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ELIZABETH A.NEVILLE',MMC = Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 t' REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born,Southold Town Clerk's Office DATED: November 1,2019 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4810 for a Cesspool/Septic Tank Construction Permit submitted by: Meryl Kramer for Mark&Robin Lockwood. 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_approval required from the Suffolk County Health Department Signature Dated FFQt �� ELIZABETH A.NEVILLE Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 ca Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �f . � Telephone(631)765-1500 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK t Residential @$10_ or Non-Residential @$25_ Application No. Permit No. Applicant Name It 14061teck Applicant Mailing Address I Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration Abandon &sit ► t � Location of Proposed Construction/Alteration: r 1 t 1 WWI poot Owner of Property: MckrK and Rcwkin Owner Mailing Address: ......_ L— y- 4 0 u Owner Property Address: _ 1 Name and phone number of contact person Tax Map No: Section Block Lot Cross Street NOTE- LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SUR W ITH kDEPARTMENT APPROVAL Signatnre oDate Received by: ..> I DfISTING SEPTIC S.C.T.M. NO. DISTRICT: 1000 SECTION:110 BLOCK: 3 LOT(S):2B `, _�° "' TO BE ABANDONED ` PROPOSED ENTRY PORCH&STOOP AND 13ACKFiLLED t WITH CLEAN COARSE SAND. ERM DWELLINGS GARAGE EXISTING GAN IUM STONE DRIVEWAY W/PUBLIC WATER N57°42'00 E TO BE REMOVED 150' MON. 4° CHAINL7NK FEN 0.6'N 5` CONC, B 175.00' LK. WALL I 7 ` \ d' 0.8's GAS METER Cd i \ N � -' res-,a"—. -. GAS-teas—eA-&9- 1- NO LUM87N V[N \ EL 24 5 \ \co T. BE�REMOVED ASH \ a3& EL 24.1° 50.2' \ \q B.1' ) D N - m Q, \5'OAK \.�, C; W �U D , t\B'°AK \\ c y WELL 23 i EXIS, v MON.\` \\ \\ L01 9 O 4 ... 18 2 STOOPS TO -2 'W \� �� �� N \ \\ \ / � FR /M. E N 2 _- 1 i BE RVED \e t 1 less s / ( 3 BEDROOM ---._�_. g 18 OAXi .�..�__.. ...W.M. cP \ \ ? � j EL 26.8-17 8 B. j 7 �' F t S TRUMON \ 8�9 EXISi1NG N 3$ a 4980 TO REMAIN E z \ I giNcI Awa- I (` N � \ ` \ \ !/ TO BE �' '° o i I 3 \ \1 i \ \\\ \1 ( \ 5 5 m G P T ORNEWAY i O'DAK a % r, >° € \ t \ \ i PROP. \ a 5 5 0 � &W AYS O�BE REMOVED ii` C7 �; 1 _ _ �._ i h,} i \ \ \\ ) � 1 STY.AODITIQNS r r t� EXP I �\ \\ \\ \\ i�( \l PROO� \ 103 .8 n 19.3 °....� EL 26 T t FOR \\ MIN. I t = Moi W 7 I t� - aT o \ GOVER0 DECK \EL 26,3 I € Q QL l fi l €LU M r \ \ \ \ I (_ PROP. - © \1 ' �T�: -E -�. t r .,,-++: -_.. '-q nM.�j \ �\ \\ \\ �\\ \` \\ SMB !WALLS 5 °'3-2 SCI.ADDDiON 10'MNd ,�S = 8'MIN [ D c�.i{ .: .� 0.5'W \ \ \ �'� \\ "`.\ ".,,. WOOa'�� iirirPROP.rrrir ° -sl T 1 Ra st z \ t� \ \ EPS r i STY.GARAGE ixd \. HEugt7 W1R `` t -: \ \ 0' \. \ �` "� (1°Asher`"avid i i'r�Gf{25p•;i s s` ..', D_tiN€WY '. 9 - _. !TO REMAIN iii Sm P s f° ..} A \F\ rc sry>. r/rrrTN 4�+I. 1-A LU � \+,�s�-� r -:s..ras 01, 1A CP _ DRY 50.2\ \\\ \ u' 0 \ 10 i Septic tank shat)be divided into two \ \ `\ �\ \ \�} �''c,+ N �\ \ PROP.ODOOR \ WELL \ \ ♦ \ 7z \ SHOWER compartments by a full sized traverse \ \ \ \ \ \ \ \ \ 5'MIN 4� I ! PROPOSED \ \ \ \ \ \ \ \ r�J 1 wall. The inlet compartments shall 1 1 I 3 BEDROOM SYSTEM 1,000 GAL S.T. have 50-75 percent of the total capacity. S57°42'00"W 175,00' DWELLINGS (1)BDIAx12'DEEP LP. W/PUBLIC WATER ELEV.24.4 NO SURFACE WATER OR WETLANDS WITHIN 300' s 150� OL SANDY LOAM o.8 Na THE WATER SUPPLY WELLS DRYWELLS AND CESSPOOL DR BROWN LOCA 770NS SHOWN ARE FROM F7ELD OBSERVA7IONS AND OR DATA OBTAINED FROM OTHERS LOAMY SAND REVISED 09-10-19 L ELEVAnaM DATUM: NAVD88 C) BROWN AREA:17,500 S.F. OR 0.40 ACRES SM 3.8' UNAU7Y0MZFD ALTERATaV 7X14 4001770N 70 THIS SURIEY IS A MOLATON OF SE077ON 7209 OF THE NEW YDRK STATE EDUCATION LAW. CIES OF THIS SUR4EY MAP NOT BEARING THE LAND SURVEY425 EMBOSSED S€AL.SHALL.NOT BE CONSIDERED TO BE A VALID TRUE Copy DUARANTEES INDICATED HEREON SHALL RUN DNLY TO'Hr PERSON FOR WiDM THE SIATWY IS PREPARED AND ON HIS BEHALF TD 714E TIME COUPANY,GOWRNMENTAL AGENCY AND LEATDING INSTTUTON I LISTED HEREON,AND TO THE ASSIONEES OF THE LENLHNG INST77URN,,GUARANIEES ARE NOT TRAN5'FERABLE SOU p SW PALE THE DFFSETS OR DIMENSIONS SHPWH HEREON FROM THE PROPERTY LINES TD THE S7RVOTk7ES ARE FOR A S-ECTFIC PURPOSE AND USE THEREFORE THEY ARE s.t .i MEDIUM NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREORPN OF FENCES,ADD)RONAL STRUCTURES OR AND OTHER IMPRO"ENTS EASEMENTS TYPICAL CLEAN OUT i TO ATtDfDi'SUBSURFACE SIRU&7LLRES RECORDED OR UNRECORDED ARE Not GUARANTEED UNLESS PUMCALLY ENDENT ON THE PREMISES A:T THE TIME OF SURVEY COARSE SLATE OR SAND 12.4 SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: MARK LOCKWOOD; SUrraBLE COV'ER STOPPER END MAP OF: ROBIN OF. i OR PLUG QA h W/GRAVEL FILED: FIDELITY NATIONAL TITLE INSURANCE 1J SERVICES, LLC; SITUATED AT:CUTCHOGUE JP MORGAN CHASE BANK, N.A.; so'ELBOW TowN OF:SOUTHOLD KENNETH M WOYCIM LAND SLIM YIl'1.' PLLC 60' WYE NO WATER SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design - --- —1T i P.O. Bos 159 A.quebogae, New York 11931 I FLOW-..- JULY 20, 2019 FILE p scALE:t"=20' JAN. 19, 201 7 PHONE(aaL)a98-1588 FAX(581)888-1588 _ K. WOYCHUK LS 7-08 DATE: N.Y,S.USC.No DSDB52 rv°mt u,.eeomm of aow.11.a��a amuxa>L worotw