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HomeMy WebLinkAboutFilipkowski, Karol (2) o� %pF SO(j7, ELIZABETH A. NEVILLE �� 1%. l0 . Town Hall, 53095 Main Road TOWN CLERK % s l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G � Southold, New York 11971 MARRIAGE OFFICER . $1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _`= . OUtf 4,�,,I61� , 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. 3422 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : KAROL IILIPKOWSKI Address 1: P 0 BOX 356 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -SINGLE FAMILY DWELLING -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner KAROL IILIPKOWSKI Mailing Address 1 P 0 BOX 356 City St Zip CUTCHOGUE NY 11935 Property Address 1 75 TARPON DRIVE City St Zip GREENPORT NY 11944 Tax Map No. section 53.00 block 5 lot 2.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 4/05/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) � 1 •,,o� pF� S0(/r4ol ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK * P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l �ii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER CDU � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 0 TO: Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: March 29, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3577 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Karol Filipkowski 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: 711°C , - Signature 7 (...e.t,..4e 30 2 oa 6 Dated ELIZABETH A.NEVILLE - ,�ti`t `` Town Hall,53095 Main Road TOWN CLERK - ; - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS $ Southold, New York 11971 MARRIAGE OFFICER �. $ (631) 765-6145 RECORDS MANAGEMENT OFFICER `� �f� to ���� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 4 'I.�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 V or Non-Residential @$25 Application N. Permit No. Applicant Name 660L /P k O ) k Applicant Mailing Address )2C / 35"-C &`J.ok ft v 7/Q3 5" Septic Tank or Cesspool e../ _/ Brief Description of Proposed Construction or Alteration e / a . Location of Proposed Construction/Alteration: / / Owner of Property: (GYA02 7i/,it04().51 , Owner Mailing Address: PO Q(9X 3 iJ Owner Property Address: 75 lL2 I o/7 . Ir / 0/1-11 Name and phone number of contact person Tax Map No: Section 5"3 Block Q S Lot 02 Cross Street /7204/7 /qa . NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITR'HEALTH DEPARTMENT APPROVAL ' 67 3/2 9'O,‘ Sign�`atui`e of Applicant Date Received by[ C(�/JD�__-���„ 5CD/'3 ,2e1 SURVEY OF PROPERTY RI0"04-+0/0c AT ARSHAMOMA Q UE T O WN OF S O UTHOLD RAM RUNOFF HSE,PORCH 8 DECK = 2014 sq. 11 SUFFOLK COUNTY, NEW YORK 2014 x 0.17 x I= 342 cull. 342/22.3 = 15 VF Provide 4 ,drains 6'0 x 4 or equal 1000-53-05-02 SCALE: 1 "=20' NOTES JUNE 13, 2002 SUBSURFACE SEWAGE SEPT. 9, 2002 ( certificallon ) DISPOSAL SYSTEM DESIGN Ma-r.7 20005 (i3 a BY' JOSEPH F/SCHETTI, P.E. Max le, Zoos (rc,r+s �� HOBART ROAD Sept. 16, 2005 (additions) SOUTHOLD, N.Y. 11971 t-�, `''°" (631) 765 - 2954 HSE CAM"' e 4. EL IR Q�Q 10.1 _'-'- � r Mi PROPOSED SEWAGE DISPOSAL 10.5 sr 9.0 0/ ¢iceSYSTEM 6 POOLS, 2'DEEP S�r IYITN 3' CLEAN SV COLLAR fit w�t / .7-4 PRECAST C I• 7 E SEPTIC CERTIFIED TO: MOM. / TAA(. BOTTOM OF LEAC NG WM , / POOLS TO BE P'ABOVE KAROL FILIPKOWSKI SW -E S 2 GROUNDWATER FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK CROSS SECTIONArAfi SEPTIC SYSTEM SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY TE` \o ho_o`i- 6*%\ . iO H.S.REF.M0. Fc. APPROVb.ie^ ltto V.." 1 1"F` ` BEDROOMS EXPIRES THiI 1.W. ' --ZOM OTE OF APPROVAL ♦- . NDTES: I am familiar with -the STANDARDS FOR APPROVAL 404N AND CONSTRUCTION OF SUBSURFACE SEWAGE DISP❑SAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth -therein and "consb ZONE, on the permit to construct, � n 31o103CO159G IZ = ?Rol>, tot-7-10N The location of wells and cesspools shown hereon are LOT NUMBERS REFER TO 'MAP OF SOU7 from field observations and or data obtained from others. FILED IN THE SUFFOLK COUNTY CLERK AUG. 29, 1963 AS FILE NO, 3853, r.. PLANTING SCHEDULE / /V..," 0 11-Red Maples 10'-12' loll 2 1/2- 3" 25 gal. trees ® Oclober Glory 15- O.C.s FZ 9. "b rN '44'4, - Clelhra Alni(olia For Cover �F O 19Zr . F<<s, 4yo Cc y tots Lr �IR� 6�.5''3 . O� Co SS COMM 1 ,� ^ ® F wjryNNlTy j VC ti 0 s°. ® 7 6 & F ® Igg98' 40, ,�s',0 e '----,,,,,,.,.,, • 4° r Afry fk ceti, 'TM,' oePw, ,4, . ,a,a .NC) 1 ;"iv / .le, v 0,t 0 4\.-N © f% . fLSCR @i,r4 ^ 7,,.. 1 LL; ( $ �'" . '4 � ,,e, .Z4,9 MAR 1 0 2006 �1 -� �A6cAr , ms's, u 4;L/ '.- % e _! N' <7,Le". 04 J�'' r i v TEST HOLE I .� 5 N^ 6/06/02 BY McDONALD GEOSCIENCE 3�� 4.-• • �" Q ` �,� b ei 12 2 BROWN CLAYEY LOAM OH +V r./\�j •X v PALE BROWN FINE SAND SP \ c� . (7 eel 5 7 WATER IN PALE BROWN FINE SAND II) I WATER IN BROWN CLAY AND O .ISOOO' e(/'! SANDY CLAY CH & CL or rez.r WATER IN PALE FINE TO MEDIUM 57' SAND SP FZ /�3 : n- ,N X4/1 N.Y.S. LIC. NO, 49618 rV,q ECONIC S "VEYORS, P.C. CANT) (631) 765 — 5020 FAX+(631) 765-1797