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Home My WebLink AboutFischetti & Deaver L 1 ELIZABETH A.NEVILLE,MMC � ,� , . Town Hall,53095 Main Road TOWN CLERK gym ; P.O.Box 1179 ez) r: Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ; .k��1 Fax(631)765-6145 MARRIAGE OFFICER -A)•••0 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER - ®� $7,0. www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD i { ©{ 1J17 TO: Southold Town Building Department MAY 2 2016 FROM: Carol Hydell, Southold Town Clerk's Office BUILDING DEFT. DATED: April 29,2016 TOWN OF SO OW RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4382 for a Cesspool/Septic Tank Construction Permit submitted by: Samuels & Steelman Architects for Fischetti& Deaver. . 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 Signature .057/7.--0/4 Dated 4 SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK l Residential @ $10 or 0 Non-Residential @ $25 Septic Tank Nor Cesspool 0 Application No. if o� Permit No. Li 3 8 R. Applicant Name: Tom Samuels, Samuels and Steelman Architects Applicant Mailing Address: 25235 Main Road Cutchoque NY, 11935 Brief description of Propsed Construction or Alteration: New septic system with new piping to new leaching pools Location of Proposed Construction/Alteration: • Owner of Property: John Fischetti & Deborah Deaver Owner Mailing Address: 504 E 63rd ST, APT. 23P, NEW YORK, NY 10065 Property Address: 2615 Wells Road, Peconic NY 11957 Name and Telephone No. of Contact Person: Tom Samules, 631 734 6405 Tax Map No.: Section: 86 Block: 02 Lot: 1.2 Nearest Cross Street: Main Rd NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL. .,,t . : is \ 9 2 97/(e, Siga ure of Applicant ate Received by: TIE U ` w TiE UNE MEAN HIGH MATER MARK OWNER: JOHN FISCHETTI& `*`: 'II�- P- 97 _' DEBORAH DEAVER *I TL�ANDS �` �` *— 504 E 63rd ST,APT. 23P FLooa\ NEW YORK, NY 10065LLI - �` s_°T +�_AN ZONE SITE: 109,159 Sf=2.51 ac 0 - 4 LINE ONING: R-80 2WARD ED OF 1` ,-'-�' i r of e•1' --:-....o.....;. \ S VEYOR: PECONIC SURVEYORS Z O TIDAL LANDS FLOOD FLOOD �6 PO BOX 909 } ZONE AEI I zoNE x SOUTHOLD, NY 11971 (EL 6) EXISTING SANITARY SYSTEM T LICENSE# 49618 ' - /g BE ABANDONED AND FILLED IN DATED 616114Cn 4 2 ft UNRGROUND WATER LINE FROM HOUSE TO POOL HOUSE LU Ids I PROPOSED NEV POOL HOUSE, ® ii, __ g®.. ONE STORY,F.F.+10.5',200 SF W PATIOIza lallpall DECK 86. - ,,r; a I71IL '�o .Ii' wo/F ,!r t. F yy, ,; t tea ;y= .� ry.; w t';'": . FN S wit \� A r' t,"' JOAN M.GONDIT LU 1 Ji s i?Z .a l` _ E W , Il 4 tt f' No o a3;;" o REVOCABL •1��1E5,. yf3 FZ ."i`"A 7i 0 (,f" 1, 's TRUSTCI 12001.I� Skyw,GGti . s ai't-' \ wit., i��'i g PUBLIC WATER �. I tT:'#iit�i � — r± 20' view ;��• - PROPOSED NEW SEPTIC SYSTEM FOR A �^ (�. b BEDROOM RESIDENCE 6 POOL HOUSE -''g .4 ► t �LP(.(�.�►-- - 1500 GAL SEPTIC TANK(ST) ��E1�Abb.. _��y -(e)8'DIA x 2'HIGH LEACHING POOL(LP) LU V VEL DRI`�El�`Y Q,mm _ -FUTURE LOCATION FOR(4) 5'DIA x 2' �/� .� 2 z EW G �� --IGH.1,EAGHtNG=P-QOF�EXP•.. _. _.._�_._._�_ ._ O HOLEWear r Line P , I Be in pected By The c) + W EL 1 ':� - - 312.37, `� 11'''fob County Dept. ! ,eal h Services. Lim a 19 �- 111-' 48 Hours in Advances s� Esc 'r ,ysp To hduBe smiec0��• = DRY/NELL I O F o9 z• A D L c � O TYPICAL _.�..�_..z,•-�- �--/< S_��:,,... ., .� __.._ _.__ _.._- ._...__� .,. J a• �X uTLITY WO/F US 7 W•14 I I;s °POLE r JOSEPH PAGANO E W•`g 8 g VACANT LAND PUBLIC WATER ¢F• g•• _.__.._ m,m.,®„-• . ._.._-__ .__._ „� yam. .- _ __...._ _____. I 1 SUFFOLK COUNTY I EPARTifil' iNE EA `� ' SERVICES I ....-.s�`�', , v�u,. PERMIT FOR APPROVAL OF CONSTRUCTION T RUC T ION FOR A / ;��C CIl ��>• 1 SEI CLF:' FAMILY RESIDENCE U'*-,aPoU ° / fJi ®�\\I ' '-y4i lr_ \ O . i 4 3Iii C�, \i DA`F z ¢6 1,,,,,,,7-�, F. N, .° 15- " i 1 ''� APPROVED ... Z tS'�.�r�350 E 1v I:OR " ';1II�UM OF /BEDROOMS i fel CREDIaF 61' 1407 ;, .r sY: UT - EXPIRES THREE YEARS FROM DATE O6�APPROVAL �� ' iJ y: a.�.a�.o•.«e.® - M, ,.. w a�-..-- gym -.--- ., ECKED BY: TS DATE: 312115 SCALE: 1"=50'-0" • . - '" '� SHEET TITLE: a+..+w-.. ---,_ .ter;..,...�....._ '." ._...... _"�- Exam F '1' ; +ITARV SYSTEM �. BY L :II EPARTMEN�_._ SITE PLAN -. l I . -- i-"- - 1 - �._a r.. .„ fib- do ent of existing sanitary system must be h Submit SHEET NO.: CO fomiarice with department requirement y,-� , n) o M� o1 r,Y.:; corn feted fom1 WWM-_ —° as proof. a;,1rr.r°�,1-i rTA i Ts. tip;"I''7:A-1Na,4h� .