HomeMy WebLinkAboutEinczig, Yvette Lang
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ELIZABETH A. NEVILLE> MMC ti~Gy Town Aall, 53095 Main Road
TOWN CLERK ~ ~ P.O. Box 1179
H ~ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS "p ~ ~ Fax (631) 765-6145
MARRIAGE OFFICER 'j' Ot' Telephone (631) 765-1500
RECORDS MANAGEMENT OFFICER wwwsoutholdtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK ~ (n ~ ~lj
TOWN OF SOUTHOLD I v{
SEP - 5 2013
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office sn ~ ' `,}a,~, p
_ __l
DATED: September 5, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4155 for aCesspool/Septic Tank Construction
Permit submitted by:
Patricia C Moore for Yvette Land Einczi¢
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 approval required from the Suffolk Countv Health Department
Signature
r1p
Dated
~S11ff0~,~
ELIZABETH A. NEVII.LE h~~ C~Gy Town Hall, 53095 Main Road
TOWN CLERK p ~ P.O. Box 1179
~ x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS y. ~
MARRL9GE OFFICER G • Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 0 Tele hone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ~ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 V or Non-Residential @ $25 _ Application No.~~ S
~L"_ Permit No.
Applicant Name ~G1/'!r/ G ~ //l f~~tz /
Applicant Mailing Address .S~/dZ-~ ./~Q~/l~ / ~pCtq
JlBuu_~,r~,~ ~7_ //~17~
Septic Tank_or Cesspool
Brief Description of Proposed C/onstruction or Alteration
~~~iLr~ O(2-s~7n~ r~~fy l'Aflt(~Cfi
Location of Proposed Construction/Alteration:
Owner ofProperty: y~/(~ ~,yrq ~/17C2t q
Owner Mailing Address: CLa (n0~9 y1.t r J~
d O b/
Owner Property Address:
o~
Name and phone number of contact person
Tax Map No: SectionL~ 7[~ Block ~ Lot !
Cross Street _ D C~4, ~ cL W vi y(.~
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUHtES SURVEY TH DEPARTMENT APPROVAL
Si re of Applicant Date
Received by:
- .
LOT COVERAGE TEST BORING SCDMS Ref.# RIO-13-0045 RAIN RUNOFF CONTAINMENT
EXISTING -HOUSE, GARAGE,: PORCH 8 STOOPS by McDonald Geosclence DWELLING AFTER CONSTRUCTION - 2024 sq.lt. N
5/07//3 2024 * I * O_f7 = 344 cu:/f.
2044 sq.If. 344/42.2 = 8.1 VF
2044/22722 = 9% o' EL./5.8 J~e~ e' ~ PROVIDE 2 DWs. 8'~ * 4' deep
PROPOSED erovn SHIy OR EQUAL
HOUSE. GARAGE, PORCH 8 DECK ~ sane su f
2760 sq.ll. 2' v
Pde Bt. FMe ~ S'
2760!22722 = 12.1 % to Coorse dj r" ° s.S. ~ „ ~ `
~ 3 O
> 1a.2 sand sw , X26 ~onn~ S~~
wale, in Pale GP . \ F O~ ~ 1
Br. FMs la JP ~ \ ~
coase sane ~ ~ SUf~', Ct). H~ALTN S~~~'•/Ircc
Ir sw t"ia +r.~ ~ ~ ~ °wF~~~ 6f:FICt:OFWASTtii~Rtrr~ „ .
SURVEY OF /
~ 4
LOT 11 ,~,,0ay 6, '
PLAN OFLDTS _ o - >,\Q \ ~~2s/ .
OWNE17 t~Y
O~ § . a
~ E' \ a
FL~/
0~2$tS1~ N~
659. 92321 ~ •
' S FFOLt< C.oU~N'Pr DEpAR'IMEN~j' CES ~ s`,~
A T SOUTHOLD Fo. ~ . ~ ~ , , , ~ .~°h ' °3 -
t~ ~ .
TOWN OF ~50N1THOLD eRmrs ~R NPPRf1V~tL L)FOV ~ ~
otNCLE NAMtLYatRSIDF.NCB(aOtL ~ 1 a~/J ~ ~
SUFFOLK COUNTY N. Y. _ _ _ $I~ ~3; ,~F. Rto-~~ clr}4 F, ~ ~ ' 0~ m
. 1000 - 70~ O4 - 1 ~ AP ROVED ~ / ~ fA ~ , . sr ' \ ~ ~ , 1
' Sca/e~ 1'~ = 30 ~ FtAxtMlllvS of ~ tiEDttAOMS `b i R~>; ~ ~ /
Ma 20,1994 - ~ ~
l7iRfiE YBARS FROM DAT60F AplIIOVAL ~ ~ %a i ,Cvp. ` /
Jan. , 2QI'3 (prop house addlRonsl " 9~, '~yt, ~ \ r 0
Jan. 30, zaJ (adelionsl ~'qP~--1 1'--~ ~ ~ OQ ' ~c ~
1(L, 2013 ao C~1'oUftl ~g~ O, .
APRIL 23 2013 (addfllonsl ~ °'t`~~ 4, . ~
~ i~ ~ 60
JtavE 3; 'zor3 (ada6lJansl Abandonment of existing sanitary system must be in ~ ~ r h fi
JUNE 17, 2013 (CONTOURS)' O \
JuLr 30, 2013 !SEPTIC CROSSEC )comformanc° witfidep;~tment requirement Submit y A , ~ ' ~ ~ .0~ P~
completed form WVIM-0~ as proof. ~c4, a~ `a - h ,y'l
r. - - ~ryj V s. i
PROPOSED NEW SEPTIC SYSTEM ~ J \a ~ / ~~~0) \~y
,~~pfNEy,r (4 BEDROOMS!
0~~ Nt: MEr2 O'Qr, lam,1000 gal PRECAST SEPTIC TANK Ho NEM' ~L~ CROSSECTtON / ~ 4P
,t, C 2- 6'+p * 6' Deep LEACHING PQOLS ~ ~ '
~O ~.p W/TN 3' SA7V0 (SWl COLLAfI 3' ~ ~ ~ °OO
sir ~ ~ MIN. 'ABOVE GROUND WATER EL te.0 - I~ ~ ~ rwv
r ALL SEPT/C SYSTEM CdVERS TO
u BE TRAFFIC BEA7?RVG CO y~~S W/TH E' ~ ~ ~ /a ST r esx T ~
~ C.LC. t0 GRADE WHERf NEEDS LP ~
EXISTING CESSPOOL TO BE R~l/oVEO ~(sv qr L
49619 ~ OR FILLED IN TO SCDHS SPECS.
~yy~ lA~c, aouo rAiet a.. I.e s per
N.Y.S. LIC. NO. 496/8 ANY AL`TERATiON OR ADDITION TO ThYS SlN7VEKlS A VIOLATION G~
. - - OF SECTION 7209 OF THE NEW YORK STATf E CAT/ON cAw. ELEVATIONS AND CONTOURS ARE
ExcEPrAS PER sECrroN T2o9 - sLeDrvlsrad 2. ALL cERTIFrcarroNS REFERENCED TO N.G.V.D.
ECONI RVEYORS, P.C. REREON ARE VALID FOR TM5'MAP AND COPS TyEREOF ONLY /F
(~~l! 765 - 5020 Fx (63/1 765-1797 SAS MAP OR COPIES BEAR THE SEAL OF TyE SURVEYOR AREA - 22.722 sq. ft Q
WHOSE SIGNATURE APPEARS FIEREON.
P. O. BOX 909 ,
.1230 FRAVELER STREET to tie lines 36103OI~S FROM FIRM 9LI -196
SOUTHOLD, N. Y. 11971