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Home My WebLink About53072-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD., NY OI��OtfNT1 M£�' BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 53072 Date: 06/17/2026 Permission is hereby granted to: Hess Retail Stores LLC C/O Property Tax Dept Findlay, OH 45840 To: remove (3) underground tanks,fuel island &dispensers and all associated equipment as applied for per DEC Non-Jurisdiction letter,Trustees and Suffolk County Health Services. Premises Located at: 11100 Route 25, Mattituck, NY 11952 SCTM# 122.-3-10 Pursuant to application dated 06/01/2026 and approved by the Building Inspector. To expire on 06/16/2028. Contractors: Required Inspections: Fees: DEMOLITION $125.00 Total S125.00, Building Inspector rY ti TOWN OF SOUTHOLD--BUILDING DEPARTMENT Town Ha11 Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 7+ 5�-180�2 Fax '765-952 �t � �� th�ol.dto eV ....... , Yf ..................... .......... ------------- Date ,4 �P ' rw APPLICATION FOR BUILDING PERMIT �� Mkjl a 104 For Office Use Only Y N 'fl t I tl 6 PERMIT NO. Bltlldltlg Inspector-.,,------------------- e App li ations,endforms m ust,be filled d out its sir,entirety.I ntorriplete applications will not be actepted. :Wbe'r'e the Applicant s not the ownelr,an w r vn es Au"th r z tidn,fdrM(Page )shall be+complet d. Date:November 15, 2024 OWNER(S)"'OF PROPERTY, Name:Hess Retail Stores, LLC. SCrM#1000-122.09-03.00_010.000 ........... Project Address:11100 Main Road, Mattituck, NY 11952 MINI Phone#:881-9' 4-' �D.............-01 Email:danr envirotrac.com Mailing Address: Old Dock Road, Ya hank, NY 11980n � ��su CONTACT111�111 ------_-------------... PERSON: Name:Dan Ruffini NOW Mailing Address: 5 Cold Dock Road Ya hank NY 11980 Phone#:5'81-9' 4-3991 Email:darer. envirotr c.co P P a e DESIGN PROFESSIONAL SI+ NAL INFORMATION: IATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Island Pump and Tank Mailing Address:4U Do le Court, E. Northport,NY 1 '173'1 m Phone r881 -452 2225 ex 54 Email:debbiec@islandpumpandtank.com DESCRIPTION of PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration C]Repair M Demolition Estimated Cost of Project: ❑+Other 158,915 Will the lot be re-graded? F�Yes 8No Will excess fill be removed from premises? E]Yes El No 1 ---------- -- -------- ....... PROPERTY INFORMATION Intended use of property: Existing use of property:Gas service station Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to M I th is property? E]Yes ONo IF YES, PROVIDE A COPY. .... .......................... 0 Check Box After Reading.' The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by 'Chapter 236 of the Town Code. APPUCATION IS HERE13Y MADE to the Building Department for the Issuance of a Building Permit pursuant to'the Building Zone ordinance of the Town of Southold,Suffolk,Coun New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, tyj addition$,alterations or for rem I oval or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and,regulations and to'admit authorized Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to''Sectioln 210AS of the New"York State Penal Law. MINOR , Jon nd1rea RAuthorized Agent DOwner Application Submitted By(pr t name): Signature of Applicant: Date: 12.02.2024 STATE OF NEW YORK) COUNTY OF 7 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the e-n ko`nt4l or,Agent,Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this A (J'1 .01ay of 2 Notary Public bebroCIChelU111 PROPERTY OWNER, AUTHORIZATHOPubfi,c-state,of New York (Where the applicantjs not the owneo No-OIC1620,1114 ualified'InSuff un, My Commission Expirl*lasi Dan Ruffini residing at5 Old Dock Road, Yaphank, NY 11980 do hereby authorize Island Pump and Tank to apply on my behalf to the Town of Southold Building Department for approval as described herein. Digitally signed by Dan Ruffini Dan RuffiniDate:2024.11.1512:29:49-05'00' 11/15/2024 Owner's Signature Date Dan Ruffini Print Owner's Name 2 Approximately nine(9)product piping soil endpoint samples are anticipated to be collected along the piping run from.the UST field to the dispensers. Approximately one(1)vent line soil endpoint sample will be collected under the vent stack. 01 Liquid,residue and all sludge must be removed from the tank(s)and all connecting lines. • All piping associated with the tank(s)must be disconnected and removed,or cleaned and securely capped or plugged. • All equipment associated with tank(s) must be removed(pumps, fill boxes, monitoring and high-level alarm systems,vents,gauges,etc.). 4. A representative from this office must be present during the collection of all soil/water samples at the approved locations, and to visually inspect the closure of the tank(s) and all piping. All samples must be sent for laboratory testing by a NYSDOH FLAP approved laboratory for analysis using EPA Test Methods 8260(VOC's), 8270 (Semi- VC C's)and RCRA 8 Metals(for waste oil tanks). 5. If soil or groundwater is observed to be contaminated,or if oil spills or leaks occur during the tank closure process, it must be reported to NYSDEC's Spill Hotline at(800)457-7362 within 2 hours. 6. If a spill is documented, an inspection by a NYSDEC representative will be required prior to backfilling unless directed otherwise. 7. Additional sampling or remediation may be required by NYSDEC for any spills identified during the closure activities. To finalize the project, a Closure Report must be submitted to this office for approval within 90 days of physical closure of the tank(s). The Closure Report shall be prepared and signed by a New York State licensed professional engineer or a qualified environmental professional.The Closure Report shall include at a minimum.,a brief description of closure activities performed, a description of any deviations from the approved work plan, the quantity and locations of any samples collected, a table showing sample results compared to Standards,Criteria and Guidance (SCG), and any SDEC spill number associated with the tank closure. An updated tank registration must also be submitted which indicates a change of status within 30 days of the closure of all USTs. Please note that engineering plans must be submitted to this office and a permit to construct must be obtained prior to any new tank(s)being installed. Contact the local building department and/or fire safety enforcement office for any additional requirements that may apply to your project. Issuance of this approval does not supersede any existing agreements with,compliance dates agreed to,or mandates by the Office of Pollution Control or any other government agency. If you' have any questions regarding this matter, please feel free to contact me at (631.) 854-2534 or e-mail me at edward.roe@suf'o wgn ny g__ ov. ty Very Truly Yours, 16� Edward Roe Senior Public Health Sanitarian Suffolk County Department of Health Services Office of Pollution Control Division of Environmental Quality CC: Michael Seaman,SCDHS Brian Donovan,NYS DEC Hugh Cirrito,NYS DEC Kristy Salafrio,NYS DEC DIVISION OF ENVIRONMENTAL QUALITY OFFICE OF POLLUTION CONTROL + 15 HORSEBLOCK PLACE * FARMINGVILLE NY 11738 PublicHealth Phone(631)854-2501 Fax(631)854-2505 rrwolmnt,lltoftvrr PO-0114,01. partmentKATHY HOCHUL ��AEW of Governor AN_ EnAronmental, tio AMANDA LEFTON Conserva Commissioner LETTER OF No JURISDICTION TIDAL WETLANDS ACT February 24, 2026 Speedway LLC 3200 Hackenberry Rd Irving, TX 75063 Re, Application #1-4738-05108/00001 Speedway Station #7795 -- 11100 Main Road, Mattituck, NY 11952 SCTM# 1000-122-3-10 Dear Applicant. Based on the information you submitted, the Department of Environmental Conservation has determined that the portion of the above referenced property which is located landward of the functional and substantial man--made structure (a bulkhead) greater than 100 feet in length, which was constructed prior to 8/2011977, as evidenced by NYSDEC's Tidal Wetland Aerial Photomap #706 538, the 1974 Tidal Wetlands Map 1R 965, and currently shown on the survey prepared by All County Land Surveyor PC, last revised on 3/17/2025, is beyond the jurisdiction of the Article 25 Tidal 'Wetlands Act. Therefore, no permit is required for work landward of this structure. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project (i.e. a 15'wide construction area) or erecting a temporary fence, barrier, or hay bale berm. In addition, please be advised that DEC has documented the summer occurrence of the Northern Long Eared Bat (NLEB) (!yobs septentrionalfs), a species listed as "endangered" by both New York State and the US Fish &Wildlife Service, within 3 miles of the project location. We have determined that tree cutting at this location between March 1 and November 30 of any calendar year may result in the "take" of these endangered/threated species or their habitat within the meaning of Environmental Conservation Law (ECL) §11-535. The term "take" is defined in part as the direct killing or injury of individual members of a protected species, interference with critical breeding, foraging, migratory or other essential behaviors, or the adverse modification of the species' habitat. The "take" of a species listed as endangered or threatened is prohibited in the absence of a permit from this Department issued pursuant to ECL§11-535. In order to avoid an Endangered Species "take", no tree cutting activities should be conducted at the project site between the dates of March 1 and November 30 of any calendar year. Division of Environmental Permits, Region 1 50 Circle Road, Stony Brook, NY 117901 dec.ny.gov f dep.rl@dec.ny.gov 1 (631)444-0365 If you have questions about the presence of protected species on or near your property, the potential effects of activities on these species, or your responsibilities as a landowner or project sponsor under the Endangered Species Regulations-, please contact the Regional Wildlife Manager at (631) 444- 0310. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals► from other agencies or local municipalities. Sincerely, Sherri Aicher Regional Permit Administrator CC.* EnviroTrac LLC BMHP File P�iom Mv u S00 M Glenn Goldsmith, President �m Town Hall Annex ' 54375 Route 25 Nicholas Krupski,Vice President P.O. Box 1179 noski York 11971 Eric Pepe � Southold,New Liz Gillooly Telephone (631) 765-1892 Joseph Finora Fax (631) 765-6641 a BOARD OF TOWN TRUSTEES TOWN OF SOUT:H:OLD Permit No.: 10964A Date of Receipt of Application: April 17, 2026 Applicant: Hess Retail Stores LLC SCTM#: 1000-122-3-10 Project Location: 11100 Main Road, Mattituck Date of Resolution/issuance: May 13, 2026 Date of Expiration: May 13, 2029 Reviewed by: Board of Trustees Project Description: Remove underground storage tanks and associated equipment. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Island Pump & Yank, received on April 17, 2026, and stamped approved on May 13, 2026. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. i Glenn Goldsmith, President Board of Trustees E;// %r/r il%/p%ii U; �; Pleft a, f I i ✓ „, ui f r r i Vi i EESG i iwI uo part t i Embrol,. of � I Ni Sri Mio, ' F SITE j rl r 0 A P D r l r s �VVVVVVVVVV�� VVVVVVVVVVVVVVV�.... y i RO,,v, BOARD OF1 a ► :�J T h le,17a c T O�� OFS""t. :f � �a , o leg DATE0 �' V W i 1110 00J! DN MAP N.T.So C E I V E Y, APR 1 7 202,6 'G . U, � VI DN. 1UTHOLD Soutifold Town Board of Trustm �R: i ACTOR IS RESPONSIBLE FOR VERIFYING THE EXACT LOCATION AND .L UNDERGROUND APPURTENANCES(WHETHER DEPICTED ON THESE )T)PRIOR TO THE START OF WORK. THE CONTRACTOR.MUST IE"ONE CALL"SYSTEM T ENSURE THAT ALL UTILITIES ARE ND COMPLETELY MARKED OUT PRIOR TO PERFORMING ANY WORK. ?ANCIES BETWEEN THE FIELD LOCATIONS AND THE FLANS MUST BY THE CONTRACTOR. ANY DAMAGE OR DISTURBANCE TO S DURING CONSTRUCTION MUST BE REPAIRED OR REPLACED AT ACTOR'S EXPENSE. �CEL IS.525 ACRES. ROUNDVIWATER<11 I R TO ENSURE NO IMPACT OR DAMAGE OCCURS TO ANY ON OR :�l lr..TI IRI=!q WI41r.H ARF Tr)REIUTAIN IJNDISTI IRSFD THIS -N� A Cus' -17 MAIN ROAD ZNTE A (ROUTE 25) ROVED ERRY G APP i BOARD OF i`ZlWl5TErL:S E, L Te,'NI Or: 'w.&I wft _4f i: ITH�UD.0Fj Ar fit Tis The oca 105 ELCglurlAve E. N 51050'00"E 1-09 lon Ave rti f 4�- 150.00, cp, H FUE�ASLANDS AND LOCATION MAP _ N,7S SCALE. AS�FALT Ammon I�Q�Aflmc* 0 RDJAW SAW CLr LINE G C--10 CDN F INS ngpi 'Q E 'ALL, lEs I TK--COKTRACTOR tS RM�IALZ FOR WRF"*0 THE EXACT LOCATION APO c8 CONCRETE DEFFM C� -AM ffiuuXV03 DE �WTI E X4 To BE R'kmq OR"wn F�wfi T13-;��STA"-OF vmm TiilE CON-w7-ws- REMOVED CGICIFA-�-TRZ-0&--CA�VTUTFM T EkMam THAT ALL.MMIEZ ARE ------------ FROPER.Y AAV CQ&59�-MWj;FK)OJT MW9 TO PERF—MY fVU� Any 0!5�A'14.-E5 9;-�'-N Pei AND Im RM U VEJ-51—w�UY r-w C;D%-a RAI;l QFL AN,DAM&M M QU; To H FEENSE TD Tfe CONI, --PrS EWF�N*SE- -e- 1 REMNN(TYPI FIELD TO BE RFMQWD ce WMKX ARE TU REVAN tNV,�j�D T, RESPOI�T,APPJES Tl 0 57-IM-WER WNW.W-UR WAYWT BE ♦ PROD="ll"10 TO REN(A-'-N PERCTW ON Tfese PLANS F- ip AW EXETV(0 AMACEN7 NWfR7EFS AhW OR OTUCTtF4ZS 3VGV44 K7Z FF ME CaNSTITUED AS Mffl.-REPRUIENITD W ANY OTWA UMOq to sca P41 UC-AVAT AITH CWFIETE-W FAArMAL5 2: t PUK5 AKALL KIT RE 5-17MANVYMME,a4 5 EL-7SITE U& SC L.Af OF WOR iff CB r/'Z/-47776 0 AA I DISCONNECT,R EM ZWE.AND DISPOSE ELECTRON!C DEIACES 0 I== 0 u- CONNIJECTED TO THIS TANK IF kW,(T-1 XV<I5,44-ME:1 1 f-� PROBE AND LFAX SENSOR) 0 2 USING VAC TRUCK SERIOCES REMOWE AND PROPERLY DISPOSEANY J \ 2 RESFDVALLIQUiDTANKC04TENTS FDEADUNE THE TIANK THROUGH 4 a wm IOPENING$) w 3 8'r1o"p.CIE 5 ERIOIC E'S TO WASH&RINSE-l-pl-t Ile' RIOR OF 7-HE-11 AN K, POSE UQ U::)RNSATE GE N ERAT�,D- REMOVE AN D PROPER 0 jezz 4 S-ALWVJ'EXISDING CONORE I E SLADSAWM TIJE UET,0 N LY TO THE 0 071A ASPKALT C. It—-s' SENT N DE D FOR THE AB&NIDONMENT, -4E TO REA-lAIN E E XCA�;E V 13VE AN D DI bPOSE A PO RTION OF THE EXISTI NS I 0000-�- LON PREM Ilihi CONCRE7E SLAa I INDERC R0(jND TANK 0 EXCAVATE EM57iNG aACKPLIL MA S fSOIL OR GRAYS 0 ABOVE F TH E U57.AS NECESSARY TO FACI L 7-ATE THE REMOVAL PROCE ISS, T. DISCON ECT REY OVE,AND DISPOSE EX IS iNG PI M 40 RISE AE OV rH r-TAIN K W-ky-5 mo 9 Dx mul"odmumm"m TAII-am mw ft-ftmmm 8 DISCORN ECT.CUT AND CAP EXISTING VEN7 PEPING-NVHERE -e-m bo bc SKCW----L -W P11-AM iN""W UFS NOT xgr EXCEED!�*5 I. I N COMPACTED.III KINES 5 AND ACCESSIMLE WUHI N Tli E EXCAVA-TEO FOOTPH P f-OF THET AN K 9, DI SW N N E CT.CUT AN D CAP EX,S TNG ELECT141 2 AL CO N D V Rl S VVI T-9 14 ki EC14kNI CAMY COU'ACTED TO A M INIM UNI OF 71 T I. 400%RELATWE COM PACTIOV EXCF-wr TRAT-HE TOP WOODED ME EXC-k%,ATEC-F001PRIN I OF THE TANK f .13 V oiCk"cv DAM koom TRIvric A4m"W" AREA BACKUPll,TIKE EXCA VATS D AAA NISI EXIS S71OCKPILES$OIL A MINIMUM P5%RELATE VE COMPACT110N IS REQUIqED THFU4 COUPAC7 (A--Mi0T557-;ACCYPACTION REPORT ISTOFiEFROI�',DED 11 RESTORE DFSPJRBED St:RFACES AT`EC0lMPLE--I0NGFTtlEPFOJEM-GEO-ILXTILEFABRIC Jor MATERLAL TO SE USED FRC 1511 ET TO TH E'PAVING BAB E Air- MA�--RIAL SPEEDWAY MATTITUCK Jr ffi 1111100 MAIN ROA- 17%,1 -- MATTITUCK,NY 11952 USES, vio oc 1 lrjarz024 LEGEND -X—X- F---N G E NE REMOVALS PLAN A rw TOW IN t' CALL 8111 THREE DAYS TO TEN DAYS S DFW BEFORE YOU START ANY DIGGING DISPENSER ISU"13 PROJECT.WHETHER YOU ARE 11 TY MV4 H 0 1- PLANNING TO DO IT YOURSELF OR W-9,17-AL11 SIT C FEATIUFMES ARTS A---P0 lk4 Ft S-0, SUF SURVEY PPEPMAD BY 57,TOP.04 A;S-rjCl4TE5 UN DER G ROUND STORAGE TM K HIRE A PROFESSIONAL,SOMEONE COk-ft NEEDS TO CALL 811. COUNTY OF SUFFOLK : DW.ARD P.ROMA.IN: SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH.SERVICES GREGSON H.PIG[ TT,MD,MPH Commissioner November 27,2024 En.virotrac Cold Dock Load Yaphan ,NY 11980 Attn: Ed Russo Subj ect: Tank Closure Application word.Plan Approval Facility Name: Speedway Mattituck Facility Address: 111.00 Main Road,Mattituck,NY 11952 Site 1D Number: SIT: -1352- 1P File Reference#: 13582 SCDHS Job#: T -24-00073 Dear Madam or Sir: This office has received your Tank Closure application for the above referenced facility. You request to close three underground storage tank(s)referenced below. CDHS Tank# Product Stored _ Capacity Location i Tangy Type Action Typo 4 Gasoline 10,000 Gallons Under/Cut DWF Remove 5 Gasoline 1.o,000 Gallons Under/+C ut DWF Remove �W� 00 ....... Gas oline 10,0 Gallons Under/Out DWF Remove This office has reviewed your,application.The collection of endpoint soil/water samples at the locations indicated in your work plan for the required site assessment have been found to be in accordance with the Suffolk County Sanitary Code Articles 1.2/1 .Your Tank Closure application has been approved with the following conditions: 1. The Office of Pollution Control must be notified at least two (2) days in advance of all Tank Closure related work. Please call this office at 631-854-2534 to schedule the tank closure inspection. . You must notify the New York Mate Department of Environmental Conservation NYSD C)Region 1 Spills Unit of any PBS regulated underground storage tank (UST) closure(s) by nailing, facing or e-mailing the attached notification form to DEC at least 5 days in advance of the proposed date of the work.. 3. The tank(s) must be closed in accordance with the Suffolk County Sanitary Code Articles 1.2/1 . All work roust be completed as described in the approved Work Plan and/or at the discretion of the inspector and field,.. conditions. As this approval is based on information provided in. the Work Plain., this department reserves the right to amend the requirements,as deemed necessary. Minimum requirements include the following: Approximately 12 sidewa.11 soil endpoint samples are anticipated to be collected around the entire tank field.. Five(5)groundwater samples to be taken from the monitoring and tank field wells and within the excavation. 0 One(1)soil endpoint sample will be collected from beneath each of the three(3)dispensers. DIVISION OF ENVIRONMENTAL QUALITY + OFFICE OF POLLUTION UTION CONTROL + 15 HORSEBLOCK PLACE + FARMINGVILLE NY 11738 + Pub&Health Phone(631) 54-2501. Fax(631)854-2505