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HomeMy WebLinkAboutYuelys, Nicholas DELIT.~kBETH 3,. NEVILLR, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 www. southoldtownny, gov TO: FROM: DATED: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Building Department Carol Hydell, Southold Town Clerk's Office May15,2013 MAY 15 8L~G D~?T. TOWN OF SOUTHOLD Cesspool Construction Application Transmitted herewith is a copy of application No. 4134 for a Cesspool/Septic Tank Construction Permit submitted by: Patricia C. Moore for Nicholas D Yuelys Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ~ DISAPPROVE Comments: Final aouroval required from the Suffolk County Health Departmem Signature Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1600 southoldtown.north fork.net OFFICE OF THE ToWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT ' APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential ~ $10 X or Non-Residential ~ $25 Application No. ~ ] / i'~ ~-~ Permit No. Applicant Name F~,~,~, ~/~?, ~,t~tyT~-a~ Applicant M~ling Address ~ ~ ~a/~ I/q t S~tic T~ / or Cesspool ~ Brief Description of proposed Cons~ction or Alteration ~cation of Proposed Cons~ctio~Alteration: OwnerofPrope"y: ~, ~/R6 D /~ /7~ Owner M~ling Address: 3 ~ ~ /~ ~ ff ~ '/ Received by: Owner Property Address: 5-{~ (~ _{~ ~ ~ ~ q B Name and phone number of contact person Tax Map No: Section q C/ Block /. ~' f Lot / ~ Cross Street ~ r~ NOTE: LOCATION MAP MUST BE SUBMITTEB WITIt APPLICATION. NEW CONSTRUCTION REQUIRES SURYEY~TIt DEPARTMENT APPROVAL Signature of Applicant Date TEST HOLE DATA I - _ _ ~ ml~,rement Submit SUBSURFACE SEWAGE D,SPOSAL SY,STEM DESIGN '"' ~0'~ Il completedc°mf°m~nce wilh ~---~'*~-~-::-'fm,m W~ as proo£ BY -dOS~.PH FISCHETT,, P.E. HO.A~r RoAo ~.$p~- ""~'~' SURVEY OF PROPERTY SOUTHOLD N,Y. H971 B ~, TOF~N OF SOUTHOLD ~ ~ ~ ~UPPOLK COUNTS ~ ~ W 4.4' ~ JAN.OE~eO, 201e20'(new2011septlc) MARCH 5, 201~ frevisions) ~ ~ ~MAY H~E S~t' ~ ~ ~ DARK BROWN LOAM PEI~$r Ft~ Alamov~ O~ ~o~ FORA ,~NGLE FAMILY RESI[~ICE ~D BROWN SILTY SAND SM WATER iN BROWN SILTY SAND SM 12' NEVi SEPTIC SYSTEM I 2 BEDROOMS) I-I000 CAL PRECAST S~'PT~C TAW Z'~'~ '~ 6' DEEP LEACI-fIIVG POOLS 3' ABOVE WA TER WITH $ SAIVD fSW) COLLAR 1~8'# ,~ 6' DEEP EXPANSION LEACHING POOL, EXISTING SEPTIC SYSTEM EXPOSED BY TO BE ROMOVED PER SCDHS. SPECS, WATER IN BROWN FINE TO COARSE SAND SW 18° COASTAL EROSION HAZARD LINE FROM COASTAL EROSION HAZARD MAP PHOTO 55-581-83 ELEVATIONS ARE REFERENCED TO NA VD. lm fora/I/or with the STANDARDS FOR APPROVAL ~ ID CONSTRUCUON OF SUBSURFACE SEWAGE ;POSAL SYSTEMS FOR SINGLE FAIdlL Y RESIDENCES d will obide by the conditions set forth therein ond on the rmit to construct. e Iocotfon of wells ond cesspools shown hereon ore ,m field observoUons and or from doto obtoined from others. ALTERATION OR ADDITION TO THIS SURVEY IS A t4OLA TION SEC~70N 7209 OF THE NEW YORK STATE EDUCA EON LA ~EPT AS PER SEC~70N 7209-SUBDl14SlON 2. ALL CERUF7CATIONS ~EON ARE VALID FOR THIS MAP AND COPIES 77-tEREOF ONLY IF MAP OR COP/ES BEAR THE ?SE S/C.N~I]RE APPEARS HER R~CEI v ~D · S:? 0 ~ 2012 AREA= 4,730 SO. FT. TO TIE LINES i OAP  C NO ~ E (651) 765-5020 FAX (6Ji) 765-~797 P.O. BOX 909 0513012013 09:45 H00RE LAH OFFICES (FAX}e317~Me43 P.0011018 PATRICIA C. MOORE Attorney st L~w 51020 Main Ro~d Southold, New York 11971 Tel: (631) 765.4330 Fax: (631) 766-4643 FACSIMILE COVER SHEET Thepages comprising this facsimile transmission conleln confidentielinformation from Pattfcia C. Moore. This informatian ia lntended solely for use by the indlvidual entlty named as the moiplent hem~ If you ere not the intended recipient, be sw~re that any diaolo~ure, copying, #istrlbutlon, or use of the contents of this transmission Is pmhlblled. If you have received this transmission in error, p~ease notify us by telephone immediately so we may arrange to relrieve this transmission at no cost to you, TOTAL NUMBER OF PAGES INCLUDIN{3 COVER SHEET IF TRANSMISSION IS FAULTY OR INCOMPLETE, PLEASE CALL BACK AS SOON AS POSSIBLE. oomment~: UAY 2013 PATRIClA C. IIOORF., A'Ttl)RIEY AT LAW J FOLLOW-UP DATE So~lfloid, NY 11971 _ $ 05/30/2013 09:45 H00RE LAH OFFICES (l:.~X~317~d~13 P.003/018 Date: 05/14/13 * * * RECEIPT * * * ReCallS/: 150167 1 Trln~o~lon~ Septic permi! ,- Conltru~t ,-, Re~icl. R~f~renr,~ 4134 Total I~lld: 8ubto, tal $10.00 $10.00 No~; Payment T¥1m CASH Amount $10.00 Nlme: Moore, Patrlota 61020 Main Road $outhold, NY t1971 0513012013 09:46 HOORE LAN OFFICES (FAX~31N~ P.0041018 GOUN'rY OF SUFFOLK $'rEVEN BI=II__.ONE SUFFOLK COUNTY EXECUTIVE DEpARTMtNT OF HP. ALI~I JAMES L TOMARKEN, MD, MPH, MBA, MSW PERMIT Th~ attached plan, when duly signed by a representative oftl~ Depam~k oonstitute~ a permit to conaln~ot a wat~ ~ply atgi/or ~oll~tion symm for tho pvopo~ as d~piuted. Tho applicant should tek= ~ot~ of any conditions approval, which may b~ iadicated o/a tho plm or muiosed h~in. CoasUuc§on mu~t oonfbrm w!t~ applio~ble standards in~lucling "Standards for Approval of Plato and Comtrueflon for Sewage Disposal S~teml for · Single F,~mily RosldoJiceJ' ftl~d mStandard/and PToeedures .for Private Water Systml,' Omissions, rooF8 or lack of d~"taill on the plan does not teleaso the applicant from the responsibility of fraying tho qotlst~fion don~ in conformance with ~ppli~abla stand,ds. Thc p~:dt (plan) *xplr~ thr~c (3) ytnrs v~r the approval date. Any modificsfions which may affect the proposed ~owa~ dilp0sal or wsqor ~tpply syst~s re~ir~ Rlbmillion of a l~ined plan and additioml f~s 0f appli~blo) for n~ppm~ p~ ~ consu~o~ No Inm4ns..will be ~erformed by the DoDaFtmen~t on eXDIF~ Pormlu may be ~ved, =x~-nded, tn~. fen~ or revj~ in ac~ordm~e ~th tho procedures des~bed i~ "Submboion RequJremehts for Approval of Sewqe Disposal sma Water Supply Fadllfles for 81u~e Family Owemnp* (Form WWM-041). ' It is the applicant's eesponsibility' to call the d~psr!ment at 852-57~4, M ~d~A~t=~, to afl'saSe imp~ctions of tho lawago dilq~omd sad/or watnr supply fs~il~ti~ prior to I~kfllli~. Th~ ineludu i~pootiom of tim colloctlon and disposal syste~, warm' s~pply lyst.om components ~d piping, and trmsl 8~gling s~ ahown on approvod plans. Itl =onain oases, insp~tions of the soil ~xe, vation may be required to dotormln~ tho aocopmbillty of th~ lofts for 0ewage dioposal systems. TA~ DttMn~Mt mu~t At ~.fldd ~t l~Jt 24 hour~ M ~h~mce to s~hodule an impeetton and a~avotion M~w. tio~ mu~t,i~ ~qflrm~d b~ cldlbg a$2.$7~ prior M 9:$0.4.M., tlu momht~ of tlu ~s~ion. .~rticls FT/ of Me 5qO~olk County Cod~. "Septle Industry Buslnoss~." rtquO~ that all of $~pttO ~y#tm within Stt~olk CounO, sltall pm~# a valid lie4mse from tl~ Svffolk Coun~ 0~o(~ of Couurntr 4~lr~ ; Thl~ o. ffto~ c~n refuse to perform t~pe*flo~.o~ ~,ast flnal approval.for th* con~truation of projects that ar~ in~talled by an tmliotnsed Mdtvtduai. It Is, tl~r~fo~, in your be~t lnttre4t to vtllizo a o~spool oontravior with a ealid li¢~n~ to avoid sut~tantial dzlay~ i~ your project. FINAL APPROVAL ISSUED BY THE DEPARTMENT IS NECESSARY PRIOR TO ~ OCCUPANCY OF NEW BUILDINGS, ADDITION8 TO EXISTING BUILDINGS, OR FOR THE USE OF SEWAGE DISPOSAL O~ WATER SUPPLY sYsTEMS. 09:46 HOORE LAW OFFICES EA,~317~J4~ P.0051018 INSTRUCTIONS FOR F,I, ,N. AL APPROyAL O.F,, ONSTRUCTED SYSTEMS, h is tho applicant's responsibility to call the Department to arrange inspections of the sewage disposal syst~n and water supply fa. ditties prior to hackfilling. Th~se incl~le !nspecgom of the soil excavation for abe sewe~e'.dispocal systmn, when required, and insl:s~i0ns of the water supply will, well lateral, public water supply line, disposal system, piping and final grading. Other ir~pections may be required. l%l]owiag safls£aotory constmotion and insp~Iiona: l. The applicant must submit 4 .prints of an as-built plan (up to and including ll"xl?'), by · licensed design professional, or,he subject propm~_y showing the followin~: a. the lot location and m~es/bounds description; b. th= lot number(s) and the nam= of the subdivision, 'if applicable; c. px~mn~t structures (i.e., buildings, driveways, walk'ways, swimming pools, d~cks, retaining walls, d. the'exact location of the private well and lateral, if applicable (give at least 2 dimensions measured il'om the oomer~ of the building to the wall); e. Ihe exact location of tho public water line, if applicable; f. the eaac~ location of ~he sepfio tank a~l leaching pool(s), if applicable (give at least 2 dimensions measured from ~ho corners ofth~ buildin~ to ~ho oowrs of aba septio lank sad esoh leaching pool); g. the exact location of the sewer line from the dwelling to the street; if applicable; ami h. have a clear ares st least 3" x 5" for the Department's approval stamp. 2. If any nm subsurface sewage disposal system oomponmts have bean insialled, tho applicant musl mbmit a cmificato 0~orm WWM-0?8 or equivalmt) from the licensed scwaBe disposal installer, orienting th~ the system has b~m constmotod according to h~ criteria of the Department. If a certificate from Ii~e installer cannot be obtained, · form WWM-0?3 compleled by a licensed arehit .~'i or ~inecr may ba submiit~l.. If a .well has b~u tnstell~ ss th~ .po~able water mpply, lhen the applicant must 'submit a w~ll water.analysis ~nple~ed within one (1) year by · certified lab, and a well &-tller's o~rtiflcate eomplstsd by e licen~d wall drifter. If the Wldl or water quality doea not cam'btm to standards, correctly= measures will be requlmd es deacrlbed in the Depa~m~t'e "Private Watex System ~tandards,' Please note: water u~atmmt anlts may not be installed without prior approval of the Dapannumt. If any preexisting subsurfac~ sewage disposal sys~m c0mpommts have b=~n.abandoned or removed, tho applicimt must submit a C~lfioale.of Abandonmmt (Form WWM-080) from s lio~sed oontraotor attming that the previous synton has been abandoned according to the criteria of'the Department. li'a certificate from the contractor cannot be obtained, firm WWM-0?3 completed by e licensed architect or engtneaT may be submitted. If public sewers are utilized for the dwellin& the applicant must sine submit one (1) copy of the sewer line inspection approval from the s,wer district. In districts olau'st~xi by Suffolk County, or~ (l) ori$irml of Norm $-9, duly by the .~ufl~lk County Depaflment of Public Works, and one (I) copy of · ~ufYolk County D~'parmvmt of Public Works field sk~ch ar~ required. 6. If public water is utilized, a tap l~er from the appropriate water district indicating that service has be~m completed to the dwelling will bo required. 7. In oerteln cas~s, the applicant will ~ required to submit .a .cmiflcatien from a licensed design profo~ionsl, ~'ttestln$ that ell componmts of the sewage thsl~osal syst~'~, r~mmng well or sewage collection synton have bom~ properly inspected and oonstruotod aooordln$ to the approved plans and permit conditions, Refer to ~Certlficetlon of Constructed Wnrl~** (Form WWM-073). Other documents may bo required as indicated on tho pmmit to oonstru~t, ON ALL CORREgPONDENCE OR DoCUMENTs SUBMITTED. SUBMIT ALL NECE,.~ARY FINAL PAPERS AT THE SAME TIME. PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCBPTED, 05/3012013 09:46 HOORE LAN OFF£ES (F.~6317~4643 P.0071018 James l~. Kin~, Pre~iclent Bob Ohosio, Jr., ¥i~e-Predden~ · John Bredmneyer Town N~!! Annex 54375 M~n ~ P.O. Box 1179 Southold, New York 119'/1-0969 Telephone (6~1) 785-1893 Fax (681) 765-6641 June 20,2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Patricia C. Moore, Esq. 51020 Main Rd. $outhold, NY 11971 RE:' NICHOLAS YUELY$ MOOS COUNTY RD. 48, 8OUTHOLD SCTl~t44-1-19 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 20, 2012 regarding the above matter. WHEREAS, Patricia C. Moore, Esq, on behalf of NICHOLAS YUELY$ applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, completed application dated .May 18', 2012, and, WHEREAS, saw application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the appllcetJon be found Consistent with the Local Waterfront Revitaiization Program policy standards, and, ' WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 20, 2012, at whlnh 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 ama, and, 05/30/2013 09:46 HOORE LAH OFFICES 2 P.0081018 WHEREAS, the Board has considered all the testimony and documentation submitted .concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposad will not affect the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Watarfmnt Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of NICHOLAS YUELY8 to replace the existing sanitary system with new system In the front yard, with ' the Condition the existing sanitary system is abandoned, pumped and filled with sand, and as depicted on the survey prepared by John T. Metzger last dated May 17, 2012 and stamped approved on June 20, 2012. Permit to construct and complete project will expire two years from the date the permit Is signed. Fees must be paid, ff applicable, and permit Issued within six months of the date of this notification. Inspections am required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, JameS, ~, Presic~e~e~ Board of Trustees JFK/Ims 05130/2013 09:46 HOORE LAN ~FICES ~:~e3176s4e43 P.0091018 BOARD OF SOUTIIOLD TOWN,TRUSTEES SOUTIIOLD, NEW YORK PERMIT NO. 7829 DATE: ISSUED TO: N_~L~,~~' PROPERTY ADDRESS: 56005 COUNTY RD. 48. SOUTHOLD 8CTM9,~4~ -1-19 AUTHORIZATION Put. mt ~o L~e provisions of Cl~p~m' 275 and Cha9~ I 11 of~ T~ ~ of~ To~ of $~t~ld c~d~fion of ~p~ f~ ~ ~e ~ of $250.00 os~ ~ ~~d subj~t ~ ~e T~ ~d Wetland Permit to replace the ~-I,flng s~nltary system with new system in the front yard, with the Condition the existing sanitary system b abandoned, pump. ed and filled with sand, and *~ depleted on the survey prepared by John T. Metzger last dated May 17, 2012 and stamped approved on Sune 20, 2012. IN WITNESS W~F. ~e ss~d Board of Tnm~e~ h~mby c~ its Co,orate Seal to be affixed. and ~ pr~m~ to be subscribed by s m~jority of the s~d Board a~ of ~is d~e. 0513012013 09:47 HOORE LAN OFFICES iFtX)e317~S4~43 P.0101018 TERMS AND CONDITIONS The Permitte~, Nicholas Yuelw. rmidin= at 56005 County Rd. 48. ~outhold. NY as part of the consideration for the issuance of the Permit does understand m,d pr"',~,mr/be tO tho following: That thc said Board of Tmstee~s and the Town of $outhold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation p~'formed pursmmt to this p~-~it, and th~ said Permittae will, at his or ~ own 'expense, d~fe~d any and all such suits initlatcd by third panles, and thc said Pc~aitt~e assum~ full liability with mSl~Ct tbe~ato, to the complete exclusion of tbs Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should ¢iroum*t~nces wan'ant, ~quest for an extension may be made to the Board at a later date. · That this Permit should be retained indefinitely, or as lens as thc said Poxaittce wishes to maintain the stmoture or pmjoct involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will bo subj~r,t to thc inspection and approval o£ the Board or its agents, and non-compliance with the provisions of the ori~nsiing application may be cau~ for revocation ofthla F~,,,it bi' resolution of tbs s~id Board. That there will be no unreasonable interference with mvigstion as a result of the work h~oin authorized. That there shall be no interferance with the right of tho public to pass and repass along the beach between h/~h and low water nm'ks. That if ~tur~ ope~ratinrm o£ the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of tbs Board of Tru~t~e~, the work ~hall oanse unreachable obsm~ction to free invitation, the said Permfliee will be required, upon due notice, to remove or alter this work project he~ein stated with. out expense~ to the Town of Southold. That the said Board will be notified by tho Pc~mittec of tho completion of tho work authorized, That the Permitteo will obtain all other pei'iigts and consents that may be requited supplemental to this l~ii,lt, which may bo subjeot to revoke upon failure to obtain same. ~'~ '~ ~'~ tD~0 A~ AI~ttAMOMO~Ig IDWN OF ~O~I~tOLD SO'FFa~ ~U~T~, 05/30/2013 09:47 HOORE LAH OFFICES (F~X~317154~3 P.012/018 New York State Department of. Environmental Conservation Diviaion of Envlronmenta! Permita, Region One.. SUNY ~ Stony Brook, ~0 Circle Road, Stony Brook, NY '1t 790-3409 Phone: (631) 444-0365 Fax: (631) 444-0360 Webslte: ~ June 27,2012 Mr. Nicholas W. Yuelys 3240 Tibbet Avenue Bronx NY 104.63 NYSDEC Permit # 1-4738-00471100003 Yuelys Property . 56006 County Road 48 Southold SCTM # 1000-44-1-19 Dear Permlttee; In conformance with the requirements of the State Uniform Procedures .Act (Article 70, ECL) and its implementing regulations (6 NYCRR, Part 021) we are enclosing your permit. Please ~arefully read all permit conditions contained in the perrrllt to ensure compliance dudng the term of the permit. If you am 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 a Notice of Commenoament / Comp effort of Construction. Patricia C. Moore, Esq.. BOH-TW File Sincerely, Matthew R. Penskl Environmental Analyst 1 05/3012013 09:47 HOORE LAH OFFICES (F~v)63176~43 P.0131018 NEW YORK STATE DEPAI~TMF,~T OF ENVIRONMENTAL CONSERVATION Fsclllt~ DRC ID 1-4738-00471 PERMIT · Under the Environmental Conservation Law (ECL) Permittee and Facility information Permit Issued To: IqlCHOLAS YUELY~ .. :" .: ...i. ' 24o WAW BRONX, NY 10465-~86i Facility App .k.'C~ion Con~act: 51020 ~ ~ SO~O~, ~ 11971 YUELYS PROI~§RTY 56005 COUNTY RO~48]SCTM I000-44-1-19 SOUTHOLD, NY 11944 ". Facl~.~y Location: i~ SOUTHOLD in SUFFOLK COUNTY Facll{tyPflnclpalRefereace Polut: NYTM-E: 718 NYTM-N: 4552.4 .. Latitudo: 41°05'37.1" Lonsitude; 72°24'15.6" Autho~dzed Activity: l~emov~'~ e~i~g ~i~ry ~ysteni as per.'~ik'~W~y'b~arhnent ~f'~i~alth Services speci,ficagonS; 'All'~0tl~sha!~. ~ performed in accordance with the survey plan pr~0ar~i,by. - lohn T:.~e~ last revised on 5/~1/12; :and st~mped ~NYSDI/C APPROVI/D' °n.6.~. W'I~; Thelportion of the subject property that is landward (south) of the 10 foot elevation contour line, as sho~ on tho aforementioned survey plan, is beyond the jurisdiction of Arliole 25 Tidal Wetlands, Permit Authorizations Tidal Wetly.. ds - Under Article 25 P~-~hit ID 1-~38-00471/00003 'New Permit.. Effective Date: 6/27/2012 Expiration Date: 6,/,2.'.6~.01_7_ Page 1 of 5 051~012013 09:47 H00RE LAH OFFICES ~:N(~317~,~43 P.0141018 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION F~dliiy DEC ID 1-4738-00471 NYSDEC Approval By acceptance of this permit, the permitt~ agrees that the permit is ~ontingent.upon strict compliance with the ECL, all applicable regulations, and all conditions included ss part of thh permit. Permit Administrator: IOHN.~ k~.!.E.,I~ ~strator Address: NY.~{~,I ~,~l~IiOl ~ 1 HBADOUA_R. TEP. S _, ;:. \ PATP-ICIA ¢ MOORE H iit- TW Envitonme~al Permits GE~ COND~ONS, ~PLY TO ~ AU~oR~ PE~S ~ NO~ICA~ON OF ~HER PE~B OBUOA~ONS " 1. No~cm of ~o~u~nt At l~t 48 bows prior ~ ~~t of ~e ~jm~ ~d'P~ ~ ~n~or s~lI si~ ~ ~ ~e ~p po~ou of~e ~dos~ ~fi~ fo~ ~ ~t ~ ~e ~ly aw~e of ~d.,uM~d ~1 t~i=.~ ~ ~Mifious of ~ ~it. W{~ 30, ~ of ~pl~on of pmj~, ~e ~ttom ~on of thru fo.. mug ~ be ml~ ~d ~, ~o~ photo~p~ of · e ~mpl~ wo~. . . ... l, Post Pm~t 8i~ ~e p~t si~ mummed ~ ~is p~ ~1 be post~ in a ~n~i~ lo~Hon on ~e wo~i~ ~d ~u~y ~'~m ~e wea~. ~. Canfor~n~e Wi~ PI~ ~ ~t~ au~o~ by t~s ~l m~t be in ~ ~o~ ~ ~e ~wv~ pl~ ~bmi~ by ~ a~lic~t or ~H~t'm ~t ~ p~ of~e p~t ~pli~ou, Such a~ved pl~s w~e p~p~ by lo~ T. Me~8~ last ~ on 5~ 1/12, ~ s~p~ ~SDEC ~PRO~" on ~27/12, Page 2 of $ 0513012013 09:48 H00RE LAN 0FFICES ~F~3'176~13 P.0151018 NEW YOI~K STATE D~PARTMENT OF ENV'I1;[ONMENTAL CONSF. RVATION Facility DISC ID 1-4738-00471 4. Storage of gquipment~ Materl~l$ The ~tcrag¢ ofconstzuction =quipm~nt and n~t~ri~ls shall be confin=d within thc project work ~zea and/or upland ar=as landw,~rd (south) of the 10 foot elevation contour line shown on the alr/~oved plan.. ' s. Install~ Maintain Erosion Controls Necessary erosion conirol measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed arelL This sediment barrier is to be p.u.t in. place before any disturbancc of the firound occurs and is to be maintained in good and functional condition until thick ve~t,a~ive c~i/er i'i iii~l[shi~L:...:.,: . -- ~. Concrote Leachete I}~g construction, no wet or fresh concrete or l~t~ shall be allowed to escape into any wetlands'or waters of New York State, nor shall washinss.from r~-mixed concrete tracks, mixers, or.!}the~ dcv~cos be allowed to enter any wetland or waters. Only W~t or waterproof fo .m~." skal] be used. Wet ~oncrete shall not be poured to displace water witl~.~he forms. ?. Clean ~ Only' All fill shall co~sist of clean sand, ~ravel, or soil (not asphalt, slag, flya~h, broken concrete o~'dcmolition dcbris), $. No l~ach Excavation For l~l No excavation of the beach is authorized for thc Imrposc of obtains." fill or stone materials. · ".: 9; 1~0 C.o. nstruc~on Debris in Wetland or Adjacent Area Any d,c. bris or excess material froln construction of this project shall be completely removed from the adjacent area (upland) and rcmovc~i to .10,. State.N0.t....~LisMe.'foi~'D'~i~." 'g~ Thc.~State of New York shall in no case be liable for ~:clam~'~r talus/.~. ;:tll~'Structure or wont herein autti~rizcd which may bc caused by or result from, t~re operatt0".'ns und~ettak~ by the State for the conservation or ~l~l,0,¥ement of navl,,ation '-- ~..~,~'.'i:-- claun or right to compensation shall accrue from any ~;~'~lt~magc,.-..::: ~ ....... . 1L S.~_-_. May Order Removal or Alteration of Work If future operations by the Stale of New Y~k requi~ an alteration in the position of the atructute or work herein authorized, or ii:, in the opinion of.'"thc .Depar~ilt of Bnviromnental Consetwation it. shall caus~ unreasonable obstruction to the fre~ navil~ation of said ~tc~,o~ il~t.flows cr..eadani~.th~,hc~lt~,, sa~. ori.lv~lfam,o~.the people:of.the State,. o~ cause remov~ or a~!er me s~uctum wnr~, obstructions, or ~-~'_*.'_~' ~U~d 'fli'~l~;"~lii~'~i ~i~'~th~ Sta~ and if, upon ~e expiration o.r revocadon of this ponnit, thc structure, fill, excavation, or oth~" modification 0i~the watcrcourse hereby authorized shall not be completed, the owners, sh~['without _aXl~n. se to the sf. at~, arid to such extent and in such time and r~sm~er as the Denartment':" .:. . . . _ lf. nvlronolental Conservation may reqmre, remove all or any portion of thc uncompleted sllucture or fill and restore to Its former col~d~tion the navigable and flood capacity.of the watercolusc. No claim shall be made a~alns~ the State 0i~New York on account of any such removal 0r,al~on. I:L State May Require Site Restoratioti. If upon the expiration' Or revocation of this permit, the project hereby authorized has not bccn completed, thc apPlicant shall, without expense to the State, and to such extent and in such timc a~d mauner as the Department of Bnvironmentel 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 againat the State of New York on account of any such re~noval or alteration. Page :~ of' $ 05130/2013 09:48 H00RE LAN OFFICES (1:N(~317~,~3 P.0161018 NEW YOl~; STATE Dt~PARTMENT OF ENV~I~ONMENTAL CONSERVATION l~aCflity DEC ID 1-4738-00471 15. Precautions Against Contamination of Waters All n~cessary precautions shall be taken, to preclude contamination of any wetland or waterway by suspended solids, sedimants, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leacha[e or my other environmentally deleterious mate~als nsso~isted with the project. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspeetlan by The Department ?h~.permitted site or hc~lity, including relevant ~cords, is subject to inspection at reasonable ~gurs,~at~d'~tex~,~'lS~:~;PXt~ort~ repre~otttative, of the Dep~. txx,ent o.f Env~ronm=uta~ Consm'vatiga.(di:e Department) to dsterafino whot~'the~P:~ttee is complying with · is l~'~t and the ECL~:. ~S~'ch representative may order the work suspende~'~t~spant to ECL 71- and SAPA 401(3)..::~." · . . ~ :,.. The pm~ttce Sti~l! provide a peoon to accompmy the Depeztment's represontstivo durin~v.u inspection to tho pe~mi~..~ea when requested bythe DelOm~ent. A cop), c~thls p~tt, mcludin8 all refe~noed maps, drawin~ artd spP.,cial conditions, must be svailable for insp~on by the Department at ail times at tho projoot site or faoility. Nailure to producas o6~py of the per, it upon request by a Depatt~ent representative is a violation of this permit. :L l~lstlonship of this Permit to Other Department Orders and Determlqation~ U~oss oxpt1~.ly provided for by the Department, issuance of this permit does not modify, supersede or rescind any or~r or ~ .n.a..~o~.~o~s!~ isled ~Y the Department or 8~..Y. of tho te~vJs, conditions or recluire~nents/. 3, AppU~ptJons i~or Permit l~tew~b~'~Xqdiflcations or Transfers Tho pormitteo ~t~:s~mit a . sopa~'~rittan application to the Departme~t~ozD~-mit renewal, modifieation ~fi~- of this pe~. 't. Such application must include any forms o~'~PPl~entai ....... ~rmati~'~ ~Lrtment rocluires. An~irenowsl, modification or transfer granted by the Dopoxtment must be in wntinl. Su.br,~ !,~ion of appillcations for permit renew~l, modification or tramfor are to be submitted to:' '- Regional P~,:,it Administrator 4. Su6mtql~n Of Renawal Application The permittee must submit a renewal app~catiO~L~at least 30 days before pmitt~ expiration For the following pm'n~t authorizations: Tidal Wet. lands ... S. Permit Modifications, Suspend'om and Revocations by the Department The'Department reserves the riHht to exercise all available authority to 3uodi~y, suspend or revoke this permit. Tho srounds for modification, suspension or x~vocation inolude: .. a. materially ~ise or mac, curate statements m the permit apphcation or supporting, papers; b. £ailuro by the p~-x~ittee to comply with any tenTm or conditions of the permit; Page 4 of 5 05130/2013 09:48 HOORE LAN OFFICES (F,A.,'(~317954643 P.0171018 NEW YORK STATE DEPARTMEIqT OF ENVIRONMENTAL CONSERVATION F~,eiliiy DEC ID 1-4738-004']! ¢. exceeding thc scope of the project as described in thc permit applicat/,on; d. newly discovered material inforrnstion or a material change in environmentel conditions, .relevant technology or applicable law or regulations since the issuance of the existing permit; e, noncomplianc~ with previously issued penuit conditions, orders of the commisSione~, any provisions of the Environmental Conserv&ti0~ La~, or regulations of the Department related to 6. Fermit Transfer "' ' ' ' ' "' ' Pernuts arc tr~-Rferrable unless specifically prohibfle~ ]~y~atatute, reSulat/on or another permit conditie~[ Applications for perm/t transfe~ should be submitted pr~br, to act~ ~ransfer of L Item K~' Permittee Accept~ Legsl Responsibility and A~rees to Indemnification i' The ~ttee, excepting state or federal a/~mcies, expressly agrees to indenmify and hold hermlcs~!,..the D~2uent of Environmental Conservation of the State of Ncw York, it~ representatives, emploYeeS~ and/t~nts ("DBC") for all clakns, suits, acdons, and damages, tv the extent attributeble to the .. ruth, or operation and maintenance o/~ the facility or fa~lll//es ~/{/~b~ 5y ~C ~t ~,~ledi~ in .... compliance or..nos/~ cdfr/~it~'~C~'with.~e terms aud. cov. ditions o f the peiu~iL TM s ind emn/fl~ation d~.es not ex,.~...~ d'tt~/ny ds/ms, su/ts, act/o~, ~i'dar~.a. ~es to the extent attributable to DEC'.s. ow~ negligent tn ~,te~. bnal acts or omissiom, or to auy claims, 'shi~, .o..~ actions namin~ the D~:~ ~i~in~ under : Art¥1e 78 of the New York Civil Practic~ LaWs and l~,~]/~:O~,:an~:c/tize~,S~i"0r civil fi~hts provision um/~r federal or s~ate laws. Item:.B..: Permittee's Contractors to Comply with Permit Thc p//~,itteo is responsible for informini i~s independent con~ractors, employees, a~ants and assigns of their re~onsibil/t.y. :ta.eompt¥.w/th. this pm-mit,./n~lud/~,all..speeial condtflens .while act/ng:as the: permteee ~ ~ ./~...t.m.~.. resp~ ..to th~ p,~y~m~ ,a.c~, vities, ~ ~ ..p~.....qns .~ be s~bject to the same sm~ons ~.wolauons of t~e NiV~e///d ~0nservat/on IA~ ~s t~os~ ~sc~ for th= p~nmttee. Item C: Perml~tee Responsible for Obtaining Other Required Permits The penn/tree is'~ponsible for obtaining any other l~,,,/ts, approvals, la, ds, e,~scm .c~ts and rii/l~ts-of- way that.may be reel/fired to carry out the activities that are author/zed by this pelT/l!t. ' Item D: No Right to TresPass Or Interf,~re with Riparlau Rights ~.~ This perm/t does not convey to tho perafi~e~ any right to tre~.a~s:.upon :/h'e lands or interfc~ with th~ riparian rights of others in order to perform fl/e ps,mitred wofl/'nor does it authorize the impairment of any r/~hts, title, or/nteres! in real or personal property held or vested in a person not a pan'y to the permit. Pete ~ of S (C~ SURVEY Ol~ PI~OP~aWI'Y AT AR~HAMOMOOU~ ?OWN OP $OU'I'HOLD b~rl~l~OLK COUNTY, N.Y.