HomeMy WebLinkAboutAntonucci, Nicholas & Mary O~OgUFFO(Q-co
ELIZABETH A. NEVILLE, MMC ~~Gy Town Hall, 53095 Main Road
TOWN CLERK p ~ P.O. Box 1179
y : Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p • ~ Fax (631) 765-6145
MARRIAGE OFFICER 'f' fit' Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER ~~l ~ '*a www.southoldtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
~ -
I`= a ~ i~~
TO: Southold Town Building Department D
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_L-
FROM: Carol Hydell, Southold Town Clerk's Office SEP 1 7
DATED: September 17, 2013 ~;e c: P r.
l` _`our~mo
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4157 for aCesspool/Septic Tank Construction
Permit submitted by:
Nicholas & Marv Antonucci
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.
* * * • * * : r a * * r
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
/r w
Signature
D 9 /9
Dated
~ o~su~FOCx~o
ELIZABETIi A. NEVILLE ~Z` G¢ Town Hall, 6309b Main RoR~
TOWN CLERK p ~ ~ P.O. Box 1179
~ ` ~ Southold, New York 11971
REOIBTRAR OF VITAL BTATISTICS
MARRIAGE OFFICER ~ ~ Fax (831) 786-8146
REGORDB MANAGEMENT OFFICER y~fQ a0~ Telephone (631) 786-1600
FREEDOM OFINFORMATION OFFICER ~ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TOWN OF SOUTHOL~R„HOLD WASTEWATER DISTRICT '
BUILDING. Do
ptARTML~N+''E~' ~L
Southold, N.Y. 11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10
~ or Non-Residential @ $25 _ Application No. ~ ~
~ A ~ ^ Permit No.
Applicant Name 1~~(dS {~v1QY~f ~?1-~UY~f,I~J~- 1
Applicant Mailing Address ~ 7 d ('7 ~ S ~ t (0 T~~d ~-f't Vl
S~1-ho id.. N (t Q `7 ~
Septic Tatt~eor
sC
sC spool, r
- Brief Descri ton of Proposed Construction or Alteration UC~~ i ~ l bV~ t>~- C~ `Y~ i
~ Q~~ i vv- ,'z 1~E'~ f n nvr ~ c -i- 2 ~2 b~kl h,g
Location of Proposed ConstructionlAlten~ration:
Owner of Property: NZf ~9t~s r r"I ~ Y\_T .~-\Yl-t t7Vl U CC 1
Owner Mailing Address: ?"1 O O t Jt'1 ~
1TQ\f~
A~ir~ ~-C~1 V1'~
~ nt~t~plc~_ , N~ I
Owner Property Address: ~77 b D~ S h i p><at~d l'1 P
~e~hc~ 1 , ~.L~ l t ~ ~ I
Name and phonenttmberofcontactperson n1i('ht~~~~~1_ /1V1T~>~1tDh)aP~i f~3~7~j~-~bD1~
Tax MapNo:l00b Section~(_~_Block,~! Lot Z.-O I
Cress street L ~ rt ~ o
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEVI
CONSTRUCTION REQUIRES SURVEY ALTH DEPARTMENT APPROVAL'
9- t~- i3
~j ~ Sign f pplicant Date
Received by;
- - -
NOTE SCDNS Re/.# RIO-12-0057
- SUBSURFACE SEWAGE DISPOSAL
SYSTEM DESIGN
BY• JOSEPH FISCHE`TTI, P.E.
1725 HOBART ROAD •
SOUTHOLO, N. Y. I197~ SURVEY OF PROPERTY
- AT SOUTHOL,D
TEST BOR/NG TOWN OF SO UTHOLD
bra wa ~.osa~„~s ~ a - SUFFOLK COUNTY, 1~ Y.
oAR+caeROwly LOAM j\ p 1000-64-04-20
SCMA E30 '20120'
I' - t
SALr aPj~ ~ ~ AUG. 2f 20/2 (septic syys/eml
3' tP~B~w R~ ~ ~ JULY 261, 2013 (Prop. Const./
tt a- o a m AUG. 14, 2013 (re visions!
PAL£ BROWN FIrE pW~" Off'( ~ ~ y~ ,yp~ - ~d~\ ~ AUG. 22, 2013 (C.E. ~$'C.P. revisions)
SAND Si° : 1`t $p
wP~t,~t ~+ZS ~ C
! 7' t _ ~f~ le~t.~ Jam'" ~o~' p ~ ~ ~ - F mC ~-''c C
Y of P~ e4`S• ~ ~ Abandonment of ~YdS fnf+s3~ ~ r~~
Qi\ ~ = a/~ f ~ t' yi~<.ry s:cm must be in
~ ~o~ ~ 9 comform4~cewultca;parirn rteGuiresnentSubrnit
~ ~a~~ po ~ ~ 51'1 ~ ~ completed for.~at ~V4'J1R4-
Ne4'°r' (5,~,- N ~ ~ ~ a ~ ~!Z as proof.
F~ ~ ~ ~ ti p,
PROPOSED NEW SEPTIC SYSTEM 6 b• G~ ~ `I t \ \6 a ~ " ®~~p.B 4to 5
5 BEDROOMS '
1 -ISOO yd PRECAST SEPTIC TANK \ 0~ ~ ,~p~
2 - 8'0 = .8' DEEP LEACHING POOLS r `a.# ~ ~ E'P'" ~ \ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
WITH 3' SANG COLLAR (SWI y~ ~ 2 ~ . •
3' ABOVE GROUND WATER ~t1' \e• ~ m"O i ~ PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
TEO
NyEDEDS
~ ~-L. IN y, yN~, ~ gO ,6 / CJp o SINGL E FAMILY t~ESIDENCE ONLY
ro scOHS SPECS. ~ ~ v \o ~ r p 6 2A13
N~ P ~ ~ ~ d SEP
~L~P,(ERt 1 ~ ~ i DATE~,._._ r',S. F2EF PIA ~ZLO'
l____~
~----CX~S~
`P~,IC O-~ S \ APPROVED L~
L ~ ~ ..N FOR MAXIMUM OF /P_ EORbOMS
. ~o Sfol"Qy~ 9~ G WPS~t EXPIRES THREE YEARS FROM DATE OF APPROVA4.
/ am /ami4ar wl/h /he STANDARDS FOR APPROVAL/ r'"~ p~L~G EX
STINGVERAGE
AND GOJJSTRUCTION OF SL9lf5`URFACE SEWAGE~~ HOUSE 1539 SOFT. ~~OF N`I~ r
OISP~'~l L SYSTEMS FOR SINGLE FAMILY RESIDENCES O
and w~71 abide by the con~,ians se! /orM fM/ein and on the 'GARAGE 5P2 SOFT. g'~P ~1. MEr~
c
permit to conslrucl. 2(a~! s4-lI• O`t' F
2os1/tr2~o= /e.396 ~ ~
PRr~osi=D - # ~r
HCAJsE »g FT.
- GARAGE e.•'~ SQFT. .
The locations o/ wells and cesspoo/s 2 ~ip,FT
shown hereon are Tram veld observal/ons 293/1/230 s 2O3TG_ `~L ~b egg,
and or /rom data obtained /rom others: ELIy}!ATIONS ARE REFEkENCED TO AN ASS(ANE7i•0,4'haM
Thr!re%re Their locations and or existence
is not guaranteed. AREA = l1,250sq./f.
LOT NUMBERS-ARE-REFERENCED TO `SUBDIVISION N. Y.S. LIC. NO. 49618
MAP OF FOUNDERS ESTATES' FILED IN THE OFFICE ANY ALTERA770N OR ADDlT70N TO rHls ~?RVEYIS A tnoLAnoN .r- ECON/C YORS, P. C.
OF THE SUFFOLK COUIyTY CLERK ON MAY lO, 1927 OF SECAON 72090E THE NEW YORK STATE EDUCATION LAW. ~~~~d +~°J S--+«~°
AS MAP NO. 834 -EXCEPT AS PER SECAON 7209-SUBDIVISION 2. ALL CERTIF7CA710N (6,~1) 765-5020 FAX (631) 765-1797 •
_ HEREON :ARE VALID FA4 7H/S MAP AND COPIES THEREOF ONLY lF P. 0`: BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEY AU~ / 6 123D TRAVELER STREET
_ WHOSE S/GNATUR~ APPEARS HEREON. -
SpUTHOLO, N. Y 11971 -179
~I E6E'c ~_9g~ _