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HomeMy WebLinkAbout48394-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY 4 . 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#: 48394 Date: 10/12/2022 Permission is hereby granted to: Robins Island Holdings LLC c/o Belvedere Pro e M mt 11 Times S uare FI 37 New York, NY 10036 To: install an above-ground gas storage tank replacement as applied for per SCHD & DEC approvals with flood permit. At premises located at: 380 First St New Suffolk SCTM # 473889 Sec/Block/Lot# 117.-8-19.1 Pursuant to application dated 4/29/2022 and approved by the Building Inspector. To expire on 4/12/2024. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 Flood Permit $100.00 CO-COMMERCIAL $50.00 Total: $400.00 Building Inspector sa TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 w q Telephone(631) 765-1802 Fax(631) 765-95021 Date Received APPLICATION FOR BUILDING PERMIT �I�� For Office Use Only �� ��' ' PERMIT N0. Building Inspector,. � q Applications and forms must be filled out in their entirety.Incomplete BUD....DING i`:II.PT applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: a.. OWNER(S)OF PROPERTY: ICS Name: 4 i W SCTM#1000- j J "— [ /. Project Address: Phone#: Ll �- i �-- _ p �6 Email: i c' . d� , c C°L/'�. 're. Mailing Address: as " �. .� "c;, -5cct f11 e,1110 t'c�► CONTACT PERSON: Name: L-AcsA C id Mailing Address: °� /t✓� .� rAG`t �t c• c ," J� Email: c Phone#: 17C 7 ,_ � l � - D�"�,�. " �t4d i c Ai d u c lc. c ^"^�` DESIGN PROFESSIONAL INFORMATION: Mailing Address: C, Sj,C/ e v2�a3 �7`D1� 1� A% Phone#: J Email: CONTRACTOR'INFORMATION: Name: Mailing Address, - Phon #: °" a -7 Email. DESCRIPTION OF PROPOSED CONSTRUCTION ' p Demolition Estimated Cost of Project: ❑Re air ❑ lcther Alteration ❑NewStructore ❑Addition ❑ E Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? KYes LJ No 1 PROPERTY INFORMATION Existing use of property: intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are punishable as a Gas's A misdemeanor pursuant to Section 210,45 of the Now York State Penal Law. Application Submitted By(print name): x r I Wa 1- `i(/u ck Rkuthorized Agent El Owner Signature of Applicant: Date: if--;L- z z e, C STATE OF NEW YORK) S : I/ COUNTY OF l — ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the r (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me +th�is /n 2�day of—e r i 1 ,20 Nota Pub iinlberlyn De Jesus Notary Public, State of New York Reg. No. 01 DE6394737 PROPERTY ( '„E , AUTHORIZATION Qualified in Suffolk County (Where the applicant is not the owner) Commission Expires August 5, 202 i, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein, Owner's Signature Date Print Owner's Name 2 a DATE(MM/DD/YYYY) ACC>RL> CERTIFICATE OF LIABILITY INSURANCE 0�310212022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dlane PIIVltera ...... ... www_ Malpigli 8r Associates Ins.Agency, Inc. 631-581-5555 AX is NeJ 631 581030 3311 Sunrise Highway EMAWAs; thane malpagllins,clam .tAbIslip Terrace, NY 11752 ....RER S)AFFORD/,,,,,,NG COVERAGE rlalc# INSU .... �.. _._W_ ,, LNsuRERA: Great DIv,,Ide In&Mance Company INSURED INSURER.B: R R r. G&M Dege, Inc. INsu..E.....c.. .............� ..... _�........_ 147 West Avenue Iysur�Ew3o „ ..... Patchogue, NY 11772 INSURER E: _ ..,._ .., ..... INSURER F: COVERAGES CERTIFICATE NUMBER: 00008742-7377082 REVISION NUMBER: 346 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE__._ . POLICY NUMBER . �.. _______.._„�... ..._..,.._.- ..._.. /NSR... .......-_...... ADOt'.$DBR ......._� POLICY EFF P09.fCY E'x,P TR MMIDDIYYYY MWn LIMITS A X COMMERCIAL GENERAL LIABILITY Y ECP2010348-18 12/04/2021 12/04/2022 EACH OCCURRENCE $_... 2000000 CLAIMS-MADE FRI OCCUR F±F;);„/•.69$EBr d ciranccrJ $.,,,,,,,„,,,„,,, 1 00a000 Mp_ExP(Any one person,.... .$ n,,,,,. 10,000.,... __.... ',PERSONAL&ADV INJURY $ 2 000 00.0 GFp41AGGREGATE LIMI .,.,__m .. 2,000000 ................T APPLIES PER: GENERAL AGGREGATE $ �,w.-_mm,— POLICY I JEST ❑Loc R P �..._2 ,000ODUCTS-COMP/OP AGG $ 2 OOO „„„„„ AUTOMOBILE LIABILITY L OTHER. $ wOMBWE SINGE ORI'/ $ ANYAUTO BODILY INJURY(Per person) $ OWNED ,. SCHEDULED BO w.. ...sacct) ..__.... AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED I'ROPERT OAM�AAGF. -. $ AUTOS ONLY AUTOS ONLY _(Par, rldanR ................ ..,_ ..........� $ A UMBRELLA X occuR FFX2010359-19 4/2021 12104/2022 EACH OCCURRENCE 5000, 00 .... .._ .... ...._. ............. _____.._ _........D ..AGGREGATE _.________..._,..$ .5}000,,00.0 EXCESS LIAB CLAIMS-MADE DED RETENTION$... $ B.. WORKERS COMPENSATION 5678305 04/01/2021 04/07/2022 X PER OTH- 'TA E.L D SEASEC EMPLOYEE .... ........ , AND EMPLOYERS'LIABILITY ._.... ---- ANYPROPEMBER,I&°'ACi,U0f�tiExE.CUTfV'E' �"""�. N/A .$ ,...1,000,000 �J ACCIDENT (Mandatm in1BER.EXCLUDED' (1wa��I�Ir,ry in N11) E. w i_....___..EAE OYE $ 1,000,000 ff gas,dcsv�be vnddr E.L.DISEASE-POLICY LIMIT $ 1000,000 DSCRIPTEON OF OPERATIONS below A Pollution Liability ECP2010348-18 12/04/2021 12/04/2022 each claim 2,000,000 A Professional Liabili ECP2010348-18 12/04/2021 12/04/2022 each claim 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Job location: Robins Island Holdings 380 1st Street New Suffolk,NY.Town of Southold is included as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 54375 Main Road ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE t DIP ©198 -'201 A ORO CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by DIP on March 02,2022 at 09:13AM DATE(MM' DD/YYYY) ,At�""it�OR"'' CERTIFICATE OF LIABILITY INSURANCE ��. 03/02/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer Nhts to the certificate holder in lieu of such endorsement(s). COIF..E FASB PRODUCER NRANDY PELOSI A@lt�..... m... m _ _ .. , E ' f Il 631-751 6800 ( cL,631-751-6897 ®„ RANDY PELOSI AGENCY INC. E-MAIL APPR ....... INSWriEI2(8lFcta IrovRGE . ,.,,,,. .m 'l 1239 N COUNTRY RD STE 1A STONY BROOK NY 11790 INSURER A: State Farm Mutual Automobile Insurance Company 25178 .............. .. _ _ _ . INSURED tM'1,�RC1' md LN C 147 WEST AVENUE t SURER PATCHOGUE NY 11772 INSURERF. .. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _..... __ .. m.__ .- ......l".. INSR . .. ,_. ._ ... ADI1 UVUn NUMBER .IMML)DDYEPFY POLICY EXP AM iiirt-"'"I" 'I ,NTE¢,`I.........LIMITStl TYPE OF INSURANCE POLICY COMMERCIAL GENERAL LIABILITY t EACH OCCURRENCE CLAIMS-MADE J OCCUR ,PREMISGS,( ),wY ql,,, $ MED EXP(Any one pararzn) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE„ ._ .... .......... POLICY"PRO- LOC PRODUCTS-COMP/OP AGG S m..._ ..._.._. ,.,......,.� _ ..--.._._..... OTHER � $ AUTOMOBILE LIABILITY 2799797-F04-32 12104/2021 12/0412022 cD NED suNG..c.. lr $ 1,000,000 I BODILY INJURY(Per person) S ]ANY WNEDTO SCHEDULED 9 ._.. .m._. .. .. _.._,. AAUTOS HIRED DOU S ONLY NON-OWNED 2806191-F04-32 1210412021 12104/2022 BODILY INJURY(Per accident) S I *J PROpE ae 1DAMAGE $, -.AUTOS ONLY ,,,,_,..AUTOS ONLY s $ f UMBRELLA LIAR ]OCCUR EACH OCCURRENCE,,,,,,,,,—,. $ ,�, _. -,.. , .....,..:_.._-...,....___-._.... e EGATE EXCESS LIA..-,...� �CLAIMS-MADE:w..... ,AGGR. - . ...... OED RETENTION J II-- $ WORKERS COMPENSATION I STATUTE SRH .... AND EMPLOYERS'LIABILITY AF IY PRDI%kEE"Gt7R1T+AR�TNIER,+EXCCUTPV�(" Y 114 N/A P-1,EACH ACCIDENT _ 5 ... Off ICERIMEM5ER EXCLUDED? (Mamdalor'y In NH) E L DISEASEeiraEA EMPLOYE $ l0 afe %tco ondnr 1-11,111,1111""-- - - ( SCRIPT'ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) LOCATION: ROBINS ISLAND HOLDINGS 380 IST STREET,NEW SUFFOLK,NY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THE TOWN OF SOUTHOLD - 54375 MAIN ROAD AUTHORIZED REPRESENTATIVE PO BOX 1179 SOUTHOLD NY 11971 Kill ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1001406 132849.13 04-22-2020 1?0171\0N1*- NYSIF PO Box 66699,Albany,NY 12206 New York State Insurance Fund nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 111998916 LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER G&M DEGE INC TOWN OF SOUTHOLD 147 WEST AVE 54375 MAIN ROAD PATCHOGUE NY 11772 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 567 8": 516304 04/01/2022 TO 04/01/2023 03/03/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 567 830-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,I 'SURANCE FUND UNDERWRITING VALIDATION NUMBER: 321669456 1111111 0IN 000000000011019702761�� III�I Form WC-CERT-NOPRINT Vcmion 3(08/29/2019)[WC Policy-5678305] U-26.3 23 [00000000000101970276][0001-000005678305][##Z][15837-06][Cer(_NoP-CERT_1][01-00001] 7Z::� O K Workers' CERTIFICATE OF INSURANCE COVERAGE TACE Compensation under the NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW Board PART 1.To be oompleted by Disability and P.id Fatuity Leave Benefits Carrier or Licensed Insurance Agent of ttlat Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured G&M DEGE INC 6311475-1450 147 WEST AVE 1c.Federal Employer Identification Number of Insured or Social Security PATCHOGUE NY 11772 Number Work Location of insured(Only required if coverage is specifically 111998916 Ordted to certain localictis in New York State,i.e.,Wrap-Up Policy) 2.p keine and tfdaess of Entity teuesting Proof a' 3a Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY TOWN OF SOUTHOLD 54375 MAIN ROAD 3b Policy Number of Entity Listed in Box"1 a" P.O.BOX 1179 SOUTHOLD,NY 11971 3c Policy effective period 07/01/2021 to 06/30/2022 4.Policy provides the following benefits: 0 A.Both disability and paid family leave benefits. ❑ B.Disability benefits only. ❑C.Paid family leave benefits only. 5.Policy covers: 0 A.All of the emplo'yer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law ❑B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above. Date$l ned 02/25/2022 ' ' (Slgetiatarrar ad darcoranne carrlor"s autkamrkzod xoprecrorvfa.tiwe or NYS Ltc�nsad Insurance�pgor+tet4lvat Inarpraarco QarrNorl ...... Telephone Number (212)553-8074 Name and Title:Elizabeth Tello—Assistant Director,Statutory Services IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate Is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. y ., (Only �art 1 has been checked) PART 2.To be completed b the NYS Workers'Compensation Board if sox 4c or 56 of P _ _.._ State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. (Signature of Authorized NYS Workers'Compensation Board Employee) Tele ho�oe Number Name and Title y: °,� � 'disability pa family leave benefits Insurance policies and NYS licensed insurance Please Note:—Only insurance carriers licensed to—write NYS d/sabill and id agents of those insurance carriers are authorized to issue Form 1.313»120•1. insurance brokers are NOT authorized to issue this form. DB-120.1(9-17) 111111'OB-1201.1 11111NI l 11 IH W NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DWlpion of UIVIInnOlental poilnlls.Reglurl 1 SUNY n Stony etook,50 Circle Read,Stony Brook,NY 11790 P:(631)444-0365 1 F:(631)444-0360 9/19/2022 Robins Island Holdings LLC c/o Belevdere Property Management 11 Times Square, 37th Floor New York, NY 10036 Re: Application #1-4738-04907!00001 Robins Island Holdings LLC Property 380 1st Street, New Suffolk, NY 11956 SCTM# 1000-117-8-19 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. Sincerely, &4e-z� Rianna Scanlon Environmental Analyst Trainee Cc: BMHP Lahti Engineering & Environmental Consulting File OCT �'' H1A1N`�41111R ��p�rt�tlttt ut Conservation NFVI'YORK STATE i E DEPARt'Mt,.N'1 Ot< ENN'EItONMI.N'1.AL CI)iVSERVATI ON Ficility DECID 1-4738-04907 PERMIT _ rvatawC Conseion L (FL ......_ _. Under titc Environmental ._... _w- . _ ._.. ......... P ... ... ..w .,. .. Facility Permittee and C' + lity Information --- � ...._. _ �...�_m. ..... ._......� Perrnit Issued To: Facility: ROBINS ISLAND l IOLDINGS LI.,C ROBINS ISLAND HOLDINGS C/O BELVEDERE PROPERTY 380 FIRST STJ1000-1 17-8-19.001 MANAGIWENT LLC/ FDDIE AiDUCK 2299 N Si_A RIS NEW SUFFOI:.K. NY 11956 SOU HAMPTON.NY 11968 Facility Location: in SOUTHOLD in SLiFFOLK COUN'T'Y Facility Principal Reference Point: NY'FM-E;: 712.705 NY'ITd-N: 4540.827 Latitude: 40°59'27.3" Longitude: 72°28'16.8" Authorized Activity: Replace existing 2,000 gallon double walled aboveground gasoline storage lank with new 2,000 gal double walled aboveground storage tank. Install 36 square feet reinforced concrete slab. 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 William Joseph Lahti. Licensed Professional Engineer, last revised 8/10/22, stamped NYSDEC Approved 9/19/2022. �. ... ...ernllt Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-0=1907/00001 ew Permit FiTectivc Date: 9/19/2022 Expiration Date: 9/19/2027 ....... NYSDEC Approval -. _.m. . ... ._. _.. .... 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:SUSAN ACKERMAN, Regional Permit Administrator Address: NYSDEC Region I Headquarters SUNY C@i, Stony BrookJ50 Circle Rd Stony Bro( k.NY m 11790 -3409 Authorized Signature: ~'.°.mm.. _ Date Page 1 of 5 NEVI' YORK STATE DEPARTWNT OVENVIRONMENTAL CONSERV�k'['JON Facility DEC 11) 1-4738-04907 Permit Components .......----—----- . .. .................. -—---------......-.. ................. ....... ...... ......—------------- NATURAL RC SOURCE PERMIT CONDITIONS Gl--Nf-,RAI, CONDITIONS. APPLY TO ALL AUTHORIZED PERMITS NOTWICATION OF url-IER Pl-RMl'1-1'EE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following., Permits: TIDAL WETLANDS 1. State Not Liable for Damage The State of New York shall in no case be liable for any damage Or inJUI-Y to the structure or work herein authorized which may be Caused by or result rl-0111 CL1111re 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. 2. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 3. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department (permit, modification, amendment), 4. Storage of Equipment, Materials The Storage Of Construction equipment and materials shall he confined within the project work area and/or Upland areas greater than 75 linear fleet from the. tidal wetland boundary. 5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result 01"thC permitted activities. G. Materials Disposed at Upland Site Any demolition debris, CXCCSS Construction materials, and/or excess excavated materials shall be irnmediatcly and completely disposed or in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area, 7. No Construction Debris in Wetland or Adjacent Area Any debris or excess material froth construction ofthis project shall be completely ren-loved from the adjacent area (Upland) and removed tel an approved pproved upland area flor disposal. No debris is permitted in wetlands and/or protected buffer areas. 8. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New Yoric State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be Used. Wet concrete shall not be Poured to displace water within the forms. Page 2 of NEIW FORK 5'1'A'I'L: 1)CPAR'1'NiENT OH ENVIRONMENTAL CONSERVATiON Facility DIW 1D 1-4738-049117 9. Notice of Conintencemen( At least 48 hours prior to commencement of the project. the permiltec and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion ol'project, the bottom portion of the form must also lie signed and returned, along with l)hOtOgl'aphS of the completed work. IU. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksitc and adequately protected from the weather. 11. State May Order Removal or Alteration of Work If future operations by the State of New- York require an alteration in the position ofthe structure or work herein authorized, or if, in the opinion ofthe 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 ofthe 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 of revocation ofthis permit, the structure, lilt, excavation, or other modification ofthe 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 ofthe watercourse. No claim shall be made against the State ol'New• York on account of any such removal or alteration. 12. State May Requirc Site Restoration l f upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, withouL expense to the State, and to such extent and in such lime and manner as the Department of l�I1Yll'011111e1111I ConservaLion 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. 13. Conformance With Plans All activities authorized by this permit must be in stylet combo-mance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by William Joseph Lahti, Licensed Professional Engineer, last revised 8/10/22, stamped NYSDEC Approved 9/19/2022. la. 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. Page 3 of NEW i ORK STATE DEPARTN1GN'r Of ENViRONMENTAL CONS F.RVATION Faeilily DVC ID 1-473R-04907 CONDITIONS - Apply.t �_.....�.. GENERAL o ALL Authorized Permits: 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 Nvhethcr the permittee is complyin�,o with this permit and the f3Cl,. Such representative may order the work suspended pursuant to ICL, 71- 0301 and SADA 2101(3), The permittee shall provide a person to accompany the Department's representative during an inspection to the permit arca when requested by the Department. A copy of this permit, including all referenced neaps, 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 docs 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 1111ISl 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 tile. Department must be In writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region l I leadquarte•s SUNY (a?Stony Brookj50 Circle Rd Stony Brook, NY 11790 -3409 d. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: 'T'idal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department *reserves the right to exercise all available authority to modify, suspend or revoke 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; Page 4 of 5 NEW PORK s'rATT: DEPARTMENT OF ENVIRONMENTAL CONSETVATION Faciliiv DEC ID 1-4738-04907 d. newly discovered material inlbrnlation or a material change in environmental conditions, relevant technology or applicable law or regUlatlons since the iSSUancc of the existing perillil: c. noncompliance with previously issued permit conditions,orders of the commissioner, any provisions of the l',nvironmcntal Conservation Law or regulations of the. Department related to the permitted activity. G. Permit Transfer Permits are transferrable unless specifically prohibited by statute. regulation or another permit condition. Applications for pernllt transler should be submitted prior to actual transfer of w,vnershlp. NOTIFICATION �..�.__._.., _... �� ........� �� � _ IONt)� F 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 pernlittec's acts or omissions in connection with the permittees 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 ofthe New York Civil Practice Laws and Rules orally citizen suit or civil rights provision under federal or state laws. Item 8: 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 haw 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, casements 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 5 of 5 NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection- NYSDEC E-Mail: dec.sm.R1MHP-BEH@dec.ny.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER. _—,_—_—_—_EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITTEE DA"L"E CONTRACTOR: LA"N"E THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Ctmalcang.th�, ,htag X ..__LL._ __ ...... ._ . .. . ....... _...- . .._ _..� .. .._..... _... _ NOTICE OF COMPLETION OF CONSTRUCTION, RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail: dec.sm.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER EXPIRATION DATE, PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on w We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE' THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. s O C O Ccn V) -O O Q U O O 4- E p a: U 4- U) w a? p N ,. al J iMj OD OLn O Z- O O Of CO N U L N W 0 W CL ca c42 N Q O i Ca co r C70 a c4- Vim) U w v)o C p LL 'a •� p z w � . j 0 -0U � +-� Q O O O ,cn a N p N L L- 4-0 � � O fB Q. CL aU 4-- O (n o Q + O •CD O Z O E a) EE a� o x s I— Q. U a) 4 c w COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON PIGOTT,MD,MPH Commissioner BUREAU OF ENVIRONMENTAL ENGINEERING APPROVAL NOTICE January 28,2022 Lahti Engineering&Environmental Consulting,P.0 207 Hallock Rd, Suite 212, Stony Brook,NY, 11790 Attn.:Bill Lahti,RE via e-mail - J Re: SCDHS Job No. : T-HM 21 00215 SCDHS Site No. : SITE-02-16367-OPC APR 2 7 2022 SCDHS File Ref.No. : 16367 �::UILI::ING 1 EIFI"]r Dear Sir/Madam "" +'0f Your application for a permit to construct a project at Robins Island Holdings, 380 1st St, New Suffolk, NY 11956 has been reviewed for compliance with Article 18 of the Suffolk County Sanitary Code. The application has been approved. Enclosed you will find the Permit to Construct. This permit has to be posted at the construction site during the construction. There may be additional state and federal regulations that apply to the storage facility, including, but not limited to the regulations referenced below. The storage facility may be subject to the New York State Department of Environmental Conservation (NYSDEC) Petroleum Bulk Storage (PBS) and Chemical Bulk Storage (CBS) regulations. Contact the NYSDEC for additional information. The storage facility may be subject to the United Stated Environmental Protection Agency (USEPA) underground storage tank regulations and the Oil Pollution Prevention Act. Contact the USEPA for additional information. Storage facility owners and operators are responsible for identifying and understanding all regulations that are applicable to their storage facilities and ensuring compliance with the regulations. If you have any questions regarding the review process or need assistance, feel free to contact me at my email Stanla .Slla"i @suffolkcoutlt 11 yov or at(631) 854-2532. Very truly yours, 40kg� Stan Shaji, E.I.T Assistant Public Health Engineer Trainee Bureau of Environmental Engineering r FOt li Health cc: Division of Environmental Quality—Office of Pollution Control— 15 Horseblock Place—Farmingville,NY 11738-1220 Phone(631)854-2532 Fax(631) 854-2505 f u PERMIT TO C NS's RUCK" Toxic and/or Hazardous Material Storage Facility Suffolk County Department of Health Services Gregson Pigott,MD,MPH Commissioner SCHDS REFERENCE# 16367 Date of Issuance: 01/28/2022 SCHDS SITE# SITE-02-16367-OPC Permit expires one year from SCHDS PLAN# T-HM-21-00215 the Date of Issuance* FACILITY NAME &ADDRESS: Robins Island Holdings g 380 1St St., New Suffolk,NY, 11956 Your Application for Permit to Construct a Toxic or Hazardous Material Storage Facilities for the above referenced site has been reviewed for compliance with Articles 18 of the Suffolk County Sanitary Code. The application has been approved.The items listed below and on the back of this Permit are conditions of this Permit and have to be observed during construction: 1. A copy of the approved plan must be kept at the construction site.A copy of this permit must be kept on display at the facility during construction. 2. Safe construction practices must be followed during the installation of the storage facility(s). 3. The storage facility(s) must be constructed in accordance with the approved plan. Any changes in design, materials or use requires prior written consent of both the design professional and the Office of Pollution Control. The changes have to be submitted in a form that is acceptable to the Office of Pollution Control. The contractor and/or design professional is required to inform the owner that the changes are being made. 4. The Office of Pollution Control has the right to inspect this installation at any time to verify its being constructed in compliance with this permit. The Office of Pollution Control must be contacted at 854-2523 at least 2 business days prior to commencement of any work to arrange for the required construction inspections. Contact the local building department and/or fire safety enforcement office for any additional requirements that may apply to your project. The storage facility cannot be placed into service until the Office of Pollution Control performs all required installation inspections and issues an Interim Permit to Operate. The Office of Pollution Control reserves the right to revoke this permit as allowable by law. ISSUED BY Stan Shaji,E.I.T Bureau of Environmental Engineering Office of Pollution Control Division of Environmental Quality See the back for exceptions i THIS PERMIT IS VALID FOR THE FOLLOWING STORAGE FACILITIES ONLY SCDHS# LOCATION VOLUME CONTENTS NOTE Tank#2 Above/Out 2000 Gasoline New Install *Tank 2 to replace Tank 1* For up to 90 days after the Permit to Construct expires, the permit is renewable. The job file will remain open for that period. If the Office of Pollution Control does not receive a renewal application with the appropriate fees within the 90 days,the file will be closed and a new application for a Permit to Construct will have to be filed if the job is to be re-opened. All applicable filing fees will once again become due and payable. Issuance of this permit does not supersede any existing agreements with, or mandates by, the Office of Pollution Control or any other government agency. The construction period does not supersede any existing compliance dates agreed to, or mandated by, the Office of Pollution Control or any other government agency. Issuance of this permit does not authorize the use of the storage facility(s) that are in violation of the Suffolk County Sanitary Code or any other government code. Special Conditions: mm­ SHALL BE REINFORCED IN ACCORDANCE WITH LATEST AC1318 STANDARD. HALL MINIMIZE DISTURBANCE OF EXISTING SITE IMPROVEMENTS. ALL WORK IS TO BE COORDINATED WITH FACILITY OWNER. :TO BE TRANSPORTED OFF SITE AND PROPERLY DISPOSED OF BY CONTRACTOR. >i TO HAVE ALL UNDERGROUND UTILITIES WITHIN THE PROJECT AREA MARKED OUT PRIOR TO COMMENCEMENT OF ILLUSTRATION OF UTILITIES SHOWN ON PLANS IS BASED ON LIMITED INFORMATION AND IS NOT TO BE CONSIDERED THE A MARK--OUT. ALL DAMAGE TO EXISTING UTILITIES/IMPROVEMENTS CAUSED BY CONTRACTOR SHALL BE REPAIRED AT SOLE EXPENSE. HALL OBTAIN FINAL APPROVAL OF COMPLETED INSTALLATION FROM ALL GOVERNING AUTHORITIES. SHALL PROVIDE ALL EQUIPMENT, MATERIALS AND LABOR NECESSARY FOR A COMPLETE AND OPERATIONAL TANK SYSTEM. I I APPROVALS @ + r l m r °Y a1 I I,Dl, 7':(, 4,") to it II SJ P1 t s+ N T-H M-21 00215 a...�. . _,.. f01/28"/2023"iu -+�,t;l jLi��-+;rx:I I„�i� �i:rtir+.t . ,a,�iv�r , r,I I _..... I:L,I:Pi 4a IY .°Ia e. 01/28/2022 ' P w mm, ai� .av �I 1. �;, y ✓ I r i iI� I i e LAHTI ENGINEERING & ENVIRONMENTAL CONSULTING, P . C . OF NEW),, 207 HALLOCK ROAD, SUITE 212 SOS p STONY BROOK, NY 11790 * * (631) 751 -6433 ” NEW YORK P.E. LICENSE NO. 068377 NEW JERSEY P.E. LICENSE NO. 37351 ' ` 068377 t CONNECTICUT P.E. LICENSE NO. 23322 �. ffs:267 l0 VIRGINIA P.E. LICENSE NO. 041658 NORTH CAROLINA P.E. LICENSE NO. 031093 WILLIAM J. LAHTI MASSACHUSETTS P.E. LICENSE NO. 46420 SITE: 0 ROBINS ISLAND HOLDINGS LLC EXISTING 380 1ST STREET -ASOLINE TANK DWG REv NEW SUFFOLK, NY 11956 • lk T 1-4 4 r%r% q m°MP I � s gil1$tfl ;, R" ` ca �g;�li9@� . Mt eR; 5 GH flim J.,ji.,yq IIa4 o �R ry 13HtI1S fNNl>I Jill a- a prF 4 g @ k 4 end. �9 p � l I �s i o�l y �&` 4 ' • ` � 'fig 12 m � I Wm� I as Ig z € Ra d e„ Lq i ti b w /� 3 mal n s�� H a ...._,48"L'9t M.00,S4.£B N 133lI1S NItlW I * m OKI .os•£et a.00ssw.£e �;,ga I v a < r g ,.. a S Rm P&g� gib_ 9� G R o s s Rim M. N Ca R NISVB L%,OS333 H 3Fo�ss=gym MIN. 4" CONC. OR ASPHALT 6" UNPAVED SOIL PAVEMENT SURFACE FILTER FABRIC BETWEEN1O DISPENSER PEA GRAVEL AND SOIL ROBINS ISLAND HOLDINGS - EQUIPMENT LIST ELECTRICAL CONDUIT THRU "APT MODEL FDB-075-D BULKHEAD FITTING # ITEM OF EQUIPMENT MANUFACTURER MAKE&MODEL NUMBER 3 1 1/2 " DIA. SUPPLY PIPE 1 ® SHEAR VALVE (OPW 10 SERIES FOR PRODUCT PIPE) PEA GRAVEL 2� 1 GASOLINE TANK 2,000 GAL.UL 2085 TANK MANUFACTURED BY CONTAINMENT SOLUTIONS INC. 0 5 LIQUID-TIGHT DISPENSER SUMP egends UNDIST. EARTH OR CONTROLLED BACKFILL FOR z � 0 FILL ENTIRE LENGTH N 2 NORMALVENT PRIMARY TANK-OPW MODEL 523V WITH 8 OZ.PRESSURE SETTING 6 BRACE FOR SHEAR VALVE © ROBINS.ISLAND HOLDINGS. SECONDARY TANK 23 . 0 1st St DOUBLE WALL OF PIPE RUN O7 DOUBLE WALLED FIBERGLASS PIPE New_Suffolk,_NY.11956____,__ FIBERGLASS PIPING 3 EMERGENCYVENT PRIMARY&SECONDARY TANK-MORRISON BROS.MODEL 2440M FOR PRODUCT PIPING SINGLE WALL ® 6" MIN. REIN. CONCRETE ISLAND FIBERGLASS PIPING 0 4 PIPING UNDERGROUND-0 0 X TO DUALOY 3000/LAS MANUFACTURED BYAMERON. EXISTING DISPENSER DETAIL ADDED PER SCDHS Og LIQUID TIGHT ENTRY COUPLING "APT * TRENCH TO HAVE 6' 4' 6' ABOVEGROUND-2"0 SCH.40 GALV.STEELWITHIN 4'0 FIREGLASS DUALOY3000/LAS MANU.BYAMERON COMMENT ISSUED 11 4-2021.THE DISPENSER WAS MODEL FEB-300-R" FLEXIBLE MIN. 6" CLEARANCE MIN MIN �MIN ALREADY APPROVED UNDER SCDHS JOB NO. ENTRY BOOT (FOR 3" FRP PIPE) BETWEEN PIPE AND SIDE PEA GRAVEL 5 SUBMERSIBLE PUMP EXISTING RED JACKET PUMPS TO BE RE-INSTALLED 10 ELEC. LEAK DETECTION PROBE °f1 WALLS OF TRENCH BACKFILL FOR HM15-12GR1.NO MODIFICATIONS TO THE RIGIDLY MOUNTED ENTIRE LENGTH °O 6 TANK LEAK/HI LEVEL EXISTING OMNTEC L1PD2 CONTROL PANELANNUNCIATOR SHALL REMAIN IN SERVICE,EXISTING OMNTEC PROBES SHALL BE REINSTALLED DISPENSER SYSTEM ARE PROPOSED, 1 1 "FIREFLEX" FLEX CONN. MANU. BY FLEX-ING OF PIPE RUN 7 TANK MANUAL GAGE GOLDEN GALLON GAUGE AS MANU.BY SCULLY SIGNAL CO. WITH MINIMUM 6" BENDING RADIUS 1 TEST BOOT ON SEC. CONT. PIPE FILTER FABRIC BETWEEN 8 FILL LIMITER CLAY&BAILEY MODEL#1228 "INDIANA SEAL PART NO. 156-32" OR PEA GRAVEL AND SOIL 3 0 "BLUELINE TECHNOLOGIES 9 ANTI•SIPHON VALVE, MORRISON BROS.MODEL 7102 PART ER3.5X2.4A" 0 6 ]E'RP PIPING TRENCH DETAIL (TYP) 10 TEST BOOT OPWMODELTBA � N.T.S. PEA GRAVEL TO MEET PIPING MANUFACTURERS SPECIFICATIONS. 7 GRAVEL TO BE 1/8" TO 1/2" DIAMETER NATURALLY ROUNDED STONE. ALTERNATE BACKFILL AND BEDDING OF CRUSHED STONE MAY BE EXISTING PIPE TO REMAIN. PIPE IS PITCHED USED AS PERMTTED EY THE PIPING MANUFACTURER. TOWARD DISPENSER FOR LEAK DETECTION * BOOT (#12) TO BE PULLED BACK AFTER TEST KEY P LA N AS WAS INSPECTED AND APPROVED UNDER 9 I 1 0 TO ALLOW LIQUID IN SUMP TO FLOW SCDHS JOB# HM15-12OR1. THE PIPE AT O INTO SECONDARY CONTAINMENT PIPE THE TANK SLAB S 8,3005 HCHER THAN I AT THEODIPENSER SUMP N.T.S. E 3 0 " Tj0 EXISTING DISPENSER DETAIL `i"I/�/ N.T.S. O CONTRACTOR SHALL CONSULT WITH OWNER V[, V�S Lo REGARDING EXISTING SCREEN PLANTINGS IN AREA �� Q '9 TED OF PROPOSED TANK SLAB EXTENSION. TREES k ROOT SYSTEMS SHALL BE RELOCATED OREXISD�C r� CONCRTING ETE SLAB TO REMAIN•"TOP 1NFOFORCED SLAB PERMANENTLY REMOVED AS DIRECTED BY OWNER. �' ELEV. 7.0 PER SURVEY BY PINNACLE / I / J GENERAL NOTES ` LAND SUR TED JUNE 20, 2022 1999 1� 1 1. ALL WORK TO BE IN STRICT ACCORDANCE WITH ALL APPLICABLE FEDERAL, STATE, COUNTY AND LOCAL CODES. \ 0 J 0 l EXISTING 4"0 CONCRETE FILLED BOLLARD PROPOSED VW X 3.51 X 6" CONCRETE SLAB REI 2. ALL WORK TO BE IN STRICT ACCORDANCE WITH APPLICABLE NATIONAL FIRE PREVENTION ASSOCIATION RECOMMENDATIONS INCLUDING NFPA & FOOTING TO BE REMOVED (TYP FOR 4) 4X4-W4XW4 W.W.M. TO SUPPORT OUTSIDE EDGE OF STAIR UNIT 204- 43 ) 30. 2 STEP ACCESS STAIR WITH HANDRAILS (CONTAINMENT 3. ALL WORK TO BE IN STRICT CONFORMANCE WITH APPLICABLE NATIONAL ELECTRICAL CODE SPECIFICATIONS AND REQUIREMENTS, PARTICULARLY EXISTING 2,000 GAL A/G D/W GASOLINE SOLUTIONS 001) MOUNTED TO CONCRETE SLABS WITH REGARD TO HAZARDOUS AREAS AND GROUNDING REQUIREMENTS. 1 OV TANK TO BE REMOVED (SCDHS TANK #11) PROPOSED 2"0 SCH 40 GALV. ST WITHN 4"0 FRP` 4. ALL MATERIALS AND WORKMANSHIP TO MEET OR EXCEED APPLICABLE MANUFACTURER'S WRITTEN RECOMMENDATIONS. 0 / /G PIPE TO CONNECT EXISTING U/G PIPE TO K J / N-1 _ EXISTING 2 STORY BUILDING 5. CONTRACTOR SHALL FURNISH TO THE OWNER WRITTEN APPROVAL OF COMPLETED INSTALLATION FROM ALL GOVERNING AGENCIES. EXISTING SANITARY /r Lj PROPOSED 2,000 GAL. D/W A/G CONCRETE REMOVE PORTION OF EXISTING D/W U G PIPE S 20021 ' 43 " W 6. ELECTRICAL AND PIPING CONFIGURATIONS ARE SCHEMATIC ONLY. VAULTED TANK FOR GASOLINE STORAGE BOLTED • J AS NECESSARY TO ALIGN WITH NEW I LEACHING POOLS ( 0 TO CONCRETE SLAB, SET 5' OFF BLDG. BOTTOM ° CONTAINMENT BOX 7. ALL EQUIPMENT WITHIN HAZARDOUS CLASSIFIED AREAS IS TO BE U.L. LISTED FOR USE IN THE INTENDED AREA. OF TANK NAVD 88 EL 7.0PROPOSED12 . 03 ' � PROPOSD/W PIPE TRANSITION FROM 8. NO PRODUCT IS TO BE INTRODUCED INTO THE STORAGE TANK UNTIL ALL PERMITS TO OPERATE THE TANK HAVE BEEN SECURED. \ • • NDERGROUND TO ABOVEGROUND PIPE I J/ 1 ( 0 EXISTING OMNTEC TANK ALARM 1 CONTROL PANEL/ANNUNCIATOR h 55' 9 0 WORKCONTRACT�0 SCHEDU SHALL �E 1 REQUIRED THE IDNSTALLATIONHS AND CAL INSPECTIONAUTHORITY S. HAVING JURISDICTION A MINIMUM OF 72 HOURS PRIOR TO COMMENCEMENT I / MOUNTED ON BLDG TO REMAIN \ 0 \ O PROPOSED SHORT SECTION OF I 10. UPON COMPLETION OF CONSTRUCTION, ALL DISTURBED AREAS ARE TO BE REPLACED AND/OR REPAIRED TO, AS CLOSELY AS POSSIBLE, ER TOWN FIR UNT r 2-0 X 3-0 D/W U/G FRP PIPE N MATCH THEIR ORIGINAL CONDITION. EXISTING SEPTIC TANK PRT BLE FIRE EXTINGUISHER ON WA TO CONNECT EXISTING PIPE TO PE E ON-W6 OF THE NYS FIRE CODE NEW TANK I 11. ALL UNUSED TAPPINGS ON TANK, IF ANY, ARE TO BE PLUGGED USING AN APPROPRIATE STEEL THREADED NPT FITTING. 0 Q ' 56' 12. FILL PIPES AND VAPOR RECOVERY PORT ARE TO BE COLOR CODED IN ACCORDANCE WITH API STANDARDS. ^ EXISTING ROOF ^ 13. THE FACILITY OWNER SHALL BE RESPONSIBLE FOR PERIODICALLY CHECKING ALL VENTS, EQUIPMENT, ETC. TO ENSURE THEY ARE IN PROPER PROPOSED EMERGENCY DISPENSER ' EXISTING LIMITS OF co WORKING ORDER. X SHUT-OFF SWITCH MOUNTED ON BLDG PERFORATED PIPE DRAINAGE � !"r)STORMWATER SYSTEM14. "NO SMOKING" SIGNS ARE TO BE POSTED WITHIN 25 FEET OF THE TANK, DISPENSING OR OPEN USE AREAS PER NYS FIRE CODE SECTION EXISTING PROTECTIVE BOLLARDS . TO REMAIN (TYP FOR 4) L 00M 2703.7.1. _v 15. ALL CONCRETE_ SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,500 PSI AT 28 DAYS AND AIR ENTRAINMENT (MIN. 4%-MAX 6%). ALL EXISTING WATER SERVICE `_� _ • REBAR TO BE GRADE 60 DEFORMED BARS. CONCRETE SHALL BE PITCHED AWAY FROM TANK MANHOLES TO MITIGATE RAINWATER INTRUSION. EXISTING GRAVEL DRIVEWAY LIMIT OF EXISTING GRAVEL PARKING AREA Goo O Im(vn/ 16. ALL CONCRETE SHALL BE REINFORCED IN ACCORDANCE WITH LATEST ACI318 STANDARD. EXISTING AS PER SECTION 2306.4 OF THE 2020 N.Y.S. FlRE PROPOSED 2'W X 16'L x 24" CONCRETE SLAB ADDITION TO E(I NG 17. CONTRACTOR SHALL MINIMIZE DISTURBANCE OF EXISTING SITE IMPROVEMENTS. ALL WORK IS TO BE COORDINATED WITH FACILITY OWNER. _ V_ ix MASONRY CODE, PHYSICAL PROTECTION OF THE TANK BY TANK SLAB. REINFORCE NEW SLAB WITH (2) LAYERS OF T5 RE ® I I v� X BOLLARDS IS NOT REQUIRED BECAUSE THE TANK " 18. ALL DEBRIS IS TO BE TRANSPORTED OFF SITE AND PROPERLY DISPOSED OF BY CONTRACTOR. IS A CONCRETE VAULTED TANK (PROTECTED TANK) 12 O.C. IN BOTH HORIZONTAL DIRECTIONS. BOTTOM LAYER TO E 3 W CLEAR FROM BOTTOM OF SLAB. TOP LAYER TO BE 2" CLEAR OM TOP 19. CONTRACTOR IS TO HAVE ALL UNDERGROUND UTILITIES WITHIN THE PROJECT AREA MARKED OUT PRIOR TO COMMENCEMENT OF ^ i i OF SLAB. MAINTAIN 3" CLEAR FROM SIDES OF SLAB. DRILL & NSTALL CONSTRUCTION. ILLUSTRATION OF UTILITIES SHOWN ON PLANS IS BASED ON LIMITED INFORMATION AND IS NOT TO BE CONSIDERED THE \ F VV 63' FROM REBAR DOWELS ® 12 O.C. 6 DEEP INTO EXISTING SLAB, 6 OM TOP OF SLAB. APPLY CONCRETE BONDING AGENT TO STING DOWN I I EQUIVALENT OF A MARK-OUT. ALL DAMAGE TO EXISTING UTILITIES/IMPROVEMENTS CAUSED BY CONTRACTOR SHALL BE REPAIRED AT EXISTING GRAVEL PARKING AREA SLAB WHERE THE TWO SLABS ABUT EACH OTHER. ENSURE E CONTRACTOR'S SOLE EXPENSE. BENEATH NEW SLAB IS COMPACTED TO MINIMUM 90% SPD. I 20. CONTRACTOR SHALL OBTAIN FINAL APPROVAL OF COMPLETED INSTALLATION FROM ALL GOVERNING AUTHORITIES. O 1 21. CONTRACTOR SHALL PROVIDE ALL EQUIPMENT, MATERIALS AND LABOR NECESSARY FOR A COMPLETE AND OPERATIONAL TANK SYSTEM. O EXISTING FENCE X ctf EXISTING 2"0 X 3"0 DOUBLE WALLED FIBERGLASS W I Q ^ 7 PIPING FROM PIPE TRANSITION AT TANK TO DISPENSER ,J N L SUMP TO REMAIN (INSTALLED CIRCA 2015) EXISTING I O Ln J ELEC J TRANS � APPROVALS I (Lj J X L N 83°05 5 30 W � 1— 0 0 cz"� EXISTING SINGLE PRODUCT FUEL DISPENSER 1aA 68- 76 �0 ON CONCRETE ISLAND WITH CONTAINMENT ��� SUMP WITH LEAK DETECTION PROBE TO REMAIN F II �o ^ ® > » A/ S 1201221 W �- 62 O ,.� PROPOSED 2"0 SCH 40 GALV. STEEL PIPE WITHIN 7� .0 \ ^ 4"0 FRP PIPE TO CONTAINMENT BOX ON TOP OF " O TANK TO REMAIN • N 83014' 31 W �� k3o >> ` V NEW 3"0 X 4"0 FRP REDUCER A r _ EXISTING WOOD WALKWAY EXTERIOR FRP TO BE' PAINTED I NEW 3"0 FRP SEC. CONT. PIPE 1 (9 � //i/�J/, 11 WITH RUSTOLEUM "UNIVERSAL" SPRAY 18 . 93 �• V PAINT TO ENHANCE UV PROTECTION I SEAL PIPE SLEEVE WITH 4" X 6" RUBBER I BOOT REDUCER TO MITIGATE WATER IN SLEEVE O 6" DIA. X 18" SCH 40 PVC PIPE SLEEVE I TERMINATE SLEEVE 6" ABOVE GRADE ' -�-AT GRADE TO PROTECT SEC. CONT. PIPE - I I GRADE PROPOSED SITE PLAN (/� APPARENT HIGH WAT E R -I I 1-1 I I-III-I I _ I 1D 2" DIA. SCH. 40 GALV. STEEL PIPE I1=III=III-III--III-III-III-111=111 I I-III-III-1_I SCALE: 1" = 10'-0" 66° LINE PER SURVEY BY LAHTI ENGINEERING & ENVIRONMENTAL I -1 11-1 11-I I-i i I I I III-III-III- 2O 2" SLIP X 2" FEMALE THREAD CPLG I- 3 THE PROPOSED PLAN IS BASED UPON S SITE PLAN 8 PINNACLE LAND C0NSULTING, P . C. 2" SLIP FRP ELBOW BARRETT, BONACCI & VAN WEELE P.C. LAST REVISED I " 11/13/2000 AND SURVEY BY PINNACLE LAND APPARENT SURVEYORS, LLC DATED P.��,Of NEWYa 207 HALLOCK ROAD, SUITE 212 EXISTING PIPE TO REMAIN. PIPE IS PITCHED I 6 l\4 2 FIBERGLASS PIPE SURVEYORS, LLP DATED JUNE 20, 2022 ALONG HSG ENT �/1/ JUNE 20, 2022 �� \P� �OSfph, �� STONY BROOK, NY 11790 TOWARD DISPENSER FOR LE;41C DETECTION I13ULKH ER LIN (631) 751-6433 5 3" FIBERGLASS CLAMSHELL FITTINGPER3 AS WAS INSPECTED AND APPROVED UNDER I O EA WqT E � y SCDHS JOBA HM15-12OR1. T7HEEL PIPE AT I SURVEYORS LL SURVEY gY PSN NEW YORK P.E. LICENSE N0. 068377 THE TANK SLAB IS APPROXIMATELY 2 FEET 4 0 0 2 O 3" FIBERGLASS PIPE 0 5 10 15 20 DATED NACLE ' r `'' NEW JERSEY P.E. LICENSE N0. 37351 HIGHER THAN AT THE DISPENSER SUMP o 0 0j i�,o GRAPHIC SCALE ' DUNE 20 LgNp 2 3 t� 2" FOAM BOARD AT BOTTOM OF 20 J' 068377 � CONNECTICUT P.E. LICENSE NO. 23322 0 0 0 0 0 o PIPE SLEEVE 22 e(/�k SCDHS FILE REF N 0 . 16 3 6 7 ss VIRGINIA VIRGINIA P.E. LICENSE N0. 041658 TO/FROM DISPENSER 6 U/G-A/G PIPE TRANSITION AT TANK h'E,�Q SCDHS FAC ID 10 - 0 2 6"7 NORTH CAROLINA P.E. LICENSE NO. 031093 N.T.S. WILLIAM J. LAHTI MASSACHUSETTS P.E. LICENSE NO. 46420 IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO REVIEW ALL DRAWINGS AND 5 NYSDEC COMMENT; ADDED DIM. TO TIDAL WETLAND 8/10/22 WJL DIST 1000 PROJECT: SITE: SPECIFICATIONS ASSOCIATED WITH THIS PROJECT PRIOR TO THE INITIATION OF SECT 117 CONSTRUCTION. SHOULD THE CONTRACTOR FIND A CONFLICT WITH THE DOCUMENTS 4 UPDATED PER SURVEY 6-20-22 FOR NYSDEC 7/25/22 WJL RELATIVE TO THE SPECIFICATIONS, SITE CONDITIONS OR APPLICABLE CODES, IT IS THE BLK 8 ROBINS ISLAND HOLDINGS LL C CONTRACTOR'S RESPONSIBILITf TO NOTIFY THE PROJECT ENGINEER OF RECORD IN 3 SCDHS COMMENTS 12/22/21 WJL LOT 19001 REPLACEMENT OF EXISTING 380 1ST STREET WRITING, PRIOR TO THE START OF CONSTRUCTION FOR RESOLUTION OF THE ISSUE. . FAILURE BY THE CONTRACTOR TO NOTIFY THE PROJECT ENGINEER SHALL CONSTITUTE 2 SCDHS COMMENTS 11/5/21 WJL 2,000 GAL. AG/ GASOLINE TANK ACCEPTANCE OF FULL RESPONSIBILITY BY THE CONTRACTOR TO COMPLETE THE SCOPE JOB NO. DATE DRAWING DWG REV NEW SUFFOLK, NY 11956 OF WORK AS DEFINED BY THE DRAWINGS AND IN FULL COMPLIANCE WITH LOCAL 1 SCDHS COMMENTS 9/29/21 WJL REGULATIONS AND CODES. ALTERATION OF THESE DOCUMENTS, UNLESS MADE BY A LICENSED PROF., IS A VIOLATION OF SECTION 7209 OF THE STATE EDUCATION LAW. NO. REVISION DATE DRWN APPR NO. REVISION DATE DRWN APPR 21-014 8-11-2021 PROP. PLAN C-100 i I TANK BUOYANCY CALCULATION: I 1 I TANK WATER DISPLACEMENT: EXISTING TANK ALARM CONTROA PANEL/ANNUNCIATOR EXISTING BUILDING 6-113/8"X 13'-5 1/2"X 4'4 3/16"=430.0 CF X(62.4 LBS/CF)=26,834 LBS UPLIFT MOUNTED ON OLDG WALL TO REMAIN WEIGHT OF VAULT TANK AND CONCRETE SLAB: PROPOSED DISPENSER EMERGENCY SHUT-OFF SWITCH MOUNTED 48"ABOVE(GRADE ON BLDG.WITH [(7'X 22'X 2')+(2'X 16'X 2')]X(145 LBS/CF-62.4 LBS.CF)]+19,300 LBS=50,027 LBS DOWN FORCE PLACARD PER SECTION 2303.21OF 2020 NYS FIRE CODE FACTOR OF SAFETY AGAINST FLOTATION PER TOWN FIRE MARSHAL,MOUNT PORTABLE FIRE 50,027/26,8341=1.8 EXTINGUISHER ON WALL PER SECTION 906 OF THE NYS FIRE CODE *THE TANK HAS BEEN DESIGNED NOT TO FLOAT 4"DIA.TANK TAPPING.INSTALL HIGH LEVEL ALARM 2"0 TANK TAPPING WITH 2"0 SCH.40 GALV.STEEL VENT RISER. SYSTEM PROSE.RUN ALL NECESSARY WIRING AND RISER TO BE EXTENDED TO TERMINATE 8'ABOVE TOP OF TANK 2"0 TANK TAPPING WITH 2"0 SCH.40 CONDUIT TO MAKE SYSTEM OPERATIONAL.SET PROBE TO ACTIVATE ALARM WHEN A MAXIMUM OF 90%OF PER SCDHS.INSTALL OPEN STYLE VENT CAP AT TOP OF RISER W GALV.STEEL VENT RISER.RISER TO BE WE TANK VOLUME IS FILLED EXTENDED TO TERMINATE X ABOVE TOP . 2"0 SEC.CONTAINMENT PLUGGED TAPPING OF TANK PER SCDHS. EXISTINGCONCRETE TO REMAIN(TYP.FOR 4) 13'-5 1/2" BOLLARDS PROPOSED 2,000 GAL.DOUBLE WALLED UL 2085 TANK(13'-5 1/2"L X 6'-11 3/8"W X 4'-9 3/16"H)FOR GASOLINE STORAGE.GROUND TANK 4"DIA.TANK TAPPING TO FILL FIRE RATED PER NEC.TANK MUST BE MIN.12"FROM EDGE OF SLAB PER SCDHS. MATERIAL(TYP AT EACH TANK CORNER) EXISTING REINFORCED CONCRETE SLAB TO REMAIN PROPOSED SCDHS REQUIRED 2"0 SPARE TANK TAPPING TO BE PLUGGED FOR FUTURE USE CONTAINMENT BOX FACTORY WELDED + + 8"0 TANK TAPPING WITH EMERGENCY VENT CAP TO TOP OF TANK WITH HINGED LIDFOR SECONDARY CONTAINMENT TANK 42"X 24")'30"SUMP BOX WITH HINGED LID FOR i SUBMERSIBLE PUMP CONTAINMENT 2"0 SEC.CONT.TANK TAPPING WITH 2"0 GALV. 6'-11 3/8" STEEL VENT RISER AND OPEN STYLE VENT CAP SECONDARY CONTAINMENT PIPE TERMINATION BOOT W/AIR VALVE ELEV i (APPROX.12"H) i SUBMERSIBLE PUMP i 4"DIA.TANK TAPPING WITH SUBMERSIBLE PUMP 2"0 SEC.CONT.TANK TAPPING WITH ELECTRONIC rl LEAK DETECTION PROBE 2"0 BALL VALVE ON PUMP OUTLET 6"0 TANK TAPPING WITH EMERGENCY VENT CAP MANUAL BALL VALVE I I PROPOSED 4"0 STEEL HALF COUPLING ELECTRICALLY ACTUATED ANTI-SIPHON SOLENOID VALVE I O FOR PRIMARY TANK FACTORY WELDED THROUGH SIDEWALL OF CONNECTED TO PUMP RELAY.VALVE SHALL BE NORMALLY SPILL BOX TO ALLOW TERMINATION OF CLOSED WHEN SUBMERSIBLE PUMP IS NOT ENERGIZED. e 4"0 TANK TAPPING.INSTALL FILL LIMITER SET TO ELECTRONIC ANTI-SIPHON I I - - - - - - OF 95/°ACTUATE WHEN A MAX. SECONDARY CONTAINMENT PIPE ° OF THE TANK VOLUME IS FILLED.INSTALL TIGHT FILL COUPLER AND CAP. FILL LIMITING DEVICE(SUITABLE TERMINATION BOOT 53 GAL.SCDHS REQUIRED FILL SPILL FILL FOR PRESSURIZED WITH DROP CONTAINMENT BOX c0 ( ) TUBE WITHIN TANK(BEYOND) \ 3"DIA.HALF FULL PIPE COUPLING FACTORY WELDED 4 n I I PROPOSED 2"0 SCH 40 GALV.STEEL PIPE THROUGH WALL OF SUMP FOR DOUBLE WALLED PIPE 0) WITHIN 4"0 FRP A/G PIPE TO CONNECT TERMINATION 4"0 SEC.CONT.TANK OPEN TOP TAPPING(APPROX 6"H)WITH EXISTING U/G PIPE TO NEW TANK PROPOSED 2"0 SCH 40 GALV.STEEL WITHIN 4" CROSS BAR TO ALLOW SIGNIFICANT OVERFILL TO ENTER SEC. I I 18 EXISTING2"O X 3"0 UNDERGROUND FRP PIPE TO DOUBLE WALLED FRP ABOVEGROUND PIPE j CONT.TANK PER SCDHS DISPENSER TO REMAINFROM TANK TO U/G PIPE TANSITION t PROPOSED 2,000 GAL.DOUBLE I _._,_,_,..................................... ,_._._._._._._._._.__________ ______ i PROPOSED 2'W X 16'L x 24"CONCRETE SLAB ADDITION TO WALLED UL 2085 TANK _._._._._._._.-.-._._._._._._._._._._.-._._._._._._._._._._._._.J EXISTING TANK SLAB.REINFORCE NEW SLAB WITH(2)LAYERS OF#5 REBAR @ 12"O.C.IN BOTH HORIZONTAL DIRECTIONS. SEC.CONT.TANK LEAK SENSOR PROPOSED LAYER TO BE 3"CLEAR FROM BOTTOM OF SLAB.TOP PROPOSED D/W PIPE TRANSITION FROM BOLT TANK TO CONCRETE SLAB(TYP FOR 8 LOCATIONS).EACH BOLT LAYER TO BE 2"CLEAR FROM TOP OF SLAB.MAINTAIN 3" (BEYOND) UNDERGROUND TO ABOVEGROUND AS PER SCDHS COMMENT ISSUED 11-4-2021,THE MUST BE RATED FOR MIN.3,840 LBS TENSILE/PULL-OUT STRENGTH CLEAR FROM SIDES OF SLAB.INSTALL#5 REBAR DOWELS @ LT T__ PIPE.REFER TO DETAIL. PROPOSED PIPE TRANSITION IS A PERMITTED 12"O.C.6"DEEP INTO EXISTING SLAB,6"DOWN FROM TOP OF 2"0 SPARE TANK TAPPING TO BE PLUGGED FOR FUTURE USE SLAB.APPLY CONCRETE BONDING AGENT TO EXISTING SLAB EXISTING 24"THICK REIN.CONCRETE _ ° ° °° _ __ METHOD.THE FACILITY OWNER DOES NOT WANT 2"0 TANK TAPPING.INSTALL MANUAL FLOAT LEVEL GAUGE WHERE THE TWO SLABS ABUT EACH OTHER.ENSURE BASE SLAB TO REMAIN I I=_- ° ° ° e ° ° I I-I I NOTE FOR SCDHS PLAN EXAMINER: TO INSTALL A TRANSITION PIPING SUMP. BENEATH NEW SLAB IS COMPACTED TO MINIMUM 90%SPD. =III-II ° o � ° II-III-I A TRANSITION SUMP IS NOT PROPOSED AS IT IS PROPOSED 1'W X 3.51 X 6"CONCRETE SLAB REINFORCED -1 I • °` ° ' I I-_ NOT NECESSARY FOR THE PROPOSED WITH 4X4-W4XW4 W.W.M.TO SUPPORT TANK ACCESS STAIR -1 I-I I INSTALLATION;IS NOT REQUIRED BY ART.12 Z PLAN VIEW -I -I I ,• A•, °' I =1 SCDHS REQUIRED NOTES: PROPOSED 2 STEP OSHA APPROVED STAIRWAY OR 18;ADDS EXTRA FITTINGS AND JOINTS III=1 I I CREATING POTENTIAL LEAK POINTS;AND FOR ACCESS TO TANK FILL [El I ° l I I ADDS CONSIDERABLE CONSTRUCTION COST. 1. THE TANK VENT SHALL TERMINATE A MINIMUM OF 8'ABOVE THE TOP OF THE TANK,AND A MINIMUM OF 12' 2"0 SPARE TANK TAPPING TO BE PLUGGED FOR FUTURE USE ABOVE GRADE. 2. THE TANK MUST BE PROPERLY GROUNDED IN ACCORDANCE WITH NEPA 70, PROPOSED TANK EQUIPMENT PLAN CONCRETE SLAB ADDITION 3. A PERMANENT WARNING LABEL MUST BE INSTALLED IN THE UNDERSIDE OF THE FILL SPILL CONTAINMENT BOX SCALE: N.T.S. PROPOSED SHORT SECTION OF 2"0 X 3"0 LID.STATING"THIS TANK IS EQUIPPED WITH AN OVERFILL PREVENTION VALVE.A TIGHT FILL CONNECTION MUST D/W U/G FRP PIPE TO CONNECT EXISTING BE USED.A LOOSE FILL CONNECTION MAY RESULT IN A SPILL OF DIESEL FUEL." PIPE TO NEW TANK.EXISTING PIPING IS PITCHED 1%TOWARD DISPENSER SUMP. 4. A PERMANENT WARNING SIGN MUST BE INSTALLED ADJACENT TO THE TANK HIGH LEVEL ALARM ANNUNCIATOR E L EVAT I 0 N VIEW STATING"WHEN THE ALARM SOUNDS,THE TANK IS FULL" 5. TANK UNIT MUST BE LABELED ON ALL VISIBLE SIDES WITH THE FOLLOWING INFORMATION: PROPOSED TANK EQUIPMENT PLAN SCDHS TANK NUMBER(SCDHS TANK#2) CONTENTS OF THE TANK(GASOLINE) NOMINAL CAPACITY OF THE TANK(NOM:2,000 GALS) SCALE: N.T.S. WORKING CAPACITY OF THE TANK(WKG:1,800 GALS) 6. THE HIGH LEVEL ALARM SENSOR SHALL BESET TO ACTIVATE THE HIGH LEVEL ALARM WHEN 90%OF THE WORKING CAPACITY OF THE TANK IS FULL. BOLTED GROUND CONNECTION TO STEEL TANK SHELL STEEL GROUND LUG ON SIDE WALL OF TANK TANK NOTES MATERIAL SPECIFICATIONS 1. DECONTAMINATE, REMOVE AND PROPERLY DISPOSE OF EXISTING ABOVEGROUND TANK, AND ASSOCIATED PIPING/EQUIPMENT AS NECESSARY TO TANK- NEW 2,000 GALLON UL 2085 DOUBLE WALLED UNIT AS MANUFACTURED BY CONTAINMENT SOLUTIONS INC.. TANK UNIT SHALL BE PROVIDED WITH RAINTIGHT ACCOMPLISH PROPOSED WORK. ALL DEBRIS TO BE PROPERLY DISPOSED OF OFF-SITE. INTEGRAL FILL SPILL AND PUMP CONTAINMENT BOXES. TANK SHALL BE FACTORY PRIMED AND FINISH PAINTED. TANK REQUIRES CONTAINMENT SOLUTIONS MODEL 6 AWG COPPER V1NRE ST8001 2 STEP UNIT FOR FILL ACCESS. APPROVALS 2. INSTALL DOUBLE WALLED, ABOVEGROUND TANK ATOP NEW REINFORCED CONCRETE SLAB. SECONDARY CONTAINMENT TANK SHALL PROVIDE A MINIMUM OF 110% CONTAINMENT CAPACITY FOR THE PRIMARY TANK. SEE PARTIAL PLANS. NORMAL VENT CAP- FOR PRIMARY GASOLINE TANK TO BE OPW MODEL 523V PRESSURENACUUM VENT WITH 8 OZ. PRESSURE SETTING. VENT FOR SECONDARY TANK TO BE MODEL 23 AS MANUFACTURED BY OPW FUELING COMPONENTS. 3. ENSURE THAT ALL PIPING IS PROPERLY SECURED AND SUPPORTED. NOTE: EMERGENCY VENT CAP- FOR PRIMARY AND SECONDARY TANKS TO BE MODEL 2440M AS MANUFACTURED BY MORRISON BROS.. �-GROUND ROD CONNECTION 4. INSTALL FILL RISER, LIQUID TIGHT FILL COUPLING AND CAP WITHIN INTEGRAL TANK FILL SPILL CONTAINMENT BOX. INSTALL POSITIVE SHUT-OFF IN ADDITION TO THE GROUND PROVIDED BY THE ROD SYSTEM, DEVICE WITHIN FILL PIPE. INSTALL PERMANENT PLACARD AT FILL PIPE WARNING THAT A TIGHT FILL CONNECTION IS REQUIRED DUE TO TANK HIGH LEVEL/LEAK DETECTION ALARM SYSTEM- EXISTING OMNTEC MODEL LIPD2 SYSTEM SHALL BE REUSED. THE TANK IS IN DIRECT CONTACT WITH A STEEL REINFORCED BEING EQUIPPED WITH A POSITIVE SHUT OFF DEVICE. A MAXIMUM 2" DIAMETER FILL CONNECTION SHALL BE UTILIZED TO LIMIT THE FLOW OF CONCRETE SLAB WHICH IS IN DIRECT CONTACT WITH SOIL. PETROLEUM INTO THE TANK. LARGER PIPE DIAMETERS MAY ALLOW EXCESS FILLING RATES CREATING FOAM AND A HIGHER POTENTIAL FOR AN MANUAL TANK GAUGE- TO BE "GOLDEN GALLON" GAUGE AS MANUFACTURED BY SCULLY SIGNAL CO. OVERFILL TO OCCUR. COORDINATE FILL CONNECTION SIZE WITH FACILITY OWNER. -�--19mm X 3050mm(3/4"X 10'-0")LONG FILL LIMITER- POSITIVE SHUT-OFF DEVICE FOR FILL PIPE TO BE MODEL #1228 2X4 AS MANUFACTURED BY CLAY & BAILEY MFG. CO. DEVICE REQUIRES A GROUND ROD SHALL BE LOCATED WITHIN 5 FEET OF THE oCOPPERCLAD GROUND ROD 5. INSTALL AN ELECTRONIC HIGH LEVEL ALARM SYSTEM TO PROVIDE OVERFILL PROTECTION FOR THE TANK SYSTEM. ALARM SHALL BE ACTIVATED MINIMUM 4" DIA. TANK TAPPING FOR INSTALLATION. UNIT TO BE EQUIPPED WITH DROP TUBE, TIGHT FILL CONNECTION AND CAP. FILL LIMITER SHALL BE SET TO PROPOSED TANK SLAB. DRIVEN INTO GROUND WHEN A MAXIMUM OF 90% OF THE TANK VOLUME IS FILLED. THE ANNUNCIATOR IS MOUNTED ON THE ADJACENT BUILDING AND IS ACTUATE WHEN A MAXIMUM OF 95% OF THE TANK VOLUME IS FILLED. AUDIBKE/VISIBLE FROM THE TANK FILL PORT LOCATION. INSTALL ALL REQUIRED WIRING AND CONDUIT TO MAKE SYSTEM OPERATIONAL. EXISTING CONTROL PANEL AND PROBE MAY BE REUSED IF IN PROPER OPERATING CONDITION. ANTI-SIPHON VALVE- TO BE MODEL 710 AS MANUFACTURED BY MORRISON BROS. VALVE TO BE WIRED TO THE SUBMERSIBLE PUMP RELAY SUCH THAT A SIGNAL TO ENERGIZE THE SUBMERSIBLE PUMP SHALL OPEN THE SOLENOID VALVE. VALVE SHALL BE NORMALLY CLOSED TYPE. VALVE TO BE EXPLOSION PROOF MODEL GROUND ROD/TANK CONNECTION DETAIL 6. INSTALL 2" DIAMETER VENT RISER ON PRIMARY TANK. VENT RISER SHALL TERMINATE 8 FEET ABOVE TOP OF TANK PER SCDHS USING SUITABLE FOR USE WITH GASOLINE. APPROPRIATE STYLE VENT CAP. NO SCALE PIPING- ABOVEGROUND PRIMARY PIPING FOR GASOLINE FUEL TANK SHALL BE SCH 40 GALV. STEEL. UNDERGROUND PRIMARY PIPING FOR GASOLINE FUEL TANK 7. INSTALL 2" DIAMETER VENT RISER ON SECONDARY CONTAINMENT TANK. RISER SHALL TERMINATE MIN. 1 FOOT ABOVE THE TOP OF THE TANK SHALL BE FIBERGLASS DUALOY 3000/L WITH UL971 LABEL AS MANUFACTURED BY AMERON. ALL SECONDARY CONTAINMENT PIPE FROM TANK TO EXISTING WITH AN OPEN STYLE VENT CAP. UNDERGROUND PIPE SHALL BE FIBERGLASS DUALOY 3000/L WITH UL971 LABEL AS MANUFACTURED BY AMERON. 8. INSTALL EMERGENCY VENT CAP ON PRIMARY TANK (SEE TANK PLAN FOR SIZE). EMERGENCY VENT CAP SHALL TERMINATE APPROXIMATELY 1 PIPING TEST BOOT- OPW MODEL TBA. FOOT ABOVE TOP OF TANK. SUBMERSIBLE PUMP- REUSE EXISTING IF IN PROPER OPERATING CONDITION. 9. INSTALL EMERGENCY VENT CAP ON SECONDARY CONTAINMENT TANK (SEE TANK PLAN FOR SIZE). EMERGENCY VENT CAP SHALL TERMINATE ON-SITE TEST PROCEDURES _ APPROXIMATELY 1 FOOT ABOVE TOP OF TANK. _LL 10. INSTALL MANUAL FLOAT LEVEL GAUGE IN PRIMARY TANK TO INDICATE GALLONAGE WITHIN THE TANK. 1. PRIMARY AND SECONDARY TANKS SHALL BE TESTED BY PRESSURIZING WITH COMPRESSED AIR TO MAXIMUM " WHEN 18" X 24" PRE-FAB 3 PSI AND 3 PSI RESPECTIVELY AND OBSERVING PRESSURE GAUGE FOR A MINIMUM OF THIRTY MINUTES. ALARM BELL WARNING SIGN APPLY A SOAPY WATER SOLUTION ON EXTERIOR OF TANK WHILE R IS PRESSURIZED. LOSS OF PRESSURE SOUNDS, MYSAFETYSIGN.COM 11. INSTALL ELECTRONIC LEAN: DETECTION PROBE WITHIN SECONDARY CONTAINMENT TANK TO CONTINUOUSLY MONITOR FOR PRIMARY TANK LEAKAGE. OR BUBBLING OF SOAP MAY BE INDICATIVE OF A LEAK AND WARRANTS FURTHER INVESTIGATION. ANY TANK IS FILLED INSTALL ALL NECESSARY WIRING AND CONDUIT TO TANK ALARNM SYSTEM CONTROL PANEL/ANNUNCIATOR REPAIRS TO TANK MUST BE MADE BY THE TANK MANUFACTURER. TO CAPACITY ITEM# K-0463) DO NOT OVERFILL LAH T I ENGINEERING 8c ENVIRONMENTAL 12. INSTALL DOUBLE WALLED PIPE SUPPLY FROM THE TANK TO THE EXISTING UNDERGROUND PIPE SYSTEM (REFER TO TANK PLANS FOR 2. THE STEEL PRIMARY PIPING SHALL BE TESTED BY PRESSURIZING WITH AIR TO 50 PSI. DO NOT - -- J C 0 N S U LT I N G P . l�('� . SPECIFICS). PRESSURIZE EXISTING PRIMARY PIPING HAS GASOLINE VAPORS ARE PRESENT AND IT IS FRP PIPE. THE SECONDARY CONTAINMENT PIPING SHALL BE TESTED BY PRESSURIZING WITH AIR TO 5 PSI. OBSERVE STEEL PIPE BOLLARD 13. INSTALL ALL ASSOCIATED EQUIPMENT, PIPING, FITTINGS, AND WIRING NECESSARY FOR A COMPLETE AND OPERATIONAL TANK INSTALLATION. PRESSURE GAUGE FOR A MINIMUM OF SIXTY MINUTES. APPLY A SOAPY WATER SOLUTION ON EXTERIOR OF OF NEW 207 HALLOCK ROAD, SUITE 212 PIPING WHILE IT IS PRESSURIZED. LOSS OF PRESSURE OR BUBBLING OF SOAP MAY BE INDICATIVE OF A 'tP SOS STONY BROOK, NY 11790 14. INSTALL "NO SMOKING/ STOP ENGINE" SIGN IN TANK AREA PER 2020 NEW YORK STATE FIRE CODE. LEAK AND WARRANTS FURTHER INVESTIGATION. ��Q� H� 'pf. " 3. UPON COMPLETION OF THE ENTIRE PIPING SYSTEM, PERFORM PRECISION LINE LEAK TEST ON PRIMARY * 9y (631) 751-6433 15. ALL EXTERIOR, ABOVEGROUND FIBERGLASS SECONDARY CONTAINMENT PIPE SHALL BE COATED WITH RUSTOLEM UNIVERSAL" SPRAY TO ENHANCE PIPING SYSTEM TO CONFIRM ENTIRE SYSTEM IS LEAK FREE. OVERFILL WARNING SIGN 3 UV RESISTANCE AS REQUIRED BY THE SCDHS. e NEW YORK P.E. LICENSE NO. 068377 16. THE FILL PORT SHALL BE' COLOR CODED WITH PAINT IN ACCORDANCE WITH API STANDARDS. 4. IF THE ABOVE TEST METHODS CONFLICT WITH CURRENT MANUFACTURER RECOMMENDATIONS, CONSULT N.T.S. = NEW JERSEY P.E. LICENSE N0. 37351 SCDHS INSPECTOR AND DESIGN ENGINEER FOR RESOLUTION. DO NOT EXCEED MANUFACTURERS ill2 17. AS PER THE TOWN FIRE MARSHAL, SIGNAGE PER SECTIONS 5703.5 AND 5704.2.3 OF THE NYS FIRE CODE MUST BE PROVIDED. IN ADDITION, RECOMMENDED PRESSURES. SCDHS FILE REF N0 . 16367 UF� 068377 ��� CONNECTICUT P.E. LICENSE NO. 23322 A PORTABLE FIRE EXTINGUISHER MUST BE PROVIDED WITHIN 30 FEET OF THE PROPOSED TANK PER SECTION 906 OF THE NYS FIRE CODE. 5. THE CONTRACTOR SHALL TEST ALL ASPECTS OF THE COMPLETED TANK SYSTEM TO ENSURE THEY ARE IN A'�OFESSIONVIRGINIA P.E. LICENSE NO. 041658 PROPER WORKING ORDER INCLUDING, BUT NOT LIMITED T0, THE TANK ALARM SYSTEM AND OVERFILL DEVICE. SCDHS FAC ID 10 - 0267 NORTH CAROLINA P.E. LICENSE NO. 031093 WILLIAM J. LAHTI MASSACHUSETTS P.E. LICENSE NO. 46420 IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO REVIEW ALL DRAWINGS AND 5 NYSDEC COMMENT; ADDED DIM. TO TIDAL WETLAND 8/10/22 WJL DIST 1000 PROJECT: SITE: SPECIFICATIONS ASSOCIATED WITH THIS PROJECT PRIOR TO THE INITIATION OF SECT 117 CONSTRUCTION. SHOULD THE CONTRACTOR FIND A CONFLICT WITH THE DOCUMENTS 4 UPDATED PER SURVEY 6-20-22 FOR NYSDEC 7/25/22 WJL RELATIVE TO THE SPECIFICATIONS, 431TE CONDITIONS OR APPLICABLE CODES, IT IS THE BLK 8 ROBINS ISLAND HOLDINGS LLC CONTRACTOR'S RESPONSIBILITY TO NOTIFY THE PROJECT ENGINEER OF RECORD IN 3 SCDHS COMMENTS 12/22/21 WJL LOT 19.001 REPLACEMENT OF EXISTING WRITING, T UREBYTHE CONTRACTORTONOTIFY I � IOR TO THE TFTTT (PROJECT ENGINEER SHALL CONSTITUTE 2 SCDHS COMMENTS 11/5/21 WJL 2,000 GAL. AG/ GASOLINE TANK ON FOR RESOLUTION OF THE ISSUE. 380 1ST STREET FA ACCEPTANCE OF FULL RESPONSIBILITY BY THE CONTRACTOR TO COMPLETE THE SCOPE JOB N0. DATE DRAWING DWG R�/ NEW SUFFOLK, NY 11956 OF WORK AS DEFINED BY THE DRAWINGS AND IN FULL COMPLIANCE WITH LOCAL 1 SCDHS COMMENTS 9/29/21 WJL REGULATIONS AND CODES. ALTERATION OF THESE DOCUMENTS, UNLESS MADE BY A LICENSED PROF., IS A VIOLATION OF SECTION 7209 OF THE STATE EDUCATION LAW. NO. REVISION DATE DRWN APPR N0. REVISION DATE DRWN APPR 21-014 8-11-2021 PARTIAL TANK PLAN C-101