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Home My WebLink About52209-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 52209 Date: 08/22/2025 Permission is hereby granted to: 225 Williamsburg Dr LLC c/o Law Office David Jannuzzi Mattituck, NY 11952 To: demolish an existing dwelling and to construct a new single-family dwelling as applied for per DEC Non-Jurisdiction letter, SCHD&Trustees approvals. Premises Located at: 145 Williamsberg Rd, Southold, NY 11971 SCTM# 78.-5-13 Pursuant to application dated 12/20/2024 and approved by the Building Inspector. To expire on 08/22/2027. Contractors: Required Inspections: Fees• Single Family Dwelling-NEW $1,992.50 DEMOLITION $556.80 CO-RESIDENTIAL $100.00 Total S2,649.30 V; uilding Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT " Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1502 Fax (631)765-9502 htt s: v w . ou h ldto nil . Date Received APPLICATION FOR BUILDING PERMIT' 0 {a For Office Use Only Building In aecton PERMlT NO. D EC 2 0 2024, Applications and forms must be filled out In their entirety.Incomplete applications will not be accepted.. Where the Applicant Is not the owner,an _ owner's Authorization form(Page )shall be completed. Date: '-1 , 4 a OWNER(S)OF PROPERTY: r Name: 6 1 i, `� 1C t ` TFS�CTM#1000- 163 ._ 3 Project Address: Phone#t O Email: Mailing l Address- CONTACT PERSON: Name: Mailing Address: I l I, Phone##: Email: �¢ - DESIGN PROFESSIONAL INFORMATION: / Name: r( h � l Mailing Address: Phone#:�' .�� — q&)! Email: r - l� CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION kNew Structure .Addition ❑Alteration ❑Repair Demolition Es ma d Cost of Project: ❑Cither Will the lot be re-graded? ��es o Will excess fill be removed from premises? Yes No 1 PROPERTY INFORMATION Existing use of property:,el Intended use of property: { Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? []Yes MNo IF YES, PROVIDE A COPY. ❑Check Box After 1 The owner/contractor/design professional is responsible for all drainage and stone water issues as provided by Chapter 236 of the Town Code APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and in bullding(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. r Application Subini pri name): ❑Authorized Agent g t ner Signature of Ap [cant: Date: STATE OF NEW YORK) SS: COUNTY OF �U�ti ) i being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (5)he is the ' (Contract r,Agent, Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief,and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this IA—day of .20 Z3 Notary Public WILLIAM C. GOGGIMS NOTARY PUBLIC-STATE OF NEW YORK PROPERTY OWNE THORIZATION No.02GO4963689 (Where the applicant is not the Owner) Qualified in Suffolk County My Commission Expires 03-12-2026 I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Evan T.Steffens N a t i o n a I r Senior Supervisor Gas Customer Connections,NY December 23, 2024 William Toth 1003 Miller Farm Road Staunton, VA 24401 E-Mail: TOTHWIi vQMAIL.CCM National Grid WO#: T102648261 Service Address: 145 Williamsburg Drive Southold, NY 11971 To Whom it may concern, This Letter is to advise you that National Grid investigated your request and confirmed that the subject property does not have an active gas service line. By Law, excavators and contractors working in New York City and Nassau and Suffolk Counties must contact New York"811"at least 2 full business days, not including the day of contact, prior to digging by calling"811"or by using the website httgs://newvork- 811.coml. This confirmation letter of no active gas service line to the subject property does not relieve the excavator of contacting NY"811". If you have any further questions, kindly contact me at 833-359-0645. Respectfully, Evan T. Steffens "' Senior Supervisor Gas Customer Connections NY 1650[slip Ave,Brentwood NY 11717 T: 833-359-0645' evan.steffens'ii, nai rld,; r nt!ridlirudoroc , aaqna6 ryd.co,nra SEroil ° 7/7/2025 225 Williamsburg Drive LLC Service To: 145 Williamsburg Dr. 145 Williamsburg Dr. Southold NY 11971 Southold NY 11971 Customer Project#:900000216886 Dear 225 Williamsburg Drive LLC: This is to advise you that the PSEG-LI electric facilities at the above referenced location have been disconnected and removed off the building structure that is located on the property. Please note that there may still be PSEG LI facilities located within the property boundaries and that NYS law(NYCRR Part 753)requires all contractors to call for a utility locate (NY 811)prior to performing any ground excavation or regrade activity.The call to the 811 Call Center must be done at least 2 business days prior to the start of the work and confirmation of utility marks having been identified must be received from all the facility owners prior to any site work. You must also contact National Grid at 631-348-6150 to procure a letter of demolition associated with natural gas service, whether or not your home or business uses natural gas. If you have any questions regarding the above,please contact Building &Renovation Services at 1-844-341-6378 or via email at BRSLI@PSEG.com. Very truly yours, Katherine Gianelli Building&Renovation Services PSEG-LI Glenn Goldsmith, President o Town Hall Annex A. Nicholas Krupski, Vice President " 54375 Route 25 P.O. Box 1179 Eric Sepenoski jr Southold, New York 11971 Liz Gillooly Peeples Telephone(631) 765-1892 Elizabeth Pee p �" Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 14, 2025 David Januzzi PO Box 1672 Mattituck, NY 11952 RE: 225 WILLIAMSBURG DRIVE, LLC 145 WILLIAMSBURG ROAD, SOUTHOLD SCTM#: 1000-78-5-13 Dear Mr. Januzzi: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 13, 2025: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#10631 to reduce total square footage of proposed dwelling to 2,582.7 sq.ft.; gable over storage shed to be replaced with a shed roof; change storage area to an open porch; second-story gable relocated to right side of dwelling; construct hip roof on left side of dwelling to comply with sky plane regulations; construct two bE�y windows on first floor; and as depicted on the site plan prepared by Mark Schwartz 61. Associates, received on August 4, 2025, and stamped approved on August 13, 20215. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. rA tie a- IL Goldsmith, President' ' a� )f Trustees ' '' SITE DATA EmuL.R.mormn loon aHr a W oecnn�ora c uarca+a.ce r comas I--+ 0 rD 6L s A — f — — ,_ v — s — — — — — — — — — —_ — — _ NF16.WDEWRRL. NR,R�., � DREDGED CANAL " o RODRm... a S 25°16'10"W 101.00, 0 Ems - P, APPROVED BY WOOD &3 >L a RAMP abauaD:�P Lash 9RF.L'3:44.,8. BOARD OF 1 RUSTEES EEL6 �-- - �- 'OWN OF SOUTHOLD ElOODZONE x A1� 13 �aS D.ISI MOPOSED2m,HOUSE SKY PLANE(WEST) o jaj+ ------------ STORAGE d Z W Br _. � H ch nzow Y +` PERSPECTIVE VIEW ` x FLOOD ZONE n wxwuwt a.a s ice` AE EL 6 ° - ---.. . ate'• �.._—e_ 3m�eassDr� om C WILLIAMSBURG DRIVE F 15MADE GRAVEL - --. - SKIION DEEA0. SILT FENCE DETAILS L� ---.._v—«a.— s a —.®-- Q a—s—.-- —.—sue-: -- -- $s a a—— --—— _ --.--®. DUI uJ PROPOSED 517E PLAN .f E h 2 DRAW AUG -1 2025 CIE Board of Trttsl- S_1 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10631 DATE: AUGUST 14,2024 ISSUED TO: 225 WILLI BURG DRIVE LLC c/o WILLLIA I TOTII PROPERTY ADDRESS: 145 WILUAM:SBURG ROAD" SOUTHOLD SCTM#1000-78-5-13 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 14 2t124 and in consideration of application fee in the sum of 1 _.00 paid by 225 Wl Ll B1 Rfa 1]lt1VE`"laL e+'o �; _W1 I:l TAM 'OT1l and subject to the Terms and Conditions as stated in the resolution,the Southold Town Board of Trustees authorizes and permits the following- Wetland Permit to remove and replace 101 linear feet of deteriorated timber bulkhead in-place with new vinyl bulkhead including two(2)16'vinyl returns on both sides of existing 14'x16' wood ramp which shall be replaced in-kind to match existing dimensions utilizing all untreated timbers;establish and perpetually maintain a 15'wide non-turf buffer along,the landward edge of the bulkhead; demolish existing dwelling and garage;construct a new two-story dwelling with attached garage over existing foundation;a 161x20'covered porch with second-story ? balcony above on south side of dwelling; a 6'x20' front porch; install two A/C units and bilco door on north side of dwelling; replace existing conventional sanitary system with new IlA style sanitary system landward of dwelling; and install gutters to leaders to drywells to contain roof runoff",wit h h the condition that any trees removed during construction be replaced on a 1 to 1 basis using native hardwoods; and no tree removal between March 1 and November 30 according to DEC regulations regarding the Northern Lang-Eared Bat;all as depicted on the site plan prepared by Jeffrey Patanjo,received on September 9,2024,and stamped approved on September 16,2024. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, m and these presents to be subscribed by a majority of the said Board as of the day and year written above. � FJ �. v BAY .£ A VIEyP R sOAD ' r5EP - �` PROJECT LOCATION EXISTING RESIDENCE 2024 1 SCT FENCE aY NYSDEC LOT COVERAGE — W O § , SANRARI BUILDABLE AREA: 13,877 S.F. y - LIP 20$MAX OR 2,775 S.F. I- f`t ` �x7<.„ 5, .- LJ:3. LP - CE15 I/A TREATMENT ,'"� �R F`l• �`.� � y� � . .� r Q ,P, LI+ LP 3.5'X3.5'AC UNITS(TYP-2) } . Sa HOUSE WITH COVERED PORCH, _.; LL- U ' - OR �. .DRYWELL STOOP&BILCO:2,358 S.F. -_ <: � Q UP 0 - BY-5'DEEP _ AND WOOD WALK:75 S.F. .�� „ � PROPOSED 2 STORY t . [ U.G. -- OYTOT FOIMDANON ._. " TOTAL•2,433 S.F.OR 17.539G - pN ilea '_.. II r a ig - ---AND REPLACE EASUNG 16'BULKHEAD RETURNS PROJECT VOCATION _MAP PROP.1•X 2.3' FIR MEN TOP CAP r A\- l &REPLACE DUSTING. 14'x 16'BOAT RAMP lw ""�.3T 6!SAS LOCATION AS FJa57ING. t�` io•R8' S'2''• - MRW:&M.L.W.ALONG FACE OF BULKHEAD PROP. - � - 101 LF VINYL BULKHEAD €i T PORCH>:.7 s ; W SW tD=DRAS DUSTING c. ` •F 15'WIDE NON-TURF BUFFER r PROP,16'X 20'COVERED PORCH WITH 2NO FLOOR Mom vA?om 4 ROOF DRAIN DRY WELL - PROPOSm C TIP CCA I I. 1 uT-L M. EXISTING TREES TO MAIONUM EXTENT PRACOCABLE Pogrom A, ve+w .e, P LINE HOUSE TO NORTH AND POSSIBLE PROPOSED HOUSE TO xxTw m VACANT PROPERTY :' '-+� - SOUTH.DUE TO NORTH HOUSE CURRENT LOCATION BEING SET BACK NO STRUCTURES ! '. _ FARTHER THAN OTHER HOMES ON THE BLOCK.NO ADDITIONAL SCENIC - '- •' '< NEW OBSTRUCRONS SHALL BE INCURRED FROM THIS PROJECT. PROPOSm is s^Dw _ •\/ ¢ CAW.TIE ROD.V 'ty PREPARED BY: FFREY CONSTRUCTION NOTES: TYPICAL SECTION pO. XP582NJ0 1. ANY TREES REMOVED FOR THIS PROJECT SHALL BE REPLACED N.T.S. BOHEMIA, NY 11716 AT A 1 FOR 1 BASIS. ALL NEW TREES MUST BE NATIVE AND MIN. 631-487-5290 2" CALIPER AT TIME OF PLANTING, JJPatonjo®gmail.com 2. NO TREE REMOVAL SHALL EXIST DURING LONG EAR BAT SEASON SCALE, " BETWEEN DECEMBER 1 - FEBRUARY 28 OF ANY YEAR. BULKHEAD PERMIT PLANS AS NOTED SURVEY NOTES: PROPOSED PLAN, SECTION- DATE:5-23 R\ '� 1. ELEVATIONS REFER'TO N.AV.D. 1988 DATUM PROPERTY OWNER: 8C LOCATION YAP 7- 7-11-2 1-24 225 WILLIAMSBURG DRIVE, LLC 225 WILLIAMSBURG DRIVE B-19-24 E1OSTING 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: C/o WILLIAM TOTH (aka 145 WILLIAMSBURG DRIVE) 9-5-24 r PLAN KENNETH M. WOYCHUK LAND SURVEYING, PLLC 1003 MILLER FARM ROAD SOUTHOLD, TOWN OF SOUTROLD J SUFFOLK COUNTY, NY [SHEET SCALE: 1"=30' LATEST DATED JAN. 16, 2018 STAUNTON, VA 22401 TAX MAP NO. 1000-78-5-18 1 of 1 Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC IU 1-4738-04957 PERMIT Under the Environmental Conservation Law FCL Permlttee and [Facility Information Permit Issued To: Facility: WILLIAM 'fOTI I TOTI-I PROPERTY 1003 MILLER FARM RD 145 WILLIAMSBURGH DRISCI'M# 1000-78-5- ]3 STAUNTON. VA 24401 SOUTL[OLD,NY 11971 Facility Application Contact: JEFFREY PATANJO POBOX 582 BOHEMIA, NY 11716-0582 (631) 487-5290 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NY"fM-E: 716.419 NY'fM-N: 4546.445 Latitude: 41°02'25.7" Longitude: 72°25'30.9" Authorized Activity: In-place replacement of an existing bulkhead and boat ramp. All work must be clone according to the plans prepared by.leffrey Patanjo, dated 4/23/2023 and stamped NYSDEC approved 5/9-6/2023. EES. (I)EP-ARNO) Note: The property landward ofthe bulkhead as shown on the approved plans, which was constructed prior to August 20, 1977 as evidenced on the survey prepared by Van Tuyl & Son, dated June 19, 1972, is beyond Article 25 jurisdiction. Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04957/00001 New Permit f;ITective Date: 5/26/202' Expiration Date: 5/25/2029 Water Quality Certification - Under Section 401 - Clean Water Act Permit Ili 1-4738-04957/00002 New Permit Effective Date: 5/26/2023 Expiration Dale: 5/25/2028 Excavation & Fill in Navigable Waters - Under Article 15, Title 5 Permit ID 1-4738-04957/00003 New Permit EYrective Date: 5/26/2023 Expiration Date: 5/25/2028 Page 1 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAt,CONSERVATION Yacilily DEC ID 1-4738-04957 NYSDEC Approval oval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations,and all conditions included as part of this Permit. permit Administrator:KEVIN A KISPERT, Deputy Regional Permit Administrator Address: NYSDEC Region I Headquarters SUN a Stony BrookJ50 Circle Rd Stony Brook, NY 11790 -3409 Authorized Signature: _ Date,; /2k/�),0} r Distribution List JEFFREY PATANJO Bureau of Marine Habitat Protection l Iyssa f:Scott _.._.m_._�..-._...... ....�...��...__._r.__ � Permit Components .-......._ _ .... .......��........ NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS 1. Regulated Activities Authorized By This Permit This permit ONLY authorizes those regulated activities/structures identified tinder the section titled "SAP Authorized Activity". The Department does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures, which would have required a permit but for which no permit or other authorization has been granted by the Department. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's a-ent as part of the pennit application. SUCK approved plans were prepared by.IcfFi•ey Patanio. dated 4/23/202 3. Page 2 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC Ill 1-4738-049-S7 3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 4. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion ofthe form must also be signed and returned, along with photographs of the completed work. 5. Excavation for Bulkhead/Structure Prior to any construction or removal of bulkheads and other shoreline stabilization structures all backfill shall be excavated landward of the structure and retained so as not to enter the waterway, tidal wetland or protected buffer area. G. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 7. Replacement Bulkhead Maximum Height The top elevation of the replacement bulkhead shall be no more than 18 inches higher than the existing bulkhead. 8. No Seaward Extension of Bulkhead The new bulkhead shall be constricted in place of the existing bulkhead with no seaward extension of the outermost bulkhead face. 9. Jet-in Bulkhead Bulkheads constructed directly adjacent to vegetated tidal wetlands shall be hand driven or jetted in with no disturbance to the tidal wetland. Trenching is strictly prohibited. 10. Baekfilling The installation of the approved replacement bulkhead shall be completed prior to the placement of any fill material behind the structure. I. Clean Fill Only All till shall consist of clean sand,gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 12. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the Future. 13. No Runoff Over or Through Bulkhead or into Wetland Upon completion of the bulkhead replacement authorized herein, there shall be no discharge of runoff or other effluent over or through the structure or into any tidal wetland or protected buffer area. 14. Use of Treated Wood The use of wood treated with creosote, pentachlorophenol or other wood treatment not specifically approved by the department for use in wetlands and/or marine waters, is strictly prohibited in the construction ofstructures that will be in contact with tidal waters. 15. Parallel Capping Boardwalk No portion of the boardwalk shall extend seaward of the most seaward face of the bulkhead sheathing. Page 3 of 7 Aft NEW YORK STATE, DEPARTMENT OF ENVIRONMENTAL CONSERVATION Fncili(y DEC ID 1-4738-04957 16. No Structures on Reconstructed Bulkhead or Pilings No structures, other than structures specifically authorized by this permit. shall be constructed on the reconstructed bulkhead or pilings Without further authorization from the Department(new permit, modified permit). 17. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 18. No Disturbance to Vegetated Tidal Wetlands "There shall be no disturbance to vcgelated lydal wetlands or protected buffer areas as a result of the permitted activities. 19. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 20. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.) immediately following project completion or prior to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 21. Temporary Mulch, Final Seeding If seeding is impracticable due to the time of'year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 22. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 23. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 24. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if' in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people ol'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, till, excavation, or other modification ofthe watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and In such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 25. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids. sediments. fuels. solvents. lubricants. epoxy coatings, paints, concrete. leachate or any other environmentally deleterious materials associated with the project. Page 4 of 7 Am NEW VORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04957 26. State May Requirc Site Restoration if upon the expiration or revocation orthis permit, the project hereby authorized has not been completed_ the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Q _ ON SPECIFIC IONS WATER UALITY CERTIFICATI� _ � CONDIT �� 1. Water Quality Certification The authorized project, as conditioned pursuant to the Certificate, complies with Section 301, 302, 303, 306,and 307 of the Federal Water Pollution Control Act, as amended and as implemented by the limitations, standards, and criteria of state statutory and regulatory requirements set forth in 6 NYCRR Section 608.9(a). "the authorized project, as conditioned,will also comply with applicable New York State water quality standards, including but not limited to effluent limitations,best usages and thermal discharge criteria, as applicable, as set forth in 6 NYCRR Parts 701, 702, 703, and 704. � -- �GENERAL CONDITIONS - Apply to ALL Au thorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine 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 racility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance orthis 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. Page 5 of 7 AM NEW YORK STATE DEPARTMENT Oi'ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04957 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC [legion 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Excavation& Fill in Navigable Waters, Tidal Wetlands, Water Quality Certification. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions,orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications tin•permit transfer should be submitted prior to actual transfer of ownership. Page 6 of 7 Am NEW PORK STA,rE DEPARTMENT Of ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-049a7 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to incicm ntly and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittec's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or Intentional acts or omissions, or to any claims, suits, or actions nanning the D13C.and arising Linder Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees,agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation L,aw as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, casements and rights-of- way that may be required to carry out the activities that are authorized by this permit. item D: No Right to Trespass or Interfere with Riparian Rights phis permit does not convey to the pennittee 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. Page7of7 S.C.T.M.# DISTRICT 1000 SECTION 78 BLOCK 5 LOT 13 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES &FujiClean USA PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY 1rI t ll stand pipe in distribution DATE 11/21/2024 H.S.REF.NO, R-23-1296 DWELLING 11,8 4'SDf 35 pool to Verity proper Separation to '. APPRovED „ ITCH 1/8"/FT groundwater 1JtT1$i"�s'=€ t FOR�XI)LRv BEDROOMS C/O TO GRADE GRADE 8.2 GRADE 5%MAX GRADE 8-0 EXPIRESTHREE YEARS FROM DATE OFAPPROVAL ,' INV7 4 INV7.1 INV6,9 - lNV6.1 {5)EACH „ 4"STIR 35 a 4"SDR 35 8`(dX2`OE " ; X v= I � PITCH 1/4AFT I PITCH 1/8"/FT 1�EACH � - EL30 OCR EL4.4 FUJI CEN5 HK3PEST EXPECT.GROUND WATER EL 2,0 SANITARY INVERTS Ct ETi vumeE9al) scum€+. e Fare; sv- 1rP csr � . ?znriena- —c I. cruxoEx lorl oxAu 4-NLET ` � a IA HOW Tm Asf 1•" Fri.f`F(FE 1 ` Ek— PP.,F1=• - sip S 3.,,.: Ir,. z 8 0,r FPtPf _ ,LowovEx Nc my $�"`i0' , 8 oPFOc PLAN VIEW SECTION A-A VIEW } GROUND _ DRAINAGE CALCULATIONS: NYSDEC LOT COVERAGE -- BUILDABLE AREA: 13,877 S.F. AIR HOSE AND 20Z MAX or 2775 S.F. ---- ELECTRICAL SUPPLY OWF111NO W/mVERED PORC -2.J S.F. TPTREATMENT UNIT e.a..0.1M1^]BB°Y REQUIRED(2)NOR.5 DEEP PROVIDED W/COVERED PORCHES k BILCO=2,358 B.F. ' ORr1,Et1-442s/ I FUJI MAC80R11 ON PRECAST CONCRETE RA— - ANt m W 54t9 G S.F. WOOD WALK:75 S.F. NTS TOTAL:2769 S.F.ar 19.95R E - #02246• TOWN OF SOUTHOLD LOT COVERAGE cov x Luc r-v - 21. / BUILDABLE AREA: 13.877 S.F. 1 INLET,7 OUTLETS f DWELLING W/COVERED PORCHES:Z335 S.F. _s. £ • I I - SWIMMING POOL'336 S.F. - BOX ACCEPTS or 19.2X U1306r € TOTAL:2671 S.F. _ LIGHT COVER 93009CT. f HEAVY COVER#3017-C20 (f,1 ex .. - GRATE#3017 G20 `Sr TOP VIEW 6"TALL RISER#3009y �DEf FF EATING 21 z 12-TALL RISER 03009 R12 TYPE LEVELING DEVICE ! nmcel_ar n � g tea.ua ..rzw 7 INCREMENT -� a BOX SEAL - TYP #3001 T K SEAL / Q� '@ MIN 1 TYP 40PA TED MIN 12 COMPACTED SAND OR CLEANOUT DETAIL POLYLOK 20 DBOX PEA GRAVEL LEVELING PAD NTS MATERIAL-HOPE FRONT/SIDE VIEW j � � f 4J / FAlsnxc DISTRIBUTION BOX Polvlok DETAILS r am / D—INGARE 9LT d S [ �.}. -- LAND N/F To FmmAn cum _. t ;. WN.4`aA. g �'y T` '' /' OF MARKO7515 FAMILY IRREVOCABLE TRUST SOR 35 FID PIPE OR FDUN. _ 1 S LP W#4. mHaD 1/a-PER FT.IAN. r4Lr, ¢d -�a - L` } L _4. To BEAICE ARANDONED AND _ a WITH CLEW COARSE SAND 2 S 2= 61CNFlLLFD N c HOUSE® '� r� � P� ',` OEMIXIS TICH NG SE AND GARAUL Lop _ - xcur '' TO FOUNbAPCN IN FAVOR OF PHOPO';ED ® 2� 2� �' ® t - - 2 Sr'r FRM.0WEILNG �Wi 13 M& LEACHING POOL s 5 NTS CONTROL PANELY 1F //.`=s ¢ez 47 7.5 VACANT l FL LAND N/F at. IiWss1 rftE4I in tav ONA OF . SHERI WINTER CLARRY [ y� BRIAN PARKER Call(631)952-5754,48 hours in advance,to schedule Inspection(s). wam Om agum inA TE Its W linsp -t water line entering new x L N _ €Craw space—space-1 addition 14 " (5)LEACHING POOLS e`W (2)WARREN 11AMW4 KQS s may ,.THE OWES NSA.ER SHALL HOLD AN D WR930 f FROU THE SUFFOLK COUNTY DEPARTMEHr OF HEALTH. 2-A DEMO OPERATION AM UNIDWICE COIIIPACT BETWEEN THE WNTDEWCE PRDNDER MD THE 94AIL BE PROVIDED TO THE SNHS FLOOD MAP#36103C0166H 3.PROADE A 2'VENT PIPE FROM THE OWIS TO THE DWEWNG AND CONNECT TO THE SNMARY VENRNO WTOe,Tiff HOUSE REVISED 10-28-24 THE VEM PIPE SHALL BE PITCHED TOWARD THE OWE SO AW LIQUID WILL DRUN TOWARD THE OWIS REVISED 04-10-24 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL 4.NI EFFLUENT FILTER SHALL BE NSTNIID UNDER THE ACCESS CQVM OF THE AN55D UNIT ON THE OURIT PIPE ADD ADJOINING HOUSE FOOTPRINT 03-24-24 LOCA DONS SHOWN ARE FROM FIELD OBSERVA 77ONS REVISED 08-06-23 AND OR DATA OBTAINED FROM OTHERS. SANITARY DESIGN BY: ADD ELEVATIONS 03-06-20 NICHOLAS MAZZAFERRO AREA: 14,726.95 SQ.FT. or 0.34 ACRES ELEVATION DATUM.. NAVD88 PO BOX 57 r UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA7701V OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY GREENPORT,NEW YORK 11944 1TE 43 MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN PHONE:(516)457-5596 T' OL LaAN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION EMAIL:NICKMAZZAFERRO VERIZO N.NET /4E €' - 0.8, LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING WSTIR/TION, GUARANTEES ARE NOT TRANSFERABLE gppNgl THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE SM SANDz Cr NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER 1MPROV£MENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY mmum _ _ E sP SAND suRveY OF: DESCRIBED PROPERTY CERTIFIED TO: 225 WILLIAMSBURG DRIVE LLC; GRA`U 4' MAP OR r FIRST AMERICAN TITLE INSURANCE COMPANY, W a HIGHSKITER ELEV 0.1 .2 p &/. � WATER IN HIGHEST EXP.2.0 FILED: o aA`T` SITUATED AT:SOUTHOLD >sstosst TOWN OF:SOUTHOLD / KENNETH M WOYCHUK LAND SURVEYING, PLLC tr SUFFOLK COUNTY, NEW YORK „ � Professional Land Surveying and Design -- ss, -- - ' P.O. Box 153 Aquebogue, New York 11931 NICHOLAS MAZZAFERRO PE NYS LISC#057095 IL WOIDHUK Is FILE/17-186 SCALE: 1„=30' DATE:JAN. 76, 2018 X.Y.S.LISC. NO. 050882 PHONE(631)29e-1666 FAX(031)2ee-156B