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Schwartz, Mark
11198/ SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3991 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MARK SCHWARTZ Address 1: P 0 BOX 933 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-10-0035 FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. Name Of Owner THOMAS & MAUREEN DOWLIN Mailing Address 1 1200 BROADWATERS ROAD City St Zip CUTCHOGUE NY 11935 Property Address 1 1200 BROADWATERS ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 104.00 block 9 lot 3.000 Cross Street WUNNEWETTA ROAD Building Permit Number Cross Reference: Issue Date: 11/03/10 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) l , 0'�pf SO(/lt;— oo - �A o ELIZABETH A.NEVILLE,RMC, CMC I 'tom l0 : Town Hall, 53095 Main Road TOWN CLERK ; lig 41, P.O. Box 1179 cc, Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS ; G Q ,1 MARRIAGE OFFICER 4 . t1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER %: l ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER -- COUN1L ,.,.� ' southoldtown.northfork.net OFFICE OF THE TOWN CLEi ` EC � (� n� GE TOWN OF SOUTHOLD I l� lj v NOV - TO: Southold Town Building Department BLDG. DEPT. FROM: Carol Hydell, Southold Town Clerk's Office TOWN OF SOUTHOLD DATED: October 29, 2010 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3991 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for Thomas & Maureen Dowling . 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. Carol Hydell * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE 7 DISAPPROVE Comments: Final approval required from the Suffolk County Health Department ,,,,,,,, ,,4_ Signature ///)//C Dated 4 ,,,,,iii ,I',�o�OS11F f0�,�440 ELIZABETH A.NEVILLE 1 4y`; Town Hall, 53095 Main Road TOWN CLERK % p . % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS W Southold, New York 11971 MARRIAGE OFFICER . O .1C 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER *'‘.4-__79./ a��•0 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER " '� �s'� 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 7or Non-Residential @ $25 Application No. 3 '' ' 9 I Permit No. 5.- Applicant Name n14-ie-ie V .- Mc%Irz T- .._ Applicant Mailing Address f a 66,( v.3 1 Cv-iG (ic. 11 ,1 3 f Septic Tank V or Cesspool P` Brief Description of Proposed Construction or Alteration A/c:6U J'lr./t j e.ti Location of Proposed Construction/Alteration: n Owner of Property: 7f-1rft7kJ ti /(1f1-til2c Doh, C. frki Owner Mailing Address: ( -o IS/2-Vj.q i)kV/Tr/2r /20 C7 076 4Al 11. 5r Owner Property Address: Jj4J Name and phone number of contact person ' 1 420kl J f dG�'rfi2T 7 'y y/it Tax Map No: Section ` O' 0 Block /0 4- Lot dl " "3 Cross Street LO 01,1) 0-- 4_ RA NOTE: LOCATION MAP MUST BE SUBMITTED WIT APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY H 'ART I. AP ROYAL vi ) o OS ko- Signature of Applicant Date Received by: CI( REVISIONS: -750.RAMS ~ HEALTH FR SEPTICDEFT. 06/0412010 l R . 0B/23R010 SET / 1.OT 254 \ \ (DEVELOPED) 111ti ' �} �\ ` PUBLIC WATER i,l(i �`` ��`��� (1'L' 1 ZONE I ao E%IffING SEPTIC SYSTEM ZONE 20NE �dp,+' `�� TY X TO BF REMOVEDff0. 6 LINE SCHOS REQUIREMENTS 12 10 g LINE N']°54'50"w 423.45' m S ' "� ?+� 16 14 18 20 UPL I • 1 EL.17.0' ii uL •IE 20 ` N DARK BROWN LO •L;- oNo II ................____ RIM 1 MO"Igo till � 7 co 1.0' �r -. ,,„ ""`"a"'""1°" �/• I .0 Z BROWN SILTY SANDe.,,,?..„.,;..,„,... N _ ` � �I BROADWATERS (DEVELOPED) ° , 1.;. y '//�,l''' ,',7''/ 1 r j/�C'7:.. • . � COVE EL.14.0' 3.0' SM A P;y $``U' V h PUBLIC WATER �lrasa-BBQ I % �i�` l• �� /� °, • �-"' II � SJ: BVHEAD • f •P.g .fj ld 16 .LL`o��. �1 O BROWN FINE TO MEDIUM SAND �O� s dab Sp ZONE ZONE 'q>.� X LINE 6 ZONE 4 S 3°30'0"W • a yhO j'.. 9VIA 385.00' 4:'h LOT 252 RETAO.IN4W N �1 •P LOT n �,,,,6 En O_ LOPED) ti> SITE DATA PEPLIU WATER `"'' \, PERCENT COVERAGE°' ESTANTED ESTIMATED Q d Y' .orawwwoww,wwm• LOCATION: AREA SOUTHOIDTOWN ENT AREA. FILL: �W�Yyy A R FANO i DEC ADJACENT AREA�i Excavation inspe •0n B \�s w ACTUAL 7.L7650 F{ �yl 0 4\ WATER ULIWEAOED) •,656 SO.FT. EL.1.5' A -8016 SQ.FT. 15.5' w cn PROPERTY SBUILIAABLE) 11944 sQ.Fr. WATER IN BROWN FINE TO MEDIUM SAND �y a For Sanitary 5 £Cid DFKTING HOUSE: 1493.1 SO.ET. 5.3% SP EL.0.0' 17.0' / - FX HOUSEPORCHES: 75.9 SD.FT. 0.1%ITORERQ7JL7 3 N.YD. O j IX.GAJIM.FJAPARIMENT: 467.6 SO.Ff' i.7% WATER ENCOUNTERED 15.5'BELOW SURFACE SnHealth �; , A n2 FX APARTMEM PORCH: 37.4 SO.FT. 0.1%(TO REMOVE) • S CU.YD. (T� V 1 EXISTING TOTAL: X0547 50.FT 7]% E-1 E•y PUBLIC WATER - - U•4.4 rt HOUSE ADDITIONS 943.0 5Q.}T. 3.4% - 110.0 CU.YD. - PROPOSED 1CI�ENEO PORCH ,19.9 SQ.FT. 0.5% S CU.YD. • d omo, ,R1S1fOSED COVERED PORCHES 100.6 SQ.FT. 0.7% ,CU.YD. - TEST HOLE DATA a /7,� PROPOSED DECK 644.3 SQ.FT. 1.3% 1 N.YD. \i%//./////.///. • PROPOSED TOTAL 1917.8 SQ ET. 6-9% Q DATA SUPPLIED BY: McDONALD GEOSCIENCE w PROMLEPFI� y n 1 BOX 1000,SOUTHOLD, NY 11791 (631)765-3677 O 150 RADIUS M#Iona-io -S, - E%SONG DRNFWAY' H1.050.R. 6% c T y3 E OS TING WAIJ WAY: 147.0 f0.FT. 0.5%(TO AL E0.) O NORTH POND ROADFLOOD ZONES FROM FIRM 36103[1644 (BEYOND 150'FROM EKISTING SANITARY Plink (TO REMOVE) 150 N.YD.150 N.YD. SEPTIC) PROPOSED SANRA0.Y SYSTEM: 300 CU.YD.`:00 CU.YD a TOTAIS MOf MLU,DWG 3“..,-- 13.9% 594 N.YD.450 CU.YD D SURVEY T BECONIC SURVEY°"P.C. DNEWAY O0.WAIJ(WA1�:aer { l3 8e 1000-104-09- SURVFE1 ( [y„4.: . . CTM#�7 DATED:OCTOBER 33.7009 Suffolk Ccunt QST Be Inspected{��cted g I Call 8q2-570-Y Ue�i. Cf � a. �, r Y TIt� Xwa1tJ1 �, F vices. A 4o riOtir n -I a © Scned�l Y. t,.�, �� t��e TE PLAN z ig • ----- t; yam,,._ t�. f.--f7, .-.L:7. . L v,-{ `::::...::.::.:-..:'..c.:: C.::'-:;:f" oz z Y ref..�:•Tj iiF '4 - Abandonment of existinE. ` . I N """-=•-. .._:. „ . _ DCT 2 2 2010 aar conformance sanitary system must �.. with /� C°rnpieted fo de art lent r gwme S1 1 �� s q'' �'T }'=J I �� 'S wi P m e >� ►O i,N �i ' s' .� +I. 1 I i I L t L:'4 r~ D M -.__ • k K !.. ....., �:: _......... SCALE: Mkt/�5 r 10B Oh i .f •j.......•........._.- i s/-I , I September17 2010 .� .. >r. ...... ........_.. •__< 1f 1 SHEET NUMBER: 4 4'E. ( ' • r � � JCc �! S-1 ZONEII) if 1 ` TM, 1 HEALTH 06/04/2010 • DEPT. EXISTING SEPTIC SYSTEM " ZONE s 09/23/2010 X TO BE REMOVED PER ZONE SCHDS REQUIREMENTS 10 8 LINE 6 LINE 4 ( 18 16 14 12 20 _ $Ik imi (4,..1.•-• 401•:,:3 in VarL.14) ,,,,.../ 0 EX.ASPHALT DRIVEWAY 46 1 ' EXPANDED DRIVEWAY TO BE CRUSHED STONE •0.�T Y- , ® c::::"a i GARAGEt. " T� �' o IN6.FC8751I o1)tfIDE WAiC 7 H 111 EXPANDED • ' ' �• U �^ DRIVEWAY �•• � ' 1 g _ r? a m �Wt(fb.�' 0 / 20' 'Q ttiii; saR 4 ii // i 2STS3RY n PROPOSED / ,,, Ly��'v : j '��� V cr) ZAY p PORCH �, �✓ ���/ ;HOIYS <��///� 1H2.6' e.,� 1� _ ROPOSED x �A� �. DECK • 4 23'Y Dc'• rI "ROPOSE� m �' �� • - ti E.P. ••BCNESTONE W KWAY /// w �, • � ` n( i SCREENED• r/jO�. „W1dM, PROPOSED -� I EST HOLES ♦ P/RCH i�/ .�.,p';Ail"4 Z O e E ZONE NEW SEPTIC SYSTEM %• /�/� r �•' v- �• •t,�. �o FLOOR 'DDI. I r z 20 ® .-17_g'_ 0D.W •ND ALT:. •Tlbl`ISi X AE O N .� • a_i-� i..,..1,..:\ , ffg' o O1 ^ D.W'iAn EL 8 � �`MAINTAI 10 SEPERATIONA ING CON• (,� O O V , _ �,. �¢RETA► 12 -5 �' t�BETWEEN TER LINEANDB NTNG ,. .. a SEPTIC •ERSCHDS18 _ y + E F E A CJA A Q•. 8 X - ZONE ZONE 6 0o LINE x <� W� X ZONE 4 a RI SCT 1000-104-09-03 SITE PLAN °c . ..., IDA SCALE: 1" = 20 0 . x '-0' • — d a rclQ O oz BE DRAWN: MH/MS SCALE I•#.20' JOBB: September 17,2010 SHEET NUMBER: S-2