HomeMy WebLinkAboutTapp, Robert ��,o%pF S01145,
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ELIZABETH A.NEVILLE • '`O l0 • Town Hall, 53095 Main Road
TOWN CLERK * * P.O. Box 1179
c/> >c Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � G @
MARRIAGE OFFICER I �� �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER w, /� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER . 'UH ,+ 11 southoldtown.northfork.net
'%�... 01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3446 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : TOM SAMUELS
Address 1: 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
-ABANDONMENT OF EXISTING SANITARY & CONSTRUCTION OF NEW SUFFOLK
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ROBERT TAPP & NICK ELLIS
Mailing Address 1 P.O. BOX 1064
City St Zip CUTCHOGUE NY 11935
Property Address 1 275 WEST ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 110.00 block 7 lot 11.100
Cross Street PEQUASH AVE
Building Permit Number Cross Reference:
Issue Date: 6/08/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
11'0 S0045,- -
ELIZABETH A. NEVILLE I
AZ.", Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
co Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER .OGO 'l"� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER UU�`I'1+ �, southoldtown.northfork.net
'%i. . 01 I,
1\103 I r r y.. OFFICE OF THE TOWN CLERK U�
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3602 for a Cesspool/Septic Tank Construction or
Alteration Permit submitted by:
Tom 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
00,
Comments:
2tCal/Ilfatief
Lj
Signature
St$
Dated
OFFICE OF THE TOWN CLERK a ICIO UIZA:- //\�� \71
TOWN0FSOUTHOLD ,���� Ql/ Application No.�`7
ELIZABETH A.NEVII.IF TOWN CLERK O •
cf:
P.O.BOX 1179 ; •L • Construction
SOUTHOLD,NEW YORK 11971 : = •Z
•I r Alteration
Telephone ;_v* 0��0• • $10.00 - Residential
(631) 765-1800 t � f'
„.,,o,,,, $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRI
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 613076 ,
APPLICANT NAME: ../// ��,/yy7WS
APPLICANT ADDRESS: o�5Z36 //q/A1 le-p -
._
` rCWo6-v6, Ajr� e
SEPTIC V CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /441,,Omi/fre-A0--
of &K/5rfAI6 SkrT/Z 'r co,GS7`,/c(C77D•V /0570 SrS(
6-111
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: .
OWNER OF PROPERTY: Pa� 77i,PP e /j//Cly E-Z(1S
OWNER MAILING ADDRESS: ,O6ak /C 7-&fft, 6lJt
•
OWNER PROPERTY ADDRESS: Q75 Gwzr- 0,e4c ee7e
TELEPHONE NUMBER OF CONTACT PERSON: Z - 4(0
TAX MAP NO. : Section il0 Block 07 Lot //c
CROSS STREET: 1 Ec 7U45,' � O6:77
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ille .goclift,
Signature of Applicant•
aRECEIVED BY:
own C erk's Office
DATE:n\jb
SITE DATA
�l SCTM # 1000-110-07-11.1
f e' G �.f, G PROPERTY: 275 West Road
EXISTING �• ADDRESS Cutchogue, NY
PUBLIC WATER i METERHATER �. �. ' OWNER: Robert J.Tapp & Nicholas J. Ellis
• 1 k SITE: 20,924.79 SQ. FT. =0.480 ACRES
AREA W
'` so 4 , ' ZONING: R-40
s NEW .•----•. i• WATER - OP HO Z
41 Ay,
LINE r w., 1 W Z
rEXISTING i•--:•--• i• Q LLI
J+ rt WATER LI JOSEPH A. INGEGNO m
16 7 1 .0...
o„ - f SURVEYOR: O BOX 1931 CO Q
�•b �° / RIVERHEAD, NY 11901 W V
/ f LICENCE NO.49668
f f fAi;� DATED: 12/22/98 v
�� i, , y EXISTING ONE STORY Cl) G
_
54 L.
- . Ex15TINb �`, FRAME HOUSE TO REMAIN LOCATION MAP J 04
re
� -PARKING / N/O/F PEaUASH �' �{n, s .� •
RECREATION GLOB, INC. N
�`� AREA .� t3�7IlIi4 �,Q-L. 3 ''� : to ( LLJ
EXISTING SANITARY SYS ,; VACANT (PARK) "'� +.`� �t ISE t'i ` W
(LEACHING POOL.) TO BEE ` under tdrive )+ VO
ABANDONED AND FILLED IN 'o� aA .
.1%* N
WITH SAND AS PER 5GDH5 ... ..._
IG SYSTEM a 4. a. N
STANDARDS N/o/F PROPOSED 1000 GAL SEPTIC TANK WITH s:`,• �Q-a Q
MARSH ST - ""� .,41.,..\\*
PUBLIC WATER? y *I • N S' DIAMETER X 12' HIGH LEACHING POOL �: a$
WITH FUTURE 1.EAGHIN6 Pool LOCATION
,s.;' ,t .4ci,
w \�. / cQ, >y,,t sew �l ....)t..-7-
(
uly . " '. N2 �� f f
,,
NEW 6RAVE1. �� ��� NO LE. GHINGEXI5TIN6 WELL y� ��� .�z•
PARKING A
It it\
����� E iooLS wiTHiu so g� �� ��
/ � 72.4#
FEET t'e jq \ f f —A 2- 44 g
EXISTING SANITARY 5Y5 `�. � �V 1 t GI T1 �7 W =u.,
ABANDONED AND FILLED IN �'lbw� s(LEACHING POOL,! TO BE /� FLEETS NEC } � ) W•SWITH TAN SANDS AS PER SCDHS D 8 ' I • �- PROPOSED NE 11 Ig2O of w y:
N/O/F -} 1 , TWD STORY 3 BEDROOM ____
RESIDENCE
.LIG NATE- SUS L K CC r.: *5:11".;-,r7 ' 1- CT. .t.t T
1�f'I'L16 ' • ND�1G \ / 7/,\ �, L .e� :� ! �' r �,f�,� T�e .�t:'1�I".ri ESS !'f`��: a r ,1` ra :' 04. iY
EXISTING WELL--- 22.o+ i s �,/ EXISTING TWO STORY S;:\,'rL FA:,:l...',`;; 'Lf'C'.•7 F ' '.:.1
J.htA "' A,
-- , /
�/ DE MOLE TO DEMOLISHED
/ffd� EXISTIPI6 BULKHEAD , 1= C j�-( ?w'.i . .. , g4 .
-1 CICJ �%5' I'KUJt(:I ND'
�IkAII4‘.$,Ilt� TIE LINE ALONG APPARENT /
_, „„..----<---,- !O• HIG 4 WATER MARK Ar I i:u 1'c l Ste+ �, _ - . .• - UT
y /% , ‘i CRECREITTIr—
/ J�� TOTAL MAXiiy`i vi rEI;riff C aDATETS
0---,--,_____;..---__- � / -.1Z „ 9 �, 4/14/06
TEST NOLs DATA ' �S EXPIRE THREE'MARE FROM DATE �'
(TEST HOLE DUG BY McDONALD , t4>\-
y :,, ��a�r APPROVAL ¢:
GEOSCIENCE ON DECEMBER 12, 2003) 41-1.-k \\°.\�aA�� rl ��+tt i t f: �
Irry • 05, DARK BROWN LOAM OL s-°>- -Is
• �0`� S P iC 'PFt L-L SITE
�� BROWN SILTY SAND SM 4 bk
.. A 2.5' f/S 6 .0 � CUTCHOGUE PLAN
.r•:::.. f HARBOR
• • 'Htt 1 NO.:
•
PALE BROWN FINE
µ'.'.:. TO MEDIUM SAND SP NOTES:
. . SITE PLAN 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM S fl :1 C3 8 I I WW 9001
;• EXISTING ELEVATIONS ARE SHOWN THUS: 5.0
ti•'• 17' SCALE: 1"=4.0' EXISTING CONTOUR UNES ARE SHOWN THUS:— —s— —
S:?3IM33 i-H11V3H 1
J. I Nnr,n vin 4. ,,
Cl AI:30-q8