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Home My WebLink AboutMindvase LLC o��g�FfO(�►�o ELIZABETH A.NEVILLE,MMC y► Town Hall,53095 Main Road TOWN CLERKo P.O.Box 1179 CO3 = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .F Fax(631)765-6145 MARRIAGE OFFICER y `► RECORDS MANAGEMENT OFFICER �D,r �a� Telephone FREEDOM OF INFORMATION OFFICER www•southoldtownny.gov 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: December 16, 2014 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4286 for a Cesspool/Septic Tank Construction Permit submitted by: Steven Woo for Mindvase LLC 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 County Health Department Signature DEC �;-i Dated ELIZABETH A.NEVILLEE,`Z` Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 ri9 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS W Fax(631) 765-6145 MARRIAGE OFFICER d ' RECORDS MANAGEMENT OFFICER � Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT ; DEC APPLICATION CONSTRUCTION or ALTERATION PERMIT --" CESSPOOL or SEPTIC TANK Residential @$10 or Non-Residential @$25 Application No. '� w Permit No. Applicant Name 5 ,,►*-PI LZ in L Applicant Mailing Address 1 S 2 l Aa s1 t1 s kre.P� 1-- NfAaa AGC-(3�f ►eo e Septic Tank ✓ or Cesspool Brief Description of Proposed Construction or AlteratioA �1P„ _C.rt✓1 S�rtac, w�1 0�- Location of Proposed Construction/Alteration: `` II Owner of Property: M1�4 v4_S P LI-Cl Owner Mailing Address: 7A 3 S tk Av E ao Owner Property Address: Name and phone number of contact person Tax Map No: 10 G ° Section �'L- Block 1 Lot to Cross Street 5ot,t�4rA 613'jk dam» NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL I I,— ID-11t— Signature of Applicant Date Received by: SURVEY OF LOT 7 MAIN HOUSE INVERTS 9%9LOP! NOT TO SCALE MAY A5 SHOWN ON A CERTAIN MAP ENTITLED"MAP OF AQUAVIEW PARK" eAC„N;�� LOCK.TO GR vnrl 38.5 OVER TO GRADE FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JULY 30, 1971 - A5 MAP NO. 5621 SITUATE: EAST MARION ”" NV-39 4 NV-99. INV-34,1 NV-94.9 1/4'PER TOOT 119•ttR FOOT Ser GALLON p� 9lPnC TANK D IIRIMRgN Nal TOWN : SOUTHOLD SUFFOLK COUNTY, NY LAND NOW OR FORMERLY OF: SURVEYED 1 1-20-2013 SETH KINMONT LAND NOW OR FORMERLY OF: N PROPOSED ACTIONS 07-31-2014 EBA 5OHN REVISED 09-30-2014 JERRY 5OHN GREG PEPE CORNER UNDER PILES SUFFOLK COUNTY TAX# OF BRUSH CLEARED FROM LOT AREA CLEARED OWNED BY KINMONT, W C SOHN i SOHN BY ADJOINER 1111 C 1000 - 22 - 1 - 1 o N89°57'40" I 5. 1 9' EL-40' CERTIFIED TO: EL-40 _ STAKE SET �+ MINDV L " pp^^� C�9 W J FIDELIT NATIO"'ILrEW MPAN Q A o q�h 0o S.C.D.H.S. REF. # 10--14-0070 OCT 0 12014 SUFF. CO. HEALTH SERVICES Z _ 589057'40"W_ _ 125. 19' _ OFFICE OF WASTEWATER MGT. O ZONE R-40 (10 COVERAGE CALCULATIONS - CSS PROPOSED HOUSE= 1 ,G,50 Set. Ft. or 3.G% Q 0 PROPOSED POOL= 5GO Sct. Ft. or 1 .2% -A o PROPOSED COVERAGE 2,240 Sol. Ft. or 4.5% Q MAX. ALLOWABLE 9,245 51. Ft. or 20% 0 LOT 9 DRAINAGE SYSTEM CALCULATIONS: 3�1 VACANT POOP AREA-1,680 Sq.Ft. O I.680 Sq.Ft.X 0.17-286 286/42.2-7 VERTICAL FT.OF 8'DIA.LEACHING POOL REQUIRED PROVIDE(2)8'DIA.x 4' STORM DRAIN POOLS DRAINAGE SYSTEM CALCULATIONS: DRIVEWAY AREA- 1,500 Sq.Ft. -WOODED- -WOODED- 1,500 Sq.Ft.X 0.17-255 255142.2-6 VERTICAL FT.OF 8'DIA.LEACHING POOL REQUIRED PROVIDE(2)8'DIA.x 3' STORM DRAIN POOLS NOTE:SITE TOPOGRAPHY IS FLAT DRIVEWAY TO BE PITCHED TO DRYWELLS AND TRENCH DRAIN TO AVOID DRAINAGE FROM ENTERING TOWN RIGHT OF WAY. -U 290 rn,r 0, LOT 7 00 F a \ TEST \ HOLE EL-36' SEPTIC \ 03-4 \ 14.0 SEPTIC \ E.P PROP. , O Test Hole — 0 \ SEPTIC Surveyor 11-11-2010 � \ L.P yy Dark r p \ Brown OIL i _ y Loam_ i, X,� m Yy LOT 8 Brown (13 °'fA�\ ~/ DWELLING Silty ML y y �Oo rte\ PRIVATE WELL Sand_ 3 5, N j> \ PROP. Pale PROP. D'w Brown 56 O Fine ,/ Q, . To 2 STORY FRAME O FRO'WELL HOUSE$GARP�E p Coarse 5W Sand WELL y�7�9 p a G r se a V 1 with X -.3.4.9---•� ' 3452vt -7n Gravel 17' jo - D.w O g y" v WELL G GST W \\ PROP. Q COMMENTS: NO WATER ENCOUNTERED PROP / eToc�r � �.-- 5UFFOLK COUNTY HEALTH DEPARTMENT APPROVAL _ _ loo FR4JvLSEPTIC PRDPD.W\` ,11A91YDNEgi 49'20 586° V 260.70` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERYL E 36' OYf 86° 011W 125.00' .,TIL. PERMIT FOR APPROVAL OF CONSTRUCTION FOR uTllo POLE SINGLE FAMILY RESIDENCE ONLY POLE EL-z SOUTH ERN BOULEVARD EL-37 DATE H.S. R F. N0. ��-' a O asphalt roadway Al•PPRO D / LOT 12 LOT 13 W SEP IC NG FO AXIMUM OF BE MS L T 14 DWELLING 150'+ EXPIRES 1 HREF YE'ARR F M t7A'�E OF APPROy L V CANT 5UBDIV15ION MAP E AND WELL LOG FOR LOT 13 SEPTIC SHOW 401+OF GROUND WATER WHICH ALLOWS FOR REDUCED SEPARATION DI5TANCE5 NOTES: "Unauthorized alteration or addition to a survey MONUMENT FOUND 0� `.�� map bearing o licensed land surveyor's seal is a JOHN C. E H LE RS LAND SURVEYOR ry "'tali° of so tion York sub te Education io of the ELEVATIONS SHOWN REP.N.G.V.D.1929 DATUM New York State Education low." "Only copies from the original of this survey LOT VACANT ALL CONSTRUCTION PRpPO'.�ED eQ"� �•E�fOI� marked with an original of the land surveyor's •� stomped seal sholl be considered to be valid true FLOOR FINISH ELEVATIONS TO M V.I.P. e rw _+ copies" 6 EAST MAIN STREET N.Y.5. LIC. NO. 50202 * "Certifications indicated hereon signify that this Area =46,228 Sq. Ft. * survey was prepared In accordonce with the ex- RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 fisting Code of Practice for Land Surveys adopted Area = 1.061 2 Acres by the New York State Association of Professional f/ 0 Land Surveyors. Said cerliflcations shall run only GRAPHIC SCALE longlslandlandsurveyor.com �� -A. to the person for whom the survey is prepared, ,1and on his behalf to the titleovernmen- .vs�• tot agency and lending institutior ^r'on�w.y,.,and the osalgnees of the lending in 10-1 85 tions ore not transferable to r * * * RECEIPT * * * Date: 12/15/14 Receipt#: 179442 Quantity Transactions Reference Subtotal 1 Septic Permit- Construct- Resid. 4286 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CK#224 $10.00 Woo, Steven Name: Woo, Steven 152 West 25th St VI New York, NY 10001 Clerk ID: SABRINA Intemal ID:4286