HomeMy WebLinkAboutMezynieski, Steven 0‘11*J SO11:
ELIZABETH A. NEVILLE •• l0 Town Hall, 53095 Main Road
TOWN CLERK J * , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
v, Southold, New York 11971
MARRIAGE OFFICER ��'�► � �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER l •
,, ''�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER =�COUI11,,� , 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. 3420 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEVEN M. MEZYNIESKI
Address 1: 110 NORTH MAGEE STREET
City St Zip SOUTHAMPTON NY 11968
Descripton of Proposed Construction or Alteration
-INSTALLATION OF SUFFOLK COUNTY APPROVED SEPTIC, TWO 1000 GALLON
8 X 6 LEACHING POOLS
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner STEVEN M. MEZYIESKI
Mailing Address 1 110 NORTH MAGEE STREET
City St Zip SOUTHAMPTON NY 11968
Property Address 1 35675 MAIN ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 19.00 block 2 lot 10.100
Cross Street TERRY LANE
Building Permit Number Cross Reference:
Issue Date: 4/05/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
„, iii
to, %OF SO(/r�o
ELIZABETH A. NEVILLE t 4 1 Town Hall, 53095 Main Road
TOWN CLERK * * P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G � Southold, New York 11971
MARRIAGE OFFICER •�` . ,� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �U •� southoldtown.northfork.net
s
'••_ , goy
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: March 15, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3574 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Steven M. Mezynieski.
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:
•
Signature
3/ /'s
Dated
ELIZABETH A.NEVILLE %110 �
4.0'3\ - Town Hall,53095 Main Road
TOWN CLERK ' ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER L Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER \-.4;# �$0` Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = 1 * �'��� 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 @$25Applicatio• :. 5-7Y
Permit o. •
Applicant Name S t i r y✓1. 7'1 e z tis o '
Applicant Mailing Address //0 6(4-h rat8 L-e.. �
&A-Mict_rvyinn. Q/ 1 (cI g
Septic Tank ,/or Cesspool
Brief Description of Proposed Construction or Alteration 1r J 11a-u c$ 8u4-k lk
pprovfoilLight_ � .t � div t� g 6(14)1;1 c pen)LS
Location of Proposed Construction/Alteration:
Owner of Property: Sh vtn ✓Yl. ine.z n �S
Owner Mailing Address:jjO No)(-1-11 "Kr7a e(t sl ,-
__Sa +i a-n-,, Y1 . i J
Owner Property Address: 356-75 Ira iV1 Qd
drw'iJ N"
Name and phone number of contact personOkon flit?11 gk t -ON-cool (5*)SFS 0193
Tax Map No:/000 Section 0/ c/ Blocky 0 2 Lot /0. /
Cross Street 7,eryt Lcz r1�
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPART NT APPROVAL
3//5/049
Signature of Applicant Date
Received . . 'Mkt. -. ,i0 /11.
a .
a
SUFFOLK COUNTY. NEW YORK
S.C.T.M. # 1000-019-02-10.1 k
AREA = 1.374.976 SF. = 31.5651 ACRES
NOTE: THE EXISTENCE OF RIGHT OF WAYS.
WETLANDS AND/OR EASEMENTS OF RECORD
IF ANY. NOT SHOWN ARE NOT GUARANTEED.
9002 J '�'-'
L
i
1
i
t
I
,
I
LONG ISLAND SOUND
TIE LINES ALONG
APPARENT HIGH WATER MARK SNS 25,48' -
_ _ N 79.38'37„E �-
251.13'
47•28 E • f
_ _------1---•
'� �_
N 8 4 B E o a`—
�— ioP o�B urs
I
{
LAND N/F
J. KIEFER
PIPE
25' WIDE
\______.\-
..----- ----A_________
\_______ _____---- _.-----
\ •-•-k---......---
RIGHT OF WAY
.
i
I
E
S
SCALE: 1 -1øø '
-
-
Ell ----- MI =M1
48'
LAND N/F
J. KIEFER
\\5
PIPE
\- 25' WIDE
_
0\____.- --------
0 27.9'
Os Y
cr1\ oi
N
o
'. s
FENCE
8.5'/E
0 0\p
0 74 \
Z f 0 16.0
1
N P 4.0' o
�Z f O N
.4.. 7
12.0'
v '+1
a i FRAME
vn BUILDING
yt
LAND N/F
PAPPAS & VASILAS '4 \
tnzm
PROPO'
SCALE:
FENCE
15'/E
MOTE: SF
AN ACTU
U.S.C.& G
z ..
r,
REFER TOS I
FOR SEPTIC I
EX
COMPONISTING T
EXISTING SE
ENWE
PROPOSED E
SEPTIC TAN
USE TWO (21 i
- \
LEACHING R
:::::_ M
LAND N/F OF
P. BULL 8 K. TERRY SEASONAL F
COJ
13.E
25' WIDE
RIGHT OF WAY BARN
k
Z
O
00
oU1LLJ11'1L7 r LA.) I i r iri 1 0
\ \ ,
SCALE: 1'=40'
• I�i
N
4>\ 22.0'
�� o
O
()IV..., -*----------- ._______.1=1L. ..._ 1`.
27.9' 21.5' 18.0'
O
Ill\ co
FRAME BARN CO
N N
100.3'
16.0'
Z 0 0
Iii u o I
'0 A
\ 111 —
N 1 16.4' 7.0'
.0'
16.0'
o Co
'c! •o
'
N1, 4.0' b 7.3' r 18.0'
>1m
-
m7 ' 0i a 21.4' r; .
Z
u� 12.0' 28.7' r '.
i FRAME 2 STORY
m BUILDING HOUSE 8 PORCH
. \
PROPOSED SITE PLAN
SCALE: 1-=50'
NOTE: LEVA
AN ACTUALSPOT FIELDESUTIONSRVEYRESULTR AND EFERFROM TO
U.S.C.& G.S. DATUM (M.S.L.).
REFER TO S.C.D.H.S. STANDARDS DATED NOVEMBER 13. 1995.
FOR SEPTIC TANK AND LEACHING POOL REQUIREMENTS AND
COMPONENT DETAILS.
EXISTING SEPTIC SYSTEM TO BE PROPERLY ABANDONED
EXISTING WELL (IN BASEMENT TO BE ABANDONED)
PROPOSED DWELLING TO HAVE FOUR (4) BEDROOMS MAXIMUM.
SEPTIC TANK TO BE 1000 GALLON TYPICAL.
USE•TWO (2) 8' DIAMETER. 6' HIGH PRECAST CONCRETE
- \
LEACHING RINGS. WITH ROOM FOR 50% EXPANSION.
BACKFILL MATERIAL SHALL BE COARSE SAND AND GRAVEL.
LAND N/F BOTTOM OF POOLS SHALL BE A MINIMUM OF 3' ABOVE
�+
P. BULL K. TERRY SEASONAL HIGH GROUNDWATER. PSE NOTE
Minimum distance between well
and cesspool is to be 150 fee#.
I-1 .11
13.8 FRAME BARN
25' WIDE BARN +12.2 1 _
RIGHT OF WAY 13.6 +13.9 PROP.t
I I�_13.7 tom'MIX
i ((rr Nn cy
I�I
1 1
,. •/SOUT
H
tRES W/WELL)
GEN 1.0 ' �`
IRE F E
P05� dN0"w2.1 •� •
CONC. 3s,N �
S ��•�8
LAND N/F
ROSAIA. TUTHILL Z
AND MEEKINS
N a
.\
lik \` w -4 a
` 0
s p r
In -
n s
\ LAND N/F In 7z
\\` J. a V. YOUNG a GUY HIRE
y 1m TANK ON SLAB
13 1 .
`+ m m WIND MILL
M.
v ON SLAB
G
N Ci
,..N SANT'
�
�,.1
N F. FL. EL= 15.5 GRADE
\ W I \
0 FRAME BARN EL.= 14.5
Iis/M 46.5' i
d
Z i INV. EL= 13.5
0 SEE DETAIL INV. EL.
OD I
o - = izs
Q I �UTIL ��
\ to I I7 ic'l POLE z
\ \ - s
'0 A CI; m
\ LAND N/F O �A� oLE: m
\ J. YOUNG * fn imi 2 2 STORY
FR.RES R,qO \ I I • WITH PORCH
SUFI
m
1-£N .--• � � i ; L xi PE
9 \',1,1
.7'
833
--------:::1')3 5.
7 I I d '= DIRT DRIVE
ti to CURB d
I3/WEST
I 146.5' o c.B.
• CONC. I l i m �'
��� MON.
oPOLE
-M!.=1111 -1412°=1.1112=2111473 3.71'
POLE Q}— .FENS?I . .
EDGE OF PAVEMENT S 86'40'50"W 6AT
1 Ap0
POLE
MA I
N ROAD ( S . R . 25 )
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7289 OF THE NEW YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING THE LANG SURVEYORS INKED
OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.
GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO
TIE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO
THE TITLE COMPANY.GOVERNMENTAL AGENCY APO LENDING INSTITUTION
LISTED IEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADOITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
1464 (1464-H)
i YS 1 i \ 14.0+ i +13.7
�L 1 1 -TEST +8.8
�_‘ i 1 HOLE * '
EXIST SEPTIC
.../7/1
LAND N/F '`�_ Vi(+
CONC. TO BE REMOVED1PROPOSED
MON. ts) J. YOUNG ) \�\ STORY RES C.:,-.‘"
�50V'CH / N.
(r (RES W/WELL)
1.t1
COI t
OE fE E GEN 1Gr - __.. 106‘:'.
‘1)11-4
I 113. P
21el JJ oR
3O»W ! N +1Ls 12.9 1 1 i--- iJ ��,
i8 12 1 LA%
co 1-1 r I f0' +9.7
1O8' MIN1:1) . I o t 1 1
1 NO WELL ' a t f `+ 13.1
Z
�V r+ t`xi, �iR�`� I m 1-12.9 3.9 N.E./ ,
..-\
y*1 ---------16e
- J' 1 1
�: s 1 EXIST RES 75.0'
TO BE REMOVED
o m I ) +12.5
W - j0 '
0 s �� \ 12.0
r p 12.3 86'40'501W' + 11.8 433.71'
il
z 14
m �' `� EDGE OF PAVEMENT
o
in
LAND N/F ? +9.6
J. 8 V. YOUNG GUY WIRE
rn oN SLAB +11.0
� TANK 13
-
Mt
(VACANT)
WIND MILL
CO ON SLAB
11 N C> \ ,
m {
zs
SANITARY SYSTEM DETAIL TEST HOLE DATA
(NO SCALE) (NOT TO SCALE)
GRADE EL.= 13.8'
F. FL. EL- 15.5 I GRADE CAST COVER
FRAME BARN _/EL.= 14.5 f TO GRADE CAST COVER 0.8' TOPSOIL
BARN 46 5' ` FIN.GRD.=13.5./- `TO GRADE - -
11.5'/W /
1,1 :_ n Ir-frii 1.2' CLAY is
Z I INV. EL= 13.5 f 1088 GAL. - -
o SEE DETAIL INV. EL j SEPTIC TANK DISTRI9u1ION
�_ = 125 iNv. EL �o Pool 1-0' GRAVEL
=000O000
'1 OD
. 3 \
= 12.0 =0000000
O I< ( UTIL `� '- INV. EL. EL - 5.5' -
it
CO 1 1 POLE Z = 11.5 3'MIN.
x jpj m + SAND AND
�' Io1 TEST -q GROUND WATER ELEV = 2.3' 8'5 GRAVEL
LAND N/F O o , IAI HSE: i
J. YOUNG 7 m Ca n
i m TH Tis SUFFOLK COUNTY ;r Fr},R a s��F'„sT OF HEALTH SERVICES - -. GRD. WATER
1 1 WITH PORCH q _ ELEV.= 2.3'
107 0 m I i LF n PERMIT FOR APPROVAL OF CO Z T RUC�IOR FOR A
g 9 7..7' i �r ,;1��:, SAND AND
`;`;4gs �' I 1 d ix CURB a GIRT ORIVE SING I �asliLY ;:DE��.i �b 4.0'
GRAVEL
07 I 1 I -.46.5' O / C.B. 13'/WEST
I 0 0 -
`, „ I I o m POLE . ._
PBLE 0- FEW „ 433-71'
yR 6-0
EDGE OF PAVEMENT : S S 6 4 O'rJ O PATE 2 S 6 REF 1 O. -�V moi.
APOROVED /k/j Ate,- !../�, A
POLE TOTAL MAXIMUM BEDROOMS • U R
EE Y
ROAD ( S . R . 2 5 ) o icPt STI Rf OF APPROVAL
MAIN a...�: ..�.�.
�,of NFA,,..
�i44.• ,jall •
SURVEYED BY:
'' STEVEN BARYLSKI
III aid - Y; ��1` � N.Y.S. Lic. No. 050453
W,-;-, 41 MEETING HOUSE LANE
00410
alSOUTHAMPTON, NY 11966
. , AUGUST 11. 2005