HomeMy WebLinkAboutBaker James ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
· · ' -MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 76~-6145
Teiephone (631) 765-1800
southoldtown.northfork.net
Residential ~ $10 X3 or Non-Residential ~ $25 __
Applicant Name .~a$ ]-~)O~..~lh
Applicant Mailing Address ~)(--~ 6cl, q ~
Septic Tank x~ or Cesspool ~
Brief Description of Proposed Construction or Alteration
Application No. 3S~2~q'
Permit No.
Location of Proposed Construction/Alteration:
Owner of Property: , I c~Cr*~.
Owner Mailing Address:
Owner Property Address: ~,~
Name and phone number of contact person
Tax Map No: Section
Cross Street
Lot, (_¢ ~L
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH H~L~TH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
u9/16/03 ~_~ 2[:26 Y.&X 5[6 765 [366
Albert J. I~-ups]~i, ]President
James K~g, Vice-President
A_~ie Foster
Ken Po]iwoda
$o~Eho[d TOWil ACCO~tDEi~g
Town Hall
530951~u~e 25
P.O. Box l179
~oufl~dd, NewYork 11971-0959
Suffolk County Depa~ent of Health
Coun~ Center
To Whom It May Con.m:
The Southold Town Board of Trustees object to the placement of a septic system
within 100' of tidal wetlands on West Creek, especially since other options are available
to the property owner.
Thank you.
Very truly yours,
Albert J. Krupski, Jr., President
Board of Trustees
AJK:lms
cc: En-Consultants, Inc.
FOR MP~'IMUM OF ..~ B£DROOM$
S.C.D.H.S. ENDORSEMENTS
TIDAL WETLANDS
BOUNDARY AS
r~GOED
EN--CONSULTANT~, :
/
AREA: 12,525 S,E (UPLAND PARCEL)
1,500 S.F. (WATERFRONT PARCEL)
ELEVATIONS ARE REFERENCED TO N.G.[~D. DATUM
?ONE AE
DWELLING ~PROPOSED GRADE ~
PROPOSED SANITARY SYSTEM
CROSS-- SEC TION
(NOT rD SCALE)
GEORGE'S RD.
L~ND
ZONE X
AREA OF 500
YEAR FLOOD
ZONE X
OUTSIDE 500
YEAR FLOOD
· - DENOTES CONCRETE MONUMENT FOUND.
LOCATIONS OF ADJACENT WELLS AND SANITARY SYSTEMS PER
OWNERS AND/OR OCCUPANTS AND ARE NOT GUARANTEED.
SURVEY OF
CONCRETE
OCOVER
LOCATION
UNAVAILABLE
TO
PROPERTY
PREPARED FOR
MARTHA & JAMES BAKER
SITUATE AT
NEW SUFFOLK
TOWN OF SOUTNOLD
SUFFOLK COUNTY,, NEW YORK
SCALE I" = 40' MAY 20, 1998
S.C.T.M. DIST. 1000 SEC. 117 BLK. 01 LOT 12
& S.C.T.M. DIST. 1000 SEC. 117 BLK. 04 LOT 04
SEAL SHALL NOT BE CONSIDERED A TRUE VALID COPY.
Y OF
o WELL IN
(ABANDONED
PER OTHERS)
CONNECTED TO PUBLIC cpo
PER OrHER~ WA[ER
PROPOSED SANITARY SYSTEM
f15t 1.000 GALLON SEPTIC TANK
8' DIA. x 2' DEEP LEACHING POOLS
ROOM FOR 50% EXPANSION
FILE NO. 1211
REVISIONS:
8/27/99 ADD TOPOGRAPfiY
9/2a/99 ADJACENT WELL & SAN,
01/26/2000 RE~. PER SCDHS
4/14/2000 REV
~/oI/2ooo ~,DO otb=
10/17/2002 UPDATE
10/28/2002 RDZ
12/12/2002 RE~.
12/.71/2002 REt<,
oi/o8/2oo3 R~Z
ol/lo/2oo3 REV.
01/17/200.~ STAKEOUT
01~2~12003 REV.. PROP. SANITARY
06/25/200.7 RE14 PR. SAN, & H8£
TEST HOLE
CERTIFIED TO:
MARTHA BAKER
JAMES BAKER
SECC4FI'CO
PAT 7'.
PROFESSIONAL LAND SURVEYOR, P.C.
- SUCCESSOR TO -
DONALD TASE, L.S.
RICHARD WILHELM AND ASSOCIATES
PROFESSIONAL LAND SURVEYORS
NORTHSTAR SURVEYING, P.C.
PAUL T. CANALIZO, L.S., ROBERT A. KART, L.S.
GOOD GROUND SURVEYORS, P.D.
107-5 W. Montouk Highway
328A Main Street
Hampton Bays, NY 11946 Center Morlches, NY 11934
PHONE: (631) 728-5330 PHONE: (631) 878-0120
FAX: (631) 728-6707 FAX: (631) 878-7190
N.Y.S. L/C. NO. 049287
COPYRIGHT - 2002 PAT T. SECCAF/CO P.L.S., P.C,