HomeMy WebLinkAboutBuccina, Kevin (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3500 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : KEVIN BUCCINA
Address 1: C/O RIVERIA
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-NEW CONSTRUCTION OF SINGLE FAMILY DWELLING
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT.
Name Of Owner KEVIN BUCCINA - FRANK BEISER
Mailing Address 1 4158 AMBOY ROAD
City St Zip STATEN ISLAND NY 10308
Property Address 1 HENRYS LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 74.00 block 1 lot 4.450
Cross Street C.R. 48 - SOUND AVE.
Building Permit Number Cross Reference:
Issue Date: 2/02/07 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
'ISI• le„
QF 5002,
ELIZABETH A. NEVILLE / \O l
� Town Hall, 53095 Main Road
TOWN CLERK * *; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N Southold, New York 11971
MARRIAGE OFFICER -
OQ ��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �0 ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `�yCOUNTYsoutholdtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD J/7
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 22, 2007
Transmitted herewith is a copy of application No. 3657 for a Cesspool/Septic Tank Construction
Permit submitted by:
Christina Rivera for Kevin Buccinna
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
Comments: '� "0"_
Signature
e)//30/07
Dated
11
o,,0S11Ff0L,�coG `
ELIZABETH A.NEVILLE ��,I/y`� y ; Town Hall, 53095 Main Road
TOWN CLERK ; p ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER O Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -11//), 0N* Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =?-4 4 1a-,0 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 Applicatio► . 1
Permit NI
Applicant Name �e.J r %i[/ CC ; 41
pp /
Applicant Mailing Address >4,.61 a2 > - 1
A4-/-7—/ / / 7 1 z---
Septic
Septic Tank -or Cesspool
Brief Description off71 .Proposed Construction or Alteration
6
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Location of Proposed Construction/Alteration:
Owner of Property: Ate.,//N L` . ' ;q - f"j'1 , 71-<C F
Owner Mailing Address: i11 ���' /) p" 17e
Owner Property Address:
--� /7i J 1-4/2
Name and phone number of contact person L24,r �-;/G -34r(7-e),)-2
Tax Map No:/6 c, Section 0 7 y Block 0 / Lot e 4' /,
Cross Street �� i�F- �� �
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
X9-'7‘
( ature of Applicant Date
A ,
Received by:
SURVEY OF
LOT 4
IN
MAP OF PECONIC KNOLLS
SITUATE
PECONIC, TOWN OF SOUTHOLD
------------------------------------- L '° SUFFOLK COUNTY, N. u,
i._. -n
- - - - - - - - - EL 37 SURVEYED FOR: KEVIN P. BUCCA A o •
—� -----4f'IPEe-tfg-1}1 --_ — ------EL 35 �FAITH BEISER + r
INV SEPTIC INV ' LEACHING0' MIN.-
EL36.1 TANK EL35.6 IN
EL35.4 POOL . g: C M
14'_16' -r— 5 REQD. ,-- _ __—EL 34.5'+/-
G G'
------- - Y
-- —
EXISTING GRADE r I GUARANTEED TO: ..
/J KEVIN P. BUCCINNA 4: --C.
`" GROUND WATER FAITH BEISER C:
4' \ / r— 1 EL 31.8
_________ i( EL 30
— — — — — NOTE: ELEVATIONS SHOWN HEREON
ARE IN ASSUMED DATUM.
NOTE: REMOVAL AND REPLACEMENT OF UNSUITABLE SOIL MUST
SYSTEMPROFILE I I BE DONE PRIOR TO HOUSE CONSTRUCTION.
UNLESS OTHERWISE NOTED, FRESH
WATER WETLANDS LINE WAS FLAGGED
NOT TO SCALE Y I I REMOVE AND REPLACE UNSUITABLE SOILS TO NATURAL BY EN-CONSULTANTS, INC. ON
SAND LAYER USING SAND OR SAND GRAVEL. 3 DECEMBER 2004.
LEGEND: SURVEYED: 15 DECEMBER 2004
t`tSFQQROFE�fi#J' S - SEPTIC TANK, 1000 GALLON
FENCE ON WALL . O� pt1C K F'� SCALE 1"= 40'
S VI, L - LEACHING POOL, 8 FOOT DIAMETER,
WHERE SHOWN - " O 00 2 FEET DEEP (6 REQUIRED)
�` Q4 ", ,- E - LOCATION OF LEACHING POOL EXPANSION AREA = 40,042 S.F.
� � = GW - GROUND WATER OR
f
0.919 ACRES
f1Alp
EL 37 1 / ` �g959 iE�►�', ZONING = R-40
yESTAIO •
#40,6~ (1)
I FOR SCDHS USE ONLY FM# 6607
#4412~ DATE FILED SEP. 29, 1977
j a34.5 + -
TM# 1000-074-01-044.5
1 74otz~`
W Q
-------------:
183' 16H-8"--I S 0
U) 0 >, J a,
CONCRETE EE Eo o $
$
t SIC WALL SECTIONo A o
NOT TO SCALE Z Z r •
1 ° 0 a ON`••• cri 0
1 W o E z w�l q4 CO it
GUARANTEES INDICATED HERE ON SHALL RUN
�]\ 0 IS PREPARED, AND NLY ro THE SON HION S BEHALFTO THE WHOM THE
ai w 7771.E COMPANY, GOVERNMENTAL AGENCY,
4 T/! LENDING INS777U7ION, IF LISTED HEREON, AND og
"4( , TO 771E ASSIGNEES OF 77HE LENDING INSTITUTION.
t W O �'+ ADDI7770NAL INS777U77ONSORANTEES ARE NOTSFERABLE SUBSEQUENT OWNERS.
r Q aDri �7
J,
a 't4-1 UNAUTHORIZED ALTERATION OR ADDII7ON TO THIS
2i
1 ry SURVEY IS A STATEN SECTION 7209 OF
fI:4 7H£NEW YORK STATE EDUCATION LAW.
�t C� COPIES OF THIS SURVEY MAP NOT BEARING
.�+ �V THE LAND SURVEYORS EMBOSSED SEAL SHALL
►.5 I `- Ei
NOT BE CONSIDERED TO BE A VALID TRUE
{ O W ,_+ 04 COPY.
11
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SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFF. K. N.Y. 11956
631-734 83
,%/.. . .
4. 25 MAY 05 SHOW REV. AS PER EN-CONSULTANTS. `
3. 16 MAY 05 SHOW REV. SANITARY, FENCE, DRIVEWAY. —S—E—
ND SURVEYS
2. 20 APR 05 SHOW PROP. WELL AND SANITARY MTA. YS Lic. No. 49273 04R 1375-1
1. 28 DEC 04 REV. PROP. HOUSE LOCATION, /5FEB05
i
VACANT LAND FOR MORE
f.
N/F c,w+roN/F WICK AM o THAN 150' FROM PROPERTY LINE 1
N/F CMPoL' iF
PROPERTY LINE /1Q
/// PIPE FOUND
EL 30.19 4 i f1.2&46 _IEL-38-15-----1-1P/P1:01::'d—
Q 4, ASPHALT PAVEMENT
HENRY'S //// LANE �.91 R=S51.13•EL 30.38
t/ �q 7 ' N54'52'40111.,S 54'52 E 171.00 237.16' "45'1 ' - - - -- I'
:11,
0
rat�PrF w— n9 5 NINV [,,
NON / ��— — — — Hoar OF TREE N44'S0'00"E 3j57o•0'W EL36.4 f,
11A815 GROUND CLEARING.DISTURBANCE 25.00' i.
.If) (10 8E co,wt D WON PROJECT- N45.10... oO (C� _—_
In / 'MING
PENCE E HATEMIES
PR 70'TO s • J
PROPOSED ouRUNc co,+srt1uc11oN). CESSPOOL 10000. 47-•S 14'
1N WELL / z ; .
cEssPooL /65'TO
1. — .
\ I°° di N SEW/60
►S :,~;
W 1- / �O
)**''''' I-1-1 / o� •/ /
0 p'i / /
^ H
LO W 4c` ��° W
O (nCC
as �O\� �/7 to z
� E'XAVATION INSPECTION REQUIRED
/ G� oo telDRY WELL
_,„� /o' ;�. 20=- F• OR SANITARY SYSTEM
/ 14'TO WELL
�,� i �0�' %� /• PROPOSED + BY HEALTH DEPARTMENT
I :_ / ...if"), 3,BEDROOM 0
e �° / _,,,
7 ' 2-1-STORY o L
t ..-• srlowm RESIDEN
WELL 120• �- / c 1. .S\1 t'm de„r;- y syr ,` ;s P tarc�.c�
I b ' C3v fir- PIS rov 5eiu!c- stta�P.
f
tn
•
•
.. PROP. sr
/ N1 O SOIL REPLACEMENT
/ ,os / 4 O AREA. SEE NOTE
P •� 10 I " 0 -
PO
z //
/GONG PROPOSED FENCE T \ 1 - / /
3—#4P----! �5
woN !F 1 II 3.0'
H k
N 53'39'50"W 171.04' \. o -
LOT 7 N BLUE HORIZONS SUBDIVISION /
FM# 74, FILED SEP. 30, 1985 / \ {+
DC7
ACANT LAND FOR MORE • I.
/ > OG �i\ R ETAI.
THAN 150' FROM PROPERTY LINE 0/ 0 ��•R-•0
Gf;
FRESHWATER WETLANDS BOUNDARY Ol` � <v� /
STANDING DELINEATED BY EN-CONSULTANTS, INC. 4 _(-)-1(v<(/• • 1
WATER ON DECEMBER 3, 2004 + 0 ‘,9 I.
J(</ / {
TEST HOLE BY McDONALD GEOSCIENCE
SOUTHOLD, N.Y. DATED 12/17/04 I.
ORIGINAL GROUND
— — DARK BROWN LOAM OL
——2s$R WN SILTY SAND SM
WATER IN BROWN CLAYEY SAND SC
E--6'
1
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WATER IN BROWN AND
SANDY CLAY CL & CH
— 45'
WATER IN BROWN FINE
TO MEDIUM SAND SP
— 51'
AL