HomeMy WebLinkAboutTorell, Arthur SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 4012 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTHUR R TORELL
Address 1: 377 THOMAS PLACE
City St Zip WYCKOFF NJ 07481
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 #R10-04-0009, FINAL APPROVAL REQUIRED FROM
THE SUFFOLK COUNTY HEALTH DEPARTMENT.
Name Of Owner ARTHUR R TORELL
Mailing Address 1 377 THOMAS PLACE
City St Zip WYCKOFF NJ 7481
Property Address 1 365 WEST WOOD LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 33 .00 block 2 lot 11.000
Cross Street HOMESTEAD WAY
Building Permit Number Cross Reference:
Issue Date: 2/03/12 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
. % Il_i S.,��•"
ELIZABETH A.NEVILLE,RMC, CMC 9.17 O : Town Hall, 53095 Main Road
TOWN CLERK ; l l , P.O. Box 1179
v, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; G ,�
MARRIAGE OFFICER . .O r Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ,(�,a` �0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `OyCOW(,�II ' southoldtown.northfork.net
•"'' gig ��1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building DepartmentN . „ „
FROM: Carol Hydell, Southold Town Clerk's Office MAY - 5 2011
DATED: May 4, 2011 BLD T.
G.DEPT
SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4012 for a Cesspool/Septic Tank Construction
Permit submitted by:
Arthur R Torell .
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: /
/ L e
APPROVE ieg-Ge.4.t •cer7"4 -t--
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
71"64. --rer
Z.,.. _..
Signature
40 ".)---A--/2__
Dated
1
1/� #11I OFF04
ELIZABETH A.NEVILLE 11= C�G.y�. Town Hall, 53095 Main Road
TOWN CLERK p A I P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER %: VI Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER4f0'� �.��4,0:a.„0 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER =: 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 Vigor Non-Residential @ $25 Application No. IID/
Permit No.
Applicant Name M 7 ()!` R., / Q R.E L L
Applicant Mailing Address 3 7 7 U WI P 1-74c
t11iG k_d F F t1_ d , 0 7 9"8 f
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration y / A ) S N-EA4'`^
" 0 7-)1"4.((c v w
Location of Proposed Construction/Alteration:
Owner of Property: (4-Yz-1-( ()f O r ' C (
Owner Mailing Address: `3'7 7 P
w y cic- i (1k. 61 (091
Owner Property Address: 5 _ 36 ) w C ° 01 C
Z"
C7"."--k-Q-12-"-r-1-
Name and phone number of contact person
Tax Map No: /000 Sectio \\ Block G Lot 1/
Cross Street 1J-
NOTE: LOCATION MAP MUST BE SUBMI' 1'ED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY I .10,;-T DE 'ARTMENT APPROVAL
Signature of App icant Date
Received by:
f- -� l am familiar with the STANDARDS FOR APPROVAL
� `U AND CONSTRUCTION OF SUBSURFACE SEWAGE NYSDEC # I-4738-00755/00003
`� DISPOSAL SYSTEMS FOR SINGLE FAMILY. RESIDENCES SCOHS Ref. # RIO-04-0009
and will abide by the conditions set fot/li (herein. and on the
ti permit to conslrucl. SOUTHOLD TRUSTEES WETLANDS
•
PERMIT # 7143 APPROVED
SUBJECT To COVENANTS& RESTRICTIONS LIBER ® )2653 7-22-09
O,
PAGE IIU
SITE ;(' i / SUFFOl., i COUNTY D Pi 1,E E Of: HEALTH `iEnVICCB /''—
P%4?G IT Fon APPROVAL,tOiF CONS i .lIC;1CN FOR A
'.ii '' , SINGLE I"A:iti�...� REOIDE[:CE ONLY
I hr,,'�'. 0 KEY MAP
Fit -:r.�VED
• FOR 461'.1:.':dI O0� A� BEDR. Ms
Fin. Flr. EXPII�CE,"THREE YEARS FROM DA OF APPROVAL .
el 15.
Finished erode EL 14 ,
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IED
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GR. WATER 14 1.5 �� 01 P'n
�g
PROPOSED SEPTIC SYSTEM 2 L.P.s 8'O x 6.5' DEQ ' l�p '� pL � ej3 ,
WITH rSA/JD COLLAR (SW)' - 10001 a_01. SEPTIC TANk; 9 e✓� (b ��•
BOTT.nM OF LEACHING POOLS TO, BE,3' ABOVE() I. . ' c • "a6 -o
;� IV\
Gr:?UNP WATER l
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�DIf REVIEW DETLRIVI
. The locations of wells -and cesspools �' - THE EDGE OF
shown hereon are from field observalions THE NYS FRESHWATER WETLAND AS
and or from data obtained from others. DELINEATED (FLAGGED) BY R. MARSH t ., OF NFA
AND G KOZLOWSKI ON 1)13/04. �4• `�FREY T B ,,
NOTE evil d Plaut ApprovedZr( '�' • , '. cc`
r c ,, 13
L 0 T NUMBERS REFER TO MAP OF � �•�,;•�� ti,,�, � ,
EASTE4N SHORES - SECTION 2" E re l��Z-����. m .L-*,15? '
FILED IN THE SUFFOLK COUNTY �,�Mcc
CLERK'S OFFICE AS MAP NO. 4426 "UR'VEY--'• f PROPE`' '� kc
T A'�t� .�v 3 •�
AT GREENPOR FF �oN��-fc'
TOTAL AREA s 27,186 sq/I TOWN OF SO•UTHOLAREA WETLANDS =8030 s.l. /
AREA PROPOSED DWELLING SUFFOLK COUNTY, Al I .
OWNER, 1910. s.I. 1000 - 33 02 - 11 •
A377 THOMAS PLACE THUR TORELL 19/0/'19/56 4O..O%COVERAGE SCALE' 1"= 40'
W YCKOFF, N.J, 0748/ 19/0 x I x_.l 7. _.,325 cu. It. MAY 7, 1998
�"" �' -- 325 /28.3 w // 5 VF NOV. 10 /998 ( addiilon J
1 a PROV/OF 2.DRY WELLS C'4� x 8' deep APRIL. �0, 2003 ( revlslon )
�' FOR. ROOF RUNOFF or Way, w`
7' 0-71
AUG. 20, 2003 (revlslon prop. hse. J ,:��
rr;. SEPT. 2, 2010 (rev.) OCT. 4, 2005 (easement) OcL f7,_ 2003 (8 0 H) "i
n MAY /0, 200E (ADDITIONS ►' ,. )z.
Dec.I3 200Jv(rcr�d,o'Ia) Oct. 2 2003 (HAYBALES(E4k/st L• , - ' .. .it,--9.�+,, '
x, KING DISTRICT: R40 )L.).0 ri, 2ao7 fcV'./' ') FEB. 13 2004 (WETLAND FLAGS) ' ' 1, -11' k'
;;• •›• Juy ([ iAgr) Feb. 24,2004 (ground c r• 2,
co M Dec. IP, 'Y�KJr �fE NSSI Mo.. a l.00 q•(r+er��,n/ r /�/ , , Y. ` L 4661 d •
• -. Jan. 24 2008 (re v stonsl I
1-,, OCT. 14, 2009(RE ) Marcel 24, 2004 / Ii ..rte '> er
• e .) " PROPGSL"L IA(WI''..4. _ (revisions) ,;
Ma.'4-h 90 zave. roMay26, r , /; t
; _ I (p r�h��'•� 2004 " CONIC SURV YORS�� �' �"'
, 4101- Z�,o
LATH NSE CORNER P (j�`�P b`>�••) (revisions) (631) 765 - 5020 FAX, '7;t+ ,�;�� '�' <,``
iM^" 24, -o,' (i--,, '!$ i Nov. MO, 2004 P. 0. BOX 909 �r -" -r'
NTOURS LINES ARE REFERENCED TO THE.R'- 7,> o (revisions) �J5 ;„...0`
-,.n VE EASTERN TOWNS TOPOGRAPHIC MAPS (N.G,V.D.)✓�t' 34 2O Nov. /8 Zoo 4' SOU . ORD N.Y. STR71
7rows,•., SOUTHOLD, N.Y. 1197!
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