HomeMy WebLinkAboutOld Mill Inn - Mattituck r
r"
. Town Hall, 53095 Main Road
%. v= .: P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL S"iATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 15, 1988
David Rosenberg
P. O. Box 998
Mattituck, New York 11952
Re: Old Mill Inn of Mattituck, Inc.
W. Mill Road
Mattituck, New York 11952
Dear Mr. Rosenberg:
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10. 00) for
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
Ogielfle,":"... .
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
•
OFFICE OF THE TOWN CLERKc�FFOC�'C'
Town of Southold ,&%" �G
Judith T. Terry, Town Clerk • '' `
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971 '10li a0� •••
•
Telephone ••
(516) 765-1801
TOWN OF SOUTHOLD
• SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. NR7 Residential
Non-Residential x
Fee $ 25.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Old Mill Inn of Mattituck, Inc.
ADDRESS: W. Mill Road
Mattituck, NY 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Convert existing
cesspool to grease trap and relocate new cesspools further away from creek.
APPROVED AS SUBMITTED, MUST STRICTLY ADHERE TO NYSDEC AND SUFFOLK
COUNTY HEALTH DEPARTMENT REQUIREMENTS:
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: David Rosenberg
OWNER MAILING ADDRESS: P.O. Box 998
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: W. Mill Road
Mattituck, New York 11952
TAX MAP NO. : Section 106 Block 6 Lot 4
CROSS STREET: Naugles Road
BUILDING PERMIT NUMBER CROSS REFERENCE;
•
eigoi•et.„7,0040,
Judith-1:. Tderry
Southold Town Clerk
DATE : March 15, 1988
(TOWN SEAL)
lip (03
DIX 11
MAR 1Wii
' •' +'• 195-M in Road
TOWN U *M. .�
Yom' lv '$b°°°i.41
Southold, New York 11971
JUDITH T.TERRY 1��- TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Town Clerk's Office
Date: March 10, 1988
Subject: Old Mill Inn at Mattituck - Cesspool Construction Application
Transmitted herewith is the application of the Old Mill Inn at Mattituck
\ for a Cesspool Construction Application . Also included are the following:
V 1 . Letter to Mr. Rosenberg, dated April 29, 1987, requesting additional
\ information.
` 2. Letter from Southold Town Trustees.
3. Site plan indicating Suffolk County Health Department comments.
\
V 4. Southold Town Highway Excavating Permit.
\r 5. Copy of NYSDEC correspondence.
N 6. NYSDEC SPEWS permit.
Please review the transmitted information and advise if this office may
issue a Cesspool Construction Permit. Thank you very much for your
cooperation in this matter.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and submitted material and make the
following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: q, tn,,dA,c..A*C OL ciY1%A.tit•t4w1 • hi 4.4.'1'
"zzt a 7-- `S
0
1 c u..t, 11 IY2- .
Signature
9119-1(2185) .
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATIONAiik-
APPLICATION FORM,"D"
for a State Pollutant Discharge Elimination'System (SPDES) Permit
(A SPDES Application When Signed by`a' Permit.Issuing2Officiel Becomes a SPDES Permit)
. PLEASE PRINT OR TYPE r, .$ r) f
APP_LlcATION TYPE IF RENEWAL OR MOt IFICATIIN�LIVE PREVIOUS NUMBER
ew 0 Renewal 0 Modification NY- 0210137 C10-87-011
OWNER'S NAME(Corporate,Partnership, Individual) TYPE OF OWNERSHIP
1)j sf ID Qom)sN 31'42.5 0 Corporate Individual 0 Partnership 0 Public
OWNER'S MAILING ADDRESS(Street,City,State,Zip Code)
Mau- Po 0 1t h47-rrruc(- Ne-! // 9S2_
REFER ALL CORRESPONDENCE TO:(Name,Title and Address) TELEPHONE NUMBER
. D 14 i/t D 9-o$ENPo./24 4,'' ( Y((1 Z 18- 896/
FACILITY NAME FACILITY LOCATION(Street or Road) A. CITY,TOWN OR VILLAGE
0 tri V'11L.(.. RHES i A �,q IJ �- iv'. VI ILL tau A �" ti r r rt-PC r-
COUNTY GIVE EXPLICIT DIRECTIONS TO LOCATION N 1
mi.$11 FPO/.F. �, � ' . �►
NATURE OF BUSINESS OR FACILITY <�..")POPULATIQI 5ERVED(See Instructions)
R-EsT4vRA 0T _ ,x-03
FREQUENCY OF DISCHAR E , .
All Year? ❑Yes No If No,Specify Number of Months I All Week? Yes, 0 Ile If No,Specify Number of Days
DOES YOUR DISCHARGE CONTAIN OR IS IT POSSIBLE FOR YOUR DISCHARGE TO CONTAIN O E OR MORE OF THE FOLLOWING SUBSTANCES ADDED AS
A RESULT OF YOUR OPERATIONS,ACTIVITIES OR PROCESSES&
Please check: El Aluminum ❑Ammonia ❑Beryllium ❑Cadmium El Chlorine CI Chromium El Copper ❑Cyanide
❑Grease ❑Lead ❑Mercury ONickel ❑Oil ❑Phenols ❑Selenium El Zinc None of These
DISCHARGE DATA(Use additional forms,if necessary)(See Instructions) '
OUTFALL NO. proposed 0 Replacement TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW,
00 1 0 Existing 0 Expansion SA 1� I X92 y .51.PTI<.. 1CN IA1t is-0..0 Gal/Day
SURFACE DISH GEIf YES,Name of Receiving Waters Classification Waters Index Number
❑yes lo I I I
SIRRFACE DISCHARGEIf YES,Name of Nearest Surface Water Distance SOIL TYPE Depth of Water Table
Yes ❑No I NA-TTI TOC1�- I I Ft. I.5/4 A)/> I 6 '
OUTFALL NO. 0 Proposed 0 Replacement TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW
❑Existing 0 Expansion Gal/Day
SURFACE DISCHARGE I If YES,Name of Receiving Waters I Classification I Waters Index Number
❑yes ❑No
SUBSURFACE DISCHARGEIf YES,Name of Nearest Surface Water Distance SOIL TYPE Depth of Water Table
❑yes ❑No I I Ft. I I
OUTFALL NO. U Proposed 0 Replacement TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW
❑Existing ❑Expansion Gal/Day
SURFACE DISCHARGE I If YES,Name of Receiving Waters I Classification I Waters Index Number
❑Yes ElNo
SUBSURFACE DISCHARGEif YES,Name of Nearest Surface Water Distance SOIL TYPE Depth of Water Table
❑Yes ❑No I I Ft. I I
I hereby affirm under penalty of perjury that information provided on this form and any attached supplemental forms is true to the best of my.knowledge and
belief. False statements m e herein are punishable as a lass A misdemeanor pursuant to Section 210.45 of the Penal Law.
AFIR6)CA(dT'SCI A7 see Ins ctions) � PRINTED NAME TITLE .
X �ize-t/r 1, e 4,7 DAti f tD P-OSeu8 eA D w 1J r.R.
*MIT VALI ATION ECTION APPLICATION NUMBER
(Department of Environmental Conservation Use Only) NY— 0210137 C10-87-011
This SPDES permit is issued in compliance with Title 8 of Article 17 of the Environmental
Conservation Law of New York State and in compliance with the provisions of the Federal Water EFFCTIVE DATE EXPIRATION DATE
Pollution Control Act,as amended by the Federal Water Pollution Control Act Amendments of 10-21-87. 10-21-92
1972, P.L. 92-500, October 18, 1972 (33 U.S.C. §1251 et. seq.)(hereinafter referred to as"the ATTACHMENTS:
Acme ub'ect to the atAched conditio s.
r Other Conditions
Signature of Permit Issuing 0 icial Date
CARD Type Type SICI Out Die CARD Region County Malor Sub Compact CARD Latitude Longitude CARD Lim Ind
Est Own ( jam Falls Class Basin Basin Area
1 66 68
70 73 74 76 3 71 72 71 76 78 C 53 58 59 64 7 57
I I /4'21247 I I I 'I I I I . V 11 l l l 1 1 1 1 1
K
• � jr 9/i/ /�J
• Gyp
HENRY P. SMITH, President �, •
OHN M. BREDEMEYER, Vice-Pres. • o "" ta ' TELEPHONE
J L"" ' �7 (516) 765-1892
PHILLIP J. GOUBEAUD y �: .' 44'"`
L `� /6
ALBERT KRUPSKI, JR. .. .��.� '� ,,d..•,
ELLEN M. LARSEN =:;�1 r J\VIt.
ArAVO
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
' SOuthold, New York 11971
March 30, 1987
Mr. David Rosenberg
26 North Morris
Farmingville, New York 11780
Re: Old Mill Inn - Mattituck
Dear Mr. Rosenberg:
The following actions were taken by the Board of Trustees during their
regular meeting held on March 26, 1987 regarding the above matter.
RESOLVED that the Southold Town Trustees WAIVER the need of a Wetland Permit
for the reconstruction of the sanitary system according to an approved plan
by the Suffolk County Dept. of Health Services subject to sleaving or boxing
in, and
RESOLVED that the Southold Town Trustees declare itself lead agency in regard
to the State Environmental Quality Review Act in the matter of the application
of David Rosenberg for a Wetland Permit on certain property located at the
end of West Mill Road, Mattituck.
The Board determined that they have no jurisdiction regarding the repair
to the I-Beam or the bulkheading and the timbers beneath it as proposed.
Should you have any questions or concerns, please do not hesitate to
contact this office at the telephone number listed above.
00
PLEASE NOTE THAT THEE IS A FEE OF $445:00 WHICH IS NOW DUE AND PAYABLE.
CONTACT THE BUILDING DEPT. FOR A DETERMINATTON ON THE NEED OF ANY OTHER TOWN
APPROVALS THAY MAY BE REQUIRED FOR THIS PROJECT.
Very truly yours,
Henry P. Smith, President
Board of Town Trustees
HPS:ip
cc: Bldg. Dept.
Board of Appeals
Planning Board
Trustees
C.A.C. �� /,5 O-t)
D.E.C. , Stony Brook & Albany /� � —3/7 7 y
New York State Department of Environmental Conservation Pit„,
Regulatory Affairs Unit
B1cg . 40 ,SUNY , Rm. 219
Stony Brook , NY 11794
516 751-7900 Henry G. Williams
( ) Commissioner
•
May 20, 1987
Old Mill Inn
c/o David Rosenberg
P.O. Box 998
Mattituck, NY 11952
Re: 10-87-0804
Dear Mr. Rosenberg
In conformance with the requirements of the State Uniform
Procedures Act (Article 70, ECL) and its implementing regulations
( 6NYCRR, Part 621) we are enclosing your permit . Please read all
conditions carefully. If you are unable to comply with any conditions,
please contact us at the above address.
Also enclosed is a permit sign which is to be conspicuously posted
at the project site and protected from the weather .
Very truly yours,
Cathy Russell
Program Aide
enclosure
•
law
., FIVED
MAR 0 7 1988
Saohnid Teen clerk
y • NIA YORK SIA1( DII'ARTMFNT OF fNVIRONMFNTA'. CONSERVATION
,♦\U...ifiER EFFECTIVE DATE
Ge1
=;/,_: 6)/j 7
,T1 I' UGRAM'.UMbERls) PERMIT EXPIRATION DATE(s)
N/AUnder the Environmental Conservation Law
) - y,.(2(_-.-1 --)--I
Article 15, Title 3; 6NYCRR 327, 6NYCRR 608: XX Article 25: N •
i 328, 329: Aquatic P;;sticides Water Quality Certification Tidal Wetlands
Article 15, Title 5: Article 17, Titles 7, 8: Article 27, Title 7; 6NYCRR 360: •
1 , Protection of Water SPDES Solid Waste Management*
Article 15, Title 15: Article 19: Article 27, Title 9; 6NYCRR 373:
Water Supply Air Pollution Control* Hazardous Waste Management
Article 15, Title 15: Article 23, Title 27: Article 34:
Water Transport Mined Land Reclamation Coastal Erosion Management
Article 15, Title 15: Article 24: Article 36:
L^rsg Island Wells Freshwater Wetlands Floodplain Management •
Article 15, Title 27: N—New, R—Renewal, M—Modification, • Articles 1, 3, 17, 19, 27, 37;
Wild, Scenic and Recreational C—Construct (*only), 0—Operate ('only) 6NYCRR 380: Radiation Control
Rivers
PERMIT ISSUED TO //
�\rk V\ \,\\ .vs,\,., Cl-k, bnU l ci I, 0 X 1'1)0 4., ,--C
I 4 .
ADDRESS OF PERMITTEE
t' , (\ Pl.) X! 1 f , \\VOA-\A�:c k� / /\( .I C `):-�---
AGENT FOR PERMITTEE/CONTACT rERSON TELEPHONE NUMEI R
I !
1-4
95.20'6a(1/86)-25c4.1 0 4"
rti
, AD)'DITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608 (
ru
10. That if future operations by the State of New York require an al- other environmentally deleterious materials associate
,r teration in the position of the structure or work herein authorized, or project. Q
if, in the opinion of the Department of Environmental Conservation 14. Any material dredged in the prosecution of the work herein pe.
it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges a.
waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have
the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of
resources of the State,the owner may be ordered by the Department to a waterway.
remove or alter the structural work, obstructions, or hazards caused 15. There shall be no unreasonable interference with navigation by the work
thereby without expense to the State, and if, upon the expiration or herein authorized.
revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit,the project hereby
modification of the watercourse hereby authorized shall not be corn- authorized has not been completed,the applicant shall,without expense
pleted, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as the
extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require,remove all or
Conservation may require,remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site
structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of
and flood capacity of the watercourse.No claim shall be made against New York on account of any such removal or alteration.
the State of New York on account of any such removal or alteration. 17. If granted under Article 36, this permit does not signify in any way
11. That the State of New York shall in no case be liable for any damage that the project will be free from flooding.
or injury to the structure or work herein authorized which may be caused 18. If granted under 6 NYCRR Part 608, the NYS Department of Environ-
by or result from future operations undertaken by the State for the • mental Conservation hereby certifies that the subject project will not
conservation or improvement of navigation,or for other purposes,and .contravene effluent limitations or other limitations or standards under
no claim or right to compensation shall accrue from any such damage. Sections 301, 302. 303, 306 and 307 of the Clean Water Act of 1977
12. Granting of this permit does not relieve the applicant of the responsi- (Pt95-217)provided that all of the conditions listed herein are met.
.,ility of obtaining any other permission, consent or approval from 19. All activities authorized by this permit must be in strict conformance
the U.S.Army Corps of Engineers, U.S.Coast Guard,New York State with the approved plans submitted by the applicant or his agent as part
Office of General Services or local government which may be required. of the permit application.
13. All necessary precautions shall be taken to preclude contamination / r!1r; "r ' '/
of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by
solvents,lubricants,epoxy coatings,paints,concrete,leachate or any f�/,, , on ���-'�:1: 7
I /.a I'/2 I. L. . i'_/ l:t,1 _! , ; , 1.,'-'' '
SPECIAL CONDITIONS C.Ij'•'i `''r--4()/r7 y-- (1•.t Iiir
1. No dredging shall occur. as a result of- this project. (Only applicable for upland
fill) .
Supplementary Special Conditions (A) through (J) attached.
Additional Supplementary Special Conditions (K), (M) , (N). and (0) attached.
IJ S='� �� r \ > �
\ �_ I...1,�.1.,�.`f'\(,..1 i v ; t c'\ .
�('rf
' '`•• Y\\\R (\•,( c'....) 'i `,-.A Q t/),-..,, \\\r \'\ 1 ', ,..s (')/*,', (Ai r-r(
.\ C,\C� �� �'.(.� circ -
� h, �` \ ,, r \l rr f ,
\f:
. \ G r7/ ) r_jj \ i ,,( . : ..., (.„__.. r.)V.) (\--- r) c'
I.. t I''> 1 ( \ -1 x' 1.1 C k '\;{,1 4" t (AO ( I � /i ( ',lf �� (t'1
DEC pERMIT NUMBER
i
PROGRAM/fAGILITY NUMBER
1 2 4
V/A Pa ;e of
New York State
Departmej t of Environmental Conservation
�'SSLi[e.cti
.y 3
.{ ��.i
The Department of Environmental Conservation (DEC) has
issued permit(s) pursuant to the Environmental Conservation
Law for work being conducted on this site. For further informa-
tion regarding the nature and extent of work approved and any
Departmental conditions on it, contact the Ftegiontl f'err iii t
Administritor listed below. Please refer to the permit number
shown when coitacting the DEC.
Regional Permit Administrator
�4
Per rni No. f (:) P1)
Expiration Datc .)
95.201 (11,82) NOTE: This n Dtice is not a permit
Permit No. OG
y
File No. TOWN OF SOUTHOLD L�
HIGHWAY DEPARTMENT
KfCE!�Ji D cn '_ •
Peconic Lane � �
�J. �• • Peconic, New York 119580 ����*.
•
(516) 765-3140 l > ,
nnt�ni Tr ,n Clr:-rK
APPLI ATION/PERMIT FOR HIGHWAY EXCAVATION AND REPAIR
APPLICATION IS HEREBY made to the Superintendent of Highways of the Town
of Southold for the issuance of an Excavation Permit pursuant to Chapter 83 of the
Code of the Town of Southold, Suffolk County, New York, and other applicable laws,
ordinances or regulations for the excavation herein described. The applicant agrees
to comply with all applicable laws, ordinances, codes and regulations, and to permit
authorized inspectors to make necessary inspections of the job site.
Print or Type
kJ
..L J 1 y' j c HiNcorrrifiy..Y— �1 J, t 1^�. H1 .
1)Q r.. 1. .�.j.i ,r'
Name Applicant Address
q
l ame of Owner of Premises Address
3) ((3,"'1 -' i L110,,) C� � `�" 1 .'�� • to tt ti �"1i-r-ri r*l i<�
Work Description and Location (Street Number, Hamlet, Cross Street)
(a) Is construction located within 75 feet of tidal wetlands? *Yes No
*If yes, other Town permits may be required.
4) Builder's License No. Plumber's License No.
Electrician's License No. Other Trade's License No.
cLA
Signature of Appl!i nt
1:)%4Z'
ate
5) a) Attach plot plan showing location of proposed excavation and relationship to
adjoining premises or public streets or areas, and giving a detailed descrip-
tion of layout of excavation.
b) Attach all other necessary permits and licenses for this project.
c) Work covered by this application may not commence before issuance of a
Highway Excavation Permit by the Town Clerk.
6) Tax Map: Section 10(0 , Block ri)(, , Lot 4--
7) Starting Date: 2) /Vle ) Completion Date
8) Work Schedule:
Phase Completion Date
Excavation N c:
Facility Installation `` A'}:'C
Backfill & Compaction
Pavement Replacement
9) Under which authority is the application made: ( C ? -_
10) Estimated Cost of Proposed Work: $ 1t5(5r_fs
11) Remarks: " �. 1 t-7 O1? 1%,4 '3~ I L--'
D-39
Page 1 of 3,
t- 1
12) Insurance Coverage: (Attach copy)
a) Insurance Company: /l Ri %FO/v , -11v o/DuP
b) Policy # / UENZ5/O/ 7
c) State whether policy of certification on file with the Highway Depart-
ment: Ce'er/s=�C .moi E N 'EW: 1/
d) Coverage required extended to the Town:
Bodily injury and property damage: $300, 000/$500,000 Bodily Injury,
and $50,000 property damage.
13) Security:
a) Surety Bond or Certified Check t60— provided in the
total amount of $ ( , — .
b) Maintenance Bond provided: `? 2 years or 3 years
14) Fees for applications and permits: Basic Application Fee $25. 00
Al. /Service Connections excavations @ $20.00 = $
No.
A2. /Additional Excavations same service @ $10.00 = $
No.
B. Excavations 18" in depth or less:
0-100 I.f. = $10. 00
I.f. @ $0. 10 - $
Additional
C. Excavations 18" in depth to 5' in depth:
0-100 I.f. = $30. 00
I.f. @ $0.30 = $ G, �
Additional
D. Excavations 5' in depth and over:
0-100 I.f. _ $50.00
l.f. @ $0.50 = $
Additional
E. Utility Repair Excavations @ $0.00 = $
No.
Repairs same service @ $5. 00 = $
Additional
F. Notice to public utilities proof must be provided and attached to
this application prior to issuance of permit.
* * *
Authorization is hereby granted to the Town CI rk of the Townsof Southold to
issue a Highway Excavation Permit to: CI_Q R _1L.. \, of: .c;, (ADC.
in accordance with this application.
SUPERINTENDENT OF HIGHWAYS
TOWN OF SOUTHOLD, NEW YORK
Raymond L racobs
•
3 — / c --
Date
Received by the Town Clerk �/� /,9,/
Date J
Permit Issued*1 / /r," Perm No.
Da
Note: Permit expires one (1) year from Date of Issuance.
No work to start without 48 hour notice to the Superintendent of Highways.
Permit must be available for inspection.
D-39 Page 2 of 3
Copy Distribution:
Highway Department
Inspector
Applicant
Town Clerk
I N SPECT O R ' S R ECO R D
Inspection Date Findings (use code) Applicant Notified
1st
2nd
3rd
4th
(To Permit Clerk)
REMARKS
CODE
IB - Improper barricades
IL - Improper lights
ST - Sunken trench or excavation
UTM - Unable to measure (due to backfilling)
BUC - Building under Construction
• WIP - Work in progress
DB - Improper backfill (too high) (not sufficient)
HFS - Inspector holding for final settlement of excavation
RFR - Ready to repair
D-39 Page 3 of 3
r'
Highway Department
Town of Southold
Peconic Lane
Peconic, N.Y. 11958
RAYMOND L.JACOBS Tel.765-3140
Superintendent •734-5211
DATE: / ld ( BS
TO:
CASE NUMBER:
This is to notify you that New York Telephone Company
and Long Island Lighting Company have been notified in
respect to the application for an Excavation Permit in
the Town of Southold.
_
Signature of the ap icant
,t.'2„,:•,,,:',.;. "s.i';,,' ':i,:'-4;i:...--":„-,',';'?-7:7i;;4,-.:`,4,,,2::,i,.,. .."l'..T.' -,,... ,'...,- ,.'. , .,,, . ,.- ;,..
';')'*•-'' ' 4t',.-::‘:-.' ':' -t'''' ": .., '' " '',," . :. ' r' .. ' . ,-.'',1..' , , .''''!;.. .; .,J17'.!: . -:-
_,..,,....,•. . ,... ..,„„i .. -_,..,,,;.,, :of:7,7,- --.:,:.,.,. ----,,-7 ,, -,.:, ,.:A.:.,' -SeVrAWST°P4APR13%49°.:'
.--,":- e °r d ,.,'- -__, -..., .. , - , , , . . •, ..... _ , _ . ' ..,...,... „.„ ,,,..,.,„....,_ ,,,....,„_. ISSUE DATE(N/IMiDOTYY)
-,,, ''' ‘71 . ,
, , _ • ...,...,„=,,,,-
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,
Brisotti & Silkworth, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O.Box 1448-Main Road
Mattituck, NY 11952 I COMPANIES AFFORDING COVERAGE'
(516) 298-4747
1 COMPANY
* ; LETTER ` Hartford Insurance Group
' C2:MPANY
INSURED
1" 177
Old Mill Inn of Mattituck, Inc.
West Mill Road
Mattituck, NY 11952 . ,,:ow--71.,4y
i `-.,
-
. COMP:IV --s
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THIS IS TO I":".-:'13-FY TI-ITT TCLIC:ES OF INSURANCE LOTTED I3EIL";:.;/H.A., r LIE:Ell;,: "Ii;;ID Tr.'"-'..---.. •'FI.)2IA:ip NA‘-.,ED. COVE FOR TPE POLICY RERIODINDIC'AT7D.
::°'.... Ii0TWITH.-3-1,',',C..;i,s/G.'.Ny -,:r.eliIiiE7AL-NT. -I'",.\•1 OH C" CIT •.,.'..•.::Iy --"' . 1 'A';1 ' .'C' • ..1'C.7.:-„1::';;ENI'::11-I-I'-'7.,..:PECT TO'.-IHICH THIS(' T r' 1/01
ISSUED ---''u.",'1 .=,:r..-:;"'.:NI.T---IE!;;;SUOANCE,-AFFC--'DED :1'1'T•--::..P:2'.': _I --.;1'.-I':::.--..;ED-..i.".:"EII•1 IS S'f3.JECT TO..,...L. 1TRII;IS, EXCLUCION:'.3.
. ' PONS Cr- ...;; 1
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OTHER TT'V,1 UMSRELL,- - .-y, , !
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----, —
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'.;IOULD ANY OF T'-'E -'.' 0,•: '-""'SED POLICIES BE CANCELLED BEFORE THE E.:"...
.,,,
q4„.., Town of Southold Highway Dept.
..,. ' ---nArirj. DATE :-,.: .-.0P, -;TIE -:,.31.::NG COMPANY 'I'LL .NDEAVOR T 0
. •,,,
-....,.- Peconic Lane ..!1_ i 3 ' --1' „:',I11-1-N NOT!CE ..) TPE Cc. ,,.. -xT.... ;-!,'LDER NAY1ED TO DIE
;..F7 '''',LIT F.A.ILL- ,. TO',,-,AIL UUCil NO iCE F.3-I' T•t1P,f-....7.400'L;GATiGNI OR LIABILITY
- ,
Peconic, NY 11958 :.- -NY MND I. 'CT-I 1" :.,--; .-.:-.',P,A' iTl ....;ENT- ,P EP F,' NT- ,','ES.
-..,,
- .
Ty/ir I
John P. Brisot Z.,...".- / , _ .....
,.,
-- ,'
. .,-
IIIIID
stiS° U F DLA
"t G-
i\61
�1f)'\'
v�f Town Hall, 53095 Main Road
. . ���
�� P.O. Box 1179
1:174. � NO 41 d Southold, New York 11971
JUDITH T. TERRY �•..,��011- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 29, 1987
David Rosenberg
Old Mill Inn of Mattituck, Inc.
P.O. Box 998
Mattituck, New York 11952
Dear Mr. Rosenberg:
To confirm our conversation of today, April 29, 1987, your application
for ALTERATION OR MODIFICATION PERMIT for CESSPOOL/SEPTIC
TANK is being held until this office is in receipt of the following:
. Type written response from the Suffolk County Health Department.
2. Written approval from the Southold Town Superintendent of
Highways (possible Highway Excavation Permit required) .
Department of Environmental Conservation approval.
4. Southold Town Trustees' approval.
5. Indication of water location on neighboring property.
After the requested has been received, your application and
accompanying papers will be submitted to the Southold Town Building
Department for final approval.
Should you have any questions, please do not hesitate to contact
this office. We will try to assist you in any way we are able.
Very truly yours,
Linda J . Cooper
Office of the Town Clerk
at
5 Town Hall, 53095 Main Road
,, II., P.O. Box 1 179
�1Q �'
%Nf• Southold, New York 11971
.JUDITH T. TERRY -.,,,, ����' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
k "
April 7, 1987 ; `
APR - 81987
To: Victor Lessard, Southold Town Building Department 1
From: Linda J. Cooper, Southold Town Clerk's Office TOWN OF SOUND/
Transmitted herewith is a copy of application No. NR2 for an
ALTERATION Permit for a cesspool or septic system submitted by
Old Mill Inn of Mattituck, Inc.
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 this office.
Thank you.
Linda J. Cooper
Clerk
* * * * * * * * * * * * *
I have reviewed the application and location map of the project cited
above and make the following recommendation:
APPROVE -
DISAPPROVE •
-
COMMENTS: 0ey.a.�¢.� o a-r� }448 % U i.n.e.�• Ze 'DA ol
-- �99 �T 7J I�.E - -d- V �' LJ ..cam '
7� �� '�Lc1.; �- �! j1,u-n�¢,Lo /K.ea�..Kaao a
Ci) LA>,h1L4 ,Qtbe2L4.1% ar-n
1c
-C<L0-“0
Signature
Date
OFFICE OF THE TOWN CLERK �Ff(
5 mac"
Town of Southold Q�� ‘A; Application No..j/,' c2
Judith T. Terry, Town Clerk ".
Town Hall, 53095 Main Road j Construction
P. 0. Box 1179 •WAlteration
Southold, New York 11971 ,y� `t- ��
Telephone �Ol t �� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION,
for '
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $?-15---X
DATE 3 /a5/r7
APPLICANT NAME: (i/ ,U /?I/2 L J/mi 0/x /72/97-iiT('c /#U •
APPLICANT ADDRESS: U/) 17,r Gij , 1,2111_ ,P.>96
r7/97-T wC,C',
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION COAf j/&Z.T
Off', Sf 2O/ 7_( f iti'-/1x?9 7
1 Jiev (1 Scgaa S .z'C/X,17,r1? .49edds2y / eeE
4./ 046 y c ZW, 7-7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: )),41/ R303 �t),8, 5 &'
OWNER MAILING ADDRESS:PO, ?,c9
/9262777
X62777 Tl1Cicll rl 9' a
OWNER PROPERTY ADDRESS: L 2/e a , p7/a.„...
/-)W777 TX. , �t/(
TELEPHONE NUMBER OF CONTACT PERSON s5% --eQ98 "8'97 9
TAX MAP NO. : Section /0Block Lot Op 21
CROSS STREET: /V/,4j1(� S1
BUILDING PERMIT NUMBER CROSS REFERENCE:
1/4 I /fri _
Sign-to e of-pplicant -�
RECEIVED BY: 4(,,,,,d4,
Town erk's Office
DATE:
I ` •
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SEPT‘G -0p4N ,
1,,
O l_D MILL I N I\l• of MATTTOc &
SURVEY FOR •
• WILLIAM E3OSCOLA JR. 8 DOROTHY A.BOSCOLA
AT MATTI TUCK DATE : JANUARY 3,1985
TOWN OF SOUTHOLD SCALE: I" • 40'
SUFFOLK COUNTY, NEW YORK NO. = 84-1078
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANI 6
SURVEY IS A VIOLATION OF SECTION 7209 OF THEROTHYA.BOSCOLA
NEW YORK STATE EDUCATION LAW. WILLIA. Q • ,
*COPIES OF THIS SURVEY NOT BEARING THE LAND CHIC• C 0 I goIN,$ CO.
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL at • y r •
NOT BE CONSIDERED TO NE A VALID TRUE COPY. 0 0
• *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO • r • ei
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- ar. ;4
MENTAL AGENCY AND LENDING INSTITUTION LIS TED • Nl, ' 41
HEREON,AND TO THE ASSIGNEES OF THE LENDING i1
INSTITUTION.GUARANTEES ARE NOT TRANSFERASLF
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT *O
OWNERS. 4!S t' • i
*DISTANCES SHOWN HEREON FROM PROPERTY LINES < j a i
TO EXISTING STRUCTURES ARE FOR A SPECIFIC ,�/,,'� '•
PURPOSE AND ARE NOT TO SE USED TO ESTABLISH 9 Sr�
PROPERTY LINES OR FOR THE ERECTION OF FENCES. , i
RIOVERHEAONNEW YORK E
•
YOUNG a YOUNG
ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
HOWARD W.YOUNG,LAND SURVEYOR
— - N•Y.S.LICENSE NO.45893 ' • -
• •
Page 2 - Town Board 3/24/87
10: 30 A.M. - Joseph Townsend, Jr. brought the Board up to date on the plans for
the Village Green, corner of Route 25 and Youngs Avenue, Southold. It is planned
to keep the property as open as possible, with perhaps the construction of a gazebo
or band stand toward the rear of the property. He anticipates a final plan for review
this coming Friday.
10: 35 A.M. - Ted Rosenberg and David Rosenberg, owners of the Old Mill Inn,
Mattituck, met with the Board to discuss an easement on West Mill Road to install
a sewer line to cesspools to be placed across the street from the property by direction
Of the. Suffolk County Department of Health. They were advised the will need a High-
way Excavation Permit', perhaps a permit 'from the Town Trustees, DEC, and Corps
of Army Engineers permits, Cesspool Construction and Operation Permits, and should
consult with Town Attorney Tasker relative to the proposed easement. They have
applied to the. DEC, and will be meeting with the Trustees this coming Thursday.
10: 45 A.M. - For Discussion Items: (1) Proposed Soil Removal Permit for Brewer
Yacht Yard at Greenport, Inc. (resolution no. 23) . (2) Proposed policy relative to
authorization of Bond Anticipation Notes (resolution no. 24) . (3) Proposed Local
Law to establish a Landmark Preservation Commission and prescribe its duties - refer
to Town Attorney Tasker to draft a Local Law. (4) Letter from Secretary of State,
Gail S. Shaffer, announcing the designation of 103 Significant Coastal Fish and Wild-
life Habitats in' Nassau and Suffolk Counties, including 18 habitats in the Town of
Southold. (5) Proposed Local Law for the regulation and control of alarm systems in
the Town of Southold - Chief Winters met with the Board at 11 :20 A.M. to discuss
this and the proposed law is being referred to Town Attorney Tasker to draft a Local
Law. (6) Letter from Troy Gustayson, The Suffolk Times, to Bobra Wetmore, President
of the Greenport-Southold Chamber of Commerce, asking the chamber to reconsider
their policy of: refusing to distrubte copies of The Suffolk Times/News-Review's North
Fork Vacation Guide at the tourist information boothsin Greenport and Laurel because
it contains advertisements from non-chamber members. Board determined Mr. Gustayson
has a brochure that promotes his business, and the matter should be resolved between
he and the chamber. (7) Letter from Garrett A. Strang, Architect, maintaining that
a maintenance cost at the Dog Pound in the amount of $26. 00 is not a construction-
related item. Board agreed to pay the bill. (8) Applications of Newbridge Plants,
Inc. for two trailer permits at 6900 Wickham Avenue, Mattituck, for use as an office
and office/employee break area. Applicant Richard T. Girards will be requested to
meet with the Board at their April 7th Work Session. (9) East End Institute seeking
financial assistance for a new project called Make-A_Fried, which matches people with
developmental disabilities with typical persons to promote friendships. They will be
requested to prepare a budget for submission to the Town Board before September 1st
in time for possible 1988 budget consideration. (10) Letter from James F. Kelley,
Director, NYS-DEC, Flood Protection Bureau, stating they have conducted a field
inspectionof the shoreline of Long Island Sound between Duck Pond Point and Hortons
Point, Southold, and his staff is 'currently developing a Reconnaissance Report which
will contain recommendations for future action, and a draft copy will' be furnished to
the Board for review. If further study is recommended, funds will be requested in
their 1988-89 budget request to engage the services of a qualified consultant. The
Town would be required to fund 30% of the study costs. Councilman Stoutenburgh
wanted to know if 'the Town wants to commit the funds. Councilman Penny said this
should be discussed when the draft is received as the total cost is unknown at this
- time. (11) Report from Councilman Penny on his 'attendance at the Waste Distillation
Technology, Inc. demonstration at Upland, California, on March 10, 1987. He said'
it is an excellent operating facility, burning clean emissions. He would like to invite
Prudential -Bache and Turner International Industries, Inc. to meet with the Board.
PAVEMENT. BASIS FOR SANITAF
DESIGN FLOW : 50 S AT S
' SEPTIC TANK : '22 DAY PLO\
I - I O'pi%x 6' E
"'"Thli.4
-- - ----2 -- 2 " PUMP DISCHARGE GREASE TRAP : 8 ' ' 5' E
PVC SCH 40
LEACHING POOLS : ( I •. 5 GF
(. 31 .42
�``.� PR OVIDE
i NOTES :
= TAIL A I. EXIST. C. P TO BE PUMPED
PER SCDHS REQMTS '
2. EXIST PUMP DISCHARGE
3 . REMOVE TREES ON SLOT
INSTALLATION OF SYST
4. NO EXIST SAN SYSTEM `
WITHIN 250' OF PROF
CAST IRON FRAME ANO COVER TO GRADE
- ogillilligliglir FINISHED
T .
]= tlf
For
.t: 2' MAX.
24' ,a
t� ., 4Cwoq .�. Ilf .4 :r*
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KIT CME/J1, Wv.( .10.; t24
j' 9•••�' FLOW LINE -----'�
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4' 1
INLET DROP
- CLASS
OR EDU
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. / 1
6ize9
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0 1
TYPICAL GREASE TRAP
\ !
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I
N 3549' 3011 WS 5302310011 E
O
299.991 162 . 151
1.EAc1+1.JG. POOL
CAAA.vE EL. 10.0
INV.EL.8.0 SLOPE
0
LEACHING, POOL
GRAVE EL. 10.25
INV. EL.$.15
rt— p.
ft
ve 0 0
IEACFIIN "POOL
GRANDEE . Io.y
INV.EL. S.34 TOP WALL EL.8.5
' ) �N 53°
LEACHll4 9001 , 15.911
Cn*ADE EL. 10.95
wV.LL.B.52 0 \
(SLOPE
1 \ r
l ASPHALT 1,,1
LEACHIW(n Pool. 0 \ I 1
CnR APE EL. I1.0
114v.EL.8.7 '
1 ,
PAVEMENT--,
0
f I
LEACHING POOLS (6
. I
LEACHI►1G% 900E i� '
GRADE IL. ILO
INV.EL. 8 89
pRoeo.EO 1 f ,
RAIL ROAD TIE
R ETAININCn WA U.
44 1
S23 301001 E
134. 321
1 3tPTl D TANIli
P. SEPTIC TANK __ o MEA.E T/IAP 23j�o 0.'►,,,,
-.1.._._.._, ..
8 34
0A TRAP__
. GREASE •.
..............
rola. W•..•_L CL
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2 STORY FRAME ' —
STORAGE BLDG
i's• P
--SF_F D ETA L_
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1
EXIST BLOCK o
1— -i- - t . . t-
4- 4-- f
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INLET
yr.-- -..\\
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HALF PLAN OF TOP SLAB
tnIc I FRAME g (OVER
4-
. ._,;. ♦ .-..a..�_.a._.n.
IN T r-�� --I-1 I,:
"�N f, kiMATTITUCK INLET 9.03 :1 1' I ` ,I I'
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00 E
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•
SECTION
SEPTIC TANK DE1
S 23° 05' 0 0" E
80. 00'
�_� _ PAV EE
2'
N 66°52' 00" E
15 . 00'
1.------\Q__-- *..
,. ' S 23°0 B' 0 0" E
32.00' '
00" E
SLOPE
'..Au EL.8.5
�N 53°23' OOit W
15.91
MATTITUCK INLE T
ASPHALT
EXIST.
BULKHEAD
PAVEMENT-,
N 66°52I 00it E
a
46.58'
l
-S23°301 00 E
134. 32'
S 23° 05' 0 0" E
0
DOCK 8 0. 00'
N23 30'00" W
98.34'
79 WILL EL. 12.0
EDGE OF
PAVEMENT
EXISTING
/
NAl1 Cl.
( I STORY )
B0
F F 5.0
N 66°52100" E
,--SEE DETAIL i5 00'
"An
(TWO 2" FORCE
MAINS)
RESTAURANT]
( 2 STORY )1
I--1- -1-- I--1-1— No 5 REBARS in 10
-1-2-t +
L L -1- , _- Wiaam. all spaced 61D/c F.a
+-I- -I' + +--i- C.I. FRAME COVE R7-
OUTIET4 4"- '� _/ ® p 4
B
FRAME 0AVER (—I
GR EL. I2.o 1,,/�
• i
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1 IMV.{.�.. t1
ss
_ 1 1 • '
---.- 11---.- I•. a I I , � J I
m
•1 • 2 FT. MIN. ABOVE GRC
KwWe
. sh ' ...'��
cOc
,zilil
_ -. ..
6x6 10!10 — a -r
•I. 2 eBACKFILL MATERIAL TO E
SAND, AND GRA\
- • _ —,� _- --, --
No 4 REBARS at
12"dc Eachwa Y
TANK DETAIL
LEACHING POOL
PAVEMENT. BAS I S FOR SAN!'
DESIGN FLOW : 50 S t
6" D. I . CASING SEPTIC TANK : C_2 DAY
�-r .
_ , . i - I O� x
2 2 " PUMP DISCHARGE GREASE TRAP : 81 , x
(K,....15---4 PVC SCH 40 LEACHING POOLS : I.•
@ 31
PRC
NOTES :
DETAIL A I.
PERTSCDHSO REQMT.
„ :-:!'1 L . - % - L ! 7
. ., , ,
g
--CAPTAIN KI... .I�T „-� ” a '
ESTATES =U 'a qt ` F
i
" S7,.,!, GT . 1
" , 195
� � L aip 9.It
`\,R•, N
TRAFFICliligiCi\ --- o .ii , ,1,;, . ,
S LAB • ' ,
MAli TtTUCK
GRADE I
le....-4it1. C 0 �Y rA �t�
� rl
754,
0,01
I
ry,
I; 11$ KEY MAP
¢•0 OUT LCT
ROA v13TAlAu'now
POOL .Lv N T S
•
tt1� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
0./$, APPROVED FOR CONSTRUCTION ONLY
v H.S. REF. NO. C/O-1r7-01/ FLOW /go°6'''
J TYPE — ./-x4577/1/G ,.ES7-i9ct leA4vT 14 {
Ps 0 This approval is granted for the construction of the sanitary
disposal and water supply facilities pursuant to Articles VS and
5•5 'EFFECTIVE Ii� a. -, 7 or the Suffolk County Sanitary Code and is not an expressed
DEPTH VV.' nor implied approval to discharge from or occupy the
,a\` j structure(s) shown. THIS APPROVAL EXPIRES TWO RS
ct
FROM THE DATE BELOW.
cL
SFP 2 3 1497 'W"``) O I.,f�
fI DATE SI TORE
GROUNDWATER
• •
re..Vt4..1.R•tt, !A•Wat
0 BE CLEAN Qwo. teas
L___!
RAVEL.
6' MIN. PENETRATION
IN A VIRGIN STRATA Ie.
• OF SAND AND GRAVEL.
N•AM.eea
`..`.V-` r•EOMI.
L DETAIL . '"�' ,��
VAW
VAULT
t•♦ .t
.•
' S ue1ee41
euA4e
V'V
4 4
• 8,A * tww0.44111
t"..:In a+�
A
tuue,c 1ITARY DESIGN V4� s' II - 4.A.•ec ♦o-.oa•4au•+A.m•
♦A4.1 .4•.— r• -
a tlu.ao.u0. l_c\.7:1,01:4)
'
EATS @ 30 GPD/Tr. : 1500GP.D. ",E.Dtm - `
FLOW, 3,000 GAL. `7z.: ..:'
rx 6' EFF. DEPTH I
I
5' EFF DEPTH
I, . 5 GPD / SF, 1,00 0 SF REQD .
•�� �•• ••-•�a
31 .42 SF /VLF, 31. 83 VLF REQD 1 '?<..t4<
0 V I D E 6' - I 0' xS-S• 1 7-....4.
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u
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GPD / SF, 1,000 SF REQD I .
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?GE PIPES TO BE CAPPED.
f
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STEM
r7:1' 4/ATRAT(R
. AQUIILR ST YM—e....
MS OR WELLS
? OP SYSTEM I OAP,
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` TYPICAL WELL. DETAIL
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SEPTIC TANK �9'0.+�e5 ;ot,Al-�
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_SS 2400 PIPE `
,QUIVLENT REV151O1.1 N 4 SEPT. 11118'151MPLEX -PUP-17 SYSTEM
`
:HED '/4" PER FT. REVISION NO. 3 AUGUST 7,1987 AS PER PHONE CONVERSATION / MR JFWELL
REVISION' 1J4•. t JULY SOS 1'187 GREASE TgAP, SE.TIC TANK 1 LEACHIN(w 1O0L4 LOCAT.O1+%
R EVI5,014 me : I JUNE 21. 1981 WELL "DETAIL,
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I 1 134. 32' --------/
/
/.....______—___
i / eEPT,C TANK I DOCK /
Q •AEA.' T.1..} N 23 30'00° W
!J
--t..... ......... ' ,/
0 I 98.34
–4-- -�• • �� TOP WS.LL EL. 12.0
, ` 1
6"d
1 CASON EDGE OF
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1 ( I STORY )
~.,___, t TOP WALL EL 8.0 •
� i F F 5.0
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1 N i..'/ SEE DETAIL ,
oLHAI _
a (TWO 2" FORCE
OO MAINS) / .--- 7,
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o ' ( 2 STORY )�
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EDGE DF 11'v • i
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WITH SIHPLEX - �••
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/ N 6 6 5 2 0 0 E .. .� r'4rj-
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EXIST C.P S 9°34' 50 E 'T- ALR
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2E
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OEI.WTER IND NOTE. .o
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NO DEWAT'ERINNO OF THE AREA WILL BE '.1 I
PERMITTED FOR THE INSTALLATION OF THE
J SEWAGE DISPOSAL SYSTEM. PRIOR TO THE � `
INSTALLATION OF THE FINAL V L LEACHING POOL.
THE CONTRACTOR SHALL NOTIFY THE
CERTIFYING ENGINEER (48 HOURS NOTICE) TO '-C
ALLOW FOR INSPECTION OF THE EXCAVATION BY ,- ._ - _
THE ENGINEER APD THE SCDHS SIM?LEX PU
REPRESENTATIVE. N
–..,
� _ .ry kJ()
134. 32'
StPTlC 1A.N). I i
PROP. SEPTIC TANK ry_. _ p a„n 6 TARP D
---.– I N 23 3O�C
PROP, GREASE TRAP o 98.34'
_04 411/i Tb9 WALL E�.. i2.G
6'd�
CASMq
�f_` EDGE OF
PAVEMENT
r
2 STORY FRAME.
STORAGE BLDG Top w.u Ci .8
r
=. `' / / SEE DETAIL
Ali
O \ (TWO 2" FORCE
I� ` MAINS)
•is-
\ /EXIST BLOCK '
RETAINING WALL I / / � \
( POOR CONDITION) 4....Q.N
TOP OF WALL 11.0 EL. 5"PAVEr.�EwT ,
REGRADE THIS AREA i
AFTER INSTALLATION
N 66,52�00�1E .�X�
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PROP. WELL - x/ //
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scr
DEIbiTERINO NOTE
NO DEWATER!NG OF
�� PERMITTED FOR THE
SEWAGE DISPOSAL S.
SA An) INSTALLATION OF
THE CONTRACTOR St
CERTIFYING ENG WE
ALLOW FOR II.ISPEC1
-_ - THE ENGINEER AtD
REPRESEf`TTAT I VE.
,,,/////
•
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i %\
Ln
Town Hall, 53095 Main Road
�,,yy�� ,►`� P.O. Box 1179
"Poo Southold, New York 11971
JUDITH T. TERRY i00°► TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 7, 1987
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. NR2 for an
ALTERATION Permit for a cesspool or septic system submitted by
Old Mill Inn of Mattituck, Inc.
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 this office.
Thank you.
Cil
Linda Coop
Clerk
* * * * * * * * * * * * *
I have reviewed the application and location map of the project cited
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS:
Signature
Date
OFFICE OF THE TOWN CLERK ' �c�VFFOL4 D _
Town of thold
Town Clerk � CG
y t Application No..4
T. Terry, /'� �
Judith
Town Hall, 53095 Main Road Construction
P. O. Box 1179 � �� Alteration
Southold, New York 11971 ,yG �N-
�
Telephone 0.� Jit �� � Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $dS-
DATE 3ja57 '
APPLICANT NAME: 0/ 1) /72,Lj.. orz 112,97-7/71.)44". P
APPLICANT ADDRESS:,,,b (`I' 14 , 12/LL- X&95
/7219772711C,/ Ny.
SEPTIC CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION COAl1'( Z7
O�' SP 2 L 70 7,e/4° f e 7
G'-� ' LS Pl//e7A— / ?e in
44.1 04b /22i1,1- e 7.7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,4-(//D RaSE:4QL ,r -'
OWNER MAILING ADDRESS:PO, )?9
/2209-77-/ 7v / /C y /. ?5ecQ
OWNER PROPERTY ADDRESS: L 701/2) 0, 6 /22/6e, ,€
I72i r7"/7-6Cj 1t i
TELEPHONE NUMBER OF CONTACT PERSON:57 --a 98 ^897
TAX MAP NO. : Section /06 Block 06 Lot (50
CROSS STREET: /V 166 c ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
.r
t i w /P
Signatu, a of—pplicant
RECEIVED BY : 4.t KG�� 0 ( Lt
Town erk's Office
DATE:
'I
5.
0Z''0O 7 1
Ng3.
413/1
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- ‘!,. 0 • .,....0"10 to. 4..........,
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9 1.
w� 11111 A N fi,,e.;�
la �. n
t� 0„, ifo a 41ii: 000
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f i BJP. ,���� �0
1)1` • 6.',,. ;,. `i:, ir,
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t . FRAME � `' -I¶, O= TI "
�(\`1 GO• 40��°,10°t GARAGE+ `� t"
Q 17.4
ts
30\.t. A • I ,oy7,' S 84 2O W u 43.
Id
_ �(z) —101X '-t
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in
3 tO1DIP • o
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3 GAL.
S EPTlc 1.P•t1
p.
OLD MILL IN of- MATTTt c14:,
SURVEY FOR ,
•
WILLIAM E3OSCOLA JR. a DOROTHY A.BOSCOLA
AT MATTITUCK DATE : JANUARY 3,1985
TOWN OF SOUTHOLD SCALE: I" : 40'
SUFFOLK COUNTY, NEW YORK NO. : 84-1078
•
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANT - ,ff ; E
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW. WiLLIA . • • • R. • •ROTHYA.BOSCOLA
*COPIES OF THIS SURVEY NOT BEARING THE LAND CHIC.eO jtOIMS ' r' - CO.
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL 4 k •
NOT BE CONSIDERED TO BE A VALID TRUE COPY. 0 0
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO * • r G
THE PERSON FOR WHOM THE SURVEY IS PREPARED.
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- �� * !
MENTAL AGENCY AND LENDING INSTITUTION,LIS TED •
HEREON,AND TO THE ASSIGNEES OF THE LENDING
INSTITUTION.GUARANTEES ARE NOT TRANSFERASLF
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ! 4, -
OWNERS. `Qr ° 45 1 i
*DISTANCES SHOWN HEREON FROM PROPERTY LINES /► i. ■
TO EXISTING STRUCTURES ARE FOR A SPECIFIC /''.'p .•,/
PURPOSE AND ARE NOT TO RE USED TO ESTABLISH b •
PROPERTY LINES OR FOR THE ERECTION OF FENCES.
r
TilliZ 400 OSTRANDER AVENUE
YOUNG a YOUNG RIVERHEAD,NEW YORK
ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12945
HOWARD W.YOUNG,LAND SURVEYOR
•• NYS.LICENSE NO.45993 -