Loading...
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