HomeMy WebLinkAbout(2) SCDHS Resubmission Package 122220STEVEN BELLONE JAMES L.TOMARKEN,MD,MPH,MBA,MSW
SUFFOLK COUNTY EXECUTIVE COMMISSIONER
WWM-061 (Rev. 3/20/19)
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
BOARD OF REVIEW
360 YAPHANK AVENUE, SUITE 2C, YAPHANK, NY 11980
(631) 852-5700 OR HealthWWM@suffolkcountyny.gov
APPLICATION FOR VARIANCE OR WAIVER FROM REGULATIONS OR SPECIFICATIONS
TO: Review BoardChair
I, We,_______________________________________________________________________, residing/doing
business at (mailing address)___________________________________________________________________,
request a variance [ ] or waiver [ ] from (indicate Article & Section Number) ________________________, of
the New York State/Suffolk County Sanitary Code (cross one out), and is in reference to (indicate Health Services
Reference Number, name of proposed realty subdivision /development and Suffolk CountyTax Map
Number)____________________________________________________________________________________
__________________________________________________________________________________________.
Brief explanation of why variance/waiver should be granted____________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
__________________________________________________________________________________________.
Date_______________________Signature(s)________________________________________________
_________________________________________________________
Print Name(s)________________________________________________________________________________
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1.TYPEOR PRINT LEGIBLY and submit completed form to the address at top of application.
2.REGARDLESS OF ANY PRIOR SUBMISSION, YOU MUST ENCLOSE WITH THIS APPLICATION
a.copy of survey for residential construction, site plan for commercial construction, or map of proposed
realty subdivision/development; and
b.copies of all pertinent paperwork (i.e., Notice of Non-Conformance or letter of rejection; estimate of cost to
extend public water, etc.).
3.SUBMIT $990 FEE by check or money order, payable to ‘Suffolk County Environmental Health’. VISA &
MasterCard are also accepted online. A non-refundable convenience fee is applied to all credit card
transactions. Fee subject to change.RETURNED CHECKS AND CREDIT CARD PAYMENTS ARE
SUBJECT TO A PROCESSING FEE.
4.YOU WILL BE NOTIFIED IN WRITING of the date, time and place for the hearing.
5.The hearing will be scheduled as soon as possible; however, all hearing schedules will be based on a first
come-first served basis.
Strong'sYachtCenter
5780WestMillRoad,Mattituck,NY11952
SCDHSCommercialStandards
Wearerequestingavariancefromthedesignflowstandardsfortheproject,withrespecttotheboatstoragebuildings.
Wearerequestingthattheindoorboatstoragebuildingsbeconsideredasself-storagebuildingswithrespecttosanitaryflows.
Thesebuildingsarenotutilizedduringthestorageseason,nessencetheboatsareplacedintostorageandnotremoveduntilthefollowingyear,
thisissimilartotheselfstorageuse.FlowwillbecalculatedforthesmallbathroomareasandanI/AOWTSsystemwillbeutilized
1/18/2021
BryanGrogan,PE-P.W.GrosserConsulting,Inc.
Strong'sYachtCenter-C10-18-0010
X
______________________________________________
)____________________________________________________________________________________________________________________________________________________________________________________
i
RECEIPT
SUFFOLK COUNTY GOVERNMENT
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES, DIVISION OF ENVIRONMENTAL QUALITY
OFFICE OF WASTEWATER MANAGEMENT, 360 YAPHANK AVENUE, SUITE 2C, YAPHANK, NY 11980
(631) 852-5700
Today Date:01/21/2021
Application:C10180010-ZEC
Application Type:Other Than Single Family Residence Application
Address:
Receipt No.418447
Payment MethodCheck #Amount PaidPayment DatePayorComments
Check35265$990.0001/21/2021PW GROSSER
CONSULTING,
INC
Fee Allocation:
Fee Item DescriptionFee AmountAmount PaidAmount Paid TotalBalance Due
Board of Review variance/waiver$990.00$990.00$990.00$0.00
Total:$990.00$990.00$990.00$0.00
Contact Info:STRONG'S YACHT CENTER
STRONG'S YACHT CENTER
5780 WEST MILL RD
MATTITUCK, NY 11952
Work Description:NEW CONSTRUCTION FOR BOAT STORAGE