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HomeMy WebLinkAboutLefkana ELIZABETH A.NEVILLE,MMC �may. Aft, y Town Hall,53095 Main Road TOWN CLERK X * " fid' t P.O.Box 1179 • cati s zg rev • Southold,New York 11971 REGISTRAR OF VITAL STATISTICS V ; � ��� Fax(631)765-6145 MARRIAGE OFFICER r +: �� �►� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER I 1',,• www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER .,���,,,.•' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D\ ECHOYE TO: Southold Town Building Department JUN 3 0 2016 FROM: Carol Hydell, Southold Town Clerk's Office BUILDING DEPT. TOWN OF SOUTHOLD DATED: June 30, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4400 for a Cesspool/Septic Tank Construction Permit submitted by: Patricia Moore for Lefliana Holdings LLC 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 1 DISAPPROVE Comments: Final approval required from the Suffolk County Health Department G Signature De(i r • '/rrrrii.. ,®�®�VFFO`,�e ELIZABETH A. NEVILLE ���°�° 'tl.,Y t, ,; �t: Town Hall, 53095 Main Road TOWN CLERK �� ,.„ , ' P.O. Box 1179 et2� ® , � °' ' Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �+ :a;°' MARRIAGE OFFICER- ® 1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ,���P y / Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = ® D' 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/ or Non-Residential @ $25 Application No. Li L/0°' Permit No. Applicant Nam ^k LA, C �� Applicant Mailing Address zyt� i tJ on 1 Septic Tank or Cesspool Brief Description of Proposed Co(°nstruction or Alteration @-e)1 S4.ClL C_A-1 0n c I.),0AA.) SV\X1 e � ;1�L �� e�-P—t' • Location of Proposed Construction/Alteration: Owner of Property: LE LGRO A \--\01--(6 1 ID 6 J Lc C Owner Mailing Address: rr p .J • C cc 1\), - 11sac3 Owner Property Address: (D`[ O "�2 2 ,1 a CJ 4 5 i 6--(H2c o ,0 ( 9' S of Name and phone number contacterson person Tax Map No: Section 30 BloA Lot r/• S Cross Street - NOTE: LOCATION MAP MUS 'BE . B TTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVE ' TH HEALTH DEPARTMENT APPROVAL!/' ,Ca :///0 S;gnature o pplicant Date Received by: "SUFFOL COUNTY DEPARTMENT OF HEALTH SERVICES ;FOR„OFFICE IUSE:ONLY`•--.;''':::',:-'57..`1.: --' • ;,,y, 4$ OFFICE OF WASTEWATER MANAGEMENT ”' ; = -..',.-•0",,',: '-r'ry y�'` , � �' -05-1- , _ _ _ _ YAPHANK,NY `11980 ,-Healtli'DepartmentRef.No:- `>> :- i;',;•.•_,,*a' a '''(63'i:1;1/1-i''., lw„L bi WM i suffolkcountyny.govIv "'•-_AR LICAT O, ATE , ' EXISTING PERMIT,TO CONSTRUCT SEWAGE DISPOSAL�AND• "• - ',` xr. er UPPL r'FACILITIES'�FORA SINGLE FAMILY:DWELLING - t .7 -,,':..—`, -,`;`,"%:-.-1-'_ �w;-+,fl»' 'i,' :0._-.,!•' _c�,.,_ ,f,�°- - - - • t. - � - ,+::, •;e;" ,'!„.,,:•-.,,.fes;_..':- :i`.: Nj: - - irrer_- - "`i . ,1 i s r w'. .i,- { ;.. ta~ p 1' ,.EVERS'E'SIDE""OE'THISr'FORIVI=FOR;INSTRUCTION_S C i :�:- - - _ " - GG[y �' r'-',.' .I;E`:>SE�GTIO�TS-.�OF7THIS-FOR1Y1:`A'LI:r:SIGNAT-.TJ:RESjMUST, RI IN _ - b='•s,.` k><w. c'bi, -A3p� ..z .- , . _.,, 4y,s<__.,..._ .. -�_ .,. .�.__. .,.,_ _ .,.-.._-_._. ,,. .+....•.._�_ - --;rs_., amu, A" SSE 11 i :OR '7 iANDTRANSFERS� ..-....42:,....-{ is ' : ; �' m. c , _, v . _—_, . . . . ...... ..•1 '.�€.' •`-i .. ,•y+:vF"i-.�,',,,.2 _-_i, ._ .'.\: .. .. ...te.a�,' i.,.,„Yg�.Fr.-i`-r'S'a_•, 6 _ -EXISTING NUMBER. _ - ` '_ :': _ -: ,'District ' Section" - , „ Block of Tax)Map No.: (i - , ` - �,YName of Current`Applican :,, ` . ,Te1#C n -, ` <i- f•t , 4_ m 2. _ . railin -Addess: :i_ 2-1 -41 s -g.3. "�' i-(_ :7':��-�=`-`'r�'p`,�,v_ �: .:;v:r:,ni Tom:{..:.,;,:«..=z-��..0-,::::4-.-...:,1:1-. "-';-d-'w�. _ -'T�?''2-<,. c=a�- ..r-€ :x�f' �k-:t.i igj `:4,k -u' %•,;74 ,,y r i"r: .,ss�s,:'•rr�;"-n_� ..,e`g - rxw,•>..".+ 'rr_- s ' '7- ' .7 - ,yam;`n:,..-, V" _ �,-,,,,,,,.w'x,-,i9.; :'. ,-,4 'z",4-.., -d',. r-..y-"„,, r,,'x - ,`'.1. _, _.,'�: - ' '�EIn�iI•t�cTdre�s: ..•," r- - :It - _ _ � - .. - _ ., z, Name'•of Current A ent: 1� - - " = g t 1 i / - ,1 .C\ - Tel#: LA )1(ps_"-vs - - %� Mailing.Address:<""� -- - � • - -� � 1 ,1 � ' - Email Address-'_ ' a ,r,w; '_ _ a _ ril.,� -=cam Lt:- ,'i- - --_ - -* _ _ ' - _ -_ - •a - Y,' - _ :If.more=;han 6,'ears°old"and SGDHS.site:ins`ections have riot b-een::= R - fir:: .:,---t.-‘,-,--,,,-,..--.,._-...,.---7------' .- p ey=" T OF�-O Gr `'L" I' Rµ�VA'L';:�� <S _ RI INA � O. - -_ _ - _ - - - lam": - 'TS _ 'erfoiiried=' c to `� it ': . .., , , , ,. . . . , SURVEY 0,"" (--)-0- V , „, , _` TEST HOLE DATA LOT 1 uPi-; '��, (TEST HOLE DUO BY , ar•t; i - I -L ON JANUARY 4, 2007) MAP 'DF ' _E{,Fg. . �•ri'yt \ oti°' �,� s EL.52.7' PEBBLE BEACH FA' v•e v V�(i �� ��' i/. � DARK BROWN LOAM OL ��•� , • N,- ... -1C) �1 R'-t�. 6'a, ,�� FILE No. 6266 FILED JUNE 11, 1975 \S\)kJot.) F, ..4..6 �a*c .Q. /,., NO. °^ SITUATED AT 59°�50� • r, i.• � . ° EAST MARION U 10 / / / '- / 6cg TOWN OF SOUTHOLD Jai / ../.,, 1 �' // .../,113� d s�ti �, �� s; /,f, ; �,_•�/, „�� �� 5 �p SUFFOLK COUNTY, NEW YORK S� / +%/ "..,.:2/•/ f///' ��i d7'5 ��, p(tt%p'b9 ° a BROWN SILTY SAND AND SANDY SILT SM & ML 1 / /,k,,9 'giy '. , / > es v a ,o - 4 S.C. TAX No. 1000-30-02-77 ; /J,• ' ! �// -,�ii� �j t �iyIN 0/p• oN,Alper SNE . ti SCALE 1”-40' �,, r' // /' /�'/-'1, %,"://:///�:'",-".• //:////// S•�ST, £F Ofi�G6 9'$3 i ° JANUARY 16, 2007 1 :''',./:.,,,,I,/,,,,_ i J .//i'ii J.!",ij i J'/// , , moi$`., _/ GOtS�0`Nr5v. q4 I�/ \d\1�i / �."/' /,'/; // / p5�'�p NO BROWN FINE TO COARSE SAND SW 7 is r // . / / t0 ii 2• o, /, f• /, i . - - / n.I�LLir�Lw -46 AREA = 22,427.19 --- o9-. . i. / ; III is £ . /��/f� � "--,,�j �, ` .'� / ,, � WATER IN BROWN FINE TO COARSE SAND SW ,gym„.,^,bY 'd�°�� i 0, 3'£ fo '/ , f�€r1•/r 1 .SB 7 _ _ 60 -, i 52 _ ' � � .,,(<::: ' tp j ^x! / i/i vUFt y :,ie, ,^ €�d � _� dd / / tt' • - t ' L„a®`i'G�+�`')EP'J...cs + - `�`.m ` I 'da /! / / • - 62.7`t • j "�, A I-” O ��•. . , \el \ i c:,4"-- / f / �� ii �o�.� c �a s e ....�..�,.,,._.......,r> --�..^ .�•`�r, p��.�p_a...-- O,�j6pi a� i * v. .. b ` jl�, -' � • 2 3TtSt 15°S T N..� �a`•r- �•. "b � at.�i�sc`� r�, t c>wJ'. :EJ..�.?IPS R it C I , `t°,11� J O ♦ ? 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ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM <� `�� Yj { �. 'k7'' ' d• ! EXISTING ELEVATIONS ARE SHOWN THUS:_ws \ +}}s��r { j x�0 `�0 9 PREPARED IN WRFI THE MINIMUM ..... 10 �. , ,+,r7, 4s, ' - � .1 (if STANOAROS FOR TILE SURVEYS AS ESTAOUSHED • EXISTING CONTOUR LINES ARE SHOWN Tf1US: ---• I ti "�"`' O. , IQ x(71 Bf THE LIALS,AND APPROVED MO ADOPTED2 FL00D ZONE INFORMATION TAKEN FROM: - I +�+� - ` ° 9 4Li ih6° f SU TITLE nOH6f 1HE NEW YORX!tA1E LAND FLOOD INSURANCE RATE MAP rto, 36103COD3 6 { \ + \.'' } � ',f `ZONE VEi COASTAL FL000 VATH ViLOCIFf FPAZARO (WAVE ACTION): vl ,1..L I .!."i:. r1 , r�,y�, ✓.,�\,;t^+'`" C+"p."'4'. r'• i 0A E FLOCO C1EYATIOtIS DETERMIP D $. Y� ° �,Vc�'•`� % I 0�`�r na•l� ) ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. . 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. / 6 6 �G P� a f t r. I TANK; B' LONG, 4'-3" WIDE, 6'-7' DEEP t \�A ` �\ ; 4. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 aq !N S10EWALL AREA. tJis f q��f ° • . ©11���E' o �S' r --'4':', d I 1 POOL; 17 DEEP, e' dia. ,s c�r�(� :-......3.-1 ao 0L. ....“"i; S Q›-:'"°:) `Y' A�4,,, r� :';'•r‘T 't �. Wt"-�. OJ C, ,•'� n ,e 5y� , \)"/ �j P1 ,lar Jtt r� [� *3' Rei PROPOSED EXPANSION POOL rvJ � fp ' 1 PROPOSED LEACHING POOL t.4 ^ • '\/����+ J,,T`, ���� p `'� a� n Y 1 r't � ^... a,. • «'i:ti;..3-`C,I N.Y.S. Lie. No. 49568 , k V4 PROPOSED SEPTIC TANK cP' ,2 ' ` p'(Y4� ,� UNAUTHORIZED ALTL"RATpN OR,ADDITION \ 5 !,---; °, ';S',0 - - /" 1 TO TIPS SURVEY,F3 A VIOLATION Of ct'Ps ,,,..x . o ,'yid• • + C G� �'# 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD \S SECTION 7209 OF THE NEW YORK STATE - j ,-q:� ' ODSERVATIONS AND/OR DATA OBTAINED FROM DTII€TIS. PHS'• ' ``^\ QJ0 `tp EDUCATION LAW. ' J�,�;^0 { eph �r `v r, Y� COPIES 'nits T PIIMPP CD SEAL oEARING. ''�z.,.,.�� -i% A. ���V �� 70 D055FD SEAL SHALL CNOT. Tr'CONSIDERED C Land Surveyor yor , 1 TO EX A VALD TRUE COPY. . - I CER TfTCATTONS INDICATED HEREON SHALL RUN - ONLY TO THE PERSON FOR WHOM THE SURVEY �14.�'\JG(qF`�� �Pt�D wsnrunim R ARED,MD ON -a.HEREOHt AND Title Surveys - Sutd'slons - Sita Plan - Corrtrucllon Layout V l- TO THE AS:.IONEES OF THE LEFAL'3G am- } �y e TUTION. CERTIRCAfi0N3 ME NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727 { THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT Atalt,10'ADDRESS ' 1 TS OF RECORDIF I , ANO/OR EASEMENTS ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. f3dx 1031 ' -RIVERHEAD, Naw York 11901 Rivarfroad, New York'11901-0955 r 1- ,