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Home My WebLink AboutLove Lane Realty Co s ' SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4060 N Residential Non-Residential X Fee $ 25.00 Septic X Cesspool PERMIT ISSUED TO: Name : ORLOWSKI HARDWARE COMPANY Address 1: P O BOX 12 City St Zip MATTITUCK NY 11952 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 #C10-06-015 FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. Name Of Owner LOVE LANE REALTY CO ------------------------------ Mailing Address 1 P O BOX 12 ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 320 LOVE LANE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 140.00 block 3 lot 3.004 ------ --- ------ Cross Street PIKE STREET ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 1/31/12 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) o�o$uFFoc,�oo ELIZABETH A.NEVILLE, MMC �� G.f, Town Hall,53095 Main Road TOWN CLERKp P.O.Box 1179 CIO Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p yC Fax(631)765-6145 MARRIAGE OFFICER y RECORDS OF MANAGEMENT OFFICER �ol .�`�� Telephone n.no 7 fork. 0 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department nr FROM: Carol Hydell, Southold Town Clerk's Office I N 0 V DATED: November 15, 2011 RE: Cesspool Construction Application TTI'ljS.ni! ;unto Transmitted herewith is a copy of application No. 4060 for a Cesspool/Septic Tank Construction Permit submitted by: Orlowski Hardware Com for Love Lane Realty Co. 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 o�osuFFot,��, ELIZABETH A.NEVILLE h`Z` �Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 C4 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Oy �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ?f Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 0'� �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 or Non-Residential @ $25 Application No. � doAa Permit No. Applicant Name a1 Iowsyi uaimpal\'iki�e Applicant Mailing Address Po &x I ) MoA ,U Septic Tank ✓ or Cesspool Brief Description of Proposed Construction or Alteration 1 n S„l? �.� Location of Proposed Construction/Alteration: Owner of Property: �, L;e Lac Qe.)L . Owner Mailing Address: P L lc) Owner Property Address: Q0 Laje Ln e (Y10.16C L tw X 195 Name and phone number of contact person Qlc� 0JQU)Sy( Tax Map No: S( tion_ I Block 3 Lot 3. Cross Street -t'� e NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURV WITH HEALTH DEPARTMENT APPROVAL �/MJ'L J ( t4l' h fl/Al Signature of Applicant Date Received by: j St 's k Crninty Department of l3ealth Services A pir val for Construction-Otbea Than.Single Family Re re ce No.C 10 - 06 • U 1 S Design Flow S 1 S Us s) �}-�_ ' % S rA Q .n_ e�%t-o►�__ S Th a pl s have been reviewed for neral conformance with Suffolk Co ty epartment of Health Services standards, relating to water su ly nd sewage disposal. Regardless of any omissions, inc sis ncies or lack of detail, construction is required to be in acc an with the attached pdrmit conditions and applicable s and unless specifically waived he Department.This approval e s 3 ears from the approv da unless ded or renewed. EB 0 8 200 p Date e . Approved in acmdanee with Board OfRGVi8W UTILITY N63°45'44"E determination dated JAB-2 4 POLE �. z w PAGE a't "a FEB 14 2008 ,,,�� . a o00 li S.CTM # 1000440.3-3.4 PROPERTY: 320 LOVE LANE MATTITUCK, NY 11952 OWNER: RICHARD ORLOWSKI C/O ORLOWSKI HARDWARE 320 LOVE LANE MATTITUCK, NY 11952 TEL.# 298-8420 SITE: 11872 SQ. FT. = 0.2725 AC. U AREA BUILDING EXISTING: 7830 SF concrete—_;id alk EXISTING GARB GUT bldg AREA: 12 176.901 O.q'e COVERAGE: 66% a D - _ ZONING: HB -HAMLET BUSINESS SURVEYOR: JOHN C. EHLERS :.S RIVERHEAD, NY. C a. . . . GO . ca LICENSE NO. 50202 ' - N LOCATION MAP C zz' . ��; p. . �, Land Now or Formerly of ===If-i:A$• c Charles Zahra &Jean Zahra 0 `� = PO Box 1137 Mattituck ol M x w. 5f=H . ' 600 PIKE ST .12 ACRES 5 - -EXIST r Frame Building 'LO DI IQ': ;ECR : ,r •iF� A: �, . - - NOTE: HIGHE5T EXPECTED AS,. GROUND WATER .... - ELEVATION 4A � c/1 �. • : . - • : • : •I�P:vv/ '�1Q►�' NEW SANITARY SYSTEM - - (1) 1200 GAL SEPTIC TANK ° (2) I O' DIA X q' H LEACHING ti POOLS INCL 5095 EXPANSION svEyWX AVE NOTE: NO WELLS WITHIN '" • ` 150' Of= PROPOSED -J- y-- SANITARY ck SYSTEM N: PROJECT LOCATION _ bld � � 111.14 I.a'e stone parking SANITARY CALCULATIONS D I. 1. ALLOWABLE DENSITY _ � � Z TOTAL ACERAGE: 0.27 ACRES NEW SANITARY LINE HYDROGELOGICAL ZONE: ZONE IV t - - U) 4 . OUT I=ROM BUILDING EXISTING i i j I laic Mull" Wolf 7100 �' >'�i��i�...�� ♦-.:mss/�� /� ��i�� E! • ' E 1r ^ Y C SO OLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4433-N Residential Non-Residential X Fee- $ 25.00 New Existing X Name Of Owner LOVE LANE REALTY CO ------------------------------ Mailing Address 1 P O BOX 12 ------------------------------ Mailing Address 2 / ------------------------------ City St .Zip MATTITUCK NY 11952-0000 2 0 1 2 -------------------- -- ---------- Property Address 1 320 LOVE LANE ------------------------------ Property Address 2 ------------------------------ City St Zip MATTITUCK NY 11952-0000 -------------------- -- ---------- Owner Telephone No. 631-298-8420 ------------ Tax Map No. section 140.00 block 3 lot 3.004 ------ --- ------ Cross Street PIKE STREET ------------------------------ ---------------------------------- Issue Date: 2/16/12 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �" � � •~ �SUFFO�� ELIZABETH A.NEVILLE A y� Town Hall, 53095 Main Road Cz TOWN CLERK P.O. Box 1179 rpr REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 5-6145 RECORDS MARRIAGE 5 ANAGEMENT OFFICER ��• aO�� Telephone(63 Fax(631) 6765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 or Non-Residential @ $25 ✓ Application No. IJLJ '3 3 Permit No. 140 O N Owner Name Owner Mailing Address Owner Property Address 3 a0 6Je ,.ane MOA,lvt1- t4 1 195Q Owner Telephone No. �M - a 9p -BUO Tax Map No: e Section 1 HO Block 3 Lot ,OQ Cross Street 0 i � eQ Please check each that applies: New Construction Alteration to Existing System ✓ Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction ma submit copy of survey with SCHD approval.) : ....•_..,._,,..e..r .._.:... .�.•e.w.., :Signature_of.Applicant Date Received by: EXISTING GURg GUT t I D 176.90' NMN ASP : PAV1NCy. : -•EXIS-T NG , . R. A: NOT HIGF CGRC: ELE� �P:W/ :1Q - - ` NEP I EXIST. STORAGE AREA REMOVE EXIST. METER, TESF HOLE -. POC 1 AB PROVID CRUSHED STONE DPS "A DW "A" D "A" NOT] = . . . 150' - CAS63045"40--vv :.;� :- sAN EXIST. IN LINK .Q N' ± i FENCE TO REMAIN 111.14 bldg rn V7 EXIST. CESSPOOL TO '� 0 C BE DANDONED AND stone parking - EXISTING HVAC: n cre 0 W LINE UNIT TO REMAIN E EXIST. CESSPOOL TO BE NEIN SANITARY LINE � 55.0 ABANDONED AND FILLED OUT O Ma Land Now or Formerly. of PROM BUILDING EXISTING �j �bG rie Shenone & William Shenon e DUMPSTERS Building EXISTING ROOp PO Box 891 Mattituck, NY 5CREENED WITH TOP HVAC UNIT 240 Love Lane, Mattituck, NY NEW 6 FT HIGH 2.24 Acres CHAIN LINK FENCE WITH PRIVACY 5LAT5 SITE PLANI SCALE: 1 " = 10'-0"