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McQuade, Brian
SCUTHCLD VIASTEVIATER I] SPCSAL PERM T CCNSTRJCTI CN CR ALTERATI CN PERM T SEPTI C TANK or CESSPCCL Per m t Nb. 4225 R Flesi dent i al X Nun-Resi dent i al Fee $ 10. 00 Septic X Cesspool PERM T ISSUED TO Name : MARK SC /IARTZ Address 1: P O BOC 933 a t y St Zi paF NY 11935 Descr i pt on of Pr oposed Const r uct i on or Al t er at i on SAN TARP SYSTEM FCR SI NCLE FAM LY CVELLI NG APPRO)ED AS SUBM TIED AN) AS APPF OJED BY TIE SUFFOLK COUNTY EEPARTWENT CF HEALTH SERA CES. Fl NAL APPRO✓AL FEW FED FROM TIE SIFFCLK CCNVTY F EALTH DEPARTMENT. FEF #R10- 13-0075 Name Cf CAner BR AN & TABI TFiA M X1JACE Mai I i ng Address 1 650 CLD SH PYARD ROAD a t y St Zi p SCUTHCLD N ' 11971 Pr oper t y Address 1 650 CLD SH PYARD ROAD a t y St Zip SCUTHCLD NY 11971 Tax Nbp No. sect i on 64. 00 bI ock 2 I of 44. 000 Cr oss Street LANDING ROAD Bui I di ng Per nit Narrber a oss Ref er ence: Issue Date: 3/31/ 14 Elizabeth A NeviIIe Sout hold Tow a er k , 1101 ,��'rO� �OFFOUr ELIZABETH A.NEVILLE,MMC �h� 4 ; Town Hall,53095 Main Road TOWN CLERK o P.O. Box 1179 cn Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p `V 0 Fax(631)765-6145 MARRIAGE OFFICER .` `.-#4. ''41 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER - (.( * #a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department MAR 17 2014 FROM: Carol Hydell, Southold Town Clerk's Office DATED: March 17, 2014 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4225 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for McQuade 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: 1 Signature // Dated F til -co ELIZABETH A. NEVILLE ti h`Z` 4`; Town Hall, 53095 Main Road TOWN CLERK ' p • ‘ P.O. Box 1179 ti = Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS k u' A� MARRIAGE OFFICER : '� $ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER % ** •V o. Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER : 1 01 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 Application No.ga Permit No. Applicant NamePI/Veit S 1 f(c%4"IZ TZ- Applicant Mailing Address P" 130)0 923 CV rCIY-OCc 1 1'j 3-- Septic Tankor Cesspool t/ Brief Description of Proposed Construction or Alteration A00iTI Ox>sS -44-- J2Alt ik/..Y' Location of Proposed Construction/Alteration: ,/� Owner of Property: git/./t! e 7 /"l/gm. c "-4 ''t Owner Mailing Address: t0 5V O Lp fhfry4/? 0 e/2 sat,r1`fv(i7 l/ 7J Owner Property Address: Sa At Name and phone number of contact person ,4'*/Z , ij4 ,p" 7..� - ¢ /eR7 Tax Map No: Section ( ' 4 Block a 2 Lot 44" Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY • , : HE•,,/ DEPARTMENT APPROVAL O./1 ,¢- Signature of Applicant D to Received by:Y ; 7" PROPOSED SEPTIC SYSTEM (4 BEDROOMS) TEST HOLE DATA I- 1000 gal PRECAST SEPTIC TANK McDONALD GEOSCIENCE I- 8' dia. x 12 deep LEACHING POOL N 09/30/2013 with 3' SAND COLLAR 3' ABOVE SURVEY OF- PROPERTY MIN. GROUND WA TER EL. 21.1' DARK BROWN LOAM OLFILL IN OR REMOVE EXISTING A T SOUTHOLD 0.5' SEPTIC SYSTEM TO SCDHS SPECS. TOWN OF SOUTHOLD BROWN SILT ML_ 3' SUFFOLK COUNTY, N. Y • CL.EL. 1000-84-02-44 EL. 20.9' • 21.1' C SCALE: 11= 30' �yy PALE BROWN FINE TO MEDIUM SAND SP g P.�R + NNS 9, ‘r OCTOBER OCTOBER 21, 2013 OO 4, Z Nov. 26 2013 (PROP ADDITIONS) �Q� 00- tr..„1�• ctT.< ^ 0 Dec. 3, 2013 (revisions) M Z\ V+ Feb 5, 2014 (ABANDONED WELL) 1 Cts v1E�\\NG o s. • Y' ♦ 51* Z 17' o)GP' ' , \ tet m +� '3., 'cE '® 0,6- ,\ Go N tf 6 s �� \\') ADDITION ra 6g SiOC'tt.�f 4 If. Zit �‘r, - .. �- FE:IS: 2014 �fie tic A. 02nd FLOOR 1' 20.4' �. loa5)' \_. 'ed� © �'�" ' « \. ,/ t`' 2L. •�oe• �F FF.CO. AHSERVICESADDITION o 's �` o f ` !'1� FICE OF yyATER MGT. _ / ° PPS '' V� N c CL.EL. �� ZN \ t'Pc41 0°. .\ et .1`'- P 20.4' RAIN RUNOFF CONTAINMENT Zc' 8� b�'t. . I' \ s , GARAGE - 731 sq.tt. • / * \ `e., o \ 1.\-- 731 y ,alt 731 x I x 0.17 a 124 cu.ff.. 124/22.3a 5.7 VF 'eek 50• PROVIDE I - DW 6'4x 6' DEEP -oG $,� ' 5� I 4: Q 1656co HOUSE I x 0.17- 1656 s9•tt.281 cu.tt <c F�PN,E P P4`�' d ""• � q•• �`� 281/42.2 = 6.7 VF .A Gt'• GPR 25 o o: A� PROVIDE I- DW - 8'4 x 7' deep 013 4 z 2 c. 0 , ItO j'� EL. O,a‘ 20.3 �O .14 Boz ' '( �A� A=STAKE Y • -CL P MI=MONUMENT CL.EL, 20. 2 �0�\c.NP ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM. s O �� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES .-\3'\NG PERMIT FOR APPROVAL Or CONSTRUC TON FOR A . l am familiar with the STANDARDS FOR APPROVAL SINGLE FAMILY RE "3ENC(_ ONLY AND CONSTRUCTION OF SUBSURFACE SEWAGE FEB 2 1 2014 _ ��pr Nr~ Y DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES I'I' DATE I .:. REF. No. 910- )3•-eon �P O and will abide by the conditions set forth therein and on the g ���T.ME7zC' 'Q•,•_ permit to construct. APPROVEDCLy, f �� • s � TheFOR MAXIMUM OF 9 EDROOMS * location of wells and cesspools shown hereon are F�x, c''4a '' from field observations and or from data obtained from others. EXPIRES THREE YEARS FROM DATE OF APPROVAL p-�-g.,i I ANY ALTERA770N OR ADDITION TO THIS SURVEY IS A VIOILATION C �•496 5 ,C¢ OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. `'ir .. EXCEPT AS PER SECTION 7209—SUBDIVISION '2. ALL CERTIFCAT1ONS ''el• _. .a HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF :•; •. Y.S. LIC. NO. 49f SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR CONIC /" YORS, P.C. WHOSE SIGNATURE APPEARS HEREON. LOT NUMBERS REFER TO "SUBDIVSION. MAP OF FOUNDERS (631) 765-5020 FAX (631) 765-179 ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE P.O. BOX 909 - AREA=11.250 SO. Fr ON MAY 10, 1927 AS FILE NO. 834. 1230 TRAVELER STREET . r,