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HomeMy WebLinkAboutUnexcelled, LLC q SO�ryol ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS Telephone (631) FREEDOM OF INFORMATION OFFICER oAGEMENT OFFICERlyCOU NT'r�� southo dton nor hfork ne wt OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: May 7, 2010 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3948 for a Cesspool/Septic Tank Construction Permit submitted by: John r. Sorrenti for Unexcelled LLC 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. Carol Hydell * * * * a s r * * * * s I have reviewed the application and location map of the project cited above and make the following recommendations: / APPROVE V/ DISAPPROVE Comments: Final approval required from the Suffolk County Health Department r Signature OG 6y/v Dated ELIZABETH A.NEVILLE Town Hall,69096 Mein It,of, TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER, Fax(631)786-6146 RECORDS MANAGEMENT OFFICER �fQl � Telephone(631)786-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.nel OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$t0_ or Non-Residential @$25— Application No. 5 1 q Permit No. Applicant Name John R. Sorrenti, FAIA, President Applicant Mailing Address 181 E. Jericho Turnpike Mineola, NY 11501 Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration Demolition of Single Family Dwelling Jo Construct One Story Commercial Bank -JP Morgan ase Location of Proposed Construction/Alteration: Owner of Property:Unexcelled, LLC Owner Mailing Address:330 Eastwood Road Cutchogue, NY 11935 Owner Property Address: 10300 Main Road (Rte 25) Mattituck, NY 11952 Name and phone number of contact person 917-626-7580 Tax Map No: Section 143 Block 3 Lot 33.2 Cross Street Bay Avenue NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 0 "olApplicant Date Receival liy: COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES LINDA MERMELSTEIN,MD,MPH ACTING COMMISSIONER PERMIT CONDITIONS Health Services Reference# C10—CR'-0012 Project Name -SP V, e �nV-4. The attached plan, when duly signed by a representative of the department, in conjunction with these conditions, constitutes a permit to construct a water supply and/or a sewage disposal or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including "Standards for Approval of Plans and Construction for Sewage Disposal Systems for Other than Single Family Residences." Omissions, inconsistencies or lack of detail on the plan do not release the applicant from the responsibility of having the construction done in conformance with applicable standards. Issuance of this permit shall in no way relieve the design professional of responsibility for the adequacy of the complete design. The permit (plan) expires three (3) years after the approval date. Any modification which may affect the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable) for reapproval prior to construction. No inspections will be performed by the department on expired permits. Permits may be renewed, extended, transferred, or revised in accordance with the procedures described in Instructions to Renew, Extend, or Transfer an Existing Permit for Other than Single Family Residences (Form WWM-081). It is the applicant's responsibility to call the department in advance to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability of the soils for sewage disposal systems. The department must be notified at least 48 hours in advance to schedule an inspection by calling 852-5754; and excavation inspections must also be confirmed by calling 852-5700 prior to 9:30 a.m., the morning of the inspection. Article VII of the Suffolk County Code, "Septic Industry Businesses," requires that all installers of septic systems within Suffolk County shall possess a valid license from the Suffolk County Office of Consumer Affairs. This office can refuse to perform inspections or grant final approval for the construction of projects that are installed by an unlicensed individual. It is, therefore, in your best interest to utilize a cesspool contractor with a valid license to avoid substantial delays in your project. Final approval issued by the Department is necessary prior to the occupancy of new buildings, additions to existing buildings, or for the use of sewage disposal or water supply systems. SEE PAGE 2 WWM-016 (Rev. 10/02/06) Page 1 of 2 s , SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4425-N Residential Non-Residential X Fee $ 25.00 New X Existing Name Of Owner UNEXCELLED, LLC ------------------------------ Mailing Address 1 330 EASTWOOD ROAD ------------------------------ Mailing Address 2 ----------------------------- City St Zip CUTCHOGUE----------- NY 11935=0000 ---------- a i Property Address 1 10300 MAIN ROAD ------------------------------ Property Address 2 ------------------------------ City St Zip MATTITUCK NY 11952-0000 -------------------- -- ---------- Owner Telephone No. 917-626-7580 ------------ Tax Map No. section 143.00 block 3 lot 33.002 Cross Street BAY AVE ------------------------------ ---------------------------------- Issue Date: 12/07/10 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE �; Town Hall, 53095 Main Road TOWN CLERK e�ia � P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER ® ®�� Fax(631)765-6145 RECORDS MANAGEMENT OFFICER, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown,northfork.net OFFICE OF THE 'TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT h . CESSPOOL or SEPTIC TANK Residential @$10 or Non-Residential @$25 ApplicationNo. Permit No. 35614 Owner Name Unexcelled, LLC Owner Mailing Address-330 Eastwood Rd., Cutchogue, NY 11935 Owner Property Address 10300 Main Rd., Mattituck, NY 11952 Owner Telephone No. 917-626-7580 I Tax Map No: Section 143 Block 3 Lot 33.2 Cross Street__Bay Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential--- NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) V�' V X IthqIld i S a ure of A cant Date Received by: - ---- - - -TLB-96:68 -1^ --- -- - --- -- - - - BCB 96. I 211.8 Lo CATCH BASIN j T"8.04' TCB 97.sl BCB 96. / I0 i' BC e I 1 STORY / < , CATCH BASIN MAS. BLDG. / III •�, B 96.98'� © 3 i /� CHASE BANK / B�9729 � I I I z co 0 TC 97. I / Q BC 90.55' TC 97.79' I " TC 97.50' ._/ n8 x7.12' BC 9TC 7 39'1 fI j li BC 96.87'-Jii o BC 9 08'Tc I j J-PIPE ELEC. / I T E 20' 0 I 57.3' METER BC '7.40' ¢ BLOGI: / / / 1� BLDG. "X 97.6. : - CONC. /% 4 .3 8�7 3I TC 97.94' = _ BC 97.33' TC 98:46' v '_=_----- TC 98.07 i 72.3' BC 97.20' : . z I BC V.32' I i �TC 97.93' ci ''M H : °%'r'm = R/0 DRNE-THRU CATCH BASIL, BC 97 24� LEACHING POOL ,� 97.62 _ TCB 97.76' M,H. :� TC 98.17 BCB 97.27 M.H. 70, 97.7Q��oz BC 97.70' I CONC. CURB I TC 98.11' SEPTIC Ir �.. � BC 97.18' -•l; TANK...-••' mss; `�........-T����� /o TC 98.27' M.H. / �'B 98.18' TC 97.62' CATCH BASINS ,r BC 97.65' 97.95�� c C 97.56' BC 97.02' TCB 97.50' r, CONC. CURB' BCB 97.00' 1'rli-lC �98.82' LEACHING POOL 98.16' TC 99.11' 11 BC 98.39' TC 98.31' TC 97.62' p ? BC 97.71' LIGHT BC 96.99' POLE C I TC 98.25' TC 97.72' TC 97.65' CATCH BASIN TC 99.53' BC 97.73' BC 97.11 BC 97.02' TCB 97.00' i i TC 100.41' BC 98.97' W BC 99.90' BCB 96.50' ��_ CATCH BASIN ���� ' TCB 96.38' Q� TC 99.53' BCB 95.90' � BC 98.84' TC 97.96' TC 96.54' i 0 TC 100.73' C.C. BC 97.32' CONC. CURB BC 95.97' f W ` Q BC 100.21' DUMADPSTER p co co M N� j 'Y _''''' ✓ , o A co s .n s, a -A q O �LANUOQ E� C MICHAEL K WICKS INC. UNAUTHORIZED ALTERATION OR ADDITION Y TO THIS SURVEY ISA /,,J r�O°�7 '�" W r-; 185. 75 ' VIOLATION OF SECTION 7209 OF NEW YORK STATE EDUCATION LAW AT TTDTT vT�T/''� COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED LAND D SV.Ll,Y El l 1V lT OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID COPY N. Y.S. LIC. # 50390 GUARANTEES INDICATED HEREON SIGNIFIES THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS AND THAT CERTIFICATIONS SHALL RUN ONLY TO THE PARTY FOR WHOM THE 'r SURVEY IS PREPARED AND ON THEIR BEHALF TO THE TITLE COMPANY GOVER- NMENTAL AGENCY AND LENDING INSTITUTION GUARANTEES ARE NOT TRANSFER- ABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CENTER MORICHES, NEW YORK 11934 631.909.3845 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY VOICE.- 631.874.0156 - PAX. NOT SHOWN ARE NOT CERTIFIED THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS SCALE: SURVEYED BY: DRAWN BY• SHEET: PLANTING AREAS,ADDITIONS TO BUILDINGS,AND ANY_OTHER TYPE OF CONSTRUCTION 1"=20' M.S. I D.O. 1 OF 1