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26214-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27412 Date: 11/16/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4001 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 1 Lot 9.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12, 1999 pursuant to which Building Permit No. 26214-Z dated DECEMBER 20, 1999 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & COVERED FRONT & REAR WOOD PORCH AS APPLIED FOR. The certificate is issued to E.BROWNELL & KAREN BREKKE JOHNSTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0189 09/01/00 ELECTRICAL CERTIFICATE NO. N-540152 10/20/00 PLUMBERS CERTIFICATION DATED 09/01/00 MATTITUCK PLUMB.& HEATING 4t i Au orize Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26214 Z Date DECEMBER 20, 1999 Permission is hereby granted to: PECONIC LAND TRUST 4001 WELLS RD PECONIC NY 11958 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATT 2 CAR GARAGE & COVERED FRONT & REAR PORCH AS APPLIED FOR & TO COND. OF DEC & PLANNING BOARD. at premises located at 4001 WELLS RD PECONIC County Tax Map No. 473889 Section 086 Block 0001 Lot No. 009 . 004 pursuant to application dated NOVEMBER 12 1999 and approved by the Building Inspector. Fee $ 1,569 . 40 Authorj4red Signagure ORIGINAL Rev. 2/19/98 + Form No. 6 TOWN OF SOUTHOLD LE BUILDING DEPARTMENTTOWN HALL 765-1802APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,$15.00, Com`,m/��ercial $15.00 Date . . . (!oy;-Mf . .! zovo. . . . . . . . . . . . . . . . New Construction. . . . . . . . . Old Or. Pre-existing Building. . . . . . . . . . . .. . . . . Location of Property. . House No. Street Hamlet Cower or Owners of Property. . . . . .p!. . . .. . . .. . .. . .. ��. . :. !. . .. . . .. . . . . . . County Tax Map No 1000, Section. . . d . . . . . . .Block. . . . . . . . . . . . . .Lot. . . /02- ligf f M. . .2/�. t.f• . - - S. . . tGI �•?:l ( . 9. . . j y , j2- Subdivision. . . . . . . . . . . . ..Filed Map.. . . . . . .Lot. c �,�ladr✓ �C. S7b� Applicant t 7Fe Permit No.6e '2 .Date Of Permit. . , f}7✓�i Health Dept. Approval. . . . . .. .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .• . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicat ��}} Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V . . . . . 0,pc . 5 8 7 -)3 P ICANT Co-Z a-)yl2 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1195099 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 20,2000 Application No. onpele •01.33400/00 N 540152 THIS CERTIFIES THAT E'B+RMIT NO. 26214 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of E. BROWNELL JOHtISON, WELLS ROAD, PECONIC, NY in the following location; ® Basement ® lst Fl. ® 2nd Fl. GAR./ATTIC/OUT Section Block Lot 1 was examined on OCTOBER 16,2000 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. X.P. 66 70 79 66 1 7.5 1 5.4 1 1.2 2 E DRYERS FURNACE MOTORSFUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI�OUTLET DIMMERS SYSTEMS AMT. K.W. OIL HA. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATT) 3 F 1 - 12./ 2 - SERVICE DISCONNECT NO.OF S E R V I C E METERNO.OF eC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 10 2W 1 0 JW J D JW J R 4W AER 0 OF CC.COND. NO.OF HI-LEG .OF HIAEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: AIR CONDITIONERS-2 3 TON-1 5 TON-1 WIRLPOOL BATH-1 Co2 DETECTORS-•2 PADDLE EADT-1 WELL PUMP-1 MOTORSo1--3 H.P. ,1-5 H.P. ,2-8 H.P. PANELBOARDSL2-1 CIR. 60 «< Continued on Page ?. »> GENERAL MANAGER Per This certificate must not be altered In any manner;return to the office of the Board if Incorrect.Inspectors may be Identified by their creaWifiau. IMP Iwo 1111 in in 11110 IN; 09999M mom COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE ' NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10035 Dare OCTOBER 20,2000 Ap�lfcation No. on/a[e 10133400/00 N 540152 THIS CERTIFIES THAT Yh;R1`9IT NO. 26214 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of E. BROWNELL JOHNSON, WELLS ROAD, PECONIC, NY in the following Location; ® Basement ® lst Fl. ® 2nd FL GAR/ATTIC/OUT section Block Lot 1 was examined on OCTOBER 16,2000 and found to be in compliance with the National Electrical Code. FIXTURERECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES OUTLETS INCANDESCENJ FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL IUNIT HEATERS I MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. I 0 2W 1 0 JW J®JW J R 4W pER 0 OF CC.GOND. NO.OF HIAEG OF HI:LEG NO.OF NELVA— OF NEUTRAL OTHER APPARATUS: G.F,C.I:-8 SMOKE DETECTOR:-7: L L JI14 SAGE ELEC. INC. LTC43635E n u.. . PO BOR 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11i Per. This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUCT NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ l FRAMING [ FINAL [ ] FIREPLACE & CHIMN Y REMARKS: DATE f 7" INSPECTOR . Town Hall, 53095 Mail Raad :i - y Fax(518)755-1623 P.O. BOX 1179 "1 r =~:r,i Fax (516)785.1692 Southold,New York 11971 '✓%' OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CCR T x F I C A T 10 _N vnm>;: 1 ao Building Permlt No. If c.6 (Z9°aJ (� �oEJ+�y� ✓ K-NZiC �- J0flr'S owner: - (please print) ! !+ Flumbsr: (please print) I certify that the solder used in the water supply system contains less than 2✓10 of 1% lead. P(PldLmbers Agnat. Sworn to before me this dal,' of Notaryict ,l� County Xal Ci 7C�erL6-cC�u Notary KEYTIM lNywYb t W M E .ImM� DATION (DATION _(2 ---_ ---------� _ __ _ ___ ------ ------- ------------ 31 �-____ _ _____ D - FRAME Tr PLUMBING ii __..ii — — _�wry�__"� -� `- ✓CL_� i- II n — H VN , ILATION PER N. Y. i t° H STATE ENERGY IIS I CODE 1 6ve f � H It121II r �I N----JA �—C FINAL 1111 ADDITIONAL COMMENTS: 4 C a H � - H Q z — r C3 O ---------- -------- ----------------------------------------------- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUZATION BG. [ ] FOUNDATION 2ND [ ] IN [ ] FRAMING [ FINAL [ ] FIREPLAC A CHIMNEY MARKS ,DATEINSPECTO l 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].�LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: " 6 DATE INSPECTOR ] M-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ /I/FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: �C �� � DATE _ INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ /f'ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ef�FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r DATE l INSPECTOR zl'-7 '65.1802 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ /FOUNDATION 2ND [ ] INSULATION ( ] FRAMING j ] FINAL [ ] FIREPLACES CHIMNEY Q REMARKS: DATE INSPECTOR �/4� 765-1802 BUILDING DEPT. SPECl°IOIN [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMAR DATE �%'� INSPECT ® WELLS Young & Young, Land Surveyors �• a SECTION SEWAGE DISPOSAL SYSTEM a RO 400 Ostrander Avenue, R{verh" New York 11901 g �g0 ;cED } AD 519-727-2309 to 7 A to i Atdxn M. Y"T.P.R. !fS. fIM-1994) �{I� g f`1 g Novard x• L°nd Suttw9or p Thomaa C. Ao7Part Profeexionat hgE*�M' oto .taw n+„ n.iu fFl /V ion ScAnNrr.Land Sururyor or HEALTH DEPARTMENT CERTIFICATION y n.a �iy a E r S34VVE V'G- 55,35 AN34553Yw $ y� CERTIFICATIoN [ 0 0'8 QnA ' A� • WE HERBY CERTIFY TO E.BROWNELL JOHNSTON JR,,KAREN BREKKIE JOH QCG n\C����`11w1 - I AMERICAN TITLE NEW YORK THAT 7HII SURVEY WAS COMPANY M OF E9. ° ACCORDANCE wTN THE CODE OF PRACTICE FOR LANG SURVEYS i \ ` r 1 0! p ° ADCPTED 9Y THE NEW YM STATE ASSOWATIOX OF �g� 0 t 1 p °' PROFESSIONAL W`ID SURVEYORS. 111 Igo` t3't. , SY fO t 7 o43 Im.r TEST Hu Aar�� �d r � /'�� 'Ry, yBCha,„✓� � ° 7F1, FC; o.o' �SpA A.1netat SCHNURR,N.Y.S. LS.N0.49517SAMD! HOWARD W. YOUNG,103.LS NQ 459937 FiWAV0. Lot 2 _ a=o.s' o.o'awaey,9anueo a°' %'' '.: 9 SURVEY --1 tw 9A D MTP »1 E. 04NIEll J�iNSiON Al. k KM BREKKE,K1 O sus CPoWEl P 0X=WY4+� i' .i' N o t2o UMIT Of 110AL % o LOT 1 "RICHMOND CREEK FARMS, SECTION 2” .� 05&W 100 + L IL -A At Peconic, Town of Southold — gY YOUN1 o Suffolk County, New York jig 2�25ti:= County Tax Map 01 Le, 9.4 111 N .2605 W �•. TITLE SURVEYlei _ X.W.M. "•- TIE LokµONO ApP0.0%IMAiE d-New"ser ADD F1000CERIN ZONE LIWT OEC.26.1999 0 ■-Xaan4•m roues ADO CER7IFlCA'DClC AUG,28,1999 C NOTE /+tJ`, CREEK A.SvxE IV ADD PROPOSED POOL AUG.24,INS Oat RIVT 1MOND PROPOSED LOCATION OF HOUSE AUG.19.1999 A-Sn ewes NAP PREPARED MAY 27.1999 l• AREA 28426 ACRES --n2_ .curnxc mxlwRs +aa 9 SUBOMSION MAP FILED 01 THE OFFICE OF INE CLERK OF -<"2)--Popon MNMLft SCALE 1' RODUt COUMIY ON MAY 18, 1999 AS MAR No. 10282 1t70 .VWW MAI" JOB NO. 99-0333 fF D,zo) -Peorox)11E AUN DWG NO. 990333 ® t 9 a ��gUFFO(� Town Ian Albert J. 14upski, President �Gy� 63095 Main Road James King, Vice-President P.O. Sox 1179 Itenry Smith y z' Southold, New York 11971 illy Artie Foster O �Q� Ken Poliwoda 'y �� Telephone(516) q2� �.a f�{� Fax(516) 765-1823-1823 BOAltn or TOWN TRUSTEES r 'DOWN OF SOUTHOLD DETERMINA'T'ION OF NON-JURISDICTION DATE: October 21, 1999 AGENT: Suffolk Environmental APPLICANT: E.Brownell & Karen B. Johnston otasu ng nc. ADDRESS: P.O. Box 2003 ADDRESS: 3 Coldport Dr. Bridgehampton, NY Huntington, NY 11743-5106 367-3129 PHONE: 537-5160 PHONE: RE: SCTM# 1000-86-1-9.4 The Southold Town Board of Trustees reviewed the survey dated and received in our office on 917194 and determined that your proposal to Construct a +/- 3854 sq. ft. (footprint) two-story house (four bedrooms) a +J- 2815 sq.ft. driveway, and a +l- 800 sq.ft, pool, to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AM lms 1-(631)447-9092 FAX 1-(631)-447-9093 email ebj-eati@nais.com E. Brownell Johnston ATTORNEY AT LAW 111 STORM DRIVE Suite J HOLTSVILLE, NEW YORK 11742-1913 November 9, 2000 Town of Southold Building Department Town Hall 53095 Main Road P. O. Box 1179 Southold,New York 11971 RE: BP#26214-12/20/99 4001 Wells Road Peconic, New York 11958-0534 Dear Sir/Madam: This is to formally request that you approve our Application for Certificate of Occupancy for the above. We are attaching the following documents: 1. Final Survey of Property prepared by Young&Young with green stamp dated November 8, 2009 from Suffolk County Department of Health Services. 2. Approval dated October 20,2000 of electrical installation from Board of Fire Underwriters. 3. Sworn statement dated September 1, 2000 from plumber certifying that the solder used in the water supply system contains less than 2/10 of 1%lead; and, 4. Application and check dated November 9, 2000. We would appreciate your expediting our request, as we would like to occupy our new home as soon as possible. Thank you for your kind consideration. Ser ly you , E/l/ town 1 J ston Attachments I T^ . d.i f-Ax {5 f8) 765.1823 Tu } -`ad.@��.`� •' r," ' Telaphono (516) 765.1802 P. 03 Box 1179 - c Southold,New York 11471 OFFICF OF THE BUILDING INSPECTOn TOWN OF SOUTHOLD C S R T_I_ V I C_A 'V 1 0. N :z I Duitd; ng Permit No. _ ' } G. 0 (Z0Wr'/G (4 J�aLJrii�,r / f�/ � / - J� rj,v51 0 � Uwtter. : _.-_ _.-- (Please print) ?lumber# 01 oc.-� (p ease print) _J t i certify that the solder used in the water supply sy>tem contains less than 2/10 of 1% lead, ( F.I.tunbers Slgnat.l Sworn to before me this / day of ("gllnty ENERGY CODE CALCULATIONS (Por Non-Electric (teat) Design Criteria 6, 000 Degree' Days L/ 1 /O.A./1U°P• I.A. 7U°C• FOR: -- p 'I h .SS% °lle PER: �efiny DATED: , SUBSYS OM - AREA DESIGN THERMEL REMARKS "U" RATING ExLeriur Walls (Opaque) 2 73 +2 8 �+ 4e4 r� ,r °W Glazlny /j' g S7p yf2 + /83' U� GwUfI Doors 20 qo - g Ccil.iuy/Roof• (opaque) 2 2 GL O J p Skyliyh(:s g rloor 2244 p5' U Foundation Walls Slab Insulation TOTAL 9 NoL•es: Building Envelope SysL•ems Lo meet requirements of 7015. 2 IIVAC Equipement to meet requirements of 7U15. 11 IIVAC Systems to meet requiremenL•s of 7015. x2 Duct SyeLeu,s to meet requirements of 7015. 13 Ventilations Systems to meet requirements of 7015.19 Insulation of Pipiny Systems to meet requirements of 7015. 15 Service Water Heating Systems & Equipment to meet requirements of 7015. 7.1 Electrical & Lighting SysL•ems & Equipment to meet- requiremeuL•s of 7015. 31 To the best of my knowledge, UFNE,Iyy belief, & professional p judyemenL•, these plans are In compliance with the code. v a r \ -A fi oazzsa.r oA9©FE$SJO New York State Department of Environmental Conservation Division of Environmental Permits Building 40 - SUNY, Stony Brook, New York 11790-2356 AM Telephone (516) 444-0365 Facsimile (516) 444-0360-0360 John P. Cahill Commissioner October 13, 1999 E. Brownell & Karen B. Johnston 3 Coldport Drive Huntington, NY 11743-5106 RE: Permit No: 1-4738-02413/00001 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. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address . Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Matthew R. Penski Environmental Analyst MRP/ls Enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-02413/00001 ■ October 13 1999 - FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental Conservation Law October 13, 2004 TYPE OF PERMIT ❑ New ❑ Renewal EI Modification ❑ Permit to Construct 13 Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodptain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27,,37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER E. Brownell & Karen B. Johnston (516) 367-3129 ADDRESS OF PERMITTEE 3 Cold ort Drive, Huntington NY 11743-5106 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgeham ton NY 11932 (516) 537-5160 NAME AND ADDRESS OF PROJECT/FACILITY Johnston property, Richmond Creek Farms Right-of-Way, Peconic New York LOCATION OF PROJECT/FACILITY SCTM #1000-86-1-9.4 f txl Q COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Richmond Creek E:714.2 N:4545.5 DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a single family dwelling, pervious driveway, and a swimming pool. All work is to be performed in accordance with the plans stamped NYSDEC approved on 10/13/99. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS John/A. Wi lend (MRP) Building 40, SU Y, Room 121, Stony Brook, NY 11790-2356 AUTH R ZE SIGNATURE / DATE \ / October 13 1999 Page 1 Of.$ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. 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. GENERAL CONDITIONS General Condition 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 SAPA 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. General Condition 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. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for 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. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. D 1-4738-02413/00001 EC PERMIT NUMBER PAGE 2 OF APERMIT TW,rev 6199 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5),24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. 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. 2. 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. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. 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. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. 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 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. 8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. 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 fully 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 and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Young &Young Land Surveyors on 5/27/99 and last revised on 8/24/99. DEC PERMIT NUMBER PAGE 3 GF .5 1-4738-02413/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. 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 tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.). 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Ail fill shall consist of"clean"sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 7. 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 75 linear feet landward of the tidal wetland boundary. 8. Necessary erosion control measures i.e., haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until thick vegetative cover is established. 9. Roof runoff shall be directed to drywells a minimum of 100 feet landward of the tidal wetland boundary for immediate on-site recharge. 10. Dry wells for pool filter backwash shall be located a minimum of 100 feet landward of the tidal wetland boundary. 11. There shall be no draining of swimming pool water directly or indirectly into tidal wetlands or protected buffer areas. 12. Driveways and parking areas shall be constructed of pervious material. 13. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 3' above seasonal high groundwater. 14. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidal wetlands associated with Richmond Creek are located at Richmond Creek Farms, County Tax Map Number: District 1000, Section 86, Block 1, Lot 9.4, otherwise known as the properties of E. Brownell & Karen B. Johnston and their heirs, assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law(ECL)Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager, Bureau of Habitat, SUNY Building 40, Stony Brook, New York 11790-2356. D1-4738-02413100001 EC PERMIT NUMBER PAGE 4 OF S — NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 15. No decks or other accessory structures are authorized beyond the footprint of the single-family dwelling and swimming pool as shown on the plans prepared by Young &Young Land Surveyors on 5/27/99, last revised on 8/24/99, and stamped NYSDEC approved on 10/13/99. DEC PERMIT NUMBER PAGE 5 OF 5 1-4738-02413/00001 9520-1 (818n-9d New York State Department of Environmental Conservation Ohba game NOW NOTICE 144011W The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number aZ .3 JOHN W. PAVACIC Expiration Date NOTE: This notice is NOT a permit NQ_1IE€51£_GO4141EffiLL Nt1V_1LQL_GQH_,_U -01-hit Itl?'FOUN THIS FOUAI TO: ueglonal Malinger Itoreau of Marine Ilabhol Protection tubmw NVIV fork Slate Depmturenl of Lnvirnnnlenlal Conservalloll _ Illdg. 40- SUNY, Room 223 Stony Brook, NY 11790-2356 )nen P.cram Q. l Commissiamr PERMIT NO.: u 3LMISSUED TO: F, &own, e/ 11 Ren f g 1 CONTRACTOR NAME: <1 CZh► LS ADDRESS: TELEPHONE: Dear Sir: Pursuant to Supplemenfary Special Condition D of the referenced permit, you are hereby nolified Ihat lite atuhorized activity shall commence on We certify Ilial we have read [lie referenced pencil and approved plans, and fully understand the aullimized pnrject and all permit conditions. We have inspected the project site and can complete the projecl as described in the permit and depicted oil (he approved plans in full compliance with all plan notes and pelmil conditions. 'Ther Pencil sigh, peuuit, and approved plans will be available al file site fur iuspecti0o in accordance with General Condifion No. 1. PERMI17FE DA'Z'E CONTRACTOR DATE T1❑S NOTICE AIU.ST RR SENT 7'O 77111 ABOVE ADDRESS AT LEAST T IVO DAYS IN ADVANCE OF COALAI ENCEMF-NT(1F THE PRO FAILURE TO RI"VRN 71115 NOTICE, PO.SI'ME PRRAII'T SIGN, OR HAVE TlHi 1'IiRAIIT AND API'RflVlill PLANS AI'A/LAOI.Ii A WORK Sill?AIA 1'SUIIJEC'I'7'llli IIERAl17'7'Iili ANDIOII CONTIIAC'I'OR'1'O APITICARLE.SANC1'ION.S AND PENAIMES FOR Nopr COMPLIANCE 117111 PERAUT C'OND1TIONS. Cutalong This line ____________________________________________________________________________________________________________ N_011_G"E__V_QNP F_11Q JLQF_XQN1TREIQ.TION AM I Itli'1'UltN'1'IIIS IrO1 NI TO: Regional Manager Ilurenu or Marine Ilabibd Pro(ecdoa qW New York Slate Urpartment or linvhronmernnl Conservation Ilidg. 40- SUNY, Itnum 223 Dian r l'xhal 1'wnnnissinnes Slouy Ihook, NY 11790-2356 PERMIT NO.: 1 q3q_na� 3 ISSUED TO: rim e plQo CONTRACTOR NAME: ADDRESS: TELEPHONE: Dear Sir: Pursuant to Supplementary .Special Coll(litioll 1)of die.referenced permit, you are hereby nolified Thal lire authorized activity was completed on We have fully complied with the (erns and conditions of tiler permit and approved phms. i'ERA11'i"I'EIi DA•TI? CONTRACTOR DA'Z'E 'ruts NOTICE, IVI7'II P1101-OORAI ILS OF COAHILITI1:'D WORK ANDI(1R A COAII l.rt7RD SURVEY', AS APPROPRIA IF, MUST RE SENT TO 771E A110VE ADDRESS 11'1771IN 30 OA V.5 OF COMPLE PON OF 771E PROJECT. FAIL.Ill1E TO DO SO II'11.1,RES1/1,7'1N A COMPLIANCE INSPECTION RY NY.SDEC STAFF. LX* at-built survey fs required far the following ealegoliet of new coeterucdon:tleg)e fnally dwellings and addiliuns,stpair systems,decks,pools,bulkheads 1 BOARD OF NEALTII X PORN NO. 1 3 SETS OF PLANS . . . X . . . . . . . . . . TOWN OF SOUTUOLD SURVEY . . .. . . . . . . . . . . . . . . . . . . . BUILDING DRPARTNENT C11ECR . . . . x• • . . . . . . . . . . . . . • • • . TOWN HALL SEPTIC PORN . .X . . . . . . . . . . . • • . S0117HOLD, N.Y. 11971 TEL: 765-1002 NOTIFY: CALL . 51 6 ) 537-51 60 77 9 MAIL TO, Bruce Anderson lixanirxKl.. .. .:./.1..., 19.�✓. . . . . . . - .al o ..:.��J g ,-,/�/ '7,- Suff. Environmental Cons. !... 191.9 Persil. No. .5� � .. 7 .......I........................ .... Disapproved a/c P.O. Box..2003. ... ..... . """""•'""'• Bi'idgehampton, NY 11932 (Ibilding Insl or) APPLICATION FOR BUILDING PEItHrr Date November 1 2 , , 1999, • A 1NSTRUcTIONS a. 'Bale application iaiist be completely filled in I Lypewriter or in Ink and admitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to sdnehlle. b. Plot,plan slowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part, of this nlndicatian. c. 'Ibe work covered by this application may not be conmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be.kept on the premises available for inspection throughout the work. e. No building shell be occupied or used in whole or in part for any purpose whatever until a certificate of Occupancy shall have been granted by the Building Inspector. APPI.ICNrim IS ICRERY MME to the building Department for the issuance of a Building Permit pursuant to the IkAlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, acklhtions or alterations, or for renry 1 or lition, as herein described. The applicant agrees to comply with all applicable laws, or ncee, buil ingring code, amxl regalations,,aid to admit authorized inspectors or premises a7Br'UCe�. ng for nese na ......................... tuf applicant, or nane, if a corporation) Anderson Suffolk ,Environmental„Consulting„ (Hailing address of applicant) P .O. Box 2003; Bridgehampton, NY $Late aAwtJer applicant is owner, lessee, agent, architect, engineer, general contractor, el[MrhZian, plurler or hwilde ...................AGENT ............................................................................................... Nam of aver of premises .....E...Brownell. . . . and Karen. ..B....Johnston. . ..... .. . ..... .... .. . . .. .. .. ................................ . e t' (as on t ax roll or latest deed) If applicant is a corporation, nignature of duly authorized officer. ......................................................... (Nage and title of corporate officer) Builders License No. ...........I............. Plumbers License No. ......................... \ Electricians license No. ..................... Other Trade's License No. ..............I..... I. location of land on whir) proposed work will be dkoe.............................................................. Richmond Creek Farms R.O.W. (adjacent to Wells Road) ; Pe.conic..... ......................... .......................................... . .. ..... . Thaw . Greet . . County Tax Nap No. 1000 Section .......0 8 6. Block ......R1 ....... Lot ......9.R.*. .... Subdivisio. ,Richmond Creek Farms Filed Hap No. 10282 . Lot .........•••••• ... ..Fa ........ (�)(Sec�'ion 2 j' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction! Vacant/Residential a. Existing use and occupancy . Intended use and occupancy ...........Two story house;pool;driyeway ...... .. ...... ... .. . ...ti gnat".... .A.i' I. Nature of work' deck �Aiid: appilcebleh flew Wildin ...... .... ' ( g ...X...... kWiHon Alteration ......... ItepaIr ............ Removal ... DetrolIt]on .......... Other Work .... .... ........ ........ ...... (tkacription) It, liallite[ed Coat ...... fee .. ........... . . S. If dA,ellin aoixr of dwellL : (to be Ixid on [cling this application) B 1 BR/1st; 2 BR/2nd, II, 'a prune ....3.BR, tAuier of dh+e111nII units on each floor .. .. .... .. . ..... Ifgarage, anter of care ......2............................ .. . 6. If boainees arnrercial or mlxedloccngeney, specify nature atxl extent of each type of use••••N/A 7. Iflitmo Ions of existingstricture¢, If any% Front.....N�A...... Rear .....N�A..... Depth ,, ,,N/A••.. Might ........N(A............ Maier of Stories ...N�A........••NIA N A Illnenslo s of BA7 structure with alterfta or 'additlonnr Front ............... hear ... ..�.. ... .... Ikplh .............. gl .................... Mnler of Slorlea ... /}�. S. Molenslora of entire new conatr lion: Front ...79.:0....... hear ..79•.0 '...... Depth ... ,58. 0' lie t ... . ... . Ilei!st a ..37[ (chimney) Muter of Stories ...?..... ............ 9. Stu of lotant ....400....+ s Th ........ Rear ... 232 r.rA. ......... Depth ...4.10...0...... ... 10. dude of I"urlese ........ N�A..Ii..... Nara of Foner Q.ner .• PeConiC Land Trust II. Zoe or use district In rdildn premises are situated .......................... ........... 12, noxa proposed construction violate any zoning law, ordinance or regulation: .......No•.....••. •...• I:1. NIII lot be regraded ...... Yes . , Will excens fill Ix removed from premloes: YRS O ..... ll and 14. Nares of toner of premises kC; enoBneJb)insuon Adklrees •Huntington,ort DNYV..�1743�e N0 367-3129 Noun of Ard:ltect ............ .................... Addrens .............................. phone No. . ........ .. . iii 1T'Z1re' Mone of Contractor Edward Ernst rSkWreen 61 02 omain�Road1 gry1 Mone No 765-9300 15. Is this property within 300 feetI,of s tidal t,•atlandl A YP.S •.......... NO .......... *IF Y113, SO011uD ium inigtlms Pllturl' NAY RL Rg(lIdimi (See attached copy of Letter Non-Jurisdiction) PLOT DIAGRAM locate clearly and distinctly all buildings. Metier existing or proposed, and Indicate all set-I:ack dimenalone frau property Knee. Give street and lblock nnler or description according to deed. and show street nares and indicate ndetler Interior or corner lot. SI'A'M: (XP MiN Y(MIK, 11JIM1Y (N, Suffolk Bruce A. Anderson .................. ............I...{................ ....Ix-Ing duly sworn, deposes and gays ii be in the applicant (Nate of individual nigning controcl) nbxrve nomad, AGENT Ile In the ...........................}......................................... .............. ................ (Contractor, ngent,-corporate officer, etc.) of nnid aver or unanern, n:xl Ili duty qulhorixed to perfonn or Iurve performed the said work mol to nuke and fids Ling :grydicaLiou; Lhul dill sLatrenenta axntntned In thin npplicatlal are true to the bent of hin knowledge mol Wilef; unxl tial. the murk will Ix perfonned In the uonner gel• forth In the application filed tderewitlr. Nwdnrn to before lie Lhls ,,��// .. .. .. �cZ .....(Illy of .kk*nAA?,1..19.gg,.. Notary Hublic .l............:.. ..L.. ............ LAUREN HAND (Signature of Applicant) Notary Public, State of NpwMaN .No. 02NA5072126 Qualified in Suffolk CounN2(�h Commission Expires January BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date 4 Owners Name: � pr� '� Reviewed: 17 / Architect/ Date Engineer: Submitted:OF 6A 1^ SCTM #: 9 District: 1,000 Section: Block: Lot: Project Subdivision r ALocation: Name: 74 =ion: separate Required certification: Yes/No1 Q 2�� Zoning District: ABV [Lot size: 00i 000 Actual: / i 49,9 2'1 [Lot coverage AZPropose& _ 3 Req. 70. 19/ 70. 9&1 Req. / !.2 O /Req. Z Go/ [Front Yard Proposed: [Side Yard Proposed: 997 G [Rear Yard 7-5- Proposed: Project Description: AGENCY PERMITS Permit RES2UIRED FOR REVIEW N.A. NO YES/ Number Suffolk County Health Dept. New York State D. E. C. J J Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? ' Flood Zone: v'`K- p�— rA'A"� � Notes: w LO WELLS Young & Young, an Surveyors p 400 Ostrander Avenue, Riverhead, New York 11901 "iMs /� Q i1 D 516-727-2303 •N Alden W. Young, P.E. & L.S. (1908-1994) =g IIi1n Howard W. Young, Land Surveyor €< Thomas C. Wolpert, Professional Engineer o 'John Schnurr, Land Surveyor z �lanuing N Q � o �OIJiYPPCLLtJ . NOTE 21 �MP�PyeMy AREA = 2.8926 ACRES 0 ��P� • SUBDIVISION MAP FILED IN THE OFFICE OF THE CLEF;RIF 'fi r, ¢Eg SUFFOLK COUNTY ON MAY 18, 1999 AS MAP NO. 1028: " 534'55' 1"E w 5535' 0 N34'55'311°W o Fr OC "(Cu 551 5 LO w �o ord 534'55'31'E 55.35_ CERTIFICATION w=g 0 { I • WE HEREBY CERTIFY TO E. SROWNELL JOHNSTON �STONEWAY 00 '� 'i z JR. , KAREN BREKKE JOHNSTON & FIRST �3„ AMERICAN TITLE INSURANCE COMPANY OF <eF / ,,x 'J '"o c = O I NEW YORK THAT THIS SURVEY WAS PREPARED IN Fay INSET S vM� 6 "1�J /`y — OG'x" 000 ACCORDANCE WITH THE CODE OF PRACTICE FOR ^ SCALE: 1' = 50' / h S / _ �_ --------------- - - Ii ADOPTED BY THE NEW YORK STATE ASSOCIA I1/ 1 �6'�ELL "s-f- \ y O``} 5z7' _V ViI I z PROFESSIONAL LAND SURVEYORS. Q, �ql, yQ �aq y�me p .) ;+ ®._m.._.. _ s� ' - `� $� sse.•1 t GT�r ------------ I I�' p� yp� o I' U m CO"J o i //j P ,p90" °m o boa oo. VA", p ffa k ii A . aT�® t .T;;,i.6 <..:o �� ' i B• �: '� w u g " ' r'�, SEE INSET �� li JOHN SCHNURR, N.Y.S. L.S. NO. 49517 --------- I HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 ANDSv� €" m Lot 1 SURVEY FOR _ . ..,c. ? . .. ..^. Loti 2 � w = 00 C14 E. BROWNELL JOHNSTON JR. & KAREN BREKKE JOHNSTON V rn LOT 1 "RICHMOND CREEK FARMS, SECTION 2" L0 At Peconic, Town of Southold z„W� N Suffolk County, New York a LANDWARD LIMIT OF TIDAL aLLo SANITARY MEASUREMENTS WETLANDS AS DETERMINED -� �, 010County Tax Map DmtrIct 1000 Section 86 Block 01 gat 9.4 Ogg BY YOUNG & YOUNG ( �� aWe= _ FINAL SURVEY W �¢ A B _ _ 44.28 05' W o„ 232• 51 FINAL SURVEY SEPT. 19, 2000 S.T. 61' 37' _! INDICATED SOUNDINGS JULY 21, 2000 iso `ADDED PROPOSED CATWALK MAR. 23, 2000 _ C.P. 1 79' 53' I FOUNDATION LOCATION MAR. 14, 2000 — — — — — — ADD FLOOD ZONE LIMIT DEC. 17, 1999 0 0 C.P. 2 78.5' 54.5' E LINE ALONG ADD CERTIFICATION AUG. 26, 1999 C.P. 3 70.5' 49' gpPROXIMATE H.W_M. ADD PROPOSED POOL AUG. 24, 1999 gaol PROPOSED LOCATION OF HOUSE AUG. 19, 1999 o MAP PREPARED MAY 27, 1999 <p � MOND CREEK W RICHSCALE 1” = 100' = MONUMENT SET = MONUMENT FOUND � = STAKE SET ♦= STAKE FOUND JOB N0. 99-0333 O i DWG. N0. 990333—final i WELLS �� ( � Young & Young, Land Surveyors y a 400 Ostrander Avenue, Riverhead, New York 11901 ky�T II3IIt J ^ 516-727-2303 Via' /'`'O'd lD Alden W. Young, P.E. & L.S. (1908-1994) x IIuitl3 N Howard W. Young, Land Surveyor Thomas C. Wolpert, Professional Engineer 0 John Schnurr, Land Surveyor .i�� N 4 NOTE U N . AJllttt...yi • AREA = 2.8926 ACRES � • SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF 64 SUFFOLK COUNTY ON MAY 18, 1999 AS MAP NO. 10282 goy 534'55'31"E 55.35' {OC�eC\ v\G N34'55'31"W o 0 4p S OC ��as 55.35' no`s ora S34'55'31"E k�6 L P eoo�\`o _ _ 5- CERTIFICATION Via€ �=117 8.78 0pQ�t- • WE HEREBY CERTIFY TO E. BROWNELL JOHNSTON So OF `NP 56 �' o p JR. , KAREN BREKKE JOHNSTON & FIRST i0 AMERICAN TITLE INSURANCE COMPANY OF <F w NEW YORK THAT THIS SURVEY WAS PREPARED INg 6 lt; $3 - ';'o• 4 ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS 55 6 a ADOPTED BY THE NEW YORK STATE ASSOCIATION OF " PROFESSIONAL LAND SURVEYORS. o s z I S # L2 s=i GOMMON 17 % �o j-'"' ': �PARD W.UYOUNGY N.Y.S. L.S. NOS 5893 ���\ f���' .5. i INS b 51? tax Lot 2 ' 3 SURVEY FOR -' - BROWNEfl JOHNSTON JR. & KAREN BREKKE JOHNSTON 60�a ; LOT 1 "RICHMOND CREEK FARMS, SECTION 2"LO s„g Lot 1N �� At Peconic, Town of Southold gg� _ LjADWARD�NLgNDS ASDETERMINE[) LIMIT OF TIDAL , New York � ! Suffolk County, €WE BY YOUNG & YOUNG County Tax Map Dlstnct 1000 Section 86 Brook 01 Lot 9.4 1 O FOUNDATION LOCATION _ W 3 � � =W� ........ .-... ( FOUNDATION LOCATION MAR. 14, 2000 ¢ -• • �-1 f, ADD FLOOD ZONE LIMIT DEC. 17, 1999 o — — — — — — W.M.' •;�_ '”" • ADD CERTIFICATION AUG. 26, 1999 71E LINE ALONG APPROXIMATE " PROPOSED POOL AUG. 24, 1999 s< �A 20 IU ADD CRE ="k EK { ;'i 11 PROPOSED LOCATION OF HOUSE AUG. 19, 1999 RICHMOND MAP PREPARED MAY 27, 1999 e5E SCALE 1" = 100' JOB NO. 99-0333 - MONUMENTMONUMENT(OUNp Q - STAKE SET ♦- STAKE vouNo DWG. NO. 990333foundation—location 31H O O 4 I O lac � WELLS ) r �6y SECTION SEWAGE DISPOSALS ,- Young & Young, Land Surveyors yog a= IIung 04� 400 Ostrander Avenue, Riverhead, New York J 1901 �7 516-727-2303 "4 Alden W. Young, P.E. & L.S. (1908-1994) gating HowarThomas C.dW.Wolpert,ng, Land Surveyor Professional En EL-111 o F. ll EL-,ao EL=,,.] EL-,,. EL-„0 .�O �, John Schnurr, Land Surveyor QSSPOCI ,'NN'KSIDNL planning EL..1 EL.90 EL-6E S EL-9.5 £nginerrinq EL-.5 = • - ' ;Q,mS� ' J HEALTH DEPARTMENT CERTIFICATION EL-'' Alj= �oPo PLEASE NOTE 534'55'31"E Minimum distance between well 1-5i 55.35' o� and cesspool is to be 150 feet. o N3�'5531"W a 0 ° I 55.35' ,r; n0� �ptVd ^�� VOGS�� S-W55t '1"E f ��0 • WE HEREBY CERTIFY TO E. BROWNELL JOHNSTON =�€ eG0'(�\G Q�oco PR0o ��Ro�`� _ _$ 35, JR. , KAREN BREKKE JOHNSTON & FIRST €� Q p8 AMERICAN TITLE INSURANCE COMPANY OF NEW YORK THAT THIS SURVEY WAS PREPARED INCE. of .NPY� 0o g0 meq. y o, I ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS Wma, 3-y6a66 . 00 /` ADOPTED BY THE NEW YO TION OF "€ �o �1'� ,� PRO so/ d I SUFFOLY. jnigyISEPAR o o . 0 E i LXi 1/ �i s, yp fie• A'. f` 8<' c* �/5N5gy'6h3A3�����iY/'7 i /�S®tN° �^, ��-o.i�-si�'_-�a� �-'`e8 �. ''-- I�. i- rI te-/-r r•- I �, PEIiA+Pl'1' 51���v�:;�.:,_8'y♦..,.�.e� ..Y3-NFORA 7y2bms - Ey nz. .'KNg„O TEST HOLE q1 \_ �z °g EL=10.5' 0.0' APPROVE R 'e v OpoSko�WP.( 0C LOAM ED PoR` OFQ, to SCy 9p� , MON TEST HOLE �s '� — / r A , a 3.0' GOM EL= os �o\ R 's '� - TE OF OVAL. G'p .0 _ EXP C Q SAND & 10----- \i / °' o' I II -; N Reys�/ 3-1o; GRAVEL PROPOSED f �\ Q >OOL � JOHN SCHNURR, N.Y.S. L.S. N0. 49517 EL=0.5' 70.0' G.W. Lot 2 EP�pGpH N HOWARD W. YOUNG, N.Y.S. L.S. N0. 45893 (Vacant) N0.0P0 ' ice'_ F 'So CO t0.V°� O ,I 495 OF o � II, SURVEY FOR ry 12.0' �' 1 �, E. BROMELL JOHNSTON JR. & KAREN BREKKE JOHNSTON sw LANDWARD LIMIT OF TIDAL ..�' � 1 WETLANDS AS DETERMINED cP o _ gc YOUNG �o s - Z LOT 1 "RICHMOND CREEK FARMS, SECTION 2” gip. BY YOUNG & = ,= At Peconic, Town of Southold aWE �- Suffolk County, New York County Tax Mop Di'trlat 1000 Sectio. 86 Block 01 Lot 9.4 �€; boy APPF H.W.M. _•.` _ ALONG OXIMATE O = MONUMENT SET TIME SURVEY ° NOTE TIE LINE REEK N = MONUMENT FOUND ADD CERTIFICATION AUG. 26, 1999 ° ,1 RICHMOND A = STAKE SET ADD PROPOSED°SED LOCATIONLAUG. 24. 1999 OF HOUSE AUG. 19, 1999 ="k ♦ = STAKE FOUND MAP PREPARED MAY 27, 1999 AREA = 2.8926 ACRES --112— = EXISTING CONTOURS W � • SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF —(112)— = PROPOSED CONTOURS `€F SUFFOLK COUNTY ON MAY 18, 1999 AS MAP NO. 10282 112.0 = EXISTING ELEVATION SCALE 1" = 100' Wott JOB NO. 99-0333 =k O I (112.0) = PROPOSED ELEVATION, DWG. NO. 990333 O 3g • s l ... -- - - - - i y I II'i'I ��I S W j 11I r r ,I v _ If copper tubing Is used r- distributing- - r wort-r 9 ' - . , PI_UI ,G .t 1rr , hall be ., e f ' rL .A . Y I'D � ,bTE Oft types K or L only . ,,- Y &NIA,:L, CED .{ \ ALL � i � ii .1 �' - - - -- \ •I +I - UNDERWRITERS CERTIFICATE TESTING nu "-RING 'I REQUIRED V-? '+SNITEDPLUM9'ER CERTIFICATION � onTaBYrr a 6 / RT FCA ON LEAD �OF OCCUPANCY, ?ecm n nl, IL 4, ei FUR E SOLD. USED IN WATER . Fiil"Y',IBh h lNll\ cCT10NLR ENT ,y ,a - - i - '�` . T. f - - '1 __ 1 6Oli n4, 01• TWO REOUI RED D2�T� LEAD. " ,1 R F'U'd+EO CQ, CRI"TF SUPPLY SYSTEM EXCEE ,'..I 2 ROUGH FRAMING & PLUMBING 3. INSULATION LL - _ ST 4. FINAL - CONRUCTION IVL:ST �m•. BE COMPLETE FOR Cn ALL CONSTRUCTION s, MEET PROVIDE OPENINGS FOR I- - - + i I ,.__+ - . r.__ -_ THE REQUIREMENTS OF THF. NY. EMERGENCY ESCAPE AS " .-- —' I . .. - cones. NOT RESPONSIBLE FOR REQUIRED BY PART. 714 OF ROR$ N Y TAT BUILDING CO i STATE CONSTRUCTION & ENERGY pEiION OR CONSTRUCTION ER N.Y. STATE DE. _ IZi I-A 11 11111111 ' . _ II 7 °yCUPANCY OR d E bE IS UNLAWFUL q ATE �U i�'a��I UT CERTIFIC SBF NFI>•Y C��, �a�� FANCY PROVIDE t/4 HR. 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