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Home My WebLink AboutAlvah's LnTown Of Southold P.O Box 1179 Southold, NY 11971 Date: 08/29/08 * * * RECEIPT * * * Receipt#: 28353 Transaction(s): 1 1 Permits Reference Subtotal 580 $1,969.70 Check#: 15750 Total Paid: $1,969,70 Name: Keyspan, Energy - Gas Cont Dept 175 E Old Country Rd Hicksville, NY 11801 Clerk ID: LINDAC Internal ID: 580 Permit No. ~-~ File No. ~ ~ TOWN OF SOUTHOLD HIGHWAY DEPARTMENT Peconic Lane Peconic, New York 11958 (631) 765-3140 APPLICATION/PERMIT FOR HIGHWAY EXCAVATION AND REPAIR Re£#TI00866685 RECEIV~.D Southold ]'own Clerk APPLICATION IS HEREBY made to the Superintendent of Highways of the Town of Southold for the issuance of an Excavation Permit pursuant to Chapter 83 of the Code of the Town of Southold, Suffolk County, New York, and other applicable laws, ordinances or regulations for the excavation herein described. The applicant agrees to comply with all applicable laws, ordinances, codes and regulations, and to permit authorized inspectors to make necessary inspections of the job site. Print or Type 1) KEYSPAN ENERGY- GAS CONSTR. DEPT. - 175 E. OLD COUNTRY RD. - HICKSVII.!,E. NY 11801 Name of Applicant Address 2) Alvah's Lane Mattituck Owner of Premises Address 4) Builder's License No. Electrician's License No. 3) Install approx. 6,000' of gas main on Alvah's Lane casing sleeve under L.I.R.R. trnckn 4) Work Description and Location (Street Number, Hamlet, Cross Street) (a) Is construction located within 75 feet oftidalweflands? *Yes No X *If yes, other Town permits may be required. Plumber's License No. Other Trade's License No. Date 5) a) Attachp~~tp~ansh~wing~~cati~n~fpr~p~sedexcavati~nandre~ati~nshipt~adj~iningpremises~r public streets or areas, and giving a detailed description of layout of excavation. b) Attach all other necessary permits and licenses for this projecL c)Work covered by this application may not commence before issuance ora Highway Excavation Permit by the Town Clerk. ., Block , Lot Completion Date: 6) Tax Map: Section 7) Starting Date: 8) Work Schedule: Phase Excavation ......................................................................... Facility Installation ............................................................... Backfill & Compaction ......................................................... Pavement Replacement ......................................................... 9) Under which authority is the application made: 10) Estimated Cost of Proposed Work: $ 11) Remarks: Completion Date D-39 12) Insurance Coveraee: (Attach Copy) a) Insurance Company: b) Policy# c) State whether policy of certification on file with the Highway Department: d) Coverage required extended to the Town: Bodily injury and property damage: $300,000/$500,000 Bodily Injury, and $50,000 property damage. 13) Security: a) Surety Bond or Certified Check provided in the total amount ors b) Maintenance Bonded provided: 2 years or 3 years 14) Fees for applications and permits: Basic Application Fee Al. /Service Connections excavations ~ $20.00 = 100' trench fee A2. /Additional Excavations same service ~ $10.00 = No. $150.00 + 20.00 bellhole +30.00 for And .30 ea. foot from 101' $99.00) B. Excavations 18" in depth or less: 0-100 I.f. = $10.00 - l.f. ~ $0.10 = Additional C. Excavations 18" in depth to 5' in depth: 0-100 l.f. - Additional lf~ .30 = 6,000' of trench D. Excavations 5' in depth and over: 0-100 l.f. = $50.00 {.f, @ $0.50 - $ Additional No. Additional Utility Repair Excavations ~ $10.00 = $ Repairs same service ~ $5.00 = $ Notice to public utilities proof must be provided and attached to this application prior to issuance of permit. TOTAL COST -- $1~969.70 Authorization is hereby granted to the Town Clerk of the Town of Southold to issue a Highway Excavation Permit to: KEYSPAN ENERGY DELIVERY in accordance with this application. Received h¥ the ~o~n C~¢rk Permit Issued ~_ 02 ~' o ~c~ Permit No. SUPER~I.T~ENDENT OF HIGHWAYS TO~N OF ~OUTHOLD~ NEW YORK ' -- - Peter Wl Harr~ Not__e: Permit expires one (1) year from Date of Issuance. No work to start without 48 hour notice to the Superintendent of Highways. Permit must be available for inspection. D-39 Page 2 of 3 Copy Distribution: Highway Department Inspector Applicant Town Clerk INSPECTOR'S RECORD Inspection Date 2~a 4th Findings (use code) Applicant Notified (To Permit Clerk) REMARKS CODE IB - Improper barricades IL - Improper lights ST - Sunken trench or excavation UTM - Unable to measure (due to backfilling) BUC - Building under Construction WlP - Work in Progress DB -lmproper backfill (too high) (not sufficient) HFS- Inspector holding for final settlement ofexcavation RFR- Ready to Repair D-39 Page 3 of 3 SITE MAP P-21 LEGEND PROPOSED GAS MAIN - NEW INSTALLATION BY CONVENTIONAL TRENCHING PROPOSED PIPE JACKING OR DIRECTIONAL DRILL OF GAS MAIN EXISTING KEYSPAN GAS MAIN PROPOSED GAS VALVE EXISTING WATER MAIN EXISTING UNDERGROUND TELEPHONE HAY BALES AND I OR SILT FENCING EXISTING POLE (LIPA I VERIZON) EXISTING RISER POLE WITH UNDERGROUND ELECTRIC PERMIT APPLICATION - TOWN OF SOUTHOLD nationalgrid GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 516-924-6861 PROJECT: Mattituck I Cutchogue Reinforcement "~_OO~(~. ~.~ PROGRAM: Gas Reinforcement Project I WORK ORDER: ~ DESCRIPTION: ~.lnstall approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING ~ TITLE PAGE on Alvah's Lane. This project Is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-11, 12, 13, t8, 26, 35 Island. SCALE: NONE · CO, UNTY ROAD 48 - MIDDLE ROAD PROPOSED 12" STEEL GAS MAIN - 124 PSi #5855 OFFSET 8 PLASTIC ! GAS MAIN INTO PIPE ~. 14' I ~1~ CASING I %%~',~"?,.~.~ ~ .... /I PROPERTY ~1, "1~ I 10' LX 10'WX 10' D ~: ~' '~: I ................. INSTALL A 12" STEEL CASING SLEEVE UNDER THE LIRR ALONG ALVAHS LANE IN CUTCHOGUE UTILIZING PIPE JACKING/ BORING TECHNOLOGY. CASING SLEEVE APPROX. 80 FEET IN LENGTH AND A MINIMUM DEPTH OF 7 FEET BELOW TRACKS TO BE INSERTED WITH 8" PLASTIC GAS MAIN. ALL VENTING PER LIRR SPECIFICATIONS. 45' iX LONG ISLAND RAIL ROAD nationalgrid GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 516-924-6861 PROJECT: Mattituck/Cutchogue Reinforcement PROGRAM: Gas Reinforcement Project I WORK ORDER: T100866285 DESCRIPTION; Install approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING # 1 OF 6 on Alvah's Lane. This project is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-11, 12, 13, 18, 26, 35 Island. SCALE: NONE e EXISTING LIRR ~ ~ GRADE LIRR PROPERTY LINE r'~ I ,', ~ ~1 z .......... PIPE JACKING PIT OUTSIDE LIRR I ~ O ,~ i uJ PROPERTY , , 0 40' LX IO'WX 10'D TOWN OF SOUTHOLD - PERMIT APPLICATION PIPE JACKING PIT FROM LIRR CROSSING, SEE DWG #1 #4508 OFFSET 8" PLASTIC GAS MAIN FROM JACKING PIT #4505 12' ILLJ TOWN OF SOUTHOLD - PERMIT APPLICATION PRIVATE ROAD nationdgrid GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 616-924-6861 PROJECT: Mattituck/Cutchogue Reinforcement PROGRAM: Gas Reinforcement Project I WORK ORDER: T100866285 DESCRIPTION: Install approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING # 2 OF 6 on Alvah's Lane. This project is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-11, 12, 13, 18, 26, 35 Island. SCALE: NONE GREENHOUSES '1 ~ o '~ o DRIVEWAY i il il i LU TOWN OF SOUTHOLD - PERMIT APPLICATION na*iona~-r;,~L, ,~ ,.GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 516-924-6861 PROJECT: Mattituck/Cutchogue Reinforcement PROGRAM: Gas Reinforcement Project I WORK ORDER: T100866285 DESCRIPTION: Install approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING # 3 OF 6 on Alvah's Lane. This project is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-11, 12, 13, 18, 26, 35 Island. SCALE: NONE I 13' i 3') I il TOWN OF SOUTHOLD - PERMIT APPLICATION nationalnri~lL, ,= ... GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 516-924-6861 PROJECT: Mattituck/Cutchogue Reinforcement PROGRAM: Gas Reinforcement Project I WORK ORDER: T100866285 DESCRIPTION: Install approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING # 4 OF 6 on Alvah's Lane. This project is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-1% 12, 13, 18, 26, 35 island. SCALE: NONE ,I LU # 1735 # 875 # 855 LU TOWN OF SOUTHOLD - PERMIT APPLICATION ,~ ..-. GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 516-924-6861 PROJECT: Mattituckl Cutchogue Reinforcement PROGRAM: Gas Reinforcement Project I WORK ORDER: T100866285 DESCRIPTION: Install approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING # 5 OF 6 on Alvah's Lane. This project is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-11, 12, 13, 18, 26, 35 Island, SCALE: NONE # 375 # 285 13' WATER EXISTING 6' STEEL GAS MAIN INSTALL A 12" STEEL CASING SLEEVE UNDER RT 25 Itu ~ # 80 WATER MAIN ROAD NYS RT 25 TOWN OF SOUTHOLD - PERMIT APPLICATION ,~ .-- GAS CONSTRUCTION - LI POINT OF CONTACT: Thomas Buckleman 516-924-6861 PROJECT: Mattituck/Cutchogue Reinforcement PROGRAM: Gas Reinforcement Project I WORK ORDER: T100866285 DESCRIPTION: Install approximately 6,000 feet of 8" plastic 124 psi gas main DRAWING # 6 OF 6 on Alvah's Lane. This project is needed to increase the KEYSPAN GRID: reliability of the gas supply to the eastern North Fork of Long 101-11, 12, 13, 18, 26, 35 Island. SCALE: NONE