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Barton Arnold
SCUTHCLD VIASTEVIATER DI SPCSAL PERM T CCNSTRUCTI CN CR ALTERATI CN PERM T SEPTI C TAN( or CESSPCCL Per m t Nb. 4218 R Fesi dent i al X Nbn-Fl si dent i al Fee $ 10. 00 Septic X Cesspool PERM T ISSUED TO Farre : FFECER a< V'EBER, ARCH TECT Address 1: 41 EAST MAPLE RD4D Q t y St Zi p G E 1AVN NY 11740 Descr i pt on of Pr oposed Const r uct i on or Al t er at i on SAN TARP SYSTEM FCR SI N .E FAM LY WELL! NG APPR)IED AS SUEM TEM AN) AS APPRCNED BY TI-E SUFFCLK CQNY DEPARTMENT CF FEALTH SERA CES. Fl NAL APPRO./AL RECD RED FROM TEE SUFFOLK COUNTY l- ALTH DEPARTMENT. REF #R10- 13-0015 Nene Cf Owner ARNCLD & GERALD N= BARTCN Mai I i ng Address 1 100 H LTCN AVENLE, 210E a t y St Zi p GARDEN a TY NY 11530 Property Address 1 1850 C CU TRY CUB DRI VE Q t y St Zi p CJLJTC HCCUE NY 11935 Tax Mip Na. section 109. 00 bl ock 3 I of 2. 019 Ct oss Street MOOD S LANE Bui I di ng Per nit Minter Cr oss F1rf er ence: Issue Cat e: 4/07/ 14 B i zabet h A Nevi I I e Sout hold Town a er k JP" '" sufFolet ELIZABETH A.NEVILLE,MMC tis0 Gy Town Hall, 53095 Main Road TOWN CLERK co P.O.Box 1179 y : Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .F$ Fax(631)765-6145 MARRIAGE OFFICER 41# �� le° Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j -0„.0 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ����,,,• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAY — 7 2013 TO: Southold Town BuildingDepartmentPE Ei PG. FT. TOP]: nr I POE D FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 3, 2013 Transmitted herewith is a copy of application No. 4218 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Frederick Weber,Architect for Arnold & Geraldine Barton 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. .1-"°-.--74-47.704--m-.-P.' 9/"642,4rd Signature 40(5/2-41/(3 Dated „ %suFF°4 o • ELIZABETH A. NEVILLE • 1,� Town Hall, 53096 Main Roa TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � � � Southold, New York 11971 MARRIAGE OFFICER : v 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��JO sbtoN' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =_ '11j i`�oo southoldtown.northfork.nei 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. 4424 Permit Permit No. Applicant Name ktDieg,N,(/(L. kk)1^ � r k Applicant Mailing Address AI :TyV k fU V.0,41;C> aoY -s11,4 .I ) -1, 1114<D Septic Tank_ or Cesspool x__ Brief Description of Proposed Construction or Alteration o'Vti ve C.T ttkl ice,644001.4 m,01.4 1. H %)L., tt4s t�. N tart u s TANK_ ' /C3-' L�i��-tt-N 1-ceouS � Location of Proposed Construction/Alteration: ' Owner of Property: 1 L IOas/IA-LA: se 1 'Cr Owner Mailing Address: IOD W1.1-- c AVS . 940 E, 4/s44)113).\ C—ATA„4 k1,5'0 Owner Property Address: tS M_ CLUti=” rXZI�� Name and phone number of contact person KCVO WWim' C(0$01G4-GSS j Tax Map No: 000 Section `O9 Block .0 Lot 9-.O%9 Cross Street 1/04 eN1 A%J 0. ()11/1 .4 IVI4VR,Z S Lk ) NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S Y ALTH DEPARTMENT APPROVAL Tri `4nature of Applicant Date Received by: 1' MIN. t 2' MAX. TRAFFIC CONCRETE LOCKING CAST BEARING CHIMNEY DEPTH /IRON GCOVER SLAB 7 4"4> APPROVED PIPE. I/4" PER FT. 4"4' APPROVED CONCRETE MNIN. PITCH soVERT TO ''I (MINI.> .'4 p MIN. PITCHPER FT. COVER MATCH EXISTING ' `0 DEPT♦LIQUID♦ .♦ �'7 - ♦ FLOW H ;3 BAFFLE-- - 344- ' .24,.-- SE AFFLE _SE TIC o .24,.-- o • TANK NEW (1500 GAL .) LEACHING " POOLS I It 2 ♦ ♦ (400 S.F.) Nr 3' MIN. 4R O I 8-O" 6'-0" zr X ♦ I , PROPOSED SANITARY SYSTEM ♦ ENLARGE SANITARY SYSTEM FOR 5-6 BEDROOM HOUSE I 3' (MIN.) TO HIGH i, NEW 1500 GAL. SEPTIC TANK (Replace Existing 1000 Gal.) L SEASONAL GROUNDWATER J NEW 400 S.F. SIDEWALL AREA OF LEACHING POOLS I t 2 (2 POOLS, 8' m x 8' DEEP) • MEET ALL S.C. DEPT. OF HEALTH SERVICES REGULATIONS. \ \ \ VACANT (EXISTING SUB-DIVISION TEST HOLE ON FILE) \\ `\I1..31' C \ mon. , _\____.. et °"4, i SINGLE FAMILY 40 / v_ Oaf DWELLING W/ \\q'" - v / •°O. Oh Iz PUBLIC WATER ,- v �, C+9 xisting i _ — -- ---._ q• 1 i Drivewa /-- 11.98' \ / -'-7- ...t1 -. Existing _ CI)r..,: ' Water Eli 101; / I / /- t1eLter mon. {..3 % � set Ip -� o ,_ 313.4 , �, 'C 61.1.1 ..'''' --3 t 3' Exp, / _ \ \\ / /� e t .: _%- 11 New / \ - m•-out/Back- �aa _ — — — — 21 LU m 8ce .. 1 Pools Leachung/ / \ / Fi . xtati�ool / i Lea E,,,.., In1,c. ../...:,,, P2 \\ , , , w/ CI- • Sand/.,c /". L!_ ::,"6: a": -:��� __ �p / e y IJ) `- O ``'� �� i (NiNewer . : / V ._ . I N W I 0 Septic% ii i / Existing Z 1 'Tank d /� Driveway '� 1 ( W (c) I \ 1 Z 1 / Remove W Exiatmg 1 (�,� Q( LOT 1'I I ` „( Septic Tank O SINGLE FAMILY 1 s' �•. .\ 1 LOT 15 r DWELLING W/ F''' firp SINGLE FAMILY W PUBLIC WATER /-�,/7;'9Tjii / DWELLING W/ (� 4 is ,. �. ?4, ('► PUBLIC WATER a• N. o14111P Q Existing �,�� Driveway PROPERTY ERALDINE BARTON � TERRAC- � G / I TOWN OF SOUTHO\ SITUATE: LDE ADDITION / SUFFOLK COUNTY, NEW YORK / I Nkg,/ 1 SURVEY INFORMATION: PECONIC SURVEYORS t ENGINEERS, P.C. Virci 'a1.tStbe in PO BOX 909, MAIN ROAD, SOUTHOLD, NY 11911 SURe\•St i g saT 1t,,,.."y/ Submit LAST UPDATED:NOVEMBER 2B, R89 of `"' �Lll%Pe'�'zB�t LAST SEPTEMBER II, 1986 Abandonmt � Crit lei �gvu11b •" a as l`rDOf" LOT NUMBERS REFER TO: Cam€ ,-,nc"m .5 �` LOT IL "MAP OF COUNTRY CLUB ESTATES" �Ctt d!co.-w FILED OCT. 11. 1918 AS MAP NO. 4136 comp 1 e I SCTM* 1000-109-03-2.019 ��}(pEP�FtINr+E� LOT AREA: 46.568 S.F. (±) 1 0 µ EALiH S�CtVtCES SUMO(CQth /22 pgRl1T Vo�APPRova�.Of�Ca)°��'c�tttic�ro~Y 1roR A ': Sit*1GLE F�,�4tLY�GSiD�NCE / t/ o W ©" ) -- •' 0 `� /// S NORTH 14.s. -wx• / co SITE PLAN O ,D� APPR `it „'� E 0R0o:1 iff ' MOP At FOP-/till" FRo � o c K R ti 19 ' // / / J set ry �" ii�r7i� � •,., ' / * / // �i 22.5' ��� I'', I.. / iLZr3 rq56 s m / . b3. 40" UJ I ! 22 NYSDLICENSE X15568 �CHITECT ,20.1' g 82 I� COUNTRY CLUS. INC• 41 E. MAPLE ROAD, GREENLAWN, NY 11140 NOR/1-I POR, TEL (631) 154-5555 FAX (63I) 261-1084 / 21 VACANT MARCH II, 2013 20