HomeMy WebLinkAbout32364-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No, Z-32261
Date, 03/27/07
THIS CERTIFIES that the building
ACCESSORY
Location of Property, 510 SHORE
(HOUSE NO.)
County Tax Map No. 473889 Section 86
LA
(STREET)
Block 1
PECONIC
(HAMLET)
Lot 4. 9
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 14, 2006 pursuant to which
Building Permit No. 32364-Z
dated SEPTEMBER 14, 2006
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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to VINCENT D & SALLY G SASSO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3024372
02/26/07
PLUMBERS CERTIFICATION DATED
N/A
~~
Authorized Signature
Rev. 1/81
)
..
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
',;R 2 I
APPLICATION FOR CERTIFICATE OF OCCUPANCY
--.--'
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For lIew buildiug or lIew IIse:
1. Final survey of properiy 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. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cCliificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
n. For existing buildings (prior (0 April 9, 1957) non-eonfol'llling uses, or buildings and "pre-existing" bnd Ilses:
1. Accurate survey of propcliy showing all propeliy lines, streets, building nnd unusual natural or top()~r<lphic
features.
2. A propcrly complctcd application and consent to inspect sib'lled by the applicant. If a Celiificatc of Occupancy IS
dcnied. the Building Inspector shall state thc rcasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2'.00.
Swimming pool $25.00, Acccssory building $25.00, Additions to accessory building $25.nn. Businesses $.'11.1111.
Ccrti!lcate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated CClii!icate of Occupancy - $50.nO
Temporary Certificate of Occupancy - Residcntial $15.00, Commercial $15.00 .:::.., / ) _' I f- 0 /
Date. ~ 'T
Old or Pre-existing Building: _ ~____ (check one)
Location of Property =_51 D__5bD( ~_La..D.L-l5e C_O(\J'~._
House No. Street ~I
<::::::.11. JJ . 5- so
Own"" or U\\'I1LTS of Property: __ J..aJlf- +_- .1 1'1C._e. n r __~?-'_ ___
Sufl(,lk (:ounty Tax Map No ] 000, Section __ -'6&- Block L
Suhdivision ------.._nCJ.___ hied Map.
Perllllt Nu. ?J;X.3 ~~- 2.. Date of PCrlnit. Applieall1:
2.
3.
4
5.
New CUllstl1lction:
-
llall1lcl
101
Lf I 9
I.nL
Ileattlt 1 )cpt. Approval: __
Underwrit ors Approval:
Planning Board Approval:
Request for:
Temporary Ccriificate _n______ Final Certificate: _._____ (check one)
Fee Submitted: $
~c 7,2251
co-'t"3X<cf I
(G,- I-Y.9
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~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ SALLY SASSO SALLY SASSO ~
~ PO BOX 61 510 SHORE LANE ~
I PECONIC, NY 11958 SOUTHOLD, NY 11971 I
~ Located at 510 SHORE LANE SOUTH OLD, NY 11971 ~
~ ~
~ Application Number: 3024372 Certificate Number: 3024372 ~
I Section: Block Lot: Building perrTI~_h v-I BDC: ns11 I
~ Described as a occupancy, wherein the premises electri~al system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~ ~~~~ ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted In accordance with the requirements of the applicable code andlor standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having Jurisdiction, and found to be in compliance therewith on the 26thDayof February, 2007. ~
~ Name OTY Rate Rating: Circuit ~ ~
~ Miscellaneous ~
~ u~~~ ~
~ Appliances and Accessories ~
r.;] Time Clock/Switch 2 0 ~
~ Pool Heater I 0 Gas ~
~ Pooll Spa Bonding I 0 ~
~ Panels I 40 3 ~
~ Wiring and Devices ~
~ Receptacle I 0 GFCI ~
~ Fixture I 0 Pooll Spa ~
~ Receptacle I 0 20 amp Pooll Spa ~
@J (S\vimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments It IS advisable to have @J
~ rrequent test andlor repairs made by a qualified person. . ... ~
~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to ~
i be in comformance with the applicable rererence standard for the estimated period or construction of the premises wiring ;;:~m. i
~ I of I ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location Indicated. I
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Porch Ext. Walls ll,(';! ul Interior Finish LR. I
Breezeway Fire Place Heat DR. !
Garage '2:l )o.4~ 5J.? I V:: 000 Type Roof Rooms 1st Floor BR. if
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e. 8. .;( "1 "'"\ 461) Dormer Driveway
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Total >? () )5 1(33)
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FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
32364 Z
Date SEPTEMBER 14, 2006
Permission is hereby granted to:
VINCENT D & SALLY G SASSO
5 MAYFAIR AVENUE
FLORAL PARK,NY 11001
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS PER DEC APPROVAL. THIS PERMIT REPLACES 30121.
at premises located at
510 SHORE LA
PECONIC
County Tax Map No. 473889 Section 086
Block 0001
Lot No. 004.009
pursuant to application dated SEPTEMBER 14, 2006 and approved by the
Building Inspector to expire on MARCH
Fee $
150.00
14, 2008.
ature
ORIGINAL
Rev. 5/8/02
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~~...~~.
r ,~._-e.
[ ] ROUGH PLBG.
[ ] INSULATION
[~AL
DAT~ /~ ;).00<'/ INSPECTOR '/U.L-eJ,4
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3~3b'fZ.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL ~;
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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FIELD W"PECTION REPORT
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FOUNDATION (1ST)
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FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
DATE
COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL I. .
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.netJi?outhold/
PERMIT NO.
~ ') ~ I (I
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Examined
Approved
Disapproved ale
,20~
,20l
Trustees
Contact:
Mail to:
Expiration
, 2 0 -;::;--
Phone:
APPLICATION FOR BUILDING PERMIT
fEB25~
Date
/0/3103
~
20a 5
'-
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 showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months atter the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, or alterations or for removal or demolition as herein described. The
applicant agrees io comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admii
authorized inspectors on premises and in building for necessary inspections.
:)'5" ~ 00 ((1 !fir' PI U 1\/ L (\J '( /I~ ')If
(Mailing address of applicant)
State whether applicant is owner, lessee, ageni, architect, engineer, general contractor, electrician, plumber or builder
C. C'lJr,",- fa .r
Name of owner of premises
'"
)fA
Lit)
(Name and title of corporate officer)
Builders License No. '2 f 7 is)' - J-/r.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Locatign of land on which proposed work will be done:
'J II) :) h (, / t. \ VI
House Number Street
~rlO()IG
Hamlet
Block 0 I
Lfiled Map No. h'i 1 ;
Lot '-I. 9
Lot '1
\
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
AU'IlLl n
Other Work
K ~pterati~n
-l-- 6- D o-E:-
(Description)
4. Estimated Cost (O) OD {}
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
14. Names of Owner of premises )(...11.1 Scs l,~
Name of Architect_
Name of Contractor :f,.. Mt> k")
Address" Iv :; he -~ I",
Address
Addressq 5-10 '/ I. f i.()-
Phone No. ,)'/-
Phone No
Phone No. 6J/-711/-7(07
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland~ * YES ~ NO_
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
ST ATE OF NEW YORK)
SS:
COUNTY OF'fJ'('>~ (')
. ~ t (z .J/;..(.JO being duly sworn, deposes and says that (s)he is the applicant
(Name of in ividual signing contract) above named,
L c^ L,,,, L tor
(Contractor, Agent, Corporate Officer, etc.)
(S)He is the
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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
,.., d I' /' r
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/ Notary l!:!mIic
20 S;J-
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Sign~e of Applicant
JAMES F. MOONEY
Notary Public, State of New York
No. 01 M06038836
Qualified in Queens County
Commission Expires March 20, 2006
New Yor~ State Department of Environmental Conservation
Division of Environmental Permits, Region One
Building 40 - SUNY, Stony Brook, New York 11790-2356
Phone: (631) 444-0365 . FAX: (631) 444-0360
Website: www.dec.state.ny.us
~
-...
~
Erin M. Crotty
Commissioner
February 18, 2004
Vincent Sasso
510 Shore In
Peconic NY 11958
Dear Permittee:
Re: Sasso Property, 510 Shore lane, Peconic
DEC No. 1-4738-02749/00002
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 and approved plans. Please read all permit 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, and the dual Notice of CommencemenUCompletion of
Construction. Please follow all instructions on the latter.
Very truly yours,
~3~tJ~
Karen S. Westerlind
Environmental Analyst
Enclosures: 4
cc: J. King
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit
mix trucks, mixers or other devices enter tidal wetlands and/or protected buffer areas.
2. Any debris or excess material from construction of this project shall be completely removed from the adjacent
area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands
and/or protected buffer areas.
3. All areas of soil disturbance resulting from this project shall be temporarily stabilized with straw or hay mulch
or jute matting or other similar natural fiber matting within one (1) week of final grading. Temporary
stabilization shall be maintained until a mature vegetative cover is established.
4. All areas of soil disturbance resulting from this project shall be stabilized immediately following project
completion or prior to permit expiration, whichever comes first. The approved methodology is stabilization
of the entire disturbed area with appropriate vegetation, such as grasses, etc.
5. The storage of construction equipment and materials shall be confined to within the project work site and the
existing lawn area.
6. Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure
is prohibited.
7. Necessary erosion control measures i.e., haybales, silt fencing, etc. are to be placed on the downslope edge
of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs
and is to be maintained in good condition until thick vegetative cover is established.
8. Dry wells for pool filter backwash shall be located a minimum of 100 feet landward of the tidal wetland
boundary.
9. There shall be no draining of swimming pool water directly or indirectly into tidal wetlands or protected buffer
areas.
DEC PERMIT NUMBER
1-4738-02749/00002
Vincent Sasso
PAGEL of -.1...
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item. A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the
State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the
extent attributable to the permittee's acts or omissions 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 0 f their
responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect
to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental
Conservation law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may
be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights
of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real
or personal property held or vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by
an authorized representative of the Department of Environmental Conservation (the Department) to determine whether
the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant
to ECl 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the permit
area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection
by the Department at all times at the project site or faciiity. 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 previousiy 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 renewai, modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires. Any renewal,
modification or transfer granted by the Department must be in writing.
The permittee must submit a renewal application at least:
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous
Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management
Facilities (SWMF); and
b) 30 days before expiration of all other permit types.
Submission of applications for permit renewal or modification are to be submitted to:
NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356
General Condition 4: Permit Modifications, Suspensions and Revocations by the Department
The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621.
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.
DEC PERMIT NUMBER
1-4738-02749/00002
Vincent Sasso
PAGE 2. OF ....L
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608
( TIDAL WETLANDS)
1. If future operations by the State of New York require an alteration in the position of the structure or work herein
authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable
obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the
people of the State, or cause ioss or destruction of the natural resources of the State, the owner may be ordered
by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense
to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to
the State, and to such extent and in such time and manner as the Department of Environmental Conservation may
require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the
navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on
account of any such removal or alteration.
2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein
authorized which may be caused by or result from future operations undertaken by the State for the conservation
or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any
such damage.
3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission,
consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General
Services or local government which may be required.
4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended
solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other
environmentally deleterious materials associated with the project.
5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause
damage to navigable channels or to the banks of a waterway.
6. There shall be no unreasonable interference with navigation by the work herein authorized.
7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall, without expense to the State, and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and
restore the site to its former condition. No claim shall be made against the State of New York on account of any
such removai or alteration.
8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302,
303,306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are
met.
9. At ieast 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans are stamped "NYSDEC Approved" dated 2/18/04.
DEC PERMIT NUMBER
1-4738-02749/00002
Vincent Sasso
PAGE3-. OF -1.
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510 Shore Lane
peconic. NY