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01
ELIZA 1:ETH A.NEVILLE,MMC ��+,i®`� ' £7"�-'4=®�✓� Town Hall,53095 Main Road
TOWN CLERK I ® me :4%: 74 1 P.O.Box 1179
C ei 631 Fax* tWil
41 $ Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ; � �,��� , ,;±,` �t ( )765-6145
MARRIAGE OFFICER -... 'P'4, -0 _- ®� 11 Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ---.......49i �► ,0°1 www.southoldtownny.gov •
FREEDOM OF INFORMATION OFFICER - ,,.,,.,'
OFFICE OF THE TOWN CLERK -,y
TOWN OF SOUTHOLD ii
�,I DEC 1 4 2015 ,i'Ll
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: December 8, 2015
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4358 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul S. Szpara .
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
P
, , i ' -,14-T..,
Signature
0 i/eA6A
Dated
ELIZABETH A.NEVILLE ' ;�`Z �lj, _Town Hall,63096 Main Roa
TOWN CLERK P.O.Box 1179
Southold
REQIBTRAR OF VITAL STATISTICS , ; , New York 11971
MARRIAGE OFFICER t Fax(631) 766-6146
RECORDS MANAGEMENT OFFICER \-.44 O� if� Telephone(631)766-1800
FREEDOM OF INFORMATION OFFICER =0.1 southoldtown.northfork.nel
•
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
•
• Residential @$10 V or Non-Residential @$25 Application No. 1V3 cJ
• Permit No.
,�� _
{ Applicant Name szp - •
�" � /�
• Applicant Mailing Address 4-43 — T �'""6ivt 9
� i(jsi6 /t1 / l 1 04
Septic Tank. or Cesspool \ ��
Brief Description of Proposed Construction or Alteration /�
Location of Proposed Construction/Alteration:
Owner of Property: ? IJL S . 310p rte-464--
Owner Mailing Address: 1.3 — .51-•
N,vysioc /UV v
Owner Property Address: /e3 a Sl sJ.�S z7
/15 doloh AJV //9c
Name and phone number of contact person PAW/ 39772- 7-q! cZ 70
Tax Map No: Section 7 c q Block ( Lot (2-
cross Street PCcGyvl C ,(, SAID
NOTE: LOCATION MAP MUS • :E .UBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S • 'YE H HE• : ' PARTMENT APPROVAL
4.•
/ z820/x'
Signature of • ' .lican i te
Received by:
DWELLINGS '-
" S.C.T.M. NO. DISTRICT: 1000 SECTION: 144 BLOCK: 1 LOT(S): 12 W/PUBLIC WATER f •
�:
150' $DFF0Lic_
#R10-130-0058 O EXISTING WELL � ��IT BOUNTY DEpA .hf .,
TO BE ABANDONED ORAPPRA„ LNTOfi �ALIf-f��P-`'
DWELLING �ffVG Op COI+jsTP 61ljC�5
(h) LOT 36 PUBLIC WATER T500�BE INSTALLED LlmrAM1LypEstri fC OCT!ONNPAIR 4
• C
!DAZE' �Ir OAC L,'
PROPOSED WATER SERVICE ; CL 29.6 •/ r/
' r -
144.53' F z,N U.P. i APp? y H.S.X81= No.
�-y 04'N N 69°22'00" E 4' CHAINLINK FENCE EL 30. 8. w MON
MON. EL 29.9 i .._ ._.._.._.._.._.._.._.._.._.._FC ._._._._.._. _.._.._.._: _..-J t -, FA°, '� ff�jj,�f �
J , . 1 a �.
iV I DRY i p PROPOSED OEL 30.2 3 __. - S HF ��
WELL / co I STONE DRIVEWAY, w I �+ t?tt
` EL(30.5) EL(30.5)- w � M ------. G�A;�p
O `� I - - •-- - ------= -- - - - -- 35.0'—w z W � �
} -11 w 59. '_ . = == _ ir: o z
: . : _ EXP: O i Q
O _,.:Ari. ';- PROPOSED :-:::-:':::.:-..:--:1±--;::-:-.:.' - 10�MIN _ zx :Z DWELLINGS
VACANT rl z LOT 37 �- _, W �..�.�
t 2 STY ERM. - _ - : o: . . z 03 w Vi/PUBLIC WATER
150' ¢ ____ DWELLING _ 2 ¢ ~¢ 150'
2 ; = - :' ON SLAB _a_= ':N �� V O 13
D _ ► ::..: :':_ _ - FL(32.0) = MIN -C.P._ CL 29.8
Ln 0 - 50.6' �. :... — Z .W plan
—1 _ £L(30.5) ' ;,. cDj3l0, _ _
r O EL 30.7 EL(30.5) Oo x O I
Z EL 30.5 • 1 -�s
MON. O i O
AMY
r OFC � 4' CHAINLINK FENCE ' FC• 0 i
n g�64s S 69°22'00" W 144.67 8
x DWELLINGS I
LOT 38 W/PUBLIC WATER co
ELEV. 47.3 150' j
BROWNl Lr
SANDY LOAM 0.6' 1 ZONED R-40
NON CONFORMING LOT >20,000 S.F.
—
BROWN FRONT YARD 35'
LOAMY SAND 1.3� SIDE YARD 10' (25' TOTAL)
Lot C verag�e = 7,233.5 s�. qtr PECONIC BAY BLVD. REAR 35'
PALE
BROWN 20% of Lot coverage _ 1446 Sq. Ft. 2 5
OCTz02t;3
MEDIUM Proposed use = 1416 Sq. Ft. THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
TO �j�ra
COARSE t,
SANG a701°�.CO.H �-� •c� (1VC0�5 ' LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
REVISED 10-14-15 (�I"�IC�®I' AND OR DATA OBTAINED FROM OTHERS
REVISED 10-17-13
AREA: 7,230.2 S.F. OR 0.17 ACRES ELEVATION DATUM: ASSUMED
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
NO WATER17, DRAINAGE CALCULATIONS: THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
_ NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
A) BLDG. FOOTPRINT 1,416 S.F. AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
AUG. 15, 2013 1,416 x 0.166=235c1 REQUIRED I
SURVEY OF: LOT 37 CERTIFIED TO: PAUL SZPARA;
(1) 9'DIA x 6' DEEP DRYWELL= 253cf PROVIDED MAP OF: AMENDED MAP PROPERTY OF MATTITUCK PARK
FILED: JANUARY 12, 1926 AS #801
SITUATED AT: MATTITUCK
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORKProfessional Land Surveying and Design
ce......X i 4 P.O. Box 153 Aquebogue, New York 11931
PHONE (831)298-1588 FAX (831) 298-1588
FILE 11 13-141 SCALE: 1 „=20' DATE: AUG. 10, 201 3 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth Y. Woychuk