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HomeMy WebLinkAboutCody, Arthur r SOJTFICLD VIASTEVIATER LI SPCSAL PERM T CCNSTRUCTI CN CR ALTERATI CN PERM T SEPTI C TANK or CESSPCCL Per nit Nb. 4170 R Fesi dent i al X Nan-Fesi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSIED TO Nacre : NARK Sc i-WRTZ Address 1: P O BCD( 933 O t y St Zip OJTCHOME NY 11935 Cescr i pt on of Pr oposed Const r uct i on or AJ t er at i on SAN TARP SYSTEM FCR SI N2LE FAM LY WELL! NS APPF EX D AS SLUM TTED AND AS APPROJED BY TI-E SLFFCLK air rrY LEPARTNENT CF FEALTH SERVI CES. FI NAL APPROi/AL RECD FED FFM TI-E SLFFCLK CCINTY I-EALTH CEPARTNENr. REF #R10-10-0003 Narre a Onner ARTHR CCDM Nlbi I i ng Address 1 441 CENTRE I SLAM ROAD O t y St Zip GASTER BAY NY 0000 Property Address 1 630 LEAN CRI VE O t y St Zi p OJTCHCC E NY 11935 Tax Nap Nb. section 116. 00 bl ock 4 I of 2. 000 Cross Street NEW SLFFCLK AVENJE Bui I di ng Per m t Nlunber C> oss Fef er ence: Issue Let e: 1/02/ 14 Elizabeth A Nevi I I e Sout hold Town CI er k ELIZABETH11111 �I,��o .OSUFFO(,�0 A.NEVILLE,MMC ���� y Town Hall,53095 Main Road TOWN CLERK 4 C P.O.Box 1179 ze Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O rrt Fax(631)765-6145 MARRIAGE OFFICER `. fit' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER Oj Aa •06 FREEDOM OF INFORMATION OFFICER ��� www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD __ TO: Southold Town Building Department , OCT 2 3 2013 FROM: Carol Hydell, Southold Town Clerk's Office i DATED: October 23, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4170 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for Arthur Cody 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 ./0/ 7r.` 7r Airr Signature Dated App I" ELIZABETH A.NEVILLE , . 4 k Town Hall,53095 Main Road ��� TOWN CLERK p - , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O � ; Southold, New York 11971 MARRIAGE OFFICER . = RECORDS MANAGEMENT OFFICER y�0 .O '.F �� Fax(631) 765-6145 a' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = q 1•,t southoldtown.northfork.net ---•-•w..,..00'' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 1 or Non-Residential @ $25 Application No."0 6 Permit No. Applicant Name 04 /� S (o(fG / Z- Applicant Mailing Address P 6 < 9 3j n'T-C. 6106' c 'r Septic Tank ✓or Cesspool Brief Description of Proposed Construction or Alteration ' A/. r L ‘re/47-7 ç Location of Proposed Construction/Alteration: Owner of Property: AR 7-71 'i COZ)7 Owner Mailing Address: 4_4 / CcNt12 L If c 4 9 i,6� 6y ,f7X ti Owner Property Address: 6 Jo D Al l0( C G Name and phone number of contact person Tax Map No: Section /76 Block 0 .1 Lot © Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WIT APPLICATION. NEW CONSTRUCTION REQUIRES SURVE H HEI P L.' MENT APPROVAL Signature of Applic. Date Received by: I° /0 (413 'i I ant familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE 1:00,• DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES .6b. and will abide by the conditions set forth therein and on the c .� N permit to construct. f10 pf -�S A �°l•�Y' SURVEY OF PROPERTY DEpAR 4Ir.k SUPPOUt P OF� 'Ru` 3 A T , CUTCHOG UE s i _ PEa SINGLE� ��Y�EsE►�cE AND .o TOWN OF SO UTHOLD E ` AREA OF UPLANDS = 9287 sq.ft. T_______,,..: , _ _oOo Ary SUFFOLK COUNTY, N. Y. or. EXISTING LOT COVERAGE = 056 . (V �j `n1000-116-04—Q,2PROPOSED UPLAND AREA .COVERAG. 1�. C= ' • (by imprvious surfaces) = 8% DATE' ''��'' ; SCALE.` 11=30' �, �,i! 3 MARCH 25, 2009 APPR' /'" BEDROOMS 0 NOV. 18, 2009 ( BOH) • y OF 'm�� o Dec ZA 24,wS (Yev+sto^) The owls and ~spook • TOT ,� . a M QATE FEB. 2, 2010 lice ,!ISED EL EVA TIONS (NA VD881 shown G►erewr► we /roar field abs.rrslloMc Qg�1�, .� o$ r FEB. l , Zp/O (addition) end or from dole obtained from Mum acP� `' Z MARCH 1, O (REVISIONS) Therefore their boohoos end or eniddeace s ELLING FOOTPRINT'r 745 sq.tl. �'' m cu+ April_ 30, 20/0 (additions) Is AiOt �01e�e"t 2" RAINFALL cr 0.167 FEET S J B, 2ao (revl DRAINAGE REQUIRED _ 124 coat. � .Jan. 7, 2011 (revisiodi) SEPTIC SYSTEM CROS ECTION FOR SAPUTAIiY SYSTEM (34" x l6") TO E CFN CTED N�' JAN. 19 2011 (revisions) HSE (3 BEDROOMS) gY HEALTH DEPARTMENT HOUSE BY UNDERGROUND PIPING �$. y JAN. 28, 201/.1 revisions) Gin pr el l0_ S wo? 6 n JUNE 7, 2011 (REVISIONS) �. EL a s " grade Et- ' �_ FI) ; NSD Egi� ARSON ck �, Eti ?' M - t•wt 0 P e:ti E rt. S _ s 12 LP SAAR NEATNER Zs �. • N�Vo 1r•.Mw -jj � r wK ;• ANDREW�G „f �ria.. .� �� _ �.� \ bo ��� art.. MATER EL.0.9 —cir"� 1 40 O �$ J1 xG2I►'Lr LEACHING SEPTIC TPOOLANK ANDS DNI C• N ' O� O d CERTIFIED TOS w1m 3• SAND COLLAR ISW) / �� ' c�SG� f - i �p�`�'G ARTHUR CODY 25 cuyds. FG'-L FOR SEPTIC EDGE RCN t� ; '-4 of ti HEIDI CODY TANK ONowoc�y • r so ',� /r , $'"1" t ` O' + p ®t PROP EL or contour 9 i7. ! • :�"�': iii ,tr t M :i )� , «' SIP" sIP- ;g. ° �z ��Sj011 MAP �� \ ` �K �0 TEST BORING »E / - l. It 4 ci ..509[2, 19 Geosdence ' 1� N72.2, / gel- \\ ` a - o 6 TAS SNFILEO AU 1No �y *., " •', ,`'----_ ' EMEN SVIE` ,S OFA O' •' EL 5.3 ` F 1 ,• �Pe �� -% 'cam' f�►a%:` •— . EBF DO TY (LER K'S °1-1 -, DARK BROWN > `` • It __"`".+i'"`: ,464, • E \\ �S BILE NO -I. y LOAM a /k" BROW CLAYEY �'' � '(RUE�1UST `� 3' SAND SC . \ 2°"/1i v�o,nt ARC AODAgt� "' • MOWN SANDY ,�0MW T - CD•4' ..572.21 R�NN $ OF NEN, /� COARSE SAND \ p/' co '(.MET WITH 2 x GRAVEL ��d� NTME MAR EWATER IN BROWN ARSE )'''.4'1. ^ , , (2 II * • r FEE TO COARSE • •�. . . #f„nc + ir'rk\4' •.SAID WITH 20x. GRAVEL SW . £• •, `' WATER w PALE FLOOD ZONES FROM FIRM \6' FT G • , jn BROWN FINE TO 36103C0501 H 9/25/09 -FLAG es . ,, . • ,, 49618 WOW SAND SP. NAVD 88 ANY ALTERATION OR ADDITI' TO THIS SURVEY IS A VIOLAT7ON • . • . 'A ECONIC = -�, 1>" OF SEC77ON 72090F THE N YORK STATE EDUCATION LAW. . (631) 765-5020 F 6 65-1797 ELEVATIONS ARE REFERENCED .NAV() 88 EXCEPT AS PER SECTIGN 7 9-SUBbIVISION 2. ALL CER71f7CA BONS P.O. BOX 909 ' HEREON ARE VALID FOR MAP AND COPIES THEREOF ONLY IF 1230 TRAVELER STREET AREA=12 661 SQ. �. SAID MAP OR COPIES EEAR THE IMPRESSED SEAL OF THE SURVEYOR 09-119 ■ =MONUMENT WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y.� 11971"