HomeMy WebLinkAboutKrupski, Eugene
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown. northfork.net
,......--"
.--- ._'-
. ..___.__::--;:--- \'0
rr:::-.r" F (, ".
\. Ii 1~-',; .' ~~S~ __I '': ' r
I, ; AUb \ '1'06 . i,
\\-. .,'_' ,.J. I
TG:~;...1fm1~~9_~Uilding Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
, OFFICE OF THE TOWN CLERK
\ TOWN OF SOUTH OLD
DATED:
August 1,2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3619 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
EUl!ene Krupski
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
/
Comments:
DISAPPROVE
~~~.7;:~:~~~- ~ -~#~
~?Zf
Signa;~j,~ ~ ~
Dated I /
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
south old town.northfork. net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTH OLD W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 / or Non-Residential@$25_
Application No.3 (011
Permit No.
Applicant Name ~ 4'..1'1 e. .t) r^/;I..P ~ ~
Applicant Mailing Address I oq 5 ""\ rll (' \<... A V <-
r .u..:h:..ho. ~ U 0 1\J'i /19.36'"
Septic TanklC-or esspool_
Brief De crip. n of Proposed Construction or Alteration
. .
oS' I
Location of Proposed Construction/Alteration:
Owner of Property: eu~ eA.!. ~('(.tp~fq'
ownerMailingAddress:joCfS -r~C"J<. Av~
G.AA-c.k~- ~i {(~
Owner Property Address: 5~l'Idv 1.eiLJ A~
Y'v\o.. ~ -ht-~ J-j 'f
Name and phone number of contact person VI c.fA 73&
Tax Map No: Section /00 Block 02
Cross Street ( )a1. fa Lh;. 4
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT~;~ TH DEPARTMENT APPROVAL
V-~!:" ~ Fir low
Signature of Applicant .' Date
Received by: - ..~p~
(... -------
~.3() e9;lI C;
LoiJ:3. ()~(
NlOIF GORDON & MOUNT
/"" ( /
I~~
A
I \
'OSW I
fAY ( /
/
- / ~ /~ /
/ Y ....j
~S;~ k - . ,..l
'OMS MAX. .~~ .
IL'~' I, "\
ANK \,PfIll!:~'
.p '/2'/ ~s. j.
......, I '\
iUiG ENVCL~ \SO
\
\
I
I <t)
I
I I\)
I 0
\ -!
\ .....
\ ~
"
,
/
/
/
I
so
/
/
THERE ARE NO WELLS OR CESSPOOLS
WITHIII/50' OF THF. PROPOSED WELL &
CESSPOOLS.
./ /--\
I
I
I
/
/
/
/
/
I'TJ
'70
/15
.... .---- /
~
~ , -
~BO
/--
I
I
I
'BO~
---
SURVEY OF PROPERTY
AT MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
7000-'IOO-~PIO 03
SC~II:.t".:200.'
ItIARCH ~ ROOB
~
~
~
. ~
~
-.- -
~
.....
o
.....
"Y1
i
~
.r-
~
;:'6
I'll
~
"'<
/384.57'
/!..
FE
~s:w \
-, -
- ,
I
~r
lA'
~I
.
~i
. I
I \
\
\
,
~ I
"-
0
"- ,
"Il I
~
110 I
...
I [
1
I
lij \
I
r
~
~
101\3
!C-Il.
<boA
~Cl
.
~
/
/
/
/
I
/
I
I
I
I
I
I
I
I
I
I
I
\
\
/
/
I
~_/
;/,
/
/
"
\
\
\
\
\
\
\
\ I
\ I
\j
,
"
\
\
"
"-
,
~
,
,
,
di
"
I
I
,
. ,
LOT NUMBERS ARE REF~ENCED TO
SUBD/VISION OF "KRUPSKI FAUlL Y LC'
CONTOURS ARE REFE8ENCED TO THE
FIVE EASTERN TOWNS' TOPOGRAPHIC
MAPS. .
\
,
The locollons of wells and cesspools
sh4Wn hereon are from field observollons
QIU/ 01' from dolo oblafned from olbers.
I
1
1
j
I
[
~~O'W r _
--I~ // "
50; ......__........
"-
"
"
L
ARE.
.. -
Ul
~
\.II
-
-
"
,
"
"
\
\
\
I
J
I
I
I
\
\
,
,
"
s 64'50'00" ,:or:
1,"'60' tll
~ ~
I i~~
I It)~ ~
~ ~
LOT I Pi r-'4
~
186,87'
~S60'
OREGON
.
lil
~
(Ii
~
'2
= 55.9985 Acres
lam lomilior wilh Ihe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will obid, by Ihe eondilions sel forlh Iherein and on Ihe
pumil 10 eonslruel.
"-
"olb,
"-
" /'
- \
"
-
"
\
\
I
I
\
I
\
I
I ' SUFF0LI< COUNTY OP1>ARTMENT OF HEA.L TH SERVICES
I i
\ i J'i2,rvr;;r ,llJi, .\PPW'VAt OI<r:Ol'!C;'r,WC170J\' FOR A
'-1
I DATE"
L.....
/ ! A~~i' '" ,"
/
~ -,,_.'
~
MInimum distance between well
n cesspool Is to be 150 feet.
Ul
l!l
lO
~
EXCAVATION INSPECTION REQUIRED
FOR SANITAltY SYSTEM
By HEALTH DEPARTMENT
j'--
- --.-- ....~-
~
/
/
',cr.... 'VIA. ....'.' ;'~)I' Lt,. ,:',
.~ . . ... ,c/- ",. ... :':".l.'.:.... L.1r'.,f I ", ';' ,
E;':-.\:~G"3n-{r_:'~E:, ';"t.";-,,,,:;' ,-'~',~r~ '/ ;: ,-;,Ct:- ;;:'.)Lnv AI..
'---- -* ---
-'--'--'.-'~-,,, ------_._-~._-,.. ----_.,~_._._-_._._-"_..__.......,-_.-
J
\
~. W \ 503.13'
(NORTH RD.)
lAD '. p, ONlC SURV,
l63/J 76~ - ~02
P. O. BOX 909
/230 TRAVeLeR
SOUTHOLD, N. Y.
05 - 102
"""",,_..'