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HomeMy WebLinkAboutAngelson, Marilyn (3) 4ti V so0ryo ELIZABETH A.NEVILLE fJ Town Hall,53095 Main Road TOWN CLERK 1111P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICERs �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER fQl ' ►� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �CO ,�`, � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3347 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : THCMAS C. SAMUELS Address 1: 25235 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration NEW SANITARY SYSTEM FOR NCN-HABITABLE ACCESSORY BUILDINGS FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT (631) 852-1400 Name Of Owner MARILYN ANC LSON 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: Issue Date: 8/24/05 Elizabeth A. Neville Southold Town Clerk • (TOWN SEAL) t • ��,,4 SOU4'yo ELIZABETH A. NEVILLE 1�• �O l0 ., Town Hall, 53095 Main Road TOWN CLERK i * * ` P.O. Box 1179 lk co Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS ; G @ f MARRIAGE OFFICER �1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER l Telephone (631) 765-1800 FREEDOM OF INFORM TION OFFICER : CDUN 1 I, r,�� I ' ' southoldtown.northfork.net , } •v,,.. i•,, ----:— '''ii \S z, \ \'' ") \,‘, OFFICE OF THE TOWN CLERK . TOWN OF SOUTHOLD \TO -'• .. Sot t 1o1`d Town Building Department l eM Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3497 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 . Or Comments: � / ► ,� � Signature 71/44...444:, a6,441"-'1'64. / .2-oo.S-- Dated OFFICE OF THE TOWN CLERK ,,r ri rrr rULA'��� TOWN OF SOUTHOLD �.�OC��FF��k�'QG Application No. ELIZABETH A.NEVILLE,TOWN CLERK � O. P.O.BOR 1179 : ; Construction SOUTHOLD,NEW YORK 11971 v rn ; Alteration Telephone �,j,�,0 stlb $10.00 - Residential (631) 765-1800 .� 114 001 $25.00 -Non-Residential • TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. C • Fee $ b DATE 41,161/1,51- 3, ,Qoa APPLICANT NAME: i hO nl/fV\ 0, T7 i U` z6 APPLICANT ADDRESS: :95-23D A`/f / alrolio6 SEPTIC ✓ CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION �E W �S 4A I T/ y S s-rt rX AVIV 71416/71 Lc ,g-ECE55ORc &0&6. LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 11271121t0 /-/&as OWNER MAILING ADDRESS: �j -/K',�-(4. -, /3/V / L) qc e Ay. /00Q/ OWNER PROPERTY ADDRESS: 75 o f4, }(s, / 0-7T/rurK, TELEPHONE NUMBER OF CONTACT PERSON: roll/ 734 TAX MAP NO. : Section /02 3 Block 1 Lot CROSS STREET: COP AiCZ ( l.7 R.A7f4 BUILDING PERMIT NUMBER CROSS REFERENCE: • -,.nature of Applicant RECEIVED BY: Town Clerk's Office DATE: PROPOSED SEPTIC SYSTEM FOR ACCESSORY STRUCTURES (2) GtOO 'AL SEPTI G 14"r (ST) \ NEW WATER LINE �.00K ITH (I) 5' DIAMETER x ' HIGH LEACHOOL UP FROM WA MAIN (LP) ' (I) 8' DIA TER x at HIGH LEACHING NEW UNDERGROUND WATER IN PUS IG ROAD POOL (LP) W I TH F TURF LOCATION FOR (I) 8' LINE FROM MAIN HOUSE TO \ \ DIAMETER x 5' IGH LEACHING POOLS (EXP) ACCESSORY STRUCTURES / _ . _I-T.5 MA yR ATOOA � OAD (PURL I G WATER IN 5 � ET) \ / ASPHALT PAVEMENT I5 11 I 51125'00"(y/'' I \ /644.4 0' NEW UNDER ROUND J • WATER NEW UNDERGROUND WATER LIN FROM WCL' TO ELE WATER LINE FROM ki MAIN HOUSE TO W 46 - + MAIN HOUSE TO( ACCESSORY jLev 8.3 AGGESSOR i STRUG RE5 ,eluis. . ., rm. STRUCTURES 0 1 EL Irt*I-P.%EW kiNIIIIIIIPSAii-GAIllritv. ,ally SHS WIPArveilr , Pilkt N 1 . ' 4,irr PROVI • GLEAN OUT TO 4.- -ADE S () EV POOL TRELLIS \ 0 - 0 44 • `r\410 0 t)), >_ < ::1 0 0 . co 4 Ir 4- EXISTING WELL 0 \ . „AWN TO BE USED FOR kr, IRRIGATION/ 0 o , ® \O0D N ----EXISTING 1 1104), / o' N HEDGE 1 o -z • • • • RECEIVED NG WAIL FF EL 1/.0 JurrULR c 11/114/0s RADE LL fat. 1 1.O 15.0 FT. HU,LDIN& WALL FF 18.3 H E A LT H �i1Ef3L d'I DATA iVEI6FIDOR PELL f�RAL3E ONE ELEVATION I5'S FT. BY MARK MCDONALD SCTM 0 1000-123-7-13.1 7/15/05 &RADE LINE ELEVATION -15.0 FT. GRADE LII ELEVATION ±15.0 FT. •41C:'-'. + - =14 k Avenue \\ GEOSCIENCE P • _ : 950 Park Avenw �M,N 2'MAX I'MIN.2' MAx. TEST HOLE SOUTHOLD, I j W JUl I '-' 2: Hf ANGEN ` —r _`� `► NO SCALE NEW YORK 11971 • SITE: 188,832 SQ.FT. •3.88 ACRES �• OF'OF POOL 13 49 FT. I/4"/FT. • 10P OP POOL 14.9 TEST HOLE DATA(M18105)ELEV+16.25 ZONING: R40 7 SEPTtiG LEACHING - G TOP OF PLATER —I 1.0 FT. BARK BAOYYNLQAM 01. SURVEYOR: BEAST EHLERS MA / L EAGHIN& LEVEL. 12.9 FT. 3.0 FT. BROWN 50.TLY SAND SM RIVERHEAD,NY l"ANK POOL TANK1:4CEMSEs 58282 ,E, I494' OF POOL 3.49 FT. POOL PALE BROWN ND SAND BeSP LLI 1 I 1 IE. +145 E. +t3 :•A 0. ,i��•i 16.9 FT. TO MEDIUM SAND DATED MARCH 22.2004 li/ IE:+1'3.0 ' GLEAN TO LL 15'-O• -2\_ � GROUND D HATER IE. +14.3' 1E. 125' GROUND IN -- _ ----- WATER IN PALE BROWN Be LOCATION- MAP o Z S'MIN — _ _ 10'-0• 125'- ELEV\-5' 17 FT. FINE SAND toFir4 r^ MIN LU PROFILE "SYSTEM #1" RF�3IDNCE L SEPTIC PROFILE "SYSTEM #2" ACC ,SSORSTFVCTtIRF�S ,.., `" o 5 t (N.T.S.� \ r. , ...- PROPOSED SEPTIC SYST }AOR/K:GE530RY NEW WATER LINE PROPOSED NEW SEPTIC TEM FOR 5 BEDROOM RESIDENCE, 1500 GAL �' W STRUCIWE a(2) 900 SEPTIC TANK(ST) 1 N UP FROM WA MAIN SEPTIC TANK(ST) WITH(2)5' IAMETER x 8' HIGH LEACHING POOLS(LP) WITH Z TH f!)_e'DI,4MErER x ►1t&H LEAcfaN6 Pr)oL ' 1 g n x'771 x�'Nth L IINb NEW UNDERGROUND WATER IN IG ROAD FUTURE LOCATION FOR(1)8'Di x S'HIGH LEACHING POOLS 41GdfP) , L&P WITH MATURE LOCATION FOR�U a' LINE FROM MAIN HOUSE TO \ XISTI SANITARY SYSTEM(PJU TO BE % Q lam DIAMETER x D' 1&H LEACHING POOLS ) ACCESSORY STRUCTURES AB AND FILLED IN WITH SAND 0 / / MattlWck' `\ Z \I / / Qe ,4• 11.6' ZO Y +ns M A RATOO K A _ OAD (1'UBt_!G WATER INS ' ) / O 0 ASPHALT PAVENT 11 yK. 1\ - - , � 6 •i WATER NEW I >O WATER LIQ FROM TOWER WATER LINE FROM �. / MAIN TO rillill 111 `� w +�8�, MAIN HOUSE AGGE55oRY Gwl ` � �Q�N�Y DEP �� \ TMEN'f OF HEAL1B BERM Z ?RUGS7 �R,tr , STRUCTURES Q\�' // ' / ,�-a ''�' \/J 'a. a�> = w y ' t • o PERM'l API'titOVAL OFCONSTRUCTION t W tA��e�� Yr.r r-'r = Fvl u EAN Al � _ I� RESIDENCE O�Ti..'Y 1 = OUT TO ray y,� II 8111 ,. DATE }IS REF.Nod\O-M-0Z)ScI t f.' ` C �00\ ��' : . ,50 �v PARKr II l l •z ‘+ \ FF POOL 15 W\�+1N • -T S► / I .APPROVED *111114 V'w P) oinc: _ MAS CJJM OF `Da<. ( QS1.‘\. ..1/4' �' - 1 FOR BEDROOMS J'' II r i �_ � + `1`°4'; "•r �/ EXPIRES THREE'YEARS FROM DATE OF APPROVAL W.• 1 EXISTING WELL // \ LAWN TO BC USED FOR \ ill 1 r. / <►-• f IRRIGATION < Great wcA\ EXCAVATION INSPECTION REQUIRED / Peconic FOR SANITARY SYSTEM �� Bad/ (scr�0c�.�.� NBY HEALTHDEPARTMENT / / \ LAWN = u„):01.°,/ I •-1VEWAY ~- bat o 'c.,isiis� i : y slgstem must be i�I / 0415 BRICK comfo ;,r� • c;Evitlt Iepartrnen requlrranent�ubmlt / MailIFIT UT ourlDATI• completed Orin WWM- © as proof. Tot �� I — / / ""'". 4/22/06 5 '�"� �� J lb 644.05' 10 ��_ ,t El.,, 1,.a w. Ntt 25'00"W I, Water lines must be inspeQ�t C1 by the c. '`% Mf, y r.»: EXISTING SANITARY SYSTEM(1 TO BE Suffolk County Dept. of Heel') Services. G4. SITE ABANDONED AND FILLED M I SAND !4 Cell 852-2100, 24 hours in advance, k v tri t PLAN to schedule inspection(s). SITE PLAN t SCALE: 1"=30'-0" 0 i bete rNO: 4 411htEWj 11