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Home My WebLink AboutMalter, Michael SCLITHCLD VASTEVATER CI SPC6AL PERM T CasISTFU fI CN CR ALTERATI CN PERM T SEPTI C TAMC or CESSPOOL Per nit Nb. 4214 R F esi dent i al X N n-F esi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSLED TO Nsne : NARK SCMMRTZ Address 1: P O BCD( 933 a t y St Zi p CUrCI-caE NY 11935 Cescr i pt on of Proposed Const r uct i on or AT t er at i on SAN TAR' SYSTEM FCR SI NCa..E FAM LY UI'ELLI N3 APPR3iED AS SIMM TIED AND AS APPROvED BY THE SIFFCLK OCLNTY CEPARTNENr CF F EALTH SERVI CES. Fl NAL APPRCWAL REGI FED FROM THE SIFFCLK ( J fY hEALTH CEPARTNENr. REF #R10- 12-0029 Nene a Onner M CI-IAEL MaLTER MbiIing Address 1 4425 NORTH PO NT ROAD O t y St Zi p CUTCFIOCUE NY 11935 Property Address 1 4425 NORTH PCI NT ROAD Ci ty St Zi p C UTC I-IOCLF NY 11935 Tax NI3p Nb. section 111. 00 bl ock 9 I of 7. 000 a oss St r eet CARRI NGTCN ROAD Bui I di ng Per m t Number a oss Fbf er ence: I ssue Lit e: 4/07/ 14 B i zabet h A Nbvi I I e Sout hol d Town a er k ill ,��,,o�0gUFFO(,�-c0 ELIZABETH A.NEVILLE,MMC ��0 4; Town Hall,53095 Main Road TOWN CLERK % o- I P.O.Box 1179 k cn 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS `" �� O ` Fax(631)765-6145 MARRIAGE OFFICER 4 0)*'61 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER =_ Ol 4 •14„10 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER 01° OFFICE OF THE TOWN CLERK 4 T- �! TOWN OF SOUTHOLD _ - __ ;1 � ` APR, . 3 ,II 1 TO: Southold Town Building Department 20��13 „�� FROM: Carol Hydell, Southold Town Clerk's Office -=t -- DATED: April 22, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4214 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for Machael Molter 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 os'/g 3 Dated ELIZABETH A.NEVILLE �� 4\ Town Hall, 53095 Main Road TOWN CLERK % p P.O. Box 1179 H Z Southold New York 11971 REGISTRAR,OF VITAL STATISTICS v. PPP 1 ' MARRIAGE OFFICER Fax(631) 765-6145 0 FREEDOM ORECORDS F INFORMA ION OFFICER AGEMENT OFFICER ` ,,.1 , Telephone dtown.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 @ $25 Application No. Permit No. Applicant Name / ( 44ei( j f-c✓/t/2- f Z._ ApplicantMailing Address /6' h )( 9 3 3 44_ //7Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration .17-0('1 Location of Proposed Construction/Alteration: �j Owner of Property: mc.t fi' G / l iek7 2. Owner Mailing Address: 44 T 6 /V . G,71 CC Owner Property Address: s4/i C Name and phone number of contact person 7(?4- 4 / J Tax Map No: tag) Section //l Block 0 9 Lot 0 7 Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURV iH HE T "EP ' NT APPROVAL Z. 772 Signature of Applicant / D to Received by: IIIIINMIIMMIIIIIIM .i 1r • N GARAGE SANITARY SYSTEM (0.5 BATH) SURVEY OF PROPERTY SCDHS Ref# R10-12-0029 ` " '�''�-'� -==-�' AT NASSAU POINT , ., r A 1. 1,OOGALLON2' DEEP TI 8DIA. LEACHING POOL TOWN OF SOUTHOLD • WITH 3' SAND COLLAR 3' ABOVE GROUND LATER . • SUFFOLK COUNTY, N. Y. �� `�� TAI"'"G IEXISTING WELL TO BE ABANDONED 1000-111-09-07 ANG p0a5,�, -----;/141- SCALE: 1'=30' G 81-0c N�$AWE LOCI•t°4 O/� EX15TN CEO 1NG POa 3 4.13 v41Y- u) ! FEBRUARY 2, 2012 �QT 26 TM RE g1 LEACH TNNiNG�!WNa 1.5'S. �, APRIL 11, 2012 (PROP. GAR.) NGS 11°°°_.........,•"'"-- _,� '► APRIL 16, 2012 (REVISIONS) (010.- ' uNKNOwN w� '` �,; AUGUST 28, 2012 (REVISIONS) AnoN 25 -/ OCTOBER 9, 2012 (FOUNDATION LOC. REVISIONS) orp�c�� 2gN_ SOD STAIRS �r MARCH 20, 20I (revtsionl XIX--X �:_ -.�` ti . 1111111111UII111111111111111��IIIIIIIIII11111111111111111111111' F��CX------ X�X'X� X /AEA OF �` EXISTING SEPTIC ) �' _ FE. OEE�XX �� m \SYSTEM � � z 5O E o.9'N i. �X� ER J ``-- - f1 iczs N78�36' '�• .X—X'X °X �a' +-8 �.5.� X w�pgANO°NED)\c`, ,t i.Z 1. e .'" CZ 1.4 47)% 9: r • GRAVEL a _ -- # \ 1 N, wl ` 1'Oj 27 m trni ?, x i B.B. • o o \ k�4.- 4- \ e Ail wA% a '-C TEST HOLE DATAo. a ✓ — �� % �s ' BY McDONALD GEOSCIENCE k w F 2/2/2012 ,40. '� ® IN. © \ o (it '°. 8,q I F \ 10 20 r •\1(}� r� STONE ST,VRs 'gyp . , CCit) 5.1 BROWN SILTY SAND SM �'L µ1N +72.3' s�c -W / r -! 2' '8 A 0 6. ZV j \ TEST H Q .1;! I o o 72 ... 7. ...•'''.'"."''''''.''''.'...'_._..-------------__---------- t `E 1 \ Q x I /AO 1O 66 + ' :7,c01/41 G 3B' .��j 01111 PALE BROWN FINE SAND SP '2 % ?l \ ' 25 D / `� ) FENT /� �� y 9 -� J \ O ' .,„ �' ,6 . � 9 �5 r a9 �. / •+t OVERHEAD w µEwvorfTER N. AL1 -_.- "".'.''..""''*"4-'4P.'--"" -- * ` �i�- ?:i tl: .ir 17' PARES – _\ / TAINING w r ' t P` .: 0 1 •.:.! TTt woc8ll�iLE� „Ari 1t r�-5!�C e11l1Un ,..� t.!.1 s,..‘-,:o.... i1\V i11J`..,"'1.0.111:7";:"11T'''‘?" �IIV iF:POLE -- 70--';3gi50** 1,OT `NG) I trF�.�t� �,c, .�C F�' I SS.R.F._ `_ -- J va7 8 \� � 00+ /�Xo8s pT\C L�ATON vNKN (/1f,��( �.. �ucrlll vs :_ .. –__ -o DA mitis s 1 s raga `t•- \,..„0 (.Mr T� S3 Elevations referenced to N.A.V.D. '88 cz1 ��- 1 am familiar with the STANDARDS FOR APPROVAL nn � / �.R i \ AND CONSTRUC770N OF SUBSURFACE SEWAGE G - `\ G '1'C)T ,1, -�'J - 001,E _ r, ► �1 1j ? _n.. �;,;, DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES � A• 1I.`Y4'- ""E' r and will abide by the conditions set forth therein and on' the SAD C _______. .-� . ' 11 �% permit to construct. 13 CIO ADR Water Line(s) MUST Be Inspected By The _. ` -�` `, - / CARPESuffolk County Dept: Ot Health Services. ``0,` Ab,4%,�s 6-= The location of public water, wells and cesspools-shown hereon are Call 852-5700, 48 Hours in Advance, �;�DLq�Yo s'�� from field observations and or from data obtained from others. To Schedule Inspection(s). /- /� "/-/ _ _ 0 N. Y.S. LIC. NO. 49618 ANY ALTERATION OR ADD/liON TO THIS SURVEY IS A VIOLATION OF SEC770N 7209 OF THE NEW YORK STATE EDUCATION LAW. Y N. /"ECONIC S- 0 YOBS, P.C. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77F/CA77ONS LOT NUMBERS REFER TO "AMENDED MAP A OF NASSAU (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF AREA-38,769 SO. FT. POINT CLUB PROPERTY INC FILED IN THE SUFFOLK P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR TO TIE LINE COUNTY CLERK'S OFFICE ON AL GUST 16, 1922 AS MAP NO. 156. 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 q WHOSE SIGNATURE APPEARS HEREON. 12-110