HomeMy WebLinkAboutMusich, Richard SOJTHC1.D VIASTEVIATER DI SPCSAL PERM T
CONSTRICT, CN CR ALTERATI CN PERM T
SEPTI C TANK or CESSPCO-
Pier m t No. 4179 R Fbsi dent i aI X Non-Resi dent i aI
Fee $ 10. 00 Septic X Cesspool
PERM T I SSIED TO
Nbrre : PALL MEY
Addr ess 1: 1145 BAY HAVEN LANE
aty St Zip SCJTHCLD NY 11971
Descr i pt on of Pr oposed Const r uct i on or Al t er at i on
SAN TARP SYSTEM FCR SI MOLE FAM LY DVELLI NIG
APPR)IED AS SLUM TIED AND AS APPRO.IED BY THE SUFFCLK CCLNITY DEPARTMENT
CF FEALTH SERVICES. Fl N4L APPR)/AL RECD FED FROM TFE SLFFCLK CCUN(TY
FEALTH DEPARTMENT. REF #R10- 13-0064
Kane Cf Ckner Po a-Iw) MUST a-I
M3 I i ng Addr ess 1 9 GATE PC6T LANE
aty St Zip SC UTFBLRY CT 6488
Property Addr ess 1 920 MIRES LANE
O t y St Zip CPEENPCRT NY 11944
Tax M ilp No. section 33. 00 bl ock 2 I of 42. 000
Cr oss St r eet I-K?vESTEAD VIAY
Bui I di ng Per m t Number Cx oss Fbf er ence:
I ssue Cat e: 1/06/ 14 Elizabeth A. Nevi I I e
Sout hold Tovui a er k
. ..
. ,
�,,%gUFFOL4
ELIZABETH A.NEVILLE,MMC ,'��".0 �V Town Hall, 53095 Main Road
TOWN CLERK p I P.O.Box 1179
1 cO Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p 0Fax(631)765-6145
MARRIAGE OFFICER y ��
RECORDS MANAGEMENT OFFICER '...-_-.1_46 ia0 0i� Telephone(631)765 1800
"I".01,•.� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _ ---------
TO: Southold Town Building Department `-
- 5 2013
FROM: Carol Hydell, Southold Town Clerk's Office DEC :,,,
DATED: December 3, 2013 ''
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4179 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Davey for Richard Musich
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
r
Signature i ,-
Dated
ELIZABETH A.NEVILLE t'o`1` •lea\ Town Hall,53096 Main Roa
• TOWN CLERK tP.O. Box 1179
''l`
REGISTRAR OF VITAL STATISTICS w, Southold, New York 11971
MARRIAGE OFFICER �.� �►i Fax (631) 766-6145
RECORDS MANAGEMENT OFFICER =� ,,��,, 40' 1. Telephone(631)765-1800
*
FREEDOM OF INFORMATION OFFICER �=-.'� �`�1et southoldtown,northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TOWN OF SOUTHOLD
BUILDING DEPARTM 4LTHOLD WASTEWATER DISTRICT
P.O.Box 1179
Southold,N.Y. 11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No.
Permit No.
Applicant Name
Applicant Mailing Address t 9 S14.Av` 1\
S'cT `-,11/1 i4. ) ./•3 (1
Septic Tank or Cesspool ' @
- Brief Description of Proposed Construction or Alteration /1/4--/(2 Lc( t-t-
Location of Proposed Construction/Alteration: d 111 d R.A5 ( 1 %) -Q
Owner of Property: R Cit, M- S Z 11 Co s"e-e1
Owner Mailing Address: 1 Co,/i i �a S
S 11, L1 � Cr' a64. (�
Owner Property Address: -S'/v4
Name and phone number of contact person c)-8L-1 L. -/' l 6 3 / - 76,! S S 1
Tax Map No: Section 5 3 Block QC45— Lot L�
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY " : DEPARTMENT APPROVAL
t _
63 47
sit. :tune of Applicant Date
Received by: /
4REA= 19,500 SQ. FT. N
SURVEY OF PROPERTY 1
AD \ ,
AT GREENPORT
R0 TOWN ,OF SOUTHOLD
pO149 a SUFFOLK COUNTY,
N. Y.
1,r 1000-33-02-42
IN
0o3 SCALE: 1 - 30
OCTOBER 9, 2013
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O 1.513'' 30 8 s
O. . G p0E E\-• RAIN RUNOFF CONTAINMENT [
0 510 K
SNS HOUSE = 1920 sq. ft.
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'Net- 2.5L-• 1920 x lx 0.17= 326 cu. ft.
N. t1� 326/42.2= 7.7 vf.
0 1169 FE0, N0 PROVIDE 2 - 8'B' x 4' deep DWs.
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DONALD G EOS IIENCE O�LE DATA • ® PEER !'
9/19/2013 IpVO\-\C W --
G
PALE BROWN SILT ML LI �, o By Suffolk County Department of Health Services
,•
i• ?
,1 .? a v p 4 enc SYS1131
PALE BROWN AND BROWN SILTY 0 I O BACKFILL MA7 /A HIGH
PRECAST CONCRETE LEACHING RING
SAND SM ��, Ce L COURSE SAND AND GRAVEL
tZ 41 14 [1] 1,000 GALLON PRECAST SEPTIC TANK.
t ;7 �J .41 y$"
'`' Ily LOT MCI REFER TO "MAP OF EASTERN SHORES AT GREENPORT,
10 Ig. 0 ' . SECTION 5" FILED IN THE SUFFOLK COUNTY CLERKS
BROWN FINE TO COARSE SAND SW 7 it..
OFFICE ON 12/31/68, AS FILE NO. 5234.
WI TH 10% GRAVEL I CI 4 O co
44 114 a lkur LOT REFER TO "MAP OF EASTERN SHORES AT GREENPORT,
17' ep )•. SECTION 3" FILED IN THE SUFFOLK COUNTY CLERKS
L' + ` L L OFFICE ON 09/27/65, AS FILE NO. 4475
h
= PIPE 1 h !.
I
= MONUMENT N 01
te. 4
0 familiar with the STANDARDS FOR APPROVIi�-. ,�,
CONSTRUCTION OF SUBSURFACE SEWAGE
' oF OSA! SYS TEMS FOR SINGLE f AMIL Y RESIDENCES ,`t' )'OE,
' will abide by the conditions .set forth therein and on the s., ,
•
'pit to construct.
* °�a '.'; '''''.:,....;'•1 [
'fir
h 7
location of wells and cesspools shown hereon are
n field observations and or from data obtained from others. ( / �,
' 4.1TAI4 '
' ' ef 0. 49618
IL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION 'r~.' �� ' MORS, C.
:CTTON 72090F T `- W YORK STATE 'EDUCATION LAW. ,1y4 '4;' •20 FAX (631 35-1797
'T AS PER SEC? 7209-SUBDIVISION 2. ALL CER17FICA770NS P.o. BOX 909
)N ARE VALID FOrc THIS MAP AND COPIES THEREOF ONLY IF �
MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ELEVATIONS ARE REFERENCED TO 1230 TRAVELER STREET 1 9 7 °Ga° k