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HomeMy WebLinkAboutAngelson, Marilyn (2) ���"10S004.2\ o#' I SO i1• . ELIZABETH A.NEVILLE ,� aO �Q ; Town Hall,53095 Main Road TOWN CLERK * * P.O.% Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER t1,� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERo �•• Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER = ,,•'� southoldtown.northfork.net S.,,,' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATICt PERMIT SEPTIC TANK or CESSPOOL Permit No. 3346 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Nasse : THCMAS C. SAMUELS Address 1: 25235 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration NEW SANITARY SYSTEM FOR RESIDENCE FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT (631) 852-1400 Name Of Gamer MARILYN ANC RTSCtT Mailing Address 1 876 PARK AVE 13N City St Zip NEW YORK NY 10021 Property Address 1 950 PARK AVE City St Zip MATTITUCK NY 11952 Tax Map No. section 123.00 block 7 lot 13.100 Cross Street MARRATOOKA ROAD Building Permit Number Cross Reference: 0 C9 • 441tit77'96441 Issue Date: 8/24/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) I �,�� �pF SOU,j � ELIZABETH A. NEVILLE �� 01 ' l0 : Town Hall, 53095 Main Road TOWN CLERK Alli l , P.O. Box 1179 va Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; G Q ,1 MARRIAGE OFFICER �O Fax Fax (631) 765-6145 RECORDS MANAGEMENT 0 - • R l 0 Telephone (631) 765-1800 1 FREEDOM OF INFORMATI 1i. •F ER �eO(JJf%' Olio•psoutholdtown.northfork.net !- ••_... °IP ;'� ,fit OFFICE OF THE TOWN CLERK 0 h} t TOWN OF SOUTHOLD \,,\TO: "'`fS,outhold Town Building Department FROM: �� ,Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3496 for a Cesspool/Septic Tank Construction Permit submitted by: Thomas C. Samuels 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: ..� ``..� �i.`.. f 7"ki.A 4°...4 (�` Signature 9 astoS` Dated OFFICE OF THE TOWN CLERK •." TOWN OF SOUTHOLD �� C��FFD�k�+OG-_ • Application No. ELIZABETH A.NEVILLE,TOWN CLERK : 'b,, t P.O.BOX 1179 • ►� Construction SOUTHOLD,NEW YORK 11971 • N Alteration • Telephone ,� • $10.00 - Residential (631) 765-1800 D.- /1/1> .' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. ',4% Fee .$ (0. (30 DATE /-IUG-UST. 1 2005 APPLICANT NAME: IHMAV Cl , dl (1 APPLICANT ADDRESS: 25-35 A1A i/ D.( cure twou SEPTIC 1i CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,V t' 0/41V/TAI-g,c� TY.S'TC711 Fob fI(L (C LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: . OWNER OF PROPERTY: innieiL9l1J nALOEZEON OWNER MAILING ADDRESS: g/& P/1- /4VFAME r (3A/ kat/ '(kk N q /00Q OWNER PROPERTY ADDRESS: c75Q f14k' 00C !I9-7777-61cIK , My TELEPHONE NUMBER OF CONTACT PERSON: y,,N . 64019 TAX MAP NO. : Section )23 Block 7 Lot 13 CROSS STREET: C"(ol 'F ' l 4-0TOo/4 BUILDING PERMIT NUMBER CROSS REFERENCE: • •nature of Applicant RECEIVED BY: . Town Clerk's Office DATE: 6 SYSTEM # I \ NEW WATER LINE K OPROPOSED NEW SEPTIC S I<STEM FOR 5 BEDROOM RESIDENCE, 1500 GAL UP FROM WAT }MAIN SEPTIC TANK (ST) WITH (2)8' I AMETER x 8' HIGH LEACHING POOLS (LP) WITH VA IN PUB IC ROAD FUTURE LOCATION FOR (1)5' DI tETER x 8' HIGH LEACHING POOLS (EXP) v \ / CXISTI G SANITARY SYSTEM (EX) TO BE ABAND ED AND FILLED IN WITH SAND N / / Mattitt Aviati, I / P _ET) \ / \ \__/...24, ...._..L5 m 10 5 \ / WATER NEW UNDERGROUND TOWER WATER LINE FROM = 8 3 E MAIN HOUSE TO i --cr irs--- _ i 104111k• :, w AGGESSOR I i O Ilk W ----'- "CD STRUCTURES0 1/ / may. ,. * _ , let wor -,.--40-.. ,00,---$91,- -- ta ,,C)J-2,, 7VI • GLEAN (11:-, x; i i/ /- OPARK Gre."v. : al ®Millillaw 0 /I t _.jithke APPROX. ISO sf BLL ���, d GONG. SLAB, WALK- fiffrY17-17 I D �NG� LA N 01 PARKING COURT .�►' 4vA L. x / w WL' + I7;p ELL PFLE11 I ED FO cONN / 1 / / Q Great / Peconuc en L Bay 1 • RECEIVED -rU DA A 06 HO rN11.PF EL 1?A SUIL.DIN5 WALL FF EL 18.5 HEALTH 7/16/06 RADE LINE! /ATtON 15.0 FT. NE1614"41 SRAM LINE ELEVATION 155 FT. BY MARK Mt DONALD iCTM f 1000-123-7.iS.1 /ALL OEOSC�NCE P 950 Park Avenue ,; GRADE LINE ELEVATION ±15.0 FT. 6RADE LINE ELEVATION 1'15.0 FT. k r MIN s'MAX. I'MIN s'MAX. TEST SCALE NSO 'O1Dornc;,s7, I' ZOOS JUL 1 "• . =Kf. GS-SON SITE: 166,932 SQ.FT. •3.88 ACRES _TOP Of POOL 14.4 _ TEST HOLE DATA 14/16/05)ELEV+16.25 ZONING: R-40 �' v� a�0� - I/4"/FT. ■ TOP OF f9fiiTl9i 141 FT. OAIY4 AO4W140 CM. SURVEYOR: JOINC.IHLERS . SEPTIC LEACHING i IC LEACHING LEVEL I2.a FT. WA!'MAIN STREET 3.o FT. BROWN SLILY SAND SM AD.NY TANK I. L . TANK I POOL ., i..., i 1sAFT. TO Eo SAND SAND SP DATED MAIlSpi222.2004 WLU IE:+4824' POOL ;_.. OF POO)_S:44 FT. IS.+14.5 te.41'5.0!' IE. +14 3' GLEAN OJT TO WATER IE. 12 5' GROUND WA _ WATER IN PALE BROWN SP LOCATION MAP - 1 . A �� -0" FINE SAND Q 3'MIN �V"0 65 IO. O• us,' 3'MIN ELEV-0.65' 17 Fr. CE #2" ACC ORY S F.11 \111 PROFILE "SYSTEM #1" RE8161N SEPTIC PROFILE "SYSTEMEk ,,,, g s (N.T.S.� YSTEM• I `fid'' ■ PR0le05ED SEPTIC SYSTi FOR /kiC OItY NEW WATER LINE PROPOSED NEW SEPTIC TEM FOR 5 EEDROOM RESIDENCE, 1500^GAL I STf�IJGTt;IRLS(�q0p $EPTIG TANK(57) \ SEPTIC TANK(5T)WITH(Z S AhETER x 8'ffI6H L EACHIN6 P00L5,a.1 WITI1 u Z II TH I)8'DIAMETgit x S►`H16H LEAGFNhfb POOL UP PROM WA MAIN FUTURE LOCATION FOR NS'DI IEIER x s'if16H LEAffHN6 PDfiLs11=JW) ' g p p� >7' x>7'tlitlhl Ars:, NEW UNDI1i6ROUND WATER IN IC ROAD 15T1 5ANITARY 5Y5TEP1(E�Taff Q AO p1ANLT�Eli;x5' ISH LEAHIN6 POOLS(EJQ') L MAIN TRUGTURE50 \ FILLED IN WITH 5AND r, HOUSE \ / I / Ma Aviation Q Z I 4410., 41, MA R A TO ASP'SOT PNr 0A0 (}'UBLIC WATT IN 5i • ,) \ // 1144.42' A1 :i g I-I raenotrtsnot �� !4+w �� I \ ra�f� ; Q / �• e ' I NEW UNDERbR A \ WATER UNE / 2 AIIIL o. IJNIrRO1JfD F !� AOM MAIN TER LIHOME NNS TO III , a - + 8.3' \ MAIN �A,�,�g,'�' E��FP�LK��D�PAR��ENTOF HEALTH$E� � STRUG N��• , ". . \ 5TIZIUGTURES ��\ // ' / Vi�ES For �, c '` , 11,11.1111: -�...I:1%,f�� 7RoviVrtLEANETERN____\ � �r �� � :• .t . o PEBM�'i't+�t API �IAi.flSa' 103 AV v ln�tt pW�C �,� y T / 11i / IIFA .Y R DICE ONLY aim '� .. [WG�Z2���, m ��r = OJT ro = PAW.' II.:,,....,..._ DATE HS REF.NONA°-ZS-O ' t p1}c>t ��� a.... POOL TRELLIS / W`, e+1� w 3u - / / APPROVED Cn fit,, .e:. \ �N FFs. In wt:�Y� ii, ,y ......-7-_—_______, liki 11.5 r�'.; LAM FUR 14U�:KIMUM OF. �D BEDROOMS J�� I II tom' ..) :OCirj; }i.' .•t! 111-1.1111 • \ - rA Vic; _ // EXPIRES THREE YEARS FROM DATE OF APPROVAL W. 1 �— —� EXiSTI♦ WELL/ / M W • \ LANK TO SE I1�.�ED FOR \ ' /� Great \ a t~. IRRIGATION/ < w�7Ch�� \ rs, a a / Peconic Ex VATION INSPECTION REQUIRED / i I Bay C_,cpIN�°\. ..M /1 FOR SANITARY SYSTEM / BY HEALTH DEPARTMENT N " /-- ,LAM \ lir/ x id. \ / i2/ •i-IVEWAY �--_ I-----' .a.5 Aband©nn� nt of existing sant :ry system must be in I BRICK comformance with daa, -nen / sumeire UT ouNDATI completed orm WV/M- ,0 as proof.requirement Submit / 4/22/05 res svatonassestaiwatistariastaatimaratio �� - ...m... Ib 644.05' - 10 5 / � �.q c 1-:i0' N1175'00"W 17 Water lines must be inspected by the '` • C. Z,N)4 EXISTING SANITARY SYSTEM(EV.TO = ABANDONED AND FILLED IN NI SAND Suffolk County Dept. of Health Services. . SITE Call 852-2100 24 hours in advance, ' 'e; PLAN SITE PLAN to schedule inspection(s). i�- - iMOS --"Earomorz SCALE: 1"=30'-0" 4>, 44 !hr<er.w: e 1 tiro