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HomeMy WebLinkAboutD'Addaico, James SCUTHCLD VIASTEVlATER D SPC6AL PERM T CCNSTR UCTI CN CR ALTERATI CN PERM T SEPTI C TANK or CESSPOOL Per mi t NI 4140 R Fesi dent i al X Non-Resi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSLED TO Name : SAMJELS & STEELNAN Address 1: 25235 NAI N ROAD Ci t y St Zi p CLJra-IOQE NY 11935 Dascr i pt on of Proposed Const r uct i on or Al t er at i on SAN TARP SYSTEM FCR SI NC1E FAM LY D/ELLI NG APPROiED AS SLUM TTED AND AS APPRCIJED BY THE SUFFOLK COUNTY DEPARTNFNT CF F-EALTH SERA CES. Fl NAL APPROVAL REGI FED FROM THE StFFCLK COUNTY F EALTH CEPARMENT. REF #R10-R10- 13-0011 Name a Owner JAMES & JANET D ADDAI CO Mei I i ng Address 1 45 CLOCK TO/ER LANE City St Zip CLD VESTBLRY NY 11968 Property Address 1 8860 PECCN C BAY BLVD City St Zip LAUREL NY 0000 Tax Map No. section 126. 00 bl ock 5 I of 40. 000 Cross Street BRAY AVENUE Bui I di ng Per rri t Umber Cross Ref er ence: I ssue Dat e: 4/04/ 14 El i zabet h A Nevi I I e Sout hold Tow, a er k ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK p P.O. Box 1179 t H aet Southold,New York 11971 REGISTRAR OF VITAL STATISTICS N,p .1C$ Fax(631) 765-6145 MARRIAGE OFFICER o' Q�'X11 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER =�.� 4:„.• www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD , JUN 1 8 2013 TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office __ T . , ^_ .�'' ✓ DATED: June 18, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4140 for a Cesspool/Septic Tank Construction Permit submitted by: Samuels & Steelman for J. D'Addaico 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 0 0";//1/3 Dated ELIZABETH A.NEVILLE `t O4 Town Hall, 53095 Main Road TOWN CLERK p P.O.Box 1179 cia REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER : 'F 1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %% � a0�'1r�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =_ '� * ,. � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 V or Non-Residential @$25 Application No. g-A,(444/64� ` (` Permit No. L H Applicant Name V0111/l t�et/M t,E.W t Qd,(444,4 f 2Gts Applicant Mailing Address c2LJo235M,Bc.-fi►'t k0 , (--A tthb Septic Tank / or Cesspool Brief Description of Proposed Construction or Alteration A`a,> l bb1 iPrnu l d e flat) S�ti u t�� �r 4 I'e w l COv ©lVie, Location of Proposed Construction/Alteration: of Property: da,iy,,Q� d 44. l,,et MAirtswG' Owner Mailing Address: 46 C zde-Te - 644 Wov , Owner Property Address: $0(90 PCCove lG 41 0t)A • C-,tA4e Name and phone number of contact person TOM C oL(A-ad "T3 4_ 6 40C Tax Map No: Section 12.6' Block 5- Lot 4 Cross Street 6r9 AWA/t.}4 F. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: rOW / die / \ PERMIT FOR APPROVAL OF CONSTRUCTION FORA PROPERTY: 8860 Peconic Bay Blvd. PROPERTY W/ 'V ADDRESS Laurel,NY FUEL IG WATER \ SINGLE FAMILY RESIDENCE ONLY OWNER: James and Janet D'Addario \ / �� 45 Clock Tower Lane PERTY W / �,� Old Westbury,NY ��) e..4,1;*PPUBOLIIG AER DATE S/? Jl HS. REF.. No. i L O - i--6- 1 I SITE: 25,160 sf =0.578 ACRES LU r �` \\� APPROVED CL,AAA-Q� /€A o A ZONING: Residential 40(R-40) Z - o�S► p \(/ o �.� \ a COTTAGE \ FOR MAXIMUM OF 9 BEDROOMS SURVEYOR: John C.4 East Main Ehlers LU ii 1 D s \ L EXPIRES THREE YEARS FROM DATE OF APPROVAL Riverhead,NY 11901 D �0 \ �r.,, LICENSE# 50202 'Q / '� \ `goo - DATED January 13,2013 WI� \ < ti °- \ ` • GARAGE \ w LOCATION MAP o�/V- ROPERTY W/ f .� \ V ' ` O O / PUBLIG WATER p \ FROM +r -° r• WATER INE 0 > ji s/ m % � \ ROAD To Lic R£51• TER MAI T u.ia ,// j li m / Laurel links gr...,"� _ N. -OSED NEIN SEPTIC SYSTEM\ LII Cl) CI E0 NEW GARAGE ,,1,...._"!..„„ J. \ 4 Cower?Club / !,//,,; \ ♦ = _` �� \ FOR A 4 BEDROOM RESIDENCE \ //�j Ca o �jV \ - 1200 6AL SEPTIC TANK(ST) 11441 ' / a(2) 8 DIA x b HI6F1 LEACHING POOL i.I.1 ot / ., F.PROPERTY W/ -FUTURE LOCATION FOR(I)b' DIA x - �/ .tadc PUBLIG WATER COTTAGE ` : PARKINS` HIGH L.EAGHIN6 POOL (we) E us t� ii/ O W la 150 FEET RADIUS ���<� �` //��/�� _ NO WELLS FOUND 1 *1-13/-S \ �j/�/ F"' I WITHIN RADIUS TEST HO _ HOUSE \ / '//////EL +175 :__ :_... / �� COTTAGE - -- x= .:w;:.,._,� ///�� // a�< r :.axonQ. .. _ ':mx \ \ NEW TWO ST -Y =_ =_ _ ,!.-,1151.,....1%-r,,__ I ___ TEST HOLE RESIDENCE __ •- --_--�=�-��...�:-:_:;__ 4ir �W. /1 \SUGTURE\\\\\ -rte _ ♦ TEST HOLE DATA 11 I7 112 ELEV.+17.5 s w• I EXISTING HOUSE .. W i 6 <�. ii \ \ DEMOLISHED -� = , BROWN SILTY SAND SM m ao• \ AiLOCATION OF EXIST! 0`Nip �� % 1 .1 FT. • _ = : • A _ . .• Q SANITARY SYSTEM TO BE u/ ' .4 REMOVED �, / WATER IN PALE ;i�% BROWN FINE SAND SP �-4\ /'1..1:' �4 14.1 FT BELOW SURFACE-WATER - \ \ \ I `'mss ENCOUNTERED,ELEV+3.4' OF _lcN 1, 'CF �� // / co ,.,As c.S� lb 41 NV: �MO HOUSE Oil.' 'P iW Abandonment of fisting sanitary s ste o�o/ % k�q�'���'�o CP. Loop ZONE LINT= ��° Nor 4, -f- ►�,,.,.... comformance with d artment re ui must be in ♦, //o �o�� 9 "� r;�R,.•,-7��;; r t.to UT rPm i Submit ,�` / /�,p � �dJj ► �i 1_ u� Ts completed form �fIWM- p a,; ,74/4 �' � „� eu,r 2119/13 S as proof. 4. _ QJ', / / '6\0 I---- BUILDING WALL FF EL Iq.O 1'� ,-=40•-0' \ ,,6`� 0° GRADE LINE ELEVATION 113 FT. �� •• 8 ;.i.�v` s. .m►E ,y6 "? 7 GRADE LINE ELEVATION 115 FT. / 55°` OsC1 I' MIN. 2' MAX. I' MIN. 2' MAK— SITE PLAN _— ''^^.0 �4' i I/8"/FT. if TOP OF POOL. 14.04 FT. \ / V ,'.�EPTIG LEACHING 1 HOUSE \ , / .+I65' TANK E. +13.84'J POOL BOT OF POOL 8.0 1 FT. ,,,,, i [1_7:4•16 IE. +13'16' ��p4,ip WATER ELEV 3.4 FT SITE PLANL 8�-�° 3' MIN_ SEPTIC PROFILE SCALE: 1 -40'-0" (N.T.S.) SCDHS SUBMISSION