HomeMy WebLinkAboutDzenkowski, Andrew
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ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
w Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Q .tC Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD LS 2 E
D
TO: Southold Town Building Department ~ 6 2013
OCT
FROM: Carol Hydell, Southold Town Clerk's Office
BLUG.D.PT.
TONN Of SOUTHO~D
DATED: October 16, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4168 for a Cesspool/Septic Tank Construction
Permit submitted by:
Andrew & Jessica Dzenkowski
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:
C
Signature Z13
Dated
SuFOtA.0
ELIZABETH A. NEVILLE O
G% Town Hall, 63096 Main Roa~
TOWN CLERK O J own
Box 1179
REGISTRAR OF VITAL STATISTICS N "Z Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLEAR n
TOWN OF SOUTHOLD
T +V!'~ OF SC°~TN HOLD WASTEWATER DISTRICT
BU1LLANG DEPART&&
P.G. Box 1179
Southold, N.Y.11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @ $25 Application No. Ilk)
No.
Applicant Name Z f1 kOwSk..
SL A
Applicant Mailing Address_?j3-3
i G C; i
7` G rPe r) oo r
)154(
Septic Tank or Cesspool ?
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property_( in d i( (4) 4- 7L !55e 0 , 2 n UL41
Owner Mailing Address: 3 :Z ( A ^ i n4 I in C'~
L
Owner Property Address: 1 O SC »u_~ FY n
~'As T 1111 cz r I c~ vi n L4
Name and phone number of contact person ~P % 1 C' (A 1 P yl K bu7 c,
Tax Map No: 1000 Section ZZ Block I lot gyp'
791 r7
Cross Street Ce A l4 v2 b V. r 1/ L
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL-
'gnApplicant Date ?
Received (((o
by
SURVEY OF LOT 13 N
AS SHOWN ON "MAP OF AQUAVIEW PARK'
FILED JULY 30, 1 971 AS MAP NUMBER 5621
• SITUATE: EAST MARION W E
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY ore S
LDwfLUNG SURVEYED OG-1 0-2013 LOT 7
VPLAM
SUFFOLK COUNTY TAX k +weu
000 - 22 - - 14 VA QN IN =A
FOR CERTIFIED T0: BYHBA~ ~rn
~A
ANDREW W DZENKOWSKI
SOUTHERN BOULEVARD a=3T °s~
JESSICA MARIE DZENKOWSKI EL=3e Ae ALTFAVEMENT yrn
N I 5 L=36' 586°49'20"W I 6.46'
TEST r
u-e C)
ot@ oa
~LIPE 1*
U - '
DRAINAGE SYSTEM CALCULATIONS:
ROOF AREA= 1493 5Q. FT. r7---- PROVOsEp w
m No SE.GAR C;EiVED
1491 50. FT. X 0. 17= 253 LOT IN so L O DwELUNC o R~8---
253 / 42.2= 6 VERTICAL FT. OF 8' DIA. LEACHING POOL REQUIRED VAGW
PROVIDE (2) 8' DIA. X 3' STORM DRAIN POOLS O
LOT 13 Q 0 ~l{d t
DRAINAGE SYSTEM CALCULATIONS: L'r1
DRIVEWAY AREA= 1 687 5Q. FT. ch I5Q1LDiNC PNVYLOPg O ( S!3FF. C^= I`I!7,A 1 TH SERVICES
1493 SQ. FT. X O. 17= 286.79 z f FIC- L~ LWj s:srv i 'te
--TER M r.
• S.T. 1 !1
86.79 / 42.2= 6.79 VERTICAL FT. OF 8'DIA. LEACHING POOL REQUIRED
ROVIDE (I) 8' DIA. X 3' < (1) 8'X 4' STORM DRAIN POOLS 2
NOTE: LOTS SHOWN AS THUS FO-T--#] PROPOSED WELL LL TD LATERAL IVIMST BE
EL=39
AS SHOWN ON "MAP OF HIGHPOINT AT EAST MARION"
FILED JANUARY 1 1, 1984 FILE NO. 7680 N8501111 G'2O"W I-
McDONALD GE05CIENCE EL=39' 4
TEST HOLE DATA op ~
LOT4 WELL MIL
DARK BROWN LOAM OL DWELLING + ,t p 0L
1 NOTE: 5fT71C 150+ FROM PROP(YED WELL l
° - • ¦C r.
PALE BROWN SANDY SILT ML r Line(s) MUST Be I B1 VArTA'M °O
---T Suff k County Dept. $ Ith Services. 1
Call 52-5:'00, 48 Hours In Advance
OT 3
BROWN SANDY SILT SM DWELLING _ o Schedule Inspection(s).
K
20' NOTE: SEP IC 150+ FROM PROPOSED WE L 0 tY
Q
BROWN FINE TO COARSE SAND SW
m ~e ~ W
COMMENTS: NO WATER ENCOUNTERED
NOTES: OF NEly q e-Mwm~t"«`a. LL 9X
0 MONUMENT FOUND JOHN C. EHLERS LAND SURVEYOR
• h ~+m.e r Ma a a,r..e m a as w.
Area = 32,844 Sq. Ft. -.r
Area = 0.7539 Acres * 'I •tra~mma na..Lw n..e, a as
1 A 11 YXi'/y1G.G ~1 M~
6 EAST MAIN STREET N.Y.S. UC. NO. 50202 a"w~ a La a fly
GRAPHIC SCALE III= 60' :ate.,.: swag
RIVERHEAD, N.Y. 1 1901 369-8288 Fax 3GO-8287 Fys So2 ...`~Ew«aa"aw'"" longl5landlandsurveyor.com RO LAND
ua.°.~. mgt ~a.n.~b"`~e « e.u~utle~. '