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Home My WebLink AboutMartin, James 4 c SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4056 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JAMES & DENISE MARTIN Address 1: 1695 MEADOW BEACH LANE 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 #R10-11-0022, FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. Name Of Owner JAMES & DENISE MARTIN ------------------------------ Mailing Address 1 1695 MEADOW BEACH LANE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 2740 DEEPHOLE DRIVE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 123.00 block 4 lot 11.000 ------ --- ------ Cross Street RICHARD STREET ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 1/31/12Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) o��pG SO(/jyo ELIZABETH A.NEVILLE,RMC, CMC '` l0 Town Hall, 53095 Main Road TOWN CLERK l�[ l�[ P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER yCOUN i i,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK ""-�— -- TOWN OF SOUTHOLD `f TO: Southold Town Building Department --,- -__J FROM: Carol Hydell, Southold Town Clerks Office ro DATED: October 25, 2011 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4056 for a Cesspool/Septic Tank Construction Permit submitted by: James & Denise Martin 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��S�FFO�,�c ELIZABETH A. NEVILLE 5 .y Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 CA Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Oy �.F Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� �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 @ $10y or Non-Residential.@$25 Application No. 06-60 Permit No. Applicant Name 7LIM2,S CLind MA,(—A � Applicant Mailing Address 1 (6!�_ ) P_xo-� LL,, Vy\Q,[�kvtk_ lt, C )lq� Septic Tank '),/, or Cesspool Brief Description of Proposed Construction or Alteration Mew P,84o�v g Location of Proposed Construction/Alteration: Owner of Property: --,-aYhQ.S�y�Javid- Owner Mailing Address: 107 mad do L-0 1 ,ee Mo;#4t;�tk— ; Owner Property Address: -Lkko T)6 V-Q,– Name and phone number of contact person 1 m� Symueh 73 ^(-DVOS— Tax Map No: ) Section I al Block OY Lot Cross Street '&La� f. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WI H HEALTH DEPARTMENT APPROVAL Signatrre of Applicant Date Received by: SEPTIC PROFILE SYSTEM #1 TEST HOLE D) BUILDINb WALL FF EL 12.0 FT NO SCALE BY MARK McDONALD GE GRADE LINE ELEVATION 9.1 FT. SOUTHOLD,NEW YORK GRADE LINE ELEVATION 9.1 FT. TEST HOLE DATA(3/17/11) ELQ I' MIN. 2' MAX. 3FT. MIXED SAND AND LOAM 14'/FT. r TOP OF POOL 1.6 FT. 4 FT, GREY ORGANIC CLAY OL SIG I4.1 FT. BROWN BOG Pt 9 FT, WATER IN BROWN BOG Pt IE. +6.05' IE. +'7.55' POOL BOT OF POOL 5.6 FT. 10 FT-I WATER IN BROWN SILTY S IE. +'►85' IE. +"1.2'1' GROUND WATER ELEV +2 6' WATER IN PALE BROWN 17 FT.1 FINE TO MEDIUM SAND SP 10-0" 8'-O" 5' MIN COMMENTS:WATER ENCOUNTE BELOW SURFACE,ELEV+2.6' ]ci(4�7t _ char y r t,3 USt(1ejn -- nit r TIDAL NJETLANDS As FLA6GEG (4'? � BY J.M.O. ENVIRONMENTAL -- r�-•c--� GON9ULTING 5ERVIGED ON 11/29/10 R'°` FftI HOLE '00000OP05E LEWIS ARRX51 PENCE ODI 4 BEDROOMS X15TING 5TRUGTU 5 f , TO BE REMOVED 1 do 6�v 4 x / i I i � EXISTING SEPTIC 5 i O 5Y5TEM TO BE 1 (� ABANDONED AND FILLED IN I � I I ? 7 �• T x11 A \�, � �� i�61 ' i P T 7.38 W 60 (o O , �� I ` �I ? NEW UNDI=R6ROU �n / 7.53 ^0/ur JSVATER LINE r� TER AN 00!00"W— 6 5 4 4455 6 i 5 5 0°5 6'� w \ ROPO v FOR A CHARLES/MILLAN 1200 OD SHA MILLAN - k6) co z SITE P LA`�I IG _ FUTU I6HF SCALE: 1" = 50'-0" SYSTEM #1 TEST HOLE DATA LOCATI NO SCALE BY MARK McDONALD GEOSCIENCE O r 9.1 FT'. SOUTHOLD,NEW YORK 11971 1AX. TEST HOLE DATA(3/17/11) ELEV+6 7' 3FT. MIXED 5AND AND NEW SUFFOL AVE TOP OF POOL 1.6 FT. = P R� EAC 41 4-1 FT, BROWN BOQ Pt POOL L BOT OF POOL 5.6 FT. I 11 1:3 ER ISM ° n GROUND +2.6' WATER IN PALE BROWN 17 FT FINE TO MEDIUM SAND SP z � 5' MIN COMMENTS:WATER ENCOUNTERED 4.1' z BELOW SURFACE,ELEV+2.6' kLTH MARRATOOKAPOINT crtrI . CTION f-13, A �7yiaric i(ztto- tttt U(-) =.s l� �/ a. 't Ott1 ttrerpp� must 1 proof nt st'hmtt TIDAL AS FLA66` W DRYWCLL (DSU �..... ,...._....._....�.__.. BY J.M.O. ENVIRONMENTAL (4'x8' DIA) }'OR . CON5ULTING 5ERVICED ON 11/29/10 '� RAINWATL'R 4` 4' i y FROM TYP / HOLE LEWIS CO/H,IRROD RESIDENCE Z, 4 BEDROOMS �� \ ^ (EXISTING STRLk-,TME 5 TO BE REMOVED/ I 4 /o x 6 s 5dPO , dp 6 r�� t r i s i i / ? N#W UNVtRGROU RATER LINE +.fib�� .��f.■� ��1��/ /� h 5 - ? 6 6 5 5 4� 3 . r \ 48 .79' TIDAL Ye' OSED NEW 5EPTIC SYS M M A6 V Nl FOR A 4 BEDROOM RE51 E ENVIRONN (_t'pa� CHARL S bCILLAN - 1200 GAL SEPTIC TANK 5T) SERVIGEL PLAN & M.4RSHA XILLAN - (6) 8' DIA x 2' HIGH LE CHIN& POOL (LP) FUTURE LOCATION FOR (5) 8' DIA x 2' 50-0 \ `n� � PUBLIC WATER HIGH LEACHING POQ(- (EXP) TA = LOCATION MAP SITE DATA REV6/ 17/1:1 IS SCTM # 1000-123-04-11 1971 PROPERTY: 2740 Deep Hole Drive 67 ADDRESS Mattituck, NY 11952 N W SUFFOL AVE OWNER: James and Denise Martin = RE 135 W. 70th St. P o New York, NY 10023 I SITE: 92,746 sf=2.129 acres W ZSM o ZONING: RESIDENTIAL 40 (R-40) R. SURVEYOR: Nathan Taft Corwin III l;J PO Box 16, } J D 4.1' Jamesport, NY 11947 �Z LICENSE#50467 DATED 12/9/10 MARRATOOKA POINT Z P: O < U = Wo WfOOLL. (0w) ~ J w 171A) FOR O IA7MLL le TYP �,. w Z W 56 �� ~ O ped /D *00 = W N '.Or YeTLANDS AS a W o FL BY J.M.O. �toCy ENVI NMENTAL GONSULTIN6 0 It /h + / p R GED ON 11/29/10 �Y z`� DEEP WZz ' I HOLE ��\ aN�CREEK Q No TIE LINE ALON& r APPARENT HI&H WATM MARK ON 12/001/10 PROJECT NO'.,006 DRAWN BY: T CHECKED BY: TS DATE: 3/25/11 ' SCALE: SHEET TITLE: P'��°F NEw10 cSITE . sq �'.� PLAN 4 3 - 2- 4 79' TIDAL MTLANOS AS . NEW SEPTIC SYS FL AGm&=°15Y 4M.0g MPROOM RESI E ENVIRONMENTAL. CONWULTIN6 SHEET NO.: . SEPTIC TANK ST) SERVICED ON 11/29/10 x 2' HIGH HIN6 POOL (LP) y tilsG 6`G, 018350 CATION FOR (3) 8 DIA x 2 TE 'HIN6 POQ6 (EXP) i / c�nnuc+ c+i �n�•inn��►i :r SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4434-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner JAMES P. MARTIN ------------------------------ Mailing Address 1 1695 MEADOW BEACH LANE ------------------------------ Mailing Address 2 �`�- �(��Qi✓ ------------------------------ City St Zip MATTITUCKNY 11952-0000 -------------------- -------=-- tA�r r Property Address 1 2740 DEEP HOLE DRIVE Z d1 Z ------------------------------ Property Address 2 ------------------------------ City St Zip MATTITUCK NY 11952-0000 -------------------- -- ---------- Owner Telephone No. 631-298-5468 - ------------ Tax Map No. section 123.00 block 4 lot 11.000 ------ --- ------ Cross Street RICHARD STREET ------------------------------ ---------------------------------- Issue Date: 2/22/12 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �� suFFot� ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road TOWN CLERK COD = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICERy • O�� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER l �a Telephone (631) 765-1800 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. 3 Permit No. Owner Name Owner Mailing Address 16 9 S Ae�0" J-)g-e4 ,J r '�vGIL /V Owner Property Address ?='T q0 r-Ar,-ea WO L E -P2 , Owner Telephone No. Tax Map No: Section % J�.0 O Block_ Lot ffr Cross Street P, ! C /, g Please check each that applies: New Construction Alteration to Exis ing 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 may submit copy of survey wi SCHD approval.) - , Alo /9 2 Signature of[ApplgantV Date Received by: UL/14/LU14 1UY: 10:40 YP-6 031 bD3 /43U Y.aSt rnu .7aaitaLlon QUU3/VV3 �JN TKF Excavating&Demolition P.O.Box 27 Westhampton Beach,NY 11978 Phone:(631)878-2700/Fax:(63 1)653-7430 CERTIFICATION OF SEWAGE DISPOSAL SYSTEM BY INSTALLER Health Department Reference Number. kto—l —00"tg Suffolk Tax Map#Dist. 10WSect(s). 13 ik s), U Lot(s)� Project Name or Address: ,( � l ��'� ,��z / 7•n Subdivision Name&Lo Applicant's Name: rZ z;• Description of System Installed: Septic Tank Volume(gallons):__ Shape:( )Rectangular Cylindrical- 11 ylindrical Name of Precast Manufacturer: r tl Gtr"lei on�( Leaching Pools Number of Pools: 5V Diameter&Depth: 2'jC ° / Name of Precast Manufacturer: t��l G�a��' ( Other: Attach or sketch below the measurements from building corners to the access covers of disposal system. i I hereby certify that the sub urface sewage 'sposal system above has been a by me in accordance with the approval plans and dards of e of k County Department of Health Services and is operational. � Installer Signature: Date: � �� Print Name/Company:TKF Excavating&Demolition,Ltd. Phone:(631)878-2700 Consumer Affairs License Number:31742LW FEB-14-2012 05:29PM From: 631 653 7430 ID:BURGER CONSTRUCTION Pase:003 R=92%