HomeMy WebLinkAboutLaube, Gary (2) 0 Jo ApF SO(/ryo
ELIZABETH A.NEVILLE � 'lam 4 Town Hall, 53095 Main Road
TOWN CLERK:
P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G Q �
MARRIAGE OFFICER �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER l 0.° Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER COUNT '( .���g� 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. 3458 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GARY LAUBE
Address 1: 310 ACKERLY POND LANE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
-NEW CESSPOOL
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner GARY LAUBE
Mailing Address 1 310 ACKERLY POND LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 575 ACKERLY POND LANEQ
City St Zip SOUTHOLD NY 11971
Tax Map No. section 69.00 block 5 lot 10.000
Cross Street N/A
Building Permit Number Cross Reference:
Issue Date: 7/19/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
E.-3- )
���� --.
�,,�o*11 pF Ski=
_ ELIZABETH A.NEVILLE '` O : Town Hall, 53095 Main Road
TOWN CLERK l 4[ P.O. Box 1179
N Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G .
MARRIAGE OFFICER �O�1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER tel''`, �A ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER UJ %i, ��0.1 southoldtown.northfork.net
f • OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: - Southold Town'Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: July 11, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3613 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Gary Laube .
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: .� _._ 4111111... .
/_'-
2 -fr.‘e.,....._‘;‘ ,/
Signatur
/.2_, -10,a
D ed
,•°�,oi0OgOFFO(,�co
ELIZABETH A.NEVILLE - Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t 1 Southold, New York 11971
MARRIAGE OFFICER . 1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =y 700° Telephone (631)765-1800
FREEDOM OF INFORMATION OFFICER O'� 41 .14)700°
.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 / or Non-Residential @$25 Application o. '1%4A\2
(---OLLLLS2.- Permit No. c
-
Applicant Name Ga,"(
Applicant Mailing Address 3\ \ �pls cJ w 1� 63 I
Septic Tank_ or Cesspool 1\\42_,\
�
Brief Description of Proposed Construction or Alteration w
Location of Proposed Construction/Alteration:
n
Owner of Property: ` 9c„V
Owner Mailing Address: 3j6 i\-ckesA
Owner Property Address: 5 tha4,4
Name and phone number of contact person
Tax Map No:) Section lo Block hS Lot ( C3
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE % H HEAL, i DEPARTMENT APPROVAL
Sign. e of Appli►>" t Date
Received by:
1
—N CESSPOOL- EDGE OF WETIANOS
I\ /
VACANT ,
•
DWELLING
APPROXIMATE FOUND
WELL LOCATION CONE. MON -
SURVEY OF PROPERTY
uTu.rl' POLE #14 —� SITUATE AT
E RHEAE-WINES--
SOUTHOLD
ACKERL POND ROAD TOWN OF SOUTHOLD
9 (BOWE''
y�.LANE) SUFFOLK COUNTY, NEW YORK
'mss E\ 66.00'�E�E PAVEMENT S.C. TAX N A. 1000-69-05-10
N. 85'35 00 SCALE 1"=3O'
\ HEDGE ROW MARCH 4, 2006
/ ��
FOUND APRIL 19, 2006 ADDED PROPOSED HOUSE
/ ....r , CONC. MON.
. y
OVERHEAD 227't
_FOUN'1.�• (-wiR /7!
AREA = 1 1,048asq. ft.
Cid hv,iiori o Y 1.7 i z .. . CJ
1 N
i K I 1 ;t sroRYIsnNc
WFLL ,�� CERTIFIED TO: APR
II ti_�° REMOWo) �"NDO n Q COMMONWEALTH LAND TITLE INS RANCE COM1'AOY 20C2 I ;I 1 "� N GARY LAUBE , �+
1119 1 iiiTi.. ...:.-•:•:•4:•,••::•:.::. 1 w11 /o
':.:::- NOTE:
q 1 4a � "� _' 6. 1. ZONING USE DISTRICT: AC (AGRICULTURAL CONSERVATION)
`d ° ' 9`` 0 2. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
/.-'C�POOL 1 •- - .:- : . 1::::::::::-
:-:: ' '°L EXISTING ELEVATIONS ARE SHOWN THUS: IG.D '..
_ TEST HOLE DATA
I 1 n.`�.� 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
INS„... 92' 1 :18'•. ---.%-.16,::::.::::::.::::: :i:. / CESSPOOL EL. 17.2' r ,_ a
e t ► ••• -:.";•,•.,:..:.;t
.'•.— W I` _/
MIXED SAND & LOAM 1 TANK; 8' LONG, 4 -3" WIDE, 6 7 DEEP
__XE 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
ZS
ti, I =.= 2 POOLS; 6' DEEP, 8' dia.
1 k 1 147
o ,��...,,,e. PROPOSED 50% FUTURE EXPANSION POOL
L.,
/ p� 012 A:: - :::. PALE BROWN FINE
4 lc;IN y 11111 ff ' TO MEDIUM SAND SP /, PROPOSED 8' DIA. X 6' DEEP LEACHING POOL
p
I b I - D't aft 1%; /� PROPOSED 1,000 GALLON SEPTIC TANK
' " 1 i = it/
SA7> E EL 4.2'
1 DISH SNAi3 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
1 8 - OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
I 1 ' ' • PAS IN
R 6. EXISTING SEPTIC SYSTEM TO BE PUMPED CLEAN AND REMOVED.>-1Qi PALE BROWN FlNE '11 TO MEDIUM SAND SP8.I gW I PREPARED IN ACCORDANCE WITH THE MINIMUM
I fit 17 STANDARDS FOR TRLE SURVEYS AS ESTABLISHED
gl v' p 1 W7 ': Gj FO N., ..r ar MID ATOPTED
ielQ O� FOR `��y �. YORK SfAtE LAND
tJl �J fII \�'F. V :7"-;;;;If;
Lt\ (i C 1 I Z
'1 i ' SLZ,�'�.;C'TIiN'!'' ?APT �. tAL.['Cti. ( * .� _ '�{r
0IM1it` vlA f ��1
APPROXIMATE
1 .' s f ' �h�,C t' a 1* 3 a N ' ' 1
WELL LOCATION 2 1 ? r .— }.?� O
Das t ; N A�»w .T_ f �.L'L«1� t "a Cyt,: cFl3�. s 50467 d
1 b ""�� N.Y.S. Uc. No. 50467
1 .7 1 y -?.� �o. tr �r0• R ° 003 ! UNAUTHORIZED SURVEYOLAP OF°N �A-
• ecuL� '-`' i I SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
• sII 2.Dyy ARE , r..: r �.. ''� ,►,E °R Nathan Taft Corwin III
1>~ COPIES of THIS SURVEY MAP NOT BEARING
w , • .�J d N. L,
N 79'13' F L., 7!!t ski iiyl 't ` �< TG° TR�P"°TY BE coNswEnEo
0p„ i w Land Surveyor
0, W J O'S. ¢ x
49.0 { w ♦,F.,`E"T I{ � i�1A'y I I ` ((J d ONLY TO THEs EIDON F HEREON THE S RUN
N/0 1 `,w , "V►/t IS ONLYPR P Al DON HIS WHOM
F WF 10 SURVEY
C2.4�� /F e, TIRE COMPANY.GOVERNMENTAL AGENCY AND
AND0
SON --- - : TO THE ASSIGNEES OF - 992 Roanoke Avenue
WTU110N.CERTIFICATIONS ARE NOT TRATTSFERABLE
E
"O `" Riverhead, New York 11901
�CESSPOOL THE EXISTENCE OF RIGHT OF WAYS
•
1 — / AND/OR EASEMENTS OF RECORD. IF PHONE & FAX (631)369-5473
WELL`---- ANY. NOT SHOWN ARE NOT GUARANTEED.
GLAUt !.