0.5 ppb 0311 Tetrachloroethane" •<0.5 PPb CO256 Total Xylene- <0.5 PPb C0059 1,4-Dichlorobutane <0.5 PPb C0308 cis-1,2-DichlometheneO <0.5 ppb CD620 Methyl sulfide <0.5 PPb C0320 Freon 113 <0.5 PP CO266 2-Chlorotoluene- - <0.5 ppb 00058 Dimethyldisulflde <0,5 PPb CO292 Dlbromomethanee <0.5 RPh 00257 Bromobenzene4 <0.5 ppb 00613 1,1-Dichloropropime- <0.5 PPb CO288 4-Chlorotoluene- <0.5 pPb C0619 2-Butanone(MEI) <20- pP 00465 Methyl Isothiocyanate <2. Wb .60453 Dlethyl ether <0.5 ppb C0621 Tetrahydrofur0m; <20. PO C0456 Acrylonitrile <0.5 ppb C0458 Methylmethacrylate <0.5 ppb' 00469 Ethylmethacylate NR rel .OD467 A4ethacrytonitrile <0.5.. ppb 00460 d-Limonene <.0.5 pp C0622 Propartal <15.• PO C0721 Isobutane <2. ppb C0722 n43utane- <2. Ppb 00455 Carbon disulfide <0.5 " .p0 00466 Allyl chloride <0:5 ppb' 83 Components - '-4nayte covered under EL•AP accreditation for potable water,otherwise accreditation Is not offered for.this category. - The lab is only responsible for the certified tesft and not for the integrity of the sample before laboratory receipt Analyzed 25 mL bfsample. NR-Not reporting Ethylmethaerylate&2-BromoA-Chloropropane. Comments: //tt Reviewed By:v.vAnalyst(s): Date Analyzed:12!712018 Report Date: 12/20/2018 Page 1 of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DMSION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY -ELAP#10528 Field Number: 121-929-180619 Lab Number: 06-18-01065 Collection Date: 6/19/2018 Submission Date: 6119/2018 Collection Time: 11:15:00 AM Sample ID: ZF01065 Collected By: ABAZISON I Sample Type: PRIVATE Field CI Residual: Not Provided TC:0.6°C(0-6 Acceptable) source: PR18-0575 Thomas C Wolpert, P.E. 32625 Main Rd, Orient(S-135021T) VOLATILE ORGANIC ANALYSIS of POTABLE WATER-EPA Method 524.2 DB# Analyte R218 DB# Analyte Result DB# Analyte Result C0615 Chlorodtfluoromethans <0.5 ppb C0307 1,1-Dichloroethenea <0.5 PPb' C0436 Dichlorodifluoromethanes <0.5 ppb C0302 Bromodichloromethanea <0.5 PPb C0419 1,3,5-Tdmethylbenzenea <0.5 FPb 00612 Chloroethenea <0.5 ppb C0406 2,3-Dichloropropene <0.5 PP6 C0418 1,2,4-Tdmethylbenzenea <0.5 ppb C0611 Bromomethanea <0.5 ppb C0407 cis-1,3-Dichloropropenea <0.5 PPb C0610 Chloromethane" <0.5 PPbC0408 trans-1,3-Dichloropropenea <0.5 PPb 00412 1,2-Dichlorobenzene(o)a <0.5 PO C0439 Trichlorofluoromethane" <0.5 ppb C0322 1,1,2-Trichloroethanes <0.5 ppb C0462 1,3-Dichlorobenzene,(m)' <0.5 PPb 00306 Vinyl chloride" <0.5 ppb C0409 1,1,1,2-Tetrachlorcethanea <0.5 ppb C0463 1,4-Dichlorobenzene(p)a <0.5 PPb C0432 p-Diethylbenzene <0.5 rPb' C0305 Methylene chloride' <0.5 ppb CO295 1,1,2,2-Tetrachloroethanes <0.5 PPb C0435 1,2,4,5-Tetramethylbenzene <0.5 FPb C0323 1,1-Dichloroethenea <0.5 ppb C0433 1,2,3-Trichloropropanea <0.5 Ppb C0437 1,2,4-Trtchlorobenzene° <0.5 PPb C0309 trans-1,2-Dichloroethenea <0.5 PP C0450 2,2-Dichiaropropane" <0.5 PPb C0438 1,2,3-Tdchlorobenzenes <0.5 ppb C0300 Chloroform' <0.5 PP C0451 1,3-Dichloropropanes <0.5 FPb C0600 Ethenylbenzene(Styrene)a <0.5 PPb C0324 1,2-Dichloroethane" <0.5 PPb CO290 Bromochloramethane <0.5 PPb 00601 IsopropylbenzenO <0.5 Pob C0321 1,1,1-TrIchioroethanea <0.5 PPb I C0602 n-Propylbenzenea <0.6 PPb C0304 Carbon tetrachloridea <0.5 ppb C0603 tert-Butylbenzene" <0.5 ppb CO294 1-Bromo-2-chloroethane <0.5 PPb CO250 Benzenea <0.5 PPb C0604 sec-Butylbenzenea <0.5 PPb C0405 1,2-Dichloropropanes <0.5 Ob CO261 Toluene' <0.5 PPb, C0605 p-Isopropyltaluene" <0.5 pp C0310 Trichloroethenea <0.5 PPb CO258 Chlarobenzene- <0.5 PPb C0506 n-Butylbenzenea <0.5 ppb C0701 Naphthalenea <0.5 PPb C0303 Chlorodibromomethanea <0.5 PPb CO259 Ethylbenzenes <0.5 ppb C0607 Hexachlorabutadiene <0.5 ppb 00420 2-Bromo-l-chloropropane <0.5 ppb CO264 o-Xylene <0.5 ppb w C0301 Bromoforrn- <0.5 ppb CO260 m,p-Xylene <0.5 ppb 00311 Tetrachloroethene" <0.5 ppb 00255 Total Xylenea <0.5 ppb C0059 1,4-Dichlarobutane <0.5 PPb C0308 cis-1,2-Dichloroethenea <0.5 PPbli C0620 Methyl sulfide <0.5 PPb C0320 Freon 113 <0.5 PPb CO266 2-Chlorotaiuene' <0.5 ppb' C0068 Dlmethyldisuitide <0.5 PPb CO292 Dibromomethene" <0.5 Ph CO257 Bromobenzene' <0.5 Ph C0613 1,1-Dichloropropenea <0.5 PPb CO268 4-Chlorotoluenea <0.5 PO C0619 2-Butanone(MEK) <20. PPb C0465 Methyl Isothlocyanate <2. FPb C003 Diethyl ether <0.5 ppb' C0456 Acrylonitrile <0.5 PPb, C0458 Methylmethacrylate <0.5 ppb C0469 Ethylmethacrylate <0.5 PPb C0467 Methacrylonitrile <0.5 ppb' C0460 d-Limonene <0.5 P C0622 Propenal <15, PPb C0721 Isobutane <2. PPb' C0722 n-Butane <2. p i C0455 Carbon disulfide <0.5 PPb C0466 Allyl chloride <0.5 ppbl 83 Components a-Analyte covered under FLAP accreditation for potable water,otherwise accreditation is not offered forthis category, The lab is only responsible for the certified testing,and not for the integrity of the sample before laboratory receipt. Comments: r Reviewed By�` Analyst(s) Date Analyzed:6/2611018 Report Date: 6/28/2018 Page 1 of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP 910528 Field Number. 121-929-160619 Lab Number: 06.,18-01065 Collection Date: 6/19/2018 Submission Date: 6/19/2018 Collection Time: 11:15 AM Sample ID: ZF01065 Collected By: ABAZIS Sample Type: PRNATE Source: PR1B-0575 Thomas C Wolpert, P.E. 32625 Main Rd, Orient (S-135021T) TC:0.6°C(0-6 Acceptable) CBLORJNATED PESTICIDE ANALYSIS of POTABLE WATER-EPA Method 505 FCR:Not Provided DAB Analyte Result Units OB# Analyte Bole U n is PP 00207 Alpha-BHC <0.2 b CO218 4,4 DDE <0.2 ppb CO208 • Beta-BHC <0.2 . ppb CO217 4,4 DDD <0.2 ppb CO211 Gamma-SHCa <0.02 ppb CO220 4,4 DDT <0.2 ppb CO209 Delta-BHC <0.2 ppb CO210 Endrin° <0.01 ppb pP 00221 Heptachlors <0.04 b CO222 Heptachlor epoxide' <0.02 ppb CO215 Chlordanes <0.2 ppb CO214 Aldrin" <0.2 ppb CO226 Alachlora <0.2 ppb CO216 Dieldrins <0.2 ppb CO212 Methoxychlor° <0.1 ppb CO230 Endosulfan I <0.2 ppb 00231 Endosulfan II <0.2 ppb C0536 Decthal <0.2 ppb CO232 Endosulfan Sulfate <0.2 ppb 19 Components Date Analyzed:6J 012 " 8 Analyst:AW Date Reviewed Evaluate Dacthal in all samples due.to Quality Contr I lail'ing ow.AN MICROEXTRACTABLE ANALYSIS of POTABLE WATEF EPA Method 504:1 A&r s e . RasultUps DB# Analyte sul Units CO293 1,2-dibromoethanes <0.01 ppb C0608 1,2-dibromo3-chloropropane3 <0.02 ppb Analyst:AW Date Analyzed:8/22/2018 Date Revle+ ed a-Analyte covered under ELAP accreditation forpota le vera r, otherwise accreditation is not offered for this category. Comments: The lab is only responsible for the certified testing,and not for the integrity of the sample before laboratory receipt Page 1 of 1 Report Date: 7/6/2018 i SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DMSION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LA1 ORKTORY-ELA.P#10528 Field#: 121-929-180619 Lab#: 06-18-01065 Collection Date: 6/19/2018 0* Submission Date:6/19/2018 Collection Time: 11:15 AM Labworks ID: ZF01065 Collector: ABAZIS Type: PRIVATE Source: PR1"575 Thomas C Wolpert, P.E. 32625 Main Rd, Orient(S-1350217) TC:0.6°C(0-6 Acceptable) 0-10 Acceptable for Dioxane Hexavalent Chromium and 1,4-Dloxane analysis of Potable Water DB# Analyte Result Units Method Analyst jWm� A°�'w Analysis omments toed BY xa A 522 TM 7/3012018 Surrogate recove <70%for LRB COT99 1,4-DIo nea �0.q uglL EP, rrog ry B associated with this sample. C0105 Hexavalent C._-m_ IT - hromlum ' 1.03 uglL EPA 218.7 TM 6/2612018 i The lab is only responsible for the certified testing,and not for the integrity of the sauple�before laboratory meeipL e Analyte covered under FLAP accreditation for potable water,oftrwise accreditation.Is not offered for this category. Remarks: Report Date: 8110/2018 Pagel of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#10528 Field Number. 121-929-180819 Lab Number. 06.18-01065 Collection Date. 6/19!2018 Submission Date: 8/19/2018 Collection Time: 11:15 AM Sample ID: ZF01065 JCollected By: ABAZIS Sample Type: PRIVATE 3 Field Cl Residual: Not Provided 49 TC:0.6°C(0-6 Acceptable) Source: PR18-0575 Thomas C Wolpert, P.E. 32625 Main Rd, Orient(S-135021T) pH adjusted in the lab(field adjustment required). SEMI-VOLATILE ORGANIC ANALYSIS of POTABLE WATER-EPA Method 525.2 Uechiortnation agent added In the lab(field addition required). Result Internal Result Internal ResultIntemai DB* nghft IR01 sw# DI3# Analyte JppbJ �# DEW Analyte 1�2 sta# C0857 1-Methylnaphthalene <0.2 1 C0640 Dellamethrin <0.5 3 C0819 Permethrin <0.2 3 C0858 2-Methylnaphthalene <0.2 1 00713 Dibenzo(a,h)anthracene <0.2 3 C0704 Phenanthrene <0.2 2 00702 Acenaphthene <0.2 1 C0401 DibutI phthalate <1. 2 C0831 Plperonyl butoxide <0.5 3 C0716 Acenaphthylene <0.2 1 00827 Dichlobenll <0.2 1 C0035 Prometon <0.5 2 C0808 Acetochlor <0.2 2 C0841 Dichlorvos <0.5 1 C0843 Prometryne <0.2 2 i CO226 Alachlor° <0.2 2 CO216 Dieldrin' <0.2 2 C0040 Propachlors <0.2 1 C0887 Allethrin <0.2 2 C0845 Diethyl phthalate <1. 1 C0836 Propiconazole(TILT) <0.2 3 C0705 Anthracene <0.5 2 C0717 Diethyltoluamide(DEET) <0.2 1 C0707 Pyrene <0.5 3 C0055 Atrazine' <0.1 2 C0844 Dlmethyl phthalate <0:2 1 C0829 Resmethrin <0.2 3 00834 Azoxysirobin dY <0.2 3 C0400 Dio I phthalate <0.2 3 C0859 Ronstar <0.2 3 C0815 Benfluralin <0.5 1 C0823 Disulfoton sulfone <0.2 3 •C0056 Slmazlne' <0.07 2 C0708 Benzo(a)anthracene <0.5 3 CO232 Endosuifan sulfate <0.2 2 00830 Sumithrin <0.2 3 C0710 Benzo(b)fluoranthene <0.2 3 C0820 EPTC <0.2 1 C0802 Tebuthiuron <0.5 1 C0714 Benzo(ghl)perylene <0.2 3 C0804 Ethofumesate <0.2 2 C0822 Terbacil <0.5 2 C0711 Benzo(k)fluoranthene <0.2 3 C0832 Ethyl parathion <0.2 2 C0817 Triadlmefon <0.5 2 C0712 Benzo(a)pyrene" <0.02 3 C0706 Fluoranthene <0.2 2 C0850 TrlGosan <0.5 2 C0718 Benzophenone <0.2 1 C0703 Fluorene <0.2 1 C0809 TrHiurahna <0.5 1 00846 Benzyl butyl phthalate <0.2 3 C0057 Hexachlorobenzene' <0.1 1 GOBI I Vinclozolin <0.5 2 C0049 bis(2-ethylhexyl)adipate° <0.5 3 C0047 Hexachlorocydopentadienee <0.1 1 C0726 Etofenprox <0.2 3 C0048 bis(2-ethy1hMI)phthalats*s <3. 3 C0471 Hexachloroethans <1. 1 C0727 Etofenprox alpha-CO <0.2 3 C0865 Bisphenol A <0.5 3 C0856 Hexazinone <1. 3 00000 Prallethrin <0.2 2 00826 Bloc <0.2 3 C0715 Indeno(1,2,3-cd)pyrene <:0.2 3 95 Components C0041 Bromacil <0.5 2 C0818 lodofenphos <0.2 3 NR=Not Reportable C0050 Butachlor° <0.2 3 C0813 Iprodlone <0.5 3 Prometon unstable in add. ° 1 C0807 lsofenphos <0.5 2 'ELAP Rw-cannotbe aGbleved due to lab interferenca 1 C0825 Kelthane <0.5 3 00853 Carbamazepine <0.5 3 C0805 Malathlon <0.5 2 i C0854 Carbazdle <0.2 2 C0031 Metalaxyl <0.2 2 C0849 Carisoprodol <0.5 2 C0828 Methoprene <0.2 2 CO215 Chlordanes <0.2 3 CO212 Methoxychlor' <0.1 3 C0720 Chlorofenvinphos <0.2 2 00833 Methyl parathion <.0.2 2 C0847 Chloroxylenol <0.2 1 C0052 Metoiachlors <0.2 2 C0806 Chlorpyriphos <0.2 2 C0842 Naled(Dibrom) <0.2 1 C0709 Chrysene <0.2 3 C0824 Napropamide <0.2 3 C0814 Cyfluthrin <0.2 1 C0812 Pendimethalin• <0.2 2 C0839 Cypennethrin <0.5 3 C0801 Pentachlorobenzene <0.2 1 C0536 Dacthal <0.2 2 C0810 Pentachloronitrobenzene <0.2 2 kAnalyte covered under ELAP accreditation for potable water,otherwise accredlatlon is not offered for this category,. fbr the ffid Ilig receiPL Analyst(s):, Fjt e Date extracteheeLFB.Hexachloroethane Date anvo zed c7112 18 1 b� ryReviewed By; Th Benzo(a)pyrene does not meet acceptable criteria in Kelthane do not meet acceptable criteria In the LFM.Chrysene-D12 low. Comments: Report Date: 7/31/2018 Page 1 of 1 SUFFOLK COUNW DEPARTWNT OF jjEALnj SFRVICES DIVISION OFE''V'R(YNWEN' TAL QUALITY PUBLIC AND ENVIRONMENTAL ITEW .ELXP#1052914 LABORATORY -01065 Lab#: 06-18 Field* 121-92.9-180619. Submission Date:6/19/2018 Submission lime:2:38 PM Collection Date' 6/1912048 collectionTme: 11:15 AM LabWorks tD; ZF01065 collector: ABAZIS Rd, Orient(S-1 35021T) TC:0,6aC(0-6 Acceptable) Source.- PR18-0575Thornas CWolpert, P.E. 32625 Main FCR:Not Provided Type: PRIVATE C MATE PESTICI E KALysjSofP0TAB1XWATE --5—M2-1-66-12-3 ABflLA—A:l Andyte Resa units <07j Uj3j�Idic�arb-- �0.5ppbi �(��25:-�=dlcar—bsulfox'14de -' --- dc 05p E=G052K-']Aldir.9 rb subne E—=44 C�arb.ofurann [�0052Hydr(;);xycarioOfutsn a � _-<=115p_pbj C 28�6xam0.6 ppb 29 ECw�baryu. i�a—e --- -Cq54i-Naih:Chot 55 �J�*73=OKet!�W: --------- Lm—y", __ Ctf550 .0 0.5 0 b [=C05-3:7:yeChFDGarb sulforle tti 12 components for this category. der ELAPaccreditetion for potable water,otherwise socreditaticri Is not offered I-Anatyte covered un 'Y Of1he fmrrple before laboratory rocciPL 'or ble certif1cd testing,and act for the integrit Tbelabisonlyresponsible Date Analyzed:7114/2018 Date Reviewed—t4tU.--P'<- Analyst SKM Page Report Date: 812412018 SUFFOLK COUNTY DE AK'IMEWr OF HEALTH SERVICES DMSION OF ENVIRONMENTAL,QUALPI Y PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#10528 Field#: 121-929-180619 Lab#: 06-18-01065 Collection Date: 6/19/2018 Submisslon Date:8/19/2018 Collection Tlme: 11:15 AM Submission Time 2:38 PM Collector. ABAZIS Labworks ID: ZF01065 Source: PR18-057.5 Thomas C Wolpert, P.E. 32625 Main Rd, Orient(S-1350211) j Type: PRIVATE TC:0.6°C(0-6 Acceptable) FCR:Not Provided DAC -ANALYSIS -HPLC/LC-GUMS Method developed at the Public and Eovirorimerltal.Health Laboratory DB#. Analyte C0534_ ..� _cid(TCPA) hthalate M <5 � Tetrachloro rac alic a e � Pp C85... terephthlic a a a-Analyte covered under ELAP accreditation for potable and non-potable water,otherwise accreditation is not offered for thls category, The lab is only responsible for the certified testing,and not for the integrity of the sample before laboratory receipt Date Analyzed:7/7/2018 AnalystSKM Date Reviewed �i i F v q5 4 E 9Bf pi. P I Report Date: 7/27/2018 Page 1 of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#I0528 Field#: 121-929-180619 Lab#: 06-18-01065 6 Collection Date: 6/19/2018 Submission Date 6/1912018 Collection Time: 11:15 AM Labworks ID: ZF01065 Collector: ABAZIS Type: PRIVATE Source: PR18-0575 Thomas C Wolpert, P.E. 32625 Maim Rd, Orient(S-135021T) TC:0.6"C(0-6 Acceptable) RADQLOQ[CAL ANALYSIS .-- _ _ _.... DB# Analyte Result Units Method Date Analyzed Comments p +8 pCVL EPA 900.0 9/27/2018 - Heated to a... . C0900 Gross AI ha <1 dull red heat until a conatantwelght C0910_'Gross Beta 2.1..._„._ f!-0.1 pCUL EPA 900.0 9/27/2018 Hid to a dull red heat until a cone".�. Cant weight. C0920 Tritium" <200 pCl/L i EPA 908.0 9/28/2018 IFB biased high. ”pH adjusted In the lab(field adjustment required). "-Analyte covered under ELAP accreditation for potable and non-potable water,otherwise accreditation Is not offered for this category. The lab is only responsible for the certified testing,and not for the integrity of the sample before laboratory receipt. C0107 Potassiums 2.1 mg/L, I EPA 200.7 8/28/2018 (Potassium results are by another method and are for reference only. The slgned analyst Is not responsible for these results.) s-Analyte covered under ELAP accreditation for potable and non-potable water,otherwise accreditation Is not offered for this category. Remarks: I w Report Date: 10/15/2018 DateReviewed 1, Ulf Ana t ; Page 1 of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY q PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#10528 Field#: 121-929-180619 Lab#: 06-18-01065 Collection Date: 6/19/2018 Submission Date:6/19/2018 Collection Tlme: 11:15 AM Submission Time 02:38 PM Collector. ABAZIS Labworks ID: ZF01065 Source: PR18-057.5 Thomas C WOIDert. P.E. 32625 Main Rd. Orient(S-135021T) Type: PRIVATE TC:0.6°C(0.6 Acceptable) FCR:Not Provided ; a Standard Inorganic Analyses DB# Amlyt �. . " 7sn 20 aso w to nowt: ca as R „dAnalysis y m _ Anal st Anal � e Result � Units Method i ��T� s1s Comments C0073 (pH 7.3 N/A EDP ( C0075 �Conductivl a 202 -_ —.........._. ty mm... osraa�tsral na 1 Blankfaifed high. umholcm s os � EDP.. C0080 Chlorides 16. img/L ._.... ._ LSR. 0�rx1rl�sAp�t �. _. EPA 300.6.. � C0087 5uifatea 21 mg/L SO4 EPA 360.0 LSR�'os/2vlaroaal Y.. _m .. .. � _ i6—Am monia not distilled) ( g _ 6r,r69r1816M ',, t 0.5 ;111 /L N EPA 950.1 ME C0077 Nitrite <.05 img1LN o EPA30o.0 LSR C0079 Nitrate' 4.0 mg/LN EPA30oLSR i 16 096 Bromide 07 n1g1L EPA 3600 LSR 60A1d10,04 2& "1 C0097- Ortho-Phos hate <�1 mglL � p a I P EPA 300A . LSR O6r21l18:0421 C0090 Flu6nde° I <.1 mg/L EPA3000 LSR 06121h8-0421 /L EPA 300.6 LSR 08/21/18:04 21 I, C0094 Chlorate ....w -... -w .._ <0„0'S m9.� . ._ ._........___._.._.. ._ e-Analyte covered under ELAP accreditation for potable and non-potable water,otherwise accreditation Is not offered for this category. Ammonia covered under ELAP accreditation for non-potable water. Ammonia aliquot pH adjusted in lab(field adjustment required). The lab is only responsible for the certified testing,and not for the integrity of the sample before laboratory receipt. Optional Inorganic Analyses DB# Analyte Units Method Analt na R �L Analysis CommentsBy _ 54�" pi8 06!26118:01 44 C0084 Total Alkalinity to pH 4.5' 28• mg CaCO31L EDP 08120/18 15,&S ” C0081 MEAS(LAS MUV 348 47)a < 1 mg/L sin ss46c � ME a Analyte covered under ELAP accreditation for potable and non-potable water_ Perchlorate covered under ELAP accreditatIon for potable water. Ortho-Phosphate method 410-2008 accredited for non-potable water based on SM 4500-P E i Specific Conductivity/Anion Rado: 2.9 Reviewed:�° `` c1�, Report Date: 8/6/2018 Page 1 of 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DIVISION OF ENVIRONMENTAL QUALITY PUBLIC AND ENVIRONMENTAL HEALTH LABORATORY-ELAP#10528 POTABLE WATER ANALYSIS Field#: 121-929-180619 Lab#: 06-18-01065 Collection Date: 6/19/2018 Submission Date:6/19/2018 Collection Tlme: 11:15 AM +' Submission Time:2:38 PM Collector. ABAZIS Labworks ID: ZF01065 Source:PR18-0575 Thomas C Wolpert, P.E. 32625 Main Rd, Orient(S-135021T) Type: PRIVATE FCR:Not Provided TC:0.6°C(0-6 Acceptable) Metal Analyses of Potable Water- EPA Method 200.8 DB# Analyte " I ' yt Result Units � Analyst I ' 00110 Lithium 'f ug/L, CC f C0426 Be llums <0.2 ug/L' CC "f` a "„ MilVm 51 C0416 Titanfur <1 ug/L° CC �.. _ 00115 Vanadiums __. <1° ug/L" CC r aMIRE I bra w. TTS• a ,. s, >S �?�'a;"� .y�.0 �., �t Y,�Jr�.�.,��� .*�^.�'�.'M�, XC0128 !Cobalt tuglyL CC fl i �TM4*N' "7 .�.. w-..v 'dB C''js«m w.^1 . 00102 ^Copper° <5� ug/L:" CC 60103 zinc � <5I �- : ug/L; CC ._. ..__.. a�..�..�. . .�. _. . C0417 ,Cermani m <2.5j ug/L,. CC _W C0120 Arsenic"..._ �. .._. �..�............�__..— s -........... 00125 Selenium° < I L ug/L CC i ", - .:.�.. C0129 Molybdentern" <1` ug/L CC 00126 .Silvers �. c 25, 00122 Cadmium" <I' - ug/t CC 1 .� Antimony" _ <0 u9/L CC 00427 Al...... ntimonys' <0.2i ugll CC C0440 9'i ellurfurrt 0.5 u0/t" ._. �� a —+arr a ,� ��� r C0124 jMercurys <0.3" ug/L, CC C0425 Thalliums -- <0.2— ug/L CC C0123 'Lead n. T mm `1; ug/L CC ..00062 thorlum �...� ._........, �.. ...��... _�.._. <2 ug/L CC 00429 (Uraniums <0 5 CC 27 Components Date Analyzed: 7110/2018 '-Analyte covered under ELAP accreditation for potable water,otherwise accreditation is not offered for this category. Metal Analyses - EPA Method 200.7 DB# Analyte Result Units Analyst 00900 Iron' — ns < 1 mg1LSlag _���'��slta�s 7 I��� ftes L" .w i''alrl -- 7.1 5 Components Date Analyzed: 6/28/2018 °-Analyte covered under ELAP accreditation for potable and non-potable water. Fe not detected at 0.06mg/L and Na not detected at 0.2mg/L unless otherwise noted. Sample Comments: 11,pe lab is only responsible for the certified testing,and not For the integrity of the sample before laboratory receipt. Report Date; 811,02018 Reviewed::' f I � �� Page 1 of 1 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES JAMES L.TOMARKEN,MD,MPH,MBA,MSW Commissioner March 15,2019 Thomas Wolpert,P.E. 400 Ostrander Ave Riverhead,NY 11901 Re: Orient Acres—Test Well Private Request#: PR18-0575 Sample location: Test well on 3225 Main Road, Orient; S-135021T HDRef#: S 10-17-0004 Tax Map#s 1000-14-2-25 Sample dates: 6/9/18, 12/4/18, 1/17/19, 1/31/19, Tetrahydrofuran Resample(12/4/18) Run time: 1 hour Dear Mr. Wolpert, The above referenced well has been sampled and the complete water analysis is enclosed for your review, At the time of the initial sampling(6/9/18), tetrahydrofuran, which is typically found as a result of the glue components used for PVC well construction exceeded New Fork State Standards(NY'SS) , After the well was air-sparged, a re-sample for volatile organic compounds that included this compound were collected on 12/4/18 by the Department. The re-sample met NYSS. Additionally, low levels of Methyl Tertiary Butyl Ether(MTBE),and Metolachlor ESA were detected within drinking water standards in the well. Please see the lab results under herbicide metabolites and Volatile Organic Compounds for their levels. All other results met NYSDOH Drinking Water Standards and SCDHS test wwelI standards except for bacteria samples collected from the barn pressure tank on 1/17/19 and 1/31/19, (loth samples tested positive for total coliform,and negative for;E.coli, A re-sample was collected on 3/5/19 fromi the barn outside tap that met New York State Standards, A copy of"the completed analysis is being forwarded to Mr. Brad R Schleier at our Office of Wastewater Management;located at 360 Yaphank Avenue, Suite 2C, Yaphank. If you have any questions concealing these water sample results, feel free to contact this office. Be sure to have your Private Request#available when making inquiries to this office concerning these water samples. Sincerely, . Anthony J. Condos Public Health Sanitarian cc: Brad P. Schleirer— SCDHS OWM Bureau of Drinking Water Patricia C.Moore, Esq. OFFICE OF WATER RESOURCES IV DIVISION OF ENVIRONMENTAL QUALITY—360 YAPHANK AVENUE,SUITE 1 C—YAPHANK,NY 11980 Flu th PHONE: (631)852-5810—FAX: (631)852-5787 D]"`IARRIU_:1 'M' 11EM"I'7'I SER"M"-'S K',TER ANAMSES I',, u"!'t 'IoI11)I i U" W'a0"'J ,JT D. S- r5 02 3 1. yD d"Z 7­�,I:C,::I�Pric )90!"T_ �' o 6h) � 12 1 ; Si es� I ,' �-y-i!,x I rd) no, "') JlI'l E�'��o:1 lig rr L I g rill S no �mr ��e­ Al All lnj�v 'v raps--no u 141L 03 CACTI Wbc t moons !tie! 0:01 cnaMs 7h 1 7== UUrn M�n Mr n 0M ffTj, 01 AOL P02 _�Vv' 00) 1 can ind ncocs; yl;ZVAN Q Muinm diu! Swuld nCL Fxwwa 1 (� , 4r�"'e7­ Y -vL�� Mud 01 nIMPI M a prnwad Lhn".�4 Mus not r��n be��n os� ��O Res]_�1'- "', "22 saw t I ,;nor,n ES a 1: -11y r�d b," sut' ,.rL Co'JnLy yep� tmcni: M h !'o� L Ld:c��::'b 01 X 0 5 5 J Y/T A I j� °,i r 0 S 3 D ug/L I manir:�'o 0 5 0 00 AA=mb 00 hC0 nq/L ?etMm"1 A I d b SW`��Lu�e 5 2 00 ln:�,puwir (9,Hyqc,-�) A 5 h�� 00 '5 4: 00 AV �:h r c�c,:r r n D 5 5 0,L"�) u q HyCiI71 5 0�) uq �6�-h ii :�ca�b tone u q/ 0xarr;L , ... :r rp ''ults !nr Samp "-on C,'R':^IRFID anaT o� HB�R th Se!:v-Acs, l ly/ 4 Dj�!��)' 0 2 00 �g"1, -11H:_ 0,R ��")0 11, � 0 2 i,00 a �lHC �) r,: 0 20 a'ndg :� 0 "', 00 5Hc 2 06 17/1� 2 20 / Cch!c:I 0, �2 0 t a c��I dE 0 20 gi Methio:xqrh 10' J. 10 3 < r n 5 00 Enuo��u_' �an D 2 �" Ob uu/ �11 ��L �; Ti G 2 L) 0 3 ug '21 d�hrum� 3 < 02 0 20 0 2 5�)'00 1g s Samp-, ,:rcpup. Pa'27'Hi" ES'ErCi-"ES ur,0y�m oy SQfQv &Amoy uyaMmwo OT _,�,,Lces hy I -' '3U�r LO'�Ong:r"phi!hJ A te :5 5c LG �q/ Tell �'roph-ha 1-' a�d' U0 Mmo u C my D MTW wwQwj by NOW 4 Mmoy wponv& , M20 Senics; S,o:pI G ��rcuu HE:P�R IC i DE �D', "FS Ina I �,iea by Sii I k '-rnnry )epu:: �mm of AloADor"Ne Q 2EN3� (� 8 50,0 ug"IT, 0 2 50 0'�T OMMy no,a L w"ne (C 28"A C, y 2 �'o aj qw" f),11 50,C0 Des'���Jrv�a:naz_ne 5J 0�1 7eh:uthu-ar < 1)'3 50 (�S � r rd::I:.�.3q:%!l:J < 50 00 uq/1' _":r f: v r , < C, :1, 50 00 jc�/:, Ur�c!3� _ < bQ 00 uyll 23 ry�Seb D 3 7u' ln�/ , yCxaiiiil'1:: �M v�/L 9�3pheno� ;Iarhlor ESA "Sul !!3111c ikc J) 7 !C'' .0 r q/C 11:uron 1) 2 U G"", Phenylo� ��i Lnnt-ni G 2 0 `e i a,.lu io r < vaM0 5 (1,0 3 uY/1' A ra 1ura,a FSA, �y`:,P, :15!v 4 1) ,JFFTY 0,2 5 D �C L;/%, r. �te (CGIk 416�, < C,�3 0,r, :7! 0 2 !13 03 y nr me:oh*�ite3 30 CO L' bisc2e7o! R < ) q � ,60 ug,,T, m'! :Lri , ' 6 it < 0 3 0,c:J1 ! , " 3", A: 2 H 3 1 4 q I (� � ��J 11) roez'�r"�'� < 'j,n 50 Ma:zo%nr < C,? K 90 � �ildrnuma ow e 0,2 �5 C, 50 00 P­>jpa7h�ui :SM, DO 0��! 0 6 5c 3 0 vr��Pdch�of 0 3 c) 2: 5 90 0,7 50 00 jP!:0fen J'2 G=np MG&T 47KQ"! 01 ZfNil cnn" lyQ of "AA.0, svzmcel, < 5 .,n �7'c� ,, �S�o 0 2r . G L� -L 11 u rz u:n < lum 3al 6 2DD0 U yhmn me:s:u�y fRg) 0 3 2, ON 0 P) I,.Y yC 2 Thor L �Fe, mq( 0D (Z'carb:nsa ;r 02 4 i:, mq PC;�a�:S 2 '0 cin, ca� �Nv 4i�su�z'� n"' Eut:0_1� 7m y cep_�r=ent o�: ��Ca�E-h SE7'_-:'ORS "�russ SHAM OMNTY DEPARTMENT OF HEALTH SERVICES - WATER ANALYSTS PC)io "S �'J d Meawpl meansd ur AN;am�y s japC,70d no Mg/0 A3 Kd�oy IID I 03ars Kavvi Man" exC005 zhe xMIMM wntsuman. ]own. QAj , ar ac Lon loan! For ead nK sopum . yodwraknly mSLrmQd 0010n NOT MMOS 00� exceed 273 mq/j .�Pvawrwy layll0m, sh�Jl rut excowl 24 allL I hP VC h fO k n V OVA 1 n a P nPOWd 1 PV 7 Any MW:� nnt �a� C'w J, v"" n��� ROO n Ltr SoC '-:Us pH 2'D 2 Qcwaw�K'3 my Ion. 2D ,0 �q 1, 2, C�0 0 N'o Le GX{.at p „�U I'- {',LM TJ TOD bf I ty S"VA "Aw y Daanz"L ofHOCK S,,,, Aa l')h na f) I 0,DO )q/: E"I"''7 uq/ 2 i) { 139/h 00 is r,o 2,00 q/1, lzl� AY < 0 2 I,2 5C 0G, "1' 0r ya 0 ON OAC Maim,,) < C! 2 �J) ON 3n,2ophena��e tJ 0 0 0 2 bD'IM u 2 sw,.r.:, 5N.�ly") 50 uq/L 9 0, 0 t. "y by 00 ? A H Or vus clov'� h"L 50 0 C 0 ljv RMA K CWMT MWWWW OF MAMU %WnU, MMU AMMUS y wepar md an nq/n ns Q SOO —SMNQ VIN Q mW ion MY Wr kwad ant noyawei irOdUrate Ly mSn-!r;Qw 211 Gno: emsm no nsA, wvVmmimud 'or' n,'.c:,e: S sno-',f) ro:�lcr, CONI i: 1 0 l'T E,�L D N for AT� CROWS wm3 pcd 4� Rovok 7sm%; rqwn.m of hwji j P, �e r z��n 0 5 500 0(� 0,3 (�0 I)qll ,q/f, C), T I ,lq/, G J G d nq 00J 5 5, 0"1 q, io ,q 7 e,h, y 60 C0 Ira, hy� 0 :g fl, S",rT h i rrr 0 5 2 D:,,h 0 00 1, 0 3 0r 1, C 50 /L 2 �nrcmo 11),5 ��,')� e n 0 5 0 1, 0 cq/T, 0 fl aG u C 0 0 1 5 CO ugi% 0 ED L7 c1r.,Op y a 1 0 5 0 Me y oc""w'IF te r 0 CNfe',Jry� lre�t 84ity1 tlTD! crr obt,t A I E e D 5 r 0 Du m� jr C:,� e ri G CC a)yu C,f, 4 npa2e T", SUFrOLK COUNTY DEPARMOIT OF HEILLTH SERVICES WATER ANALYSIS "a AB A v S wn c� 1 SVC i a loan and unp;no MOCPM�OO Y -e't-M-10 MVIL7 KWO ShOMM �00 CwCad 2 10 OUI yverply "QSLOZm, a 00 uq'/L 0 5AG CO -I:: )-%'j C 5 or, uq/;' 0 0 m 1 p Zoe. 5 5 K 0:0:1 IM 2 r: 5 h C 0 5 0C �y a 00 0 50 L 0 0 0 J j" 1:a c n • :'c(mvmn' p v�I e n z i ,t- z„t h ".y'f t i a c C 5 Cw 5 01 A C 0 0 G 0 C 5 C 0 0 e T!e n�bw AS"fa. oe 0 0 "Mompsm, C AM x-'/ Methyl yert l3wtyl h^ Mc,r :J 0, oc I are 1, rI e t i a e Lb 0 0 C L3 AwAny"yam hoc I., .�q SUFMiX C'OUNTY DEPAR24ENT CFHIFAL'IT SERVIC,'I,S - WAIER ANALYSIS Requestor Name; RON FISHER ReQuest No. PRIA 75 Loca-l.ion: 32625 MAIN ROAD, ORIENT Sann,ple Da..e01/D/2019 Sam..),I.e LoCPt:i.0p..., TANK - BARN Sani.tarian: ABAZIS Fraatrr.(.,..-nt. NONE F.J.eld No.: 001 929 1,9-0i. 17 Notes '<' synbcI means r,less than indicat.ing .2o detpczion. Lng/L In.j.1ligrams per I!Lc-.!r; iag/l., = microg.r.ams prar IiLer. AlIkElim ity is reportnd as Yaq/� as CaC.0.3. '*' synfbol nieans La ve.1. fmand exceeds �he maxi.murm cantwnin,arft level (MCL), or action level for and copper. Moderately restr Lcted sod�..um diet should not" exceed 2?0 ma/1- Severely restricted should not exceed 20 mg/L. TYae mcr., --or nickel is a proposed limit. Any MCI,IF, not shcwn below hme not been established. Result MCL .............-............. ................. Resul MCL Results for. 5annmEaA.e Group: MC'NM70LOGICAL analyzed by Suff-0 lk Co-wity Department of Health Services TColi PRES-r.'XT ADISENT < AT.KITNT A35M.,INT 's ,UFFOLK COMIRT DEPARTIMCX OF HENINH SERVICES -- "FER AMLYSIS ReauesLor Name. ;:tON FISHER Request No,: PRIE is Locati.on32625 MAIN ROAD, ORIENT Semple Date, 01/3.1/2019 Sarkpie Location� TANK - BARIN Sanitmrian. KRALKOPISKI Treatment: NONE No -.. 00j­847-19.....0:k.....31 Notes. '<1symbol means "less than" indli.ca:ing .22 detec .10,1, mg/1., � sliI.A...J..grams pez liter; Uq/Y Alka.].�,..,Iity 1.amop.. reported as mg/11 as Ca.0O3. *o symbol means level found . 1.11 ::::: nu-crograms, per -..ter,. exceeds the maxi..'mm contaminant levf.:!d (MCL , o-- action 'Leve!.. for lead and cocvoer, Moderately restr.i.cted sodi=m d.tet sbrould not exceed 270 mg/L Severely restra.cted sbould rmt exceed 20 mg/L. Tke MCL for nickel ii.s a proposed i.)m.i.t. Any MLI Cs not l shown. beow have'not been established. Result MCTI Res u].t MC11 esialts for Sampole Gi.oup. B."kC7ERY.Ol..,OG15Eanalyzed by Suffolk County Dep-artmert of Health Services PRESENT ABSENT ECo.1 I < ABSEFT AEKSENT Sul COUMPY DZIPAWMIENT OF MiMICES WAJ.,ECYS"I S Requestor Mine RON F:[SHER Request No. PRA-0575 Locat.�on� 32625 MA-N -ROAD, Sa-nj)-'.,.e Date: 03/05/2019 Sa.-.Tiple Lor,"Itionr. CITTSIDE ]AP BARN ?W.DIS Sarizar.i,aa, KRAKCUSKI Treatment: MONE Field No" 003-947-19-03-03 NOtes, '4' tl --.f .S Mr tie... mqP, - 7ul,Lgraris pef jjMz; qh, Alkalinicy is reported a5 ng/L an CSC03, 'k, aynbal meaw ovul Eund exCeeds the maxwum contmajopc level OCL), or action level for lead and sopper, Moderanely oes:rjc:us 5,jwt diet ROOM not excaud 210 mgll. Sonrnly -am _ed AW&A no'. nwu 20 MOL, "Me Mo. for wck.3 is a PrOPOW 11mit. ArY VW3 no-, �;,a�nqn hzive Res,,-:j�, ISS( L TWOV AemlQ for Swple Groop: f-.3ACTERIOILIGICAL anOlzed Q SuMik CoMy QparUwnt of Heal"�:h Servi.ces TCOLI.- < ABSENT ABSENT A3§6E1+PT ATISIENT From: pcmoore@mooreattys.com Sent: Monday, July 29, 2019 5:26 PM RECEIVED To: Terry, Mark Cc: Eva Mallis;Tom Wolpert; Betsy Perkins JUL 3 1 20119 Subject: sanitary requirements. L_... �aO�'It?'hold Town Malles Subdivision: we are re-activating the subdivision because HD is moving along (without issues)...we have good quality water. I know the Planning Board requires I/O systems for the new vacant lots...what about the existing house? The HD may require the system to be either certified or updated...we would modify the existing system to comply with regulations (but not I/0)...please confirm that is acceptable by Planning Board Pat. Pat PATRICIA C. MOORE physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i vf�G/v'��� f rr,arrl PVV sr� �rfa;aaaf aa4 "prr� i �[a:l !II i- /�f�f,,f � ai4frsfl s rtaialfr rDu;Ia9 of f tsa(,m airuc f'Iammni;,Y (DO'v(tr a nss' �'riri I fool, (1f, , I Z2 I cfl i 1�8 ; 'r90('l I- -,h vCf,ra;f R E I;. "k CONFIDENTIALITY NOTICE: This electronic mail transmission is intended solely for the use of the individuaUentity to whom it is addressed and may contain confidential information belonging to the sender. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message. From: Terry, Mark [Ifi �i, nl,�f :6 .ir �mGY!'iIci�euti. r�aQIS..I�" ...� .1 Sent: Wednesday, September 05, 2018 2:23 PM To: Zielenski, Diane Cc: Lanza, Heather Subject: RE: Big & Little Bing Diane, We reviewed the road design the applicant submitted and unfortunately it would not work. I sent an email to the agent today letting her know; relaying the concerns and the required changes, Realizing this is time sensitive, we also spoke to the surveyor and he indicated that it would take a week to turn around a new plan. I will keep you posted on the progress. Dark Terry, AIICIP,AIPA Assistant Town Planning Director ILWIRIP Coordinator Town of Southold 5437.5 State Route 25 P.O. Box 1179 Southold, New Yorke 11971 (631)'785«1938 IMark.,Terry@town.southold.ny.us From: Zielenski, Diane [.Iljd� Rn:iiaaiiE!,ZicIlen ��iLe . p�����fl[<r c�aitiL,ysiy,r5p y] Sent: Wednesday, August 29, 2018 12:51 PM 2 To: Terry, Mark Subject: RE: Big & Little Bing Great,Thank you! From: Terry, Marko�alh k, ply. I!j Sent: Wednesday, August 29, 2018 12:30 PM To: Zielenski, Diane; pci,imurNaxjr:� c� eatly com Cc: Robert Hougie; Lanza, Heather Subject: RE: Big & Little Bing Diane, We received new plans today and expect to provide feedback to the applicant tomorrow on the new road design. I will let you know what was decided. Stay cool, Mark Terry, AICP,APA Assistant Town Planning Director LWRP Coordinator Town of Southold 375 State Route 25 Box 117 Southold, e York, 11971 (631) 765-1938 Mark.Terry@town.southold.ny.us From: Zielenski, Diane fP'r... �lc�rruruyd�!v,c ] Sent: Wednesday, August 29, 2018 12:08 PM To: iy o rn'n Cc: Terry, Mark; Robert Hougie Subject: Big & Little Bing Good Afternoon, Do you have an update on the status on the roadway issue? Thanks, Diane From pr ,',n.: y)n'wor Gil,iy . a q F1 [i rl u.l t��,.f �p�a � �r.r�ti��ptr � att S.cr;.r1l] Sent: Tuesday, June 26, 2018 12:31 PM To: Zielenski, Diane Cc: Mark Terry; Robert Hougie Subject: RE: FW: FW: Big & Little Bing not yet,. We have had multiple revisions of the map...we are still trying to get consensus from the Town. I will keep you advised. 3 Pat PATRICIA C. MOORE physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 www.mooreat, c. -------- Original Message -------- Subject: FW: FW: Big & Little Bing From: "Zielenski, Diane" <L ian .Zielenski ca suffolkcountyiy.00v> Date: Tue, June 26, 2018 11:31 am To: " c noQLe@ Tr oreatt o " <pernoore@mooroattys.com> Good Morning, Do you have a status on the roadway issue. Can we move this forward? Please advise. Thanks, Diane gg%%I1Pi1n n��i Itil i, r �i�� itv �Ir .ilitint 114 141 ,, arl� CONFIDENTIALI TY NOTI CE: This electronic mail transmission is intended solely for the use of the individual/entity to whom it is addressed and may contain confidential information belonging to the sender. If you are not the intended recipient,you are hereby notified that any disclosure, copying, distribution,or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message. From: Zielenski, Diane Sent: Thursday, May 24, 2018 11:18 AM To: ... y� ;t..:t 4 Cc: robert hougie; Betsy Perkins Subject: RE: FW: Big & Little Bing This is very disconcerting to hear as our surveys have been completed and I was working towards closing this very soon. I hope this will be resolved soon. Diane From .�°r1Nrot f IC}dYrl P;� �P�� 1 �,,,p, i.�rK1 r t, Sent: Thursday, May 24, 2018 10:31 AM To: Zielenski, Diane Cc: robert hougie; Betsy Perkins Subject: RE: FW: Big & Little Bing HIi Diane: I wanted to give you an update. The Planning Board is still reviewing the map and we are working on the required "width" of the road....there have been unexpected NYS Code changes which are inconsistent with the Town Code which has left us all reworking the road design. This impacts our sale because the road width affects the acreage for the DR sale. We should have a resolution soon. I will keep you advised. Pat PATRICIA C. MOORE physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 -------- Original Message -------- Subject: RE: FW: Big & Little Bing From: "Zielenski, Diane" <C G arit,,yr�y g.�_�y> Date: Thu, September 21, 2017 11:43 am .... i To. Ok, Thank you, From Sent: Thursday, September 21, 2017 11:03 AM To: Zielenski, Diane Cc: Margaret; 1 ..��-w;[�tff1G�ai,�ty .�.es, :�b Subject: RE: FW: Big & Little Bing Yes- please make the corrections. So sorry, I thought we had already responded. We are moving along on the process. If you need anything, please let me know. Pat PATRICIA C. MOORE 5 physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 www.rnooreq�tty.a.cram -------- Original Message -------- Subject: FW: Big & Little Bing From: "Zielenski, Diane" <Diane,Zielen skicLbsuffolkcountyny.gov> Date: Thu, September 21, 2017 10:51 am To: "Acrnoorp@.rnooreattys,com" <pgLm-Q-qLg-@ > Cc: Margaret <rnargaret1Pmooreattys,com>, <betsy no m op a.,jjgjjy �j.com> Good Morning Please see the below email and advise. Thank you, Diane Zielenski From: Zielenski, Diane Sent: Tuesday, September 12, 2017 10:39 AM To: 'Ix, rrpre('d w,)r,.')reatI:ys Subject: FW: Big & Little Bing Good Morning, The contracts for both Big Bing and Little Bing were drafted with both Robert Hougie and Michelle Brilliant as Managing Members of both entities, which apparently not correct. I would like to amend the first page of the Big Bing contract to read "Big Bing, LLC, c/o Michelle Brilliant, Managing Member" (see attached), as well all the first page of the Little Bing contract to read "Little Bing, LLC, c/o Robert Hougie, Managing Member"...... (also, attached). Also, the spelling of each name has been corrected on the amended first pages. Please advise if acceptable to simply substitute the first page of the existing contracts with the corrected first page as attached herein. Best, Diane Zielenski 6 �I lJ /r// Oy biafI k C uib J o(I itand I'I ftir,fri'i 100 ,/k,"Inr l al 2nd 1 loos, I Y 11Y88 5 3 906 [ ux CONFIDENTIALITY NOTICE: This electronic mail transmission is intended solely for the use of the individual/entity to whom it is addressed and may contain confidential information belonging to the sender. If you are not the intended recipient,you are hereby notified that any disclosure,copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message 7 C—N From: Terry, Mark ED Tuesday, April 09, 2019 10:03 AM �� E To: Michaelis, Jessica Subject: FW: orient acres standard subdivison APR r�raw�f�� 1g Town ......� a°ulin g Board Pleasef i l e. w.._.........._. .u....mww....e............ . ww............,.. _.... . From: Terry, Mark Sent: Tuesday, April 09, 2019 9:20 AM To: 'Betsy at Moore Law Offices' Subject: RE: orient acres standard subdivison Received. From: Betsy at Moore Law Offices [rnaiito:betsw c�rnooreat ys gpM] Sent: Monday, April 08, 2019 2:50 PM To: Bufkins, Erica; Terry, Mark Cc: Moore Patricia; margaret Subject: Re: orient acres standard subdivison Please confirm receipt of last week's email. Many thanks, Betsy Perkins LA Moore Law Offices SA"r�'E" A ITEE - PL ASS: 00 NOT PUNT William D. Moore, Esq. EMA11 n.JW....ESS YOU REA:..j:rY NE„:;iD TUw. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 www.i,nooreattys.com f,l(tt".7CE: Y°tt i.s a-mail and L110 aMahmewts h raLo, .i f wy, may conf:n fn 1 oqra l y p r:i v i l age(J and/or cratrflrfarri rra.l info.rrrrtL_a`on. 7t is Wended only for use by W namad it you <azu naL the :rrrt.ar`rr:+er,d rrciplurrt. at t.l'l7.r,.,. e .mull , you arc hereby by noNfr!ead tfa,aL any rtIssemInaP.:lon ..xfr-i'.karrt. lon or no :n o r �r1_r � �pyk � (�r UK K Er .mail a.P1 d the ar.t ractirzrunL S hereto, if dnla, is a f_t~..iM f.f' prrahlrat i era. ff ynu have received Phis trnnsrrrzssion .n error, ;f,.le.dse° rrnmr_,r„r'lraWy nrai. lfy Khu sunder by Wecd:,ftone and ,rrexwrruuLlr% r,ale!':Cu taut „a, e mail and Lher atYrAr,:hmunLs FtwvLu, if any , -iiia` ra'omiry any lrri.oLouL Lhereor” 1 Y ran��eaefr.t �sa� -� wrote: On Mon Mar 25, 2019 at 2:00 PM Bets at Moore Law Offices 9� ts�P�rm hi Erica&Mark. We have been working diligently to obtain health departdment approval and just now received good water test results! Tom Wolpert of Young & Young will now finish up with the Health Department. We would like to know re-activate our subdivision file with you. Kindly pull the file at your earliest convenience and let us know what is next. Many thanks. Betsy Moore Lova Offices MAI S��� A: "rREE E _ PLEASE 00 INOT PRIM' Wilha rea D. Moore, Esq. EMAIL UNLESS YOU REALLY NEED To. 631765A663 Patich C. Moore, Esq. 631.765. 330 madirug & physical address: 51.020 Main Road 5o0hAd NY H971 fax nunibeir for both 631.765„ 643 www'rn reys.cern NOTICE; This e--mail and the attachments hereto, .:i..f any, may contain legally privileged andlo.r con.f.:ident.ial. information. It is .intended only for use by the .named addressee (s) . If you are not the intended recipient of this e-mail, you are .hereby notified that any dissemination, distribution or copying of this e--maid and the attachments hereto, .:r`..f any, .is strictly prohibited. If you have received this transmission .:in error, please immediately notify the sender by telephone and permanently delete this e--mail and the attachments hereto, it any, and destroy any printout thereof. 2 Southold Town Planning Board Work Session — May 7 2018 -- Page 4 _ ..... _ Project name: Orient Acres Subdivision ( SCTM# 1000-14-2-25 Location: 32625 Route 25, Orient Description: This proposal is to subdivide a 9.93 acre parcel into 3 clustered lots and 1 open space lot where Lot 1 equals 2.81 acres inclusive of 0.45 acres of open space and 1.0 acre of unbuildable land, Lot 2 equals 1.07 acres inclusive of 0.16 acres of unbuildable land, Lot 3 equals 0.75 acres and Lot 4 equals 5.30 acres inclusive of 0.49 acres for a right of way and 4.80 acres of open space. The parcel is located in the R-80 Zoning District. Status: Pending Inactive Action: Request for Renovations to Existing House Attachments: Staff report and applicant's request Discussion: ❖ Draft Monthly Report for April ❖ Site Plan Use Determinations (SPUD): Peconic Landing SCTM#1000-35-1-25, 1205 Route 25, Greenport Request to convert one single cottage into a two-family cottage, Southold Planning Department Staff Report Subdivision Application Work Session Review Date: May 7, 2018 Prepared By: Erica Bufkins I. Application Information Project Title: Orient Acres Applicant: Orient Acres LLC Date of Submission: May 17, 2016 Tax Map Number: 1000-14-2-25 Project Location: Main Road Hamlet: Orient Zoning District: R-80 II. Description of Project Type of Subdivision: Standard Acreage of Project Site: 9.9 acres # of Lots Proposed: 3 residential lots III: Action to review Application Completeness Review IV: Analysis This application is for a proposed 3 lot clustered subdivision. This subdivision is required to be clustered because the property is over 7 acres in size. Planning Board application histor : On May 17, 2016, the applicant submitted a Sketch Plan application. On June 6, 2018, at their Work Session, the Planning Board found the Sketch Plan incomplete and required additional materials. The Planning Board required the applicant to gain approval from the Suffolk County Department of Health Services in order to determine if there is potable water on the site. On February 8, 2018, the applicant reaffirmed that they are working to attain approval from the Health Department and requested to make alterations and improvements to the existing home on the property. Please see the specifics of the improvements in the attached description provided by the applicant's agent. NOTE: The Town Trustees informed the Planning Department that an agricultural barn is being constructed on the subject parcel. There is currently an open Building Permit on Southold Planning Department Staff Report file with the Building Department for the construction of the barn. Building Permit #42278 was issued January 3, 2018 for the construction of this accessory structure. V: Staff Recommendations Consider allowing the applicant to complete improvements to the existing residential structure on the property. 2 OFFICE LOCATION: r MAILING ADDRESS: Town Hall Annex SO Y.U. Box 1179 54375 State Route 25 `; Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov T, cou PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 11, 2018 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Orient Acres Standard Subdivision Located at 32625 Main Road, Orient SCTM#1000-14-2-25 Dear Ms. Moore: The Planning Board reviewed your request to renovate the existing residence on the above-referenced parcel at their May 7, 2018 Work Session. The Board will allow the renovations to proceed. They found that the minor alterations to the existing dwelling will have no impact on the pending subdivision application. If you have any other questions, please do not hesitate to contact this office. Respectfully, Irc Erica Bufkins Planner Trainee CC; Southold Town Board of Trustees Michael Verity, Chief Building Inspector Bufkins, Erica From: Terry, Mark Sent: Monday, April 23, 2018 8:59 AM To: Bufkins, Erica Subject: FW: Mallis 3 lot subdivision- Oreint Acres Attachments: project description.wpd From: c�rgLarnooreattys.coi [�naiflko peraggr .4 no�are t s. rr 1 Sent: Monday, April 23, 2018 8:58 AM To: Terry, Mark Cc: Eva Mallis Subject: RE: Mallis 3 lot subdivision- Oreint Acres Hi Mark: The owners are moving full time to the house and have planned a renovation to the existing house. Mark Schwartz is the architect.... For the Trustee's permit I describe the "existing house" to be included in the Trustee's permit because all structures pre-date Trustee's Wetland code: Existing two story dwelling (3,456 sq.ft.) Existing Rear Deck (1,392 sq.ft.) Existing Front Porch (295 sq.ft.) Existing second floor deck (198 sq.ft.) Rock Revetment located 78' from MHW and running 475 If parallel to MHW Proposed additions: Den on east side of house (285 sq.ft.) Two 146 sq.ft. Additions on front of house screened porch (235 sq.ft.) on north side of house rear deck (858 sq.ft.) Front porch (148 sq.ft.) Drywells to code in front yard, haybales along north side of house I was not involved with the permit for the barn in the front- it is an agricultural structure for storage of farming equipment. The land has been prepared for planting. Pat PATRICIA C. MOORE physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 www.ni,00t,eattys.com ---- Dhgina| Message ---- Subiect: RE: MaUia 3 lot subdivision- OneintAcres From: "Terry, Mark" < Date: Mon, April 23, 20188:24ann To: "' '" < >' "BuMxins/ Erica" > Cc: " > Pat, Please send the Board a description of all work that is being conducted or proposed. Note that xvehave been alerted that a barn isbeing constructed onthe property. | hope to add this item to the work session today. Mark Terry,A!CP\APA Assistant Town Planning Director iVVRP Coordinator Town of Southold 54375State Route 25 P.O. Box 1179 Southold, New York, 11971 (531) 765-193Q From: pgpiqQLe Sent: Thursday, April 19, 2U184:39 PM To: 7erry, Mad; Bufkns, Erica Cc: Eva MaUis Subject: MaUb 3 lot subdivision- Oreint Acres Hi Mork & Erica: I notified you last month that the MaUis's existing house on their property needed renovations and that we had applied to the Trustees fora wetland permit. Because the property has pending subdivision, which as you know is on hold till Health Department review is completed, the Planning Board needs to authorize the Trustees and building department to issue permits for renovation to the existing house. We did not receive a response tothe letter. My client isanxious to get the renovation started. They have moved to Orient and her husband has started farming the property. Could you please place this matter on the work session as soon as possible so that our Trustees permit is not delayed. We hope to be on the Trustee's next calendar (we were bumped off ofthe April calendar) . The renovations and additions proposed to the existing house have no impact onthe subdivision. The main house remains on it's own proposed parcel. Thank you. Pat PATRICIA C. MOORE | physical @ mailing address 2 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 FEB 0 8 2U1b 765-4330 _...- � Tel: (631) � Fax: (631)765-4643 1---- SOW1101d TCZ71 February 8, 2018 f:loard lanni Donald Wilcenski, Chair Planning Board Main Road Southold,NY 11971 By Hand Re: Orient Acres, LLC subdivision SCTM# 1000-14-2-25 Dear Chairman and Board: We filed an application for a subdivision on May 16, 2016 which the Board suggested we obtain Health Department approval first. We are proceeding diligently with the Health Department and as soon as we have their approval we will return to complete the subdivision. My client wishes to make alterations and improvements to the existing house. Enclosed is the proposed plan for the additions and alterations. We have an application to the Trustees, as required under wetland ordinance. In the event the Building Department requires your consent to make alterations to the existing house, we ask that the Planning Board authorize issuance of the building permit. Very t°ta yam" µ Patricia C. Moore PCM/bp PATRICIA C. 1VIOORE Attorney at Law i 51020 Main Road Southold,New Fork 11952 .., .w. . Tel: (631)765-4330 Fax:(631)765®4643 September 6, 2017 Town of Southold Planning Board Office 54375 State Route 25 Southold, NY 11971 Orient Acres Standard Subdivision Located at 32625 Main Road, Orient SCTM: 1000- - - 5 Dear Sir or Madam: With reference tote above, enclosed please find the following in support of our application: 1. A copy of Certificate of Occupancyfor existing structure, copy of the deed as proof that the parcel meets Lot Recognition (Sec. - ). 3. A revised Application Form. revised Environmental Assessment Foran. 5. Confirmations of submission and comments from the New York State Office of Parks, Recreationand Historic Preservation. 6.. Department of Environmental Conservation, l.Aetter of Non-jurisdiction- Request.is pending. 7. Copy of the application letter to Suffolk County Department of Health Services by Young Young. Thank you and please call should you have any questions. Very Irtil ..... N':Htici�u C. Moore 11("'M/s encls. Michaelis, Jessica From: New York State Parks CRIS Application <cris.web@parks.ny.gov> Sent: Friday,July 07, 2017 8:36 AM To: sharice@mooreattys.com; Michaelis,Jessica Subject: SHPO Initial Submission Accepted for Project: 17PR04616 This message confirms that initial submission C111 KVSPA1 FH has been accepted by the New York State Historic Preservation Office (SHPO) as new project 17PR04616: Orient Acres. Please refer to this new project number in future correspondence with SHPO. You may view information about this project and New York State's historic resources by visiting the Cultural Resource Information System (CRIS) at Iht Mgrs parks.ngov. If you have any questions about CRIS, please contact CRIS Help at crishelonaparks,nygoy. For any other questions, please call SHPO at 518-237-8643. Sincerely, New York State Historic Preservation Office i::Ille se note that this ernail does N01. require any acfiion on youir part at this time. You are receiving this email as part of an raMne service recent.iy Ilaunched by the New York State Office of Parks, R,ecmafion and aiiistoruc Preservafion's IC.)ivisiiora for Il lsstoric Preservadon, also Iknown as the IlNew York, State Historic Preservation Office (SHFIO) _f thus new Cu.ultu.aral Rwsoarc: information S y stern (CRIS) is an advanced Geographc lu°aforrraa.tion Systern program that pn:wides access to New York State's vast historic and cutaral asoar,edatabaaes aird digitized paper records, lsaddition, the new system serves as an inqarcve portal for agencies, nuinicpapqesand fl"ie [.:)uc who use oir require nrnsutafon with our agencyc y on Nsfoiric preservation p programs or lissues. Our erna::aill to you is in ¢tu ect response to rnatenal that was su.aibirniitted to our office regarding a project for wrik:,t) you..) were identified as as contact, Siuch projects irncivade actions that are reviewable by OUT agency under,tlrhe Nationai ilistoric Preservation Act of 1065 (S(.:action 106), the New Yorlk State 1 llistor'ic Preservation Act: (Section 14,09 NYSIPR.ifIPII....)p or,the State ErMronmentai Quality Review Act (SEURA), if yon..) dud not enter this project&rectiy into CRUS, you are recti:Mng tNs notifica:afir:n as our office or airaother project c(.:)ntact has cratered 0: into our system. You wiriB receive future correspondence for t:fuis asubmsenora via email. I Michaelis, Jessica From: New York State Parks CRIS Application <cris.web@parks.ny.gov> Sent: Thursday, July 06, 2017 2:53 PM To: sharice@mooreattys.com; Michaelis, Jessica Subject: SHPO Initial Submission Received This message confirms that the initial submission for Orient Acres (submission token CII IKVSPAIFH) has been received by the New York State Historic Preservation Office (SHPO). You will receive an email notification when the submission is accepted as a new project or if more information is necessary to process the submission. You may view information about this project and New York State's historic resources by visiting the Cultural Resource Information System (CRIS) at IiLns:/lw° pwlJn , r + . If you wish to edit the submitted project information before it is accepted by SHPO, you may do so by going to the Submit menu, selecting "Continue/Edit an Existing Submission," and entering the submission token noted above. If you have any questions about CRIS, please contact CRIS Help at ClSI-]e] ..crsp rks.ny g y. For any other questions, please call SHPO at 518-237-8643. Sincerely, New York State Historic Preservation Office i PATRICIA C. MOORF Attomey at Law 51020 Main Road Southold,New York 11971 2 f1 21,316 Tel.(631)765-4330V ih0T1tFGV Fax:(631)765-4643 planrlIng Board July 22, 2016 NY Natural Heritage Program NYSDEC 625 Broadway, 51 Floor Albany, NY 12233-4757 Re: Orient Acres LLC subdivision SCTM #1000-14-2-25 Dear Sir or Madam: Enclosed please find the project review cover form for the above reference proposed subdivision together with a subdivision map and Planning Board subdivision application and Long EAF. In review of the NYSHPO web site there are no cultural resources, no archeological sensitive areas or involve a project site listed, contiguous to, or recommended for listing in the NYS or National Registers of Historic Places. Project Description: A 9.9331 acre waterfront parcel containing an existing house aloe? the Long Island Sound is proposed to be subdivided into 3 residential bats and a 4' agricultural lot (no house is proposed for the agricultural parcel). The existing 9.9 acres was previously farmed. The subdivision could be developed for four residential lots however the owner is developing only 3 lots with the 4'h lot exclusively in agriculture. Thank you for your consideration. Very truly yours, Patricia C. Moore cc: Southold Town Planning Board " Orient Acres LLC New York State Office of Parks, Recreation and Historic Preservation Historic Preservation Field Services Bureau i Peebles Island Resource Center,PO Box 189,Waterford,NY 12188-D189(Mail) Delaware Avenue,Cohoes 12047 (Delivery) (518)237-8643 Please complete this form and attach it to the top of any and all information submitted to this office for revleva! Accurate and complete forms will assist this office in the timely processing and response to your request. This information relates to a previously submitted project. If you havechocked Itils bore and noWd Oie piWous ProjK1 Revlwa(PR)oivn"N assE pied by time a ride you do not need to PROJECT NUMEER PRVuMhluo usks any of the reitr�wia Cl Inir;,i�,�'fitd 7i,htal�ow Ives COUNTY II you have checked[his box you will need to 2.This is a new project, complete ALL of the following information. Project Name +� I -'"c� LOCatiOnYou_ ...MUS t ru,)mbcn,street name and/r Co nty,State or Interstate routeJnumber IF'iudo strew+.� pplicatade CitylTownNl llage � alit awhich v List the correct muncip y"n o ou your project is being undertaken, If in a hairnet must also provide the name of tho town. County....,... If your und'ertu ing'covers multiple tal€»aso oftracah n list drAning all munl0paaliiitm/countles 601'4110d. TYPE OF REVIEW REQUIRED/REQUESTED (Please answer both questions) A. Does this action involve a permit approval or funding,now or ultimately from any other governmental agency? _J No Yes If Yes,list agency name(s)and permit(s)fapproval(s) Agency involved Type of permitfapprova) C T GUv / State Federal ( t .ft rrl ctct1YQ[ c�0q "tC) SI ) El El Lt..� .,., 4 ,I .... T ..... ( '0 ..� ._ u_w- 13 ❑. x ❑ ❑ B.Have you consulted the NYSHPO web site at* Itttr :lJly0311Skt�t( ,„I' va to determine the preliminary presence or absent'-of pr°evious[y ideaatific9d riittua°a'[ Yes resources within or adjacent to the project area? If yes: to w Was the project site wholly or partially included within an identified ❑ Yes archeologically sensitive area? Does the project site involve or Is It substantially contiguous to a property listed or recommended ....�� Yes for listing in the NY State or National Registers of Historic Places? CONTACT PERSON FOR PROJECT Name i'C �'��C G C Mon rc.,m...... Title FirTnlAgencY, ,, �a flcity - � —....... Address ......� I DA I1 tf 7� C� ._e City �ddl.f�`` STATE 71-t—zip I 1 n p �...... Phone ( ��J� )�����5 �3� Fax ( �.���.��..) 'API— L� rr.t�"_� Eml�ail G� �l"1°�t�l�, ....mti, .mi.. kitt :/lnvstaarks. . state nvus then select HISTORIC PRESERVATION � ** y then select On Line Resources The Historic Preservation Review Process in New York State In order to insure that historic preservation is carefully considered in publicly-funded or permitted undertakings*, there are laws at each level of government that require projects to be reviewed for their potential impact/effect on historic properties. At the federal level, Section 106 of the National Historic Preservation Act of 1966 (NHPA) directs the review of federally funded, licensed or permitted projects. At the state level, Section 14.09 of the New York State Parks, Recreation and Historic Preservation Law of 1980 performs a comparable function. Local environmental review for municipalities is carried out under the State Environmental Quality Review Act (SEQRA)of 1978. regulations on line at: http;//nysparks.state.ny.us then select HISTORIC PRESERVATION then select Environmental Review Project review is conducted in two stages. First, the Field Services Bureau assesses affected properties to determine whether or not they are listed or eligible for listing in the New York State or National Registers of Historic Places. If so, it is deemed "historic" and worthy of protection and the second stage of review is undertaken. The project is reviewed to evaluate its impact on the properties significant materials and character. Where adverse effects are identified, alternatives are explored to avoid, or reduce project impacts; where this is unsuccessful, mitigation measures are developed and formal agreement documents are prepared stipulating these measures. , pIr Project Description Attach a full description of the nature and extent of the work to be undertaken as part of this project. Rele.varit p rN.lons (m.)t the project applications or environmental statements may be submitted. [JMaps Lc,,)cnt1n9 Project Include,! a map locating the project in the community. The map must clearly show street and road n,artiM surrounding the project area as well as the location of all portions of the project. Appropriate ma,as include tax maps, Sanborn Insurance maps, and/or USGS quadrangle maps. Photographs Photographs may be black and white prints, color prints, or color laser/photo copies; standard (black and white) photocopies are NOT acceptable. -If the project involves rehabilitation, include photographs of the building(s) involved. Label each exterior view to a site map and label all interior views. -If the project involves new construction, include photographs of the surrounding area looking out from the project site. Include photographs of any buildings (more than 50 years old)that are located on the project property or on adjoining property. NOTE: Projects submissions will not be accepted via facsimile or e-mail. *Undertaking is defined as an agency's purchase, lease or sale of a property, assistance through grants,loans or guarantees, issuing of licenses, permits or approvals, and work performed pursuant to delegation or mandate. MAILING ADDRESS: PLANNING BOARD MEMBERS1 Soy P.O. Box 1179 DONALD J.WILCENSKI Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERSTown Hall Annex PIERCE RAFFERTY �� 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDORM' CQU Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 8, 2016 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re, Orient Acres Standard Subdivision Located at 32625 Main Road, Orient SCTM#1000-14-2-25 Dear Ms. Moore: The Planning Board reviewed the above-referenced application at their June 6, 2016 Work Session and found the application incomplete with the following to be submitted: 1. Copies of all Certificates of Occupancy (COs) for the existing structure. 2. Proof that the parcel meets Lot Recognition. 3. Revisions to the Application Form. Please see the attached form. 4. Revisions to the Environmental Assessment Form (EAF). Please see the attached form. Additionally, the following must be submitted to the Planning Board for review: 1. Submit a Project Review Cover Form to the New York State Office of Parks, Recreation and Historic Preservation. All comments from the OPRHP must be submitted to the Planning Board for review and approval. 2. Submission of a Request Natural Heritage Data Form to the Department of Environmental Conservation (DEC). All comments from the DEC must be submitted to the Planning Board for review and approval. Orient Acres — Page Two — June 8, 2016 In 1983, a proposed subdivision for this property was withdrawn by the Planning Board based upon the Suffolk County Department of Health Service's (SCDHS) denial due to limited water supply. Please contact the SCDHS as soon as possible to determine whether this site has potable water. SCDHS approval must be granted prior to receiving Final Plat Approval from the Planning Board. If you have any other questions, please do not hesitate to contact this office. Very truly yours, Alyxandra Sabatino Planner Encl.: Application Form and Environmental Assessment Form Southold Planning Department Staff Report Subdivision Application Work Session Review Date: June 6, 2016 Prepared By: Aly Sabatino I. Application Information Project Title: Orient Acres Applicant: Orient Acres LLC Date of Submission: May 17, 2016 Tax Map Number: 1000-14-2-25 Project Location: Main Road Hamlet: Orient Zoning District: R-80 II. Description of Project Type of Subdivision: Standard Acreage of Project Site: 9.9 acres # of Lots Proposed: 3 residential lots III: Action to review Application Completeness Review IV: Analysis This application is for a proposed 3 lot clustered subdivision. This subdivision is required to be clustered because the property is over 7 acres in size. Planning Board application history: • On February 2, 1983 an application for the subject property was submitted to the Planning Board for a 4 lot subdivision. • On May 23, 1983, the Planning Board received a letter from the Department of Health Services stating that based upon the test well installed; it appears that there is a limited water supply. • On June 29, 1983, the Planning Board sent a letter to the applicant stating that because Health Department Approval could not be received, the application was considered withdrawn. • On July 20, 2009 a yield plan was submitted to this office proposing 4 lots on this property. The application did not go further than a pre-submission meeting. Southold Planning Department Staff Report • Application Materials: Required Sub ._ ...m..._ �___ ... mitted Cover Letter Yes Subdivision Application Form Yes- A revision required to the previous subdivision question COs for existing structures None submitted Authorization Letters Yes Property Deed Deed submitted from 2005 Copies of Easements, C&Rs None submitted . ...... ._ �.._.... _u.. ..---._ ... .. �" Application form states that t.. ...... pp he parcel Proof the parcel meets Lot Recognition meets lot recognition due to the dates of deeds however, deeds were not submitted Part I of the Env. Assessment Form Yes- Revisions are required Application Fee Yes- $3,250.00 5 copies of the ERSAP Yes 5 copies of the Yield Plan Yes 5 copies of the Primary & Secondary None-but shown on the ERSAP Conservation Area Plan 5 copies of the Sketch Plan Yes LWRP consistency form Yes Table showing buildable area, calculation Yes- Affordable housing is not required for for yield, affordable housing and open this application space/reserved areas. • Yield Plan- The Yield Plan will be reviewed in more detail after the application is found complete The submitted yield plan shows 4 lots on the property (the applicant is proposing 3 residential lots and 1 agricultural lot on the Sketch Plan). Items considered "unbuildable lands" Present or not present on property All underwater lands None shown 2 Southold Planning Department Staff Report ........... ... Tidal wetlands/freshwater wetlands None shown ................ ..............— —------_---........... Bluffs/Primary Dunes/Secondary Dunes Shown .......... . ..............I'I'I'I'__I­'_____.......... Beaches below mean high water Shown Areas required for park dedication None shown ................. Areas required for recharge basins/natural None shown area recharge ............... Areas for public/private rows None shown ---—-—----__- Areas for utilities or public facilities None shown ...........- ­­............... .................... Areas where development rights have been None shown transferred/sold/extinguished ............... Areas that the PB shall determine if they can used safely for building purposes Unknown at this time without danger to public health. • ERSAP- The ERSAP will be reviewed in more detail after the a lication is found complete : Regu,i,re,d information -Present or notprDsent on the nag .......... All existing structures Yes Topography - 5 ft. intervals Yes - 2 ft. intervals ................................___.............. --- ................ Water resources- wetlands/aquifers/municipal water supply None shown areas I..................I ­.I­­­..I'I""'­....... ................... --------............................................. Flood-prone areas shown on FEMA maps None shown ................................................. ---------............... Areas legally protected by County of None shown Suffolk/Town of Southold/Private Trusts ........................ ............... Vegetative types/General cover time/isolated significant trees with DBH No excess of 18 inches ...................................... ..... ­1 _11"__ __­............... ......................... .......................... Soil series/types/phases Yes ........... .......... ..... 3 Southold Planning Department Staff Report Top of bluff lines/CEHA Yes Scenic Viewsheds None shown Locations and dimensions of all existing Yes public/private streets/roads/buildings Locations of archeological/historically None shown significant sites/structures Locations of trails None shown Easements or encumbrances None shown Agricultural lands None shown Location of community water/sewer None Critical environmental areas None shown Significant natural areas None shown Recreation: lakes/ponds or other None shown recreational areas 500 feet within the boundary of city/village/town, state park, right of way or proposed expressway, drainage channel None shown existing or proposed, public building or ['institution, airport airbase or airstrip. V: Staff Recommendations 1. Find the application incomplete pursuant to §240- 10 of the Southold Town Code with the following to be submitted: a. Copies of all Certificate of Occupancy (COs) for the existing structure. b. Proof that the parcel meets Lot Recognition. c. Revisions to the Application Form. d. Revisions to the Environmental Assessment Form (EAF). 2. The proposed subdivision is identified by the NY State Historic Preservation Office as an archeo-sensitive area. Recommend that the applicant submit a project review cover form to the New York State Office of Parks, Recreation and Historic Preservation. 4 Southold Planning Department Staff Report 3. Submission of a Request Natural Heritage Data Form to the Department of Environmental Conservation (DEC). All comments from the DEC must be submitted to the Planning Board for review and approval. 4. In 1983 the subdivision was withdrawn by the Planning Board based upon the Health Department's denial due to limited water supply. Require the applicant to determine whether this site has potable water. 5 Southold Town Fjqnninq Board Work Session — June 6 2016 --Page 2 Prosect Name De Art of Nature, LLC SCTM# 1000-84-1-10.4 Locati _ _ on ! 23423 CR 48, Cutchogue Descr ­... This site plan i or iption: s fa 17,888 sq. ft. addition to an existing 37,183 sq. ft. glass greenhouse structure and two (2) new office trailers @ 720 sq ft each on a 5.8-acre parcel in the A-C Zoning District Status,: ( Approved Site Plan Action: f Approval Extension Attachments I Staff Report..... , m . .__ ........ ....... . _ . Project Name Fox Lane Residences SCTM# 1000-12-1-1.2 Location: l Fox Lane, ±350" n/w/o Fox Lane &Whistler Ave, Fishers Island .,...,. .m. ..... Description: I This proposed site plan is for the construction of four (4) tenant-occupied affordable housing units in three structures; two at 1282sq.ft.,one at 1784sq.ft., and one at 507sq ft.. on 0.75acres rn the AHD zoning district, Fishers Island. Status: New Application Action, Review for completeness ---- (Attachments Staff Report Project Name Showalter FarmsSCTM# 1000-108-4-1.4 Location:. 18625 Main Road, ±1,190' w/o Elijah's Lane, Mattituck _ Description: This Site Plan is to construct Phase One of a riding academy, and includes one 24' x 30' (720 sq. ft.) 3-stall barn, two 24' x 10' (240 sq. ft.) 2-stall barns, an outdoor riding/training area approximately 140' x 270' and eight (8) parking stalls on 24.2 acres in the A-C Zoning District ' Status: Approved Site Plan _ ... Action Approval Extension Attachments: Staff Report ..... .. ,. Project name: Orient Acres Subdivision SCTM# 1000-14-2-25 w .. 1 Location: 32625 Route 25, Orient Description: This proposal is to subdivide a 9.93 acre parcel into 3 clustered lots and 1 open space lot where Lot 1 equals 2.81 acres inclusive of 0.45 acres of open space and 1.0 acre of unbuildable land, Lot 2 equals 1.07 acres inclusive of 0.16 acres of unbuildable land, Lot 3 equals 0.75 acres and Lot 4 equals 5.30 acres inclusive of 0.49 acres for a right of way and 4.80 acres of open space. The parcel is located in the R-80 Zoning District. Status: New Application Action: Review for Completeness Attachments: Staff Report PATRICIA C. MOORED ; Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Han*p Bo uld Fax: (631) 765-4643 www.mooreatlys.com email: pcmoore&mooreattys.com May 17, 2016 Town of Southold Planning Dept. Town Hall Annex Main Road Southold NY 11971 hand delivery RE: ORIENT ACRES LLC SCTM: 1000-14-2-25 Dear Chairman Wilcenski and Board members: Enclosed please find a subdivision application form together with owner's authorization, copy of deed, Full EAF and LWRP.V- I am also attaching my client's check in the amount of$3,250.00 for the filing fee. Thank you and we look forward to working with you on this project. Very t,,4,wlly yours, 1 Patricia C. Moore PCM/bp encls. ),44 .; � rwi yD �% M SOUTHOLD PLANNINGur Tr� w a� DEPARTMENT �� �,.� � �. � r q,r Subdivision Application Form - Sketch Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. 1. Name of Subdivision 1 Suffolk County Tax Map# /-000 3. Type of Subdivision Standard [Vf Conservation [ ] 4. Hamlet ew 5. Street Address/ Project Location 6. Acreage of Site 7. Proposed Yield 7 8, Number of Lots Proposed 9. Zoning District Sd 10. Date of Submission IL Please provide the names, addresses and phone numbers for the following people: Applicant: Ort e" If E A ._...L.� .... � ., Agent. ) Sketch Plan Application Form Property Owner(s): , -;� c Surveyor A,14244,11- Engineer: 11-Engineer: w Attorney 12. Has an application for subdivision ever been filed for this property? If so,please indicate when and whether or not approval was granted by the Planning Board. �.......... D..... ------.--- .. ................................... .... ......wwwww 13. Has a pre-submission conference been held with the Planning Board? If so, provide date. VeS 14. Does the parcel(s)meet the Lot Recognition standard in Town Code §280-9 Lot Recognition Yes 1C No—, If yes"„ explain how. u 15. Has the owner/applictint met with Land Pivservation? If so, provide x date. 16. Is any part of the property in agricultural use? If so, how many acres? 17. Is there an existing or proposed sale of development rights on the property? 18. Does the owner own any adjacent properties? If so,please indicate the properties by SCTM#. NO 19. Are there any building permits currently pending on this property? If yes,please provide permit number(s). IVO 2 20. The site will be serviced by the following special districts or utility companies: Fire District 06 Post Office School District Water .... 21. Has the relevant Electric Utility Company been notified of the proposed subdivision? If so,please provide proof that service will be provided. /Vv — ��is �t�/y/cp fn Q.Yititq �d1/S� 22. Please indicate the type of open space proposed and how it will be managed? m ... . r � �•r cam 4 1 23. Are there any existing structures on the property? If so, please indicate the type of structure and its use(s). Will these structures a'ctaaaiji be removed or altered? 24. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 20% of the yield,please indicate how you intend on satisfying the requirement(see Town Code §240-10 B (2)(c) for options). !o _.........._.......�. 25. Application completed by [ ] owner agent [ ] other Signature of Preparej Date 3 March 11, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold NY 11971 Dear Ms. Moore: We, Eva Mallis and Pares Mallis, the Members of Orient Acres LLC, owner of the property roPe identified as �hw �mm SCTM# 1000-14-2-25) hereby authorize Patricia C. Moore, Esq. to act as our agent to apply for a subdivision on our property, and handle all necessary work involved in the subdivision/site plan process with the Southold Planning Board, the Suffolk County Health Department,New York State DEC and any other agencies. Very truly yours, Eva Mallis ParesMallis ................................,,,,�,,,,�_.............. ................ ..... ... � �J�. Address:._..__� .a�.............. Sir, to before me this 1 f"h or, of March, 201 Not 6l is BETSY A. PERKINS Notary Public, State of New York No. 01 PE6130636 Qualified in Suffolk CounC Commission Expires July 18, nl�� ��I IIII nil IIIII Ihll IIIII IIII Ifll III�E�nf Inp IIN IIII SUFFOLK COUNTY CLERIC RECORDS OFFICE RECORDING PAGE Type of Instruments DEEDS/DDD Recordeds 11/15/2005 Number of Pagans 4 At: 11:10s44 AN Receipt Number : 05-0118977 TRANSFER TAX NUMBER: 05-14984 LIBER: D00012419 PAQE: 825 District: Sections Blocks Lots 1000 014.00 02.00 025.000 EXAMINED AND CHARGED AS FOLLONS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exa Page/Filing $12.00 NO Handling $5.00 NO COE $5.00 NO NYS SRCHO $15.00 NO EA-CTY $5.00 NO EA-STATE $75.00 NO TP-584 $5.00 NO Cert.Copies $0.00 NO RPT $30.00 NO SCTM $0.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $152.00 TRANSFER TAX NMMER: 05-14984 THIS PAGE IS A PART OF THE INSTRMWW THIS IS NOT A SILL Edward P.Romaine County Clerk, Suffolk County 2 ' RECORDED. `. 2005 Nov 15 11:10:44 RM Ndmber of pages Edward P.Ranine CLERK OF m' TORRENS SLIFFOLK COLI Y L DOOOt2419 Serial P 815 DT# 05-14984 Certificate# Prior Of N Deed/Mortgage instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 FPfiS Page/Filing Fee Mortgage Amt. Handling 1.Basic Tax TP-584 2.Additional Tax Notation Sub Total EA-52 17(County) Sub Total I SpecJAssit. EA-5217(State) Or Spec./Add. JLI.T.S.A. TOT.MTG.TAX Comm.of Ed. 5 QQ_ Dual.fes—Dual Coonty-, ' HOW for Apportionment AMdavit �- �. � � e 'Transfer"fax Certified Copy Msrtsiort"Tax the property covered by this Mortgage is or Reg.Copy will be improved by a out or two fhmlll Other Sub Total dwelling only, 1fNG s'Y�—or NO GRAND TOTAL .See appropriate tars clause on page 0 of this Instrument. 3 Real property Tax Service y Verification b Community preiervaliois "tsnrl Dist. Suction Bock Lot Consideration Amount jSWOncli-I�, 1000 014011 0200 0215000CYI�Tax Duc S t 1�T RjME A ImprovedVacant Land asc �rgre avicas 's mist P rty C3Nw;nors,iVJaiiittg Addr RECORD dr RETURN TO. TD IQ TD TD IgMPA P*C0C((fsv q fj6L('At; lj (vf e Title Com ally Lnformation Co.Name , Title// l s Suffolk County Recordi,n3r & Endorsement m Tubs page forms part of the altecbod ',Wa made by: (S Pa3FY TYPE OF INSTRUMENT) 'Ibe prerttittes herein is situated in SUFFOLK COUNIY,NEW YORK TO In the Township of S�u'(x Q Id— __Qy L'tA-)- r\A-ZS LLC In the VILLAGE or HAMLET of FOXES 5 11•IRU 9 MU51-BE TYPED OR PRINTED IN Ht ACC INK ONLY PRIOR TO RECORDING OR FILING. 2_a;;C /®„ C OGeIauLT Yotm tAV IM BEFM 0101110"ataiMIMIlR-TNIS NSTRIIWM IIHO"BE 1M oar tAMM ONLY r �) THIS INDENTURE,made as of the 14th day of Juty 2005 BETWEEN IRENE VALLIS, an adult individual having an address at 45 Sutton Place, i18F, New York, NY 10022. EVA VALLIS, an adult individual With an addre 752 Forest Avenue, Rye, NY 10580 and PARES VALLIS, an adult individual with an address at Prophet Iliac 18A, Kifiaia. Athens 14565 Greece, AS TENANTS—IN—COVIN IpRiEy�aii�ffatS hokkng a two—thirds (2/3) undivided interest. e ORIENT ACRES LLC,a New York limited IsbMy company having an address at 752 Forest Avenue,Rye,NY 10580 party of the second part, WITNE88ETH,that the party of the first pert,in coneldoal on of T�ry of ) dollars paid by thesecond part,does hereby grant and rebase unto the party of the second pad,the hake or successors and assigns of the party of the second pert forever. ALL that certain plot. piece or parcel of land,with the buildings and Improvements thereon a ,slk"de, lying and being In the . Handet of Orlenk Town of Southold.County of Sultolk and Stets of Now York as more fatty dsspWed on Schedule A arshe0ed hwM 'EVA MALLIS holding a anb4bdh(1A)undivided bhIsresL and PARES MALLIS holding a onrstt0t(UB)undivided Interest TOGETHER with all right,title and Interest,N any,of the party of the first part In and to any streets and roads ebutting the above described p a don lo the canter Unna Immo TOGETHER with the appurtenances and as Me saiale and rights of the party of ate fast part In and to said promisas; TO HAVE AND TO HOLD the promises herein granted unto the party of the second part,the helre or successors and assigns of the party of the second part forever. AND On party of the first part oovanerts that the party of the first part has not done or suffered anything whereby the sold promises have been enmAnbered In any way whatever,except as atoregald. AND aro party of the first part,In complanos with Section 13 of the Llsn Law,covenents that the party of the first part wi8 racelve On consideration for this conveyance end who hold the right lo receive such consideration as a Yost ttmd to be applied first fbr the purpoes od paying the cost of the Improvement and will apply the same first to the payment d the cost of the Anpnovement before acing any part of the told of ate game for any other purpose.The word'party shag be consbued as If it road'paraas'when ever ate sense of this Indenture so requires. IN WITNES8 WHEREOF,the party of the first part has duh wpecuted this deed the day and year fust above wdaad. IN PRESENCE OF: 111 NE 5, snores EWA MALLIS.Co Tend PARES MALLIS.Co-Tenant 3Wndwd N.Y.B.T.U.Fcrm 8002-Bugslrh red 8016 Dear;Mash Cownent 490M Grantors Act—UWform Adm suis dpmsnt Form 32M W w w wrta rtnw.axle. 4--. 144a1kafi7 1111 k'1e1e'wrlab aarripafly fl4i/-1eM rx • ✓t00.IkiQA! f�erLaw� W(KI.mc SCHEDULE A—DESCRIPTION Tide No: OSSIMMA ALL that arWn pIK piece or pm"of bnd.with are bdito and bmprova n oft hereon ane1W skrrer Ong and IIOV Y1 Mr Hwolsl of Odsnt.Town of BOWhald.Cm*of Oulldk and lira d Now York.Mended and desabd as IslaneL' BEGINNING IN•pool or BMW Win the sodwrnl arrear of he pnmdsa herein described~past ar stake Is ret on Ow noatalfy sloe d M Mit Road wim the ne"eke Nght Reed kderee M e me; THENCE nerilg MOM IN aselamy eke of BIEd Road Nath!depess 10 mhvass 00 seconds Fiat 1/2x6 fsK, THENCE mmft North 00 degrees 60 ser a I WoM 260.14 het b!r motwnem; THENCE f4orh 7 degrees 49mini.20 seoorsle Wes!and pndng Ihmugh a atwwnwt 078.00 bsl b hs high water mark of Lang bland loud; THENCE tuming along the WWAW mwk of Lmg bhmd 8nurnd as msnued by a On ins coum and dldanoe of lmdh W dpnes 64 mknnan 10 seconds End 478.011 feat to lend of C.Roes; THENCE nwft Wang tout m*nWgod tend ant pawkV,hrc4rgh a munumont$04,2 dqrom 0'1 ax k ise 20 seconds .00 IW too mnnumerll and lent dA THENCE nimklg slang Int mwdfo ed land/oat 0 dehen 03 mrwtw 10 seconds Wal 300A1 feet to he nno8wty Uns of Mein Rost: THENCE niw ft 11 a wnWlydi.endo slang ane nerd"olds of Male Rood 084.6 bet more a•Iesa b do point or phos of BEGO NM, FOR r,ti CONVEYAN " hTOGETNER whh W th h .ls aYdwatd hpwly d thM PIK p any. and b hs lend e ober in Dam of and edlddng oak WWWM. Ta BE USF�D ONLY t#YFi_�TitE ACKNdN� �!*Id MADE R IESY YORK aTATE State of New York,County of/V�✓ydr0i(_ as: SUM oft+Now York.County of On the d• af'7"' in the year 2005 Orr tl d "ddoV of v-'," In the y var 2005 before me,the undersipn�d.Personally appeared h rho.Iha loin�ed parao�taly appeased IRENE MALLIS EVA MALLIS parsonally known b me or proved to me on the basis of porrronay known to ere or proved to me on "or tori$of salislaclary ovidence to be the indNidual(s)whose nauna(w)Is $401110CIM 00dence to be tho Ind t(s)whose nemo(s)is (aero)subscribed to the within Instrument and acknowledged to (aro)suboodbed to the within Its ni and ocknoy4odgmd to me that they ott wtod the samas in IhIsMorltflalr me that hoh mooted the some In hialhomhooir ca y(ies wW t by hialharkh ft slynatun(s) on ftcapatiy(tae rrd by hialherlthair sipnalu nn(s) on tho Inalmu"M tt, I(a),or the person upon beha of which Ins mont, t(s),or 0-tal penton upon bohWfgfvlitkh I lvldu (a acuted the Instru nL t # Idu (a) PAO#the instrument. indl ual UOV � a odg gent) si to f Individual laking ocknowledgmemSi) I U B SaI of w Ya(k ( blb of New York OF No* OF AF p t"Mo k ,, 6IsYat�ti Ila COY OF AYi1Bi8 EMMM Of Im UWU r Wit,Terfltoy.oa Foreign C of 'Rl*, Or— CA64t d. ser: On the day Of ��b In the Yew 2W6 t eed,pally appeared PARES MALLIS personally ktKmn Drs or me nvad to mtut�bests of sellef tory aiukke wtr eve fio bo tha Individual(a)who"normo(s) is,(are) �d t htn I inunt amaf to arm thwt halms y tNw saprrae In h he rMWwlr iss),and thal by hialharAhel'r sipotuma(s)on the I'nottumawd,the Indivlduat(a),or the pu on upon bahMf or which ties Indtvldu000000(s)adacl, osor»uted the Insirumant.and that such lndyvlduai Modo such AP oaranco before the raldpooralanod in the A A r1mart the City or Darr pallteel ) t Kcal are thou or Cow"or of ana o as t tadcom JOSeph 8. �e�l DISTRICT 1000 Statea of America SECTION 14.00 CCJnSta.L SLOt:K 2.00 U rl BARGAIN AND SALE 01 490 LOT 025.000 VMM COVENW AOAMT ISMAMM"AM Title No. _ COUNTY OR TOWN SOUTHOLD IRENE MALLIS,Co-Tenant,et al. STREET ADDRESs•32025 Main Road,Orient, NY TO Ro=dad at Roqueat or ORIENT ACRES,LLC THE JUDICIAL TITLE INSURANCE AGENCY LLC RETURN BY MAIL TO: 41TAN maaie OF WIN Nna aF trmuas umuenwwnm ObbibutedIRA1ICE TWJU=IALWLllpI�cQ(AVlfIt A0ENGVUC LOWEN K.HANKIN,ESQ. itUNICit,W 10= KURZMAN EISENBERG.ET AL. 144ael4M UD-M•TME ONE NORTH BROADWAY WH'ITE PLAINS,NY 10801 t� w 0 , Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. . Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse ell cts upon the coastal area(which includes all of outhold'fowr , 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer musl be explained in detail listing both su pcortin g and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#LV.,._ Q a`J PROJECT NAME 0 4��/- 4:teG The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board�4 Building Dept. ❑ Board of Trustees El 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital E construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: El Nature and extent of action �', tt: , u, . ,, P Location of action:...,., ... .. . _., ., ......... .. .. _......._.. Site acreage: ...............^ ... ........ _ Present land use:----/ � / .m m m. .. Present zoning classificatioation: .....°..� ......eem ,em. ...... ........... ..... m._.........�._..m. 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:,,,''­ ...... d ._ .... a.... .. .............. .................................. ....A,,,ti (b) Mailing address:__' ... ......... -41 ,, , (c) Telephone number: Area Code( ��� (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes .....� No ... If yes, which state or federal ageatcy? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes No ❑ Not Applicable ..mom .... . . U Attach-additional sheets if nec-e" ...-..y., m, ..................................... ......... ssary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 1 Yes ❑ No M Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable e. t/h, ` , -Al --- a 4Zed ......... ......._._._._.-------- Attach additional sheetnecessary _._._._if necessa ry s NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable ..�. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes E] No Not Applicable m �m......... ._._._ Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III— Policies; Pages 22 through 32 for evaluation criteria. —j Yes ❑ No N Not Applicable .. .....,,....,n..................................................................................................... ...... ... ....., w...—. ..... .. ,,,_.. . ... ..m Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No�j Not Applicable . .. ........... �... ........ Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No 4N Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III— Policies; Pages 38 through 46 for evaluation criteria. Yes❑ No X Not Applicable Attach additional sheets if necessary ........ ......... �, r........ ............ ....... ..... �,. WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 4 Not Applicable Attach additional sheets if necessary essa Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No ❑ Not Applicable .................... r �° ........ Attach... ,......... �.. _..... _......... .. _m.,-.m„mmmmm-- ........ mm.�.. .............. additional- sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No IM Not Applicable m. ..... _.. ......... �._ ................. ......____....... ,............ PREPARED Y �” "'° TITLE DATE Amended on 811105 Full Environmental Assessment Form Part 1 -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Paaa't l based on information currently avaailalalc, 'li°arddition�al rescaarclr or investigation would be nccded to fully respond to l any item,please answer as thoroughly as possible lased on current inlbrmaation;indicate whether missing inforanatiora claaes not exist, or not reasonably available to the sponsor;and,wlien possible, generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part Iis accurate and complete. A.Project and Sponsor Information. Name of Action or Project: Orient Acres ' ,,, .. ..m. _. .. Pro ... sect Location (describe general location and attach a on maP). Tax Lot 1000-14-2-25,Northerly side of Main Road at intersection of Bight Road Proposed Action Include purpose or ,.._. ,,,,.......... � m.....�..... Brief Description of Propoed Act.. (include p r, ..need):. 1. Subdivision of Land-3 Residential Lots, 1 Agricultural Lot 2. Provide home lots for owners and family Telephone: 914-420-6022 ._.. ... ....� __�.. ,...._— Name of Appl icant/Sponsor. p Orient Acres E-Mail: Address: MNE Properties,LLC P.O.Box 716 Cit /PO:H... State: ... arrison NY Zip Code:10528 Y ct .. a as sponsor;give name and title/role): Telephone:� 0-602 (cell) ��� Protect Contact(if not same � � _ p 914.420-6022 cell Eva Mallis E-Mail: mneproperties@gmail.com �� Address same as above �... .._ .. --__ ._.. ._ /P0.. State: ZIp Code: _—_ Property Owner...( , .-..,�_........—r. ..___—.... ...._. f not same as sponsor): Telephone same as contactE-Mail: ddress: ,... ...... ., ....,m�....... ._. State �,. City/PO: t Zip Code Page 1 of 13 B.Government Approvals ...... other forms of financial B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, es No or Village Board of Trustees b.City,Town or Village JMYes0No Planning Board — Subdivision April, 2016 Planning Board or Commission c.City Council,Town or 0Yes[29No Village Zoning Board of Appeals d.Other local agencies oYesElNo e.County agencies MYes[]NoSuffolk County Department of Health Services f Regional agencies 0Yes[MNo g.State agencies ZO Y1 e:s:1M1 N:o 's N" h.Federal agencies Oyes[nNo i, Coastal Resources. i. Istat project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? MYes[3No Long Island Sound El Yes ii, Is the project site located in a community with an approved Local Waterfront Revitalization Program? toYesONo iii, Is the project site within a Coastal Erosion Hazard Area? C.Planning and Zoning C.l.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the IZ]YesoNo only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part C.2.Adopted land use plans. 0 �e�Ian(s)include the site MYes No ive land use p village or county)comprehensive []Yes[]No ty .Do any municipally- adopted (city, town If where the proposed action would be located? oca ed f Yes,does the comprehensive plan include specific recommendations or the site where the proposed action f would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway [3Ycs(K—]No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): . ........... .. ..... .... ..... Yes c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, 0 ON or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning ................... a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. CoYesElNo If Yes,what is the zoning classification(s)including any applicable overlay district? Residential (R80) ........... b. Is the use permitted or allowed by a special or conditional use permit? MYes[]No [3Yes[@No c.Is a zoning change requested as part of the proposed action? If Yes, i. What is the proposed new zoning for the site? ............ CA.Existing community services. a.In what school district is the project site located? ---- ------------ b. What police or other public protection forces serve the project site? Southold Town c.Which fire protection and emergency medical services serve the project site? Orient . ..... d.What parks serve the project site? Orient State Park .............. D.Project Details D.1.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all components)? Residential b.a.Total acreage of the site of the proposed action? acres 8 acres b.Total acreage to be physically disturbed? c.Total acreage(project site and any contiguous properties)owned 9.9 or controlled by the applicant or project sponsor? acres c.Is the proposed action an expansion of an existing projector use? YesRl No i.If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % Units: d.Is the proposed action a subdivision,or does it include a subdivision? R]YesONo If Yes, Residential. i. Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) Yes 0No ii, Is a cluslericonsexVatioll layoul roposc( iii� Number of lots paspOsed? residential I agricultural Maxinium iv. Mininiurii aiid maxinikull Proposed kit si7es? Mini"1111111 MesMNo e.Will proposed action be constructed in multiple phases? months L If No,anticipated period of construction: H. If Yes: • Total number of phases anticipated month year • Anticipated commencement date of phase I (including demolition) - • Anticipated completion date of final phase - month ,year • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: ............. Page 3 of 13 f.Does the project include new residential uses? ioYesE)No If Yes,show numbers of units proposed. One Family Two Family Three Eami Multiple Family(four or more Initial Phase 2 At completion 2 of all phases 9.Doestheproposed action include new non-residential construction(including expansions)? es[]No If Yes, i.Total number of structures 60' ii. Dimensions in feet)of largest proposed structure: 25'+/- height; 36' width; and —length iii. Approximate extent of building space to be heated or cooled: 1119m,m square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any E]YesONo liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i. Purpose of the impoundment: ......... _Groim­d water E]Surface water streams Other specify: U. If a water impoundment,the principal source of the water: . ............... iii. If other_than water,iden't_ify the type of impounded/contained liquids and their source. iv.v. Approximate size of the proposed impoundment. Volume: million gallons;surface area: acres v. Dimensions of the proposed dam or impounding structure: _ —height;_length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete); D.2. Project Operations Yes 0 No a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ............ U. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. . ..... . ...... Yes 0 iv.Will there be onsite dewatering or processing of excavated materials? If yes,describe.. ............ v.What is the total area to be dredged or excavated? —acres vi. What is the maximum area to be worked at any one time? acres vii. What would be the maximum depth of excavation or dredging? ....... feet X7 M viii.Will the excavation require blasting? L_J I eslo!!o ix. Summarize site reclamation goals and plan: ...... ......... ............... b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment Yes No into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): ......... ............ ... ............... Page 4 of 13 H. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: iii. Will proposed action cause or result in disturbance ..m._..m.m. to bottom sediments? ❑Yes No iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? ❑YesMNo If Yes: • acres of aquatic vegetation proposed to be removed: ....... • expected acreage of aquatic vegetation remaining after completion: m • � .. „� purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): �._..... y„ . .. • proposed method of plant removal: • if chemical/herbicide treatment will be used,specify roduct s v. Describe any proposed reclamation/mitigation following disturbance: c.Will the proposed action use,or create a new demand for water? ®Yes❑No If Yes: i. Total anticipated water usage/demand per day: y 900 gallons/day H. Will the proposed action obtain water from an existing public water supply? OYes EINO If Yes: • Name of district or service area: __ • Does the existing public water supply have capacity to serve the p proposal? El p y p 'ty p p s No • Is the project site in the existing district? Yes❑No • Is expansion of the district needed? Yes❑No • Do existing lines serve the project site? [--]Yes[]No iii. Will line extension within an existing district be necessary to supply the project? ❑Yes OVo If Yes: • Describe extensions or capacity expansions proposed to serve this project: m._..... ___._ • Source(s)of supply for the district: e iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes❑No If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated:p • Proposed source(s)of supply for new district: V. If a public water supply will not be used,describe plans to provide water supply for the �� project: Vi.If water supply will be from wells(public or �����city:������ ��� ����������� pp y (p private),maximum pumping capacity: 20 gallons/minute. d.Will the proposed action generate liquid wastes? R]Yes❑No If Yes: i. Total anticipated liquid waste generation per day: 900 gallons/day H. Nature of liquid wastes to be generated(e.g.,sanitary wastewater,,industrial; if combination,describe all components and approximate volumes or proportions of each): sanitary wastewater UL Will thero posed action use an existin ublic wastewater treatment facilities�.���� ���� � —".���� a. p p Y g p '� ®Yes No If Yes: • Name of wastewater treatment plant to be used: .................................. _. • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes o • Is the project site in the existing district? ❑Yes o • Is expansion of the district needed? ❑Yes o Page 5 of 13 • Do existing sewer lines serve the project site? Yes No • Will line extension within an existing district be necessary to serve the project? Yes No If Yes: • Describe extensions or capacity expansions proposed to serve this project: ................ .............. ............................... ....... LL✓LL iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? []Yes[]No If Yes: • Applicant/sponsor for new district: ....... • Date application submitted or anticipated: ............. ........ • What is the receiving water for the wastewater discharge? v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,inckiding specit'ving proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): .... ........... . ........... ...............I......... .. .........­1­1111...... vi.Describe any plans or designs to capture,recycle or reuse liquid waste: ............... ...... ............. ........... .......... -...... e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point EyesoNo sources(i.e.ditches,pipes,wales,curbs,gutters or other concentrated flows of stormwater)or non-point source(i.e.sheet flow)during construction or post construction? If Yes: i. How much impervious surface will the project create in relation to total size of project parcel? 43000 Square feet or 1.0 acres(impervious surface) 430 =Square feet or 9.9 acres(parcel size) Road,residences and barn ii. Describe�tes of new point sources. ............. ...... ... ........... iii.I.I. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-site surface waters)? Storm water will be collected and recharged on-site ........... .......... • If to surface waters,identify receiving water bodies or wetlands: ............ ....... • Will stormwater runoff flow to adjacent properties? []YesENo iv. Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? EYes[]No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel E]YesE]No combustion,waste incineration,or other processes or operations? If Yes,identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) ............ ... ......... U. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, OYesoNo or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet Yes No ambient air quality standards for all or some parts of the year) ii. In addition to emissions as calculated in the application,the project will generate: (short tons)of Carbon Dioxide(CO2) (short tons)of Nitrous Oxide(N20) (short tons)of Perfluorocarbons(PFCs) • l'om/year(short tons)of Sulfur Hexafluoride(SF6) (short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) jons/year(short tons)of Hazardous Air Pollutants(HAPS) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, Yes No landfills,composting facilities)? If Yes: ii.Describe methanete tons/year be anymethane capture,control or elimination measures included in project design(e.g.,combustion to generate enerate heat or electricity,flaring): _.....—._. —wa ....�..� ...... i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes❑No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ❑Yew❑No new demand for transportation facilities or services? If Yes: i.When is the peak traffic expected(Check all that apply): Morning ❑Evening ❑Weekend Randomly between hours of to . ii.For commercial activities only,projected number of semi-trailer truck trips/day: iii. Parking spaces: Existing Proposed Net increase/decrease iv.Does the proposed action include any shared use parking? ❑Yes❑No V, If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private ei / rivat action cefacilities p include access public transportation owithin a accommodations on2mile of s for proposed ue of hyb id,eleelectric ❑ vii Will the YesNo _.m . or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑YesNo pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑Ycs No for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action: _.....m. �.....M n. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/lo cal utility,or other). iii. Will the proposed action require a new,or an upgrade to,an existing substation? Yes❑No� 1.Hours of operation. Answer all items which apply, i. During Construction: ii. During Operations: • Monday-Friday: lam — 5pm . Monday-Fiday:y• m,_ ,•, • Saturday: a.. .�... ,_ Saturday: ... � • Sunday:._. , A...—..... ......—.,., • Sunday: • Holidays:—... . ...m .� • Holidays:Y :�...�... _— _ .� m.— �a�... .—..._. Page 7 of 13 m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 13YesRJNo operation,or both? If yes: L Provide details including sources,time of day and duration: ...... ....... ............ ii. Will proposed action remove existing natural barriers that could act as a not barrier or screen? 0 Describe: ...... n.. Will the proposed action have outdoor lighting? EJ Yes @No If yes: i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: .. .......... ... ......... VesOWo H. Will proposed action remove existing natural barriers that could act as a light barrier or screen? Describe: ............... o. Does theproposed action have the potential to produce odors for more than one hour per day? ElycstNo If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: .......... ...... p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) 0Yes No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i. Product(s)to be stored ........ ii. Volume(s)_ per unit time (e.g.,month,year) iii. Generally describe proposed storage facilities: q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, El Yes No insecticides)during construction or operation? If Yes: i.Describe proposed treatment(s): �Ye ii. Will the L)iLo osed action use Irite,graled Pest Manayenicill Practices? EJ Yes 0 No r.Wall the proposed action(commercial or industrial projects only)involve or require the management or disposal [] Yes [MNo of solid waste(excluding hazardous materials)? If Yes: i. Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation: -" __ tons per (unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: ........... ........ • Operation: . ...... ........ ....... .........—- —_- iii. Proposed disposal methods/facilities for solid waste generated on-site: • Construction: ...... ...... .......... • Operation: Page 8 of 13 s.Does the proposed action include construction or modification of a solid waste management facility? Yes No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or Tons/hour,if combustion or thermal treatment iii.If landfill,anticipated site life: _ .._ m�...�_, years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous EYcs@No waste? If Yes: i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ,,,,,,,_ 11 ... Gen�w erally describe processes or activities involving hazardous wastes or constituents: y proposals ndrlon--o toe generated tion,recycling or reuse of hazardous constituents: iii. Specify any proto g p Y iv.D —.........�_. Nov.Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes If Yes:provide name and location of facility:___ m, �.. - — ••-••.---- — _....' proposed g n hazardous wastes which will not be sent to a hazard If No:describe ro osedmana management of any rdous hazardous waste facility: E.Site and Setting of Proposed Action E.1.Land uses on and surrounding the project site a.Existing d uses. Check all uses t � g i. hat occur on adjoining and near the project site. 0 Urban 0 Industrial Commercial ®Residential(suburban) ❑ Rural(non-farm) ❑ Forest Agriculture ] Aquatic [I Other(specify): m .._.— m— ii. If mix of uses,generally describe: b.La...... .� ..._ Land uses and covertypes on the project site. Roads,buildings Acreage Project Completion � ... .,.—_� ..._ _ and use or... • Current Acreage After Change L..�. _. .......—. .� .. ..... —. -.. and other paved or impervious 0.3 0.5 +0.2 daces ...�.. . ..��.. ..... ....m__w�....�... ..e .. • Forested .. ,. ........ ...� • Meadows,grasslands or brus hlands non _ 'ncludtig,abandoned ai,'(icultural� ._ — 5 l —4 •.... Agricultural l — . . _. �. ..,�.....m_— .. �.r.. . ,� ...... Agricultural 0 +5 active orchards,field,gr,.cnlwusc incl 5 4 u water features 0 0 ouc1 str c it�ns,rivers, etc 1 —. .. m..— ._— __.— —.. ..—_ ..m.._ • Surface_._ ....�...�..�.m. .�. a.. .. ...�.v._. ..m�� • Wetlands(freshwater or tidal) 0 O -� --- -- • Non-vegetated(bare rock,earth or f111) 0 0 0 0 Other Describe: ... ,. i & bl f f 0.7 0.7 0 Page 9 of 13 c. Is the project site presently used by members of the coniniunity for public recreation? No i. If Yes: ex lain ...... d.Are there any facilities serving children,the elderly,people with disabilities(e.g,,schools,hospitals,licensed []Yes[DNo day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities; ........... ... ............ e.Does the project site contain an existing dam? E]YcsE)No If Yes: i. Dimensions of the dam and impoundment: • Dam height: feet • Dam length: ...........,�.�.. .. _,— feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classification: W. Provide date and summarize results of last inspection: .......... ....... ...... f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, Yes No 9 or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility. If Yes: E]YesE] No i.Has the facility been formally closed? • If yes,cite sources/documentation: ....... .. .............. ..... ... .. ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: .......... ...... W. Describe any development constraints due to the prior solid waste activities: .. ............. g. j Have hazardous wastes been generated,treated and/or disposed of at te,or does the proect site adjoin ❑EifesMNo property which is now or was at one time used to commercially treat,the sistore and/or dispose of hazardous waste? If Yes: i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred: ............... ...... h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any [1Yes K1 No remedial actions been conducted at or adjacent to the proposed site? If Yes: i. Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site E]YesE]No Remediation database? Check all that apply: Yes—Spills Incidents database Provide DEC ID number(s): m w ....... ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ... .......... ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures:, .......... ........... ....... ................... W. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database. ON"o If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): .............. Page 10 of 13 project ....m control limiting property uses?.. — — __.�..._�....... v. Is the pro ect site subject to an institutional Tonal co p rtY ❑'YesNo • If yes,DEC site ID number: • Describe the type of institutional control e.g.,deed restriction or ea • Describe any use limitations: • Describe Y engineering trot • Will the project affect the institutional or engineering�controls in place? � �Yes No • Explain: E.2. Natural Resources ..�._ _ .A, On or Near Project Site a.Wha �.r ge de'- . ._k.. feet t is the avera a de th to bedrock on the protect site. �,..1 a ...� _'b.Are there bedrock outcroppings on the project site. Yep❑ � If Yes,what proportion of the site is comprised of bedrock outcroppings? if .......� �.m_. —� ....,.....—.�.._� .�,_— .._.,..�..� c.Predominant soil type(s) present on project aita: oAverage:.. 1feet ,,..... -..... .. �_ . . — d.What is the average depth to the water table the project site? e.Drainage status of project site soils:]',Well Drained: „ '_a/'x of site ❑ Moderately Well Drained. ,,, %of site ❑Poorly Drained _%of site ..,.— .m .� . ......�.—.w .,._— ....� f.Approximate proportion of proposed action site with slopes: 0❑ 10-15%. %of site 15%or greater: %of site g.Are there any unique gagI features on the project site? If Yes,describe: & bluff hwater features. i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes®No ponds or lakes)? H. Do any wetlands or other waterbodies adjoin the project site? Yes No If Yes to either i or ii,continue. If No,skip to E.21 iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, Yes o state or local agency? iv. For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification Lakes or Ponds: Name Classification ^� . . ^�. Size Approximate • • Wetlands: Name I� � �r l U � � N/A • Wetland No.(if regulated by DE(J° �. ..... v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes o waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: „ project site in a designated� .. � �1.Is the ro ect s Floodway. I ❑Yes®No HeeJ ect site In the 100 ro the Year Floodplain?...—.,.. ...—w� .... ...,.�e _......�- ....m.—.� .....w� �...._ . j•Is p es MNo _ ..... ....... ..... _. _ k.Is the project site in the 500 year Floodplain? E]YesggNo 1.Is tImmediately adjoining, a..�-._.._m.__... _........._—. .�mm—... w . W_ . ...�. � ... project located over,he ro act site ,or ..ww primary,principal or sole source aquifer? ❑YesNo If Yes: i.Name of aquifer: Page 11 of 13 m. identify the predominant wildlife species that occupy or use the project site: ........ ........ BIRDS &- BITS ................ .......... .. ......... -——---—------ n.Does the project site contain a designated significant natural community? O"des qFlo If Yes: i. Describe the habitat/community(composition,function,and basis for designation): ........... ii. Source(s)of description or evaluation: ............ ............. W. Extent of community/habitat: 6 Currently: .......... acres 0 Following completion of project as proposed: acres 0 Gain or loss(indicate+or acres o.Does project site contain any species of plant or animal that is listed by the federal government or i4 In as E]YCSR]No endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? R_o...... p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of special concern? q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? [3YesE]No If yes,give a brief description of how the proposed action may affect that use: . ....... ....... ... .. ..... E.3. Designated euiesourona.Is the project ,or any portion of it,located in a designated agricultural district certified pursuant to 0 Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/numberb. : _A"­reagricultural lands consisting of highly productive soils present? [-]YcsE]No i. If Yes: acreage(s)on project site? U. Source(s)of soil rating(s): ...... . ..... c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National []YesoNo Natural Landmark? i If Yes: i. Nature of the natural landmark: E]Biological Community E] Geological Feature ii. Provide brief description of landmark,including values behind designation and approximate size/extent: ............ ............ d.Is the project site located in or does it adjoin a state listed Critical Environmental Area. Yes No If Yes: i. CEA name: H. Basis for designation: iii.Designating agency and date- Page 12 of 13 projectstrict don ete has been nominated an th archaeolo ical site,or di the ❑Yes®No e NYSly tBoard of Hiiguous to,a storic P eservation for e.Dhich selste site contain,or is it substantial State or National Register of Historic Places? If Yes: i.Nature of historic/archaeological resource: ❑Archaeological Site ❑Historic Building or District ii.Name: iii. Brief descrip tion of attributes on which listing is based: portion adjacent to an area designated to is 1 site project y p of rt l_ .._...� he NY State Historic Preservation ated as se o ❑ £Is the ro ect site,or an j 'gn sensitive for Yes l�lo archaeological sites on t tion Office(SHPO)archaeo g' inventory? g or resources been identified on the project site? Yes g.Have additional archaeological or historic sites If Yes: i.Describe possible resource(s): m � ii. Basis for identification: _ h. ' Is the project site within fives miles of any officiallydesignatedand publicly^accessible federal,state,or local ❑Yes N m � scenic or aesthetic resource? If Yes: r local park,state historic trail or scenic is Identify resource: g ( g established highway overlook,state o � w n.Nature of,or basis for,designation e. � o ' byway, iii. Distance between project and resource miles. i. Is the project site located within a designated river corridor under , � the WildScenic and Recreational Rivers ❑Ycs❑X90 Program 6 NYCRR 666? If Yes: i. Identify the name of the river and its designation:.. .. NYCRR Part 666? []Yes[]No ii. Is the activity consistent with development restrictions contained in 6 ❑ ❑ o F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. ApplicailtltiponsorNameHowarm_ .— 16 Young, L.S. � , 0 V d W..—Y..ou�... �w I hrtu; ...._. March 292 ..d _.... .e..—�.�.� .. Title :..�. _.. �e.....� .. . .. � Land Surveyor Signature PRINT FORM Page 13 of 13 OFFICE LOCATION- 1 : MAILING ADDRESS: Town Hall Annex r6 00 , '`� P.O. Box 1179 �� r � 54875 State Route 25 "^a Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone:.631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: May 17, 2016 Re: Checks Please deposit the attached check into B691: Deferred Revenue. Fee is for a Sketch Plan Application not yet accepted by the Planning Board. Thank you. Project Name & ITITmmmµ Tax Ma # Am....u.M......... .......... � Typep ount Check Date& Number Orient Acres Standard Subdivis' -... ..._ ion 1000 14-2-25 $3,250.00 4/17/16 -#5931 Sketch Plan Application I&G Management LLC �.M rl !ar�r,. r s�,�r ✓`5 � '� � ✓„ � �,. � � ;r r ✓ 'r�� •- �• J� �� f(�u 1,!r ���( y ,., 4r f,✓,.,� .pG ,.„�:,.��, i r ��.., 'r ✓v��, ,�r °� l,'M14;i,9 ✓ 11/: ✓ rt ✓ ylP//✓1,'p/�11�,�W,r7 V, ,,,,.: ,�n,2,fP,r� i✓ ..., , � .,. ,., ,, ', ,.r 1. I ,➢ r< r ay,✓ (, ✓�//.(,x ✓ ✓ ;✓/,r �'� l,l ��(. 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