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HomeMy WebLinkAbout430 WSD LLC (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4301 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PETER COSOLA Address 1: 135 WHITEHALL BLVD City St Zip GARDEN CITY NY 11530 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. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. REF NO. R10-15-0021 Name Of Owner 430 WSD LLC Mailing Address 1 135 WHITEHALL BLVD City St Zip GARDEN CITY NY 11530 Property Address 1 430 WEST SHORE DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 80.00 block 5 lot 2.001 Cross Street REYDON DRIVE Building Permit Number Cross Reference: Issue Date: 4/13/15 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH 1,��o�pg�FFO�,�.�o;. IZAB TH A.NEVILLE,MMC y. �y ; Town Hall,53095 Main Road TOWN CLERK �� a :� ; P.O. Box 1179 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSrst ; d .'F �� Fax(631)765-6145 MARRIAGE OFFICER •y W °� RECORDS MANAGEMENT OFFICER �,� * **„ i'� Telephone(63 t nny.gov ���' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ,,,,,,,.•� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department APR - 1 2015 FROM: Carol Hydell, Southold Town Clerk's Office DATED:A ED: April 1, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4301 for a Cesspool/Septic Tank Construction Permit submitted by: Peter Cosola 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: Final approval required from the Suffolk County Health Department RECEIVED Signature AR 2015 07 /6"-- Dated Southold Town Clerk ELIZABETH A. NEVILLE,MMC fTown Hall,53095 Main Road TOWN CLERK "x P.O. Box 1179 cz, - Southold.New York 11971 1,4,1 REGISTRAR OF VITAL STATISTICS `' - x" Fax(631) 765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER i'' r www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 13, 2015 Peter Cosola 135 Whitehall Blvd. Garden City,NY 11530 RE: 80.-5-2.1 (430 WDS LLC) Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, 4461.4„;AVI.445- , Sabrina Born Clerk Typist • Enclosures y► �,..., * /.. , ELIZABETH A.NEVILLE `;' ill ,,,r,tte��,' Town Hall,53095 Main Row TOWN CLERK i ` . - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ; i Southold,New York 11971 MARRIAGE OFFICER ' ,1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFFICER :A' 0'o� Telephone (681)765-1800 FREEDOM OF INFORMATION OFFICER _- ,* i'' southoldtown.northfork.nef OFFICE OF THE TOWN CLERK .. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10\ I r Non-Residential @$25 Application No. .-7' 3 b/ p Permit No. Applicant Name I &1 r2 COOL R Applicant Mailing Address 13 S V'k))rEHAt f ( Z.00 69 2O 6-,/ 6 71 N-I 11 S 3D Septic Tank or Cesspool d _ Brief Description of Proposed Construction or Alteration I"EIIV POLISE OA) rxiST 1AJ( P20 r Location of Proposed Construction/Alteration: 7 Owner of Property: 3) Kis 0 II, Owner Mailing Address: I35" wH I rE N/1 Jt 8 2 U 6RRoeki Crrf Not ) ). D Owner Property Address: q3.0 ni E-S D-1 o'.c pa)V 1 Saur1 0 N`-1 i/ ni Name and phone number of contact person Porn. Ca3OL/ /)7 -97Z. I S-3 9 Tax Map No: Section 20 Block 5 Lot .[_.. 1 Cross Street R L IJDA) p Q)V c NOTE: LOCATION MAP MUST BE S NIITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY H HEALTH DEPARTMENT APPROVAL •2/30 f�i Signature of Applicant / Date Received by: C \\ , *tom, 44,%Vt' �ti <1. , . PROPOSED SEPTIC SYSTEM ` S 't>A. °� SURVEY OF PROPER' 'I . 44-BEDROOMS) k O fQ r Q [V 8 FT. DIA. x 8 FT. DEEP PRECAST CONCRETE LEACHING RINGS > C�j. ' �'� A T SO UTHOLD BACKFILL WITH 3' SAND (SW) COLLAR, 3' ABOVE GROUND WATER `, ` ,zp.��.E`' - 1,0/ TOWN OF SOV THOLJ [1Jti1.000'GALLON PRECAST SEPTIC TANK B-1 Ae2�t\\ `` / $ Q 1 I/so® '016'.° y 6' C° s,.9. �o <O SUFFOLK COUNTY, N I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL / u� • s_+ �F�� 1000-80-05-21 AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL / F 73J �p SCALE.' 1'= 30' SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE 4 , 'y ' `3 BY THE CONDITIONS SET FORTH THEREIN AND ON THE h7 ��V '> -9r February 14, 2012 PERMIT TO CONSTRUCT. / .�� 'ti' O' ��OM iisr APRIL 4, 2013 (UPDATE) ,� W I I',,� �, i JANUARY 30, 2014 (UPDATE) g � :I' ;I� I ,�;i i �(e 1 JANUARY 6, 2015 (UPDATE) THE LOCATION OF PUBLIC WATER, WELLS AND CESSPOOLS & ;, ' //// Q� JANUARY 20, 2015 (REVISIONS) OBSERVATIONS AND OR A W ' ll' �_._ SHOWN HEREON ARE FROM FIELD OBSE �c O I, I JANUARY 21, 2015 (REVISIONS) FROM DATA OBTAINED FROM OTHERS. �. e / ti� �� Ii p4k41 AREA= 17,149 SQ. FT. c ©���� `' / _° / W� :' �,, / 4* �� y, O� CD I �' I,C°,o �, SUFFOLK COUNTY DEPARTMENT OF oJO� ��� °��!���I' ,• o � BG' PERMi1'Fo:LAEPPFAR: u HEALTHSERVICE.�jN �' \4 � �S OW PJB s'P �Q' �`Z` AL OF CbNSTRUCTIONFOR, ,O + rA s 7_ __ _ Q. 10 ry 1i, t' SINiLY RESIDENCE ONLY / A, b .►��ryO �"{b / - - ►r_ , �ry °-/'4"/49/ " / id/� �! H.,7. REQ• ��}. \ tom 0 X - -_ _ ,_ d3 ���` 10.0--°-' 1:: _ o. ANl�ittiVD REMOVED + J' .) ,�& ^ / 0s / �� _ .- •�' ` ® YO a ~�r��'.- teS• ,mow s �4 aw,of A7tIMUM ax� ti - 5`-� ,t e - ' _ �o / P► F BI:f7Rt}0o.: r- - �- ;. = _ �A� s RES'�HREL YEARSF DAT 43.4P F _ {}MM VE 4• APP �°4y 1. APS _ _-G��� o MoDONAI.D MST-1101E-0A " __..._ R{?VAL . ;J Q °� 12/f2/Y4 N A % -< • T7•-••-• __ (v ���� p� EL. 19.9' 04. ��.Q- �1.�\ � z of O�q14):_<27:4:04:: Ys�P `E' DARK BROW LOAM OL Ilik RAIN RUNOFF CONTAINMENT: rG<3/4,0<<4. N R3. �`�� AREJ1 of. ` `09 �` �C '� 92q \ cQ j' SEPTIC it ' S j wl) BROWN SILTY SAND Mt Ii_A DWELLING: 2256 Sq. Ft. 9'fipJ tiS7y8� ,Pb„, '. �G�a O,o. Q� h" t� REMovED O` NO `�`�g �vCtitveS 5' i 2256 x 0.17 x 1 — 383.5 Cu.Ft. �► \ �. h �d• O �`� p lea PALE BROWN SANDY SILT SM Provide 2 DWs. 8' Dia. x 5' Dee 4 4'c ! Th ' ` ry +` pe d' 6 Connected by Gutters & Leaders N B, °4)<`4,,s, .11 \; / '^� �A /� . ccy�44 �� / BROWN FINE SAND SP GARAGE: 830 Sq. Ft. G.9 r`V (AG6 ti" i q �I EXISTING:CI AY EL 4.8' 15.1' 930 x 0.17 x 1 141.1 Cu.Ft. iq'�'0 l%, ` oo�,'O4po j / To Provide 1 DW. 8' Dia. x 4' Deep `"Ab �-4), �4,. • 0 %toy WATER IN BROWN FINE SAND SI Connected by Gutters & Leaders F,� '_ 700 / , -`reL' . 4.4. / 4 LOTQs REFER TO "MAP OF REYDON SHORES" ��,1,'„ N i ck, /�j ' ( V4s-to a-- r-( , 1r ,Xi / V` NOTE• WATER ENCOUNTERED 15.1 BELOW SUR FILEDTHE SUFFOLK COUNTY CLERK'S OFFICE (A pi ON JULY 22, 1930 AS MAP ON. 631 c/o, �ti v S (� iZ)� o N8 ):,18 ELEVATIONS & CONTOURS ARE REFERENCED TO NA VD '88 "b IIS, ( _ FLOOD ZONE FROM FIRM MAP NUMBER 36103C0167H `9b' N � com od°' e ` .. '� / . nr .. Mr' 5 ■ = Monument c0 0 �,,,R` erf 145 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION �0' teeIts-4l' *t N.Y. LIC. NO. •� * 7 441: YOBS P.C. OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. #` 8..1.^.°,10,1,. N s 'z i s 120 FAX EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFlCA7IONS `-,g,',..,,,,, `4 *” ,,� (631) 765- HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 4: ..,¢ " H, P.I, :I ' 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 0• ' ' b= .k7. �y c 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. c. , .cnlITI-ln/n Al Y 11071 I ��-1. I