HomeMy WebLinkAboutRucker ELIZABETH A.NEVILLE,MMC r Town Hall,53095 Main Road
TOWN CLERK �� 't P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ��f i;o Fax(631)765-6145
MARRIAGE OFFICER ���� �� "
Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER '� "'
P ' ,�.�1' 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: December 23, 2020
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4925 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for John & .Erin.Rucker.
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 glmr vat_re�d from the Suffolk County Health Departilient
Signature
...............
Dated
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK p' P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Telephone (631) 766-1800
FREEDOM OF INFORMATION OFFICER m � 9 aoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$lt; or Non-Residential @$25 Application No. �
Permit No.
Applicant Name
Applicant Mailing Address_ _ _............... ...........
14175
Septic Tank or Cessl)ool
Brief Description n of l vvosed Comtruction or Allc i-adoii
Location of Proposed Construction/Alteration
Owner of Property:_—. __. wW_
g µ
Owner Mallin Address:, ,,,,,,5
Owner Property Address:
...Name and phone number of contact person ..._. U
r
Tax Map No: Section Block, Lot
Cross Street
_ __... ...... t.-t'.... �' . _ ....C... __.......
NOTE: LOCATION MAP MUST BE SUB 1:TTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY + LTIJ 1 EPAlI'FM N PR()VAL
Signature o l Oicant
Ogle
Received by: ..... .......
TRAIL
NOTES: GOLF COURSE
110 (VACANT)
i
1. ELEVATIONS SHOWN REFER p og�.
TO NAVD 88 DATUM
2. EXISTING GROSS FLOOR AREA
FIRST FLOOR = 2132 S.F. 00
� �
SECOND FLOOR = 957 S.F. ti
GARAGE = 889 S.F.
PROP. FINISHED BASEMENT = 1471 S.F. C( 100. 9
G
3. THERE ARE NO SURFACE WATERS\ �Up" . AUkE�
GG100.
COU 6s
WETLANDS WITHIN 300 FEET OF goo -
SUBJECT
4. ROPOSEDPSAN SANITARY SYSTEM IS o C 98 ,8
A PROP. 2500 GALLON SEPTIC TANK o 99.84'
10,
0 DIA. 5' EFF. DEPTH ANDA
-DG,
PROP. 8DIA. 12 V.FT. LEACHING POOL
AN EXIST. 8' DIA. 12 V.FT. LEACHING POOL �� C 7.5. Q'
EXIST. SEPTIC TANK TO BE ABANDONED 3 , ,
FOR A 7 BEDROOM MAX. DWELLING TH#2 9 0=
5. ALL DWELLINGS WITHIN 150' OF �cP'
PROPOSED SANITARY SYSTEM ARE
CONNECTED TO PUBLIC WATER SUPPLY 1p'L6 '`p
EXIST. TC 10 05+
LP. TO B.S. CURB m
REMAINPROP. 6
to = m
BRICK a 0
N
EXIST S€ALi{ a � Q
SEP71C �
TANK Hzb PROP ' TC O . 4G ` 0
r. LP. 5 6'
TO BE G s t
REMOVED I - 2 15.E 7\ Cn
BRI co
PRS. SLATE c'
10
R1 tit
.A
_T 11-6£ R.o- GARAGE 1 f__ s
a' t� 4 8.1 12.6' �_ MGE
Ld o
oA
2 STORY FRAME GATE B.B. CURB °
A.C. 0DWELLING P1 r Iao. To iolos
co F.F. EL. 105.1
BSMT. C14 G.F. EL. 103.1 11.5' WOOD \
EGRESS A.C. STEPS
38.5' 3.6 \
STONE STONE eri [€ BSMT. \
PAno sTEPs _ EGRESS
k I R '
1 STORY �' 8' DIA. \ \0
R
12 V.FT. 0
DRYWELL
LOT No. 17
1
29,484 S.F.
' r
rnaL
_ r FOIL I .
CERTIFIED T0: 10' w.DE GOLF TRAIL
JOHN THOMAS RUCKER �£" - >o
ERIN LYNN BROCKMAN L=219.43
_ '
�
FREEDOM MORTGAGE
FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC -
to,
C04, .
>t LOAM - m
THE EXIS7ENCE OF�l�t� OT Y„T d OPEN SPACE
1 AND/OR EASEMENTS,-D 4 ORMII I GOLF CC?URSE)
ANY, NOT SHOWN �tR 'NOT (VACANT)
GUARANTEED.
UNAUTHORIZED AL Z OH R ADLT77701it ” SAND _ o U
TO 7HIS SURVEY IS .
L _g
SEC77ON 7209 OF THE' R GRAVEL o I z
EDUCA 77ON LAW. _ _ > u
cu r�
COPIES OF THIS SURVEY MAP NOT BEARING I
THE LAND SURVEYORS INKED SEAL OR > c"i r i�
EMBOSSED SEAL SHALL NOT BE CONSIDERED I (,j cs� _
TO BE A VALID TRUE COPY. ,° '-i `x
_ H LJV�Q�Lf"�J
GUARAN7FES INDICATED HEREON SHALL RUN 1 LU o
ONLY TO T-1 PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE TEST HOLE #2
LU
777LE COMPANY, GOVERNMENTAL AGENCY AND AS SHOWN ON MAP U
LENDING INS77TU77ON LIS7FD HEREON, AND OF LAUREL LINKS c,,)1 TO THE ASSIGNEES OF 7HE LENDING INS77— FILED NOV 23, 2001 LL
TU770N, GUARAN7FES ARE NOT MANSFEr ABLE - _. _ 1 ._N .__ 0712
SURVEY OF: LOT No. 17 - -
MAP OF LAUREL LINK
FILED NOV. 23, 2001— AS 10712 KENIN �. BECKMAN,. .�.
SITUATED IN: MAT77TUCK a�
- a Surveying and Land Planning
", 1814 Middle Country Road
TOWN OF: SOUTHOLD _
� � � Suite D
Ridge,4 g N.Y. 11961
SUFFOLK COUNTY, NEW YORKz (631) 345-9427
FAX (631) 345-9429JI
REV PER SCDS COMMENTS 10/27/2020 B20-20528
DATE: 11�9�2012 JOB N0. 812-14640 -SCALE: 1 �- _J0 UPDATE t R_VV7/21/2020 B20-20337
DIST. SEC. BLK. LOT REV. SURVEY 10/29,x'2015
UPDATE SURVEY 10/9/2115
IS.C.T.M. N0. 1000 126 13 5 FINAL SURVEY 9/15/2015 815-16980
FOUNDATION LOCATION 7/10/2014 B14-16064
REV DWELLING 3/31/2014 B14-15818