HomeMy WebLinkAboutKaminsky I
S1IFFOL/
Glenn Goldsmith,President �� eOGy ` '"�`Cown Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
Eric Sepenoski C1** ,? P.O.Box 1179
Liz Gillooly �y • o�� Southold,NY 11971
Joseph Finora l �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: qz�i Completed in field by: LI
Glenn Graham on behalf of JAMES.KAMINSKY requests a Wetland Permit for the
replacement of the previously removed 3,000-gallon. above ground diesel tank with a
500-gallon double wall above ground diesel tank set on an 8" high concrete pad
extending a minimum of 12" beyond all tank edges. Located: 100 East Mill Road,
Mattituck. SCTM# 1000-106-4-4
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland ✓Sound Bay
7
Part of Town Code proposed work falls under: /Chapt. 275 Chapt. 111 other
Type of Application: ,/Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: Yes No Not Applicable
Info need ed/Mo`dificatiolns/Co`nditions/Etc.: i
D'tR*l s ra` ��, SRO t�,d S� enr/�c��1 r'1�T1'Y�1 irnpr (_A
Present Were: J G. Goldsmith N. Krupski E. Sepenoski
L. Gillooly J..Finora
PiARN
A TIGHT FILL (CONNECTION DOTE: SIGNA TO
F
ATTACH TO LOOSE CONNECTION MAY 1. �1� /� 1. `- FLED A14
IN51DE COVER RESULT IN A SPILL TANK LOCA'T I ONE w w w 0 p �' Cisr/
OF ALL FILL ® w --- w —_ II, w it o I ��5 �PEL K. �G
PORTS _ C�
A WARNING STICKER b ° I °
=
ALL FILL GAPS UNDERCsROUND UTILITIES r
THE EXISTENCE AND LOCATION OF of r(
ANY UNDERGROUND
UTILITY PIPES,CONDUITS OR //fi�t �n 1 0 J
STRUCTURES SHOWN ON THESE Kt1OV1�V"1�11Qt'S below. /a, �• .� O= ���
PLANS ARE OBTAINED BY A 0F N�� /
SEARCH . THE AVAILABLE Call before you digs _
RECORDS. IT IS POSSIBLE THAT
DEPTH TO WATER:
THERE MAY,FOR THESE ITEMS,BEI -----
AS PER NY.USGS.GOV' DEPTH TO WATER IS 7' DISCREPANCIES AND/OR OMISSIONS 1
IN THE LOCATIONS AND QUANTITIES
OF UTILITIES AND STRUCTURES 0 ALL EQUIPMENT SHALL BE INSTALLED IN SHOWN. TO THE BEST OF OUR CONTR so
NOTES: I o
STRICT ACCORDANCE WMANUFACTURERS,ITH KNOWLEDGE THERE ARE NO I �-
SPECIFICATIONS 3 ALL FEDERAL, STATE, EXISTING UTILITIES EXCEPT AS CONTRACTOR SHALL EXAMINE THESHONN ON ° '°s'"'•" ' .,."',�``>..,...-,;.'`° 4 ;t;w-?
AND LOCAL CODE. CONTRACTOR 15E PLANS. THE SITE LOCATION AND VERIFY ALL
REOUIRED To
TAKE DUE PRECAUTIONARY EXISTING UNDERGROUND TANKS O
AND CONNECTING PIPING PRIOR =
r �F
�` *• '. ..
MEASURES TO PROTECT THE UTILITY N m•.;Y �ke'.. a «"1 .:_- '
LINES SHOWN ON THESE DRAWINGS. TO TIME OF PROPOSED WORK.
SCOPE Or- WORK I 1
1. INSTALL NEW GENERICALLY APPROVED(SUF1000DF-LP) 1 0 /q 10
1000 GALLON ABOVEGROUND D.W.DIESEL LUBE CUBE W/8"
THK.P.C.TANK MAT EXTENDING 12"MIN.BEYOND ALL ITE
I i Cl v �'.✓ s ',�.n< �'t^ .�
TANKISTAIR EDGES. 1 _
2. TEST ALL SYSTEMS IN ACCORDANCE WITH FEDERAL, < ~y
STATE AND LOCAL REQUIREMENTS.
3. RESTORE ALL DISTURBED AREAS TO MATCH EXISTING. 1 I °
REPUTED LOCATION OF I
G W -
EXISTING r
PIPINCs NOTES:
SERVICE
THIS JOB IS LOCATED WITHIN 3010' OF A I. THE INSTALLATION AND PLACEMENT OF THE PIPING SHALL CONFORM WITH O KEY MAP
REGULATED TIDAIL WETLAND AND WILL NFPA #50,50A AND WHERE APPLICABLE NFPA #51 a #51 1
2. THE PROPOSED PIPING MUST BE A MINIMUM OF 100 FEET FROM ALL WATER I
REQUIRE A NYS DEC APPRO\/AL SUPPLY WELLS. 38.3' I PROJECT INFORMATION:
5. PRODUCT PIPE W S GROSSING ATER/5EWER LINES SHALL BE INSTALL IED UNDER I
WATER/5EWER LINES TO PROVIDE A MINIMUM VERTICAL CLEARANCE OF IS I OWNER:
INCHES BETWEEN THE PIPES AND A MINIMUM HORIZONTAL CLEARANCE OF 10 I p I BOAT TIDE
FEET. 1 W I ATTN: CYNTHIA KAMINSKY
4. CONTRACTOR SHALL PROVIDE ELECTRICAL 150LATION BUSHINGS AS I I 75 WOODCLIFF DRIVE
REQUIRED TO ADAPT THE TANK TAPPINGS TO THE REQUIRED SIZE PIPING. = Q MATTITUGK, NY IIg52
5. ALL UNDERGROUND PIPING SYSTEMS MUST BE INSTALLED IN AGGORDANGE WITH MATT( TUCK,
REGOGNIZED ENGINEERING PRACTICES ALL JOINTS MUST BE LIQUID AND AIR �p 1
TIGHT. ALL PIPING SYSTEMS MUST BE TESTED FOR TIGHTNE55 BEFORE BEING 1 N (p O I I u
COVERED,ENCLOSED OR PLACED IN USE,ALL THREADED JOINTS SHALL BE
SEALED TEFLON BASED SEALING COMPOUND ALL PIPING TO BE INSTALLED IN 1 r I °
EXACT ACCORDANCE WITH MANUFACTURERS INSTRUCTIONS. W (a I I
b. LINES TO BE BACKSLOPED 1/5" PER FOOT BACK TO GENERATOR BUILDING. a I ° I
7. ALL PRODUCT LINES ARE TO TERMINATE IN GENERATOR BUILDING. /
5. ALL UNDERGROUND METAL PIPING COMPONENTS SHALL BE PROTECTED WITH A 1.1 1 3 O I I
PERMANENTLY BONDED COATING OR WRAPPING MATERIAL WHICH 15 RESISTIVE Ul<
TO BOTH MOISTURE AND HYDROCARBONS. THE MATERIAL SHALL BE APPLIED m x TAX ID#
TO CONFORM TO ANY IRREGULAR SHAPES OF THE PIPING AND SHALL START / ° I I II-620871q
AND TERMINATE IN CONTACT WITH COMPONENTS NOT SUBJECT TO CORROSION. 16 6
MATERIAL SHALL BE "SGOTGHWRAP 50" OR APPROVED EQUAL.
q. TANKS TO BE A MINIMUM OF 10 FROM WATER SUPPLY LINES.
10. TANK5 TO BE A MINIMUM OF 10' FROM ANY 5EWER LINE. �' O 1 REV DESCRIPTION BY DATE
11. TANKS SHALL BE 20'-0" FROM ALL DRY WELLS AND BELOW GRADE r- I I PRELIMINARY DESIGN GFH 4.12.25
I - - - --- - -<- - -- -
I ---- -
STRUCTURES. / EXIST. 's1 � I - - ---- - ---- --- - -
GONG.
- --- -
/
/ 2.0. /�—�\ EXIST. 1
3 2.1 GRAVEL r
\ I
/// EW/ \ DRIVAY I - - -- - --
EXIST. I
/ GONG./
1 - -
- -
// REPUTED LOCATION I -- - ---
/ I
dOo
,,--REPUTED
EXISTING SEPTIC
// / EXISTIN40 1-1/2 J , SYSTEM °
/ 3 v1 STY. YWD. FIR: w ————— ` — r - - - --- --- - --
RESIPENGE
I
0 1
/ EXIST. P 3: 1
GRAVEL N
Z 1\0 3 DRIVEWAY
�A ®r
S EXIST. 14.5'
METAL °N
l� 1 SHED ° / _...
EXISTS �w /�—�N
�= w FREItZER
f ,
No BOX
NEW GENERICALLY APPROVED
1000 GALLON LUBE CUBE op
(SUF1000DF-LP)ON NEW 8" o / G AM
CONC.PAD EXTENDING MIN.12" REPUTED LOCATION p //
BEYOND ALL TANK EDGES. �OF EXISTING /SEPTIC / /
EXIST. (PROPOSED SCHD TANK#2) SYSTEM
ASSOC j
PLANNING & DESIGN
GONG. _ / �
_, 256a ORINO FFICEB I HTWATERS NY 11718
EX i ST I NG I STY. —— \ / oN� /' - 0 ( 3 ) 665-9619
METAL BUILDING �� �� N�� / ! I.� I
__..'.'_.. Permits@GrahamAssociatesNY.com
EXISTINCa WOOD DOCK EXISTING OVERHEAD / / ' .�
J1 ELECTRIC SERVICE °NL // "\ E 'RESIDENTIAL DESIGN 'COMMERCIAL SITE PLANNING
SEP 1 0 2026 ;- ;yt s *ENVIRONMENTAL ENGINEERING 'PETROLEUM SPECIALISTS
'ZONING VARIANCES 'WETLANDS PERMITS,DEC,DEP
`ALL PHASES OF EXPEDITING
OHL L OHL OHL _. .. ,_ ___....`
OHL OHL—��
EXISTING BULKHEAD /
/mo, GLENN W. GRAHAM, PRES.
GEORGE HOHENSTEIN, P.M.
JOSEPH L. D'AIRO , P .M .
' 6UFF0 COUNTY APPROVAL STAMP MAXAMILLION R. FOLEY,J.P.M.
140-Al ANA Y . CORONA , P . M .
/ MICHAEL K. DUNN, R.A.
PROJECT LOCATION:
E30AT T I l:�)E
/ 100 EAST MILL RE;'
/' MATTITUGK, NY IIg52
GENERIC APPROVED 1000G DSL
/ CONTRACTOR TO VERIFY ALL TANK SIZES DUE TO CHANGE FROM PAGE DESCRIPTION:
SITE PLAN
500 GALLONS TO 1000 GALLONS
JOB#: TAX MAP:
/'o ` 241205 1000 - 106 - 4 - 4
AREAOF • ORK FLAN DATE: SCALE: IN SET:
SCALE: 1" = 10'-0" 4/12/25 AS INDICATED I OF 2
DRAWN BY: SHEET:
OFH
CHK'D BY: ossm MKD 1 ■ 0—j
4 3 2 1
NOTES 9,-8„
1. EXTERIOR PAINT: SHERMIN WILLIAMS MACRO EPDXY 646 4'-10"
OR EQUAL THE EXTERIOR COATING MUST CONSIST OF PRIMER COAT, (NP.)
BOND COAT AND MINI. TWO FINAL COATS AS PER SUFFOLK COUNTY
DESIGN STANDARDS. .:� ;: --------------- -—-—-—-—-—-—-—-
INTERIOR PAINT : NOINE I: ` , •' I,
2. TANKS CONSTRUCTED) & LABELED IN ACCORDANCE WITH U/L 142 `.' ' • ' `.�
3. PRIMARY TANK TESTED 0 3-5 PSI. WITH AIR & BUBBLE SOLUTION
1 " E--6" IN ACCORDANCE WITH U/L 142 I _ — •:.
SECONDARY TANK TESTED THE SAME WAY 0 3 PSI.
+ + I 4. INSTALLER TO TEST !TANK AT JOB SITE THE SAME WAY AS STATED IN
NOTE 13
I'-21,> 6„ e 7,-0»
TOP OF LID TO HAVE T
4" FILL LIMITER YELLOW HEXAGON SYMBOL eC>LUTTWONs^'T ,�
W/CAP & ADAPTER (BY OWNER) .K ����► 12I :
MIN' ---0- ------ +
sl10NoARfl•CONEAINwvrt AeouEEiIOUKD wx MR FLAAIEAABLE L1QlADs ��;..•:�:: ----- ;.:;'.•_ ,>
1/4" X 1" BOLT MORRISON MODEL #9095A LID (NO LOCK) "° „TAW„ �°° I -:..': — =N I 3'-6
>, THE PRIMU(Y TANK REOUiE.R EMERGENCY RF AP VEMMO CAPACRY OF .'/..: �.�.� ° .. .. r
W/32 CHAIN ATTACHED «,BUG FREE PER HOUR
; „ .
HANDLE THE ANNURAR SPACE REQUIRES EMERCFIICY RETJFF vEMMo cAPArxtt ,;. -. •~ �. 12 I
CUBIC FEET PER HOUR • '•.�• •s '••t r" ',L•. .:,.'. .
IM TAW:6 MRDED FOR STATIONARY USE ONLY.PRESSURIZE PRIMARY ..MIN.;.
HINGE 1 2 » TANK WEER PRESSURE TFSTND ANNULAR SPADEHE T AURIOWIY WAVING
JUR6d=N SHMLD BE COMACIED PRIOR M MSMUIO THIS TANK.
111 I AD[I !![TALI % -------- ------ :: --------------
4" EMERGENCY SAFETY POSTS
VENT OPW #202 SUFFOLKCOUNrYSPILLBOX DETAIL (SC✓HS GENERIC MODEL#SUF1000DFLP STAMPED ON LABEL REINFORCED (WHERE VEHICLES
CONCRETE PAD TOP 1qE! ARE PRESENT)
TAN K
I n rw
GROUND CLIP
" COUNDUIT SLEEVE SAFETY41)11
POSTS
PRIMARY TANK I I ROUND ROD CLAMP�fr '� y-EMERGENCY VENT CONCRETEROUND ROD 5/s0 X 4SUFFOLK COUNTY MODEL OPW #202 SLAB -_1-1 _III STAINLESS STEE REINFORCED
SPILLBOX EARTH HILTI KWIK BOLT I CONCRETE PAD
UPFLOW VENT Yz" DRAIN GROUND ROD DETAIL (ANCHOR W/3 %" EMBEDE I (6" THICK)
MODEL #354 0200AVFILL
2'-2 1 OVERFLOW (GROUNDING CABLE TO EARTH GROUND,SIZES PER LOCAL ELECTRICAL CODE) 6 - - IF,!'. . . _.." ,• ,..• -_
4 HALF COUPLING 6>' 1 ,> $„ _
6 LONG NIPPLE
W/CROSS BARS FOR (�_�
6" 4 FLOW RESTRICTION (1FANK) ANCHOR CLIP H I 1—_1 I I—_I I I I I I H-u_I I I—_�I MI I I_I �—_I I I—_I;: I �=III=)I I—I I
---2 MUSHROOM VENT _____ ____________ 5 » 3 „ I I Ed I I=I I I=1 ". I III—III=III—III—I i t—III—III I I I—III—III—I
SPARE /s x 4 r4 STAINLESS 1—III—III—III '•: ' III—I I�f iII—III—III III—III—i I—I i I—III—I I
MODEL#601 - - STEEL HILTI KWIK BOLT II = = I =_ —_ '. I
Il
(ANCHOR w/3 5/8" EMBEDED) III—I �—III—I I 1=III—III—III—III—III I I—I I i—III—I
FILL RITE #702 I SECONDARY EMERGENCY VENT s I=III=III=III I I MI I I—I I MI(I—I 11=I 1=I I(—I . :• I—III—III—I I I
1 1/16 HOLE III=III=1 I I=� =1 11=I i I=III=III=1 I I=1 I I=III =i I=1 I I=III=I
DIESEL FUEL PUMP I •• MODEL OPW #202 -------------------- -
16 FOOTING 2„' 2„ 2„ - - - - - - - END VIEW
----- ------ + 7„ 1" :: , • �' f'% 3 5/8 (EXTERIOR INSTALLATION_
L!iGROUND CLIP =`:.;
SPARE LIFTING LUG-:7 23�• 6 SCULLY PRODUCT THE APPROVAL OF PLANS AND ISSUANCE OF THE PERMIT TO CONSTRUCT A HAZARDOUS MATERIALS STORAGE FACILITY PROPOSES
LEVEL GAUGE COMPLIANCE WITH ARTICLE 12 OF THE SUFFOLK COUNTY SANITARY CODE ONLY. IT IS THE OWNERS AND/OR HIS AGENT'S RESPONSIBILITY
3'-0" MODEL#03123 ANCHOR CLIP DETAIL TO ENSURE THAT ALL OTHER APPLICABLE CODES AND REGULATIONS WILL BE MET PRIOR TO, DURING AND AFTER INSTALLATION.
THIS STORAGE FACILITY HAS TO BE CONSTRUCTED IN ACCORDANCE WITH THESE APPROVED DRAWINGS. A COPY Of THE APPROVED PLAN
(INA FLOOD PLAIN AREA THE TANK HAS TO BE ANCHORED TO THE SLAB) MUST BE KEPT AT THE CONSTRUCTION SITE.
TOP VIEW THE STORAGE FACILITY INSTALLATION CONTRACTOR IS STRICTLY PROHIBITED FROM SUBSTITUTING EQUIPMENT LISTED IN THE DRAWINGS OR
SPECIFICATIONS WITHOUT WRITTEN CONSENT OF THE DEPARTMENT OF HEALTH. THE CONTRACTOR MUST ALSO ADVISE THE FACILITY OWNER
2" GALVANIZED STEEL RISER
THAT EQUIPMENT SUBSTITUTIONS ARE BEING MADE. CHANGES MAY REQUIRE A PLAN SUBMITTAL FROM A LICENSED PROFESSIONAL
j UPFLOW VENT CAP STORAGE UNITS LOCATED IN TRAFFIC AREAS MUST BE PROTECTED BY TRAFFIC BOLLARDS. THE BOLLARDS MUST BE MADE OF SCHEDULE
MODEL #354 0200AV 80 STEEL PIPE, CONCRETE FILLED AND SET IN THE GROUND TO A DEPTH OF 4 FEET. THE BOLLARDS WILL BE SET IN CONCRETE
8'-0
MIN. SCULLY VENTALARM FOOTINGS. THE BOLLARDS SHALL BE A MINIMUM OF 4 FEET ABOVE GRADE. THE DIAMETER OF THE STEEL PIPE SHALL DEPEND ON THE
FILL RITE #702 j #00209 CONTAINMENT VOLUME REQUIRED=1000 X 110%=1100 GALLONS
X 3'-11' X 3'-2'=81.8 CU. FT. X 7.481=
DIESEL FUEL PUMP j 4" FILL LIMITER 611.7 GALLONS.
' 6'-7" rVMORRISON
W/CAP & ADAPTER 3' THIS DESIGN DOES NOT INCLUDE CONSIDERATION AS TO EXTERNAL PIPING, ELECTRICAL, ETC. THE OWNER AND/OR HIS AGENT ARE
1 6 -0 6 MODEL #9095A 1" 3'-9" 1" ADVISED TO CONSULT WITH A PROFESSIONAL ENGINEER OR ARCHITECT AS TO OTHER ITEMS CONSIDERED IN THE INSTALLATION OF
i THE SYSTEM
SCULLY GUAGE OUTER TANK
MODEL#03123 10 GA. THE SYSTEM MUST BE INSTALLED IN STRICT ACCORDANCE WITH ALL APPLICABLE REGULATIONS INCLUDING, BUT NOT LIMITED TO, THE
i 7
NEW YORK STATE UNIFORM FIRE PREVENTION AND BUILDING CODE, ARTICLE 12 OF THE SUFFOLK COUNTY SANITARY CODE, AND ALL
LOCAL BUILDING AND PLUMBING DEPARTMENT ORDINANCES.
INNER TANK
10 GA. i„ NOTES:
11DIESELFUEL 3'-2 4 -62 1. ALL WORK IS TO BE IN STRICT CONFORMANCE WITH APPLICABLE NATIONAL ELECTRIC CODE SPECIFICATIONS AND REQUIREMENTS.
3 -3' DhESEL FUEL 3'-6 THE SYSTEM MUST BE PROPERLY BONDED TO GROUND.
3'-0" 2. THE FACILITY OWNER SHALL BE RESPONSIBLE FOR ENSURING THAT ALL REQUIRED PERMITS FOR INSTALLATION OF THE UNIT HAVE
PRODUCT LABEL TO 5>, BEEN SECURED.
BE ON ALL 4 SIDES 3„ 3. IN A FLOOD PLAIN AREA THE TANK HAS TO BE ANCHORED TO THE SLAB.
MIN. 4" HIGH LETTERS r 11 4. ALL WORK IS TO BE IN STRICT CONFORMANCE WITH APPLICABLE NATIONAL FIRE PREVENTION ASSOCIATION RECOMMENDATIONS.
2 _7 _-_� g GROUNDING Of THE CONTAINMENT UNIT AND/OR ITS CONTENTS MAY BE REQUIRED.
9' �--2'-7' 6' 6" 5. A SIGN HAS TO BE POSTED NEAR THE FILL PORT. IT HAS TO STATE 'WARNING! TIGHT FILL ONLY! THE FILL DEVICE WILL NOT ACCEPT
ELEVATION END VIEW A LOOSE FILL TIGHT FILLS PREVENT OVERFIWNG, SPLASH AND SPILLAGE"
A• PRODUCT CODE GALLONS DESCRIPTION OVERALL SIZE SHIP WT.
LCAA150OD8519 1000 UL-142 DOUBLE WALL LUBE CUBE W SUFFOLK CO. SPILLBOX 6'-8' L X 4'-0" W X 3'-6" H 1,350 LBS.
THIS DRAWING AND THE DESIGN SHOWN HEREIN IS THE PROPERTY OF THE DENALI COMPANY. USE OR COPIES THEREOF CANNOT BE MADE WITHOUT WRITTEN CONSENT.
CUSTOMER NAME rilunuFa MUM fDWG
WN BY:D. ROVANG DATE DRAWN:MAI-9
APPROVED REVISE AS NOTED NUMBER:5101792CI SCALE:3 8" = 1'-0
SUFFOLK COUNTY HEALTH DEPARTMENT GENERIC M0DEL#SUF1000DF-LP :A REV BY:DAR DATE: 03-17-17 SHEET:I OF 1
SEP 1 D 2026
CONTRACTOR TO VERIFY ALL TANK SIZES DUE TO CHANGE FROM
500 GALLONS TO 1000 GALLONS
I <}
i
SURVEY OF PROPERTY
SITUATED AT
MATTITU C K
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000- 106-04-03
1000- 106-04-04
SCALE 1 "=20'
MARCH 26, 2003
AREA DA TA
S.C. TAX No. 11,201.01 sq. ft.
1000-106-04-03 0.257 ac.
a e
° . 4
°
. a. 4"•, : °4. . A. °° :° -.' ;-. ..•.. -MILL ROAD a,�. " . Q -'-< . . � -; . \( �' . S.C. TAX No. 25,100.51 sq. ft.
4 1000 106 04 04 0.576 ac.
8
e ° ...A ° 4 4°. °' A' ° °- ° 4 - ° <h' - ° - ° ° ° a � TOTAL Pr _ 4 36,301.52 sq. ft.
EDG OF S10NE DRNEW ° a ° EUGE OF PAVEMENT' 4 .4 ° < �.,
0.833 ac.
. ° e
R I
¢ c -4 S 85°O�'2o7f G °-.e4 .e - e °-A' �•. ° •-
y`y� 93.'`2 a FOUND •e= .. 4 4
��. CONC. MON. " e• e` ° . - d °' -� 3 t „
C I4�� e
yTr-
e F
N. '13°24 e \ 0 1 16.70' 4 ocF aF 6
N
j U 1. 2 1 20.6
e- `4 d
S.C. T, X No. 1000-106-04-03 a ° �5�4 S0, Fa ,, :u�DldTown
` I °. °. a N 6�• W aoy�o Board of Trustees
S.C. TAX No. 1000-106-04-04
•P 83• •1l �
WSp.. FOUND
4 43. CONC. MON. S 6��O 61
CONC. a N 66.1920"
10. e° STEPS 4 • O 134.38' W 'C�o
00
f
0 0 d 2-
2� 9
2
N E t1 �M GONSVb : �O2 a°-�O� �.:'GO�1G- , 5���y 16.3'of 0
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GONG. _ �g0 IN � b ° r,
16.6• T 4�] d a�
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STEPS `CQNC_-
�OOZ :: "Eo�,.':�:.:- .-,, •-.�_<:: � D ,,,.�
.n t ON �, ,viOWER `... 0 d °
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7.o' m
CP 61 ��Z S 9� 10 S \s 4 STOCKADE O X7
J` °°- FENCE rn
�a
V.14, 9F . .11 \�. 6.4' °.
�A t1Q d 4- e °
a _
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� a � UTILITY POLE
d ° ° UL J82-1
15.0 d v, CONC. BLOCK WALL .d 4
/'•� \aa' S� - UNIT .m ° 14.5• ° -
`\ ° EEZENC S� o °
44
a zz
a ° StONE ORIVENAY ° OVEN I .. ° 7 io
UNAUTHORIZED ALTERATION OR ADDITION
d °' 4 n$, d TO THIS SURVEY IS A VIOLATION OF
d' e ^ 7 SECTION 7209 OF THE NEW YORK STATE
a d a / \ I i EDUCATION LAW.
6 J
c� 1 J - _ ° 4 d 4 ° COPIES OF THIS SURVEY MAP NOT BEARING
-Q:.; ° ° d THE LAND SURVEYOR'S INKED SEAL OR
Z ° ° ° I EMBOSSED SEAL SHALL NOT BE CONSIDERED
WOOp DOCK ! `_• •' G D a '° / TO BE A VAUD TRUE COPY.
4 d d ° CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
QO� / ° I IS PREPARED, AND ON HIS BEHALF TO THE
y — — - TITLE COMPANY, GOVERNMENTAL AGENCY AND
r r� OVERHEAD WIRES e ° LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
° 4 1 TU11ON. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE 2� 40 4• �5�olaF1 d AND/ORS EASEMENTS TENCE OF R OF TRECORD,S OF A F
EDGE
ANY, NOT SHOWN ARE NOT GUARANTEED.
4 d
PREPARED IN ACCORDANCE W H THE MINIMUM
r ; .//0/A K KII1 STANDARDS FOR TITLE SURV S AS ESTABLISHED
IFS S �` �' L, FFORBY TSUCHHE I USE BYNTTHE NEW',YORKNSTATE ADOPTED
J osaph � ■ g
ermno
Ci TITLE ASSOCIATION.
CA OOC� 0• �fAp L art
F AND 5N. ,5p cKAo i�N
ep;N. F � s Land urvr
6 ,�@' ?� •
y �' s-, .q, „ sl Title Surveys — Subdivisions — Site Plans -- Construction Layout
��� �11
PHONE (631)727-2090 Fux (631)727-1727
s
� ®4AB®5���.� OFFICES LOCATED AT MAILING ADDRESS
N.Y.S. Lic. No. 49668 1380 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, New York 1 1 901-09 65
23-076
A TIGHT FILL (CONNECTION DOTE: SIGNAGS TO
MUST BE USED DURING
FILI- OPERATIONS. A BE F%.+4C D AT ALL
ATTACH TO LOOEE CONNECTION MAY � II $r _ �' w r ED ARc
\
INSIDE COVER Rl=- ULT IN A SPILL �I���// ®O � OI�S w
OF ALL FILL ® w w — w w o I C9� �PEL K.
>� OG ��
Q o0� 2� Apr
A WARNING STICKER ^ ,`° � �� I II � o o �
MUST BE PLACED AT �'•----- �
PLL FILL CAPS
UNDERGROUND UTILITIES
THE EXISTENCE AND LOCATION OF 1 I
ANY UNDERGROUND
UTILITY PIPES,CONDUITS OR F n
STRUCTURES SHOWN ON THESE �{t1oW What'S below� �" __ O y� 9T� Ott
PLANS ARE OBTAINED BYE __ "eI� I \ OF NE�Ci /
SEARCH OF THE AVAILABLE Gall before you dig
DEPTH TO WATER: RECORDS- IT IS POSSIBLE THAT � --
AS PER NY.U5G5.GOV DEPTH TO WATER IS "1' THERE MAY,FOR THESE ITEMS,BE 1 _ -
DISCREPANCIES AND/OR OMISSIONS
IN THE LOCATIONS AND QUANTITIES 0
OF UTILITIES AND STRUCTURES r }/. 8o
ALL EQUIPMENT SHALL BE INSTALLED IN SHOWN. TO THE BEST OF OUR CONTRACTOWS) NOtES: I
STRICT ACCORDANCE WITH MANUFAGTUR:ERS KNOWLEDGE THERE ARE NO 1 �-
EXISTING UTILITIES EXCEPT AS CONTRACTOR SHALL EXAMINE THE °
SPECIFICATIONS t ALL FEDERAL, 5TATF;, 1 I 1
AND LOCAL GORE. SHOWN ON THESE PLANS. THE 51TE LOCATION AND VERIFY ALL
CONTRACTOR IS REQUIRED TO I � 1
:. ..
wM,
A DUE AND CONNECTING PIPING PRIOR p I " t " T' x. + t,� a "A t^v
MEASURES TO PROTECT PRECAUTIONARY
THE UTILITY r I N
TO TIME OF PROPOSED WORK. � ,:"'9 -', .• r'�'' '' ..'` '•" .+., r"' ''
LINES SHOWN ON THESE DRAWINGS.
SCOPE OF WORK
I. INSTALL NEW GENERICALLY APPROVED] (SUF50ODF-LP) TESTING: 1 p O ? �, * '
500 GALLON ABOVEGROUND D.W. DIESEL LUBE CUBE W/ I '
THK. P.G. TANK MAT EXTENDING 12" MIM. BEYOND ALL
I. AIR PRESSURE TEST TANKS TO
5 P51 MAX PRIOR TO
TANK/STAIR EDGES. I
2. TEST ALL SYSTEMS IN ACCORDANCE VNITH FEDERAL, INSTALLATION.
STATE AND LOGA:_ REQUIREMENTS. 2. AIR TEST PIPING SEPARATELY;
3. RESTORE ALL DISTURBED AREAS TO HATCH EXI5TING. PRIMARY PIPING AT 50 P51 AND 1 O T
SECONDARY AT 5 PSI,BOTH
FOR 30 MINUTES. I '
,S' ,u. �a. t •.
3- ALL TEST TO CONFORM TO j 1 I �"� ,. ^ � <�.�,y,%�*. •.„:^-r
LOCAL,STATE AND FEDERAL
REQUIREMENTS. 1 I p 1 9• `y„ .,� ,>. ,•, .
REPUTED LOCATION OF r
I
EXISTIN
PIPING NOTES-
SERVICE
WATER
SERVICE 1 .. ,.
THIS JOB 15 LOCATED WITHIN, 500' OF A 1. THE INSTALLATION AND PLACEMENT OF THE PIPING SHALL CONFORM WITH O KEY MAP ,F s
REGULATED TIDAL WETLAND AND WILL NFPA #30,30A AND WHERE APPLICABLE NFPA#31 8 #37 I X I I °
2. THE PROPOSED PIPING MUST BE A MINIMUM OF 100 FEET FROM ALL WATER
REQUIRE A NY'5 DEG APPRO�/AL SUPPLY WELLS. 5D.3' I
3. PRODUCT PIPES GROSSING WATER/5EWER LINES SHALL BE INSTALLED UNDER I PROJECT INFORMATION:
WATER/SEWER LINES TO PROVIDE A MINIMUM VERTICAL CLEARANCE OF 18 1 OWNER:
INCHES BETWEEN THE PIPES AND A MINIMUM HORIZONTAL CLEARANCE OF 10 I p 1 BOAT TIDE
4. CONTRACTOR SHALL PROVIDE ELECTRICAL ISOLATION BUSHINGS AS 1 W r= I 0 ATTN: GYNTHIA KAMINSKY
REQUIRED TO ADAPT THE TANK TAPPINGS TO THE REQUIRED 51ZE PIPING. _ I 1 LI" '75 WOODGLIFF DRIVE
5. ALL UNDERGROUND PIPING SYSTEMS MUST BE INSTALLED IN ACCORDANCE WITH N 6 MATTITUGK,NY II6152
RECOGNIZED ENGINEERING PRACTICES ALL JOINTS MUST BE LIQUID AND AIR .p I 1 631-2qS-47g1
TIGHT. ALL PIPING SYSTEMS MUST BE TESTED FOR TIGHTNESS BEFORE BEING I N W ° O 1 I
COVERED,ENCLOSED OR PLACED IN USE,ALL THREADED JOINTS SHALL BE
SEALED TEFLON BASED SEALING COMPOUND ALL PIPING TO BE INSTALLED IN 1 r I 0
EXACT ACCORDANCE WITH MANUFACTURERS INSTRUCTIONS.
6. LINES TO BE 5AGK5LOPED 1/5" PER FOOT BACK TO GENERATOR BUILDING.
-1 ° o I
. ALL PRODUCT LINES ARE TO TERMINATE IN GENERATOR BUILDING.
5. ALL UNDERGROUND METAL PIPING COMPONENTS SHALL BE PROTECTED WITH A 1 3 I
PERMANENTLY BONDED COATING OR WRAPPING MATERIAL WHICH 15 RESISTIVE
TO BOTH MOISTURE AND HYDROCARBONS. THE MATERIAL SHALL BE APPLIED 1 0 1 1 TAX ID#
TO CONFORM TO ANY IRREGULAR SHAPES OF THE PIPING AND SHALL START / I II-620871q
Z
AND TERMINATE IN CONTACT WITH COMPONENTS NOT SUBJECT TO CORROSION. I6.6 I
MATERIAL SHALL BE "SGOTGHWRAP 50" OR APPROVED EQUAL. � 3
q. TANK5 TO BE A MINIMUM OF 10' FROM WATER SUPPLY LINES. �� ♦ 1
I0. TANK5 TO BE A MINIMUM OF 10' FROM ANY SEWER LINE. ♦ / 0 1 REV DESCRIPTION BY DATE
I I. TANK5 SHALL BE 20'-0" FROM ALL DRY WELLS AND BELOW GRADE / S1 r 1 1 PRELIMINARY DESIGN GFH 4.12.25
I - - - - --- -: - - --
STRUCTURES. /�♦ 3 EXIST.
GONG. - - -
♦♦ -
/ EXIST. 1
♦ 2.1 GRAVEL r
/♦ / DRIVEWAY I
EXIST.
- -
/♦♦ GONG.
♦♦ F /
3 1.O / REPUTED LOCATION
♦/ , - ��OF EXISTING SEPTIC
SYSTEM
�� EXI5TUNG 1-1/2 J 1 0
0 - - - -- -- - --
♦' w STY. ND. FR. W —————
- - - - - -
♦� _ RE511DENCE /—\�� r
�� w ♦ I � I I
�\'Ato/
I -
/ EXIST. 1
GRAVEL N r 1
Z 11.0' 3 DRIVEWAY
1�71:7 y
EXIST. 145
METAL
1
.�
SHED oN`-� ' ��� .............. '"�'^,
EX15T� ♦♦
• w F-�EZER /
- ' BOX
No
NEW GENERICALLY APPROVED / de
500 GALLON LUBE CUBE EXIST. / 110000
(5UF500DF-LP) ON NEW 5" GONG. /
GONG. PAD EXTENDING MIN. 12" G AM
BEYOND ALL TANK EDGES. REPUTED LOCATION N�/ ♦/
(PROPOSED 5CHD TANK #2) / OF EXISTING SEPTIC
SYSTEM oN�/ ♦♦
imso S
GOING. /�—�\
oN`' PLANNING & DESIGN
EXISTING I STY. �— oN` /
METAL BUILDING 256a ORINOCO DR.BRIGHTWATERS,NY 11718
OFFICE: (631) 665-9619
ONE- ;'' {�, -, :.
/ �. I Permits@GrahamAssociatesNY.com
EXI5'')TING WOOD DOCK Q EXISTING OVERHEAD / � 1
J1 ELECTRIC SERVICE ONE ♦♦ L° 'RESIDENTIAL DESIGN 'COMMERCIAL SITE PLANNING
"� 'ENVIRONMENTALENGINEERING 'PETROLEUM SPECIALISTS
ONE/ ♦♦/ l U 2 1 LC C7 'ZONING VARIANCES 'WETLANDS PERMITS,DEC,DEP
OHL L OHL OHL OHL OHL---=Q�' 1-000' 'ALLPHASESOFEXPEDMNG
EXISTING BULKHEAD '0000
/ L';�r��'afTr:s'^�s_ _
GLENN W. GRAHAM, PRES.
♦/ GEORGE HOHENSTEIN, P.M.
JOSEPH L. WAIRO, P .M .
/♦' SUPPOL r- COUNTY 4PPk0VAL 5 T A M P MAXAMILLIONR. FOLEY,J.P.M.
ANA Y . CORONA , P . M .
`4O4 '♦ MICHAEL K. DUNN, R.A.
� SUFFOLf. COUNTY DEPARTMENT OF HEALTH SERi!lCES
'�
♦ O. F[CE OF POLLUTION CONTROL PROJECT LOCATION:
�J\' O ♦ APPROVAL TO CONSTRUCT FOR E3O A%T T I I:�)
100 EAST MILL RD
.0�' TOXIC/HAZARDOUS rtF.ATERIAL STORAGE MATTITUCX, NY 1I0152
PROJECT DESCRIPTION:
v ♦ SCDHS Job No.: T-H M-25-0008 1 GENERIC APPROVED 5000 D5L
G�2 PAGE DESCRIPTION:
Uv w ♦ \� These plans and specifications have been reviewed and found to be in compliance with the SITE PLAN
♦
♦/` Suffolk County Sanitary Code Article 12 and/or Article 18 requirements based upon JOB#: TAX MAP:
information submitted b the applicant, This o rovai is limited to the construction of the
°1p ARE—A OF y40RK PLAN N Toxic/hazardous Material Storage. pp DATE: SCALE:
241200 - IO IN SET: - 4
SCALE: 1" = 10'-0" This approval to construct expires on 06/03/2026 4/12/25 A5 INDICATED I OF 2
Expiration Date DRAWN BY: SHEET:
06/03/2025 GFH
° �✓t. CHK'D BY: iiiIIImI 0
Approval Date Review En Ineer MK
4 3 2 1
NOTES ,
1. EXTERIOR PAINT: SHERWIN WILLIAMS MACRO EPDXY 646 9 -8 4'-10"
OR EQUAL THE EXTERIOR COATING MUST CONSIST OF PRIMER COAT, (TYP,)
BOND COAT AND MIN. TWO FINAL COATS AS PER SUFFOLK COUNTY
DESIGN STANDARDS. -—-—-—-—-—-—-— ---"-----"`"--
INTERIOR PAINT : NONE
2. TANKS CONSTRUCTED &; LABELED IN ACCORDANCE WITH U/L 142
3. PRIMARY TANK TESTED 10 3-5 PSI. WITH AIR do BUBBLE SOLUTION
1 E- 6" IN ACCORDANCE WITH UI/L 142 I '` ' _
SECONDARY TANK TESTED THE SAME WAY 0 3 PSI. `e. I
0-0-110 4. INSTALLER TO TEST TANIK AT JOB SITE THE SAME WAY AS STATED IN
21>, 6„ NOTE #3
71
TOP OF LID TO HAVE r:' 'i .
CONTAINMENT ...`ti: I i'�•''
4' FILL LIMITER YELLOW HEXAGON SYMBOL SOLlJT10N$ ,i I ;•.••
W/CAP & ADAPTER (BY OWNER) °�° _- ���• 12I
1 4" X 1" BOLT SECOMM IT �/�F�F(AAI►NBLE ALLONS MIN' +',:: --------a-- --- 3'_6„
/ MORRISON MODEL #9095A LID (NO LOCK) MANUFACTURED, „�,,� PUWT I I
.N.
W/32„ THE PRIMATIY=BI REDURES LY RflIEF VEMWC GPAGIY OF r ')..� ....i o •�. o
CHAIN ATTACHED HANDLE TT£AM"�ER`RWRESEM'EMOMcrRn"VICAPAM ( • •`.�:: :•�:.�ti,r;:`•..•: '••s•:' •12'
(CUBIC FEET PER HOUR ' .•'•'•' , .,
THIS TANK IS IWTIDtD FOR STATKWARY USE OM.Y.PRFSSURIM PRIMARY I • r.•.. P•' ''!Y•.. ..�• .. '.y.'•.. :;:..'.MIN.;.
HINGE 12 » TANK WHEN PIRESMIRE TESTING ANNULAR SPACE THE AUIHOFM HAVING
MICRON SHOULD BE COWACTO PRICK TO WSfAWNG THIS TANK.
4" EMERGENCY
T- POSTS
UL LABEL DETAIL REINFORCED (WHERE SAFETY
VENT OPW #202 SUFFOLKCOUNrYSPILLBOXDETAIL (SCHS GENERIC IMODEL#SUF500DFLP STAMPED ONLABEL)
CONCRETE PAD TOP VIEW ARE PRESENT)
TANK
GROUND CLIP
" COUNDUIT SLEEVE SAFETY I I
POSTS
PRIMARY TANK n I ROUND ROD CLAMP I I
EMERGENCY VENT CONCRETE r ROUND ROD %"0 X 4 3/Vf
C SUFFOLK COUNTY MODEL OPW #202 SLAB - I II STAINLESS STEEL I I REINFORCED
SPILLBOX EAR1TH HILTI KWIK BOLT 11 I CONCRETE PAD C
UPFLOW VENT Y2" DRAIN GROUND ROD DETAIL (ANCHOR W/3 5/8" EMBEDED) I I (6" THICK)
MODEL #354 0200AVFILL
2'-2 1 OVERFLOW
(GROUNDING CABLE TO EARTH GROUND,SIZES PER LOCAL ELECTRICAL CODE) 6 — — -
4 HALF COUPLING,J6
„ �� 6" LONG NIPPLE W/CROSS BARS FOR 4 FLOW RESTRICTION (TA1NK) ANCHOR CLIP j=j 1�I
''---- I I I=1 I I=1 I h-I :�_ I •�=I 11=I I -I LI-1 11-.111--_ITI-1 I I �: i • I I I-�-I I L=1
SPARE 2' MUSHROOM VENT ________ ___ %a"O X 4 3/4" STAINLESS —I I I I—III : III—i I _ IJ=III—I j—I 11=I I III—I —1
MODEL#601 -------- STEEL HILTI KWIK BOLT 11 — I
" (ANCHOR W/3 5/8" EMBEDED) I I-I I-I I-I -III-I I I -i I I=1 I III III-III-III-I
FILL RITE #702 I SECONDARY EMERGENCY VENT 1 1/16"4 HOLE
DIESEL FUEL PUMP j I 16 » MODEL OPW #202 ------------------- I 1=III=III=I °=III=III=III=III=I I(=III=III III=III=1 I I-I
N 2' 2" '«, :• •:r..,' FOOTING -
2 :" : ; ..-,. :: :.:f.::; '=:i . / „ END VIEW
; �' •;: = 3 5 (EXTERIOR INSTALLATION____
GROUND CLIP "'; " .
6" •'`':.Y THE APPROVAL OF PLANS AND ISSUANCE OF THE PERMIT TO CONSTRUCT A HAZARDOUS MATERIALS STORAGE FACILITY PROPOSES
SPARE LIFTING LUG 23"--,_ SCULLY PRODUCT OR HIS AGENT'S COMPLIANCE WITH ARTICLE 12 OF THE SUFFOLK COUNTY SANITARY CODE ONLY. IT IS THE OWNERS AND RESPONSIBILITY
LEVEL GAUGE /
3'-0" MODEL#03123 ANCHOR CLIP DETAIL TO ENSURE THAT ALL OTHER APPLICABLE CODES AND REGULATIONS WILL BE MET PRIOR TO, DURING AND AFTER INSTALLATION.
THIS STORAGE FACILITY HAS TO BE CONSTRUCTED IN ACCORDANCE WITH THESE APPROVED DRAWINGS. A COPY OF THE APPROVED PLAN
(IN A FLOOD PLAIN AREA THE TANK HAS TO BE ANCHORED TO THE SLAB) MUST BE KEPT AT THE CONSTRUCTION SITE.
TOP VIEW THE STORAGE FACILITY INSTALLATION CONTRACTOR IS STRICTLY PROHIBITED FROM SUBSTITUTING EQUIPMENT LISTED IN THE DRAWINGS OR
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SPECIFICATIONS WITHOUT WRITTEN CONSENT OF THE DEPARTMENT OF HEALTH. THE CONTRACTOR MUST ALSO ADVISE THE FACILITY OWNER
2" GALVANIZED STEEL RISER j OFFICE OF POLLUTION CONTROL THAT EQUIPMENT SUBSTITUTIONS ARE BEING MADE. CHANGES MAY REQUIRE A PLAN SUBMITTAL FROM A LICENSED PROFESSIONAL
B I U P FLOW VENT CAP APPROVAL TO CONSTRUCT FOR
MODEL #354 0200AV STORAGE UNITS LOCATED IN TRAFFIC AREAS MUST BE PROTECTED BY TRAFFIC BOLLARDS. THE BOLLARDS MUST BE MADE OF SCHEDULE
8'-0" I TO :C/HAZARDOUS MATERIAL STORAGE 80 STEEL PIPE, CONCRETE FILLED AND SET IN THE GROUND TO A DEPTH OF 4 FEET. THE BOLLARDS WILL BE SET IN CONCRETE
T-HM-25-00081 FOOTINGS. THE BOLLARDS SHALL BE A MINIMUM OF 4 FEET ABOVE GRADE. THE DIAMETER OF THE STEEL PIPE SHALL DEPEND ON THE
MIN. SCULLY VENTALARM SCDHSJob �.: TYPE OF TRAFFIC LIKELY TO BE PRESENT.
FILL RITE #702 j #00209 These plans and S �cificinary io d have been reviewed and found to be in meatscomplonce with the CONTAINMENT VOLUME REQUIRED=500 X 110%=550 GALLONS CONTAINMENT PROVIDED 6'-7" X 3'-11" X 3'-2'=81.8 CU. FT. X 7.481=
DIESEL FUEL PUMP Sufaolk County 5 rotary Code Article 12 and/or al,de it requirements based upon
4" FILL LIMITER n xiclHo on subm,n by the appP.ant.This opprovvl s hmR d to th+mast vchon o/The 611.7 GALLONS.
Toxic/Hazardous Material Storage
6'-7" W/CAP & ADAPTER 3'-1 1" This approval toc nstruct expires on 06/03/2026 THIS DESIGN DOES NOT INCLUDE CONSIDERATION AS TO EXTERNAL PIPING, ELECTRICAL, ETC, THE OWNER AND/OR HIS AGENT ARE
1" 6'-0" 6" MORRISON MODEL #9095A 1" 3"-9" —1" E °°r, ,Do,, ADVISED TO CONSULT WITH A PROFESSIONAL ENGINEER OR ARCHITECT AS TO OTHER ITEMS CONSIDERED IN THE INSTALLATION OF
j o6io3/ 025_ THE SYSTEM
SCULLY GUAGE OUTER TANK Approval 0`te ReviewEn lire`
MODEL#03123 10 GA. -7 'THE SYSTEM MUST BE INSTALLED IN STRICT ACCORDANCE WITH ALL APPLICABLE REGULATIONS INCLUDING, BUT NOT LIMITED TO, THE
i 19 NEW YORK STATE UNIFORM FIRE PREVENTION AND BUILDING CODE, ARTICLE 12 OF THE SUFFOLK COUNTY SANITARY CODE, AND ALL
INNER TANK LOCAL BUILDING AND PLUMBING DEPARTMENT ORDINANCES.
10 GA. 4'-64 1. ALL WORK IS TO BE IN STRICT CONFORMANCE WITH APPLICABLE NATIONAL ELECTRIC CODE SPECIFICATIONS AND REQUIREMENTS.
IESELFUEL 3'-3" DIESEL FUEL
PRODUCT LABEL TO h
3'-0" 3'-6 THE SYSTEM MUST BE PROPERLY BONDED TO GROUND.
2. THE FACILITY OWNER SHALL BE RESPONSIBLE FOR ENSURING THAT ALL REQUIRED PERMITS FOR INSTALLATION OF THE UNIT HAVE
BE ON ALL 4 SIDES -5 BEEN SECURED.
3,° 3. IN A FLOOD PLAIN AREA THE TANK HAS TO BE ANCHORED TO THE SLAB.
MIN. 4" HIGH LETTERS r F 4. ALL WORK IS TO BE IN STRICT CONFORMANCE WITH APPLICABLE NATIONAL FIRE PREVENTION ASSOCIATION RECOMMENDATIONS.
9„ 2,-7>,6 - 2,-7"--) 9" 6„ 4 -0 6., GROUNDING OF THE CONTAINMENT UNIT AND/OR ITS CONTENTS MAY BE REQUIRED.
5. A SIGN HAS TO BE POSTED NEAR THE FILL PORT, IT HAS TO STATE WARNING! TIGHT FILL ONLY! THE Fill DEVICE WILL NOT ACCEPT f+
ELEVATION END VIEW A LOOSE FILL TIGHT FILLS PREVENT OVERFILLING, SPLASH AND SPILLAGE
A PRODUCT CODE GALLONS DESCRIPTION OVERALL SIZE SHIP WT.
LCAA150OD8519 500 UL-142 DOUBLE WALL LURE CUBE W SUFFOLK CO. SPILLBOX 6'-8' L X 4'-0" W X 3'-6' H 1,350 LBS. .r Y
Rn'1Ir6,of
jftT,.an
THIS DRAWING AND THE DESIGN SHOWN HEREIN IS THE PROPERTY OF THE DENALI COMPANY. USE OR COPIES THEREOF CANNOT BE MADE WITHOUT WRITTEN CONSENT.
CUSTOMER NAME CUSTOMER NUMBER DRAWN BY:D. ROVANG DATE DRAWN:0641-07
SUFFOLK COUNTY HEALTH DEPARTMENT GENERIC MODELjSUF500DF-LP APPROVED REVISE AS NOTED DWG NUMBER:5101792CI SCALE:3 8 = 1 -0
REV:A REV BY:DAR DATE: 03-17-17 SHEET:I OF 1
4 3 2 1
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_
:,»M�'.,.:o�Tw+. = •,•, •••"•rs��..r. .�- — .•••,. •" •' COUNTY OF SUFFOLK(o NOT� ,wc�M, faoo sccriaN ro
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106
o --- -- -- -- ---- ..,_ (2,)
'Board of Trustees Applicat% -A
GENERAL DATA ® E C E � r-,�
Land Area(in square feet): 25,100.51 _
Area Zoning: Marine II District .tiSEP 10 2026
Previous use of property: Commercial Dock with Single Family Dwelling cn hnid Town--.
`? Board of Trustees
Intended use of property: Commercial Dock with Single Family Dwelling - Replacement of Fuel tai
Covenants and Restrictions on property? —ayes _Z_No
If"Yes", please provide a copy.
Will this project require a Building Permit as per Town Code? Yes _[�]_No
If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? Yes �_No
If"Yes", please provide copy of decision.
his project rend any demolition as per Town Code or as determined by the Building Dept.?
Yes ✓ No
Does the structure(s) on property have a valid Certificate of Occupancy? Yes__❑_No
Prior permits/approvals for site improvements:
Agency Date
Suffolk County Health Dept. 6/30/25
❑ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agenc ? )No0 Yes
If yes,provide explanation: n/a
Project Descript' use hments if necessary): Replacement of previously removed 3000 gallon
above ground diesel tank with 50 gallon double wall above ground diesel tank.
Cantrell, Elizabeth
From: Cantrell, Elizabeth
Sent: Wednesday, September 9, 2026 11:13 AM
To: 'Glenn Graham'
Subject: RE:Wetlands Hearing -James Kaminsky
Good Morning,
I hope that you received the voicemail earlier today. The Trustees will not be going to this site today given the nature of
the proposal, in the same location as the previously existing tank. Trustee Glenn Goldsmith will be going out one day
this week/over the weekend to perform an inspection of the site.
Yes there is time to modify the application. Our office would need four sets of revised plans and a revised/updated
written project description delivered to our office by end of day this Friday(4:OOPM). The Board of Trustees would need
this information for their work session Monday night, also the LWRP coordinator is currently performing the LWRP
reviews so the sooner we receive this information,the better. No other paperwork would be required at this time.
Elizabeth Cantrell
Administrative Assistant
Town of Southold
Board of Trustees
Phone: (631) 765-1892
Fax: (631) 765-6641
From:Glenn Graham <glenn00graham@gmail.com>
Sent:Tuesday,September 8, 2026 2:50 PM
To:Cantrell, Elizabeth<elizabethc@town.southold.ny.us>
Subject:Wetlands Hearing-James Kaminsky
Hi Elizabeth,
While managing the public posting, one of the owners,Cynthia Kaminsky, noticed that the hearing notice specified
removing a 3,000-gallon tank and installing a 500-gallon tank. However,they would like to increase the new tank size to
1,000 gallons instead.
Since the tank type and location remain unchanged, could you please advise if we can amend the call of the hearing?
The owners also plan to discuss this with the Trustees during tomorrow's walkthrough.
Regards,
Glenn Graham
77 Percy Williams Drive
East Islip, NY 11730
631-484-3474
Glenn00Graham@gmail.com
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
1
OFFICE LOCATION: rjfMAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor. Main Rd. &Youngs Ave.) co Southold, NY 11971 Telephone: 631 765-1938
c
9
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
To: Glenn Goldsmith, President
Town of Southold Board of Trustees
Cc: Honorable Lori Hulse, Attorney
From: Heather Lanza, AICP, Planning Director
LWRP Coordinator
Date: September 14, 2026
Re: LWRP Coastal Consistency Review
JAMES KAMINSKY, SCTM #1000-106.-4-4
This application is for the replacement of the previously removed 3,000-gallon above
ground diesel tank with a 1 ,000-gallon double wall above ground diesel tank set on an
8" high concrete pad extending a minimum of 12" beyond all tank edges.
The proposed action has been reviewed under Chapter §268, Waterfront Consistency
Review of the Town of Southold Town Code and the Local Waterfront Revitalization
Program (LWRP) Policy Standards.
Based upon the information provided on the LWRP Consistency Assessment Form
submitted to this department, as well as the records available to me, it is my
recommendation that the proposed action is EXEMPT with the policies of the LWRP as
follows:
Town Code Chapter §268-3 Definitions
MINOR ACTIONS EE. Upgrades to existing fuel tanks, provided that erosion
control measures are implemented
The proposed action is not subjected to LWRP review because the proposed
replacement tank is smaller than the original and the double walls will reduce spillage.
The proposed action has been reviewed under Chapter §268, Waterfront Consistency
Review of the Town of Southold Town Code and the Local Waterfront Revitalization
Program (LWRP) Policy Standards.
Glenn Goldsmith,President `iQF$®(/1T Town Hall Annex
A.Nicholas Krupski,Vice President �0� y�`d ' 54375 Route 25
P.O.Box 1179
Eric aepenoski JI li Southold,New York 11971
Liz Gillooly � Telephone(631) 765-1892 _
Elizabeth Peeples • fax 6&66414
BOARD OF TOWN TRUSTEES JUL 2 1 2
TOWN OF SOUTHOLD
This Section For Office Use Only )uu'A01 0 'own
Board of Trustees
Coastal Erosion Permit Application
_Q' -Wetland Permit Application
Administrative Permit
_Amendment/Transfer/Extensi n
_Received Application: otl
Received Fee: $
Completed Application:
Incomplete: _
SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
—Coordination:(date sent):
-*__LWRP Consistency Assessment Form Sent:
CAC Referral Sent:
_Date of Inspection:
Receipt of CAC Report.�1
_ Technical Review:
_Public Hearing Held: (o
Resolution:
Owner(s)Legal Name of Property (as shown on Deed): James Kaminsky
Mailing Address: 75 Woodcliff Drive Mattituck, NY 11952
Phone Number: 631-298-4791 Email jkamins@optonline.net
Suffolk County Tax Map Number: 1000 - 106-4-4
Property Location: 100 East Mill Rd. Mattituck, NY 11952
(If necessary,provide LILCO Pole#, distance to cross streets, and location)
AGENT(If applicable): Glenn Graham
Mailing Address: 77 Percy Williams Drive East Islip, NY 11730
Phone Number: 631-484-3474 Email:jkamins@optonline.net _ __
Board of Trustees AppliL__ion
GENERAL DATA
Land Area(in square feet): 25,100.51
Area Zoning: Marine I I District
Previous use of property: Commercial Dock with Single Family Dwelling
Intended use of property: Commercial Dock with Single Family Dwelling - Replacement of Fuel tai
Covenants and Restrictions on property? Yes _J�]_No
If"Yes", please provide a copy.
Will this project require a Building Permit as per Town Code? Yes _Z_No
If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? =Yes _✓ _No
If"Yes", please provide copy of decision.
Will his project reninie any demolition as per Town Code or as determined by the Building Dept.?
Yes ✓ No
Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No
Prior permits/approvals for site improvements:
Agency Date
Suffolk County Health Dept. 6/30/25
❑ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agenc ? No ❑ Yes
If yes,provide explanation: n/a
Project Description(use attachments if necessary): Replacement of previously removed 3000 gallon
above ground diesel tank with 500 gallon double wall above ground diesel tank.
Board of Trustees Applic.—ion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: Fueling of commercial fishing boat.
Area of wetlands on lot: n/a Bulkhead -rip rsquare feet
Percent coverage of lot: 0 %
Closest distance between nearest existing structure and upland edge of wetlands: 15' feet
Closest distance between nearest proposed structure and upland edge of wetlands:20' feet
Does the project involve excavation or filling? No F-1 Yes
If yes, how much material will be excavated? 5 cubic yards
How much material will be filled? 0 cubic yards
Depth of which material will be removed or deposited: feet
Proposed slope throughout the area of operations: 0-5%
Manner in which material will be removed or deposited: Up to 5 cubic yards will be excavate
to allow pouring of a 6' x 9' concrete tank pad. All material to remain on site. A small
skid steer will be used to level ground for new tank pad.
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):
All work is landward of existing bulkhead and adjacement tidal wetland.
Board of Trustees Applil .Lon
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: This tank with hold diesel fuel for owners commercial fishin
Boast(s). It is a direct replacement with a reduction in gallons from 3000 to 500.
Are wetlands present within 100 feet of the proposed activity? No Yes
Does the project involve excavation or filling? No Yes
If Yes,how much material will be excavated? 5 (cubic yards)
How much material will be filled? 5 (cubic yards)
Manner in which material will be removed or deposited:
Up to 5 cubic yards will be excavated
to allow pouring of a 6' x 9' concrete tank pad. All material to remain on site. A small
Describe the nature and extent of the environmental impacts to the subject property or
neighboring properties reasonably anticipated resulting from implementation of the project as
proposed,including erosion increase or adverse effects on natural protective features. (Use
attachments if necessary)
14-T l M qoq CE 14 �
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61 Z20
Appendix B
Short Environmental Assessment Form
Instructions for Completing
Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become part of the application for approval or funding,are subject to public review,and may be subject to further verification.
Complete Part I based on information currently available. If additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agency;attach additional pages as necessary to supplement any item.
Part 1 -Project and Sponsor Information
Cynthia Kaminsky - Boat Tide Prepared by Glenn Graham
Name of Action or Project:
Boat Tide
Project Location(describe,and attach a location map):
100 East Mill Rd. Mattituck, NY
Brief Description of Proposed Action:
Replacement of Previously removed 3000 gallon above ground diesel tank with new double
wall above ground diesel tank.
Name of Applicant or Sponsor: Telephone:631-298-4791
Cynthia Kaminsky E-Mail:jkamins@optonline.net
Address:
75 Woodliff Drive
City/PO: State: Zip Code:
Mattituck NY 11952
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that 21 ❑
may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes, list agency(s)name and permit or approval: ❑
Suffolk County Health Department approved 6/25
3.a.Total acreage of the site of the proposed action? .576 acres
b.Total acreage to be physically disturbed? •1 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 833 acres
4. Che I land us at occur on,adjoining an ar the prop action.
Urban Rural(non-agriculture) Industrial �✓ Commercial ❑✓Residential (suburban)
EForest Agriculture ✓Aquatic QOther(specify):
Parkland
Page 1 of 4
5. Is the proposed action, NO I YES N/A
a. A permitted use under the zoning regulations? ✓
b.Consistent with the adopted comprehensive plan? 11VI El
6. Is the proposed action consistent with the predominant character of the existing built or natural NO I YES
landscape? [F I v/
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify: IF]
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
b.Are public transportation service(s)available at or near the site of the proposed action? ✓
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ✓
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
low voltage equipment _ ❑✓
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: RI ❑
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: on site spetic to remain RI ❑
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? ✓
b. Is the proposed action located in an archeological sensitive area?
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? ✓
b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
Proposed tank is landward of tidal wetlands and separated by a Bulkhead.
14. ntify the typic bitat types that oc n,or are likely to be found on the project site. Check all that apply:
✓ Shoreline Forest Agricultural/grasslands Early mid-successional
✓ Wetland HUrban ✓Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES
by the State or Federal government as threatened or endangered? ✓
Ll
16.Is the project site located in the 100 year flood plain? NO YES
17.Will the proposed action create storm water discharge,either from point or non-point sources? NO
If Yes, � ❑
. a. Will storm water discharges flow to adjacent properties?. ✓ O ES
b. Will storm water discharges be directed to established conveyance systemspff an¢--rm drains)?
If Yes,briefly describe: [✓]NO IL_IvES
Page 2 of 4
18.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond,waste lagoon, dam)?
If Yes,explain purpose and size: ❑ ❑
19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES
solid waste management facility?
If Yes,describe: ❑
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe: ❑
I AFFIRM THAT THE INFORKroram'
OVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDG
Applicant/spons Glenn Date4/1/26
Signature:
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
small to large
impact impact
may may
occur occur
I. Will the proposed action create a material conflict with an adopted land use plan or zoning El ❑
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land? ❑
3. Will the proposed action impair the character or quality of the existing community? ❑ ❑
4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑
establishment of a Critical Environmental Area(CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or El ❑
affect existing infrastructure for mass transit, biking or walkway?
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑
reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing: ❑ ❑
a.public/private water supplies?
b.public/private wastewater treatment utilities? EL
8. Will the proposed action impair the character or quality of important historic,archaeological, El El
or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, El Elwaterbodies,groundwater,air quality,flora and fauna)?
Page 3 of 4
No,or Moderate
small to large
impact impact
may may
occur. occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ Elproblems?
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3.should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Town of Southold-Board of Trustees
Name of Lead Agency Date
President
Print or Type Name of Responsible.Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
PRINT Page 4 of 4
Board of Trustees Applicc__ _,_yin
AFFIDAVIT
Cynthia Kaminsky . BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT
ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF
GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE
TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO.ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
' a
Signa4Zof Property Owner Signature of Property Owner
SWORN TO BEFORE ME THIS I-I 14' DAY OF
Notmy.Public
MICHAEL CAUSE
ENotary Public-State of Neal York
No.01CA0035256
Qualified in Suffolk County
ommission Expires Mar 25,2029
Board of Trustees Applic on
AUTHORIZATION
(Where the applicant is not the owner)
I/We, Cynthia Kaminsky ,
owners of the property identified as SCTM# 1000-106-4-4 in the town of
Mattituck ,New York, hereby authorizes Glenn Graham
of Graham Consulting Corp. to act as my agent and handle all
necessary work involved with the application process for permit(s) from the Southold Town
Board of Trustees for this property.
PropeQy Owner's SignatuvO Pro erty Owner's Signature
SWORN TO BEFORE ME THIS DAY OF �ri 1 , 20`Z(O
/I, -- ( �-—
Notary Public
MICHAEL CAUSE
Notary Public-State of New York
NO.OICA0035256
Qualified in Suffolk County
My Commission Expires Mar 25,2029
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The numose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOURNAME: Cynthls Kanllnsky
(Last name,first name,ipiddle initial,unless you are applying in the name of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other Trustee Application
(If"Other',name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%ofthe shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,dr child is(check all that apply):
E_A)the owner of greater than 5%of the shares of the corporate stock of the applicant
_n (when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
-Rapplicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
N
Submitted I� y of �1 j 20?G
Signature _ _
Print Name .0 a a iS C
Form TS 1
MICHAEL CAUSE
Notary Public-State of New York
d NO.01CA0035256
Qualified in Suffolk County
My Commission Expires Mar 25, 2029
U)
$
Glenn Goldsmith, President g�FFOil(0 C�� Town Hall Annex
A.Nicholas Krupski,Vice President y� 54375 Route 25
Eric Sepenoski ti z P.O. Box 1179
Liz Gillooly o � Southold,NY 11971
Elizabeth Peeples 'y,J� p! Telephone(631)765-1892
1t �`a Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
NOTICING ADJACENT PROPERTY OWNERS
/off -y- 3
A) h - y- S
�9- 3 - a3. 1
Above are property tax map numbers (SCTM#'s) listed that you need to notice for the
properties that are located on either side of you, across the street from you and fall
within your property lines, and possibly other properties that require noticing per
Chapter 55 of the Southold Town Code.
In order to find the legal mailing addresses to the SCTM#'s please visit the Southold
Town website at https:Hsoutholdtownny.gov and go to the Assessors page. Under the
Assessor's page click on "Forms and Links." Under that page, click on the "2024
Assessment Roll." This will take time to download as it is a large pdf. Once
downloaded when you go into it you will see that the list goes numerically by property
tax map numbers (SCTM#'s). Scroll down to find the SCTM#'s listed above. The legal
mailing address to each of the neighboring properties can be found directly under the
property tax map number on the far-left side of the lists.
Please mail each property listed above a completed copy of the Notice to Adjacent
Property Owners form and a photocopy of the proposed plan/site plan (construction
pages do not need to be mailed). Each neighbor's noticing packet must be mailed by
certified return receipt mail through the USPS no less than seven days prior to the
Public Hearing date. After all mailings have been submitted to the postmaster, all
receipts from the mailings and the completed Proof of Mailing form must be submitted to
this office prior to the Public Hearing date.
The bright green Notice of Hearing card needs to be posted in front of your property
close enough to the street that public can read it. This sign must be posted and stay
posted for no less than seven consecutive days prior to the Public Hearing. After the
seven days you can complete the Proof of Posting form which needs to be submitted to
this office prior to your hearing. If you put the sign up where there is more than seven
days before the hearing, just leave it up through the day of the hearing. You can take it
down the next day.
Board of Trustees Application
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & SCTM#:
NAME: ADDRESS:
Permit Coordinator 9- Z .+
James Neumann NYSDEC
750 E. Mill Rd. SUNY Stony Brook
Mattituck, NY 11952 50 Curcle Dr. BLDG 40
lcp-1 1 I ,-?> Stony Brook, NY 11790
Cynthia Kaminsky Mark King
75 Woodcliff Dr. 200 E. Mill Rd.
Mattituck, NY 11952 Mattituck, NY r11952
STATE OF NEW YORK
COUNTY OF SUFFOLK
residing at'
being duly sworn, deposes and says that on
the day of , 207C, 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 their 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 located at
z' kj 13o , that said Notices were mailed to
each of said persons by CERTIFIED MAIL/RETURN RECEIPT
Yh Signature
Sworn to before me this
Day of S eP--ecn bar 20 26
MICHAEL CAUSE
Notary Public-State of New York
N0.01CA0035256
Qualified in Suffolk County
Notary Public My Commission Expires Mar 25,2029
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1. Artif D. Is delivery address different from item 1? ❑Yes
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■ Print-your name and address on the reverse ❑Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, �B.�Redfeivedrint d Name) C. Date of Delivery
or'o_n the front if space permits.
1. Ar D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
Mark King
200 E. Mill Rd.
s_ Mattituck,-NY 11952
V
i
3. Service Type ❑Priority Mail Express®
111111111 I'll III l Illl I l(Ill lllll I I l lIl IN I Ill NQ
Adult Signature ❑Registered Mail"
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
Certified Mail® Delivery
9590 9402 9741 5199 2461 55 Certified Mail Restricted Delivery ElSignature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
^_ 9589 0710 5270 3352 7144 17 Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
Glenn Goldsmith,President ®guFF00, Town Hall Annex
A.Nicholas Krupski,Vice President Gyr, 54375 Route 25
Eric Sepenoski ti ` P.O. Box 1179
Liz Gillooly o • Southold,NY 11971
Joseph Finora 41, �.D®! Telephone(631)765-1892
Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
---------------------------------------------------------------
In the Matter of the Application of
JAMES KAMINSKY
COUNTY OF SUFFOLK
STATE OF NEW YORK
AFFIDAVIT OF POSTING
DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED
IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC
HEARING DATE— COMPLETE THIS FORM ON EIGHTH DA Y OR LATER
I, C4 residing at/dba � .
being duly sworn, depose and say:
That on the day of , 2 1-, I personally posted the property known as
Y , ' .� p Y p p p Y
. , ,.
by placing the Bo rd of Trustees official noticing poster where t cai� easily be seen from the
street, and that I have checked to be sure the noticing poster has remained in place for a full
seven days immediately preceding the date of the public hearing. Date of hearing noted thereon
to be held Wednesday, September 16, 2026.
Dated:
(si nature)
Sworn to before me this
111*^day of 50-A 202 6 . "
MiCHAEL CAUSE
FNotarY Public-State of New York
No.01CA0035256
ualified in Suffolk County
mmission Expires Mar 25,2029
Notary Public
NUTILI: U 'I- - H 'LAKING
NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the
Town Hall, 53095 Main Road, Southold, New York, concerning this property.
OWNER(S) OF RECORD: JAMES KAMINSKY -
SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the
replacement of the previously removed 3,000-gallon above ground
diesel tank with a 500-gallon double wall above ground diesel tank set
on an 8" high concrete pad extending a minimum of 12" beyond all tank
edges. Located : 100 East Mill Road, Mattituck. SCTM# 1000-106-4-4
TIME & DATE OF PUBLIC HEARING: Wednesday, September 16, 2026 —
at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town
file(s) which are available online at www.southoIdtownny.gov and/or in the Trustee Office until to the day
of the hearing during normal business days between the hours of 8 a.m. and 4 p.m.
BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail, listing both supporting and non-
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions,it shall not be.undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 1000-106--4 _4
PROJECT NAME Cynthia Kaminsky - Boat Tide
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g. capital ❑
construction,planning activity, agency regulation,land transaction) ❑
(b) Financial assistance(e.g.grant,loan,subsidy)
(c) Permit,approval,license,certification: ❑�
Nature and extent of action:
Replacement of previously removed 3000 gallon above ground diesel tank
with new double wall above ground 500 gallon diesel tank.
Location of action: 100 East Mill Rd. Mattituck, NY
Site acreage: .576
Present land use: Commercial Dockage with single Family Dwelling
Present zoning classification: Marine II
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: Cynthia Kaminsky
(b) Mailing address: 75 Woodcliff Drive Mattituck, NY 11952
(c) Telephone number: 631-298-4791
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes ❑ No FV] If yes, which state or federal agency?
C. Evaluate the project to the following policies by analyzing how the project will further support or
not support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation
criteria.
❑✓ Yes ❑ No ❑ Not Applicable
The owner use of this property is for commercial fishing. The proposed tank is a reduction of on site
diesel fuel storage from 3000 gallons to 500. The new tank has multiple lavers of leak detection and
help protect from spill far better than the previous tank.
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III—Policies Pages 3 through 6 for evaluation criteria
❑ Yes ❑ No ❑ Not Applicable
Minor but the tank allows continued use of the land to support commercial fishing. A dying profession
on fhe NoifFi-Fork. -- ------— — -
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
✓❑ Yes ❑ No ❑ Not Applicable
Again this is minor but the size of the tank in 25% of the old tank. It will also be sheilded with landscapi
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section IH—Policies Pages 8 through 16 for evaluation criteria
Rl Yes ❑ No ❑ Not Applicable
Tank will be anchored to resist against the effects of buoyancy.
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
RI Yes ❑ No ❑Not Applicable
The new tank is double wall and has spill prevention fill box, hi level site gauge, interstitial tank monitori
an an overfill limiting device. All these items are in place to protect spills and groundwater.
Attach additional s eets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
❑ Yes ❑No FV] Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
❑ Yes ❑No❑✓ Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
❑Yes ❑ No 0 Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria.
❑ Ye❑ No 0 Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria.
❑✓ Yes ❑ No ❑ Not Applicable
This tank is integral to support the commercial fishing boats at this facility
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No❑ Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages
62 through 65 for evaluation criteria.
❑Yes ❑ No❑ Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III—Policies; Pages 65 through 68 for evaluation criteria.
❑Yes ❑ No ❑ Not Applicable
PREPARED BY Glenn Graham TITLE Agerf for owner DATE 4/1/26