HomeMy WebLinkAboutPiraino, AntonioELIZABETH A. NEVILLE, MMC
Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
w
:G
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
p •
.�
Fax (631) 765-6145
MARRIAGE OFFICER
�'�
�Q�
Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER
www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK --
o
�_
TOWN OF SOUTHOLD D 1; ;:n
TO: Southold Town Building. Department MAy 2 8 2015
FROM: Carol Hydell, Southold Town Clerk's Office
TOV,I { OF Sot! I14CID
DATED: May 28, 2015
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4319 for a Cesspool/Septic Tank Construction
Permit submitted:
—� Antonio Piraino, Jr.
Please review the application and location map arid. 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
Dated /
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK.
Residential @ $10 f/ or, Non -Residential @ $25 Application No. /
T
Permit No.
Applicant Name An- o Iio IMM) If
Applicant. Mailing Address (o'l u_) Rd,-'
3001101& 11q`-71
Septic Tank
or Cesspool -/
Location of Proposed Construction/Alteration:
Owner of Property: —Ani 1 is Ri l^al hCG ic.
Owner Mailing Addre
Owner Property Address:
.L-i�� D Id;—��Y
Name and phone number of contact person knIonic ci f ainc -Jr. io,3i-U5-io0' 6
Tax Map No: Section Block Lot
Cross Street "co) ne, Ro
NOTE: LOCATION MAP MUST ' BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
F FOX
ELIZABETH A. NEVILLE
_
O
`Z
� Gyr - _
-
.Town Hall, 53096 Main Roa,
TOWN CLERK
q
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
y
�y •
Southold; -New York 11971
Fax (63.1)• 765-6145
RECORDS MANAGEMENT OFFICER
�'�
�Q ��
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
'�`
southoldt�wn.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK.
Residential @ $10 f/ or, Non -Residential @ $25 Application No. /
T
Permit No.
Applicant Name An- o Iio IMM) If
Applicant. Mailing Address (o'l u_) Rd,-'
3001101& 11q`-71
Septic Tank
or Cesspool -/
Location of Proposed Construction/Alteration:
Owner of Property: —Ani 1 is Ri l^al hCG ic.
Owner Mailing Addre
Owner Property Address:
.L-i�� D Id;—��Y
Name and phone number of contact person knIonic ci f ainc -Jr. io,3i-U5-io0' 6
Tax Map No: Section Block Lot
Cross Street "co) ne, Ro
NOTE: LOCATION MAP MUST ' BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
SUFFOLK COUN T Y mpAnMEN T OF HEA0 H SERVICES
FI=RM T FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAmmy Rnmr. ~CE ONLY
DATE14M 2 l VIS
APPROVED
FO"- AM UN OF -4- B]
EXPIRES THREE YEARS FROM DAT E
GROUND ELEVATION 17.4'
SMBROWN 57LTY SAND
--- -----8'
SP I PALE BROMY FEW SAND
I
TEST HOLE17' 7 .
BY. MCDONALD GEOSCIENCE
DATE} 03/24/2015
WATER ENCOUNTERED 17.4' BELOW SURFACE
EL.18.0'
FILE NO. T61047 SCALE: 1 " = 30' DATE:
Abandi3iL'i icnt Of existing samtar'y system must by In
camfOr aXIce with cepa; tment regirement Submit
completed form Wwkfi - & as proof.
PINE NECK ROAD
M
01
O
O
LAND NOW OR FORMERLY OF
PAULINE LUTER
DWELLING - PUBLIC NATER
N 83005'30"E 150.00' EL 17.e
4 PLASTIC FE. FE.CD#i.
D.2 s
ti O
w oLE
� A/C UWMT
EL. 17.8'
SEPTIC --LJ 5w
SYSTEM -+
"SEE NOTE
"' 52.7'
FR.SHEDEL.g
ON SLAB 17.0 W - —
� � EL.17.0'
FIREPLACE 1\5 5j �
12.\ c m
�s
0 1 E. 8'PLAS77C FE. 0 8 S. 0 3RK
0 SO� 4 C.L.F. S 8305'30 "W 150.00' WALL 9D
0.2 E. LAND NOW OR 1FORMERLY OF
KATHLEEN AND KEITH CROPPER
DWELLING - PUBLIC WATER
0
03/31/2015
45.1 ') (POR�CLHU)C
—52. ��DAi.0-
ASPHALEIIAT
DRIVY
�, rT EL.14.6'
O
O
OVERIZ4D WIRES
II rV
Palm 5.2 O
:`07 pa n hj
x � x
�I tv r
� w w
LILP.�62
SURVEY OF DESCRIBED PROPERTY
SITUATED AT
PINE NECK,
TO 3FN OF SO UTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M. NO. 1000-70-13-15
AREA = 15,000 SQ. FT.
ELEVATIONS ARE N.A.V.D. 1988 DATUM
GUARANTEES OR CERTIRCA77ONS ARE NOT TRANSFERABLE. UNDERGROUND UTILITIES
EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED.
THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES
ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT INTENDED TO GUIDE THE
ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS,
ADDITION 70 BUILDINGS AND OTHER CONSTRUCTION. THE EXISTENCE OF RIGHT
OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN
ARE NOT GUARANTEED
UNAUTHORIZED ALTERA77ON OR ADDITION TO THIS SURVEY IS A V10LA71ON OF
SECTION 7209 OF THE NEW YORK STATE EDUC47ION LAW. COPIES OF THIS SURVEY MAP
NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL
NOT BE CONSIDERED A TRUE VALID COPY.
ALL LOC477ONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOC471ONS
FROM HOMEOWNERS, FIELD OBSERVA77ONS AND/OR INFORMA77ON OBTAINED FROM
OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCA77ONS AND DIMENSIONS CANNOT
.BE CERTIFIED.
NO wELLS wim N 150' OF SUBJECT PARCEL
*NOTE.
EXISTING SEPTIC TO BE ABANDONED
PUMPED, CLEANED, REMOVED AND
BACKFILLED WITH CLEAN SAND AND
GRAVEL AND TO BE INSPECTED BY
S. C.D.H.S.
"NOTE.-
PROP.
NOTE.PROP. SEPTIC SYSTEM
FOR 3 BEDR. DWG. PROVIDE.
n 1-1,000 GAL. S.T.
1-8'DL4. 12' DEEP L.P.
ROOM FOR 507. EXP.
PAT T. SECCAF/ CO
PROFESSIONAL LAND SURVEYOR, P.0 , f
- SUCCESSOR TO
- DONALD. _TASE, _ L IS _ ...-- _ _. ......-_.-......
RICHARD WILHELM AND ASSOCIATES
NORTHSTAR SURVEYING, P.C.
PAUL T. C4NALIZO, L.S., ROBERT A. KART,
GOOD GROUND SURVEYORS, P.C.
328A Main Street Hampton Atrium Unit D-4
Center Moriches, NY 11934 186 W. Montauk Highway
Hampton Bays, NY 11946
Phone: (63 1) 878-0120 Phone: (631) 728-5330
Fax: 631 878-7190 Fax: (631) 728-6707
PSECCAFICO@OPTONLINE. NET
N.Y.S. LIC. NO. 049287
COPYRIGHT - 2015 PAT T. SECCARCO P.L.S., P.C.
6-