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LeStrange, Kenneth
5 a SCUTHCLD VIASTEVIATER DI SPCSAL PERM T CCNS1R CTI CN CR ALTERATI CN PERM T SEPTI C TAN( or CESSPCCL Per rri t ND. 4145 R Resi dent i al X Non-F esi dent i al Fee $ 10. 00 Septic X Cesspool PERM T ISSUED TQ Naas : SH4UN BAFFIQV Address 1: 111 FARLEY ROAD a t y St Zip SHORT H LLS NJ 07078 Descr i pt on of Proposed Const r uct i on or Al t er at i on SAN TARP SYSTEM FCR SI NICE FAM LY DV€LLI N3 APPRO./ED AS SIM TIED AND AS APPROJED BY TI-E SUFFOLK CONY DEPARTMENT CF I- ALTH SERA CES. Fl NAL APPRO./AL FEW FED FROM TI-E SIFFCLK CQJNTY I-EALTH DEPARTNENr. FEF #R10- 10-0010 NNarre a Owner KENNETH LESTRAIVCF Mili I i ng Address 1 111 FARLEY ROAD a t y St Zi p SHCRT H LLS NJ 7078 Property Address 1 960 VW LLI S CREEK ROAD Q ty St Zi p MATT! TUCK NY 11952 Tax Mbp Nb. section 123. 00 bl ock 1 I of 1. 000 Cr oss St r eet IVEADOiN BEACH LANE Bui I di ng Per nit Mintier Cr oss Ref er ence: I ssue Dat e: 4/04/ 14 El i zabet h A Nbvi I I e Sout hold Tow der k ,,0° \>)gUFFO14-OD ELIZABETH A. NEVILLE,MMC 0 l : �t /y Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 ca Z ; Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 1 D V. Fax(631)765-6145 MARRIAGE OFFICER # 0� ii' Telephone(631)765-1800 RECORDS FREEDOM OF INFORMATION OFFICER _ .,'�•l www•southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 7 , r TO: Southold Town Building Department [ 1J JUL 22 2013 ; FROM: Carol Hydell, Southold Town Clerk's Office DATED: July 22, 2013 Tn r �n RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4145 for a Cesspool/Septic Tank Construction Permit submitted by: Shaun Barron for Kenneth LeStrange . 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 ,i,„,,,e,4 Signature 0772- 4773 Dated „ ,iiia. _ ELIZABETH A.NEVILLE ��� `Z` 4�; Town Hall, 53095 Main Road TOWN CLERK % p - ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS W Southold, New York 11971 MARRIAGE OFFICER : O .�` �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER .WA 40 os Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = jig'� , ' southoldtown.northfork.net --'-...,,,f0" 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. 1 I i C- Permit No. �J Applicant Name 5\11(Avvo, 1;7‘.ea,” (-164 k L�3\( Applicant Mailing Address 1 11 fA Qoo.Z, cVorj \\ \\c) N., 0?c7 gj Septic Tank'-or Cesspool , Brief Description of Proposed Cons tion or Alteration N. 'Ai' ,. A.\C"---, Location of Proposed Construction/A teration: Owner of Property: KtAA h Le.S}(k. Owner Mailing Address: I t .er.,Ae .G� S v tt4t\i� CqG F, J Owner Property Address: 140 (AANc Cr -c 'Cl.11ttt\ Name and phone number of contact personS'YAtx,v,igen r co.' Tax Map No:n, Section ,�.� Block I Lot 1 Cross Street Y 1k , ./\. \,t NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT . 'PROVAL .4001 i Signature of App . : t s ate Received by: Tr }-RANGE , 4d 040, B RAD = 40.00' LEN = 59.78' • FR. RES. 30 SF I~'t. CONCRETE AN ...- co (------- LOT La 1V' 14 RECEIVED N/F STEPHEN & ELAINE • a SPARACINO FEB 2 0 2013 � '�� (PUBLIC WATER) SUFF.CO. HEALTH SERVICES T. Ar E OF tr1�STEV'ATER MGT. m \ C 72 B RE- IR 1S•55'^ �R • / B 6ERVLCE . . /.... i o r� L1MlT OF CLEARING. ' +i 1 7 4` GRADING. AND { -f � �� GROUND DISTURBANCE ,te•�0 ROW OF STAKED HAYBALES WITH /.. ,C; PROJECT LIMITING FENCE TO BE IN / Q� _PLACE TO START OF CONSTRUCTION , �� 6 . ,CJs 4-TEST HOL i / , EDGELAWN OF S '.\ �. eflee:_:4" ,.. ..,:-..0. .-- i� I. ` • ,' 40 8.33'.; t/ 10 I 4.33' w 9• _•-••llt . ' / 0 '': i /4N-., , 20' ¢' NEW E RYA ® PRO USED CO • ST S RAISED 'CANTERS ^ 11,00 1.0' in 0.; / 1( I"15.5 X 5.0 !��, 7p pq y �O o 02 Q PROP ►moi//iii:.._ 0��730s 24. a A- j V L L 2 79 9 C PORCHD lirm will p °i 0� o ) • O 11 U , ENCLOSE ;' '�Q �� O� Z EXISTING j0 gT0 RE Fet y{ PORCH , Z lt° e,-2. p a fi cos,0 �4 ,% ' 78.7' xf� AR m WFF•�� -"/ 26 6, ' 1 °f a sX3 , / y` SC101,0!,..-...c70.1„....., N O .h �5 5 3' W DE - 'EK J '•__dhy P . �' `' 4711 C% I '\ W/PLA TER NDE �;•,.,'; .- r WETLAND FLAGS \ !��^oQ�tk '•.- A' ' ' BY SHAWN BARRON E sulk: \' Ie3 _��stv� o S. E ST.P __ 'x-20-2012 �� it. •- OUTDOOR '�,�, (- SHOWER SETBACK N • OEGKR LINE Tk u) 60�SA. `� 45' S 4 .6a,c9 1 4/ �' 6 F(o 0,HE X416 Pi aQ2 W/n L.INe aNE416, uNI 2 STY PORCH SEL 6J 3c RE \ TO BE REMOVED 00 STAIRS APPARENT H.W.M. �` a° 10-2-2012 �I ,�T• ' ti0 I lirc_____oN/c). ' Q yMON. \ '<< 4/ W000 BULKHEAD �� O` `�/� �, .- WQOn °�� n' t EXCAVATION INSPECTION REQUIRED FOR SANITARY SYSTEM N BY HEALTH DEPARTMENT 4, w __„.mmnp/� E `..�` 4 4 4' ' 4 CI, Revised Flan - ry 1 Aproved d-�0 S RAD = 40.00' If /Mr SCALE: 1 "=30 ' LEN = 59.78' - - - - s - M �1•110 = MI 1W lilt OW IIMM1111 1111111111111111I MIMMIIIIIIMIMIll p"M1k FR. RES. t".{ co Ntl' SUFFOLK COUNTY DEPARTMENT OF HEALTH H SERVICES LOT PERMIT FOR APPROVAL©F CONSTRUC T IO ! FOR A 14 telSINGLE FAMILY RESIDENCEONLY { -ISN ELAINE OATS /0 E H.S. EF 0. koro— 00( O RACINO ����► ��" C WATER) APPRO ` � %2" MIT- .•�! , 1i FOR 1 'sfr IUM OF� _BEDROOMS 4/ EXPIRFS TRE °_E.A9G F2.01‘,1 DATE. OF A("?''P*VAI. EX• PIRFS • • RE-BAR CITY WATER SERVICE UNDER si I ` ROAD TO / / EXIST. HOUSE 6•8 >Ea`£`)SIC RAD = 60.00' B\?P' sciolCE •'.. LEN — 66.32' •ii / I__ pf�CF 4. y� pF FARING. 4 /..../.. ` NEW SEPTIC SYSTEM PER SCHD OF HEALTH \YBALES WITH kve, / \ PERMIT # R-10-0010-B-4-10 TO BE INSTALLED • ENCE TO BE 1N . / OQti,�. , CONSTRUCTION: 0„1 _fy- EXISTING SEPTIC SYSTEM TO BE PUMPED 6 eawwQ, TEST HOLE CLEANED 8 REMOVED IN ACCORDANCE W/S.C.D.H.S. STANDARDS • j V,10 s. gee• Biis CONC. • EXISTING SANITARY SYSTEM FOR THE ''• EXISTING 4 BEDROOM RESIDENCE �/ Ill 900 GAL SEPTIC TANK GE OF ,�/ (3) 4 FT HT LEACHING POOLS (EX LP) .AWN i• ./ .// .1 / TOH BE RE CONFIGURED REMOVE EXISTING 900 GAL SEPTIC TANK �' e) i • ,•'• p ADDITION TO THE EXISTING SANITARY ♦ s 10SYSTEM FOR A 7 BEDROOM RESIDENCE " MSN 6 (1) 2000 GAL SEPTIC TANK (NEW ST) -_ • , (2) 4 FT HT LEACHING POOLS (NEW LP) r / 0 " . REVISED SANITARY SYSTEM FOR A 7 ''s NST N BEDROOM RESIDENCE PRO-s SED In 2000 GAL SEPTIC TANK - NEW ` c SRV, ® RAISED -LANTERS 2.1, (3) 4 FT HT LAECHING POOL - EXISTING 0 d4 Q �, BAY WINDOW 12' X 2.7' (2) 4 FT HT LEACHING POOLS - NEW J %,� ro N 20 ���' -�f WITH R00� DECK ABOVE • M lrc 0 Uma :i :i iftpilA ., •- %�� : <301'1)s 2434 a a2 S; tik Ac uNlrs L0T %�n;. ...1. QA 1 AT GRADE 16 ��/Nr'•poyp r0 ) �" PROP. 1200 GAL Mp- 13' k ' BURIED PROPANE �S OHO. IU tZQ Q. TANK Rr � Ze���ooF m N/F ROBERT W. 8. '' fi,4,�• •v• "I a o • •p HELEN HELEN KEITH r m A ,4‘1 F..\'' e _ 2g s. ; (PUBLIC WATER) ,9• • P ,�:.. • �15.�• i / 1`'Y 88 IGo. N % Ot • \ WOOD EECK ��:• N .• Ai AOO K • •• Ztil" f, N N t TI N STEP B1. \, 1- _40.1101w i• �1 cl OUTDOOR PS• �� \' SHOWER ',SALINE K N \\‘.. \ UNDER , \, DECK � , 4. FL 20/VE PROP ADO. LiMGRA IT OF DING. EARIANONG. h' 6000W/NEW FOUND. GROUND ONE. UNDER EXIST. ROW OF STAKEDSTURBANCE HAYBALES WITH ` MITING FENCE TO BE IN 2QNN BLDG, PLACE CTO START OF CO STRUCTION 2 STY PORCH F( 6) 3e REMOVE EXIST. TO BE REMOVED '. : STAIRS. P/O WOOD WALK �r a° RENj W�T�5'' co • ^PPA 0 MON. I LOCATIONt ' wooD BULKHEAD �� > 0 Eg N N0nn _ �o \ !1" 0 AU\'K o