Loading...
HomeMy WebLinkAboutTR-5666Albert J. I<rupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 7654366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed __ Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD P.O. Box 1179 Southold, New York 11971-0959 Telephone (63l) 765-1892 Fax (1631) 765-1366 December 10. 2002 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 1197l RE: SCTM# 121-4-22 Namrog Holding Corp. 1935 Laurel Wa3' Mattituck, NY Dear Ms. Moore: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on November 20th, 2002 regarding the above matter. WHEREAS, Patricia Moore, Esq.. on behalf of Namrog Holding Corp. lapplied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated October 22, 2002 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 November 20th 2002 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 xvith the standard set forth in Chapter 97-18 of the Southold Town Code. 2 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. NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of Namrog Holding Corp. for a Wetland Permit for a second story addition over existing structure replacement of sanitary (only if required by Health Department ) with the stipulation of dr,.6vells for roof run- off, BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fee must be paid, if applicable and permit issued within six months of the ~tate of this notification. If inspections are required, at a fee of $5.00 per inspection (See attached schedule). FEES: None Albert J. Krupski. Jr. President, Board of Trustees AJK/cjc cc DEC Building Department Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 5~1~1~).. DATE: Nov. 20th,..2002 ISSUED TO. . ~AMROG...HOL.I~iNG..CORP ........................ nl'horizalion Pursuent to the provisions of Chepter 615 of the I~ws of the Stele of New York, 1893; end C, kspter 404 of the L~w~ of the Stere of New York 1952~ end the Southeld Town C)rdinehce en- titled ."RE~ULATINC~ AND THE PLACINC~ OF OBSTRUC~TIONS IN AND ON TOWN WATERS AND PUBLIC LANDS 4nd the REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS.re. end in e¢cordence ~ith the Resolution of The B0erd edopted et e meetlncj held on ..N~.~?0her 20 27.0~, end Jn conslderetion of the sum of $.--20~0~ · · peld by · Patrieia.--C.-. Moore-;· Esq';" on 15~15~1f ~'f 'I'~'~'~"'fi'~]~'~' 'Corp ' Southold, . ..... N. Y. end Su~le¢~ to the Terms end Conditions listed on the reverse side Ihereof, of Southold Town Trustees euthorlzes end permits the folloMncj: Wetland Permit for a second story additon over existing structure - replacement of sanitary system (only ~f required by Health Dept. ) with the situulati, o. ns of drywells~fo~ .roof eJJ in eccordence with the deteiled spec~ficetions es presentea m the originetlng epplicetion. run-onS/WITNESS WHEREOF, The seid Boerd of Trustees [~ere- by ceuses its Corporete Seel to be effixed, end these prdsents to be subscribed by · meiorlty of the seid Board es of thi~ dete. ., <: TERIdS end CONDmOHS 1935 Laurel Way, Mattituck. pan. of the coasideratio~ for the ~ of the F~.~:-'. ~oes ~ m~d ptescrlbe to the fol- lowly: with respect thereto, to the ~,-pi~ ~ of the Board of T _p~'*~_ ~f dsc To,,.~ of ,%udagd 2. Tha~ thlsPetmltJs'valld fo~sperlodof, a4, mos. wbich is eoasi~l to be the for sn exte~ion m~y bem~ to the Boemt ~t a ~ date. 3. That this Permit should be zet~!m,d indefinitely, or as long as the said to m~lm~;n the ~'uctuze of project involved, to lx'ovide evidence to anyone concerned ~OIl wss ozi~n~fly O/~r~;n,,~cl. 4. That the work involved will be subjec~ to the inspection and approval of the Bo~d its agents, sad noa-comp!i,~e wich the p~ovislons of the o~g;,-,~-g application, may be cause 5. That there will be no un~zsoo~le intecfe~ence with m,~g~ion ss · hexein m/thotized. 7. That if future opet'ntions of the Town of So~thold require the femoral ~md/o~ sltm,~iims ftn~e location of d~e ~dc ~ auflmttzed, or ifs in the o[gnion of the Bol~l of Ttmtees, ~he. upon doe notice, to remove o~ slte~ ibis ~vork ot project hewn stated wifl~out ezpenses to the Tram 8. That the said Board will be notified by the Petml~xee orbed. 9. That the Petmittge wilt ab~;n ~11 other permits and come.ts fi~xt mty I~ requited pl~ment~l to dds permit wldch rosy be subject to revoke upon failure to ~.,,I,, 9,,-. Telephoue (631) 765-1892 Tow~ H',fll. 53095 Main ltoa~l P.O. Box 1179 8outhold. New Y~xk 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town ConserVation Advisory Council held Monday, November 18, 2002, the following recommendation was made: NAMROG HOLDING CORP. to construct a second-story addition over the existing structure and replacement of the sanitary system. Located: 1935 Laurel Way, Mattituck. SCTM#121-4-22 The CAC did not make an inspection, therefore no recommendation was made. PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 7654643 November 12, 2002 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: Namrog Holding Corp. Premises: 1935 Laurel Way, Mattituck, SCTM: 1000-121-4-22 NY Dear Sir or Madam: Enclosed please Posting and three (3) referenced matter. find the Affidavit of Mailing, Affidavit of Certified Mail Receipts for the above We will forward the signed Return Receip5 Cards 5o you upon our receipt of same. Very truly yours, Patricia C. Moore By: Melissa McGowan, Secretary /mm Enclosures 7BB 4~A3; JAN-7-03 't:J:3'f;~t PA~E I PATRICIA C. MOORE Attorney at Law 51020 Main Road Sm~hold, New York 11971 '£e1:(631)765-4330 Fa×:(631) 765-4643 FACSIMILE COVER SHEET The pages c~)mprising this facsimile transmission contain confidential information from P&tricia C. Moore. This information ms intended sokely for use by the individual entity named as the recipient hereof. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or usc of the contents of this transn~ission is prohibited. I~ you hav~ received this ~ramsmission in error, pleaoe notify us by telephone immediately so we may arrange to retrieve this transmission at no cost r.o you. TOTAL ~BER CF PAGES INCL~ING CO~R SHEET LF TRANSMISSION IS FAULTY OR INCOMPLETE, PLEASE CALL BACK AS SOON AS POSSIBLE. CLIENT NAME: , · SENT BY: ~,~OO¢~E; 81~785 4843; JAN-7-02 t5:2t;I PASE 2/3 PATRICIA C. MOORE Fax i~31) 765-4643 January 7, 2003 VIA FACSIMIL~ Board of Trustees Town o[ Southo]d P.O. Box 1179 Sounhold, N%f 11971 RE: Namrog Holding Corp. Premises: 1935 Laurel Way, SCTM ~1000-121-4-22 Mattltuck, NY In connection with the above referenced matter, which was before your Board on Novenlber 20, 2002, enclosed please find Notice of Zoning Board hearing scheduled for January 16, 2003 at 10:30 a.m. If you have any comments please forward to the Zoning Board. me. If you have any questions, please do not hesitate to contact ~-.-~P'~t~icia C. Moore PCM/mm Enclosure LEGAL NOTICE SOUTHOLD TOWN BOARD OF APPEALS THURSDAY, JANUARY 16. 2003 PUBLIC HEARING NOTICE is HEREBY GIVEN, pursuant to Section 267 of the Town Law and Chapter 100 (Zoning). Code of the Town of Southold. the following public headng will be held by the SOUTHOLD TOWN BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971, on Thursday, January 16. 2003, at the time noted below (or as soon thereafter as possible); 10:30 a.m. Appl No. 5246 - Namroq Holding Corp. This ,is a request for a Variance under Section 100-244B. based on the Building Department's October 2, 2002 Notice of Disapproval concerning a proposed second~-story addition and porch addition, portions of which will be less then 15 feet at its closest point to a side property line. Location of Property: 1935 Laurel Way, Mattituck; Parcel 1000-121 - 4-22. The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before~ the conclusion of each hearing. Eqch hearing will not start earlier then designated: above. Files are available for reviE:w during regular Town Hall business days from ([8:00 a.m. Io 3:00 p.m.). If you have questions, ptease do not hesitate to call (631) 765-1809. Dated: December 19, 2002. Southold Town Board of Appeals 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 (tel. 631-765-1809) ' ~ ~ Albert J. Krupski, President ~:/ ~ Jmnes 14Jng, Vice-President ~g Henry Smith Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application __ Major Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application __Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Minor Name of Applicant. Address /~m _~Tg~.~t~/~-/~/e ,,d,./b//f~ Phone Number:( ) 2 7.~ Suffolk County Tax Map Number: 1000 - /c~ / - z/_ Property Location: / q.3z>- /___ rf~z~'/~ / (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: Board of Trustees Application Land Area (in square feet): Area Zoning: ~ - ~g0 Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ,.~ No __ Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ,:.~/~c/ ,~-/7;'~--~/ o.-~/-z' / Area of wetlands on lot: /r, ,/v'. _square feet Percent coverage of lot: / % Closest distance between nearest existing structure and upland edge of wetlands: ,_B c~ ~ feet Closest distance between nearest proposed structure and upland edge of ~vetlands: ~2- feet Does the project involve excavation or filling? No .,~ Yes ,~ ~,~v', If yes, how much material will be excavated? How much material will be filled? cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate)' 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (-Fo be comole[ed by .Aooticant or Project sponsor) SEQ the action is in the Coastal Area, and you are a state ac_ertcy, complete Coast2l Assessment Form before proceeding ',wth this as_s, essment OVER OART III--OETEEMINA~'IC, N OF $;GNIFICANCE ~TO be comeleted by ,Agency) Z C. hec× ;h~s .sox ;f 7ou ,~&ve ~den[ifiea one or more 3oten~Jall'/ large or s~gnifio.sn[ ~cverse imosc:s wmcn M/ oc3ur. Then ~rcceed direc:ly ~o :ne FULL E.&F ~nd/or pregare ~ positive-Gecl~radcn. ~ Checx :~s ~ox f you ~ve determined. ~8sed 9n (he in¢orm2[ion ~nd ~nalysis Chore and ~n'/ sucoor~h 831 ?aS 484~; Boar~ o[ Trustees Application AUTSORI ZATION (where the applicant is no~ the owner) (prin~ own~-r o~ property) (mailing n4CJ~e.s~ [ Ag ent ) Southold Board O~ Town Trustees on my behalf. {Owner' ~ sign&=ure) 8 I I iiiJ ~JO,,L MaN '.'(~.unoO :~lOJ. jnS OqONJ. ROS ;~o uMo~L "13~JNVq :~¥ 'cl~O0 9NIO-ION 90~I~VN ~OJ A]A~IRS dV~l NOIL ¥30q~~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application/ __Wetland Permit Application /./Major Waiver/Amend~nt/~C~h_ansesl.~ Received Applic ationff~fft9 --Received Fee:$ ---Completed Application Incomplete / ! __SEQRA Classification: Type I Type Il Unlisted__ Coordination:(date se. nt )~ ---CAC Referral Sent: ~Date of Inspection: Receipt ofCAC Repo~ ' . _Lead Agency Determination: Technical Review: _Zpublic Hearing Held: Resolution: ' / Minor ~(3v/c/)O, Tw ,4)'//?33hone Number:( / Suffolk County Tax Map Number: 1000 - Property Location: aU /z</c /Ly 1/%'2- (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Board of Trustees Application Land Area (in square feet): Area Zoning: ,~ - q'O GENERAL DATA Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ,~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ,.~D.~c/ ~-~,7'-/q~ ~'.'~/~" Area of wetlands on lot: ~ ,,v' _square feet Percent coverage of lot: / % Closest distance between nearest existing structure and upland edge of wetlands: ~ D -" feet Closest distance between nearest proposed structure and upland edge of wetlands: g~-- feet Does the project involve excavation or filling? No X Yes ,_~az3.~v't rr~y If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: - g'~4/a y ~,v ~ cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): IPROJECT Le. :lu;,~BEa 817.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART p--PROJECT INFORMATION ('To be compJe,*ed by Applicant or Project s0onsor) SEQ 1. APPLICANT /SPONSOR 2. RROJECT NAME 6 E"~*f'Z~'¢"~)"~2~'/ 4,'/'¢V~.~ D ~ '¢¢b LZ) //6/¢' (~ ( '¢-P ' ' STATE CR LOCALp t JUl (_ ~... LUUC If the action is ;n the Coastal Area, and you are a state 3c_encY, complete the Coastar Assessment .Corm before proceeding with this as~s, essment OVER ! mART III--0ETE.m. MINATICN OF S;GNIFtCANCE ~To me comole~ed my ~gency) ~oar6 o~ ~tees Application AUT~OKIZATI~ (where the applicant is not =he ~ner) ~n~r o~ Dro~rty) [maLling ~ss) ' / [ Ag ent ) Southol~ Board o~ Town Trustees on my behalf. (Owner' · sign&=ure) of Trustees A~plication PA~E 2/~ County of Suffolk State of New York DEPOSES ~D AI:F~S ~T ~/~ IS T~ APP~C~ FOR T~ ~OVE DESCR~ P~T(S) ~D ~T ALL STA~S CONT~D ~R~ ~E TK~ TO T~ BEST OF ~R ~O~E~E ~D BEL~, ~D ~T ~L WO~ W~L BE ~ E~ T~ ~R SET FOR~ ~ ~S ~PLICATION ~ AS MAY BE ~P~O~D BY T~ SOU~OLD TOWN BO~D OF ~USTEEg T~ APPLICANT AGeS TO HOLD THE TOWN OF SO--OLD ~D ~ TO~ TgUST~S H~SS A~ F~ ~OM ~Y ~ ~L D~GES ~ CL~S ~S~G ~ OR BY VIR~ OF S~ PE~(S), · G~ED. ~ COSTCO T~S ~PLICATIO~, I ~BY AU~O~ ~ ~US~S, T~AGE~(S) OR ~ESENTA~S(S), TO ENfER ONTO ~ PROPERTY TO INSPECT ~ P~SES IN CONJUNC~ON ~ ~ OF ~S ~PLICATION. Signature SWORN TO BEFORE MI~ THIS I~DAY OF O~ ,20 0,5).,~. No~, Public UEI. ANIE V. BROWN Name: PROOF OF MKILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Cornelia Shapiro and Ronald A. Shapiro P.O. Box 1576 Mattituck, NY 11952 Thomas J. Gorman Joan Ryan Family Trust Laurel Lake Mattituck, NY 11952 P.O. Box 823 Mattltuck, NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Melissa McGowan , residing at 555 Marlene Lane, Mattituck~ New York , being duly sworn, deposes and says that on the 8th day of November~ 2002 ,x~ , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southold, New York , that said Notices were mailed to each of said persons by (certified) mail. Melissa McGowan - Sworn to before me this 12th day of November~ 2002~xxxxxx Notary 'Public MARGARET C. RUTKOWSKI Notary Public, State of New No. 4982528 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold. New York 1197l Tel: (631) 765-4330 Fax: (63 i) 765-4643 Margaret Rutkowski Secretary November 8, 2002 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Neighbors Re: Namrog Holding Corp. 1935 Laurel Way Mattituck, NY SCTM# 1000-121-4-22 Dear Neighbor: I represent Namrog Holding Corp. with regard to property located at 1935 Laurel Way, Mat~ituck, NY. They are seeking a wetland permit to construct a second story addition over the existing structure. Enclosed is 5he Notice of Hearing and a survey of the proper5y. The hearing on this matter has been scheduled for Wednesday, November 20, 2002 at 7:00 p.m. aU Sou~hold Town Hall. If you have any questions, or you wish to support 5his application, please do not hesitate to contact me. Very truly yours, Patricia C. Moore PCM/mm Enclosures Joan R}an Family Trust ~ t~ ~?7~[};D; .............. : .......... ~ O,~OSo. N~ P.O. BOX 823 11952 Laurel Lake Mat tituck, NY 11952 o 631-727-2303 SURVEY FOR NAMROG HOLDING CORP. At: LAUREL Town of: SOUTHOLD Suffolk County, New York Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Thomas J. Gorman · residing at Laurel Lake, Mattituck, New York being duly sworn, depose and say: That on the 8th day of November, 2002, I personally posted the property known as 1935 Laurel Way, Mattituck~ New York by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of~j ~ ~ublic hearinq., Date of hearing noted thereon to be held Dated: November 8, 2002 , ignature) Sworn to before me this 8th day of November 20~..f.. Notary Publlb MELI$SA MoGOWAN Notary Public, State of Ne~' No. 4995913 Qualified in Suffolk Coul'~f Commission Expire~ May 4, ~0.~ Board of Trustees A~lication Coumy of Suffolk Slate nfNew York D~OSES ~D AFF~S ~AT ~/S~ IS T~ APP~C~ FOR T~ ~O~ DESCR~ PE~T(S) ~D ~T ALL STA~S CO~D ~RE~ ~E TK~ TO T~ BEST OF ~R ~O~E ~D BEL~, ~D ~T ~L WO~ W~L BE ~ ~ ~ ~R SET FOR~ ~ ~S ~PLICKFION ~ AS MAY BE ~PRO~D B Y T~ SOU~OLD TOWN BO~D OF ~UST~.EK T~ APPLICANT AO~ES ~O HOLD THE TOWN OF SO--OLD ~ ~ TO~ TRUSTS H~SS A~ F~ ~OM ~Y ~ ~L D~GES ~ CL~S ~S~G ~ OR BY VIR~ OF S~ PE~T(S), ~ G~ED. ~ CO~T~G ~P~CATION, I ~Y A~O~ ~ ~UST~S, T~ AG~T(S)OR ~RES~TA~S(S), ~ ENTER ONTO ~ PKOP~ TO INSPECT ~ P~SE$ IN CONIUNC~ON ~ ~W OF ~$ ~PLICATION. Signature SWORN TO BEFORE ~ THIS I ~ DAY 01; O~ ,20L~) ,~-'~ Notary l~blk MELANIE V. ~. 4~712 uG', 9 7_ · P New York State Department of Envi~ nmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 Erin M. Crotty Commissioner September 25, 2002 Namrog Holding Corp. P.O. Box 988 Cutchogue NY 11935 RE: Permit # 1-4738-03053/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70. ECL) and its implementing regulations (6 NYCRR. Part 621 ) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with an3, conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Matthew R. Penski Encon Program Aide MRP Enclosure PE IT U~x~er the Environmental Conservation Law TYRE OF PE~'IIT · New [] Renewal Article lb, Title 5: Pro- Article 15, Title 15: Suppl~~ Article lb, Title 15: ~ Article l!i, Title lb: Long Island Wells [] Article 15, Title 27: Wild, [] Modification [] Permit to Construct [] 6IffCRR 608: Water Quality Certification [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution [] Article 25: Tidal ~ Article 27, Title 7; 6£~CPR 360: Solid Waste Management ~ Article 27, Title 9; 6~CRR 373: ~ ArEicle 34: Coastal Erosion [] Article 36: Floodplain ~ Articles 1, 3, 17, 19, 27, 37; 6£~CRR 380: RadiaEion Control PnPd-IIT ISSUED TO Ila~tro~ Holding Corp. ADDRESS OF PEP~ITTEE P.O. Box 988, CuEchogue ~ 11935 TELEPHO£IE [IL%IBER 298 8478 Namzog Holding Corp. Property,, Crescent Drive (aka 1935 Laurel Wa~'), Laurel NY C OL~[T¥ TOL~; WATERCOURSE 17fTM COORDII;ATES Suffolk Southold NYS F%~ WT-2 E:705.5 N:4639.4 Description of Authorized Activity Construct a second storf addition and porch onto the existing single f~mil5~ ~welling. shall be performed in accordance with nhe plans stamped ~fSDEC approved on 9 25 02. Ail work compliance with the ECL, all applicable regulanions, the General Condinions specified (see page and any Special Con~itlons included as part of this pez~nit. B . ~40, Sb/,Ff, Stony Brook, 5Vf 11790 2356 September 25, 2002 ~EPAF~TMENT OF ENVIRONMENTAL CONSERVATt NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying w~th this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Porrutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region < > <street>, <city>, <state> <zip>, telephone: < > General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit apprication or supporting papers; b) failure by the permJttee to compry 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 regurations 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. DEC PERMIT NUMBER J J PAGE 2 OF 4 1-4738-03053/00001 NEW YORK~TE DEPARTMENT OF ENVIRONMENTAL C ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( FRESHWATER WETLANDS ) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 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. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 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. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand afl terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by: Howard W. Younq last revised on 9/13/02 DEC PERMIT NUMBER I IPAGE3 OF 4 1-4738-03053/00001 NEW YORK~E DEPARTMENT OF ENVIRONMENTAL CONSERVATIO SPECIAL CONDITIONS 1. Any work, disturbance, and storage of construction materials shall be confined to within the "Limit of clearing, grading, and ground disturbance" as shown on the approved plan. 2. Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end along the limit of clearing, grading and ground disturbance line as shown on the approved pran. The bales sharl be maintained, repaired and replaced as often as necessary to ensure proper function, until all disturbed areas are permanently vegetated. The average useful life of a bale is approximately 3-4 months. Sediments trapped by the bales shall be removed to an approved uprand location before the bales themselves are removed. 3. Straw bales shall be recessed two to four inches into the ground. 4. All fill shall consist of clean soil, sand and/or gravel that is free of the following substances: asphalt, slag, flyash, broken concrete, demolition debris, garbage, household refuse, tires, woody materials including tree or landscape debris, and metal objects. The introduction of materials toxic to aquatic life is expressly prohibited. 5. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and mulched with straw im mediately upon completion of the project, within two (2) days of final grading, or by the expiration of the permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 6. Suitable vegetative cover is defined as a minimum of 85% area vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size. 7. Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland. These materials shall be suitably stabilized so as not to re-enter any water body, wetland, or wetland adjacent area. 8. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located at all times Jn an area greater than 100 feet landward of the regulated wetland or water body. If the above requirement cannot be met by the permittee, then the storage areas must be designed to completely contain any and all potential leakage. Such a containment system must be approved by NYSDEC staff prior to equipment, machinery or tank storage within 100 feet of the regulated wetland or water body. 9. This permit does not authorize the cutting or removal of natural vegetation. 10. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated freshwater wetlands associated with MT-2 are located on / near the properties of Namrog Holding Corp. and their heirs, assigns or successors. This property is subject to the provisions of Environmental Conservation Law (ECL} Article 24, and the conduct of regulated activities may occur only pursuant to ECL Article 24 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor(s). Regulated activities include, but are not limited to clearing of vegetation; application of chemicals; excavation; grading and filling; and erection of any structure(s)." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager Bureau of Habitat, SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER I J PAGE 4 OF 4 1-4738-03053/00001 NYSDEC Bureau of Habitat SUNY, Bldg. 40 Stony Brook, NY 11790-2356 Commencement Notice Permit No: l- Issued To: Contractor's Name: Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to the above referenced permit you are hereby notified that the authorized activity shall commence on The permit sign will be posted at the site and copy of permit will be available at site for inspection. Submitted by: This notice must be sent at least 2 days in advance of commencement of the project. Failure to notify or post will leave owner and/or contractor subject to applicable penalties for non-compliance with permit conditions. Cut along this iine-- NYSDEC Bureau of Habitat SUNY, Bldg. # 40 Stony Brook, NY 11790-2356 Completion Notice Permit No: 1- Issued To: Contractor's Name: Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to the above referenced permit you are hereby notified that the authorized activity was completed on Submitted by: This notice, with photos of completed work and/or completed survey, must be sent to above address promptly upon completion of project. Failure to hotly' will leave owner and/or contractor subiect to applicable penalnes tbr non-compliance w~th permit conditions.