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HomeMy WebLinkAboutFox, Ed ''elf ,iii_ ELIZABETH A. NEVILLE ti j ?�. Town Hall, 53095 Main Road TOWN CLERK % y Z ‘ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v i Southold, New York 11971 G MARRIAGE OFFICER '. t `�. �1 Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ;�Ol *06°e � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 21456 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ED FOX Address 1 : 445 EAST 80TH STREET, APT 8E City St Zip NEW YORK NY 10021 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF # R10-00-0087 Name Of Owner FOX, ED Mailing Address 1 445 EAST 80TH STREET APT 8E City St Zip NEW YORK NY 10021 Property Address 1 2503 CAMP MINEOLA ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 122.00 block 9 lot 9.004 Cross Street Building Permit Number Cross Reference: Issue Date: 11/20/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) „„ -111111, ,/•0,o�� c gyp . ELIZABETH A. NEVILLE ��o_ 1: Town Hall, 53095 Main Road TOWN CLERK ; y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS `% � Southold, New York 11971 MARRIAGE OFFICER �� y � / Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ":.___-0/40/ jog 14.” e.i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •°°,r° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 2, 2000 Transmitted herewith is a copy of application No. 2544 for a Cesspool/Septic Tank Construction Permit submitted by: Ed Fox Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: ignature /1-1• J Dated /1/ OFFICE OF THE TOWN CLERK �C3IFOC,(� ' �.«► Town of Southold CQ � Application No. "1" yr Judith T. Terry, Town Clerk y Town Hall, 53095 Main Road -< r $10.00 - Residential p. 0. Box 1179 Cr3 ; $25.00 - Non-Residential Southold, New York 11971 `' 0 ��` Telephone 9.( * *Be);': • (516) 765-1801 TOWN OF SOUTHOLD RECEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT NOV - 2 2000 ='"P Southold Town Clerk COYd UC'�1411 , for 0\4011 A - • • PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /Q 4 !) DATE j0/o2.1r"/0U, OWNER NAME: fi;'X OWNER MAILING ADDRESS: 4L45- Fifa— 26 E , /ew york/ �. /00Q/ OWNER PROPERTY ADDRESS: &503t,P..(9-P_t je_044 mate; /7-Cc€ , A/ Cf . OWNER TELEPHONE NUMBER: 42/Z 7,5-6 6-3 `j'0 6-Kt: 4.30.6- TAX MAP NO. : Section /0802 Block © I Lot f9. CROSS STREET: afAll fr1,-t-L.&d-> � td TYPE OF SYSTEM: Septic Tank / New I/ Existing Cesspool New Existing Residential 1.// Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) Ii i► 4 Signature of pplicant RECEIVED BY: Town Clerk's Office DATE: 1„ fir; '1111 i I INSTALLATIO ►r `'_�► �.' / �8 PREVENT DI' � : - if TALL TW a TEST Holt: „r 4.INS }» ��..-t.tr�` r� F; r M `„ LIQUID DEP 4JQ41 =3 5. INSTALL Ot 1� I s 7. � ?if, r{ 0 6. PLACE 6 It r ;. N FILLED ARE 114 V F X' �M; ' FOUND CONC..' zs' r ,fir Nw7cwAv Mon:ONE. •. •• WALLS•MAY $E CONCRETE SANITARY i � VENEER. • 1. STRIP • r, „7 4 ; �j IF s FILLED0111:41 . . TOF cuvrnct oN FLES PROXIh 01u r"+:. '•" y ad` ./ v MATERIAL i4 .•. " ice•�� . hr`s ® 3.BACKFILL hi AND ALL les #4 © 18 # rq ' ku$ _ ill,#4 18 #4 ® 12•' INSTALLf ����s �-7j...� 12 SEEM ; ,, x 77:•;:.❖i i e 4 ® 18" #4 ® 4. INSTALL :41:::411.1 I — •t•����%°eii Zo��� 1 � yJttMiH 1E3 # DEPTH). � � rt�b�ipax. ' r♦�i�.,i•i,.i stem SYSiPt•N0. 2 5. INSTALL ;� q.to yQ.*L;: '-. ' - (Foot.Houst #4 ® 12^ PIPE. ".•;•`.0.: #4'0 18.. 6. PLACE v ►w�.. -....s.,6,....2.,........1:7!:!•.:401.! 1gm' 12„ FILLED / r+ ' „, 1 it x - r' -- ' _ ►-NCE ..4E - ALL -- xt .''�.--- fix` FOUWp E D.4 E. �7�ClY�LG' , �, � G U TY� .r�T�SENT OF HEAL ... _ _ - ,f r, ;cn cf the sewaged�L° � t he ti�rl� rf i � . R „�s �� s fzil OY�+ ( t+4C t✓ 04.1 i1 t0 instaii panSt M o ,y,t om , r�C'tti : C rp,,li-.A.q nce for 50% ex 1 HE _ 5 aa<,hittig �. �t3. ravei. PROPOSED Ht,tau bedugoktuciocteal� sandandg l' 1 4 tiro area of tho excat>atiOn t0 be . dry 1A!'hc o UNDER` --..4.... _ --- -`-- - EDGE QF-NIJANNOF LAND Ds AS COMPANY EP- �' °""�`80""""" ,eceosaIY, to allOW the excavation DNDERI `_-� ____ on JUNE za ,aaa EFFECT ► RR unacceptabl® osis. Dewatering pe BY , 1-'.7'... ''' 'S8.'------i----.4°'4691 5 T 4s' W EL amoving any ' . A, �ss1' squired by other agencies are the: responsibility i. , �„ w _ app c. n . ac dlItIrtg with nt standards. • as er departure 1 ,V VO1 is re uiredp ,LL- •a :i " T-- HOWA ,, N Z TNOM =ayNo f? SCACA LE: 1".•50' AR \ N THIS PLAN WAS PREPARED UTILIZING BOUNDARY AND TOPOGRAPHICAL„SURVEYS MADE BY JOSEPH 'A., INGEGNO, L.S. IN JUNE 1999 f • OF HEALTH SERVICES • COUNTY DEPARTMENTt i }r0 01`KII,OF CONSTRUCTION OR A � LE A AM RES ENCE®NLY 1T�G' 288A alb:Vi) tj He ,..., 4i i Q FSRMAXIIKU1G�i !` BED' PROPOSEAPPROVAL • HOUSE POOL. THREEYEARS P OM DATE i FIRST °« FINISHED.GRAPE ••*� ,E'Ls EL.=10.50 EIYGIc"3a:..t@ •a CERTIFICATION REQUIRED. . SUBMIT PE.•Olt R A. CSR?IFICATION I ;. MAX. �.�"® FOR INSTALLATION.AND:Co ThU TI N r DIA PVC °411 `� , ,;, , =6.00 • � •E®2,00x: ' • OR NAL APPROYAIL n ,a. , . �W LI ' toW IN P CTICN REQU!RE° BAFFLE exCAvA.� YSmM IgY t-;� ALTH'DNIE kRART 1 i I I —-------$.00 900 GAL. 5. :t S • A311. 1 9 ns a o - ,..0 S s9. O �o 0 Nf°A' 4 o. f N p�jc - IPILLIAY,/ TUBt. -. N(0 O. VACANT .1NU aik j,., °'''4,41/4. -wry""OP u ► HOLE U �tcyy,'�aLittg. ay 0.C. : � 040#.►qt• CCWayW iotty 19>> o FOLLY I N - .. ., pi -. 14F FOUND PIPE- -- — px - - i f f Fw�ND I�N GRADE 4:16:1". : 8 'ucEF , ^g$4 50.50~ W_� �� -!bT . •R , 40 • 5.79 F[ 4 . , 1 .... n sc50.50•w y�.4u .�` ,. at A riv„-,...,w,,,,,,, 4 / N 'Rio:" , SANITARY SfS1EU NO. 1 • LL (PRIMARX'STRUCTURE) jeripirit.,411,,,,„' bAREA OLE19PPkilo. AND SBA BE W1� /� CLEAN SNC AND GRAyEI, 1 , I � ip0 Qf 3 6------- --- --_ - , - - - -r.... ' ill - 1M 'N \ N ^� Ila• I \ k 44 3 25. �1:�i _ .; , ,. y \ k„,...,„, ....... : ( FOUND CONC. } 3 . lig" r ! ,-� : / MON. 0.5'E. ' a e ,40 I 8 1, % .,..; ,� c ALL;S.MAY'BE CONCRETE ; I 'eI /I t.F1�t� .�js/�_ , FENCE PU" e i \ 4. 1 , ••• - ' - ,' '- : ' ''';:4:',.:::14,07As~' ''' ' &' , 1 1p ALL 1 G• F0 it is OIA�''� 0 15'h nYr 1111k I ►;.O51 '' . eZwwri:,rii•'. /of ,- . 0 18" #4 ® 12" 3' • `•:.:*,ate`.0.0.:•1****ijd �1.C' 41„ 6 I * -�-=r�. a,� w . / TO BE DONATED I 44, t, ,k ,z .:.:'.''ii.,_ - BACKFILLED WRH r 0'` POq /• *:.:0 '`e /l SAND AND GRAYEL #_ #4 ®:18" #4 ® 12" ►• I S �� ►� w ^ SANITARY SYSTEM N0. 2 # - #4-.,® 18" #4 ® 12 I ��.....�.. s•4^�! /g (FOOL HOUSE) I64 \6z ,�✓�%r ( $ #4 #4 9 18" #4 © 12" I Q 1 ---_- w $ . I # ® 18" #4 ® 12" I 4 o r' - - FENCS r•• Z ' E. r, -y - --- . • { s--- - 1 - - ---- , 5 _ %> � 0.,'f. � ALL * ;n €.o E d IZONE .A EL. 8 — � ,..--.r-r �' ZONE .,r„"� p { # 1. <f_. - �rlV,1 i i �C �11'r 1i W_ t}the tirrie of €nc'at:cticn c -- - _ o 5 stems, an ares. lar.,33 ono:. 4 PROPOSED H c 6---- -Sr►9 _ - __ ----------------- -- fiw,/ 4.p r'/y .la clean CE - , " EDGE OF WETLANDS AS FLAGGED BY €tli�b� dug (Jut I J . ,- _L CHUCK BOWMAN OF LAND USE COMPANY O w p - ON JUNE 28, 1999 Mire-area of the oxcavattf Z '' WP8 46MW 16+ >?tty, to allow the ext 4 .. /'.40..1:5 he w 4ss1FlR grrtQvirtg any unacceptable :,- 5 ?aA Ae Aqulred:by.other agencies ,� k:appii"s:nt. Backfilling .. 4�CQore .yel isfired as per dei } - a, , PLAN , SCALE: 1"..50' • ND. ,., fEk�-i THIS PLAN WAS PREPARED UTILIZING BOUNDARY e � N i AND TOPOGRAPHICAL SURVEYS MADE BY JOSEPH 'A. INGEGNO, L.S. IN JUNE 1999 v I • - {,f� J{ .a COUNTY DEPARTMENT OF HE FORAFPtOVAL OF Cdr%STY ! , OXi• '' LY RLSIDENC.. �y; , .2 —H •�'. O t i l ' PROPOS.ED - : ..POOL HOUSE - 10.00' . Se/ R •1 �_ SED/ T Hit yEyARS FROM DATE . FIRST FLOOR. EL 10.50 / FINISHED GRADE r ' <I ENGINEER'S'CERTIF ' t 1 MIN. SSBMrr P.E..OR R.A fE=7.87 14".DlA PVC 2' MAX. * ' 4 FOR ( INSTALLATION LLATioN PIPE 0.2.00% WA`e U Is F' �IE..7,67 1 0.50'J j* 4 FOR FINAL APPROVI f ' FLOW LI ` 1,67'• — � • `. y _..__s., 0.67....1 C + -, `: Via.•'- , BAFFLE y + EXCAVATION IN PF. I