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Michaelis,Jessica Subject: RE: Brinkmann Hardware Eminent Domain and site plan application From: Lanza, Heather<heather.lanza@town.southold.ny.us> Sent:Thursday, August 17, 2023 8:10 AM To: Michaelis,Jessica <jessica.michaeIis@town.southold.ny.us> Cc: Cummings, Brian A. <brian.cummings@town.southold.ny.us>;Terry, Mark<mark.terry@town.southold.ny.us>; Westermann, Caitlin <caitlinw@southoldtownny.gov>; Palmeri, Allison <allison.pal meri@town.southold.ny.us> Subject: FW: Brinkmann Hardware Eminent Domain and site plan application Hi Jess, Please see the email below from the Town Attorney and see that the following is done for the Brinkmann Hardware site plan: • (status in Municity: Withdrawn, • Laserfiche—move to Withdrawn folder. • Print this email and use it as the last entry in the paper file, • Archive the paper file. Keep one copy of the site plan package, recycle the rest. • Please begin the process to return the $30,000 we held in the Deferred Revenue line for the Market and Municipal Impact Study that was not done. Thank you. Heather From: DeChance, Paul <p uld.(sQLAth_oldto nn_ . ov> Sent:Wednesday, August 16, 2023 5:28 PM To: Lanza, Heather<he. then:l2nl.a.. sc �athc ld:n •us> Cc: McGivney,Julie<iuliem()southoldtownny.g2y>; Michaelis,Jessica <`eesica.michaelis( town.southold.n .us>; Mirabelli, Melissa <mglissa.mirabelli( town.southold.ny LAs> .................................................................... ............_................................................................................. Subject: RE: Brinkmann Hardware Eminent Domain and site plan application Hi Heather. Inasmuch as the Town is now in title,the existing site plan should be marked "withdrawn", as suggested. Any funds of the applicant that were not utilized or otherwise allocated should be returned. A resolution should be requested. Should you require any assistance, do not hesitate to contact this office. Paul Paul M. DeChance, Esq. Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Office (631) 765-1939 Fax (631)765-6639 i d SAHN WARD BRAFF 11i:OBLENz PLLC E E I E ATTORNEYS AT LAW THE OMNI 333 EARLEOVINGTON BOULEVARD EJUN 17 2022SUITE 601 UNIONDALE, NEW YORK 11553 _ Southo d Town TELEPHONE:(516)228-1300 Planning Board TELECOPIER:(516),228-0038 y EMAIL:INFO@SAHNWARD.COM / WWW.SAHNWARD.COM June 7, 2022 VIA HAND DELIVERY AND CERTIFIED MAIL Hon. Donald J. Wilcenski Chairman,Planning Board Town of Southold P.O. Box 1179 Southold,NY 11971 Re: Proposed Site Plan& Special Exception for Brinkmann Hardware 12500 NYS Route 25,n/e corner of New Suffolk Avenue&Route 25,Mattituck S CTM#10 00-114:1.1-17 Dear Mr..Wilcneski: This firm is counsel to the owners and applicants of the above-referenced application. We demand that the Planning Board forthwith process the application so we may obtain the necessary approvals,_including hiring a consultant and for the consultant to proceed expeditiously with the market and municipal impact study. Please do not hesitate to.contact me at the above address if you have any questions. Very truly your v Thomas McKevitt cc: John Burke,,Esq. NEW YORK CITY OFFICE-THE CHRYSLER BUILDING-405 LEXINGTON AVE.26TH FL.,NEW YORK,NY 10174 TELEPHONE(212)829.4375 SUFFOLK OFFICE- 1300 VETERANS MEMORIAL HIGHWAY,SUITE 100.HAUPPAUGE,NY 11788 TELEPHONE(631)203-4900 SAHN WARD BRAFF KOBLENZ PLLC ATTORNEYS AT LAW THE OMNI 333 EARLE OVINGTON BOULEVARD RECEIVED SUITE 601 ----- UNIONDALE, NEW YORK 11553 SUN 13 2022 TELEPHONE: (516)228-1300 TELECOPIER: (516)228-0038 Southa d Town E-MAIL:INFO®SAHNWARD.COM Planning Board W W W.SAHNWARD.COM June 7, 2022 VIA HAND DELIVERY AND CERTIFIED MAIL Hon. Donald J. Wilcenski Chairman, Planning Board Town of Southold P.O. Box 1179 Southold,NY 11971 Re: Proposed Site Plan & Special Exception for Brinkmann Hardware 12500 NYS Route 25, n/e corner of New Suffolk Avenue & Route 25, Mattituck SCTM#1000-114.-11-17 Dear Mr. Wilcneski: This firm is counsel to the owners and applicants of the above-referenced application. We demand that the Planning Board forthwith process the application so we may obtain the necessary approvals, including hiring a consultant and for the consultant to proceed expeditiously with the market and municipal impact study. Please do not hesitate to contact me at the above address if you have any questions. Very truly your Thomas McKevitt cc: John Burke, Esq. NEW YORK CITY OFFICE•THE CHRYSLER BUILDING•405 LEXINGTON AVE. 26TH FL., NEW YORK, NY 10174 TELEPHONE(212)829-4375 SUFFOLK OFFICE 9 1300 VETERANS MEMORIAL HIGHWAY,SUITE 100,HAUPPAUGE, NY 11788 TELEPHONE(631)203-4900 SAHN WARD BRAFF KOBLENZ PLLC . 11 ATTORNEYS AT LAW Q ''�' US POSTAGE-PITNEY BOWES THE OMNI 333 EARLE OVINGTON BOULEVARD �'�� Q SUITE 601 ZIP 11 553 UNIONDALE, NEW YORK 1 1553 �- 02 7H 007.330 7020 2450 0000 9550 9974 ! 0006017486 JUN 08 2022 Hon. Donald J. Wilcenski Chairman, Planning Board Town of Southold P.O. Box 1179 Southold, NY 11971 r.9S s**7 z 1111,11111r-i1i '��1��11"�l�l�j�i�i1�]fi��l?,���1t�������i� �7j,�,), � G'Qrr� (���ces o/ William R. Garbarino &)iff aW —W. _9aZ- a11I2O 40 Main Street Andrew R. Garbarino Sayville, NY 11782 William F. Garbarino Fax (631) 563-4435 (631) 563-4411 Of C' ..f Donald R. Hamill ,E EI VED June 4, 2020 V �imuuGu n u: Donald J. Wilcenski Chairman, Planning Board Town of Southold P.O. Box 1179 Southold,NY 11971 Re: Proposed Site Plan& Special Exception for Brinkmann Hardware 12500 NYS Route 25, n/e corner of New Suffolk Avenue &Route 25, Mattituck SCTM#1000-114.41-17 Dear Mr. Wilcneski: We demand that the Planning Board forthwith process the application regarding the above-referenced property, including hiring a consultant and for the consultant to proceed expeditiously with the market and municipal impact study. Please do not hesitate to contact me at the above address if you have any questions. Very truly yours, William R. Garbarino ��j,�,)) G'arr���0f 1ces of William R. Garbarino &)iflan2 ✓1 . _9-CZrS17rIn0 40 Main Street Andrew R. Garbarino Sayville, NY 11782 William F. Garbarino Fax (631) 563-4435 _.. (631) 563-4411 Donald R. Hamill April 3, 2019 E C E I VE Donald J. Wilcenski ''i�'l p Chairman, Planning Board Town of Southold ��� "il i N To win P.O. Box 1179u,.�u nor ... '.:"fir„"........._..__._..._. Southold,NY 11971 Via Certified Mail and Hand Delivery Re: Proposed Site Plan& Special Exception for Brinkmann Hardware 12500 NYS Route 25, n/e corner of New Suffolk Avenue &Route 25, Mattituck SCTM#1000-114.41-17 Dear Mr. Wilcneski: We are in receipt of your letter dated February 28, 2019, wherein you state that"the Town Board has enacted a moratorium on development that temporarily halts the Planning Board's ability to process the above-referenced application." I have reviewed Resolution 2019-214 adopted by the Southold Town Board on February 26, 2019, a copy of which is attached. I call your attention to: Section 2. ENACTMENT OF TEMPORARY MORATORIUM Until six (6) months form the effective date of this Local Law, after which this Local Law shall lapse and be without further force and effect and subject to any other Local Law adopted by the Town Board during the six (6)month period, no agency, board, board officer or employee of the Town of Southold including, but not limited to,the Town Board, the Zoning Board of Appeals, the Trustees,the Planning Board, or the Building Inspector(s) issuing any building permit pursuant to any provision of the Southold Town Code, shall issue, cause to be issued or allow to be issued any approval, special exception,variance, site plan, building permit, subdivision, or permit for any of the property situated along State Route 25, bounded on the West by intersection of State Route 25 and Bay Avenue and bounded on the East by the intersection of State Route 25 and Pike Street. (emphasis added) As stated by the resolution, the Planning Board is only prohibited from issuing or causing to be issued a permit. There is nothing prohibiting the Planning Board from processing the application. Therefore, we demand that the Planning Board forthwith process the application so we may obtain the necessary approvals, including hiring a consultant and for the consultant to proceed expeditiously with the Market and Municipal Impact study. Please do not hesitate to contact me at the above address if you have any questions. Very truly yours, �LL Andrew R. Garbarino Oof N, RESOLUTION 2019-214 ADOPTED ✓� DOC ID: 14987 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-214 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 26,2019: WHE REAS there has been presented to the Town Board of the Town o1:Southold, Suffolk County, New Fork, on the 1.2t'day of February 12,2019, a Local Law entitled "A Local Law in. relation to a Temporary moratorium on the issuance of approvals and/or permits for the arcels of proper in "Tire State Route 25 Loewe Lane Intersection and surrounding area" and WHEREAS the Town Board of the Town of Southold held a public hearing on the aforesaid Local Law at which time all interested persons were given an opportunity to be heard,NOW therefor be it RESOLVED that the Town Board of the Town of Southold hereby ENACTS the proposed Local Law entitled,A Focal.Law in relation to a Temporary Tempora!y moratorium on.the issuance of apilrovals and/or,permits for the arcels of propefty in "The State Route 25 Love Lane Intersection and su.rroundin area"reacts as follows: LOCAL LAW NO. I of 2019 A Local Law entitled, "A Focal Law in gelation to a.Temporary moratorium on the issu ance of a rovals andJor Permits for the parcels of pro er in "The State Route 25 Love Lane Intersection and surroundingarea" . A Local Law entitled, "A Local Lyaw in-relation to a Temporary moratorium on the issuance of approvals and/or permits for the parcels of ro erty in "The State Route 25 Love Lane Intersection and surrounding area. BE IT ENACTED by the Town Board of the Town of Southold, as follows: Section 1. Purpose The Town Board recognizes that in the area of the intersection of State Route 25 (a/k/a "Main Road") and Love Lane there is insufficient infrastructure to handle the drastic increase in traffic in recent years and to allow for the safe passage of pedestrians to safely cross Main Road at the Love Lane intersection as well as at other intersections immediately to the East and West of the aforementioned intersection. This lack of infrastructure puts the health, safety and welfare of the public at risk. The residents of the hamlet of Mattituck and the surrounding areas have voiced their concerns regarding the risk to the health, safety and welfare of the community and the need for improvements to the infrastructure at the intersection of Main Road and Love Lane. Similarly, local business owners have identified the traffic issues along Route 25 and Love Lane as has having a negative effect on local businesses. Resolution 2019-214 Board Meeting of February 26, 2019 Although Main Road is a road owned and maintained by the State of New York, the Town Board has commissioned a traffic study of this area to identify the issues that need to be addressed and propose solutions and improvements to the infrastructure. The traffic study has reached a critical phase wherein the Town is meeting with New York State Department of Transportation officials to determine which of the various proposed improvements to the infrastructure the State would deem acceptable and willing to implement or allow the Town to implement. The Town Board realizes that,based on the proposed infrastructure improvements to improve traffic flow at the intersection of Main Road and Love Lane contained in the initial draft of the Traffic Study, there is a possibility of impacts to other intersections in the area where Main Road intersects with local roads. Although the present study is analyzing three intersections in the area,there are 5 more intersections in the area where Main Road intersects with a local road where there is no signal and/or no crosswalk to safeguard pedestrians. Therefore, after reviewing initial drafts of the traffic study,the Board is of the opinion that the traffic study needs to be expanded to address these additional intersections along Main Road. In addition to the traffic study commissioned by the Town Board, the Town of Southold Planning Board has recently completed a study of the parking in the Love Lane area and determined that there is a need for more public parking in the area. The Town Board is also nearing completion of updates to the Town Comprehensive Plan and expects to be in a position to adopt those changes over the next several months. The Comprehensive Plan will also contain recommendations as to infrastructure improvements and land use at the Route 25 and Love Lane intersection and surrounding area. The Town Board wishes to be able to consider the proposals and recommendations contained in the various aforementioned plans; consider various alternatives to current zoning along Main Road; as well as implement improvements to the infrastructure and adopt any recommended land use changes,to insure the health, safety and welfare of the community to address the recent drastic increased demands on the infrastructure in the area around the Main Road/Love Lane Intersection and surrounding area. Given the reasons and facts set forth above and until the planning process is completed, the Town Board finds it necessary to impose a moratorium as set forth below. This action is necessary in order to protect the character,public health, safety and welfare of the residents of the hamlet of Mattituck as well as those visiting the Love Lane area. Section 2. ENACTMENT OF A TEMPORARY MORATORIUM Until six (6)months from the effective date of this Local Law, after which this Local Law shall lapse and be without further force and effect and subject to any other Local Law adopted by the Town Board during the six(6)month period,no agency,board,board officer or employee of the Town of Southold including but not limited to,the Town Board, the Zoning Board of Appeals,the Trustees,the Planning Board, or the Building Inspector(s) issuing any building permit pursuant to any provision of the Southold Town Code, shall issue, cause to be issued or allow to be issued any approval, special exception,variance, site plan,building permit, subdivision, or permit for any of the property situated along State Route 25,bounded on the West by intersection of State Rout3 25 and Bay Avenue and bounded on the East by the intersection of State Route 25 and Pike Street. Section 3. DEFINITION OF "THE STATE ROUTE 25 LOVE INTERSECTION AND SURROUNDING AREA" Updated: 2/26/2019 3:07 PM by Lynda Rudder Page 2 Resolution 2019-214 Board Meeting of February 26, 2019 The State Route 25 and Love Lane intersection and surrounding area is hereby defined as the area bounded by the following public roads: All properties along State Route 25 in the hamlet of Mattituck,bounded by the intersection of State Route 25 and Bay Ave on the West and State Route 25 and Pike Street on the East. Section 4. EXCLUSIONS This Local Law shall not apply: 1) to any person or entity who/which has,prior to the effective date of this Local Law, obtained all permits required for construction of a building on any property located in the State Route 25 Love Lane Intersection and Surrounding Area including later applications to repair or alter,but not enlarge, any such building otherwise prohibited during the period of this temporary moratorium. 2) To any permit or application regarding a single family dwelling unit to be used solely for residential purposes. 3) To any application by a municipal corporation or special district or fire district. Section 5. AUTHORITY TO SUPERCEDE To the extent and degree any provisions of this Local Law are construed as inconsistent with the provisions of Town Law sections 264, 265, 265-a, 267, 267-a, 267-b, 274-a, 274-b, and 276,this Local Law is intended pursuant to Municipal Home Rule Law sections I0(1)(ii)(d)(3) and section 22 to supercede any said inconsistent authority. Section 6. VARIANCE TO THIS MORATORIUM Any pet-son or entity suffering unnecessary hardship as that,term is used and construed in Town Law section 267-b(2)(b), by reason of the enactment and continuance of this moratorium may apply to the Town Board for a variance excepting the person's or entity's premises or a portion thereof from the temporary moratorium and allowing issuance of a permit all in. accordance with the provisions of this Southold Town Code applicable to such use or construction. Section 7. SEVERABILITY If any clause, sentence,paragraph„ section, or pant:of this Local Law shall be adjudged by any court of competent jurisdiction to be invalid, the judgment shall not impair or invalidate the remainder of this Local Law. Section 8. EFFECTIVE DATE This Local Law shall take effect immediately upon filing with the Secretary of State. Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio,Evans,Russell Updated: 2/26/2019 3:07 PM by Lynda Rudder Page 3 OFFICE LOCATION: � MAILING ADDRESS: Town Hall Annex �� so P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold,NY www.southoldtownnY.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 28, 2019 Andrew R. Garbarino, Esq. 40 Main Street Sayville, NY 11782 Re: Proposed Site Plan & Special Exception for Brinkmann Hardware 12500 NYS Route 25, We corner of New Suffolk Avenue & Route 25, Mattituck SCTM#1000-114.-11-17 Dear Mr. Garbarino: As you are aware, the applicant in the above-referenced application deposited thirty thousand dollars ($80,000.00) with the Planning Board for the retention of a consultant by the Board in connection with, a'requ"ired Market & Municipal Impact Study. As of the date of this correspondence, work on the study has not begun and the Planning Board had not yet retained an outside consultant. As I believe you are also aware, the Town Board has enacted a moratorium on development that temporarily halts the Planning Board's ability to process the above- referenced application. Until the moratorium is lifted the Planning Board will continue to hold the applicant's thirty thousand dollars ( 30„000.010) in a separate account. If preferred by the applicant, the funds will be returned upon receipt of a written request. Please, if you have any questions regarding this site plan application, do not hesitate to contact the Planning Board office. Respectfully, Donald J. Wilcenski Chairman a L7QID (Vices 0,/ � 7n)1 IQI22 ✓1 . �QI'�QI'1120 �` a �"` � William R. Garbarino W ��• •• 40 Main Street „ •� Andrew R. Garbarino Sayville, NY 11782 Fax (631) 563-4435 William F. Garbarino (631) 563-4411 Cif Counsel- Donald R. Hamill January 11, 2019 Town of Southold Planning Board Office Attn: Brian A. Cummings, Planner P.O. Box 1179 Southold,NY 11971 Re: Proposed Site Plan & Special Exception for Brinkmann Hardware 12500 NYS Route 25, n/e corner of New Suffolk Avenue & Route 25, Mattituck SCTM#1000-114.-11-17 Dear Mr. Cummings: Pursuant to your letter of Jul 31, 2018, enclosed please find my client's check in the sum of $30,000.00 which represents the cost for the Market and Municipal Impact Study. Please have the Planning Board proceed with the ordering of the study. If anything further is required, please do not hesitate to contact me. Very truly),(.)l,, "'j N1 REW R. GARBARINO, ESQ. ARG/lch Enclosure cc: Brinkmann Hardware OFFICE LOCATION• ,J � MAILING ADDRESS: Town Hall Annex ��� so&/, ` P.O. Box 1179 54375 State Route 25 ` Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov OUNII PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: January 15, 2019 Re: Check The attached check is a Consultant Escrow Fee for a Market & Municipal Impact Study for the project listed below. Please deposit into B691 Deferred Revenue Account. Thank you.. Applicant/Project Name & Tax Map Amount Check Date/No. Tie # Brinkmann Hardware Site 114-11-17 $30,000 1/9/19 -#1002 Plan & Special Exception Mattituck 12500, LLC � M jTUCK12500 LLC 226 RAILAOaif Jrr AD AVE,SUrrE 100 SAYVILLE,;NY 11782 51az219(t21t 599 ao�9 DATE PAY - (lC �9 ,TO THE „ ORDER OF : . r� U'+ LLARS pm On Bftan peoples.com 1I�Obl'&DO 2110 Im 2 2 L I ? 24 Glum ,�'6 5006117 Lih From: Lanza, Heather Sent: Tuesday, January 15, 2019 11:00 AM To: 'Ray Nemschick' Cc: Hank Brinkmann; Ben Brinkmann; Duffy, Bill;Cummings, Brian A. Subject: RE: Proposed Brinkmann Hardware SCTM# 1000.114.11.17 Attachments: Site Plan Application Complete Packet.pdf, letters and application form Brin n.pdf Dear Mr. Nemschick, Thank you for submitting the draft revised site plan as an attachment to your email. We will not be able to review it for you because at this point in the application process, there is direction from the Planning Board via letter as to the next steps. I have attached a copy of the last two letters for your convenience. Also attached in the same PDF file is the site plan application that shows the applicant's agent/representative as Andrew R. Garbarino. If this or any other information in the site plan application paperwork has changed (property owner, applicant, applicant's agent),please revise the Site Plan Application form accordingly and resubmit. We also need an authorization from the applicant for you or anyone else to act on their behalf, if we don't already have one in the file. I didn't see one. Ideally it is notarized and in the format of the Agent Authorization form that can be found in the site plan application packet I have attached (See the 8'page in the packet for the format). The entire application file is available on our Laserfiche system.A link to our file is provided for your convenience below. �c:l � „u` r , ,.u. r i.l:'i i..mm_Q w °6�i Sincerely, Heather Lanza From: Ray Nemschick [mailto:r.nemschick@nsarchitects.com] Sent: Monday,January 14, 2019 1:01 PM To: Lanza, Heather<heather.lanza@town.southold.ny.us> Cc: Hank Brinkmann<hbrinkmann@brinkmannsenterprises.com>; Ben Brinkmann <bbrinkmann@brinkmannsenterprises.com> Subject: Proposed Brinkmann Hardware SCTM# 1000.114.11.17 Heather M. Lanza, AICP Planning Director Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Proposed Brinkmann Hardware Revisions from June 18,2018 Planning Department Meeting SCTM#1000.114.11.17 NSA Project#:17-1900 Dear Heather; t1Vemschyck Silve 'an Architects P.C. is pleased to submit an updated site plan sketch on behalf of Brinkmann Hardware for review as requested. As stated at the last town meeting, off-street parking has been adjusted and moved out of the front yard setback. All parking is now proposed in side and rear yards. Please review plan attached and concur we have now met requirements for full department review. We are excited to move this forward and look forward to your response. Sincerely, RAY W NEMSCHICK principal NEMSCHICK SILVERMAN ARCHITECTS P.C. 10 Main Street, Suite 200 Sayville, New York 11782 1 563 2130ext 11 Tel 61 563 2139 Fax 631 921 5701 Cell r new : chi k w n s-a r a 1u,coivi yrAw, .-arch.corn OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex " 'o P.O. Box 1179 54375 State Route 25 ;�` Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtowuny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 31, 2018 Andrew R. Garbarino 40 Main Street Sayville, NY 11782 Re: Proposed Site Plan & Special Exception for Brinkmann Hardware 12500 NYS Route 25, We corner of New Suffolk Avenue & Route 25, Mattituck SCTM#1000-114.-11-17 Dear Mr. Garbarino: The Planning Board has requested assistance with the preparation of the Market and Municipal Impact Study required by Southold Town Code §280-45(10)(B) for the application referenced above. They have chosen the planning consultant Nelson, Pope & Voorhis (NPV) to conduct this study. The Planning Board requires the applicant submit $30,000 to the Town to cover the cost of this study. Please submit a check in the amount of $30,000 at your earliest convenience. The Board cannot authorize the consultant to begin the work until the funds are received. Note that the funds will be held in escrow by the Town until the work is completed, and will be used to pay for services rendered. An accounting of these services will be provided upon request. Please, if you have any questions regarding this site plan application or its process, do not hesitate to call this office at 631-765-1938. Respectfully, Brian A. Cummings Planner O MAILING ADDRESS: OFFICE LOCATION: so Town Hall Annex �+'� r✓ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 r www.southoldtownny.gov coo 4 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 22, 2018 Andrew R. Garbarino 40 Main Street Sayville, NY 11782 Re: Proposed Site Plan & Special Exception for Brinkmann Hardware 12500 NYS Route 25, n/e corner of New Suffolk Avenue & Route 25, Mattituck SCTM#1000-114.-11-17 Dear Mr. Garbarino: I am writing as a follow-up to the Work Session held on June 18, 2018 where the Planning Board reviewed the above-referenced application. Pursuant to §280-45(B)(10), this application is subject to the Planning Board Special Exception process and requirements for a retail building greater than 6,000 square feet. The next step is for the Board to commence a Market & Municipal Impact Analysis, however, for this to proceed, it is necessary to submit the following fees: 1. $15.00 remainder of the fee for a new Site Plan application; 2. $1,000.00 Special Exception fee; 3. Fee to cover the cost of the Market and Municipal Impact Analysis, amount to be determined. The Board has sent out a request for proposals to consultants for the Market and Municipal Impact Analysis, and will inform you of the cost as soon as possible. In addition, the Board found the Site Plan application incomplete as follows: 1. Provide a separate Key Map showing the locations, names and widths of all rights-of-way within 500' of the subject site; Brinkmann Hardware Pa e 2 June 22 2018 2. Provide a separate Key Map showing location and owners of all adjoining lands within 500', as shown on the latest tax records, at a scale of one inch equals 100,; 3. 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.); 4. Provide renderings and dimensions for the proposed free-standing sign; 5. Provide dimensions and proposed colors for the proposed wall signs shown on the building elevations. The Board suggests that it is not necessary to submit the site plan items at this time because they will not be reviewed until after the Market Analysis is received and reviewed. Please, if you have any questions regarding this Site Plan or its process, do not hesitate to call this office. Respectfully, P Brian Cummings Planner WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, June 18, 2018 4:00 p.m. Southold Town Meeting Hall 2:30 p.m. Executive Session — Advice from Town Attorney 4:00 p.m. Applications Pro`ec SCTM#: 1000-40-3-1 t Name: Vineyard View I _ Location: 62600 CR 48, Greenp ort Description This proposed Residential Site Plan is for 50 multiple dwelling units in seven buildings. All units are proposed to be offered for rent at rates set by the federal government for affordability for the next 50 years. The plan includes 14 one-bedroom units, 22 two-bedroom units and 14 three- bedroom units, a 2,649 sq. ft. community center, 104 parking spaces; and various other associated site improvements, on a vacant 17.19-acre parcel of which 10 acres will be preserved as open space (6.3 acres upland and 3.7 acres wetlands), in the Hamlet Density (HD) Zoning District located on the s/s of County Road 48 ±1,600' n/e/o Chapel Lane. Status: Pending Action: Review Preliminary Hearing Comments �y _ .......... Attachments: ! Staff Report 1 Project Name: North Self Dr�te,rage. IllCutcho ue � SCTM# C- 1 961 3 Location: 65 Commerce_e _ Description: This Site Plan is for the proposed construction of three (3) 1 - story self- storage buildings at 13,500 sq. ft.„ 5,300 sq. ft. and 6,700 sq. ft. as Please One and two (2) RV Carport structures at 11,250 sq, ft, and 9,450 sq, ft as Phase Two, with 37 parking stalls on 3.7 acres in the Light Industrial i Zoning, District. Status: j New Application Action: 1 Completeness Attachments: Staff Report _ Project Name: Brinkmann Hardware SCTM#: 1000-114-11-17 Location: 12500 Route 25„ Mattituck Description: This Site Plan is for the proposed construction of a 1 '/2 story 1 2,0 00 sq. ft. building for retail and a 1 '/2 story 8,000 sq. ft. building to include 5,000 sq. ft. of storage and 3,000 sq. ft. of retail with 80 parking stalls on 1.7 acres in the Hamlet Business Zoning District. Status New Application Action: Completeness Attachments; Staff Report Southold Planning Department Staff Report Site Plan Application Work Session — Completeness Date June 18, 2018 Prepared By: Brian Cummings I. Application Information Project Title: Brinkman Hardware Applicant: Mattituck 12500 LLC Date of Submission: May 25, 2018 Tax Map Number: 114.-11-17 Project Location: 12500 NYS Route 25 Hamlet: Mattituck Zoning District: HB- Hamlet Business II. Description of Project Type of Site Plan: Commercial Acreage of Project Site: 1.78 acres Building size 20,000 sq. ft. total Site Plan packet Table of Contents: SP— 1 Site Plan SP—5 Lighting Plan SP—2 Sanitary Site Plan SP—6 Details SP—3 Grading and Drainage SP—7 Details SP—4 Signage and Landscaping SP—8 NYSDOT Detail III: Completeness Review See attached checklist for Site Plan Requirements. IV: Analysis A. Existing: 1. Vacant 1.78 acre parcel; 2. Surrounding land: East: vacant ±2.4 acre parcel in the HB zoning district; North: three (3) improved HB zoned parcels 0.19, 0.25 & 0.48 acres South: opposite New Suffolk Ave, improved HB zone parcel at 2.1 acres West: opposite NYS Route 25 from the subject parcel are two lots that make up the Mattituck Presbyterian Church (HB zone 2.5acres) and cemetery (RO zone 1 acre); 1 B. Proposed construction: 1. Building A: 20' F. FL. EL. • 1 '/2 story 12,OOOsf building for retail (hardware store) 2. Building B: 20' F. FL. EL. • 1 '/2 story 8,000 sq. ft. 0 3,OOOsf for retail (paint sales) 0 5,000 sq. ft. for storage Note: Maximum building size in the HB zone is limited to 12,000 sq. ft. C. Parking Required: Retail @ 1 per 200 sq. ft. 15,000 / 200 = 75 Storage @ 1 per 1000 sq. ft. 5,000 / 1,000 = 5 TOTAL stalls required = 80 TOTAL stalls provided = 80 (including 4 ADA) Loading berth: Required: minimum 15'W x 14'H x 451 Provided: 20' x 14' x 61' Staff: pursuant to 280-78(M) Parking for special exception uses. Notwithstanding any other provisions of this chapter, the Planning Board may increase the parking requirements for special exception uses by up to 150% of the minimum parking requirements if it determines that such additional parking requirements are necessary by reason of the nature of the use and/or the characteristics of the site. 2 D. Access: ■ Two (2) access points from New Suffolk Avenue: • West curb cut @ 64' wide and 24' clear passage • East curb cut @ 68' wide and 28' clear passage ■ Future cross access (22'6") to east, HB zone parcel; ■ Sidewalks @ 5' wide along NYS Rt. 25 & New Suffolk Avenue E. Bulk Schedule/Code Requirements: Hamlet Business (HB) zone 1. Lot coverage 40% maximum permitted 25.87% proposed 2. Landscape coverage 25% Minimum required 27.68% proposed F. Storm Water Controls: 1. Tributary I — Building A run-off 2. Tributary 11 — Building B run-off 3. Tributary III — asphalt parking areas G. Landscaping: provided on page SP — 4 H. Exterior Lighting: a photometric plan is provided on sheet SP — 5; I. Special Exception by the Planning Board Due to the size of these retail buildings, this application is subject to §280- 45(B)(10) of the Town Code which requires the following: 1. Planning Board review the use as a Special Exception, This requires the applicant to submit a separate fee and for the Planning Board to review the application under Town Code Article XXV Special Exception Uses. 2. Architectural design standards/requirements for large buildings 3 A preliminary review of this application's compliance with these standards is provided below. 3. Planning Board to conduct a Market and Municipal Impact Study to determine whether the project will have an undue adverse impact on the community. The entire code §280-45(B)(10) is provided as an attachment to the staff report. The requirements include that the study be done within 90 days of receipt of a complete application. An excerpt with details about the content of the Market Municipal Impact Study is included below. Town Code §280-45(B)(10) (part of) (b) The Planning Board shall determine that the proposed retail store(s) will not have an undue adverse impact on the community. In making such a determination, the Planning Board shall conduct or hire a consultant to conduct a Market and Municipal Impact Study, at the expense of the applicant. The study shall be completed within 90 days of receipt of all requested materials, and the applicant shall be afforded the opportunity to submit its own such study. The Planning Board shall make such determination within 30 days of its receipt of the study. Such study shall include an analysis of the projected impact of the retail store(s) on: [1] The existing local retail market, including market shares, if applicable. [2] The supply and demand for local retail space. [3]Local wages, benefit and employment. [4]Revenues retained within the local economies of the Town of Southold. [5]Public service and facilities costs. [6]Public revenues. [7]Impacts on municipal taxes. [8]Impacts of property values in the community. [9]Effects on retail operations in the surrounding market area. [10]Employee housing needs, if applicable. [11] The Town of Southold's ability to implement its Comprehensive Plan consistent with the proposed project. 4 The Market and Municipal Impact Study will require a consultant to be chosen by the Planning Board. The Town's procurement policy requires two quotes be solicited. J. Code Compliance — Preliminary Review Sections of Special Exception code with which this is not compliant- [4] Site design. [a] The principal building entrance shall face the primary street frontage and/or sidewalk where practical. Staff: principal building faces New Suffolk Ave. There is no definition in the code for "Primary Street"; [5] Off-street parking. [a] Off-street parking shall not be located in the front yard between the front facade of the building(s) and the primary abutting street. Parking areas must be located in the side and rear yards of the building. Adequate parking shall be provided in accordance with that required by Article XVI I I of this chapter of the Town of Southold Town Code, Staff: All parking is proposed within the front yard. The language of the code is such that this requirement must be met. The site plan cannot be approved with the parking in the front. [b] Parking areas shall be screened from adjacent properties, streets and public sidewalks, pursuant to § 280-95, Landscaped parking area. Staff: The parking areas are not screened. The site plan cannot be approved as shown; K. SEQRA Preliminary Review 1. Potential moderate to large adverse impacts from this proposed development include the following: a. Visual impacts to the NYS Scenic Byway b. Impacts to transportation c. Community character 5 d. Consistency with community plans L. Staff Notes: - This application is subject to the Planning Board Special Exception process and requirements for a Retail Site Plan pursuant to §280-45(B)(10); - Suffolk County Department of Health Services (SCDHS) required; - Letter of water availability from SCWA required; - NYSDOT Highway Work Permit required; - Area of disturbance = 69,888sf (1.6acres) requires NOI and SWPPP from NYSDEC V: Staff Recommendations 1. Next Steps and review procedure: a. Conduct the Market & Municipal Impact Study; o It is recommended the Board hire a consultant to do this work. For professional services up to $25,000, two quotes are required. Technically, for work under $10,000, the Board isn't required to get a second quote, however the policy recommends it. b. SEQRA Review & Determination; o It is recommended the Board hire a consultant to help with SEQRA. c. Special Exception Application Review — conduct this review concurrently with SEQRA. d. Site Plan Application Review — to be continued after the Market & Municipal Impact Study is completed; 2. Provide Special Exception fee of$1,000 3. It is recommended that the above referenced site plan application be found incomplete due to the following: a. Site plan fee submitted was short by $15.00 $2,875 provided 6 $2,890 required = $500 flat fee, 0.78 acres x $500 for add'I acreage, and 10 cents per floor area x 20,000 sf. b. Separate key maps as required pursuant to §280-133(B)(1) - (f) & (g); and §280-133(B)(3)(d) were not submitted. c. Renderings and dimensions for the proposed free-standing sign were not provided. d. Dimensions and proposed colors for the proposed wall signs shown on the building elevations were not provided; 4. Provide items 2, 3.a.& b. to enable Planning Board to continue with the Special Exception review. 5. Provide items 3 c & d. to make the site plan application complete. 7 Southold Planning Department Checklist for Site Plan Application Completeness - Section 280-133 Project Name: Brinkman Hardware Completed by: Brian Cummings Date: June 18, 2018 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 Incomplete below. Editor's Note: See now § 280-138, Fee schedule for X site plan applications. (3) A completed environmental assessment form. (4) Nine copies of the site plan. (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. (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. (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 feet of the subject property, indicate the distance to the X 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) A complete outline of other existing easements, deed 1 Checklist for Site Plan Application Completeness Southold Planning Department restrictions or covenants applying to the property. (j) Existing zoning, including zone lines and dimensions. (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 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 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 York State Department of Environmental Conservation and the Board of Trustees of Southold Town, marshes ponds, dunes, bluffs, beaches, kettleholes 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. (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 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 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 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 any proposed outdoor lighting or public address systems. (d) The location and plans for any outdoor signs must be in 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) 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 stormwater retention, in conformance with Chapter 161 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 alternate means of water supply and sewage disposal and treatment. (i) Building elevations for all facades and floor plans showing the proposed use of floor area. Notes: 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 ,Submission Without a Cove' Letter � � M� 3. . Sender: � S 1 C ��� \4 AY 2 5 2 0H 8 V"�acr¢rF ������uu�b Subject: v, SCTM#: 1000 - Date: 5 � 2—, l 0 Comments: M 4- aotce 6�- .. , E AT w W 24�1 - SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORNT 13Gmflng Bwwd Site f lan fi anye and Location. Site Plan Name: Brinkmann Hardware Application Date: rj / 2,5/ Suffolk County Tax Map 91000- 114 - 11 _ 17 Other SCTM#s Street Address: 12500 Main Road Hamlet: Distance to nearest intersection:Northeast corner of New Suffolk Ave Type of Site Plan: X New—Amended_Residential Zoning District HB !�n�inersfA e;nt Contact lnforrntion f Please list r�a�+�te, , tea��rrt a�'�la•ess;, and Phone number car th leople below:„..._.�... _ _�......... Property Owner 12500 Main Road LLC Street 2200 Montauk Highway City Br dZehammton State NY Zip 11932 Home Telephone Other p .. Applicant Matti tack 12500 LLC Street 226 Railroad Ave, Suite 100 City Sayville _ _ State NY ;dip 11782 Home Telephone Other 631-589-2335 Applicant's Agent or Representative: Contact Person(s)*drew R arbarino Street 40 Main Street City Sayville NY ._ ---...—.--.State Zip 11782 Office Telephone_ 631-563-4411 Other *Unless otherwise requested, correspondence will be sent only to the contact person.� p noted here.. Site Plan Applicaiion Form 211812010 S'1. Proposed construction type: X New Modification of Existing Structure Agricultural Property total acreage or square footage: 77,295 act ft Change of use Site Plan build-out acreage or square footage: 201000 ac./sq. ft. Is there an existingor proposed Sale ofDevelopment._ on the property? Yes No X Rights� If yes, explain', Does the parce](s) meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y X N If"yes", explain (and attach any necessary documentation—title refpo �rbivision approval, etc.) y s been same property deeded since be :ore 98.3 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 uses proposed and existing. Indicate which building will have which use. If more then one use is o P Posed p g, indicate square footage of floor area per use. List all existing property uses: Vacant land List all proposed roe uses:12,000 sq ft building( ail) , 8,000 sgft building (�0 8oretail P P property rtY —.. g (ret .. _ oraAe) Other accessory uses: s t r on Existing lot coverage: 0 �% Proposed lot coverage: 26 % Gross floor area of existing structure(s): 0 sq. ft. Gross floor area of proposed structures : 20,000 . S ._ � #of existing l spaces: Loading Berth: Yes_... ....—._ .. a rk� n,g pace Data: xistm s proposed 80 g X No e g paces0 #of r'o ose mp �.:�: �......_......�.. _.- p�.. p. .... n _s: Lx:istin landscape coverage: 100 0 landscape coverage: 27.�/o Lan dsca ing D � ' • ..—._ ..Details: �..... g 1 g _ /o Proposed _... a Wetlands—.. _m..�...._ ..mm._-....�...�...�... • P `p y n 500' of a wetland area? Yes No faye s this r u ert w�thi I, the undersigned, certify that alVaboLvinforniation is true. Signature of Preparers Date: a Site PlanApplicalion Form �i1Si2010 2 APPLICANT'S AFFIDAVIT APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK Henr B�ann -being duly sworn, deposes and says that he resides at 169 South Gillette Ave, Bayport NY 11705 in the State of New York, and that he is they` ' ' of property located at *member of applicE 12500 Main Road, Mattituck , SCTM# 1000-114-11-17 or that he is the Member ofthe Mattituck 12500 LLC (Title) fy wheth_ (Specify F — '( p er 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 examined 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 Planning Board; and that the actual physical improvements will be installed in strict accordance with the plan as approved by the Planning Board. Signed Owner Signed 4rvy4Brinkmaiin,eOMe Berfficer nd Title) Sworn to ne this day of ,, " Notar l ub is WILLIAM R.GARBARINO Notary Public, State of New York... No.02GA645 b20 Qualified in Suffolk County Commission Expires August St,20/$ ZONING BOARD OF APPEALS TOWN OF SOUI'HOLD,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), Mattituck 12500 LLC of Parcel Location: House No. 12500 Street Main Road Hamlet Mattituck Contact phone numbers: 6 31-5 8 9-2 3 3 5 SCTM 1000 Section 114 Block I Lot(s) 17 Lot Size 775 Zo 3istrict HB hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE,ARTICLE 280 ,SECTION 45 ,SUBSECTIONB(10) for the following uses and purposes: Proposed retail store with a total gross floor area of 12,000 sqft and a building with a total gross floor area of 8,000 sqft. as shown on the attached survey/site plan drawn to scale.Site Plan review[X]IS or[ ]IS NOT required. A. Statement of Ownership and Interest: 12500 Main Road LLC is(are)the owner(s)of property known and referred to as 12500 Main Road, Mattituck (House No,,Street,Hamlet) identified on the Suffolk Cotmty Tax Maps as District 1000,Section 114 ,Block 11 ,Lot 17 ,and shown on the attached deed. The above-described property was acquired by the owner on 9/30/2011 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: pplication complies with retail building standards listed under special exception code as well as site plan requirements. C. The property which is subject of this application is zoned HB 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): IF is vacant land. COUNTY OF SUFFOLK) ss.: STATE OF NEW YORK) i Sworn to before this i 5i day of ,20 J (Notary Public) ANDREW REED GAR6ARINO Notary Public. State of New'York No. 02GA6219189 Qualified in Suffolk County Commission Expires March 22, ZONING BOARD OF APPEALS TOWN OF SOUTHOLD,NEW YORK Phone(631)765-1809 (631)765-9064 APPLICATION FOR SPECIAL EXCEPTION Application No. Date Filed: Page 2 General Standards,please answer the following as it pertains to your project: A. The use will not prevent the orderly and reasonable use of adjacent properties or of properties in adjacent use districts BECAUSE: Proposed use is permitted under current zoning and property is large enough to house (3) 6,000 square foot buildings. 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: Applicant is currently partnered with local hardware store owner to move operations to the proposed location. 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: Proposed location is zoned for the proposed use and is large enough to fit the proposed buildings. All parking will be maintained on site. D. The use will be in harmony with and promote the general purposes and intent of Chapter 280-142 BECAUSE The use meets the requirements under Section 280-45B(10) of the Town Code. Additionally, the proposed site is designed following other rules and requirements under this Chapter. 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 buildings are designed to replicate the character of downtown Mattituck and other areas in Southold Town. There are also similar sized buildings nearby. F. All proposed structures, equipment, and material shall be readily accessible for fire and police protection BECAUSE: The proposed structures are located on a main road and ingress on site will permit the proper use and turning of a fire truck. G. The proposal shall comply with the requirements of Chapter 236, Stormwater Management BECAUSE: The proposed use and site plan comply with requirements under Chapter 236. QUESTIONNAIRE SPECIAL EXCEPTION FOR FILING WITH YOUR ZBA APPLICATION 1. Has a determination been made regarding Site Plan review? Yes X 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 X -Yes please explain on attached sheet. ** 3. Are there areas that contain sand or wetland grasses? NO a. 2.)Are those areas shown on the survey submitted with this application?N/A b. 3.)Is the property bulk headed between the wetlands area and the upland building area? NO c. 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? N/A Please confirm status of your inquiry or application with the trustees: N/A 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? N/A 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? NO If yes,please submit a copy of your build' permit and survey as approved by the Building Department and please describe: N TI 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. Please list present use or operations conducted at this parcel Vacant Land and the proposed use 12.000 s f t commercial building and 8,000 s f t building. , (ex:existing single family,proposed:same with garage,pool or other or vacant proposed office with apartments above,etc.) A t d Jsiviaturc.and Date Southold Plannin2 Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emiployees. 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: Mattit cic 1.2.5G ..LLC Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. Ifso, indicate the other person's or company's naive. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) X Special exception under Southold Town Code Section 280-45(B) (10) 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 b )a corporation in which the town officer or employee owns more than 5%of the shares. Yes Now 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 day of� 20[ Signature Print Name Henry Brinkmann Member Disclosure Form 12500 MM11 ROAD LLC 12500 Mofil.Road .1 a MlIttituck New York 11952 a member of 12500 MAIN ROAD LLC, owner of the property identified as SCTM#1000-114-1 147 In Mattitu ck,NY,hereby authorizes Mattituck 12500 LLC to aPPIY for a site plan and a special exception on my property and hire any agents necessary to complete the work involved in the site plan/special exception application process with th i I. the Southold Plamiing Board,Southold Zoning Board of Appeals,and the Southold Mining Department. STATE OF NEW YORIp COUNTY OF SUITOL ss On the d'ay0f in the year_S?Q IL_ 1 beforr,me the undersigned,personally appeared ft personally known to me or proved to Inc on the basis of satisfactory evidence to be the individual whose name is subscribed to the vdthin instrurrent and acknowledged to me that he executed the same ity I his capacity, In , ,and that by his signature on the instnunent,the individual,or the person on behalf of which the individual acted,executed the insta ument. Luann Comral"o Signature Notary publlc,,State of NOWY0111 Not L y No DIC06211585 $1 Siffolk Co u'AV is �a)cotamission Expire$ 1110MOM lol: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL TO: Ray Neruschick(12500 Main Road LLC) DATE: March 12,2018 160 Main Street, Suite 200 Sayville,NY 11782 Please take notice that your application dated jMggry 25,,2018 For permit to construct a retarl 1�&at Location of property:12-5-0-0--M—ain Road Mattft uck,,_Ny County Tax Map No. 1000-Section 114 Block 11 Lot 17 Is returned herewith and disapproved on the following grounds: ILI—1e Pro o cl use uiie situp ap ocvr� g Board, Cc:File,planning Authorized SilgPlia �, .NN „��. "N..k......L l ..... F CONSUILT YOUR LAWYIR BEFORE 511MRNG THOS ONSTRreUMIFINn'—TRIM iNSERR MIENT SHOULD BE USED By LAWYERS®RS'M tea. TMS NN DENTIU RE,oaaaopr d6ac c"��r day auN tau 1 FLORIDA �K Al" o uadooc:�a an N��tto�,n 1P an:•yi4°�sixty,-seven B 'EI6dF EENp NATIONAL BANK aakr 1,A NDO rTauni ttee Po the prropsexty, withinthe Stateof New York of Selma H. Nreeve,ain .Bncom- p..aur sauaRnt t.o aun order of the Supreme Court, State of New York, p:uetent, e.!nteared AuRgUst 14, 1.967 in .Suffolk County, New York-, with principal N of:a ce at Orlando, r1orida w Y II a, 6,uuuN°aj��hc n"uRa¢ pumu4 Hi,kN R. C. ps PF, residl.nc at -74 Vista Drive, Great Neck, New York, .0 rd 6nwmny DN the.aecoalruf pnrnrw„ �f 59N"N"R^.3 Z1"Mo Ot ONaa NHTly of whin. firer lkwa, iu coin uaa6cusR'danuu auN Forty rive °N'gnow»axieuaxieN andJ0Q1/100 ----.-.w------_-----..-..-- -.,..,.-,-----..,2 545,000.00) ,, . a0ru6L rli, 6 bIaa°Rpna ap uuae)anBpp'6npm�Ra"onda6 nnlondocs&atrep.uN° neap 21m] re�gm.-e•area&ao 06ac uoarRw`of flK �cwa d N"cno&hc 6neara 000ft I N p`^ ,� ➢$ p or , fi .nawcccv aUr,R-.1 a%.55ig i of U6tc,pare)°of&one RecauuntN pan 6ores rr, ALL aharr.cereao6an pkx,pr rcr.or pia .d of 9cua"L na6r@a oRr ua ihfings aurnap a6uarrcon a:rccUed' Shame, ➢g°oauEpanraa6 at, Ma,ttitucNrn.,Ln the Town of Sou.athold, Suffolk County, p f New York, bounded and described as follows. 13 BEGINNING at a point formed by the intersection of the 1"Northerly side of New Suffolk Avenue with the Easterly side: of N•Nain (State) Road (Route 25); and running thence "North r 1" 481 0011 Nast 265.24 .feet; and running thence South 64* 55" 0011 East 319.96 .feet; and running thence North 37' 391 0011 East 63.75 feet; and ,running thence North 75' 011 001, Cast 94.54 feet; and running thence South 2" 181 401, West 343.68 feet; and running thence North 86' 091 wI 100", West 290.81 feet to the point or place of first BEGINNING. SUBJECT to an easement along part of the westerly portion of p said premises in .favor of the ,State of New York for highway , purposes. i i i r i; µ TOGEnIrM with alp ro"g lo.We,and laacrem,It any,of the prry of the firm pnsrr uau avid rrna&ls alauegtt&uvg glue^.46sser aprsrrBlbmi turns 6CS to Rlne rtn for larncs Rlocrccat, r TO M-711p r i0i the:apupuvrrr,o-iscirs anKp alp the tmate and flghi,s of Rlnr puaray^ of On, fume p ca n..'IXld pttq'cildies, TO FriAV :AND TO HOLD flue parnrannisus luzra k p ranileal a Mo the parrrRy of Rluar sa^raamul p".unv, a v k sarm ua.tts asmant'sssig na or whe pasly of Plasm seccmrsd part forever, u; r, J�gf 1��r 0=4 11 AND glen:party of Rine tnv'%r pxarr c•:anvennz lreus Rlna& alvr poky.cent the tdlrag part lases m,l utum. err RulffeRral A",M whereby,the saW par'ernnnses paarr horn aanrauuv0krml in any, way 10marver, eaacrPW as arerr'r&2pu9. AND a the pna my of ttlne rums¢ paarn„aua wr°lgla Sr•cupuaun 13 of thr Urlm Law,cm.araanuanags plLq the pm, o- p RMe first pualrs wM rmcive flue r9nn ideraaaaa" tear'Vlols C01"Vueyance arrup warpll hoW the right to ivvovv lurch i Vmlic n a,s as trust fund to be apwp h l Pttr%t taao'ttlar paurry Olc Of pay~x>rar ttive cou of the alreupprrne",•w veantt annvl wod ulna sine first to Rpnr puayrnrracure¢at she roust of ttlne puunpurrawra rnrraw 1ITTOo-c auslinrogy aun,y part of IIIPua:rau9.ul eat ggur sa", o,r any other paarrtylaruse. r` The word a"paasngy""shall W conumed as of k read"pralcs°"%vhcracWcr glee "souse^sat uluB.s Ro ulcrituury ma ra>liiu¢os 114 WTTWESS' IMIERD,Rlae paarR'yr gat On turwR pnar4 lags eposp,y e xrcinavt alms deed glue day arast vair°dit.%a&,, FLORIDA Nsa.",3G';;Ia BANK u"rt" Oe`u;9.e"cN00 `& a Vlce Pre,,.4.u.M t, i G r ` ?naq IN r , i ; iu� 7y; lr �� sbAY"I,OP" "JO7GE,COUM OF SUER OF U@KGW'YvaSRdG,Cipl4@&8'�B ,• an. �I i I � u russtlr, m9fle rw..Tv LAfly.Cum. 01 if W nm&'mwn M in &e %updtlzn°NMul dSnw vdRul in and %Iwy raa "Ie Bnuanawaun Ilrca rar Borg W and At- �� I eruft:d whe 10"T41i haltuffirnit, »and uVv:a excomrd Me Qaaniihig huiPu1x9mi& NJ xawmnags, Wit Cx=Ied dew o r.n.cr sr.eaU ulln: neo l I �III a. i M� i tlk nw 4?:RIJIGE %'ATIP..OF ",G` 'M i" C'p UN,�WRW OF aww STATI OF NEW TDOXw C%dU"I 0; any On Hle doe dG u�� �'k 6r " w- III d grnroarua@daw.awu d �a �r";Ia 'w Jlady s ne Inr w.mdrvna,'aaNi d N wad bid "m dullp wwaurvm pSc qw,:ru d qw v!r d dyawur,n[ 9 drrm ky ru�a �Yts[ „r��ooro�1a.M r;; �::,k+a�n �y nNa.ur 9su. r,utlo,rr'taLa,Orlwx>r.r9,aw "XI pw SKr A N„, At Rrr is r,Nw vice Pres,ident A TCUSt r � (C Florida Lda National Bank at Orlando "I .me¢wufr'mmo n di w %oN in and wwNrn h emmius aN Ole fl r y rvue6a tl,mol mrw tu""I N "ail, In Y k,po s tha, �N tl w�,n yaady rr NNoaua„ Owl,, Ow WA AMA p„nuaa" A mid A r.aza WA UnJ � in saw Nauwimn,m 6 md'paatd aw�aC�W;w�a��n�o,r IQ; dot N% www.w No "Iu�a„,y gax-tiau.MlwY , h im N e�,ya�wrenta ,ua1a 16.wr k U" ",, arp�°sw d Euv air�et d He to at C Id tum ornw cid w�rwN uoav i t a vim N Wa¢'atiu s N Ow 9 wu a ,W a a a "I Sinn,�.��� 0�n.n W Sped ,7..;Iw�urm G�a�viv b h x aa hir tiwarb. ,ate„; b[a 4 .mw,4 h iVa do t=+ 9 k Im wsa".a n r w. ti rt, C NNctaary LIM) o�� I! nU E OF nim f u.�'wVii,rneUR .N UN I- r�ua'w -J nu, . r�wl u'il'A a'•uh um, C.—.0 r,.;«.— -tl a- J—M u:,.,.,aou„.u'P w F h N. i V ry kidj48 pia d U+ Yp"'ti uo r v P f o auu+ay.aa-J V s,, wa ua —...— . �. b.. a yr „;.w �i .wp ,uavtir .ulpu^ ll 4 1 a p ua w. u z1W W a o u'p,rq p j, �wYd w; •vo,m° �'H ..... ...._._ _.._ onu an' N.n o'uVa _ u a a Y ���O iC.� � �a�� � ���u rvnu V,�r.B m,an�u�,"P,a,,.Y �� 'r�u"�� ,,�n,,m.,"A d�N 4arp'�"+�' � �M"ddd"Illf.:n 8 V V 1L� N. �V'...... _........ ; 0 ERrdPoUR VV W"A L.cf,4ttwj,ia a UPBd ..t141110 r al,:µdv 06 "Uff CIRCtM m.woL,dwD unn V uw.tlY a°& Ru. Mb dk y n *A a R C ORDEY _, "-NoU raN NORM AU E. SaUPJP im Sam mmrp r a� Ii'q t 2 .1 C°rcaanaGroa"a wGls�rltu°a � � � .. TORRENS Scrlual re , V:`�utiVii�oa8c Cd�.. ° Prier CIE# Deed BbVasaVgaa Ned I u,"Iaurt 0gr ,—a Stwnpa Vt.ecu daurg I Mug Stainpi 113gc S FiNng Fee �_ _... .. Morte agc Av. 1�andliflg 1,Basic Tax 1�°-3 ••8 2,Ada9hiwunall V°aa: _ I"'A-w u.t b'(Cousnly) ... ..._ ✓. Surkn Uel V � L;d�b•52 I 7(SNa CV _.., lb:c lA,.tf•.t.. ... U, e rlEo a "� T"CJ°l'.o�ITGa.TaawX tit d Dual To wn Dual COuartY S'uurawo7,of Ik9.. t.V`fi°°dlavrca � � I la:td tier atp�oatiaauaawlcnt w Y d M w w �.Cc—fillicd COPYCOPY —. �r 5:.a � � 11w.properly co vied by this u�d agip tau w, II 6°�' . % Qc ¢ruuy J va l be I�iuraprutved by a tone or law" "r f=nd vlpV Saz1;u"➢'auuat �� dnVy. G Ettu^r r YES _. ur N01 _ .... CA ff No,acc ippropriat,e Saw !',au.asc 00 gaa�,c fs GiftAhVD1I'0TA1,....._..4:,':L �ay%'UN7d»a4)SIasuaaum II'I aV V"rt:� n� V°axSiamvuc s* "tit , 'Vcs ficaVuon 6 Community I)reserviaticytt Ftand t'aVuat. ime;.4xaoa Vd.Vxk, Coatsideration Amount S _. ._ U20193 _ _....�__ Staonla 74 1000 11g00 1100 017000 CPU "C'e�� V7wt� Dawl " OS,V Z"w"y Vaalonta%and r s lrallrsal� 1,92.14Ytl_ dZ1 wuu�a 71) �a�tta t 9airn "LTl taaoflwn I'twl a LiM Prorcakw P rwllctshIaiting Add rt," sc r Qt�EOtll�w I'tl•�'V`�IVtG`~I"Y"tat raw lD JAIM'S SPIVSS„ ESQ . TD EAST TREET PO BO% 757 --UVLR1°IEAD," Ice'EW °d'ORK 11901 4 Title Compaii')" Information _w .,..,.�.•5�,�;��"�•Is�I°d d--.,;;�ra4 w�.,�r`'b I •- w•�.�..r•°•-..°^�-'. w � 'Gat➢�s� G^Y..".a r �r°rrr �,ro,�.. � fol "Dash[ , 1 ecor & n r eipeixt r a Vhis l.� e I«onns Ian and than aww' ed G IN �talG� S�T�E DEED II?t_ ........ iloamr.l t»W (SI ILE'IIl"IWI-OF IN a t RLrPefCNI') 'I he ptreinises hcra:in is sitwiLdd in R.'LS' -RG Sl![TOLIe COUNIN.NE14P YC RK- 'TO In the Township(all" ..�...._ rs S S 00'ATE S _.._� ...m...� .w._w.._......_.�. In the V'II..1�a\GH car I I ILFT of MATTBITUOIC BOXES?TT IRU 9 MUS"I'MI TYPED OR PRIi'CED IN BLACY,INK ONLY PRIOR TO REC.'COIWIla`G OR 1°I LING. (OVER) C014SULTI OUR LAWYER ER BEFORE MGNttqG THIS a9"pSTR U»anENT-THIS hUa"xrn UrU9tmUtiU'r'sU"ttOULO BE USED By LAWYENZS ONLY u 1,• i THIS INDENTURE,Made the � a'r11- day of dun�aaw 2002 ry' BETWEEN iLL1AN1 Wn.SBERG,JAMES WhLSBERG AND PAUL WtLSBEF ,resfdIng of(No#)Main Road„ Matittuck, New York party crf 9io f rsl par,and ASSO A7;'0 with utts patace of business at.. (No )Mafn Road,t0aftItUck.New York party of the second part, WITNESSETH,that the party of fh-e first part,,n ccnsY,d'rra or of s a n and 001100 f "dpr.lfkf acanrfw and other I+y l rrrrd rafrr;,atafra corsadv'al'orn,paid by they part of CMre seccard Part,does heribV grant and felease unto ttkae party of the at o nf,d par; the heirs cr sur cessoms and ass grps of d'he party of the second part frarw:ver, ALL Mat ledzrhh futon pticlZ, or praarce6 of bared, siriate.lying and being at Madituck" Era tkae Town of Southold, Suflolk Ctumy,New YorK t ciundol and de;scalda.o as fo o sl BEGNNING at a irm000rnent set at the career forrrraed by the interseddor of d northerly.side of New Suffolk. Avenue and the easterly side of Maur Road KY.25„ RL)NNING THENCE NcAh 11 degrees 48 minutes 00 seconds IEa:ast Wong sand eaasterty suable of Maur Road KY.25 265.24 feet to a mrraonumraeirt and iamrd of DavO P,Moore; 9—HENCE South 34 degrees 55 marutes 00 seconds Eas!along saud&and of David F_ Mcore, 'I i9 96 feet to a mcnument 1"liENCE No ch JT degrea~'s 39 dainLztes 00 seconds East: .st"".l:l along land of David P. Iroore. And lacer talon land 0of uoeurtmcsen atsola an I.Aor at_so nasela, ma.l. .n.cr.,yam t o a. Brae r and lanct of f-. THa�ENCE.swµo* � �o�tees ola�aomnn tzaa�.�r(10 seconds East al.on land of Pm �� I try a M. lv �N tch a a r^ r asp,ee.0,125 9 acnf� T to mraa C QT C r 4" '"at t,$ re 'C„s. Co v"l "I�t s Lr e t to 'rCIC'P r`M--e l)z o'16 i �? '( a o R hie ' v s l.di or 1Q"r8 r . " s-'U"A 1f 0YuaU a S of ur tt ttaaw fl rr rwa, arrs ? 7Cw tae.e �ffaa:f4 ,rto aua.. 7,ttd,2t feet to toz r.orne.;at ace point or pmrsoe of 9E GINNlfa �I BErir,*ANI jrT2t,10E:y'T �E=fire sauce pea uses d srr r.eao+tr a cerlma n de5Amd to the party of tt 4�ftrat nan by deed wade by I4ws0aaed 0 Insa 1, Fafocia K, 0odagiurr Bronco K. htof,os and Nancy Sue fd9u0I10 as Cc, Ore r,uraar4 of ttte ds aye c'l'pT dofpsh C Kcpf'aipJa F,C Kzpf,deceased dated 9n�pteoatror 16 tmwg4 tecs day+d in the a°alfo'N o'jnt,p C a tt s eft ca,n Sep45rhowrr 2 1594 wn'Li et t 16rS,rp 10 fTOGETHER wwm sh al p gT hl,tTe reUnc rnTeaest.0,any,cif the party of t hEv feast part ir and to any status r d cards aoutarrrg the above roscsa d prear ases to the e ortfewr f41es thc:roof,TOGT HER w4h the app�orlenanecs and 0 true esfrte scat: rwgtnta of fh,o part'd cf fpau q'crrw wrath btu amra lu said ptrdrrrises, TO HAVE AN, 7 fwu2%.pl the pregjYh es ,.weer,granted asr1c trae per""I of tho secor+,ea Part the rat!s or'su citassarr,and assigns cf'Mk e p•any,o'¢ the second part forever, AND tre pally of the& t pare€.c Oman¢«that tkae paut.y of the firs: part has not done or suffered �anythhng veheredy the satd rernises have ttts rm encumbered in any way whafever a xce at as afoaesald. ANO tl'so: 01 m c 15M9 PWL our ccmolwance wrr Gh Scc6on 12 of the Lien have covorants,that the pn arvp of kfse "r'S 'part w fl, "he,' nsid~ra..dOn dh r 0,,rs G on w"cyfrrn brad v htf thc4C thea raApt t�-,re cwe such,:wi Aei iar, as a9 "V„& t fkq"+'f to w d ttr Y'10 p7k.Fp ""m OM p"arri lrrp Tf,.".a "ri°ttf"1s"$fG'ti'�IpFrW 4,war'e^c"�r't wrP9d W'+of n�,pf°� ray .,.erne r rat Im wfww pae^rror t of the st of the rhnp.,ow,,,e rr nt tefjre using afly part rr tPia ttarfdb of We s"arne for any of Tr (t p'r.ar,'p,s;mm r mr vJicvc pav'.y' It,„; ,112vrwe'd as ht h'f rant: 'Paartles «td ennre4r Illy. .PP1.e of the 1"hrRNI'4,ksk' s require& IN WITNESS WHEREOF,the party of the Arsr,rpuarr,hats oulg executed Ihls deed the day and year first abcwre �waeriften �N PRESENCE OF w 4r, �..M. J tw�. "7t f �`stenaaaraU�.r a:r�.IF�nrca� .Tarawa aarrd s "wae,aaa��°anrc¢r� a��4s�^� —G9r��rrrra �tt Forrn 3290 T229 :g.E&tV �t�±J T�LE_A MMLE)rPAENT IS 1�1_ADL IN EW YORK STATF �L _ _qKL_ a___ Smte o0 New York.County of&Ao;k 55 State Of Now Yo6cn Courly of &MOM Sx cil"ke'7_10, C;ly of kqwe' w'teyoal 20v O'n wnr day of June, 1,,e Vc.,x,2002 vofca),me, Ilna uxtdc qll:CK J)PUSAD(InUy 2'gwaled hr,,(dra me,the unders gved,peiwnfl0y OPl)eal'Fd nA'CUJAM MLSULR 3,,YAp G0 d vat Sf,,FRG,PAUL WiLSMAG MV0d, tO M's On lr'� mm0'a ol "'emonally knvwn t� rno 0, ;fL�-'ed' �r; me or, Ahe :'asis of P'am,:�mntv M100M �la Me Ot rX no 1 '�7) s 'actory codenim to be tr*lnd'vkfual( )wncso nama(z) ev(denc4 �o be the wh6l",O I wl( 5uLSCltPd'0 fllt Mflvrt Ira 'Jt=r."m and o0nMr ,.-Igc-j to (are) wt,,xx&eTl to the Wvr,'n 1nSULW.414 Old KXMANIC&DO'A to rl'a thal NAt'e*'+.j 0AecxA.'d Jed; spm"n In We t-m execll'NA lr romir ol in:vvlv"'a41ei2 czpocav `y�'Jc ls�' kina that by K 10160her on the 0c,J), Ova that bj hivheollwir co lhe "lpal�lt Tc crthe P4,mcri upon bs'hJ4 if wh�h Who 4tdMdj90(%7.ltl 'D�;jtcdgwunslruirnerrl. the k4vk'kW(s)acted,exetutod the inisliUmeAL ... ........ tau �,Kp awl olftp 01 bl'Tmdlu,0 lmka�o W'Ing nrimamotgrrtmi) natv salUT JAVIS Vass F,t4l- slc�p'ef Now Y QY.6NK, IaaUwwuaracwmny 10, TO gfll_F!_E_Dq f,4 LY IN h_rN T&i F A qK N 0 W L C VG M E R�0 UT15 :E N Et jO.XORK STATE SsAae(or Diside,of Coqumb�g,Teffacry,or Fcr6gn Country)of On the day of n Lhe year te(cre me,the undersugned,persorlRy appea ed pegsam"'My luffywn to me cr prwed w ine on#we bass cl sabs!=Dq Lv-fepcc�Le the indMdwll(%�l 1,4*c,,R Ck hl(s) ts (2HO sut�,cm,juid to the YA00 jrFsl�'Lrimnt a,',Sqj ackinovdedged 10 me olat helstloj,.ey evewed the sanm ki C JNIC'1009), tnd j;jiL ty tiIs,gad alhcx �sh, anupon belxiff of whIch the r.dMduall(s)a:;ed jnature(s� on the�nsl�ument,tune�ndMdvaRs), or the pe.fso L iLylec�iT,ed the and mist such anCMdual mace such appearance Lxftre th undo mirwd urn the ac"'rov"Vdgr deancyh cu Of,.-.lod"4"u BARGAIN AND SALE DEED SECTION 114,00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 11 00 LOT' 017,000 COUNTY OR TOWN Tltla No. ...... SUFFOLK VOLLIAM MLSBERG. s'rREET ADDRESS JAMES WILSSERG fiectded at Request cl AND COMMONWEALi y i LANC)"WITLE GW1,,O)RANCE C OMPANY PAUL WILSBERG TO RFTURN BY IAMI M� WEJ ASSOCIATES rfawaLr+wfle---,o r�;Ff many K ti 0 21 n�c r t L)t D E R 104'T F AS JAIL SPIESS,ESQ. CoMMealth 633 EA MAW STREET "'N PO BOX 757 HIVE RHEAD.N.Y- 11901 0 IM f INP 9-91x dw as dY uua axo Air w. wd wn IILA ............. ............ l RECORDING RECORDS SUFFOLK COUNTY CLERK Type of I e t:. EE / D Recorded: 07/0 /200 Numberof Pages: 3 At: 08:00:04 NUMBER: AM TRANSFER TAX 1-46775 I 01 2195 PAGE: District: Section: Block: Lot: 1000 114.00 11.00 017.000 EXAMINED CHARGED AS FOLLOWS Deed out: ,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $9.00 NO Handling $5.00 NO COE 5.00 NO NYS SURCHG $0.00 NO EA-CTY $5.00 NO -STATE $25.00 NO TP-584 $5.00 NO Ct.Coies $0.00 NO T $30.00 NO SCTM $0.00 NO Transfer tax $1,760.00 NO Co es 7,300.00 NO Fees Paid $9,144.00 TRANSFER TAX NUMBER: 01-46775 T11IS PAGE IS A PART OF THE INSTRUMENT Edward P.Romaine County Clerk, Suffolk County X .. TORRENS Serial¢4 C>rtilecwc A-- Nor Nor C`B'Ia Ex-ed f I Tonga gc Ilsta¢rnnnsrunfl If-eal I Mortgage Tax Stamp Ige�rvanlxus�d FiI'ing Su xnnvps 4 FEES Pag c I I`inivag fee I+Indpag e Mig. _ ...... IRwwdlirng 1133sas Tax PleyuaC6asn Sub Tint un p"A-52 17%C'ounayl ...... "� SuubTo:an Spec tAasiV.. Or 4y"& ,wP7y" "' R-P,T.S.at. � ��u �rA "t TllualM Town TAX 9D0 N Cwauun, d « q yr .......... Con-am ofEA.I. �D,d1 IMCIforr�g�upuuor„rtivcAMnn�rorN .,wr .. A6 nvuVcs 9 89ce�rau4 y oars 4 M Co ified Tang➢Y � T N°,�Nn�nn ecG,L°sabre c u k Iw h k,awon a roa You %wank tdiro Mgwvpunns e tl Yuy, a 01C of two Yarmik Reg;.Copy � -- � ^ � drwetlauva a n h, Qhcu ndrl'It�"I"OTa�L ... ,ti.�' If NO e CIp�uot-paruuu aA vtt Sulu T%CM .n.. .�w�._ e.�_��.� ne:4w w alaardsv am g:age da p �YNL. ResuUdnowalw.rtw r',L.Service Vcratla�Giavna I" -1 -,I""" -- � �'fl�S��tN'tflffl��d¢s �undq�� _._ __ N daft M 4,'0'kgY't'4 .au ''�..� ,�k,t"4A��� " I.)M "Section Y1I- Cayrasncnowunflaanuro r� rt 1 7 1000 11A00 1100 01T000 1ffif:'I'll ' S o —4� �" Tw �vvaxve � S¢a¢arogr I GL ,,, — fle I` ti E �a°� vacant Lan Nnninn nh d' a twt�use ft,re Isar to s .I n deg h a�fl I a°n A"s9w 1 uroattrw�a! rvn,rmdM Tr. µ Palasnu�$a"lelva�,�� RECORD&ItFTURN TO: nark n�r l'll C.-IlRLE R® CtJDM."„ E a a wx s�. �. ... NI Title Coll I for ialion ICo Name .� ....0 d„.. , T"Y¢Io P� -�17V"Yty- :i 2 duCl »�a'podS .•. 9 Suffolk County 'Recording & Endorsement I a plel e daroe�7ru�Lmnn ovrol"Ilh..,a g hod ISJuaPG AI N A NM SA ID ED �.. �-..._...., vraca,.9r Ip " CIFY-1-Y EOFINS'N11UNI1=NI"I Nlie ljpr ollises herein is sir,flu.Ud out t� LG1�I�°Iaza�flsVtl�Of Sfl�to � CmI� .. .. ....... In the VII...ImAG 14�n � IbC °I n �reII °aalaA r Imp'. oI �ILIvI"arI w W\Ls i hula 9%1LI i I MI T"l ED OR I'Id1KIFD I�°!'BLACK INK f.7fi�ILN I RIORT MCOMING OR FILINU. (OVER) CONSULT YOUR LAWYCR BEFORE SIGNING THIS ONSTRUNIENT-171411S INSTRUMENT SHOULD BE USED BY LAWYERS ONLY tj iT14IS INDENTURE,made the day of June,?CO2 BETWEEN iW.1M-ASSCOAT"ES.WiUl fts pace of Wsiness at(No S)Main Road,Matt.Auck.New ftk Party of the First party, mid .VVj "THOMAS J. McCARTHY and SUSAN WALSH McCARTHY, has wife, resicklg at 46520 Route 48, Southold,, New Y01( party or the smond part, WITNESSETH,tnal ille party of the f rst plqt,In zonslde-afior' oofjoq, �S 1)oD) and o0a- Sacd,and wak;a1hip cnrs;d(.,r;x rjr'Pald by at jP;1r.'j Of the sectx,,d part dryer here;)y Sfarit and foeasq unto the or spa=esscrs,,.N%d air4',gns 0 lf"e'n"Irry of Ina second"'nrl forever, M L that cerloin plot. plisce or pw+.O of'and, sfluate, lying and being at Mattituck, un the Town of So,uthdd, Suffoilk New Yorir,kiaurlde,0 and illeSCrfbed as IC!�CWS'o SEG.MMNG at a ma rlulnenw set at the r,xrner fcrrra&d by ipte',mersM--ficn of tune nonhviy s�de of New Suffollk Avenue and the easte0y of Main Road N,Y,25 RUNNING THENCE Wulh 11 degrees 48 mllnu!es 0d, 5,econcs Fast aiong said easteffy side of Main Road KY 25,2&5.24 feek to a morturnent and land of David P,M=Ire; THENCE SoWi 84 degrees 55 ril 00 seconds East ailonrj saw land of David P, kloore 119-96 facet 10 a monument THENCE Nonh 37 degrees 39 minutes 00 seconds East still Wong land or David P 'Bar re and iater along land of Steven Busch and Louise Busch.63.75 feet to a post and land of P.Jacque% EVI Is THENCE North 75 degrees 01 milnutes 00 seconds East afo�g land of P. Jacques. 4'! 14feat. to a monumenr, THENCE South 2 t;egrce!, V3 nunutes 40 saccrids West atong fand ta be=weyed ,o Manilluck Commons LNG ,3 eF,fast 10 2"*,0'l'Lqicnt and the worhclty side of New Suffdk Avenue„ I T I'Et4C,E North 66 degrees 09 minll',es 00 seconds 14A alcng the northedy side of New Suffolk Avenue, 2S0,81 feel,to the corner at 1he point or place of BEGI,1TNN%1G BE dcerJ to 910 p��qy of the firstparl by tllyG q kr.)ltjT EtzlZo TO BE 0",c savne praml�sas in a ceda deed made Icy Vhi iDtr, I3,rres WilsbeTg aelo pout June 20, 200n r(ecoliced in the clwk's niERwitt,zell thr,,title and J any,at the party of 1w)e fast pan in and lo any sm-'-ets zml F0,11s pry=Sas,.n the center fine,1,tlerecf,TOG,ETHER tte appurleranfas and:wIN Vitt. --es::I� aj,,qj rlqt r of the arjy of tort part In arld to said p ) 01ererrlfses� TO 1-UW8 AND 1'� KOL CGV'jed tjj'jto Ij«e party ofthr,St.'ci;nd Der%the hellrs or -Intl jsslqri,a aftlie tn:rvy of i the.,second par fc4ever. e AN O jr,�e party of tiK., rust ra-i, coveriants oat the party -if the first pawl h,-15 not dcry Of suff' Pd anything whereby the said pqimses havo he:in encurnwred III any%yay wnatever,ey,,,,ept as afc,,4,',said. AND the 9,�wly C-11 fr!4f «rG Rn rcmPhac4,A-1 V,0M 13 of ue Lien Law c4:verunts tcal.tine parly,of We frs,,p�,ittwilt Iecmive-the-,ZvnqiawaIon for this CnnVeyZr;Ct;and wM hold trig'rght to nereive strcb conslderalirin, m.s a rroV fvna to be appliC4 first for 910 fru"Po5e Of pqyNng p,so cost at the mlprovprnent and,lviP applY thaSalre firs',m Ire 7aymenrof tInc ost of nria imploven"ent tiOcl,'ljs°:,jn arty pn,',of the tot'ali of 1,l10 S;071e V aly CVhe( purpo, 1'bj� ('s alfies'wherlever 010 s"en"e of this lndaritufe Sc -�a warrj plity,viall 1'*construed zs if Nt (I "P requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above wnflen, IN PRESENCE OF OIL,, U, :T L.B.7orm pom azqpin wand Sale:;eed,106th r m Foern 3290 Ti—�rjq-jKNQWLF;PGMENT aS M A QEJE_11r;-1-11_YPELMAI-5 S=e cf New Ycjk.Ccunry c(S"MAk ss: stale of New YeA,C=14 cr suftlk 0"the c3l day Cuff,tug!r tn v r&year 2002 On the day of Jijio fr a yex 2,1Q02 �Oarc,mo,Ue undrrs;%11,r&fs Dun zLj OPxared me,ike unde.mgrej,Fxrscaal,y wit p:Jre'j AIR LIAM WH SMIG parsenaily known w Rre or proved ko Me amft bmim of pe*cruAY w00,f�n iti 'M� rX I'MVerd In me, r'w 1'e' bw'.4 of safisfr-_-tory Pvicerirx to he Ute ndm6m'(3)whose nmr&(s) n, te,thv,mdroduzJ(71)MM�te TTA,ry tj d5 d '�j tC, (are)subsrfibed lo ine whMn ktslvurnam and ar*noveiedged to jzrei 1,0 1he j*, d v VPt 9 K, rrhe ftt helsheAhey execuB&-d am ,wilna fin hilsfilet-Aheir om ow, hvtOlo)llicy ewer:.Wed tho )r'-"Irne 4u h�';mIrvielf wpa,wypes), and CM1 by IhisAierft.6f sqnaia.rre(s) an Lhe ca;x6lAJOx'y' xvid thw by atrYuaue m rr 5�grlxufej" ) cjs t"'w inswunleiv,the inwv4wal(-,O,oq o-°,e jrcri bakwff of Wvrh the w atlrda peircn wron bkl,,-al of s-h4l! the ildMuj; exc,,;wLxt th Icstrument the MMduaks)acted,executed fhe tinslFumem (signature virTa—Office of Injivduai trik.rr,q Nulady swo ot Nt"'y yvh 30, n7 a t sqol'.Ok Count" C,j;mrm,t in Exit -0,4'�J4. LO&.E,USrgf N ffff-:.N XU�QWL 01,ENT t5 1AA0;.Q11TA1Q-4 NEW YqRK SILT- Stato(or INMdr-'of Cdurnbfa,Tarrdory,or Foreign Country)of On the day of oi dre year before me,dheuncerra gn(,O,,r.k.monaly appe2red pm,—xaay kncNvn lo rre ar woved to no or 0�' tx'4 *1 gal"SNZdajl�r to to ftai, rdvidual(s) imase MZMW Is aTe',) swum Mwd M thPvM u''6aJnin-.ent and as t r wt raiIur 1 Ba plkv',lW tzme in Isy tuniherilhOr sugnalon.,g5b on Ole WWUrrN1nt'the kmiNinualto,of Me permn u1par hehaO of wmOi Ow CIOMrjjvj")aded", v xei:4&,'d thli firMtrament tniG mitsuch 4idMdua�rriade s.,ch appir.nvance before tho undeNgned in Ole RAI- TTntvy C1 othes msen the SUP0 at C-curt and office of^PldwduM BARGAIN AND SALE DEED SECTION 114 00 WITH ClOVENANT AGAINST GRANTOR'S ACTS BLOCK I I-CO LOT 017.000 COUNTY OR TOWN Title No. SUFFOLK 47 STREET ADDRESS t&'=7,,SS0CIA`I"ES TO Recvdoil at Request of T�iOMAS J.MCC ARTHY C0MM0N1/VEA(4Th L040'1171E WSLiRANCE COV-�IANY AND SUSAN WALSH MLGARTI iy RETURN BY MM TO: STAND, GMVr 49nTCAPZOP M7, CHARLES R.CUDDYo ESO corft6ftealth 456 GRIFFING AVENUE 0 PO BOX 154E RIVERHEAD,NEW YORK 11901 oz Nml N"VRIMI OWU'll" 0 0 I� I MIMMUMMUMEMMINMEMMIMMMMEMMUMMS OFFICERECORDS RECORDING Type of Instrument: DEED Recorded: 11/01/2011 Numbt: 02 :14 :20 P r of Pages : Receipt e : 11-0120448 LI 000127 TRANSFERT - 7 ' PAGE : Block: Lot: District: Section: 017 .000 1000 11 .0 11.00 CHARGEDEXAbMIED AND AS FOLLOWS Deed Amount: 75, 0 .00 Received the Following Fees For Above Instrument Exempt Exempt Ha i � 20.00 O Page/Filing n 0 .00 0 gSi . 1 .00 NO CO .00 O $5.0o No - TATE $250.Oa No -CTY $0.00 NO TP-584 .00 NO Notation T 30.00 O Cer . oies $0 '00 NO Co res 10,000.00 NO Transfer tax , 0 .00 O Fees Paid $12, 650 .00 TRANSFER T : 11-0670 THIS PAGE IS A PART OF THE INSTRUMENT IS IS NOT A BILL JUDi I H A. PASCALE County Clerk, Suffolk County T 1 2 Nurnberofpages REC=fi) 1011 Nov 01 02-14.20 Fit JL'14T.4 A. FPZ6-4 E This document will be public C.ERK OF 957CCK CCUNT'i record.Please remove all L 1-r4M12675 Social Security Numbers P 563 prior to recording. DT4 Deed/Mortgage Instrument Deed I.Mangage Tax Starrip Recording/Filing Stamps 11-- FEES Mortgage Amt. ............ Page I Fdlng Fee 1.Basic Tax Handling 2�0. 00 2, Additional Tax TP-584 Sub Total 5pecJAssil. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State} TOT,IVITG.TAX Dual Town_Dual County r" 2 R.P,T,S.A. "',....... QA, Held for Appointment Comm.ofEd. 5.-go Transfer Tax Mansion Tax Affidavit The property covered by this mangageis Certified Copy or will be improviad by a one or T%vo NYS Surcharge family dwelling only. Sub Total YES or NO Other If NO, See appropriate tax clause an Grand Total page a................................-of,Ns hvolrkrruj- :4: Dist. 100 11023796 1000 11400 1100 017000 0 5 Community Preservation Fund Real Pvopeny F> Consideration 5,M011111.$15�-Mi P'o Tax Service FVIT A -I__—_t Agency SO I-N OV"1 CPF Tay D 51---JAy Verification Improved test.Pioperly Owners Mailing Address 6 RECORD&RETURN TO. Vacant Land Farrell Frim P.C. TD ...... Auw Kevin Harry,Esq. TD 100 N4olor Pirk%v'iy,Suite, l88 Hatippauge,NY 11788 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead. NY 11901 Co.Name Bridge Abstract LLC www.suffolkr-ountyny.govicleck Title 0 BA 1,1965S Suffolk County Recordina & Endorsement Page This page forms part of the attached Deed.— made by: (SPECIFY TYPE OF INSTRUMENT) Thomas 1.McCaqhLnnd Susan Walsh NIcCarthy The premises herein Is situated in SUFFOLK COUUTY,NEW YORK. TO in the TOWN of _50trIll-johd 0 In the VILLAGE or HAMLET of Manimck BOXES 6 THRU 8 MUST BE IYPED OR PR:PfTFD IN BLACK iNK ONLY PRIOR TO RECORDING OR FILING. REORDER FORM M Me.' Fa.m ewrs4a-m iI mod Sda 06W W.h C.V~A @QwMA GrWAVt Ads-k4h,' i W CWWS*A(ur0a Shmij COMSULT YOUR LAWYER BEFORE WGRPRG NM OMSTRUNE NT-IMS5 MSTRU110ERT SHOULD BE USED 8V LAWrER3 ONLY TMS INDENT URF.-nadc the%,%T4 day of%F01-C-R&L 2011 BETWEEN Thomas J.McCarthy and Susan Walsh McCarthy 1605 Goose Creek Lane,Southold,New York 11971 party of the first pan,and 12500 Main Road LLC 2200 Montauk Highway,BridSchampton,New York 11932 party or the second pan, WITNESSUH,that the pany of the first pare,in consideration of $10.00 paid by the piny of the second psat,does hereby grant and relesse:unto the party,of the accord pan,the heirs or successor;Lnd assigns of the party of the accord parl forever. ,A)CMAP DESCNAMN j-FF ATTACHED I;rHFDULF A DISTRICT.IrIAX), SECTIO%'-,l 14 01 BLOCK:III A0 BEING AND INTENDED TO BE the sarne premises conveyed to the grantor by a dead dated Juno 21.2002 and recorded July 5,2002 in I-Aw 12195 PaGe 484 TOGET{ER with all right.tide diterett,if anya of the party of the first pan in and to any succI3 end roads abutting the above dtId ptcriuscs;to the center 14its thorrof,TOGETUER ailh Olt appumnincti and all thr citair and rights of the party(if slue fint par in and to said TO HAVE AND TO HOLD the picausts herein grarricd ujilo the pany orthe second pan the heirs or successors and assigns of die second pen forever, .R.ND the party of the fast part covenants that the party of the first pan has nor done or suffered 3nythins whereby the said prcneses have been enewnbered in any%�%y whatever,except as aforesaid. AND the piny of Iht titre pan.In COVI viih Stcuon 13 of thc Urn Law,covc=n,3 thm the party of the first Pall %ajn receive the comulvanon for ih,ai ronvey4ace avid wdl hold dot right to receive such coats drijrion is a trust fu ne.to be applied II for the Vapose of paying the cost or the improvement and will apply the saute first to the payrnrut of the cost of the i ;overncnt before using any part of the rascal of the Sam for any other Purpose. The word'parry'shall"m construed as if it read'patrics'%imnevcr the sense afthis indenture so requires. IN%ITNESS%VIIEREOF,the party of the first part has duly executed this deed the day and yew first abovcwrittem D4 PRESENCE OF: lsa,Walsh arch fi,,ah Love Notary puc,,it S*,aje,of Now York No'0 L060!40fli , tad S jjk,�CI:�unvy rc:4 5,2a!D�-� Thomas J�retttawa sr .Vtt:Q;i e� 7'1- STATE OF NEW YORK®COUNW OF'SUFIIOLK. ,SS baave Me,Olt au lm nrI pcm 348r m rraw: .d Thomas J.McCarthy „'w 'u aaM1a'y hrna�wrn w w w ed to r.x M Tk ILuxiaa Or ameanfuacax• mwidr^ua uru be ft i ndiwil ON=urJul Qs,l 1alue)sasltim lw.r.a ru IM uwnrinuaa nutlsarnaumucus wand uu•'huraowlad,%u,l sa uawr Joao ha',re•I'mnle^d c ua:anuuud LV,um;it%k:Av;urweaa xicany Mht by 4rd0 w1, r 411lgyml awn doe onsavu iffll a,th'. STATE OF N YORK COUNTY®F$ alk $J tMlj lr IPaN aaraVui gaaes�aoraU ataa; "rua0"aFre PrtlRacv.:uduwndaouUlalaearcxl" ¢w.at;ug6¢"9 r c a>,qa^+w a-;riv" uB"�,.- ,em .._..... """"..�..... .......�.m�...._..._...._�......�......... I clnelnna nlsma cu u%p Wkuuuw�wan aax aacr uvr rrro^andr faa:+roteue rnpku 9 'bDmxiu xI aI 4&r V4.rPmu 0 MI-rMurd Susan Walsh McCarthy ary Ila, P n•anes£aw�a¢�•ava,9'rnae ruu Ilne 4he 41l w how mill l da•Qutlm1 sv,Y4awnW.1400-uaVMVN uurlrraaul.arcrtl Ruth Loves WA udw umn c la bia.'b wati 4• Nati'"aaCs P6 bC��L I UP)r �D� 5 y 1 ' " a cuu wr a wqJ LSua tz4aOesneer r ur�w,au an'dim dona,,:a minil.0c y ,WWI � c vdiwu 4aad5¢,p mroaaawvru�lin"�iIAM1 •tl"w^a.,.,rIXps ul4rt uaovabdurcuVlrq aa .. c ASS A� Q I lr°,^ Public STATEOFNEWYOR COUNTYOF SS IRuOs La vv Notary Public Stlatr of New York On Blues day of b,!!&.a 0-ur nNs^-a00y aroum Na. 1.,00054063 54 �e 0" „:*d to s d t:ln c"ra a rtlou aau7U'a„ribaal;uw'dmcm Oro Oa I'l urasaeairuraaG aenr4n &nO[rlP i e ,on IE.xpaer,Mar&S„20 6 .boo II am p^wall roquaaaiAxd,uwSQ°uerumd"y ent dla v awucm dud da'maua Sid rayalnar Cuew°allsa.M4arramud'rgsl bun rluau PucP'a4ucf6ky l,pa-(0 saes be Ole indli rldalextlal draeriU ed in uad-ho aaa m ud ibl,Tar pmg ivama:. aws„ DIS'TRlC"T-WOO ftt , .B fllkYd$.%bmw 9'Uud ,SEC=;,' I I SAO DLOCK� t IRO ra atlaR ad Bk:'jwwr::Bktld aNm�a4:Sl'd aroily,w'at qw$71811'c wil,ne&°Ya.`RmNed 4YMgI"Aw Pd'aeli` 1Orn. 0I1000 as1v=0®s'wy4a"A "IOWfW'wd; Sarntls4uoxilaM1' TAX lRILLIKG AOUII EW CO TN T e"a"s�fieapy •dTaubCid' .,.. SradgehaPlslarron Natiate- Bawl, Chief Lend I4A, Arw 6A.0. �N w+ � 3! �1�1n .rpton, N.Y 11932 Bargain and Sale Deed V111"11 COVEN A?a r AG lINST GR AN R'OII."S•r CTS THOMAS J.McARTHY& SUSAN WAL H McCARTHY TO 12500 MAINROAD LLC Schedule A Description Underwriter No. 322752S1S65 Title Number BAL1965S Page 1 ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a monument set at the corner formed by the intersection of the northerly side of New Suffolk Avenue and the easterly side of Main Road (N.Y. 25); RUNNING THENCE North 11 degrees 48 minutes 00 seconds East, along said easterly side of Main Road (N.Y. 25), 265.24 feet to a monument and land now or formerly of David P. Moore; THENCE South 84 degrees 55 minutes 00 seconds East, along said last mentioned land, 119.96 feet to a monument; THENCE North 37 degrees 39 minutes 00 seconds East, still along said last mentioned land and along land now or formerly of Steven Busch and Louise Busch, 63.75 feet to a post and land now or formerly of P. Jacques; THENCE North 75 degrees 01 minutes 00 seconds East, along said last mentioned land, 94.54 feet to a monument; THENCE South 02 degrees 18 minutes 40 seconds West, 343.68 feet to a monument and the northerly side of New Suffolk Avenue; THENCE North 86 degrees 09 minutes 00 seconds West, along the northerly side of New Suffolk Avenue, 290.81 feet to the corner at the point or place of BEGINNING. i t � .. 0 M23S THRU p MV5T BE TYPSI"»f OR PR1 B IN R!A JJSjL CI l�r,''f C1 T0 RECORDING OR FILING. 1 SU"OLK COUNTY CLERK 1 3 RtIf i• r6201 Lc Naa,lra! S cv To,' •, dd SIP 22 Cortlalan ,.�.., .st"fT'a°( . 3UpF&K 6201 Prior /yNanrpSo lnat 1 DW t MoritiNp Tu Stamp R"arllllt6 F rlllns 5lampa ( Q Man L / I P �" ........ 11aukTu F X IONYMAa.._ Notation SubTolal 1�r. 7(county) b ld S.S JAd ..v. CA 1!(State) TOT,MTG.TAX _ r P,T,S.A. Bull a a[county � IlaldtorAp ry 1 l C of • + TranalerTu tt AMdftvIO S almda T ca"Iflad Copy The prommy eaverad by IM movelav fa orwlll lig,lopmVini by moortwo PAW Copy Sub Total rwlLv al Ills® .1 or l OlNcaw GRAND T T ItN%me aplimild4lo lax clam so pap u 0C1b111 rn t, b, al Pa•v"my T A yvo ntat Title y lAyor al Commonwealth -etLL �' re oLvA'!'hh aY 4t Ompany Nam 7'Itq NweaWr 16 PAW BYt Cub—Choc ` Cbo 221 HCNW Payora R ttrlao twtraalr ormonwowth �r®cvc rtw bt®r. 1111. r (7 Rb itA FN. lI ! P. CO c,«r "i T a gSuffoik countyEndorsement Page This pop for.._®part of the attached �(Dead,Mortgage, a byl R�lt�' ,ato.) o promiess hervin In illuslod In SUFFOLK COUNTY,N I.WTOWNd � + in Iha VIIAAGE J at HAML&T of twraaa,.ar,a Il fl I Il'Il II fI l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Recorded: 07/05/2002 Number of Pages: 3 At: 08:00:04 AM TRANSFER TAX NUMBER- 01-46773 LIBER: D00012195 PAGE: 482 District: Section: Block: Lot: 1000 114.00 11.00 017.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount- $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $9.00 NO Handling $5.00 NO Cox $5.00 NO NYS SURCHO $0.00 NO EA-CTY $5.00 NO RA-STATE $25.00 NO TP-584 $5.00 NO Cert-Coples $0.00 NO RPT $30 00 NO SCTM $0.00 NO Transfer tax $0:00 NO Comm-Pres $0.00 NO Fees Paid $84.00 TRANSFER TAX XMIMER: 01-46773 THIS PAGE IS A PART OF THE INSTRUMENT Edward P.Romaine County Clerk, Suffolk County 6 i MMMMMIMLM T14LE IMMMhWe mmi" TITLE NO. RH940100 SCIIEDULE A I ; IN W111 1 THE INSURED RNS THE r:r=OR I1 VOLICY 2-17-94 ALL that certain Plot, Pioce or parerl & lark!, nttu.ilh, lying ! at Mattituck, in the Town of Southold, Suffolk County, Ncw York, lxur%W o dcacribed as follow*[ OWIM7N,7 at o ronLront set at the corner fotvrd by rho Intersection of the northerly ,side Suffolk &w.nw ard the manterly side main Road-N.Y, 251 RUNNIN3 THENM North 11 degrom 40 minutes 00 smords East slong amid easterly sideof Vain - . . 2 , 265.24 feet to a amunrnt and land of David . MxWes THOCE South 84 degrmsminutes 00 a t along id land or David P. voorm, 119.96 firot to arr + t r THMM North 37 degrm� 39 minutes00 swordos Faut still al 1" of David P. Mocca and later along land of Barclays Bank of Nov York N,A., 63.75 feet to a post ard 1 f P. Jacquoul TtMr F. North 75 dogr" O1 minute 00 accords East along land of P. Jacques, 94.54 leer to land of W Z J Asacciatoal TWCF South 2 degrees 18 minutes 40 accords,Wat along land of W 9 0 AlsoCiata, 343.66 t to a mmunent and the northerly vidrof Now SuffolkAvenuar TIOCE North 86 degrees 09 minute 00 words Wnt along the side of New Suffolk Avenue, 290.91 Inet to at the point or place of BMINNIM, FOR t , (T000ther with all right, title interest of, in It' R I ( to ary sureta aryl iwdu abutt-Ing tho above (described prtm1W , to tilt contor lint Lharoof. S° � m ice j 6COUN rY OF AA140 U.I On of t, m tcf l r r II oHolism to me known, and known to as to be the Individual r! In, and who essfuled the le a; instrument,e ledlod to me that t:A* eaeouted the RACHUL D.LIC R hmk.Stets a1 Itert YAM No.1.;41A5:1 tM.0 to In tleti C®v Co®iml,e (,trava UGY 31, I n tho del of )Ce,&UA !01� b4lere me p4plefterly Manoy fto llot to MO hDOWD, atad hbown to to ho the imlividuarl doictrlbed In. and who executed the lorejatlar 120090441, find he acknow1odled to me that he executed the et ...... .. 4 Woo toon IVA , N t«v+7 tar/ 00 t 1 to*,wwE me Michael 6. Insist etrte 1. luSiuri Ftomm i t E0 fri W be the MrtdietJ 4002ibcd t"WA VW armad tip WErwasmi art aduwwhW thm the hEtrueewl.VA wog"w4T4 ow tL. 1 $t&r $Y ps$L ,PAU 6f Mt $E RACHIL Q.LRK 9 qry tube.,$41,0 N- H..'01-17C,347 ,FIas ..11.w t„e 11,t ANGE,LA �p�VE * Caaeauels�l[®pan Y,p Il,FVSS '""'N NW10 j pubhL IIr Wd' ,��i�^y.�" My IPRY91gGwvan lvp7 w"' d 40�kffl YOM OWMTY Cig so `Y v Petuegiby cum t fA me knevro.who,being b7 on Y mom did dapm Ud the lubudwng witegia to N (ongpiog Ingtrywi, wilk my i -be TWOW U No. Whom 1 aLM Pe, p uKigues,whp totiei by Of duty C i s-I d 'i�J d tkKd ire et it 6 do he ME do of Qw. be i Lk OfFoado doexibod tr rrut^tiiul W^ r, t t1rtN he to b4 w t x tt �bnd tz1 n hu u1lux+a u1 thew tom'� thR ratl+wl t 4�wui tha i uSl ud tW Ilan S to JAW WUUXft1 to fth WOOMEW VWE OW 4 VIA pu *A1 hs, utii JUrW AI Pd WU ON e bti tut5mr ur'tha d6i isii ut Prtal wr lnp« "two the sg"I paid W ht wi 6=l tt�t h Us:titer. s'1 trims i h bu Nt o xt a rb 14. IV= U.06 tw 017.00 Satate of X.C. Kopf m/k/s Suffolk bwolpb C. UPI, ftEEGAREM1 70 VU114ol Vilborg. Jaws 1111u r sod Paul Ulleberg UETURM IT UAM To, Jawl sptese, Raq. tg-spier® 633 Ust Nato $trust P.D. tax 757 rhea l VIV Torit 1190 z �I p« r . 94 1 -0100 Tat � .T�.r...« r,waw'�..awr. ivwatvwµaa. caws aawa.a m OWULTTNN L WTU WOU{ Itad t{1 Ybitttt troll{i YOHL#It 040 IV f.axi'rsony- rm N, ° f&,—day rd y hemadnod mod a tour B. IN{ . PATIRIM K. I I. BUM[, MISS CO WMay BUZ MUjMUas of The 98TA'TS OF WMLM C. Kopp a/k/a a.C. FApF, DgCzuo. having so addeame a/o Richest [, Inset, Wolley Drys Y Marren, 101 park Avenue, r York, Now York 10170 of tots of of C. pt a/ /c [.C. pf r 1614 of Nudolrh C. Kopf alk/a K.C. Kopf, fawcomeed w4adwon go 1RIrIq of Naysabor aal tam h vi ty-tiva; Wry of tha 6 pass,sad WILLUX WILdBUG, JAM MILY[[N0 and PALM WIL85FA0 at Y.D. lA e. eticuok, Now Turk 11952 l Wa . , R, , WnIMUM,Oat ihm pinny al i,ha Arvt port,to whom � n Irswr"%Ary soon iuuutd by Or"arum PWI Court, n Naaaau, County,Now York arat Deaoabs# S. 1995 and by virtue of uh awnrr"crud outhorfly glvtn In and by said lut vwlU and t ar by Ankit t t at the Emos.Powats and Trupa I w,mid Ia ermeadmathan RMMM and —YI oaa o bill, )sofdoUm paid by the piny of the olecaul pan,don hereby grant mA relmoo unto Its party of the mcond part,the dialrlbulow or aemuon and Udgea rd the party of the closed part forever, AM t mrWn plat,plat or purfull of Gad,with the bMnp UA ImpftyarsonIA drum treated,altasm lykag&M bdq to the gee Schedule "A" attached borders and de o part hereon. 5 P r IsUM lism saw property convoyed to arms for by dead dated$121167 arad recorded 2/1167 in the office of Tne Sw aKCoYoty Clark in Libor 6213 ap. Sol. to TOGZTRRRttk t,litto and lot4ml,U wry,of the party of tame Arst r�o la and to LAY It ro .t amcxdbx7 prwmlaw to the arntar'llwe.thsnll$ t�8pi wIrlu k4wr a vend oleo 0 Ika aatoto which tM aid dveudont had at t�hs tlmt of datodont`o ingth 1e W raamm�aad emu the aeewo aPr+,rolh.whfal4 tkro pansy of sloe dint�fpaan has or hxt wsr to rnn^rmy or dlspeaa wrhw hpr I Tid. wally,or isp rlrtua ad mW+Dill of olharwwVati TD HAVE AN "CSC?HOLD wI t pro 9we Nratla 1M hunts the parry zal'the smo4d part,tN dlsirtavi oa or n,atuaom cord a+ukm of tha party od the erne d I wn , AND ON of Or Nina pint chwss,aau that 11e party of the Are part has min done or cl0' ea 'al saharvby de praxn&ae haws anon irarumbond In shy way wawtavar,wxtvpt a troavaald. Sub*t to trig Irwi land paorlildru at Wl'tart thirtvtaa of the Lkm law, The ward"party"ehaii to ooulruod as 11 at and" iho memso of"ibdftwv to wire i IN ,das powity of the Arm pal hom d y aasomed Yost,am abore $ " Utato of K.C. Kopf. alacaaaed o/ /a I 1 ;.�vj�11,ufd� C !apf. avoavd aol, sou#ar rate Co gut, - auto#' tm,w to K. a a- adart:dr Nancy v lkael',era o- sutor Town of Southold LNVRP CONSISTENCY ASSESSAIFLNT FORM A. INSTRUCTIONS 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 assessnient is intended to supplement other information used by a Town or Southold agency in making a, determination of consistency. *accpl, 11111101- exempi aefiomv including Building Pe7-,nits and other minisYerial pern0s,not locatecl 101"'171he C' FSla 1 0 SoIIlaza rdA rea 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--propos evaluated a,� to itsgo action will be Nqn—efl-641—and adverse—effecu up n 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 n! vmqi I review law, Thus.. each nnvxva- .—, be ex!)Jaftied in detail li�sti R both sU lorti.. n�� If an action cannot be certified as consistent with the LWRP policy standards and conditions, it,sliall 1101L be U —,Inderta.ken- A copy of the LVV7RP 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. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 - 114 17 PROJECT NAME Brinkmann Hardware Mattituck The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board LX-J Building Dept. 1XI Board of Trustees ❑ 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, -----—C�Lns—tr4-c,t-A--12,000._fq. ft retail building and an 8,000 sq ft building with 3,000 sq ft retail and 5,000 sq ft of storage on vacant land zone4HB. Location of action: xlaa. .t .1 ...� ..... Site acreage: 15 acres (77,295 s ft) 7 7mm Present land use: Vacant Land Present zoningclassification: Hamlet Business .. 2• 1f 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: Mattituck 12500 LLC (b) Mailing address: 226 Railroad Ave, Suite 100 Sayville, NY 11782 (c) Telephone number: Area Code 631-589-2335 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes I No If yes,which state or federal agency?___._____ g y? 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. Sec LWRP Section ;Ill -Policies, page 2 for evaluation criteria. Elves ❑ No [:] Not Applicable Working � l hardware store owner, the development of this parcel into a with a local P '.. _ ..�o g '-- .. " _ � .._. en the Mattituck hamlet as a center of activit 11owi�a Decal residents to slto locally instead ..� .._ .... ..w_ hardware store and Paint store will strengthen a _ g � .—Y �. as _.o. g to the Love Lane Corridor. traveling to Riverhead. This prod � � commercial traffic ect will also brim much needed Attonal sheets if nece -ch ad aditi scary�...�...��.�_..�...�.....�.�...� ..�....- �......LL-.._ 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 D- Yes ❑ No 61 Not Applicable Attach add�honal sheets if necessa_ry m ._ ... .. .. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-policies Pages 6 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable ..�.__.�.... _a s ±."�"p g a"rt� as well �n1 _ ,racter cf t ed in AI2B to make sure - P µ -..-• ..�_ the buil re��deve:Loirerl�will�worknwithothesPlazan�nt Deeartment an�lty --_- • � eenhanced Th dins are developed in line with the chara d a tituck is d�tattituck, —~° — f Southold and 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 ® Not Applicable Attach additional slieets if necessary � �""""� �-W-•- ._ .W 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 ❑ No ❑Not Applicable ywaste. --- y to ensure effective en of this arcelstate_ of the•art septic systems will be installed went of sanitary _Additional) l be maintained on evelo treatment y, all stormwater site which will reduce an runoff and polluFi will - uses of the binds does no re ure muchswal waters. Add�taor�all tITl�� r�r oserl .. --- t on anto coa �..� t therefore will not have much ater use and of an impact on "- P the local aquifer. Attach adds '�..a)sheets if necessary ----�•--m.�. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Siglliricant Coastal Fish and Wildlife, Habitats and wetlands. See LWRP Section III- Policies; Pages 22 through 32 for evaluation criteria. Yes ❑ No ❑Not Applicable taking, co Additionally, c�] � r � ... � � _. -.. coastal waterss�� x �-�a11 d, vel�operwillt� ee as z�uch ouear. " a L eras � _w z�d -ox---.� �..., mm.mm "_ . .p r y f tho ns.�ux`al ve..mmet, tion _that presently e fists asµµ ossibl„e durin develo _ P P ... _ .g ;moment of ro e t .m. .. Attach aciditio—Pi,1 sheets if nece -ssary 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 � ._ _ . a b�� e in rr l y vehicle The developer ends to have to means o of f getting to the site other than ave the buildings be part of the downtown of Mattituck so the site will be Pedestrian friendly.. ttach 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 There will b no haerdous waste :l?� t cr ' 1 t -- p l? solid waste xod sced on site wall be stored era a ors-site dum ster that will. be picked esu tht ro s d reta�lm use, • ... P Iced_ u semYrl t�.mes a. week. a a r° eixensaea -- rdboar i.l..l. a rece t .1 ts .� res � .nluse e „�.l d� 1�� 1�,. .e��.r 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. -� V Yes E] No Not Applicable Attachiadditiona mm ...... 1 sheets if necessary ' WORKING COAST POLICIES Policy 1.0. 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 Ilse of living marine resources in Long Island Sound, the Peconic Estuary and. Town waters. See LIVRP Section ;III—policies; Pages 57 through 62 for evaluation criteria. El Yes � No Not Applicable Attach additional sheets ifnecessy Policy 12. Protect agricultural lands in the Town of'Southold. See LWRP Section III-Policies; Pages 62 tbrougb 65 for evaluation criteria. ❑ YesLJ No R�1 Not Applicable .. ... .. Attach addition al 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 ❑ Not Applicable Deve3oper will use energy star rated appliances and will use only LED light fixtures. Buil w .1a_e d�.signed with a highly insulated building envelope to minimize energy usage. — ..�.. PREPARED BY .. DATE C .: TITLE �. .�...-... Amended on 81,105 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: Brinkmann Hardware Mattituck Project Location(describe,and attach a general location map): 12500 Main Road Mattituck,Northeast comer of Main Road and New Suffolk Ave Brief Description of Proposed Action(include purpose or need): Construct a 12,000 square foot retail store and construct an 8,000 square foot building(3,000 square feet of retail,5,000 square feet of storage) Name of Applicant/Sponsor: Telephone:631-589-2335 Mattituck 12500 LLC E-Mail: Address:226 Rairoad Ave,Suite 100 City/PO:Sayville State:NY Zip Code:11782 Project Contact(if not same as sponsor;give name and title/role): Telephone:631-563-4411 (Andrew Garbarino E-Mail:AndrewRGarbarino@gmail.com Address: 40 Main Street City/PO: State: Zip Code. Sayville NY 11782 Property Owner (if not same as sponsor): Telephone: 12500 Main Road LLC - E-Mail: Address: 2200 Montauk Highway City/PO: gridgehampton f State:NY Zip Code11932 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, ❑YesONo or Village Board of Trustees b.City,Town or Village OYes❑No Southold Planning Board-site plan and special May 2018 Planning Board or Commission exception c.City Council,Town or ❑YesONo Village Zoning Board of Appeals d.Other local agencies ❑YesONo e.County agencies Oyes❑No Suffolk County Health Department-commercial June 2018 construction permit f.Regional agencies ❑Yes❑No g.State agencies OYes❑No NYS DOT ROW Permit September 2018 NYS DEC 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? 0Yes5ZNo ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? O Yes❑No iii. Is the project site within a Coastal Erosion Hazard Area? ❑YesONo 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 OYes❑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 ❑YesONo 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 OYes❑No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): NYS Heritage Areas:LI North Shore Heritage Area c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑YesONo 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. OYes❑No If Yes,what is the zoning classification(s)including any applicable overlay district? Hamlet Business 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?Mattituc culchague U SO b.What police or other public protection forces serve the project site? Southold Town Police c.Which fire protection and emergency medical services serve the project site? Mattituck FIre Department d.What parks serve the project site? N/A D.Project Details D.1.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all components)? Commercial b.a.Total acreage of the site of the proposed action? 1.775 acres b.Total acreage to be physically disturbed? 1.283 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.775 acres c.Is the proposed action an expansion of an existing project or use? ❑YesO No is If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, q o square feet)?� /o 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 Flo 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: 10 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®No If Yes,show numbers of units proposed. One Family Two Family Three Family Multiple Family four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? OYes©No If Yes, i.Total number of structures 2 ii. Dimensions(in feet)of largest proposed structure: 28.5'height; 1 09'width; and 11 0'length iii. Approximate extent of building space to be heated or cooled: 20,000 square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑YesONo liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i. Purpose of the impoundment: ii. 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/contained liquids and their source. v.Dimensions of the proposed dam or impounding structure: height; g length acres tv.Approximate size of the proposed impoundment. Volume: million gallons;surface area: 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? Y'es 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? „ 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? Yes 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 vifi.Will the excavation require blasting? 13Yes[]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 Yes®No into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: i.Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description)„ Page 4 of 13 U. 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❑No If Yes,describe: iv.Will proposed action cause or result in the destruction or removal of aquatic vegetation? rI 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: • 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? Oyes❑tNo If Yes: i. Total anticipated water usage/demand per day: 650 gallons/day ii. 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 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 0Io 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 w pp .. water y su 1 for the project: N/A _ vi.If water supply will be from wells(public or private),maximum pumping capacity: N/A gal �. pp y gallons/minute. d.Will the proposed action generate liquid wastes? ®Yes❑No If Yes: i. Total anticipated liquid waste generation per day: 650 gallons/day U.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): 100%Sanitary Wastewater iii.Will the action ...... treatment _s proposed lion use any existing public wastewater treatment facilities? ❑Yes oNo 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: _Wv iv.Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes ONo 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): Wastewater will be treated on site via an anaerobic sanitary system.Discharge is to groundwater vi. Describe any plans or designs to capture,recycle or reuse liquid waste: N/A e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point Oyes❑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: i. How much impervious surface will the project create in relation to total size of project parcel? Square feet or .824 acres(impervious surface) Square feet or 1.77 acres(parcel size) ii.Describe types of new point sources curbs,gutters and drains will treat stormwater runoff WW 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)"? Stormwater runoff will be directed to onsite stormwater management structures • If to surface waters,identify receiving water bodies or wetlands: • Will stormwater runoff flow to adjacent properties? ❑YesONo iv. Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? OYes❑No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel ❑Yes oNo 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) ii. Station sources during construction e. power generation,structural heating,batch plant,crushers Stationary g ( g•�P g � g, P ) 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 ONo 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 au 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(COZ) • Tons/year(short tons)of Nitrous Oxide(NZO) • Tons/year(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(IFCs) 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: i. 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 ❑YesoNo 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 OYes❑No new demand for transportation facilities or services? If Yes: i. When is the peak traffic expected(Check all that apply): 0 Morning ❑Evening OWeekend ❑Randomly between hours of_ to U.For commercial activities only,projected number of semi-trailer truck trips/day: .5/day iii.Parking spaces: Existing 0 Proposed 80� Net increase/decrease _ +80 iv.Does the proposed action include any shared use parking? ❑YesONo v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: Installation of 2 curb cut entrances on New Suffolk Ave vi. Are public/private transportation service(s)or facilities available within%mile of the proposed site? OYes❑No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑YesONo or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes❑No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand OYes❑No for energy? If Yes: i. 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): Via Grid/local utility iii. Will the proposed action require a new,or an upgrade to,an existing substation? ❑YesONo 1.Hours of operation. Answer all items which apply. i.During Construction: ii. During Operations: • Monday-Friday: 7am-3:30pm • Monday-Friday: 7am-8pm • Saturday: 7am-3:30pm • Saturday: Elam-8pm • Sunday: • Sunday: 9am-6pm • Holidays: • Holidays: varies Page 7 of 13 in.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes 0No operation,or both? If yes: i. 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? OYesONo Describe: n..Will the proposed action have outdoor lighting? 0 Yes[]No If yes: i.Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: See plan as submitted ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? EJ Yes 0 No, Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes 0No 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) ❑Yes 0No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i.Product(s)to be stored_ ii. Volume(s) per unit time (e.g.,month,year) iii. Generally describe proposed storage facilities: q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes 0No insecticides)during construction or operation? If Yes: i.Describe proposed treatment(s): ii.Will the pr2posed 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 0 Yes []No 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) a Operation: 10 tons per year(unit of time) ii.Describe any proposals for on-site minimisation,recycling or reuse of materials to avoid disposal as solid waste: • Construction:masonry,concrete,and metal recycling containers on-site • Operation: cardboard recycling container on site iii.Proposed disposal methods/facilities for solid waste generated on-site;. • Construction: carting company picks up and carts to recycling center • Operation: carting company picks up and brings to sorting facility Page 8 of 13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑Yes O No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or o Tons/hour,if combustion or thermal treatment W. If landfill,anticipated site life: years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous ❑Yes ONo waste? If Yes: i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: if. 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 on,adjoining and near the project site. ❑ Urban ❑ Industrial ❑ Commercial ❑ Residential(suburban) ❑Rural(non-farm) 0 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 0 1.283 +1.283 surfaces a Forested 1.775 .492 -1.283 • Meadows,grasslands or brushlands(non- 0 0 0 agricultural,including abandoned agricultural) 0...... Agricultural......... 0 0 0 (includes active orchards,field,greenhouse etc.) Surface water features 0 0 0 (lakes,ponds,streams,rivers,etc.) a Wetlands(freshwater or tidal) 0 0 0 • Non-vegetated(bare rock,earth or fill) 0 0 0 a Other Describe: Page 9 of 13 c.Is the project site presently used by members of the community for public recreation? ❑Yesallo i. If Yes:explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes®No day care centers,or group homes)within 1500 feet of the project site? If Yes, i.Identify Facilities: e.Does the project site contain an existing dam? ❑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. Da&s existing hazard classification: iii. Provide date and summarize results of last inspection: f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes®No or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: i.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: Have hazardous wastes bee n en generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes®No 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 ❑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: W. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑YesEJNO 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? ❑YesONo • 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? NSA 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: Riverhead sandy laom � 51.2% Riverhead and Haven Soils 36.7% Urban Land 12.1 % d.What is the average depth to the water table on the project site? Average: 17.5 feet e.Drainage status of project site soils:0 Well Drained: 100%of site ❑ Moderately Well Drained: %of site ❑ Poorly Drained %of site vvvv f.Approximate proportion of proposed action site with slopes: ® 0-100/o: 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? ❑Yes®No If Yes to either i or ii,continue. If No,skip to E.2.i. iii. 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: 0 Streams: Name Classification • Lakes or Ponds: Name Classification • Wetlands: Name Approximate Size a 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 OIo waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway7 ❑Yes®No ........ ........ .... j.Is the project site in the 100 year Floodplain? ❑Yesolo k.Is the project site in the 500 year Floodplain? ❑Yes®No ................................ .— 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:Sole Source Aquifer;Nassau-Suffolk SSA Page 11 of 13 m. Identify the predominant wildlife species that occupy or use the project site: Birds Deer n.Does the project site contain a designated significant natural community? ❑Yes ONo If Yes: i.Describe the habitat/community(composition,function,and basis for designation): ii. Source(s)of description or evaluation: W. Extent of community/habitat: • 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 ❑Yes®No 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❑No special concern? outhem Sprite q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yesolo 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? ❑Yes®No i.If Yes:acreage(s)on project site? ii. 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 ❑Yes®No Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature H. Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes®No If Yes: i. CEA name: 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 ®Yes❑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 ii.Name:Gildersleeve,Andrew,Octagonal Building iii. Brief description of attributes on which listing is based: Built in 1854 by Andrew Gildersleeve,a master carpenter,it was used as his famil home and for his store f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes®No 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? ❑Yes 0No 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 ❑Yes®No scenic or aesthetic resource? If Yes: i.Identify resource: ii.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): iii.Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes®No 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 minimise them. G. Verification I certify that the information provided is true to the best of my knowledge. r (1 Applicant/Sponsor Name '''�`� �� L LG Date J v y Signature Title PRINT FORM Page 13 of 13 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex *zf soot) P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) re Telephone: 631 765-1938 Southold, NY www.southoldtownny.gov ( inu v PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning.Department Date: May 25, 2018 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. _.......................... ................. __........................... Applicant/Project Name & Type Tax Map # Amount Check Date/No. Brinkmann Hardware Site Plan 114-11-17 $2,875.00 5/25/2018 JAM Aft. —2/210 18 5 RAYMOND W.NEMSCHICK 430 GREEN WAY curcHOGUE,NY 11935-2022 �/ � rr DOLLARS CHASE 001 ,0PMOrgan Chase Rank.NA wwwww Chm coca �� i) � i/ � iNP 41:0 2 10000 2 D: 58699752 00185