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Home My WebLink About24143-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25784 Date: 06/19/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1505 ARSHAMOMAQUE AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 66 Block 3 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1997 pursuant to which Building Permit No. 24143-Z dated MAY 20, 1997 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 GARAGE, DECKING AND SCREENED PORCH AS APPLIED FOR. The certificate is issued to HARRIET E WOODRUFF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0060 06/11/98 ELECTRICAL CERTIFICATE NO. 18257 02/25/98 PLUMBERS CERTIFICATION DATED 02/25/98 NORTH FORK PLUMBING i C A/ 6at-1, Buildi g Inspe or Rev. 1/81 FORM NO. * 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) N° 24143 Z Date .......... ... ..... .. .................... 197 Permission is hereby grant to* Po.. . .. ................................................ ............................................................................... roP. .. .. .. .( ....... .. . ........... .. ... ........... Q7�1.�. . ... ..t+l-df••.. ... .. .. ........ .. ..Y.,�l r�. lP .. .............. .................... .... %.......... . .............. .. .... ... .. .. . at premises located at ....../ -a.. '�. .... . .. ......... ... ... /....... County Tax Map No. 1000 Section ........... ... Block ............. (��Lot No. ../j.................. pursuant to application dated ........... /�................ 19./.../.., and approved by the Building Inspector. Fee 5..6..K!.C... ... .. .. ...... . .... ............ Building Inspect Rev. 6/30/80 Form No- 6 0building ' O�lTOWN OF SOUTHOLDOBUILDING DEPARTMENTTOWN HALL ��p765-1802APPLICATION FOR CERTIFICATE OF OCCUPANCYPT. �iUTThis application must be filled in by typewriter OR ink and submilding 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 12 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. 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. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions toodwellry ing $25$25.00, Alterations t to accessory buildinn, $25.00. pool Businesses $50.00. Additions to accessory $ $ 2. Certificate of Occupancy on Pre-existi2g Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy -- $50.00 5, Temporary Certificate of Occupancy -- Residential $15.00, Commercial $15.00 / Date . . . . �,�/5�9 . . . . . . . . . . . . . . . . . . . . . . . . ea Construction. , ./ . .. . . Old OrdPre—existing Building. . . . . . . . . . . . . . . . . I.�0 . . ../��S�Af''OM�AV/J. .A�fL.. . . . . . . . .. . . . . • .� .N'Y:. . .IJ ycatton of Property. . House No. Street Hamlet .. , , ewer or Owners of Property.. . . . . . . ounty Tax Map No 1000, Section. . . . . . . 66 Block. . ?. . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . ubdiviszon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . . •Applicant. . . 1�r?h! .'-. �✓OdD2✓F`. . . . . ezmit No. -Z` �� - • • Date Of permi.t. . . . . . ealth Dept. Approval. . fl.14 :•9s�'•99-b0 - • • . . . . -Underwriters Approval. . . . - 'Zs7 . . . . . . . . . . . 'lanning Board A.pproval.. . . . . . . . . . . . . . . . . . . . . . . . <equest for; Temporary Cettifi.cate. . . . . . . . . .. Fina]. Corticate. . . . . . . . . . . Jin' C.* /J—y (� �� G� APPLICANT 1 V E i i..q RLt>G.DIzFs• %•� gUF"r04 O 1 Town Hall, 53095 Main Road uD _ = Fax (516) 765-1923 P. O. Sox 1179 Tele none (516) 765-1802 Southold, New York 11971 c y �1p1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 2-25-98 Building Permit No . 24143 Owner: Mr. Bruce Woodruff (please print) Plumber: North Fork Plumbing & Maintenance (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P_u ers Signa ure) Sworn to before me this day of 19 /-"p Notary Public , County JOYCE M.WILKINS Notary Public,State of New York No. Expires Suffolk, 19 Term Expires June 12, 18.�% ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE - EAST PATCHOOUE,NEW YORK 11772`. (516)286-6642' 18257 DATE:" 2/25/98 APPLICATMN No.ON FILE ` VILLAGE: Southold TOWN' Southold ADDRESS., 1505 Anehamomaaue Avenue ISSUED TO: Bruce Woodruff - R0P0DUCEvsY. ' Nick's Electric LICNa:' -'41d4E was eramfned on. 2/25/98 sand found to be in compliance nnth the National Electrical Code LOCATION. Base.. kc' Ist .�xx 20 3rd ' - Attie .zx Det.Garage " Hot Tub - - Pool SW/TCHES RECEPTACLES I FIXTURES F, `HEATERS FANS GEL AIR,COND. 59 59 ' 1, 72- - ;2-paddle 10 DISHWASHER DRYER 'CLOTHESWASH." .GAR.DISP. RANGE OVEN SMOKEDETECTOR 20Amp. ,, 30Amp. 20AMA 7-loW voltage FURNACE OIL I GAS C/R. _' MOTORS - BELL TRAN. SERVICE DISCONNECT-- , 6 f 1 naam nn�s muss I 200 UG OTHER ' EQUIPMENT - Outside,Res. - r; 3-heaflalnps . 1-steam generator 7.5 kw 1-whole house fan 1-hood 1-20Amp. whirlpool '3-air handlers 20Amp, ea.for a.c. , 1-50Amp. cbmpressors for ac.,2-20Amp. compressors for a c - HUGOS. SURDI - PRESIDENT BUILDINGPERMITNo. L wA6wemus uot4a% aedv anrmmma - LupecmrsmaYbeidaitifiW by thaz aedertials BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE. L' I � I i I \ ....tom..,, •�' - `�� _ ��i ii,,:v .�i,... Y ✓/ .WA PV , Vii!/.� /✓i �� l% ` � �� o��SpFFO(,�Co G%-k Town Hall, 53095 Main Road y Fax (516)765-1823 P. O. Box 1179 %J. nx Telephone(516) 765-1802 Southold, New York 11971 e) • �� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 19, 1998 Patricia A. Moore, Atty P.O. Box 483 Mattituck, N.Y. 11953 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 \ XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 24143-Z (WOODRUFF) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. PATRICIA C. MOORE Attorney at Law 315 Westphalia Road P.O.Box 483 Mattituck,New York 11952 Tel:(516)298-5629 Fax:(516)298-5664 June 10, 1997 BY HAND Southold Town Building Dept. Southold Town Hall Southold, NY 11971 Re: Woodruff Dear Ladies/Gentlemen: Enclosed please find a foundation survey print for the Woodruffs. Very truly yours, Patricia C. Moore PCM/mr Enc. f101gUFr'OC 0G Town Hall, 53095 Main Roaa Z w - _ Fax 1,516) 765-1823 P. O. Box 1179 �`�� r Teleonone 1516) 765-1802 Soulnold, New York 11971 - y 0\- ''9 ,a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 2-25-98 Building Permit No . 24143 Owner: Mr. Bruce Woodruff (please print) Plumber: North Fork Plumbing & Maintenance (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 1 / (P-u ers Signature) Sworn to before me this G day of -R 19 Notary Public, Countv JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Term Expires June 12, 19. % ROBERT H. WHELAN, P.E. P.O. Box 590 • 160 Bungalow Lane Mattituck,NY 11952 • 516-298-5770 February 25, 1998 Town of Southold Building Department Main Road Southold,New York 11971 Att: Mr. John Boufis Re: New Residence Mr. Bruce T. Woodruff 1505 Arshamomque Avenue Southold,New York 11971 Permit No. 24143-Z Dear Sir: Pursuant to our conversation this date, with reference to the above, on Tuesday, February 25, 1998, an inspection of the existing support beam in question was performed. The purpose of the inspection was to determine if the four one inch diameter heat pipe penetrations of the built up laminate girder would compromise the beams ability to support the intended load. Because the penetrations are centrally located with reference to beam depth and the beam carries limited loads from above, it is my professional opinion that the as-built construction is in general conformance with the New York State Building Code. Thank you for your time and cooperation on this matter. If there are any questions relative to the above please do not hesitate to call. �()F NEW H. .0 ery ly You s; obert H. Whelan, P.E. dtVQ 6140 hOFEssloN�y cc: Mr. Tom Gabrielsen D � d 2.6 'in i, BLDG.DEPT. N F UT - D ARFAr18.49eglttoSo kffMWOM ,.W313A'IOUYMM 1WW ttttdmAnxLA p - .CWTATF& E MlW,9WAiW N1_C y7ptf A DLYF CERTEIED TP Tt A11FlaSW Awr.moi[a• of SO" JA�O CE KE✓IKER - rloc�tT in 84a LAa teoe 7Y.1®WeT' PECQK ABSTRACT, AY- = 9r.eh JWALL 3R�flD4�INlMWA MY L .33.333 -: A 9IPYEYOAS rte sA/AS T_AM:W'AW I �w r 89 FIPWIE'A$M7Tx lMUM DM i}EL 9j3• m IA ` O � '. �- oo CD�� N m 'of JA IN, 00 '`� ��;>>'�� •19" r+`� jet �� , f a, T SRVEy /f LOT t9 P OF ON MATES'! - �•`i 1�^' , \ 4OT ply' 7f, 6i 174E "TR{2 flFiW MM R 1946 6� -:AT SOLD -IN MW OF SOUTHOLD 1" 301 The hr=clione d roes*w,4 e•-vM i7 $C BEM 9Swim heTeaa ae km So oe•servahau �. 19� and or ban dale ohhaed frau other %1�OF.i:-t'�f1�!s,� 9dFYK7C TrKAM 4�AV= -- fJc• �+• 11.37 .. - <3-�1` 1+FD'.V� t Felt t�T511'Ad.CF'^., [7i±Gf17ffi .Y i TC ,� a.TAa R1 ice)' ilal: 7. ➢iY S K. N0. 49618 �i E( ie xE �ERt ay /�' 'C. fEcaw ASS..mc?fY t77 JG2 3 attE At$.K+. .:1 +Wa em STA% iS FCS A1ViiL _ LAAO-CW OF 51� _ S'� !G - LSYSTf4lS FMSNSE fAMCY hrA a eb v�x Board Of Southold Town Trustees SOUTHOLD, NEW YORK DATE: . 6/29/95 ;PERMIT NO. ISSUED TOINIA CROPPER & CECELIA KEMPLERVIRG — ns of Chapter 6 Pursuant to the provisiO 15 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance an titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the ti REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 6/29/95 786.00 paid b 19. 95 , qnd in consideration of the sum of $ y Matthew, Me .Kiernan for,,V. CROPPER 8, Q,_KEMPLER... N. Y. and subject to the 1� k"; of .... Southold Terms and Conditions listed on the reverse side here-of, M of Southold Town Trustees authorizes and permits the following. III 1 1?1 Constr. a single family dwell. a 3' X 25, catwalk, a 31 141 X Ati float & a 61 X 201 float. All as per ramp leading to a 41 X 51 amended suvey dated 6/5/95 t all in accordance with the detailed specifications as presented in N the originating application. IN WITNESS WHEREOF. The said Board of Trustees hfere- by causes its Corporate Seal to be affixed, and these presents to Ij be subscribed by a majority of the said Board as of this date. Ln ............ ............. Trustees ln2Z �gUFFt7(c dbert J. Krupski, President �O� OG Town Hall 0 11 Holzapfel, Vice President c y� 5309.5 Main Road !� William G. Albertson y x P.O. Box 1179 Martin H. Garrell O Southold, New York 11971 Peter Wenczel y'flp� �.DO0 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD f June 30, 1995, Matthew Mc Kiernan P.O. Box 1637 Southold NY 11971 Re: VIRGINIA CROPPER & CECELIA KEMPLER SCTM #66-3-9 Dear Mr. Mc Kiernan, The following action was taken by the Board of Town Trustees during its regular meeting held on June 29, 1995 regarding the above matter: WHEREAS, Costello Marine, on behalf of SUSAN NORRIS, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 11, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 29, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, i 'i NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of VIRGINIA CROPPER & CECELIA KEMPLER to construct a single timber clean familyfill, an31 Xa2580catwallk, au3khXad4wiT pppleading 0to a 4�f X 5 ' float leading to a 6 ' X 20' float. All as per amended survey dated 6/5/95. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issged within six months of the date of this notification. 740 inspections are required and the Trustees are to be notified upon completion of said project. FEES: Catwalk: 3 ' X 10 ' = 30 ' X $3 = $ 90 Ramp: 3 ' X 14 ' = 42 ' X $3 = $126 Float: 4 ' X 51 - ' $ _ $ 60 Float: 6' X 20 ' = 120 ' X $3 = $360 TOTAL DUE: #636 Very truly yours, Albert J. Krupski, Jr. i President, Board of Trustees AJK/djh cc. CAC DEPARTMENT OF THE ARMY PERMIT Cecelia Kempler and Virginia Cropper, Permittee..P.O. Box 463, P nni New York 11958 Permit No.100- 95-04060 Issuingoffice- New York District, Corps of Engineers NOTE: The term "you" and it- derivatives, as used in this permit, means the permittee or any future transferee. The term I "this office" refers to the appropriate district or division office of the Corps of Engineers having jurisdiction over the permitted activity or the appropriate official of that office acting under the authority of the commanding officer. You are authorized to perform work in accordance with the terms and conditions specified below. Project Description: Construction of timber piers, ramps, floats and/or mooring piles for non-commercial purposes, as shown in the attached drawing(s), subject to the General Conditions of this document and Special Conditions attached herewith. Project Location: In navigable waters of the United States within the geographic boundaries of Nassau and Suffolk Counties, in the State of New York Permit Conditions: General Conditions: 1. The time limit for completing the work authorized ends on June 7d 109E , If you find that you need more time to complete the authorized activity, submit your request for a time extension to this office for consideration at least one month before the above date is reached. 2. You must maintain the activity authorized by this permit in good condition and in conformance with the terms and condi• tiOnS of this Permit. You are not relieved of this requirement if you abandon the permitted activity, although you may make a good faith transfer to a third party in compliance with General Condition 4 below. Should you wish to cease to maintain the authorized activity or should you desire to abandon it without a good faith transfer, you must obtain a modification of this permit from this office,which may require restoration of the use. 3. If you discover any previously unknown historic or archeological remains while accomplishing the activity authorized by this permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordina• tion required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic Places. ENG FORM 1721,Nov 86 EDITION OF SEP 82 IS OBSOLETE. (33 CFR 1145-2-303b (Shelter Island Sound - Cecelia Kempler and Virginia Cropper 330) Pier Assembly ) 1 4. If you sell to .` and forward a copy associated opy of hwith this permit , Permit to this office to You must obtain th validate the t e signature of the 6, !f a conditioned water r8nDfer of this authori new°weer its the In the certfficatfon as quality certification hss nation. •Pace provided tains such special conditio been issued for your conditions, ns to this Permit, For project, ° your Convenience, Y °mus!comply with the conditions u being representatives this a copy of the certtffcation (s attached P tctfnd 5' YO Blow r that It Is g or hss ss from office to (ns it co been accomplished in acco pMt he authorized rdance with thed Conditions at any time deem SPecid Conditions; teerps and e°ndltfons of ed nec your permit. essary to emote SEE ATTACHED SHEETS FOR SPECIAL CONDITIONS f ( Further information: 1• Congr2sslonal Authorities: You have been authorized to undertake the activity described above Pursuant to; of 1599(93 (X) Section 10 of the Rivers and Harbors Act ( ) Section 404 0 U.S.C.403), t the Clean Water Act(33 U.S.C. 1344)• ( ) Section 103 of the Marine Protection,Research and Sanctuaries Act of 1972 2. Limits of this authorization. (33 U,S,C, 1413), e. This Permit doss not obviate the need to obtain other Federal,slate,or local authorins required by taw, b, This Permit does not grant any pro natio party rights or exc)wive priyleges. C' This permit does not authorize any injury to the Property,or rights of others. d. This permit does not authorize Interference with any existing or Proposed Federal Liability.In issuing this permit the Fed Project. a. causesDameges to the permitted project or uses thereof a result Crovetament does not assume any liability for the following; sof ssof oche r Permitted or unpermitted activities or from b• Damages to th of the United S e permitted Project or u m natural States in the public interest, see thereof ss a result Of current or future c. Damages to persons, activities undertaken by or on behalf authorized by this Property. or to other Permit. Permitted or "Permitted activities or structures caused by the activity d. Design or construction deficiencies associated with the'permitted work. 2 M e. Damage claims associated with any future modification,suspension,or revocation of this permit, 4. Reliance on Applicant's Data: The determination of this office that issuance of this permit is not contrary to the public Interest was made in reliance on the Information you provided, 6. Reevaluation of Permit Decision. This office may reevaluate its decision on this permit at any time the circumstances warrant.Circumstances that could require a reevaluation include, but are not limited to,the following: A- You fail to comply with the terms and conditions of this permit. S b. The information provided by you in support of your permit application proves to have been false, incomplete, or Inaccurate(See 4 above). c. Significant new information surfaces which thin office did not consider in reaching the original public interest decision. Such a reevaluation may result In a determination that it is appropriate to use the suspension, modification, and revocation Procedures contained in 33 CFR 326.7 or enforcement procedures such as those contained in 83 CFR 826,4 and 826.6. The referenced enforcement procedures provide for the issuance of an administrative order requiring you to comply with the terms and conditions of your permit and for the initiation of legal action where appropriate. You will be required to pay for any corrective measures ordered by this office, and if you fail to comply with such directive, this office may in certain situations (such as those specified In 33 CFR 209.170) accomplish the corrective measures by contract or otherwise and bill you for the cost. 6. Extensions, General condition I establishes a time limit for the completion of the activity authorized by this permit.Unless there are circumstances requiring either a prompt completion of the authorized activity or a reevaluation of the public interest decision, the Corps will normally give favorable consideration to a request for an extension of this time limit. This permit becomes effective when the Federal official,designated to act for the Secretary of the Army,has signed below, _ Zll�JaA4..�� Z$7 a4164 (DISTRICT ENGINEER) (DATE) R. M. DANIELSON Colonel , Corps of Engineers When the structures or work authorized by this permit are still in existence at the time the property is transferred,the terms and conditions of this permit will continue to be binding on the new owners)of the property.To validate the transfer of this permit and the associated liabilities associated with compliance with its terns and conditions,have the transferee sign and date below. (TRANSFEREE) (DATE) 3 <u.S GPO 1906-520ae4 r �I DEPARTMENT OF THE ARMY • ' "/y+ NEW YORK DISTRICT, CORPS OF ENGINEERS - _ JACOB k. TS FEDERAL NG NEW YORK,RK. N.Y. 10278-00800090 REM.Y TO April 13, 1995 ATTENTION OF Regulatory Branch SUBJECT: Department of the Army Permit No. 10GP=95-04060 Cecelia Kempler & Virginia Cropper C/O Mattew McKiernan P.O. Box 1637 Southold, New York 11971 Dear Ms . Kempler & Ms. Cropper: We have completed our review of the above application. From the information submitted it appears that the proposed work is authorized by our General Permit for Non-Commercial Mooring Structures (NYDGP-10) a copy of which is enclosed. Your work should be performed according to the conditions of this General Permit . Please display the enclosed Notice of Authorization sign at your work site . A copy is enclosed for your records . You are required to submit to this office the dates of commencement and completion of your work. Enclosed are two forms for you to use to submit the required dates . Notice is hereby given that the permittee should recognize that a possibility exists that the structure permitted herein may be subject to wave wash from passing vessels . The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structure permitted herein and the safety of boats moored thereto from damage by wave wash and the permittee shall not hold the United States liable for any such damage . It should be noted that this permit does not relieve you of the obligation to obtain any State or local approvals for your work. If, for any reason, a change in your plans or construction methods is found necessary, please contact us immediately to discuss modification of your permit . Any change must be approved before it is undertaken. Sincerely, A* J ES W. HAGGERTY C ' ef, Eastern Permits Section Enclosure z �f Q-SN DAY New York State Department of Environmental Conservation 1s Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone (516) 444-0365 Z m Fax # (516) 444-0373 AMENDMENT TO PERMIT 2 Date: Ilei Date: AO�MENTAV QP�� V ( ("G r W ( c� C r U �^ r Mirhaei 0. 2ea J gatm Commissioner Ce I k � Y^ Re: Permit No. & Location: v 3d q6 -3 /u `� lY9Sd� pie C, c� VlrrrNl�( CYO��Q (^ -CeC 14 KPOV)�P1^ Sa u I h LLYJ Dear Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. The expiration date is extended to >,-><- Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: J�,. Loci �C a h '-P--yc S f-r rO ca f,,vu ( 1<) Oct r,1 P e< x '4 -( /oa t /o f f- 0-r J Y71 P S O U I-e, r'P f-L ( ( I N e At—U ej e saY( be ca\ c(a-, o w yr1 � � �< t� aclod / 5 bFc ez jo r U,ed /c N da f-e d y/-7/53 I A-0- O P Vc Se This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Ver tr y yours, Pe it Administrator cc: S� PiI hPw 0�< u� �t � f�rJ IDUu Sfjr Soto' �Q 0-"U T H 0 L-V V TE; 1"?.r Flo 5,yel A 4 lb/, Lontitnq cc /V/d !0 u r it 0 L D 4 r! SAY :r 2 01995 NysDEC Regulatory Services 'Jarts I, CIZOSS t ALw nr D(yX pvxpo-fl:g To dt e.'C.A.7-.14 TRP I AILTIMS ull C- -5. SeVf if Icco-44•C,3-III t —V (N A17JAC99r DwAlOrS �0 Lr 7 tD ITi 0 kj :n , 1 8.1 I'll it D 0', u Q 4r,-�A I IC -Z rn 7 2L PROPOSED HOUSE) r-o,6-7 026CELIA g6mr-)t-,52 A,10 0961AIA C90V 01q PgTf l'S P0,QD RSl PMO 0 AT 50(J-040�J ) 7w i' New York State Department of Environmental Conservation 4tH DqY �� s Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone )516) 444-0365 z Fax # (516) 444-0373 t. Michael D. Zagata July 5, 1995 Commissioner Virginia Cropper & Cecelia Kempler P.O. Box 463 Peconic, NY 11958 RE: 1-4738-01116/00001-0 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, Marilyn E Peterson Environmental Analyst I MEP:cg enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01116/00001-0 July 5, 1995 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental July 31, 1998 Conservation Law I� TYPE OF PERMIT New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608; Water Quality ❑ Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 11 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Virginia Cropper 8 Cecelia Kempler ADDRESS OF PERMITTEE P.O. Box 463 Peconic NY 11958 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Matthew McKiernan P.O. Box 1637 Southold NY 11971 NAME AND ADDRESS OF PROJECT/FACILITY Cropper/Kempler Property Arshemome ue Avenue LOCATION OF PROJECT/FACILITY Southold COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Pett s Pond Cess PTIM CF Pl1WMIZED FCrIVITY Construct a 31 x 251 fixed catwalk, 31 x 14' ramp, and 61 x 20' float. The proposed single-family is beyond Article 25 (Tidal Wetlands) jurisdiction as per survey by John Metzger dated 12/19/94. All work shall be in accordance with the attached NYSDEC approved plan. 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) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATUREDATE July 5, 1995 Page 1 of 4 A.-NN�(719'2)-25, ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Parl 608 ( Tidal Wetland 9 That if future operations by t11C State Of New York require an al- ) terotion in the position of the structure or work herein authorized,or other environmentally by materials associated with the if, in the opinion of the Department of Environmental Conservation project. it shall cause unreasonable obstruction to the free navigation of said 13 Any material dredged in the prosecution of the work herein permitted waters or flood flows or endanger the health, safety or welfare of shall be removed evenly,without leaving large refuse pdes,ridges across the people of the State, or cause loss or destruction of the natural the bed of a waterway or floodplain or deep holes that may have a resources of the State,the owner may be ordered by the Department to tendency to cause damage to navigable remove or alter the structural work, obstructions, or hazards caused channels or to the banks of a waterway thereby without expense to the State, and if, upon the expiration or 14 There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other orizd modification of the watercourse hereby authorized shall not be com- 15 If upon thein e expiration or revocation of this permit, the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all orally portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10 That the State of New York shall in'no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- orinjurytothestre orworkheremauthonzedwhichmaybecaused subject project will not by or result frommfuture operations undertaken by the State for the mental Conservation hereby certifies that the conservation or improvement of navigation,or for other purposes,and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. (PL 95-217Sections 01,Provided 303, 306 and the o the Clean Water Act re 197 met 11 Granting of this permit does not relieve the applicant of the res onsi- )provided that all of the conditions listed herein are met bility of obtaining consent p 17 All activities authorized by this permit must be in strict conformance the U S, Army Corps of Lnlgineers ltU S Coast Guard,rapproval from New York State with the approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required, of tate permit application 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by Matthew McKiernan of any wetland or waterway by suspended solids, sediments, fuels, dated 4 7/95 reV1St solvents, lubricants,epoxy coatings,paints,concrete, leachate or any --- on 6/5/95 SPECIAL CONDITIONS 1• 7DoCks/catwalkS/floats imber catwalk shall not exceed 4 feet in width and a minimum of 3 'Z11 feet above grade* over tidal reas (* as measured from ground to bottom of dock Sheathing) . 2• alks/floats may not (a) be placed so that docked end over adjacent property line, (b) interfere with gon, (c) interfere with other landowners riparian rights. Supplementary Special Conditions (A) through (F) attached DEC PERMIT NUtitUt R 1-4738-01116/00001-0 PROGRAM/tACll.,TY NUMBI R Page 3 of 4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY /% REMA S: --, DATE 317Aq INSPECTOR �� 7'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CCHIMNEY/ RE7M2ARS: . DATE 3 to INSPECTOR 2� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUG LOG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ^ DATE� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEYY REMARKS: 4��e tzg �- DATE � �8 �� INSPECTOR M-1802 BUILDING INSPECTION • . • • INSULATION FRA a FINAL � - ✓_.,_ fF� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: Ja 1n= 4- DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST ROUGH PLOG. 0U NDATION 2ND INSULATION FRAMING FINAL FIREPLACE CHIMNEY REMARK ek DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ) FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 42 C- DATE INSPECTOR 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A C IMNEY REMARKS: lDATEOle-- DATE INSPECTOR New York State Department of Environmental Conservation �y�SN oAr1s Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone (516) 444-0365Z 'A Fax # (5 161444-0373 AMENDMENT TO PERMIT i 2 Date: �O�MFN7A1.Q�� U IW 7 Cl CrO 4 V '�' f` Michael D. 2agata b Commissioner Ce0 e 1( `l 'pp Re: Permit No. & Location: Pe< u-AiC� , N `/ lr9Sd� \\llr'gjNiC`_OWer -Cece (i� k'emcle � SOU � kd l cbU 1 71 Dear Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. The expiration date is extended to >� Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: r e Luc,, �c a vi �eNlsi vcr ca.ft,)& ( ,< � � I , � a rn� �t x A floc o J ro� eri ( 1rv2. W 1' Y-fi,��U Z O f-P� f— or Y1a Y� s o u Y-c. J ,4 wd/ � s {.a !( toe r .v accv� � w e � ter' *� file cc.iluc � pci N( be C- �( ro a) do- This ls This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Ver tr y yours, Pe it Administrator J714lcc: SlP�hc� w 5000' /�/o J R toT H 0 L-D>�-�; 0 TE; ............ -7 x '71*J 5 F4 u n e.4-rcfl L4br C�k, Pop ono• /V cc Slo U 0 L D BAY 01995 NYSDEC Regulatory Services IL p ALW IVIVI T15 DtYK IPLr S. VI PLT1,066001) d.0 eX-A.Tr. ATEP C- 5, rg�UCCT �W(Allolj� d SCTl if jCCo-44-0 3-09 i yr J AUJA'4:14 r OW4"S 1) 1),4 41CA40 W IC Z '4 2)3,. mexi-rs 2 tc) Rev 8V If! It C'el Q 4,r"j A 11C '0.C It 6� f if ilAea Ile (Jr 7 OS P90POSED 14OUSE) A110 -A2'00 It.M�N 1CgoppE/ 0�1 PE17YS PMP 1\ 0 AT 5OLTI 0. -404J) SUFFOLK CO.,/JY I OF New York State Department of Environmental Conservation �11N Dgr�s Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone (516) 444-0365 z Fax # (516) 444-0373 4 2 TA1. Michael D. Zagata July 5, 1995 Commissioner Virginia Cropper & Cecelia Kempler P.O. Box 463 Peconic, NY 11958 RE: 1-4738-01116/00001-0 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, MarilynPeterson Environmental Analyst I MEP:cg enclosure • NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE ' 1-4738-01116/00001-0 - July 5 1995 FACILITY/PROGRAM NUMBERS) PERIT EXPIRATION DATE(S) Under the Environmental July 31, 1998 Conservation Law TYPE OF PERMIT lNew 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: floodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers 0 Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Virginia Cropper & Cecelia Kempler ADDRESS OF PERMITTEE P.O. Box 463 Peconic NY 11958 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Matthew McKiernan P.O. Box 1637 Southold NY 11971 NAME AND ADDRESS OF PROJECT/FACILITY Cropper/Kempler Property Arshomoma ue Avenue LOCATION OF PROJECT/FACILITY Southold COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Pett s Pond DESMIPTIM OF A 11-MIM ACTIVITY Construct a 31 x 251 fixed catwalk, 31 x 141 ramp, and 61 x 201 float. The proposed single-family is beyond Article 25 (Tidal Wetlands) jurisdiction as per survey by John Metzger dated 12/19/94. All work shall be in accordance with the attached NYSDEC approved plan. 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) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR. ADDRESS Roger Evans Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE � DATE July 5, 1995 Page 1 of 4 Inspections 1 . The permitted site or facility, including relevant records, )s subject to in- spection at reasonable hours and intervals by an authorized representative of the Department of Enviromental Conservation (the Department) to determine whether the permittee is carplying with this permit and the ECL. Such represen- tative may order the mrk suspended pursuant to ECL 71-0301 and SOPA 401 (3) . copy of this permit, including all referenced maps, dravings and special conditions, crust be available for inspection by the Departrrent at all tines at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Flenemis 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the CCL and pertinent regula- tions is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) enviromantal conditions, relevant technology, or applicable lav or regulation have rraterialIy changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for reneneI , rrndificat ion or transfer of this permit. Such application crust include any forrrs, fees or supplemental information the Department requires. Any renenel , mrodification or transfer granted by the Depar ment mut be in writing. 4. The permitteerrust submit a renenel application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (Sim) , Ffazardous Waste Nbnagerrsnt Facilities (WWF) , rrejor Air Pollution Control (APC) and Solid Waste Nhnagement Facilities (S VF); and b) 30 days before expiration of all other permit types. 5. lhIess expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other Legal CbIigat ions of Pemrittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by wherever suffered, arising out of the project described in this permit and has agreed to indemify and save harmless the State frau suits, actions, damages and costs of every name and description resulting frau this project. 7. 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 =rk nor does it authorize the inpa i mient of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-my that may be required for this project. Page 2of 4 99-20 6a p)92)-25e Tidal Wetland ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the terdtion in the position of the structure or work herein authorized, or project if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14 There shall be no unreasonable interference with navigation by the work revocation of this permit, the Structure, fill, excavation, or other herein authorized modification of the watercourse hereby authorized shall not be com- 15 If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration New York on account of any such removal or alteration. 10 That the State of New York shall in no case be liable for any damage 16 If granted under 6 NYCRR Part 608,the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage (PL 95-217)provided that all of the conditions listed herein are met 11 Granting of this permit does not relieve the applicant of the responsi- 17 All activities authorized by this permit most be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S Army Corps of Engineers, U S Coast Guard, New York State of the permit application. Office of General Services or local government which may be required Matthew McKiernan 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by of any wetland or waterway by suspended solids, sediments, fuels, dated 4/7/95 revised on 6/5/95 solvents, lubricants,epoxy coatings,paints,concrete,leachate or any SPECIAL CONDITIONS 1. Dock or timber catwalk shall not exceed 4 feet in width and shall be a minimum of 3'h" feet above grade* over tidal wetland areas (* as measured from ground to bottom of dock sheathing) . 2. Docks/catwalks/floats may not (a) be placed so that docked boats extend over adjacent property line, (b) interfere with navigation, (c) interfere with other landowners riparian rights. Supplementary Special Conditions (A) through (F) attached DEC PERMIT NUMBER 1-4738-01116/00001-0 PROGRAM/FACILITY NUMBER Page 3 of 4 SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, scenic, and Recreational Rivers 'Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. 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 the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC Permit No. 1-4738-01116/00001-0 Page 4 of 4 SUFFOLK Gfi 144;6571-Pom MAP 26 / J -21 C-10'FLOAT e "ii :.. •:{:�; / �:X•` ?''•• 6G10A7 ' i ' fi 4 �• — E 3'.14'RAMPi AK `rr, c `;,s el 'JJJ}''.75• p,,p �fFls&D4 F / ,• ',' �5✓,.°..6•d IS Mme\'. LaF.nucng w p i ro oSOUTHOLD .£�I'r BR Y 43 vt •N . E G L Q F ET 3� N T a DE c g' o x 4o LL o¢� APPROVRti D AS 1' R TERMS, 1711 - 1 N L NDC IO:'s OF A a �,. I. I AlojeSDAT'E �e I l81f y: I.DATUM'Plj n .G.V•D.)CROSS°ALW IZ cv 1 �4 2.PVRp"'e;. PRIVATE DXX 3. AliTIMUA-M BE e.C.A.T?.�kTED IN G -W- 5•PQOJECT 4DCAT70AR(No$1)AR5//AMOM044W AVE. S(TM#/000-66-03-09 ADJACENT 0WAIERS 2)S .VICKLE$ USED O + 15 tou _4 tA a Kl IS�e�lsIoki 19 — - Jr- ys' o �P��o,s I /. �FMo p avlldhc�ld ;, � � a•ChaNf � CgT�,grlc ` �^ � I MA-rthetd M(el erNjtit) > "J♦�, v E 2.85. —- v FAOPOSED HOUSE . . ANl ` b li-- p2.p6'� � e N• = DY-K FoQ CECEUA KEMPI-EA AND ARso,O MPQv�Q V1961AIIA CROPPED N PEVYS Po10 pT 500-N04JDI SUFFOLK C0•)/JY 61-I ECT I OF 1 �17 I95 TITLE NUMBER: 9608-0167-0308 V A R I A N C E S E A R C H COUNTY OF SUFFOLK) SS : STATE OF NEW YORK) JEANNE ANSTETT, BEING DULY sworn deposes and says: That she resides at 386 Marcy Avenue, Riverhead, New York and is over the age of 21 years and that she is the Office Manager of PECONIC ABSTRACT, INC. , and that under her direction title was examined to the parcels of land described on the annexed schedules . That said examination made to include 4/13/97 and said town to disclose if subject premises is in fact single and separate ownership as appears from the chains of title annexed hereto and that the effective date of the applicable Zoning Ordinance is 7/l/83 . And that this affidavit is made to assist the Board of Zoning Appeals of the Town of SOUTHOLD and to reach any determination which requires as a basis therefore the information set forth herein and knowing full well that said Board will rely upon the truth thereof . PECONIICo ABSTRACT, INC. BY JEANNE ANSTETT OFFICE MANAGER SWORN TO BEFORE ME THIS 2ND DAY OF1997 NOTAR PUBLI STEP P.SP NBUew Notary P lic Sta of New York No.OISP-4906864,Suffolk County Commission Expires Oct.5,1997 a SUBJECT PREMISES 1000-066 . 00-03 . 00-009 . 000 BENNETT DEBEIXEDON DATED 4/22/33 to RECORDED 4/27/33 GRACE ROGERS DEBEIXEDON LIBER 1709 PAGE 579 GRACE ROGERS DEBEIXEDON DATED 1/9/95 n/k/a GRACE R. LEWIS RECORDED 1/18/95 to LIBER 11711 PAGE 73 VIRGINIA E. CROPPER CECELIA KEMPLER VIRGINIA E. CROPPER DATED 1/8/97 CECELIA KEMPLER RECORDED 1/22/97 to LIBER 11812 page 168 HARRIET E. WOODRUFF LAST DEED OF RECORD SWORN TO BEFORE ME THIS PECONIC ABSTRACT, INC. 2ND . DAY OF M�997 BY JEANNE ANSTETT NOTAR PUBLIC OFFICE MANAGER STEPHE SPAN URGH Notaryy Pub State of New York No.O1SP-49 864,Suffolk County Commission Expires Oct.5, 1997 SOUTH OF SUBJECT PREMISES 1000-066 . 00-03. 00-010. 000 JOHN J . NICKLES DATED 1/9/70 to RECORDED 1/9/70 JOHN J . NICKLES LIBER 6688 PAGE 20 KATHRYN L. NICKLES JOHN J. NICKLES DATED 8/26/87 KATHRYN L. NICKLES RECORDED 9/8/87 to LIBER 10412 PAGE 232 JOHN J . NICKLES LAST DEED OF RECORD SWORN TO BEFORE ME THIS PECONIC ABSTRACT, INC. J � �� 2ND. DAY OF MAY-3 1997 ^za-�� /y „st�L.c, BY (�f l� ` L JEANNE ANSTETT NOTA Y PUBLI SPANB RGH OFFICE MANAGER STEPHE Notary PublState of New York No.OISPA906864,Suffolk County Commission Expires Oct.S,199y NORTH OF SUBJECT PREMISES 1000-066 . 00-03 . 00-016 . 000 GRACE R. LEWIS DATED 2/26/71 to RECORDED 3/3/71 GRACE R. LEWIS LIBER 6894 PAGE 58 JOHN J. NICKLES GRACE R. LEWIS DATED 12/12/94 JOHN J. NICKLES RECORDED 12/28/94 to LIBER 11708 PAGE 195 DAVID CICHANOWICZ LAST DEED OF RECORD SWORN TO BEFORE ME THIS PECONICA�BSTRA�C,T,. INC. 2ND. DAY MAY,�1997 BY � - JEANNE ANSTETT NOTARY PUBLIC OFFICE MANAGER STEP N P.SP NBURGH Notary u lic,Sta of New York No.O1S 06864,Suffolk County Commission Expires Oct.5, 1997 EAST OF SUBJECT PREMISES PETTY' S POND SWORN TO BEFORE ME THIS PECONIC ABSTRACT, INC. 2ND. DAY OFA� 1997 JEANNE ANSTETT NOTARY PUBLIC OFFICE MANAGER STEPHEN P.SBURG "" Public Sta f New York No.01SP-4906864,Suffolk County Commission Expires Oct.5,1997 WEST OF SUBJECT PREMISES ARSHAMAQUE LANE SWORN TO BEFORE ME THIS PECONIC �ABSTRACT, INC. 2ND. DAY OF MAY 1997 BY JEANNE ANSTETT NOTARY P;JBLIC OFFICE MANAGER STEPHEN P.64INBUZH Notary Public,State of New York No. Os CountyCommissionExPa Oct 5, 997 BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . . .. . . . . r TOWN OF SOUTHOLD j/SURVEY . . ... . . . . . . . . . .. .. . . . . . . BUILDING DEPARTMENT /CHECK TOWN HALL ,/SEPTIC FORM SOUTHOLD, N.Y. 11971 ;IAC i APR 16 1.997 TEL: 7e5-1802 NOTIFY* � CALL-79. .��lPj�... . . .. . BLD .p Examined. MAIL TO: . . . ;..._F �c�l � afi� d'�3- ata x Sas' Approved.... 19. .. Permit No. .. .... ... ... �� ................................... Disapproveda/c ........................... ...... .................................... ....................................... .............. .. ... .'�/!L ....... ........ (Building Inspec r) PLICATION FOR BUILDING PERMIT (�. •Date. . . ! .I e?. . . . . 19� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing 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 must be drawn on the diagram which is part of this application. c. The work covered by this application may not be camenced 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 shall 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. APPLICATICN IS }ERM MW to the Building Department for the issuance of a Building Permit pursuant to the Buildiag Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances.or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing coo, and regulkions, and to admit authorized inspectors on premises and in building for necessary inspections. .1 --a.....1........ ............... (Signature of applicant, or new, if a corporation) ................................................... (Mailing address of applicant) State wbetber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. `?B !.lI ....................................................................................... Name of owner of premises ....g C. ... ....H 1 ........ E�66f�.F!Y ......................... .......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. cation of land on which proposed work will be tone... 7.... LoJ1J.... yr o rIX �Q ....lV ...................... .........................................................................................�acc..o�c� ....................... House Number Street Hamlet Canty Tax Map No. 1000 Section C ....... Block ....... Subdivision .. 1„1* ......(�p. yea Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......V. .............nn.................!:,....................... b. Intended use and occupancy .. ...... `. .. . .... ............... JG "Wo ,g1vhf14 ai 6v1pE#ft* ..,�r-:n�imxi rtaiztriatmm",h 7. Knlure of work (check which applicable): New Boildinrg .......... Addition .......... Alteration .......... Repair ....,-.:...... Removal .......... Demolition Other Work . ............ .......................... .,,.,(Description) 4. L+stiuuated Cost .�!Vy.>< .......... fee .............................................. (Lo be paid on filing Cliffs application) 5. if dwelling' nriber of dwelli1Y.l units ............ Umber of dwelling units on each floor ................ ifgarage, amber of care .....,...........I..................... 6.T. IfDimensions of sommer ilor sCr mixed occupancy, specify nature and extent of, each type of use...................... existing r'�es, if any: Front................ Rear ............... Depth ................. height ........................I, Umber of Stories ...................... Dimensions of sane structure wiLh alterations or additions: Front ............... Rear ............... Depth .................... llei�ut .................... Amber of Stories ............... R. Dimensions of entire new construction: Dont ................ Rear ............... Depth ......... lieiglnt ........................'. 1W)er of Stories ..................... 9. Size of lot: Front ...........'I......... Rear .................... Depth .................... 10. Date of Purcliase ..................... Mare of Former (Mier ........................................ 11. Znre or use district in wlnidn pIremises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot he regraded .........I',.......... Will excess fill be removed from premises: YRS NO 14. Nares of Owner of premises ....i....................... Address .............................. Ruane No. .............. llme of Ardnl[ecC ......... ............I.............. Address .......... Muone No. Nam of Contractor ............;....................... Arklress .............Mone No. ....... .................. ....... 15. Is this property within 300 feet of a tidal rwetlandY * YRS .......... ND .......... *1F YES, SO11111H11 MV MiRIIL+S PCRMrf MAY BE IlggfIRM. PLOT DIAGRAM locate clearly and distinctly 11 buildings, whether existing or proposed, and indicate all set-back dimension. From property lines. Give street a i block nnber or description according to deed, and slow street mares and indiczyte wlother interior or corner lot. SIMM Or NU YORK, OOONIY OL K—......... . .......I�.....................being duly sworn, deposes and says that he is Line appl.icaoL (Nath of individual signing contract)i clove ixunrerl, I Ileis Lhe .......................... ........................................................................ (Contractor, agent, Icorporate officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to nuke and file Lhis application; that kill statements conllainned in this application are true Lo the best of his knowledge and belief; and that: Lhe work will be performed in Ile innner set Porth in the application filed therewith. . be/Bose me Lhis ..•.••. rn Lo .�C... . day ...... I ✓J.l. 9. NoLary Indnl .. "W (Signature of Applicant).• YQrN Comm nee Dec.8 punt ,/ ANY AL TERA TION OR T70N TO AREA = 18,417 s . ft. to tie line CONTOUR LINES AND ELEVATIONS ARE REFERENCED OF SECTION 7209 OF Thal AE'W YORK STATE EDUCATION LAW, 4 TG N.a.V.DATUM. EXCEPT AS PER SECT70N 72O9-SIBDIM0N Z ALL CERTF7CA 77ONS O HEREON ARE VALID FOR TVs ANAP AND COPIES THD]EOF ONLY F P CERTIFIED TO: SAD NAP OR COPIES BEAR TIE AAL°RESSED SEAL OF 77E SURVEYOR VIRGINIA CROPPER WHOSE S1NaJAATZARE APPEARS HEREGAc CECELIA KEMPLER \ ADD177ONALLY TO COAF'LY WITH SAID LAW THE TERN ALTERED BY' PECONIC ABSTRACT, INC. MUST BE USED BY ANY AND ALL SURVEYORS UTiLRw A COPY / L 133,333 \ �•, a BR01�TOS 1E-�NOr•IN�Lt4�ANIT�ELAW° AAD OT 108 o SAGA _ O. 73, 00 V e rnJ f �i49 N• �� d9 PP e � 71 a > : a is 4 G 0 lg F �, Ph�Qy7t i o 0 SURVEY .OF �^�� (0� i ilk �eS' ,9cr-•>q LOT 1 V ° oo' W" Ilin9 MAP OF ' b,ow� �s 00' owe -"m 11BEIXEDON ES TA TES" 7� 0 S o� W 1ER '¢nR FILE NO. 1472 FILED MAR. 16, 1946 ( P�BCIC A AT SOUTHOLD APR 12 TO WN OF SOUTHOLD SUFFOLK COUNTY, N. Y. S.G. DEPT. OF 1000 - 66 - 03 - 09 HEALTH SERVICES Scale : 1" = 30' The locations o/ wells ane cesspoo/s � shown hereon are from field observations Dec. 19, 1994 and or from data obtained rnta: otters..,. Mw 15,1995 wgours) a�K'x."♦u � re � 0K. /637 u �F SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFIED TO 7! FOR APPROVAL OF CONSTRUCTION ONLY VIRGINIA CROPPER t > _ CECEL/A KEMPLER 7 > TY—_ _"✓��e S. LIC. NO. 49618 i gR 7 i 6� ,O DATE S z> S. REF. NOX 6�?' 0J{ PECONIC ABSTRACT INC. am familiar with the STANDARDS FOR APPROVAL �'ECONlGE7R S, P.C. AND CONSTRUCTION OF SUBSURFACE SEWAGE l5(6I 765 - / DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESIDENCES c and will abide by the c ndition MANN ROAD s set forth therein and on the P. O. BOX 909 APPROVEDpermit to construct. / SOUTHOLD, N.Y. 1197/ 2/14/95! REVISIONS; Y6- 94- 66 µl SCDHS REF. # R10 95 0060 AREA = 18,417 ft to tie MIAs � �TO� Lames ANn �'A"Om rm ANY c IERArAow F ALIO7rAOW ro 7775 survey a A VIOLA iTM h T'0 ALARV,DA7YAIL OF SEC77oW 7209 QR' TRE AEW YOrMf STA7E Emu mw LAM', EXCEPT AS PER SEC770M 7209-SGBDMSM 2 ALL CERTFJC rAM O hENEON ARE VALD FOR M AAP-AAD COPES 7MERMF ML Y F SAD AAP CW COPES BEAR 77E AFREMM SL'AL OF TIE ROMEYOR ^ P MJ OSE SW nM APPEARS tE7MM O " AAOMMALLY TO COIFLY WN SAD LAW 77E TE7l1R ALTA M BY° MAST 9E USED BY ANY AAD ALL SLIPVEYOW UTL1MV A COPY OF AADT)M 9AMYOR'S AAP. TSW SM AS TIVEMMY AAD '9li0l W-TO-DATE'ARE NOT N COAFUM[E W/TM+ TPE LAN: '�. 1249-13 , K 6,\ P Pa i.i \*\ �� y• 6y�yac I1�3aaH 2 � L-0 MOO ANT � � � �� vv � � v�� v � � 00' -d73 10. q Rio I%: •wq"7, \ @t°/ � p�Pe Zi b is? N t.s ' �2N. , �' .9 8. � 241 \ sS 9A•FF, ti w -O aBio. kp Q � � / . Q F< o. z�. oras - SURVEY OF �9 LOT 19 Vj� �� ri°f �o. r � Yes� borin9 °0, WHifr9 MAP OF 7 D'A"e b% ` ° °° "BEIXEDON ES TA TES" (� d� FILE NO. 1472 FILED MAR. 16 1946 a �2G 1 P`'ol'IC � n A T SOUTHOLD fo TOWN OF SOUTHOLD k` e�_° SUFFOLK COUNTY, N. Y m sc: Comm °zx ct >; Axta ta�x�u rnclav 1000 - 66 - 03 - 09 APPROVAJ,01CC-v49 UC-''-D"C"r-ro70 f Scale : 1" - 30' AS 1X!p,4g;jiVgrSkOENM a locations of wells and spools r. { sh wn hereon are from tie serrations DeC. 19. 1,994 - i } Rd leu.„� an or from data obtained Viers. Date , ��pE tiEt�y ! e 3iAits+R th::>', :+.,r, ,r eeri /AIpRfL 094, 7 The s waw disiScsaS z`iva.et s Y . ” tsa7a t0 '0 S1O N 1 S oaN rem ins�xtz3 snd/cr ce i"izd Gy i°is Pepnnrst et athet+B',:t�i J1JNE 9, �9�7(A'0Ui4 TION 1 4 fr a sf ptyFOR ti i�iQ'/J/ FES 9. Mgt&*J be sa i CERTFfED Tor June, 1, 1998 (driveway) °s Y.Sa L NO. 49618 swyhen A.COMPX-Chid BRUCE T. WHO/O�DpR,UFF 9{WaCef and°vN Nl`.a:lfl>efi1P•IIY HARRIET WOODRUFF ECON VEY' R PECOMC ABSTRACT INC. l am,kmWar wlllt the STAMARDS FOR APPROVAL (5/61 7 ' g �� BR EN:4MPTON NATIONAL BAAMC Ahs CONSTRUCTION OF SLeWWACE SEWAGE S } DISPOSAL SYSTEMS FOR SME FRAY RES/DENC£S F. o. BO and WW ab/de by the car�&IW$ set forth`�efn and on the MA/N. ROAD permit to construct. SOUTHOLD, N.Y. 1/971 2/14/95( REVISIONSI 94-366 l AREA = 18,411 SC] to !I@ X79 CONTOUR L iS AND ELEVA770M ARE REFERENCED ANY AL TOM TON OR AAOITXIN TO THS SLRVEY iS A VKKA7M OF SEC77ON 7209 OF 77E AEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 72094GND/VAM 2. ALL CERTiFrA7XNS O AE7WEOW ARE VALD FOR THS MAP AAD COPES "EFEar OACY F P SAD MAP OR COPES BEAR 77E ANWSSED SEAL Or 77E SI.RVEYOR ^Q0 _ WHOSE SO"nW APPEARS fEREaAL AWTKINWLLY TO COIPLY WIN SAD LAW TIE 7Efnf AY' "ALTERED B &WT BE USED BY ANY AID ALL SLRVEYORS U7XRM A COPY OF ANOTHM&0VEYORS MAP. TEW SLCH AS YKSAECT&V AAD SROLOfT-70-0ATE•ARE NOr!N COA#k 4NCE W1TN 77C LAW. �• D" �• 2 tel \ ��\ � a 69 r ,• 6'� y249• P�P� i.i� `� �''•�, ��l LO T V 0 O Op � 3 • E• pi oo. c °S,� M 5,0' 241•98" 9 °�.r•) Z / n4 _ : " 4/011 9. ' -o 0- �i0� ,�p 9 0. 25.9 . 4`i a• SURVEY OF ��✓ ��s�yo�,�� LOT 19 ��' '`�� '�" ��s_ P.Pf a. �3• oo, oo", w• Eltn9 �±� �_ ,. ��.� MAP OF "BE/XEDON ESTATES.. L OT F1LE NO. 1472 FILED MAR 16, 1946 -1c `"� A T SOUTHOLD TOWN OF SOUTHOLD ' SUFFOLK COUNTY, N. Y. J9' fmld 1000 - 66 - 03 - 09 Scale : 1" = 30' The locations of wells and` shown hereon are from fief Dec. 19, 1994 b ry Ms 7 D 15, 1994 QtEOF PJElyf, and or from data obtained o#rers. s MEric Chir r �. htPRIL-e,''4 �,qgg7'�btSE STmfaes 1 ,o _ Fl JUNE 9, f9971I*0UNDA'TION ! CERTFED TQ , ;,-S 496!6 � BRUCE T. WODDR(JFF NO. o e HARRIET WOODOLF am /angor with Ibe STAAvAROS FOR APPROVAL PECOAWC ABSTRACT A Aa AND CONSTRUCTION OF SUBSI%RFACE SEWAGE ,b CONIC S ,S� BR/DGEHAAPTON MAMMAL 'BAIWC U? ; DISPOSAL SYSTEMS FOR SINGLE FAA&Y RESIDENCES P. O. BOX 903 ' " and w!N oA* by the coed ffm set forth tJerob and on The MAIN ROAD p/l4/95f REVISIONS) permll to consiMCI. SOUTHOLD, N.Y. 1197! , , 94-366 Afx'E4 a 1Q417 to die i11� AW at, V001tA C ANY ac�eUTM aeAMMON m TM aRVEY x A vaxArM /tg14TlA ft OF s®CMV 72M OF 7W AEF YaDC SM IF EPXA 710M car 6r=7 AS PEA'SEc1#Err 720�SL av 2 ALL LERhpzk')= Q NEAEa�t-AA6 VALID M? TM ANP-AND cawEs 7tEAEa=CAL F CERTIFIED T& ra unOP r�oaE'pic M SM OF nW SJ?KYW #A^ VIRGIAM CROPPER CECaIA KEkfiPLER A;aaWMM4LLY TO COMPLY WTH SAID LAW ME r� Amlo aro L 133,C ��3?T�TACT,.� � OF Aht7AMT �SLRW ANY AW MW SUM As 4 WECA�AM [� L 133;333 t '9A9U6rlT-TO-0A7E'AAE NOT!!CQIi°LGMCE NTTN T'!f'LAI ' !/ CO ` Nc? O �. 51 , _ 3- pr At 1.9 sr r a t 241.98 6. t � I 1� fi Sri- 06-1 i„ ld>06 SURVEY OF s 52 f �O L O T 19 . ` a� Ibl�lP OF s+it wS.s ,_ T3. OO �� '` "8ElXEDON ES TA TES" , * , L'01, PXE NO. 1472 FILED MAI? 16, 1946 rus``` e b�wn AT SOUTHOLD TOWN OF SOUTHOLD ' to SUFFOLK COUNTY, N. Y. 1000 - 66 - 03 - 09 The localions of wells and cesspools Scale : 1" = 30' o� NE1 Dec. 19, 1994 j shown hereon are from Hefd observations � �@ s.mer X06 and or from data obtained train others. J � gr k�OlttGrArs) oda. �eF� 'f April 94j/997 (Hae Sfa kes) ` CERTIFIED TO V#?GMA CROPPER CECELIA KEA/PLER. IVO. 4.4BI S `., , _# am f PECONIC ABSTRACT INC. tamBar with the STAIwYJARDS FOR Af�'ROVAL AND CONSTRUCTA-N OF SUBSURFACE SEWAGE (512 765 - G DISPOSAL SYSTW FOR SSE,FRmL Y RESO£ACES a P. O,. .Box, 900 and wR a lde by the "com ftm set forth7hersh and on the MAIN ROJAD permN to canslract. 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