HomeMy WebLinkAboutMazzaferro, Mike (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 4095 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 #R10-12-0016 FINAL APPROVAL REQUIRED FROM THE
SUFFOLK COUNTY HEALTH DEPARTMENT.
Name Of Owner M MAZZAFERR & S GUNDERSEN
Mailing Address 1 130 BENNET ROAD
City St Zip GREENPORT NY 11944
Property Address 1 130 BENNET ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 40.00 block 5 lot 1.001
Cross Street MOORE'S LANE
Building Permit Number Cross Reference:
Issue Date: 7/23/12 Elizabeth A. Neville
Southold Town Clerk
' ,o��g�FFO(�-00
ELIZABETH A. NEVILLE,MMC � � %\ Town Hall,53095 Main Road
TOWN CLERK p P.O.Box 1179
t c4 Z Southold,New York 11971
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REGISTRAR OF VITAL STATISTICS V°49 �� Fax(631)765-6145
MARRIAGE OFFICER t' �` ��
RECORDS OF MANAGEMENT OFFICER _�Q( M. `�� �� Telephone(631)765 1800
FREEDOM OF INFORMATION OFFICER ���' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: July 6, 2012
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4095 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for Mike Mazzaferro
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
JUL - 9 2012 L.
Dated
P,L;in; DEPT.
ELIZABETH A.NEVILLE "
' `t` . .. Town Hall,58095 Main Roa,
TOWN CLERK , a)"..-.. P.O. Box 1179
• REGISTRAR OF VITAL STATISTICS , �
Southold, New York 11971
MARRIAGE OFFICER ,I Fax(681) 765-6145
RECORDS MANAGEMENT OFFICER �;y�jp .�0.$1 Telephone (681)765-1800
FREEDOM OF INFORMATION OFFICER l * • �� south oldto wn.northfork.net
OFFICE OF THE TOWN CLERK --
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 I or Non-Residential @$25 Application No. CA'S--
Permit No.
Applicant Name Alex_ S-C/1-1-4-.4n,1.
Applicant Mailing Address Pa 4/, 9,33
Com- Go0C i/9.3) "
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration ovot-t.J J!P7J
Location of Proposed Construction/Alteration:
Owner of Property: /4'J, /1/ if c/ eti/wria.,,
Owner Mailing Address: //, ofiasi .- fag
ok.ez,04-?0,7/4-- /ego
Owner Property Address: .CA Alt
Name and phone number of contact person fri,litz d2 I/L 1i Z 7�41,5--
Tax Map No: Section /00/2 Block 0 Lot ar — (j/I
Cross Street / 'f-d' (i 47f-X----
NOTE:
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NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR H TH DEPARTMENT APPROVAL
0791// Z.
Signature of Applicant Da
Received liy L .1 Ca--l(
71
REVISIONS:
HEALTH 00/00/2009
DEPT.
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CD'TUC;PEDP0.0PERTY \ Abandonment of existing sanitary system must be in t , V.1 t c)
PUBLIC WATER J /-+
SCALE: 1" = 30'-O' conformance with department requirement Submit NI ; _ O
completed form WWM- �% as proof. .S+ t ,.'
SEPTIC TANK LEACHING POOLS SCTM# 1000-40-05-01 .1 c
NOTES: NOTES:
1).MINIMUM SEPTIC TANK CAPACITIES IS 1500 GALLONS. REMOVE EXISTING 1).MINIMUM LEACHING SYSTEM IS 3 POOLS;6'DEEP,8 DIA.ADD 1 NEW POOL TO O A
900 GALLON SYSTEM PER SCHDS REQUIREMENTS. CONNECT TO EXISTING SYSTEM.
a
2).CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3000 psi AT 2).LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES EJ H
E-a
28 DAYS. (OR EQUAL). PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
3).WALL THICKNESS SHALL BE A MINIMUM OF 3",A TOP THICKNESS OF 6"AND A 3).ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE(OR EQUAL). SINGLE FAMILY RESIDENCE ONLY N cri 4
BOTTOM THICKNESS OF 4".ALL WALLS.BOTTOM AND TOP SHALL CONTAIN N
REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. 4).A MINIMUM DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE JUN 1 9 201 cd
MAINTAINED.
4).ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. DATE H'S. REF.0. 4/0-/,,? -00/C'
5).AN 8'MIN.DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL•
APPROVED c-7...) .-
5).THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS(WITH A BE MAINTAINED. -
MAX.TOLERANCE OF-i-/-1/4")ON A MINIMUM 3"THICK BED OF COMPACTED
FOR MAXI •• M eF DRAWN: MH/MS
SAND OR PEA GRAVEL. BEDROOMS SCALE: 1"=3
EXPIRES TH•'E i ARS FROM DATE OF APPROVAL MOBo,2ou
6).A 10'MIN.DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. --
SHEET NUMBER:
s-1