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1000-55.-5-9.1
` s ,� !fl• ' .` Lu Q .� `!�1RRRPA4 : , I t t i i wd Lu uj AP I xv 91 f NZ ' -4 , N H Z w O U til F-- a 0 cr ARCH ITECTU F`? E ANTHONY d f4 f> ' p ' PORTILL0 , R .A. , LEEDmr PROJECT. x t 77 n _... .�.x. .��..,...,�-.:�,..�....,m......�..t ». .. - ..,....u,:..,.a:w.:w�..o.,.... •`tea ,,,» :• :,+'-•�.+�.;, f _ - - ;«m ,« Ves.... _,:.SL,�..u:.",:.:x.C.:y'*'t^�'r Baa.....-,« ���_•^ :.�,:, „ i.x. . . „•�R,.�.;w-" w�: �Wim•-�. �> ;: �� �',` .; 4 . `ti ✓ J ESI CAP S®, LLC 15400 I 25436TH I T E 5 b AW 46770 ROUTE 48 MNA1Fv11TU (;"kK, 13'0'.950% BROOKLYIN 3SOUTHOLD, NY 0" 743. LLC 0 : 516-2114-0 .16A 0 : 716-572M4 DRAWING TITLE: TITLE PAGE PAGE: I —jLuu RECEIVED DATE: 11/16/18 # OF 8 JAN 15 2019 Southo dd Town Planning Board PLACE FOR JOB STICKER WERE IF��4 � EXISTING DRIVEWA (� EN GE 5GTM: 1000-55-5-1.1 DRAINAGE CALCULATIONS: Information taken from survey pre ared b Based on 2" Rainfall Event :.'. p yy Peconic Surveyors, P.G. Southold, New Yor( dated January 13 2015 Parking: 21801.x6 sf X = 3633 c.f. Side EXISTING UTILITY POLE TO BE _ walk: 140 sf X � 123 c.f. REMOVED RELOCATED cAss _ 51TE DATA: Roof: 1516.04 sf X 252.67 c.f SIGN Final Plot Size: 31,123 sRc.f .ft. Ganopy: 3520 sf X 12 = 587.84 . °r�' A �y ' t``+ Building Area: 1,516.04 s ft 4.083b - ,232 •c.. .,;:�°:: g q,. Landscape: 13055 sf X � - 435.16 c.f � Paving 4 curbing: 21,801.16 sq.ft. 51 U Sidewalks: 740 sR.ft. 2% 8'-O"(P Leaching Pool = Fir = 3.14 X 4foot2 = 50.3 cf/ft ; EXISTIN DRIVEWAY Landscaping: 13055 s ft. 35� / 5 = - = v p g: R. Roof 252.67 0.3 5.02 ft.deep Use 8-O �xb-O deep ENTRANG - EXP D -;>: '`'` mss r = _ I II I I c J s N Ganopy 587.84 x 1.5 4408 gal. Use (2) 8-O Q�xB-O deed NEW UTILITY \h�` d ZONING INFORMATION: - ,�. VAC �`'' SGTM # 1000-55-5-1.1 Parkinc], 5idewalk 4 Landscapingg Total 4111.16 c,f. Q =' _� / \ 10'-O"(f LeachingPool = r1r2 = 3l4 X 5foot2 Cf/ft A 3 POLE LOCATION -' .,'A,:- AIR O w Street Address: 46770 Route 48, Southold _ , .. ZoningDistrict: B - General Business Area 4111.16 / 7 .5 - 53.4 ft.deep - Use (7) #12 Front Yard e Setback Required: Variable. ` Front Yard Setback Proposed: 71 feet GROUNDWATER MANAGEMENT ZONE IV MONUMENT ` .gQiFOUND Side Yard Setback Required: 25 / 25 feet Density: .03 GPD/SQ.FT. _., •` " '` \\ \ Side Yard Setback Proposed: 66.5' / 11.6 (pre-existing) Kitchen: .02 6PD/50.17T. #" � Rear Yard Setback Required: 35 feet Hydraulic: .05 GPD/SQ.FT. ' Rear Yard Setback Proposed: 52 feet DEEP DRAINAGE EXISTING CONCRETE = POOLS, TYPICAL ALL; 8"(P PVC, AREA OF BURIED FUEL TANKS- PARKING ANALY515: UTILITY BOX PIPING BETWEEN EACH POOL TANKS TO SIT ON CONCRETE SLAB 0 Total Building: 1,516.04 sR.ft. sANITARrDSi ra cA>cuLnTIoN5 f ASPHALT PAVED ; ;ti �,::,'• DESIGN FLOW DESIGN FL©'N DE5rrSW FLOW Tal AL FLC`VV COVERED BY POURED CONCRETE SLAB Residential (2 units): 2 Re uired 2 Proposed Spaces AP. A NAME AREA srzr q p p 5AWA,Y GREY TOTAL by 6?ACE DRIVING SURFACE ' convenience Store: 8 Re uired 12 Pro osed 5 aces - .: .. :. :.._ o.oa o.oz p Convenience Store 65© Plus 2 Handicap Accessible , , „_ ,,. , . - p1) ., 1 Pa Pry bas Station: 3 Per Que 36 Proposed Spaces `... .. • ; - . Apartments- - ,`�87 cf.ft. PO C-1ch........ .. .... o FD CONNECT TO '� •' Employee: I Per I Space provided tott)l 150 G ... ....................... .... ..3�� ,-.._ -,.....,.,,,. . ._, ►� ADJOINING }° ----------- Loading Berth: 11'-O"wide X 14'-O" height X 5'-0" Ion I Proposed 441-0' - g 9 g p PARKING LOT BUILDING INFO: o First Floor: °< .°• .. A - Convenience Store: TM sR.ft. B - Attendant: 141 sR.ft. G - Foyer: 187 sR.ft. Ell D - Mechanical Room: 45 sR.ft. E - Office: 44 sR.ft. o F - Employee Restroom: 11.5 sq.ft. PROPOSED POST LAMPS 6 - Handicap Accessible Restroom: 45 sq.ft. PROPOSED PUMP A PHALT PAVED H - Sprinkler Room: 30 sR.ft. O FOR PARKING LIGHTING TO CANOPY w/ FIRE D IVING SURFACE OI_2�" I - Employee Lockers: 11.5 sq.ft. BE IN ACCORDANCE WITH N/O/F J - Tenant Lockers: 76 sq.ft. 0 SUPPRESSION; #10 DARK SKIES REGULATIONS GRETE SLo SOUTHOLD MEDICAL SER CANOPY 0 � ARTS BUILDING INC. Second Floor: o Foyer: 14 sq.ft. Residential Unit I: 445 sR.ft. +/- N/O/F Residential Unit 2: 506 sq.ft. +/- THOMAS J. MCCARTHYUJI au I BUILDING AREAS: #� Total SRuare Footage: 2,401.0 sq.ft. CO &RAss C Including First 4 Second Floor Areas ALLOWABLE AREA FOR RE51DENTIAL: 403 OR 163 sq.ft. PROPOSED RESIDENTIAL 5PAGE5: 31.4% OR 151 sci.ft. � o -.' � : ,•, i. k _. ' C;.k,i,� .......,;_�4.. $tr' y� .;� - ygg�.� v°,�: :>k' 'ti,S i'i•,.'.'y.' � „i,, Rew'.a„' Y ' w; q �v, "m f do .•N';,"�:. _ > E r'>. s, 36 O Nt f : F ys t.. au i, .r�� 4 V4 PVC PIPING F'.�, � : `;:; p EXISTING BUILDING TO :. ' > a� ^,�.w: h Vii• y�.«)d,,..2,1'4,tYom;�.:`�J r 5E;.-.�•�6�.: .<..j-,ETWEEN DRAINAGE �REMINPOPOSED �POOLS ALTERATIONS Y. �r W d ¢¢ Y- t u{; k .. -. 6 ' "4 'k z � 6 r aHo• Y' .,�,• Kay n r,= i.ad 2e-� "BMs':a «fs:l Af' I %•/�:, t„": �" �:;.:: „'F iF.',sg. o..r,i'f- "e a. �' 4i Y '�++.,i;.1•'-&.M' ,.a tR'> b¢' r.,i}:a:`.�:,.%-,��: y� 9 F- 4 me , m ,,.. •� d a - '. M^ — Y t ri.;s.p do- 4 0 POURED CONCRETE ���-� �� a• y: ,<-. Y 1pCy, rsry �a G g _;i i'F .-z'. a ,s•h, �µ�'4 ak• I E L CONTINUOWA K S D CONT NU US a�: a� 4, p" r' I °din i �Y � a i O 3 .FIe ,,gy�pp g ASPHAL T PAVED ^4, h, .::. AROUND STRUCTURE DRIVING sURFAGE b #2 G 3 _ I r� ,P { $• 3 fr�f. :hjY .Tf`Y.. mi-' W`f,a F .iJ..:'i'ice:}. "MP�OYE P j �:�K. `�v... f _,. Elim CAP SD, LLC L >"-' 3 �§r `L R yY° °1:C 1 L RESIDENTIAL � i -,�° :�� y:, -„�..�. �=. 46770 ROUTE 48 SPAGEs 2 � m r, SOUTHOLD NY '� ,. '` - ,�..-.,'._�- r of: i .s.”=`.'�• a:-ri` DUMPSTER w _ / &� r Yt' ., 1 ''try., N FE GE ENCLOSURE °a,' �� L -� +5. ..u,..r i/a'Y I 11 ��m S' 21 3 , . y- i9 i d, a ' ' .r p:-..: "'r:; ,�'r a< o✓: ' ^- DRAWING TITLE:6I PVG PIPIN :N a,:,C-".Y.m•,»rtt .,„�'_ �' � ?E,.- ✓See.;r~.'`J"" .'f"'.'..�. TO ROOF DRYWELL ..� YSIS 1` JOHN J. QUINN SITE P LAN & ANAL 11 w. , a �y � Y'r •,'' » > ;w' ,rx':.`.` :'rte:`: -'pta:;;.�:���,y.`„ :�.1"a.'i`Y�:a-'� �'�',,,,�'� o�. t e g i y.s. ,s` .y- d ` '' p TERESA E. QUINN � 64 i-�=�;�~� , , , :,G.w �i7-' A: :"•'S�a4:`� - 'fd> drk'''dn i�ry yi,�'p M'N'.'u{ ,t it,.�y.', "���� t, `�;� „ .- d { S•Y P .1 .�' fif _ tib'>•':P'., h , _ .!' "3-i}� .yC', n y2 ' �z, 0 0 0 0 -Rt PAGE: 0-0-0-0-0-0-0-0-0-0-0-0--o —0-0 " . PIPE FOUND-0-0-0-0-0-0-0– BRICK MONUMENT NEW 6OI TALL FENCE 0 I�O.OOI , C' �Y';rxx ' *Yfr , •,p ` �s FOUND EXISTING 5 OGKADE FENCE k >- a , ,a N/O/F CAROL E30HNREQEIED - DATE: 11/16/18 2 OF 8 ROBERT BOHNES0kjtB6Fd-T6VVrI 15 2019 PROPERTY LOCATION PREI M 11�AR ' SITE PLAN Planning Bosaru L. PLACE FOR JOB STICKER DERE 50ALE: 1/16" = I'–O" 0. �0 EXISTING r,RIVEWAY g\ �®�` EXISTING RIVENAY ,Y ENTRANCE •P1� ®�'� ENTRANCE _ :.. ::.• uj p-re�N�PO I pJ�RN�P EXISTING UTILITY POLE TO BE \gyp. REMOVED RELOCATED ,\gyp �' a�''„`X "�; 515N �5.2�i O\ J ORA55 # N EX15TINO DRIVE Y s EXISTING DRI EWAY 0 6 LAND5GAPIN5 ENTRANCE- EXPA ED / s, N ENTRANCE- E ; �� ' o Fsr i \ NEW UTILITY Y .,ti:: \.. o° 0 00O oo N / \ OvAG o POLE LOCATION d ° �° o w ® ( '-'' '.A,..,,::'.:.;., <, . . \ \\ y AR O . aCD1-0 m L+� MONUMENT° �•� \� #II dJ �� MONU T �� �� ° 0 FOUND \0� \ ` �Jl \p�W 5 EXISTING CONCRETEa°0 0 0 _ s 10'-O"(4x5'-O" DEEP DRAINAGE I EX15TINO CONCRETE PAVED UTILITY BOX O°0O A5PHALT VED POOL5, TYPICAL ALL; 5"0 PVC AREA OF BURIED FUEL TANK5- UTILITY BOX RIVINO 5DURFA E aol DRIVING 5U FACE PIPING BETWEEN EACH POOL TANK5 TO 51T ON CONCRETE SLAB COVERED BY POURED CONCRETE 5LAB O I CONNECT TO O CONNECT TO r' ""''* .' PLANT 5YMBOL5: ' ADJOININGADJOIININS PARKING LOT 44'-0" PARKIIN5 LOT 4'-0" ORNAMENTAL CHERRY, I�" - 2" GAL. o WHITE OAK, 2�" - 3" 0 A5PHALT } PROPOSED P05T LAMPS PAYED FOR PARKING LIGHTING TO PROPOSED PUMP DRIVING I v GANOPY w/ FIRE SURFACE O'-22' I w BE IN ACCORDANCE HITH ,L #10 DARK SKIES REGULATION5 SUPPRESSION; O ORNAMENTAL 6RA55, 5' - 4' ht.TE 5LAB N 0 o p µ bFcLR CANOPY p } W OL 0'-O" ... o GROUND COVER JUNIPER, W' -24" ht. W #a # a o LuLL o � f v I i w } I JAPANE5E BLACK PINE,7' - &' ht. -- 36 -O�� " Q 36'-Oy LELAND GYPRE55, V - 7' ht., DOUBLE ROW Lu o Q EXISTING BUILDING TO z `'u .='`` EX15TING BUILDING TO 0 a B n REMAIN; PROPOSED #I REMAIN; PROP OSED J J I oTTOS ALTERATION5 #5 PROJECT: B o A A < O f r 4'-O" POURED CONCRETE G 4'-0" POURED CONCRETE #4 G h,:: #4 <: E ( 51DEWALK CONTINUOUS E `:;'=~ \\ I SIDEWALK CONTINUOUS ~ AROUND STRUCTURE I ASPHALT PAYED „•.'.r,: ` °�� .». O AROUND STRUCTURE J E M CAP SD LLC #2 ;` .` DRIVING 5URFAGE b #2 4 I #3 5 H I F pF,fi, 5 H w `�`� #3 •`y 46770 ROUTE 48 ic. ,P} "A =y�r 0 SOUTHOLD NY MPE•PARKIN yI`•� .. •/^ ----!EMPLOYEE I ' y. ~b•. .MPLOYEEP IN / O a,_�, \ LOADING/ I I \ L10ADINC� I o RE51D T(A / RE51DENTIAL / I 5P I x 5PAGE5 (2) X 0 WIN TITLE: I /• �. / �. DUMPSTER w/ 0o O FENCE ENCLOSURE SITE PLAN - QUEUING MASS oo o0 2I'-3 " SITE PLAN - LANDSCAPE b"O PVG PIPING C` TO ROOF DRYWELL o ORA55 $ I p �� I PAGE: LAND50APIN6 O 0 � O 400 0 =0 n o 0—r) _ 0 0 0 —0-0 0 o ....... _ O BRICK MONUMENT o , „ , PIPE FOUND BRICK MONUMENT NEW 6-0" TALL PRIVACY FENCE , PIPE FOUND-O—O—O—O—O—O—O- FOUND 55I 15 �✓0 W I EO.00 FOUND 5151015150"V4 150.00 EX15TINO STOCKADE FENCE RECEIVED DATE: 11/16/18 3 OF :8::] JAN 15 2019 SITE PLAN - QUEU I NC SITE FLAN - LANI7SGAF I NC SouTown 50ALE: I/I6" = 1'-0" SOALE: I/I6" = 1'-0" Plannninging Board PLACE FOR JOE STICKER MERE IIN I315 I................. .................................. I........................................ ..........I DDLt' LLj I........ ..............4 R I0 I OF': .......... G I .......... AU U- IE IITV, III ......AU FA 0 Uj FROFERT"*� R I (5HT OF AA)000 MAP 5C,ALF-: NT5 SCALEE: N75 LAj FROFER7� LOGATION FROFERT"�r LO(��ATION -NO Rieht5 a� ��ay Nithin 551 46770 Gounty Rol, 4,5 0!5 por Su�fok Caunty �Iap Zonre: 5� 5onoral 5u5inos5 Gurront Larol Uso : �vlisrollanocu5 TABLE I C.,,o rn rn P,r r-, i a I Surrounding Property Info A r,r-c a o :Key SCTM #: Address Owner Info Zone Use Acreage A 1000-55-200-20000 46455 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.71 PROJECT: B 1000-55-200-21000 46695 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.5 C 1000-55-200-22000 47055 County Rd. 48 Richard Wheeler B- General Business Auto Ser\Ace Station 0.5 JEM CAP SD, LLC ID 1000-55-200-23000 47025 County Rd. 48 Madelleine Schalefer B- General Business Retail 0.53 46770 ROUTE 48 E 1000-55-500-12002 3125 Boisseau Ave. Johnathan Hawkins RO- Residential Ofice Vacant Land 1.2 , NY IF 1000-55-500-12001 2855 Boisseau Ave. Kenneth Norcross R-40 / R-80 Residential 0.94 G 1000-55-500-1300 2735 Boisseau Ave. John Quinn R-40 / R-80 Residential 1.0 DRAWING TITLE: H 1000-55-500-1400 2685 Boisseau Ave. Robert Bohn R-80 / R-40 Residential 2.0 PROPERTY KEY MAPS DATA 1 1000-55-500-15001 2355 Boisseau Ave. Barbara Martin R-40 Residential 0.96 'i 1000-55-500-15002 2505 Boisseau Ave. Daniel McGunnigle R-80 Residential 1.47 PAGE: K 1000-55-500-7000 46520 County Rd. 48 Thomas McCarthy 13- General Business Retail Strip development 1.98 L 1000-55-500-10000 46850 County Rd. 48 Southold Medical Arts Building 13- General Business Medical Arts / Commercial 0.5 S�3 0 Inc. M 1000-55-500-11000 46950 County Rd. 48 46950 CR 48 Southold LLC B- General Business Retail Commercial 0.32 RECEIVED DATE: 11/16/18 4OF8 JAN 1 5 2019 Ell 96—uffib 7id n Planning Board PLACE FOR JOB STICKER HERE W l ll, f E 2-O xb-O it S16N _. 01 i i I I 4{ 1I T ¢ ; FRONT ELEVATION - FROPOSEID LEFT (EAST) ELE\/AT10N - FROPOSED SCALE: 1/4" = 1'-0" 5CALE: 1/4" = I'-O" z 77 W U SIGN `lYl ! �_ .fir, PROJECT: JEM CAP S® LLC 11 HIP t k If I III , 46770 ROUTE 48 SOUTHOLD, NY DRAWING TITLE: R16HT (NEST) ELEVATION - PROPOSED \ / BUILDING ELEVATIONS 5CALE: 1/4" = 1'-0" REAR F-LF Y ATI ON — FROFOSE� 50ALE: 1/4" = 1'-0" PAGE: 3m%ju0 RECEIVED DATE: 11/16/18 5 OF 8 AN 1 5 2019 Soat,1,o1d Town Planning Board PLACE FOR JOB STICKER DERE I II 50-2 R J � .�, �, ✓p. ys: �. {, ,moo. BU I LD I NO SC�Ur4R� �OOT�O� j IV I PANTRY BUILDINO FOOTPRINT 1,516.04 S.F. x° �o �o ® �? 1 _ BFOYER A HROOMKITCHEN 'I4 50. FT d1 153 50. FT O 5Q.FT I RST'' L O O R r ® FLOOR AREAS EXCLUDE NALL-THICKNESS 1 O GLST GLST ;, GONYEN I ENGE STORE 77-1.00 S.F. GL5TI GLST ✓ i -{I ✓ FOYER 187.00 S.F. FUEL ATTENDANT SPACE 141.00 S.F. - APT#1 , APT#2 445 SQ. FT. 529 5Q. FT. ACCESSIBLE RESTROOM 45.00 S.F. w ~ U LIVING ROOM LIVING ROOM SPRINKLER / RPZ ROOM 50.00 S.F. _ 220 50. FT 152 50. FT BEDROOM BEDROOM MECHANICAL ROOM 45.00 S.F. 130 50. FT fn 130 50. FT TENANT LOCKERS 76.00 S.F. Y+'" EMPLOYEE LOCKERS G 13'-0"- c1l-6" EMPLOYEE RESTROOM I1�.50 S.F. ;. >+p � ;i:. ,:',rz:;s;.�:.:r.;.3 �..y ✓-.`-,;;.i / ,,;:>.::>, >;" �-�., ;r' %se';"°::y-.,:...�,r,.-'rd'.; ® o OFF I GE 44.00 S.F. KITCHEN BATHROOM 55 50. FT TOTAL IST FLOOR AREA 1,384.00 S.F. 40 50.FT ou, O O O O .r' FLOOR AREA5 EXCLUDE NALL'THICKNESS 201-011 FOYER 74.00 S.F. 501_211 APT I - LIVINC ROOM 220.00 S.F. APT I - BEDROOM 150.00 S.F. SFECOND FLOOR FLAN - FROFOSED SCALE: I/4" I'-O" -- APT I - BATHROOM 40.00 S.F. = APT I - KITCHEN 55.00 S.F. 50'-211 APT I - TOTAL FLOOR AREA 445.00 S.F. APT 2 - LIVINC ROOM 182.00 S.F. z :. APT 2 - BEDROOM 150.00 S.F. U APT 2 - BATHROOM 41.00 S.F. "' ,. , ..�e,, .F•C rY. •✓. .., a'. .A ;t?h✓'`,.".�'..:".: e:^'�<6"... >,F,'<•,••. .,>',:> <f.`.+ :d: ::(•�,., .:x,F_'Y .✓.;� in ' I _ APT 2 - KITCHEN 155.00 S.F. COFFEE O BE RAGE : GH NI AL OOM PLO EE EMPLOYEE REFRI RESTR OM RATORS , - STATION to AGCE551BLE 5 5Q� 1LOCKERS - SPRINKLER/RPZ RE5TROOM 9.5 5Q. 1q.5 50. T ROOM 45 SQ.FT APT 2 - TOTAL FLOOR AREA 506,00 S.F, .- p•I_O1I �I_ (1 �( 30 50. FT 4 .Y TOTAL 2ND FLOOR AREA 1,025.00 S.F. O177, m OR055 FLUOR ,ARE 2,40 .00 S.F. _ FLOOR AREAS EXCLUDE ALL�-THIGKNE55 FOLD-UP : . ' UP OFFICE ENTRY d ✓ i 44 50. FT y p o ' • ,• � v �/Q I u I u 1 n I n I u ,. 4-3 I/2 2 -4 2-o PROJECT: I'-6 1/211 (V FOYER . U 15150.FT. JEM CAP SD, LLC ' REACH-IN WALK-IN y FUEL 41_011 (V p CONVENIENCE COOLER _ STORE 46770 ROUTE 48 ATTENDANT PA E = N "M50. FT. SOUTHOLD, NY .. 141 SOFT. Q .• 31_^111 � 9 'd N RAMP DRAWING TITLE: ,. ov CHECK -OUT COUNTER FLOOR PLANS FiZAMIN& 'a �Nu y' TENANT TENANT O F LOCKER LOCKER - DON 55 50.FT. 58 50.FT. O PAGE: 4'-l0" 4'-1011 NEWS RACKS MAGAZINE RACKSA-2 " 0 DATE: 11/ 6/18 6OFIRST FLOOR PLAN FRCFOSED � � ® F8 _- SCALE: I/4" = 1-O" JAN 1520 SoutfiolFT6 Planning Board PUXE FOR JOB STICKER HERE k NWy LL W t— U PERIMETER DRAIN I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I W I I I I I I U I I I I I I Q I I I I I I PROJECT: CANOPY PLAN - PROPOSED J EM CAP SD, LLC 50ALE: 1/4" = I'-O" 46770 ROUTE 48 SOUTHOLD, NY DRAWING TITLE: CANOPY PLAN PAGE: A-3uu RECEIVED DATE: 11/16/18 7 OF 8 JAN 15 2019 Southold Town PLACE FOR JOB Planning Board STICKER HESE Llwtivtaive � -� Tag Syn-&rjlf3ty Label TUAIng- Mle—ml Lura,Lm Lu',"Naffs Art,wa Til Watts ' A, Miµ. 689,6 calculation sunursap aft-kig Lot Illuralmanc Fc 3-1713 Q.8 0,2, 1,615 y,esu � F w pC , ,,s{s ¢^a„„. :.i,.f., 7_ _,[ ice:Fp uj zmlbal,RS.�,_2f e�n."u'"`..'mz,<,3;...:r ,v2r” a-"9C.,.0 a36,., .bs"',.,,K7's ttt,...Zr,-MrW7,M. a 10001 _w:3r 4'<w t .:..,< tnt ..l'4� z{o.. ,r`,E'.:37t ',1, A l l� Lumtki Label amthighM fi ,. r. ALEo- n y, 2 'u. ,,LE G" v YS(f l .'...., .........:... 7;....KU//NmH/mNA"NNm�3%//m7/%4m�X'/�m/H1....: /rNmH Nm/NmJm/H9 Nn.Hs•.:/rr h.wiiiH //,//n o n//ii/,h' r /iii//i/wn/ Nh Nr ..Ni mNNNNimNrs ed- ALF 2 ` 6", ,9, : _ ;as. Da.s 10if x_� w .` Y a ;:'@ r"1.-�';,� rr 0/1 �tt, s.ft. 11 1 ALE, kft nr r k " ovillf .:'� w� r ,LG�x..4,J ., r .moyw',�: y V7 Lt €2 i` ` y ,. x �n-S.;,j..4��i/,.kl,��.'DI..r. ;r,�,.;.f....t . "- .. s.<. ,_ sir, ,. � ....... ..... ��� `fit,✓?(_i r��,�E�.�.� I,5-800`00Y D 1s07, xT 300 33 PA04,sl 161-8 F-l"V101111 C11 = D 0!PIf E0,`a v �� piType i -:: .::rrn/r?'✓hyF4A%lud::.:""�' 'ern'.ri///nr . �.N934. ry j. NA 2wv: r r 3 r ^ / { : ,fs,..sr, ,... ., ., ,»... ..„ ,... .. ,.�� .1 _. , ?:.. NIA,�s E` LAJ Yn poi%,€Z}ft a.. :.,<... F aft” T'u. s^i ,a- rZ" s#:-: ,. ,T... r',. ,Y3' T'w,Y.v1: sv<,. •,_ r ,r w,..a res '. <:�.. : C �� �>€�. Lij 4 Q L16H71N6 DATA 4 I LLUM I NA71 ON PLANS cc FREPAR I ED E3Y PAM I N SALES SOALE: N75 ELEGTRIGAL MANUFAGTURER5 EDISONI NJ «y, f fl lU / NAME to be DETERY I NED PROJECT: C UUNTO _Y s�®RE �- JEM CAP SD LL%.#- 46770 ROUTE 48 r wl 1, DRAWING TITLE: LIGHTING DESIGN/ DATA SIGN ELEVATION r PAGE: two o r, DATE: 1.1/16/18 8 ®F 8 RE-C—EIVED ol JAN 15 2019 CANOFNr S I C N ELEVATION — PROPOS - - a -- PLACE CE FO saut�►old Town y,/N.���S�.� ; � �.�R JOB SCALE. 1/2" 1'-0" Planning Board STICKER E z O N Q\ � / N W W Q (W (1 z - � o CD tLujL LU ILI 21-O"xG'-O"_1L ULU ( � V w Q s/G'N p H 11 77 11 1 11 111 1111 11 11 111 1111 11 1! IT 11 11111 1 111 111 M1 ,ill LI 14 1 11 J FRONT ELEVATION LEFT SIDE EAST ELEVATION ry SCALE: �" = I '-0" SCALE: 4" = I '-0" z O �: m Q O --is U o Ln °o Lu L O V J ILI Z Q SZ G lnn.L SIGN 2'-0"xG'-0" 0LIL0 z J Z O U � O U 73 z � RIGHT SIDE / WEST ELEVATION REAR ELEVATIONw C) w � SCALE: 4" = I '-O" SCALE: 4" = I '-O" Z p z w z 0 O U JUN 2 5 2018 �1 Southold Town PAGE: Planning Board A- i UNAUTHOR/ZED ALTERAT/ON OR ADD/T/ON TO TH/S ORA(MNG AND RELATED DOCUMENTS/S A V/OLATlON OPSEC. 7209 OF THF N.Y.S. EDUCAT/ON LAW z Q c�. ^/ (V 1_L_ ON O � Q z o m �I 50'-2" v 501-21t 30-011 9'-10" °°° IJIECJ AIN = K 00 H I AL ROOM � EMPLOYEE OFFICE _ DOWN RESTROOM o ACCESSIBLE RESTROOM — FOYER - KITCHEN G 00 _ 0 0 7'-6.. Fo — Q UP L APT#I APT#2 484 5a.ft. 513 5a.ft. p 77 IL ry z Q ' O N N N N U (\ O o LIVING ROOM LIVING ROOM o o m N o � � cn° o FOYER FUEL ATTENDANT COUNTRY STORE BEDROOM BEDROOM SPACE 650 5c(.ft. — a� N RAMP 10'-0" 13'-0" 9'-6" g RIF (L ® O O O� DOWN O O Q Z_ EIE W 101-011 9'-0" 29'-6" °°° r/ -------- -- (L 8' IO" 20'-0.. 50'-2" PR OP05ED FIRST FLOOR PROPOSED SECOND FLOOD SCALE: 4" = I '-0" SCALE: 4" = I ,-o,, U' z O Z z I� Lu z W z w z 0 z O U CLIH E19, JUN 2 5 2018 Southold Town PAGE: r7 Planning Board A- 2 UNAUTHORIM?ALTERATION 09 ADDITION TO TN/S DRAWING AND RELATED DOCUMENTS 15 A VIOLATION OF SEC. 7209 OF TME N.Y.S. EDUCATION LAW cc I c N ol N � J c D- 0 Q U 101-Gil 29'-G" 29'-01 I O'-G° II �i v w U PERIMETER DRAIN co I I I I I I I I I o I ❑ I I ❑ I -' I I I ❑ I � � 1211 x 12" INTERIOR I I I I U o DRAIN I I I I'-o" I -15a o � 1 o � o c o i i I I I I I i z ❑ ❑ ❑ Q i I ► I I z ISLAND BELOW I Lu z CANOPY OVERHEAD VIEW SCALE: 4" v � 3 SII DC U Z U W y z � � � g z Lu z 0 z O FnD � ��� � JUN 2 5 2U18 Southold To,:,,n PAGE: Piannincg hoard A-3 UNAUT/10R/ZED ACTERAT/ON OR ADD/TION TO Tl US DRAWING AND NfLATfD DOCUMENTS lS A VIOLAT/ON Of 5fC. 7209 OF THE l Y.S. EDUCAT/ON LAW z O lil Q w W N z N m � � Q o z Q � = U. I I U � W U (- D LLj J Q U FINISH GRADE I I I I I I L-----J I------I I---- J TO DRYWELL PROP05ED CANOPY SIDE VI EW5 SCALE: 4" _j I n (, V y ) 4--1 } D— f) z U o � Lu cn0 o z g ALUMINUM SOFFIT 4- TRIM, TRIM, COLOR WHITE Q z_ J W ry IL NAME to be DETERMINED FINISH GRADE COU14V7 R 0 t I i I STOKE I I � I i I I L_----J ----J SOUTHOLD, NY O z J I � z ' O U O L 7 } \\1m/ �' \uta \\UIWQo4 / Q Z Y V W Lu � o � FROP05ED SIGN W 24 51.ft. SCALE: 2' = 1 '-O" O I) z O U D � , JUN 2 52UidU Southold To1vn PAGE: Planning Board A-4 UNAUTHOR/ZED ALTERATION OR ADDITION TO TH/S VRA W IV6 AND RELATED DOCUMENTS 15 A VIOLATION OF 5fC. 7209 OF THE N.Y.S, fDUCATION LAW i BOISSEAU AVENUE 17'-62 /� BOG�J3 cc C �\ ENTRAN DRIVE SITE PLAN _ - O? Cz0 P o�� scare: ,—F' — 1'-0" ---- Q 5CTM: 1000-55-5-9. 1 ooInformation taken from survey prepared by G .\` �5 Peconlc Surveyors, P.C. Southold, New York oJ �NEP� dated January 13, 201 5 EXISTING UTILITY POLE TO BE ----- REMOVED RELOCATED � y �N- -------- SITE DATA: DRAINAGE CALCULATIONS: \GO \ GRass �_� Final Plot Size: 37, 123 sq.ft. Based on 2" Rainfall Event W " \' SIGN Building Area: 1 ,5 1 G scf.ft 4.05% X5`.22 0 p Canopy: q Parking: 2 1 80 1 .9G sf X-1 = 3633 c.f. \' /' Pum Cano 3,520 s ft. 9.48% g g: q Sidewalk: 740 sf X ,2 = 123 c.f. _ 25' Pavia t- Curbing: 2 I ,80 I .96 s ft. 57% 2 C CZE Sidewalks: 740 sq.ft. 2% Roof: 15 1 G.04 sf X i = 252.67 c.f II __j Landscaping: 13055 sq.ft. 35% Canopy: 3520 sf X 2 = 587.84 c.f. EXISTING DRI SWAY OALLOWABLE LOT COVERAGE: 30% or 1 1 , 1 3G.9 sq.ft. Landscape: 13055 sf X IZ = 435. 16 c.f PROPOSED LOT COVERAGE: 13.5G% or 5,036 s ft. 8'-O"O Leaching Pool = TTr2 = 3. 14 X 4foot2 = 50.3 cf/ft Ln ENTRANCE- EX GRASS s �� aG� °� a (--- NEW UTILITY Including Building and Canopy Structure 5036 sq.ft. Roof 252.67/ 50.3 = 5.02 ft.dee Use 8'-O"OxG'-O"dee v i' VAC �,� [� p - p POLE LOCATION !yl `V ZONING INFORMATION: Canopy 587.84 x 7.5 = 4408 gal. - Use (2) 8'-0"0x6'-0"deep >j Q i AIR (f) 5CTM # 1000-55-5-9. 1 Parking, Sidewalk* Landscaping Total = 419 1 . 1 G c.f. Q �L- O Street Address: 46770 Route 48, Southold 10'-O"O Leaching Pool = TTr2 = 3. 14 X 5foot2 = 78.5 cf/ft # 12 M Zoning District: B - General Business Area 4 19 1 . 1 G/ 78.5 = 53.4 ft.deep - Use (7) 10'-O"0x8'-0"deep Q I n Front Yard Setback Required: Variable FOuNo NUMENT cRAss � ��\ � Front Yard Setback Proposed: 7 1 feet FOUND Z_ -A � # I I � p GROUNDWATER MANAGEMENT ZONE IV G I Side Yard Setback Required: 25 / 25 feet Density: .03 GPD/5Q.FT. -� Side Yard Setback Proposed: GG.5'/ 19.6' (pre-existing) Kitchen: .02 GPD/SQ.FT. �2 Rear Yard Setback Required: 35 feet Hydraulic: .05 GPD/SQ.FT. �? I Rear Yard Setback Proposed: 52 feet EXISTING CONCRETE UTILITY BOX N, AREA OF BURIED FUEL TANKS- PARKING ANALYSIS: TANKS TO SIT ON CONCRETE SLAB Total Building Footprint: 1 ,51 G.04 sq.ft. _ - - A5Pt1ALT PAVE I COVERED BY POURED CONCRETE SLAB Residential (2 units): 2 Required 2 Proposed Spaces DRIVING SURFA E Convenience Store: 8 Required 12 Proposed Spaces Plus 2 Handicap Accessible Gas Station: 3 Per Que 3G Proposed Spaces Employee: I Per I Space provided 0�' CONNECT TO Loading Berth: 19'-O"wide X 14'-0" height X 45'-0" long I Proposed ADJOINING -- ---44'-O" — BUILDING INFO: PARKING LOT � - � - First Floor: - A - Convenience Store: G50 sq.ft. eR B - Attendant: 180 sq.ft. CO / I C - Access to Second Floor Vestibule: 220 sq.ft. o D - Mechanical Room: GG J s .ft. +, - Ofic : 30 s . . A F - Employee Restroom: 30 sq.ft. n z m B 00 - -__ G - Handicap Accessible Restroom: 104 sq.ft. Q O O Second Floor: U [� o (\j Residential PAVED Residential Unit 1 : 484 sq.ft. : [� � O PROPOSED POST LAMPS RIVING SURFACE I w Residential Unit 2: 5 13 sq.ft. � �° - o FOR PARKING LIGHTING TO PROPOSED PUMP U BUILDING AREAS: CANOPY w/ FIRE --10'-2z" W Total Square Footage: 2609 sq.ft. Ln BE IN ACCORDANCE WITH LU N/O/F Including First � Second Floor Areas # 10 DARK SKIES REGULATIONS /SUPPRESSION;ESSION; / I > SOU HOLD MEDICAL ALLOWABLE AREA FOR RESIDENTIAL: 40% or 1 ,043.G sq.ft. — O U PROPOSED RESIDENTIAL SPACES: 38.2% or 997 sa.ft. �ONCf�ETE SL, 0 I ARTS BUILDING I'NC. __ f�E�ER CA�tOPY-- (V z N/O/F � � / /� `L g THOMAS J. MCCARTHY / a- W I GRAss Q U #9 ►�' -- y LU GRA55 CzQ z i Q y r•. #8 lie J —Iry � W O #7X`' ` z EXISTING BUILDING TO < . -- - REMAIN; PROPOSED z #6 0 ------ GRASS o ALTERATIONS a LU <, in O is # I - #5 a/ ° C -- - - - A B #4UF0: 4'-0" POURED CONCRETE SIDEWALK CONTINUOUS ASPt1ALT PAVED of '' --- I AROUND STRUCTURE ' DRIVING SURFACE �, #2 G FRIDGE F E D � #3 k. b � MPLOYEE PPR-ING O \ LC�DIN.C� - z RESIDENTIAL ,.;; +� `F,�<.• SPACES (2) DUMPSTER w/ v } 21'-3z"- ° FENCE ENCLOSURE - .. z GRAss G"O PVC PIPING N N/O/F LLJ W TO ROOF DRYWELL 'n OZ o t -N JOHN J. QUINN w. ¢.. ° TERESA E. QUINN iO^`` (J 1 - 0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-__O O O 6RICKMONUMENT NEW C'-O" TALL PRIVACY FENCE f y. /O` PIPE FOUND O—O—O—O—O—O—O U Found S8 I°15'50"W 150.00' EXISTING STOCKADE FENCE N/O/F PROPERTY LOCATION �� [ i� V !� CAROL BOH N - — .-. JUN 2 5 ROBERT BOHN Southold Town� PAGE: Planning Board S- 1 UNAOTI iO IZED ALTERATION OR ADDIT/ON TO 71-115 DRAW/NG AND 9ELATED DOCUMENTS 15 A VIOLATION OF SEC. 7209 OF TIIE N Y.S. EDUCATION LAW V � z Fu Q U z Q N 17'-G1' GUS X06 �j3 7'-62' GO�� .. . A0(0- z N EXISTING DRIVE 5`O �Qpl EXISTIN DRIV c W �( O P ENTRAN P?�\ O ENTRAN \p orb \pp Ab Lu OJ��N�P EXISTING UTILITY POLE TO BE 60 REMOVED RELOCATED 00.\ ; , \ �/\ GRAss ,2z ,2i SIGN A5 25 0� SIGN A5 5 0� \ -23 / V Z / ?`• },oma EXISTING DRI SWAY / GRASS O EXISTING DRI SWAY / o o O Ln ENTRANCE- EX I LANDSCAPING �s h' z co ENTRANCE- EX r �o o s 0 ° GRA55 \� �— ry Q cn \ � � I,- NEW UTILITY \ °°00000° VAC .� > Ova,c O N POLE LOCATION \\ a O �� O i— N ` AIR AIR w Gu�� \ \'\ ® w # 12 Q `\ 19 \.\ # 12 m P FOUND .,.........,.`'. MONUMEONT GRASS i \\ 0 G \ 00 00 UTILITY BOX PAVED PAVED UTIUTTY BOONCRETE AREA OF BURIED FUEL TAN KS- fA DRIVING ASPHALT TANKS TO SIT ON CONCRETE SLAB SURFACE DRIVING S FACE : . I RED CONCRETE SLAB COVERED BY POU CONNECT TO 0 CONNECT TO PLANT SYMBOLS: I U � Ln ADJOINING 44'-0" Ln 4. J PARKING LOT PARKING LOT 44'-O" j _ A cn O ORNAMENTAL CHERRY, 1 ' - 2" CAL. LV I Q O I U (\ o L? 0 0 0 `►-' 0 O O O O � I � o WHITE OAK, 22" - 3" N NA5PHALT PAVED ' 00 PROPOSED POST LAMPS RIVING SURFACE - - I PROPOSED PUMP Lu 0 o FOR PARKING LIGHTING TO U 0-22 � BE IN ACCORDANCE WITH CANOPY w/ FI RE I o'-22° I w z # 1 dLr) Ln LL- � # 1 G DARK SKIES REGULATIONS 5UPPRE5510N; I } ORNAMENTAL GRASS, 3' - 4' ht. z C] 0 0 0 1CRETE SLM o Q (L ERN CAN' 03 - I > Lu °L i- 10'-0" GROUND COVER JUNIPER, 18" -24" ht. GRAss Q #9 U #9 z I — lLl GRA55 —10'-0" Lao >- I I lU ® I Q z 0 > JAPANESE BLACK PINE, 7' - 8' ht. a- #8 I #8 30-011 Q 3 G' " -O ~ No LELAND CYPRESS, G' - 7' ht., DOUBLE ROW #7 o O I #7 o z z 6 U Lu Q U //GRA55 0 # - # 6 Q z - Lu � w Q � = EXISTING BUILDING TO � EXISTING BUILDING TO # I REMAIN; PROPOSED o b # 1 I REMAIN; PROPOSED #5 A B ALTERATIONS #5 - A B ALTERATIONS O #4 UP 4'-0" POURED CONCRETE #4 UP ;. i 4'-0" POURED CONCRETE In SIDEWALK CONTINUOUS �> ASPHALT PAVED o SIDEWALK CONTINUOUS z AROUND STRUCTURE DRIVING SURFACE :`f AROUND STRUCTURE #3 #2 G FRIDGE IFf][f- D #3 #2 G FRIDGE F E D I .... .....:.... . .:.. - 0 Imo• ---EMPLOYEE ARKING I`•� ,' MPLOYEE PAR IN ® "-19'-7" U z LOADIN.C� I I �' LOX�DIN.G, I �° RESID N L �• / RESIDENTIAL SP - I / x \ SPACES (2) I O (V U I I I DUMP5TER w/ 1u y 0 0 0 FENCE ENCLOSURE z o g ® - —' 00 2I'-3z O 2" GRAss 00 PVC PIPING o Q Lu TO ROOF DRYWELL Oo `i I C) GRASS o �� z O LANDSCAPING p U 0 0 —0-0 0 0 0 0 0 0 —0-0-0 0 01 NEW 6-0 TALL PRIVACY FENCE PIPE FouN�O—O—O—O—O—O—O— FOUNDMONUMENT X58 1°1 55'50"W 1 550.00' PIPE FOUND OU DMONUMENT �� 581015'50"W 150.00' L� L� u-` EXISTING STOCKADE FENCE N I Ju 2 5 2018 SITE PLAN - QUEUING SITE PLAN - LANDSCAPE Sam., Bo rd PAGE: SCALE: 6' = I'-0" Planning Board SCALE: i 6 = P-O" - S2 UNAUTHORIZED AL TERA TION OR ADD/TION TO TH/S DRA WING AND RELA TED DOCUMENTS/S A VIOLA TION OF SEC. 7206 OF T/-If N.Y.S. MLICA TION LA W t . Y r , w i CV Cz n Q t Q_ 1-.1iE,11LE- ESE 13 M 6 a � W I— � uJ 1 > Q a1, r �Iji�p r 5 . K E I 4 P 10 3 Lna ' Q O 1 [� E o w o r— ,50 61 1 1 S f .. L g W z PROPERTY LOCATION - PROPERTY LOCATION - w 1000-55-500-9. 110 NO Ri6jht5 of Way within 550' 46770 County Rd, 48 a5 per Suffolk County Map Zoning: B- General Bu5ine55 Current Land Use: M15cellane01-15 Commercial Acreage: .89 TABLE 1 Surrounding Property Info Key SCTM #: Address Owner Info Zone Use Acreage A 1000-55-200-20000 46455 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.71 B 1000-55-200-21000 46695 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.5 C 1000-55-200-22000 47055 County Rd. 48 Richard Wheeler B- General Business Auto Service Station 0.5 z V-- D 1000-55-200-23000 47025 County Rd. 48 Madelieine Schalefer B- General Business Retail 0.53 z E 1000-55-500-12002 3125 Boisseau Ave. Johnathan Hawkins RO- Residential Office Vacant Land 1.2 0 F 1000-55-500-12001 2855 Boisseau Ave. Kenneth Norcross R-40 / R-80 Residential 0.94 73 r _z oz G 1000-55-500-1300 2735 Boisseau Ave. John Quinn R-40 / R-80 Residential 1.0 CLI U U W � W H 1000-55-500-1400 2685 Boisseau Ave. Robert Bohn R-80 / R-40 Residential 2.0 z O U � 1 1000-55-500-15001 2355 Boisseau Ave. Barbara Martin R-40 Residential 0.96 tzL► z J 1000-55-500-15002 2505 Boisseau Ave. Daniel McGunnigle R-80 Residential 1.47 0 z K 1000-55-500-7000 46520 County Rd. 48 Thomas McCarthy B- General Business Retail / Strip development 1.98 O U L 1000-55-500-10000 46850 County Rd. 48 Southold Medical Arts Building B- General Business Medical Arts / Commercial 0.5 Inc. M 1000-55-500-11000 46950 County Rd. 48 46950 CR 48 Southold LLC B- General Business Retail / Commercial 0.32 -� -- - Il)N 2 5 2U18 PAGE: 5outhoid ioevn L_ 1i1Lnj119 Board 5--3 UNAUTiIOR/ZED ALTERATION 09 ADDITION TO Tfl/S DKAW/NG AND RELATED DOCUMENTS 15 A VIOLA TION OF SEC 7209 OF TTIE N.Y.S. EDUCAT/ON LAW Luminaire Schedule Tag Symbol Qty Label Arrangement Lum.Lurnens LLF Description Luna:Watts Arr.Warts Total Watts SINGLE 1994 1,00iD Pole Mount a Eq VVPLED26Y SINGLE !994 -1.000 Wall Mount 29 C MA 11 -80YW 0 SINGLE 11534 1-000 Recessed Mount 689.69 I I C i aleWation Sumnary cv Label .alcT pe Units Avg Max Min Av Min Mix:l,'lin Description I P1SpcLrI PtSpcTbl Met erT Z 6 Yt ing Lot Illr minance Fc 3..23 1-18 {9.2 16.15 _ F:eadings Taken At 0'L}'AFG 10 10 Horizontal Rr nder Canopy III,,fl i aria-_- Fc 4 1 , ` ' 1-30 :'eadings Taken At L'C"A Fc' 1 _rWNW— Y QDy P w m , 1 NOTES: L( T1u I W VWj1exr t.:-r':a pfw xt o vny"ran ogle:anti s^r Lm rn geptccsto t iLLD; - C\ Peas teen Wpfec,to We cal created resets un'C.s Oth erw:.e noted.Tf a LLO is the rewl(quotient' (frrtesn-'a-er;.i nK*U"Wr per 13"m3nttr3tturn5'E4)K racanon;. - •0kmrdnation va'uc:shorn:r,liooxarde-'+are the predtted re,;WiL for pianes of calc"a elder hdYarVal,aetcai a mi red a:de.ion ait 1 ,_cwcu;aeoo 9ummart-MeM mentaaon i.normal _ V -• to the vkane of cadcu'aldon - LLJ J 'The calculated rcsWt d tn::iyracnQ 2%ent an anticipated prediction of sys+tem ptrf-wce. U U Actual measured resat may Dory hn r a:. i��rr]nce and are•,utylect Q 10:^lean:and memoon wn Kh are be)-ord t:=_ 'mc,,"ng height fthtmir6Aon is jQ&sae.±`,' - .. '..'2'. _lu^"e a mduntinp hex" ritset4anPont tYmM"nart 3yrwim b' _ - _ . 'itcnan¢mi+trtiteaifitlTMat'[s and at the h0t10MCe Ae symn01 T0.rail0tner -.are protected under U.3.and Interraatarwa lined Mua�. >]am 31 Safe-Vur Lind" and pr0aduct d[:!Wpropel{ lots_ :t:tu pMtlxaatNt9 appf/". Luminaire Location Summa Luminaire Location Summar Lutnin�ire Location Summary Summary i LumNo Label Mounting Height LunNo I Label h4oimyting Height LumPl+a Label blountifig Height ALED26Y 10 ALED26Y ! 4 .ALED26Y }AE D26Y + %a ALED26Y �Y ALED26Y IC, 6+ ALED26Y 0 ALED26Y 0 ALED26Y _ ALED26Y 0 J ALE D26Y C, J D26Y Y... L ALED26Y 0 ALED26Y 0 C) "AAS116-80YWD10 ,,a,116-80YWD10 _6 U O ���Y ' •Y.` 1 w 5 MAS116-80YWD10 19.86 O M1 Sl16 80YWD1 CJ t9_s6 U F •- O cIASI1680YWD7 19.86 --- V_ MAS116-80\'a`/lJ!`li 1.'`f_86 r MA.�116-80YWDT0 19.86 t 1 MAS116-80YWD1 C 9_86 VVPLED26Y1911 5 _,t; ALED26Y i i y , # z _ic9o' a product o" any YaYaMes.Dori arts aanM depRcatbn iLLO': ed to tin z ated resu'ts une s®tnerMse noted.The LLO�s me resatt aq uori ntY h•per ia""P mantdacturer':pecttkatidn• �.' ; ..f -, '"„� :. : •^.iootcardres,are in e predtled resWt,Tor panes of caikumbdn either J �'ArYtt ,.— r r -_• { . ._ _a yy an dcsl9nalra h 1t1r E^JCu`AMO summary. re tAtkfdf'L"maadn li nYxmai (/�-� t_ .;aof mcuia w LY_ _ y,4„� ��.-• �!', 'Tot cacutakd resort W m.:17g!rng:r:K€atlon*rpre:em an swepahed predreaon of,Yatem Actual measured—As may vary from the anhclpaled pWorrnance and are subi*t periormazace. �' •E to means and meth Ods which are te)�.d the control of oar#n Saes. '&Ao.Ang helgnt determr%Ww Ys ion stir:pecnSc,aur tlghtl na Jmulat art:assu^^.e a mounting hegM ?#tartan pant d G1e r!nare^.y bd)to tie taken at the toP cethe:kind Arr cefing mounted IumMaft. Ya at me tfOdOm o•f the_ymbcf Tor m ocher':umrare mouht!ng cWtivraticne- LU / Damh$01-!uminare ano produa de:;pn•.af!protected under U.S_and Ivm rnatforal fntelecluai Pmpertj la'as. =a"e^":;sued a RMtlmp aPPr/. LIGHTING DATA * ILLUMINATION PLANS PREPARI ED BY DAM I N 5ALE5 ELECTRICAL MANUFACTURERS EDI50N, NJ u. . w,r y 'i�. v �• i ^ t .L `7h � r r3 y r•. p� QD YNa�e 1 • • a t d i- •, • a # a t t - _ • _ '1 �.; -•...Y i 01 m r}i ,...+ _ Y "3 • ..•.ri is i,. ;'G a _..� t •' � r � a a a `a-� a + r'. • r • + �a, 9 } � ,dGl `J • -cam L v z z *I'I _r° �, _ 5 -p•�:,j � ��,.�._•�--� •Sig '--..1 `-} ^/ O o T� f — 4 _ W LU 'fit \ TIM1 \ r aC7 _ r IL LLJ ,0 1 1 f — _. ; ";` `!,., • , irk • r tip _ O-.. $•+a.g JUN 2 5 2018 U Southold Town Planning Board PAGE: L- I UNAUTHORIZED ALTERAT/ON OlZ ADDIT/ON TO TH15 ORAWN6 AND RELATED D0CUME1VT5 15 A V101ATION OF 5EC- 7209 OF THE N-Y-5. EDUCATION LAW , C , 41 .0 ► �3 P o EXISTING DR AY s � � o P ENTRAN 0 L-Li � o G OPS ORN 0 > 0 U-) 0 0 � d- �� O Q O � C1, oao EL 3 g 5 Cu 40 . 4 o w ISTING DRI EWA EL 40 00 �� o o NTRANCE W Gv�$ o Q D�p� p�p o 0 o p 0 0 CD I oO o p OO O un MONUMENT o = E L 4 0 , �,J PLK FOUND SID ' O <=> � a p0oa pp o 40 • 00O Q � °� OoD EXISTING CONCRETE UTILITY BOX , 0 o 0 0 0� EL 40 EL 40 � �° 0 o 39 . 4PROPOSED P RKING Do o� , __jEL 40 � O SPACE * w LSO • 10'-0'Ox8'— " DEEP DRAINAGE POOLS, TYPICA PAVED EL 39 . 3 ALL; 8"0 VC PIPING j0 0 CL BETWEEN EACH POOL CONNECT TO EL 39 . 5S FACE ADJOINING W PARKING LOT z p 00 o Q ° w y- — <T L 40 f-- Q r O o > c i O .. CU O M cuLL- O p O 00 ° oDooO o 0-) w z �I H v _ 8o z 4 , _ O „ w _. (Y7 a w = ocn �' 0 z = _ ' EL 39 . 3 r_ @ = O M z EL 39 . �--, - E 39 . 3 o � � 0 o z ,. 6 — � � � o 4" ul cc o a m CD z PAV D CL ® DRIV NG � W O SUR CE � Q i Cl n o ry ' - 2 1 / 2 „ i _ „ / ! ►`� 06 7 w 8„'0 �c PIPING ublic Water Service BETWEENDRAIN E3g ..— 0 ® POOLS _ 1 ” z EXISTING BUILDING T H Q PAVED DR VING SURF REMAIN ; PROPOSED ALTERATIONS 0 0 3 z 4'-0" POURED CONCRETE F ^ SIDEWALK CONTINUOUS 0 AROUND STRUCTURE Cr # 7 FRIDGE # 6 # 5 # 4 N - 0 EL 39 . 2 ' 7 " w 0 O PSIT R res .0r D a O 40 � z . s. � ro \1. ST GT o°o N no .9 _ O c� = � n � o 39 . 5 V Cf N _. rr—k EL 39 . 5 ' °o 0 -< CD CD 04:7 ` CD 0 CD CO X C8 O O D O O � ° 00� LP 0 a � p o / O � tv d C8 �\ o� lIO O age s. XP �000� o O M O CD . . a lZD -� m � - Qg i 0 �O C- � NtE m o o a D ? - =r --4 D 04 C) gk pil EL 38 . 5 ' Q a S81°15'50"W 15000' CD o (/) CD 0 -< .4. � Co ® '' °I " IXISTIN DRIV r_ a �cn`b" AO6 S3 c ENTRAIN F- m'j _ EX15TING UTILITY POLE TO 13E to '-`. (n t ,.want REMOVED 6 RELOCATED =�y' I ha 4.O H �232yGt. .:NEW SIGN- 24 5cift L&-0°ht Z 5T(NG DRI WAY T/ r.J °Z 00 h p v IX1 # ENTRANCE- _'=:2 r` NEW UTIUTY ,;,{a.Y%'y' vc�t <,:r"� p 'v POLE LOCATION t\ 'T\\\0 V h + #12 �, to - I O-O"0x&-O`DEEP DRAINAGE - a�{'* A5PHALT PA ED POOLS,TYPICAL ALL, 5"0 PVC DRIVING 5U ACE PIPING BETWEEN EACH P - PROPERTY LOCATION - •-lao,NGtX� ,t`"°. - AREA OF BURIED FUEL TANK5- 4 CONNECT TO s'O '_ O TANKS TO SIT ON CONCRETE SLAB 4 `o ADJOINING _ �r',' ,. Q PARKING LOT ' ° COVERED BY POURED CONCRETE 5LA5 C` F 2�YQ ® t A5PHALT PAVED N I wI�oP PXISTING L DRIVING SURFACE W t` BunDRIGasTRULnIREs� PROPOSE PUMP To BE 1FinovtG -I /CANOPY w/FIRE j y i 5UPPRE5510N, O l z CRETE 5 / v` o ¢ d aw 4 � Q W 1 O m r / stun 4'-I•a / � z SCOA 1000 55-5-9 I by , Irdemubon Galen from survey repareA Y Pccon�c Snrvryors PL So�w1d IMv.Yoh sC O 51TE DATA. DR NAGE CALCJJIATIONS Q // Pwl Plot Sue 37.123 aq rt Bard on 2'Pantall Event ~ I 80 PVC PIPING Bwld�rW Arca 151601 sq k 3 3B°5 O #7 u 1 Paxrg f Lwwiy 21 801%eq ft 57% Pa—q 21D01 56 sl X F�=3633 c f � I POO tTl DRAINAGE o � Sbemlk '40 sqR 2% 5,ct—flc 740sf Xa=123ef lD Lardsr�pug 13085 aq R 35% Roof 151604 of k Ij=252 67 c I 2GNIIIG INTORPMTION landar�pc Boss sF X7=43516cf z #6 on „-� - _ _-=ST�k�3;-';'t9,�^ EXISTING BUILDING TO SCAM f 1000-55 5-S I ly-0'0 We Pod=rZ=3 I q X 4f°oLa=50.3 cl/I[ °'c � � REMAIN,PROPOSED $neet Address 467/0 P.p2e 48 SwNdd roo12526:/50 3=5 02 ft duy-Ux 6' 0.6'A'dcco 2om„3 0,mt B-Geurd&guess parbr�5�dcuaR t LaMsU ppa']T—I 4151 IG1f #5 v, ! Y A B I ALTERATIONS f t Yard Setback Regwred V. 1, 10-OD LeacA�ng Pool=RrR 3 14 X 5bota-78 5 d4 Fran Yard Setback Proposed 71 ket Area 4191 16 7.8 5- 53 4 It deep-Llx T Id{10r8'-O'deev ` C `i,`N O 5Ne Yare Setback Regwrrd 25 T 25 feet n Side Yard Setback Proposed 66 5V 15 6 1F”-1-01 =--1 .-R'1v�1'NG 4'-O°POURED CONCRETE rn.e sttbatk Rcgwrcd 3s Tett GROUMVATER rA—GEMENT ZONE PPSIDEWALK CONTINUOUS Reare5ett-k Proposed 52 feet D—, 03 GPDSQALT PAVED - OXrcl,w 02 GPD=FT SURFACE 'b #2 G FRIDGE F E D - I AROUND STRUCTURE PARKING ANALYSIS Nydrsdc 05 GPDrO FT total BmN g 1516.G4 aq It —„---„-- _ .. O Z Revdcnbalf2muts) 2Re-1 2 Proposed Spaces J-s-t3,°r Lge:`3 Cz,_^.Y.i*a^n£ � ='•^!ri sf i'_5•'.:..:z:+v s^:i�r":'�.^I'•••`h: "- >r Q Comn,cnc Store a Regvmd 12 Proposed Spp e - �,pw �v. s,,ie'A rM `-�e, „�r , flus 2 Namkup A,.ees ” Mil � � en•'at , /1n I MPL P i U Gu 5tanrn 3 Per Qua 36 Ropcsed Seams .. .YCP° as - n:a \ _\Y EmPlatee 1 ter 15�sceDp'—' rcc� a..•n Rc,1De nP �O 1� LOAD W e9 taadmg BtrtN 14 OnedcX I4'-O M1ughLX 45- bng I Proposed 1•%r^ ___ __ ><\` 4 O Z O Z BUILDING INFOr � %s.n.:.Hl Ass GaS OUTLIIIE GJ BUILDING ENVELOPE�i�•/ \ DUMP5TER w/ P°sc FlooruJ c•' A-Cemen¢nce store 650 sqR � ,, FENCE ENCLOSURE B-A:ndanL. 15010t lc ® O -PcrLss to 5ccord Floor vcsnwu 220 sq k c I D IILI}7 I I'vlT IILIII 11U1/ III I=mo D-Medw oom. 66 sq fL 6'0 fNG PIPING 1 I RZ E-01Ire 30 sq It TO Roof DRYNELL G-�� oIqe P �sbatm t " GRA556 PRIVACY A5 PER SecroM n°or 0 Fl--e-Nal Umt I 750 s°,k LANDSCAPE PLAN i O Resreentul Umt 2 750 aq It„- APR 18 2017 Q —O—O--G—Q D�—G--Q NEW 6'-0°TALL PRIVACY FENCE <,.•'so—o—o—o— DE FENCE rues 5SI'15'50'tY IB0,00' EXISTING STOCRPDE PENf� • Southold Fov.ln Planning Board PAGE 5p VAU9M2^T-Y.3G'Axf AO�.TLW IC AAS d¢�VnK--vb/'ftAR:^fi'Y}M[M5t°ALCYA�LY SCG ita9�/-h�.VrS�MVtNY I ro� APR 18 2017 ISA Southold Town Planning Board J1 r � w — i ,. {_ � -__-;.iii: _- � -- 9-f.��i-:! � � _�_ _'j• _ { '�`� �` Il C ,NII �..•-.�+r+r - --- -- r+-o•...r�.._-_.e�..sxv.- �cn.—'- - .-b-._�:+^_�- --ti'.-�-'` .s.+e.......-----1 ..r.........e:x•w-.......�M��rwvw..v..�+�v�.�.a�w..ave,..-"...`:_-�w.r�.'a�'z-anise�v�%raisrr-"�+z;ava�'.:i".�x':�.=^v. =_moi .c.�-�.<vnc--..w.._••,.�r�..r:.:r"�ia..-�-t..�uv..__.--:.�s.�-.-.�<+cfi.sow+ic„±::s.-�s���tv�c-�+�u-•t v=..�aa��v+ori....r.r�•-r_.c-ns�.�-�s-.-r.._x^�.�h`ri�1.._••�..tcc�.,-::.--.,,..s�n��_t-:�_�a-.�"-.'`ii,.-._a�_�c._ncz_ue..a•:raLyir�.cor..�--:ter.:--•r;:<�. �.•�.�-.axv-.--4.r_:�..cc�. Y-� r APR 18 2017 ( E� va Southold Town E Planning Board 4 I I S ! I r i ! f t . i tom- -_---- -, -iw�"�� fqzr- -.._—__-._-.—�_ 1f i '=--Ka '--' `-x.�r��w`xX+Y_' irTCva�c,Mr��,-.�cWC::lore�7^�—'-�"-•��v._.---�'a.: .+r.:�'fr�Y.c�x/.•s x...ic.c�_Y.:r.�S-tL'cv*..� h'"�J ! D C C I � N, I APR 18 2017 -- Southold TOL'In , Planning Board t A q i -3 E _ .+-..—isrso �.ws,-a��r-.�_-t�.rc��.� R - - -. ._- --_ ^Ps�.�+aywsisar•cc«a:c�c.•�rLT=c:3-is.+..-sz�'c�ai-rc�:_m J.��rr—�.:._.-•-�entscerMw•�—ulra4�AG:w•�a�:�s:.!r.•r�irS,:.tn.tr���{••• i , ... NAA APR 18 2017 - -- Southold form Planning Board � r LLJ fit Qk APR 18 2017 ' , 1 Southold Tom I i• ` � � } — jI � t � llll` I f :i; is —D (2 F _- t ! N}! ( /� �`�� Y(��f it fJ►/�j ( �'�t at c� 'I G j_ _...- _ ._ _.. _._ I +� ( �� A ✓rte - [ ! ! .. r .i •r,'77• ., , j �0 Q, S i ;z p�E v I� APR 18 2017 t ' _ t Southold Torm Planning Board71 { ( - s Fb r - � --t-���. -- ---I `-t _•__-_--. - - � -�_ � � _- _ - � 171717¢! A�t . cnri +. ------ s-- - 10 0 .111 �p € Gu OL-j .__.._ .... ' . �.�......w.w�..�.-+�V_w-+s�.-.•..�.,..vrw..w.cC30:.+Mffl--r`.+.....N-�f/...•,•uW-�..Yn '.fit-G.n.�VJ�.i-.sw..r.•J_ - _ -- _...`�w»��-'w.�.�•.1'S/.•1 y d_JnYI>.0�..-.4..��M•H�[ . ; 1^.`� f�•V �� _ "Cg _ .3'' a tE.,�9 F' y ,F•': '4 ." a;,,s' 5s' p y -w f • y� ''• �pF' ., ac 5. .e't*T�rg- _ h4 fi °h ffi EXISTING DRIV �. P r�R4V C ENTRAN OPP 0. EXISTING UTILITY POLE TO BE C a REMOVED MRELOCATED1 V�, yYg, y RE O 60. SyQti - . A5 Q NEW SIGN - 'Y. 24 sa.ft. 8'-0" ht. EXISTING DRI SWAY = O ►� ' . " , _ , , •3 ' , ^,f ENTRANCE- EX m ,« NEW UTILITY - VACow— cm 0_ � POLE LOCATION - - _ D sr ; AIR ® O :. - w "s g - '' �. �pz _ \` I & G , r in MONUMENT \ \ e. FOUND �\ #I i 01 Y: OF T., \� �Q ' ° ,•" I 0'-0"0x8'-0" DEEP DRAINAGE �. 'R, EMSTING C,ONCF TE V ° ' �TI�TM�x POOLS, TYPICAL ALL; 8"0 PVC _ .,... .. A: _. ASPHALT PA ED DRIVING SU ACE PIPING BETWEEN EACH P PROPERTY LOCATION o o = wN�°� AREA OF BURIED FUEL TAN KS- m_ CONNECT TO o� - _ _ TANKS TO SIT ON CONCRETE SLAB t- 44' a ADJOINING � ��--'-`- .- = - "- - <� PARKING LOT -;'' =' - i' _ - COVERED BY POURED CONCRETE SLAB J o 4 o N o _ 0 EJ (V N ® ASPHALT PAVED a0'—+ ' OUTAP of EXISTING DRIVING SURFACE � I P W BUILDING�sTRucruREs PROPOSED PUMP U ' TO BE (REMOVED CANOPY w/ FIRE - w - # i O `�;-` - SUPPRESSION; = O l I `L z �� o w U Z ..- �O ICRETE SLB o o Q g ;r W-1 I > (L z w _- \_ _1-``~ p I 1' W z #9 O l / CD0 z SITE PLAN u - o _ w J 5CALE: 16" = I'-O' Q ® z I W W 5CTM: 1000-55-5-9.1 z Information taken from survey prepared by Peconic Surveyors, P.C. Southold, New York FLI . O dated January 13, 2015 p #8 - 4 V-0' SITE DATA: DRAINAGE CALCULATIONS: Q Final Plot Size: 37,123 sq-ft. Based on 2" Rainfall Event ~ 8"0 PVC PIPING N \ Building Area: 15516.04 s ft 3.38% 21.501.9G2 O #7 cD 1 Pavan 4 Curbin 21 ,801_�'G s ft_ 57% Parking: sf X 12 = 3633 c.f. z BETWEEN DRAINAGE o O g g q Sidewalk: 740 sf X 2 123 c.f. L9 - POOLS - 2 1/2. 1' Sidewalks: 740 sq.ft. 2% - Landscaping: 13055 sq-ft. 35% Roof: 151 G.04 sf X 2- = 252.67 c.f ?� < to Landsca e: 13055 sf X 12 = 435.16 c.f W o - p =` z #G W c - ZONING INFORMATION: - EXISTING BUILDING TO 5CTM # 1000-55-5-9.1 8'-0"0 Leaching Pool = nr2 = 3.14 X 4foot2 = 50.3 cf/ft Street Address: 46770 Route 48, Southold Roof 25267/50.3 = 5.02 ft.deep- Use 8'-0"0xG'-0"deep _ / # I = I REMAIN; PROPOSED Zoning District: B - General Business Front Yard Setback Required: VanaMc Parking, Sidewalk* Landscaping Total = 4191_I G c.f. #5 n- _ A B ALTERATIONS osed: 7 I feet I O'-0 0 Leaching Pool -nr2 = 3.14X 5foot2 = 78.5 of/ft " I ® 0 Front Yard Setback Pro _ I' Area 4191 . 1 G/78.5 53.4 ft.deep- Use(7) l O'-0 0x8-0 deep l C N O Side Yard Setback Required: 25/.25 feet \ _ - - Side Yard Setback Proposed: 66.5'/ 19-6'(pre-existing) 4'-Oil POURED CONCRETE Rear Yard Setback Required: 35 feet GROUNDWATER MANAGEMENT ZONE IV #4 uP ,_'a SIDEWALK CONTINUOUS Rear Yard Setback Proposed: 52 feet Density: _03 GPD/5Q.FT. ASPHALT PAVED 'x_r; O Z Kitchen: 02 GPD/5Q.FT. DRIVING SURFACE \- �. #2 FRIDGE ` STRUCTURE PARKING ANALY515: Hydraulic: .05 GPD/5Q.FT. #3 G FFF- AROUND D. Total Building: 2,674.04 sq.ft. = O Residenti i (2 units) 2 Required it ed 2 Pro osed 5 aces SANITARY DEIGN CALCULATIONS - - 40- Convenience,Store: 8Required ired 2 Pr posed 5 aces- DL IG FLON DcF,.�N FLOW DESIGN FLO / TOTALFLOW Ol O Plus 2 HandicapAccessible AREA NAME AREA5IZf MPLOYEE Gas Station: 3 Per Que 36 Proposed Spaces 5ANrrAZY GREY TOTAL by SPACE Employee: i Per I Space provided Cor,vernence5tcse SOOsa.ft. 0.03 0.02 . I \ �Lq/�DIN� U " 24 GPD 16 GPD 24 GPD RESIDENTIAL • 0 I _ Loading Berth: 19-O"wide X 14'-0" height X 45'-0" long I Proposed O y Apartments 750 sa.ft.co--h SPACES (2) I X� --�ff m 3 Iso GPD each 300 GPD OUTLINE OF BUILDING ENVELOPE _ / ,\ ° DUMPSTER w/ U u BUILDING INFO: G First Floor: I / _ FENCE ENCLOSURE w A-Convenience Store: 650 sq.ft. �-2 __- B-Attendant: 150 sa.ft_ i s• C-Access to Second Floor Vestibule: 220 -ft. ® ® O71EF- 11 r _Z s D- Mechanical Room: GG sq.ft. N I 6"0 PVC PIPING - I � ' � i Z E- Office: 30 sq.ft. TO ROOF DRYWELL - CM O APR 181 2017 LU F- Employee Restroom: 30 sq_ft. M _ G- Handicap Accessible Restroom: 104 sq-ft. N GRASS PRIVACY AS PER z Second Floor: 1�A..< Residential Unit 1 : 525561.ft. LANDSCAPE PLAN z Residential Unit 2: 475 sq.ft. ( O O U O 0-0--0-0-0-0-0-0-0-0-0-0-0-0-0--7--10-0-0 NEW G'-O" TALL PRIVACY FENCE BRI(�MONUMENr, PIPEFOUND O O O—O O O—O �r ,:,;� '�' �'i.`,y`:, • FOUND 581 15'50"W 150.0(7 "° ` r" `;; EXISTING STOCKADE FENCE ' 1: PAGE: UNAUTHORIZED AL TERA TION OR ADDITION TO TN/S PRA WING AND RELA TED DOCUMENTS 15 A V/OLA T/ON OPSFC_ 7209 OF THE N-Y,S-EDUCA TION LA W z w I- Q U cn z Q -�- T G 112• w? AQ6 53 ,T� „2• O6 53 U - A _Z Q P` EXISTING DRIV5`D �Q P` EXI5TIN DRIVE _ = '�5`0 '° = W c o\ Q P.�� ENTRAN �� Q PQ� ENTRAN _ - 046 o N� ;; EXISTING UTILITY POLE TO BE C 60 �'t' REMOVED RELOCATED 60 ��' 4.. GRA55 1>z �- , SIGN a O SIGN ' R,232 = x'23 >` 0 0°oo 0 v- EXISTING DRI SWAY / O �, EXISTING DRI SWAY / - �` `- o O Q ENTRANCE- I z `0 ENTRANCE- I T. _ z c �/ �° NEW UTILITY r °o° c ° °° GRA55 �� D 1 t o p,00 VAC h _° S r Ovac. Q N POLE LOCATION = _ = �' O 17-- N \` � AIR tu AIR �'' CUA = - ` >� #12 = . �L �a # 12 MONUMENT MONUMENT \ � ° ' -' S�oP� FOUND 1, \\\ #1 I cn g10�'Pv r �� O,ORAS?5 /j� ,1 ::A \�` # 1 1 I to � o � 57 00 0 EXI5TING CONCRETE EX15TING CONCRETE ° ° 10, - "�XS'-O" DEEP DRAINAGE UTILITY BOX unuw BOX 00000� AREA OF BURIED FUEL TANK5- PAVED ASPHALT PAVED POOLS, TYPICAL ALL; 8"O PVC DRIVING SURFACE PIPING BETWEEN EACH POOL TANKS TO SIT ON CONCRETE SLAB DRIVING ' COVERED BY POURED CONCRETE SLAB SURFACE CONNECT TO PLANT SYMBOLS: CONNECT TO o O = O _ • d in '� ADJOINING \ �= '� ADJOINING � - PARKING LOT PARKING LOT �4: "' •" ORNAMENTAL CHERRY, 12"- 2"CAL p� Z to o O°Q 0 lu Ono° (� O ° pLam O ' I o o WH ITE OAK, 22"- 3" N N = ASPHALT PAVED o > I PROPOSE POST LAMPS DRIVING SURFACE I w 0-11 PROPOSED PUMP �00°0 0 o FOR PARKING LIGHTING TO I U BE IN ACCORDANCE WITH CANOPY w/ FIRE •. Lu In #10 �o #10 DARK SKIES REGULATIONS SUPPRESSION; - O I >- ORNAMENTAL GRA55, 3'-4'ht. z z 0 + O 1CRETE SLB —l/ Q / � I w �. / GRA55 a GROUND COVERJUNIPER, 18"-24" ht. #9 v #9 ° Z Q l O z GRA55 ` I Q U \ w Lu Lu D O Q > JAPANESE BLACK PINE, 7'-8' ht. #8 #8 I 1 8"0 PVC PIPING LELAND CYPRESS, 6'- 7' ht., DOUBLE ROW #7 z Q #7 z I BETWEEN DRAINAGE - 1 L9 POOL5 O Q (L tLj � ? Q � .� o - - #6 #6 - z uJ a 1 - - - EXISTING BUILDING TO EXISTING BUILDING DI uj L NG TO o #1 REMAIN; PROPOSED o / #J o REMAIN; PROPOSED ALTERATIONS -- ALTERATIONS #5 A B ® #5 O - A B O C Ai 4'-O" POURED CONCRETE UP C 4'-O" POURED CONCRETE #4 UP #4 C� SIDEWALK CONTINUOUS ASPHALT PAVED 0 51DEWALK CONTINUOUS z b #2 FRIDGE AROUND STRUCTURE DRIVING SURFACE �. �, #2 FRIDGE _ AROUND STRUCTURE G F E D r #3 G F E D #3 = 0 cn - z O MPLOYEE ARKIN M yI`• PLOYEE`P` `N. I`•\ \ / \ \ / ® O � LOADINC7 1 LO}�DIN: , o =lDENI \. / RE54DENTIAL O SP I X \ SPA�CEs (2) \) X O z O z DUMPSTER W/ v / / 0 0 °p o FENCE ENCLOSURE Lu w y Gw�sS G"O PVC PIPING `\ O I I� 017 p l W \ D p �.^ TO ROOF DRYWELL .� o ~•--•- - ,-- OO OO Ilia..aaAl�'�(,IA�1,ii' O GRASS LANDSCAPING I O O O O O O O -0-0-0 O -01 ,x 6 ��'' 6RICK MONUMENT " - — — — — — — BR,C,c MONUMENT PIPE FOUND NEW 6-O TALL PRIVACY FENCE PIPE FOUND O o 0 0 0 0 0 :' FOUND 581015'50"W 150.00' FOUND 58101550"W 15'50"W 150.00' EXISTING 5TOCKADE FENCE w ;; SITE PLAN - QUEUING SITE PLAN - LANDSCAPE PAGE: 5CALE: 16 = V-0' SCALE: -L-'= V-o" S � UNAUTHOR/ZED ALTERATUMOR AMIT/ON TO T"15 DRAWING AND RELATED DOCUMENTS 15 A VIOLAT/ON OF55C. 7209 OP THEN.Y.S.EDUCATIONLAW � ny _ J V � � 0 W(10 r, 6 p U.- d W `� ; � , oONO p J � Q: ,N — p� Z CO ZZ ij LLJ V \ �S• LL O 27'�. tSEUAP. STKDE. FE. tG CE t? " o�a�° K E FE ,\ O� »E STDCKnD rn � E W A Y _ -E- R+ r • z I Z p CD 1- "� ' x I O J W !0 a C7 O 3Q� u I� 35.0 z Q m c)00 2 �Y z 0 4 FR�iYY Q ���6� l to 041 a = 43 1 WKy� ED Q'K IN �Ym-Ka w CL 11^^ nn11 Z� Lw O vJ :�d'�. pd N ,01KADE FENra CE Z 2� p) O T� I �i j O \1-4 $'rJ7 C 2 b 2 W, O !�' � IX c, 2 N 'K ;t w O MCCARTHY CV) o �$� O THOMAS w N 8`z^kw�� N QU��I� m Q � m. Ii 1pl I PATRICIA C. MOORE Attorney at Law 51020 Main Road °Na� iBi)aici Southold,New York 11971 � Tel: (631) 765-4330 Fax: (631) 765-4643 Betsy Perkins Paralegal Julia Spanburgh Julia Schade May 3, 2021 Planning Board Town of Southold P.O.Box 1179 Southold, NY 11971 RE: Site Plan JEMCAP Gas Station & Accessory Apartments Dear Brian; With reference to the above, on behalf of the applicant please let this letter serve as a request to withdraw the above applications. The applicant has decided not to continue with the applications at this time. Please refund any unused application fees. Please have the refund made payable to Patricia C. Moore, as attorney. If you have any questions, please do not hesitate to call. Very truly yours, Patricia C. Moore Pcm/ BOARD MEMBERS t1,�� soUTSouthold Town Hall Leslie Kanes Weisman,Chairperson +tom rp 53095 Main Road •P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora C'm Office Location: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. Y 54375 Main Road(at Youngs Avenue) Nicholas Planamento 00 Southold,Southold,NY 11971 http://southoldtownny.gov � L fvtT ZONING BOARD OF APPEALS RECEIVED TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 AUG 19 2019 August 16, 2019 Southold Town Planning Board Patricia Moore Attorney at Law 51020 Main Road Southold,NY 11971 RE: Special Exception and Area Variance Applications JEMCAP Gas Station, Convenient Store, Two Apartments SCTM No. 1000-55-5-9.1 Dear Mrs. Moore; I am writing as a follow-up to the Work Session held on August 15, 2019, where the members of the Zoning Board discussed the above referenced application. Due to the scope and cumulative impact assessment required to review your client's project, the Zoning Board of Appeals has requested Nelson, Pope and Voorhis, LLC (NP&V) to provide assistance with the review of the project pursuant to the State Environmental Quality Review Act(SEQRA). In addition, the Zoning Board has accepted the attached proposal identifying the scope of services and fee estimates. Please submit a check in the amount of$13,800.00 as the initial deposit to fund environmental services provided by Nelson, Pope and Voorhis, LLC. The funds will be held in escrow by the Town and will be used to pay Nelson, Pope and Voorhis, LLC for services rendered. Also, keep in mind that more information from your applicant will likely be needed in order complete the SEQRA process. If you have any questions or concerns, please do not hesitate to contact me at 631-765-1809 or email kimf(a-?southoddtownnv_.govv. Sincerely, Kim E. Fuentes Board Assistant Enclosure: NP&V Proposal for Environmental Review dated August 13, 2019. s *h NELSON, POPE 6 VOORHIS, LLC ENVIRONMENTAL PLANNING CONSULTING No*' vvvvw nelsonpopevoorhis com August 13, 20197AuG IVED Zoning Board of Appeals 4 2019 c/o Ms. Kim E. Fuentes, Board Assistant Town of Southold 53095 Main Road, P.O. Box 1179 Zoning Board of Appeals Southold, NY 11971-0959 RE: Proposal for Special Exception Use Permit, Variance & Environmental Review Gas Station, Convenience Store & Two Second Floor Apartments SCTM# 1000-55-5-9.1 Dear Ms. Fuentes: Pursuant to your our on-call contract for State Environmental Quality Review Act (SEQRA) review of Special Exception and Variances Applications, Nelson, Pope & Voorhis, LLC (NP&V) is pleased to submit the accompanying scope of services and budget to the Town of Southold Zoning Board of Appeals for a proposed gas station, convenience store, and two second-floor apartments at 46770 Route 48,Southold. Based on our initial review of the materials provided by your office, NP&V has identified the following tasks and fee estimates for your consideration. Task 1: Initial Application Review To begin the SEQRA review, the NP&V team will review in detail, the proposed plans and application materials, Environmental Assessment Form (EAF) Part I, LWRP and Agricultural Forms, and other associated materials for accuracy and completeness. If the Part I EAF requires corrections,NP&V will alert the ZBA and applicant in writing as to the necessary changes. Fee: $2,000.00 Task 2: SEQRA Classification, Coordination &Administration NP&V will assist the Board in determining the SEQRA classification of the action and the need for coordinated review for the action and provide a list of involved agencies for coordination. We will also assist the Board in preparing necessary resolution(s), administrative notices and filings pursuant to 6 NYCRR Part 617 requirements. Fee: Time Rates Budget:$1,000.00 CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD,MELVILLE,NY 1 1747-2168 156 Route 59,Suite C6,SUFFERN.NY 10901 PHONE:(631)427-5665 • FAX(631)427-5620 PHONE:(645)366-1 472 • FAx:(645)368-1572 JEMCAP SD LLC Gas Station,Convenience Store&Upstairs Apartments SEQRA Review of Special Exception Use Permit&Variance Applications Task 3: Prepare EAF Part 2 NP&V will perform a comprehensive technical assessment/substantive review of the applicant's proposed project to determine the potential areas of impact, and prepare a Part II EAF. Fee: $800.00 Task 4: Technical Analysis and Recommendations NP&V will coordinate with the Board,the ZBA attorney,Town technical staff, and other involved agencies with permitting authority to discuss the details of the proposed project, and discuss concerns and assist in identification of necessary analysis and mitigation options, as necessary. Based on the input received, and NP&V team's professional review of the project,we will conduct a Technical Environmental Planning and Zoning Analysis to review the overall project and provide information to be used in rendering a determination of significance. The Analysis will include an overview of environmental and planning issues with emphasis on those that are determined to be important based on the tasks above, and will include recommendations/finding on potential impacts that have been identified as moderate to large. If necessary, a comment letter and/or recommendations for requests for additional information from the applicant will be prepared in letter form. Based on the content of information resubmitted by the applicant, additional follow up may be necessary to address any open issues of the Board, involved agencies or professional staff. Fee: Time Rates Budget:$6,000.00 Task 5: Meeting with Planning Board NP&V anticipates that the Board may want to discuss the application and review comments with NP&V project manager and/or traffic engineer. If requested by the Town Zoning Board of Appeals,attend work sessions or public meetings as necessary/requested by the Board. Fee: Time Rates Budget:$2,000.00 Task 6: EAF Part 3 and SEQRA Determination of Significance Based on the SEQRA record established in the Tasks above, NP&V will prepare a Part 3 EAF outlining the findings of the SEQRA Review and a SEQRA Determination of Significance. The draft documents will be reviewed and discussed with the ZBA and ZBA attorney and revised as necessary for finalization. Fee: $2,000.00 If the ZBA determines that the Proposed Action may result in one or more significant adverse environmental impacts and that an Environmental Impact Statement ("EIS") is necessary, NP&V will submit an additional budget and scope of work necessary to assist with continued environmental review. AmLsory Pope r vccs s -r.. GNVrW-Y ENT- . F�--. G.crr.sti-ivc Page of JEMCAP SD LLC Gas Station,Convenience Store&Upstairs Apartments SEQRA Review of Special Exception Use Permit&Variance Applications Based on the scope of services and budget identified herein, it is suggested that the Zoning Board of Appeals request for the applicant to submit a deposit of$13,800 to be held in escrow for the review of project and necessary meetings. We look forward to continuing work with the Board on the review of this application. If you have any questions or concerns regarding this proposal, please do not hesitate to contact me. Yours truly, NELSON,POPE&VOORHis,LLC Carrie L. O'Farrell,AICP Senior Partner/Division Manager Page 4 of 3 BOARD MEMBERS ��fif S 01/4 Southold Town Hall Leslie Kanes Weisman,Chairperson b 53095 Main Road-P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location,: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento Coil Southold,NY 11971 http://southoldtownny.gov C� ZONING BOARD OF APPEALSI W ll'III TOWN OF SOUTHOLD FIIIIL� June 12, 2019 Tel.(631)765-1809-Fax(631)765-9064 '1 17 201x4 Carrie O'Farrell, AICP 5"OU--hold, Nelson, Pope &Voorhis, LLC PairHrnu ng lord 72 Walt Whitman Road �� ....... .w�................w_........ a....�.. .. _ . Melville,NY 11747 Re: SEQR Review—Special Exception 47079SE, and Area Variances#7080 JEMCAP, SD 1, LLC, 46770 Route 48, Southold for Proposed Gas Station and Convenience Store, SCTM No. 1000-55-5-9.1 Dear Ms. O'Farrell; The Zoning Board of Appeals is seeking technical analysis for two applications submitted to the Zoning Board of Appeals. Please see the attached special exception and area variance applications, as well as the Environmental Assessment Forms from JEMCAP SD 1, LLC for your review. Pursuant to the Professional Services Contract, please provide the Board with an estimated cost of your services to conduct a State Environmental Quality Review(SEQR)Analysis. Once payment is received from the applicant, based upon your estimate,we will contact you to ask that you proceed with your review. The special exception falls under the use category in the Town's Zoning Code(aka Special Use Permits), and the ZBA will seek to be the Lead Agency. The application and coordinating documentation can be also viewed on the Town's Weblink Laserfiche site at To�n;����lSc�totl7�al�1�"oatin��Bcp�mma� 0�.o11a��11� 'n endin�1FM� 1AP 5D I l.1C . ZB '\B cstionsoxnrd Please don't hesitate to contact me at 631-765-1809 or email me at kj nlf���BcLowrl„ll if you have any questions. Sincerely, Kim E. Fuentes Board Assistant cc: Mark Terry Encls: Special Exception#7079SE and Area Variance#7080 applications dated April 24, 2017 Full Environmental Assessment Form updated June 10, 2019 Site Plan prepared by Anthony Portillo, Architect dated November 16, 2018 Survey of property prepared by John T. Metzger, LS, last revised May 29, 2019 OFFICE Hall Annex LOCATION: �;�: � �� � MAILING ADDRESS: �� P.O.Box 1179 54375 State Route 25 5 �v Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) � ' " �° Southold, NY � Telephone: 631 765-1938 www.southoldtownny.gov M � PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 31, 2019 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Site Plan for JEMCAP Gas Station & Convenience Store Located at 46770 County Route 48, ±407' s/w/o Boisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore- The Planning Department has received the information you submitted on April 15, 2019 regarding the above-referenced site plan application. Due to this proposal requiring Special Exception approval from the Zoning Board of Appeals (ZBA), the Planning Board has placed its review of the site plan application on hold until after the ZBA has issued their determination. If you have any questions regarding this site plan or its process, please do not hesitate to call this office. Respectfully, Brian Cummings Planner LL PATRICIA B....Q_... Attorney at Law 51020 Main Roadm Southold,New York 11971 _ .m m A ID. � `}1 2 J�c Tel: (631)765-4330 Fax: (631)765-4643 �.m��� r. d'i0kJ ... town t1aumuinin(] Board April 10, 2019 m.. ,.. . _.....nAar........: _.a _... .. Planning Board Town of Southold P.O.Box 1179 Southold, NY 11971 RE: Site Plan JEMCAP Gas Station &Accessory Apartments Dear Brian: With reference to the above, enclosed please find the revised SEQRA Long Form. On January 15, 2019 1 submitted 9 sets of plans which were revised in accordance with the Planning Board=s request, I was awaiting additional information from the design professionals to complete the Long EAF. The Zoning Board is waiting for the SEQRA determination in order to proceed with the Special Exception application. As you know within a few hundred feet of this property the Board has completed a thorough SEQRA review of an application for a Gas Station and convenience store. Southold Gas Station Site Plan, on the corner of CR 48 and Young=s Avenue, Southold (1000-55-5-2.2), has recently gone through a Full SEQRA Draft and Final Environmental Impact Statement. The Final EIS for the Southold Gas Station Site Plan application thoroughly addressed the following listed issues: 1. Impact on Groundwater for storage of approximately 40.000 gallons of petroleum product above the Nassau- Suffolk sole source aquifer. The response included technical issues applicable to a 40,000 gallon petroleum fuel storage tanks. The applicant is proposing a smaller capacity(30,000 gallons of petroleum). 2. Impact to Air- concern for generation of additional vehicle trips and idling may impact CO emissions. The subject project is smaller scale and providing a second gas station will mitigate the CO emissions since the same customer base would be anticipated. 3. Impact of Aesthetic Resources-the facility would be visible from a NY State Scenic Byway, publicly accessible vantage points and may diminish public enjoyment of the Long Island North Shore Heritage Area. This issue is mitigated with the subject application because the existing building will be adapted and re-used for the gas station and accessory apartments. The location of the building is set back on the property. The property will be enhanced with landscaping. 4. Impact to Transportation- a Traffic Impact Study is required to assess safety, daily peak and seasonal peak traffic impacts and internal site layout with respect to onsite traffic flow. The location of the subject application is on CR 48, whereas, the Southoold Gas Station is located on a corner and adjacent to residential development. The traffic study calculates the traffic expected to be generated by the gas station and traffic along CR 48. The traffic flow and safety issues for Southold Gas Station was left to be discussed with the NYSDOT. The Traffic counts on CR 48 can be extrapolated for this parcel. 5. Impact on Noise, Odor and Light- concern for noise generated by vehicles, vacuum cleaners. HVAC equipment and concern for night time lighting and potential odors. Site Plan review mitigates these issues. The proposed site plan addresses the location of the amenities to be provided at the gas station. The operator of the gas station will have an obligation to maintain proper noise, odor and light for the tenants of the accessory apartments 6. Impact on Human Health-At the Southold Gas Station the SEQRA had to address concern for unearthing hazardous materials from a former gas/service station that occupied the site and proposed plans for health and safety during construction. This is not applicable to our application. The prior uses of the subject property were residential and retail. 7. Consistency with Community plans- consistency with the Town of Southold Comprehensive Plan, Suffolk County' s Comprehensive Plan and the New York State North Shore Heritage Area Management Plan. The subject property is commercially zoned. Consistent with the Town=s expressed goals, the owner wishes to adapt and re-use an existing building. In addition, an existing residence was relocated (house moved) to Young=s Avenue for affordable housing. 8. Consistency with Community Character- concerns for compatible architecture that is not in conflict with the community character during day light and night time hours of view. An existing building will be renovated and used for the gas station and accessory apartments. The architectural style is existing and the property will be enhanced by the renovation of the existing building and the site. The Planning Board would review, to a limited extent, similar issues for the GEMCAP application. However, these issue have been thoroughly addressed by the comprehensive SEQRA review for Southold Gas Station. Therefore, we would ask for a AConditional Negative Declaration@. The proposed site plan incorporated in their design mitigation of the issues raised in the Southold Gas Station site plan application. We have benefitted from the Southold Gas Station Environmental Review because the subject GEMCAP is a smaller project, incorporating residential uses for affordable apartments, and good gas station design. If you have any questions, please do not hesitate to call. Very truly yours, o Patricia C. Moore by ends. Full 10 Part I-.Project andSettifig Instructions for Completing Part I Part 1 is to be completed by the applicant or prcklect sponsor. Resp es become part of the application for aplMd or funding, at,csuitject to public jevicw,and may be subject,to rrther verification. C,Icanpleto Part.[ based oil informatioll cul-renfly available. If additional yesesrcl,oj�jilvestigation would be needed to f4y respond to -fitly itern,please answer as thoroughly as possible based on current infonnatiol; iunalieatewllether missinp infimnaficw duC*110t exist, Or is nat 1,csonably available to thesponsor;and,when possible,generally describe work or studies which would be update or fidly develop that information. Inust cornplete all items in Sections A&B, In Sectioris C"D& F,mast hennas Contain ar,filftkd that 171ust be atunvered either"""des'"M"'Nol'. Ifthe answerto tile illitial question is-yes",coMplete the sub-questions INMtall MAI. I"tine answer[o the initial question is"No",proceed to the next question. Section'p allows flie project spatlWlo identify aafattach any additional infornriation. Section G requircs the name andsivInature of the project SPonsor to Verify t1WW tile contained in part lis accurate and complete. A..Pr(&ct and Sponsor Information. or Projcrt- L CC— roject Location(describe,and attach a general location inap): Lf�, ................... .......... Brief Dcscripfion of Proposed Action(include purpose or need): ve-.b"41 t C,),,cc ce* '7 2"Od (a) 5/1 q J2' 4A T'Oephn=: C 4'' it'll i I aame (0) L C— d' (0 -7 7 C) Z' (1010. State: project rxntact(ifuot same as sponsor;give name and fiflUrole). "CAJ V C M cx') Address: State: cac Yc 0 .... ......... Tjra�erty& rier (i .f not samr,as sponsor): I Mal 1: State: ...... ......—------ page I of 13 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants, �� .e�.. ......, pp , g, loans,tax relief,and any other forms of financial assistance.) �..� _.�. _ Government Entity If Yes:Identify Agency g ncy and Approval(s) , .�...Applicatico Dat... _ o Required (Actual or projected) a.City Council,Town Board, C1XesCIo or Village Board of Trustees b.City,Town or Village �jies❑No Planning Board or Commission 1 17— 17 c.C1 gCouncil,Town or.. �. ._ �.,. ...... m .e.,.._ ........ ... __._.. _. . w r/ A City �Yes[]No �a�G,Ci �• �. Z! }7 Village Zoning Board of Appeals Other local agcncies ✓� e.County agencies �'esMNo �-( � _ �• �c� 1 ti r�} _�. .� �e. _ f.Regional agencies []Yes .a —__ ow �o. g.State agencies h.Federal agencies Ely esE39a ..... e._, Y .. . .. m ...... _........ i. Coastal Resources. f. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? Yes Ql4o ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? t.;, l',4'9 fff. Is the project site within a Coastal Erosion Hazard Area? E1),*c.,s[KAI1n C.Planning and Zoning C.I.Planning and zoning actions. Will administrative or legislative adoption,or amendment of alan local law,ordinance,rule or regulation be the ds p � eNo only approvaI(s)which must be granted to enable the proposed action to proceed? a If Yes,complete sections C,F and G. 0 If No,proceed to„question C.2 and complete all remaining sections and questions in Part l C.2.Adopted Iand use plans. a.Do any m uuacipafly& adopted (city,tarocvtta Nillamge or coaarat a om;:relaaaasavr land u.w plaat'a(s) include the site Mitre thc prop(med action would be l =ted? l"r,_V- r° I 1'r) &., ceti -r, If Ycs&daae-r the coapt chertsive phin includespecific rc.maotn.nt.:tmd tion for the site where the proposed action 'esL'1,o would be kwaic& b.Is the site of the lmaoposcd action".,..,a.. .. within any local or aaloaal u araal il� antl.&adistrict(fo._r.. amnalil a rwc°n&iwa Rrmvnf:eld Opportunity Aren. (BOA);r'lesigitated Sete or Federal heritage iWi Yei.-wafe.nmbcad manngement plan; or other?) If Yes,identify the plan(s): 0 .. _.. ,... . ..,�. ... N .... ..._W� .. � d � r c. Is the proposed action located wholly or partially within an area listed in an adopted municipal pen spacepan, lcl54a or an adopted municipal farmland protection plan? If Yes,identify the plan(s): ., _._ _ •" ._ , _ _w.e.. _.. _ .. Page 2 of 13 .......................... C.3. Zoning a. is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. No If Yes,what is the zoning classification(s)includipg any applicable overlay district? ........... e use permitted or allowed by a special or conditional use permit? 11UPRWONo A Io Y) c-Is a zoning change requested as part of the proposed action? If Yes, - 1 at is the proposed new zoning for the site? CA.Existing eommunity services. _a_.in_what school-district-is-th'e, 1p'o-ject-site loc'aie'd-?" .......... .......... b.What police or other public protection forces serve the project site 50 n .............. .............. ...........- c.Which� eIrotection and emergency medical services serve the project site? ........... d. What parks serve the project site? ........... ........... D.Project Details ........... D.I.Proposed and Potential Development 'z� ........... a.What is the general nature of the proposed action(e.g.,residential, bydst's� ulixeij'ird�idc all � components)? A PO K b.a.Total acreage of the site of the proposed action? a cres .Totaacreage to be physically disturbed? cres c.Total acreage(project site and any contiguous properties)owned acres or controlled by theapplicantor project sponsor? P' l,0--posed ...xi:'�_ftnsiorl of.an exisfing H YesEl No c.Is the projectol'usel el" A, _1, j.if yes,,what is the appioximatc pexcenjawae.of thfn,ptoposed thc'units ficres,miles,IMMM9 UD,its, I I' U'nks� ........... ....... `jr I es square.,feet)? % 61� "I ......%�La-e e d.Is the proposed action a subdivision,or does subdivision? if Yes, 101,iDdUS1np PC 4 pulpasc or type of sulxfivis�ian?(e.g.."rmident .1�con-ITnercial;if mixed.,s cffytypes) ........... ........ U.,Is-a ci-TAc ko=tvation layout proposed? HL Nam6cr of lots pi-oposcil? _ tvlsxinuwm iv.Minimum and maximum proposed lot sizes? Minimum 0 I'CsIRRO e constructed in multiple phases? po tion months L If o,anticipated period of construction: - H. If Yes- • Total number of phases anticipateti - th year • Anticipated commencement,date,of phase I (including demolition) mon - • Anticipated completion date of final phase - month year • Generally describe connections or relationship,,among phases,including any CQntin9CM:T17r w1fitre pn,�grcsl Cone phase may determine timing or duration of future phases.- ........... .... ...... . ..... ........ Page 3 of 13 ............ f 5�e's"the-p-r o'j'ect include new residential uses'! I No if Yes,show numbers of units proposed. Pne amil t4ullipte,-, 2�n Farail ta y ThLe:-fl Initiat Phase A,t corupletion oral],P hases ........... g.Does the proposed action include new non-rcsidenf ial construction(including expansions)? 11 Ws" Cfo�al C7 -"I "A L ",41 U Il ku pi aposcid J U,kg,I t; Wilith" and -leng1h MUff of buildhip ii, Appi 5pare fol-le lo.,�ocd of uur'At,nft 1,131-'^(� square feet ho Does the proposed action include construction or other activities tbat wifl result in the impoundment of any liquids,such as creation of a water supply.,reservoir.,pond,lake,waste lagoon or other storage? If'Yes, 1�, i.Purpose of the impoundment. � ..... 1,j11� __ , 1-11,1111-..- - ............................--------- U.,If a water impoundment,the principal source of the water: U Q-ound water Surface water strearns ]Other specify, iii.If oflu:i fhan waler I d C7 i I'l'y tile f3q)e of liquidsand theirsource. 'S (-,�l eh. pa �s;surface area: acres -XP-Pr"axjmj,je,size p the proposed hnpoundment.TJ/A 4i� don v.Dimensions of theoposed darn or impounding structure: length vi. Consh uctionmethod/inaterials for the proposed dam.or impounding structure(e.g.,earth fill,rack,wood,x!��iincwO Ij i A ........... D.2.. FroJect Operations ... ....... a.Does the prop9sed action include any excavation,mining,or dredging,during construction,operations,or both? E�yesEjRo (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) I.Fyes.. /,",!4� - L What is the purpose of the excavation or dredging? _ -,_1 I'll, 1-11, 1....... ............"I'll------------ U.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? Volume(.,14?ecHy lons uua,.cubic yasds)- Over what duration of time? W.Describe nature and characteristics ofmaterials to be excavated or dredged,and plans to use,manage or dispose of thcM. ........... ....... .......... ............. ... .....— lft� 14o i-v-Wiii the-r-e"be onsite dewatering or processing of excavated materials? D if"yes,dvscHbe,, ...... .V.What isthe total area to be dredged or excavated? vi.What is the njuximurn area,to be wairkcd at arky mxrie drne? acres VU, What Would be the maximaril de][Iffir: -feet [1yr!"EiNo vj�y dklijj tfm rxic3%putiori,tq1t6Tt!!blsMkq�? bi: Srmlfnrd:2. Site mchnlvdiaM goals Wirl plaw, .......... ... ...................... ....... .. ..............- .............. �Yes ............ d i adze of,or encroachment Di No b.,'W;uid"t proposed action cause or result in alteration of,increase or ecrease n z into any existing wedwad,waterbody,shoreline,beach or adjacent area. (kjjA) If Yes. dex number,wefland map number cz geographic L Identify ffic wetland or waterbody wbicb would be affected(by ung me,water in description): . ........ ........... Page 4 of 13 ri.Describe how the enation of channels,banks and shorelines.wooect that ^w . ..-w._...ion, _ placement o_� —.r proposed at waterbody or wetland,e.g excavation,fill,placement of sinrttuies, or altIndicate extent of activities,alterations and additions in square feet or acres. rrr. W' .. . .cause or result i Will proposed action c � in disturbance to bottom sediments? ElyeSWO If Yes,describe _ — - iv.Will proposed action cause or result in the destruction or removal of aquatic vegetation? If Yes: • acres of aquatic ve etationro osed to be removed _ -- • expected acreage of aquatic vegetation remaining • regfter project l _. purpose ofproposed removal(e.g.beach clearing, e species control,boat access): • proposed method fplant removal: _ _ � .. .. _. �....� if clicrnicallberbicide treatment will be used,specifyproduct(s): v Describe any proposed reclainatioidmitigation following disturbance: --- r c. �/i II the proposed action use,or create a new demand for water? �. . .. ro... ..m ., Wes,-u4o If P P Yes: v�f/� i.Total anticipated water usage/demand per day: gallons/day �zlc�+01� ii. Will the proposed action obtain water from an existing publ1e Water supply?' ��[]No If Yes: • Name of district or service area: .... to servetl ro proposal? t � �, 'No Does the existing public water supply have capacityP P • • Is theP roject site in the existing district? � ' • Is expansion of the district needed? � � c • Do existing lines serve the project site? W.Will line extension within an existing district be necessary to supply the project?()4D+ ) �•• r b o If Yes: • rve this project: Describe extensions or capacity expansions proposed to seSource O of supply for the district ._,..._..� ��.�.� �_�,� � iv.Is anew water supplyo ...._._. district or service the project safe? 0 Yesice area proposed to be formed to serve If,Yes: • Applicant/sponsoi fornewdistrict .,..._...................m.Fl�. ,..---�-� -�-. ..•,.�. .� ,.,.,..,�.. Date application submitted or anticipated: Proposed source(s)of supply for new district:_ . ° V.If a public water sup i)will not be used,describe plans to provide water supply_ _mm____m. "� for the project l41. ._...�_ Pump �. ,.. Vi.If water .. m n..e.,,... w._.. °acct �.. alions/minute supply will be from wells(pubhr.or private.),maximum umpuig p Y' .. g .. a _ ,._....... ._ _ (L Will $i�6�aii7d�iwdkw�.� X44 td rid Ni�f�ti�t0 i,li 11&(� h'aC ax �'SG ,. {i � fi i,i"�,,�e v, �, . � uw _ ��Iaia=ii�wi t � 'iili i 5f�,`C I. Total naicivaltd Iii, l �wdA ivii�i Iwili(Mfi ,:i slay 1 � l� � i. I ituhE o fiquid w aasl oi;ic, Iii",gpi�,"raled( •� .tmjlita� � rtst�a%varer,,lidrlfi.assial; r� Wk�,b tib' td&.NA w$� d�Ca Wog.All CaiIIDO and �1 �+yi .liairnfiisiicrli): i . ed � ,� , iii.WiI1 the propos action use any existing Public wastewater treatment facilitles? YesPio If Yes: a Name of wastewater treatment plant to be used: _• Name of district: • Does the existing wastewater treatment plant have ave capacity ty to serve the project?roject? • Is the project site in the existing district? UYesEJNo • Is expansion of the district needed? CYes[]No Page 5 of 13 .. Will line"tension within am existing district be necessary to serve the project? �, m. . Do existing surer linesserve�_.. . _ _..� ....... , . g........__-----------........r _- site? []Yes roject ct? If Yes: m .Describe extensions or capacity expansions proposed to serve this projects „ project iv. ill a newnewwastewater surae)treatment district be formedsea the p site? to a j If Yes: • Applicant/sponsor for new district: -- • Date application submitted or anticipated _. ,�__ VVhat is the receiving water for v. Ifpu public facilities wall of be used,describe plans toedischarge? provide wastewater treatment for the project u�nc..� �l�raduu�n, Iriro,'fl�tu�r�t�q proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): a�z.Describe any or designs to captcar..r re _. ._ ...w . r;,.recycle car recuse Iliquuid twrastcm w wr ep. proposed action more c �rnpoint myC-�q.INO sources(re.ditches,pipes,sw1 xczxbs,gutters or other concentrated tc�s�fst�rnwa )or non-point _ ,7i.� .W source(i.e.sheet flow)during construction or post construction? If Ices. L How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) U.Describe types of new point sources. _— ria. ere will tine sto -- ..grater.. r.uuru� .off be directed(i.e.ran-site sto_.._ water management facility/structusres,adjacent u � i.. -- es, drocrandwawter,on-site surface water or off si e�arurirr� neffr�wtw rwyi A I .r ._. w w w. D �.. . . �-_- .m.r, � �.W /' Po.. W u r� w'r "' Y9 V 4 &d w^w 9 r r r k.. m,G,e......._._:' " a" �_ — ,�.. ...,._.._ .. . .. _...�,.._.._.... . ,.,.,,,.,, _. ,,., .. �._ m ... —. • If to surface waters,identify receiving water Dandies or wetlands: 14 1A• II stwatcr runoff znofflow to adjacent ro rrties? aw Does prposed plan rnnurnze impervious surfaces,use pe rrtots materials or collectand_re-Hss storrwater � lIc sLoo f Does the proposed action include,or will it use can-site,one or more sources of air emissions,including fund "Ycs["'OK combustion,waste incineration,or other processes or operations? If"des,identify: L Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) rra wwAn ri._amrrc)��snrcAqduring,wn�u.-s,uuctiw (Q s�Power r uawturaI leaatllp� a�t� lIlsr�,on rnrs) §tawml.''anwy sow n-cs during operations(e.g.,process emissions,large bailers,electric generation) _._._.—. arrW g,Will any air emission sources named in D.2-f(above),require a.NY State it tic lstu ation,fir Facility Permit, [JYes f 4 w or Federal Clean.Air Act title IV or TStle°i/Pe °t? If Yes., &. Is the project site located in an Air quality non-attainment area? (Asea routinely or periodically fails to meet ayes E] o ambient air quality standards for all or some parts of the year) U..In addition to emissions as calculated in the application,the project will generate: (short torus)of C;ar°bon Dioxide(CO2) _..._._._T°ors/year(short tons)of Nitrous Oxide(N20) Tons/year(short torts)of I' fluorocarbons(P CRs) Tons/year(short towns)of Sulfur Hexafluoride(SFO 'miss/y (smart tons)of Carbon Dioxide equivalent ofily flo urouraborus(HFCs) 'I ons/y az (short tons)of Hazardous Air Pollutants(IIAPs) Page 6 of 13 h. Will the proposed action generate or emit methane,(including,but not limited to,sewage treatrraeant plaints,, landfills,composting facilities)? If L Est .. d r .. L Estimate methanemethanegenerationgenerationintasagsdyear(aaaetric); ........... _ fl.(Describe any methane capture,control or elimination measures included in project design(e.g..combustion tn:)Pc'Vatat lniranat rar electricity,flaring): _ ._..-.__ .. Will the....ria nosed action&resualt.tlra the release of air pollutants from open--air operations or processes suc-has ...,; jy c .pyla s quarry or landfill operations? If"Wes:Describe operations and nature of emissions(e.g.,diesel exhaust.,rock particulates/dust): t. proposed action result.in..a substantial increase in traffra drove l'ro o�w De Ire OFD o. I]Yegrg,9o, new ,.. ... demand for transportation facilities or services? ("t- If f pf Yes: 1.yi--henb is tine peak traffic expected(Check all Rlnat apply): �Morning ��.�l�veralan � eeP�ennd an a r rn omly rnnnnrre naln lrou s to n&Na aoidl ,l°r"hla°w.t;rl anww6nulvo.m afwM r ni't n4l r 4nanV d by wBFa "; N ..... betweenrnl .. f pr �_.._ Net itl ntnh�ew sir parking�"'b"rau,�a l �� rnrn o Proposed �rm increase/decrease �- �'" fv. Dawes tive prop,used action hiclaude any shirred use parking"? w V� if the p"orr)parwscd action to� hides any odifacrat�ira�r�a of r nstla roads,crcatlernn,af Dewe meads or change in e;dst'nwa acrrrs,dascnnlnc: p ✓� a n t aid. Arepublic/private trwispwortptorn services) or iicnlifles available within lex Ili le ofthe proposed site? �4�`,,,� � .. ... VU Will thcr proposed action inncfude accc�ss to public trampor'tatnran r;ani �arnnrnao ti ns for nese of hybrid,,electric q,E n a�,...��O or other alternative fueled vehicles? vin."W ill the proposed action include plains for paedesh-lan or bicycle accommodations f®r cronaoeet.na��s t®existing 1��s�1�6�® pedestrian or bicycle routes? &s Will. .w .._ . ( N_. al or industrial projects nrnl r generate new or aclrlid nalu ..demand be proposed action for counnn ercan for energy? If Yes. r L Estimate arnUnual electricity demand during operation of the proposed action:.... ._._................._. _ ...".... _ electricityfor the project, on-site combustion,on-site renewable,vela gial lautility,_ ... _ _ M.Anticipated sources/suppliersA. . ,. or other): yep.will thee proposed �n require a new,or an upgrade to,an existing substation? _. Ycs m acRle..e._� _.�. ._. ..... 1. oanrs operation. Answer all items-which apply .—.-_ �.... . ua. n�ownono .r�to�a par'rna �...u, .„ to lmnanrnonna tillnap wnnm n . au9ap w...r._.. _.. "'Minnnd, Boa A��rnre Holidays: ... ......... Holidays: 6-&q1 7, ,i .coo n. _ Page 7 of 13 _ � . r , ill the proposed action reduce noise that will exceed existing ambient noise levels daring construction, ....__ ._ !J �tm�. po .�. operation,or both'! If yes, /. .provide details including sources,time of day and duration: •: a .urn, i, f ��. w u . .,,. ,.,. U. Will rcDese uHarcnnoexisting natural barriers that could act a�s-a�noise barrier,r, nscreen? c" 0 Yes c Describe, rnWill the proposed action ��- have outdoor lighting? `j uses EjNa If yes: L Describe source(s),Iuiwtacaua( ) Ilneiglat of fiatanrc(s),dprcc;tiaaa/airn,and proximity to nearestccnap�ped stxanctures„ Ott" tst � "� rr, �JIlIlIl pr�paa�scd u,laaawt a, a an iral ba rTicis that Bpd sat as a np„� t�aaarrCT or�screcdY � ��s 0 Describe �. a' c_Does 46ercu ro-saad action p n have the potential to produce odors for more than one hour per day? DYes 0 lf'Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occuDpied structures: p.Will theproposed actIlcar rncfnde. ny any ��bar1�storage of e op petroleum(combined capacity of over 1,100 gallons) No or chemical products.185 gallons in above ground storage or any amount an underground storage? If Yes: r',Product(s)to be stored_ CA,rA 5D a � � -- s� per unit rags ` ,Month,year) X. Generally de describe storage faifi 0 q. Will the proposed�action(commercial,industrial and recreational ational pyrojecis ordy)nese pesticides(i.e.,herbicides, ElYes fy�ta'a insecticides)diming construction or operation? IfYes: LDescribe pu p w ._. .. _...._... Q_ ...,,..., ...... ,. _............ __ _ _ .. Will the proposed action(caaxr nercaal or industrial p P ie _ � ._ craneut or a ,... �u.. Ili rcects aarDl a-—c involve�r re usnre the agrani dispcasap. t ii.�nll t.&ra rraa.aa:,art ar tDP�ra nzsc p.rutc t�ata d fest Il a of sold nastaa(excluding laas,aDdaa.as DnadaaeDIla,psp If'Y s: 4 Desefibe an.y solid waDstc(s)to be pk � masa duniriin,co n�st� uc�tpanru rax op el a.���011 Of the facility: " ' �. 1 ; i �arap 6�ftrne�tcatn3iaaa t S per, terata am : � Unit Lime) NL De ui i^any Mraap saN paaua��t mu1aatr1tmazatur ,jecy rg auu raaasa supaatssa, o avoi daspxkaa'al as solid waste: W Constrsictacn; .. ._ ..�..... Operation: M...Proposed disposal methods/facilities for solid waste generated on-site: • Construction: .....,... .. �m_ .. _. ....,.. h... wu ®,...� • Operation- .. Fags 8 of 1 s.Does the proposed action include construction or modification of a solid waste management fµacili ty? �_ Yes mNo If Yes: L Type ofmrnagenncnt or handling of waste propasud lrzsflu srtc lr ,rec r lurid,or station,composting,lkwk01111,or other dispasal 9C11V1tiCS): ( 71, .....,. .� , ,... d P.e � U. Anticipated asa �� t' ..,... .._... �--���� �–�-u p p l/piocessing: -.0 • Tons/month,if transfer or other nen-combustionftherrnal treatment,or • Tons/hour,if combustion or thermal treatment ria Iyears t �l r se _ eneration,treatment,storage,or disposal ofha _�_,,," (landfill,anticipated site life it p opo d action at the site involve the commercial g p zardous des ,. waste? If Yes: i.Name(s)of aII hazardous wastes or constituents to be generated,handled or managed at facility �., .,,, ............ j ff.Generally describe processes or activities involving hazardouswastes �ste ..� ..._. s �- ...,.,...,.. ' wastes or constituents:_ _,..... _....... .._...- ._ ... ... mm sir Specify amount to be handled or generated tons/month iv.Describe any proposals for on-site minimization recycling or reuseof hazardous constituents: a - V-Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? If Yes:provide name and location of facility:e r„ If No:describe proposed- an y _... em... ...._.. m.. .._._ _ . �. ..,._.. mans ement of� mm a g hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site a.Existing land uses i (.,heck all u!,us tlu:wt occur o ,n4,joining and n the project site. r ierriai P.csidential(euburlmn) ❑Rural(non-farm) ❑ urban ��trrr°ier�tr�oi �� �rn:k� ❑ p"orest ( t A lir it ulhrrc _( Aquatic ❑ Other(specify):_ fi. If mix of uses,generally describe: �... ®,.... .......... Land uses and covertypes on the project site. _ — -- .Lande use or Current � Acreage e�A. fter Change Dov yT Acreage ro� ornfletioj kiss+/-)' • Roads,buildings,and other paved or impervious �. 3 f, a -�• ii;� -t- surfaces •.. Forested C O Meadows, or brimbitinds agricultural,including S aba abandoned a, ncultural W IT^^^mm • Agricultural O t .. (includes active orchards,field,greenhouse etc-) Surface water features D (labs ponds,stroars,rivers,�e.t..c. -) �,.... (freshwater • Wetlands • Non-vegetated(bare rack,tidal) mW earth or fill) �� OtherDescribe: Page 9 of 13 _c.Is the pradpeat site presently used by uurrenibers of the community for public reurreataaarn?.,.,,. L If Yes.explain .,. .. _... ( � El estq0d.. re there any facilities servin children,the ya ecewsaese WscIIoos, os s c dray care centers,or group homes)within 1500 feet of the project site? If Yes, L Identify Facifitles. ,Y°� `�°�"VYi;�..,. .r�..sV ei,Q a�,.r. t!.•� f f.a:'...,I�'' e..ma�esthe project ee t sate s auntaIIa attnexisting dam? If Yes: do Dimensions of the dam and impesuLrrndrrueunta Dam height � m_._... feet Dam length- _ _ feet Surface area. acres Volume impounded: _.......� w. d �fal:li�urns MOR".am ui e-feel A.Dam's existing hazard classification: X.Provide date and saurnmarize:results of last inspection: _. _v....--------- m__._. ...., -- ----- �_....�...... . s p _ ' pasta r°u anageuricnt facility,"" .. E ly" s d'O 'IIdas the projectt site�� r lr�enu used as a�rrxarurur r al,e�a�uaaaa�a al roruradarst� al sc�1z r dto s tIIre pr(Iject site adjoin propertywhich is now,Orwas at Onetime,used asp a solid waoste r anagement lf' es. L Has the facility been formally closed? ell, AYesE]Nov If Yes,cite rut�ae:a U. Describe Clue location of the project site relative to the boundaries of the solid waste management ._..�._.�.���...� Bll .......... _ W.Describe any development constraints due to the prior solid waste activities.`._. . ___—____ n Have hazardous wastes 6e generated, ,treate_d and/or disposed of at the site,or dares elle project site adjoin �uus t'co property Which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? IIf fes,: t.Describe waste(s)handled and waste management activities,including approximate;time When activities eomuurred; ere been a reported spill at the proposed pr _..�. ln. Potential a;esa%tauaalwaatla�an IIuastrs IIfias tin — . ...�_. ay„ .: prcujeet site,or have array "y`c;sT140 remedial actions been conducted at me adjacent.to the proposed sate"? If Yes: L Is any portion of the site listed craw.the NYSDEC spills Incidents database or EnvironmentalSite PfN. Remediation database? Check.all fliat apply: _ Yes--Enviro-nrrrcmal Site "nednxaaaaaaa daahulauas� l Mme°u lr fid DEC ID uiorw Card m� 'Yes_Spills Incidents database pry.ra aide EC IDµh99 abei( )= ...a_...,. �,.,. _.. Nciffirr dalaE�sc i'L If site Daps been subject of R.CRA corrective activities,describe edon uol nranasuura°W" � —y.. ........ ......__� .�. ar`a:J Is the project within 2000 Eget of away site in the SPY Ti EC�Environmental �__ ,t�l�m Remediabon database? ...., _ . ��yesMik ... project DEC srraasae�tal Site Hca IIfyes,provideEC 113raaurriber(s)m uu.if yes to(a),(ii)or(M)above,describe current statues est site(s)., .a.............. _ . ,w, .� ------- - ----.. Page 10 of 1 v. Is the project site subject to an institutional control limiting propertyuses? If yes,DEC site ID number- — ...... __.__.._.. _.�._.. �. Describe the type of institutional control(e.g.,deed restriction Describe an, use,.a'arnsatntianauU� _. _ f�e,�erab any engineering eanratru�Ds . ., _ � 0 Will the project affect the instituntaanrnal or engineering controls i n place? 0 .Explain:__ . ......._.._. �w.. ,__._... ... E.2. Natural Resources On or Near Project Site - 3.What is the average depth to bedrock on the ._r_ n.s...e..t anise . .e /A feet . m.. w...,.._.. lf'Yes.,what pnranpnarrtaexnof the site outcroppings ocomprisedr' he project ail ed w.� _,...� m _.... roc outeropaproarugsa % .... ae.Predominant sinaltype(s)present on project site: r�V.a. V. ... % __ d. hat.is'die average depth to the water table on the project site? Ave p c _ � .fret � �tl - . ..... C..Drainage statins of project site sails.0 Well Drained: .�%of site El Moderately Well Drained: %of'sate EI Poorly Drained f.Approximate proportion nf rused action .._ _ .. Of sit site with spines R`0-10k. .._. 1045%. 5/.of site 15%or greater: %of site � re tonererny rna�pnre a.aanfpla feataares®rn slue p'r"Qpeet.site' pt Yes„describe: ..... ... .............. w _._..._. h.Surface water features., L Does any portion.of the p�ra�peet site contain�wretla nds or other warterbrndaes��rnctnna�trn streams,rivers, ���es __ � ponds nds or lakes) pe.dap any ivefla nds am other waterbodies adjoin the projectsite? t�� If Yes to either i or U,eonntpaanne. lfblo,skip to E.21 W. Are any of the wetlands or waterbodies-within or,adjoining the project site regulated by any federal, state or pineal agency? iv.For each identified regulated wetland and waterbody on the project site,provide the following information: Streams: NameCl assi cation.. rr Bakes or..Po ndsu Nairne, Classificatiorn� Wetlands: Name AppicrXimute Size- R Are aru f the above w�la r bo�u mita i n tin� y oe rr�anst ra;:cassnt cora"wpnwlt�)un and lS waterquality..in-rapsunired 0y-as Ps terbodaes? If yes,mare of impaired water bodylbodies and basis far listing as impaired-,� �._...........�..,µ L Is die project site an a designated Floodwap esignatedFloodway` yes�� w _ ........ j.is the project site in the 100 year FloodpnpaiWItlyesUX) �. .. ,. _. �. lr,Is the project site an the.500 year]FpanandpDlaattnn 'yesi� r - _ or ninr.�edaatep o _ p,is saneproject sate located over,� e adjoining,,a primary,principal of seeps source aquifer? If Yes: aA Name of nnafer. - ° � . T Page I I of 13 [n.,Does Identifythe predominant wildlife..__ species that Hca air y the project site: 11 . t,✓,��.�! - the project sate conntain a designaated significant natural ce�rumu ity"� �� � 12�es: Describe the lwaWauP�corrnraunnrnigy(carr position,fu nction,anzd basis for desig nationn).viii:cne(s)anf d'eaactapa�'lra ria enanapaaatprana m _. .... _ . rr.. _... ._ .....__..13 t�ennt of cn�a�'�amiity tl�anbi�tra&.° __ Currently: acres Fa'ollaaavdrn a^acavnda]Gnntdannn f"pnppect aas p.nrol.wseda ... _. acres Gain or loss(indicate+or �. acres aan.Does project,site contain any species ofplarnt or animal that is listed by the federal governnment.or N'y'S as endangered air threatened,or dries itc contain any areas identified as habitat fair am endangered am threatened species? rw ,•r a pa...Does the project site contain anyspecies of plant or animal that is listed by NYS as rare or as a species of special concern? pp �. w q..Ys the project site or adjoining area currently used for hunting,trapping, sbdra orshell fishing? If yes,give a brief"cdesnnnipnttunra of how,the proposed action.imaay affect that a:wse:� ........................ --_,... �...._........ m... _ ... E.3m Designated Ptiblic Resources Onor° ear'SPr(kj etSite as is the ara "ect site or an portion _ -- . . .,..... ft district c _ Dye,s d � � y JC �m �it,located in a dn�suw�at�at appa.aicAunptunraa dnstn��cC certified pursuant to � Binn Agriculture and Markets Law,Article -AA,Section 303 and 304? If Yes, provide county pinus district rn e/hun. er: �_ � .. .,.,._. dna,ire.a...';ricudtnarad wads c,o nsdstarr of highly iia naducta ve soils present? _.... . � m.�. � dest? 000 L If Yes:acreage(s)on project site? ............ U.Source(s)of soil rating(s).— o _ ��.............. .. ..- c, Does the project site contain all or part of,or is it substantially contiguous to,a registered National l4antura°al I,arnadranark? If'ycsa a Naatnaana of the natural lanndNnnnnnptr � ..�t1nWa:H"WicW a u;nn°anra unwo Geological Featine H.HProvide briefdescri tion flaanndrna�k including dnnn t value Abe behind.dei-naw.anwa ri a w� x �n i��m aa..wrra�aatm °' t p C d—Is the project alta located a"nx lases it ...o �._._ ..��......_. p adj® u a state.lasted Critical Environmental ed 17,11 r Ujrwa If fest L CEA names � ,.....� . �-. ... U.Basis for designation-, W.Designating agency and date: a_ _ e, Doe s age frrrr a;t alta esrut"s ru,or it substantially tarot pious to,a building,archaeological site,or district q0 which is listed on,or has been nominated by than NYS Board of Historic Preservation aation.foo inclusion on,the State or'National Register of Historic lads? If Yes., is Nature of hist:rsric/arc aw.eolo ica l resour a: OAr chaea logical Site 01fistoric Building or Distric ff, ulsue� air, riefdes description tares ofaattributes rare v✓hich flrsfrng �..� .... M . w._..M W_ la ., a:b lass :l f;Is the_projectsite,or ara.. .portion of it,located in.or adjacent to an area designated as sensitive for arch.w:alaa ac l sits on the NY State Historic Preservation Office(Sl-lPO)archaeological site aur:verrtrary`t f -- _ J , ltave arrrtarsl archaeological or lastarc site(s) irmsrarcesbeen identified erthe project site` s,•�.a9.�ra If es: a• Describe possible resource(s): �:w ` 6ti. ° I�' �" _ __ .. d mil , aa'..� r u� �a �b~" � �r r �°�� i u U. :Basisfor identification., C.• s : h.is the project sitewithin fres a�rafles of any officially.. alesr g uamt rl arra publicly accrosible fderaal.,states„or local Iqyes .. scenic or aesthetic resource? If Yes. U.Nature of,or-Im u�= �•..�a Jion Asa� R'shed hi h.uaay aa�a r�e�a� a s���.�air iaa aa�Iaaark,,state historic trawl orscenic byway,. ._ fit-Distance between project and res ubr°a e: asat'lrs. aIs a re �t site located within s a�sr.r�tbara��r,aeradrr anider the Wild,Scenic sd R rt®aar, alRivers , terra aaarru 6 NYCRR..666" If Yes: i la: is the activity aaonsstent withdevelopment restrictions cont ined i.....,m._m �_..._.._...�m..e_mm.. e. Identify of the river and its rl sa ras.tlrara �� aar� ra 6MYCRRPart fad;"? F.Additional Irmfor mr9tlon Attach anyadditional information which may be needed to claarafy our�rgject. Ifyou have identified arty adverse impacts, which could be associated with your laroposa L please describe those impacts pNs any measures which you propose to avoid orrninimi7e them. I certify that the ainformation °,. the .rafrknowledge.stem ,,r as p° t �;, alla - "Seri e ....._ �t�,� u�a�aa`r,' �. . a"� .r,,..., PRINTe 13 of 13 m. n Submission Without a Cover Letter � �1,)19 Sender: r C uat gig o -d Subject: ��►�'1 �=�"P �-� � L�C SCTM#: 1000 - Date: ( ( 5 f C� Comments: q - ,( Q) goo, s - a0� OJw �a A L �^� tr� ton 13 �C V-1 b-Ir C CAUSTMOHAWK IN uuUidku(p carlopy Systems done 1924 S u i i d i ri g °III ru s^t, 41,y + 010 �y NOW , s rr , °19 GAS STATION CANOPY CONVENIENCE STORE CANOPY Model CAN-24120-G Style GABLE ROOF Our EFIS with Gable Roof model offers your customers extra style with their service. Decorative fascia and dormers with a tough EFIS finish and handsome mansard roof make a good impression. Dimensions are 24 x 120 feet with eight columns. Includes bottom 3-D accent band. Our Gas Station Canopies have a lot of drive-by appeal. Well built and durable, they stand out in a road crowded with franchise operations. Contact us to discuss how we can meet your requirements. We guarantee durable, long lasting quality, and typically the quickest turnaround time in the industry. This model is available prefabricated or custom made to your specifications. Contact us to discuss how we can meet your requirements. GET A QUOTE TODAY! FEATURES • Eight columns • Mansard, gable roof with opposing gable • Decorative fascia and dormers with EFIS finish • Bottom 3-D accent band • Customizable to your specs APPLICATIONS • Gas Station Canopy • Convenience Store Canopy WHO WE WORKED WITH 1 h �or� bp 2 �dl Vj,, Budget' CITGO 0 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex ��,� � � �� 4s P.O. Box 1179 54375 State Route 25Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) •Telephone631 765-1938 Southold, NY ' www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 23, 2018 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Site Plan for JEMCAP Gas Station & Convenience Store Located at 46770 County Route 48, ± 407' s/w/o Boisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore: I am writing as a follow-up to the Work Session held on July 23, 2018 where the Planning Board determined that the above-referenced Site Plan Application is incomplete. Before the Board can commence its full review, it is necessary to submit the following directly to this department: 1. Provide a detailed floor plan for the first floor of the proposed building. This plan should provide a breakdown of the gross floor area of the first floor and clearly demonstrate how the space will be used for convenience store and fuel sales including counter location, office, displays, storage, etc. Ensure that all references to this building on the site plan and supplemental documents are consistent; 2. Provide a revised Full Environmental Assessment Form (FEAF) inclusive of the following: A. Description: needs to be more thorough with square footage. The purpose and proposed use must be described. B.d. County Agencies — add SCDPW. B.g. State Agencies — add NYSDEC. C.2. a. Should be marked yes —The parcel is not located within HALO or Hamlet Center. C.3.a. Zoning classification is not provided. JEMCAP Gas Station & Page Two August 23 291 Convenience Store D.1.c. Should provide all structural expansion square footage (canopy). D.1.f. Accessory apartments are proposed. D.2.c. Need irrigation rates in GPM. D.2.ii. Add sanitary wastewater to description. D.2.k. Energy use will increase over existing use. D.m.ii. Incomplete. D.p Incomplete. E.2 A Incomplete. E.2.m. Incomplete. E.3.g Parcel is SPLIA listed. E.3.h. Wrong reference to roadway. 3. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site; 4. Provide a separate Key Map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet; 5. Provide a separate Key Map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.); 6. Provide a comprehensive Photometric Plan for all proposed exterior light fixtures on the building, signage, parking area(s) and canopy, including supplemental cut sheets and fixture specifications. Examples of Photometric Plans for exterior lighting are on file in the Planning Department and can be provided upon request; 7. Provide samples of the materials to be used for the canopy, including the canopy support columns and the underside of the canopy. If you have any questions regarding this Site Plan or its process, please do not hesitate to call this office. Respectfully, COQ Brian Cummings Planner Southold Town Planning Board U' ork. Session — July 23 2018 — Page 2 Pro Location: 22600 Route 25, Cutcho ect Name: McCall Wine Production Facility j � Amended t SCTM#: � 1000-109-1-381 gue - Description: This amended application is to reduce the size of the previously approved wine production and agricultural storage facility from 17,100 sq. ft. to 7,237 sq. ft., including a 2,992 sq. ft. timber barn on the first floor ; and a 4,245 sq. ft. winery, not open to the public, on a 1.8 acre reserve parcel (SCTM#1000-109.-1-38) adjacent to over 84 acres of land o (SCTM#1000-116.-1-2.2 & 3.4) with Development Rights held by Suffolk County in the AC Zoning District. Status: I Pending Action: j Referral Review _111111111-"I'll-, _ . N. Attachments: a Staff Report econic Landing Duplex SCTM# 1000-35-1-25 LocatiName:on 205 Route 25 Greenport Description ) This Site Plan is for the proposed conversion of one existing 1-story 2,987 sq. ft. single dwelling unit to a two dwelling unit with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres, Greenport. Status Pending Action- Referral Review _........... Attachments: i Staff Report Project name: Eastern Front Brewing Retail SCTM#: 1000-114-11-11.1 Location,. 13100 Route 25, Mattituck Description: This Site Plan is for a proposed 1,902 sq. ft. retail store located in the front of an existing 5,417sq. ft. 2-story building, with no change to the footprint. The remainder of the building consists of two existing dwelling units. Also existing is a detached 360 sq. ft. garage. There are 12 parking stalls proposed for this application on 0.62 acres in the HB Zoning District. Status: New Application Action; Completeness _ Attachments: I Staff Report Project Name: Jemcap Gas Station & Convenience Store SCTM#: 1000-55-5-9.1 Location: 46770 CR 48, Southold Description: This Site Plan is for the proposed conversion of an existing 3,032 sq. ft. 2-story building (formerly retail) to a first floor convenience store and second floor with two apartments, vehicle fuel sales with- 6 fuel pumps (12 fueling stations), one canopy at 80' x 44' (3,520 sq. ft.) and 13 parking spaces on 0.85 acres in the General Business (B) Zoning District. Status: New Application i Action: Completeness Attachments Staff Report Southold Planning Department Staff Report Site Plan Application Work Session — Completeness Date July 23, 2018 Prepared By: Brian Cummings I. Application Information Project Title: JEMCAP Gas Station & Convenience Store Applicant: JEMCAP LLC Date of Submission: April 18, 2017 Tax Map Number: 55.-5-9.1 Project Location: 46770 County Route 48 Hamlet: Southold Zoning District: General Business (B) II. Description of Project Type of Site Plan: Commercial Acreage of Project Site: 0.85acres (37,123sf) Building Size 80' x 40' canopy, This Site Plan is for the proposed conversion of an existing 2-story building (formerly retail) to a first floor convenience store and second floor with two apartments, vehicle fuel sales with: 6 fuel pumps (12 fueling stations), one canopy at 80' x 44' (3,520 sq. ft.) and 13 parking spaces on 0.85 acres in the General Business (B) Zoning District. III: Completeness Review With regard to the Planning Board letter dated May 25, 2017: 1. Provide the remainder of the fee for a new site plan application: - Flat fee of $500 (already submitted) Plus $0.10 for each gross square foot of proposed construction; (3,520 sq. ft. x $0.10 = $352) Submitted: yes; 2. Provide a completed owner affidavit and authorization form that includes the address of the owner on record and all necessary information. Portions of these forms were left blank; Submitted: yes; 3. Provide building elevations for proposed canopy and convenience store building showing any proposed changes including signage; 1 Submitted: yes; 4. Provide a completed Full Environmental Assessment Form; Submitted: yes, but incomplete and must be corrected and resubmitted. The edits are listed below in staff recommendations; 5. Provide nine (9) full size prints of the proposed site plan and additional pages, to include the stamp seal and signature of the NYS licensed professional preparing the plan, including the following: a. Provide the gross floor area for the existing 2-story building to remain, including a breakdown of the gross floor area of the first and second floors and any basement area. Ensure that all references to this building on the site plan and supplemental documents are consistent; Submitted: partially, incomplete. 1St floor and 2nd floor details are provided but are not consistent with overall building area; b. Provide the percentage of the principal building that the apartments occupy (540%); Submitted: yes, 38.2%; c. Provide the proposed lot coverage percentage (:530%) including the canopy; Submitted: yes, 13.56%; d. Provide spot elevations and/or contours to ensure all drainage proposed will perform pursuant to §236; Submitted: yes; e. Provide dimensions for the required 25' front landscaped area pursuant to §280-93; Submitted: yes; f. Provide a 5' wide landscaped area in front of the proposed convenience store building pursuant to §280-93(B); Submitted: yes; g. Provide the location and details of the proposed sanitary system; 7 Submitted: yes; h. Provide an adequate queuing plan that meets the Town Code; Submitted: yes, but not sufficient. The queuing area interferes with one of the egress lanes and is not Code compliant; 6. Provide sign renderings and dimensions for all proposed exterior signage pursuant to §280-80 of the Town Code; Submitted: yes; 7. Provide samples of the materials to be used for the canopy, including the canopy support columns and the underside of the canopy; Submitted: no; 8. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site; Submitted: yes but not sufficient; an example will be provided to the applicant 9. Provide a separate Key Map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet; Submitted: yes but not sufficient; an example will be provided to the applicant 10.Provide a separate Key Map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.); Submitted: yes but not sufficient. The aerial photograph is not detailed with existing curb cuts as required; an example will be provided to the applicant. Additionally, the applicant should include the adjacent buildings utilized for the front yard setback average (variable) on this plan; 11.Provide a comprehensive Photometric Plan for all proposed exterior light fixtures on the building, signage, parking area(s) and canopy, including supplemental cut sheets and fixture specifications. Examples of Photometric Plans for exterior lighting are on file in the Planning Department and can be provided upon request. Submitted: yes but not sufficient. The photometric plan is illegible and should be revised by at least removing the aerial base layer, providing foot candle values up to all property lines (or until they reach O.Ofc) and enlarging the scale of the drawing; an example will be provided to the applicant, 3 IV: Analysis 1. Proposed: a. Existing 1 Y2 story building to be removed; b. Construction of 80' x 44' canopy; c. Construction of 6 fuel pump islands with 12 fuel pump stations d. Conversion of existing 2-story building to include a convenience store on the first floor and two apartments on the second floor; Staff: the site plan submitted notes the total building area as 2,609sf; which, based on the floor plan calculations, leaves 332sf unaccounted for. 1. First Floor a. 650 sf convenience store b. 180 sf Attendant area c. 220 sf Access to second floor vestibule d. 66 sf mechanical room e. 30 sf office f. 30 sf employee restroom g. 104 sf Handicap Accessible Restroom TOTAL = 1280sf (-236) Staff: the site plan notes a building footprint of 1,516sf; 236sf is unaccounted for; 2. Second Floor a. Residential Unit 1 — 484 sf b. Residential Unit 2 — 513 sf TOTAL = 997 sf Gross TOTAL = 2,277 sf (-332 sf) Staff: submitted plan notes the total building area as 2,609sf; which based on the floor plan calculations is 332sf and unaccounted for; e. Air pump station and vacuum proposed; 4 2. Code Requirements for convenience stores and gas stations a. Side yard area variance and Special Exception approval from the ZBA pursuant to §280-48(B)(13): Partial self-service gasoline service stations, subject to all of the provisions of§ 280-488(12) herein and the following additional requirements: (a) Each partial self-service gasoline facility shall have a qualified attendant on duty whenever the station is open for business. It shall be the duty of the qualified attendant to control and operate both the console regulating the flow of gasoline to the dispensing equipment thereafter to be operated by the customer at the self-service pump island and the dispensing equipment on the other pump islands. (b) Gasoline shall at no time be dispensed without the direct supervision of the qualified attendant. A control shall be provided which will shut off the flow of gasoline to the dispensing equipment at the self-service pump island whenever the qualified attendant is absent from the control console for any reason whatever, including when he is operating the dispensing equipment on the other pump islands. (c) The console regulating the flow of gasoline to the remote dispensing equipment thereafter operated by the customer at the self-service pump island shall be situated in such a manner as to give the qualified attendant controlling said console an unobstructed view of the operation of said remote dispensing equipment. (d) The self-service pump island shall have controls on all pumps that will permit said pumps to operate only when a dispensing nozzle is removed from its bracket on the pump and the switch for this pump is manually operated. (e) The self-service pump island shall be protected by an automatic fire- protection system in the form of an approved system of dry powder release which will act as an automatic fire extinguisher. (t) No customer shall be permitted to dispense gasoline unless he shall possess a valid motor vehicle operator's license. (g) There shall be no latch-open device on any self-service dispensing nozzle. b. Accessory convenience store pursuant to 5 §280-48(C)(4): Convenience store located with a gas station use shall be considered an accessory use subject to site plan review, only if the following requirements are met: (a) Maximum gross floor area of the retail store equals 800 square feet or less, including storage and counter area. **Staff note: It appears that the intent of the code is to allow convenience stores together with a gas station only in cases where the property is large enough to allow two uses (this property is not), or in cases where the convenience store use is very small and can be considered accessory. In this case, the concern is that the first floor of the existing building is significantly larger than 800 square feet, and the delineation of the fuel sales area from the store area is meant to allow a larger store without appearing to do so. The model of the majority of convenience store/gas stations is to pay for the fuel at the same counter as the retail items in the store. Additionally, there is no storage area shown for the store, which must be counted in the floor area. The code requires the gross floor area be counted, and in this case, the gross floor area appears to exceed the maximum of 800 square feet. If it exceeds the 800 square feet, then it must be considered a second use, and would not be allowed on this small parcel, which is only 37,124 sf. This zone requires 30,000 sf per commercial use. This concern stems from not only observation of the existing convenience store gas stations, but also what occurred when the gas station in Southold was approved for the new canopy. It used to have a separate fuel counter, but once they were approved for the canopy, they quickly eliminated that separate fuel counter and incorporated it into the retail store. With all the available floor area in this building, it seems likely that an expansion would occur after approvals are in place, and the Town would be forced into potentially expensive litigation to enforce the site plan conditions. The only other site plan that has been approved under the newest convenience store regulations was the Valero in Cutchogue. In that site plan there was a separate area for the fuel attendant counter, but in reality, there is only one counter and one attendant, which is further evidence that the notion that those two functions are separate is not likely. (b) Parking requirement equal to one space per 100 square feet of floor area devoted to retail sales area, including the sales counter and retail products storage. The gas station must still meet its parking requirement 6 separately, however, each fuel dispenser can count as one parking space toward the convenience store requirement. (c) The physical design, including color and use of materials, of the establishment shall be sensitive to the visual and physical characteristics of other buildings, public spaces and uses in the particular location, and shall comply with the retail building standards in § 280-45A(7) (a) through (e) to the extent practicable. (d) Signs for the convenience store and gas station shall conform with Article XIX of this uhapler. (e) Formula food franchises are not permitted within accessory convenience stores. c. Accessory apartments pursuant to §280-48(C)(3): Apartments are permitted within the principal building only, subject to the following requirements: (a) The Building Department issuing an accessory apartment permit. **A meeting with the Building Department during scoping is recommended to discuss the accessory apartments and whether the building is really a "Principal" Building"; (b) The habitable floor area of each apartment shall be at least 350 square feet. (c) There shall be no more than three apartments created or maintained in any single structure. (d) Each apartment shall have at least one off-street parking space. (e) Construction and/or remodeling of an existing structure to create an accessory apartment shall not trigger the need for site plan approval set forth specifically in § 280-127 and Article XXIV in general unless such construction or remodeling results in an increase of the foundation size of the structure. (t) The apartment(s) shall not comprise more than 40% of the principal building. 7 3. SEAR: To be discussed. Once some more information is provided we will be able to classify the action; 4. Code requirements / Bulk Schedule (B): a. Lot Coverage: i. Maximum: 30% ii. Existing: 6.85% iii. Proposed: 13.56% including canopy b. Parking: Gas Station/fuel sales = 3-space queuing area for each pump, plus 1 space for each employee; 3 per pump; 12 pumps = 36 1 employee = 1 stall Apartment over store = 1 per apartment in addition to business requirements; 2 apartments = 2 stalls Convenience Store; 1 per 100sf; 800sf/ 100 = 8 required TOTALS Required = 11 stalls and 36 queuing spaces; Provided = 15 proposed including 2 for apartments, 1 employee space in rear of building, 2 ADA, one loading berth and 36 queuing spaces*; c. Sanitary: a sanitary system has been located on the site plan: Staff: SCDHS approval required. Other utility connections (SCWA, electric) d. Landscaped Area: i. Minimum: 35% ii. Existing: N/A% iii, Proposed: 35% (minimum required) e. Landscaping: i. Transition Buffer: Minimum 25' transition buffers required along south property line and 277' of east property line; 8 1. ±29' provided along south property line with double row of Leyland cypress @ 6'-7' high proposed; 2. 16'1" provided along east property line with 3 Leyland cypress and 5 Japanese Black Pine @ 7'- 8' high; ii. Street Trees: 160' of frontage -= 40 = 4 trees required 3 are proposed (2 White Oak and 1 Ornamental Cherry) iii. 11 — Ornamental cherry @ 1 Y2 - 2" caliper; iv. 3 —White Oak @ 2 '/2 - 3" caliper; v. 2 — ornamental grass areas @ 3' -4' high; vi. 4 — Juniper ground cover areas @ 18" — 24" high; vii. 5 — Japanese Black Pine @ 7' — 8' high viii. 30 — Leyland Cypress @ 6' — 7' high, double row f. Access to site requires SCDPW highway work permit: i. Two curb cuts proposed to CR 48: 1. West curb cut includes 3 lanes @ 15' each; 1 ingress, 2 egress (for left and right turn) 2. East curb cut is 17 '/2' wide for right turn (east bound) only ii. Area for proposed 15' cross access to existing shopping center parcel to west; iii. Proposed sidewalk along CR 48 to connect with existing sidewalks to east and west. 9 V: Staff Recommendations It is recommended that the application be found incomplete with the following information to be submitted immediately: 1. The following needs to be amended or corrected on the FEAF: A. Description: needs to be more thorough with square footage. The purpose and need needs to be described. B.d. County Agencies — add DPW. B.g. State Agencies — NYSDEC. C.2. a.: Should be marked yes — The parcel is not located within HALO or Hamlet Center. C.3.a. Zoning classification is not provided. D.1.c. Should provide all structural expansion square footage (canopy). D.1.f. Accessory apartments are proposed. D.2.c. Need irrigation rates in GPM. D.2.ii. Add sanitary wastewater to description. D.2.k. I suspect energy use will increase over existing use. D.m.ii. Incomplete. D.p Incomplete. E.2 A Incomplete. E.2.m. Incomplete. E.3.g Parcel is SPLIA listed. E.3.h. Wrong reference to roadway. 2. Revise the following items on the LWRP forma Provide detailed responses to LWRP Policies 1, 2, 3 and 5 on how the action will specifically support or not support the policies and sub-policies; 3. Provide a revised floor plan detailing the retail sales area of the convenience store and rectify the areas of the uses listed above and the total square feet of the existing building. The employee restroom must be ADA accessible; 4. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site. An example will be provided; 5. Provide a separate Key Map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet, an example will be provided; 10 6. Provide a separate Key Map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.), an example will be provided. Additionally, the applicant should include the adjacent buildings utilized for the front yard setback average (variable) on this plan; 7. Provide a comprehensive Photometric Plan for all proposed exterior light fixtures on the building, signage, parking area(s) and canopy, including supplemental cut sheets and fixture specifications with the following revisions: • Remove the aerial base layer; • Provide foot candle values up to all property lines (or until they reach 0.Ofc); • Rescale the drawing to enlarge the photometric /foot candle display and increase the size of the font used in the fixture detail tables. 11 S,bf P8,N(-jK-1 ,PiC PATRICIA C. MOORE Attorney at Law 51020 Main Road pp Southold, New York 11971 JUN P 2 5 �01 Tel: (631) 765-4330 Southold Town Fax: (631) 765-4643 Plann'ung Board June 25, 2018 Planning Department Town of Southold/Town Hall Annex Main Road Southold NY 11971 hand delivered RE: proposed site plan for JEMCAP Gas Station& Convenience Store Located at 46770 County Road 48, Southold SCTM: 1000-55-5-9.1 Dear Brian: With reference to the above and in response to you May 25, 2017 letter, enclosed please find the following: 1. My client's check in the amount of$352.00 representing the balance of the fee due. 2. Completed owner affidavit and authorization form 3. 9 sets of building elevations for proposed canopy& convenience store (11 x 17) 4. Completed Full Environmental Assessment form 5. 8 sets of full sized prints of proposed site planning including the missing items listed in the balance of your May 25, 2018 letter 6. As to the existing dwelling, Peconic Land Trust will be relocating this house to replace the dilapidated house on Horton's Lane. Thank you and please do not hesitate to contact our office should you have any questions. Very trtj . c urs, Vat'ri-ci C. Moore PCM/bp encls. MAILING ADDRESS: " � d° PLANNING BOARD MEMBERS P.O.Box 1179�� �,��� �� DONALD J.WILCENSKI �w ` " a Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY 64376 State Route 25 JAMES H.RICH III ° d �I� e Po (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR ,��"i�4 � Southold,NY rs_t' Telephone:631765-1938 www.s outholdt ownny-gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 25, 2017 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Site Plan for JEMCAP Gas Station & Convenience Store Located at 46770 County Route 48, #407' s/w/o Boisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore: I am writing as a follow-up to the Work Session held on May 22, 2017 where the Planning Board determined that the above-referenced Site Plan Application is incomplete. Before the Board can commence its full review, it is necessary to complete the application by submitting the following directly to this department: 1. Provide the remainder of the fee for a new site plan application: - Flat fee of$500 (already submitted) - Plus $0.10 for each gross square foot of proposed construction; (3,520 sq. ft. x $0.10 = $352) 2. Provide a completed owner affidavit and authorization form that includes the address of the owner on record and all necessary information. Portions of these forms were left blank; 3. Provide building elevations for proposed canopy and convenience store building showing any proposed changes including signage; 4. Provide a completed Full Environmental Assessment Form; JEMCAP Gas Station &Convenience Store�P ge T)ro ,,. _- ..Ma5 2Q.1m7 �. a_ 5. Provide nine (9) full size prints of the proposed site plan and additional pages, to include the stamp seal and signature of the NYS licensed professional preparing the plan, including the following: a. Provide the gross floor area for the existing 2-story building to remain, including a breakdown of the gross floor area of the first and second floors and any basement area. Ensure that all references to this building on the site plan and supplemental documents are consistent; b. Provide the percentage of the principal building that the apartments occupy (540%); c. Provide the proposed lot coverage percentage (530%) including the canopy; d. Provide spot elevations and/or contours to ensure all drainage proposed will perform pursuant to §236; e. Provide dimensions for the required 25' front landscaped area pursuant to §280-93; f. Provide a 5' wide landscaped area in front of the proposed convenience store building pursuant to §280-93(B); g. Provide the location and details of the proposed sanitary system; h. Provide an adequate queuing plan that meets the Town Code; 6. Provide sign renderings and dimensions for all proposed exterior signage pursuant to §280-80 of the Town Code; 7. Provide samples of the materials to be used for the canopy, including the canopy support columns and the underside of the canopy; 8. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site; 9. Provide a separate Key Map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet; 10.Provide a separate Key Map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.); JEMCAP Gas StationConvenience 13tore Pa e Two Ma2!�: 2017 11.Provide a comprehensive Photometric Plan for all proposed exterior light fixtures on the building, signage, parking area(s) and canopy, including supplemental cut sheets and fixture specifications. Examples of Photometric Plans for exterior lighting are on file in the Planning Department and can be provided upon request. If you have any questions regarding this Site Plan or its process, please do not hesitate to call this office. Very truly yours, Brian Cummings Planner AUTHORIZATION (Where the Applicant is not the Owner) C— Dvffv� pxxotal ert I.......... ' ....... (Print property offer's name) (Mailing Address) Y, NV 0 0 1 -7-T,Sb do hereby authorize L P, (Agent) -t-D 0—pj�kq, 61P�Oj )OeJ�\0>1,� 6�3 wnv (((Own s Signature')'""' O �-j (Print Owner's Name) APPLICANT'S AFFIDAVIT APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK n, ,being duly sworn, deposes and says that he vt < ' s rusbd s at 3 0 46ad o� _ in the Y "I I o 1-7 -71p/1 �y ry••, , n r"h Y"'11I1"1 PA v Jl lAh-iat YJ®F�i J �6�`l•+/ G/� •.1`� �� � State of New York, or that he is the n'1 e,I,`Yl V1u.1 ��.. of the �'� � � . (Title) (Specify whether Partnership or Corp.) and said Corporation is the owner of the above property, which is hereby making a Site Play application; that there are not existing structures or improvements on the land which are not shown on the Site Plan; that the title to the entire parcel, including all rights-of-way, has been clearly established and is shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has exarnilled all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved,will not be alter or changed in any manner without the approval of the P nniZe oard; and that the actual physical improvements will be installed in stri a or e wit lan as approved by the Planning Board. Signed _....... t er rJLL-j 5 I LL- Signed. 11'arowr or orate t ltl rand Tett f Sworn to me this day of "°•• e + 8r otary r "C Full Environmental Assessment Form Part I -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part lis accurate and complete. A.Project and Sponsor Information. Name of Action or Project: JEMCAP SD1 LLC ...................... Project Location(describe,and attach a general location map): 46770 Route 48,Southold .....................................-..... __.... Brief Description of Proposed Action(include purpose or need): proposed gas station and convenience store in existing building with two apartments on the second floor of existing building above convenience store. ........ Name of Applicant/Sponsor: Telephone:516-449-2783 JEMCAP SDILLC E-Mail:kris.pilles@northforkcommercial.com .. ........................ ..... ........... 360 ... Address: Madison Avenue City/PO:NY State:NY Zip Code:10017-7158 . _....... Project Contact(if not same as sponsor;give name and title/role): Telephone:631-765-4330 Patricia C.Moore E-Mail:pcmoore@mooreattys.com Address: 51020 Main Road City/PO: State: Zip Code: Southold NY 11971 Property Owner (if not same as sponsor): Telephone: same E-Mail: Address: ._................ _. City/PO: State: Zip Code: Page 1 of 13 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑Yes®No or Village Board of Trustees b.City,Town or Village ®Yes❑No site plan 4-12-17 Planning Board or Commission c.City Council,Town or ®Yes❑No special exception and variance 4-12-17 Village Zoning Board of Appeals d.Other local agencies ❑Yes®No e.County agencies ®Yes❑No Suffolk County Health Dept rojected 9-1-18 f.Regional agencies ®Yes❑No Suffolk County Department of Public Works-road rojected 9-1-18 g.State agencies ❑Yes®No h.Federal agencies ❑Yes®No .............. ........ ... ....... i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? [3Yes®No U. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ®YesE]No iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes®No C.Planning and Zoning C.I.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ®Yes❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ❑Yes®No where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ❑Yes®No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ®Yes❑No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): Scenic Byway c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes®No or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. OYesONo If Yes,what is the zoning classification(s)including any applicable overlay district? b. Is the use permitted or allowed by a special or conditional use permit? OYes❑No c.Is a zoning change requested as part of the proposed action? ❑YesONo If Yes, i.What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? Southold School.District b.What police or other public protection forces serve the project site? Southold c.Which fire protection and emergency medical services serve the project site? Southold d.What parks serve the project site? Southold Park District D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all components)? Gomrrrerci l b.a.Total acreage of the site of the proposed action? _,,,,,37,123 aeras >Fq fi- b.Total acreage to be physically disturbed? .._,..... 37,123-seres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? U acres c.Is the proposed action an expansion of an existing project or use? ❑Yes®No i.If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? %_ Units:_.. d.Is the proposed action a subdivision,or does it include a subdivision? ❑'Yes ONo If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) ................. ii.Is a cluster/conservation layout proposed? ❑Yes ONo iii.Number of lots proposed? iv.Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? ❑YesONo i. If No,anticipated period of construction: months ii. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1 (including demolition) month year • Anticipated completion date of final phase month _wear • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: Page 3 of 13 f.Does the project include new residential uses? ❑Yes®No If Yes,show numbers of units proposed. One Family Two Family Three Family lr WP_1K Family ffim or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? ®Yes❑No If'Yes, 2 t15fGv1C� i."Dotal number of structures 0 ii. Dimensions(in feet)of largest proposed structure:_ 14.6heif,lt; `twidth; ndlength i�.?�I� iii.Approximate extent of building space to be heated or cooled:. 0 square fcet v rt Noh tj ' h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes®No liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, L Purpose of the impoundment: P principal El Ground water ...�....... ....�...�._._.... ii. If a water impoundment,the rinci al source of the water: r E]Surface water streams❑Other specify: ........ .._ ........ iii. If other than water,identify the type of impounded/contained liquids and their source. .. ... _.............. iv.Approximate . ....�...�....._ . ate size of the proposed impoundment. Volume: million gallons;surface area: acres v.Dimensions of the proposed dam or impounding structure: height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? No (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? support structures ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): none • Over what duration of time? n/a iii.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. standard structural supports for canopy iv.Will there be onsite dewatering or processing of excavated materials? Yes No If yes,describe.._ __ vvvv .._... W....__............................... .._.....-._................................. _...... v. What is the total area to be dredged or excavated? min. acres vi.What is the maximum area to be worked at any one time? n/a acres vii.What would be the maximum depth of excavation or dredging? n/a feet viii.Will the excavation require blasting? ❑YesRJNo ix. Summarize site reclamation goals and plan: b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment ❑YespNo into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 H. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: one _......... ....... iii. Will proposed action cause or result in disturbance to bottom sediments? ❑Yes®No If Yes,describe: iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? ❑Yes®No If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: • purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): • proposed method of plant removal: _m • if chemical/herbicide treatment will be used,specify product(s): v.Describe any proposed reclamation/mitigation following disturbance: c.Will the proposed action use,or create a new demand for water. tFyc 2 B►eAj Ya ❑Yes ONo If Yes: P i s c � p�� ' ya,n; �' ) I 324 y �4ro lam?�" sa ( et �C i. Total anticipated water usage/dem ar�d da gallons/da fl. Will the proposed action obtain water from an existing public water supply? ®Yes❑No If Yes: • Name of district or service area: Suffolk County Water Authority • Does the existing public water supply' g p have capacity to serve the proposal? ®Yes❑No • Is the project site in the existing district? ®Yes[:]No • Is expansion of the district needed? ❑Yes®No • Do existing lines serve the project site? ®Yes❑No iii. Will line extension within an existing district be necessary to supply the project? ❑Yes ONo If Yes: • Describe extensions or capacity expansions proposed to serve this project: • Source(s)of supply for the district: iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes®No If,Yes: • Applicant/sponsor for new district:. • Date application submitted or anticipated: __.... • Proposed source(s)of supply for new district: v.If a public water supply will not be used,describe plans to provide ' water supply forr the project: vi.If water supply will be from wells(public or private),maximum pumping capacity: gallons/minute. d.Will the proposed action generate liquid wastes? ®Yes❑No If Yes: i. Total anticipated liquid waste generation per day: 324 gallons/day H.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): bathro6m;in convenience store and residential apartments iii.Will the proposed action use any existing public wastewater treatment facilities? ❑Yes®No If Yes: • Name of wastewater treatment plant to be used: • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No • Is the project site in the existing district? ❑Yes❑No Is expansion of the district needed? ❑Yes❑No Page 5 of 13 • Do existing sewer lines serve the project site? ❑Yes®No • Will line extension within an existing district be necessary to serve the project? ❑Yes®No If Yes: • Describe extensions or capacity expansions proposed to serve this project: ...... ..... iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes®No If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • What is the receiving water for the wastewater discharge? v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): Describe any plans or designs to capture,recycle or reuse liquid waste: standard sanitary system to be used e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ❑Yes®No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point source(i.e.sheet flow)during construction or post construction? If Yes: L How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) ii. Describe types of new point sources. iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-site surface waters)? drainage will be captured on site in conformity with TC 236 • If to surface waters,identify receiving water bodies or wetlands: • Will stormwater runoff flow to adjacent properties? ❑Yes®No iv.Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ®Yes❑No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel ❑Yes®No combustion,waste incineration,or other processes or operations? If Yes,identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) a.... _m.._........ � ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) ... .... _.._ iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑Yes®No or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air quality standards for all or some parts of the year) ii. In addition to emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) • Tons/year(short tons)of Perfluorocarbons(PFCs) • _ :ron.s/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPS) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑YesoNo landfills,composting facilities)? If Yes: L Estimate methane generation in tons/year(metric): U.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity,flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes0 No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial EYes❑No new demand for transportation facilities or services? If Yes: i.When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening OWeekend 0 Randomly between hours of 8 to 5 ii.For commercial activities only,projected number of semi-trailer truck trips/day: 10 0if.Parkin spaces: Existing 10 Proposed Net increase/decrease iv.Does the proposed action include any shared use parking? ❑YespNo v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe. no change to road vi. Are public/private transportation service(s)or facilities available within''/z mile of the proposed site? RJYes❑No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑YesRJNo or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yeso No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑YesONo for energy? If Yes: L Estimate annual electricity demand during operation of the proposed action: U.Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): -. rl ............ ._...... r . Will _.. .... ii ll the proposed action require a new,or an upgrade to,an existing substation? ❑Yes o 1.Hours of operation. Answer all items which apply. i. During Construction: ii. During Operations: • Monday-Friday: 8-6 0 Monday-Friday:_ITm„ 8-9 • Saturday: 8-8 9 Saturday:. ....... 8-9 • Sunday: 0 0 Sunday:_ 8-9 • Holidays: 0 m Holidays:_ 8-9 Page 7 of 13 m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes 0N operation,or both? If yes: L Provide details including sources,time of day and duration: ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes❑No Describe: n..Will the proposed action have outdoor lighting? OYes❑No If yes: L Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied strictures: safety lighting on site-dark skies compliant. _................ ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes ONo Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes ONo If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) O Yes❑No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i.Product(s)to be stored gasoline ii. Volume(s) per unit time (e.g.,month,year) iii. Generally describe proposed storage facilities: www ww IT underground gasoline storage for gas station use q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes ONo insecticides)during construction or operation? If Yes: i.Describe proposed treatment(s): ii.Will the proposed action use Integrated Pest Management Practices? ❑ Yes []No r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes ONo of solid waste(excluding hazardous materials)? If Yes: L Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: -, tons per _ (unit of time) ...... • Operation: _ tons per (unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Constriction: • Operation: iii.Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8 of 13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑Yes 0 No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): .. _ H. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life: _ years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous ices No waste? If Yes: i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: gasoline/fuel for vehicles in gasoline tanks below ground rr. Generally describe processes or activities involving hazardous wastes or constituents: operation of gasoline station iii. Specify amount to be handled or generated O tons/month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: per State/Federal regulations,if any v. Will any hazardous wastes be disposed at ane .... - existing offsite hazardous waste facility? Yes®No If Yes:provide name and location of facility: If No:describean ro osed management of p p g y hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action .............. _.... E.I.Land uses on and surrounding the project site a.Existing land uses. i. Check all uses that occur on,adjoining and near the project site. ❑ Urban ❑ Industrial 0 Commercial 0 Residential(suburban) 0 Rural(non-farm) ❑ Forest 0 Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: ........ _..... ........ b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/-) • Roads,buildings,and other paved or impervious 20,000 sq..ft 20,000 sq.ft. 0 surfaces • Forested o 0 0 • Meadows,grasslands or brushlands(non- 0 0 0 agricultural,including abandoned agricultural) • Agricultural 0 0 0 (includes active orchards,field,greenhouse etc.) • Surface water features 0 0 0 (lakes,ponds,streams,rivers,etc.) µWetlands(freshwater or tidal) 0 _ 0 • Non-vegetated(bare rock,earth or fill) 0 0 0 ............... • Other Describe:overgrown and unkept 10,000 sgft. 10,000 sq.ft. 0 Page 9 of 13 .....- ................. c.Is the project site presently used by members of the community for public recreation? ❑YesE]No L If Yes:explain: A ... d.Are there _el any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑YesONo day care centers,or group homes)within 1500 feet of the project site? If Yes, L Identify Facilities: e.Does the project site contain an existing dam. ❑Yes®No If Yes: L Dimensions of the dam and impoundment: • Dam height: ....... feet • Dam length: feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classification: W. Provide date and summarize results of last inspection: .... ....... f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑YesONo or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes❑No • If yes,cite sources/documentation: U. Describe the location of the project site relative to the boundaries of the solid waste management facility: W. Describe any development constraints due to the prior solid waste activities: Have hazardous g. wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑YesONo property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: L Describe waste(s)handled and waste management activities,including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑YesO No remedial actions been conducted at or adjacent to the proposed site? If Yes: L Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures: iii. Is thew project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes❑No If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property rty uses? ❑Yes®No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑Yes❑No • Explain: E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? none feet b Are there bedrock outcroppings on the project site? ❑Yes®No If Yes,what proportion of the site is comprised of bedrock outcroppings? % ......................._ _.... _...._ _._... c.Predominant soil type(s)present on project site: sandy loam .. 100% d.What is the average depth to the water table on the project site? Average: feet e. of Drainage status g project site soils:0 Well Drained: 100%of site ❑ Moderately Well Drained: %of site ❑ Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: 0 0-10%: 100%of site ❑ 10-15%: _ %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? ❑YesONo If Yes,describe: ........ _.. h.Surface water features. i. Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes®No ponds or lakes)? ii.Do any wetlands or other waterbodies adjoin the project site? ❑YesONo If Yes to either i or ii,continue. If No,skip to E.21 iff. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes®No state or local agency? iv.For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification• IT m Lakes or Ponds: Name _ _ Classification_, • Wetlands: Name Approximate Size • Wetland No.(if regulated by DEC) v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired [--]Yes ZNo waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: __. .. i.Is the project site in a designated Floodway? ❑Yes bio .................._...... j.Is the project site in the 100 year Floodplain? ❑YesoNo k.Is the protect site in the 500 year Floodplain? ❑Ye ' s RJNo __.... ........... ._. 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ❑Yes®No If Yes: i.Name of aquifer: Page 11 of 13 m. Identify the predominant wildlife species that occupy or use the project site: none n.Does the project site contain a designated significant natural community? ❑Yes ZNo If Yes: i.Describe the habitat/community(composition,function,and basis for designation):m_..._ ......... H. Source(s)of description or evaluation: W.Extent of community/habitat: • Currently: acres • Following completion of project as proposed: acres • Gain or loss(indicate+or-): acres ....... ... . .. �_ .. o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑YesONo endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑YesZNo special concern? .......... _................_. q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑YesONo If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site _......._............ a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑YesONo Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? ❑YesONo i.If Yes:acreage(s)on project site? ii. Source(s)of soil rating(s): __- ._................... v .. c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑YesONo Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature ii.Provide brief description of landmark,including values behind designation and approximate size/extent:_..... d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑YesONo If Yes: i. CEA name: ii. Basis for designation: W.Designating agency and date: Page 12 of 13 e.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district ❑YesO No which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: i.Nature of historic/archaeological resource: ❑Archaeological Site ❑Historic Building or District U.Name: W.Brief description of attributes on which listing is based: f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes ONo archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑YesONo If Yes: i.Describe possible resource(s): ii.Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local OYes❑No scenic or aesthetic resource? If Yes: i.Identify resource: scenic byway(Rt 25) ii.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): W.Distance betweenroe __��......... ......... _..........� p I ct and resource: . miles. L Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑YesONo Program 6 NYCRR 666? If Yes: i.Identify the name of the river and its designation: ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? []Yes No F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name,,.F'Iirl ' Moore Esq Date 6-14-18 signature Title Attorney :R1NT FORM Page 13 of 13 r "x MAILING ADDRESS: PLANNING BOARD MEMBERS f�` P.O.Box 1179 DONALD J.WILCENSKI Southold,NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERSTown Hall Annex PIERCE RAFFERTY s° 54375 State Route 25 JAMES H.RICH III �� (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR � ` Southold,NY Telephone:631765-1938 www.southoldtownny-gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 25, 2017 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re; Proposed Site Plan for JEMCAP Gas Station & Convenience Store Located at 46770 County Route 48, #407' s/w/o Boisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore: am writing as a follow-up to the Work Session held on May 22, 2017 where the Planning Board determined that the above-referenced Site Plan Application is incomplete. Before the Board can commence its full review, it is necessary to complete the application by submitting the following directly to this department: 1. Provide the remainder of the fee for a new site plan application: - Flat fee of$500 (already submitted) - Plus $0.10 for each gross square foot of proposed construction; (3,520 sq. ft. x $0.10 = $352) 2. Provide a completed owner affidavit and authorization form that includes the address of the owner on record and all necessary information. Portions of these forms were left blank; 3. Provide building elevations for proposed canopy and convenience store building showing any proposed changes including signage; 4. Provide a completed Full Environmental Assessment Form; JEMCAP Gas Station & Convenience Store Page Two Mqy 25 2017 5. Provide nine (9) full size prints of the proposed site plan and additional pages, to include the stamp seal and signature of the NYS licensed professional preparing the plan, including the following: a. Provide the gross floor area for the existing 2-story building to remain, including a breakdown of the gross floor area of the first and second floors and any basement area. Ensure that all references to this building on the site plan and supplemental documents are consistent; b. Provide the percentage of the principal building that the apartments occupy (<40%); c. Provide the proposed lot coverage percentage (s30%) including the canopy; d. Provide spot elevations and/or contours to ensure all drainage proposed will perform pursuant to §236; e. Provide dimensions for the required 25' front landscaped area pursuant to §280-93; f. Provide a 5' wide landscaped area in front of the proposed convenience store building pursuant to §280-93(B); g. Provide the location and details of the proposed sanitary system; h. Provide an adequate queuing plan that meets the Town Code; 6. Provide sign renderings and dimensions for all proposed exterior signage pursuant to §280-80 of the Town Code; 7. Provide samples of the materials to be used for the canopy, including the canopy support columns and the underside of the canopy; 8. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site; 9. Provide a separate Key Map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet; 10.Provide a separate Key Map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.); JEMCAP Gas Station &Convenience Store Pa evo Ma 11.Provide a comprehensive Photometric Plan for all proposed exterior light fixtures on the building, signage, parking area(s) and canopy, including supplemental cut sheets and fixture specifications. Examples of Photometric Plans for exterior lighting are on file in the Planning Department and can be provided upon request. If you have any questions regarding this Site Plan or its process, please do not hesitate to call this office. Very truly yours, -�- - a -C�t" Brian Cummings Planner AUTHORIZATION (Where the Applicant is not the Owner) (Print propertyoAer's name) (Mailing Address) N'T V 10 V 17 -05-8 do hereby authorize (Agent) 1 C� �'"`fir 'Tu�.�,; `;r S�.J�,f���.�t.. ��1.•��'IJ�•'i f' �� 1-�.s!--r-s_� (Owde s Signature). .. .. (PrintOwner's Name) 'r APPLICANT'S AFFIDAVIT APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK C4 m -being duly sworn, deposes and says that he reg �USVuv� a�' r sid s at �� 0 in the . � N V• I C>C 1-7- 7153 State of New York, 4:n-* h - '.Ited- t CA Lit-A� Q C•,-LA S" ,.c� licc CT klii10 tt-* c,�- .G- � *or that he is the e,,- n �)Q- " of the op,-v'w .. (Title) (Specify whtlier Partnership or Corp.) and said Corporation is the owner of the above property, which is hereby making a Site Plan application; that there are not existing structures or improvements on the land which are not shown on the Site Plan; that the title to the entire parcel, including all rights-of-way,has been clearly established and is shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has exhmineil all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved,will not be alter or changed in any manner without the approval of the Pinni2Ayeplan oard; and that the actual physical improvements will be installed in stri a or -e w t as approved by the Planning Board. Signed__ O tr oa-*rJLL-9 M 50, M�-,M -V— �' rvj C" 5 p f i_t_C_ Signed (p and ort"` orate tl! rand Tit Sworn to me this SQ qday of JAW, e..�'`"„ , = � ' 5 � ' .. otary z MAILINGSS: PLANNINGO 'r���OF S � '�t P.O. Box 1179 DONALD J.WILCENS y Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CEMERS = `Covin Ball Annex PIERCE RAFFER'IY 54375 State Route 25 JAMES H.RICH III (cor. Main.Rd. &Youngs Ave.) MARTIN H.SUDOR 'UU1111t ���j. Southold, NY .Z.r_ a Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 25, 2017 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Site Plan for JEMCAP Gas Station & Convenience Store Located at 46770 County Route 48, ±407' s/w/o Boisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore: I am writing as a follow-up to the Work Session held on May 22, 2017 where the Planning Board determined that the above-referenced Site Plan Application is incomplete. Before the Board can commence its full review, it is necessary to complete the application by submitting the following directly to this department: 1. Provide the remainder of the fee for a new site plan application: - Flat fee of$500 (already submitted) - Plus $0.10 for each gross square foot of proposed construction; (3,520 sq. ft. x $0.10 = $352) 2. Provide a completed owner affidavit and authorization form that includes the address of the owner on record and all necessary information. Portions of these forms were left blank; 3. Provide building elevations for proposed canopy and convenience store building showing any proposed changes including signage; 4. Provide a completed Full Environmental Assessment Form; JEMCAP Gas Station & Convenience Store Page Two Ma _25, 2017 5. Provide nine (9) full size prints of the proposed site plan and additional pages, to include the stamp seal and signature of the NYS licensed professional preparing the plan, including the following: a. Provide the gross floor area for the existing 2-story building to remain, including a breakdown of the gross floor area of the first and second floors and any basement area. Ensure that all references to this building on the site plan and supplemental documents are consistent; b. Provide the percentage of the principal building that the apartments occupy (540%); c. Provide the proposed lot coverage percentage (:530%) including the canopy; d. Provide spot elevations and/or contours to ensure all drainage proposed will perform pursuant to §236; e. Provide dimensions for the required 25' front landscaped area pursuant to §280-93; f. Provide a 5' wide landscaped area in front of the proposed convenience store building pursuant to §280-93(B); g. Provide the location and details of the proposed sanitary system; h. Provide an adequate queuing plan that meets the Town Code; 6. Provide sign renderings and dimensions for all proposed exterior signage pursuant to §280-80 of the Town Code; 7. Provide samples of the materials to be used for the canopy, including the canopy support columns and the underside of the canopy; 8. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site; 9. Provide a separate Key Map showing location and owners of all adjoining lands within 500 feet, as shown on the latest tax records, at a scale of one inch equals 100 feet; 10.Provide a separate Key Map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.); JEMCAP Gas Station & Convenience Store Pa e Two 11.Provide a comprehensive Photometric Plan for all proposed exterior light fixtures on the building, signage, parking area(s) and canopy, including supplemental cut sheets and fixture specifications. Examples of Photometric Plans for exterior lighting are on file in the Planning Department and can be provided upon request. If you have any questions regarding this Site Plan or its process, please do not hesitate to call this office. Very truly yours, Brian Cummings Planner Southold Town Planning Board Work Session — May 22 2017 -- Page 2 6 Project Name: The Heritage at Cutchogue 2015 ( SCTM#: � 1000-102-1-33.3 Location: 75 Schoolhouse Road, on the n/w corner of Griffing Street and School House Lane, approximately 1,079 feet n/o the Main Road, in Cutchogue. y _ Description: This proposed Residential Site Plan is for development of 124 detached and attached dwelling, with a 6,188 sq. ft. community center, an outdoor I swimming pool, one tennis court, and various other associated site improvements, on a vacant 46.17-acre parcel in the Hamlet Density (HD) C oning District. .... . . I Status° P , .�. � e.�e , ending Action: Review Site Attachments: Staff Report Plan . . . .__.... _ .. . ... . Project Name: Jemca Gas Station & Convenience Store SCTM#_ 1000-55-5-9.1 _ Location: 46770 CR 48, Southold Description; This Site Plan is for the proposed conversion of an existing 3,032 sq. ft. 2-story building (formerly retail) to a first floor convenience store and second floor with two apartments, vehicle fuel sales with: 6 fuel pumps (12 fueling stations), one canopy at 80' x 44' (3,520 sq. ft.) and 13 parking spaces on 0.85 acres in the General Business (B) Zoning District. Action , e.. Compleplication Status: N teness ts: I Staff Report I Attachmen _ : _ ._., _ Project Name: I Martz Standard Subdivision SCTM#: & 1000-10.4-12-6.1 Location: f 555 Broadwaters Road, approximately 80' west of Wunneweta Road, � ue Description'. This koro proposal is for a Standard Subdivision of a 1.62 acre parcel in .. ..p... p p p to two � lots where proposed Lot 1 equals 0.71 acres and proposed Lot 2 equals C 0.92 acres, located in the R-40 Zoning District. The Zoning Board of ! Appeals granted an Area Variance to allow for Lot 1 to be less than 40,000 sq. ft. Status: Conditional Preliminary Plat Approval Action: Review Public Hearing" Attachments: Staff Report Southold Planning Department Staff Report Site Plan Application Work Session — Completeness Date May 22, 2017 Prepared By: Brian Cummings I. Application Information Project Title: JEMCAP Gas Station & Convenience Store Applicant: JEMCAP LLC Date of Submission: April 18, 2017 Tax Map Number: 55.-5-9.1 Project Location: 46770 County Route 48 Hamlet: Southold Zoning District: General Business (B) II. Description of Project Type of Site Plan: Commercial Acreage of Project Site: 0.85acres (37,123sf) Building Size 80' x 40' canopy, This Site Plan is for the proposed conversion of an existing 3,032 sq. ft. 2-story building (formerly retail) to a first floor convenience store and second floor with two apartments, vehicle fuel sales with: 6 fuel pumps (12 fueling stations), one canopy at 80' x 44' (3,520 sq. ft.) and 13 parking spaces on 0.85 acres in the General Business (B) Zoning District. III: Completeness Review See attached checklist for Site Plan Requirements. IV: Analysis 1. Proposed: a. Existing 1 Y2 story building to be removed; b. Construction of 80' x 40' canopy; c. Conversion of existing 2-story building to include an 800sf convenience store on the first floor, and two apartments on the second floor (size to be clarified because plans provided are inconsistent); i. Large plan submitted shows apartments at 525sf and 475 sf ii. Small plan submitted shows apartments at 750sf each; Staff: the sf of the uses listed above don't add up to the total square feet of the existing building —this should be clarified and accounted for; d. Air pump station and vacuum proposed; e. Side yard area variance and Special Exception approval from the ZBA pursuant to §280-48(B)(13): Partial self-service gasoline service stations, subject to all of the provisions of§ 280-48B(12) herein and the following additional requirements: (a) Each partial self-service gasoline facility shall have a qualified attendant on duty whenever the station is open for business. It shall be the duty of the qualified attendant to control and operate both the console regulating the flow of gasoline to the dispensing equipment thereafter to be operated by the customer at the self-service pump island and the dispensing equipment on the other pump islands. (b) Gasoline shall at no time be dispensed without the direct supervision of the qualified attendant. A control shall be provided which will shut off the flow of gasoline to the dispensing equipment at the self-service pump island whenever the qualified attendant is absent from the control console for any reason whatever, including when he is operating the dispensing equipment on the other pump islands. (c) The console regulating the flow of gasoline to the remote dispensing equipment thereafter operated by the customer at the self-service pump island shall be situated in such a manner as to give the qualified attendant controlling said console an unobstructed view of the operation of said remote dispensing equipment. (d) The self-service pump island shall have controls on all pumps that will permit said pumps to operate only when a dispensing nozzle is removed from its bracket on the pump and the switch for this pump is manually operated. (e) The self-service pump island shall be protected by an automatic fire- protection system in the form of an approved system of dry powder release which will act as an automatic fire extinguisher. (f) No customer shall be permitted to dispense gasoline unless he shall possess a valid motor vehicle operator's license. (g) There shall be no latch-open device on any self-service dispensing nozzle. f. Accessory convenience store pursuant to §280-48(C)(4):. 2 Convenience store located with a gas station use shall be considered an accessory use subject to site plan review, only if the following requirements are met: (a) Maximum gross floor area of the retail store equals 800 square feet or less, including storage and counter area. (b) Parking requirement equal to one space per 100 square feet of floor area devoted to retail sales area, including the sales counter and retail products storage. The gas station must still meet its parking requirement separately; however, each fuel dispenser can count as one parking space toward the convenience store requirement. (c) The physical design, including color and use of materials, of the establishment shall be sensitive to the visual and physical characteristics of other buildings, public spaces and uses in the particular location, and shall comply with the retail building standards in § 280-45A(7) (a) through (e) to the extent practicable. (d) Signs for the convenience store and gas station shall conform with Article XIX of this chapter. (e) Formula food franchises are not permitted within accessory convenience stores. g. Accessory apartments pursuant to §280-48(C)(3): Apartments are permitted within the principal building only, subject to the following requirements: (a) The Building Department issuing an accessory apartment permit. **A meeting with the Building Department during scoping is recommended to discuss the accessory apartments and whether the building is really a "Principal" Building"; (b) The habitable floor area of each apartment shall be at least 350 square feet. (c) There shall be no more than three apartments created or maintained in any single structure. (d) Each apartment shall have at least one off-street parking space. (e) Construction and/or remodeling of an existing structure to create an accessory apartment shall not trigger the need for site plan approval set 3 forth specifically in § 280-127 and Article XXIV in general unless such construction or remodeling results in an increase of the foundation size of the structure. (f) The apartment(s) shall not comprise more than 40% of the principal building. 2. SEAR: To be discussed. Once some more information is provided we will be able to classify the action; 3. Code requirements / Bulk Schedule (B): a. Lot Coverage: i. Maximum: 30% ii. Existing: 6.85% iii. Proposed: 13% including canopy Staff: this information is only provided on application form and must be provided on site plan; b. Parking: Gas Station/fuel sales = 3-space queuing area for each pump, plus 1 space for each employee; 3 per pump; 12 pumps = 36 1 employee = 1 stall Apartment over store = 1 per apartment in addition to business requirements; 2 apartments = 2 stalls Convenience Store; 1 per 100sf; 800sf/ 100 = 8 TOTALS Required = 11 stalls and 36 queuing spaces; Provided = 13 proposed including 2 for apartments, 1 employee space in rear of building, 2 ADA, one loading berth and 36 queuing spaces*; *Staff: although 36 queuing vehicles are displayed on the second page of the site plan, the queuing requirement is not sufficiently provided because there are vehicles located outside of the queuing area. Queues are to lead up to the proposed pumps, not surround them on all sides as proposed; 4 c. Sanitary: no sanitary system has been located on the site plan and must be provided: Staff: SCDHS approval required. Other utility connections (SCWA, electric) have not been specified as required; d. Landscaped Area: i. Minimum: 35% ii. Existing: N/A% iii. Proposed: 35% e. Landscaping: i. Transition Buffer: Minimum 25' transition buffers required along south property line and 277' of east property line; 1. ±29' provided along south property line with double row of Leyland cypress @ 6'-7' high proposed; 2. 16'1" provided along east property line with 3 Leyland cypress and 5 Japanese Black Pine @ 7'- 8' high; ii. Street Trees: 160' of frontage . 40 = 4 trees required 3 are proposed (2 White Oak and 1 Ornamental Cherry) iii. 11 — Ornamental cherry @ 1 '/2 - 2" caliper; iv. 3 —White Oak @ 2 '/2 - 3" caliper; v. 2 — ornamental grass areas @ 3' -4' high; vi. 4 — Juniper ground cover areas @ 18" — 24" high; vii. 5 — Japanese Black Pine @ 7' — 8' high viii. 30 — Leyland Cypress @ 6' — 7' high, double row f. Access to site requires SCDPW highway work permit: i. Two curb cuts proposed to CR 48: 1. West curb cut includes 3 lanes @ 15' each; 1 ingress, 2 egress (for left and right turn) 5 2. East curb cut is 17 '/2' wide for right turn (east bound) only ii. Area for proposed 15' cross access to existing shopping center parcel to west; iii. Proposed sidewalk along CR 48 to connect with existing sidewalks to east and west; g. Exterior lighting: no exterior lighting information has been provided; h. Exterior Signage: no signage information has been provided; V: Staff Recommendations 1. It is recommended that the application be found incomplete with the following information to be submitted immediately: a. Provide the remainder of the fee for a new site plan application: - Flat fee of$500 (already submitted) - Plus $0.10 for each gross square foot of proposed construction; (3,520 sq. ft. x $0.10 = $352) b. Provide a completed owner affidavit and authorization form that includes the address of the owner on record and all necessary information. Portions of these forms were left blank; C. Provide the locations, names and widths of all rights-of-way within 500 feet of property lines. If none exist within 500 feet of the subject property, indicate the distance to the nearest intersection with a public street; d. Provide the location and use of all buildings and structures, including curb cuts, within 200 feet of the boundary of the subject property; e. Provide building elevations for proposed canopy and convenience store building showing any proposed changes including signage; f. Provide a completed Full Environmental Assessment Form; g. Provide nine (9) full size prints of the proposed site plan and additional pages, to include the stamp seal and signature of the NYS licensed professional preparing the plan, including the following: 6 i.. Provide the gross floor area for the existing 2-story building to remain, including a breakdown of the gross floor area of the first and second floors and any basement area. Ensure that all references to this building on the site plan and supplemental documents are consistent; ii. Provide the percentage of the principal building that the apartments occupy (:540%); iii. Provide the proposed lot coverage percentage (530%) including the canopy; iv. Provide spot elevations and/or contours to ensure all drainage proposed will perform pursuant to §236; v. Provide dimensions for the required 25' front landscaped area pursuant to §280-93; vi. Provide a 5' wide landscaped area in front of the proposed convenience store building pursuant to §280-93(B); vii. Provide the location and details of the proposed sanitary system; viii. Provide an adequate queuing plan that meets the Town Code; h. Provide a photometric plan pursuant to §172 for all proposed exterior light fixtures and the canopy. Cut sheet specifications for all proposed exterior light fixtures are required. L Provide sign renderings and dimensions for all proposed exterior signage pursuant to §280-80 of the Town Code; .G. Provide samples of the materials to be used for the canopy, including the canopy support columns and the underside of the canopy. 7 Southold Planning Department Checklist for Site Plan Application Completeness - Section 280-133 Project Name: JEMCAP Gas Station & Convenience Store Completed by: Brian Cummings Date: May 22, 2017 Received Comment A. Submission of a complete site plan application shall consist of: (1) A completed site plan application form. (2) The site plan review fee, as specified in Subsection B $500 submitted; below. Editor's Note: See now § 280-138, Fee schedule for X additional fees site plan applications. required (3) A completed environmental assessment form. X Provide LEAF (4) Nine copies of the site plan. X 1 large print; 38 si nal; Inconsistent (5) Four copies of a property survey, certified by a licensed land surveyor. B. Standards. Site plan design shall include the following items: (1) Technical data: (a) The lot, block and section number of the property, taken from the latest tax records. �l (b) The name and address of the landowner on record: [1] The names and addresses of adjoining landowners. [2] The name and address of the applicant, if not the same as the landowner. (c) The name and address of the person, firm or organization preparing the map, sealed with the applicable New York State license seal and signature. (d) Date, graphic scale and North point, whether true or magnetic; if magnetic, show the date of reading. �l (e) A survey prepared by a licensed surveyor or civil engineer. The site plan may reference a land surveyor's map or base reference map. All distances shall be in feet and hundredths of a foot. All angles shall be given to the nearest 10 seconds or closer. The error of closure shall not exceed one in 10,000. (f) The locations, names and widths of all rights-of-way within 500 feet of property lines. If none exist within 500 X feet of the subject property, indicate the distance to the nearest intersection with a public street. (g) A separate key map showing location and owners of all adjoining lands within 500 feet, as shown on the latest X tax records, at a scale of one inch equals 100 feet. (h) The location, width and purpose of all existing and proposed easements, setbacks, reservations and areas dedicated to public use within or adjoining the property. I. Checklist for Site Plan Application Completeness Southold Planning Department (i) A complete outline of other existing easements, deed restrictions or covenants applying to the property. (j) Existing zoning, including zone lines and dimensions. �l (k) Site plans drawn at the scale of one inch equals 20 feet. If all required information cannot be shown clearly on one plan, the information should be separated as X follows: [1] Alignment and schedule plan. [2] Grading and drainage. [3] Landscaping. [4] Other, e.g., site utilities. (2) Natural features: Received Comment (a) Existing contours with intervals of two feet or less, referred to mean sea level as per United States X Geological Survey datum. (b) Boundaries of any areas subject to flooding or stormwater overflows, tidal bays, saltwater marshes, beaches and all freshwater bodies, including wetlands N/A and intermittent streams, perimeter boundaries of shoreline bluffs„ dunes and beaches. (c) The location of existing natural features, including but not limited to natural drainage swales, watercourses, wooded areas and wetlands, as defined by the New Existing trees? York State Department of Environmental Conservation and the Board of Trustees of Southold Town, marshes, ponds, dunes, bluffs, beaches, kettleholes, X escarpments, wildlife habitats, flood hazard areas, erosion-prone areas and trees of six inches in diameter at a point three feet above the trunk base. (d) The location of any existing cultural and historical features within 500 feet of the property boundaries. N/A (3) Existing building structures and utilities: (a) The locations, dimensions and outlines of all buildings, as defined in § 280-4 of this chapter, and all uses of the �I site. (b) Paved areas, including parking areas, sidewalks and vehicular access between the site and public streets � (c) The locations, dimensions, grades and flow directions of any existing culverts, waterlines or sewage disposal systems, as well as other underground and X aboveground utility poles and utility lines within and adjacent to the property. (d) The location and use of all buildings and structures, including curbcuts, within 200 feet of the boundary of the X subject property. 2 Checklist for Site Plan Application Completeness Southold Planning Department (4) Proposed construction: Received Comment (a) The location of proposed buildings or structural improvements, indicating setbacks from all property �l lines and horizontal distances from existing structures. (b) The location and design of all uses not requiring structures, such as off-street parking and loading areas and pedestrian circulation. (c) The location, direction, power level and time of use for Not specified any proposed outdoor lighting or public address X systems. (d) The location and plans for any outdoor signs must be in Not specified accordance with applicable sign regulations. X (e) The location and details of aprons, curbs, sidewalks, fencing (type and location), and grading, including existing and proposed topography with two-foot contours (on site and 200 feet beyond the property line) X and spot elevations for buildings and all structures, drainage calculations, details of drainage structures and watershed areas, where applicable. (f) Grading and drainage plans shall be based upon site Calculations stormwater retention, in conformance with Chapter 161, X or spot provided; no elevations Highway Specifications. (g) The location and listing of landscaping, buffering and street tree plans, including type, material, size, quantity and location. (h) The location of water and sewer mains, electrical service, cablevision and telephone installations, ground transformers, fire wells and fire hydrants and/or any X alternate means of water supply and sewage disposal and treatment. (i) Building elevations for all facades and floor plans No canopy showing the proposed use of floor area. X elevations; Notes: N/A = Not Applicable Site Plan Application elements waivers: § 280-133 C. Notwithstanding the foregoing, the Planning Board shall have the discretion to waive any or all of the requirements of this § 280-133 by resolution at a duly noticed public meeting, for those applications involving modifications to existing structures with no substantial change to the existing footprint, where the Planning Board determines that such modifications or any change in use will not require significant changes to existing major site design features, as well as applications involving uses strictly related to agriculture (but excepting retail winery operations), if it determines such requirements are not necessary to protect and maintain the public health, safety, or welfare and to further the objectives set forth in § 280-129. 3 Checklist for Site Plan Application Completeness BOARD MEMBERS rjf so rr Southold Town Hall Leslie Kanes Weisman,Chairperson ti0 `, 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank ICA George Horning '� ,,..-YZ 54375 Main Road(at Youngs Avenue) Kenneth Schneider 1 cou Southold,NY 11971 http://southoldtown.northfork.net 02 t"L C N,'17 l -- ZONING BOARD OF APPEALS FCE � YFF- 5�I TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 APR 2 ` 2011 SouErk(11(�MEMO i- Planning Board TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: August 6, 2014 SUBJECT: Request for Comments ZBA #7079SE —JEMCAP SD1, LLC The ZBA is reviewing the following application, and enclosed copies of, ZBA application, and latest map. The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning), and your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. NAME TAX #I ' ZBA HEARING VARIANCE PLANS PREPARER ZONE DATE DATE STAMPED JEMCAP 55.-5- #7079SE TO BE 280-48B(12) 4/24/17 SD1, LLC. 9.1 DETERMINED B Zone Your comments are appreciated by one week prior to above hearing date. Thank you. Encls. 44 07q FORM NO. 3 S TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: February 2, 2017 RENEWAL:April 20, 2017 TO: Jemcap SD LLC 46770 Route 48 Southold,NY 11971 Please take notice that your application dated January 17, 2017 For permit to construct additions and alterations to covert an existink building to a gas station with convenience store and apartments at Location of property: 46770 CR 48, Southold,NY County Tax Map No. 1000 -Section 55 Block 5 Lots 9.1 Is returned herewith and disapproved on the following grounds: The proposed construction in the Business District is not permitted pursuant to Article XL Section 280-49. which states, "No building or premises shall be used and no buildinz or part thereof shall be erected or altered in the B District unless the same conforms to the Bulk Schedule and Parking and Loading Schedules inco orated into this chapter by reference with the same force and effect as if such re lations were set forth herein in full." According to Bulk Schedule a minimum single side yard setback of 25 feet is required. The existing altered building notes a single side yard setback of 19.7 feet. Furthermore the proposed project and use re uire special excgption approval from the Southold Town Zoning Board of ApIReals and site Rlan approval from the Southold Town Planning Authorized Signature Cc:File,ZBA,Planning Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. ZONING BOARD OF APPEALS TOWN OF SOUTHOLD,NEW YORK Phone(631)765-1809 (631)765-9064 APPLICATION FOR SPECIAL EXCEPTION Application No. Date Filed: TO THE ZONING BOARD OF APPEALS, SOUTHOLD,NEW YORK: Applicant(s), ✓� C'G.lftL LC_ of Parcel Location: House NOWT 70 Street 2i 9 8 Hamlet Contact phone numbers: C� Ra,—BD oiy 63(- 7(oY- 9 3--S C) _ 3-7. 17 3 sF- SCTM 1000 Section ` 5 Block �57 Lot(s) Lot Size Zone District hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE,ARTICLE ,SECTION ,SUBSECTION for the following uses and purposes: &jos S+C,J-hpyxCG-ViveP l sin-A-1 curs, JP- , &Ptoor qc�--sfcto,/'J etpa64/fMx as shown on the attached survey/site plan drawn to scale.Site Plan review[AKS or I I IS NOT required. A. Statement of Ownership and Interest: ZY1/1 G�-P L L C� is(are)thwner of property known and referred to as L}(o-7 l2f 48 1J (House No.,Street,Hamlet) identified on the Suffolk County Tax Maps as District 1000,Section ,Block_ _ —,Lot q. ( _ _,and shown on the attached deed. The above-described property was acquired by the owner on ��V/e/ B. The applicant alleges that the approval of this exception would be in harmony with the intent and purpose of said zoning ordinance and that the proposed use conforms to the standards prescribed therefore in said ordinance and would not be detrimental to property or persons in the neighborhood for the following reasons: C. The property which is subject of this application is zoned and[�/]is consistent with the use(s)described in the CO(attach copy),or [ ]is not consistent with the CO being furnished herewith for the following reason(s): [ ]is vacant land. COUNTY OF SUFFOLK) ss.: S -OF NEW YORK) re) o to before me this 2.>day f r i l ,20 �1 . tary Public) <:::I BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Coun Commission Expires July 18,1 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD,NEW YORK Phone(631)765-1809 (631)765-9064 r' APPLICATION FOR SPECIAL EXCEPTION `` Application No..,' Date Filed: Page 2 General to dards,please answer the following as it pertains to your j ect; A. The use will not prevent the orderly and reasonable use of/adjacent properties or of properties in adjacent use districts BECAUSE: /,/ B. The use will not prevent the orderly and reasonabl se of permitted or legally established uses in the district wherein the requested use is 1 ated or of permitted or legally established uses in adjacent use distrZBESE: C. The safety, the health, the welfare, t the conv01o . �c or the order of the town will not be adversely affected by thee and its on BECAUSE: D. The use will be in harmony ith and promote the general purposes and intent of Chapter 280-142 BECAUSE E. The use will be c mpatlbk with itsurroundings and with the character of the neighborhood and 'the community in general, particularly with regard to visibility, scale and overall appear ce BECAUSE: F. All propose structures, equipment, and material shall be readily accessible for fire and police pro ction BECAUSE: G. The proposal shall comply with the requirements of Chapter 236, Stormwater Management BECAUSE: PROPERTY ZONED B SPECIAL EXCEPTION CRITERIA: PRESUMPTIVELY VALID USE... ALLOWS OWNER TO PUT HIS PROPERTY TO A USE WHICH THE ORDINANCE EXPRESSLY PERMITS....THE USE IS CONTEMPLATED BY THE ORDINANCE SUBJECT TO REASONABLE CONDITIONS TO MINIMIZE THE IMPACT ON THE SURROUNDING AREA A. THE USE WILL NOT PREVENT THE ORDERLY AND REASONABLE USE OF ADJACENT PROPERTIES OR OF PROPERTIES IN ADJACENT USE DISTRICTS BECAUSE: The proposed gas station and convenience store is utilizing an existing structure. The parcel is 37,123 sq.ft. in size which is a generously sized parcel allowing for adequate traffic circulation for a gas station use. The proposed convenience store is an adaptive re-use of an existing building with an accessory residential apartment on the second floor. The residential use provides affordable rental and on site security. The properties to the east and west as well as north of CR 48 are commercial uses. The land to the south is agricultural. The proposed use will not prevent the orderly and reasonable use of the adjacent properties. B. THE USE WILL NOT PREVENT THE ORDERLY AND REASONABLE USE OF PERMITTED OR LEGALLY ESTABLISHED USES IN THE DISTRICT WHEREIN THE REQUESTED USE IS LOCATED OR OF PERMITTED OR LEGALLY ESTABLISHED USES IN ADJACENT USE DISTRICTS BECAUSE: The zoning is B which allows for a wide variety of permitted retail and service uses. Cr 48 is a major throughway in the Town of Southold and the proposed gasoline station with a convenience store is appropriately located on the subject parcel. Convenience stores provide for refreshments and bathrooms, during off hours,to the traveling public. C. THE SAFETY,THE HEALTH,THE WELFARE, THE COMFORT,THE CONVENIENCE OR THE ORDER OF THE TOWN WILL NOT BE ADVERSELY AFFECTED BY THE PROPOSED USE AND ITS LOCATION BECAUSE: The proposed use is a permitted use, by special permit. The use is presumed to be an allowed use. The proposed site plan addresses the safety,health,welfare, comfort and convenience to the Town. D. THAT THE USE WILL BE IN HARMONY WITH AND PROMOTE THE GENERAL PURPOSES AND INTENT OF CHAPTER 280-142 BECAUSE: § 280-143 Matters to be considered. In making such determination, consideration shall also be given, among other things,to: A. The character of the existing and probable development of uses in the district and the peculiar suitability of such district for the location of any of such permitted uses. The surrounding uses are consistent with B zoning. B. The conservation of property values and the encouragement of the most appropriate uses of land. The proposed gas station and convenience store is proposing a significant investment in the improvement of the property. 35% of the property is to be landscaped. This is a significant improvement to the existhig conditions of the properly. C. The effect that the location of the proposed use and the location that entrances and exits may have upon the creation or undue increase of vehicular traffic congestion on public streets, highways or sidewalks to assure the public safety. The proposed site plan has a well considered engineered design for entrance and exits from the property. D. The availability of adequate and proper public or private water supply and facilities for the treatment, removal or discharge of sewage, refuse or other effluent(whether liquid, solid, gaseous or otherwise) that may be caused or created by or as a result of the use. Public Water is available and will be provided to the property_._The gas station use is heaviy regulated by New York State and the County of Suffolk. E. Whether the use or the materials incidental thereto or produced thereby may give off obnoxious gases, odors, smoke or soot. No odors are generally experienced at a gas station. Gas fumes are re-captured by current technology. F. Whether the use will cause disturbing emissions of electrical discharges, dust, light, vibration or noise. Not applicable issue G. Whether the operation in pursuance of the use will cause undue interference with the orderly enjoyment by the public of parking or of recreational facilities,if existing or if proposed by the Town or by other competent governmental agencies. Not applicable H. The necessity for bituminous-surfaced space for purposes of off-street parking of vehicles incidental to the use and whether such space is reasonably adequate and appropriate and can be furnished by the owner of the plot sought to be used within or adjacent to the plot wherein the use shall be located. Traffic circulation is well designed, the use of the gas station and convenience store will be generally simultaneouslyused. I. Whether a hazard to life,limb or property because of fire,flood, erosion or panic may be created by reason of or as a result of the use or by the structures to be used therefor or by the inaccessibility of the property or structures thereon for the convenient entry and operation of fire and other emergency apparatus or by the undue concentration or assemblage of persons upon such plot. Not applicable J. Whether the use or the structures to be used therefor will cause an overcrowding of land or undue concentration of population. The parcel is just under one acre in size and the existing building is only 3.38% lot coverage. The canopy is not living space, the accessory apartment is proposed on the second floor of the existing building. No overcrowding of the land is proposed. K. Whether the plot area is sufficient, appropriate and adequate for the use and the reasonably anticipated operation and expansion thereof. The parcel is a large open parcel L. Whether the use to be operated is unreasonably near to a church, school, theater, recreational area or other place of public assembly. The use is in the center of commercial development on CR 48. M. Whether the site of the proposed use is particularly suitable for such use. The parcel is particularly suited for this use. N. Whether adequate buffer yards and screening can and will be provided to protect adjacent properties and land uses from possible detrimental impacts of the proposed use. Generous and code compliant 35% landscaping is proposed with all buffers, as required. O. Whether adequate provision can and will be made for the collection and disposal of stormwater runoff, sewage, refuse and other liquid, solid or gaseous waste which the proposed use will generate. Town Code 236 compliance is shown on the site plan. P. Whether the natural characteristics of the site are such that the proposed use may be introduced there without undue disturbance or disruption of important natural features, systems or processes and without risk of pollution to groundwater and surface waters on and off the site. The parcel is flat and poorly maintained. The proposed gas station and convenience store will enhance the view and use of the property. E. THE USE WILL BE COMPATIBLE WITH ITS SURROUNDINGS AND WITH THE CHARACTER OF THE NEIGHBORHOOD AND OF THE COMMUNITY IN GENERAL, PARTICULARLY WITH REGARD TO VISIBILITY, SCALE AND OVERALL APPEARANCE BECAUSE: The proposed convenience store will re-use an existing building. The architectural style is to appear as a "country store"with the modern conveniences. F. THAT ALL PROPOSED STRUCTURES, EQUIPMENT AND MATERIAL SHALL BE READILY ACCESSIBLE FOR FIRE AND POLICE PROTECTION BECAUSE: The proposed gas station will have the canopy for fire suppression. The accessory apartment will have direct access to the outside and meet building code standards. The accessory apartment will have the views to the south, agriculture. G. THE PROPOSAL SHALL COMPLY WITH THE REQUIREMENTS OF CHAPTER 236, STORMWATER MANAGEMENT BECAUSE: Town Code 236 storm water calculations are provided on the site plan. Thank you. Patricia C. Moore APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: Jemcap SDI LLC Date Prepared: April 3,2017 I. For Demolition of Existing Building Areas Please describe areas being removed: NONE See attached1p ans II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Interior alterations to existing building and exterior renovation Dimensions of new second floor: Accessory apartment added over existing building Dimensions of floor above second level: none Height(from finished ground to top of ridge): oW S- 1�/UW Is basement or lowest floor area being constructed? If yes,please provide height(above ground) No measured from natural existing grade to first floor: III. Proposed Alterations or Interior Structural Changes without enlargement/extension (attach extra sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: existing one story retail building renovations: proposed alterations to existing building and second floor addition to existing building Number of Floors and Changes WITH Alterations: two story Continue: IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: Total Existing: House and existing building 2,543 (6.85o Proposed increase of building coverage: 0 (removal of a building) Square footage of your lot: 37,123 sq.ft. Percentage of coverage of your lot by building area: Building 1,516.04 (3.38%) canopy: 80' x 441=3,520 sq.ft. (13% lot coverage) V. Purpose of New Construction Requested: to construct new gas station and convenience store with an accessory apartments above. VI. Please describe the land contours (flat, slope%, etc.) as exist and how it relates to the difficulty in meeting the code requirement(s): flat Please submit seven(7)photos, labeled to show all yard areas of proposed construction after staking corners for new construction), or photos of existing building area to be altered(area of requested changes). 7/2002; 2/2005; 1/2006 QUESTIONNAIRE SPECIAL EXCEPTION FOR FILING WITH YOUR ZBA APPLICATION 1. Has a determination been made regarding Site Plan review? ✓Yes No If no,please inquiry with the ZBA office and if site plan is required,you may apply to the Planning Dept. at the same time so both applications can be reviewed concurrently. 2. Are there any/proposals to change or alter land contours? a. .✓ No Yes please explain on attached sheet. 3. Are there areas that contain sand or wetland grasses`? /ala a. 2.)Are those areas shown on the survey submitted with this application? b. 3.)Is the property bulk headed between the wetlands area and the upland building area? c. 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the trustees: and if issued,please attach copies of permit with conditions and approved survey. 4. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? Nv 5. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? No Please show area of the structures on a diagram if any exist or state none on the above line. 6. Do you have any construction taking place at this time concerning your premises? /10 If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: 7. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to obtain copies of them. 8. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes,please label the proximity of your lands on your survey. 9. Pl ase list present use or operations conducted at this parcel �i15�C�y�rirl7Es E( �day' ��� �I as fl ttd P and the proposed use EO 5fff1C�} � e.271/6 _aL.r,e ;kp7 a�rta��yy ap7--.{ex:existing single family,proposed:same with garage,pool or other or vacant proposed office with apartmcn&above,etc.) -7 Authorized signature and Date FORM NiO. 4 t TOWN OF SOUTHOLD BUILDING DEPARTMENT "OWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE 13F OCCUPANCY No. Z. . 5 . .. . Date . . . .. .... .. .... .00.00P .. 21. ., 140. . . THIS CERTIFIES that the building located at /9 . .91401Q.JR09LO . . . , , . . , . Street Map No. AM. . . . .. . Block No. ?q:K .. .. .. .Lot No'K -X . . . sQlAhoXA1. NfY) k . ... . . . . conforms substantially to the AppIication for Building Permit heretofore filed in 11 t 's ice dated . . . Aa !gFPM . . . . . 10. pursuant to which Building Permit No. dated . .. . . .. .. . .Fab. . . .1zf: .. ., 19.66., was issued, and conforms to all of the require- ments -of the applicable provisions of the law. The -occupancy for which this certificate is issued is . .Husi~nes.s .blilding(off.2c.0)•.. . . . ... . . . . .. .. . . . . .. . . .. .. . . . . .. ...... . . . The certificate is issued to . ..A?nq .At .SP!M....... kmely. • . . .. .. . . ....... .. (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval 021.- .90.t.2-0 0. 3.96h .by. .R.+. .Vi1.1& . 1 Building Inspector vk l f� 4 i R .y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C MIFICATS OF OCCUPANCY No E-23295 Date OCTOBER 19, 1994 THIS CERTIFIES that the building ADDITIOW Location of Property 4677Q CDUIiTY ROiAD X48 SODTHOLD NB4P YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 5 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DSCEMB M 7, 1993 _pursuant to which Building Permit No. 21849-E dated DECMMM 20, 1993 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 HANDICAP RAMP ADDITION TO EEISTIHG RETAIL RUSINBSS BUILDIN AS APPLIED 7M. The certificate is issued to PRB BROPERTINS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H/A PLUMBERS CERTIFICATION DATED N/A ilding I speCtor Rev. 1/81 i AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This forin must be completed by the applicant for any special use permit, site plan approval,use variance,area variance or subdivision approval on property ivithin an agricultural district OR within 500 feet of a farmi operation located in an agricultural district. All applications requiring an agricultural data statement Hurst be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: (�i2:" -5 Q 1 0 1--(—C _ 2. Address of Applicant: 7 d K-P9' 3. Name of Land Owner(if other than Applicant): rt . 4. Address of Land Owner: 5. Description of Proposed Project: &405ed qez.& i canyco, Ct aft :2tj 0 6. Location of Property:(road and Tax map number) 41 Cv 77C CP— i/8. ., lobo � •— � . 1 _. 7. Is the parcel within 500 feet of af operation? {t�''�es {}No 8. Is this parcel actively farmed? (4Yes { }No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) y 3 l 7 Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their faun operation. Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. Full Environmental Assessment Form Part 1 -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part lis accurate and complete. A.Project and Sponsor Information: Name of Action or Project:, y&M e%4 f 5D _j. L LC— Project Location(describe,and attach a general location map): 4(,T� o 12-�- 48 Brief Description of Proposed Action(include purpose or need): ���bStci C ek& F5 v-hovt macA CznV" I��D�(cc ,►J�LJ �C.i-C'sSc�y ��ivV►c� . Cle, cwt- o o nP Name of Applicant/Sponsor: Telephone: Vl 1-- -0 - Ll 3 3 16-m C.A,-19 Sp ( L L C E-Mail: Moore (;' coke s' Address: L� 7 O �T ; ( a City/PO: S e>V tk 61 ` State: Zip1 o�: i Ci I c Project Contact(if not same as sponsor;give name and title/role): Telephone: 31. -7(oS-- H Y3 TCJ OA OD r E-Mail: K OUP {"t.00( a��(. Address- S-10-2-0 ddress: S.iODC7 City/PO: O �� State: � Zip Code: l v l J (91 I Property Owner (if not same as sponsor): Telephone: E-Mail: Address: City/PO: State: Zip Code: Page 1 of 13 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes: Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑Yes o or Village Board of Trustees b.City,Town or Village es❑No }�a I _S?(a h aW< -�j� k / ' Planning Board or Commission 1 `1 (Z — c.City Council,Town or Yes❑No I Village Zoning Board of Appeals 5o w-V�o ICJ Z' g• y— 2-1 — 17 d.Other local agencies E]YesDgo e.County agencies es❑No D f.Regional agencies ❑YesPiRo g.State agencies L..•es 4(, h.Federal agencies ❑Yes TT0 i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? 0Yes2KD ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? M'�esoNo iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes L o C.Planning and Zoning C.1.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ❑Yes❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site esONo where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action CKesONo would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ❑Yes o Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, []Yeso or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. es❑No If Yes,what is the zoning classification(s)including any applicable overlay district? b. Is the use permitted or allowed by a special or conditional use permit? EKesElNo c.Is a zoning change requested as part of the proposed action? Oyeso If Yes, i.What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? SUc)4 1d b.What police or other public protection forces serve the project site? c.Which fire protection and emergency medical services serve the project site? d.What parks serve the project site? D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industria commereia ecreational if rmxe"include all components)? CcS oti1 rn � lb. ra b.a.Total acreage of the site of the proposed action? �g acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? d acres c.Is the proposed action an expansion of an existing project or use? EfYesE3No i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % 0 - Ae—AmZk ant,E&u}rr% Units: IJ 1A d.Is the proposed action a subdivision,or does it include a subdivision? [W es Cl1=+ If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) ii. Is a cluster/conservation layout proposed? ❑Yes ED90 id.Number of lots proposed? iv.Minimum and maximum proposed lot sizes? Minimum _ Maximum e.Will proposed action be constructed in multiple phases? Cl Yes o L If No,anticipated period of construction: months ii. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1 (including demolition) month year • Anticipated completion date of final phase month year • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases:, Page 3 of 13 f.Does the project include new residential uses? ❑Yes o If Yes,show numbers of units proposed. One Family Two Family Three Famil Multiple Family four or more Initial Phase At completion of all phases _ g.Does the proposed action include new non-residential construction(including expansions)? Ycs❑No If Yes, L Total number of structures ii. Dimensions(in feet)of largest proposed structure: 3j' height; g width; and Sb length iii.Approximate extent of building space to be heated or cooled: I i.sDp square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any []Yes o liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, L Purpose of the impoundment: U. If a water impoundment,the principal source of the water: ❑Ground water❑Surface water streams❑Other specify: iii. If other than water,identify the type of impounded/ untamed liquids d their source. iv. Approximate size of the proposed impoundment.NJA Volu million gallons;surface area: acres v. Dimensions of the proposed dam or impounding structure: tijA height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): - D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑Yes o (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. iv. Will there be onsite dewatering or processing of excavated materials? IjYes❑No If yes,describe. v.What is the total area to be dredged or excavated? acres vi.What is the maximum area to be worked at any one time? acres vii.What would be the maximum depth of excavation or dredging?_ feet viii.Will the excavation require blasting? ❑Yes❑No ix. Summarize site reclamation goals and plan: _ b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment []YesE o into any existing wetland,waterbody,shoreline,beach or adjacent area? (kl1A) If Yes: L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 ii. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: iii. Will proposed action cause or result in disturbance to bottom sediments? ❑Yes o If Yes,describe: 110 iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? ❑YeSffNO If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: • purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): • proposed method of plant removal: • if chemical/herbicide treatment will be used,specify product(s): v.Describe any proposed reclamation/mitigation following disturbance: c.Will the proposed action use,or create a new demand for water? El Yes If Yes: i. Total anticipated water usage/demand per day: 15 gallons/day CQeCWC-b n �/' ii. Will the proposed action obtain water from an existing public water supply? ®Yes❑No If Yes: • Name of district or service area: • Does the existing public water supply have capacity to serve the proposal? es❑No • Is the project site in the existing district? MesE]No • Is expansion of the district needed? ❑Yes�o • Do existing lines serve the project site? RrYes❑No iii. Will line extension within an existing district be necessary to supply the project?(N,,+ ❑Yes•21�o If Yes: • Describe extensions or capacity expansions proposed to serve this project:1,4— • Source(s)of supply for the district: yy _ iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑ If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • Proposed source(s)of supply for new district: v. If a public water supply will not be used,describe plans to provide water supply for the project: vi.If water supply will be from wells(public or private),maximum pumping capacity:—I'=gallons/minute. d.Will the proposed action generate liquid wastes? � Yes__ If Yes: i. Total anticipated liquid waste generation per day: 0� &PP gallons/day e c-1%Ve t1%Cblce Stcri`e- ISn 6pD ii.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): WckS - iii. Will the proposed action use any existing public wastewater treatment facilities? ❑Yes 2f] o If Yes: • Name of wastewater treatment plant to be used: • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No • Is the project site in the existing district? ❑Yes❑No • Is expansion of the district needed? ❑Yes❑No Page 5 of 13 • Do existing sewer lines serve the project site? ❑Ycs n • Will line extension within an existing district be necessary to serve the project? []Yes No If Yes: • Describe extensions or capacity expansions proposed to serve this project: iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? E1Yes@1qo If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • What is the receiving water for the wastewater discharge? v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): vi.Describe any plans or designs to capture,recycle or reuse liquid waste: e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point E]YesETNo sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point 75 A�_) source(i.e.sheet flow)during construction or post construction? If Yes: L How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) ii.Describe types of new point sources. iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off si a surface waters)? It t! JkS 17 VV P 01,f • If to surface waters,identify receiving water bodies or wetlands: `14 :A • Will stormwater runoff flow to adjacent properties? ❑Yes o iv.Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑YesES f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel E]YesEKo combustion,waste incineration,or other processes or operations? If Yes,identify: L Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, []Ycsef4o or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air quality standards for all or some parts of the year) U. In addition to emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO,) • Tons/year(short tons)of Nitrous Oxide(N20) • Tonslyear(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • To year(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, []YesffNo landfills,composting facilities)? If Yes: i. Estimate methane generation in tons/year(metric): ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity,flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as EJYes9Tq0 quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial Elyes2f4o new demand for transportation facilities or services? If Yes: i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend ❑Randomly between hours of to U.For commercial activities only,projected number of semi-trailer truck trips/day: iii. Parking spaces: Existing Proposed_ Net increase/decrease iv.Does the proposed action include any shared use parking? ❑Yes❑No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private transportation service(s)or facilities available within''/2 mile of the proposed site? s❑No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ® es❑No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑YesEJNo pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑Yes[]No for energy? If Yes: L Estimate annual electricity demand during operation of the proposed action: ii.Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): iii. Will the proposed action require a new,or an upgrade to,an existing substation? ❑Ycs No 1.Hours of operation. Answer all items which apply. L During Construction: ii. During Operations: TQ' ''''►w"�A • Monday-Friday: 0 Monday-Friday: • Saturday: • Saturday: • Sunday: 0 Sunday: 6Am ja orn • Holidays: • Holidays: 6 et yo - l0 +M Page 7 of 13 m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, 0 Yes ffNo operation,or both? If yes: L Provide details including sources,time of day and duration: ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes[]No Describe: n..Will the proposed action have outdoor lighting? Yes[]No If yes: L Describe source(s), location(s),height of fixture(s),direction/aim,and proximity to nearest ccupied structures: Cc .ani fir s ks . ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes Mo Describe: o.Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes o If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) es❑No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: L Product(s)to be stored_ GA ck So(t h P H. Volume(s) d Oper unit time Aka }y, (e.g.,month,year) w iii. Generally describe proposed storage facilities: ,r rc',jy'1A C2, 4" - M q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes Pf4o insecticides)during construction or operation? If Yes: L Describe proposed treatment(s): H.Will the proposed action use Integrated Pest Management Practices? ❑ Yes ❑N r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes BNo of solid waste(excluding hazardous materials)? If Yes: i.Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per .(unit of time) • Operation: tons per (unit of time) U. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: iii.Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8of13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑Yes ENo If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life: years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous OYesFJNO waste? If Yes: L Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ii. Generally describe processes or activities involving hazardous wastes or constituents: iii.Specify amount to be handled or generated tons/month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents:_ v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? ❑Yes No If Yes:provide name and location of facility: If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.1.Land uses on and surrounding the project site a.Existing land uses. i. Check all uses that occur op;adjoining and the project site. ne ❑ Urban ❑ Industrial 9 Commercial Residential(suburban) El Rural(non-farm) [I Forest [Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion _ (Acres+/-) • Roads,buildings,and other paved or impervious oZ coo :t_ (p 33 C F 1 i b 3 3"- surfaces • Forested _ O 0 • Meadows,grasslands or brushlands(non- © O agricultural,including abandoned agricultural) • Agricultural Q (includes active orchards,field,greenhouse etc.) • Surface water features (lakes,ponds,streams,rivers,etc.) 0 O • Wetlands(freshwater or tidal) Q Q d • Non-vegetated(bare rock,earth or fill) 0 d • Other Describe: Page 9of13 c.Is the project site presently used by members of the community for public recreation? D YcsffNo i.If Yes:explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed E]YesMoNo day care centers,or group homes)within 1500 feet of the project site? If Yes, L Identify Facilities: e.Does the project site contain an existing dam? ❑Yes No If Yes: i.Dimensions of the dam and impoundment: • Dam height: feet • Dam length: feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classification: W. Provide date and summarize results of last inspection: f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Ycs' o or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation: ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: W. Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin El Yes0f, property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: i.Describe waste(s)handled and waste management activities,including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes No remedial actions been conducted at or adjacent to the proposed site? If Yes: i.Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑YesENo Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii.If site has been subject of RCRA corrective activities,describe control measureq: oe W. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? [--]YcsWNo If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property uses? ❑Yes No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): • Describe any use limitations:. • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑Yes❑No • Explain:, E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? 1 . feet b.Are there bedrock outcroppings on the project site? ❑Yes o If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: 511WD'Y LO* l °Io d.What is the average depth to the water table on the project site? Average: /0 feet e.Drainage status of project site soils: Well Drained: .00 %of site ❑ Moderately Well Drained: %of site ❑ Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: [0-10%: /00 %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? LJYesB2No If Yes,describe: h.Surface water features. i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes53`No ponds or lakes)? H.Do any wetlands or other waterbodies adjoin the project site? ❑YesONo If Yes to either i or ii,continue. If No,skip to E.21 iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes B<o state or local agency? iv.For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification • Lakes or Ponds: Name Classification • Wetlands: Name _ Approximate Size_ • Wetland No.(if regulated by DEC) v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes Wo waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway? ❑Yes D} o j.Is the project site in the 100 year Floodplain? ❑Yes to k.Is the project site in the 500 year Floodplain? ❑Yes Wo 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? [ es❑No If Yes: i.Name of aquifer: C—a-0t1,1M7 W ATG – Page 11 of 13 m. Identify the predominant wildlife species that occupy or use the project site: n.Does the project site contain a designated significant natural community? ❑Yes o If Yes: i. Describe the habitat/community(composition,function,and basis for designation): U. Source(s)of description or evaluation: W. Extent of community/habitat: • Currently: acres • Following completion of project as proposed: acres • Gain or loss(indicate+or-): acres o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑YeslffRo endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of Yes o special concern? q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes o If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes o Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? [-]YesEgKo i. If Yes:acreage(s)on project site? H. Source(s)of soil rating(s): c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑YesEKo Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature ii. Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes o If Yes: i. CEA name: U. Basis for designation: X.Designating agency and date: Page 12 of 13 e.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district ❑Yes Vo which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: L Nature of historic/archaeological resource: El Archaeological Site ❑Historic Building or District U.Name: iii. Brief description of attributes on which listing is based: f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for E]YesErNo archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? Elyes2f4o If Yes: i.Describe possible resource(s): U. Basis for identification: h.Is the project site within fivesmiles of any officially designated and publicly accessible federal,state,or local es❑No scenic or aesthetic resource? If Yes: i.Identify resource: d A-p 5 U.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): _ S���LJc C— y y1"s iii. Distance between project and resource: f miles. L Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes o Program 6 NYCRR 666? If Yes: L Identify the name of the river and its designation: ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑Yes❑No F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name Date q 121 L 7 Signature _ Title PRINT FORM Page 13 of 13 Board of Zonintr Anneals Analication AUTT-10RIZATTON (Where the Applicant is not the Owner) 1, 1,�.s:7t tl 1 ; �r!c'_:;�� residing at (Print property'owner's name) (Mailing Address) do hereby authorize �)�I i E i ! A ` (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. f ( wner's Signature) (Print Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of_interest on the part of town officers and employees.Thg_purpose of tills form is to provide information which can alert the town of vossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: C+P c5P l I L L( (Last name,first name,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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance x Trustee Permit Change of Zone Coastal Erosion - Approval of Plat Mooring _ Other(activity) !� e�e to 10vc t_�- Planning 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 If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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 non-corporate 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 �j day aP 3 920 1-7 Signature Print Name 02A0,,,^4 P1 AZ5 A AGENT/REPRESENTATIVE 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: pct e,ow (Last name,first name,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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance +/ Trustee Permit Change of Zone _ Coastal Erosion Approval of flat Mooring Other(activity) 4azy keyo Planning 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►v ich the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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 non-corporate 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 20 Signatu r Print Name Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except mirror exempt actions including Building Permits acrd other ministerial per nrits not located within the Coastal.Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si nificant beneficial and adverse effects upon the coastal area --(which includes all of Southold Town . 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 ex laiuned in detail -listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy ofthe 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 SCT*# 65- - S' -�1� PROJECT NAME :3--e- Yl C 0 P 1 LLC- The LC- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board M Building Dept. ❑ Board of Trustees ❑ Z Pd X 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit, approval, license, certification: ❑ Nature and extent of action: E G m v1 ted eA aA , c e cs car Location of action: 4 (' 77o C Site acreage: 3-7, i-23 Sal Present land a se: M6usrsi�� c z Present zoning classification:_ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Q7j---(M c A-PC— (b) Mailing address: ri (c) Telephone number:Area Code( (d) Application number,if ajiy: Will the action be directly undertaken,require funding;or approval by a state or federal agency? Yes 11 No If yes,which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. R Yes ❑ No N of Applicable t &— CI usaA S a " rl ' _ e pace Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III I—Policies agPages 3 through 6 for evaluation criteria El L l Yes LJ No F 1 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria EYes ❑ No ❑ Not Applicable +e_ S c-0-- I .4 VD-D1--D1-A6 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No u Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria —I Yes ❑ No Not Applicable 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. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable I tn� Vt7 v� Yn ok- `s G �o (Va-)c rctzk PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No Q Not Applicable 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 ❑ No ffNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ffyes ❑ No❑ Not Applicable rt S C7►'1 Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No Ef Not Applicable PREPARED BY TITLE DATE Amended on 811105 C) SOUTHOLD PLANNING DEPARTMENT y SITE PLAN APPLICATION REQUIREMENTS SUMMARY-µµ Ty The following is a summary of the items typically required for a complete site plan application (See the Site Plan Application Guide for further information &relevant Town Code sections): I1�/Site Plait Application V,"oras /Fee. Check payable to Towrr of s.°,nitliold (see °hown. Code §250••138 for fee sched Ig j1: ��� �� . �Notice of I)isapproval t"roan Bijildirrg Departniel A.pplicant s Apt-fatfa�vil: Z{•� gent Autho:riz�atik�n a.ctte�- WRP Consistency Assessment Form (livor: pages) hall Environmeaital Assc,ssaient 1"orni ( art[,'Al,- Dfs ' Daae -digital fillable flornis available online at the NYSDEC website) (Short Form EAF may be sufficient—this is determined at the pre-submission eonfer once in Plarinh)g) t°.1 Proof of Lot Recognition pursuant to Town Cod ,2gf q,l aK ) en r riti to W a (�; a P M Survey Prepared by Licensed Surveyor or Civil Frigill c , tq oCkoA � I'D .� /Existing site conditions(can be part of Survey required above), inclladtng fi)'�aalklings,pavement, drainage structures,utilities and the following natural features: •,l 61k P�Lr) o Topography o Wetlands, water bodies o Woodlands _ o Dunes, beaches, etc. o Trees >/= 6"dbh o Slopes 20%or greater o Flood hazard areas o Cultural &historic features within 500' of property boundaries E� " Site Development Plan/(Nine copies) �e4 v - • Proposed buildings,parking, curbs, sidewalks, driveways, signs, other improvements o Location, name &width rights-of-way within 500' of property lines o Location and use of all buildings and structures, including curb cuts, within 200' of the property boundary. o Show all easements and required setbacks on the plan o Describe all covenants or restrictions and/or easements on the property o Key map of location & owners of all properties within 500' , (Trnrlinv and T)rninnaP Plan with Cnlriilatinn.c (if not inrliaded in .cite nlnn)✓ Lh n�n,Yl C3""'Landscape Plan(if not included in site plan)✓Ui ❑ Lighting Plan(see "Guidelines for Good Exterior Lighting Plans") —,-T- b-(,"CA--p R"Floor plans VIBuilding Elevations & other Architectural Review Materials as necessary - see the Architectural Review Committee Checklist. V Site Plan Application Requirements Summary 1 012 112 01 3 SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM �. renin U Site Plan Name and Location � � Site Plan Name --------- C- °j? 1 , l Application Date: / / /7 . _�.. — Suffolk County Tax Map#1000-urS - S— - Other SCTM#s 5 9 . Street Address. 77 7 d Hamlet: ; : Xx Distance to nearest intersection. y6• 573 -6 -6 �( 5 �-L A1� ,. .. .�m Type of Site Plan: V/New Amended Residential Zoning District Owners/AL-ent Contact Information Please list nmenutilw t..rcl � �s, "d )holiunumberir.the xc?pe below . Property Owner 1 L l--C Street. .. ...........W .......... 19,07— City State.... zi"p I Home Telepltcne Other Applicant �.... -,�, � �. � . _. _ Street "i:y .....__ _State ...... ... lip Home l el��.photi _.__ _Other ........ ------ ------ -----—------------------... Applicant's Agent or Representative: Contact Person(s)*. ... . m_ .. .�. ......� . �� � Street ... ,S—(_(,)_-zo os - OaA city_ ��..�u � t � State � �ll� - � � ��....f, 3-30--other Office Tel;ll7ate.m 3 ..� 1., * will be sent only to the contact let oil noted Here Unless otherwise t rltt to 1, correspondence p t tl tice Site Plan Application Form 2/18/2010 Site Data / Proposed construction type: New -./ Modification of Existing Structure Agricultural (°lan e of use Property total acreage or square footage: "371 ) ac./sq. ft. Yee m Site Plan build-out acreage or square footage: ate.,sq. ft. Is there an existing or proposed Sale of Development Rights .............__- - g property? Ri hts on the Yes No If yes, explain:_ _ ...... Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y A [fG`"yes", es , exp lai (and.(an�.d attach tach an Y necessary documentation title r..e..portsubdivision n approv.a. ..,..etc) . .: �VC iait ,- 83 t "., t ...:., t i r.'t .::...� c 1 1 / I ' Building Department Notice of Disapproval Date ....__ _ ___ Is an application to the Southold Town Zoning Board of Appeals required? Yes ✓ No If yes, have you submitted an application to the ZBA? Yes ✓ No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: ( k, List all proposed property uses. F c '��, � �_ � ... ..t. Other accessory uses. -- - . : � Canop Existing lot coverage �d fl 1 sed 1.. __ - - . ..... l of coverage: I % � floor area of existingstructures . ft. Gross floor area of proposed D Oa�y2 52— Gross q p p structure(s)�,�.._.. ._.........._____.. ® .. ............................................................ Parking w �� Space of existing spaces #of proposed spac esT_ Loading Berth Yes_✓No . Landscaping Details: Existing landscape coveag Q / proposed landsca e coverage %p __ .. . . -_ . ® ......__. Wetlands. Is this property within 500' of a wetland area? Yes No ✓Maybe I, the undersigned, certify that all the above information is true. Signature of Preparer:� � :.e — Date° .. �... ......... 2 Site Plan Application Form 2/18/2010 APPLICANT'S AFFIDAVIT APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK r. ..._1°-ving duly sworn, deposes and says that he resides at in the u State of New York, aPA l�4et-���-:,�::,�.:-�� yl��ted at'; m Y'1`Y''` _ v or that he is the lr �Z of the ..,w�' L c __. (Specify � _ _ _.. ....... ee (Title) p y wh tker Partnership or Corp.) and said Corporation is the owner of the above property, which is hereby making a Site Plan application; that there are not existing structures or improvements on the land which are not shown on the Site Plan; that the title to the entire parcel, including all rights-of-way, has been clearly established and is shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has exammed all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be alter or changed in any inanner without the approval of the and that the actual physical improvements will be installed in sw gacor c w"t c plan as approved by the Planning Board. Signed ' . Signed (Partner or Officer andTitle) � .... r � y')of � b� Sworn to me this tLs�s ssmsssssssarssle , T� day of M�Qvr �f vW. 4 , !. otary �� F���P,� AUTHORIZATION (Where the Applicant is not the Owner) � residing at (Print property owiier's name) (Mailing Address) (1 do hereby authorize �`'! '(;� ( " (Agent) 1fV\�� T��t-•tiJ \,.jam '��.�``S 1'�l°.rl- �.•i rJ E f... E_' ✓ r � `wl er"§ .. °��" Signature) (r... �,ri "fir (Print Owner's Name) 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 10% it of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: �1 _. d s.., Last,First,middle initial unless you are applying in the name of someone else or other entity, such as a company. ltso, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan ..............n. 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. `Businc" 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-�(_ If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her spouse, sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C. an officer,director,partner or employee of the applicant;or D the actual applicant Description of Relationship .. Submitted this 3 day of / 20 l ,, Signature ....._ dMLPrint Name h eq1 . �+ rye(_ "t P I Disclosure Form FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: February 2, 2017 RENEWAL: April 20, 2017 TO: Jemcap SD LLC 46770 Route 48 Southold,NY 11971 Please take notice that your application dated January 17, 2017 For permit to construct additions and alterations to covert an existing building to a gas station with convenience store._and a aartments at Location of property: 46770 CR 48, Southold, NY County Tax Map No. 1000 - Section 55 Block-5. Lots 9.1 Is returned herewith and disapproved on the following grounds: 1.? .pyc_lcrcl.... cliaclNw .nrrIc_IN,Ms1� s,iClm _lN, �N�cd �. i�c,R iea,���d11.wc1 Caatd �� t �.:rrttc �ar_. 1, ,,9�ea�,.. it) ,,. which states, "No building_or premises shall be used and no building_or part thereof shall laa erected or altered the w .. ) ,.g ward l oklllditig_ t laell.ttics l District tatr�y dla gal. afar__.�t.I,li. ..a .. 1laa.........�a�.tc(lCrlc �ttrel �„�rlctt ut cma rl aar:atc(l iwo dl�i Mal to a tl y t'e Ctn ai.,.s Wit 11 %11T)c Carr alld effect. its i I to it r+�t?'ta_l�lI iolls we're c s" t. forth herein in full.” ccojxjI. t to ll a 5..g.l.) ri°diir,ptattttaa_sia_g a _siidt ,yki� .,;ctb cls of 5 la,et,iw rCgl. rc(1.:. Theexistm aa:ltcTed building notes a single side„yard etb;ic k of 19 7„feet . 1 antther�tt carc ;ld.!..0 aatpaa a d...l o co aw] trsc: ra afa�irme la ,dai el tuaara, :t�p0aav4t;l,, is a Clac sad..... .�.... wMa c'rauiaag, Ilotircl of AI211 rl raacl, al+ ..l �aaa....tppic.,mll limon I,Ircotitlrcalal I c,NVar Nlkili �Nrag klo�racf, Authorized Signature Cc: File, ZBA, Planning Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: February 2, 2016 TO: Jemcap SD LLC 46770 Route 48 Southold,NY 11971 Please take notice that your application dated January 17, 2017 For permit to construct additions and,alterations to covert an existiligjjuildi iLi tp ELg sstati)i^ith convenience, store and apartments at Location of property: 46770 CR 48, Southold,NY County Tax Map No. 1000 - Section 55 Block-5. Lots 9.1 Is returned herewith and disapproved on the following grounds: Tfie Dr000sed cojistruction in the Busi less3 �Lp�irt Article X1, Section 280-49. District is not permitte t which states, "No buildin . or prernises shall beusedand nobuildifi or part tbemof shall e erected or altered in the B District utfless the sarrie conforins to the Bulk Schedule and.Parking.,and"Loadirig,Schedules ipqqrpqKg1ed into this cha1geLnge witli the saine force and effect as if such r ations were:set " forthhereinin full." According to Bulk Sche Jul a inininiurusijigle% de yard.%etb;Aqkof25 feet is required. .......... � g3 The existing altered building notes a single side yard setback of 19.7 feet. Fprthqq tl !Zprp cLp o i*qs 11:1t,cial q�.cqljti jjq��L _Eject and use reg qp Q)roval fl-onj the Southold ToW prrrrtg Board ztpp ,,Eqva I llrogj.!Jji!�- ing, ar m P -i km -B- Bo )ar - --------------- ri Signature Cc:File,ZBA,Planning Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. From: FAXmaker To: 916317654643 Page: 2/3 Date: 4/13/201®3:11:27 Met 7mw on vBoefoum M"" ,IAWVM olk"All. ,m4M &lsl h-1-1 ind swe^Ly-f:,w arrilli'M AE'J'ERt.Y ANN G*Br1L%V-'.VVV., rcisidina at 21 12019 W31% 0 Manhweset, 'J'aw Ynrk. Si red - Conti i do 1 apla� Wesel ,q dw ficK peon.vA RF nY AVIN -3ERIAVyp, r-6 jeji nq at 21 Borr Itzi Road, 'AT V.P.L at .!I borglellism Maroba.%sev, ?der.' V99'I't, and f'pllill vor., co--r-artnc-.r:1 dL,'nq b.,%SjnelkS tender thub firot n,,MQriesan_, % tylett of 1747 VoUqG 701191),Z10-les, twt*„J tht wgerl rom 'Will TTOd 7,""""I`="' tlu. ,m4,k,j pri,Ow Lwoo !,vq tio.61&"wt "t OA.'ZA :'.1; x�esiV awj,j jbI.Wt v.of"o,,scutod pre'eWtvvv, *k�Mf jun-lit tutcl. with uilt JIU04airp*�A' jtj tton Town as:t 1iLktobl, "Vler,'.y AJ .c a mic State r,' bour4P(l and ��os V 1" 'w t kU'C'V."4 G k4' A the 'ttrved Lillic Of ML'Ui-e Mead At, tow rvwoheastorly ckirrlo?r of land tow 1,::- j0o:jjlLxjy are Gearega ilriit,n v:� ritter cd the p-c-ollit, f bo;eqo7jkkjnq 1,4:ttonlnll c-4t.t, -'y dlono; saki of z - i It us 4s Id.c. Vujd to", a curve tQ Oto of- ticivilq -A rv, of 2125AW1 ,".teat,A 4 :1111411Cr Of, 150,17 fuet, tc't Ij irle! Tmw cir forwOrly 7r parzac; =Vnining Azaid ltond n of Vornarly ce v�trzaqe and along 1anevwV1 %, Icv4,4.rt,) jr ou�--cj scuth a' 57' 30' EA%., A distAnce Of %'76-25MIM tta 1"iroxl aule cv, tolmm"y of Gojjl�mjthth--nce -,OvajAq SAid 1,1: 1 16,10th A)", W 50" Went, a djeotiD)nce of kso-1) �vo, to 4,116 "ald nov tar orirgy'll, of aj*,;tuq E;aAd fared, o4cArtIA S' "ii' 34" a Jif'-;arkro :)'t Itha, pr!p,r. 1,)r plo)VIn of SUDJFCT to covenants and J'est:"X(:tiOns cr record, ax-y- ,3tjp,jp j,,T tc, a .qO,.-tqaqc nu, a I j, nr. klv. e.foresaitj pr.,j,.Jst4w hall- sitrtt, Fork Rank 6 Trust COt' 1n" 4 to? 7............- lik4'4,14 it lc- if--i:h, ince e• wl1 "w A'.;,I tlik"t L$Irl I'll ;FTHEEK -11�Olf.1qVivetancts .A Ali is., ......... AND To lei$1.11 It.: ON-;-(Y to.;it acrinol jw, ;he w-rs or_"'Vhwr' ,011jq%j"I 10,31 the,hu.ety .1'C -it-m lli,t tan< sd,flp �lt klo at',V [IN 11114 1 Art 1W M114 ll-,'I lull ml 3r-,thll r Ilw iI%to% ilk aA71-WI) 401coid hal the pwil of .1 Mo Ql" I, tit"1-1'M It.;'ve With """,I Om ha.-t ii-the pvr ".14,thlb'w-rv. to w4i g',mil awntrrt- ,k tru-. he;qkjhv:fiie.';I"? J-44W ell 1w,vislg,�.r cj,, 4 Alt vul:,,k�cvv X-A 8,sply I lit,�'w I,!-. h "4 it.,'!"'c A t7.! Tittow-y' W r'! 'Nv '- n' o'x t pal I ilt VIC low A tht slow trot jy'�y 'Owr I�v_j.!* it "I an.. " a!:- --.1t,;t},iA inac,nowre vi yrolloolvM IN VATpWM Wjjjrjtj0Fo tiet pokey the first lI-et 1-dett,or 'uk";it it.d.i,j tht day"oul how b— w7iwu Lx roloormtk o2z LLWMMM From: FAXmaker To: 916317654643 Page: 3/3 Date: 4/13/2017 3:11:27 PM A[fV t>r SUP>rOLK ®� fV*n tw Now Volk caw""r e/ihM :a rj1: o2tts da? of Ap'iUat. 1l174 Mlorr mel„.smk pr■saa IY ranw % SpVLRLY ANN GEHL.%MYE:R bo rMl(■.+ecuer•1 rMa nsreC<'.1� 'nnr:Mwr'r• oeJ a'a•wr. l Jq to me kwawn to k the itldividutl deatville•1 in an•6 .k, iruw'n ,o'x rla avlr•:.ksrl MW ile+l L.ed q eaenrlyd rhe iareearf imrruawnt,and eclw'.wlea.r.1 reaerate%Ma "W. 1� She pacutrd tho fewoe. a° o yn.,n, stu r,a,aei '�v �.raa r rrrr,arr w«a.ai a rva f 3 t:;aj rNt coumv a Mr°"All 08 WA.Vons.R�rA !'rAaa M NEW tOd r 1.1 bltr,r tM IA .W— n., o.the ta) on the day of i -ewruU> cvM curb personally nn+e !vrlRM:rp inrineMN. to me known.who.Lents sy uu drily A'natn,dill Aelarse er wAen 1.rnl ■-�u��r a!I wl.trd.wh.',b-11 4Y ata dalf say that he resfdesat's- \w.uM,did drl.•.e'and sal 1'ml nwoa sl oto. f thea he is the that Ise kaow s of toltwnrrW d.w•riP..,s it,M rte iMlir deet IN and which eaeearrl Of frorp,'s¢np instranrrnt tl•as i,ItxrA.vd in ami wfv rav�nnl rhe fo,el i� rn,rtamartl knows the seal of sj,nr't orpar'tiikn 1 i.t IfIc rr ul4ea'mt to said Instrumentseal n u:.ls aort'a'rr 1111, !4 r Vn aear. '1Mst Ir r�I I .,d,,,•,r!.ra w trreu. wa. pter■nr an m afli by order of lhw tmurd of sldrarroso cal ruu'1 r ;w sra sreN,r tiv a•r r.,rA rhet Iw' naM l9grar0 bon,and that he siprr+111. A,ar1a thrrvtur by Sih, wrl,lra u the ra:tc lime tul..,r�la'I h hence a• y •ul in A.*sale#leis A I H II it Lot).NAN[AGrINs,W-Al+R.` Tlstl l"15\ .m,. ....,.u.:...w.aww,,.r.,...w,.,..... leaf CCaI:d B'a rg raw'6: IIEVERLY vM GEHLHEYLR TO r1v,`.:My ANN GElxl''MrI VER Oro rcSOftlxwK'1" OP L GMILi'ri."E'YEIR, 'it7 ,dr"t-nrtlCrl tEoir atoll®ss®a MAIL trs .�w lautitutaas aczc3ea the ter sdoe a't le of 170 1Haraese: Ars.eraciarteov. k sr+r ++■+ er +awMe a nwr rrow,a.... HICK I'A. F h1 Rlr, e.C. MAIN RJAP – P. 4. I:L'K 1424 Me 94.10,74i HATTITUC9, VW YUR!' 11952 03/07/2017 08:56 6317651356 SOUTHOLD ASSESSORS PAGE 02/04 I . D N as v m R' Z - gg -0 3 m ti __- va a o a .� 1�-Zo D r r q \ D cn y m � 0 r" Ln -1 D O N. pD 0 n do Z 7t c O % m _. rim On my N 1 `' ' ' m v m 1 � � 1 z 0 �1 NJ .. " N Gs VN n cry p o U c u — oh ' • r �\ 1 ► !y. \ " M i a 03/07/2017 08:56 6317651356 SOUTHOLD ASSESSORS PAGE 03/04 " --_ (A 0 z -.S V I 0 r o m :1111 0 o m b O �, . w. C7 T O itm .a Q �o N C i O c > r D D O InG v rn m d r z D m z rn In N Q c c D cn r r rn O r O .-r m <b i to � p A�w tl ..... _. N o O , CD N .. LA c - -n vo _ 1 0 3 a V' U'tn In o _ N pL. rr 5 ......... - -n `n S _.. 0 0 •- -I o ° -....m fi OV ;lu ...... co co �- �N N F i b0/b0 39dd 3mosg.3ss (nwinos 99ETG LT 9 99;80 L10611.0160 WW 14] COPY Number of pages This document will be public record.Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps .... .� 3 FEES Page/Filing Fee Mortgage Amt.1.Basic Tax ., Handling 20. 00 2. Additional Tax TP-584Sub Total Notation SpecJAssit. ,. ,., or EA-5217(County) Sub Total _...._, _ Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A, Dual Town Dual County —M " Held for Appointment _..... ._.........._ Comm.of Ed. 5•°,00IT•ITw t � Transfer Tax Affldavlt * Mansion The property covered by this mortgage Is Certified Copy w---� or will be Improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other ' Grand Total if NO, see appropriate tax clause on page N of this Instrument. 4 Dist. Section Block Lot 5 Community Preservation Fund Real Property Consideration Amount$ Tax Service Agency CPF Tax Due $_.. Verification improved - 6 Satisfactions/Discharges/Releases Ust Property Owners Mailing Address RE C0107&Tt'ETURN TO: Vacant Land Alan J. Waintraub, Esq. TO _••.••� 100 Garden City Plaza Garden City, NY 11530 TD-_ TO Mail to:Judith A.Pascale,Suffolk County Clerk 12JTitle tatztiaatit lttfor tttsttitrt 310 Center Drive, Riverhead, NY 11,901 co.Name www.suffolkcountyny.gov/clerk Title# s Suffolk County Recordhig & Endorsement 'age This page forms part of the attached made by; (SPECIFY TYPE OF INSTRUMEN'1) , � Oo tltatttomd 48 LL G The premises herein is situated In SUFFOLK COUNTY,NEW YORK. TO IntheTOWNof Sort, told ....m... .... . . Jetncap SA I LLC m In the VILLAGE or.HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING.OR FILING. _ X $caved NY005-Bargain and Sole Deed with Covcnonl against Orsntoes Acts Individual or Corporation(Single Sheet)(NYBT 8002) COPY CONSULT YOUR LAIVYER BEFORE SIGNINC THIS INSTRUMENT—THIS INSTRUMENT SHOULD DE USED BY La41VYEttS ONLn' t ._. .. ......... THIS INDENTURE,made the � BET WIDEN 4 day of �y ,in the year 2014 46770 COUNTY ROAD 48 LLC, with offices at-46770 County Road 48, Southold, New York, 11971, party of the first part,and JEMCAP SD I LLC, with offices at 360 Madison Avenue, Suite 1902, New York, New York, 10017, party of the second part, WITNESSETH,that the party of tile first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,docs hereby gi<unt and release unto the party of the second part,the heirs or successors and assigns of the party of tine second part forever, ALL that certain plot,piece orparcel of land,with the buildings and improvements thereon erected,situate,lying and being in the (SEE SCHEDULE A ANNEXED HERETO AND MADE A PART HEREOF) Tax Map BEING AND INTENDED TO BE the same premises' conveyed to the Grantor herein by Designation deed dated 5/16/2013 and recorded' 6/27/2013 in the Suffolk County Clerk's Dist. 1000 Office in Deed Liber 12734 page 497; ' Sec. 55 Blk. 5 Loi(s) 9.1 TOGETHER with all right,title and interest,if any,of the party of the first part of,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 IIOLD the premises herein granted unto the party of the second part,the heirs or successors and assigtas of the,pzlrty of the second part forever. AND tile party oflhe first part covenants that lite party ofthe firstpart has not done orsuffered anything whereby the said premises have been incumbered it,arty way whatever,except as aforesaid. AND tine party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of telae first part will receive the consideration for this conveyance and will hold the right to receive suet conside:ratioll as a bust fund to be applied first for the purpose Of paying lite cost of the improvement and will apply the salvo. first to lite payment of the cost of tlae improvement before using any pall of tine total of tile,Sonne for any other purpose. Tile word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHERE-OF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: 46770 COUNTY ROAD 48 LLC BY: 11mACCt+vl'Imixt)(mi,Fwrl"OdChlm(.t"11ViVl;ilINNEIVI'"0 xS'M" 'OAZI°. USEACMVOWLEDGhtEM'a�"ORAfUELOP/VFV17,7i]NN,C'IV3°O�rWSTY1EONLY: Still or New York,Courr o9 �` % "�'�"� �ss.: State of New York,�0III iof t �� � � u'� /� )ss. Oil tlrc r �i&y cif �� it,lYrc yc�tti'?01/+ C ao lire ci zy of Z in lYac year !'Ot beroic me„die undersigned,peisdially appe,ded before tnc,du:to rl signed„peiwmr iy appc red personally lmown to me or'roved oRme on the basis of satisractot� � � i _ t r t7 " V Y P Y personally karovnt to I&rn proved to me ori re basis of sntisractzxy evidence to be the bidividual(s)whosename(s)is(are)subscribed to the evidence t0 be the individual(s)wllol nnme(rc)is(tare)slibstlibud to dir: within brstruttent and acimowledged to me that he/she/they executed Ute within instrument and acknowlerll;cd to oils that 110Sltcitlrey o:roculeal the same in Iustller/Their capacity(ies),and that by his/hedtheir signature(s)on same in his!lier/thcir taspacil ies),and that by NAMet/their si nanue(g)on the instrument,the individual(s),or the person upon behalf of which the the in*una lls a.indivi al(n),or die person upon behalf of whkcic the ndivld individual(s)acted,executed die instrument. Irills act C at the instrument. 3 "A4 . t '0oSl't rotaryVutrlk:Stara of NewV061. In 0MAK County my t;troriaa rssr tia Lata re x To•�rl rtt 9 ACiOVOWIEOGmwFORMPORUSrIftWNEIVYORKSTA TEOva Y.• fImvjPLEoGmTRoRujvRUsEOUISIDL•NE{VYORKSrATEONLN (New 1 ork Subscribing Witness Acknowledgment Certificate) (Ont of State or Foreign General Aclatowledgment Certificate) Slate of New York,County of )ss.: ,, .• . .... )ss.: (Complete Venue with State,Col Province or Municipality) On the day of in the year 2 014 before rte,the undersigned,personally appeared On the day of in the year § LEXI S E. HOOK$ before me,the undersigned,personally appeared the subscriuing witness tothe oregoing instrument,with whom I am personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that lle/she/theyreside(s)in 211 East 53rd St. , evidence tobcthe individual(s)whosonamc(s)is(are)subscribed to Apt 9D, New York, NY the within inswunemt anti acknowledged to me that he/she/they (if tfre place ofresidence is in a city,include the street and street number,if executed the sante in hishier/rha:ir capachy(ics),that by his/her/their atga thel that Ire/she/they know(s) signature(s)on the instrument,the individual(s),or the person upon ALUI(S E. jQORE behalfofwhich the individual(s)acted,executed the instrument,and to be the in ivl ua describe to and who executed the foregoing that such individual made such appearance before the undersigned instrument; that said subscribing witness was present and saw said in the ALEXIS E. MOORE' execute(lie same; and that said witness at the same time subscribed (insert(lie city or other political subdivi3ion and the state or country at- his/Iter/their name(s)as a witness thereto. otherplace rhe acknowledgment was taken). 13ARGAIN&SALE DEED WITH COVENANTS AOAINST ORANTOR'S ACTS TITLCNo. DMTRIC717 46710 COUNTY ROAD 48 LLC BI..00K I1oT TO COMM OR TOWN JEMCAP SD I LLC RECORDED ATREQUEST OF Fidellty National Title Insurance Company RETURN DYUAIL TO FIDELITY NATIONAL Tam;INSURANCE Alan J. Waintraub, Esq. P: Pl0COMPANY 00 1 Garden City Gaza RtranlrrrNmv York Stctc Land rtetnM ArzrtVa.rraur Garden City, NY 11550 W v 0 0 Z 0 cc 0 V w 0 W U) D ¢ O LL W U 4 a N N S W N RI VRRSME ABSTRACT,LLC ns Agent for Old Republic Naliooal'I'tile Insurance Company SCHEDULE A—DESCRIPTION 1'Itic No.:RANY-16757 All that cerluin plot,piece or parcel orland situate,lying and being in the Town of Southold, County of Suffulk,Slate ufNew York bounded and described as follows: BEGINNING at u point on the curved,southerly line of Middle Road at the northeasterly corner of land now or formerly of Braun the northwesterly corner of the premises llerebl described from said point of beginning: RUNNING easterly along said southerly line of Middle Road all a curse to the left having a radius o[23.25.01 feet,a distance of 160.17 feet to land now or formerly of Ilunac; RUNNING THCNCI:aloe said land now or former) of Burzac g y and along hind now or formerly ofBuccl,South 8 degrees 57 minutes 30 seconds I last,a distance of 276.85 feet to land now or formerly of Braun; '1'I IRJCR along said land South 81 degrees 16 minutes 50 sucunds West,a distance of 150.00 feet to said land now or formerly of BT.Hin; THENCE along said land North 08 degrees 57 minutes 30 seconds West,a distance of 220.09 feet to the puint or place of BEGINNING. To be confirmed upon receipt of n Guaranteed Survey. Note:Address,Block&Lot shown for informational purposes only Designated as District 1000 Section 55 Block 5,Lot 9.1 Suffulk County and also known as 46770 County Road 48. I Schedule A Description Page 1 of 1 tRT'VERSIDE ABSTRACT,LLC ns:Ageat for Old Republic National'1111e Insurance Company SCHEDULE A—DESCRIPTION 11tic No.:RANY-16757 All that certain plot,piece or parcel of land situate,lying and being in the Town of Southold, County of Suf1'ulk,Stute of New York bounded and described as follows: BEGINNING at u point on the curved,southerly line ofMiddle,Road at the northeasterly corner of land now or rornu:rly of Braun the northwesterly corner of the premises herein described from said point of beginning: a RUNNING easterly along said southerly line of Middle[toad on a curse to the left having a radius of 23.25.01 fat,a distance of 160.17 feet to land now or formerly of Burzac; RUNNING THENCE along said land now or formerly of Burzite and along land now or formerly of Bucci,South 8 degrees 57 minutes 30 secansds Bast,a distance of 276.85 feet to fund now or formerly of Braun; C '1'I If:N(Yss along said land South 81 degrees 16 minutes 50 seconds West,a distance ol'150.00 feet to said land now or formerly orDraun; 'ITIBNCB along said land Noah 08 degrees 57 minutes A seconds West,a distance of 220.09 feet to the point or place of BEGINNING. To be confirmed upon receipt ofn Guaranteed Survey. fNote:Address,Block&Lot shown for informational purposes only Designated as District 1000 Section 55 Block 5,'Lut 9.1 Suffolk County and also known as 46770 County Itoad 48. q Schedule A Description Page I of 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM "Art�allaM`rlrf lar ;�� Plal°IIsi ieo ftrai`d A. INSTRUCTIONS ' 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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 si nificant beneficial and adverse effects upon the coastal ars )yhic.h. includes all of Southold Town 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 listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department,all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# S - S - 9• l PROJECT NAME :5-4'-'lM COPnt� i L Cf—' The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board M Building Dept. ❑ Board of Trustees ❑ 08-A X— 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital l construction,planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: . . Nature and extent of ac Location of action: � L_-7c-CA, .. ..,. Site acreage: 37 , 1-2- 3 Present land usc: Kc l _ .. ' � G . X Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: c (b) Mailing address: G/'� (c) Telephone number: Area Code �?....._.._...................�. (d) Application number, if any: Will the action be dir°cctly undertaken,require funding; or approval by a state or federal agency? Yes No N� If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Rryes No Not Applicable ........... x 1 �mm m .tin&„ : f .. _ Attach additional sbects if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes ....- No — Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yyes ❑ No ❑ Not Applicable 42-Ak . �L .. ... _6. ..__... . �__.... �� . ...m ... Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 throttgli 16 for evaluation criteria E]Yes1:1 No 19�Nt Applicable ............. ....�m. ._._ .......... _ _ .. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 1 Yes 1, 1 No 0Not Applicable 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. ❑ Yes ❑ No PNot Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No Not Applicable ........... Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable ". �r _...... t — . r ....._ m PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. No E( Not of Applicable h additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes No [ Not Applicable 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. El Yes :1 ,� No Not Applicable Attach a......d'ditio__.............nal sheet..................s i......f nec............�.ess..................� ...... ary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. [ Yes No Not Applicable _.................._m. m�� Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section M—Policies; Pages 65 through 68 for evaluation criteria. Yes [:1 No Not Applicable PREPARED BY ,.. TITLE .f DATE Amended on 811105 617.20 � 1 Appendix B ,;, Short Environmental Assessment Form Instructions for Completing 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. 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 c4 P LL-C- .... L-C- Name of Action or Project 600c_iRl. ��G�('�o� �D SC�T6 ..... ..... __----- – ----- ------- Project Location(describe,and attach a location map): Ll (, i -7 O Q-A- 4 8 .... ...... ........ -----.... ---- Brief Description of Proposed Action: -pro Name of Applicant or Sponsor: Telephone •eYY\C VI) P ZSD i LL C E Mail..,....... "2' 00 N(b� YJI . .. Address. G(o n 5— 1O'LD N���Y� CLOCAO� City/PO: . ... ......... _ State: Zip — ------ Code: Chow � ( 1.71 -—..... a 1.Does the proposed action only involve he 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 funding from any other governmental Agency? NO I YES If Yes,list agency(s)name and permit orapproval. }..�t&_A h PSA (c.,n n n V ��......m,,,,,,,,,,,,,,,,_ 3.a.Total acreage of the site of the proposed action? 7S' acres b.Total acreage to be physically disturbed? o r acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? Q acres 4. Check all land uses that occur on,adjoining and near the proposed 3ption. ❑Urban ❑Rural(non-agriculture) ❑Industrial WCommercial Residential(suburban) ❑Forest agriculture ❑Aquatic ❑Other(specify):m ❑Parkland Page 1 of 4 ..................... ................. ......................... ...., . .. 5 Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? pC C, b. Consistent with the adopted comprehensive plan? lift . tIs the proposed action �.. . _...._ 6. ion consistent with the predominant character of the existing built or natural NO YES landscape? 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: 8, a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? , Does the proposed ______________________ —.---.._ __________ P energy q ..................... ..... 3 d action meet or exceed the state ener code requirements? NO YE If the proposed action will exceed requirements,describe design features and technologies: . _ 10. Will the prposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: c w- 11.Will the proposed action connect to existing wastewater utilities? NO ' YES If No,describe method for providing wastewater treatment: ____ u ... ,r.It ,, 12. a.Does the site contain a structure that is listed one State r, either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? •••.......••m � 13. a.Does any portion of the site of the proposed action,or lands adjoining t he proposed action,contain NO YES 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 .................__ ._. .............. ....... 14 Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all thatpn. m ply: ❑ Shoreline ❑ Forest ❑Agricultural/grasslands gricultural/ rasslands ❑ Earl mid-successional Nonc—i ❑ Wetland ❑Urban ❑ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats������������������������� m �� � �������� ,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 ...............w, ,,..p..� ........ ......... 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? NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and torm drains)? If Yes,briefly describe: ❑NO NYYES mm° ( ai uwnim .,. " _m .. mm. ..._ ..... Page 2 of 4 .....................................................................................................................-----------------------------------_ 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 purpose and size: -—--------------.............. V/ ................. .....................................................___........................-.1-1............. ........................................ ....... .......................—------ ........................................ ..........................................................................I'll 1-1-111111 I'll, 11.............. ------------------------- ---------- ........................................................... 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: ......................................................................-.......................................................... V ................... .............. ................... .......................... ................... ............ ........... ............................. _.". 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: V/ ............................................. ..........-----------.................................................. ..................................... ..........-1........................................... ........................................ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 6 ...M00ty Date: ................... ........................ �c ................................. .............. ........................ .......... .............-------------.......................... .................................. Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" ................. No,or Moderate small to large impact impact may may occur occur ......------.................................... .................................. ............ ................ 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ........................................................................................ ............... ............. 2. Will the proposed action result in a change in the use or intensity of use of land? —---------------------- -----............................................................................................................................... 3. Will the proposed action impair the character or quality of the existing community? ----------- 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? ...................---------------------_-- ............................................................................ .......................... 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? ..................................................... ...... ---------------------------- 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? .............. .......................... 7. Will the proposed action impact existing: a.public/private water supplies? —-----........ b.public/private wastewater treatment utilities? ........................__........... ........................... ................. 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? ............................................... ..........-,""I'll" 111111111-- -........... .................................... 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? .........................____............... .................................',,..................................................... ------—---- Page 3 of 4 —................. No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you .................................... .................................. ..... ...... ........ u have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. .... _ ________________ __ ............................................... Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of _. f Responsible Officer ........ ......... m. ...m........... 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Other SCTM ils Street Address: Y C�-7-7 d (2+ 48 Hamlet: Distance to nearest intersection: 9 6 6. S 3 4t> w� Type of Site Plan: V/ New Amended_Residential Zoning District Owners/Agent Contact Information Please list flame, mailt'rt adds ess, and home number for the people belotiv: Property Owner P S Tp I l—L C Street_ 3 co Mad t 5 c,n 5ultt_ 91-)-2— city 1-)-Z-..City State '" • Zip_ opi-T Home Telephone Other Applicant B Street City State Zip Home Telephone Other Applicant's Agent or Representative: Contact Person(s)* ?_c J l Ci_ 0, ffl oo of Street 1*} 7 Kakn 900A City tip a State Office Telephone_ 3 (_Y62&_ " _ (4 15P_—Other 0 *Unless otherwise requested, correspondence will be seat only to the contact person noted Stere. Site Plan Application Fornt 2/1812010 4ata Proposed construction type: New -V/Modification of Existing StructureAgricultural Cliange of use Property total acreage or square footage: 371 )Z3 ac./sq. ft. G '/�f, ��90-7--F5= Site Plan build-out acreage or square footage: _ wasq. ft. Is there an existing or proposed Sale of Development Rights on the property? Yes No _ If yes, explain: Does the parcel(s) meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y,/N If"yes", explain(and attach any necessary documentation-title report, subdivision approval, etc.) pe-ci Is y �� �, t5 - S cXTZ41 s d alv►d 6cw-Ylt�ne rt .� �f Building Department Notice of Disapproval Date: Is an application to the Southold Town Zoning Board of Appeals required? Yes. ✓-.No „ If yes, have you submitted an application to the ZBA? Yes V No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area peruse. IMV 1�-�le Y�•4�t%]� �-+^J l��� Coni�q C�('S�i�b01( U�S� List all existing property arses: C 6 w3 n4cfycc r.A �LuA[(.y1 dweutvirl Czs 5 r7 List vl List all proposed property uses:_C r_ e" cie Vynm 1acc---t Other accessory uses:_ VM _ S-q 2, r Existing lot coverage: % P opo ed lot coverage: ! % Gross floor area of existing structure(s). T sq. ft. Gross floor area of proposed structure(s): -rY2�L�' .� `vp�c�S � Cov�.�e(1�Ylc� Sf�-✓e l ��pccccs� •_ — Parldng Space Data: #of existing spaces:_#of proposed spaces: Loading Berth: Yes✓No Landscaping Details: Existing landscape coverage: Q % Proposed landscape coverage: 35 % Wetlands: Is this property within 500' of a wetland area? Yes_No Maybe I,the undersigned, certify that all the above information is true. Signature of Preparer: Date: 2 Site Plan Application Forn1 2/18/2010 t Y �Qw E9(ISTIN DRIVE . o' ILJ { + FX15TING UTILITY POLE TO BE _ Y � may+S� U) F REMOVED i RELOCATED + LTW SIGN• ' Y x ENTRANCE-E y _ ... 2A 9q.ft.t 8'-O'ht. z O y p:- Y IXISTING DRI ?WAY 11 °r NEW UTILITY - N POLE LOCATION - - r[t'�` .+ \ +I, AIR _ 1 1 O'-O`&V-0"DEEP DRAINAGE _ 1u'Iv'sai'u` ASPHALT PA POOLS,TYPICAL ALL: 8'0 FVC DRIVING PIPING BETWEEN EACH r PROPERTY LOCATIONCONNECT TO p Fes.. _ p�y"h5�" If 1 AREA OF BURIED FUEL TANK5- f AD.IOINING ` e O .; TANY6 TO 51T ON CONCRETE SLAB 6 Q d PARKING LOT ._ �� COVERED BY POURED CONCRETE SLAB .' a I ft, f ,.' A5Pt'7At1 PAVED our�nrI rs+s*�w PWING 5URFACE el+i�ll sTRu�tiue.9� f€OPOfiEh PUMP u Be xrveD CMfQP1'w/FIRE GR I r10 1 stJPf'�€a�IVN; o� g o SITE PLAN 9GTMI IOOD-5559.1 a ITS a Idametwl[a4al hom ouwP gaud by � - 41 ronin 9unvgan.P.C. .Ilnv York Nb _ - dNml Jwunry 13,2015 •.i ...+—617E MTA,DATA, OR/JNAGE CAICUTATl01l5: Fud Fb 5ls: rNC rmNc ` , Bddlrq Ary: l,y16.EYR+{.� 3.383 PxW 21801%dX 3633 c.1. r1 N7 I BCINkNl nRA1NAGE' 1 i FI,p01.3C It. 57'b 'e' k '9Ncw/k: 740,1 x�-123 c 1. �D •`' 14rlldaypng: 1]055 t1l. 55L Root. 1516040 Xtj-25267.1 zz ZONA IG IWORMATION: Lmdu : 13055d AtE-435.16.1 x N6 _ ! ~r .` y.. FX15TING BUILDING TO B'-00 Pod- -3.14 X~-50.3 cNt u c' y Stmet Addre»: 46770 Pads 40 9wtlye rod zszl"sw/`D.a-�I rt.dccp-u,c aoe.6 adm+ N I _ REMAIN;PROPOSED 2-1°'t"ct' B-Gelcal B'"""'° v�nA 9daw+k i Td l-4191.16 c.l. N5 A B ALTERATION5 wont rad Sottad Rngwred, Va+bh 1 OOTID' rod-Nr[=3.I4 II sloot[-7e.5 eth ® (� Fran Yard 9a bak rrop..d:71 Io A-4191.16 .B.S-53.4 I[.deep-Um f/1 I O-0'IDd'Oeyr 9de Yrd 5elbtl Regnr� 25,25,1— 5w.Yd SMWA ftP—d: 665'/ 9.6'IFrc 141 N4 4'-0"POURED CONCRETE R—Y"scm ARoq .. 3SW GRnuNDwATER 1AANAGEMENT?ON[IV 51 DEWALK CONTI NUOU5 z R—Yrd xtl„n prw—& 52 f-t 0nndy, 03 .I`. ASPnAL7 PAVED I:4d:eo 02 Gft190.PT DREV NG SURFACE ` a N2 G FRIDGE F E p AROUND STRUCTURE PARAING ANALY319: HydrW. OS GPLY50 Ff. N3 y AasdvAW 12 wlNR P.µi.W 2 lropu! ,�4y _ [ `' _ • �Zv+ Cllldarse Stirs %�4p.cl 12 r.ore.r..1---' sabt.arf _. .:.x.ner rc�r..Iv.. lE.:s 5[rinc 3 ria Cq^ 365rrr�alv^ry- 1 - �- ' wa"'B.nF :gu:.vls■[4'.V nei:1M r.l s' w�•s 1 rrrxv . +2 �i �'LpgDl'�I z "_r 1Nro: L '"•^'^' W.ot.o/euIuhW 9=orE�+ •��� � .�— DUMPSTER w/ R[ 6'A wt, ENCL05URE z o A Comolenee 9torc: -''""— B.AGerlml4: 150 y It ® I G.A—,to 5—W Poor Vs tl k: 220'�gAt. 1 gJll w l ,I•M�w�:ol1 F— OR— oom: 66.4I Gv P1k'r11R1G � uJ EII�gbAee RelLogn: a0 q.11. TQ-w ITRe1+RL - z G-n.daap Aeyafkk.: Ia+.I.rt. ; GRAS54 PRIVACY AS PER Qg 5mond Floor 0 O Rydmld um I: 750 aq.rt.+A LAND5CAPE PLAN (� Ry:dsdd unit 21 750 eq It.+/- 6'-O'TALL PRIVACY FENCE ..•,dro-tr-D-a--a-o-x rune SBI"19'50N' 190.00 =TING 5TOCOM PENQ spl ueYITORS�4`Bd�tW 4KA0?1CW N`IMS DMIMIK AxR:9N41Aa.YL[YM�t94IRYAIRMIa".K.T.AAT IM.V.�..H4G,1lWIN 0 K LLJ Q U N D gr 11535 n� A Ao r Z F 5 OPO Ex5TIN DRIV'' ., OND EX15T4N DPJV �•�, W 2 OPO ENTR&N poo�oPOI EN \A \� \� I�AO� A6 ��\0� Aa �* .. LIJ l f , EXISTING UTILITY POLE TO DE REMOVED/RELOCATED q X11 �qa H pS�Q� II NUN EXISTING 01JJE5VAY A•'O EXISTING DR1 'AY ENTRANCE- f I- ENTRANCE- • N NEW UTILITY *5'�Jr•A R Y3E 5 Z '� 1 ' '"• n POLE LOCATION __r• + Q ^� •• NII n �:-� ;••!I! E I•S' 1• T N 1 1 m . r� •'t �� VI ,� '� v�S _•am.c mmw. I O-0'01&-O'DEEP DRAINAGE 1° •�,ANu••• TYPICAL ° AREA OF BURIED FUEL TANKS a PAVED ASPHALT PAVED POOLS, ALL, &0 PVC DRIVING DRIVING SURFACE PIPING BETWEEN EACH POOL TANKS TO SIT ON CONCRETE SLACONCRETE L 5URFACE -� L COVERED BY POURED CONCRETE STAB PLANT SYMBOLS: —CONNEC-F TO `� . CONNECT TO ADJOINING AOJWNiHG PARKING LOT PAFWNG LOT { r •.i 11'nyi p' ' } M1ryy CR W.IAL.1RP.Y.1?.21 M V O U 2 rr Vrtlli[OAR.2;'•3' ASPHALT PAVED a PRQPyLAMPS DRIVING SURFACE PLR PARAI G LIGHTING TO FROM ri)PU.1 J mJ:el• - - BE IN ACCgWANCE V4TN CANOPY w/FIRE #10 _ N I o DARK SKIPS MLILATI0N5 SUPPRESS p } 1` , Q7["I,LNlA1fXA�5.3'.a•n B•-29'nm _~ IJ N yl J/ GROIAVO rAVCRNNIrER I +7/ 1 — / - �O 1 1 � �I •�• 1:.� z JAPANC[BUCR VINO.]-tl'IK. — N7 b M7 i s•a we rmnc /- 'c T�•_ Itwro OM55.s-T Ir..,DOOM ROW �p u UtTwLtN I Wfe { _ a �� NG EXISTING BUILDING TO NG I EXISTING BUILDING TO REMAIN;PROPOSED REMAIN;PROPOSED s N I ALTERATIONS �' a N I ALTERATIONS _ C 4'•0'POURED CONCRETE `° l c —4'-0"POURED CONCRETE U N4SIDEWALK CONTINUOUS N4 ASWALT PAVED SIDEWALK CONTINUOUS 3 N3 a N2 m G FRIDGE F E D =' AROUND STRUCTURE N3 ORIV4140 SURFACE a 02 r G FRIDGE P E p , l i AROUND 5TRUCTURE tnz _ } - O �`•i OMT[ ` �,,. s•' - LQR �' � i C5 ` Z S FENCE ENCLOSURE z o, z l taaxN'tlmir_LL � 9 .Q zp ! � _ y y LANDSCAPING p ¢ R U O . 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