HomeMy WebLinkAboutEngelke, Sandra SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3487 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SANDRA & GEORGE ENGELKE
Address 1: 5704 INDIAN NECK LANE
City St Zip PECONIC NY 11958
Descripton of Proposed Construction or Alteration
-NEW HOUSE AND SANITARY SYSTEM
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner SANDRA & GEORGE ENGELKE
Mailing Address 1 SAME AS ABOVE
City St Zip 0000
Property Address 1 SAME AS ABOVE
City St Zip 0000
Tax Map No. section 98.00 block 5 lot 1.430
Cross Street ROBINSON LANE
Building Permit Number Cross Reference:
Issue Date: 12/08/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
0,%pf SOii
ELIZABETH A. NEVILLE I '`� 4 `
Town Hall, 53095 Main Road
TOWN CLERK 4i * P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER 3 . f- Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �l�'C �� Telephone (631) 765-1800
FREEIIOM-OF fNEORMATIOIV OFFICER �U
•,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town'Building Department
FROM: Francesca Quintieri, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3643 for a Cesspool/Septic Tank Construction or
Alteration Permit submitted by:
Sandra & George Engelke
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.
Francesca Quintieri
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: 40,,
/SFS'
71/444
Signature
it 03A
Dated
J OFFICE OF THE TOWN CLERK ���"/'�•,•��
s
TOWN OF SOUTHOLD �;' C,�FFUL :.'_
ELIZABETH A.NEVILLE,TOWN CLERK �` OG Application o.l )
P.O.BOX 1179 !.= Construction
SOUTHOLD,NEW YORK 11971 Z
•
Alteration
Telephone = ,jjO �Q�;: • $10.00 -Residential ✓
(631-) 765-1800 1 l t ,,o' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.c4 3
Fee .$ 10,00
DATE Glf'i/bL
APPLICANT NAME: af—vj{' o. F.e1
0.12.1AQ,
APPLICANT ADDRESS:
SEPTIC CESSPOOL
DE RIPTIO OF PROPOSED CONSTRUCTION OR ALTERATION
NUb-e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: V'dA * Geo , L
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: 570 Todji
l' t t�
TELEPHONE NUMBER OF CONTACT PERSON: 73V-60(2/61r-
TAX MAP NO. : Section C Block DL.5 Lot Lc+c
CROSS STREET: VOCIOLCOfrl LL44e
BUILDING PERMIT NUMBER CROSS REFERENCE:
J F
Signature of Applicant
RECEIVED BY:'
Town Clerk's Office
•
DATE: 'Mao
-BUILDING WALL FF EL 14.85
SITE DATA 6/06
*RADE LINE ELEVATION 2 FT. *RADE LINE ELEVATION 20.5 FT. + SCTM 8 10004845-14.3
I
i- 14.
' PROPERTY: 5704 Indian Neck Lane
GRADE LINE ELEVATION 14.2 FT.
ADRESS PeconM,NY.
I' MIN. 2' MAX. 4' MAX. I' MIN. 2' MAX. I i ' i,A Nib
t '� OWNER: SANDRA AND GEORGE ENGELKE
83 CHELSEA/4"/FT. 1f7-1/5"/FT. �� r y ST �� GARDEN CITY,ROAD 11530
11 k
DIST. I/8'/FT. TOP OF POOL Ib.'/5 FT. PROPOSED k -L A" #
SEPTIC BOX 1-EAC.HIN6 1 U , t,t� SITE: 130,414.28 SQ.FT. =2.9939 ACRES �C
E+I T5?' TAPI( IE. +16 21' POOL BOT OF POOL SFT. �' 6 1
WATER LINE i w � (' �9' ZONING: R-80 0
J IE. +15.81' 1 , 1,. -1 h„'' SURVEYOR: PECONIC SURVEYORS P.C. >-
E.+Ib.TI IE. +16.05 M. +I'S 8'f' p WATER �� 117953 ,c, P.O.BOX 9091230 TRAVELER STREET Ca
'-0" I'1'-6" 6'-O" 5' MIN \ 1 g `/i SK SOUTHOLD,NY. 11971 Z Z
'' / �� LICENSE 49618
0
�i / DATED March 11,2005 F
SEPTIC PROFILE RESIDENCE P�, o
(N.T.S.) 224 1 , LOCATION MAP a
-/-74 z LII
mm Filii INDIAN NECK ROAD PROPOSED NEW SEPTIC SYS
FOR 5 BEDROOM RESIDENCE AND — 1
BEACH SHED, 15006AL. SEPTIC / 70,willt,,
/ .: N
TANK (ST) WITH A)4'DIA -' 1 0 %/, s ji� O F"
!ASTMS.PUBLIC DISTRIBUTION BOX(DB),WITH (2)8' \(I)
1 Z %/7i
WATER MAIN I I WATErt LINE DIA x 8' HIGH LEACHING POOLS ' a� - ,, /�,/„'j/ F-
I GONt�GTED TO %/�i-, QI ' o PUBLIC WATER MAIN �) WITH FUTURE LOCATION POR ������i
12 UNDER ROAD (U8 DI/4ME1ER x 8 HIGH EXP \ I a vow t ��� 0
, p LEACHING POOLS (EXP) r to Q
'/i Z
i :i,. 20_i _ /, �/ �,-A 42�, i� �j/�j,�” re z
(' DRIVEWAY /. , ' TESTL ♦ '\/ 11 ISTIN6 SANITARY c\ \ / W
1 • SYSTEM TO HE
N 8748'40"E to -; ABANDONED AND .A /1/Z/"A/// A nomminomm....
fI
FILLED IN WITH SAND
Z 141.18' / _ ' ' PROJECT SITE
"' � { PORTION OF EXISTING 0 % f ! -ANITARY LINE FROM BY MARK McDONALD '� Z•
..
q 0° STRUCTURE TO BE r--- ( 1 i
BEACH SHED TO TEST HOLE GEOSCIENCE a.
18 1%�` +14 F-11 RESIDENCE SANITARY SOUTHOLD, M• 1 s
11
k$ ' /'' � �� �/ i i� NO SCALE NEW YORK 11971
ill
ni ` i !% i%%fir% 4„ //, � � TEST HOLE DATA(1/27/08) ¶I_,"
W� i
1 y/�" 'j��'�, / ' //// ��I 1.0 FT. DARK BROWN LOAM OL W'
I I6,4RAGE jil
/// j
to `Y WELL =
q I vP.) { \\ '` .--' - _� �•••�a,e1 4.0 FT. BROWN SILTY SAND SM wm•
r N tt I �:' _8.89+ r' j
a e '
NA , r, ..9.zr y 0
N ` TO - i PALE BROWN FINE
I
m ��� _ �' `/ �� _, i__ AI TO MEDIUM SAND SP
PROPOSED i5 F Q: _ -418
18 17 FT.
` , I �/� _ 14 NO WATER ENCOUNTERED 1
--•-MED NEW SEPTIC SYSTEM f i ,.
WATER LINE FOR 5 BEDROOM RESIDENCE WELL I ��� �!� /� - 0
N I AND BEACH SHED, I5 6AL 181,<„,----- ♦ _�� — -' ( ; SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Prereri'0513
`, , • SEPTIC TANK(ST) WITH (I ' DIA �� ' T f
N y DISTRIBUTION BOX(DB),WITH IQE,51 1 ydr „,--
�� • PERMIT FOR APPROVAL OF CONSTRUCTION FORA }
(2)8' DIA x 8' HIGH LEP�GHIN6 124• I -ORTION OF EXISTIN* CHECKED BY:NS
4 POOLS (LP) WITH FUTURE
1 , ,•• 1STRUCTURE TO BE SINGLE FAMILY RESIDENCE AND
LOCATION FOR (U8' PIAI TER x 1 1: EX\g'C‘ at-- i g� ��� - (.9
3H4/08
8' HIGH LEACAN6 POOLS(EXP) .� •1"=50•'0"
® �f,�p�$ `� �i _� —00g
a \ SHEET TITLE:
alli
��N� of1 �Yjii ? �� aM0Ic,-1 t)ATE .�. F. O� SCDHS
�p�Ea �pWp,11 i �► roup-----ice APPROVED
N ��►r.,,_ SITE
5 yo Z�� ‘10 --
.os----
M 4,'' TOTAL MAXi8 UM BEDROOMS P ,'
�1 1 E,=
�- HOG NECK BAY EXPIRES THREE YEARS FROM DATE OF APPROVAL SHEET NO:
HOG NECK BAY . -------s----
'y g 75 V1 k Iqp