HomeMy WebLinkAboutViets, Richard SCUT LD VIASTEVIATER D SP(SAL PER A T
C CNSTFUTI CN CR ALTERATI CN PERM T
SEPTI C TAMC or CESSPCCL
Per m t No. 4204 R Fesi dent i al X Non-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSLED TQ
Nane : FI CHARD VI ETS
Address 1: 2160 PCE AVENLE
a t y St Zi p EAST Iv ADOJV NY 11554
Descr i pt on of Pr oposed Const r uct i on or Al t er at i on
SAN TAR( SYSTEM FCR SI NCLE FAM LY [WLLI NG
APPROJED AS SWM TTED AND AS APPROJED BY THE S(FFC LK C 1NTY DEPARTIVENf
CF I- ALTH SERA CES. Fl NAL APPRO✓AL REC111 FED FROM THE SlFFC1K C LINTY
HEALTH DEPARTMENT. FEF #R10-13-0006
Nane Cf O ner R aitio & ROSEMARY VI ETS
Mai I i ng Address 1 2160 PCE AVEI&E
a t y St Zi p EAST AEADON NY 11554
Property Address 1 1570 JACCBS LANE
a t y St Zi p SC UTHCLD NY 11971
Tax Map Nb. section 79. 00 bl ock 7 I of 31. 000
Cr oss St r eet LEBAARD DRI VE
Bui I di ng Per m t Nunber (7 oss Fef er ence:
I ssue Cat e: 4/07/ 14 EI i zabet h A Nbvi I I e
Sout hold Tow, Q er k
oil SVFOUr j.=
ELIZABETH A.NEVILLE,MMC 100 4 Town Hall,53095 Main Road
‘t = d : P.O. Box 1179
TOWN CLERK % c
t ti ae Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ;p Fax 0 Fax(631)765-6145
MARRIAGE OFFICER y 0.," Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER = e.( `11:00. www.southoldtownny.gov
. a•u •• FORMATION OFFICER ......,
, „
Lii ;.S
,, rs,) OFFICE OF THE TOWN CLERK
I i LIAR 1 4 2013 ID TOWN OF SOUTHOLD
TO: P.1,,', D_ ou o To n Building Department
TO' ,0 -1rLD
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: March 14, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4204 for a Cesspool/Septic Tank Construction
Permit submitted by:
Richard Viets .
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
,...,,,,,94
Signature
d/I/_5
Dated
ELIZABETH A. NEVILLE Z• OG
. ... � Mfr\ Town Hall,63096 Main Roil.
TOWN CLERK y P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER %%..4:#
Q I
�� Fax (631) 766-6145
RECORDS MANAGEMENT OFFICER ; :# �O�. Telephone(631)766-1800
FREEDOM OF INFORMATION OFFICER - ' 4 `?`,."0 southoldtown.northforkxiet
�� $OLDOFFICE OF THE TOWN CLERK
,UL - RECEIVED
r3u►�- iG DEPARTMENT TOWN OF SOUTHOLD
Sou off,NY1
11971SOUTHOLD WASTEWATER DISTRICT MAA 1 2 2013
APPLICATION Southold Town Clerk
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No. L', ?L-.(
Permit No.
Applicant Name /1/c
/;_;T-3:
Applicant Mailing Address 2-/6".0
p
// //3-1/45—V"
Septic Tank or Cesspool
_. Brief Description of Proposed Construction or Alteration l.-CJc\_ y'V
Location of Proposed Construction/Alteration:
Owner of Property: R 7OA-77
Owner Mailing Address:2./6
/ 14'1, /
Owner Property Address: ��c).5
Name and phone number of contact person
Tax Map No: Section 7 y Block '7 Lot 3 )
Cross Street , ,, .,d,,,q,4-40
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL-
Signature of Applicant Date
Received by: 0?
• °°°"
11
LOT AREA:40,000 SQ.FT. =0.918 ACRE
Ir
- CERTIFIED TO:ROSEMARY VIETS
RICHARD VIETS
g47 ELEVATIONS HEREON REFER TO APPROX. NAVD 1988
QFq 0.KPOSE MO CE MOT 6�f09E
ARE NOT,HI000E°ro OLI nlE
FRECTLON OF FENCES ONTWINNG
ZINE
•MALLS POOLS.PATIOS PLANtIN0
AREAS Aon+IOlaro1LALDINrs JOB NO.:2012-211
NO ANY OTNFN C0W51130L11lML.
▪ sem: 0ME NEW 00 MAP NO.:5599
,�o�o�'�rl, - 2 MA• C..LAw Ems S FILED:JUNE 4, 1971
o c3 4 °0 SHALL Nor�E° REVISIONS: p LAND SU
PREP. FOR HEALTH PERMIT 12/10,2012 5� RL
N. (�,'�J� , ""ro' P°�°"""�'""°""'�`""`'E" REV. TO 5 BEDROOM SYSTEM 2/04/20. :44% \\A O �
`-t".
`M Q TO M•L4.0InIeICAI716AN9Wl RIN 't..-„
Q:t TEST HOLE pONq� �.
?7'. -
- i —` pF,' S ANEDAFD aW MS eewsro nlE
� _ (`�� <4 3r., Asa TOP EL. 17.0 ii3+a 'iwsn ima+� us�rti L,wo \ ct.
Q. ( �, '9917 mT+IEAssrnEEs of nrttBLotx°wsn. ,�
,'\ unav.CENOfICATNWSA/ENOTmA.LSFERn6LE ` y/
I.
` '�G(/V e` `.\ o,Pj`F,YA OL SILTY LOAM TOo:* wsmvrrcwsarsLes�au�.. f 4+�s� (( �
\ ; S'°' /-
/.41.J 111.C.). �� /o '°Rop•o A o • ML BROWN SILT j'
sF
/ S0
jS/
: O�L9c�n OQOaD �'� z5''S R Se....RF�q y0 ''�h 4 c v \N P
��' cF�\ •
/ J' /f
• NE' SP FINE EO\20— S'frit
F SAND LICENSE NO.:050363
5y°�,14 ! °� • •
•
�� I \NXF `S'S 15' GNVATER HANDS ON SURVEYING
�Q°oi,�h� �S9
' _� �Oa,� rp ` �°� ' ?� '/ ALN SP WA ERNIPALE 26 SILVER BROOK DRIVE "
` , \ Q �-., __v BROWNFLANDERS, NEW YORK � e
�'O ,' /4`' �3,. — — '' `,.-.` Q t-��,�,r_ �ic'-c ___>\\--,_ MED.SAND 11901
ci
o,���Q ° �`. `�o� \ 21' TEL:(631)-369-8312-FAX'(631)-369-8313
\ MCDONALD GEOSCIENCE ART1N D.HAND L.S
��`�� \ \ ` MARCH 10,2005 • •
NQv
ii 7%.??0"/,/, <' \
\ \ \ % 10
N.
�I
o
,� i iN.
Cf,6-:Oe ,O�LF� co,
�, \ \ \
P
I
FNo \ 1
ly�T� °s / \
`1111. o
SII , (0 / O�
NCF / O \r...„,• •...s,"
gi, 2—.2.-
(4-, _/73 'c�. ✓ Y./�- SF'QI�jCF�,J����2Q °�°° � / CID
SUFFOLK'COR Y DEPARTMENT t Or HEALTH SERVICES
S RVEY OF Bey pig PERMIT F APPROVAL O1=O:�i� i iCa y�3id F
OR A
6 ►13 LOT 22 RF �
(J6Z A.-4,....o SINGLE FA ILP RESIDENCE ONLY
, 5,1rr. CO. HEA! ERVICES MAP OF ��F n
• y_. „.tr in l A7ERMGT. LEEWARD ACRES AT BAYVIEW DATE' /f R.S. PWF. /7/0- ._ r►.90, r
ekl/
SITUA TE AT �� �a ��, P� ; _ �
,9 BA YVI EW o 0 ��.P
For;
^
1 .orf .tEl' ►Ipie r.,....,,,,",,,!.., /
TOWN OF SOUTHOLD Q-S r ! �,.,t
O • SUFFOLK COUNTY, NEW YORK 44% ,/ t ' - ; ;': s a;11.1.° lii R= �� ��,
O� 11 ,
C.T.M. DIST. 1100 SEC. 79 BLK 07 _OT 31 \ `� J� `"""' -- -� " ';;�'
F 20 10 0 20 4D 60 80 100 120 140 160 180
SCALE: 1"=40' DATE:OCTOBER 8, 2012 S.C.D.H.S. ENDORSEMENTS
I,