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1000-8.-1-4.16 & 6.5
�\ MIDDLE FARMS POND - U J N F HENRY L. FERGUSON a• MUSEUM INC - T/R E A S u R .� (D r o 1000-8- 1-4. 17 °x° (D =; N o C V o F- 1 U _ -- O� � +- c) ttz CL Ua MIDDLE FARMS F N/F �'4RtijS SITE W Q o w POND FI ASSOCIATES LP o F- w 1000-8-1-6.7 �� J Q .6 U o� J Q�� U N CV o O � a) > CQ \ 43. cn DRILL { (n o U IJ N I10LE C261 j ��_ �'� Q L N w o0 co\ \\0/y F�wF S 23'23'48" E 1O/ �� I W M ago y\ 1 1.PIPE 13.22' I.PIP1= - c _ \ (FOUND) _ __ / I OJ� U c N 2459.956p,8� `��� E 3523.69 ,0500 \ \ N 2455.74 E 3305.77/ nlIs, X04\ \ v I I 8'£ �� GRAVEL DRIVE 'OEAC,H POND 4-\ /n S 23'23'48" E �) \�i / �/ WJ 71 \ / 0 N/F RESIDENCE' N 43.89' 6 4�• I / J ROBERT J. MILLER I} 'APPROX. / 20' WIDE S 66'19'40" W ' ; MON. Iv 1000-8-1-4. 15 I I LOCATION \ RIGHT OF WAY30 79' (FOUND) S 14 47 l of / 12" W ) 30.96' y5 :0 N/F y O Z S 51.33'33' W �/ FI ASSOCIATES LP / LOCATION MAP SCALE 1 "=400' L a I I o N F 0 /0 15.77 / s 1000-8-1-6.6 / A. z "� o AREA TO BE A ROBERT J. MILLER J CONVEYED / > >• APPROXIMATE LOCATION ADRIENNE A. MILLER 0.55 f ACRES f0x6♦ti SSSS SS4� EXISTING WATER SERVICE & -_- -- F I I 1000-8-1-4. 16 MAP REFERENCES - w-_ RIGHT 0 WAY 0C, .0 6 _ � / 1.) MINOR SUBDIVISION PLAN MADE FOR ROBERT J. MILLERIZD 'k ,: jij'�EXISTING LOT UNE x . ��J PROPERTY AT FISHERS ISLAND, NEW YORK, SCALE 1 = 100 ft. Sf x,{ 6tie ' / PREPARED BY CHANDLER, PALMER & KING NORWICH CONNECTICUT S 44.0617 W MARCH 23, 1984, LATEST ADDITION 12/26/84 73.58 TELEPHONE BOX ' I 0 Q / ' MONUMENT I All N 2235.54 / 2.) PROPOSED LOT LINE CHANGE PREPARED FOR RITA M. CUSHMAN, E 3123.71 I I S 55'21'43" W / / TRUSTEE, FISHERS ISLAND, NEW YORK SCALE : 1" = 100' PREPARED 19.33' ♦ BY CHANDLER, PALMER & KING 110 BROADWAY, NORWICH, 164.78' PROPOSED LOT LINE S I S 64'34'20" W / D/ // 'CONNECTICUT MARCH 11, 1982, REVISED 11/15/88. �� S 62�\ 1 20.58' \\�� 83sSoo,F ELECTRIC BOX 1 SET)ROD S 18'43'00" W S��•2S' / 0 �� S• \ \ CE 26.08' _ ._._... -- / a'- WOOD FEN -- -- F NIF / NOTES F- CL � ROBERT J. MILLER ,% loo �� ' %r Of 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE Cy ADRIENNE A. MILLER ; x�o ti°' MONUMENT - '-- - INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE `\�A 1000-8- 1-5 ?foo• MONUMENT *0 N 2193. 16 _ // PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR C LL_ Q (FOUND) E 3423. 13 EXCEEDS THE SCOPE OF THE ENGAGEMENT. L LL LL O \o, ct) i. ��_S 40'56 X00" Ecr , R=23.06 ( RESIDENCE 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY ILL! W J V- z Y �� j APPROX. ) ` �hr „ �, LOCATION / PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED z J O = O S 49'12 20 W ��.. -- ` ' 40.00' �N 49'12 20 E LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. Q _) _ �' R=23.06' cc, / U - W v) o / NCK a"' .3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND w o L Ld PETER R. BRINCKERHOFF APRT (b do w Q W z •' 6�` J: . CIIRVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL SUSAN C. BRINCKERHOFF QPRT ^f ? ,/ • �y°c% " "'��o°� 1000-8-1-6.5 ^�' ARE THE PRODUCT OF THE LAND SURVEYOR. Ld -] W (, Z w g 03 N 40'47 40 W �� c O C - J 0 12 " W 8 85� / 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND -' a z _ p o� 153 GEODETIC SURVEY TRIANGULATION STATION "NIN" o w ~ z z - o . s / w � � m s � a_ W cn NS8• ��6• 3 �' 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX 0 m I� Ln w la * " MAP 1000, SECTION 008, BLOCK 1, LOTS 4.16, 5 & 6.5. O U N � 4 ® a O 6.) SITE IS LOCATED IN R-120 ZONE.LA Q z 4. 00 0) < ao 8�14G1"i POND N 7.) OWNERS- ROBERT J. MILLER & ADRIENNE A. MILLER ryb^ r^ V J PETER R. BRINCKERHOFF QPRT & L.Lj N SUSAN C. BRINCKERHOFF QPRT W 3 ss ( Q- c/) fog NO v� - - 0-43'00" ry � C0 L7 z ® o O U o cV V) }^ o - o co > 2 w � w Q 0 0 z )9 Q o w 0 Q m LEGEND 0 00 00 cc PROPERTY LINE o = m = 0 0 ABUTTERS LINE -- M N i Cl' N � N N EDGE OF PAVEMENT 0o m 0 _� EDGE OF GRAVEL ------------------- w z NOW OR FORMERLY N/F o o cn a w o m m o o J BOUNDARY POINT ® o u MERESTONE ® p E E [ DATE: 02/14/2017 FEB 2 � 2011 PROPOSED LOT AREAS: PLANNING BOARD SCALE: 1 " = 60' southolaTown QUALITY CONTROL CERTIFICATION OWNER EXISTING AREA PROPOSED AREA TOWN OF 5OurmolD -._ Planning Board PROJECT: # 2016826 DAM Ito C)1 ,8 GROUP REVIEWED DATE 1000-8-1-6.5 PETER R. BRINCKERHOFF QPRT & 6.70± ACRES 6.15± ACRES _ PROJECT MANAGER SUSAN C. BRINCKERHOFF QPRT SURVEY s 30 D so SHEET ENVIRONMENTAL -1000-8-1-4.16 ROBERT J. MILLER & ADRIENNE A. MILLER 3.71± ACRES 4.26± ACRES -- CIVIL 1000-8-1-5 ROBERT J. MILLER & ADRIENNE A. MILLER GRAPHIC SCALE IN FEET 1 OF 1 STRUCTURAL ARCHITECTURAL wws�wa w I MIDDLE FARMS POND I U � J N/F HENRY L. FERGUSON a' MUSEUM INC JAS r o1000-8-1-4. 17 � o°l o U - C) ?1• L1J a' 0 o> SC2, M/DbL� V U) = MIDDLE FARMS F N/F �A�Ms SATE W Q o z POND FI ASSOCIATES LP o F. w 1000-8- 1-6.7 ozs czd� _3 V � v _ >� N f b O >_ DOLE 61 j RILL + 0 Q U cu N L N W 00 ch 00 \R/GyR VN 10/ M W M \ or F S 23'23'48" E -_ n \Y I.PIPE 13.22' I.Pl PE v (FOUND) N 2489.98 bpc8� � V, Q V � \ E 3523.G9 N 2455.74 �•- _ E 3608.771 I / �V I -T, -BEACH POND S 23'23'48 p436~F �GRAVEL DRIVE � I , MLu �� - D I .p. ' /n• " E �) \�I �� � -- O� NIF I RESIDENCE N 43.89' 6,41 / i ROBERT J. MILLER FF APPROX. / 20' WIDE S 66.19'40" W ' ; MON. / 'w 1000-8- 1-4. 15I I 30.79 / LOCATION ` RIGHT OF WAY (FOUND) S 14'4712 W ) 1 30.96' N/F a I I o /+� s 51.33 15.77' S F1000 ASSOCIATES 81 Al E 6.6P j LOCATION MAP SCALE 1 "=400' ROBERT JF MILLER �'�tO M ACONVEYEDEA TO E f R� I \r' APPROXIMATE LOCATION w + s Y " r-w4 a, (A ADRIENNE A. MILLER oss t ACRES f� ,� �. - EXISTING WATER SERVICE & I I / /6'h s• F MAP REFERENCES $ - - - _ 1000-8-1-4. 16 RIGHT OF WAY O' w d$ n`I \rV O � � �� 6 1.) MINOR SUBDIVISION PLAN MADE FOR ROBERT J. MILLER EXISTING LOT UNE PROPERTY AT FISHERS ISLAND, NEW YORK SCALE : 1" = 100 ft. C ;` ' - 6, • PREPARED BY CHANDLER, PALMER & KING, NORWICH, CONNECTICUT, :"j: 'G y. dr,f. . .�p .. �.< , , lu,a S 44'06'17" W MARCH 23 , TELEPHONE BOX 73.58' Q� / 1984LATEST ADDITION 12/26/84 ��<; - �_, :', J , f P / , , L/,A MONUMENT N 2235.54 / / 2.) PROPOSED LOT LINE CHANGE PREPARED FOR RITA M. CUSHMAN, E 3 123.71 I I S 55.21'43" W / TRUSTEE, FISHERS ISLAND, NEW YORK SCALE : 1" = 100' PREPARED 19.33' BY CHANDLER, PALMER & KING 110 BROADWAY, NORWICH, ' 164'78' PROPOSED LOT LINE S S I S 64.34'20" w / �/ Ap.\ CONNECTICUT MARCH 11, 1982, REVISED 11/15/88. � 6z p� 1 20.58' %P �sr. j Spp, IRON ROD � 83ELECTRIC BOX (se r) 26.08'F I r) S 18'43'00" W 0 •� `s" \ CE 26.08 WOODFEN _-- -------- ---------.,_.._-.. _,, NIF ------ _ / NOTES ROBERT J. MILLER _ 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE C� ` s ADRIENNE A. MILLER ; xgo `L°' MONUMENT - -- / INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE o `\�� 1000-8-1-5 ��pp. MONUMENT �� E 3423. 13 _ - / PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR � W o (FOUND) 40' 6'00" ��/ -'` EXCEEDS THE SCOPE OF THE ENGAGEMENT. L 0 Lj- 10 �,off �� R-23.06' i' ' RESIDENCE W LL- O c' h '6 ` APPROX. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY (D LLJ _ z Y O " LOCATION PERSON UNLESS ACTING UNDER THE DIRECTION OF A LICENSED z _J = o c, S 49'12 20 W N 49'12'20" E i i / Q O 40.00 LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. _I = > R=23.06' NIF PETER R. BRINCKERHOFF QPRT ^� ,�� 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND z o Q LL) Q z �yo SAA ;ham' SUSAN C. BRINCKERHOFF QPRT ^/ -SURVEYORS SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL J o U < ,/• 1 R , '� ARE THE PRODUCT OF THE LAND SURVEYOR. LL- 1000-8- 1-6.5 "� � W � LiJ (� Z w � �Zg.03 g N 40'47'40" W �i co O Q z 0 N ,30" W 8.85' ; 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND -1 0- �, z o U) o, sl �' GEODETIC SURVEY TRIANGULATION STATION "NIN" c) z m - - s V) °- LLJ vn NSB. 2.?6• 3 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX o m m �w bi 1B• MAP 1000, SECTION 008, BLOCK 1, LOTS 4.16, 5 & 6.5. p O 0 U N cn �Sp•w .n �II 4- ® 6.) SITE IS LOCATED IN R-120 ZONE. w orf00 0) Of < 00 `V BEACH POND y 7.) OWNERS- ROBERT J. MILLER & ADRIENNE A. MILLER CO. `�� PETER R. BRINCKERHOFF QPRT & LiJ c� SUSAN C. BRINCKERHOFF QPRT m ss 3 Q NCO N 80_4�0" W m R-150.2�----- 4 z 0 • 3 i z c) LLJ o /o ip o ^ > 2 W 0' w Q 0 O z 79 Q N SS. w o �9, o Q J a z cn m LEGEND co 0000 CD PROPERTY LINE m o T- m o o ABUTTERS LINE -- EDGE OF PAVEMENT 0 o o o �_ EDGE OF GRAVEL ------------------- � u z zCD / NOW OR FORMERLY N/F o o Fn Q w CO w BOUNDARY POINT ® 0- m o o u ou MERESTONE ® D E G DATE: 02/14/2017 PROPOSED LOT AREAS: NJ FEB 2 8. 2017 SCALE: 1 " = 60' Southold Town QUALITY CONTROL CERTIFICATION OWNER EXISTING AREA PROPOSED AREA Planning Board PROJECT: # 2016826 GROUP REVIEWED DATE 1000-8-1-6.5 PETER R. BRINCKERHOFF QPRT & 6.70E ACRES 6.15± ACRES PROJECT MANAGER SUSAN C. BRINCKERHOFF QPRT SURVEY 60 30 0 60 ENVIRONMENTAL 1000-8-1-4.16 ROBERT J. MILLER & ADRIENNE A. MILLER 3.71± ACRES 4.26± ACRES SHEET CIVIL 1000-8-1-5 ROBERT J. MILLER & ADRIENNE A. MILLER GRAPHIC SCALE IN FEET 1 OF I STRUCTURAL ARCHITECTURAL • i MIDDLE' 12ARM5 POND I U N/F HENRY L FERGUSON \ co MUSEUM INCt - ! t A SU R •� r o 1000-8.- 1-4. 17 r°ND N o C, tm L •= V C U c Is" Y o c MIDDLE FARMS t F N/F �'� L ' _ his SITE W Q o m POND FI ASSOCIATES LP ,� a 3: UJ3 ♦� 1000-8.-1-6.7 �� Q c N M cn DRILL �, �� C1 U cz r- �, MOLE 61 + i Q N w co R/�gTFR 1�// ---� Mc) 0000 n W (n cr) T OF SNF S 23'23'48" E �y \�\Y 1.PIPE 13.22' I.PIPE \ y \� (FOUND) �! N 2459.95 �� V E 3523.G9 N 2455.741 E 3GO5.77/ GRAVEL DRIVE 51!ACH POND LW_- � /^• S 23'23'48" E �� \�i � �i' � / / I / N/F �j I N RESIDENCE N 43.89' ROBERT J MILLER I I I+_ APPROX. / 20 WIDE 'w ( ' LOCATION RIGHT OF WAY S 66'19'40" W ��(FOUND) ✓/ / ` 1000-8.-l-4. 15 (n pFck / S 14'47'12" W 30.79 0 ' I I 30.96 g5 • N F / S 51'33 33 W b, - , ' " ' F1 ASSOC TES LP / LOCATION MAP SCALE 1 "=400' I I 15.77' / a s Z N N F �°j l� � s�� 1000-8.- 1-6.6 �, �, D I I �, ROBERT J MILLER oMi�rEOE a w "� w 0.55 ( ACRES / •�•� S s+ ADRIENNE A MILLER , l _ . APPROXIMATE LOCATION I 1000-8- 1-4. 16•' /2 a����� '�`�• F / / MAP REFERENCES w �- EXISTING WATER SERVICE W W w � 1.) MINOR SUBDIVISION PLAN MADE FOR ROBERT J. MILLER EXISTING LOT UNE �� ��� / PROPERTY AT FISHERS ISLAND, NEW YORK, SCALE 1" = 100 ft. / 6`I'� ° PREPARED BY CHANDLER, PALMER & KING, NORWICH, CONNECTICUT, S 44.06:'17" W ,l ��° / MARCH 23, 1984, LATEST ADDITION 12/26/84 R=170.26 TELEPHONE BOX '•73.58' L=164.78 A=55'27'10" I / 2.) PROPOSED LOT LINE CHANGE PREPARED FOR RITA M. CUSHMAN, CHIORD=N 89'48'35" W 158.43' I I S 55'21'43" W ,/ TRUSTEE, FISHERS ISLAND, NEW YORK SCALE : 1" = 100' PREPARED 19.33' BY CHANDLER, PALMER & KING 110 BROADWAY, NORWICH, -/ PROPOSED LOT LINE S // / CONNECTICUT MARCH 11, 1982, REVISED 11/15/88. I S 64'34'20" W / k3 Rp,\ N 836 1 20.58' 620S' S• Od ELECTRIC BOX s�r)ROD S 18'43'00" W c? �`�° ENCS 26.08' F / WOOD F -- / NOTES (-- N/F ,oN / 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE C� ROBERT J MILLER INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE od Cy 1000-8.-1-4. 15 R=341.80' MONUMENT �,, - L--.- ~ ;J / PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR (� Q L=127.00' (FOUND) �' __ / / .J L A=21.17'20" R=23.06' L 0 �' j �t'--� � EXCEEDS THE SCOPE OF THE ENGAGEMENT. W y / 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY LiJ _ Y CHORD=N 51'26'20" W 126.27' L=36.63' ' RESIDENCE w J LL_ p 7r �=91'00'28" �� � ! APPROX. O Z >t " LOCATION PERSON UNLESS ACTING UNDER THE DIRECTION OF A LICENSED z ___I O = 0 0 �• � , CHORD=S 5'08 18 W 32.90 '�. i,r Rte. s LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. _ ___I = >- �' R=459.47' v N F U - w cn L=144.46' / w� 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND O w PETER R. BRINCKERHOFF QPRT ti� w L j � z A=18'00'51" ^ SURVEYOR S SIGNATURE AND AN ORIGINAL EMBOSSED OR CNK SEAL z U Q S 49'12'20".W CHORD=S 49'48'04" E 143.87' SUSAN C. BRINCKERHOFF QPRT '` f =, o 40.00' ,� ARE THE PRODUCT OF THE LAND SURVEYOR. 1- w W U Z Iw 1000-8- 1-6.5 _ 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND i z Z o GEODETIC SURVEY TRIANGULATION STATION NIN o w ry m - v a W V) 4 S ,5 26. 3 �` 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX O W - m -) w 0, b MAP 1000, SECTION 008, BLOCK 1, LOTS 4.16 & 6.5. o m 0 U 04 � a 6.) SITE IS LOCATED IN R-120 ZONE. Q z LL 00 M 00 O c 7.) OWNERS- ROBERT J. MILLER & ADRIENNE A. MILLER W cn N PETER R. BRINCKERHOFF QPRT & :D R=150.24 SUSAN C. BRINCKERHOFF QPRT w cn L=178.55' A=68'05'32" CHORD=N 2,V45'46" W 168.23' `( i r .• m ® ,,; o � e z a_ U (U e o cry �^ o - o > z _ w Q -- o JAN 17 2017 0 Southold Town z Planning Board Q N SS•,9�59. w `��0" Q a z c m LEGEND 000 00 PROPERTY LINE m o T_m �0 0 ABUTTERS LINE -- EDGE OF PAVEMENT O o 0 o J EDGE OF GRAVEL ------------------- 7w z Z z � `_ / • NOW OR FORMERLY ' N/F o o V) Q w OD w BOUNDARY POINT 0 a_ m o o v ov MERESTONE DATE: 11 /15/2016 SCALE: 1 " = 60' QUALITY CONTROL CERTIFICATION PROPOSED LOT AREAS: PROJECT: # 2016826 GROUP REVIEWED DATE PROJECT MANAGER OWNER EXISTING AREA PROPOSED AREA SURREY so 30 o so SHEET ENviSURrNTAL 1000-8-1-6.5 PETER R. BRINCKERHOFF QPRT & 6.70± ACRES 6.15± ACRES CIVIL SUSAN C. BRINCKERHOFF QPRT GRAPHIC SCALE IN FEET 1 OF 1 STRUCTURAL 1000-8-1-6.4 ROBERT J. MILLER & ADRIENNE A. MILLER 2.03± ACRES 2.58± ACRES ARCHI7ECTURAL OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex '� ;w �o„/„ P.O.Box 1179 54375 State Route 25 6,1 �m a � P� c, Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) .„ Southold, NY Telephone: 631765-1938 r og � www.southoldtowuny.gov J, d N vry µgg pppp II',.py,Y p "I'f LLWa P PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 8, 2017 Stephen L. Ham, III, Esq. 38 Nugent Street Southampton, New York 11968 Re: Final Approval & SEQRA Determination — Proposed Lot Line Modification for Miller & Brinckerhoff Located at 2348 & 2851 Middle Farms Pond Road, Fishers Island SCTM#: 1000-8.-1-5.1 & 6.5 Zoning District: R-120 Dear Mr. Ham, III: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, November 6, 2017: WHEREAS, this re-subdivision proposes to transfer 0.55 acres from SCTM#1000-8.-1- 6.5 to SCTM#1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres; and WHEREAS, the parcel identified above as SCTM#1000-8.-1-5.1 was created from the merging by deed of SCTM#1000-8.-1-4.16 and SCTM#1000-8.-1-5, recorded in Liber 12901 Page 124; and WHEREAS, on February 28, 2017, a Lot Line Modification Application was submitted to the Planning Board; and WHEREAS, on March 31, 2017, the Planning Department notified the applicant that required information had not been submitted; and WHEREAS, on April 11, 2017, the applicant submitted the required information; and Miller & Brinckerhoff Pae 12 November 3 2017 WHEREAS, at their Work Session on May 22, 2017, the Planning Board found the application complete; and WHEREAS, on July 10, 2017, the Public Hearing on the application was held and closed; and WHEREAS, the Southold Town Planning Board, pursuant to Town Code §240-56 Waivers of Certain Provisions, may waive certain elements of the subdivision review if in its judgment they are not requisite in the interest of the public health, safety and general welfare. After reviewing the information submitted for this application, the Planning Board has determined that it is eligible for a waiver of the ERSAP, the Primary and Secondary Conservation Area Plan, the Sketch Plan and the Preliminary Plat steps of the subdivision process for the following reasons: 1. No new lots are being created; 2. The lots involved are already developed; 3. No changes will occur as a result of this lot line change that would affect the character of the neighborhood; and WHEREAS, the Planning Board performed an uncoordinated review of this Unlisted Action pursuant to 6 NYCRR Part 617, Section 617.7 of the State Environmental Quality Review Act (SEQRA); and WHEREAS, pursuant to the Lot Line Modification Policy set by the Planning Board in February 2011, this application is eligible for decision from the Planning Board prior to receiving approval by the Suffolk County Department of Health Services (SCDHS) as it meets the following criterion set forth in that policy: Where no new development potential will be created in the parcel to which the land is transferred; and WHEREAS, on September 25, 2017, at their Work Session, the Planning Board, determined that the proposed action meets all the necessary requirements of Town Code §240 for a Lot Line Modification; be it therefore RESOLVED, that the Planning Board, pursuant to SEQRA, hereby makes a determination of non-significance for the proposed lot line modification and grants a Negative Declaration; and be it further RESOLVED, that the Planning Board hereby waives the requirements of §240 to submit the ERSAP, Primary and Secondary Conservation Plans, Sketch Plan and Preliminary Plat steps; and be it further RESOLVED, that the Planning Board hereby waives the requirement for SCDHS approval prior to Planning Board approval; and be it further Miller & Brinckerhoff Pae 13 November 8, 2017 RESOLVED, that the Southold Town Planning Board grants Final Approval on the map entitled "Proposed Lot Line Change Prepared for Robert J. Miller'I&Adrienne A. Miller, Peter R. Brinckerhoff CPRT & Susan C. Brinckerhoff" prepared l�by Richard H. Strouse, Land Surveyor, dated February 14, 2017, and authorizes the 'Chairman to endorse the map. Please submit a copy of the recorded deed to the Southold Town Planning Department within 62 days of the date of Final Approval, or such approval shall expire and be null and void. Please Note: The Southold Town Planning Board, in waiving the requirement for SCDHS approval prior to their own approval, is simply waiving a technical requirement of Final Plat Approval under the Town Code and makes no representations as to whether SCDHS approval is required. SCDHS approval of this lot line change may be necessary to be in compliance with the Suffolk County Sanitary Code, and to be eligible for future construction or renovations. If you have any questions regarding the above, please contact this office.. Respectfully, Donald J. Wilcenski Chairman Encl. Endorsed Final Map Negative Declaration cc: Assessors I understand that Southold Town Planning Board approval of this Lot Line Modification does not grant, guarantee or waive an approval, if required, from the Suffolk County Department of Health Services (SCDHS). I understand that I will need to apply separately to the SCDHS for any applicable approvals. NI S1-6fkkEP L• tj4M ,-TT- , AQEMrl— Signature of Applicant or Agent Print Name MATTHEWS & HAM ATTORNEYS AND COUNSELORS AT LAW 38 NUGENT STREET ' SOUTHAMPTON, NEW YORH 11988 PHILIP B. MATTHEWS (1912-1992) 631-283-2400 .STEPHEN L. HAM, 111 FACSIMILE 631-287-1076 ,.... e-mail:Matthamesq@aol.com BARBARA T. HAM December 26, 2017 Ms. Erica Bufkins Southold Town Planning Department P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee (SCTM Nos.1000-008.00-01.00-004.016, & 005.000 now mer ed to form lot# 005.001 & 006.005 Dear Erica: In accordance with your recent email and the Planning Board's resolution of November 8, 2017 approving the referenced lot line modification, I have enclosed a certified copy of the deed effecting that modification by the conveyance of a 0.55-acre parcel of land to Robert J. Miller and Adrienne A. Miller by the Trustees of the Peter and Susan Brinckerhoff Qualified Personal Residence Trusts. The deed was recorded in the Office of the Suffolk County Clerk on December 21, 2017 in Liber 12943 at page 304.. Please confirm receipt of this certified copy and let me know if you require any further information, documentation or payment at this time. Sincerely, Stephen L. Ham, III Enclosure cc: Robert J. Miller, Esq. (w/o enclosure) CC# : C17-52846 """ryV' IIMNP�4W COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DEED recorded in my office on 12/21/2017 under Liber D00012943 and Page 304 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 12/21/2017 SUFFOLK COUNTY CLERK ����.� Q. {�a,acc�r✓ JUDITH A.PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/21/2017 Number of Pages : 8 At: 04 :07 : 46 PM Receipt Number : 17-0227233 TRANSFER TAX NUMBER: 17-16737 LIBER: D00012943 PAGE : 304 District: Section: Block: Lot: 1000 008 . 00 01 . 00 005 .001 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $15,000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40 . 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 $10 . 00 NO RPT $400 .00 NO Transfer tax $60 . 00 NO Comm.Pres $0 .00 NO Fees Paid $810 . 00 TRANSFER TAX NUMBER: 17-16737 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. 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I!Aep!14V f— xe as suea 1 f 100 S — p330 wwoO luawlu!oddV ao;PlaH AlunOD Ienp umol Tena V'S'1'd'8 XVl'91W'101 �J(`�D M (alels)L IZS-V3 'PPV/'�adS —_ ......�._. ` � 1 ao .., _lelolgns (Aluno:))LL ZS-V3 e •1!ssV/•:)adS _.m. uo!lelON Ielol gnS tr8S-dl _....._ ...... xel leuo!1!PpV 'Z —._.w.-"� — 6u!IpueH xe1 DIseq'L •lwV a6e6;aoW � aaj 6uid/abed S33d £ sdwelS 6u!l!j/bu!pao:)a8 dweis xel 96e61aoW/paap wawnalsul a6e61aoW/paaa ",.. °Fauq')jo3 j o..mid „� �Plloll'll1 ! 4' 'mou j,..3.A asp. b bJ030A .l!Mu 3 sl : �)q qnd q IIjIm v..0 aujn:)ol:,) s iq.on. I i w f 1' p ^s• sa6ed o as wn f q N (f S IMPORTANT NOTICE If the document you've just recorded is your please be aware of the following: If a portion of your monthly mortgage payment included your property taxes,*you will now need to contact .for all future propert tax �our Ig(al Town Tax Receiver so that you maybe��illeddirectly statements. Local property taxes are payable mvkc v year: on or before January 10t^ and on o, before May s/^ Failure tomake payments inutimely fashion could result inupenalty. Please contact your |ncm| Town Ta, Receiver with any questions regarding property tax payment. Babylon Town Receiver ofTaxes Riverhead Town Receiver ofTaxes 2ooEast Sunrise Highway zooHowell Avenue North Lindenhurst,wx. 11757 Riverhead,N.Y. 1/901 (631)957-3004 (631)727-3200 Brookhaven Town Receiver ofTaxes Shelter Island Town Receiver nfTaxes One Independence Hill Shelter Island Town Hall pn,minovU|e'mx.117an Shelter Island,wx. 11964 (631)451-9009 (631)749-3338 East Hampton Town Receiver ofTaxes Smithtown Town Receiver ofTaxes 3unpvnt|goPlace 99 West Main Street East Hampton,w.Y. 11937 Smithtown,N.Y. 11787 (631)324-2770 (631)360-7610 Huntington Town Receiver ofTaxes Southampton Town Receiver ofTaxes 1nuMain Street lloHampton Road Huntington,N.Y. 11743 Southampton,N.Y. 11968 (631)351-3217 (631)283-6514 Islip Town Receiver ofTaxes Southold Town Receiver ofTaxes +oNassau Avenue sau9sMain Street Islip,N.Y. 11751 Southold,N.Y. llyn (631)224-5580 (631)765-1803 Sincerely, ��. Judith A.Pascale Suffolk County Clerk dw 2/99 CO-DEC-1)7 Doc ID: 17042928 Tax Maps District Secton Block Lot School District Sub Division Name 1000 00800 0100 005001 1000 00800 0100 006009 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made as of the 6th day of December two thousand seventeen, BETWEEN PETER R.BRINCKERHOFF,as Trustee of the Peter R.Brinckerhoff Qualified Personal Residence Trust dated 4-6-2012,291 Sabal Palm Lane,Vero Beach,Florida 32963,and SUSAN C.BRINCKERHOFF,as Trustee of the Susan C.Brinckerhoff Qualified Personal Residence Trust dated 4-5-2012,291 Sabal Palm Lane,Vero Beach, Florida 32963, party of the first part,and ROBERT J. MILLER and ADRIENNE A. MILLER, 15 Mayflower Parkway, Westport, Connecticut 06880, as tenants in common,each with an undivided one-half('/Z)interest, party of the second part, WITNESSETH,that the party of the first part,in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, All that certain plot,piece or parcel of land,situate, lying and being at Fishers Island,Town of Southold,County of Suffolk and State of New York,being more particularly bounded and described as set forth on Exhibit hereto. BEING AND INTENDED TO BE a portion of the same premises respective undivided one-half interests in which were conveyed to the party of the first part by deeds,dated May 11,2012 and recorded in the Office of the Suffolk County Clerk on June 4,2012 in Liber 12695 at pages 137 and 138,respectively, SUBJECT TO the following restriction: No dwelling or outbuilding shall be erected on the premises conveyed hereby without the prior written consent of the party of the first part or its successors or assigns. This conveyance of a portion of the premises of the party of the first part was approved by the Planning Board of the Town of Southold by resolution adopted on November 8, 2017 By accepting this deed,the party of the second part acknowledges and agrees that the premises conveyed hereby shall merge with and become a part of other premises of the party of the second part adjoining the premises conveyed hereby on the west and shall.not constitute a separate building site under applicable laws,ordinances,rules and regulations,.A perimeter description of said merged parcel is set forth on'Schedule B hereto and an excerpt from the lot Pane change map approved by the Planning Board of the Town of Southold depicting the authorized land transfer is set forth on Schedule C hereto. 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 all the estate and rights of the party of the first part in and to said premises;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 cost 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: f�l Peter R.Brinckerhoff,as Trustee usart C.Brinckerhoff,a� � 1 s Teustee Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment TO BE USED State of New York,County of as: State of New York,County of SS: On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)are satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in hislher/their capaclly(oes),and he/sheithey executed the same in his,ther/their capacities, and that by his/herltheir signature(s) on the instrument, the that by theri,signatures on the instrument,the individuals,or the individual(s),or the person upon behalf of which the individual(s) person upon behalf of which the individuals acted,executed the acted,executed the instrument. instrument. Notary Public Notary Public (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of Connecticut;County of Fairfield ss: 01'(04"w kfVN- On the 6111 day of December in the year 2016 before me,the undersigned,personally appeared Peter R.Brinckerhoff and Susan C.Brinckerhoff personally known tome or2roved to me on the basis ofsatisfacto evidepgto be the individuals whose names are subscribed to the within instrument and aRn—dw7e-dg—e-dl-o-m-e-ffi-al-t)iey—exe 05e-rariie in their capacities,and that by their signatures on the instrument,the individuals, or the persons upon behalf of which the�' drviduals acted, executed the instrument, and that such individuals made such appearance before the undersigned in in the State of Connecticut. (insert the C or other political subdivision) LILLI R.ROBERTSON E%6&Loo ............. NOTARY PUBLIC (signature and office of individuak taking acknowledgment) MY co I IS ION EXPIRES APRIL 30,2021 1 6�-1 0-11 BARGAIN AND SALE DEED DISTRICT 1000SECTION 008.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 01.00 LOT p/o 006.005 Title No. COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS PRIV RD OFF EAST END ROAD PETER R.BRINCKERHOFF,as Trustee, FISHERS ISLAND,NY 06390 and SUSAN C.BRINCKERHOFF,as Trustee TO RETURN BY MAIL TO: ROBERT J.MILLER and ADRIENNE A.MILLER STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: WcA"&SP4 2017 (SCTIV1 New. 1000-00,8.00-01. - lo 006.005 ALL that certain lot or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York bounded and described as follows: BEGINNING at an iron pipe set at the northwesterly corner of the herein described tract, said iron pipe being located 2489.98 feet North of a point which is 3623.69 feet East of a monument marking the United States Coast & Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 68 degrees 04 minutes 36 seconds East, 176.41 feet to a monument; THENCE South 66 degrees 19 minutes 40 seconds West, 30.79 feet to a point; THENCE South 57 degrees 17 minutes 02 seconds West, 48.55 feet to a point; THENCE South 51 degrees 33 minutes 33 seconds West, 15.77 feet to a point; THENCE South 44 degrees 18 minutes 46 seconds West, 60.63 feet to a point; THENCE South 47 degrees 58 minutes 55 seconds West, 62.45 feet to a point; THENCE South 44 degrees 06 minutes 17 seconds West, 73.58 feet to a point; THENCE South 55 degrees 21 minutes 43 seconds West, 19.33 feet to a point; THENCE South 64 degrees 34 minutes 20 seconds West, 20.58 feet to an iron rod; THENCE North 18 degrees 43 minutes 00 seconds East, 287.31 feet to the iron pipe at the point of BEGINNING. Containing 0.55 acres, more or less. SUBJECT TO a right of way 20 feet in width in favor of The Henry L. Ferguson Museum, A-1 the center line of said right of way being described as follows: BEGINNING at a point in the northerly boundary line of the herein described tract, said point being located 2455.74 feet North of a point which is 3608.77 feet East of said "NIN"monument; and RUNNING THENCE South 23 degrees 23 minutes 48 seconds East, 43.89 feet to a point; THENCE South 14 degrees 47 minutes 12 seconds West, 30.96 feet to a point in the southwesterly boundary of the herein described tract. A-2 SCHEDULE B to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: T edM3fca. 6 , 2017 (SCTM Flo. 1000-00 .00-01. 0-005.001 10 006.006 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected„situate, lying and being at Fishers Island,Town of Southold, County of Suffolk and State of New"York, being bounded and described as follows: BEGINNING at a monument which is located 2193.16 feet North of a point which is 3423.13 feet East of a monument marking the United States Coast & Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 49 degrees 04 minutes 00 seconds West, 82.29 feet to a monument at a point of curve to the left having a radius of 23.06 feet and the direction of whose radius at that point is South 40 degrees 56 minutes 00 seconds East; THENCE southwardly following the arc of said curve, 36.17 feet to a point; THENCE South 49 degrees 12 minutes 20 seconds West, 40.00 feet to a point; THENCE North 40 degrees 47 minutes 40 seconds West, 8.85 feet to a point; THENCE the following three tie line courses and distances along the average high water line of Beach Pond: (1) South 53 degrees 41 minutes 30 seconds West, 52.64 feet; (2) South 75 degrees 38 minutes 30 seconds West, 129.03 feet; and (3) South 26 degrees 08 minutes 00 seconds West, 241.21 feet; THENCE North 11 degrees 02 minutes 00 seconds West, 436.48 feet to a point of curve to the right having a radius of 170.26 feet and the direction of whose radius at that point is South 27 degrees 32 minutes 10 seconds East; THENCE eastwardly following the arc of said curve, 164.78 feet to a monument; THENCE South 62 degrees 05 minutes 00 seconds East, 83.65 feet to a point of curve to B-1 the right having a radius of 341.80 feet and the direction of whose radius at that point is South 27 degrees 55 minutes 00 seconds West; THENCE southeastwardly following the arc of said curve, 127.00 feet to a point; THENCE North 02 degrees 46 minutes 36 seconds West, about 465 feet to the shore of Middle Farms Pond; THENCE following the meanders of said shore line in a southeasterly and northeasterly direction, about 350 feet to a point; THENCE South 55 degrees 21 minutes 42 seconds West, 80 feet, more or less, to a point; THENCE South 34 degrees 38 minutes 18 seconds West, 115.00 feet to a drill hole; THENCE South 23 degrees 23 minutes 48 seconds East, 13.22 feet to a point; THENCE South 61 degrees 05 minutes 00 seconds West, 64.83 feet to an iron pipe; THENCE South 68 degrees 04 minutes 36 seconds East, 176.41 feet to a monument; THENCE South 66 degrees 19 minutes 40 seconds West, 30.79 feet to a point; THENCE South 57 degrees 17 minutes 02 seconds West, 48.55 feet to a point; THENCE South 51 degrees 33 minutes 33 seconds West, 15.77 feet to a point; THENCE South 44 degrees 18 minutes 46 seconds West, 60.63 feet to a point; THENCE South 47 degrees 58 minutes 55 seconds West, 62.45 feet to a point; THENCE South 44 degrees 06 minutes 17 seconds West, 73.58 feet to a point; THENCE South 55 degrees 21 minutes 43 seconds West, 19.33 feet to a point; THENCE South 64 degrees 34 minutes 20 seconds West, 20.58 feet to an iron rod; THENCE South 18 degrees 43 minutes 00 seconds West, 26.08 feet to the monument set at the point or place of BEGINNING. B-2 SCHEDULE C to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: -k)g(+Et.Wk 6 , 2017 ....._..... _ DRILL BOLE <f -011 1 S 23'23'48" E 0 r I.PIPE 13,22' !.PIPE " (FOUND) N 2469.98 N� y "^ E 3523.69 '0 1 N 2455.74)� ' E 3608,77) ID 8 ,GRAVEL DRIVE S 23'23'48" E ' RESIDENCE' � 3.89 1� �• � 1� APPROX.X 20 I� N ® 10E S 66'19'40" W 1 1 MON. LOCATION RIGHT OF WAY 30.79' f (POUND) t� S 14'47'12" W 1 p O 30.96" ! S 51'33'33' W_ 15.77' S+ ROBERT JF MILLER AREA C NVEOYEDE ® , ADRIENNE A. MILLER " 0.55 t ACRES lbF 1000-8-1-4. 16 EXISTING LOT LINE " S 44'06'17' W, 73.58` ' S 55'21'43" W 19.33' PROPOSED LOT LINE 64'34'20" 20.58' IRON ROD (5�) 6 18'43'00" W 26.08' VOD MONUMENT . N2193.19 MONUMENT F -2A'2!2 " a .. .. �� C-1 OFFICE LOCATION: ALAILING DRESS: Town Hall Annex qw � z P.O. Box 1179 54375 State Route 251 'k* Southold, NY 11971 (car. Main Rd. &Youngs Ave.) d Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 8, 2017 Stephen L. Ham, III, Esq. 38 Nugent Street Southampton, New York 11968 Re: Final Approval & SEQRA Determination — Proposed Lot Line Modification for Miller & Brinckerhoff Located at 2348 & 2851 Middle Farms Pond Road, Fishers Island SCTM#: 1000-8.-1-5.1 & 6.5 Zoning District: R-120 Dear Mr. Ham, III: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, November 6, 2017: WHEREAS, this re-subdivision proposes to transfer 0.55 acres from SCTM#1000-8.-1- 6.5 to SCTM#1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres; and WHEREAS, the parcel identified above as SCTM#1000-8.-1-5.1 was created from the merging by deed of SCTM#1000-8.-1-4.16 and SCTM#1000-8.-1-5, recorded in Liber 12901 Page 124; and WHEREAS, on February 28, 2017, a Lot Line Modification Application was submitted to the Planning Board; and WHEREAS, on March 31, 2017, the Planning Department notified the applicant that required information had not been submitted; and WHEREAS, on April 11, 2017, the applicant submitted the required information; and Miller & Brinckerhoff Pae 12 November 8.2017 WHEREAS, at their Work Session on May 22, 2017, the Planning Board found the application complete; and WHEREAS, on July 10, 2017, the Public Hearing on the application was held and closed; and WHEREAS, the Southold Town Planning Board, pursuant to Town Code §240-56 Waivers of Certain Provisions, may waive certain elements of the subdivision review if in its judgment they are not requisite in the interest of the public health, safety and general welfare. After reviewing the Information submitted for this application, the Planning) Board has determined that it is eligible for a waiver of the ERSAP, the Primary and Secondary Conservation Area Plan, the Sketch Plan and the Preliminary Plat steps of the subdivision process for the following reasons: 1. No new lots are being created; 2. The lots involved are already developed; 3. No changes will occur as a result of this lot line change that would affect the character of the neighborhood; and WHEREAS, the Planning Board performed an uncoordinated review of this Unlisted Action pursuant to 6 NYCRR Part 617, Section 617.7 of the State Environmental Quality Review Act (SEQRA); and WHEREAS, pursuant to the Lot Line Modification Policy set by the Planning Board in February 2011, this application is eligible for decision from the Planning Board prior to receiving approval by the Suffolk County Department of Health Services (SCDHS) as it meets the following criterion set forth in that policy: • Where no new development potential will be created in the parcel to which the land is transferred; and WHEREAS, on September 25, 2017, at their Work Session, the Planning Board, determined that the proposed action meets all the necessary requirements of Town Code §240 for a Lot Line Modification; be it therefore RESOLVED, that the Planning Board, pursuant to SEQRA, hereby makes a determination of non-significance for the proposed lot line modification and grants a Negative Declaration; and be it further RESOLVED, that the Planning Board hereby waives the requirements of §240 to submit the ERSAP, Primary and Secondary Conservation Plans, Sketch Plan and Preliminary Plat steps; and be it further RESOLVED, that the Planning Board hereby waives the requirement for SCDHS approval prior to Planning Board approval; and be it further Miller & Brinckerhoff Pae 13 November 8, 2017 RESOLVED, that the Southold Town Planning Board grants Final Approval on the map entitled "Proposed Lot Line Change Prepared for Robert J. Miller & Adrienne A. Miller, Peter R. Brinckerhoff QPRT & Susan C. Brinckerhoff' prepared by Richard H. Strouse, Land Surveyor, dated February 14, 2017, and authorizes the Chairman to endorse the map. Please submit a copy of the recorded deed to the Southold Town Planning Department within 62 days of the date of Final Approval, or such approval shall expire and be null and void. Please Note: The Southold Town Planning Board, in waiving the requirement for SCDHS approval prior to their own approval, is simply waiving a technical requirement of Final Plat Approval under the Town Code and makes no representations as to whether SCDHS approval is required. SCDHS approval of this lot line change may be necessary to be in compliance with the Suffolk County Sanitary Code, and to be eligible for future construction or renovations. If you have any questions regarding the above, please contact this office. Respectfully, Donald J. Wilcenski Chairman Encl. Endorsed Final Map Negative Declaration cc: Assessors I understand that Southold Town Planning Board approval of this Lot Line Modification does not grant, guarantee or waive an approval, if required, from the Suffolk County Department of Health Services (SCDHS). I understand that I will need to apply separately to the SCDHS for any applicable approvals. Signature of Applicant or Agent Print Name OFFICE LOCATION: 1,77, LING ADDRESS: Town Hall Annex ®F SOJ P.O. Box 1179 54375 State Route 25 Ila, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ; Telephone- 631 765-1938 Southold, NY www.s outholdt ownny.gov ' Cou � PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant November 6, 2017 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed Lot Line Change for Miller & Brinckerhoff SCTM#: SCTMs#1000-8.-1-5.1 & 6.5 Location: 2348 & 2851 Middle Farms Pond Road, Fishers Island, NY, 06390 SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This proposed lot line change involves the re-subdivision of two lots and a lot merger, Lot SCTM#: 1000-8.-1-4.16 and lot SCTM#: 1000-8.-1-5 merged to create SCTM#: 1000-8.-1-5.1. The resubdivision proposes to transfer 0.55 acres from SCTM#: 1000-8.- 1-6.5 to SCTM#: 1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and lot 5.1 will increase in size from 3.71 acres to 4.26 acres in the R-120 Zoning District. Negative Declaration F1 i g t 2 November 6, 2017 Reasons Supporting This Determination: A Short Environmental Assessment Form has been submitted and reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The determination was based upon the following: This Lot Line Modification will not have any adverse impacts on the surrounding neighborhood or adjacent properties. No new lots will be created, and no increase in development is expected as a result due to the configuration of the land transfer. Thus the following can be said of this action: 1. Following the proposed re-subdivision, Lots 5.1 and 6.5 would remain conforming where Lot 5.1 totals 4.26 acres and Lot 6.5 totals 6.15 acres in the R-120 Zoning District, which requires a minimum lot size of 3 acres. 2. The proposed application will have no bearing upon Article VI of the Suffolk County Sanitary Code and will, therefore, conform to Article VI of the Suffolk County Sanitary Code and will not be expected to adversely affect groundwater quality. 3. No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels, no substantial increase in solid waste production, potential of erosion, flooding, leaching or drainage problems will occur as a result of this action. 4. No significant removal or destruction of large quantities of vegetation or fauna, no substantial interference with the movement of any resident or migratory fish or wildlife species, no significant impacts on a significant habitat area, no substantial adverse impacts on a threatened or endangered species of animal or plant or the habitat of such a species, and no other significant adverse impacts to natural resources will occur as a result of this lot line change. 5. The proposed action is not in a material conflict with a community's current plans or goals as officially approved or adopted. 6. The proposed action will not significantly impair the character or quality of important historical, archaeological, architectural, or aesthetic resources or of existing community or neighborhood character. 7. No major change in the use of either the quantity or type of energy will occur. 8. No creation of a hazard to human health will occur as a result of this lot line change. Negative Declaration Page 13 November 6, 2017 9. The proposed action will not cause a substantial change in the use, or intensity of use, of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: Contact Person: Erica Bufkins, Planner Trainee Address: Southold Town Planning Board P.O. Box 1179 Southold, NY 11971 Telephone Number: (631) 765-1938 Project k evhoff I rut Linc Dau, 111114117 ............. ............. Full Environmental Assessment Form Part 3 -Evaluation of the Magnitude and Importance of Project Impacts and Determination of Significance Part 3) provides the reasons in support of the determination of significance. The lead agency must complete Part 3 for every question in Part 2 where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. Based on the analysis in Part 3,the lead agency must decide whether to require an environmental impact statement to further assess the proposed action or whether available information is sufficient for the lead agency to conclude that the proposed action will not have a significant adverse environmental impact. By completing the certification on the next page,the lead agency can complete its determination of significance. Reasons Supporting This Determination: To complete this section: • Identify the impact based on the Part 2 responses and describe its magnitude. Magnitude considers factors such as severity, size or extent of an impact. • Assess the importance of the impact. Importance relates to the geographic scope,duration,probability of the impact occurring,number of people affected by the impact and any additional environmental consequences if the impact were to occur. • The assessment should take into consideration any design element or project changes. • Repeat this process for each Part 2 question where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. • Provide the reason(s)why the impact may,or will not,result in a significant adverse environmental impact • For Conditional Negative Declarations identify the specific condition(s)imposed that will modify the proposed action so that no significant adverse environmental impacts will result. 0 Attach additional sheets,as needed. See Attached State Environmental Quality Review Negative Declaration Notice of Determination Non-Significance November 6,2017. Determinationof Significance - Type I and Unlisted Actions SEQR Status: Type I Unlisted Identify portions of EAF completed for this Project: Fv-/] Part I Part 2 Part 3 ............. Upon review of the information recorded on this EAF,as noted,plus this additional support information Re ....... ................ ..... and considering both the magnitude and importance of each identified potential impact, it is the conclusion of the Southold Planning Board as lead agency that: F71 A. This project will result in no significant adverse impacts on the environment,and,therefore,an environmental impact statement need not be prepared. Accordingly,this negative declaration is issued. F-1 B. Although this project could have a significant adverse impact on the environment,that impact will be avoided or substantially mitigated because of the following conditions which will be required by the lead agency: . .....m.... ....w. ...... There will,therefore,be no significant adverse impacts from the project as conditioned,and,therefore,this conditioned negative I declaration is issued. A conditioned negative declaration may be used only for UNLISTED actions(see 6 NYCRR 617A). F-1 C. This Project may result in one or more significant adverse impacts on the environment,and an environmental impact statement must be prepared to further assess the impact(s)and possible mitigation and to explore alternatives to avoid or reduce those impacts. Accordingly,this positive declaration is issued. Name of Action: Miller&Brinckerhoff Lot Line Change Name of Lead Agency: Southold Planning Board Name of Responsible Officer in Lead Agency: Donald Wilcenski Title of Responsible Officer: Chairman SiglMhArc of Responsible Officer in Lead Agency: Date: 114TI'l in Responsible Officer) �21 �A Date: Signature of Preparer(if different fro For Further Information: Contact Person: Mark Terry,Assistant Director of Planning Address: 54375 State Route 25,P.O.Box 1179,Southold,NY 11971 Telephone Number:631-765-1938 E-mail: Mark.Terry@town.southold.ny.us For Type 1 Actions and Conditioned Negative Declarations,a copy of this Notice is sent to: Chief Executive Officer of the political subdivision in which the action will be principally located(e.g.,Town City Village of) Other involved agencies(if any) App I icant(if an nbfenb Mail Bulletin: PRINT JLL FORM Page 2 of 2 Agency Use Only[if applicable] Full Environmental Assessment Form Project: Miller and Brinckerhoff Lot Line Part 2-Identification of Potential Project Impacts Date Part 2 is to be completed by the lead agency. Part 2 is designed to help the lead agency inventory all potential resources that could be affected by a proposed project or action. We recognize that the lead agency's reviewer(s)will not necessarily be environmental professionals. So,the questions are designed to walk a reviewer through the assessment process by providing a series of questions that can be answered using the information found in Part 1. To further assist the lead agency in completing Part 2,the form identifies the most relevant questions in Part 1 that will provide the information needed to answer the Part 2 question. When Part 2 is completed,the lead agency will have identified the relevant environmental areas that may be impacted by the proposed activity. If the lead agency is a state agency and the action is in any Coastal Area,complete the Coastal Assessment Form before proceeding with this assessment. Tips for completing Part 2: • Review all of the information provided in Part 1. • Review any application,maps,supporting materials and the Full EAF Workbook. • Answer each of the 18 questions in Part 2. • If you answer"Yes"to a numbered question,please complete all the questions that follow in that section. • If you answer"No"to a numbered question,move on to the next numbered question. • Check appropriate column to indicate the anticipated size of the impact. • Proposed projects that would exceed a numeric threshold contained in a question should result in the reviewing agency checking the box"Moderate to large impact may occur." • The reviewer is not expected to be an expert in environmental analysis. • If you are not sure or undecided about the size of an impact,it may help to review the sub-questions for the general question and consult the workbook. • When answering a question consider all components of the proposed activity,that is,the"whole action". • Consider the possibility for long-term and cumulative impacts as well as direct impacts. • l considering the scale and context of the project. Answer the r tla��stiiaft m a reasonable manner cc�t��idurlll .. � mm... 1. Impact on Land Proposed action may involve construction on, or physical alteration of, ®NO ❑YES the land surface of the proposed site. (See Part 1.D.1) Lf"Yes", answer questions a t. If"No", move on to Section 2. Relevant No,or Moderate Part I small to large Question(s) impact impact may ma occur occur a.The proposed action may involve construction on land where depth to water table is E2d ID less than 3 feet. b.The proposed action may involve construction on slopes of 15%or greater, E2f ❑ n c.The proposed action may involve construction on land where bedrock is exposed,or Eta ❑ :,� gcnct•ally within 5 feet of existing ground surface. d.The proposed action may involve the excavation and removal of more than 1,000 tons D2a U r:7 of natural material. e.The proposed action may involve construction that continues for more than one year D1 e 10 to or in multiple phases. f.The proposed action may result in increased erosion,whether from physical D2e,D2q ve et reti treatment by [es), disturbance or g' a��,a� removal(including from herbicides), g proposed osed P ro action is,or may„be,located within a Coastal Erosion hazard area. Bl ❑ k h.Other impacts:m Page 1 of 10 2. Impact on Geological Features The proposed action may result in the modification or destruction of, or inhibit access to, any unique or unusual land forms on the site(e.g.,cliffs, dunes, [Z]NO ❑YES minerals,fossils, caves). (See Part 1. E.2.g) If"Yres'% answer questions a-c. "No", move on Section 3. ....... Relevant No,or Moderate Part I small to large Question(s) impact impact may maoccur ----Occur a.Identify the specific land form(s)attached: m. E2g .......... .......... b.The proposed action may affect or is adjacent to a geological feature listed as a E3c D registered National Natural Landmark. Specific feature:...... . ...... c. Other impacts: ............ .............. ................. 3. Impacts on Surface Water The proposed action may affect one or more wetlands or other surface water ®NO [:1 YES bodies(e.g., streams,rivers,ponds or lakes). (See Part 1.D.2,E.2.h) If"Yes", answer questions a-L If"No", move on to Section 4. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur �mm a. n The proposed actiomay create anew water body. D2b,D1 b.Theproposed action may result in an increase or decrease of over 10%or more than a D2b 10 acre increase or decrease in the surface area of any body of water. .. .... c.The proposed action may involve dredging more than 100 cubic yards of material D2a E-1 from a wetland or water boclY–,--- d.The proposed action may involve construction within or adjoining a freshwater or E2h ❑ tidal wetland,or in the bed or banks of any other water body. U e.The proposed action may create turbidity in a waterbody,either from upland erosion, D2a,132h Ll —runoff or by disturbing bottom sediments. ..................... ........ f The proposed action may include construction of one or more intake(s)for withdrawal D2C of water from surface water. ........... g.The proposed action may include construction of one or more outfall(s)for discharge D2d El C] of wastewater to surface water(s) h.The proposed action may cause soil erosion,or otherwise create a source of D2e 1-3 EJ stormwater discharge that may lead to siltation or other degradation of receiving water bodies. ........... ..................... .................. .......... i.The proposed action may affect the water quality of any water bodies within or E2h 17], downstream of the site of the proposed action. i.The proposed action may involve the application of pesticides or herbicides in or D2q,E2h Ij I around any water body. k.The proposed action may require the construction of new,or expansion of existing, D I a,D2d wastewater treatment facilities. Page 2 of 10 1.Other impacts: ...... -------____- .................. .................... .......... .......... 4. Imppctp n groundwater The roosed action may result in new or additional use of ground water, or ©NO ❑YES may have the potential to introduce contaminants to ground water or an aquifer. (See Part 1.D.2.a, D.2.c,D.2.d, D.2.p, D.2.q, D.2.t) i1"Yes", .an quesfions a-h. "No", move on to Section 5. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed action may require new water supply wells,or create additional demand D2c D D on supplies from existing water supply wells, .......... b.Water supply demand from the proposed action may exceed safe and sustainable D2c ❑ withdrawal capacity rate of the local supply or aquifer. Cite Source: c.The proposed action may allow or result in residential uses in areas without water and DIa,D2c El El sewer services. d.The proposed action may include or require wastewater discharged to groundwater, D2d,E21 e.The proposed action may result in the construction of water supply wells in locations D2c,E1 f, 0 where groundwater is,or is suspected to be,contaminated. EIg,Elh ............... f.The proposed action may require the bulk storage of petroleum or chemical products D2p,E21 —over ground water or an aqui fer. 9.The proposed action may involve the commercial application of pesticides within 100 E2h,D2q, El U feet of potable drinking water or irrigation sources. E21,D2c h. Other impacts: ... ........ 5. Thepos Imact on Flooding proped action may result in development on lands subject to flooding. VINO ❑YES (See Part 1. E.2) If"Yes answer "If iyo", move on to Section 6 Relevant No,or Moderate Part I small to large Question(s) impact impact may _--my occur occur a.The proposed action may result in development in a designated floodway. E2i b.The proposed action may result in development within a 100 year floodplain. E2j c.The proposed action may result in development within a 500 year floodplain, Elk CA . .................. -,I I d.The proposed action may result in,or require,modification of existing drainage D2b,D2e patterns. ...... ............... e.The proposed action may change flood water flows that contribute to flooding, D2b, E2i, F1 L2k f.If there is a dam located on the site of the proposed action, is the dam in need of repair, El ❑ ED or upgrade? Page 3 of 10 g.Other impacts: ....... .... .......................-.-....... .......... ------------- ............... 6. Impacts on Air The proposed action may include a state regulated air emission source. ©NO DYES (See Part 1.D.2.f., D,2,h, D.2.g) 11 "Yes", answer questions a-f �J—No", move on to Section 7 . ..... Relevant No,or Moderate Part I small to large Question(s) impact impact may jnLay occur occur a.If the proposed action reqUil-CS federal or state air emission permits,the action may also emit one or more greenhouse gases at or above the following levels: i. More than 1000 tons/year of carbon dioxide(CO2) D2g 11 0 ii. More than 3.5 tons/year of nitrous oxide(N20) D2g 0 0 iii.More than 1000 tons/year of carbon equivalent of perfluorocarbons(PFCs) D2g ❑ El iv.More than .045 tons/year of sulfur hexafluoride(SF6) D2g ❑ 0 v. More than 1000 tons/year of carbon dioxide equivalent of D2g hydrochloroflourocarbons(HFCs)emissions D2h vi.43 tons/year or more of methane b.The proposed action may generate 10 tons/year or more of any one designated D2g 0 D hazardous air pollutant,or 25 tons/year or more of any combination of such hazardous air L)2-1—lutant-%. c.The proposed action may require a state air registration,or may produce an emissions D2f,D2g rate of total contaminants that may exceed 5 lbs.per hour,or may include a heat source capable of produchig more than 10 million BTU's per hour. d.The proposed action may reach 50%of any of the thresholds in"a"through"ell, D2g El Ij above. e.The proposed action may result in the combustion or thermal treatment of more than 1 D2s 0 El ton of refuse per hour. -- f.Other impacts;.........._.......... D ----------- ........ ....... 7. Impact on Plants and Animals mm The proposed action may result in a loss of flora or fauna. (See Part 1. E.2. m.-q.) W]NO E]YES 11"'Yes", answer questions a J, If"No ", move on toSection 8. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur . ............ a.The proposed action may cause reduction in population or loss of individuals of any Ego D 171 threatened or endangered species,as listed by New York State or the Federal —government,that use the site,or are found on,over,or near the site. b.The proposed action may result in a reduction or degradation of any habitat used by Ego 10 0 any rare,threatened or endangered species,as listed by New York State or the federal c.The proposed action may cause reduction in population,or loss of individuals,of any E2p species of special concern or conservation need,as listed by New York State or the Federal government,that use the site,or are found on,over,or near the site. d.The proposed action may result in a reduction or degradation of any habitat used by E2p ('3 any species of special concern and conservation need,as listed by New York State or the Federal goveroment. Page 4 of 10 ZD e.The proposed action may diminish the capacity of a registered National Natural E3c ❑ 1 1 y was established to protect, Landmark a rk to support�oa�C the N�tp�loti..lr:�rl communAd., �t „_..._.,. ......__. ...... ..._ f.The proposed action may result in the removal of,or ground disturbance in,any E2n u ❑ portion of a designated significant natural community. Source: over-wintering ed a tion t for ubsp ntiall conte species that occupy or _..... W.._.. g. proposed y y ' with nesting/breeding,foraging,or Elm ❑ ❑ py use the project site. h.The proposed action requires the conversion of more than 10 acres of forest, Elb ❑ ❑ grassland or any other regionally or locally important habitat. Habitat type&information source: .,. __ ..... i.Proposed action(commercial,industrial or recreational projects,only)involves use of D2q ❑ n herbicides or pesticides. j.Other impacts:am.......,, u ❑ 8._ The ropos d action may impact agricultural resources. (See Part 1. E.3.a. and b ) p WINO ❑act on Agricultural Resources YES IYes", uestions f" q . If"No move on Section 9 answer a h moto........ ...... _. _.......... Relevant No,or Moderate Part I small to large Question(s) impact impact may ccur _.. ..._ _......mm.. m w maV occur o......... a.The proposed action may impact soil classified within soil group 1 through 4 of the E2c,E3b D Ell NYS Land Classification System. b.The proposed action may sever,cross or otherwise limit access to agricultural land Ela,Elb �.: ❑ (includes cropland,hayfields,pasture,vineyard,orchard,etc). mmmj c.The proposed action may result in the excavation or compaction of the soil profile of E3b ❑ n active;agricultural land. d.The proposed action may irreversibly convert agricultural land to non-agricultural Elb,E3a ❑ 0 uses,either more than 2.5 acres if located in an Agricultural District,or more than 10 acres if not within an Agricultural District. e.The proposed action may disrupt or prevent installation of an agricultural land El a,Elb D 110 management system„ f.The proposed action may result,directly or indirectly,in increased development C2c,C3, ❑ ❑ potential d l f or pressure on farmland. _ D2e,D2 ............ g.The proposed project is not consistent with the adopted municipal Farmland C2c Protection Plan. h.Other impacts:_ 0 Page 5 of 10 % Impact on Aesthetic Resources mmm- The land use of the proposed action are obviously different from, or are in WINO [:]YES sharp contrast to, current land use patterns between the proposed project and a scenic or aesthetic resource. (Part 1.E.La,E.Lb,E.3.h.) If"Yes", answer questigns a-Z,._IL"No",_&o to Section 10. Relevant No,or Moderate mm Part I small to large Question(s) impact impact may -—-------�o occur occur ------------------ a.Proposed action may be visible from any officially designated federal,state,or local I E3h I El 0 scenic or aesthetic resource. b.The proposed action may result in the obstruction,elimination or significant E3h,C2b D screening of one or more ofticial��designaied,scenic views. c.The proposed action may be visible from publicly accessible vantage points: E3h i. Seasonally(e.g.,screened by summer foliage,but visible during other seasons) 0 El ii.Year round 0 El d.The situation or activity in which viewers are engaged while viewing the proposed E3h action is: E2q, i. Routine travel by residents,including travel to and from work ii.Recreational or tourism based activities Elc L1 ❑ e.The proposed action may cause a diminishment of the public enjoyment and E3h ED appreciation of the designated aesthetic resource. f. There are similar projects visible within the following distance of the proposed Dla,El a, El FJ project: DlfDlg 0-1/2 mile 1/2-3 mile 3-5 mile 5+ mile g.Other impacts: ............ .......... ------ .......................... ... ......... 10. Impact on Historic and Archeological Resources The proposed action may occur in or adjacent to a historic or archaeological NO.... ❑YES resource. (Part 1.E.3.e, f. and g.) If"'Yes", answer oestrone a-e. "A��, g to Section I L Relevant No,or Moderate Part I small to large Question(s) impact Moderate may occur .......... _Ta,yq_C_Cur a.The proposed action may occur wholly or partially within,or substantially contiguous E3e LJ to,any buildings,archaeological site or district which is listed on or has been nominated by the NYS Board of Historic Preservation for inclusion on the State or —National Register of Historic Places. b.The proposed action may occur wholly or partially within,or substantially contiguous Df to,an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(S[1130)arellueological site inventory. c.The proposed action may occur wholly or partially within,or substantially contiguous E3g to,an archaeological site not included on the NY SHPO inventory. Source: Page 6 of 10 d.Other impacts: ........... ............................ D ............ .............. I f any of the above(a-d)are answered"N'loderate to large impact may e. occur",continue with the following questions to help support conclusions in Part 1 i. The proposed action may result in the destruction or alteration of all or part E3e,E3g, D ❑ of the site or property. E3f ii. The proposed action may result in the alteration of the property's setting or E3e,E3f, integrity. E3g,Ela, Elb iii. The proposed action may result in the introduction of visual elements which E3e,E3f, D are out of character with the site or property,or may alter its setting. E3g,E3h, C2,C3 11. Impact on Open Space and Recreation The proposed action may result in a loss of recreational opportunities ora W]NO YES reduction of an open space resource as designated in any adopted municipal open space plan. (See Part 1. C.2.c,E.l.c.,E.2.q.) ff"Yes qnsl!eL questio?y,q.-e. If"No", go to Section 12. Relevant No,or Moderate Part I small to large Question(s) impact impact may may occur occur a.The proposed action may result in an impairment of natural functions,or"ecosystem D2e,Elb to services",provided by an undeveloped area,including but not limited to stormwater E2h, storage,nutrient cycling,wildlife habitat, E2m,Ego, E2n,E2p b.The proposed action may result in the loss of a current or future recreational resource. C2a,E I c, ❑ 0 C2c,E,2q, c.The proposed action may eliminate open space or recreational resource in an area C2a,C2c with few such resources. Elc,E2q d.The proposed action may result in loss of an area now used informally by the C2c,Elc FJ community as an open space resource. e. Other impacts: ............ ....... .. ......... ...... .......... 12. Impact on Critical Environmental Areas YES The proposed action may be located within or adjacent to a critical NO environmental area(CEA). (See Part 1. E.3.d) If"Yes", answer ....__....g�iestions a-c. If"No", go to Section 13. Relevant No,or Moderate Part I small to large Question(s) impact impact may ma occur --occur a.The proposed action may result in a reduction in the quantity of the resource or EM characteristic which was the basis for designation of the CEA. b.The proposed action may result in a reduction in the quality of the resource or EM ❑ characteristic which was the basis for deli gnal ion of the CEA. ............ ................... c.Other impacts: ......... .............. . ......... ................. ------ ................. -............................. ................... ............. ............ Page 7 of 10 13. Impact on Transportation The proposed action may result in a change to existing transportation systems. W]NO []YES (See Part 1. D.2 j) to ff"Yes", an a- "Noto Section 14. Relevant No,or Moderate Part I small to large Question(s) impact impact may .. ................ may occur occur a.Pro ected traffic increase may exceed capacity of exisfin.g.road network. D2j El b.The proposed action may result in the construction of paved parking area for 500 or D2j more vehicles. c.The proposed action will degrade existing transit access. D2j ........... d.The proposed action will degrade existing pedestrian or bicycle accommodations. D2j ED ❑ e.The proposed action may alter the present pattern of movement of people or goods. D2j .......... ..................... f, Other impacts: 14. Impact on Energy The proposed action may cause an increase in the use of any form of energy, [Z]NO [:]YES (See Part 1.D.21) If"Yes", answer questions a-e. If"No", g,(.,+to Section 15. Relevant No, Moderate Part I small to large Question(s) impact impact may may occur occur a.The prapasLtt,act.ion will re uire a new„or an u 6,rade to an exisdfi_g,substation. 132k ❑0 b.The proposed action will require the creation or extension of an energy transmission DI f, 0 or supply system to serve more than 50 single or two-family residences or to serve a DI q,132k commercial or industrial use. c.The proposed action may utilize more than 2,500 MWbrs per year of electricity, 132kEJ El ............ d.The proposed action may involve heating and/or cooling of more than 100,000 square Dlg El ❑ feet of building area when coo letet, e.Other Impacts: ,,_ ....................... ............ 15. Impact on Noise,Odor, and Light The proposed action may result in an increase in noise, odors, or outdoor lighting. [Z]NO DYES (See Part 1. D.2.m.,n., and o.) If"Yes", answer question a-f If"No", go to Section 16 Relevant No,or Moderate Part I small to large Question(s) impact impact may a myq!��ur c ......... .... ...ocur..............1— a.The proposed action may produce sound above noise levels established by local D2m ❑ El regulation. b.The proposed action may result in blasting within 1,500 feet of any residence, 132m,Eld hospital,school,licensed day care center,or nursing hoine. .................... ........... ............ C.The proposed action may result in routine odors for more than one hour per day, .2. Page 8 of 10 d.The proposed action may result in light shining onto adjoining properties. D2n e.The proposed action may result in lighting creating sky-glow brighter than existing D2n,El a El 0 area conditions. f.Other impacts: y ... ... ...... 16. Imact on action Thepproposed action may have an impact on human health from exposure NO F]YES to new or existing sources of contaminants. (See Part I.D.2.q., E.1. d. f. g. and h.) If"Yes", answer,j!i�tion q-,m. I "N to Sectie?j 17 Relevant No,or Moderate Part I small to Question(s) impact impact may may eccur occur a.The proposed action is located within 1500 feet of a school,hospital,licensed day E1 D U care center,groupmmltonte,,nursig.,home or retirement communit _ b.The site of the proposed action is currently undergoing remediation. El g,Elh c.There is a completed emergency spill remediation,or a completed environmental site EIg,Elh remediation on,or adjacent lo,the sitL(jf�the proposc,�! ction, ....... d.The site of the action is subject to an institutional control limiting the use of the EIg,Elh ❑ El property(e,-,,easement or deed restriction). e.The proposed action may affect institutional control measures that were put in place EIg,Elh ❑ El to ensure that the site remains protecti ve of the,environment and human health.,— .......J_ .. .... f.The proposed action has adequate control measures in place to ensure that future D2t 0 generation,treatment and/or disposal of hazardous wastes will be protective of the environment and human health. g.The proposed action involves construction or modification of a solid waste D2q,Elf 0 Inana0erlient facility, h.The proposed action may result in the unearthing of solid or hazardous waste, D2q,Elf ❑ 0 i.The proposed action may result in an increase in the rate of disposal,or processing,of D2r,D2s ❑ D solid waste. j.The proposed action may result in excavation or other disturbance within 2000 feet of Elf,EIg ❑ a site used for the,�fisposal of�o jI d or hazardous waste. Elh k.The proposed action may result in the migration of explosive gases from a landfill Elf,E1 13 El site to adjacent off site structures. 1.The proposed action may result in the release of contaminated leachate from the D2s,Elf, ❑ E I project site. D2r m.Other impacts: __ ................ .......... Page 9 of 10 Consistency with munity lans 17 The proposed action oisn of consistent with adopted land use plans, _ W]NO []YES (See Part 1. C.1, C.2. and C.3.) 1fanswer questions a-h If No", go to Section 18 Yes Relevant No or Moderate Part I small to large Question(s) impact impact may may occur occur a. The proposed action's land use components may be different from,or in sharp C2,C3,Dla contrast to,current surrounding land use pattern(s). b b.The proposed action will cause the permanent population of the city,town or village C2 C] U in which the prgjec't is located to grow by more than 5% _ c.The proposed action is inconsistent with local land use plans o ' p r zoning regulations. C2,C2 C3 ❑ ❑ d.The proposed action isnconsistent with an plans,or i y Count� y p other regional land use C2,C2 ❑ ❑ plans. ....... ..... � ..... e.Thero osed action may change p p -� y cause a -'n the density of development that is not C3,Dlc, supported by existing infrastructure or is distant from existing infrastructure. Dld,Dlf, _ Dld,Elb f proposed located in an area characterized by low density devmmemmlmoITITpITITment C4,132c,D2d that we9renew or PaPuinfrastructure.e• D21 i g The proposed action may induce . secondary development impacts(e.g.,residential or C2a ❑ �=� commercial development not included in the proposed action) h.Other: ❑ 18 Community proposed project mmuha ..._.__. Consistency with y Character inconsistentis with the existing community character. QNO []YES (See Part 1. C.2, C.3,D.2, E.3) If Yes", answer questions a-g. If"No", proceed to Part 3 v. _ m Rel t small Mo d rrgatte Par,I . Question(s) impact impact may may occur occur a.The proposed action may replace or eliminate existing facilities,,structures,or areas De,EH,E3g D, of historic importance to the community. b.The proposed action may create a demand foradditional community services(e.g. C4 schools, _ police and fire) c.Thema displace ro osed action affordable or low-income p p y lace p housing in an area where C2,C3,Dlf F-a twu there is a shortage of such housing. Dlg,Ela d.The proposed action may interfere with the use or enjoyment of officially recognized C2,E3 t� ❑ or designated public resources.. mm-e.The proposed action is inconsistent with the predominant architectural ral scale and C2,C3 Iwl character. f. Proposed action is inconsistent with the character of the existing natural landscape. C2,C3 El a,Elb .......... .......... g. Other impacts: ..... ............-,.... ... .. ......... _. .. PRINT FULL FORM Page 10 of 10 MAILING DRESS: PLANNING BOARD MEMBERS 4i P.O. Box 1179 DONALD J.WILCENSKI `�� �+� "` Southold, NY 11971 Chair r OFFICE LOCATION: Town Hall Annex WILLIAM J.CREMERS PIERCE RAFFERTY 54375 State Route 25 P " cor. Main Rd. &Youngs Ave.) JAMES H.RICH III , , g MARTIN H.SIDORJ'AUN� "� Southold, NY Telephone: 631 765-1938 www.southoldtowirmy.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 28, 2017 Mr. Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee Located at 2348 and 2851 Middle Farms Pond Road, north of Beach Pond, Fishers Island SCTM#1000-8.-1-5.1 & 6.5 Zoning District: R-120 Dear Mr. Ham: The Southold Town Planning Board reviewed the proposed Lot Line Modification at their September 25, 2017 Work Session and agreed to schedule a decision on this application at their October 16, 2017 Public Meeting. If you have any questions regarding the above, please contact this office at 631-765- 1938. Sincerely, ' Erica Bufkins Planner Trainee Southold Planning Department Staff Report Subdivision Application Work Session Review Date September 25, 2017 Prepared By: Erica Bufkins I. Application Information Project Title: Lot Line Adjustment —Brinckerhoff & Miller Applicant: Stephen Ham, III, Esq. Date of Submission: February 23, 2017 Tax Map Number: 1000-8.-1-5.1 & 6.5 Project Location: 2348 & 2851 Middle Farms Pond Road, north of Beach Pond Hamlet: Fishers Island Zoning District: R-120 II. Description of Project Type of Subdivision: Lot Line Modification (Re-subdivision) Acreage of Project Site: 10.41 acres # of Lots: 2 III: Status Complete Application IV: Action to review Draft SEQR Negative Declaration Referral Review V: Project Analysis This re-subdivision proposes to transfer 0.55 acres from SCTM#: 1000-8.-1-6.5 to SCTM#: 1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 ac to 6.15 ac, and Lot 5.1 will increase in size from 3.71 ac to 4.26 ac. SCTM#: 1000-8.-1-4.16 & 5 were merged by deed to create SCTM#: 1000-8.-1- 5.1. Other than this merger, the current configuration of the subject lots were created by past Planning Board approvals including the following: 1. Minor Subdivision Plan of land Owned by Allerton Cushman in 1984; and 2. Minor Subdivision for Robert Miller, approved by the Planning Board October 21, 1985, and 3. Lot Line Change for Rita Cushman, approved by the Planning Board April 17, 1989. Page 2 All required material has been submitted as per Southold Town Code, and on May 22, 2017, the Board found the application complete. Application Overview • The application proposes a transfer from one oversize lot to another oversize lot. Lot 6.5 is 6.15 acres and 0.5 acres will transfer to Lot 5.1, currently 3.7 acres. The minimum lot size required in the R-120 zoning district is 120,000 sq. ft. or 2.75 acres. Lot 6.5 will remain above the minimum lot size, and no new development potential will be conferred to Lot 5.1 because while it will be oversized, it will not have enough land area added to it to be able to subdivide. Both of the involved parcels are currently developed and have legal certificates of occupancy. A small section of land that is currently part of a residential dwelling's yard will become a small section of another dwelling's yard, and very little impact is expected from this shift. • The amount of land to be transferred can be considered negligible because only Y2 acre is being transferred from a 6.7 acre lot to a 3.7 acre lot, and will not result in any new development potential. July 24, 2017, the Planning Board agreed to waive the ERSAP, the Primary and Secondary Conservation Area Plan, and the Sketch Plan and Preliminary Plat steps of the subdivision process, and waive the requirement to receive Suffolk County Department of Health Services approval prior to approval by the Planning Board based on the findings above and pursuant to Town Code §240-56 Waivers of Certain Provisions. Public Hearing )tel 1 2017 the Public Hearing was held and closed on the application. There was no public comment on this application. Referrals Suffolk County Planning Commission • The proposed subdivision is considered to bemma matterforlocal determination. • No objection to the Town assuming Lead Agency Suffolk County Department of Health Services • No comments provided. • The Planning Board agreed to waive the requirement to receive Suffolk County Department of Health Services approval prior to approval by the Planning Board at the work session that took place on July 24, 2017. Page 3 LWRP This application is exempt from a review by the LWRP SEQR Determination Proposed Negative Declaration (see attached). V: Recommendations Review the draft SEQR Negative Declaration and recommend issuing a SEQR determination at the October 16th Public Meeting. Recommend granting Final Approval of the application at the October 16th Public Meeting. COUNTY OF SUFFOLK z E I° 1 2 1 01 f �. Steven Bellonewe . SUFFOLK COUNTY EXECUTIVE gdGSl.('E( d lowilll Department of V SIsu�'uluy Iua Economic Development and Planning Theresa Ward Deputy County Executive and Commissioner Division i Planning and Environment September 7, 2017 Town of Southold Planning Board P.O. Box 1179 54375 Route 25 Southold,NY 11971 Attn: Erica Bufkins, Planner Trainee Subdivision: Miller and Brinckerhoff Lot-Line Modification Suffolk County Tax Map No.: 1000 08000 0100 004016, 5, 6.5 Suffolk County Planning File No.: LS-G-2388 Dear Ms. Bufkins Pursuant to the requirements of Section A14-24,Article XIV of the Suffolk County Administrative Code,the above captioned proposed final plat that has been referred to the Suffolk County Planning Commission is considered to be a matter for local determination. A decision of local determination should not be construed as either an approval or disapproval. Sincerely, Sarah Lansdale, AICP Director of Planning Theodore R. Klein Principal Planner TRK/cd H.LEE DENNISON BLDG 111 100 VETERANS MEMORIAL HWY,11th FI 0 P.O.BOX 6100 a HAUPPAUGE,NY 11788-0099 w(631)853-5191 - MAILING DRESS: r� �y P.O. Box 1179 PLANNING DONALD WILCEMNSKI ERS 5 �,, OF SF � a,, Southold, NY 11971 Chair ^w OFFICE LOCATION: WILLIAM J_CREMERS Town Hall Annex PIERCE RAFFERTY 54375 State Route 25 JAMES H.RICH III ^, �' (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR Southold, NY -UN11, Telephone: 631 765-1938 www.southoldtownny-gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Mark Terry, LWRP Coordinator From: Erica Bufkins, Planner Trainee Date: August 24, 2017 Re: Request for Review on Proposed Lot Line Modification for Miller & Brinckerhoff Located at 2348 &2851 Middle Farms Pond Road, Fishers Island SCTM#: 1000-8-1-4.16, 5, 6.5 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. The file is available at your convenience. This re-subdivision proposes to transfer 0.55 acres from SCTM#: 1000-8.-1-6.5 to SCTM#: 1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres. Thank you for your cooperation, MAILING DRESS: PLANNING BOARD MEMBERSf' q P.O. sox 1179 DONALD J.WILCENSKISouthold, NY 11971 Chair & OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTYr tit 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR " ,r Southold, NY Telephone: 631 765-1938 www.s outholdtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Suffolk County Planning Commission From: Erica Bufkins, Planner Trainee Dater August 24, 2017 Re Re-Subdivision Application Review - Proposed Miller and Brinckerhoff Re-Subdivision • Request for Comments pursuant to Section A14-24, Suffolk County Administrative Code • SEQR Lead Agency Request The purpose of this request is to seek comments from your agency,, and also to determine lead agency and coordinate review under Article 6 (State Environmental Quality Review Act - SEQRA) of the (Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements from the Suffolk County Planning Commission that the Southold Planning Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination August 24, 2017 Planning Board Position: (x) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Project Name: Miller and Brinckerhoff Re-Subdivision Address: 2348 & 2851 Middle Farms Pond Road, Fishers Island Tax Map #: 1000-8-1-4.16, 5, 6.5 Requested Action: This re-subdivision proposes to transfer 0.55 acres from SCTM#1000-8,-1-6.5 to SCTM#1000-8.-1-5,1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.2.6 acres. SEQRA Classification: ( ) Type I ( ) Type II (X) Unlisted Contact Person: Erica Bufkins, Planner Trainee (631) 765-1938 Enclosures: Environmental Assessment Form Subdivision Application Form Subdivision Map(s) 2 OFFICE LOCATION: �� � 'r 4a MAILING ADDRESS: Town Hall Annex "w P.O. Box 1179 54375 State Route 25 ;i Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) t Southold, NY 11971 Telephone: 631765-1938 ��w `" � ,�� ���� p LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM I I l wwrw.rumiwwx nnui xxs.....m..1 To: Donald Wilcenski, Chair Town of Southold Planning Board From: Mark Terry, LWRP Coordinator Date: September 7, 2017 Re: Re-subdivision of Miller and Brinkerhoff Location: Private Road off of East End Road, Fishers Island, New York SCTM 1000-8-1-5.1 and 6.5 Zoning District: R-120 This re-subdivision proposes to transfer 0.55 acres from SCTM1000-8.-1-6.5 to SCTM1000-8.- 1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to § 268-3. Definitions. Minor Actions, HH: HH. Lot line changes, provided that the lot line change will not permit new development that may have undue adverse impacts on wetlands, tidal waters or natural protective features; Please contact me at (631) 765-1938 if you have any questions regarding the above. Cc: Erica Bufkins, Planner Trainee WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, July 24, 2017 4:O�m. Southold Town. Meeting Hall 4:00 p.m. Applications Street _. SCTM#; � 1000-45-7-5.3 Location Name: 75795 Route 225, Greenport m.... _.... ... ........ Description: This proposed Site Plan application is to demolish an existing two story dwelling and construct a 2,902 sq. ft. one story professional office building and 16 parking stalls on 0.8 acres in the Residential Office (RO) Zoning District Status. New Application Action e e..e. .... Completeness C . ........ i Attachments Staff Report Project Name: ; Tenedios Agricultural Barn SCTM#: 1000-19-1-1.4 & 1.3 Location 28410 Route 25, 0 r ie n t t Description: This Agricultural Site Plan is for a proposed one story 8,664 sq. ft. building to house livestock (goats, sheep & chickens) and store feed, supplies and farm equipment on a 34.5 acre farm, of which 29.5 acres have development rights held by Southold Town and 5 acres have New Applicationprrht.- intact in the R-200 Zoning District. 1 - Status _ ..... . Action. { Completeness C Attachments Staff Report . _ Project Name: , flo BIllri SCTM#: 1000-8-1-5.1 & 6.5 Location: 2348 and 2851 Middle Farms Pond Road, north of Beach Pond, Fishers Island Description'tion: This re-subdivision p r poses to transfer 0.55 acres from SCTM#1000- 8.-1-6.5 to SCTM#1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres. A _ Status Pending _ .......... Action Hearin Comments & Request for SCDHS Waiver ..... . Attachments: Staff Report Southold Planning Department Staft Report Subdivision Application Work Session Review Date July 24, 2017 Prepared By: Mark Terry Erica Bufkins I. Application Information Project Title: Lot Line Adjustment—Brinckerhoff & Miller Applicant: Stephen Ham, III, Esq. Date of Submission. February 23, 2017 Tax Map Number: 1000-8.-1-5.1 & 6.5 Project Location: 2348 & 2851 Middle Farms Pond Road, north of Beach Pond Hamlet: Fishers Island Zoning District: R-120 II. Description of Project Type of Subdivision: Lot Line Adjustment & Merger Acreage of Project Site: 10.41 acres # of Lots: 2 III: Status Complete Application IV: Action to review Request for Waiver of SCDHS Approval Public Hearing Comments V: Project Analysis This re-subdivision proposes to transfer 0.55 acres from SCTM#: 1000-8.-1-6.5 to SCTM#: 1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 ac to 6.15 ac, and Lot 5.1 will increase in size from 3.71 ac to 4.26 ac. SCTM#: 1000-8.-1-4.16 & 5 were merged by deed to create SCTM#: 1000-8.-1- 5.1. Other than this merger, the current configuration of the subject lots were created by past Planning Board approvals including the following.. 1. Minor Subdivision Plan of land Owned by Allerton Cushman in 1984; and 2. Minor Subdivision for Robert Miller, approved by the Planning Board October 21, 1985; and Page 2 3. Lot Line Change for Rita Cushman, approved by the Planning Board April 17, 1989. July 1 Q 2,_ 017 the Public Hearing was held and closed on the application. There was no public comment on this application. Waivers Pursuant to Town Code §240-56 Waivers of Certain Provisions., an application can receive waivers of certain elements of the subdivision review if in the judgment of the Planning Board they are not requisite in the interest of the public health, safety and general welfare. In this case, the application is eligible for a waiver of the ERSAP, the Primary and Secondary Conservation Area Plan, and the Sketch Plan and Preliminary Plat steps of the subdivision process because those steps are not requisite in the interest of public health, safety and general welfare for the following reasons: 1. The amount of land being transferred, 0.55 acres, is very small, and much less than the minimum lot size for the R120 zoning district. The effect of the transfer will not cause any changes to the character of the neighborhood. 2. The lots involved are already developed. A small section of land that is currently part of a residential dwelling's yard will become a small section of another dwelling's yard, and very little impact is expected from this shift. 3. No new lots are being created, and without new development potential future impacts from this transfer will be insignificant. According to the resolution adopted by the Planning Board on February 11, 2011, a lot line modification is eligible for a decision from the Southold Planning Board prior to receiving approval by the Suffolk County Department of Health Services (SCDHS) due to the following: 1. The application proposes a transfer from one oversize lot to another oversize lot. Lot 6.5 is 6.15 acres and 0.5 acres will transfer to Lot 5.1, currently 3.7 acres. The minimum lot size required in the R-120 zoning district is 120,000 sq. ft. or 2.75 acres. Lot 6.5 will remain above the minimum lot size, and no new development potential will be conferred to Lot 5.1 because while it will be oversize, it will not have enough land area added to it to be able to subdivide; and 2. Both of the involved parcels are currently developed and have legal certificates of occupancy. 3. The amount of land to be transferred can be considered negligible because only '/2 acre is being transferred from a 6.7 acre lot to a 3.7 acre lot, and will not result in any new development potential. Page 3 V: Recommendations Recommend that, pursuant to §240-56 Waivers of Certain Provisions, the Board waive the ERSAP, the Primary and Secondary Conservation Area Plan, and the Sketch Plan and Preliminary Plat steps of the subdivision process. Recommend the Board waive the requirement to receive Suffolk County Department of Health Services approval prior to approval by the Planning Board pursuant to Town Code §240-56 Waivers of Certain Provisions, and the waiver policy established through the resolution adopted by the Planning Board on February 11, 2011. Consider a Final Plat determination at the August 14, 2017 meeting. z MAILING ADDRESS: PLANNING BOARD MEMBERS , � „ P.O. Box 1179 Southold, NY 11971 DONALD J.WILCENSKI a° Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY G 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDORCa '� Southold, NY Telephone: 631 765-1938 www.southoldtow-xmy.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD. July 25, 2017 Mr. Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Re: Proposed Lot Line Modification for Robert J. Miller &Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee Located at 2348 and 2851 Middle Farms Pond Road, north of Beach Pond, Fishers Island SCTM#1000-8.-1-5.1 & 6.5 Zoning District: R-120 Dear Mr. Ham: The Southold Town Planning Board reviewed the proposed Lot Line Modification at their July 24, 2017 Work Session and agreed to schedule a decision on this application at their April 14, 2017 Public Meeting. In addition, the decision will include waivers of the Sketch Plan and Preliminary Plat steps of the subdivision process, as well as a waiver of the requirement to receive Suffolk County Department of Health Services approval prior to approval by the Planning Board. If you have any questions regarding the above, please contact this office at 631-765- 1938. Sincerely, Erica Bufkins Planner Trainee Michaelis, Jessica From: Terry, Mark Sent: Friday,July 07, 2017 8:38 AM To: Michaelis,Jessica; Bufkins, Erica Cc: Lanza, Heather Subject: FW: Miller- Brinckerhoff Lot Line Modification Attachments: Miller- Brinckerhoff Planning Board Affidavits.pdf From: n atthara e gt ol.con [mai Itomattha esq@m ol,corn] Sent: Thursday, July 06, 2017 2:54 PM To-Terry, Mark Subject: Miller - Brinckerhoff Lot Line Modification Hello Mark- I have attached copies of my transmittal letter, Affidavits of Mailing and Posting and related materials, the originals of which are going out by Express Mail to you this evening for delivery tomorrow. I do not intend to attend the public hearing on Monday but if you believe it is necessary for someone to be there for the applicants, please let me know by reply email. Thanks and best. Steve Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Phone: (631) 283-2400 Fax: (631) 287-1076 e-mail: matthamesq@aol.com t Notice to Adjacent Property Owners Miller & Brinckerhoff Lot Line Modification Private Road Off East End Road Fishers Island, NY SCTM#1000-8.-I-5.1, 8.-1-6.5 1. 1000-8.-1-4.14 2. 1000-8.-1-3.2 3. 1000-8.-1-4.15 4. 1000-8.-1-4.17 5. 1000-8.-1-4.24 6. 1000-8.-1-6.6 7. 1000-8.-1-6.7 8. 1000-8.-1-7 U- Ar vt I NAA \A-Cl�r A k-icoJ�� 2-3....... C .W 12C, CT P .C-> NA MATTHEWS & HAM ATTORNEYS AND COUNSELORS AT LAW 38 NUGENT STREET SOUTHAMPTON, NEW YORK 11968 PHILIP B. MATTHEWS ,....m� (1912-1992) 631-283-2400 STEPHEN L. HAM, III FACSIMILE 631-287-1076 e-mail:Matthamesq@aol.com BAREARA T. HAM July 6, 2017 BY EXPRESS MAIL Mr. Mark Terry, Assistant Director Southold Town Planning Department P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee (SCTM Nos.1000-008.00-01.00-004.016, & 005.000 now merged to form lot# 005.001 & 006.005 Dear Mark: In connection with the public hearing of the referenced lot line change application that has been scheduled for July 10, 1 have enclosed an original Affidavit of Posting signed by Robert J. Miller and an original executed Affidavit of Mailing signed by me. Attached to the latter Affidavit are a copy of the Notice to Adjacent Property Owners, a sheet listing the owners of the eight properties to be notified (with Mr. Miller himself being the owner of one of those properties and the other properties being owned of record by a total of only two different owners), and the two original certified mail receipts with one signed return receipt card for the owners of those seven other properties. If and when the other signed return receipt card arrives in my office, I will send it to you; in any event, I have spoken to the neighbor in question who called me in response to seeing the notice posted at the property and is aware of the proposal and the public hearing. Sincerely, 40'' Stephen L. Ham, III Enclosures PLANNING BOARD TOWN OF SOUTHOLD: STATE OF NEW YORK ------------------------------------------—--- _-----------x In the Matter of the Application of Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee AFFIDAVIT OF MAILING S.C.T.M. Nos.1000-008.00-01.00- 005.001 & 006.005 -------------------------------------------------------------------x COUNTY OF SUFFOLK ) ss.: STATE OF NEW YORK ) I, STEPHEN L. HAM, III, having an office at 38 Nugent Street, Southampton, New York, being duly sworn, depose and say that: On the 21st day of June 2017, 1 personally mailed at the United States Post Office in Southampton, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, the receipts and green cards of which are attached, a true copy of the attached Notice of Public Hearing in prepaid envelopes addressed to the current owners of record, as shown on the current assessment roll verified from the official records on file with the Assessors Office of the Town of Southold, of every property which abuts and every property which is across a public or private street, or vehicular right-of-way of record, surrounding the applicants' property, excepting only one such abutting property owner who is one of the applicants (S.C.T.M. No. 1000-008.00-01.00-004.015). Stephen L. Ham, III Sworn to before me this 3orlday of June, 2017 Notary Public, State of New York BARBARA T HA Notary y Public, State of New York No 02HA5061959 Oualdtw d in Suffolk Couryty Commission exedras August 15,20 Southold Town Planning Board Notice of Public Hearing The general public is hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a Lot Line Modification; 2. That the properties which are the subject of the application are described as follows: SCTM#1 000-8-1-6.5 & 1000-8-1-5.1-1 3. That the property which is the subject of this application is located in the R-120 Zoning District; 4. That the re-subdivision proposes to transfer 0.55 acres from SCTM#1 000-8.-l-6.5 to SCTM#1 000-8.-l-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres. The properties are located on Private Rd. Off E. End Rd., on Fishers Island-, 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. in the Planning Department located in the Town Hall Annex on the corner of Youngs Ave. & NYS Rte. 25, Southold (2 nd Fl., Capital One Bank). 6. If you have any questions, you can call the Planning Board Office at (631)765-1938. Information can also be obtained via the internet: 1. Go to the Town of Southold website WWW.S,OLltholdtownny.gov, 2. Click on Town Records Weblink/Laserfiche icon located on the home page, 3. Click on "Planning Dept." folder; 4. Click on "Applications", then "Lot Line Change", then "Pending"; 5. Click on the SCTM# (tax map #) of the application (found in #2 above). Or by sending an e-mail message to: Je�ssi,,aMpsoLLtholdtownnv.clov-, 11 7. That a Preliminary Plat Public Hearing will be held on the matter by the Planning Board on Monday, July 10, 2017 at 6:01 p.m. in the Meeting Ha,l,l at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in The Suffolk Times and the New London Day; that you or your representative have the right to appear and be heard at such hearing. It is not necessary to attend this hearing to participate. Written comments received prior to the public hearing date are acceptable. Written comments may be submitted via letter or email to: JessicaM@southoldtoWppy..gov Petitioner/Owner Name- Brinckerhoff, Peter R. QPRT, Brinckerhoff, Susan C. QPRT & Miller, Adrienne Date: 6/6/17 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 2348 and 2851 Middle Farms Pond Road, Fishers Island, New York (SCTM No. 1000-008.00-01.00-005.001 and SC"1"M No. 1000-008.00-01.00-006.005) by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on July 10, 2017. , , een retain, ROBERT J. MILLER You7Ne ,71 tom,. Signal b 15 MAYFLOWER PARKWAY, WESTPORT, CT 06880 Address JULYS, 2017 Date ax Notary Publicl, ELLEN GALLAGHER NOTAR,Y PUBLIC My Commission Expires Aprd100,2018 PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon Fri. 7/7/17 Re: Proposed Lot Line Modification for Miller & Brinckerhoff SCTM#s: 1000-8-1-6.5 & 5.1 Date of Public Hearing: Monday, July 10 2017 6:01 pm. MAILING DRESS: PLANNING BOARD MEMBERS " F P.O. Box 1179 DONALD J.WILCENSKI ��� a�, Southold, NY 11971 Chair � OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY 54375 State Route 25 JAMES H.RICH III '` (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDORCOUN�1 °1 ° Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov OFFICEPLANNING BOARD TOWN OF SOUTOLD June 6, 2017, Stephen L. Ham, III, Esq. 38 Nugent Street Southampton, New York 11968 Re: SEAR Classification & Set Public Hearing - Proposed Lot Line Modification for Brinckerhoff and Miller Location 2348 & 2851 Middle Farms Pond Road, Fishers Island SCTM#: 1000-8.-1-5.1 & 6.5 Zoning District R-120 Dear Mr. Ham, III; The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, June 5, 2017: WHEREAS, this re-subdivision proposes to transfer 0.55 acres from SCTM#1000-8.-1- 6.5 to SCTM#1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres. The property is located on Off East End Road, Fishers Island; and WHEREAS, SCTM#1000-8.-1-4.16 and SCTM#1000-8.-1-5 were merged by deed to create SCTM#1000-8.-1-5.1 recorded in Liber 12901 Page 124; and WHEREAS, March 31, 2017, the Planning Department requested by letter that the applicant provide justification for compliance with the Lot Recognition standard in Town Code §280-9 Lot Recognition to reflect the differences in configuration for SCTM#1000- 8.-1-6.5 and SCTM#1000-8.-1-4.16; and WHEREAS, April 11, 2017, the applicant submitted by letter the map entitled "Minor Subdivision Plan made for Robert J. Miller", prepared by Richard H. Strouse, dated March 23, 1984 and last revised December 26, 1984 and the map entitled "Proposed Lot Line Change Prepared for Rita M. Cushman, Trustee", prepared by Shepard B. Palmer, dated March 11, 1982 and last revised November 15, 1988; and Brickerhoff & Miller [2] June_6, 2017 WHEREAS, May 22, 2017, the Planning Board found the current configurations of SCTM#1000-8.-1-6.5 and SCTM#1000-8.-1-4.16 to be in compliance with the Lot Recognition standard in Town Code §280-9 Lot Recognition and found the application complete; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, has determined that the proposed action is an Unlisted Action as it does not meet any of the thresholds of a Type I Action, nor does it meet any of the criteria on the Type II list of actions; be it therefore RESOLVED, that the Southold Town Planning Board has determined that this proposed action is an Unlisted Action under SEQRA as described above; and be it further RESOLVED, that the Southold Town Planning Board sets Monday, July 10, 2017 at 6:01 p.m. for a Public Hearing upon the map showing existing conditions entitled "Proposed Lot Line Change Prepared for Robert J. Miller & Adrienne A. Miller Peter R. Brinckerhoff QPRT & Susan C. Brinckerhoff QPRT 2348 & 2851 Middle Farms Pond Road Fishers Island, New York", prepared by Richard H. Strouse, Land Surveyor, dated February 14, 2017. Please refer to the enclosed copy of Chapter 55 Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for our use. The sign and the ost will need to be icked u at the Planning Board Office Southold Town Annex. Please return the enclosed Affidavit of Postin along with the certified mailing receipts AND the signed Areen return recei t cards before 12:00 noon on Friday, July 7 2017. The sign and the Post need to be returned to the Planning Board Office after the public hearing is closed. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Very truly yours,_ Donald J. Wilcenski Chairman Southold Town Planning Board Notice of Public Hearin The general public is hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a Lot Line Modification; 2. That the properties which are the subject of the application are described as follows: SCTM#1000-8-1-6.5 & 1000-8-1-5.1; 3. That the property which is the subject of this application is located in the R-120 Zoning District; 4. That the re-subdivision proposes to transfer 0.55 acres from SCTM#1000-8.-1-6.5 to SCTM#1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to 4.26 acres. The properties are located on Private Rd. Off E. End Rd., on Fishers Island; 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. in the Planning Department located in the Town Hall Annex on the corner of Youngs Ave. & NYS Rte. 25, Southold (2nd Fl., Capital One Bank). 6. If you have any questions, you can call the Planning Board Office at (631)765-1938. Information can also be obtained via the internet- 1. Go to the Town of Southold website . . utholdtownn 'gov; 2. Click on Town Records Weblink/Laserfiche icon located on the home page; 3. Click on "Planning Dept." folder; 4. Click on "Applications", then "Lot Line Change", then "Pending"; 5. Click on the SCTM# (tax map #) of the application (found in #2 above). Or by sending an e-mail message to: Les icaMy.ggv- uth old towmr� 7. That a Preliminary Plat Public Hearing will be held on the matter by the Planning Board on Monda .Jul 10 2017 at 6:01 p.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in The Suffolk Times and the New London Day; that you or your representative have the right to appear and be heard at such hearing. It is not necessary to attend this hearing to participate. Written comments received prior to the public hearing date are acceptable. Written comments may be submitted via letter or email to: JessicaM southltown� .gov Petitioner/Owner Name: Brinckerhoff, Peter R. APRT, Brinckerhoff, Susan C. QPRT & Miller, Adrienne Date: 6/6/17 Notice to Adjacent Property Owners Miller & Brinckerhoff Lot Line Modification Private Road Off East End Road Fishers Island, NY SCTM#1000-8.-1-5.1, 8.-1-6.5 1. 1000-8.-1-4.14 2. 1000-8.-1-3.2 3. 1000-8.4-4.15 4, 1000-8.-1-4.17 5. 1000-8.-1-4.24 6. 1000-8.-1-6.6 7. 1000-8.-1-6.7 8. 1000-8.-1-7 Ai FFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 1� , , J by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on _ I have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: 12:00 noon Fri. 7/7/17 Re: Proposed Lot Line Modification for Miller & Brinckerhoff SCTM#s: 1000-8-1-6.5 & 5.1 Date of Public Hearing: Monday, July 10 2017 6:01 p.m. Town of Southold PCICodebookfor Windows § 55-1. Providing notice of public hearings. [Amended 6-3-2003 by L.L. No. 12-2003] Whenever the Code calls for a public hearing this section shall apply. Upon determining that an ix a time application or 1,)ctition is complete, the board or corrimission reviewing the seine shall f and place for a public hearing,thereon. Notice relating to a public hearing on an application or petition shall be provided as follows: A. Town responsibility for publication of notice. The reviewing board or commission shall cause a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. Applicant or petitioner responsibility for posting and mailing notice. An application or petition, initiated, proposed or requested by an applicant or petitioner, other than a Town board or commission, shall also be subject to additional notice requirements set forth below: (1) The applicant or petitioner is required to erect the sign provided by the Town, which shall be prominently displayed on the premises facing each public or private street which the property involved in the application or petition abuts, giving notice of the application or petition, the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more than 10 feet from the property line. The sign shall be displayed for a period of not less than seven days immediately preceding the date of the public hearing. The applicant, petitioner or his/her agent shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. (2) The applicant or petitioner is required to send notice to the owners of record of every property which abuts and every property which is across from any public or private street from the property`included in the application or petition. Such notice shall be made by certified mail, return receipt requested, posted at least seven days prior to the date of the initial public hearing on the application or petition and addressed to the owners at the addresses listed for them on the local assessment roll. The notice shall include description of the street location and area of the subject property,nature of relief or approval involved, and date, time and place of hearing. The applicant,petitioner or agent shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. Southoid Planning Department Staft Report Subdivision Application Work Session Review Date May 22, 2017 Prepared By: Mark Terry Erica Bufkins I. Application Information Project Title: Lot Line Adjustment—Brinckerhoff & Miller Applicant: Stephen Ham, III, Esq. Date of Submission: February 23, 2017 Tax Map Number: 1000-8.-1-5.1 & 6.5 Project Location: 2348 & 2851 Middle Farms Pond Road, north of Beach Pond Hamlet: Fishers Island Zoning District: R-120 II. Description of Project Type of Subdivision: Lot Line Adjustment & Merger Acreage of Project Site: 10.41 acres # of Lots: 2 III: Status New Application IV: Action to review Completeness Set Public Hearing Date V: Project Analysis This re-subdivision proposes to transfer 0.55 acres from SCTM#: 1000-8.-1-6.5 to SCTM#: 1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 ac to 6.15 ac, and Lot 5.1 will increase in size from 3.71 ac to 4.26 ac. Note. SCTM#: 1000-8.-1-4.16 & 5 merged to create SCTM#: 1000-8.-1-5.1. The configurations of SCTM#: 1000-8.-1-6.5 and SCTM#: 1000-8.-1-4.16 do not reflect the configurations shown on the September 9, 1991 FIDCO map or the 1980 Tax Map. March 31, 2017, the Planning Department requested by letter that the applicant provide justification for compliance with the Lot Recognition standard in Town Code §280-9 Lot Recognition to reflect the differences in configuration for SCTM#: 1000-8.-1-6.5 and SCTM#: 1000-8.-1-4.16. Page 2 April 11, 2017, the applicant submitted by letter the map entitled "Minor Subdivision Plan made for Robert J. Miller", prepared by Richard H. Strouse, dated March 23, 1984 and last revised December 26, 1984 and the map entitled "Proposed Lot Line Change Prepared for Rita M. Cushman, Trustee", prepared by Shepard B. Palmer, dated March 11, 1982 and last revised November 15, 1988. Planning staff found that the current configurations of SCTM#: 1000-8.-1-6.5 and SCTM#: 1000-8.-1-4.16 appear to be in compliance with the Lot Recognition standard in Town Code §280-9 Lot Recognition due to: 1. Lot Line Change for Rita Cushman, approved by the Planning Board April 17, 1989. 2. Minor Subdivision for Robert Miller, approved by the Planning Board October 21, 1985. 280-9 Lot reeo nitiorx.. A. A lot created by deed or Town approval shall be recognized by the Town if any one of the following standards apply and if the lots have not merged: 2 Tfae tots in guestion is/are. roved by the Southold Town PlannO Board. Recommendations and Summar Recommend finding the application complete and setting the Public Hearing for the July 10th meeting. Southold Town Plarwnin Board " fork Session – Ma 22 2011 7 -- Pa 3 Project Name, l Miller & Brinckerhoff SCTM#: ] 1000-8-1-5.1 & 6.5 Location: 2348 and 2851 Middle Farms Pond Road, north of Beach Pond, Fishers Island Description: This re-subdivision proposes to transfer 0.55 acres from SCTM#1000- 8.-1-6.5 to SCTM#1000-8.-1-5.1. Lot 6.5 will decrease in size from 6.7 acres to 6.15 acres, and Lot 5.1 will increase in size from 3.71 acres to P 4.26 acres. l Status New Application Action. Completeness _ Attachments:____ .. I.Staff Report.... mm.. _.- — _ ® . .m J .. Project name KoehlerLtd a p_ f _ m .e1 Location: 4180 New Suffolk Avenue, on he corner oMarraooka Rodm , e ,..e... and New Suffolk Avenue, Mattituck Description: This proposal is a Clustered Standard Subdivision of a 14.9 acre parcel into seven lots where Lot 1 equals 0.8 acres; Lot 2 equals 0.9 acres; Lot 3 equals 1.11 acres; Lot 4 equals 0.71 acres; Lot 5 equals 0.66 acres; f Lot 6 equals 0.7 acres; Lot 7 equals 9.5 acres inclusive of 8.72 acres of Open Space, located in the R-80 Zoning District. This property includes al rC _ 'proposed road tots_in e es Status ConditionalApproval Action: Review evie� d Preliminary Platry .. .e _ .. Attachments_ Staff Report. .. ._..... _,._. __ Project Name G Zachariadis & Krupski SCTM#: 1000-103-5-1 & 5 Locatio n:Description- 4! 195 pr p Neck Road, h nge involves the re-subdivision of SCTM#1000- tcho _ue j This proposed lot line change 1103.-5-1, a nonconforming 19,057 sq. ft. lot which will increase in size to a less nonconforming 46,153 sq. ft. lot in the R-80 Zoning District through N the transferring of a 50 foot wide right of way (SCTM#1000-103-5-5) from SCTM# 1000-97-8-31.2 (Krupski) to SCTM#1000-103.-5-1 (Zachariadis). _. Pendi 9 . . .. .. _ Status Attachments S wHearinge.. _ l Staff R _ _ Action. Review Public.epoft .., i MATTHEWS & HAM „ i ATTORNEYS AND COUNSELORS AT LAW 38 NUOENT STREET SOUTHAMPTON, NEW YORK 11068 PHILIP B. MATTHEWS (1e12-1ee2) 931-283-2400 r' - FACSIMILE 931-287-1079 .STEPHEN L. HAM, III BARBARA T, HAM e-mail:Matthamesq®aol.com April 11, 2017 Mr. Mark Terry, Assistant Director Southold Town Planning Department P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee (SCTM Nos.1000-008.00-01.00-004.016, & 005.000 (now merged to form lot # 005.001) & 006.005 ) Dear Mark: I am writing to follow up on my April 5 email response to your letter to me of March 31. 1 have enclosed a copy of that email response along with hard copies of the maps that-were-attached to the_email. Please let me know whether you were able to determine if the lot line modification that resulted in the current configuration of SCTM # 1000-8-1-6.5 was ever approved by the Planning Board and, if not, what steps need to be taken at this point before you can resume consideration of the referenced application. Also, please advise me as to whether the information and documentation I provided concerning SCTM# 1000- 8-1-4.16 satisfies your concerns regarding the configuration of that parcel. Thank you for your attention to this matter, Sincerely, t5;�� 4� Stephen L. Ham, III Enclosures Page I of 5 Subj: Re: Miller-Brinckerhoff Lot Line Change Date: 4/5/2017 12:05:06 P.M. Eastern Daylight Time From: �V.l gftjl.i.a..i�.-.n. s,,q ...................................2.........(02gj, l To: rnark,:.teriry.(, jMn, ....................................... Hello Mark- I received your letter concerning the configurations of tax lots 8-1-6.5 and 8-1-4.16. Lot 4.16 seems the easier one to deal with as it is Lot 3 on a Planning Board approved subdivision for Robert J. Miller. It is also depicted on the FIDCO Map which, as you know, is not as precise as a regular subdivision map would be in terms of its depictions of courses and distances. See attached maps, one of which has a barely legible stamp of approval of some sort.. As far as Lot 6.5 is concerned, it consists of all of Lot 2 and part of Lot 1 from the Cushman Subdivision as shown on the FIDCO Map. I have attached a map sowing the "Proposed Lot Line Change" that formed the basis for the current configuration when land was added to Lot 2 from Lot 1, apparently in the late 1980's. My file is incomplete on this, however, and at this point I cannot assert with certainty that the lot line change was ever approved by the Planning Board. Perhaps you could check on that for me and let me know. If it was not approved, then please advise as to what next steps should be to keep the process moving. Thanks and Best. Steve Stephen L. Ham, 111, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Phone: (631)283-2400 Fax: (631)287-1076 e-mail: matthamesq@aol.com In a message dated 3/31/2017 8:10:12 A.M. Eastern Daylight Time, mark.terry@town.southoId.ny.us writes: Steve, We acre processkig the appficaflon and worHng with the Building Department on lot recogniflon. You can expect a letter from staff in the very near future seeHing an explanation on how the lot lines changed from the FIDCO map and 1980-tax map (we have in house). Past deeds will be required. Please call to discuss this further. Mark Terry,AICIP,APA Assistant Director of Planning Tuesday, April 11, 2017 AOL: Matthamesq . . ..... . r. ��.. _..... urAll �r �= ic .. pyl.7+^'d'�•".r.-• - �,:- � .,k"e,xr � ����° � �rr, rA �rRr"r� � Iuil,11�A f(1frR k4 114 1R;RdRlOAJi wh7 fblh,D[N%� MOMMU H1 we HUM 1HMMI`N Human' ul'Rd ORE �`tlR A(frr@f61Ii6R �?Rk(bl �Il <01 � l o Nall j x a M s. WAS 4. VV 4M f h r {{ r ..... �u� d to Ml ." 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In N� a "u ' ,. 1 'aM"x •+� ,��� I' x ;. P T r; MJ Y iF d k� 11 �. 0 0 Vr MianIn 0, Ni xIs o yy tp a. � u•,v (/ r TO r �y: c ,r �. it IN r � u 4 M �ry� y i7 iG 14 p'tlll Nil ��M J .rero m. z �b n z irn ., ;K rn z: .o N+ , Q„ �a ,All'). . Michaelis, Jessica w. ,e From: Terry, Mark ) Sent: Thursday, April 06, 2017 8:44 AM To: Michaelis, Jessica; Bufkins, Erica Subject: FW: Miller-Brinckerhoff Lot Line Change Attachments. F1762_1.tif; F1842_1.tif; F1842_2.tif N annnnktg Board Jessica, Please print for file. From: Matthamesq@aol.com [ma iIto:Matthamesq@aol.com] Sent: Wednesday, April 05, 2017 12:05 PM To: Terry, Mark Subject: Re: Miller-Brinckerhoff Lot Line Change Hello Mark- I received your letter concerning the configurations of tax lots 8-1-6.5 and 8-1-4.16. Lot 4.16 seems the easier one to deal with as it is Lot 3 on a Planning Board approved subdivision for Robert J. Miller. It is also depicted on the FIDCO Map which, as you know, is not as precise as a regular subdivision map would be in terms of its depictions of courses and distances. See attached maps, one of which has a barely legible stamp of approval of some sort.. As far as Lot 6.5 is concerned, it consists of all of Lot 2 and part of Lot 1 from the Cushman Subdivision as shown on the FIDCO Map. I have attached a map sowing the "Proposed Lot Line Change"that formed the basis for the current configuration when land was added to Lot 2 from Lot 1, apparently in the late 1980's. My file is incomplete on this, however, and at this point I cannot assert with certainty that the lot line change was ever approved by the Planning Board. Perhaps you could check on that for me and let me know. If it was not approved, then please advise as to what next steps should be to keep the process moving. Thanks and Best. Steve Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Phone: (631) 283-2400 Fax: (631) 287-1076 tthamesgpaol com e-mail: ma ....e.._ .. .W... In a message dated 3/31/2017 8:10:12 A.M. Eastern Daylight Time, mark.terry(c-)town.southold.ny.us writes: Steve, We are processing the application and working with the Building Department on lot recognition. You can expect a letter from staff in the very near future seeking an explanation on how the lot lines changed from the FIDCO map and 1980 tax map (we have in house). Past deeds will be required. 21 5rp middle "M�m.. I " - --rr Treosure °h ✓� b RafferTy M N" Pond �dM MIDDLE FARMS POND I p , �' P�il�ssM r r f � t u J _ a- NP.x,a,N,<y 50, Locolion bfop 0 Sco/e /� 600 „ Ile „.,,w 1 "" r+y� .. "..„ < < N �..n „,w waw �, "•�' N S o= .,a a. yt r „_., , ""`'+�,,w'. +. ,I.k „„,�aK�, .`a,, _.. .,.,.,., p'GGip�.J�� •^......,, q”.„.,�” E u'.. 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M 4' 25 / / O / S q u O d 0'y P/ y/ S!o uMol ',f/uno.7 �Y/0y1n5 u/ pa/oOo/ s/ a//S £ 3N/7 13�1I17S o noa •_15 - auo tq a000 s/ AJadoJ ~wtl �/�. b' / b' Z P / O NO-L S3M 0Y 77-72/N bd -9/ �V l� Ja//!W % /Jagod :JeP/A!PgnS g Jau►ip / ZOAIJO /40/y aa/7 - ,51-71 ON — r Ja/DM JO OW7 J&/u&,9 d[yGV NO/1b707 d`” O � _ 95 M %%bZo/rN adt� Fk _. ,• _ N � �I k .w• `to m p ( f lV a S2JD(T+r?S'.o �. ,. � t h ! so7 ,� qv 0 Ale,/'/""F" 2107 d' .10 F ZL _..._ ,. ,bS F6/ s 3N/7 .S3il d/A7,: � �F 10 9 ✓ — 9 ( d aI . ..,_. ..,.. 9/� , uu�a oo ""� 3 7 O O W 3 9/,6/9 , .99 N 3 _ rwlr r: 1 f d xrx�r MAILING ADDRESS: PLANNING BOARD MEMBERS � ' :, P.O. Box 1179 � DONALD J.WILCENSKI `�� * Southold, NY 11971 Chair " tw ', OFFICE LOCATION: WILLIAM J. CREMERS Town Hall Annex PIERCE RAFFERTY 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR w c �[ Southold, NY Telephone: 631 765-1938 www.southoldtow-nny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 31, 2017 Mr. Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee Located at 2348 and 2851 Middle Farms Pond Road, north of Beach Pond, Fishers Island SCTM#1000-8.-1-5.1 & 6.5 Zoning District: R-120 Dear Mr. Ham: The Southold Town Planning Department has reviewed the proposed Lot Line Modification Application submitted February 28, 2017 for a re-subdivision. The configurations of SCTM#1000-8.-1-6.5 and SCTM#1000-8.-1-4.16 do not reflect the configurations shown on the September 9, 1991 FIDCO map or the 1980 Tax Map. The Planning Department requests that you provide justification for compliance with the Lot Recognition standard in Town Code §280-9 Lot Recognition. § 280-9 Lot recognition a) A lot created by deed or Town approval shall be recognized by the Town if any one of the following standards apply and if the lots have not merged: i, The identical lot was created by deed recorded in the Suffolk County Clerk's office on or before June 30, 1983, and the lot conformed to the minimum lot requirement(s) set forth in Bulk Schedule AA[1] as of the date of lot creation: Editor's Note: Bulk Schedule AA is located at the end of this chapter. ii. The lot(s) in question is/are approved by the Southold Town Planning Board. Southold Town Planning Board Page 2 March 31, 2017 iii. The lot(s) in question is/are shown on a subdivision map approved by the Southold Town Board prior to June 30, 1983. iv. The lot(s) in question is/are approved and/or recognized by formal action of the Board of Appeals prior to June 30, 1983. b) All lots which are not recognized by the Town pursuant to the above section shall not receive any building permits or other development entitlements. c) All lots are subject to the merger provisions of § 280-10. If you have any questions regarding the above, please contact this office at 631-765- 1938. Sincerely, -„ ,/AMsrk Terry �sistant Director of Planning I� c MATTHEWS & HAM ��: ,, w, ",w� ; ATTORNEYS AND COUNSELORS AT LAW 38 NUGENT STREET SOUTHAMPTON, NEW YOR% 11968 r PHILIP B. MATTHEWS (1912-1992) 631-283-2400 FACSIMILE 631-287-1076 1 "��" o� � STEPHEN L. HAM, III u�.dk,b<�P�!��l �(p�'�0 e-mail:Matthamesq@aol.com "� BARBARA T. HAM 4 u. ,..R February 23, 2017 Ms. Heather M. Lanza, Planning Director Southold Town Planning Department P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee (SCTM Nos.1000-008.00-01.00-004.016, 005.000 & 006.005 - "tax lot 4.16". "tax lot 5" and "tax lot 6.511) Dear Heather: Further to our conference at your office last month, my clients elected to merge an adjoining lot (tax lot 5) with their house lot (tax lot 4.16) so that no lot area variance would be required in connection with their lot line change application. (The same 0.55-acre portion of tax lot 6.5 will be added to and merged with the combined parcel.) With the deed merging the parcels now recorded with the Office of the Suffolk County Clerk and with the formal request for a new tax map number for the merged parcel having now been made to the Assessors Office, I am amending the application I submitted on January 11. In connection with the amended lot line change application, I have enclosed the following: 1. Amended Application for Re-Subdivision(Lot Line Modification), signed by me, 2. Certified copy of the deed merging tax lot 4.16 with tax lot 5 which was recorded on February 17, 2017 in Liber 12901 page 124. 3. Amended Short Environmental Assessment Form, signed by me. 4. Six prints of a map, entitled "Lot Line Change Map Prepared For Robert J. Miller and Adrienne A. Miller - Peter R. Brinckerhoff QPRTand Susan C. Brinckerhoff QPRT", dated February 14, 2017, prepared by CME Associates Engineering, Ms. Heather Lanza Page 2 February 23, 2017 Land Surveying & Architecture, PLLC and showing existing conditions as well as the existing and proposed lot configurations and areas. 5. Form of a deed that will be used to implement the lot line change. 6.. Amended LWRP Consistency Assessment Form, signed by me as authorized agent. Amendments to the foregoing documents reflect new total lot areas, individual areas, visual depictions and legal descriptions. Otherwise, they are the same as the ones I submitted on January 11. I have been advised by Claire Glew in the Assessors Office that a new tax map number for the combined parcel composed of tax lot 4.16 and tax lot 5 should be assigned by tomorrow. However, after today I will be on vacation and not back in the office until March 13, so my documents (and the new map) continue to refer to the separate designations for the Miller property. I would appreciate if you would commence your review of the amended application based on the existing tax map numbers since the substance of the amended application is the same. If necessary, I will undertake to provide further amended maps and documents showing the new tax map number for the combined parcel upon my return from vacation. I will be reachable by email with some delay if you have any questions or comments in the meantime. Thank you for your attention to this matter.. Sincerely, Stephen L. Ham, III Enclosures cc: Robert J, Miller, Esq. (w/print of map and recorded deed only) S0 �! loa �1Gxnriw�j Board SOUTHOLD PLANNING DEPARTMENT Re-subdivision (Lot Line Modification) AMENDED Application Form APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for the proposed RE-SUBDIVISION described herein: I. Original Subdivision Name MAP OF FISHERS ISLAND DEVELOPMENT CORPORATION 2. Suffolk County Tax Map #(include all tax ma pparcels involved) 1000 - 008.00- 01.00 - 1005. 000 1000 - 008.00 - 01.00 - 004.016; / 1000 - 008.00 - 01.00 - 006.005 3. Hamlet FISHERS ISLAND 4. Street Location 2348 & 2851 MIDDLE FARMS POND ROAD 5. Acreage of Site 10.41 +/,!!- ACRES 6. Zoning District R-120 7. Date of Submission __ FEPKT23, 2017 8. Please provide the names, addresses and phone numbers for the following people: Applicant; STEPHEN L. HAM, III, AS AGENT for Robert j. Miller & Adrienne A. Miller and Peter R. Br'n kerbO f f TRT & Susan C. Brinckerhoff QPRT 38 NUGENT STREET SOUTHAMPTON, NY 11968 Re-Subdmsion Application Form . (co 'nuea) Please provide the names, addressesone ntimbers the following pe Agent: STEPHEN L. HAM, III, ESQ. 38 NUGENT STR'ET SOUTHAMPTON, NY 11968 (631) 283-2400 - Property ner(s): OBRT J. MILLER & ADRIENNE A. MILLER _PETER R. BRINCKERROFF QPRT & SUSAN C. BIC OFF QPRT c/o MATTHEWS & 38 NUGENT STREET SOUTEIAMTON, NY 11968 (631) 283-2400 Surveyor: RICHARD A. ST OUSE ASSOCIATES ENGINEERING, LAND SURVEYING & ARCHITECTURE, PLLC 33 W7L UR CROSS WAY - 'SUITE X05 P. 0. BOX 535 MANSFIELD, CT 06268 Engineer: NO (860) 928-7848 Attorney: STEPHEN L. HAM, III, ESQ. T _ S & HAM 38 NUGENT STREET SO17T TON, NY 11968 (631) 283-2400 Mathaesq@aol.com 9. Briefly describe the proposed lot line change and state reason(s)for requesting same. The lot line change will involve the transfer of a portion o SCTM_�. l # 1000 - 00 .00 - 01.00 - 006.005 to SCTM 4151000 - 008.00 - 01.00 - 004.016.& 005.000 The purpose of the lot line chane is to -- .�.._...�...�......____ .�.�...,,,,.....�,���g provide an additional buffer for the residence on TAX Lot 4.16 from the residence on Tax Lot 6.5. 2 Re-Subdivision Application Form 10.DOES THE PROPOSED MODIFICATION (a) Affect the street layout in the original subdivision? NO (b) Affect any area reserved for public use? NO (c) Diminish the size of any lot? YES (d) Create an additional building lot? NO (e) Create a nonconforming lot? NO (fl Require a variance from the Zoning Board of Appeals? NO (g) Impact the future planning of the subject properties? NO 11.Does the parcel(s) meet the Lot Recognition standard in Town Code 280-9 Lot Rego a tion? Yes X . No . If"yes", explain how: ALL THREE' LOTS ARE LOTS SHOWN ON THE, MAP, OF FISHERS ISLE DEVELOPMT :RP01ION Aa" ARE T L EA,SI 0 X00 SFEET I1T AREAlZ. trisappligation �raeet the st ndard ire�24�- � �a��e�. ad"cst�nent cf �°c� er towaive the subdivision process'sIfvide the name and date oftbe nal suddivision, APCRE ° LY O1 SUEEOT Ted WAIVER PROVISIONS 13.Application completed by [] owner [X] agent [ ] other Upon submitting a completed application, the Planning Board will review the proposal and determine if the project is eligible for a waiver of subdivision review pursuant to Town Code 240-57. `ai er nd"ust ent of ro r lines, If the applicati "on meets the criteria for a waiver, the modification may be authorized by the Planning Board by resolution and no further review will be required. If the proposed lot line modification will create substandard lot sizes, lot widths or Make existing structures nonconforming with respect to setbacks, the applicant will .not be able to receive Planning Board approval without first obtaining relief from the,'Zoning Board of Appeals. Signature of Preparer Date FEBRUARY 23, 2017 STEPHEN L. HAM, III 3 Re-Subdivision Application Form CC# : C17-6712 �4i Ww v 5 ��d�IIIpI mx,`xwdry COUNTYIdCLERK'S LERK'S OFFICEF! Mawing AB'ooard STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DEED recorded in my office on 2/17/2017 under Liber D00012901 and Page 124 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 2/17/2017 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 02/17/2017 Number of Pages : 7 At: 12 :01 :50 PM Receipt Number : 17-0028493 TRANSFER TAX NUMBER: 16-21693 LIBER: D00012901 PAGE : 124 District: Section: Block: Lot: 1000 008 . 00 01 . 00 004 . 016 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35 .00 NO Handling $20 .00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO EA-CTY $5 . 00 NO EA-STATE $125. 00 NO TP-584 $5 . 00 NO Notation $0 . 00 NO Cert.Copies $8 . 75 NO RPT $400 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO Fees Paid $618 . 75 TRANSFER TAX NUMBER: 16-21693 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County L..... 1 xs z . RECORDED Number of pages 2131? Fed, ' a;_!� _.�, PM ITi D s i Iw A. PR`CALF C LEE R EVP 1,F This document will be public SU FOLD:: ,®:-1i,4-1y record. Please remove all L'�"'Ul ®�' Social Security Numbers ® prior to recording. DT# ;r,269 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee _.. .._ 1.Basic Tax �...a Handling ........ 20 00 2. Additional Tax TP-584 .. j Sub Total Spec./Assit. Notation _ -_ ✓ or EA-5217(County) _ Sub Total Spec./Add. .._ EA-5217(State) __... TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. _ Held for Appointment Comm.of Ed. 5. 00 �. ' Transfer Tax ~IT�... �.. Mansion Tax -..w.......... Affidavit �S The property covered by this mortgage is y or will be improved by a one or two 15 family dwelling only. NYS Surcharge ..IT._ 15. 00 Sub Total .— YES or NO Other _.�.. Grand Total If NO, see appropriate tax clause on _IT�®' page# of this instrument. M Dist. 17006014 —� CQ� )1 5 Community Preera " rTM Fuad.. .- ... Real Property P T S 5 M6 Consideration Amount$ r Tax Service R ipA A Agency 17-FEB-17 CPF Tax Due $ Verification Improved Satisfactions/Discharges/Reieases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land STEPHEN L.HAM,III,E . TID MATTHEWS &HAM TD.. 38 NUGENT STREET SOUTHAMPTON,N-Y 1196 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name L www.suffolkcountyny.gov/clerk Title# �� . 8 Suffolk Counly Reeordin&& Endorsement This page forms part of the attached .,DEED _ made by. (SPECIFY TYPE OF INSTRUMENT) ROBE T J. i ML1 , a c The premises herein is situated in mm _ ENNE A. LE SUFFOLK COUNTY,NEW YORK. ADRI TO In the TOWN of . T.f1j0LD ... _, ROBERT J. M1LI.,E d In the VILLAGE ADWE—NNEA, MU—,LER _.. or HAMLET of .... FIS MRS 15.1—,AND - BOXES S1 A BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over) P T S�" . Doc ID: �_...........�....^.�.�...� 70 6014 LPA SX LV Tax Maps District Secton Block Lot School District Sub Division Name 1000 00800 0100 004016 1000 00800 0100 005000 FISHERS ISLAND ...h........ 47 nn, CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the j S 7N day of February, two thousand seventeen, BETWEEN ROBERT J. MILLER and ADRIENNE A. MILLER, 15 Mayflower Parkway, Westport, Connecticut 06880, party of the first part, and ROBERT J. MILLER and ADRIENNE A. MILLER, 15 Mayflower Parkway, Westport, Connecticut 06880, as tenants in common, each with an undivided one-half(Y2) interest, party of the second part, WITNESSETH, that the parry of the first part, without consideration paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL those certain plots, pieces or parcels of land,with the buildings and improvements thereon erected, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described on Schedule A hereto as Parcel I and Parcel II. BEING AND INTENDED TO BE (i) in the case of said Parcel I, the same premises conveyed to Robert J. Miller and Adrienne A. Miller by deed dated February 19,2009 and recorded in the Office of the Suffolk County Clerk on February 25, 2009 in Liber 12581 page 466, and (ii) in the case of said Parcel II the same premises conveyed to Robert J. Miller by deed July 27, 1990 and recorded in the Office of the Suffolk County Clerk on August 22, 1990 in Liber 11124 page 358. Upon the recording of this deed the said Parcel I and Parcel II described on Schedule A hereto shall merge into a single parcel and shall constitute a single building site under applicable laws, ordinances, rules and regulations, said merged parcel being bounded and described as set forth on Schedule B hereto. TOGETHER with all right, title and interest, if any, of the parry 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 TO HAVE AND TO HOLD theremise p sherein 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 parry of the first partwill 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 cost 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. Robert J. Hier r Adrienne A. Miller Standard N.Y.B.T.U.Form 8002—Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of Ss: State of New York, County of ss: On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned, personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the indtvidual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is (are)subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the and that by his/her/their signature(s) on the instrument, the individual(s),or the person upon behalf of which the individual(s) individual(s),or the person upon behalf of which the individual(s) acted,executed the instrument. acted,executed the instrument. (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of Connecticut; County of Fairfield SS.: j� " On the 6 day of February in the year 2017 before me,the undersigned, personally appeared Robert J. Miller and Adrienne A. Miller personally known to me or proved to tree on the basis of Satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument„ the individuals, or the persons upon behalf of which the In vddu I a dp executed the instrument, and that such individuals made such appearance before the undersigned In the r ��- � in the State of Connecticut. (insert a City or other political subdivlsira ,, (signature and office of individual taking nowledgment) Rosemarie e NOTARY& L I'C State of Connecticut My Commission Expires 9/30/2017 DISTRICT 1000 BARGAIN AND SALE DEED SECTION 008.00 BLOCK 01.00 Title No. LOTS 004.016&005.000 COUNTY OR TOWN Suffolk-Southold STREET ADDRESS (no#) private road off East End Road Fishers Island, NY 06390 RETURN BY MAIL TO: ROBERT J. MILLER and ADRIENNE A. MILLER TO ROBERT J. MILLER and ADRIENNE A. MILLER RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A to DEED Party of the First Part: Robert J. Miller and Adrienne A. Miller Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: February 1�, 2017 PARCEL I (SCTM No. 1000-008.00-01.00-004.01 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Fishers Island,Town of Southold, County of Suffolk and State of New York bounded and described as follows: BEGINNING at a monument which is located 2193.16 feet North of a point which is 3423.13 feet East of another monument marking the United States Coast & Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 49 degrees 04 minutes 00 seconds West, 82.29 feet to a monument at a point of curve to the left having a radius of 23.06 feet and the direction of whose radius at that point is South 40 degrees 56 minutes 00 seconds East; THENCE southwardly following the arc of said curve, 36.17 feet to a point; THENCE South 49 degrees 12 minutes 20 seconds West, 40.00 feet to a point; THENCE North 40 degrees 47 minutes 40 seconds West, 48.85 feet to a point; THENCE North 02 degrees 46 minutes 36 seconds West, about 465 feet to the shore of Middle Farms Pond, THENCE following the meanders of said shore line in a southeasterly and northeasterly direction, about 350 feet to a point; THENCE South 55 degrees 21 minutes 42 seconds West, 80 feet, more or less,to a point; THENCE South 34 degrees 38 minutes 18 seconds West, 115.00 feet to a drill hole; THENCE South 23 degrees 23 minutes 48 seconds East, 13.22 feet to a point; THENCE South 61 degrees 05 minutes 00 seconds West, 64.83 feet to an iron pipe; A-1 THENCE South 18 degrees 43 minutes 00 seconds West, 313.39 feet to the monument set at the point or place of BEGINNING. PARCEL11 SCT o. 1000-008.00-01.00-006.000) ALL that certain plot, piece or parcel of land, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York bounded and described as follows: BEGINNING at a monument which is located 2235.54 feet North of a point which is 3123.71 feet East of another monument marking the United States Coast & Geodetic Survey Triangulation Station "NIM'; and RUNNING THENCE from said point of beginning South 62 degrees 05 minutes 00 seconds East, 83.65 feet to a point of curve to the right having a radius of 341.80 feet and the direction of whose radius at that point is South 27 degrees 55 minutes 00 seconds West; THENCE southeastwardly following the arc of said curve, 127.00 feet to a point; THENCE South 40 degrees 47 minutes 40 seconds East, 40.00 feet to a point; THENCE the following three tie line courses and distances along the average high water line of Beach Pond: (1) South 53 degrees 41 minutes 30 seconds West, 52.64 feet; (2) South 75 degrees 38 minutes 30 seconds West, 129.03 feet; and (3) South 26 degrees 08 minutes 00 seconds West, 241.21 feet; THENCE North 11 degrees 02 minutes 00 seconds West, 436.48 feet to a point of curve to the right having a radius of 170.26 feet and the direction of whose radius at that point is South 27 degrees 32 minutes 10 seconds East; THENCE southeastwardly following the arc of said curve, 164.78 feet to the monument set at the point or place of BEGINNING. A-2 SCHEDULE B to DEED Party of the First Part: Robert J. Miller and Adrienne A. Miller Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: February , 2017 PERIMETER DESCRIPTION OF MERGED PARCEL I and PARCEL II (SCTNI Ngs. 1000-008.00-01.00-004.Q16 & 1000-008.00-01.00-006.000 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,situate, lying and being at Fishers Island,Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a monument which is located 2193.16 feet North of a point which is 3423.13 feet East of a monument marking the United States Coast & Geodetic Survey Triangulation Station "NIM'; and RUNNING THENCE South 49 degrees 04 minutes 00 seconds West, 82.29 feet to a monument at a point of curve to the left having a radius of 23.06 feet and the direction of whose radius at that point is South 40 degrees 56 minutes 00 seconds East; THENCE southwardly following the arc of said curve, 36.17 feet to a point; THENCE South 49 degrees 12 minutes 20 seconds West, 40.00 feet to a point; THENCE North 40 degrees 47 minutes 40 seconds West, 8.85 feet to a point; THENCE the following three tie line courses and distances along the average high water line of Beach Pond: (1) South 53 degrees 41 minutes 30 seconds West, 52.64 feet; (2) South 75 degrees 38 minutes 30 seconds West, 129.03 feet; and (3) South 26 degrees 08 minutes 00 seconds West, 241.21 feet; THENCE North 11 degrees 02 minutes 00 seconds West, 436.48 feet to a point of curve to the right having a radius of 170.26 feet and the direction of whose radius at that point is South 27 degrees 32 minutes 10 seconds East; B-1 THENCE eastwardly following the arc of said curve, 164.78 feet to a monument; THENCE South 62 degrees 05 minutes 00 seconds East, 83.65 feet to a point of curve to the right having a radius of 341.80 feet and the direction of whose radius at that point is South 27 degrees 55 minutes 00 seconds West; THENCE southeastwardly following the arc of said curve, 127.00 feet to a point; THENCE North 02 degrees 46 minutes 36 seconds West, about 465 feet to the shore of Middle Farms Pond; THENCE following the meanders of said shore line in a southeasterly and northeasterly direction, about 350 feet to a point; THENCE South 55 degrees 21 minutes 42 seconds West, 80 feet, more or less,to a point; THENCE South 34 degrees 38 minutes 18 seconds West, 115.00 feet to a drill hole; THENCE South 23 degrees 23 minutes 48 seconds East, 13.22 feet to a point; THENCE South 61 degrees 05 minutes 00 seconds West, 64.83 feet to an iron pipe; THENCE South 18 degrees 43 minutes 00 seconds West, 313.39 feet to the monument set at the point or place of BEGINNING. B-2 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made as of the day of two thousand seventeen, BETWEEN PETER R. BRINCKERHOFF, as Trustee of the Peter R. Brinckerhoff Qualified Personal Residence Trust dated 4-5-2012,291 Sabal Palm Lane,Vero Beach, Florida 32963,and SUSAN C.BRINCKERHOFF,as Trustee oft a Susan C.Brinckerhoff Qualified Personal Residence Trust dated 4-5-2012,291 Sabal Palm Lane,Vero Beach, Florida 32963, party of the first part, and ROBERT J. MILLER and ADRIENNE A. MILLER, 15 Mayflower Parkway, Westport, Connecticut 06880, as tenants in common, each with an undivided one-half(1/2) interest, party of the second part, WITNESSETH,that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot, piece or parcel of land, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as set forth on Exhibit A hereto. BEING AND INTENDED TO BE a portion of the same premises respective undivided one-half interests in which were conveyed to the party of the first part by deeds, dated May 11, 2012 and recorded in the Office of the Suffolk County Clerk on June 4, 2012 in Liber 12695 at pages 137 and 138, respectively. SUBJECT TO the following restriction: No dwelling or outbuilding shall be erected on the premises conveyed hereby without the prior written consent of the party of the first part or its successors or assigns. This conveyance,of a i3ortion of the prernises of the party of the first part was approved by the Planning Board of the Town of Southold by reSOlUbOT-1 adopted on I By accepting this deed, the party of the second part acknowledges and agrees that the premises conveyed hereby shall merge with and become a part of other Premises of the party of the second part adjoining the prernises conveyed hereby on the west and shall not constitute a separate building site Linder,applicable laws, ordinances, rules and regulations, A perimeter description of said merged parcel is set forth on Schedule B hereto and an excerpt from the lot line change n1ap approved by the Planning Board of the Town of Southold depicting the authorized land transfer is set forth on Schedule C hereto. TOGETHER with all right, title- and interest, if zany, of the party Of the first part in and to any streets and roads abutting the above described premises tothe center lines thereof,TOGETHER w0 flle appurtenances and all the estate and rights of the party of the first part in and to said premise's,TO HAVE AND TO HOLD tile premises herein granted unto the party of the second part, the heirs or Successors and assigns of the parley 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 arid will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of ti,ie improvement and will al')ply the saline first to the payment Of file,cost of the: improvement before using any part of the total of the same for any other purpose, Tile word "party shall be construed as if it read "parties"wherlever 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 ter R.'Brinck"e—rho—ff, as—Trustee "B—rin'"c'—ke r h—off, "asT r"u—s t e_e , Standard N.Y.B-T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of m� State of New York, County of ss: On the day of inthe year On the day of inthe year before me,the undersigned, personally appeared before me,the undersigned, personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactaryevidence hmbethe [ndhvid almhuSemamne(m) are satisfactory evidence to be the individuals whose names are subscribed tmthe within instrument and acknowledged tomethat subscribed\othe within instrument and acknowledged tnmethat be�mhe/theyeXecoAedthe same iohia/her/theircepecily(jem).and he/she/thwyexecuted the same inhia/her/theircapanitiem and 0121 by hiy/her� p he�r mi�n�1ure(a) � the inetrunoe/�t, the that bytheir signatures onthe instrummntthe in6iddua|m. `rthe ind�vjdoel(s) or,the person upon behalf ofwhich the indiOdua|(a) person upon behalf ofwhich the individuals acted, execuhecthe aoted, execoted theimsmmnmeni' instrument. - Notary Public Notary Public (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State ofConnecticut; County ofFairfield mm: On the day of December in the year 2016 before me,the undersigned, personally appeared Peter R. Qrinokmrhoffand Susan C Brinckerhoff personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged hmmethat they executed the same intheir capecidem and that bytheir signatures onthe instrument, the individum|e, or the persons upon behalf of which the individuals moted, exec'-ted the instrument, and that such individuals made such appearance before the undersigned in inthe State ofConnecticut. (insert the City orother political subdivision) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 008,00 BLOCK 01.00 Title No. LOT p/m0O6OO5 COUNTY OR TOWN SUFFOLK-SOUTHOLD SCHEDULEA to DEED Party of the First Part: Peter R. Brinckerho ff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: 2017 ALL that certain lot or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York bounded and described as follows: BEGINNING at an iron pipe set at the northwesterly corner of the herein described tract, said iron pipe being located 2489.98 feet North of a point which is 3523.69 feet East of a monument marking the United States Coast & Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 68 degrees 04 minutes 36 seconds East, 176.41 feet to a monument; THENCE South 66 degrees 19 minutes 40 seconds West, 30.79 feet to a point; THENCE South 57 degrees 17 minutes 02 seconds West, 48.55 feet to a point; THENCE South 51 degrees 33 minutes 33 seconds West, 15.77 feet to a point; THENCE South 44 degrees 18 minutes 46 seconds West, 60.63 feet to a point; THENCE South 47 degrees 58 minutes 55 seconds West, 62.45 feet to a point; THENCE South 44 degrees 06 minutes 17 seconds West, 73.58 feet to a point; THENCE South 55 degrees 21 minutes 43 seconds West, 19.33 feet to a point; THENCE South 64 degrees 34 minutes 20 seconds West, 20.58 feet to an iron rod; THENCE North 18 degrees 43 minutes 00 seconds East, 287.31 feet to the iron pipe at the point of BEGINNING. Containing 0.55 acres, more or less. SUBJECT TO a right of way 20 feet in width in favor of The Henry L. Ferguson Museum, A-1 the center line of said right of way being described as follows: BEGINNING at a point in the northerly boundary line of the herein described tract, said point being located 2455.74 feet North of a point which is 3608.77 feet East of said "NIN"monument; and RUNNING THENCE South 23 degrees 23 minutes 48 seconds East, 43.89 feet to a point; THENCE South 14 degrees 47 minutes 12 seconds West, 30.96 feet to a point in the southwesterly boundary of the herein described tract. A-2 SCHEDULE B to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: , 2017 PERIMETER DESCRIPTION OF MERGED PARCEL (SCIM Nos,. 1000-006.00-0'1.0 -004.016 & 005.000 & p/o 006.005) ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at Fishers Island,Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a monument which is located 2193.16 feet North of a point is is 3423.13 feet East of a monument marking the United States Coast & Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 49 degrees 04 minutes 00 seconds West, 82.29 feet to a monument at a point of curve to the left having a radius of 23.06 feet and the direction of whose radius at that point is of 40 degrees 56 minutes 00 seconds East; THENCE southwardly following the arc of said curve, 36.17 feet to a point; THENCE South 49 degrees 12 minutes 20 seconds West, 40.00 feet to a point; THENCE North 40 degrees 47 minutes 40 seconds West, 8.85 feet to a point; THENCE the following three tie line courses and distances along the average high water line of each Pond: (1) South 53 degrees 41 minutes 30 seconds West, 52.64 feet; (2) South 75 degrees 38 minutes 30 seconds West, 129.03 feet; and (3) South 26 degrees 08 minutes 00 seconds West, 241.21 feet; THENCE North 11 degrees 02 minutes 00 seconds West, 436.48 feet to a point of curve to the right having a radius of 170.26 feet and the direction of whose radius at that it is South 27 degrees 32 minutes 10 seconds East; THENCE eastwardly following the arc of said curve, 164.78 feet to a monument; B-1 THENCE out 62 degrees 05 minutes 00 seconds at, 83.65 feet to a point of curve to the right having a radius of 341.80 feet and the direction of whose radius at that point is South 27 degrees 55 minutes 00 seconds West; THENCE southeastwardly following the arc of said curve, 127.00 feet to a point; THENCE North 02 degrees 46 minutes 36 seconds West, about 465 feet to the shore of Middle Farms Pond; THENCE following the meanders of said shore line in a southeasterly and northeasterly direction, about 350 feet to a point; THENCE South 55 degrees 21 minutes 42 seconds West, 80 feet, more or less, to a point; THENCE South 34 degrees 38 minutes 18 seconds West, 115.00 feet to a drill hole; THENCE out 23 degrees 23 minutes 48 seconds East, 13.22 feet to a point; THENCE out 61 degrees 05 minutes 00 seconds West, 64.83 feet to an iron pipe; THENCE of 68 degrees 04 minutes 36 seconds East, 176.41 feet to a out; THENCE South 66 degrees 19 minutes 40 seconds West, 30.79 feet to a point; THENCE South 57 degrees 17 minutes 02 seconds West, 48.55 feet to a point; THENCE South 51 degrees 33 minutes 33 seconds West, 15.77 feet to a point; THENCE South 44 degrees 18 minutes 46 seconds West, 60.63 feet to a point; THENCE of 47 degrees 58 minutes 55 seconds West, 62.45 feet to a point; THENCE out 44 degrees 06 minutes 17 seconds West, 73.58 feet to a point; THENCE South 55 degrees 21 minutes 43 seconds West, 19.33 feet to a point; THENCE South 64 degrees 34 minutes 20 seconds West, 20.58 feet to an iron rod; THENCE of 18 degrees 43 minutes 00 seconds West, 26.08 feet to the monument set at the point or place of BEGINNING. Containing 4,26 acres, more or less. B-2 SCHEDULE C to DEED Party of the First Part: Peter R. Brinckerhoff, , and Susan C. Brinckerhoff, Trustee Party of t illy and Adrienneill Dated:Deed 2017 DRILL HOLE S 2323'48" 1.PIPE 13,22", !.PIPE W". (FOUND) N 2489.98 . . E 3523.69 + " N 2455.741' E 3606.-771 I ` 'R; L DRIVE ® . RE�OENCE 418 9' APOROX, 20' YADE S66 LDCATIO 7 I (FOUND) 1 7 1 3 . p 30.98" 51'33'33N �. 15.77', ' NlF oAREA TO BE MILLER )RIENNE A MILLERWo 000-8-1-4. 16-' . F . � S 4,V06`1 ! 7 ro -5621'43"'. e. 19.,33' ..® . � PROPOSED LOT UNE 2 . 8, IRON ROD (Mr) S 1 .— --- ®.. -1 Town of Southold AMENDED LWRP CONSISTENCY"ENC ASSESSMENT FO A. INSTRUCTIONS &Gwr MITTUIP 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 HazardArea. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed ctl a '.11 be evaluated as to its si ific t eraeficia sad adverse efe a u on th cora t arras which includes all of Southold Tow 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 must be-explained in detail,,list" both su ort" d no 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# 1000-008 - 01.00 - 004.016 & 006.005& 005.000 PROJECT NAME Lot Line Change for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff QPRT & Susan C. Brinckerhoff QPRT The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by "own agency(e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g.grant,loan, subsidy) (c) Permit, approval, license, certification: �p Nature and extent of action: �l Transfer of an approximately 0.55-acre parcel from premises co-owned by the Peter R. Brinckerhoff QPRT and the Susan C. Brinckerhoff QPRT (SCTM ii 1000-8-1-6.5) Y and Adrienne A. Miller (SCTM it 1000-8-1-4.16} o premises co-owned. b Robert J. Miller to effect a boundary line change between these two adjoining parcels. 1000-8-1-5) Policy 10. Protect Southold's water-dependent uses and promote siting of new water-de suitable locations. See LWRP Section Iendent uses in II-Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 0 Not Applicable -. ' p. promoting uses in suitable locati ns are not relevant to t , siting of new water-dependent Protecting Southold swater-de water-dependent uses and _ ... pr��ect. Attach additional sheets if necessary 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 1:1 No E Not Applicable e project is not intended to nor will it have an impact on, let alone promote, sustainable use of living marine resources. Attach additional sheets if necessany Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III-Policies; Pages 62 through 65forevaluation criteria. Yes �p� No Not Applicable The project is not intended to nor *ill it have an impact on, let sloe protect, agricultural lands. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section II[-Policies; Pages 65 through 68 for evaluation criteria. 11 Yes ❑ No 7x Not Applicable ------------ t ' project.pp p p Promotion of a ro ris.te use and development of mineral resources is irrelevant o the ' Promotion of appropr�.ate use and, eslopment c energy resources is lileise irrelevant to the project. PREPARED BY L TITLE Authorized Agent DAI;L+ February 23,_2017 Amended on 811105 AMENDED Environmental Assessment Form �:�]' '1Z' r Part 1 -Project Information Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or fund'irmg,are subject to public review,and may be subject to further verification. Complete Part l based oa information currently available. If additional,research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information, Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. P Projectand Sp formation Action or Project: CHANGE-ROBERT J.MILLER&ADRIENNE A.MILLER&PETER R.BRINCKERHOFF&SUSAN C.BRINCKERHOFF QPRTs Project Location(describe,and attach a location map): 2348&2851 MIDDLE FARMS POND RD,FISHERS ISLAND,TOWN OF SOUTHOLD,SUFFOLK COUNTY(SCTM#s 100D-8-1-4.1�'&6.5) Brief Descri tiara of Proposed Action: TRANSFER OF APPROXIMATELY 0.55 ACRE FROM SCTM#1000-8-145 TO SCTM#1000-8-1-4.16& 5 TO EFFECT LOT LINE CHANGE BETWEEN THOSE TWO ADJOINING PARCELS Name of Applicant or Sponsor: Telephone: (631)283-2400 STEPHEN L.HAM, III,AS AGENT FOR MILLER&BRINCKERHOFF QPRTs Address: &Mail: Matlhammaeaq aol.com 38 NUGENT STREET City/P0: SOUTHAMPTON State: Zip Code: NY 11968 1,.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, administrative rule,or regulation? NO YES y ch a narrative description of the intent of the proposed action and the environmental resources that may be a Yes,attach in the municipality and proceed to Part 2. If no,continue to question 2. m 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: POSSIBLY REQUIRED APPROVAL BY SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ❑ -------------- 3.a.Total acreage of the site of the proposed action? 55 b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned —� ,.-•�acres or controlled by the applicant or project sponsor? 10.41 acres 4. Check all land uses that occur on,adjoining and near the proposed actlomm, [—]Urban 9Z]Rural(non-agriculture) ❑Industrial ❑Commercial ❑Residential(suburban) OForest DAgriculture O A uatic q mother(specify): Residential(rural) ❑Parkland Page 1 of 3 FIs proposed action, Permitted use under the zoning regulations? N YES N/A. Li 0sistent with the adopted comprehensive plan? proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 7. Is the site of the Proposed action located in,or does it adjoin,a state listed Critical n ental Ar Z If Yes,identify_E95d ? S . a.Will the proposed action result in a substantial increase in tr tc above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed ion? c.Are y pedestrian accommodations or bicycle routes available on or near site of the proposed action? g.Does the proposed action meet or exceed the state energy code reuireanent2 If the proposed action will exceed requirements,describe design features and technologies: NO YES LyJ 10. will the proposed action connect to an existing public/privte water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: private on site septic W1 M syst 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic YES Places? b.Is the proposed action located in an archeological sensitive area? 21 0 13.a.DoesJ g proposed y portion of the site of the proposed action,or lands adjoining the ro osed action contain NO YES wetlands or other waterbodies regulated by a federal,state or localagency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square q are feet or acres: 14. Identify the typical habitat types that occur on,or e likely to be found on the project site. Check all that El Shoreline OForestAgricultural/grasslands apply: WetlandUrban Early mid-successional Suburban 15.Does the site of the proposed action containany species of animal,or associated habitats,listed by the State or Federal government threatened or endangered? N� YES 16.1's the project site located in the 100 year flood plain? .,� YES 17.Will the proposed action.create stormwater discharge,either from point or non Sources? No� YE If Yes, S a.Will storm water discharges flow to adjacent properties? 91 NO S .Will storm water discharges be directed to established conveyance systemsoff and stonn drains)? If Yes,briefly describe: run O OYES Page 2 of 18.Does the proposed action include construction or other activities that result in the impoundment of NO water or other liquids(e.g.retention pond,waste lagoon,dam)? YES If Yes,explain purpose and size: Li 19.Has the site of the proposed action or an adjoining propertybeen the location of an active or closed NO YES solid waste management facility? If Yes,describe: Z 20 Flas the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST O KNOWLEDGE F MY I� AUTHORIZED AGENT Date; j February 23, 2017 gn ... Si store: nam L. ` �a Applicant/sponsor �e: STEPHEN L.HAM,III, w a T FOR PRIN � Page 3 of 3 Michaelis, Jessica From: Lanza, Heather " i Sent: Saturday, February 04, 2017 4:31 PM FIEB 6 ?Oi To: Terry, Mark Cc: Michaelis,Jessica; Bill Cremers (billcre@optonline.net); Don Wi'ceir", .@ (don@briarclifflandsca e.com), Donald Wilcenski; Fishers Islan Board (fimuseum@fishersisland.net);James Rich (James Rich3@optonline.net); Martin Sidor(E- mail); Pierce Rafferty (prafferty@fishersisland.net) Subject: FW: Miller- Brinckerhoff Lot Line Change From: Matthamesq@aol.com [mailto:Matthamesq@aol.com] Sent: Friday, February 03, 2017 4:29 PM To: Lanza, Heather<heather.lanza@town.southoId.ny.us> Subject: Re: Miller- Brinckerhoff Lot Line Change Hi Heather- In accordance with our conversation this afternoon, my clients intend to merge one or more adjoining parcels with their residence parcels so that no action by the Zoning Board will be required. As a result, we will have to amend the map, a process that is likely to take a couple of weeks due to the absence of Dick Strouse next week. Please put the referenced application on hold pending our submission of revised maps to reflect the merger increasing the lot area of Tax Lot 4.16. Thanks and Best. Steve Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street Southampton, NY 11968 Phone: (631)283-2400 Fax: (631) 287-1076 e-mail: matthamesg@aol.com In a message dated 2/3/2017 3:21:36 P.M. Eastern Standard Time, heather.lanzaa-town.southold.ny.us writes:. If you can create a conforming lot and nothing is lost in terms of development potential for your clients, then do so. Otherwise it's building dept and zba. Sorry. How much more extra paperwork is there?Just merge one or both as part of the lot line change. Or merge just a part of the larger one to get to the conforming number. Do the conservation easements prevent lot line changes of the protected parcels?Are those dotted lines driveways with access easements?Will that complicate a merger or lot line change? From:_Matthames aol,com [mailto:Matthames-C e L l.comj Sent: Friday, February 03, 2017 12:08 PM To: Lanza, Heather<heather.lanza@town.southold.nv.us> Subject: Miller- Brinckerhoff Lot Line Change Good Morning Heather- I have attached an excerpt from the tax map section showing the Miller-Brinckerhoff neighborhood. The two lots that are the subject of the lot line change are Brinckerhoff(6.5)which will transfer.55 acre to Miller (Lot 4.16), bringing the lot area of 4.16 to 2.58 acres or 112,385 +/- square feet, or about 7,615 square feet short of 120,000. Bob Miller and/or his wife also own tax lots 4.15 and 5 that adjoin 4.16. Both are burdened by conservation easements and will never be developed. Under these circumstances, would the Planning Board consider proceeding with the lot line change without involving the Building Department and ultimately the Zoning Board? It seems silly to have to merge one or both or them with lot 4.16 and I would like to avoid all the extra paperwork involved in doing so, though I assume that would keep us out of the ZBA. I am hopeful that the Planning Board will treat this one differently both because of the adjoining lands and the fact that we will go from 73.7% conforming to 93.7% conforming but if I have to do a merger, that's what the client prefers. Please bring this up with the Board as soon as you can and let me know. Thanks and Best. Steve Stephen L. Ham, III, Esq. Matthews & Ham 38 Nugent Street 2 MATTHEWS & HAM ATTORNEYS AND COUNSELORS AT LAW n 38 NUGENT STREET SOUTHAMPTON, NEW YORH 11968 PHILIP B. 14ATTHEWS (1912-1992) 631-283-2400 FACSIMILE 631-287-1076 RariM rvj B u:u $TEPHER L. HAM. 111 BARBARA T. HAa1 e-mail:Matthamesq@aol.com January 11, 2017 Ms. Heather M. Lanza, Planning Director Southold Town Planning Department P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Modification for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff, as Trustee, & Susan C. Brinckerhoff, as Trustee SCTM Nos,1000-008.00-01.00-004.016 & 006.005 _ "tax lot 4.116"' and tax lot 6,511) Dear Heather: On behalf of the referenced property owners, I am applying for approval of a lot line change pursuant to which an approximately 0.55-acre parcel of land will be transferred by Peter R. Brinckerhoff & Susan C. Brinckerhoff, as Trustees of their respective Qualified Personal Residence Trusts,co-owners of tax lot 6.5,to Robert J. Miller and Adrienne A. Miller, co-owners of the adjoining tax lot 4.16, and merged with tax lot 4.16. In connection with this lot line change application, I have enclosed the following: 1. Application for Re-Subdivision(Lot Line Modification), signed by mea 2. Two Letters of Authorization, one from Robert J. Miller and Adrienne A. Miller and the other from Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee, covering my authority to act as agent of those owners in connection with this application. 3. Photocopies of the last deeds of record to the subject parcels which were recorded in Liber 12581 page 466, Liber 12695 page 137 and Liber 12695 page 138, respectively. 4. Photocopies of Certificate of Occupancy Nos. Z17066, Z12944, Z12945, Z-20872 and Z-24066, the first pertaining to the Miller property and the last four pertaining to the Brinckerhoff property. 5. Fishers Island Development Corporation Summary of Restrictive Covenants Relating to Development and Annual Assessment. Ms. Heather Lanza Page 2 January 11, 2018 6. Short Environmental Assessment Form, signed by me. 7. My check to the Town of Southold in the amount of the $500 fee. 8. Six prints of a map, entitled "Lot Line Change Map Prepared For Robert J. Miller and Adrienne A. Miller - Peter R. Brinckerhoff QPRTand Susan C. Brinckerhoff APRT.", dated November 15, 2016, prepared by CME Associates Engineering, Land Surveying&Architecture, PLLC and showing existing conditions aswell as the existing and proposed lot configurations and areas. 9. Form of a deed that will be used to implement the lot line change. 10. Four Applicant Transactional Disclosure Forms, each signed by me on behalf of the respective owners. 11. LWRP Consistency Assessment Form, signed by me as authorized agent. Please note that the two parcels that are the subject of this lot line change satisfy Lot Recognition standard A (2) of Zoning Code Section 280-9 as Planning Board- approved lots shown on the Map of Fishers Island Development Corporation which was filed in the Office of the Suffolk County Clerk on September 25, 1991 as Map A421. .Please have your staff look over the enclosed documents at your earliest convenience and let me know if you will require any further information, documentation or payments before you can commence your review process. Thank you for your attention to this matter. Sincerely, Stephen L. Ham, III Enclosures cc: Robert J. Miller, Esq. (w/enclosures) �;. m,,, SOUTHOLD PLANNING DEPARTMENT Re-subdivision (Lot Line Modification) Application Form APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for the proposed RE-SUBDIVISION described herein: 1. Original Subdivision NamMAP e OF FISHERS ..ISLAND EVELOPMENT CORPORATION.....D................._..................................._..... 2. Suffolk County Tax Map #(include all tax map parcels involved) 1000 - 008.00 - 01.00 - 004.016; 1000 - 008.00 - 01.00 - 006.005 3. Hamlet FISHERS ISLAND 4. Street Location 2348 & 2851 MIDDLE FARMS POND ROAD 5. Acreage of Site 8.73 ACRES 6. Zoning District R-120 7. Date of Submission JANUARY 11, 2017 8. Please provide the names, addresses and phone numbers for the following people: Applicant: N L. HAM, III licant: S�� ............TEPHE _ , AS AGENT for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff QPRT & Susan C. Brinckerhoff QPRT 38 NUGENT STREET SOUTHAMPTON, NY 11968 Re-Subdivision Application Form 8. (continued) Please provide the names, addresses and phone numbers for the following people: Agent: STEPHEN L. HAM, III, ESQ. .............................. 38 NUGENT STREET SOUTHAMPTON, NY 11968 (6-3-1) 2-8 3.................2'400 Property Owner(s): ROBERT J. MILLER & ADRIENNE A. MILLER PETER R. BRINCKERHOFF QPRT & SUSAN C. BRINCKERHOFF QPRT ............. c/o MATTHEWS & HAM 38 NUGENT STREET SOUTHAMPTON, NY 11968 (631) 283-2400 Surveyor: RICHARD H. STROUSE Ck-XSSOCIATES ENGINEERING, LAND SURVEYING & ARCHITECTURE, PLLC ............... 33 WILBUR CROSS WAY - SUITE 105 P. 0. BOX 535 MANSFIELD, CT 06268 (860) 928-7848 Engineer: NONE .......... Attorney: STEPHEN L. HAM, III, ESQ. MATTHEWS & HAM ........... 38 NUGENT STREET SOUTHAMPTON, NY 11-9-68 (631) 283-2400 ............. Matthamesq@aol.com 9. Briefly describe the proposed lot line change and state reason(s)for requesting same. The lot line change will involve the transfer of a portion of SCTM # 1000 ....... ... ... 008.00 - 01.00 006.005 to SCTM # 1000 - 008.00 - 01.00 - 004.016. The purpose of the lot line change is to provide an additional buffer .......... for the residence on TAX Lot 4.16 from the residence on Tax Lot 6.5. It will reduce the degree of nonconformity of Tax Lot 4.16 without impacting the conformity of Tax Lot 6.5. ........... ............. ....... 2 Re-Subdivision Application Fonn 10.DOES TBE PROPOSED MODIFICATION (a) Affect the street layout in the original subdivision? NO (b) Affect any area reserved for public use? NO (c) Diminish the size of any lot? YES (d) Create an additional building lot? NO (e) Create a nonconforming lot? No (f) Require a variance from the Zoning Board of Appeals? NO (g) Impact the future planning of the subject properties? NO 11.Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Yes x . No . If"yes", explain how: BOTH LOTS ARE LOTS SHOWN ON THE MAP OF FISHERS ISLAND DEVELOPMENT CORPORATION AND ARE AT LEAST 40,000 SQUARE FEET IN AREA _... 12.Does this application meet the standard in § 240-57. Waiver.adjustment of property lines to waive the subdivision process?If so, please provide the name and date of the original subdivision. APPARENTLY NOT SUBJECT TO WAIVER PROVISIONS 13.Application completed by [ ] owner P] agent [ ] other Upon submitting a completed application,the Planning Board will review the proposal and determine if the project is eligible for a waiver of subdivision review pursuant to Town Code 4 240-57. Waiver, adjustment of property lines. If the application meets the criteria for a waiver,the modification may be authorized by the Planning Board by resolution and no further review will be required. If the proposed lot line modification will create substandard lot sizes,lot widths or make existing structures nonconforming with respect to setbacks,the applicant will not be able to receive Planning Board approval without first obtaining relief from the Zoning Board of Appeals. Signature of Preparer Date JANUARY 11, 2017 STEPHEN L. HAM, III 3 Re-Subdivision Application Form Southold P De artment Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Robert J. Miller ast,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision X Site Plan Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse,sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this 11th day of Jal 20 17 Signature_ Authorized Agent Print Name Stephen L. Ham, III Disclosure Form Southold Planning Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Adrienne A. Miller Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision X Site Plan Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood„marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse,sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this 11th day of Jai 20 17 Signature Authorized Agent Print Name Stephen L. Ham, I I I Disclosure Form Southold Planning De artment Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Peter R. Brinckerhoff, as Trustee of the Pter R. Brinckerhoff QPRT Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision R Site Plan Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse,sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this 11th day of Jai 20 17 Signature... Authorized Agent Print Name Stephen L. Ham, III Disclosure Form Southold Planning, DejRa,rtment Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Susan C. Brinckerhoff, as Trustee of the Susan C. brinckerhoff QPRT Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision X Site Plan Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse,sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this 11th day of En 20 17 Signature Authorized Agent Print'Name Stephen L. Ham, III Disclosure Form Robert J. Miller Adrienne A. Miller 15 Mayflower Parkway Westport, CT 06880 Decemberp , 2016 Planning Board Town of Southold 54375 Main Road P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Change for Premises at Fishers Island (S.C.T.M. Nos. 1000- 008.00-01.00-004.016 & 006.005 1 Dear Board Members: The undersigned, co-owners of premises situate at Fishers Island, New York (SCTM# 1000-008.00-01.00-004.016), hereby authorize Stephen L. Ham, III of Matthews & Ham, 38 Nugent Street, Southampton, New York 11968, to act as agent of the undersigned in making such applications to your Board and in taking any and all incidental actions in regard thereto, including without limitation, completing and executing the required forms, giving any required notices and appearing at any public hearings, as he shall deem necessary or advisable in order to obtain approval of the proposed lot line change relating to the referenced premises in accordance with the Proposed Lot Line Change Plan prepared by CME Associates Engineering, Architecture & Land Surveying, PLCC, dated November 15, 2016, as the same may be revised from time to time. Very truly yours, Robert J. Mille Adrienne A. Miller STATE OF CONNECTICUT ) COUNTY OF FAIRFIELD ) On the PA day of December in the year 2016 before me, the undersigned, personally appeared Robert J. Miller and Adrienne A. Miller. personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the persons upon behalf of which the individuals acted, executed the instrument, and that such individuals made such appearance before the undersigned in the Or- c4ageow(CH in the State of Connecticut. L r .. . ) � ., Notary Public, State of Conti,_cticut Rosemarie Folay NOTARY FO L,IC Slate of Connecticut. My COMmissiOn ExPireS 9/30/2017 Peter R. Brinckerhoff, as Trustee Susan C. Brinckerhoff, as Trustee 291 Sabal Palm Lane Vero Beach, Florida 32963 December 14 , 2016 Planning Board Town of Southold 54375 Main Road P.O. Box 1179 Southold, NY 11971 Re: Proposed Lot Line Change for Premises at Fishers Island (S.C.T.M. Nos. 1000- 008.00-01.00-004.016 & 006.005 Dear Board Members: The undersigned, co-owners of premises situate at Fishers Island, New York (SCTM# 1000-008.00-01.00-006.005), hereby authorize Stephen L. Ham, III of Matthews & Ham, 38 Nugent Street, Southampton, New York 11968, to act as agent of the undersigned in making such applications to your Board and in taking any and all incidental actions in regard thereto, including without limitation, completing and executing the required forms, giving any required notices and appearing at any public hearings, as he shall deem necessary or advisable in order to obtain approval of the proposed lot line change relating to the referenced premises in accordance with the Proposed Lot Line Change Plan prepared by CME Associates Engineering, Architecture & Land Surveying, PLCC, dated November 15, 2016, as the same may be revised from time to time. Very truly yours, Peter R. Brinckerhoff, as Trustee Susan C. Brincl rhoff, as Trustee STATE OF CONNECTICUT ) ro ss.: � I COUNTY OF FAIRFIELD ) On the day of December in the year 2016 before me, the undersigned, personally appeared Peter R. Brinckerhoff and Susan C. Brinckerhoff. personally known to me or pre o me on the basis of satisfacto eid be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the persons upon behalf of which the individuals acted,executed the instrument, and that such individuals made such appearance before the undersigned in the int e State of Connecticut. i97 1�- ria'r, Notary Public, State of Connecticut LILLI R. ROBERTSON NOTARY PUBLIC MY COMMISSION EXPIRES APRIL 30, 2021 1 2 Numberofpages Feb 25 0isWclol PH Judith R. Pascale This document will be public mM OF Please all FOLX TY Social Security Numbers t 1i P prior to recording. DT# 08-16369 Deed I Mortgage Instrument Dead/Mortgage Tax StampEEordini:g I Fling Stamps g FEES Mortgage Amt. Page IFiling Fee "'""'" 1.Bask Tax Handling 2'0.00 2. Additional Tax TP_584 Sub Total Notation s pecJAsdt or EA-5217(County) Sub Total Spec./Add. EA-5217{state) TWIT.MTC%,TAX Dual Town Dual County T.SA Herd for Appointment Comm.of Ed. S. 004D Transfer Tax Affidavit ManSion Tax The pro by this mortgage is CerdBed Copy or will be Improved by a one or NYS Surcharge 1s. tip_ family dwelling only. Other SubTotal YES or NO Grand Total If N0,see appropriate tax clause on page a 1s I au m 4 1 Dlst ' S Wily P alF , 38 Real P Co tion Amount Tax ice R SMI A Agency CPF Tax Due S Verificationtlons101eV Improved ,.. 6 satlsr ache eieales Lot Proj r Owners Malll Address CORD&RETURN . Vaunt Land Day Pitney LLP M One East Putnam Avenue TD Greenwich,Cr 06830 Attn: Eileen TD Mail to:Judith A.Pa le,Suffolk County Clerk 7 Title Comp!ny Taro do 310 Center Drive, Riverhead, NY 11901 Ccs.Narne www.suffbD=untyny.gov/dark Tldet ago I- X651LL ' eSuffolk County Recordinga, This page forms part of the attached Deed made by: (SPECIFY TYPE OFINSTRUMENT) Robert J.Miller The preinises herein is situated in SUFFOLK COUNTY.NEW YORK TO In theTOWN of Sgulligid MW I—Mift NAAdEjON A illIntheVILLAGE or HAMLET of BOXES 6 THRU 3 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over QUITCLAIM DEED T141S INDENTUREmade the day of �= Two ThousandNine BETWEEN ROBERT J.MILLER,having an address at 15 Mayflower Parkway, Westport,Connecticut party of the first part,and ROBERT J.MILLER andILL s Tenants in Common,having an address at 15 Mayflower Parkway, Westport,Connecticut,collectively party of the second part, WITNESSETH,that the party of the first part,in consideration of ten dollars paid by the party of the second part,does hereby remise,release and quitclaim unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,described in SCHEDULE& attached hereto. 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 all the estate and rights of the party of the first pan in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second e heirs and assigns forever. AND the party pf the first part,in compliance with Section 1 I 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 cost 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 L.S. Wiuuw Mt: KOBIRT J. MILLER Acknowledgement to a outside New York State STATE OF CONNECTICUT , ) : Stamford COUNTY OF FAIRFIELD ) On the A qday of in the year 20,19 before me,the undersigned, personally appeared, ROBERT J. MILLER,personally known to nye 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 he executed the same in his capacity,and that by his signature on the instrument,the individuals or the persons upon behalf of which the individual acted,executed a instrument. Notary Public CONNIE A. L ENSTEl C RETURN BY MAIL TO: SECTION: Eileen M.Russo LOCK: Day Pitney LLP LOT: One East Putnam Avenue COUNTY: Suffolk Greenwich,CT 06930 ADDRESS: -2- SCHEDULE A Title No.: 9308-05676 CHICAGO TITLE INSURANCE DESCRIPTIONLEGAL ALL .AT CERTAIN P , PIE , O P L OP , SI , LYING AM BEING AT FIS HERS ISIMM, TOWN OF SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK BEING MORR PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNINGIRON PIPE WHICHIS LOCATED 2193.16 FEET NORTH OF A 1POnIT WHICH IS 3423.13 FEET EAST OF A MONUMENT MARKING'T I STATES COAST AM GEODETIC SURVEY TRIANGULATIONSTATION ""; THENCE SOUTH 49 DEGREES 04 MINUTES 00 SECONDS WEST 82.29 FEET To A MONUMENT AT POINT OF CURVE To THE LEFT HAVING A RADIUS OF 23.06 FEET AND THE DIRECTION OF WHOSE RADIUS TTHAT POINTIS SOUTH 40 DEGREES, 56 MINUTES, 00 T; THENCE SOUTHWAPMLY MIXORING THE ARC OF SAID CURVE FOR A DISTANCE OF 36.17 FEET; THENCE SOUTH 49 DEGREES 12 MINUTES 20 SECONDS WEST 40.00 T; THENCE NORTH 40 DEGREES 47 MINUTES 40 SECONDS WEST 48.85 ET; THENCE NORTH 02 DEGREES 46 MINUTES 36 SECONDS WEST ABOUT 465 FEET TO TIM SHORE OF MIDDLE PAT44S POND; FOLLOWINGTHENCE THE MEANDERS OF SAID SHORE LINE IN A SOUTHEASTERLY AND NORTHEASTERLY DIRECTION 350 T; THENCE SOUTH 55 DEGREES, 21 MINUTES 42 SECONDS WEST 80 ET; THENCE SOUTH 34 DEGREES 38 MINUTES 18 SECONDS WEST 115 ; THENCE SOUTH 23 DEGREES 23 MINUTES 48 SECONDS EAST 13.22 ET; RUNNING THENCE SOUTH 61 DEGREES, 05 MINUTES, 00 SECONDS WEST 64.83 ET; THENCE SOUTH 18 DEGREES 43 MINUTES, 00 SECONDS WEST 313.39 FEET TO A MONUMENT AT THE POINT OR PLACE OF BEGINNING. FOR INTOR1&TION ONLY DISTRICT 1000 SECTION 009.03 BLOCK 01.06 LOT 004.016 i i oil 1111111111111111111111111111 Emil 1 11111 111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 66/04/2012 Number of Pages: 6 At: 11:17 :30 AN Receipt Number : 12-0063302 TRANSFER : 11-21813 LIBER: D00012695 PAGE: 137 District: Section: Blocks Lot: 1000 008.00 01.00 006.005 EXAMINED AND CHARGED S FOLLOWS Deed Amounts $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 NO Handling $20.00 NO COE $5.00 NO NYS SCG $15.00 NO $5.00 NO -STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 No 20 NO RPT _. $60.00 Transfer t $0.00 NO Comm. res $0:00 _. NO Fees Paid $270.20 TRANSFER T E : 11-21813 IS PAGE IS A PART OF THE INSTRMONT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County x DID 2012 Jen 04 11117130 PM JUDITH R. I CLERK OF This document will be public SUFFOLK COUNTY Please remove all !D00012695 P 37 Social Security Numbers DT# LI-121813 prior to recording. Deed/Mongagenstrument Deed/NlortgageTaxS p lny/RIM Stamps 3 FEE P / e ® 6oltgage Arntr '" 1.BWcT&x Handling600 2, Additional Tax TP-584 i Sub Total 5peclAsNG Wadon or 17(County)— SubTotal Spec/Add. _..r 17 ) ...... ®.....w . -- .t1ATG.TAXP.P — _-- - Dual T Dual County .� s Held forAppointment S. o Tra Tax -0- Mansion Tax We* is *57 2g The pro red by Ibis mortgage is CeiNed Copy or will be Improved by a one or two Sumharge t O� family dwellIng o* -SubTotal YES or NO OtMr Grand ToW e ax clause on V e F Is 8s11ttrwNrr� q 1 Qtst.to 12011494 3-000 00900 03-oo 00'9005 un , rwemtle Ftmd Real PropertyIConst omt!$ 'a Tax Service Z AY•1. CPF Tax Due $ 'a Verification Impwoved X 6 sfr lsc es lealas l.ln rty0wret$Mat Mg T01 yannt land Martin R.Gilmartin,Esq. TD fOOO 25 Bowden Squam —1281 TO Southampton.Now York 11969 TD Mal to:Judith A Panale,Suffolk County Clark 7 71de Comp!Ay lnfoma6m 310 Cmter Drive, fterheed, NY 11901 [o. me SOO Bay Abstrad,Inc. WwW,3vff0Q=rdynygoWderk 711101 8 Endorsement Tft page forms pan of the attached DOW made (SPEM TYPE OFDMMWMNT)— PETER R.BRINCKERHOFF pyemim herein is situated In LKCO , TO IntheTOWNof S PEM R.BRINKERHOFF,as Trustee of the Pda IntheVILLAGE R.Bdndmftff QPRT dated 4,962012 or HWLET of Fwhers island BOXES mm eteiusreET1'PEDoRPRINTED IN BLACK INK ONLY PRWT0 FECORDINIGORRUNG. a If t MMM 15 YMA Q of the f if a qoMon of Vow montMygaga paymnt guided ywr propel two, sur Will 96JW toMW3 wr 7 a11(leoal r la that u ' be billed dlr fcr dll4ullore r tai Lout le twice a year on or beforeJanuary.106 and an or before May 31.. Fallure to malm payrnents in a timely fashionIn a Please contact your local Tom Tax Receiver hh' any questions p BabylonTown Modiver ofTow Riverhead Town Recelim tSun eR H Avenue - ---Nonh Undenhufst,N.Y.-11757 _ 0.11901--- _. (631)99-3004 (631)727-3200 BrooMuivenT&AmIleceKwofTaxes Sh&eilslandTRmlverofTaxes One l e I ShelterlslandTomiull FamdngvHKKV.11738 ShelterislandN.Y.11964 ( 11451 (631)749-3336 East Hampton Tmm Receiverof Taxes Smithtown Town Recelvxcoffaxft 300 0 Mce 99westmainsweet East ftnv^N.Y.11937 N.Y. 11M (631)32+2770 (631)360-7610 Huntington Town Recelver dTaxes SouthamptonTownOfTaxes 100MaInSueet 116 Harnpom Mad Hwndngtork N.Y.11743 SouihmptonMV.11968 (631)351-3217 (631)M-014 IdIpTowniletelveroffaxes SwAold Town ReadverofT 40 uAvenue s3mmainstreet Islip,N.Y.11751 Southold,NX 11971 ( 1)2244580 (031)765-1803 Sincerely, , Judith A. le dw SuliblitCountyClerk 9 • CONIWYOURILAINVOR IMUGIMMOTM INIMMUT-THISINSTRUMNa SHOULDBE USED BY LAWV=ONLY -10 til made ( (� of r W".i612 UTWEEN PETER R.BRINCKERHOFF.residing at 291 Babal Palm lane,Vero Beach,Florida 32963. as to an undMftd one-half interest pony Of the Iftst par4 wWETER R.BRINCKERHOFF,as Trustee of the Peter R,BrIndatlaff Qualffied Personal RaWence Trust d 12,residing at 291 Sobel Palm Lam Vero Beach.Florida32963 parlyarthasecondpeA WrWMETK dw the WV of Me 111fat Pot In earWftraden of TEN(S10.00)and 1013 dohm paid by the party of the woend part does heretry grant and release unto the PAY offt sswnd IrasrT the hah Of wwtssofs and td p dra second part r gmntosaa dittBlC d a rs s f ante ` ,in the foilovsing described premises: ALL tftat cairn PKor parcel of iand,ertth the,butWings and ImPmvenwft 91greon ereed,altuats„ tying and tatfngfn flus 110awwn of Southold,at Fishery Istand,County of Suffolk and State of New"fork,bounded aN described as set forth in Sohedule"X annexed hereto and made a part hereof, BEING AND INTENDED to be the swe prernisesto the Grantor herein by dead dged 12-23-2011,-- recorded - on 12-30-2011 in Uber 12681 page 035. TOGa6 ETH YOM all right,tft ad and irate: If any,of the of tha haat Past In acrd to ars atreets and foods 0 to Ow Center fln 1114110t TOGETHER with Me apMWenoag and d the eatft and rights of the party of ft Hist post to and to said pmmiaee, To HAVE AND To HOLD file _. . psarnlees herein grentad.unio.the Party of the eecond parrt.tha heirs er.,sue=wors and assigns at tiler party.'dr_ The second part forav4t Mo the Party o tilt first Part W"nw a tat hthe party of the dint Part lies not done or erdlered anything whOrObY premises have been encumbered in any way whatryar.w=pj as akreseld. AND dw parry of the Brat pat In WnpWncl WO Sgedan 1e of ftra U sn Law,covenanuthat to pany of Me W Part vrfg vaolke'the consideration for this corraMee and VA hold the right to mcelve auch oonektasatl'on as a trust hand to be appm far„et for The par.rIme Of paying the east of ft ImprMwMem and vAn sppfy the awe idrst to the payment of the Cosi of ttsa ImprOftmeAt b using any pan of the trW of ft same for any cth r Puq=c The mord°'pastiy+"shell he construed as N h rami.'perttae"+ wen ever The sense of this Indenture so wu tN VMEW WHOEOP,the party of the Qrat Part has duty W*Cuted this deed the day and year fest above wrlttsn. IN OP: M-+ a rK. rA PETER R,Bffl'Ni RHOFF S ALL that certain plot,piece or parcel of land,situate,lying and being at Fishers Island, To of Southold,County of Suffolk and State of New York,more particularly bounded and described as follows: BEGINNING at a monument said monument being located 2193.16 feet no of a point which is 3423.13 feet east of a monument marking the United States Coast and Geodetic Suvey Triangulation Station"HIN"and; RUNNING THENCE north 19 degrees 43 minutes 00 seconds east 313.39 feet to an iron pipe; RUNNING THENCE south 68 degrees 04 minutes 36 seconds east 176AI feet to a mon ent; RUNNING THENCE south 47 degrees 47 minutes 56 seconds east 165.93 feet to a drill hole; RUNNING MENCE south 40 degrees 14 minutes 23 seconds cut 251.22 feet to the shore of to Island Sound; RUNNING THENCE south 33 degrees 17 minutes 20 seconds west 118.43 feet along said shore line to a point; RUNNING THENCE south 03 degrees 19 minutes 40 seconds west 86.15 feet along said share line to a point; RLINNING THENCE south 27 degrees 03 minutes 30 seconds west 403.03 feet along aid shore line to a point; RUNNING THENCE no 55 degrees 19 minutes 20 seconds west 194.59 feet to a ---monument-on thesouth easterly-side-of an unimproved road; . .......... RUNNING THENCE no 09 degrees 17 minutes 00 seconds cast 148.06 feet along said road line to a point of curve to the left having a radius of 150.24 feet and the direction of whose radius at the point is no 80 degrees 43 minutes 00 seconds west; RUNNING THENCE northwesterly along said road line following the are of said curve for a distance of 178.55 feet to a point; RUNNING THENCE north 58 degrees 48 minutes 30 seconds west 52.26 feet to a point of curve to the right having a radius of 459.47 feet and the dimflon of whom radius at the point is north 31 degrees 1 I minutes 30 seconds cast;- - RUNNING THENCE northwesterly along said road line.following the am of said curve 44A for a distance of 16 feet to a point of curve to the right having a radius of 23.06 feet and the direction of whose radius at that point is north 49 degrees 12 minutes 20 seconds east; RUNNING THENCE northerly along said road line following the arc of said curve for a distance of 36.17 feet to a monument; RUNNING THENCE no 49 degrees 04 minutes 00 seconds east 82.29 feet to the monument at the point of BEGINNING. SUBJECT TO a right of way for purposes of ingress and egress by foot or vehicle over the existing driveway numing northeasterly across this above described premises from the southwesterly end of the first line in the above description to other premises now or fwmerly owned by Rita W.Cuslunan A above described premises on the nodfilie-ast as appurtemat to and for the benefit of such other p -sa—the ises- abutting such other premises on the north. SUBJECT TO a perpetual easement or right of way for the continued use and maintenance of any public service utility Ibies is may cross the above described premises aad service the prernises abutting the above described premises on the northeast and the premises abutting such other prtmises on the north as appurtenant to and forthe benefit of such two other premises. SUBJECT TO and TOGETHER WITH any and all covenants,restrictions,reservations and casements of record which may benefit or effect the above described premises including,without limitation,those recorded in the office of the Suffolk County Clerk in Liber 8259 page 65,Liber 8564 page 360,Liber 9629 page 394,Liber 9633 page 328, Liber 9853 page 124,Liber 10793 page 337 and Uber 10827 page 432. TOGETHER WITH a non-exclusive right of way over the existing roadway leading northwesterly from the westerly side of the above described premises to the mad leading ----.to the-East End. TOGETHER WITH B permanent easement or right of way ten feet in width over the existing Path and stairs running northeasterly and southeasterly across other premises now or formerly owned by Rita m.Cushman adjo,nIng in the above described premises on I the northeas%the center line of which easeincut or right of way is bounded and desc;ribed as follows: BEGINNING ata Point On the third line in the above description,said point being located south 47 degrees 47 minutes and 56 seconds east 162.68 feet from the monument at the beginning of said third line and rutming thence generally northeasterly and southeasterly on the following fourtem courses,north 28 degrees 24 rainutes 41 seconds east 53.99 feet;north 55 deg=51 minutes 47 seconds east 47.63 feet;north 33 degrees 35 minutes 45 seconds east 28.20 feet;no 29 degrees 42 minutes 55 seconds cut 28.00 feet;north ®r w Ta x 39 degrees 24 minutes 55 seconds 23.23 feet;north 54 degrees 49 minutes 43 seconds east 18.92 feet;north 59 degrees 05 rn%nutes 48 s=onds east 36.28 feet;north 66 degrees 24 minutes 15 seconds east 44.68 feet;north 76 degrees 06 minutes 51 seconds t feet;south 79 degrees 00 minutes 55 seconds east 139.62 feet;north 55 19 minutes 33 seconds cast 69.54 fsouth 83 degrees 53 minutes 39 seconds east 10. °north 61 degrees 28 minutes 55 seconds east 13.39 feet and south 44 degrees 35 minutes 40 seconds east 92.67 feet to the shore of Block Island Sound. Use of the above described casement or right of way shall be restricted solely to pedestrians. or sa Y a On ft day d hitheyear On the day of hftyw batio me,ft rd,gimsonely sMosmid bra are,the mWersIgned,pmmndy eared e or ft ma rr ins, be gra �� o)Is ( ) low a hY ala capeftbal aced ft i s) 1 arrd MM ty hi0wMu& d aI cm: tiara andolike d hgvWuW rr r --rc—TgAslum and FIG of lr H rd) ( Di oT T F of FLORIDA 012 bello am, un P R BRligRIOF'Fy N ay # 1 a Vii, pa aroprszt�a Q I� �� !ate iIAR110 QjjZ&a in Flodde 1" Well ® � et0VMkuMWWcM=ofWWAUM Wdm MAI W sss SECTION B4 BAR"N AND&affi IDEM s L 1.D =vcoveiwrAekwaRANTcwL 6.5 COUNTY ORTGW Southold 2851 Middle Farm Road Fishem Island,W 4 TO &me sup r a RMRX 8V MALTM a—MOFTMUNWWRTER 25 Bowden Square ' P.O.Box 1261 u , Y 11 76 25 ft*dsn 8w= F . W lit" I I II I II I II II IIIII Illff I lila lilll IIIII ILII I IMI illi IIII I Illlll IIIII IIIII II I I II SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/04/2012 Number of Pages: 6 At: 11:17:30 AM Receipt Number : 12-0063302 TRANSFER TAX NUMBER: 11-21814 LIBER: D00012695 PAGE: 138 District: Section: Block: Lot: 1000 008.00 01.00 006.005 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: 40.0c Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 NO Handling $20.00 NO COE $5. 00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125. 00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0 .00 NO Fees Paid $270.20 TRANSFER TAX NUMBER: 11-21814 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County i 2 RECORDED Number of pages 2012 Jun 04 11:17:30 AH JUDITH A. PASCALE CLERK OF This document-will be public SUFFOLK COUNTY record.Please remove all L D0001205 Social Security Numbers P lau prior to recording. DT 11-21914 Deed I Mortgage Instrument Deed/Mortgage Tax Stamp Recording IFiling Stamps 3T_ FEES Page IFiling Fee Mortgage Amt. 1.Basic Tax Handling0. X10 2. Additional Tax � TP-584 Sub Total SpecJAssit. Notation _ or EA-5217(County) .. . Sub Total Spec/Add. EA-5217(State) �� TOT.MTG.TAX R P.T.SA. ]� Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 Transfer Tax -0- Mansion Tax Affidavit The property covered by this mortgage Is Certified Copy 1 'Ro 'or will be improved by a one or two NY5 Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total L Ifs,see appropriate tax dause on page 4 of stats Instrurnent. 1201 4,96 1000 00800 0100 006005 � 5 -✓✓ornmunityPreservation Fund Real PropeL A ` Consideration Amount$ -a 4 Dlst Tax Service Agency t• CPF Tax Due $ 0 Verificatio Improved X Satisfacti'on5)CslschargesIRc4easesl.IstProperryClwnersMallin,g, dress RECORD&RETURN TO: Vacant land I Martin R.Gilmartin,Esq. TD 25 Bowden Square P.O. Box 1281 TD Southampton,New York 11969 TD Mall to:Judith A.Pascale,Suffolk County Clerk 7 Title iCtampatty Information 310 Center Drive, Riverhead, NY 11901 Co.Name South Bay Abstract,Inc. www.suffolkcountyny.gov/clerk TIUe 8 Suffolk I County ecor & Endorsement This page forms part of the attached Deed made by: (SPECIFYTYPEOF INSTRUMENT) SUSAN C.BRINCKERHOFF The premises herein Is situated In SUFFOLK COUNTY,NEW YORK TO IntheTOWN of. Southold SUSAN C BRINKERHOFF,as Trustee of the Susan In the VILLAGE C.Brinckerhoff QPRT dated 4-5-2012 orHAMLETof Fishers Island BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over a CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS IADENTURE.made the day of 2012 BETWEEN SUSAN C.BRINCKERHOFF,residing at 291 Sabel'I Im Lane,Vero Beach,Florida 32963, as to an undivided one-half interest party of the first part,andSUSAN C.BRINCKERHOFF,as Trustee of the Susan C.Brinkerhoff Qualified Personal Residence Trust dated 45-2012,residing at 291 Sabal Palm Lane,Vero Beach,Florida 32963 party of the second part. WITNESSETH,that the party of the first part,in consideration of TEN($10.00)and NO/100 ® dollars paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever,grantors undivided one-half interest in the following described premises: ALL that certain plot, plots or parcel of land,with the buildings and Improvements thereon erected,situate, tying and being-in the Town of Southold,at Fishers Island,County of Suffolk and State of New York,bounded and described as set forth in Schedule"A"annexed hereto and made a part hereof_ BEING AND INTENDED to be the same premises conveyed to the Grantor herein by deed dated 12-23-2011, recorded on 12-30-2011 in Liber 12681 page 035. TOGETHER with all right,title and interest,If any,of the party of the first part In and to any streets and rads abutting flte above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part In and to said premises; 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 comeyanee and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost 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'when ever 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: SUSAN C.BRINCKERHOFF Standard N.Y.B.T.U.Form 8002-Bargain and Sala Deed,with Covanant against Grantors Acts—Uniform Acknowledgment Form 32803 1r2ij=gfiUWgH IMACKHMMOMENTLI[M&DEIN NEWYORK STATE r SIM of Now York,County of Ste of Now York Cmw of OF. On the day d In the you On the day of In the year before me,the undersigned, y appeared belore me,the undersigned,personally appeared parspnmy kn in ler me or provad to me on the basis of personally knomi to ane or proved to me on the beau of oatistactory evidanca to ba the Indlvldual(s)whose mets)is salisftctcry evidence to be the indlvtdud(s)whase name(a)Is (ere)subsedbetd to the wahin Instrument and acknowwlselp d to (ere)subaaxtbed(c tha within instrument and acknowttadged to ma that hewatmr°Ihey executed the same do hWharahair me that Wshatt sy encutedi the same In hlathaftatr a packy(les), end that, by hiatllerJtWr slgnatura(s) an the capacity('iss)„ and Iva by NaMerAhuir aigrtature(s) on ft instrument,the Gndividuat(a),or doe parson upon behalf of t Stich Instatw hent,this trx2vdduel(s),or the person upon behalf of which the Individual(s)acted,executed the,InsburnertL the Individual(e)acted,executed the Iftrument (algnatum and once of Individual telling a edgment) (signature and office of individual(eking acknowledgment) BE l(S LY THE ACK LEDOMEN IS MADE OUTSIDE NM LQBL§IM State(or District of Columbia,Tantory,or Foreign Country)of FLORIDA awl On the 1 day of April m JorIntheyear 2012 beldre me,the undeveigned,personally appeared SUSAN C.BRINCKERKOFF r proved to ma ora the toasts of asUsfactory„svldence to be the ind"avddusgs)whose roma(s) is( ) subsscrted to(Tae vAhin Instrument and ardmowledged to roe Uta(hof ay MKOCUted the samal In hi it capaca(y(tae),and Mal by t+.dsftrfthair signatura(s)on the instvment,the Indlvidtral(a),or the persan upon behalf of which the indlvldual(s)acted, exacuted the 1a,str anent,and Uiat such indtvi dual rnada ouch appeerence before the undersigned In the Ind( ( Cry, A Florida ty ad 610n) (andInserttlaa CorratltyorOther Place the admowdedgmentwas taketr) rva.c K"vn9K. &era GSwrwxmdi, 4'� gt rvroew p ap , halal 4 (010m"and Vince of Ind1vIdu51t&An9 arxMarwwtedporcuML ) urs;ctr ssaxsrta aipmat raar'=rt BARGAIN AND SALE.DEED SECTION 8.0 BLOCK 1,0 wnm covENAmT AGAINSTGRANTOR'S ACTS LOT 6.5 COUNTY OR TOWN Southold TVde No. _ ADDRESS 2651 Middle Farm Road Fishers Island,NY 06390 M Recorded at Request of Soud Sup ll8 had,Sm. RETURN BY MAIL TO: aao o arwMartin R.Gilmartin.rttn Esq uas��ttra Enactor or raawr vtaar�i t"1 arta u�+zaesawuraorts txstrteWed by 25 Bowden Square souta so# a P.O.Box 1281 Southampton,NY 11969 Telephrone...6311-283-M6 25 Bowden Square Fax..............631-283.7ef15 Southampton,W 118118 n 0 a 0 w 9i w d SCHEDULE"A" ALL that certain plot,piece or parcel of land,situate,lying and being at Fishers Island, Town of Southold,County of Suffolk and State of New York,more particularly bounded and described as follows: BEGINNING at a monument said monument being located 2193.16 feet north of a point which is 3423.13 feet east of a monument marking the United States Coast and Geodetic Survey Triangulation Station"HN"and; RUNNING THENCE north 18 degrees 43 minutes 00 seconds east 313.39 feet to an iron pipe; RUNNING THENCE south 68 degrees 04 minutes 36 seconds east 176.41 feet to a monument; RUNNING THENCE south 47 degrees 47 minutes 56 seconds east 165.93 feet to a drill hole; RUNNING THENCE south 40 degrees 14 minutes 23 seconds east 251.22 feet to the shore of Block.Island Sound; RUNNING THENCE south 33 degrees 17 minutes 20 seconds west 118.43 feet along said shore line to a point; RUNNING TEENCE south 03 degrees 19 minutes 40 seconds west 86.15 feet along said shore line to a point; RUNNING THENCE south 27 degrees 03 minutes 30 seconds west 403.03 feet along said shore line to a point; RUNNING THENCE north 55 degrees 19 minutes 20 seconds west 194.59 feet to a monument on the southeasterly side of an unimproved road; RUNNING THENCE north 09 degrees 17 minutes 00 seconds east 148.06 feet along said road line to a point of curve to the left having a radius of 150.24 feet and the direction of whose radius at the point is north 80 degrees 43 minutes 00 seconds west; RUNNING THENCE northwesterly along said road line following the arc of said curve for a distance of 178.55 feet to a point; RUNNING THENCE north 58 degrees 48 minutes 30 seconds west 52.26 feet to a point of curve to the right having a radius of 459.47 feet and the direction of whose radius at the point is north 31 degrees 11 minutes 30 seconds east; RUNNING THENCE northwesterly along said road line following the arc of said curve for a distance of 144.46 feet to a point of curve to the right having a radius of 23.06 feet and the direction of whose radius at that point is north 49 degrees 12 minutes 20 seconds east; RUNNING THENCE northerly along said road line following the are of said curve for a distance of 36.17 feet to a monument; RUNNING THENCE north 49 degrees 04 minutes 00 seconds east 82.29 feet to the monument at the point of BEGINNING. SUBJECT TO a right of way for purposes of ingress and egress by foot or vehicle over the existing driveway running northeasterly across this above described premises from the southwesterly end of the first line in the above description to other premises now or formerly owned by Rita W.Cushman abutting the above described premises on the northeast as appurtenant to and for the benefit of such other premises and the premises abutting such other premises on the north. SUBJECT TO a perpetual easement or right of way for the continued use and maintenance of any public service utility lines which may cross the.above described premises and service the premises abutting the above described premises on the northeast and the premises abutting such other premises on the north as appurtenant to and for the benefit of such two other premises. SUBJECT TO and TOGETHER WITH any and all covenants,restrictions,reservations and easements of record which may benefit or effect the above described premises including,without limitation,those recorded in the Office of the Suffolk County Clerk in Liber 8259 page 65,Liber 8564 page 360,Liber 9629 page 394,Liber 9633 page 328, Liber 9853 page 124,Liber 10793 page 337 and Liber 10827 page 432. TOGETHER WITH a non-exclusive right of way over the existing roadway leading northwesterly from the westerly side of the above described premises to the road leading to the East End. TOGETHER WITH a permanent easement or right of way ten feet in width over the existing path and stairs running northeasterly and southeasterly across other premises now or formerly owned by Rita M.Cushman adjoining the above described premises on the northeast,the center line of which easement or right of way is bounded and described as follows: BEGINNING at a point on the third line in the above description,said point being located south 47 degrees 47 minutes and 56 seconds east 162.68 feet from the monument at the beginning of said third line and running thence generally northeasterly and southeasterly on the following fourteen courses,north 28 degrees 24 minutes 41 seconds east 53.99 feet;north 55 degrees 51 minutes 47 seconds east 47.63 feet;north 33 degrees 35 minutes 45 seconds east 28.20 feet;north 29 degrees 42 minutes 55 seconds east 28.00 feet;north i 39 degrees 24 minutes 55 seconds east 23.23 feet;north 54 degrees 49 minutes 43 seconds east 18.92 feet;north 59 degrees 05 minutes 48 seconds east 36.28 feet;north 66 degrees 24 minutes 15 seconds east 44.68 feet;north 76 degrees 06 minutes 51 seconds east 44.64 feet;south 79 degrees 00 minutes 55 seconds east 139.62 feet;north 55 degrees 19 minutes 33 seconds east 69.54 feet;south 83 degrees 53 minutes 39 seconds east 10.86 feet;north 61 degrees 28 minutes 55 seconds,east 13.39 feet and south 44 degrees 35 minutes 40 seconds east 92.67 feet to the shore of BIock Island Sound. Use of the above described easement or right of way shall be restricted solely to pedestrians. d a i i i FORM NO.4 TOWN OF S UT OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate f Occupancy No. Z 17066. Date July 6`, 1988 . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building .. . . . . One family. dwe11 ing . Location of Property R.O.W. off Pvt . Rd. Fishers Island House No. Sat. . .Hamlet County Tax Map No. 1000 Section .0 8, . . . ,. . . . .Block . . .a I. - -Lot, .Lot . . . . . . . Subdivision. . . . . . . . . , . . „ . . . . ., . . . . . . . . . . . .Filed Map No. , . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec . 4 , 1986 . pursuant to which Building Permit No. . 16.1.2 6 Z. , . . . . . . A . dated June 24.,- & 198.7 . W . . . was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is , . . . One family dwelling. as per plans: Tlie certificate is issued to . . „ROBERT .T. MILLER (owner . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .4 6-S o-Z 4 0. . . . . , . , . . , . . .® r UNDERWRITERS CERTIFICATE NO. . . . . . . . . . , P e n d i n . . . . . . . . . . PLUMBERS CERTIFICATION DATED: James Marshall 6/ 14/88 Building Inspector Raw.1/81 FORM No.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Occupancy No. .Z12.944 . . . . . . . . . Date . . QCt... .29. . . . . . . . . . . . . . . . . . . . .. 1984. THIS CERTIFIES that the building . . .Ona„f'amA,l1t, dwe!!ing, . . . . . . . . . . . . . . . . . . . . . Location of Property R . 0-W. . (dole . 818}off .road to. East End Fisherso Island H®use No. Street Hamlet County Tax Map No. 1000 Section . . . . Q$. . . . .Block . . . A?. . . . . . . . . .IDt . .�. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .S e F t ? P. . . . . . . . , 198?. pursuant to which Building Permit No. I ?9.5 Z Z. . . . . . . . . . . . . . dated . . Oct --811 — . . . . . » . . , . . . . » 1556.? . ,was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is . . . . . . . . . .. .One family„dwei1.inA.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < , . . . . . . . . . . . . . . . . . . . . . The certificate is issued to of the aforesaid building. Suffolk County Department of health Approval . . . . . . 2-S0-100. . . . . . . . . . . . . . . . LJNDERWRITERS CERTIFICATE NO. . . . . . , . µ , „ Ntyb 4 85 5w? . . . . . . . . . . . Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. Z.1.2 945 Date . . .. . , October. .29. . . . . THIS CERTIFIES that the building . . . . TW o uq -P oZ . . . . . . . . . . . . . . cation of party road to East d . . F;L.q49p. .jqjapd LoPro . . . . . �i; house No. V.i . . . . . . . .En. . . . Hamlet County Tax Map No. 1000 Section . .Block .®1 - , . . . . . , . . . .Lot — . . . . . . . . . . Subdivision . . . . . . . . .. . . . . . -Filed Map No. . . . . . . . .Lot No. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . .Oct.,. J 2. . . . . . . . . 19B I .pursuant to which Building Permit No. .1?3A Q�. . . . . . . . . . . . . dated . . . . . . . . . . . . . . . . . . . . 19 R3 ,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . — . .. ..In. Zr:QVPA P 9 PX. .4 t tA.04pd, t4. thp, .ovx .bo iiqp. .by. <je cka with f enr-e . . . The certificate is issued to . . .Allerton & Rita Cushman . I . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . N/A . . . . . . UNDERWRITERS CERTIFICATE NO. , aev.�. . Building Inspector Rev.9181 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20872 Date JULY 21,, 1992 THIS CERTIFIES that the building ADDITION Location of Property PRIVATE RD. EAST END FISHERS ISLAM., N.Y. House No. Street Hamlet County flax Map No. 1000 Section 8 Block 1 1 t 6.5 Subdivision Filed Map No. Lot Na. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5, 1990 pursuant to which Building Permit No. 18888-Z dated MARCH 16 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is 2ND STORY ADDITION TO EXISTING ONE FAMMY DWELLING The certificate is issued to PETER BRIM OFF (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-236659 - MAY 28 1992 PLUMBERS CERTIFICATION DATED JUNE 23# 1992 - MARIO ZRNGHEM, JR. t Building Inspector Rev. 1/81 ;;l. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 8-24066 Date DECEMBER 7, 1995 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property $AST END ROAD FISHERS ISLAND N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 8 Block I Lot 6.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 1994 pursuant to which Building Permit No. 22462-5 dated NOVEMBER 11, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION & ALTERATIONS FOR KITCHEN AS APPLIED FOR. The certificate is issued to PETER BRINCZZRHOFF (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-368327 - OCT. 30# 1995 PLUMBERS CERTIFICATION DATED SEPT. 71 1995 - MARIO SANGHETTI, JR. c: dirfg Inspector Rev. 1/81 April 15, 2005 FISHERS ISLAND DEVELOPMENT CORPORATION Restrictive Covenants Relating to Development and Annual Assessment Set forth below are the operative provisions of the restrictive covenants imposed by FIDCO and its predecessors,Fishers Island Corporation and Fishers Island Estates, Inc. (referred to therein as "grantor, its successors or assigns") in the deeds to all lands in the Olmsted"Park" east of the gate on Fishers Island,relating to the construction of improvements on and landscaping of such lands and the payment of annual maintenance charges, as such covenants were modified and renewed for a to of 20 years from April 15, 2005. These covenants "run with the land" and are binding on all such lands and on the owners thereof and their transferees and assignees (referred to therein as "grantee,his heirs, successors or assigns"). With the consent of the specified majority in acreage of the owners of lands in the"Park7, these covenants may be further modified and further renewed for successive terms of 20 years. "That the aforesaid premises shall be occupied and used by the grantee, [his/her] heirs and assigns, for private residential purposes only, and not otherwise, and there shall be erected thereon only a private residence for the use of one family only, together with the necessary outbuildings appurtenant thereto,PROVIDED that if more than one homesite is hereby conveyed, only one such residence shall be erected or maintained on each of such homesites, which are hereinbefore respectively designated as Homesites Nos. ,'That no building or other structure shall be erected on the aforesaid premises, no alterations shall be made in the exterior of any building or other structure erected thereon, and nothing else shall be done materially affecting the appearance of the aforesaid premises except according to plans (including exterior color scheme, grading plan, planting plan and location plan) which shall have been approved in writing by the grantor,its successors or assigns. "That no stable for live stock shall be erected or maintained on the aforesaid premises by the grantee, his heirs or assigns, and no live stock shall be kept on any part of the property hereby conveyed,without the written consent of the grantor, its successors or assigns. "That the premises herein conveyed shall be kept free from any nuisance, and from any object or condition otherwise offensive to the neighborhood, or dangerous to the health of trees or other vegetation in said neighborhood. "That from and after April 15, 2005, the grantee,his heirs, successors and assigns, by the acceptance of this deed, covenants and agrees to pay to the grantor, its successors or assigns: (a) an annual basic maintenance charge, as fixed by the grantor, its successors or assigns, which charge, except with the consent of the owners of a majority in acreage of all land within the "Park," shall not exceed in any one year$100 per acre, said charge to be applied to the maintenance, repair and improvement of roads, sidewalks, sewers and gutters, and to the collection and disposal of garbage and other refuse; and (b) an annual supplemental maintenance charge, as fixed by the grantor, its successors or assigns, which charge, except with the consent of the owners of a majority in acreage of all land within the "Park", shall not exceed in any one year$2,000 per parcel, said charge to be applied to the maintenance,repair and improvement of roads, sidewalks, sewers and gutters, and to the establishment and maintenance of suitable reserves therefor, and to the collection and disposal of garbage and other refuse. "In establishing from time to time the amount of said annual supplemental maintenance charge, different charges may be made applicable to improved and unimproved parcels. In no event shall the grantee, his heirs, successors or assigns, be obligated to pay in any one year a supplemental maintenance charge with respect to more than one parcel owned by the grantee in the"Park", provided,however,if any parcel owned by the grantee,his heirs, successors or assigns is an improved parcel, the supplemental charge payable shall be in the amount then established for improved parcels. Solely for purposes of the preceding sentence the to "grantee" shall include the grantee and such of his spouse and minor children that were resident in his primary household for 180 or more days during the year in question. "Said basic and supplemental maintenance charges shall be payable annually with full payment due within fifteen (15) days of receipt of a written statement therefor. Unpaid maintenance charges are hereby made liens on the premises. Nothing herein contained shall obligate the grantor, its successors or assigns to maintain,repair or improve any roads, sidewalks, sewers (except such main trunk line sewers as may exist from time to time) or gutters or to collect or dispose of any garbage or other refuse. In no event shall the grantor, its successors or assigns be liable to the grantee,his heirs, successors or assigns for any failure of performance hereunder unless such failure is attributable to the negligence of the grantor, or its successors or assigns, in which event any such liability shall be limited to the amount collected pursuant to this paragraph." CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made as of the day of two thousand seventeen, BETWEEN PETER R. BRINCKERHOFF, as Trustee of the Peter R. Brinckerhoff Qualified Personal Residence Trust dated 4-5-2012,291 Sabal Palm Lane,Vero Beach,Florida 32963,and SUSAN C.BRINCKERHOFF,as Trustee of the Susan C.Brinckerhoff Qualified Personal Residence Trust dated 4-5-2012,291 Sabal Palm Lane,Vero Beach, Florida 32963, party of the first part, and ROBERT J. MILLER and ADRIENNE A. MILLER, 15 Mayflower Parkway, Westport, Connecticut 06880, as tenants in common, each with an undivided one-half(%2) interest, party of the second part, WITNESSETH,that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot, piece or parcel of land, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as set forth on Exhibit A hereto. BEING AND INTENDED TO BE a portion of the same premises respective undivided one-half interests in which were conveyed to the party of the first part by deeds, dated May 11, 2012 and recorded in the Office of the Suffolk County Clerk on June 4, 2012 in Liber 12695 at pages 137 and 138, respectively. SUBJECT TO the following restriction: No dwelling or outbuilding shall be erected on the premises conveyed hereby without the prior written consent of the party of the first part or its successors or assigns. his conveyance of a portion of the premises of the party of the first part was approved by the Planning Board of the Town of Southold by resolution adopted on , By accepting this deed, the party of the second part acknowledges and agrees that the premises conveyed hereby shall merge with and become a part of other premises of the party of the second part adjoining the premises conveyed hereby on the west and shall not constitute a separate building site under applicablelaws, ordinances, rules and regulations. A perimeter description of said merged parcel is set forth on Schedule B 'hereto and an excerpt from the lot lane change map approved by the Planning Board of the Town of Southold depicting the authorized land transfer is set forth on Schedule C hereto. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and road's abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;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 cost 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 ward"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: Peter R. Brinckerhoff, as Trustee Susan C. Brinckerhoff, as Trustee Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of ss: State of New York, County of ss: On the day of in the year On the day of in the year before me,the undersigned, personally appeared before me,the undersigned, personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) are satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and he/she/they executed the same in his/her/their capacities, and that by his/her/their signature(s) on the instrument, the that by their signatures on the instrument,the individuals, or the individual(s),or the person upon behalf of which the individual(s) person upon behalf of which the individuals acted, executed the acted, executed the instrument. instrument. Notary Public Notary Public (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of Connecticut; County of Fairfield ss: On the day of December in the year 2016 before me,the undersigned, personally appeared Peter R. Brinckerhoff and Susan C. Brinckerhoff personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the persons upon behalf of which the individuals acted, executed the instrument, and that such individuals made such appearance before the undersigned in in the State of Connecticut. (insert the City or other political subdivision) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 008.00 BLOCK 01.00 LOT p/o 006.005 Title No. COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS PRIV RD OFF EAST END ROAD PETER R.BRINCKERHOFF,as Trustee, FISHERS ISLAND, NY 06390 and SUSAN C.BRINCKERHOFF,as Trustee TO RETURN BY MAIL TO- ROBERT J.MILLER and ADRIENNE A.MILLER STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: , 2017 (SCTM No. 1000-008.00-01.00-910 005.00,5 ALL that certain lot or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York bounded and described as follows: BEGINNING at an iron pipe set at the northwesterly corner of the herein described tract, said iron pipe being located 2489.98 feet North of a point which is 3523.69 feet East of a monument marking the United States Coast & Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 68 degrees 04 minutes 36 seconds East, 176.41 feet to a monument; THENCE South 66 degrees 19 minutes 40 seconds West, 30.79 feet to a point; THENCE South 57 degrees 17 minutes 02 seconds West, 48.55 feet to a point; THENCE South 51 degrees 33 minutes 33 seconds West, 15.77 feet to a point; THENCE South 44 degrees 18 minutes 46 seconds West, 60.63 feet to a point; THENCE South 47 degrees 58 minutes 55 seconds West, 62.45 feet to a point; THENCE South 44 degrees 06 minutes 17 seconds West, 73.58 feet to a point; THENCE South 55 degrees 21 minutes 43 seconds West, 19.33 feet to a point; THENCE South 64 degrees 34 minutes 20 seconds West, 20.58 feet to an iron rod; THENCE North 18 degrees 43 minutes 00 seconds East, 287.31 feet to the iron pipe at the point of BEGINNING. Containing 0.55 acres, more or less. SUBJECT TO a right of way 20 feet in width in favor of The Henry L. Ferguson Museum, A-1 the center line of said right of way being described as follows: BEGINNING at a point in the northerly boundary line of the herein described tract, said point being located 2455.74 feet North of a point which is 3608.77 feet East of said "NIN"monument; and RUNNING THENCE South 23 degrees 23 minutes 48 seconds East, 43.89 feet to a point; THENCE South 14 degrees 47 minutes 12 seconds West, 30.96 feet to a point in the southwesterly boundary of the herein described tract. A-2 SCHEDULE B to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed Dated: , 2017 (SCTM No. 1000-008,00-01.00-004.016 & plo 006.005 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York bounded and described as follows: BEGINNING at an iron pipe which is located 2193.96 feet North of a pointwhich is 3423.13 feet East of a monument marking the United States Coast&Geodetic Survey Triangulation Station "NIN"; and RUNNING THENCE South 49 degrees 04 minutes 00 seconds West, 82.29 feet to a monument at a point of curve to the left having a radius of 23.06 feet and the direction of whose radius at that point is South 40 degrees 56 minutes 00 seconds East; THENCE southwardly following the arc of said curve, 36.17 feet to a point; THENCE South 49 degrees 12 minutes 20 seconds West, 40.00 feet to a point; THENCE North 40 degrees 47 minutes 40 seconds West, 48.85 feet to a point; THENCE North 02 degrees 46 minutes 36 seconds West about 465 feet to the shore of Middle Farms Pond, THENCE following the meanders of said shore line in a southeasterly and northeasterly direction, about 350 feet to a point; THENCE South 55 degrees 21 minutes 42 seconds West, 80 feet, more or less,to a point; THENCE South 34 degrees 38 minutes 18 seconds West, 115.00 feet to a point; THENCE South 23 degrees 23 minutes 48 seconds East, 13.22 feet to a point; THENCE South 61 degrees 05 minutes 00 seconds West, 64.83 feet to a point; THENCE South 68 degrees 04 minutes 36 seconds East, 176.41 feet to a monument; B-1 THENCE South 66 degrees 19 minutes 40 seconds West, 30.79 feet to a point; THENCE South 57 degrees 17 minutes 02 seconds West, 48.55 feet to a point; THENCE South 51 degrees 33 minutes 33 seconds West, 15.77 feet to a point; THENCE South 44 degrees 18 minutes 46 seconds West, 60.63 feet to a point; THENCE South 47 degrees 58 minutes 55 seconds West, 62.45 feet to a point; THENCE South 44 degrees 06 minutes 17 seconds West, 73.58 feet to a point; THENCE South 55 degrees 21 minutes 43 seconds West, 19.33 feet to a point; THENCE South 64 degrees 34 minutes 20 seconds West, 20.58 feet to an iron rod; THENCE South 18 degrees 43 minutes 00 seconds West, 26.08 feet to the iron pipe at the point of BEGINNING. Containing 2.58 acres, more or less. B-2 SCHEDULE C to DEED Party of the First Part: Peter R. Brinckerhoff, as Trustee, and Susan C. Brinckerhoff, as Trustee Party of the Second Part: Robert J. Miller and Adrienne A. Miller Deed at : 2017 ....................... ................. ... ....... DRILL HOLE S 23*23'48" E W, I.PIPE 13,22' T.PIPE (FOUND) E 3523.69 N 245.9-95 2455.74 E 3 605.7 71 13 RAVEL DRIVE S 23'23'48' E ' REVDE�N.CF ova 43.89MON, APPRC X 20' WIDE S1 0W (FOUND) LO A70 RIGHT OF WAY 30�1.79' S 14?47",2" W '50.96' S 51'33'33* W 15.77 ' NlF Allio AREA TO BE Ai, le ROBERT J MILLER CONVEYED 00 ACRES.- ADRIENNE A MILLER — 0.55 .1000-8-1-4. 16 Aa ov q EXISTING LOT'.UNE da S 44!06,'17' W 73.58' S 5,921'43 w 19:33 PROPOSED LOT UNE S 64!34'20" W, 20-58' IRON ROD S 18`43' (5ET-) m " '00 W 26.08' C)OD 10 C-1 Short Environmental Assessment Form Part I -Project Information Instructions for C ffllgLeting Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: LOT LINE CHANGE-ROBERT J.MILLER&ADRIENNE A.MILLER&PETER R.BRINCKERHOFF&SUSAN C.BRINCKERHOFF QPRTs mm Project Location(describe,and attach a location map): 2348&2851 MIDDLE FARMS POND RD,FISHERS ISLAND,TOWN OF SOUTHOLD,SUFFOLK COUNTY(SCTM#s 1000-8-1-4.16&6.5) Brief Description of Proposed Action: TRANSFER OF APPROXIMATELY 0.55 ACRE FROM SCTM#1000-8-1-6.5 TO SCTM#1000-8-1-4.16 TO EFFECT LOT LINE CHANGE BETWEEN THOSE TWO ADJOINING PARCELS '—Rame ofApplicant or Sponsor: Telephone: (631)283-2400 STEPHEN L.HAM,III,AS AGENT FOR MILLER&BRINCKERHOFF QPRTs E-Mail: Mafthamesq@aol.com --Address: 38 NUGENT STREET City/PO: State: Zip Code: SOUTHAMPTON NY 11968 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or fimding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: POSSIBLY REQUIRED APPROVAL BY SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 3.a.Total acreage of the site of the proposed action? 0.55 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 8.73 acres 4. Check all land uses that occur on,adjoining and near the proposed action. []Urban [Z]Rural(non-agriculture) E]Industrial [—]Commercial EIResidential(suburban) ElForest DAgr'cul ture El Aquatic 0Other(specify): Residential(rural) ❑Parkland Page 1 of 3 5. Is the proposed action, NO J YES N/A a.A permitted use under the zoning regulations? 11 IZI El _F_11F b.Consistent with the adopted comprehensive plan? Z L0 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7 Z 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: FISHERS ISLAND 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO _YES f_V71 LEJI b.Are public transportation service(s)available at or near the site of the proposed action? Z c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 0 21 9.Does the proposed action meet or exceed the state energy code requirements? -NO YES If the proposed action will exceed requirements,describe design features and technologies: 0 ........... 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: private ms on site septic systez 11 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 21 0 b.Is the proposed action located in an archeological sensitive area? IZI E_J' 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO VES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Z ..................................................................... 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: El Shoreline 0 Forest 0 Agricultural/grasslands El Early mid-successional El Wetland El Urban El Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES ................................................................. 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? V]NO E]YES D 0 b.Will storm water discharges be directed to established conveyance systemsoff and storm drains)? If Yes,briefly describe: 'ENO DYES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? _ .... .......... . ........... If Yes,explain ..pyo.se... �and ...size:........ .......................... .............�.,..............................................._� .. 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: p V A 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ... _ ............................____ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE STEPHEN L.HAM,III,AUTHORIZED AGENT mmmm JANUARY 11,2017 Applicant/sponsor name: �. ........................................ Date:................................................................_ Signature: PRINT FORM� Page 3 of 3 Town of Southold LWRP CONSIFI'ENCY ASSESSMENT FORM A. INSTRUCTIONS L All applicants for permits* including To of Southold agencies, shall complete this CC AF for proposed actions that are subject to the To of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a To of Southold agency in making a determination of consistency. *Except minor exempt actions including BuiUng Permits and other ministerial permits not located within the Coastal Erosion HazardArea. 2, Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sigaLficant beneficial and adverse effects upon the coastal area,(which includes all of Southold Towni 3, If any question in Section C on this form is answered "y&' or "no", then the proposed action will affect the achievement of the LVV`RP policy standards and conditions contained in the consistency review law. Thus., each answer must be, e: lain in detail, listing both supl2ortingand nou- sumortine facts. If an action cannot be certified as consistent with the LVR-,P policy standards and conditions, it shall not be undertaken. A copy of the LV%TRP is available in the following places: online at the Town of Southold's website (southoldtown.no rthfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the To Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION #1 -008 - 01.00 004.016 & 006-005 PROJECT NAAJE Lot Line Change for Robert J. Miller & Adrienne A. Miller and Peter R. Brinckerhoff QPRT & Susan C. Brinckerhoff QPRT The Application has been submitted to(check appropriate response): Town Board El Planning Board T Building Dept. 0 Board of Trustees I Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by To agency(e.g. capital construction, planning activity, agency regulation, land transaction) El (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Transfer of an approximately 0.55-acre parcel from premises co-owned by the Peter R. Brinckerhoff QPRT and the Susan C. Brinckerhoff QPRT (SCTM # 1000-8-1-6.5) to premises co-owned by Robert J. Miller and Adrienne A. Miller (SC TM it 1000-8-1-4.16) to effect a boundary line change between these two adjoining parcels. Location of action: 2348 & 2851 Middle Farms Pond Road, Fishers Island Site acreage: 8.73 acres Present landuse: single-family residential Present zoning classification: R-120 ............................. 2, If an application for the proposed action has been filed with the To of Southold agency, the following information shall be provided: to, Robert J. Miller Adrienne A. Miller (a) Name of applicant: Stephen L. Ham, III, as agent for 7 _Peter R. Brinckerhoff, as Trustee . Susan san C. Brinckerhoff, as Trustee (b) Mailing address: 38 Nugent Street Southampton, NY 11968 ............ (c) Telephone number: Area Code(63D_ 2 8...........................3-2400 (d) Application number, if any: ..... ...... Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 1K No If yes,which state or federal agency? Suffolk County Department 6f Health Services 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 win 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 In-Policies; Page 2 for evaluation criteria. 1:1 Yes 1:1 No FXJ Not Applicable The project will have no impactqn any of the foregoing. It simply involves moving a paper boundary line without creating any new nonconcormity under the Zoning Code. ...................... ........... .......... w....._..................... Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Secry tion III-Policies Pages 3 through 6 for evaluation criteria -1 Yes 1:1 No L[�] Not Applicable The project is not intended to nor will it have any impact on historic or archaeological- resources. .......................... ........................... Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWILP Section III—Policies Pages 6 through 7 for evaluation criteria Yes [:1 No � Not Applicable ............... The project is not intended to nor will it have any impact on visual quality or ................... scenic resources. .... .......................... ............. Attach a d"c iiii—onal sheets if necessary ... ............. NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section 1111—Policies Pages 8 through 16 for evaluation criteria Fl 7 yes 1:1 No D�J Not Applicable .................. The project is not intended to nor will it have any impact on flooding or erosion. ............ ................ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRJ? Section III —Policies Pages 16 through 21 for evaluation criteria x Yes 1:1 No [:]Not Applicable ....... .......... ................... The project is not intended to nor will it have any impact on water quality or supply. ...................... ....... ... ..... ......... .. ............. .. .....................w ...... 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. R Yes [:] No T Not Applicable Dj t have any impact on the quality or The ro ect is not intended to nor�� will i function of Town of Southold ecosystems. y ms. _..................................... _........_............._. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section M — Policies Pages 32 through 34 for evaluation criteria. YesNo' Not Applicable ........p...... j...... :_.. . a. y _ P quality. .. The project is not intended to nor will it have an impact on air y. Attach addtti.. ........_ ............... onal sheets if necessary Policy 8. Minimize environmental er do in Town of Southoldfrom solid waste and hazardous substances wastes. See Section —Policies; es through for evaluation criteria. u Yes 1:1 No l _d Not Applicable The project is not intended to nor will it have any impact on environmental degradation from solid waste and hazardous substances and wastes. PUBLIC COAST POLICIUES Policy 9. Provide for public access to, and recreational use o , coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 6 for evaluation criteria. Yes 1:1 No Q Not Applicable The project involves shiftingthe boundary line between two y private properties and public access is irrelevant. ........ .. ..w ._..... _...... Attach additional sheets if necessary WORKING AST POLICIEES 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 7 No M Not Applicable Protecting Southold's water-dependent uses and promoting siting of new water-dependent ... .- -......................... -- uses in suitable locations are not relevant to this project. Attach additional sheets W iP necessary 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. 1-1 Yes F-1 No FL'-J Not Applicable The project is not intended to nor will it have an impact on, let aIone promote, ITmmm sustainable use of livingmarine resources. _................._._ ........... 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 1:1 No Not Applicable The project is notWWWWintendedreWtoWWnor will it have an impact on, let alone protect, ............ ._.... agricultural lands. Attach adds............................................ 'tional 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 7 No [:� Not Applicable Promotion of appropriate W e use and development of mineral resources is irrelevant to the project. Promotion of appropriate use and development of energy resources is likewise irrelevant to the project. PREPARED BY L- TITLE Authorized Agent DATE January 11, 2017 Stephen L. Ham, III Amended on 811105 MAILING ADDRESS: PLANNING BOARD MEMBERS Z 0 P.O. Box 1179 DONALD J.WILCENSKI Southold,NY 11971 Chair " OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY ISS 54375 State Route 25 JAMES e RICH III (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR � , Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: January 17, 2017 Re: Checks Please deposit the attached check into B691: Deferred Revenue. Fee is for a Lot Line Change Application not yet accepted by the Planning Board. Thank you. Project Name & Type Tax Map # Amount Check Date & Number Miller & Brinckerhoff Lot Line 8-1-4.16 & $500.00 1/11/17 #15127 Chan e A lication Fee 8-1-6.5 $500.00 �.w .. MATTHEWS & HAM 1512 w ATTORNEYS & COUNSELLORS AT LAW 38 NUGENT STREET SOUTHAMPTON,NY 11968 X37 DATE T'4'1L) M r 11 zn17 210 PAY TO THE 7�OW�1 OF S�v1' Of.T) ORDER OF— .. ._,.. _.....�.. V -5-pol 00 )OL111l ARS II N f { CHAS E p JPorgan Chase Bank,N.A. www.Chase.com FOR l $0_1#jCr RHoFF L67- 00 15 12 Wn_. 1:0 2 L0000 2 Lit: El 3 7 L0 7 2 4 5n' _ _.... NO '77 ".." ..,.mml'mrRI.�"arr+�'"�'.3.�, ..