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HomeMy WebLinkAboutKlingman, Karen SCUTHCLD WISTEVIATER DI SPCBAL PERM T CCNSTR.LICTI CN CR ALTERATI CN PERM T SEPTI C TAN< or CESSPOOL Per m t Nb. 4370 R Resi dent i al X Non--Resi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSLED TQ Nana : SI DNEY D BEEBE, JR Address 1: BCD( 979 a t y St Zi p CUrCI-IOQE NW 11935 Ikscr i pt on of Proposed Const r uct i on or Al t er at i on SAN TARY SYSTEM FCR SI NGLE FAM LY Dil`ELLI NG APPROVED AS SLUM TIED AND AS APPROVED BY THE SLFFCLK C JNTY DEPARTMENT CF HEALTH SERA CES. Fl NAL APPRO./AL FEW FED FROM THE SLFFCLK CCU\ITY HEALTH DEPARTMENT. FEF #R10- 15-0056 Nana a OMler KU NGNANI KAREN M FMLY TRUST MhiIing Address 1 1670 MARRATOCKA ROAD a ty St Zi p MATTI TUCK NY 1195 Property Address 1 1430 IVARRATCCKA ROAD a t y St Zi p MATTI TUCK NY 11952 Tax Nap Nb. section 123. 00 bl ock 1 I of 3. 300 Cr oss Street NEW SLFFCLK MERE BO I di ng Per nit Nunber (loss Ref er ence: I ssue Dat e: 3/30/ 16 El i zabet h A Nevi I I e Sout hold Town a er k (TON SEAL) svi ELIZABETH A.NEVILLE,MMC ��'i1d®�� * " ®G�- Town Hall,53095 Main Road TOWN CLERK ? ® .._.v...1;.*;:,,d,::•;: d ; P.O. Box 1179 C e� ". :„ Met Southold,New York 11971 REGISTRAR OF VITAL STATISTICS vb' •;,„ '� `-"'. ® ; fi_- �,1� Fax(631)765-6145 MARRIAGE OFFICER �� ; ^ = ®�/�S Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®j �,•i www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER -----...-m,,s° OFFICE OF THE TOWN CLERK +f.,, ', '__�` ` TOWN OF SOUTHOLD i I r,5 i�c U FEB - 1 2016 ,' - 'I TO: Southold Town Building Department L i -- FROM: Carol Hydell, Southold Town Clerk's Office ------- ___.______ I DATED: February 1, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4370 for a Cesspool/Septic Tank Construction Permit submitted by: Sidney D. Beebe,Jr. 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 2,.....„......ef4 Signature ®3R /� / Dated .� �uFFOtit .1°t � ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 ti Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS v A7 O yC MARRIAGE OFFICER 0 Fax (631) 765-6145 - RECORDS MANAGEMENT OFFICER � �f� a®�ir�� 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. 4 3 7 Permit No. Applicant Name Z/6 AP e ie_,e_ice di - Applicant Mailing Address 73,,,e q 1') tJTcAi aq L' //f //r3,5- Septic Tank �or Cesspool - Brief Description of Proposed Construction or Alteration /G4✓ %Jod,S Location of Proposed Construction/Alteration: Owner of Property:Y� �' 0.h 1< "e.1/) �oL(y1 l 1>, U s Owner Mailing Address: J(0 7 O H or r c©(3 1;Q, pc/ ,44._1/—d—oc_k / s-- Owner Property Address: Name and phone number of contact person Si D r&be i 63/ `/'?g•-4.771 Tax Map No: /00 0 Section /a 3 Block / Lot .3.3 Cross Street Ad 41/16- molt 7 V C NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL iignatur f f Applicant Date Received by: a ' S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 1 LOT(S):3.3 NEh' SUFEK E 4,• - 0� A vE. W LU 4. N 1�r ti 1 Y 6'80 , LAND N/F Y EL 23.4 28 20"E BETHWINTER a DWELLINGS W/PUBLIC WATER 150' rn EL23.7 - cv CV - 35,x.82, ccw Z �1 - /61-iiEL 24.9 /-' DOUBLE .ice CL 23.4 Q EL(25�5)- ' ��. / • ROP • DOUBLE 12' MAPLE -- " ... ***••• N POSED WATER UNE •• - • 7 Z ": 66.T �. EL(25.5) ..Z - 1.... O - = " _ __ 103.5' Z� a¢ ri--:: :' " ": -' o EL 25.4 �I 0 Oct HUN SO ::12.2';;.:::_..: ' :- ®B'MIN ® C PROPCCS :.: 1 ED f.7' O _ ._--. : HP�:. \v" I I� ow- mQ ::_:- - 2,353 • S.F ::.c-iv_ O_ C w 16' MAPLE ` ', '- FFL(280:: :_::-_"" �p S�ON� 3 PROPOSED4 BEDROOM I �� L� O 61 �• ! I�RY( ,_.;?0,:, 405 SANITARY SYSTEM PROPOS �VELU o;_:::= - ;_;6.7' :4R�= . ' 1 200 GAL S.T. ..1 `tA.� PROPOSED 4� POOL FENCE EL(25.5) 23.6':`_-' ;tt-- - -`c BMIN17) 8'DIAx12'DEEP L.P. I 20"MAPLE --'.i$8'.::- Cn til STONE PATI 4444111: r. ICL 22.9 . ii FUTURE STOKE ' '" f."E6(25.5 DWELLING ~�` ,'f 110.5. W/PUBLIC WATER 'CV ,� 0 SWIMMING PATIO :::22.3'::.:. • 18POONO SAN lARY ?ItppOSFp.' U.P. I Z 150' EL 22.9 BRACE "'? •g G 6. -: _ -- - F(2 0)-- ...1. r p_ =-=':31.0'-:_::ii :�75 S.F,"-': M I~ O 37,2 S.F:CF(26.0).: • i EL(25.5) 40' MAPLE N EL(25.5) -- - -". - •: _ - _ �- , - - _ - � I I EL 24.5 N _ :ET(F •9) .f�bRO'OSEO STONE OR 275't SBB��g'20„W I►'Ewar, - . DEEP HOLE CREEK I DRAINAGE CALCULATIONS: II o; 14-MAPLE •N A) DWELLING FOOTPRINT=2.353 SIFT. � ' 2.353 x 0.166=390.6 < 391c REQUIRED 't.t.r;' LAND N/F 3.1 WV (2) 8'DIA x 5' DEEP DRYWELL= 422cf PROVIDED OF B) GARAGE FOOTPRINTS=847 SOFT. ANNA AUDIOUN W V \ RICHARD P. AUDIOUN • ELEV. 25.4 FRM. EL 24.3 847 x 0.166=140.6 < 141cf (I) 8 ,bw x 4' DEEP ORYWELL= 169cf PROVIDED DR BROWN STORAGE • 369 , J :CL 23.0 THE WA TER SUPPLY, WELLS, DRYWELLS AND CESSPOOL OL SANDY LOAM O.8' DWELLINGS PIP LOCA TIONS SHOWN ARE FROM FIELD OBSERVATIONS BROWN W/PUBLIC WATER AND OR DATA OBTAINED FROM OTHERS. I SM LOAMY SAND 2.3' 150' NAV088 - AREA:44,732.28 SQ.FT. or 1.03 ACRES ELEVATION DA TUM: PALE BROWN UNAUTHORIZED AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCA TION LAW. COPIES OF THIS SURVEY MEDIUM MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED HEREON SHALL RUN SP TO ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION COARSED LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INST1TU17ON, GUARANTEES ARE NOT TRANSFERABLE. SUFFOLTI COUNTY DEPARTMENT OF HEALTH SERVICES THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE 13.k' NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUC7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY PEE'FOR APPROVAL OF CONSTRUCTION FOR A SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: SID BEEBE; SINGLE irFAMILY RESIDENCE ONLY MAP OF: NO WATER DATE OCT 3 O 200116 HS REF.NO. 4 . I FILED: 17' �7 UATED AT: MATTITUCK K. WOYCHUK 2015 LS APPROVE TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING. PLLC FOR MAXIMUM OF 4 BEDROOMS RECE6VE[a Professional Land Surveying and Design a. SUFFOLK COUNTY, NEW YORK /} EXPIRES THREE YEARS FROM DATE OF APPROVAL � � P.O. Box 153 Aquebogue, New York 11931 U PHONE (831)298-1588 FAX (631) 298-1588 AUG 1 2 2015 FILE 0 15-105 SCALE: 1=30' DATE:JUNE 23, 2015 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk _ - r R. ��, 't.HWLj SERVICES . - . - -- - -- - - -- - - - ` .1__ - - - _ -_-_. OFFICE OF WASTEWATER 3ER 9GT. �..-