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HomeMy WebLinkAboutMagrino-Dunning, Susan SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4072 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MARK SCHWARTZ Address 1: PO 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 ERVICES. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. REF # R10-11-0063 Name Of Owner SUSAN MAGRINO-DUNNING Mailing Address 1 925 STEPHENSONS RD City St Zip ORIENT NY 11957 Property Address 1 925 STEPHENSONS RD City St Zip ORIENT NY 11957 Tax Map No. section 17.00 block 1 lot 2.001 Cross Street MAIN RD Building Permit Number Cross Reference: Issue Date: 1/20/15 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) January 20, 2015 Mark Schwartz P.O. Box 933 Cutchogue, NY 11935 RE: 17.-1-2.1 (Susan Magrino-Dunning) 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, Sabrina Born Clerk Typist Enclosures I Born, Sabrina From: Bunch, Connie Sent: Friday,January 16, 2015 8:49 AM To: Born, Sabrina Subject: the last of the cesspool permits 4093 and 4072 we don't have but they have final health department approval. 4104, 4083,4082, and 4036 we don't have. I think I covered them all. Have a good day! Connie 1 f ` oli ' I ,I+°O�OS�FF�� C ELIZABETH A.NEVILLE,MMC � • �� �1 �.j, Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 y = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS : bl' �� O •� Fax(631)765-6145 MARRIAGE OFFICER ‘,. �� RECORDS OF MANAGEMENT OFFICER `_ ,( , �0of southoldtown.northfork.net Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: March 8,2012 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4072 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for Susan Magrino-Dunning 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 Dated /',,,iii sell SOFFOt,# N. N ELIZABETH A. NEVILLE til h- 4 : Town Hall, 53095 Main Road TOWN CLERK 'O P.O. Box 1179 REGISTRAR OF VITAL STATISTICS k v, Southold, New York 11971 MARRIAGE OFFICER : O .F 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = r ��i0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - .' jigi,a" 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 J� or Non-Residential @ $25 Application No. LI C7 7 Permit No. Applicant Name ��� vC --2 Applicant Mailing Address Fa L ' 1, I 3 Cor- rib -r f f 3 r Septic Tank /or Cesspool t ' Brief Description of Proposed Construction or Alteration /tlJ se/nc Ssys,-c Location of Proposed Construction/Alteration: Owner of Property: SV.rA7✓ A /21"/40— D „,' Owner Mailing Address: , z5---- f- Jr 4 e4 e.h-Snh 3 Owner Property Address: 6'4/il f Name and phone number of contact person �ZW.- C fiA/*@%7 7� liter Tax Map No: Section 1 7 Block O/ Lot Z. / Cross Street It gpl.a-vA ..e NOTE: LOCATION MAP MUST BE SUBM TEDH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY • i is H -, ,TI EPARTMENT APP OVAL I aX '.2.- I Signature of Applic. 't ate (._...:If Received by: cBAa: 17.0REVISIONS: HEALTH 00/00/2009 0��`5.. G ti. ,PSE • DEPT. a:- BROWN SILTY LOAM • /lO\,.\ sr C FYSO�S •LSO O j¢ L'i* N/O/F a , DONNA TWEEDLE 'DT F �.. "PALE 1201.794 BROVGN S.LT I /C O (`:�,.y2 �, . Run {j 'A+'•. s f.. IEr , k Water Line(s) Suspected By The . i r4 . s.� IRA11'---•- BROWN SANEYY(IAT IS'WIDE au RIGHTOF WA �¢( GOu _ (.l r to �f�'�i'L �th �.7ervices. ` - • '15.1'"EI.i.•Y" RIGHT OF WAY - - - - , $L)' 0 + FPRIVATE ROAD - R P j L.F �X52-500, 48 S-Tours in Advance, ' .....�= WATER IN EXISTING :.. To Schedule Snspection(s). •"'�.NIMBI BROWNS N CLAY R, * - :,y.r r FRAMED ' I GARAGE E N/O/F i._." )y� ^ LEWIS&DEBORAH 25. E%ImNG MINWUM GPADE FO0. EDISON N Ili LEACHING PDIXS0EL IM.r AS PER .VACANT- tsrt R.n SCHDS MINPSUM REQUIREMENTS 9:ATLR IN EL 2R 'ANK TO�e'M 12.42ne THOU ATI 1NPRn•4I "�,�; -__-- ti n BROWN FINE TO Kcn�Nc1 rIMMUMMIN Nm ANOND �:.`r. •II i -,/" � •y,� ® 3 e U h MARS.'u.:, a To ,..�r_c-..A „ NOV sc cEAxroEl HO v m I I TO "•mwcl WELL tr el. ® Ale ADOUD m ZONE ZONE ' a a a ,691 1.--J MMHG) / R 1 / Cy s V3 s• `` VE 13 i d o s , TEST HOLE DATA o® i. ��,� Cg,®� ...© \ Y e a °° Mc130NALD GEOSCIENCE S�L�. „ ,�;" nin ; �, ' ; V N/O/F / )8'x30'POOL HOUE , •. BEVERLY&JOANA LAMOS W IY 3 FF EL.16.5' + �; E • 73 � OtI w/BASEMENT SEP !St I 1(X)'SETBACK FOR TRUST AAah: '� 4b'66'" ►• ` LONG ISLAND z 1 -44 F�,�1j,�/FI TEst"' •B�rINK . 6 a ). ..,,-,., �!.111,N�1. HOLE H. . x may; ° 5E SOUND SEPTIC TANK ----•---•- � / A• Q _I '40' tl,' :: 0.2 i • , I APROX FIXATION OF / ................ I0' POo : EX.SEPTIC WI SYSTEM / ) 0'r NOTES: i L fl �� FILLIN WITH SANG PER 0.MINIMUM SEPTIC TANK CAPACMES U 1500 GALLONS. ISD ,III F�III.�w��.�•FP��I.,�Iy���7' DECK III., SCHDS REWIREMEMS FROM WELL 4."0//4111121111.4, E a I,l S \ ' 71.CONCRETE SHALL HAVE A MINIMUM COMPRESSNE STRENGTH OF 3000 psi AT WALL ', , 11 11' '•, `7 I PeTA a:m�. 1 • W (7 711 DAYS. "y1 A �L(� Cil 3).WALL THICKNESS SHALL EE A MINIMUM OF 3•.A TOP THICKNESS OF 6'ANDA EL 18' R" E%•VTI' ",I C'''33y11j,� USI'•' ® 1STORY UNIX W BOTTOM THICKNESS d 1•.ALL WALLS.ROTTO/A AND TOP SHALL CONTAIN 'IF / ,� v HOUSE I ( / O A REINFORCING TO RESIST AN APPLIED FORCE OF 300 pd. N/O/F _ - Tsaanm " PROVIDE UNDERGROUND I1....�...II 6).ALL JOINTS SHALL RE SEALED SO THAT THE TANK IS WATERTIGHT. ANTHONY& / ELECTRIC TO MAIN HOUSE. .�,.� NO MOG.+E.10.1 I 1 1-y F. SUSAN A UINO 'MK' r W - W sJ.THE.TOLETANK SHALL RE4.)ON INSTALLED ATMUMVEL 3.ALLKNED OF C IWITMA Q OA . O MAK.TOLERANCE OF./.W�ON A MINIMUM 7•THICK PED OF COMPACTED / INSTALL NEW UNDERGROUND 4k''•, T/) SAND OR PEA GRAVEL 6).A ID MIN.DISTANCE BETWEEN SEPEK TANK AND HOUSE SHALL RE MAINTAINED. I ELECTIW FROM POLE TO HOUSE �HrF�J� P I Abandonment of existing sanitary system must be in �"n'" ""' 'I""°'� H J a AND RELOCATED(VERIFY W FIELD) f3. E�E� }� EKISi1NG IRRIGATION SYSTEM AFFECTED 1 \ LEACHING POOLS ' comfonnancc with departmentrequirementSubmit SY CONSTRUCTION WORK TO RE DERGNEDEIS Ei IL L>_ ONE. 2•NE H AND INSTALLED RY®G®WET® IomKlq R. X 1RE13 - S TE • LAN04 NOTES: completed form WWM- ASO as proof. I '°` "' 4 U-MINIMUM LEACHING SYSTEM 0 2 POOLS:•DEEP,V DIA • ..... ... \ ^O N/O/F 1 + 7)LEACHING POOLS ARF TO RE CONSTRIKTED OF PRECAST REINFORCED CONCRETE 52 • ����• �" 40 _OS TOR EQUAL). •,�. /�jA UBAIDO&DORTHY = )).ALL COVERS SHALL RE OF PRECAST RRNFOR[ED CONCRETE EOR EQUAL/ 0 EX VA,R i N INSPECTION Q� - Q DILOREN20 .r�,/P r. .• p A).A MINIMUM DISTANCE BETWEEN LEACHING POOLS AND WATER UNE SHALL IN MAINTAINED. • \/1 R ST."iK•• SYSTEM A ~• I/� I S).ANR'A11N.DISTANCE IETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL ."V ry SCTM# 1000-17-� 2.1 RE MAINTAINED. '�{.j �*' w '1,OV `^ .WELL 0 S-IIITOLK Col.p.Try DEPARTMENT OF HEALTH SERVICES PERMIT T FOR APPROVAL OF CONSTRUCTION FOR A Q si;�'CLE FAMILY RESIDENCE CE ANO POO.HOME g YIok,L4e, +.v23 11(/l_ - ' ' , R FF:NS •T7----/". l JE���/� I ,J�/� I 00 •w./ FINISHED INII/ED GRAOE . LL DAT i T'�16�� /,'9. S t;;:.t:: :;j7 i �V J/�'C%V�� CO N I ° � '` L ED GR.30t W.BN.1sA' 1 TO MEW!ZINE i ZQ FROM LEACIMK.P000 1 "�'-""••"•'•'^"• REV.16.0 WIN ISA) G0.AOF f Bl i R' I APPROVED PIPE TDP it H.61 rP rMIN'REV.12 2. • J RO r F , -• . Alin.MCH Wn' it I I 1'l til.. E &13.9 1� INV• NK APPROVED PIPE TOO El. Y 121112‘, - (ADJACENT PROPfRT1) INV.R. 31.5 •R TANK Alen,RICH vow `-�'-- H.3 L TNv.Auc I 9�I a/ gRFs FR.9 Ems'^5�..^,..-.r.,t�!n / �/1 �J� +�,�j 310' TOTAL-AL Ii AXIi1:. vi 1..ZE,%l1.JCNIS 6 ifill■P /WI (d INV.EL _ LOW FL 12.6 1 u.r Al DRAWN: MN/MS -� EXPIRES THREE YEARS FROM DATE OF APPROVAL KALE: 110'..1'-on TEACHING LEACHING f4. PROPOSED SEPTIC SYSTEM DETAIL PGa PaD February FJOB .29,2012 (NOT TO SCALE) �-�-L -- SHEET NUMBER: i• .• yl i !n . --I ,. G ATTACHED SPECIAL CONDITION WT.EL 2.4 MN GRADING;gyp X11/� [may 1E AND/OR uaH+D WATER:ETEv.L GRADING PLAN AND/OR PLOT PLAN S- 1 , - I1/4)64: 64 It&-� 5,417117)-f' w{el&cJ JtZrs t.4 -t'. 14)4t/A, on 1,,s -_ .p„ 1),' 1I2.3) Proms -Gr S ittiA. APP-avail REVISIONS: HEALTH N / O/ F DEPT. DDo9 LEWIS & DEBORAH 1. EXISTING MININUM GRADE FOR EDISON LEACHING POOLS IS EL.14.4'AS PER SCHDS MINIMUM REQUIREMENTS - -VACANT- 20'-0" Pli RFS - - moi -)-----o• -� E'. O PO1;\ NEW ELEL1 EL 18'N i�I� 7i 4��AO EXISTING EL.15.0' �Fq� R%DTNGELI6T (EXISTING �gn`�i !1 GRADE TO REMAIN 7 y/HC MIMI EL 16' y :() UNTOUCHED LONE . PRESSURIZATION TAN0 (EXISTING) / r• X ` I t LIMIT OF CLEARING • • C EH ' ' ' .q io L ENCE OI 5'1.1111 i FENCE 5 min.wt..- d! 1 NEW GRADE:EL iia ' --, /• ti P •1 PAIN.uw FOR LEACHING) f�i ... Vl ` • \/ .."2 1 [ ,. o a. a tt I I II F , .,J \tiC EL ING) SC ° �•0 1111• NEN GRAr4/E40 111 UFEL 17. I y4 D. (MIN.:155'FOg, 4 18'X30' POOL HODS \ I €11 \ NEWELI I FF EL. 16.5' 1NEWRG,1e)ap') w/BASEMENT 33.5' m 4__.. z m - - - - — • CI 3\'0 20 O IF Vir 40. it. : 5'-0" 10,_0" 5,_0, ' <. •. P /, NEW • 2O'-O" rW^ ,W�♦ IIDD EL 16.D TEST BUNK ` F. 9j •-• '` �:6:--lit:' +` vlvII: ,P, °DODO D°ADD HOLE HOUSE GARAGE FLOOR PLAN • r' NEW % BLOCK"BIER _ vOEL n.D / FOUNDA ONSCALE: 1/8"— 114 '� ✓ Z (NO BASEMtNT) fao 0 POOL 0�6 ,o y ` �� �'t a^ .,' II Iic DECK NEW GRADE:; �1 Op OF • EL.17.0' , _ y n Q LY/qLCr (372.5, W MAINTAIN 10'SEPERATION EL q�O • BETWEEN WATER AND `L _ B / q�f 1? r Sr N 7, WASTE LINE PER SCHDS _ AI �11�j� _ �o°°°° EL a . 1 STORY <<ArEL. 18,' �f° ° HOUSE EXISTIN BURIE PROPANE a` BLOCK PIER �� •T•'M• 1000-17-1-2.1 :,ROUND -,,, TANK TO RE • •.INSTALL FOUNDATION W) NEW I••• I.BUN P•TANK MF) HOUSE, TIE INT•Au WINGS (NO BASEMENT) .L� ID POOL TOR�q`, (10Mn.S CK PROPER •a UNF AND STA. RES) �E q `f OAC N/ R3 6 RGROUND Iti 0 it O E TO HOUSE l-17-, , • I--1 O BE REMOVED (EXISTING) < 1 k '8� • V Qk .IFY IN FIELD) ,O1J a„O PARTIAL SITEPLAN SCALE: 1" = 20'-0' DRAWN: MH/MS SCALE: 1/4"••1'-0• JOB//: , Febnury 29,2012 SHEET NUMBER: S-1 a