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HomeMy WebLinkAboutWisor, Wlodzimievz t SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3412 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WLODZIMIEVZ WISOR Address 1: 83-40 AUSTIN STREET- APT 2R City St Zip KEW GARDENS NY 11415 Descripton of Proposed Construction or Alteration -SINGLE FAMILY , 3 BEDROOM HOUSE -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner WLODZIMIEVZ WISOR Mailing Address 1 SAME AS ABOVE City St Zip 0000 Property Address 1 1250 BAYVIEW AVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 52.00 block 5 lot 49.000 Cross Street COLONY ROAD Building Permit Number Cross Reference: Issue Date: 2/24/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) � , pSOUjyol - ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road TOWN CLERK * * , P.O. Box 1179 vs Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS G ,� MARRIAGE OFFICER �3 r Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER l t Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER COMM,*=� II,� , southoldtown.northfork.net -�-� o'' )'� OFFICE OF THE TOWN CLERK FEB fO TOWN OF SOUTHOLD TO: Southold Town-BUilding Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: February 9, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3565 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Wloolzimierz Wisor 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: Q �Zf+CG Signature • •,2//0/0 Dated %gOFFOL4,0 ELIZABETH A.NEVILLE /1`t� 64:` Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS y. A7 Southold, New York 11971 MARRIAGE OFFICER '��I� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER \* ON" •1 Telephone (631) 765-1800 Alf OF INFORMATION OFFICER �O'� '1'aof. 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 K or Non-Residential @$25 Application No. b w/ ''W i Permit No. Applicant Name W1042 2 / VY�i e(/Z i S O g Applicant Mailing Address 2 4'0 A 14 1, G1 sf Api. 2 a •K�.ta �av�e ns / NY Ors- Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration 614 f VM — 3 Goedfroo m 17OM Location of Proposed Construction/Alteration: Owner of Property: WIC K/ / vnt eevz, W I S Op. Owner Mailing Address: 8 0 /4u171z',c� d'i 40- . 2 2 /, o,vJ , NJ 1/91A— Owner Property Address: /2 So l3 ay✓/C u7 i4"1/e Sou-/A, d , NY 1/ 97/ Name and phone number of contact person 7/8—8 So —3 2 0$ MS Ofd Tax Map No: 1000 Section s 7-- Block OS' Lot 49 Cross Street a/047 NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL /7,1-/h/2"h/2" °/91 0--6 Signature of Applicant Date Received by: ' I ee "' .-i SURVEY OF • IXCAVAIION � � R TEST HOLE DATA LOTS 107, 108, 109 & 11 b (TEST HOLE DUG BY A1cDONALD GEOSCIENCE ON JUNE 19, 2001) MAP SHOWING SUBDIVISION OF PROPERTY KNOW AS SUMMER HAVEN EL a.o• o. ^ Cl ;Or, EIARK mow„SETT, ,« BELONGING TO WILLIAM G. HERZ B4ON ) ,• FILE No. 1133 FILED JULY 5, 1933 0- ' mow„LOAMY T►A SITUATED AT C 0L, s ` L 3 SOUTHOLD SAND WIN 30K GRAVEL TOWN OF SOUTHOLD III BROM CLAYEY SUFFOLK COUNTY, NEW YORK COUI f O �OF tilliViCIS o ` N 9ROfwi MEDIUM TO COARSE SAND • VM�w'-• ,� WITH GRAVEL SW S.C. TAX No. 1000-52-05-49 • srat APPIIOWSL Ora COMMIISIMS i, O- SCALE 1"=30' �4 ( 1 * , JULY 17, 2001 `Q- ,E fiYRISIDINCI ' 0/ y ` DECEMBER 27, 2001 REVISED AS PER HEALTH DEPARTMENT LETTER Op �^// CJ / M • R d7 �'�' FEBRUARY 15, 2002 ADDED SANITARY SYSTEM FOR SURROUNDING PROPtRt1ES /- ��r� Gx• 1 '1 .. 0.. .C' .Z. lj wet N w oes NEDRw TD c9ARSE f�3 'e t S 1 . •yam _ WITH GRAVEL NOVEMBER 21, 2002 RELOCATED PROPOSED HOUSE, WELL & SEPTIC SYSTEM �+ C/ �t MP- 6.---- OCTOBER 22, 2003 REVISED WELL LOCATION ON VASILAKIS.PROPERTY '' �O GO P1, " z' OO+, `'� FEBRUARY 10, 2004 REVISED PROPOSED WELL & SEPTIC SYSTEM 4 ►. -' — .% �`� • p , -V 7. 0-- ���� JANt y 25 2005 TO P WATER A , _•[ L •I �� ¢.� �\ Q 1+ O.,.d ��r JANUAR"( 20. X006 REV HW do GAkRAGE • ' OF �Mg 4j.' O 5) ® ‘Cr.' y0� , 'YAG o � AREA - 15,000.00 sq. ft. ffi a° 0'� 4 0 o .�� 13. 0.344 00. FROM Wilt , , / yOZ CERTIFIED TO: Expos .: yEARS ,:: \y \ WLODZ11,11ERZ WISOR /} r °V7�� /' \\ w ANNA KLOCH WISOR /VA-./4.666 /1 ' 17.Y �, //' • \\ / 9 S.C.D.H.S. REFERENCE No. R10-01-0216 (!I o, 4/' \ / 10 OO 4 °�' •'D y \\\ / y0� �O. HOUSE PROPOSED SEPTIC SYSTEM DETAIL 1//27-74_. Aa_ it-/6-./7/64e 4, g�L / 0 l \ s� \ � GRADE t4' 4 IS,C{// e/l f �/ pp �'vp� •y A \\ /' Oho Tor EL aa' MM. TOP r3 7.+' — -..- 1.r". ��/ \ �, '{',s -/}� KJ '4 .,..0, \ ' ,,� �6 \`\ 1' p �`�(' xAv. Ft. A"A'°`�F°rFE T 'i M. 4" PIPE I. p'F OHNIG 'K f S/N SR�i7/ ''byo 0 ,° �'4` .0,• \ �� \� o T.4 min.PITCH i/4yrlw. rNn.T>1TCIi 1/8•/1 POOL N collies Q ,,,C ,[. e �+ \� r_8._ B.P �..1 F �_�y- e e,o _ n 7 ` : ,'/ c 06I7�1110N POOL OF O[ , \ ,/ F' 5 POOL SYSTEM 80T. EL 4A' MEV, 1 TOWER ,G(w e G /�. < QF' 1`1b `\ ii SEPTIC TANK (11 • 4 0.4 .s';;`j 'f �` ( 1 LEACHING POOLS (5) ••.•' \ , I.MNMUM SEPTIC TANK CAPACI ES FOR A 1 TO 3 OEDROOM HOUSES 1,900 GALLONS. ..Ti__,, �// ..s,1 , 1 TAW e•LONA 4•-3.11�E ft-7"DEEP / .1 - , .� 7 E / 2.CONCRETE MAU NNE A MN IUM COMDR E SMOOTH OF 3,000 ptl AT PD MIS. .--- `(� \ ` 1.SOWN LERClBtK SYSTEM FOR A 110 3 BEDROOM HOUSE 6 250 p 11 SCOWL.AREA. • HOL \ 5 MOM Y atm,a•el. 0. / I/ �� •/� 51 / •J° 3.SILL TRCIOEM RINI 9E A MM.IY OF 3',A TOP WOOSESS 9F IF NO A WROM THICKNESS OF 4'. E.woos POR,S mg TO BE OOIRIIMCIEO OF PIAT RNiPORL>CD mann(0R E 4 • ' / ///�� p ALL WALLS,BmRdl AAO OOP SHILL CONUM RIMI'OR'pD no RESIST PR WPM)FORCE OF 300 p•F tFACRNIK AIBICTIIIEB.!OElO OOIES 1.O/9R SAR 1. ////',` / 4.ALL JONIS SWL E eFiilED 80 71NT T!E TNN!S wMTFR110/R; 1 ' 5.TIE SITE DM SI/YL BE NEM=Al LEVEL 111 ALL ONECibNS A MAK TOLERANCE OF 31 4 3.A 1 444„ STN11.I E Q A7E,MB wags pacLS m (OR . j, • �'fj "y' ® Q d1 A NNONM r(NICK KD OF CdPM.7m SAND OR PEA ONWFJ_ H /7 4.A 1ff rein.mem EIIE1c11 NigEC POd.E me nom UNE 9NYL YVIIA.ED. CESSPOOL \ �q-/ �`C� f,..i..4,7 `C0� O� I�•�4 1' 8.A 10'min.DISTANCE BERMES SEPTIC TANK NA HOUSE SINLI E WNRMNED. S.NI 8'Mat.ORfA1KE SEMEN/ UNISON POOLS MD SEPIIC TANK SHILL SE N/NtHiN1ED. '/'�.. • y ccV ��, G� . O I"�V Vt� , - r - w.,, . -.. N A DAIKE Y OH THE I/NYM.AE res q..AS ESTAOUSHED o o 4. ���,4 ,` , yy 1•1�G�P.cZil f sly, N ng - WY MO in rWTLE ev 1O KK"o mono ,10 13 it IS �C�� 00 •,,gyp o 1,9,0 ° �' Mahar! c0 QN t . � ' -Al, 04 h IEl A l �i®VYB+ 1co No i pr ` d • ' .' `l +. NOTES: - ` b4 N.D.V.D. I. ELEVATIONS ARE REFERENCED TO G.V.D, 1929 DATUM _ e ' • EXISTING ELEVATIONS ARE SHOWN THUS: .�9 �1,1i` �:'-:TO N.Y.S. Lic. No. 49668 2. SEPTIC SYSTEM STRUCTURE SHOWN THUS: UNAUTHORTZED ALTERATION OR ADOMON i oda('r . t • TO THIS SURVEY IS A VIOLATION OF 0.:.•. SECTION 7209 OF INCNEW YORK STATE - I . 6, pt• PROPOSED EXPANSION POOL caucao N LAW. - ... - O� •0:4:40: . _ �-ph A. Ingegno COPIES OF THIS SURVEY MAP NOT BEARING THE ONO SUFNEYOR'S NKEDOyc O -4-- O �////J PROPOSED LEACHING POOL TO BE A VAUD TRUE COPT'" EMBOSSED SEAL SHILL POT S and Surveyor �L tT^- �/ C©mF1GAT10113 INDICATED HEREON SHAT sZy OT �2�' V/: PROPOSED SEPTIC TANK IS PREPARED,AND ON MS BEHALF TO THE ONLY TO THE PERSON FOR WHOM THE O '.j, TITLE COMPANY. GOVERNMENTAL ADE7ICY AND Tide Surveys - Subdivisions - Site Pian - ConstTvctjon Layout i. '0 G, 3. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD LEMOYIO MSOTVRON USED HEREON.AND ,. .- C., OBSERVATIONS OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. TO TUTOR. CERTIFICATIONS CERTIFIICATTIONNS S OF�LENDING R BLE. PHONE (631)727-2090 Fax (631)727-1727 �I O 4-"Fl THE EXISTENCE OF NIGHT OF WAYS OFFICES LOCATED AT MAILIVG ACIDNESS Fp AND/OR EASEMENTS OF RECORD. IF J( ANY. NOT SHOWN ARE NOT GUARANTEED. 322 RDANOKE AVENUE P.O. Box 1931 CESSPOOL— '. / RFNERNEM), New York 11901 Riverhead, New York 11901-0965 21-2671