HomeMy WebLinkAboutLL #06 2016 v
ELIZABETH A.NEVILLE,MMC ��� 4• oFo
Town. .4�G Town Hall,53095 Main Road
TOWN CLERK - • ti ; P.O.Box 1179
cm Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ; p �1 Fax(631)765-6145
MARRIAGE OFFICER ` #4, ° ° • '^' •17-011 Telephone(631)765-1800
I
RECORDS MANAGEMENT OFFICER : " 4 �.�� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER - ,;,,,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Planning Director Heather Lanza
Town Attorney William M. Duffy
From: Town Clerk Elizabeth A. Neville
Re: Change of Zone Application of ADF entures, LLC
Date: April 8,2016
Please find additional information relating to the above referenced application submitted by William
Kelly in response to the March 21, 2016 letter of the Planning Board Office.
•
'r
rite MORTON BUILDINGS/ INC• www.mortonbuildings.com
_ ® Cox Lane Industrial Park•22355 County Rd. 48, Unit 4 Office:631/734-4060
Cutchogue, New York 11935-1159 Fax:631/734-4061
To: RECEIVED 4-08-16
Southold Town Board
FR: APR 8 2016
Bill Kelly
Owners Authorized Agent Southold Town Clerk
Ref:
ADF Ventures _
SCTM#1000-48-2-44.2
620 Corwin St,Greenport, NY
To the Members of the Board,
We recently received a memorandum,from Heather Lanze, Planning Director Town of Southold, in
reference to the completeness of our application for zone change to the above referenced property.
Included with this letter is additional information requested:
Radius map:
Showing 200'and 500' radius with all zone boundaries indicated.
Made subject property and request for zone change note more prominent and obvious to the casual
observer.
6) Copies of list of property owners within 500'radius.
List indicates all property owners with in the 200' in bold face.
Memorandum from Southold Town Planning Board,from James H. Rich III,Vice Chairman of the
Planning Board,dated 3-24-15 to the ZBA.At this time we were requesting front and rear yard setback
relief in order to construct a commercial building in an LI zone. I have only included the part of the letter
that outlines the history and the zoning of the property. Please not that prior to 1971 the subject
property was zoned residential, currently it is in the LI zone and we wish to convert it back to residential
R-40.
Respectfully
William Kelly
Authorized Agent
Excellence—Since 1903
S C:TM. OWNERS NAME I CU ENTI USE j BUSINESS NAME
_ 1000-48-1-9 Frederick E. Gagen
1000-48-1-10 Annette E. Ray
1000-48-1-11 James Richter RECEIVED
1000-484-12 James Richter _
1000-48-1-13 Colin VanTuyl _ AP-S--8-2016 ",',
1000-48-.1-14 David Zellerford _
1000-48-1-15 Shawna MacNamara
Southold T
1000-48-1-16 Holly A. Weingart& Sharon C. Bogden _
—1000-48-1-17 Peter F. Inzerillo, Cheryl R. Inzerillo
1000-48-1-18 John J. Kostal Jr. &Anne S. Kostal _
1000-48-1-19 Ethel Singleton _
-
1000-48-1-20 Bridgehampton National Bank
1000-48-1-21 Christopher P. Wachtel&Marianne W. Wachtel
1000-48-1-22 635 Wiggins St, LLC I
1000-48-1-25 Nicholas Gallery
1000-48-1-26 Erin L. Young
1000-48-1-27 Bruce Berger&Irina Marticovich
1000-48-1-29.1 Donald M. Lucas &Faye L. Lucas
1000-48-1-30 Dylan Croke&Morgan P. Croke
1000-48-1-31 Morgan P. Croke
1000-48-1-32 Tonia Wachtel &Donald E. Wachtel
1000-48 _ . .. .___- , _, .___..._...... _.
1-33 ' Peter Pirillo I Private Residence
1000-48-1-34Robert N. Harvey, Paula Harvey
1000-48-1-35 Jill A. Murphy ' Private Residence
1000-48-1-36 Kristian Iglesias
: 1000-48-1-37 Ural Tal,„.at Private Residence ;
1000-48-1-38 Michael Greene Private Residence
1000-48-1-39 Jennifer Kennedy, James W. Kenned . Private Residence
1000-48-1-40 ' Michael Greene ' Private Residence
1000-48-1-41 i Rosemai G. Maceiras i Private Residence I
100048-1-42 Richard A. Fiedler& Judith Li>ht Private Residence 1
1000-48-1-43 Joan L. Dinizio&Robert J. IIeaney Private Residence
1000-48-1-44.2 Eugene A. Mazzaferro & Mary P. Mazzaferro
_1000-48-1-47.1 ! Lillian Vishno
1000-48-2-6 Yira Tejada —
1000-48-2-7 _ Yira Tejada
1000-48-2-9.1 Timothy Clark
.,
1000-48-2-10 I Peter m. Clark Private Residence i
U0_00-48-2-11 ; Peter Manwaring Private Residence
11000-48-2-12.1 I Wayde T. Manwarin Julia Manwarin Private Residence
=_ =. s -� . v ...�-_ ..-.. _ _ ..- _ _
1000-48-2-1 5 7 Joseph Angevine Private Residence I
1000-48-2-15 8 f Dawn Zurek , Private Residence
1000-48-2-16 Vanessa D. Minis
1000-48-2-17 J — — Frances H Minis --- — -- ------ --
____
1000-48-2-18 ___ — 560 Flint Street, LLC — —
1 1000-48-2-19 _______� `Ian McCu_ Ilei--_ _ -- -�1
--- -----------------
1000-48-2-20 Alyssa Ashley Prior i
- -- - ---- - --------------------- --- -- ----- —------ ---
r
1000-48-2-23Gloria Murrain _ RECEIVED a
1000-48-2-24 David A. King&Deborah A. King
1000-48-2-25 Joshua Alton Whitecavage, et al APR 8 2016_
7
1000-48-2-26 Robert VanBtunt
1000-48-2-27 _ Monique Reed &Violet A. Reed
- rt 1fie1c l rrCterk
1000-48-2-36.1 _ 305 Linnet St., LLC --
1000-48-2-37 Seledonio Villareal _
1000-48-2-38 Mercedes Alvarez&Enrique Alvarez
1000-48-2-39 County of Suffolk
1000-48-2-41_ Jackson A. Taylor
1000-48-2-42 Daisy N. Crenshaw
1000-48-2-44.2 _Subject Parcel
t 1000-48-2-44.3 , Lewis Family Pro•erties Partnership LTD ' Commercial I_ Lewis Marine Su .ly I
1001-6-1-1 _ St. Agnes Church
1001-6-1-5.3 St. Agnes Church
1001-6-3-1 James Concannon Jr. & Wendy Concannon
1001-6-3-2 I Marek Matlak Private Residence
1001-6-3-3 ' Maureen Caoue_tte Private Residence111111111111111111.11111111
1001-6-3-4 Debra Riva Private ResidenceIIIIIIIIIIIIIIIIIIIIIII
1001-6-3-S , Enri.ue Alvarez Private Residence ;
/001-6-3-6 1 Brett D Stephenson � Private Residence ; �
1001-6-3-7 ' Enrique Alvarez Private Residence I
1001-6-3-8 -Teresa Schiavoni
1001-6-3-9 Mary Wade
1001-6-3-10 Mercedes Alvarez
1001-6-3-11 Nicholas Ridolfi &Maria Ridolfi
1001-6-3-12 Realty 3 515,LLc
1001-6-3-14 Michael Bandow
1001-6-3-15 Elgio Lopez
1001-6-3-16 Andrew Galasso &Bernard Miny
1001-6-3-17 Linda Oliver
1001-6-3-18 _ Paul Kamaiko
1001-6-5-1 __ David Tonsmeire _
1001-6-5-2 _ James Kalin
1001-6-5-3 1 Lisa Feuerherm _
1001-6-5-4 _ Chris McManus & Baju Wijono
1001-6-5-5 Robert W Laub
1001-6-5-6 _ Carlos DeJesus _ ___
1001-6-5-7 John Dinizio Jr. &Patricia A. Dinizio
1001-6-5-8 Ta ie of Gree221 Public Works ( Road De�rxr.tmmmeyit
1001-6-5-9 - -- GJC Partnership _---_
1001-6-5-10 Mercedes Alvarez
1001-6-5-11Alvarez DeJ esus
_1001-6-5-12 —�__ Charles Harvim— - _---- _ _ _ _ _
1001-6-5-13 Anthony
--
__ Antongeorgi, Steven Sweeney, et al - ---_ -- _ _-_—
1001-6-5-14 - Margaret M. Campbell & MaryEllen Campbell -- __
1001-6-5-15 _-_ David Tonyes - . ______ _ _____
1001-6-5-17.2 Commerce Bank, NA
1(1(11-A-C-I'7 1 \/i l l n rrr, n{'e(11•nr'ti1ir t•t
•
1001-6-5-18 Robert E. Chute
--
1001-6-5-19 Jeffrey P. Clark & Laura L. Clark
1001-6-5-20 Lorraine Petrigliano
1001-6-5-.21 GJC Leasing Corp.
_ 1001-6-7-1 Frank Lyburt Jr.
1001-6-7-2 Christina Kempner —�
1001-6-7-3 Barbara Strokoff
INote; Parcels in highlighted rows are within 200' of the subject property boundary
RECEIVED
APR 8 2016
Southold Town Clerk
OFFICE LOCATION: � MAILING ADDRESS:
Town Hall Annex jy P.O.Box 1179
54375 State Route 25Q ° j Southold, NY 11971
ter..
car.Main Rd. &Youngs Ave.) a }('y, '"T -
Southold,NY 413 •7( Telephone: 631 765-1938
' 7;
www.southoldtownny.gov
14/
+v r
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Elizabeth Neville, Town Clerk
cc: William Duffy, Town Attorney
From: Heather Lanza, Planning Director
Date: March 21, 2016
Re: ADF Ventures Change of Zone Application
SCTM#1000-48-2-44.2
Thank you for the opportunity to review this application for a Change of Zone for
completeness. The application is nearly complete, however, a crucial element is missing
from the plan. The surrounding zoning districts are not shown, nor is the proposed new
zone shown on the plan.
The zoning district boundaries and the proposed new zoning district boundary must be
shown on the 500' Radius Area Map. This map incorrectly states that the sqbject parcel
is surrounded by residential zoning. The parcel adjacent is in the Light Industrial Zone.
Also, the map must have a notation that states which zoning district, specifically, is
being proposed. Currently, the application illustrates the applicant's request to be able
to build a house on the subject parcel, but doesn't specify what new zoning district they
are requesting to achieve that goal.
If the Town Board does eventually approve this zone change, a legal description of the
newly zoned area will need to be provided (this is the metes and bounds description of
the proposed amendment item on the checklist).
„ ,„, ”'�- MAILING ADDRESS:
PLANNING BOARD MEMBERS rrr BOE SO(/j�,' P.O. Box 1179
rr - O Southold,NY 11971
DONALD J.WILCENSKI r ,® �, l®
Chair z x .: ',
g , OFFICE LOCATION:
WILLIAM J.CREMERS rt' Town Hall Annex
PIERCE RAFFERTY ® fit *'��rl 54375 State Route 25
JAMES H.RICH III (fir rr� (cor. Main Rd. &Youngs Ave.)
MARTIN H.SIDOR : C®UNTV,�rr�rr Southold, NY
,,S... •iii
Telephone: 631 765-1938
www.southoldtownny.gov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
fi l
MEMORANDUM
To: Leslie Weisman, ZBA Chairperson
Members of the Zoning Board of Appeals
From: James H. Rich III, Vice Chairman
Members of the Planning Board dP4'
Date: March 24, 2015
October 27, 2015 AMENDED
Re: Request for Comments for ADF Ventures/Fragola
SCTM#1000-48.-2-44.2 ZBA# 6850
At the request of the Zoning Board of Appeals, the Planning Board has re-reviewed the proposal
to construct a commercial building for an electrical contractor's yard on SCTM 1000-48.-2-44.2
in Greenport.
To the north(across Corwin Street) and to the east the properties are improved with single family
residences and zoned Residential 40 (R-40 and R-2 (Village of Greenport Zoning)). To the south
is the Long Island Railroad, then single family residences in the R-40 zoning district. To the
west the parcel is improved and zoned Light Industrial.
The lot is located within a small area of Light Industrial (LI) zoning embedded within a
residential neighborhood. The industrial zoning of the lot can be attributed to its proximity to the
Long Island Railroad and historical need to have access to this transportation mode. Prior to the
LI zoning, the property was zoned C-Light Industrial Zoning and prior to that, residential use.
The subject lot was created as a residential use per Town Laserfiche records "Map Showing
Properties of the Greenport Milling Co. at Greenport,New York” dated October 19, 1918,
prepared by Halsey and Van Tuyl (Figure 1). The lot is comprised of Lots 50 and 51 in the
subdivision(red circle).
Southold Town Planning Board Page 2 October 27, 2015
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Figure 1. "Map Showing Properties of the Greenport Milling Co. at Greenport,New York"
dated October 19, 1918
There is no indication at the time of lot creation that it was intended to support an industrial use.
The zoning history in Town records shown below indicates that zoning of the parcel changed
from residential to C-light Industrial in 1988:
Map Zoning/Use
1. 1956 Suffolk County Approved Building Zone Map Residential
2. 1957 Zoning Map Residential
3. 1971 Zoning Map Residential
4. 1988 Zoning Map C-Light Industrial
5. 1989 Zoning Map LI-Light Industrial
6. 1994 Zoning Map LI-Light Industrial
The basis of the change is unknown.
The transition from residential use to C-Light Industrial, then LI did not seem justified due to the
parcel size which cannot support the LI zoning district purpose or the setbacks needed to
accommodate light industrial uses. The purpose of the LI district substantiates this observation
stating:
The purpose of the Light Industrial(LI) District is to provide an opportunity for business and
industrial uses on smaller lots than would be appropriate for the LIO Light Industrial
Park/Planned Office Park District.
500' RADIUS AREA MAP Ea�FMERD,4ARENOTGUAAN CERTIFIED TO:ADF VENTURES,LLC
UNLESS
P4F`RECORUlD EN
EF,FMENT ADARE NOT GUARANTEED
EO
FOR UNLESS EH rR CALLY EVIDENT A7 THE
DUE OFSURVEY
ADF VENTURES LLC ARE O4SETENDED1 GUIDE THONN
PROPERTYPROR UN R VEN
DOR A SPECIFIC
PURPOSE AND USE AND UIDETH S
ARE ERECTION OFFENCES
RETAI mE
PROPS T ITU A T AREAS ADDIoNS7D RETAINING
R y S A waus POOLS_,PAT/CA PLANTING
GREENPOR AREAS aDwNsro9ur�N<;s
4ND ANY OTHER CONS*PLAN ON
UNAUTHORGED ALTERATION OR ADDITION
TT)THIS RURVFYISAVIOLATION OF JOB NO.:2014-214
EDUCATION
DrN LqW
OF mE NEW rorrc STATE
TOWN OF SOUTHOLD COPIESO MIS MAP NO.: 548
COSIES OF MIS SURVEY MAP NOT BEARING
SUFFOLK COUNTY, NEW YORK AL OR
EMGOSEDDEALSHAL HOTS cONC FILED:DECEMBER 23, 1930
EHE LAND SURVEYORS
S CONSIDERED
ro BE AVAUD nTLECOEY
S.C.T.M. DIST.: 1000 SEC,:48 BLK. 02 LOT 44.2 CERTIFICA710NSINDICATEDHERONSHALLRUN REVISIONS:
— ONLY 7O mE EERDONSI RJR WHOM mE SURVEY
ISPREPARED ANDONH:SBEHALF TOTHE
EILECOMOANY GOVERNMENTALAGENCYAND
fENWNG M5RNT10N US iFD HEREON,ANO REV.500'RADIUS MAP, ADD ZONING
10 mE4SSIGNEES OF mELENWNO INSn- - � .,
50 25 0 50 100 150 200 250 300 350 400 450 >%ONDERnF�aT�NRARENDT7RANRFERABLE DISTRICTS 3/29/16
ro aDanouaL lNsnTUTroNs oR suBSEevENr i
SCALE: 1"= 100' DATE:DECEMBER 23, 2015 OWNERS REV. PER TOWN COMMENTS 4/6/16 ;
SEE SEPERATE TABLE FOR PROPERTY OWNERS OF PARCELS I I :;:7 '.
WITHIN 500'OF SUBJECT SITE. RECEIVED ' . l ` �~
///60 7/77-
CURRENT OWNER OF RECORD: ADF VENTURES,LLC APR 8 � a r
f .
FREDERICK FRAGOLA : ,
138 OREGON AVE. N., :' .���, -VP -
MEDFORD N.Y. 11763 Southold Town Clerk -
LICENSE NO.: 050363
• •
HANDS ON SURVEYING
26 SILVER BROOK DRIVE M
FLANDERS, NEW YORK .��" ,
SUBJECT PROPERTY IS CURRENTLY ZONED LIGHT INDUSTRIAL (LI) TEL (631)-369-83129 FAX(631)-369-8313 101
WITH THE SURROUNDING AREA ZONED R-40
• MARTIN D. HAND LS •
COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING
SUBJECT PARCEL REQUESTED TO BE REZONED AS R-40 THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE
CONSIDERED TO BE A VALID COPY AND SHALL NOT BE USED FOR ANY PURPOSE.
ANSIONNII
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ELIZABETH A.NEVILLE,MMC y® Gy Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
� H Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ;
* * * RECEIPT * * *
Date: 01/22/16 Receipt#: 198952
Quantity Transactions Reference Subtotal
1 Petition 48-02-44.2 $1,000.00
Total Paid: $1,000 00
Notes:
Payment Type Amount Paid By
CK#1794 $1,000.00 ADF, Ventures Llc
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: ADF, Ventures Llc
138 Oregon Avenue
Medford, NY 11763
Clerk ID: BONNIED Internal ID 48-02-44 2
irk MORTON BUILDINGS, INC. www.mortonbuildings.com
`® Cox Lane Industrial Park•22355 County Rd.48, Unit 4 Office:631/734-4060
Cutchogue, New York 11935-1159 Fax: 631/734-4061
To: 1-21-16
Southold Town Board
FR:
Bill Kelly, RECEIVED
Owners Authorized Agent
Ref: JAN 2O
ADF Ventures
SCTM#1000-48-2-44.2 fOff
620 Corwin St, Greenport, NY South own (Jeri
To the Members of the Board,
ADF Ventures, LLC had recently filed applications with Town of Southold Building Dept.,Town of
Southold Planning Board and Town of Southold ZBA,to construct an electrical contractors shop/
warehouse at the above referenced property. Please note the property is zoned LI (Light Industrial)
Which is the proper zoning for such a use.
As we proceeded through the permitting process there was opposition from the neighbors against
allowing such a use to be permitted in this predominantly residential neighborhood. During the process
many of the opposed neighbors stressed that this property was incorrectly zoned for the area and
should be zoned residential in order to conform to the rest of the properties in the area.After careful
consideration and not wanting to move into a friendly neighborhood that was angered by the proposed
use of the property,ADF Ventures, LLC elected to with draw their application to construct an electrical
contractors shop/warehouse.
At this time ADF Ventures, LLC Formally request a zone change from the current LI Zone to that of the
neighborhood R-40.Although a non-conforming lot for the zone this lot conforms to the other
preexisting lots in this area that are in the R-40 zone. It should be noted and is evident on the area map
that all the residential lots within a 500' radius are of similar size and configuration.As part of our
application we have provided the required area map, metes and bounds survey per deed description
and a survey prepared for the Suffolk County Health Department showing the location of a proposed
single family dwelling with sanitary system that conforms to other residences in the area.
Respectfully
William Kell 41111
Authorized Agent
Excellence—Since 1903
OP_ L
'4 , -
•, '�*pFS00/2,- ,
ELIZABETH A.NEVILLE 0 �4 of Town Hall, 53095 Main Road
TOWN CLERK �t� _ : P.O. Box 1179
REGISTRAR OF VITAL STATISTICS E Southold, New York 11971
MARRIAGE OFFICER G ' 4 ,1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER . a� 1) Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 1� southoldtown.northfork.net
�y�4UM`I,�;,��' 1
... I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD .
_ _- RECEIVED
REQUEST FOR AMENDMENT AND/OR CHANGE OF ZONE
JAN 2
iii
., Southoli : Clerh
APPLICATION NAME:
ADF u us L_LC-
(Name under which application shall be known)"
SUFFOLK COUNTY TAX MAP NO.: 1000 - 'i$ . - (7z. -_ 44 . Z
District Block Parcel
A. SUBMISSION INFORMATION:
Application is hereby made to the Southold Town Board for amendment to Chapter 280
{Zoning) of the Town Code and/or a change in the zoning classification of the Zoning
- Map in accordance with the Section 280 - 6 of the Zoning Law of the Town of Southold
and Section 265, Town Law.
Further, the following are submitted herewith (check those appropriate, write N/A where
not applicable)
7 1. Four(4 ) sets of the completed application form and petition. Each set shall contain
one (1) complete set of cover letter forms, affidavits, project description, surveys,
plans, and EAF and any supplemental information as maybe be needed or requested.
/ 2. Fee in the amount of$1,000.00 ($500.00 for AHD). Applicant is also responsible for
any fees incurred in the Environmental Review Process.
V3. Survey map, accurately drawn to appropriate scale, showing the proposed zone
district boundary changes, property lines, the calculated areas affected, in acres or
square feet, the Suffolk County Tax Map designations;the street rights-of-way in the
immediate vicinity and lands, land uses and names of owners immediately adjacent to i
and extending within five hundred (500) feet of all boundaries of the property to be
amended.
4. Metes and bounds description of thep Pro osed amendment.
10/1/2008 1
V 5. Appropriate Environm ental Assessment Form (EAF). All Unlisted and Type I
Actions require either a Short or Full EAF to be prepared. See Chapter 130 of
Town Code and Part 617 NYCRR (SEQR), or check with the Town Attorney and/or
the Planning Department.
6. Other information deemed necessary for review by the Town Board, the Town
Planning Board and/or the Suffolk County Planning Commission (i.e. site plans,
subdivision maps). Please note items submitted:
621E_ liAki
LEr e einr- kuk-C
B. GENERAL INFORMATION:
1. Name Of Applicant(s):
Address: r3 c ?p4i P4L 1\4, D IMLs
Telephone No. „31-3)Z--- 11 1
, If the applicant does not own the property, is a contract vendee, or if the owner is
a Corporation or a Partnership, prepare endorsement at the end of this form
establishing owner's authorization of the applicant's request.
2. If the applicant is contract vendee, give name. If the applicant is a corporation (or
partnership), give the name and title of the responsible officer:
Name: f)(A Title: jAG Mk rriz,
Address:(if different) 1111/44,_,
Telephone No.: ,5/Ad (
3. Landowner(s): SAN.At. Title: t
Address: 5ALktE_
Telephone No.: LLQ,
4. Name of licensed architect, landscape architect, civil engineer and/or surveyor who
prepared the plan:
Name:_ &10 Title:
Name of Firm: gAtz6, f )aV�i-ft4J
Address: 2.4 SV_V EtZ Beocie. X0 SUC1_ Ind I
Telephone No.: %,9- 8312
5. Name of Attorney, or Agent authorized to represent the property owner and/or applicant:
Name: Title: t.n
Name of Firm: N GiO 't--L- .5, .
Address: Ci( LAA ( 1E1 i4 arZGMoncUIL 14L1 {15js-
Telephone No.: c,31-Zs5 -q84
10/1/2008 2
6. All communications with regard to this application shall be addressed to the following
person until further notice:
Name: !tL( A k4LLL. _ Title: X �
Address: Z23SS C47� Lel vil k 4 1 C-0-mtL4oGLt,ALE-1 1 MSS
Telephone No.: 6.51,-z -rjg 4G.tc)
r.ty i ltiAtyt. I lX1.1 a mort4,o"i 1ICii AssnLc>ry
C. SITE/PROJECT DATA:
1. Location of Property .. 01.7-T1,-1 side corner of C ILLI
(north/south/east/west) (street)
feet 54'Y 5a.rn4 OF SEVi..krill �1
or road) (north/south/east/west)
ofVEEJ-1 ST
(nearest intersecting street) (hamlet)
2. Existing,zoning district(s)
Special Overlay District(s), if applicable
3. Requested zoning district(s) 410
4. Lot area: 9.51-4 1 sq. ft or acres CJ.219
5. a. The latest deed(s) describing this parcel(s) is (are) recorded in the County Clerk's
Office as follows:
DATE LIBER PAGE
Nc�c. 2c� nt.7 z?8
b. A copy of the(se) should be attached to the application.
6. There are no encumbrances or liens against this land other than mortgages?
YES - )C NO
7. All buildings and structures are shown on the survey? X YES NO
(The Town Board reserves the right to request a complete survey showing all existing
structures.)
8. Existing: Building Area d sq. ft. Lot coverage Q
9. Please attach a detailed typewritten description of the project, the proposed use and
operation thereof, including a detailed explanation of the design concept, the reason for
the particular design, objective of the developer or project sponsor and how or why the
project is (or is not) in compliance with the Town Code and the Master Plan. Explain
what benefits will accrue to the community by the proposed rezoning. Document reasons
10/1/2008 3
why proposed project can not be built under current zoning regulations and pursuant to
the current zoning map.
D. AGENCY COORDINATION AND SEQRA (See Part 617,NYCRR and Chapter 130 of
Town Code)
1. Does the site Front on a Town, County of State Road? (circle one)
Name and number of the road (i.e. County Road 48, State Road 25)
2. Is the site within any other areas of review of the Suffolk County Planning Commission?
YES `_ NO. If yes, the referral requirements of the Suffolk County
Planning Commission should be examined to assure a complete application.
3. Is the site in a designated critical environmental area as per the New York State
Environmental Quality Review Act (SEQRA) and Chapter 130 of the Town Code?
YES >, NO. If yes, what area?
4. Type I, Type II o' nliste. • ', c'r- le one)
An environmenta • ssessment orm must be completed for Unlisted and Type I actions.
5. Has an Environ ental Assessment Form or Draft Environmental Impact Statement been
prepared? YES NO. If yes, copies should be submitted with the
application. CCC
E. I hereby depose and certify that all of the above statements of'a formati s. , and all
statements And information contained in the supporting d i ments a i i rawings
attached hereto are true and correct.
. 1
'PLI f'S SII ATURE
Sworn before me this
day of'1�-C bei , 20/c.
ai SLA ! .
NOTARY PpLIC
AMANDA JEAN LUKASCZYK
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 FR6293126
Qualified in Suffolk County
Commission Expires Nov.25.2017
10/1/2008 4
F. OWNER'S ENDORSEMENT (To be signed if applicant is not the owner or if the owner
is a corporation or partnership)
State of New York
County of Suffolk
ALIL(F being duly sworn, deposes and
says that he/she resides at OakeLod &kik V) e.,r '..u.' 1 (-7
in the County of S+ 14? and the State of i1/41L1
and that he/she is (the owner or the officer of the corporation or partnership which is the owner
in fee (circle)) of the premises described in the foregoing application and that he/she has
authorized L
to make the foregoing application for amendment and/or chv Of zone as Acribed here in.
,12211 ''firt,L
Cd
41
171>
NAS RE
If a corporation, name of corporation and
Officer's title
Sworn before me this a
Day of iCeinhec20 1�
Ounzu(g/&*,61-tipal./4NOTARUBL
AMANDA JEAN Lt1KASC7YK
i E
NOTARY PUBLIC,S m OI.NEW YORK
Registration No.0I PR6293126
Qualified in Sul7olk County
Commission Expires Nov.25.2017
10/1/2008 5
J
G. DISCLOSURE AFFIDAVIT
State of New York
County of Suffolk
Ab V Tca► 'S 21—L.C._
-Fo: , o being by me duly sworn, deposes and says:
Vida. ciL /1,&
1. I am an applic t for a project or an owner of the 1 nd which is the subject of a pending
application before the Southold� Town Board for amendment and/or change of zone.
2. The project name is: ADF V eu'ce.-
3. I reside at 4 Cetaxi M, I
4. The Officers of the applicant corporation or owner corporation are as follows:
NAME TITLE
5. I make and complete this affidavit under the penalty of perjury and swear to the truth
herein.
6. I am aware that this affidavit is required by General Municipal Law 809 and that I shall
be guilty of a misdemeanor as provided by General Municipal Law 809 should I
knowingly or intentionally fail to make all disclosures herein.
7. During the 12 months before the filing of this application, have any of the following
individuals made campaign contributions exceeding $100 in total, in cash or in kind, to
members of the Town Board or political committees designated to accept donations
behalf:
Yes No
1. Owner
2. Applicant
3. Agent for owner or applicant
4. Attorney
5. Other )(,
10/1/2008 6
If the answer to Question 7 is yes, Town Code Chapter 26 require that the information be
provided below:
Name Title (Owner, Agent, Attorney, other) Amount
** **************************************************************************
For the purpose of this disclosure, an official or employee or either the Town of Southold or the
County of Suffolk, shall be deemed to have an interest in the applicant and or owner when that
official or employee, their spouse, brothers, sisters, parents, children, grand children or the
spouse of any of them:
a. Is the applicant or owner
b. Is an officer, director, partner, or employee of the applicant or owner
c. Legally or beneficially owns or controls stock of a corporate applicant or owner,
or is a member of a partnership or association applicant or owner, or
d. Is a party to an agreement with the applicant or owner, express or implied,
whereby said official or employee may receive any payment or other benefit—
whether or not for services rendered, dependent or contingent upon the favorable
approval of such application.
Ownership of less than five percent of the stock of a corporation whose stock is listed on the
New York Stock or American Stock Exchanges shall not constitute an interest for the purposes
of this disclosure
******************************************************************************
YOU MUST ANSWER THE FOLLOWING QUESTION YES OR NO
Do any of the followin ind.viduals have an interest in the applicant or owner, as defined above?
YES NO
1. Any official New York State YES NO
2. Any official or employee of Southold Town or Suffolk County? YES yNO
If the answer above is yes, to any of the questions, General Municipal Law Section 809 requires
that you disclose the name and residence and the nature and extent of the Interest of said
individual (s) in the applicant or owner.
NAME RESIDENCE NATURE OF INTEREST
10/1/2008 7
/1/r;ATU
Sworn before me this c .
Day of Pezeorther 20 t5
arm-Lrelft
NOT Ay'l PU IC fAr
AMANDA JEAN IAJKASCZYK
NOTARY PUBLIC.STATE OF NEW YORK
Registration No (III R6293126
Qualified in Sulliilk County
Commission Expires Nov.25.2017
10/1/2008 8
` l
6
!
S C T.M. OWNERS NAME 1 CURRENT USE LBUSINESS NAME_
1000-48-1-9 Frederick E. Gagen "�_
1000-48-1-10 Annette E.Ray
1000-48-1-11 James Richter RECEPLFD
1000-48-1-12 James Richter _
1000-48-1-13 I Colin VanTuyl
1000-48-1-14 David Zellerford JAN 2 2 Mb _
1000-48-1-15 Shawna MacNamara 46
1000-48-1-16 Holly A. Weingart& Sharon C. Bogden a")','
1000-48-1-17 Peter F. Inzerillo, Cheryl R. Inzerillo
1000-48-1-18 ; John J. Kostal Jr. &Anne S. Kostal
1000-48-1-19 Ethel Singleton `
1000-48-1-20 i Bridgehampton National Bank _
1000-48-1-21 Christopher P.Wachtel&Marianne W. Wachtel
1000-48-1-22 635 Wiggins St,LLC
1000-48-1-25 Nicholas Gallery
1000-48-1-26 IErin L. Young
1000-48-1-27 Bruce Berger&Irina Martkovich
_
1000-48-1-29.1 , Donald M. Lucas&Faye L. Lucas
1000-48-1-30 Dylan Croke&Morgan P. Croke _ _
1000-48-1-31 Morgan P. Croke _
1000-48-1-32 ,Tonic Wachtel&Donald E.Wachtel
1000-48-1-33 ! Peter Pirillo , Private Residence
1000-48-1-34 ! Robert N.Harvey,Paula Harvey
1000-48-1-35 Jill A. Murphy Private Residence
1000-48-1-36 I Kristian Iglesias
1000-48-1-37 I Ural Talgat Private Residence
1000-48-1-38 j Michael Greene Private Residence
1000-48-1-39 !Jennifer Kennedy, James W. Kennedy Private Residence
1000-48-1-40 j Michael Greene Private Residence
1000-48-1-41 1
1 Rosemary G. Maceiras Private Residence
`
1000-48-1-42._ ___ ; Richard A. Fiedler&Judith Light Private Residence
1000-48-1-43 1 Joan L. Dinizio&Robert J. Heaney Private Residence
! 1000-48-1-44.2 Eugene A. Mazzaferro&Mary P. Mazzaferro
1000-48-1-47.1 Lillian Vishno
1000-48-2-6 Yira Tejada
1000-48-2-7 Yira Tejada
1000-48-2-9.1 Timothy Clark
1000-48-2-10 • " Peter m. Clark Private Residence
1000-48-2-11 Peter Manwaring Private Residence _
1000-48-2-12.1 Wayde T. Manwaring, Julia Manwaring Private Residence
1000-48-2-15.7 Joseph Angevine Private Residence
1000-48-2-15.8 Dawn Zurek Private Residence _
1000-48-2-16 Vanessa D. Mims
1000-48-2-17 Frances H. Mims _
1000-48-2-18 560 Flint Street,LLC
' 1000-48-2-19 Ian McCulley '
1000-48-2-20 Alyssa Ashley Prior
' 1 nnn.aa.,-�� 1 JAmeS I3rennvn
1 , •
1000-48-2-23 Gloria Murrain
1000-48-2-24 David A. Kin:&Deborah A. Kin:
1000-48-2-25 Joshua Alton Whitecavage, et al
1000-48-2-26 Robert VanBrunt
1000-48-2-27 Moni I ue Reed&Violet A. Reed
1000-48-2-36.1 305 Linnet St.,LLC
1000-48-2-37 Seledonio Villareal
1000-48-2-38 Mercedes Alvarez&Enri sue Alvarez
1000-48-2-39 County of Suffolk
1000-48-2-41 Jackson A. Taylor
1000-48-2-42 Daisy N. Crenshaw
1000-48-2-44.2 Subject Parcel
1000-48-2-44.3 Lewis Family Properties Partnership,LTD Commercial Lewis Marine Supply
1001-6-1-1 St. Agnes Church
1001-6-1-5.3 St. Agnes Church
1001-6-3-1 James Concannon Jr. &Wendy Concannon
1001-6-3-2 Marek Matlak Private Residence
1001-6-3-3 Maureen Caouette Private Residence
1001-6-3-4 Debra Riva Private Residence
1001-6-3-5 Enrique Alvarez Private Residence
1001-6-3-6 Brett D. Stephenson Private Residence
1001-6-3-7 Enrique Alvarez Private Residence
1001-6-3-8 Teresa Schiavoni
1001-6-3-9 Mary Wade
1001-6-3-10 Mercedes Alvarez
1001-6-3-11 Nicholas Ridolfi&Maria Ridolfi
1001-6-3-12 Realty 3 515,LLc
1001-6-3-14 Michael Bandow
1001-6-3-15 Elgio Lopez
1001-6-3-16 Andrew Galasso&Bernard Miny
1001-6-3-17 Linda Oliver
1001-6-3-18 Paul Kamaiko
1001-6-5-1 David Tonsmeire
1001-6-5-2 James Kahn
1001-6-5-3 Lisa Feuerherm
1001-6-5-4 Chris McManus&Baju Wijono
1001-6-5-5 Robert W. Laub
1001-6-5-6 Carlos DeJesus
1001-6-5-7 John Dinizio Jr. &Patricia A. Dinizio
1001-6-5-8 Village of Greenport Public Works Road Department
1001-6-5-9 GJC Partnership
1001-6-5-10 Mercedes Alvarez
1001-6-5-11 Alvarez DeJesus
1001-6-5-12 Charles Harvey
i 1001-6-5-13 Anthony Antongeorgi, Steven Sweeney, et al
1001-6-5-14 Margaret M. Campbell &MaryEllen Campbell
1001-6-5-15 David Tonyes
1001-6-5-17.2 Commerce Bank,NA
lnnl_F,_5_17 Z
yin arip nf'ferpPnnnr$
ii •
,9 i
1001-6-5-18 Robert E. Chute
1001-6-5-19 Jeffrey P. Clark&Laura L. Clark —
1001-6-5-20 Lorraine Petrigliano
_1001-6-5-21 GJC Leasing Corp. _
1001-6-7-1 Frank Lyburt Jr.
1001-6-7-2 Christina Kempner
_ 1001-6-7-3 Barbara Strokoff
Note: Parcels in highlighted rows are within 200' of the subject property boundary
RECEIVED
•
•
JAN 222016
. ,.. . ., , , . ,,,,ir
Southold Town "'erg
t
11111111 III!11111 IIIII 11111 DIII 111111111111111111!liii .
1111111 IIIII 11111 IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/11/2014
Number of Pages: /S At: 11:54:22 AM
Receipt Number : 14-0104882
TRANSFER TAX NUMBER: 14-00936 LIBER: D00012784
PAGE: 408
District: Section: Block: Lot:
1000 048.00 02.00 044.002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $75,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 NO Handling $20.00 • NO
COE $5.00 NO NYS SRCHG
$15.00 NO
EA-CTY $5.00 NO EA-STATE
$250.00 NO ,-
TP-584 $5.00 NO Notation
$0.00 NO
Cert.Copies $0.00 NO RPT
$60.00 NO
Transfer tax $0.00 NO Comm.Pres
$0.00 NO
Fees Paid $380.00
TRANSFER TAX NUMBER: 14-00936
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
• RECORDED
1 2 2014 Pug 11 11:54:22 P11
JUDITH A. PASCALE
CLERK OF
[� SUFFOLK COUNTY
Number of pages r L DOOOI2724
•
P 408
PT# 14-00936
This document will be public
record.Please remove all
Social Security Numbers
prior to recording. •
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee cap �l Mortgage Amt.
p.- 1.Basic Tax
Handling 20. 00 2. Additional Tax
P-5� S Sub Total
Notation _
Spec./Asslt.
— ED or
EA-5217(County) ��3_ Sub Total Spec./Add.
qq
EA-5217(State) act)_ TOT.MTG.TAX
`,;;, " Dual Town Dual County
R.P.T.S.A. ___ .: i 1``•
'�', Held for Appointment
Comm.of Ed. 5. 00 144 :. Transfer Tax p cti ( SO)
Affidavit ' ltipl J ` Mansion Tax
i0,..' The property covered by this mortgage is
Certified Copy
or will be improved by a one or two
NYS Surcharge 15. 00 33o family dwelling only.
Sub Total YES or NO
Other 2
Grand Total J0 If NO,see appropriate tax clause on
page If of this In trrumen 4
4 Dist. 1 C
14.020153 1000 04800 0200 044002 0.? 5 Community Preservation Fund
9 Service RAcy
pOL A II Real Property Consideration Amount$ I 000
Tax
Verification 08-AUG-1
111111111111111111111111111 CPF Tax Due S -19—
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address /
RECORD&RETURN TO: Vacant Land X V
Larry R.Davis,Esq.
TD /dao
Davis&Prager,P.C. TD
175 Oak Street •
Patchogue,NY 11772 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Venture Title Agency,Inc.
www.suffoikcountyny.gov/clerk Title ii
VA-16103-S •
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
Linda M.Springer,as Executrix of the Last Will The premises herein Is situated In
and Testament of Virginia 0.Jemick SUFFOLK COUNTY,NEW YORK. -
TO In the TOWN of Southold
ADF Ventures.LLC In the VILLAGE
or HAMLET of 4 f'e-e•4pD(4-"
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
. • vA- - lbto- - -Oco1ov
EXECUTOR'S DEED(INDIVIDUAL OR CORPORATION)
��QD1Q eUt STANDARD NYBTU FORM 8010 Vo..(c I 0 3 -5
0'611 '(‘-‘k
CAUTION: THIS AGREEMENT SHOULD BE PREPARED BYTT R
ANA O NEY AND
REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING.
•
THIS INDENTURE, made the tV ' day of July, two thousand and fourteen,
between
Linda M. Springer, as Executrix of the Last Will and-Testament of Virginia 0.
Jernick,deceased November 4, 2012, Suffolk County Surrogate's Court File No.
2013-660, Letters Testamentary issued March 15, 2013,
residing at 2 Linda Court, Shelter Island, New York.1 1964
party of the first part,and
ADF Ventures, LLC,
138 Oregon Avenue, Medford,New York 11763
party of the second part,
WITNESSETH, that the party of the first part, by virtue of the power and authority given
in and by said last will and testament, and/or by Article 11 of the Estates, Powers and Trusts
Law,and in consideration of Seventy-Five Thousand Dollars($75,000.00), lawful money of the
United States, paid by the party of the second part, does hereby grant and release unto the party
of the second part, the distributees or successors and assigns of the party of the second part
forever,
ALL that certain plot,piece or parcel of land, with the buildings and improvements
thereon erected, situate,.lying and being in the Town of Southold, County of Suffolk and State of
New York, bounded and described in"Schedule A"annexed hereto.
Said premises also known as 620 Corwin Street, Greenport,New York (SCTM# 1000-
048.00-02.00-044.002).
BEING AND INTENDED TO BE the same premises as described in by deed made by
Alice Olsen Hulse dated 10/06/1967, recorded 11/30/1967 in Liber 6265 Page 278(PART OF
PREMISES) and by Certificate of Abandonment filed 08/26/1981 in Certificate No. 2328,
Abstract No. 9138.
TOGETHER with all right, title and interest, if any, of the party of the first part in and to
any streets and roads abutting the above described premises to the center lines thereof,
TOGETHER with the appurtenances, and also all the estate which the said decedent had
at the time of decedent's death in said premises, and also the estate therein, which the party of the
first part has or has power to convey or dispose of, whether individually, or by virtue of said will
or otherwise,
NYSBA PRACTICE FORMS 3/03 RET067.I I
Schedule A Description
Underwriter No. 618-03110
Title Number VA-16103-S Page 1
ALL that certain plot, piece or parcel of land, with the buildings and
improvements thereon erected, situate, lying and being in the Village of
Greenport, Town of Southold and State of New York, bounded and described as
follows: -
•
BEGINNING at a point on the southerly side of Corwin Street distant 625.84 feet
easterly from the corner formed by the intersection of the easterly side of Ninth
Street with the southerly side of Corwin Street;
RUNNING THENCE along the southerly side of Corwin Street, South 88 degrees
38 minutes 20 seconds East 174.13 feet to land now or formerly of Enrique
Alvarez;
RUNNING THENCE along said land South 7 degrees 17 minutes 40 seconds
West 43.97 feet to land of the Long Island Rail Road;
RUNNING THENCE along said land, South 84 degrees 11 minutes 40 seconds
West 177.65 feet to land now or formerly of Lew Family Properties Partnership
LTD.;
RUNNING THENCE along said land North 7 degrees 09 minutes 00 seconds
East 66. 24 to the southerly side of Corwin Street at the point or place of
BEGINNING.
Continued On Next Page
•
4
Schedule A Description- continued
Underwriter No. 618-03110
Title Number VA-16103-S Page 2
SCHEDULE OF COVENANTS AND RESTRICTIONS
NO COVENANTS AND RESTRICTIONS OF RECORD
..
'P
r
iff
fY
1 �
r' r
•
7 Y t�
3.•
TO HAVE AND TO HOLD the premises herein granted unto the party of the second .
part, the heirs or successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or
suffered anything whereby the said premises have been encumbered in any way whatever,except
as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants
that the party of the first part will receive the consideration for this conveyance and will hold the
right to receive such consideration as a trust fund to be applied first for the purpose of paying the
costs of the improvement and will apply the same first to the payment of the cost of the
improvement before using any-part of the total of the same for any other purpose. •
The word "party" shall be construed as if it read "parties" whenever the sense of this
indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day
and year first above written.
•
IN PRESENCE OF: •
r.141- 2iithlyA)
Lin a M. Springer, as Eke rix
Acknowledgment by a Person Within New York State(RPL §309-a)
STATE OF NEW YORK )
) ss.:
COUNTY OF SUFFOLK )
On the aryday of July in the year 2014 before me, the undersigned, personally
appeared Linda M. Springer, personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is subscribed to the within instrument and
acknowledged to me that she executed the same in her capacity,and that by her signature on the
instrument, the individual, or the person upon behalf of which the individual'acted,executed the
instrument.
QQ Qt (0?.11eL
(signfture and office of individual taking acknowledgment)
SUSAN LA CONTI
Notary Public,State of New Yak
No.011.A6105518
Ouafffled M Nassau County
RET067.I I Commission Expires Feb.09,2016 NYSBA PRACTICE FORMS 3/03
2
r
. . . ._ . . , . . , . . .. . .
SURVEY OF , _ LOCKING CAST IRON
COVER TO GRADE
DESCRIBED PROPERTY 1/4%FTPITCHMIN / 1PrrCH1NG
RADF
S{jia'ijiATPROP FF 15 5' % 1P-17(2'
2')/a MAX SLOPE 21�)
REPRT or .�o `� ;--= -..-----6`. c
(2
TOWN OF SOUTHOLD INV 11.9' / S T 'X 6'DEEF ( DEPTH
INV 11.7' INV 11.2' LP.'S -
SUFFOLK COUNTY,NEW YORK INV 10.9
3'MIN
S.C.T.M. DIST.: 1000 SEC.:48 BLK.:02 LOT::44.2 -- - ---- --- - - - — - --- -- . - - - -- ---- --
15 '8 0 15 30 45 60 75 90 105 120 135 GROUNDWATER
SCALE: 1"=30' DATE:JUNE 25, 2014 PROPOSED SANITARY CROSS SECTION
PARCEL ALSO KNOW AS PART OF SEVENTH STREET&
- LOTS 50&51 ON A MAP ENTITLED"PLAN OF THE S. BUEL CORWIN ESTATE"
FILED IN THE OFFICE OF CLERK OF THE COUNTY OF SUFFOLK ON DECEMBER 23, 1930 I•
AS MAP NO.:548144
METES AND BOUNDS DESCRIPTION PER DEED LIBER 6265
PAGE 278 AS RECORDED NOV.20,1967 S.C.D.H.S.ENDORSEMENTS
LOT AREA:9,541 SQ.FT. =0.219 ACRE S
ELEVATIONS HEREON REFER TO NAVD 1988- ��C�6��� -
NO SURFACE WATER EVIDENT WITHIN 300' - CO
ALL PROPER/ES WITHIN 150'ARE IMPROVED - - _
AND SERVICED BY PUBLIC WATER S
JAN 2 2 Zai ` !
ltti
.Southold Towr .
111
lid IMPROVED
f IMP
ROVED
� I IMPROVED
_. I
- -- - W
;67477FIEDM:114DFVENTUFEENTURE
(I1 # nOVERHEADV�IRESnnnUT111TYP0lE U7IDTYPOLE4-4 TITLE AGENCY, INC. / i
LI
- f; I
1 EXISTINGWAI R•MAIN NSiR�E7 • • ---- • • • • �
Com ,
CUR
SIZ G LOCATION TO BE DETERMINED BY OTHERS ` WL "
t.
•
STREN
EP tao' \ : Q.
JOB NO.:2014-214 J EDGEOFPAVEMENT EP127' — — EP14fi,\ ; 0
MAP NO.:548 o W <
W� /
FILED:DECEMBER 23, 1930 o , W I W W
REVISIONS: .� a� muTYPOLE
ASPHALT o'wa S 88°38'20"E 17123' -
ADD ROAD ABANDONMENT 4/03/15 625.84' �' 25.1• -. : a 12, 25 , , —1—"------ - ` - - \ O
PREP FOR SCDHS APPLIC. 12/23/15 ,� !i o,o, I^ 149.001 � _ CO ••, `�
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owila CERTIFICATIONS uExr
CONSIDERED TO BE A VALID COPY AND SHALL NOT BE USED FOR ANY PURPOSE. SHAWN M.BARRON,M 7/6/14
SURVEY OF EASEAEENTASICALLYMOTAT
STRULn/RES RECORD®OR
METES AND BOUNDS DESCRIPTION PER DEED LIBER 6265 nu" "°T°GARANTEHA
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�I II OWNERS
PARCEL ALSO KNOW AS PART OF SEVENTH STREET& , ,
� -
LOTS 50&51 ON A MAP ENTITLED "PLAN OF THE S.BUEL CORWIN ESTATE" IIII
FILED IN THE OFFICE OF CLERK OF THE COUNTY OF SUFFOLK ON DECEMBER 23, 1930
AS MAP NO.:548 �,
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CERTIFIED TO:ADF VENTURES, LLC / <
VENTURE TITLE AGENCY,INC. �t30 r COR WI N S TREET ,
• J EDGE OF PAVEMENT EP 12T —- — EP 14 6' g
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UTILTTYPOLE \ I
JOB NO.:2014-214 fEP.4tro.w S 88°38'20"EMAP NO.: 174.13 _548 625.84' 25.1 ; EL.128'25.1 ' _
FILED:DECEMBER 23, 1930 149.00 ) t coEi
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LICENSE NO.:050363 ASP e'E l — _•
RgIL ROAD
HANDS ON SURVEYING - LONG
M.T.A., _ ___--
26 SILVER BROOK DRIVE N
FLANDERS, NEW YORK - +
p ',_E ___________________R_AI—LROAD TTRACKS -
11901 --____
TEL:(631)-369-8312-FAX:(631)-369-8313
• MARTIN D. HAND L.S
COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING
THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE
CONSIDERED TO BEA VALID COPY AND SHALL NOT BE USED FOR ANY PURPOSE.
500' RADIUS AREA MAP EASEMENTANDRENOT`URFACE CERTIFIED TO:ADF VENTURES,LLC
S7RUC7URES RECORDED OR UNRECORDEDARENOTGUARAN7EE0
RLCLl` ED TIME OF OUR HE ALLYEYIDENTATNE
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PROPERTY ONES ARE FORA SPECIFIC
RIRPLLS E AND USE AND THEREFORE
ERECTION
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A77URVEYITHE NEWYORK STAlE
TOWN OF SOUTHOLD WPIES-7HRJURVEYMVNO"EARMG MAP NO.: 548
THE LAND SUP VEYORS NLKED SCALDS
SUFFOLK COUNTY, NEW YORK Southold Tow (ler IrEszonnYTBECONSIDERED FILED:DECEMBER 23, 1930
AND ON MIS SEHALU 7D7N
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REVISIONS:
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SEE SEPERATE TABLE FOR PROPERTY OWNERS OF PARCELS RI 's::,` •.WITHIN 500'OF SUBJECT SITE. _
il
CURRENT OWNER OF RECORD: ADF VENTURES,LLC . .�,, , �J,,V.� �. �f
FREDERICK FRAGOLA R --.� ,., ,j
138 OREGON AVE.
r,„_.- ,'.,
MEDFORD N.Y. 11763 w �
SUBJECT PROPERTY IS CURRENTLY ZONED LIGHT INDUSTRIAL(LI)
WITH THE SURROUNDING AREA ZONED RESIDENTIAL.
LICENSE NO.: 050363
• •
HANDS ON SURVEYING
26 SILVER BROOK DRIVE N
FLANDERS, NEW YORK •...4;1 E
11901 fr,W
TEL: (631)-369-8312-FAX::(631)-369-8313
_ • MARTIN D. HAND L.S •
COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING i
THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE
CONSIDERED TO BEA VALID COPY AND SHALL NOT BE USED FOR ANY PURPOSE.
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Appendix A - JAN 2 2 2016
•
State Environmental Quality Review
FULL ENVIRONMENTAL ASSESSMENT FORM jp,/
Southold To ,clert
Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may
be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of ,
a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal
knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge
in one particular area may not be aware of the broader concerns affecting the question of significance.
The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process
has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action.
Full EAF Components: The full EAF is comprised of three parts
Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists
a reviewer in the analysis that takes place in Parts 2 and 3.
Part 2: Focuses on identifying-the range of possible impacts that may occur from a project or action. It provides guidance
as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The
form also identifies whether an impact can be mitigated or reduced
Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is
actually important.
THIS AREA FOR LEAD AGENCY USE ONLY
DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions
Identify the Portions of EAF completed for this project: ri Part 1 1"1Part 2 ®Part 3
Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and
considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that:
riA. The project will not result in any large and important impact(s) and, therefore, is one which will not have a
significant impact on the environment, therefore a negative declaration will be prepared.
riB. Although the project could have a significant effect on the environment, there will not be a significant effect
for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore
a CONDITIONED negative declaration will be prepared.*
1]C. The project may result in one or more large and important impacts that may have a significant impact on the
environment, therefore a positive declaration will be prepared
*A Conditioned Negative Declaration is only valid for Unlisted Actions
Name of Action
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency — Signature of Preparer(If different from responsible officer)
website Date
Page 1 of 21
•
PART 1--PROJECT INFORMATION
Prepared by Project Sponsor
NOTICE* This document is designed to assist in determining whether the action proposed may have a significant effect on the
environment Please complete the entire form, Parts A through E Answers to these questions will be considered as part of the
application for approval and may be subject to further verification and public review. Provide any additional information you believe
will be needed to complete Parts 2 and 3
It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies,
research or investigation If information requiring such additional work is unavailable,so indicate and specify each instance
Name of Action i;e16)GL
Location of Action(include Street Address, Municipality and County)
Name of Applicant/Sponsor rff't�°-Cf[G ,C 0,�Alj7_ L,Le
6,t/ e /
Address /3 j ��
City/PO /*.edkState ►^� j Zip Code /1% 3
Business Telephone (p 3( — 65-1-
Name
s1 Name of Owner(if different)
Address
City/PO State Zip Code
Business Telephone
Description of Action
/5017,0(.747.,,,,L7e fee,e/a.eni
Page 2 of 21
Please Complete Each Question--Indicate N.A. if not applicable
A. SITE DESCRIPTION
Physical setting of overall project, both developed and undeveloped areas.
1. Present Land Use:ElUrban n Industrial Commercial ; Residential (suburban) El Rural (non-farm)
riForest Li- Agriculture ;"Other
2. Total acreage of project area: -2.1-acres.
APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION
Meadow or Brushland (Non-agricultural) 4 - acres acres
Forested 0-21''/acres D acres
Agricultural (Includes orchards, cropland, pasture, etc.) Aft- acres acres
Wetland (Freshwater or tidal as per Articles 24,25 of ECL) d IA' acres acres
Water Surface Area /Jacres acres
Unvegetated (Rock, earth or fill) 1/A acres acres
Roads, buildings and other paved surfaces 0I4 acres acres
1,- -
Other(Indicate type) acres acres
3. What is predominant soil type(s) on project site?
a. Soil drainage: i <Well drained S® %of site Moderately well drained %of site.
[1 Poorly drained %of site
b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land
Classification System? 0 acres (see 1 NYCRR 370).
4. Are there bedrock outcroppings on project site? >>Yes �No
a. What is depth to bedrock (in feet) /14/:(4-
5. Approximate percentage of proposed project site with slopes:
0-10/o /01) /o :10- 15% L,_,, 15%or greater
6. Is project substantially contiguous to,,or ntain a building, site, or district, listed on the State or National Registers of
Historic Places? ri Yes No
7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? 11 Yes i No
8. What is the depth of the water table? -� (in feet)
9, Is site located over a primary, principal, or sole source aquifer? f Yes No
10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? } 1 Yes Lif<lo
Page 3 of 21
11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ;Yes ko
According to:
i
i
Identify each species:
p _
3
J
i
i
12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations?
[]Yes No ,
Describe:
5
13. Is the project site presently used by the community or neighborhood as an open space or recreation area?
ri Yes E__No
If yes, explain:
„
14. Does the present site include scenic views known to be important to the community? riYes No
i
15. Streams within or contiguous to project area:
a. Name of Stream and name of River to which it is tributary
Y yy
16. Lakes, ponds, wetland areas within or contiguous to project area:
s
3
i
i
R
b. Size (in acres):
5 1
a
Page 4 of 21
17 Is the site served by existing public utilities? -es T No
a. If YES, does sufficient capacity exist to allow connection? I Yes -No
b. If YES, will improvements be necessary to allow connection? a Yes
18. Is the site located in an agricultural illsct certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and
304? r Yes No
19. Is the site located in or substantially co iguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL,
and 6 NYCRR 617? ri Yes F—a'"o
20. Has the site ever been used for the disposal of solid or hazardous wastes? ri Yes r.✓'No
B. Project Description
1. Physical dimensions and scale of project (fill in dimensions as appropriate).
a. Total contiguous acreage owned or conttr�olled by project sponsor: e'-2-I I acres.
b. Project acreage to be developed: 0"Z( / acres initially; 0-20 acres ultimately.
c. Project acreage to remain undeveloped:J0 acres.
d. Length of project, in miles: AId4 (if appropriate)
e. If the project is an expansion, indicate percent of expansion proposed. Al/N
f Number of off-street parking spaces existing 0 ; proposed
4-
g. Maximum vehicular trips generated per hour: (upon completion of project)?
h. If residential: Number and type of housing units-
One Family Two Family Multiple Family Condominium
Initially f11 -
Ultimately 1
i. Dimensions (in feet) of largest proposed structure: height; 36 ( width; 53 length.
z 7
j. Linear feet of frontage along a public thoroughfare project will occupy is? �L`f' 43 ft.
2. How much natural material (i.e. rock, earth, etc.)will be removed from the site? D tons/cubic yards.
3. Will disturbed areas be reclaimed
IT. •Yes 1"'o il N/A
a. If yes, for what intended purpose is the site being reclaimed?
1
I
b. Will topsoil be stockpiled for reclamation? 'Ices n No
c. Will upper subsoil be stockpiled for reclamation? 11 Yes No
4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? -_Z( acres.
Page 5 of 21
5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project?
-I Yes V 'No
6. If single phase project: Anticipated period of construction. months, (including demolition)
7. If multi-phased.
✓jamba. Total number of phases anticipated (number) 64/14-
b.
. Anticipated date of commencement phase 1: month _ year, (including demolition) I/A
c. Approximate completion date of final phase month year. Ai/A-
d. Is phase 1 functionally dependent on subsequent phases? Yes I No 4
nh o fu 1 « �.... A
8. Will blasting occur during construction? Yes "No
9. Number of jobs generated: during construction 0 ; after project is complete
10. Number of jobs eliminated by this project 0 .
11. Will project require relocation of any projects or facilities? ri Yes No
If yes, explain:
1
12. Is surface liquid waste disposal involved? I Yes 19l<
a. If yes, indicate type of waste (sewage, industrial, etc) and amount
b. Name of water body into which effluent will be discharged
13. Is subsurface liquid waste disposal involved? `, Yes Type
14. Will surface area of an existing water body increase or decrease by proposal? ri Yes o
If yes, explain:
Y 2
15. Is project or any portion of project located in a 100 year flood plain? El Yes J , o
16. Will the project generate solid waste? riYes F '"1 No
a. If yes, what is the amount per month? tons
b. If yes, will an existing solid waste facility be used? 17
Yes No
c. If yes, give name ; location
d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ElYes t o
Page 6of21
e If yes, explain•
•
17. Will the project involve the disposal of solid waste? r'Yes No
a. If yes, what is the anticipated rate of disposal? tons/month.
b. If yes, what is the anticipated site life? years.
18. Will project use herbicides or pesticides? ' YesNo
19. Will project routinely produce odors (more than one hour per day)? ri Yes 1,4o
20. Will project produce operating noise exceeding the local ambient noise levels? ri Yes aNo
21. Will project result in an increase in energy use? [Yesri No
If yes, indicate type(s)
1
1
_...1
.
. . ._ __
•
22. If water supply is from wells, indicate pumping capacity �/� gallons/minute.
23. Total anticipated water usage per day /%7 - gallons/day.
24. Does project involve Local, State or Federal funding? ; Yes �No
If yes, explain:
Page 7 of 21
25. Approvals Required:
Type Submittal Date
City, Town, Village Board Yes r"-9/No
City, Town, Village Planning Board 4Yes ; No
City, Town Zoning Board r'7',Yes 1-1 No
City, County Health Department Yes ri No
Other Local Agencies ; Yes i No
Other Regional Agencies ,~v- Yes ? `<No
State Agencies Yes .j No
Federal Agencies I Yes No
C. Zoning and Planning Information
1. Does proposed action involve a planning or zoning decision? Yes No
If Yes, indicate decision required:
„„ Zoning amendment 1„Zoning variance 11New/revision of master plan I_ ' Subdivision
Site plan Special use permit j Resource management plan [1 Other
Page 8 of 21
, 2. What is the zoning classification(s) of the site?
I
3. What is the maximum potential development of the site if developed as permitted by the present zoning?
s
3
4. What is the proposed zoning of the site?
I
5. What is the maximum potential development of the site if developed as permitted by the proposed zoning?
(1 t-1 0,1,1,47, the f47
6. Is the proposed action consistent with the recommended uses in adopted local land use plans? r9<ires No
7. What are the predominant land use(s) and zoning classifications within a Y/4 mile radius of proposed action?
,arilla-,—)%44C- ri"../Tle ��kJ, /ICc/e-/A4j((—
E
I
}
f i
i
j
=
E
I
1
E
9
i
8. Is the proposed action compatible with adjoining/surrounding land uses with a 1/4 mile? l'ti/es ? No
9. If the proposed action is the subdivision of land, how many lots are proposed? /"
a. What is the minimum lot size proposed? /114-
Page 9 of 21
10. Will proposed action require any authorization(s) for the formation of sewer or water districts? riYes INo
i
3
1
1
i
E
11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection?
, -Yes �o
a. If yes, is existing capacity sufficient to handle-projected demand? g - Yes IT No
a
I
12. Will the proposed action result in the generation of traffic significantly above present levels? ®Yes ':---"<o
a. If yes, is the existing road network adequate to handle the additional traffic. Yes 11 No
i
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D. Informational Details
Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts
associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them.
E. Verification
I certify that the information provided above is true to the best of my knowledge. !
/
Applicant/Sponsor Na j / / L Date , / i.
4C-V ,dee-L , LLL .
Signature . • 47"
Title \Aa..ig _
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this
assessment.
Page 10 of 21
PART 2 - PROJECT IMPACTS AND THEIR MAGNITUDE
Responsibility of Lead Agency
General Information(Read Carefully)
In completing the form the reviewer should be guided by the question Have my responses and determinations been
reasonable? The reviewer is not expected to be an expert environmental analyst
The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of
magnitude that would trigger a response in column 2 The examples are generally applicable throughout the State and for
most situations But, for any specific project or site other examples and/or lower thresholds may be appropriate for a
Potential Large Impact response,thus requiring evaluation in Part 3.
The impacts of each project,on each site,in each locality,will vary Therefore,the examples are illustrative and have been
offered as guidance They do not constitute an exhaustive list of impacts and thresholds to answer each question
The number of examples per question does not indicate the importance of each question.
In identifying impacts, consider long term,short term and cumulative effects.
Instructions (Read carefully)
a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact.
b Maybe answers should be considered as Yes answers
c. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact. If
impact threshold equals or exceeds any example provided,check column 2. If impact will occur but threshold is lower than
example, check column 1
d Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant Any
large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it
be looked at further
e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3.
f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate
impact, also check the Yes box in column 3 A No response indicates that such a reduction is not possible. This must be
explained in Part 3
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
Impact on Land
1. Will the Proposed Action result in a physical change to the project
site'?
NO fl YES -J
Examples that would apply to column 2
• Any construction on slopes of 15%or greater, (15 foot E ® n Yes 'No
rise per 100 foot of length),or where the general slopes
in the project area exceed 10%
• Construction on land where the depth to the water table ® Yes F9'No
is less than 3 feet
• Construction of paved parking area for 1,000 or more ® ® F Yes r9/No
vehicles
• Construction on land where bedrock is exposed or ® j YesNo
generally within 3 feet of existing ground surface.
• Construction that will continue for more than 1 year or ® Yes KNo
involve more than one phase or stage
• Excavation for mining purposes that would remove n Yes Wo
more than 1,000 tons of natural material(i e,rock or
soil)per year
Page 11 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• Construction or expansion of a santary landfill El 0 rlYes F 1 No
• Construction in a designated floodway El ri nYes F1No
• Other impacts ® El EKes ri No
4
2. Will there be an effect to any unique or unusual land forms found on
the site? .e,cliffs,dunes,geological formations,etc)
0 AYES
• Specific land forms. 17 FT IlYes FINo
I
Impact on Water
3. Will Proposed Action affect any water body designated as protected?
(Under Articles 15,24,25 of the Environmental Conservation Law,
ECL)
JO 0 YES
Examples that would apply to column 2 ® ®
• Developable area of site contains a protected water body Yes 179.‘,
• Dredging more than 100 cubic yards of material from channel of Fl rj Yes rq.Ko
a protected stream
• Extension of utility distribution facilities through a protected water ® 0 ii Yes Er-No
body.
• Construction in a designated freshwater or tidal wetland. ® El ri Yes EK/lo
• Other impacts. f ® Il Yes No
`
4. Will Proposed Action affect any non-protected existing or new body of
Ovate r�
NO OYES
Examples that would apply to column 2
• A 10%increase or decrease in the surface area of any body of El 0 Yes . , No
water or more than a 10 acre increase or decrease
• Construction of a body of water that exceeds 10 acres of surface El El ri Yes rqleo
area
• Other impacts-
i t""" Yes `' to
, , _ ,__,,, , __, ,_ ___: I—
Page 12 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
5. Will Proposed Action affect surface or groundwater quality or
quantity?
No fl YES
Examples that would apply to column 2
• Proposed Action will require a discharge permit ® ® , n Yes �No
• Proposed Action requires use of a source of water that does not ® ® Yes R No
have approval to serve proposed(project)action
• Proposed Action requires water supply from wells with greater El w n Yes RNo
than 45 gallons per minute pumping capacity
• Construction or operation causing any contamination of a water ® ® Yes 19rNo
supply system.
, • Proposed Action will adversely affect groundwater. ® ® ri Yes No
• Liquid effluent will be conveyed off the site to facilities which D El �Yes17.1,;:
presently do not exist or have inadequate capacity
• Proposed Action would use water in excess of 20,000 gallons ® ® ri Yes No
per day
• Proposed Action will likely cause siltation or other discharge into ® ® Yes 1 o
an existing body of water to the extent that there will be an
obvious visual contrast to natural conditions
• Proposed Action will require the storage of petroleum or ® in
Yes l No
chemical products greater than 1,100 gallons.
• Proposed Action will allow residential uses in areas without ® ® Yes {-7(lo
water and/or sewer services •
• Proposed Action locates commercial and/or industrial uses '' ' 0 Fri Yes E9No
which may require new or expansion of existing waste treatment
and/or storage facilities
• Other impacts El ® Yes r
i
Page 13 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
6 Will Proposed Action alter drainage flow or patterns, or surface water
runoff?
N O fl YES
Examples that would apply to column 2 -
• Proposed Action would change flood water flows El riYes ffiNo
• Proposed Action may cause substantial erosion ® El f Yes 191.-lo
• Proposed Action is incompatible with existing drainage patterns I 1 I IYeso
• Proposed Action will allow development in a designated El ® Yes "No
floodway.
• Other impacts: El U Yes 10
3 ,
IMPACT ON AIR
7 Will Pro sed Action affect air quality
NN O ni YES
Examples that would apply to column 2
• Proposed Action will induce 1,000 or more vehicle trips in any El Yes No
given hour
• Proposed Action will result in the incineration of more than 1 ton ® ® ri Yes No
of refuse per hour.
• Emission rate of total contaminants will exceed 5 lbs per hour El El Yes J No
or a heat source producing more than 10 million BTU's per
hour
• Proposed Action will allow an increase in the amount of land ® ®Yes ri—No
committed to industrial use
• Proposed Action will allow an increase in the density of El El nYes r No
industrial development within existing industrial areas.
• Other impacts I YesNo
I F
IMPACT ON PLANTS AND ANIMALS
' 8. Will Pro ed Action affect any threatened or endangered species'?
NO YES
Examples that would apply to column 2
• Reduction of one or more species listed on the New York orj Yes Re
Federal list, using the site,over or near
the site,or found on the site.
Page 14 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• Removal of any portion of a critical or significant wildlife habitat El El
r- Yes o
• Application of pesticide or herbicide more than twice a year, ® Yes
other than for agricultural purposes
• Other impacts. ® ri Yes no
a ,
9 Will Proposed Action substantially affect non-threatened or non-
! endang ed species?
NO "" YES
Examples that would apply to column 2
• Proposed Action would substantially interfere with any resident ® ri Yes 1-9-‹o
or migratory fish,shellfish or wildlife species.
• Proposed Action requires the removal of more than 10 acres of ® ri Yes
mature forest(over 100 years of age)or other locally important
vegetation
• Other impacts ® El ri Yes
7 t
IMPACT ON AGRICULTURAL LAND RESOURCES
10. Will Pro sed Action affect agricultural land resources'?
NO YES
Examples that would apply to column 2
• The Proposed Action would sever,cross or limit access to ® Yes L-No
agricultural land(includes cropland, hayfields, pasture,vineyard,
orchard,etc)
• Construction activity would excavate or compact the soil profile of El ElYes KNo
agricultural land
• The Proposed Action would irreversibly convert more than 10 ® riYes o
acres of agricultural land or, if located in an Agricultural District,
more than 2 5 acres of agricultural land
Page 15 of 21
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• The Proposed Action would disrupt or prevent installation of ® [ [1 Yes 4o
agricultural land management systems(e g.,subsurface drain
lines,outlet ditches,strip cropping),or create a need for such
measures(e g.cause a farm field to drain poorly due to
increased runoff)
• Other impacts. LI 0 f l Yes _No
IMPACT ON AESTHETIC RESOURCES
11. Will Proposed Action affect aesthetic resources?(If necessary, use
the Visu AF Addendum in Section 617.20,Appendix B.)
NO OYES
Examples that would apply to column 2
• Proposed land uses,or project components obviously different [1 Yes No
from or in sharp contrast to current surrounding land use
patterns,whether man-made or natural.
• Proposed land uses, or project components visible to users of El El El Yes [ N°
aesthetic resources which will eliminate or significantly reduce
their enjoyment of the aesthetic qualities of that resource
• Project components that will result in the elimination or r El ®Yes tNo
significant screening of scenic views known to be important to
the area.
• Other impacts ® ® ®Yes rYNo
� t
IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES
12. Will Proposed Action impact any site or structure of historic,
prehisto c or paleontological importance?
NO OYES
Examples that would apply to column 2
• Proposed Action occurring wholly or partially within or ® ® 0 Yes Ll No
substantially contiguous to any facility or site listed on the State
or National Register of historic places
• Any impact to an archaeological site or fossil bed located within LI ® 1 Yes No
the project site
• Proposed Action will occur in an area designated as sensitive ® E Yes No
for archaeological sites on the NYS Site Inventory
Page 16 of 21
1 2 3
Small to Potential Can Impact Be
1 Moderate Large Mitigated by
Impact Impact Project Change
• Other impacts El ri Yes '�No
3
IMPACT ON OPEN SPACE AND RECREATION
13. Will proposed Action affect the quantity or quality of existing or future
open s ces or recreational opportunities?
O fl YES
Examples that would apply to column 2
• The permanent foreclosure of a future recreational opportunity. [ ® n Yes 9 No
• A major reduction of an open space important to the community EJ ® ri Yes .�No
• Other impacts ® Yes [.' o
•
1
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IMPACT ON CRITICAL ENVIRONMENTAL AREAS
14. Will Proposed Action impact the exceptional or unique
characteristics of a critical environmental area(CEA)established
pursua o subdivision 6NYCRR 617 14(g)?
NO
e � YES
List the environmental characteristics that caused the designation of
the CEA
___.._. .
,
i
i Examples that would apply to column 2
• Proposed Action to locate within the CEA? El El ri Yes 7,9No
• Proposed Action will result in a reduction in the quantity of the ® ® ri Yes rillo
resource?
• Proposed Action will result in a reduction in the quality of the El El ri Yes No
resource?
• Proposed Action will impact the use,function or enjoyment of the ri �
® El Yes �11/JNo
resource?
• Other impacts0 ® FlYes , JNo
Page 17of21
I
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
IMPACT ON TRANSPORTATION
15. Will they be an effect to existing transportation systems'?
NO f YES
Examples that would apply to column 2
• Alteration of present patterns of movement of people and/or ® El nYes LJ No
goods
• Proposed Action will result in major traffic problems El El riYes Ko
• Other impacts ['Yes .No
I
1
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i
IMPACT ON ENERGY
16. Will Proposed Action affect the community's sources of fuel or
energy supply'?
EKO fl YES
Examples that would apply to column 2 �
• Proposed Action will cause a greater than 5%increase in the El 11
1 D Yes No
use of any form of energy in the municipality
• Proposed Action will require the creation or extension of an ® ® Yes o
energy transmission or supply system to serve more than 50
single or two family residences or to serve a major commercial
or industrial use
• Other impacts 0 ® 0 Yes 11.110
.
.
NOISE AND ODOR IMPACT
17. Will there be objectionable odors, noise,or vibration as a result of
the Proposed Action'?
O 0 YES
Examples that would apply to column 2 /
• Blasting within 1,500 feet of a hospital,school or other sensitive El ® IlYes TT No
facility.
• Odors will occur routinely(more than one hour per day). El 0 Yes F9Nlo
• Proposed Action will produce operating noise exceeding the __ 0 0 Yes F11No
local ambient noise levels for noise outside of structures
• Proposed Action will remove natural barriers that would act as a El El f i Yes f'I No
noise screen
• Other impacts El El ElYes f_--,j No
Page 18 of 21
' 1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
IMPACT ON PUBLIC HEALTH
18. Will Pro sed Action affect public health and safety'?
` O fYES
t.
• Proposed Action may cause a risk of explosion or release of _; D [j]Yes 1_7_(o
hazardous substances(i e oil,pesticides,chemicals,radiation,
etc)in the event of accident or upset conditions,or there may be
a chronic low level discharge or emission
• Proposed Action may result in the burial of"hazardous wastes" 7-1 r1Yes No
in any form(i e.toxic,poisonous, highly reactive,radioactive,
irritating,infectious,etc)
• Storage facilities for one million or more gallons of liquefied ® ®Yes . . No
natural gas or other flammable liquids
• Proposed Action may result in the excavation or other t . E f Yes1711:-Io
disturbance within 2,000 feet of a site used for the disposal of
solid or hazardous waste
• Other impacts. 0 El ilYes ...�No
r
I
IMPACT ON GROWTH AND CHARACTER
OF COMMUNITY OR NEIGHBORHOOD
19. Will Prop sed Action affect the character of the existing community?
O YES
Examples that would apply to column 2
• The permanent population of the city,town or village in which the ® ® ilYes P "I No
project is located is likely to grow by more than 5%
• The municipal budget for capital expenditures or operating ..„. IW Yes ruillo
services will increase by more than 5%per year as a result of
this project.
• Proposed Action will conflict with officially adopted plans or ® ® ®Yes 19'No
goals
• Proposed Action will cause a change in the density of land use ® El ®Yes f_1 No
• Proposed Action will replace or eliminate existing facilities, 17El Yes 191<o
structures or areas of historic importance to the community
• Development will create a demand for additional community , _ % _ Yes =- No
services(e g.schools, police and fire,etc)
Page 19 of 21
• - I -
1 2 3
Small to Potential Can Impact Be
Moderate Large Mitigated by
Impact Impact Project Change
• Proposed Action will set an important precedent for future T Yes E o
projects
• Proposed Action will create or eliminate employment Yes o
• Other impacts ® Yes i — No
3 '
20 Is there,or is there likely to be,public controversy related to potential
advers nvironment impacts?
flNO OYES
If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of
Impact, Proceed to Part 3
Page 20 of 21
Part 3 - EVALUATION OF THE IMPORTANCE OF IMPACTS
Responsibility of Lead Agency
Part 3 must be prepared if one or more impact(s)is considered to be potentially large,even if the impact(s)may
be mitigated
Instructions (If you need more space,attach additional sheets)
Discuss the following for each impact identified in Column 2 of Part 2
1 Briefly describe the impact.
2 Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by
project change(s)
3 Based on the information available,decide if it is reasonable to conclude that this impact is important.
To answer the question of importance, consider
! The probability of the impact occurring
! The duration of the impact
! Its irreversibility,including permanently lost resources of value
! Whether the impact can or will be controlled
! The regional consequence of the impact
I Its potential divergence from local needs and goals
I Whether known objections to the project relate to this impact
1 �
f i
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I i
}
Page 21 of 21 mµ.
r ___.:_.. °fit