HomeMy WebLinkAboutVastola, Ray o~0~?FFO(,~co
ELIZABETH A. NEVILLE, MMC ti~ ~ Town Hall, 53095 Main Road
TOWN CLERK p ~ P.O. Box 1179
H 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O ~ ~ Fax (631) 765-6145
MARRIAGE OFFICER 'y~ 0\' Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER ~ `1~ wwwsoutholdtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: September 30, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4162 for a CesspooUSeptic Tank Construction
Permit submitted by:
Samuels & Steelman for R & J Vastola
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 aouroval required from the Suffolk County Health Department
C
r---- -
r i~ Signature
J
I~
I /U o s 3
(LI ~ OCT - 1 2013 i;J Dated
r~e~o
`~~~5
~o~gUFFO[,~~o
ELIZABETH A. NEVILLE/'y Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ~ ~ Fax (631) 765-6145
MARRIAGE OFFICER y ~ 0~ Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER "701 ~
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
d' TOWN OF SOUTHOLD
J SOUTHO D WASTEWATER DISTRICT
~
1) APPLICATION
`1'
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 / or Non-Residential @ $25 Application No. ~O 2
11'' Permit No.
Applicant Name ~~i ~ ' k'.l`~~--~~~~~ ~1
~ - li
Applicant Mailing Address ~~?3'~~ lYi ~ ~5~~ ~ I~ ~
' Septic Tank~or Cesspool~_
Brief Description of Proposed Construction or Alteration 7h-1 'ti-l ~ t~-t~~r-+
Location of Proposed Construction/Alteration: l
Owner of Property: v ~
Owner Mailing Address:
~-,~-,rSCI,~ c~,I~~US£33
Owner Property Address: (ZI ~S ~ ~1~ 1
~S
~1~~,. ~~~7~
Name and phone number of contact person ~ ~ ~
Tax Map No: Section Bl ck Lot 1 ~ , ~
Cross Street ~~-~<~4LUV, n ?e,
NOTE: LOCATION MAP MUST BE BMIT D WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR- WITH H ~TH EPARTMENT APPROVAI.
~ ,
~'Ignaturc~ pplicant D
i
i
Received by:
SITE DATA
ILDING WALL FF EL 21.3 FT sc7M6 +OOO-7n-w-+a+
BADE LINE ELEVATION I-1.5 FT. PROPERTY: 2795 WELLSAVE
BADE LINE ELEVATION I'1.5 FT. ADDRESS sountoLD,NY11971
OWNER: RAY d JOYCE VASTOLA
• I MIN. 2 MAX. _ _ s~cA~RS~ NROir1~83
$UFFOLKCOUNTYDEPARTMENTOFHEALTHSER`!ICES Ste: 52,106 SQ. FT.~0.737ACRES
I/4"/FT. I Bu~T TOP OF POOL I(D.I3 FT. PERMIT FOR APPROVAL OF CONSTRUC';OtJ ,rOR A SURVEYOR: JOHN C. FREERS
SEPTIC EAGHI N B EAST PAIN STREET
TANK POOL SINGLE FAMIGL RESIJF.IICF. ~)it'LY RIVERHEAD,NY11901
IE. +16.5' IE. +15.8' BOT OF POOL 8.13 FT. eat a69BZee
LK:ENSE f 80202
DATED: SEPT. 9, 2010
IE. +16.3' IE. +15."12' 2 0 2013 t,vl, u~
GROUND WATER Elul i3 - uGyy LOCATION MAP
3' MIN APPROVED _i~_
~ ~ FOR MAXIMUM OF BEDROOMS
SEPTIC PROFILE ~ ~
EXPIRES THREE YEARS FROM DATE OF APPROVAL
~
/ Abandonment of existing sanitary system must be in \
comfo;,masse'.~'itl, d: parimeet req~:irrtent Submit ~
' / completed farm Vv~VM- `60 asproof.~
HIGH WATER MARK
NEW ORYWELL (DW1 FOR \ EXISTING WLKHEAD
EXIST. EXI57. RAINWATER RUNOFF FROM
GARAGE RESIDENCE bUT7~ TYP
PUBLIC
~ WATER loo 266.tT~ os
i LAND NOW OR FORI~W.Y OF. ~ ~ _ _ r~'
/y,~t~~~ ruTTr~W sTANroN I I I \ I \ \ ~ \ ; ~ \ JOCKEY PROJECT SITE
• ~i'`, <S ~ ~ ~ \ ~ \ \ \ \ \ \ Zo~f f~ FL0~9D f: CREEK
,,~ppp , W ~ \ \ \ \ \ \ ~ x ~ s ZONE TEST HOLE
'~pG ~ \ \ \ \ \ \ \ \ oG
~p \ \ \ \ \ \ LIB \ ~y~" BY MARK McDONAIA GEOSCIENCE
• EXIST PARKING AREA \ W \ ~ \ \ \ \ \ ~ l CFy(o NO SCALE SOUTHOID, NEW YORK 11971
oo"f • \ \ \ \ \ l 'yam TEST D T 3 E +17.5'
N8~34• ~ ~ ~ \ ~ \ \ o
ADDITION TO ~~YYII~~
y NEW DRIVEWAY EXISTING RESIDENCE NEW \ \ \ \\l aw 3.0 FT. • SM
C~ NEW COVERED ? - _ \ \ \
o- • PORCH \ \ ~ c
ExISnNG • ~ \ ~ NEw \ \ \ ~ \ F PALE BROWN FINE
_ ~p_IQ~pI~L~~ \ \ \ I TO MEDIUM SAND SP
a
_ • DRIVEWAY WALKWAY ~ • ~ DECK \ 20~XdCCI' \ W \ \ \I \ 1 BULKHEAD
J' REMOVED ~ EXISI'HIG 1 E \ ~ ~ I o
- \ o
'a I z COMMENTS: NO WATER ENCOUNTERED
o. / - \ \ 3
WELL - FM9LIG ~ \ I I 11 gx
AVENUE N • WATER ~ \ I I I I
_ ! W ~ y~
o • EXP ~ I °
ROAD f ~ sr - I I I I I I I~ II I
~ r~sT LP la ? I I I I I I I I I I~ n'~~~~,,,~'~' I
ExISnNG ~ e..ns~ I I DW I I L~c,~rlory of IstING I I 3 ,
EXISTING '?p. 1
!'+AT~ EXISTING 5 I R SY TEF1I70 0 '
~Taz ~ UNDERGROUND WATER I I F~ IN IA AB NDO ~ ~ 2° . m ( r
UTILITY ~9. DW W / ' ~ c Yr cz~ ~y ` O
o LINE TO RESIDEhlGE POLE Olt QED Gas rfECwl ~ / " ` ' <s ~ . op NEW Y
N89.48'00 W I 16 265.15. H ~t i~.C 4 ' y,`P' Gy ~ S/'FF<'~
PROPOSED NEW SEPTIC SYSTEM EXISTING NEW I'LL
FORA 5 BEDROOM RESIDENCE TREES TO EQUIPMENT t»° ' ~
REMAIN NEW DRYI'~LL (DW! FOR EXIST. AGGES Y EXISTING k ~ 92
- 1500 GAL SEPiIG TANK (ST) RAINVWTER RUNOFF FROM BUILDING BULKHEAD I ~ ~ ~
• - (2) 8' DIA x 8' HIGH LEACHING POOL (LP) GUTTERS TYP i it
VACANT FUTURE LOCATION FOR (U B' DIA x H' 1
LANp LGAGFiY1G.FG04 (Yiiip) EXIST. H F _ _ -v ~ I
I 'r Line(s) A2UST Be Inspected B~ Tl>e PuBL~cE SITE PLAN ~~%'7795 ~
ca~G
Su olk County Dept. Of Health Services. I WATER SCALE: 1" = 30'-0" / ~ ~
II 852_5"00, 48 Hours In Advanos ~