HomeMy WebLinkAbout41081-Z �o�oS�EF01�coGy Town of Southold 7/28/2022
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43295 Date: 7/28/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2350 Deep Hole Dr.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-4-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/9/2016 pursuant to which Building Permit No. 41081 dated 10/14/2016
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
accessory swimming pool with hot tub fenced to code as applied for.
The certificate is issued to Estrada,John&Kori
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41081 4/11/2018
PLUMBERS CERTIFICATION DATED
0 OA tho z d Signature
i
TOWN OF SOUTHOLD
cagy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 41081 Date: 10/14/2016
Permission is hereby granted to:
Estrada, John
82 Beaver St Apt 305
New York, 'NY 10005
To: construct accessory swimming pool with hot tub as applied for with flood permit per
DEC and Trustee approvals.
At premises located at:
2350 Deep Hole Dr., Mattituck
SCTM # 473889
Sec/Block/Lot# 123.4-7
Pursuant to application dated 9/9/2016 and approved by the Building Inspector.
To expire on 4/15/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
Flood Permit $100.00
CO - SWIMMING POOL $50.00
Total: $400.00
Bui nspector
Form No_6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted t6 the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses, or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate.of.Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: lid (check one)
Location of Property: 2 9i 29 P45'r h7Q&5 10,x? "j47_77 ro C'>e—
House No. // Street Hamlet
Owner or Owners of Property: J-GqAl
Suffolk County Tax Map No 1000, Section 123 Block Lot -7
Subdivision Filed Map. Lot:
Permit No. �� Date of Permit. Applicant:
Health Dept.Approval: V,6--T Underwriters Approval: A11,V
Planning Board Approval: /1119
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ��
Applicant Signature
OF SOU�yo�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road y 4r Fax(631)765-9502
P.O.Box 1179 a@ roger.richert(-)town.southold.ny.us
Southold,NY 11971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Estrada
Address: 2350 Deep Hole Drive city:Mattituck st: New York zip: 11952
Building Permit#: 41081 Section: 123 Block: 4 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Modern Electric East License No: 4253-M
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 2
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include: Bonding, 1- Pool Pump, 1- Hot Tub Pump,
1- Blower, 1- Gas Pool Heater, 3- Lights, Control Panel, 3- GFCI Circuit Breakers.
Notes:
Inspector Signature: Date: April 11, 2018
J f��
0-Cert Electrical Compliance Form.xls
SOUTyolo
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 4AW
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DATE 11 130 wi INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST ROUGH PL13G.
FOUNDATION 2ND S
,�11N% ULA
] FIN
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FRAMING / STRAPPING AL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
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REMARKS:
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DATE. INSPECTOR
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�E SOUTyolo
TOWN OF SOUTHOLD BUILDING DEPT,
765-1802
INSPECTION
[ ] FOUNDATION 1ST j ] ROUGH PLBG.
"f- ']'.FOUNDATION 2ND - [ ] INSULATION/C UL °ING
n
[ ] FRAMING /STRAPPING [ FINAL f�e� [ i
[ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION.' [ ] FIRE-RESISTANT PENETRATION"
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 I Survey
SoutholdTown.NorthFork.net PERMIT NO. ` Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
D Flood Permit
Examined '20A 111��� �j Single&Separate
Storm-Water Assessment Form
I SEP — 9 2016 Contact:
Approved '20 1 � Mail to:4M 5 0//y//C Z
Disapproved a/c W=1NGMWZ R Q AOX 1041 TOC111-161VjNX11,07/
TOWNMOtT Phone:
Expiration '20
Buil ector
APPLICATION FOR BUILDING PERMIT
Date �� , 20 /6
I&STRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be]sept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within'12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
SLkbo
I l 1 A � (Mailing address of applicant)
State whether applicant is `owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
&���
Name of owner of premises ✓69141 f' kM,I,
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. ?
Plumbers License No. 2W
Electricians-License No:.. 7,J
Other Trade',s License No..
1. Locatibn of land,ori which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section 3 Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy -
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 6e0pf P-O GLJ —yrjayo
f �'"'��°"a�"� u,. (Descrip iont )
4. Estimated Cost ;, 'fir „;I
('re•paid on filing this application
5. If dwelling, number of dwelling units /r/// umber of dwelling uniLssrc each'floor
If garage, number of cars ;!`';`:
6. If business, commercial or mixed occupancy, specify r� e tad e t qqf each type of use. /V//")
6 ! .v x S Lf c+ �i*.K 1)
7. Dimensions of existing structures, if any: Front "Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear Y4
Depth .3 Height Number of Stories MIA—
8. Dimensions of entire new .:54construction: Front �� Rear � Depth /&
Height 410 �� Number of Stories &lo
9. Size of lot: Front Rear L'q Depth a 9
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated �®
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO_)e Will excess fill be removed from premises? YES NO >-"
J-01-1 I fie",e6kl 82 eeW iV'e'R r1--
14. Names of Owner of premises !FJ'l,�Al.2A Address IVY IVY 006/6- Phone No.
Name of Architect PDA10W fy'� Address 761 �"� Phone No 4j I t$= '19A0
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
R/—C ?Zg1a /-)_ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ��
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief, an# �ij,,Lvo6W*he
performed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YORK
NO.OIDW6306900
Sworn^to before me this QUALIFIED IN SUFFOLK COUNTY
T day of 5e4 ZW20 20-LJ COMMISSION EXPIRES JUNE 30,
C o �
tary Public Signature of Applicant
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
] Flood Permit
Examined l ,20&J Single&Separate
Storm-Water Assessment Form
Contact:
Approved V ,20h Mail to: ,� A: /I �C/L
Disapproved a/cP6.-890Y/&Ir XPOW 0,W NY /9V
Phone: 6V0?
Expiration '20
D RU�DV[2 Ykaipnspector
2CATION FOR BUILDING PERMIT
SEP — 9 2016
Date 7��d , 20
BUILDING DEPT. INSTRUCTIONS
TOWN®E SOUTHOLD
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every,building permit shall expire if the work-authorized has not commenced:within 12 months after the date of
issuance or has »ot been completed within 18 months from such date. If no,zoning.amendments_or other regulations affecting the
property have been enacted in the interim, the Building'Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ,7"2AW A21 _ ax. FP2%?AD
(As on the tax roll or latest deed)"
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. zonp
Plumbers License No. 712�lp
Electricians License No. �
Other Trade's License No.
1. Location of land on which proposed work will<be dories" '
Z3 JED D,6254e 1104,E' M JlE':
House Number Street I:: >;:Hamlet
County Tax Map No. 1000 Section l23 Block Lot
Subdivision _Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work A5clk_ W'17 Z POOZ�
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units (Jill / Number of dwelling units on each floor W,,C
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Z 7, -F Rear 444 Depth 44, 9
Height /S Number of Stories av
Dimensions of same structure with alterations or additions: Front zRZ,
Depth Height Number`-bf St ,: -- -jo,! Z
6
8. Dimensions of entire new construction: Front �Z. �?i RearZ Depth, -, 7J'7
Height Number of Stories
Tl�D z�
9. Size of lot: Front // Rear / 'L Z4 Depth Z9.Z ',gym' k0
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ,e 4
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO_X Will excess fill be removed from premises? YES NO
14. Names of Owner of premises i5PIA4DP Address vYWY /oac.Sr . Phone No.9/7 16 J49 J
Name of Architect�ot�j� =/a�t� �y/�.Ec'rU/l Address 2 y 11-110
sf Phone No A17 4V7�00Z_
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES >' NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES X NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES X NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF S
"ICI AV2 14, /C1&4 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
TRACEY L. DWYER
Sworn to before me this NOTARY PUBLIC,STATE OF NEW YORK
day of 201(o NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
l � COMMISSION EXPIRES JUNE 30,2olF
Notary Public ignature of Applicant
1 hal
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BOARD OF SOUTHOL•D:fTOWN TRUSTEES. :
- � SQUTHOLD,.NEWYQRK•,. '. . �, ' .
PERMIT NO. 8774 DATE: APRIL 20,2016 .
1'0'1 ISSUED TO: JOHN &KORI:ESTRADA
PROPERTY ADDRESS: 2350 DEEP-HOLE DRIVE,MATTITUCK
SCTM#'10.0.0-123-4-7
AUTHORIZATION' g
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of:the Board of Trustees adopted at the meeting-held on-April 20,2016,and in
r consideration of application fee in the sum:of 250:00 paid by John&Kori Estrada and subject fo the Terms .�
+q and Conditions as stated in the Resolution,the Southold•Town Board of Trustees authorizes and permits the
following:
r {
Wetlaridp)'ermrt to:demolishsou,tlieast'sectionsofyezisting one-'stony dwelling;;iieii'ovate{re'nwning
y 1.,972sq,ft.of existing.dwelling by installing.new-window,doors,-and roof;;construet�a=2;310sq ft.two-
"Y story.addition-to easterly side; existing 52lsq.ft.seaward side deck'to reagin;construct a 605sq:ft.
�=* seawardfdeck;with stairs>.to: ra e• construct-,aA51s :ft,in- .round-,s,wim m ; ,00l#and�.hot tub• and
" - g d �� q g � gP•. . � � -- �•
.s� install pool enclosure fencing;with the condition to delineate,the landward�edge,of,the:n9p,i4isturbance
buffer area by installing a line of 50 pound boulders placed every five feet With not less than 41'of each «
jt ,boulder to�be,above,grade,alongjhe landward,edge=of the 20'wide,Non,Disturban�e.,i gffe .,thatis to be
' establish"edtand;subsequently.mainfaii ed•along fhe landward edge;of the fidal3wetlands,rwithin the.side
;+, y, t and area the eaustiri dram is to be,remo�ed 'filled to aniic
appecl;`esfablish,`andts;bsequently
main' w t r;, , z a F y:;); • :'i ti.; 'e s.,.,• ; '. • '--, Kyw,h, .rya.",� c,'.,•,,,...,,,;..
fain.a:l5::rvi e'n'ori-t F:'a r pr ace ..;.
urf area"ardu`rid�Eli'e srdeyardrve"tland�area;,ifi>ion=turf?liuffer:area;is disturbed
d`u'ring:.construction;revegetale with{fe'sc'u'e;ttie?outer,porfion1:0 0ihe'1'S'wide lion=fur`f'.bufferiarea-in the
! �� side yard wetland area above the 2:5' elevation is to"be vegetatedwith'bay',',li'errytand/.or,bhfdb'erry bushes;
and a one-year plant.survivability inspection to be performed in 2017 for the vegetation around the side -
p , y
yard:wetlan'd,area;-and.astdepicted,on,thesur::vey:preparedcby,NathanrTaft,Corwin,.last=dated April 8; z
20;16„and;stamped'apprpyed:on May 17,2016.
IN WITNESS WHEREOF,the said Board of Trustees hereby causes,its.Co ,orate S.eal.to.:be affixed
Cor > Y{
and these presents to be subscribed by a majority of the said Board s of this date.
tL �'�� .- .,. ,r-, .,r: - •f;t,. - Yrs tl
,:,: meq. �� � '�• <
F -_ b r �iFitSY'&LiY1[7ftE� - , .'ti�.a&63Fc :ccJi567T .. 1 ��s
r `Yt f� ti�� 't � ;:v ` ``,�'< •• t� �.• 1��` r, '.fie' �. r
�+�� :%t”- �� 1 1 .i 1 1 .:�� R / ++� Nit, 't i J i.• / -
�Z,♦�.,1 ..+ .�:.1 „�\-• ,lt% .� `i..'•�+::v�' ..d• -t'?tit lt�•r• lst1.1• 1:)-
Glenn Goldsmith,President �Q� SQ(/�y ,. Town Hall Annex
A. Nicholas Krupski,Vice President ®� ®lo r 54375 Route 25
Eric Sepenoski g *, P.O. Box 1179
Liz Gillooly �
Southold, New York 11971
_ Elizabe 11 P�pl s G ® Telephone(631) 765-1.892
1 r Fax(631) 765-6641
JUL i r 7072
Bu!!DING DEPT BOARD OF TOWN TRUSTEES
TOWN OF SO WHOLD
CERTIFICATE OF COMPLIANCE
# 1935C Date: July 6, 2022
THIS CF.,RTIFIES that the dernolition of the southeast section of cxistingone-story dwelling, renovate remaining ti
1972sg.ft. of existing dwelling b installing new window doors and
roof-,construct.a 2,3 1 Qs .ft.two-story addition
to easterly.side, existing 521sq.ft.seavvard side deck to remain•construct a 605sa ft seaward deck with stairs to
Grade: construct a 451sg.ft. in-ground swimming pool and hot tub; and install pool enclosure fencing with the
condition to delineate the landward edge orthe non-disturbance buffer area by installing a line of 50 pound boulders
placed every five feet with not less than 4"of each boulder to be above grade along the landward edge of the 20'
wide Non-Disturbance buffer that is to be established and subsequently maintained along the landward edge of the
tidal wetlands; within the side yard wetland area the existing drain is to be removed filled in and coped;establish
and subsequently maintain a 15'wide non-turf area around the side yard wetland area if non turf buffer area is
disturbed during constriction revegetate with fescue;the outer portion of the 15'wide non turf buffer area in the
side yard wetland area above the 2.5' elevation is to be vegetated with bayberry and/or blueberry bushes and a one-
year plant survivability inspection to be performed in 2017 for the vegetation around the side Yard wetland area
At 2350 Deep Hole Drive Mattituck
Suffolk County Tax Map 4100`0-123-4_7
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated January 13.2016 pursuant to which Trustees Wetland Perin it#8774
Dated April 20.2016 was issued and conforms to all
the requirements and conditions of the applicable provisions of law. The project for which
this certificate is being issued is for the demolition of the southeast section of existing one-story dwelling•
renovate remaining 1972sa ft of existing dwelling by installing,new window,doors and roof,construct a
2_3 l0s .ft. two-story addition to easter/ side exist.i.ng 521s .ft,seaward side deck to remain;construct a 605s .ft.
seaward deck with stairs tograde;construct a 451s .ft. in-ground swimminp,pool and hot tub; and install pool
enclosure fencin •with the condition to delineate the landward edpe of the non-disturbance buffer area by installing
a line of 50 ound boulders placed eveU five feet with not less than 4"of each boulder to be above grade along the
landward edple of the 20' wide Non-Disturbance buffer that is to be established and subsequently maintained along
the landward edge of the tidal wetlands,•within the side yard.wetland area the existing drain is to be removed filled
in and capped; establish and subsequently maintain a 15' wide non-turf area around the side yard wetland area; if
non-turf buffer area is disturbed during construction reve elate with fescue; the outer portion of the 15' wide non-
turf buffer area in the side yard wetland area above the 2.5' elevation is to be vegetated with bayber and/or
blueberry bushes•and a one-year plant survivability inspection to be performed in 2017 for the vegetation around
the side yard wetland area
The certificate is iss ted to John& Kori Estrada owner of the aforesaid property.
v
NEW YORK STATE, DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOV
Facility DEC ID 1-4738-00606
PERMIT
Under the Environmental Conservation Law
(E: CL_.�
Permittee and Facility. Information
Permit Issued To: Facility:
JOHN ESTRADA ESTRADA PROPERTY
82 BEAVER ST 2350 DEEP HOLE DRISCTM# 1000-123-4-7
NEW YORK, NY 10005 MATTITUCK, NY 11952
Facility Application Contact:
MICHAEL., A KIMACK
PO BOX 1047
SOUTHOLD, NY 11971-1047
(516) 658-6807
Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Mattituck
Facility Principal Reference Point: NYTM-E: 709.554 NYTM-N: 4540.338
Latitude: 40°59'14.3" Longitude: 72°30'32,1"
Project Location: 2350 Deep Hole Drive - Watercourse - Deep Hole Creek
Authorized Activity: Construct a second story addition, porch and steps to existing single family
dwelling, construct deck and pool, install pool fence, abandon existing septic system and install new
septic system. Cap a PVC pipe and remove drain, install plantings and place boulders along the
landward side of the buffer, All authorized activities must be in strict conformance with the attached
plans stamped NYSDEC approved on 7/19/16. (CKW)
Permit Authorizations
Tidal Wetlands - Under Article 25
Permit ID 1-4738-00606/00005
New Permit Effective Date: 7/19/2016 Expiration Date: 7/19/2021
NYSDEC Approval
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict
compliance with the ECL, all applicable regulations, and all conditions included as part of this
permit,
Permit Administrator: ROGER EVANS, Regional Permit Administrator
Address: NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Broo , NY 117 -3409
Authorized Signature: 4-1 Date
Page 1 of 6
AM
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAI,CONSERVATION
Facility DEC ID .1-4738-00606
Distribution List
MICHAEL A KIMACK
Habitat - TW
CLAIRE K WERNER
Permit Components
NATURAL RESOURCE PERMIT CONDITIONS
GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following
Permits: TIDAL WETLANDS
1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are frilly aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project, the bottom portion of the form must also be signed and returned, along with photographs of
the completed work,
3. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to
escape into any wetlands or waters'of New York State, nor shall washings from ready-mixed concrete
trucks, mixers, or other devices be allowed to enterany wetland or waters. Only watertight or
waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms.
4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from
construction of this project shall be,completely removed from the adjacent area (upland) and removed to
an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas.
5, No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected buffer areas as a result of the permitted activities.
6. Storage of Equipment, Materials The storage of construction.equipment and materials shall be
confined within the project work area and/or upland areas greater than 50 linear feet from the tidal
wetland boundary,
Page 2 of 6
AM
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NQW
Facility DEC ID 1-4738-00606
. 7, Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be
stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior
to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours
or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or
jute matting until weather conditions favor germination,
8. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated
buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography
within an area extending 20 linear feet landward of the tidal wetland boundary.
9. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater
than 25 feet seaward of the approved structure is prohibited.
10. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion
control devices shall be placed at the landward edge of the buffer area as per the NYSDEC-approved
plan, prior to commencement of any regulated activities and remain in place and in good, functional
condition until the project is completed and all disturbed areas are stabilized with vegetation.
11. Runoff Directed to Upland D
p r-ywells Roof runoff shall be directed to drywells a minimum of 75
linear feet landward of the tidal wetland boundary for immediate on-site recharge,
12. No Drywells in or near Wetland Dry wells for pool filter backwash shall be located a minimum
of 75 linear feet landward of the tidal wetland boundary.
13. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or
indirectly into wetlands or protected buffer areas.
14. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of
NYSDEC-approved pervious materials.
15. Direct Runoff Away from Tidal Wetland and Buffer Roads, driveways, and parking areas shall
be graded to direct runoff away from tidal wetlands and protected buffer areas.
16. Sanitary Systems above Groundwater Sanitary system (bottom of tank and leaching pools) shall
be located a minimurn of 2 feet above seasonal high groundwater,
17. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant (or similar
Department-approved language) to-the deed for the property where the project will be conducted and file
it with the Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed
covenant shall run with the land into perpetuity, A copy of the covenanted deed or other acceptable
proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the
effective date of this permit to
Regional Habitat - TW
NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook, NY 11790 -3409
Attn: Compliance
Page 3 of 6
AM
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION New
Facility DEC ID 1-4738-00606
18. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be-temporarily exposed or
stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt
curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the
wetland or protected buffer area. Tarps are authorized to supplement these approved methods.
19. State May Order Removal or Alteration of Work If future operations by the State of New York
require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the
Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation
of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause
loss or destruction of the natural resources of the State, the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State,
and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall, without
expense to the State, and to such extent and in such time and manner as the Department of
Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill
and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall
be made against the State of New York on account of any such removal or alteration.
20. State May Require Site Restoration If upon the expiration or revocation of this permit, the
project hereby authorized has not been completed, the applicant shall, without expense to the State, and
to such extent and in such time and manner as the Department of Environmental Conservation may
lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its
former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
21. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents,
lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
22. Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by M.A. Kimack last revised 7/15/16 (Sheet 1 of 2); septic tank,
leaching pool cross sections and other plan details prepared by Nathan Taft Corwin III, last revised
2/13/16 (Sheet 2 of 2), both stamped NYSDEC approved on 7/19/16 ,
23. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
Page 4 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION �
Facility DEC ID 1-4738-00606
GENERAL CONDITIONS - Apply to ALL Authorized Permits;
_J
1, Facility Inspection by The Department The permitted site or facility., including relevant records, is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental Conservation (the Department) to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301
and SADA 401(3),
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation of this permit.
2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly
provided for by the Department, issuance of this permit does not modify, supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination,
3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a
separate written application to the Department for permit renewal, modification or transfer of this
permit, Such application must include any forms or supplemental information the Department requires.
Any renewal, modification or transfer granted by the Department must be in writing, Submission of
applications for permit renewal, modification or transfer are to-be submitted to:
Regional Permit Administrator
NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook, NY11790 -3409
4, Submission of Renewal Application The permittee must submit a renewal application at least 30
days before permit expiration for the following permit authorizations: Tidal Wetlands,
5. Permit Modifications, Suspensions and Revocations by the Department The Department
reserves the right to exercise all available authority to modify, suspend or revolve this permit, The
grounds for modification, suspension or revocation include:
a, materially false or inaccurate statements in the permit application or supporting papers;
b, failure by the permittee to comply with any terms or conditions of the permit;
c, exceeding the scope of the project as described in the permit application;
d. newly discovered.material information or a material change in environmental conditions, relevant
technology or applicable law or regulations since the issuance of the existing permit;
Page 5 of 6
mom
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ` nn
Facility DEC ID 1-4738-00606
e. noncompliance with previously issued permit conditions, orders of the commissioner, any
provisions of the Environmental Conservation Law or regulations of the Department related to
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership,
C-^ NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York, its representatives, employees,
and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the
permittee's acts or omissions in connection with the permittee's undertaking of activities in connection
with, or operation and maintenance of, the facility or facilities authorized by the permit whether in
compliance or not in compliance with the terms and conditions of the permit, This indemnification does
not extend to any claims, suits,*actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming.the DEC and arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision
under federal or state laws,
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the
permittee's agent with respect to the-permitted activities, and such persons shall be subject to the same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-
way that may be required to carry out the activities that are authorized by this permit,
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands-or interfere with the
riparian rights of others in order to perform the permitted work nor does it authorize the impairment of
any rights,,title, or interest in real or personal property held or vested in a person not a party to the
permit.
Page 6 of 6
r
APPLICATION a
PAGE I of 1
TOWN OF SOUTHOLD
FLOODPLAfN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sijn):
I.. No wort: may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein_
3_ If revoked, all work must ccasc until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued_
5. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
_ THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE.
(APPLICANT'S SfGf tATURE) DATE
SECTION 2 PROPOSED DE LOPMENT (Tb be cornplcted by APPLICA D
NAME TELEPHONE
• APPLICANT
AWCM946L &C 104Z V" s/6 6!i; 6 PV7
BUILDER
ENGINEER
PRQJECT LOCATION:
To avoid delay in processing the appticacion, please provide enough information to easily identify the project
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or we11-knowu tandmark- A sketch attached to this application showing
the project location would be helpful.
r
FDP(s3)
! APPLICATION'
PAGE 2 OF ---
DESCRIPTION OF WORK (Check all app6cablc boxes):
A. STRUCTURAL DEVELOPMENT
,/ACTIVTTY STRUCI~TURTYPE
119 Ncw Structure ❑ Residential (1-4 Farm])')
V Addition ❑ Rcsidcntial (Mort than 4 Family)
❑ AJtcration ❑ Non-residcnuaJ (Floodproofing? ❑ Ycs)
❑ Relocation ❑ Combined Usc (Residential & Corn craaJ)
❑ Dcmdlition ❑ Manufactured (Mobile) Homc (la Manu- -
❑ Replaccmcn( facturcd Home Park? ❑ Yes)
ESTIMATED COST OF PROJECT 5
B. OTHER DEVELOPMENT ACTlVITIES:
❑ Fill ❑ Mining O Drilling ❑ Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
❑ Drainage Improvements.(Including Culvert Work)
❑ Road, Street or Bridge CotLS[ruciioa
❑ Subdivision (New or Expansion)
g1ndividuaf Water or-Se r System
Cl Other (Please Spect7y)
Alter completing SECTION 2, APPLICAI�GT should submit form to Local Administrator for review.
SECTION 3: DPLAIN DETERMINATION CEo be completed by LOCAL ADMIId7 RATOR
The proposed development is located on FIRM Panel No. Dated
The Proposed Development:
❑ Is NOT located in a Special Flood Hazard Arca (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED)•
❑ Is located in a Special Flood Hazard Arca.
FIRM zone designation is 201145 C
100-Year flood elevation at the site is: Ft. NGVD (MSL)
O Unavailable
The proposed development is located in a floodway.
FBFM Panel No. Dated
❑ Sec Section 4 for additional ins
t
ruct
io
ns
.
SIGNED
,CTIA, �l�v� DATE G
A-PPLICATION N
i
PAGE 3 OF n
SECTION 47 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the application ran be processed:
0 A site plan showing the location of all existing structures, water bodies, adjacent roads, lot
dimensions and proposcd development.
❑ Development plans, dra-D to scale, and spccifications,including wbcre applicable_details for
ancboring structures, proposed elevation of lowest floor (including basement), types of water
resistant materials used bclo%v the fust floor,details of floodprooftng of utilities located below
t.be fust floor and details of enclosures below the fust floor.
Also.
❑ Subdivision or other development plans (If[hc subdivision or other development exceeds 50
lots or 5 aci-cs, whichever is (be lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑ Top of new fill cleva(ion Ft. NG VD (MSL).
❑ Floodproofurg protection level (non-residcntial only) Ft.'NGVD (MSL). For
`�' applicant must attach certification from registered engineer or
n io Y�roofcd structures,
architect.
..
❑ Certification from a registered engineer that the proposed activity in a regulatory flood-ay
will not result in any increase in the heigh( of the 100-year flood. A copy of all data and
calculations supporting,-this finding trust also be submitted.
❑ Other:
SECTION 5: PERMIT DETERMINATION [To be comyfotcd_bY 1 nC'AL ADMINISTRATOR)
I have determined that the proposed activity. A. ❑ Is
B.❑ Is not
• in conformance with provisions of Local Law if , 19 . The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED , DATE
If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated
fee.
If BQX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a bearing from the Board of
Appeals.
APPLICATION a _
PAGE 4 OF 4
APPEALS. Appealed to Board of Appcals? ❑ Ycs ❑ No
Hearing date:
Appcals Board Decisiou -- Approvcd') ❑ Ycs ❑ No
Coodi(iorts
SECTION 6: A-5-BUILT ELEVATIONS (To be Submitted by APPLICANT" before Certificate of Compliance
is issued
The following information must be provided for project structures. This section muse be completed by a
registered professional engineer or a Licensed land surveyor (or actacb a certification to this appGca(ion).
Complete I or 2 below.
I. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal High Hazard
Areas, bottom of lowest structural member of (lar, lowest floor, excluding piling and columns) is:
FT. NGVD (MSL).
2. Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSI.).
oSi
NOTE: Any work performed prior to submittal of the above information is a( the risk of the Applicant.
4V
,SECTION 7 COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based on-inspectioo of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES 0 NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION 8 CERTIFICATE OF Q�QMPLIANCE(To be completcdLOCAL ADN4INI5TRATO�
Certificate of Compliance issued: DATE: BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(O" ER MUST RLTAZN THIS CERTIFICA'T'E)
PREMISES LOCATED AT: PERMIT NO.
23, PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
A0,419 NEW BUILDING
VO'-:,V J'T T6 S� ❑ EXISTING BUILDING
n✓Y NY /4 V05- ❑ VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19
SIGNED: DATED-
B-
ATED:B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19^, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
Scott A. Russell ti
- - SUPERVISOR
MANAGIETW]ENT
SOUTHOLD TOWN HALL-P.O.Box 1179 ` t1 FUS
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
SEP 12 X016. ( TO BE COMPLETED BY THE APPLICANT )
.. . .- .. . . ..
DOES THIS PROJECT INVOLVE ANY OF TE-IIIE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
❑� A_ Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface_
❑N B_ Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
s ❑
Co.C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal-distance.
,o[] D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
21 E. Site preparation within the one-hundred-year f loodplain as depicted
any-�vat-e->=course:
❑E] F_ Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces_
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tag Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S.C.T.M. : 1000 Date:
APPLICANT: (Property Owner,Design Professional,Agent.Contractor,other) District
NAME �1/ GY.4,12 A4MI✓C -S �7 O O
�i Section Block Lot
F'CR BUILDING GI:P ARTS°1ENT USE GSL-
ContactInformation_ 07
-' :7dN �vmncl
Reviewed By: ��++
— — — — — — — — — — — — — — — — — — Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
ZZ5--0 4?'45 F] Stormwater Management Control Plan Not Required.
/d. Zy 2VC/4 &_ y zzgsz Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM ` SMCP -TOS MAY 2014
_ i..
77
APPLICANT: S.C.T.M. *: 1000 CHA.PT
(Property Owner, Design Professional,Agent,Contractor,Other)
Ito,- Stormwater Management
NAME: f�f(5, .df_L 1C/�1iS?G'/G Section Block Lot I' S M C P -Plan Requirements: Provide ON y of the Building Permit App c o
�,;.,,0 _ Date: °40, �k The applicant must provide a Complete p atto /o Rgas ��r no't ding
�ko eme 1 ', all Information that has been Required by the following eck�isfl
7e 7 mgamnr Num4er.
i
I. A Site Plan drawn to scale Not Less that 60' to the Inch MUSTIf You answered No or NA to any Item, Plea �to,1,�) Here!
show all of the following item ��T
s: YES NO NA If you need additional room for explanati37QV WMI'll nal Paper.
a, Location & Description of Property Boundaries
b. Total Site Acreage, 7!E
c. Existing - Natural & Man Made Features within 500 L.F. ' REQUIRED
of the Site Boundary as required by §236-1702). Coma :r()S -15 0 before
d, Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. a ion
e, Limits of Clearing & Area of Proposed Land Distul bance, fteitfill'
that the dF8'Ra&9 has been installed 10 CQde-
f. Exist ing & Proposed Contours of the Site (Minimum z intervals) I
g, Location of all existing & proposed structures, roads,
driveways, sidewalks, drainage Improvements & utilities,
h. Spot Grades & Finish Floor Elevations for all existing & ERO51
proposed structures. Shall include
I, Location of proposed Swimming Pool and discharge ring. i( A o:
j. Location of proposed Soil Stockpile Areas). itBlacks,,Si't ton Entrance,
k. Location of proposed Construction Entrance/Staging Area(s). ;J t 2ation&
I, Location of proposed concrete washout area(s). i) or inactive soils.
i-n. Location of all proposed erosion&sediment control measures. I
2. Stormwater Management Control Plan must include Calculations showing l
that the Stormwater Improvements are sized to capture,store,and Infiltrate l
on-site the run-off from all Impervious surfaces generated by a two(2")Inch
rainfall/storm event.
3. Details& Sectional Drawings for Stormwater practices are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion & Sediment Controls,
b, Construction Entrance & Site Access.
c, Inlet Drainage Structures (e,g,catch basins,trench drains,etc.)
d, Leaching Structures (e. . Infiltration basins,swales,etc.) l
l)E Phli:'NIENT USE ONLY
Additional Information is Required.
Reviewed & Stormwater Management Control Plan is Not Complete.
Approved By: — — — — — — — — — — — — — — — — — — — — — — — — -
Stbtmwater Management Control Plan is Complete.
Date: 3 I SMCP has been approved by the Engineering Department.
i I
' I
FORM " SWCP Check List -TOS MAY 2014
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802- FAX(631) 765-9502
roger.richertO-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: Y10/11
Company Name: I(�1 p �w•t �-�Q c-r� i s =w s c
Name: �-rKo�st
License No.: email: ® o t- • ea w-\
Address: P 0. gox 3.�1 -r T1r -cv-0N*-.
Phone No::
JOB SITE INFORMATION: (All Information Required)
Name: —s r!L,1D A
Address: e I e, ` 4-T-rf
Cross Street �� S�.�r=0�1, 4v
Phone No.: g Er-s3 1
Bldg.Permit#: V] 6TO :+ / email:
Tax Map District: 1000 Section: Black: Lot:
BRIEF DESCRIPTION OF WORK(Please 'nt Clearly)
c 2 rN c lub �W tyr.,*-,ti rt p
Circle All That Apply:
Is job ready for inspection?: YES! NO Rough In Final
Do you need a Temp Certificate?: YESe!:9Issued On
Temp Information: (All information required)
Service Size. 113h 3 Ph Size: A #Meters Old Meter#
New Service-Fire Reconnect- Flood Reconnect-Service Reconnected-Underground-Overhead
Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
O
82-Request for Inspecdon Form As �a$S � � �(�(D (k
SURVEY OF -PROPERTY
SITUATE
NOTE' MATTITUCK
1. ELEVATIONS SHOWN HEREON.ARE, IN 1988'.N.A.V.D.
EXISTING ELEVATIONS ARE SHOWN THUS: TOWN OF SOUTHOLD
EXISTING CONTOUR LINES ARE SHOWN THUS:
2. FLOOD ZONE'INFORMATION TAKEN FROM: SUFFOLK COUNTY, NEW YORK
F
FLOOD INSURANCE RATE MAP._N036103C0182H
ZONE AE: BASE LOOD.ELEVATIONS DETERMgD
ZONE X: AREAS DETERMINED TO BE OUTSIDf_THE 0.2% ANNUAL CHANCE FLOODPLAIN. S.C. TAX. No. 1000-123-04-007
SCALE 1"=40'
JANUARY. 17, 2008
FEBRUARY 18, 2009 LOCATED WETLANDS-
APRIL 20, 2010 ADDED PROPOSED;DECK & UPDATE SURVEY
SEPTEMBER'S, 2010 ADDED*LOT COVERAGE
D SEPTEMBER 28•. UPDATE SURVEY .
lC OCTOBER.31, 1201515 REVISE SITE PLAN
DECEMBER.9, 2015.REVISE SITE PLAN
FEBRUARY 13, 2016 REVISE WETLAND NOTE AND PER S.C.D.H.S. NOTICE 02/11/2016
MARCH 2, 2016 ADD POOL FENCE
JUN
O �o4e APRIL 8, 2. 2 ADD NAL ANDSUR'BUFFER
UIV Iv MAY 1, 2018 FINAL SURVEY
�,D1NG DBPT- AREA 39,453 °sq.. ft.
0.906"GO.
TOW' SOUTHOLD CERTIFIED TQ-' -
NEW SUFE '
ocK AVENUE _ ' .JOHN' E'STRADA '
KORI ESTRADA
m
n
SEPTIC SYSTEM TIE MEASUREMENTS
HOUSE HOUSE
DE]1t D TT �r CORNER Q CORNER 08
i11 n
4pAe R_ OLE SEPTIC TANK 17' 16.5'
=330 DRI V�i COVER
' DISTRIBUTION
G� 'wRe 54.24 S. $3.20' POOL COVER 1 49 40
NE 40��E _ _ E 6d',•7g' 38'
EDGE OF PAVEMENT DISTRIBUTION
POOL COVER 2 51
O ��i Z 2) DIST►t/p ON �ONERHE p
0. m GE
N
a o c' c
�. do
m N
a � 'e •$ "p�• a
&n'
(�
BELG .'o .a
24.�(2)A/c BLOCK cue to.
4 s
CO ITS SLA e . e A
c
Z\ OIL _ 27.3 a:
WOOD'" ILA IC CHIMN 9 w BLOCK
SCE CEco
o c ax APRON
26.7
pANQ OF �. 30 o y la A: DUN
fQU/PN5Np \ 5.0'
0
LP: GATE' WOOD
2.7 `. .c 18.7.' FENCE
U)
'{
.. .!STO
HODS ,tOAF
SHED'FRAME"L,. '_`; '. .. E-&RY rasa"^M� -
- — —- —�
=` S 31.5 ' ` 3 - - •cPSTE? i
0 i. f X
zo
woo D K f (f�, 6)
du SLATE 'INPOOL p a
Y �OP1,. F-m.t u! COPING29
c6p1
OR
N;
...... 75' i " foo' Z
6,64
0 ' �,';;, .•033
ON
• �� S• 4,*TyEaR4s
ilk
o' fCjes�noFq�e
49
73r 4P °ti is a4
�PN(ip
Y
WOODEN DOCK WRH , -
PILINGS ON EACH SIDE Ir''
�LyF 3
I ..
j� �� .. •1 PREPARED IN AC r MINIMUM
STANDARDS O BBYTTHE RVEYS X9�EyT ED
v AND IITD=OPTED
�
1 N .FORS A D
Al 1a
PILINGS IN WA _
fly` 1 YaP° s(
sant,
OP
?B,RW/ipD'IC ,
`/j�•7 R Ne4�
N S. Lic. No. 50467
T"NTFHIS�U�I�oLAnoN ADDITION Nathan Orwin III
SECTION 1209 OF THE NEW YORK STATE
EDUCATION LAW. • Land .Surveyor
COPIES,OF THIS SURVEY MAP NOT BEARING
THE LAND.SURVEYOR'S INKED SEAL.OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE'A VALID TRUE COPY:
CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S.
ONLY TO THE;PERSON FOR WHOM THE SURVEY ONLY
A. Ingegno L.S.
LS PREPARED,AND ON HIS BEHALF TO THE .. Title Surveys —
e Subdivisions — Site Plans — Construction Layout
TITLE COMPANY,GOVERNMENTAL AGENCY AND
UNDING INSTITUTION LISTED HEREON,AND
TO
THE ASSIGNEES
AEE'NLENDINOT�INSTIINSTIS PHONE•(631)727-2090 Fax (631)727-1727
FERAML OFFICES LOCATED AT MAILING ADDRESS
THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16
AND/OR EASEMENTS OF RECORD, IF
' J
ANY, NOT SHOWN-ARE NOT GUARANTEED. Jamesport, Now York 11947. Jamesport, New York 11947
. 1
SITE PLAN FOR
NOTE: JOIN AND KORI ESTRADA
1. ELEVATIONS SHOWN HEREON ARE IN 1988 N.A.V.D. PAGE 1 OF 2
EXISTING ELEVATIONS ARE SHOWN THUS:5.0
EXISTING CONTOUR LINES ARE SHOWN THUS: -_---s---.-- SIT DATE
2. FLOOD ZONE INFORMATION TAKEN FROM: MATTITUCK
FLOOD INSURANCE RATE MAP No. 36103CO482H
ZONE AE: BASE FLOOD ELEVATIONS DETERMINED TOWN O F S O U T H O LD
ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.29. ANNUAL CHANCE FLOODPLAIN.
3. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,500 GALLONS. SUFFOLK COUNTY, NEW YORK
1 TANK: 10' DIA. 3' EFFECTIVE DEPTH
4. MINIMUM'LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. S.C. TAX NO. 1000-123-04-007
6 POOLS: 2' DEEP,,,B' dia. SCALE 1"=40'
PROPOSED EXPANSION POOL
®
JANUARY 17, 2008
PROPOSED LEACHING ,POOL `
FEBRUARY 18, 2009 LOCATED WETLANDS '
APRIL 20, 2010 ADDED PROPOSED DECK & UPDATE SURVEY
PROPOSED SEPTIC TANK SEPTEMBER 8, 2010 ADDED LOT COVERAGE
SEPTEMBER 28, 2015 UPDATE SURVEY
S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OCTOBER 31, 2015 REVISE SITE PLAN
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. DECEMBER 9, 2015.REVISE SITE PLAN
6. E 02/11/2016
EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND FEBRUARY 13, 2016 REVISE WETLAND NOTE AND PER S.C.D.H.S. NOTIC
REMOVED IN, ACCORDANCE WITH S.C.D.H.S. STANDARDS,
AREA = 39,453 sq. ft.
0.906 ac.
�Ses owe`
p�e�;cryc CERTIFIED TO:
NEW SUFFpLK AVENUE WATER
JOHN ESTRADA
osis p�ELUNc KORI ESTRADA
C!C WATER
�' DWELLING
-
113
USES PUBLIC WATER
? DWELLING
PUBLUSES IC' PUBLIC WATER USES DWELLING
WATER
STREET PUBLIC WATER
(i °04 X-B-4. p�,
pq F a R`33p' X42 �`'R�f.��;
Ct,y WiR\ �S4'24' ENTNRSANNGE l0
E . N� :.�..,_.._.. S 3'20' 76
WATER METER
U e•• X 8� .,-�.,;.�; :;;,,`, 8 6 EDGE OF PAVEMENT
_
.10'. \ _rl:' e,.... :LU
VERHFAO WIRES
-•�3 N �1.r.�' K` ti HED
J� O) 3 ° •... "` 12'TREE. 1O,X 10'X 3'DEEP TEMPORARY
`" GONGRETE
o
WASHOUT PIT LINED WITH
r. I�:•:nti a;;;:
\ 10 MIL POLYETHYLENE SHEETING
N \ ', �C1•. :,..•:,'.'.�.;. - -
[tXx.;.•_���, g; 1u��Ib EXISTING DRIVEWAY
HOLSO •., d:::,. III a TO BE REMOVED
U) _7
a 18. �\ 1 A• �'": ::° ij: '' Y PROPOSED
2 1rr _ SILT EEEXISTING LOT COVERAGE OVER UPLAND LOT AREA
DO BE INS- E TO
2 2p 10Ee TAN `ry �p ( .3' 1D N Ur- DLLs DA UPLAND LOT AREA = 35,934 sq. ft.
pNF AE NE x ICE N- q� ti 6 6i GONSIRUG-F16N DESCRIPTION AREA % LOT COVERAGE
(EL, s` CHIMN O w IX -.. .. 6. 11.1'
(D SSSJZZZ ouTsl % W ro .._. rT j.f OPEN DRAIN HOUSE 1,972 sq. ft. 5.5%
.., ":
S\ X L.P SHO R U ::;:PR p,' ;:'E ~� G'�TE EL.
tr \ ;iii PO P` .! 7.0 DECK 521 sq. ft. 1.5%
14 TREE \ 2 Z O ;
X \ F=OW `\ - •:::ii;:ii.'��:�•'$0:0 �!Efii,'f�'?:
'15
1 SLATE STOOP 45 sq. ft. 0.1
FR E X3� \ t2.z� ,1'ROppSEDi"0:' BOT�!ELL TO
- - HED W ` >;::iii.2.5- Po ROOF=pD Ofi D POR. (2) SHEDS_ 259 sq. ft. 0.7%
W000 -' 'FFt;�¢' 4..:._..,- ORj'SC'' - DISGH AND -
_ 3�z EQs 32.3' ADDITION:¢::;:tt` 4RGE
\ 4A. . Is. wao :::::;.:... -�.:..........:..:.:.::.:.:: :: PROP PO TOTAL 2,797 sq. ft. 7.B%
6"TtY D ,`i;::;ilia::;ii�{:'s'�«,'I~`:�iis :E; 5 L EQUIP•
�3� �EC •.«�._....:..:::i-^:;y-i:?"t`i''fEE::;:
-O 6F lG SYS 4C/ 72R� P.STE .. Rf, & .`X
�S AFM° �M 74; s�- PROPOSE a 20Nf. PROPOSED LOT COVERAGE OVER UPLAND LOT.AREA
E NOTFN�D O DECK " �••' 16,7' "--4 AF (EL s UPLAND LOT AREA = 35,934 sq. ft.
6J Tt?gt'20 TREE I
ff� I ----_- :` i!PROP. l;iii 3 ti DESCRIPTION AREA % LOT COVERAGE
X x x2_5
I in
l!__g c� HOUSE 1,972 sq. ft, 5.5%
6A P00LX22 N I Do� /
P O EXIST. DECK
75'. N c)� & STEPS 431 sq. ft. 1.2%
W I �1
_ D x -p+ (2) SHEDS 259 sq. ft. 0.7%
X j14"i 9:211
I
all, 1 PROP. ADDITION 2,310 sq. ft. 6.4%
i I 12 TREE �\\ YAWN I PROP. DECK„• 605 s ft. 1.7%
6-TREE / \\ 10`TR Ty�S & STEPS q'
I,11 \\ 11 x 27RE\\\\ \ WOE e gRf T RFgy OFa & �T P008. . 451 sq. ft. 1.3%
j 14511) TOTAL 6,028 sq. ft. 16.8%
\\ \\ II x� x FT��OS 'TREE x �g PC'1,oSpF't'yC4�fgrFR
\7332\\ \\ OC oq�SPIV
\ 12"TREE Xggf �'� N Tylgq ogTyFRs,
\(ar-72°TREE
A
's9�j.y `sTp\ \ Rq -XI \ .
=
B
14'7REE \.\ X A2 N
LII \ •
• WOODEN DOCK WITH \ \• Jf-•12'7REE
PILINGS ON EACH SIDE 1 5F.,<,y \
/ F \
�. CP
PREPARED IN ACCO WITH THE MINIMUM
IP0 °q� �, \ 1 _ �q STANDARDS F SUR EY3D A ESTABLISHED
< rRE �r� BY THE gW@±1+P�9Q1lED ANq ADOPTED
FORS y� E NHV� STAIE LAND
OpC G MP \ \ TITL S
PILINGS IN WATER4/Ty/S \\\ -? `-3 C) � y
® \ B4,qN0w9R p !.
N SV1T V 7 �t
• � ?0 Ii S
6,92, ,111, 1g �N �VFyOR FTN &1tp�,��'
No. 50467
. TO
UNAUTHORIZED ALTERATION
LSERATVIOLATION ADDITION Nathan , ,c C' dorwin III
SECTION 7209 OF THE NEW YORK STATE M
CPIESEDUCATION LAW. Land Surveyor
' COPIES OF THIS SURVEY MAP NOT BEARING Q Surveyor
�j./V
DRAINAGE SYSTRM CALCULATIONS' THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED•SEAL SHALL NOT BE CONSIDERED
ADDITION ROOF AREA: 2,310 99. ft. TO BE A VALID TRUE COPY.
2,310 sq. ft. X 0.17 = 393 cu. ft. Successor To: Stanley J. Isoksen, Jr. L.S.
393 cu. ft. / 42.2 = 9 vertical ft. of 8' dia. leaching pool required. CERTIFICATIONS INDICATED HEREON SHALL RUN Joseph A. Ingegno L.S.
PROVIDE (3) 8' dia. X Z' high STORM DRAIN POOLS ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED.AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout
PROPOSED 8' DIA. X 3' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: � TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
ADDITION ROOF AREA: 2,300 sq. }t. - TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727
2.310 sq, ft. X 0.17 = 393 cu. ft. TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS
,393 cu. ft. / 42.2 = 9 vertical ft, of 8' dia. leaching pool required
THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16
PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS I,= AND/OR EASEMENTS OF RECORD, IF James ort, New York 11947 Jamesport, New York 11947
PROPOSED 8' DIA. X 3' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: �� ANY, NOT SHOWN ARE NOT GUARANTEED. P
STORMWATER MANAGEMENT NOTES: SITE PLAN F O R
1. ANY WORK OR DISTURBANCE, AND STORAGE OF CONSTRUCTION STEEL OR WOOD
MATERIALS SHALL BE CONFINED TO THE LIMIT OF CLEARING EXTRA STRENGTH FILTER FABRIC POST (TYP.) NOTES:
AND/OR GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS. REQ'D. WITHOUT WIRE MESH SUPPORT TO BE USED WHERE TOPSOIL IS NECESSARY FOR 1. AREA CHOSEN FOR STOCKPILING OPERATIONS JOHN AND KORI EST
2. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES, REGRADING'& VEGETATING DISTURBED AREAS. SHALL BE DRY AND STABLE.
10' MAX. O.C. SPACING 2. MAXIMUM SLOPE OF STOCKPILE SHALL BE 2:1. PAGE 2 OF 2
A CONTINUOUS LINE LL SILT SCREEN (MAXIMUM OPENING RI W/WIRE SUPPORT FENCE TEMPORARY STOCKPILE STABILIZATION MEASURES INCLUDE DETAILS
U.S. SIEVE D DI SHALL BE STAKED N THE LIMIT OF CLEARING VEGETATIVE COVER, MULCH, NONVEGETATIVE COVER, AND 3, UPON COMPLETION OF SOIL STOCKPILING, EACH
AND GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS. 6' MAX. PPO SPACING
THE'SCREEN SHALL BE MAINTAINED, REPAIRED AND REPLACED AS W/o WIRE suPpoRr FENCE PERIPHERAL SEDIMENT TRAPPING BARRIERS. THE PILE SHALL BE SURROUNDED WITH EITHER SILT
OFTEN AS NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL '_'; ?:- STABILIZATION MEASURES) SELECTED SHOULD BE FENCING OR STRAW BALES, THEN STABILIZED WITH SITUATE
DISTURBED AREAS ARE PERMANENTLY VEGETATED. SEDIMENTS ' ' '" '- APPROPRIATE FOR THE TIME OF YEAR, SITE CONDITIONS, VEGETATION OR COVERED.
TRAPPED BY THE SCREEN SHALL BE REMOVED AWAY FROM THE ''•-"' - FLOW AND REQUIRED PERIOD OF USE. 2 SLOPE OR LESS
MATTITUCK
SCREEN TO AN APPROVED UPLAND LOCATION BEFORE THE � ':• ��
SCREEN IS REMOVED. r;: : :. STABILIZE ENTIRE PILE y W TOWN OF S0UTH0LD
3. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES, W WA CONTINUOUS ROW OF STAKED STRAW OR HAY BALES SHALLATTACH FILTER FABRIC SECURELY WITH VEGETATION OR COVEKLI
W W �b �. SUFFOL K C 0 U N TY, NEW YORK
BE STAKED END TO END AT THE BASE OF THE REQUIRED SILT TO UPSTREAM SIDE OF POSTSCREEN AT THE BASE OF THE REQUIRED SILT SCREEN. THE BALESW WSHALL BE MAINTAINED, REPAIRED AND REPLACED AS OFTEN AS IS �\ :' \\ \\\ \ WNECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL DISTURBED �j////00/ I^1r /\/ /� � W W W W S.C. TAX NO. 1000=123-04-007
AREAS ARE PERMANENTLY VEGETATED. THE AVERAGE USEFUL LIFE \�\-`��\\ SILT FENCE DETAILS W W WOF A BALE IS 3-4 MONTHS. SEDIMENTS TRAPPED BY THE BALES NOT To Sane a W y JANUARY 17, 2008SHALL BE REMOVED AWAY FROM THE BALES TO AN APPROVED . .v . . FEBRUARY 18, 2009 LOCATED'WE
UPLAND LOCATION BEFORE THE BALES THEMSELVES ARE REMOVED. SILT FENCE SHALL BE PLACED PARALLEL TO SLOPE CONTOURS TO APRIL 20, 2010 ADDED PROPOSED DECK & UPDATE SURVEY
4. STRAW BALES SHALL BE RECESSED TWO TO FOUR INCHES INTO THE GROUND. NOTES: SEPTEMBER 8, 2010 ADDED LOT COVERAGE
5. SILT SCREEN SHALL BE RECESSED BY TRENCHING SIX INCHES INTO THE GROUND. MAXIMIZE PONDING EFFICIENCY. INSPECT AND REPAIR SILT FENCE AFTER
EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. REMOVED
6. LEADERS AND GUTTERS THAT EMPTY INTO DRYWELLS SHALL BE INSTALLED SEDIMENT SHALL BE DEPOSITED TO AN AREA THAT.WILL NOT ALLOW SEPTEMBER 28, 2015 UPDATE SURVEY
ON THE PROPOSED RESIDENCE. OFF-SDE TRANSPORT. STRAW BALES OR SILT FENCE OCTOBER 31, 2015 REVISE SITE PLAN
7. ALL PROPOSED SWIMMING POOL DISCHARGES SHALL BE DIRECTED TO DRYWELLS.
B. PROPOSED DRIVEWAYS MUST BE CONSTRUCTED OF PERMEABLE MATERIALS _ DECEMBER 9, REVISE SITE PLAN
OR IF PAVED, BE EQUIPPED WITH DRAINAGE SUFFICIENT TO PREVENT RUNOFF SOIL STOCKPILE FEBRUARY 13, 2016 REVISE WETLAND NOTTEE AND PER S.C.D.H.S. NOTICE 02/11/2016
FROM BEING DISCHARGED ONTO THE ROAD OR OFF-SITE. (NOT TO SCALE) .
9. ALL AREAS OF SOIL DISTURBANCE RESULTING FROM THIS PROJECT SHALL BE 50' MIN.
SEEDED WITH AN APPROPRIATE PERENNIAL GRASS, AND MULCHED WITH STRAW
IMMEDIATELY UPON COMPLETION OF THE PROJECT, WITHIN TWO (2) DAYS OF OR i0 SUFFICIENT TO
S
KEEP SEDIMENT OONN SITE
FINAL GRADING, OR BY THE EXPIRATION DATE OF THE BUILDING PERMIT, z
WHICHEVER IS FIRST. MULCH SHALL BE MAINTAINED UNTIL A SUITABLE HAY BALES 2"X2" STAKES I HAY BALES AND/OR
VEGETATIVE COVER IS ESTABLISHED. IF SEEDING IS IMPRACTICAL DUE TO ¢ 1 SILT FENCING
TIME OF YEAR, TEMPORARY MULCH SHALL BE APPLIED AND FINAL SEEDING (TWO EACH BALE)
PERFORMED AS SOON AS WEATHER CONDITIONS FAVOR GERMINATION 36" HIGH POLE (MAX.) FLOW
AND GROWTH. STEEL OR WOOD POST o
10. SUITABLE VEGETATIVE COVER IS DEFINED AS A MINIMUM OF 85i AREA - GRADE .
VEGETATIVE COVER WITH CONTIGUOUS UNVEGETATED AREAS NO LARGER COMPACTED
THAN 1 SQUARE FOOT IN SIZE. °W - BACKFILL DRAINAGE I an
11. ALL CONSTRUCTION ACCESS WAYS SHALL BE RAISED SUFFICIENTLY AT THEIR
SITE ACCESS LOCATIONS WITH THE EXISTING ROADS, TO PREVENT RUNOFF S( INLET Q ti
OF WATER, SILTS AND SEDIMENTS FROM BEING DIRECTED OR DISCHARGED ONTO --------------------------
THE ROAD. A NON-LOAM Bf
ASE MATERIAL, SUCH AS CRUSHED STONE, GRAVEL, I �Cj N
OR RECYCLED CONCRETE BASE, SHALL BE PLACED ACROSS THE DRIVEWAY OR
CONSTRUCTION ACCESS WAY AT THE ACCESS POINT ALONG THE ROAD. ✓\\%\� .:�•'•�%\/\/
TEST HOLE DATA �� \ %//�
(TEST HOLE DUG BY McDONALD GEOSCIENCE ON JULY 17, 2015) N % \� \ BALES TO BE SET
\\// 4W/ COMPACTED IN 4" TRENCH
EL 7.0' 0' \ BACKFILL I HAY BALES AND/OR
OILO 21;ID STONE ELEVATION SILT FENCING
MIXED SAND AND LOAM HAYBALE BARRIER @ INLETS
0.2' TRENCH DETAIL PLAN VIEW
BROWN SANDY SILT ML (NOT TO SCALE) (NOT TO SCALE)
3'
PALE BROWN FINE SAND SP
ROAD EXISTING GRADE
EL 0.5'
6.5
GROUND WATER
WATER IN TYPICAL STORMWATER UNIT HAY BALES AND/OR
PALE BROWN FINE SAND SP - I SILT FENCING CONSTRUCTION ENTRANCE BASE OF
(TOPS TO BE TRAFFIC BEARING) COMPACTED 3/4 STONE BLEND
(NOT TO SCALE) OR N.Y.S. D.O.T. APPROVED R.C.A.
FILL TO 18" MIN. ABOVE EXISTING
P R 0 P 0 S E D SEPTIC SYSTEM DETAIL CAST IRON INLET FRAME& COVER (FLOCKHART 63518 TYPE 684.0) GRADE TO ALLOW FOR DRAINAGE
FINISHED GRADE OR 6'THICK REINFORCED CONC. COVER
HOUSE (NOT TO SCALE) e'TRAFFIC BEARING SLAB 1'T-D' CROSS SECTION
ELEV. B_5' ( O..)
FINISHED GRADE FINISH GRADE TEMPORARY 'Cn�S t 1� RANGE
ELEV. 8.7' ELEV' GR PIPE FROM ROOF GUTTERS [ /n
CAST IRON COVER TO GRADE
TOP EL. 7.7 1' MIN. TOP EL. 6.2' 18"MIN.
MIN. 4" DIA. ALL AROUND
3' CLEAN 1
APPROVED PIPTANK APPROVED PIPE LEACHING LEACHING nL SAND
INV. EL. POOL
7.2' min. PITCH 1/4" NV. min. PITCH 1/8"/1' POOL d COLLAR f
n LEACHING RINGS
EL. 6.5' INV. EL. 5.2' O REINFORCED,PRECAST CONC.
6"T INV. EL. H. a000 PSI ® 28 DAYS 3'-0'
3 6.0' v B' �l L_'_ , (min.) 4. (min.) S. Lic. No. 50467
,I N no Z G
BOT. EL. 2.5'J }r--10'-�} z -
DISTRIBUTION'POOLS OF BOT. EL. 3.5' GROUND WATER E Nathan orwin III
6 POOL SYSTEM ELEV. 0.5'
SEPTIC TANK (1) Land . Surveyor.
1. MII`j:/UM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,500 GALLONS. LEACHING POOLS (6) GROUND WATER
1 ;•TyVK; 10' DIA., 3' EFFECTIVE DEPTH 1. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 1;q- ft SIDEWALL AREA. Successor To: Stanley J. Isaksen, Jr. L.S.
2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 6 POOLS; 2' DEEP, B' dia. Joseph A. Ingegno L.S.
3. WALL THICKNESS SHALL BE A MINIMUM OF 3 A TOP THICKNESS OF'6" AND A BOTTOM THICKNESS OF 4". 2, LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) Title Surveys - Subdivisions - Site Plans - Construction Layout
ALL WALLS. BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS.
4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). PHONE (631)727-2090 Fax (631)727-1727
5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF f1/4") 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER UNE SHALL BE MAINTAINED.
ON A MINIMUM 3" THICK BED OF COMPACTED-SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. OFFICES LOCATED AT MAILING ADDRESS
6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE'SHALL BE MAINTAINED. 1586 Main Road P.O.tBox 16
Jamesport, New York 11947 Jamesport, New York 11947
1
P6
I
t o12.�v�li✓S� Fob 1�hC�C.1NA'�� otJL GENERAL NOTES: L
— — 1)The design Is based on a drainage soil* 'Ith <10%sk Ground
i �o .c vs. GAL. 7��K9�•i water shall not exist within the limits of excavation.if groundwater �
tM 1> t q. exists within 6'-0'below grade, special dewatering facir(des will be
r
•1400 eA1.,e;.f t_e jT •/ "4t% required.
oDTT o�lJt-L f Z n; 2)No surcharge allowed within 41•0"of shallow end and 6'-0'of deep
G'• o^ � K 10I o� � Hoo a�ctr end.
12, 81,dr Sr 'V•c.'* e, 042 Gam, 3)The*pneumatically applied concrete (qunfte) shalt be a 1:4 mix with.
?J;t r' �• ,� 1 9 0 GSL• a max of 8-1/2 gallons of water per sack of concrete. nuTul *'"A' FILTER
+ 7 4)Reinforcing steel shall be Intermediate grade cold buret steel with a ,ulR a uNT
�c►�.
W_-7r-Al, J uX K10 1 C T*a,1* r-v u.* minimum lap of 30 bar diameters. �TRAPP
Ufa`c f s-� o� �tvin+�h�l c �awL is >7 a >0�.a•,N1��
`' v 1Nl�•�t-t/S 1N A M" t1�S�- �J�.10�'' S) Pool water level maintained by tail spout. Pool to be kept fui<during o
c UL�h W ¢ T'?O��►li freezing weather. Pump capacity to be sufficient to empty pool In 24 steel Ws'Tim u'.1
r 1 hours. 0 P171j"
o�Itr
6)Fln spout to be 3/4'gooseneck with a 12"Cap between spout and
3 f pool water line. '
IPL I - ,
I h X00 NE
? 4•CONC.COVER--
CO',!PLY WITH CHAPTER 148
i SOLID PRECJ�ST b 'Nils is to CMify that the coriNtnKllon ora Nwlnlming rxlal on the subject Im•rrimve will FLOOD DAMAGE PREVENTV,,,P
¢ DOME N not "uire any 9--ecial drainage Ibeilitira. I �OUTHOLD TC''NN C007
' ... -- 1C II cl t?' SOR 3S INLET 'IIIc rxxii wilt he 1111ed by a dirrel '/." 1111spout piped t'rrrn Ihr lttrtipw %%-Ith con'rol by n rdu1 4t -01Ltata vnive at the houpu. Thar ie aaainle�uc ytecl gr+rnrncek nhci�•r oho c�►1+ing with u I?" ,. . P C601
APP 0 ED AS NOTED
air Kni' beLwettT the fill Npnut and 1x>nl. �S Y-
- . II i �t ► rcinfi,rccc! concrL•te and the
ENERGY CODE COMPLIANCE. DATE: E3.P.#
!. PRECAST CONC.LEECHING rhe ptnil will be con"icted of r .icum:itico, y nppllrr cc
' POOH. vl water III dexIgnetl to be cuntinuously revirculntcd through the ftltcr and rellicil rrom PROVIDE GAS OR OiL FiRED POOL FEE:c � �16) BY:
rear to veer.The drains c durst tltr fitter will nrI ihiertere Avj' the public ��tter iii^r;y•
NOTIFY BUILDING DEPARTA AT
FOROUS SANG �: .- _ ,., - - , - HEATER TO CONFORM TO The NYS 765-1802 8 AM TO 4 PM FOR THE
/►NO Ga�vEl 1\ W the rx sol 9 sanonry Ncilitira. neighharing prc�ficrticir �r rulillch�g>iwaj%�. 2 1 O FOLLOWING INSPECTIONS:
I ENERGY CONSERVATION CODE 0 1. FOUNDATION - TWO REQUIRED OCCUPANCY OR.
I I SEE SCHEDULE EDITION. 2. ROUGHFOR O- FRAMINURED GC&ELUNIBING USE iS UNLAV�!FUL
r� 3. INSUFINAL
- WITHOUT CERTIFICATE
4. FINAL CONSTRUCT!O�J MUST ,
( _ . BE COMFLETE Fr.'7 C.O. OF OCCUPANCY
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS
R� STATE.
YONOT RESPONS ELE FOR
DRAINAGE INSPECTIONS ARE REQUIRED
' DRYWEL4 .. ...
j ---GROVNOViATEi1t ._ DESIGN OR CONSTRUCTION ERRORS. Contact TOS Engineering at 765-1560 before
Backfill, OR Provide Engineer's Certification
that the drainage has been Installed to Code.
COMPLY WITH ALL CODES
. FOOf.1lLllRtit - _ _ _ _ _ _--__ __ _ � .._.- _� ..__ NEW OF
!
• AS REQ RK STCONDITIONS OF ATE & TOWN CODES ELECTRELECTRICALI: y1 ,y, REQUIRED AND C '
lAcH RtsicitNnAt SWIMMING 1'001,INSTALLED.CONSTRUCTtO Oil lip :a INSPECTION REQUIRED
SUBSTANTIALLYMODIFIED AFTER OECEMOIR 14,2004 AND EACH �Q i -
�'
COMM IACIALSWIMMING POOL INSTALLED.CONSTRVCTED OR I ' ��� 1 �!' � �
SVdStANTIALLYM00ifI(t)AFTER OEC(M9ER 1't.x046 SHALL It It 7PA I df - ~� , i7� m ;r�..`�� � Y'f'
+
� � .. � s�l� "�"
ENCLOSE:,c=',)0L Td CODE
SOUTHOLDTOWNTRUSTEES UPCN CO!�1PLETION '
EQUIPPED WITH AN APPROVED POM ALARM WHICH G,Jvyr47M BEFORE "WLET
p�t,L)007 1 V N.Y.S.DEC R .
A. iS U►A5111 OF DETECTING A CHito ENTERING THE WATER
AND GIVING AND AUDIBLE ALARM WHEN IT DETECTS A CHILD —
ENTERING THE WATTR
8. iS AUQir.E POOLS101 AND AT ANOTHER LOCATION AT THE ����Dh
PREMISES WHERE THE SWIMMING POOL IS LOCATED - —
C. tS INSTALLED,VIED AND MAINTAINED IN/ACCOAO^NCE WITH A »•1 >D1P•LJ�c17' T'� >PT
THE MANUFACTURES INSTRUCTIONS 409 G� 409 M ,
0. i$CVM111lEO BY VNOERWRiTEILS LABORATORIES, INC- (OR - M VC
OTHER
APPROVED INO(PENOENT TESTING LABORATOR111)TO REFERENCE .^. .
STANDARD ASTM P2208. INTITLEO'STANDA.A0 SPECIFiCATION
MS ILS ADOPTED IN 2002 AND EDITORIALLY
FOR POOL A1J4R _ !�n fC 1i•�-� ��Cel'fIL.1C'►
r
CORRECTED IN LUNE 200S.PUBLISHED BY ASTM INTERNATIONAL
100 BARR HA)tOOR ORiVE.WEST CONSHOItOCKEN,PA. 19428:AND
L IS HOT AN ALARM DEVISE LOCATED QN FCRSON(S) OR WHiCH c`
E IS OEPtNDINTON DEVICE(S)LOCATED ON PERSON(S)FOR ITS
PACIPER OPERATION '
F. MULTIPLE POOL ALARMS.A POOL ALARM ikSTALLED W.1" o �
PURSUANT TO COOE MUST BE CAPABLE OF OETECtING ENTRY INTO
i TI{E POOL IF NECESSARYTO PROVIDE DETEC110N CAPA1311ITYAT EVERY py l Is
POINT ON THE SURFACE OF THE SWIMMING POOL,MORE THAN ONE I '
• I
1 POOL PLO SHALL BE INSTALLED I
• I
ENTRAPMENT PROTECTION FOR SWIMMING POOL AND SPA SUCTION OUTLETS a r�
" AG106.1 GENER4.Suction outlets shall be designed to produce circulation'throughout the pool or spa.Sin+ile outlet systems such
as automatic vaeLiurrrcleaner systems or other such multiple suction outfits whether Isolated by valves or olherwise shag be lb ;
r I I
protected against user entrapment
AG106.2 SUCTION FITTINGS.All pool and spa suction outlets shall be provided with a cover that conforms v�(th ANSVASME _
�- �iPJr�WJ1 5 y Ix
Al 12.19.8M OR 11124 X 120 drain grate or larger,or an approved channel drain system. � -,%% • —. ! 4 =-
i EXCEPiFION:surface s9mmera ! I �' 2• '� 'V_yt -
AG106.3 Atmospheric vacuum relief cyatem required.Arl pool and spa slrigle or muttiple outlet circulation sydems shag be '
1 equipped with atmospheric vacuum relief should grate covert located thereon become missing or broken.Such vacuum reliefn4 ^610
t systems chats Include at least one approved or engineered method of the We spechled heroin as follows: _
1.Safely vacuum release system conforming to ASME At 12.19.17 or I _— L �' 7Ai L -
I 2.An al;proved gravity dralnage tystem
AGI 06.4 DUAL DRAIN SEPARATION. Single or multiple pump circulation system$ shag be provided wtth a rrinlmum of two (2) n
I suction outlets of the approved type. A minimum horizontal or verttcal distance of three (3)feet shall separatia such outlets.These r
h Uety q2� 5 �tVED arc t".��A �• i)� 'C' MkT yX t'J 'V ►j �'
I suction outlets shiltt be piped so that water le drown through them etmuitaneously Vvoug a vacuum relief pmteeted One to the - -• moi"` '� .-
I; Pump or pumps. .� - �`��•
L `IO D 1?� C�% 403 .Vjr/•-" 1�bt'� D JILL ��o�Ptio r�,.���Fc� - — �T'F'f T1•j�i� r-ry ►1 T
RONALD C, HANNA >7tVG. ra
ARCHITECT
001+0 PLAt4
r ,o• r v ��
oii� , r 19
761 COATES AVE. SUITE 13
yAM•II'� HOLBROOK. N. Y. '11741
031 485 • 7870
- • lPs•�o•1�
p�2Ot'a G1,�t7 QaoL� tit=.T'A1 LFA