HomeMy WebLinkAboutLizewski, Joseph •
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3294 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : TABATHA BAILEY
Address 1: PO BOX 877
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #
Name Of Owner DR JOSEPH J LIZEWSKI
Mailing Address 1 320 DEPOT LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 320 DEPOT LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 137.00 block 4 lot 10.001
Cross Street FLEET NECK ROAD
Building Permit Nunber Cross Reference:
Issue Date: 5/18/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
%s�FFot"�,; L
ELIZABETH A.NEVILLE y1` Town Hall,53095 Main Road
TOWN CLERK y Z P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ` Oy� p��
MARRIAGE OFFICER ��' Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER : .1 * `�►�,,i' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER , ,.is' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department FFBI 0
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 10, 2005
Transmitted herewith is a copy of application No. 3435 for a Cesspool/Septic Tank Construction
Permit submitted by:
Tabatha Bailey
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
•
Comments: r' ;- - ., �
Signature
i /// ds
Dated
a •
a •
•
# _;
Ile "
ELIZABETH A.NEVI LE ' Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
•
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER .; �e Fax(631)765-6145
RECORDS MANAGEMENT OFA ; yj, Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER �,�'I 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. 3.5
Permit No.
Applicant Name
Applicant Mailing Address- K, 1 -370,
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration c Ckef C _
Location of Proposed Construction/Alteration:
Owner of Property: z tiC_;►
Owner Mailing Ades: A."- ...\)0 Lr rctit
G:, \1\0%D x.)‘? 119 3'S
Owner Property Address: 5\c,
Name and phone number of contact person OcY`cc\ . TtmccNACSS - `l� 7W-TCC-2D
Tax Map No: Section 13-1 Block (D`--1 Lot 10 • 1
Cross Street �• _k �-c �.-
r'
NOTE: LOCATION MAP 1. T BE SUBMITT 1 WITH APPLICATION. NEW
CONSTRUCTION REQ I" : SURVEY WITH HE• TH DEPARTMENT APPROVAL
yrr•.
jgatu of Applicant Date
Received by:
•
L . SURVEY OF
LOTS 8 & 9
MAP OF
FLEETWOOD COVE
FILE No. 1263 FILED JULY 1, 1938
SITUATED AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-137-04-10.1
SCALE 1"=40'
�� MARCH 13, 2001
APRIL 19, 2001 ADDED EXISTING SEPTIC SYSTEM
(�, MAY 10, 2001 REVISED SITE PLAN
��//> APRIL 29, 2002 ADDED WETLANDS & TOPOGRAPHICAL SURVEY
1 E 'i+ V'' 5 AUGUST 22, 2002 REVISED PROPOSED HOUSE LOCATION
CT+L �' F ti DECEMBER 16, 2003 REVISED PROPOSED HOUSE
c)'\1)4 q/' ' !v FEBRUARY 27, 2004 REVISED PROPOSED HOUSE
�� co. X20 .y APRIL 27, 2004 REVISED PROPOSED SEPTIC SYSTEM
��, / ----
,4-6
e '1.'
a ., D� JULY 23, 2004 ADDED ADDITIONAL NOTES
2.4 ,'
/-2.3 - /_"43 h1'Dh7' AREA = 23,949.79 sq. ft.
of *ter/, / --.43 / -3.8 , a ,
�T 42 N 44` (TO TIE UNE) 0.550 ac.
/ / a3 , �y ��(�
/ / 3.8 / /
40* 2 �ti c 0- I
il•/ -4.2 '4-4 _.3.Y I
46 /
�aJ 4.3 // //�,/ // //� ��1 JIT'' o
-4.3 - -3.V- / / / / . .5 •G. / V"J O!'
/ / /0, -
a,/ "2 3 / --3 f$ p• • ;'
;' /�,e /✓ // /2
/ / 2 " . O
(` �1-16 - ,,. o.g-• / // W
`tN NOTES: -\
tr.!, •� _40 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1629 DATUM
•�� o /�. "� . __- 0 EXISTING ELEVATIONS ARE SHOWN THUS:_1Q.O
51 6 '/V - O 2. REFER TO FRED MAP FOR TEST HOLE DATA.
rL / /' -. / ,, 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
o. p / /' c y FTI 1 TANK; 6' LONG, 4'-3' WIDE. 8'-7' DEEP
+ �/ / /42 v' _- _g - 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. �p_
/ �., /- �' 2 POOLS; V DEEP. 6' dia.
0.4
+� 1 / / PROPOSED EXPANSION POOL
fo /\, s / LOT 80
,� ' / %PROPOSED LEACHING POOL
el,
�, ;I �� 3 /6 PROPOSED SEPTIC TANK
/
Z a n V/ i S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD f
gE' • f �/ //
OBSERVATIONS ANGOR DATA OBTAINED FROM OTHERS.
V' i 6. FLOOD ZONE INFORMATION TAKEN FROM;
E 60 j// i / FLOOD INSURANCE RATE MAP No. 38103C0113 G & 3610300164 G
/
y1"- _' # LOT O // / ; ZONE IE: BASE Ft000 EU:AnDNs OEIERMB1m
SHED ZONE X': AREAS OF 500-YEAR FLOOD;AREAS OF 100-YEAR FLOOD WaH AVERAGE 4
47 ` 6.17y ' 3.8 E. DEPOT OF LESS THAN 1 FOOT OR war DRANAGE AREAS LESS THAN f:-
' Q i I SQUARE MILE;AND AREAS PROTECTED BY LEVEES FROM 100-PEAR FLOOD.
(` / -i - / A 7. SOUNDINGS AND TOPOGRAPHICAL DATA SHOWN IN EUGENE'S CREEK WERE TAKEN FROM '
SURVEY PREPARED BY ROBERT H. FOX LAST DATED APRIL 15, 2002. k,
ITT g ` / SHED
/ SHED 6, THIS PROPERTY IS PRESENTLY VACANT EXCEPT FOR THE
FRAME Q / b ; 3.4'E. EXISTING SEPTIC SYSTEM TO BE REMOVED.'
SHED - 9. THE ADJACENT AREA BETWEEN THE LANDWARD UNIT OF WETLANDS AND
SMEa A , E -�-/ CESSPOOL THE 10' CONTOUR UNE IS 14,871 sq. ft.
3.2'W. 8y �+ 61 r ii
/ '. \ THE LOT COVERAGE OVER THE ADJACENT AREA IS 1,538 sq. ft
a •._ OR 11.0% OVER THE ADJACENT AREA.
9--' . 2.9 Qt G h
2.1Y / P A y €„
2 i° ` �, ,-b -■,, = TEST TOLE DATA
e v, _:-La t 4-g'.
j ,7 ( O (TEST HOLE DUG BY McDONALD GEOSCIENCF ON MARCH 22, 2001)
LQ A O 7?� 9•i''SPA". I ELEv.6.5 Cr �1..
g y ' ° l: Ay „� �a44� 1�w. . .' BROWN LOAMY SAND SM
`' pHn' 2.0•
Z STY, g)09TIt1fF �`
•
r.�O� .-Oki .,, �' I ' ' TD 1'3°R 4s✓,n` I'.
5d IP
1-WELL '.' 1
�clsnNtg sEj�Tic SYSTEM YO BE 4 ( -
(SYSTEM H/°5 P MEN AGTIV \ �IOIJ9E ( A L r I.
/ \' V_:: .... ` E I r :�a , PALE BROWN FINE TO MEDIUM SAND SP t
6i.,,. IleV„iii ELEV.2.4 h>� 4 7.1' I"
, M v \ _,
___,...
_ _
1111116"'
ti� 9
z �.{{�� WATER IN PALE BROWN
p ( \ ` OLE -i-,o, ""•"" FINE TO MEDIUM BARD SP
�, 1 \.... i _ ..10N (1). -
1 P�E1� I \\ A::,
Pte[.•+�1 14,
N ,CAI ,i. 4111
1 t\ I \' -4
N.) x,,`..
\�, ,,
+'.• PO OE& RAIL
FEN
94.83' + FOUND
N 86'40'00" E ++ MAILBOX 1 6+.0� / CONC. MON.
FOUND 46'00 Wel- .
FOUND CONC. / ---
a2 \` jai jaw
CONC. • • OF'PA ,-'L1
--13
MON. 0.4'N. PRP "--i
�i--,5 ,,JA,19PUBLIC WATER IN STREETA1)
_7629. 76
� FLEETWOOD ROAD
_..__...-. -. '��pyERHEAD WIRES
_ UTILITP DWELLING PTs'. �,^ , THE MINWUM
r`u,,QT:-1.,-.{:-'4+4- i":':
DWELLINGA
MOWED ,
(USES oueuc WATER) /Q.r'Jae;. V 0
AT e •J�°2 �
• 0O •,./. O
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SUFFOLK CO DEPARTMENT OF HEALTH SERVICES \ " , � ,JQJ
PERMIT FORAPPROVAL OF CONSTRUCTION FORA N.Y.S. L . Ne. 49668 ti
-^��� �1�( 1� 1�•py n yam-CESSPOOL TO 1111 SURVEY
ALTERATION OR ADDInON
►�9S.L7><7XJJ3i4S' S �II'i1+1 ONLY ` A VIOLATION Of
TO
STHE NEW YORKSTATE
� //sq'�L�, /�+��+� ON LAM. Josep h A in a no
/�f� -(� Lira I -00 COPTS OF THIS SURVEY/MP NOT GEARING
A.
DATE �/^ V HS REF.Nt7.> Tiff LAID SURVEYOR'S INKED SEAL.OR L nd C V
� EIABOS6FD LID UE NOT BE CONSIDERED V
APPROVE .,...r.�. .�'G.../ A. I- TO A VALID TRUE COPY. VV y
CERTIFICATIONS INDICATED HEREON SHALL RUN
I ONLY TO THEporpos ,PERSON FOR WHOM THE SURVEY
FOR;SLA y'6t1ii: Vi OF„ BE �'B AND ON HIS BEHALF TO THE
TITLETITLECOTE GOVERNMENTAL Meet'AND Title Surveys - Subdivisions - Site Plans - Construction Layout
. DI'r LEG SSII4EEON-USTED HEREON. AND
TO THE ASSUi 6 OF THE LENDING INST-
EJ�PIRES THREE YEARS FROM DATE OF ` ' OVAL rurloN. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT AWUNG ADDRESS
AND/OR EASEMENTS OF RECORD, IF
ANY. NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, New York 11901-0985
Zl-13
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