HomeMy WebLinkAboutD'addario, James
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ELIZABETH A. NEVH LE, MMC ht•~ Gy Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
oo Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .~C Fax (631) 765-6145
MARRIAGE OFFICER Oy~ Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER www.southoldtowunY.Bov
OFFICE OF THE TOWN CLERK I C
TOWN OF SOUTHOLD
TO: Southold Town Building Department JUN 18 2013 LL
FROM: Carol Hydell, Southold Town Clerk's Office BLDG. DEPT.
TOWN OF SOL'THOLD
DATED: June 18, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4140 for a Cesspool/Septic Tank Construction
Permit submitted by:
Samuels & Steelman for J. D'Addaico
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.
s s * * * ¦ ~ * s
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final aunroval required from the Suffolk County Health Department
Signature
Dated
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ELIZABETH A. NEVII.LE Town Hall 53095 Main Road
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Town cLExK o P.O. Box 1179
x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS W T
MARRIAGE OFFICER Gy • Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER O Telephone (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 or Non-Residential @ $25 _ Application No.
L ON ( t~ Permit No. 0
Applicant Name ON d 4 c/ d l~ aC.i.(d Ajj Aa cUi ~Q
Applicant Mailing Address aGoQ35 bL4-k {20AA C1 J7 A&p 4 dAP
I
Septic Tank or Cesspool f ~
Brief Description of Proposed Construction or Alteration z I "01,60 21K[57tfwLq u6ko ,
Vmui P- vlutI S& ~ 1 ypfe" c®tnt,le R-&
Location of Proposed Construction/Alteration:
Owner of Property d aWa d V ct y1 Q Del i i f G~
Owner Mailing Address: ' Cfbc I o 4mi, I AMO,
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Owner Property Address: 8 0 P2Cnw.1c Q)AM k11A .
Name and phone number of contact person T9 Wl Fiat*bCew 3 - klb a
Tax Map No: Section 126 Block Lot_
Cross Street A-WM,lz¢,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
• ~OJ~ / / \ PERMIT FOR APPROVAL OF CONSTRUCTION FOR A PROPERTY: 8860 Peeonic Bay Blvd.
PROPERTY W/ de' ADDRESS Laurel, NY
PUBLIC WATER $IN6LE FAMILY RESIDENCE ONLY OWNER: James and Janet WAddario
\ 45 Clock Tower Lane
\v Old Westbury, NY
PROPERTY PUBLIC woTER \ DATES I H.S. REF. No. Rl0 - i3- C[~ 1 SITE: 25,150 sf =0.578ACRES te=l
APPROVED akA -*-R-- ZONING: Residential 40 (RJO) Ehlers
NO a TYP (DW) C,OTTAGE \ FOR MAXIMUM OF BEDROOMS SURVEYOR: 4 Joh East Main S 0~ EXPIRES THREE YEARS FROM DATE OF APPROVAL Riverhead, NY 11901 Q/0 LICENSE 0 50202 W
DATED January 13, 2013
GARAGE LOCATION MAP
PROPERTY m" ' O
PUBLIC, WATER WATER INE\ 0 M W1W..
FROM PUBLIC, MAI T LL
ROAD TO RE51 W Cl.a CO U
uma~y+s
\ a J- LLI
¢ CaueY?tlO Z
A ~,,,,,jLL\ NEW SEPTIC, SYSTEM Q M 1-0 tii < D Q V
NEW&ARA&E POR A 4 BEDROOM RESIDENCE
- 1200 6AL SEPrIG TAW. (ST) cC o.
- - (2) V VIA x 6' HI&H LEAGHIN6 POOL . Lij M 0
\
PROPERTY - FUTURE LOCATION FOR 0) b' DIA x uj
W/ COTTAGE / PARKING \ HIGH LEAGHIN6 POOL MD(P) LL C
PUBLIC, WATER Q Ix
Ib; w o W o
m
150 FEET RADIUS ~o w \ \
NO WELL5 FOUND I
WITHIN RADIUS TEST HOU5E
EL +173 T -
1 COTTAGE - _ - s. I
h MEN TWO sr ` TEST HOLE
SrrzucruRE RESIDENCE \ _ / \ TEST HOLE DATA 11 /7112 ELEV. + 17.5 s v
EXISTING HOUSE / b
\ \ DEMOLISHED / 3 FT_ BROWN SILTY SAND SM a a•
\ / i Q
14.1 FT. PALE BROWN FIN SAND SP
~ LOCATION OF EXISTI O/
SANITARY SYSTEM WATER IN PALE
17 FT, BROWN FINE SAND SP
/ 14.1 FT BELOW SURFACE - WATER
A / / 0 ~YS ENCOUNTERED, ELEV +3A' IS OF NFty
HOUSE LOOD ZONE LINE S C.
Abando ~p s rOp ~zoe
UT
lunent of fisting sanitary systemust be in
ComfOnnance with artment re9u' tSubmit Ts
completed form WWM- u~ z~~el~s
o as proof. BUILDING WALL FF EL 19A 1•-40•-r
„yt 6RADE LINE ELEVATION 17.9 FT.
PJO0 6RADE LINE ELEVATION 173 FT.
I' MIN. 2' MAX I. IN. 2' SITE PLAN
0~ V4YFT' I/a'/PT. iir TOP of POOL 14A9 FT.
519'TIG LEACW
HOU5E +163' TANK IE. +1884' POOL BOT OF POOL 8.001 FT.
IE.+Ib IE. +18.76' 6ROUNV WATER ELEV 5.4 FT •
~ §VkVLA-N 9' MiN SEPTIC PROFILE
(N.T.S.)
SCDHS SUBMISSION