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Chairperson: Benjamin Astorino TOWN OF WARWICK PLANNING BOARD SKETCH PLAN APPLICATION PACKAGE Members: Secretary: Russell Kowal Dennis McConnell Roger Showalter Bo Kennedy Connie Sardo Planning Board Engineer: Town Planner: Planning Board Attorney: Laura A. Barca, PE (HDR Engineering) J. Theodore Fink, AICP (Greenplan, Inc.) John D. Bollenbach, Esq. Contents: 1. Informational Letter 2. Sketch Subdivision Application Form 3. Sketch Subdivision Checklist 4. Escrow Account Form 5. Agricultural Data Statement 6. Contact Addresses Other Relevant Information (see Town of Warwick Planning Department web page): 1. Environmental Assessment Form a. Short Environmental Assessment Form b. Full Environmental Assessment Form 2. Subdivision Regulations, Town of Warwick Code 137 and 164 3. Submittal Deadlines and Meeting Dates 4. Schedule of Fees 5. Town of Warwick Standard Map Notes Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 1 of 10

Town of Warwick Planning Board 132 Kings Highway Warwick, New York 10990 Tel: (845) 986-1127, ext 261 Fax: (845) 987-9644 Email: towplanning@yahoo.com Re: Informational Letter Dear Applicant: In order for the Planning Board to adequately review your application, the following items must be received by the Planning Board Secretary no later than 3:00 pm, 21 calendar days prior to the regular scheduled meeting. If all items are not received by this deadline, the application will be considered incomplete and will not be reviewed. 1. Project Cover Letter 2. Completed Application 3. Completed Checklist 4. Environmental Assessment Form 5. Agricultural Data Statement 6. Fifteen Collated Sets of folded Signed and Sealed Plans, (8 full size sets, 7-11 x17 reduced sets, and 2 labeled CDs with entire submittal in pdf format) 7. Itemized response to any prior review comments 8. Application Fee 9. Escrow Deposit for Consultant Review In your submittal, please separate out two packages, each package to include one copy of items 1-7 above, for the Planning Board Secretary to distribute to the Planning Board's Engineer and Planner. All fees for consultant review that the Planning Board incurs during the review of the application will be the responsibility of the applicant. An advanced deposit for these fees will be required to be placed in an escrow account with the Town of Warwick. No review of the application will commence until the escrow deposit is received. In addition, if the escrow balance falls below 40% of the initial deposit, the applicant will be required to make an additional deposit to bring the balance back to the original amount, prior to any further review of the application by the Planning Board. Final plans will not be signed unless the escrow account is current. Sincerely, Benjamin Astorino, Chairman Town of Warwick Planning Board Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 2 of 10

Town of Warwick Planning Board 132 Kings Highway Warwick, New York 10990 Tel: (845) 986-1127, ext 261 Fax: (845) 987-9644 Email: towplanning@yahoo.com OFFICE USE ONLY: Application #: Date Received: APPLICATION FOR SKETCH SUBDIVISION APPROVAL [All information must be completed. If not applicable, note N/A. Must be signed & notarized.] 1. Project Name 2. Tax map designation: Section Block Lot 3. Provide copy of Deed: Liber Page Date 4. Type of Project (circle all that apply): Major Subdivision Minor Subdivision Lot Line Change 5. Applicant's Name Phone Fax Address Email (Street Number & Name) (Post Office) (State) (Zip Code) 6. Owner s Name Phone Fax Address Email (Street Number & Name) (Post Office) (State) (Zip Code) 7. Plan Preparer s Name Phone Fax Address Email (Street Number & Name) (Post Office) (State) (Zip Code) 8. Attorney s Name Phone Fax Address Email (Street Number & Name) (Post Office) (State) (Zip Code) 9. Meeting Notification Name Phone Fax 10. Project location: On the side of, feet of (Street) (direction) 11: Total acreage Zone Number of lots 12. Postal delivery Area School District Fire District Ambulance District 13. Is open space being offered as part of this application? If so, what amount? 14. Is any waiver from the Subdivision Regulations requested? If so, for what? 15. Has the Zoning Board of Appeals granted any variance or special permit concerning this property? If so, list Applicant Name (Attach entire ZBA approval.) 16. List all contiguous holdings in the same ownership (as defined in the Warwick Zoning Ordinance). Section Block Lot 17. Have there been any lots sold from this parcel within the last 36 months? If so, how many have been sold? Section Block Lot 18. If this property is under a contract of sale, provide name of contract purchaser and date of execution. Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 3 of 10

IN THE EVENT OF CORPORATE OWNERSHIP: A list of all directors, officers and stockholders of each corporation owning more than five percent (5%) of any class of stock must be attached. COUNTY OF STATE OF SS: I,, hereby depose and say that all the above statements and the statements contained in the papers submitted herewith are true. Sworn before me this Signature Day of 20 Title Notary Public ----------------------------------------------------------------------------------------------------------------------------- PROXY STATEMENT (Completion required ONLY if applicable) COUNTY OF STATE OF SS:,being duly sworn, deposes and says that he resides at in the County of and (Owners Address) State of. And that he is the (owner in fee) of the (Official Title) (corporation which is the owner in fee) of the premises described in the foregoing application and that he has authorized to make the foregoing application for Planning Board approval as described herein and to represent him on all Planning Board matters. Sworn before me this Owner's or Official's Signature Day of 20 Notary Public --------------------------------------------------------------------------------------------------------- OFFICE USE ONLY CHECKLIST OF APPLICATION REQUIREMENTS A. Project Cover Letter F. 15 Collated Sets of plans folded to fit into a letter sized correspondence file B. Completed Application G. Deed Documenting Ownership of land; Proxy Statement, if applicable C. Sketch Plan Checklist H. Application fee D. Agricultural Data Statement I. Consultant Review fee. E. Environmental Assessment Form (EAF) Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 4 of 10

TOWN OF WARWICK PLANNING BOARD SUBDIVISION CHECK LIST FOR SKETCH PLAN APPROVAL The following items shall be submitted with a completed check list to the Planning Board secretary at least 21 days prior to the Planning Board Meeting before consideration for being placed on Planning Board agenda. A. Project Cover Letter B. Completed Application for Sketch Plan Approval C. Short Environmental Assessment Form (EAF). The Planning Board may require a Full EAF if it needs additional information about the application or if the proposal is classified as a Type 1 Action under the State Environmental Review Act (SEQR). The EAF must include correspondence from the NYS Natural Heritage Program (NHP) on rare or state-listed animals and plants, significant natural communities, and other significant habitats. As a result of correspondence from the NHP or, if the property falls within the Town s Biodiversity Conservation Overlay District, on-site habitat assessments may be necessary. The EAF must also include a copy of the Statewide Archaeology Inventory Map showing the project area; this is available from the NYS Office of Parks, Recreation and Historic Preservation s (ORP) SPHINX mapping. The addresses and website URL s are listed in the Sketch Plan Application package. D. Agricultural Data Statement E. 15 Collated Sets of sketch plans (8 full size sets, 7 11 x17 reduced sets, and 2 labeled CDs with entire submittal in pdf format) folded to fit into a letter sized file with any other correspondence. Please provide one copy of Items A-E and this checklist packaged for the Planning Board Secretary to distribute to both the Engineer and Planner at least 21 days prior to the Planning Board meeting. The plan shall include the numbered items below. F. Documentation of Ownership of land (deed), and, if applicable, confirmation of Corporate Ownership and proxy (3 copies). G. Prior Subdivision Map, if any (3 copies). H. County Tax Maps printed on 11 x17 (3 copies). I. Color mapping of NYSDEC Environmental Resource Mapper including 100-ft beyond project boundary (e.g., wetlands, streams, Archaeology Inventory Mapping, etc) (3 copies). J. National Wetlands Inventory mapping including 100-ft of project boundary (3 copies). K. Copy of ZBA approval(s). L. Application fee and escrow deposit for Consultant Review. Please pay each with a separate a check; the memo on each check must indicate the project name and type of payment. M. Minimum Plan Requirements: 1. The plan shall be submitted at a scale no less than 1 inch = 200 ft. 2. If more than one sheet is required, show match lines where appropriate & provide an overall plan showing the entire project on one sheet at an appropriate scale. 3. Location map (copy of tax map) at a minimum scale of 1 inch = 2000 ft. It shall show north arrow, scale, and zoning districts within 300-ft. 4. Tax map section, block and lot numbers. 5. All existing restrictions on the use of land including easements and covenants or deed restrictions. 6. Zoning and overlay protection district boundaries and applicable requirements. 7. Special Features as indicated on the Town of Warwick Comprehensive Plan. 8. Legend, North Arrow, Bar Scale and Date. 9. Bulk Table for appropriate zone and use group. Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 5 of 10

10. General site conditions including physical features but not limited to rock out crops, isolated trees over 12 inch caliper and all trees over 24 inch caliper (if requested), existing structures (e.g., buildings, barns, sheds, pools, retaining walls, fencing, etc.), stone walls and tree lines on the property and within 100 feet of the property boundary. 11. Site Distance 137 Appendix F (2) for Town Road. 12. Square Rule 137-21.K(1) Shape of Lot. 13. Buildable Area 137-21.A Lots to be Builable. 14. Existing contours with intervals of 20-ft or less extending 50-ft (or more) beyond the tract boundary (2-ft contours are preferable). 15. Location and accurate boundary of wetlands, FEMA flood plains (with revision date), bodies of water, water courses and existing drainage features on property and within 300 feet of property bounds. 16. Approximate boundaries of any areas subject to flooding or stormwater overflows. 17. All utilities available shall be located and all streets that are proposed mapped or built. 18. Soils map of site based on S.C.S. data with hydric soils and prime agricultural soils identified. 19. Soils suitable for septic systems ( 137 Appendix A (Table of Soil Groups). 20. Delineate areas of site with grades of 15 to 25 percent and 25 percent or more. 21. Proposed pattern of lots including approximate lot dimensions, street layout, recreation areas, drainage systems or channels, sewerage disposal and water supply facilities within 300-ft of surrounding properties. 22. The location of fire and emergency access ways and zones, including the location of fire hydrants or of the nearest alternative water supply for fire emergencies. 23. Building setback lines shall be dashed and dimensioned. 24. Indicate buildable area as per 137-21.A of the subdivision regulations. 25. All lots to conform to appropriate square rule ( 137-21.K). 26. Road and driveway sight distance shall be indicated along with the existing road speed limit. 27. Estimate area of disturbance and note on plan. 28. If this is a cluster subdivision, what percentage of the property will be preserved as open space? 29. If this is a cluster subdivision, is a bonus density requested? If yes, what community amenities or benefits are proposed? 30. If this is a cluster subdivision, the 4-step design process maps identifying primary conservation areas, secondary conservation areas and the site context map should be submitted ( 164-41.1.E). This list is provided as a guide only and is for the convenience of the applicant. The Town of Warwick Planning Board may require additional notes or revisions prior to granting approval. The applicant shall review the Town Code and all applicable State, including SEQRA documents in accordance with NYCRR 617 and Federal requirements for additional information required. Preparer's Acknowledgement: The plat for the proposed plan has been prepared in accordance with this checklist and the Town of Warwick Ordinances, to the best of my knowledge. By: Date: Licensed Professional Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 6 of 10

TOWN OF WARWICK PLANNING BOARD ESCROW ACCOUNT FOR CONSULTANT REVIEW DATE: APPLICANT: ADDRESS & PHONE: PROJECT NAME: LOCATION: S. B. L. DESCRIPTION OF PROJECT: AMOUNT REQUIRED: MINIMUM BALANCE: (see schedule of fees) (40% of required amount)* *Should the balance of this account fall below 40% of the required amount you will be notified and requested to replenish the account to the required amount. In order for the Town of Warwick Planning Board to review your application the Board requires that you place in escrow sufficient funds to be used to reimburse costs incurred by the Town for all consultant review required throughout the entire Planning Board process as per Town of Warwick Code 75-3A.(1)(b) and 75-3A.(2)(a)[1]. The final plans will not be signed by the Planning Board Chairman until all fees are paid as requested by the Planning Board Secretary. The escrow account does not provide for the other scheduled development, application, and filing fees set forth in Chapter 75 and elsewhere, for which the applicant must also make timely payment to the Town; a prerequisite to continued review of the application. For your records, copies of invoices detailing services rendered will be forwarded to you by the Planning Board Secretary. Please notify the Planning Board Secretary in writing if you have any questions. If your application is approved, after all conditions are met and the plans are signed by the Planning Board Chairman, the unused escrow will be refunded upon receipt of a written request. The Applicant agrees to the terms and conditions herein: Applicant Name (Print) Applicant (Signature) Date Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 7 of 10

TOWN OF WARWICK AGRICULTURAL DATA STATEMENT 1. Applicant Name: Address: 2. Application Type (check all that apply) Subdivision Site Plan Special Use Permit 3. Does the application include land that contains a farm operation* within an Agricultural District? Yes No 4. Does the application include lands within 500 feet of a farm operation* within an Agricultural District? Yes No 5. If you answered yes to question 3 or 4, provide the name and address of the owners of land containing the farm operation below and attach a tax or other map to this sheet with the farm operation indicated, along with the Section, Block, and Lot number for the farm operation parcel: 6. Provide a description of your project and attach a separate map showing the entire property that is included in your application. Applicant's Signature Date Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 8 of 10

TOWN OF WARWICK PLANNING BOARD CONTACT ADDRESSES Environmental Assessment Form 1. Information Services New York Natural Heritage Program New York State Department of Environmental Conservation 625 Broadway 5th Floor Albany, NY 12233-4757 2. Historic Preservation Field Services Bureau NYS Office of Parks, Recreation & Historic Preservation Peebles Island Waterford, NY 12188 http://www/oprhp.state.ny.us/sphinx/ Town Highway Department 3. Commissioner Jeff Feagles Warwick Highway Department 132 Kings Highway Schools 4. Superintendent Warwick Valley Central School District PO Box 595 5. Superintendent Florida Union Free School District PO Box 757, 51 North Main Street Florida, NY 10921 6. Superintendent Greenwood Lake Union Free School District PO Box 8, 80Waterstone Rd Greenwood Lake, NY 10925 Ambulance Corps 7. Florida Rescue Squad PO Box 600 Florida, NY 10921 8. Greenwood Lake Ambulance Corps PO Box 223 Greenwood Lake, NY 10925 Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 9 of 10

9. Pine Island Ambulance Corp PO Box 264 Pine Island, NY 10969 10. Warwick Volunteer Ambulance Corps South St Extension PO Box 315 Fire Districts 11. Chief Pine Island Fire District PO Box 306 Pine Island, NY 10969 12. Chief Florida Fire District PO Box 600 Florida, NY 10921 13. Chief Warwick Fire District PO Box 421 14. Chief Greenwood Lake Fire District PO Box 1388 Greenwood Lake, NY 10925 Police Departments 15. Police Chief Thomas McGovern Town of Warwick Police Department 132 Kings Highway 16. Officer-in-Charge John Hansen Village of Greenwood Lake Police Department 16 Church Street Greenwood Lake, NY 10925 17. Officer-in-Charge James Coleman Village of Florida Police Department PO Box 505 Florida, NY 10921 All Greenwood Lake area applications 18. Bill Olsen Greenwood Lake Bi-state Commission 14 Clinton Avenue Town of Warwick Sketch Subdivision Application Package, rev 09/21/11 Page 10 of 10