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HomeMy WebLinkAboutLevin " �og�yFFO`��,0 ELIZABETH A.NEVILLE,NIIVIC �y.� l/y Town Hall,53095 Main Road • TOWN CLERK =- � P.O.Box 1179 y � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � � � Fa7c(631)765-6145 MARRIAGE OFFICER � - _ ! RECORDS MANAGEMENT OFFTCER ��,�:�_ �,`�� Telephone(631)765-1800 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOW1�1 CLERK �(���� TOWN OF SOUTHOLD � � 15 D TO: Southold Town Building Department ,lUl 21 ZQ16 FROM: Carol Hydell, Southold Town Clerk's Office B�D�GD�� .�OW�OF SOUTSOLD DATED: July 20, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4407 for a Cesspool/Septic Tank Construction Permit submitted by: Suffolk Env. Cons. Inc. for David Levin - 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 Countv Health Department ! l Si ature Dated c, � • o���uFFO(,�-C' ELIZABETH A.NEVILLE �`� ���. Town Hall, 53095 Main Road TOWN CLERK p � P.O. Box 1179 y 2 Southold,New York 11971 ftEGISTRAR OF VITAL STATISTICS � � � Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��f�l ���� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER � southoldtown.northfork.net OFFICE OF TFIE TOWN CLE1�,K TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential $10 � or Non-Residential @ $25 Application No. ��7 @ Permit No. Applicant Name ?w wt �. /tyvMW�dJY•� 'S`'��� �'w�• �S. �`lC. Applicant Mailing Address�d� i�o d� ,(�.��c�a��ru�N. /�y 1 J �i'3�— Septic Tank��or Cesspool ✓ Brief Description of Proposed Construction or Alteration C�d1�.+�r a l 000 'a�l�tM- f'��. K � ' �� `�/L � / �0 ` - Location of Proposed Construction/Alteration: Owner of Pro e i��� �L!/LtE?S4 ti !-+�V�� p rtY� � Owner Mailing Address: � E. /9� �T �t/�.-�►+ y vw�c�� r o a o,3 Owner Property Address: 2� $�� IM,+N�'/� �A� � Z�VL-1�� � .N`� Name and phone number of contact person Tax Map No: Section /� Block 2, Lot /� Cross Street y2� ��� N+GAri w fZ d�► NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. IeT�W CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL ' �r� 0�. �1 1 `1 1 �o Signature of Applicant Date Received by: � - SURVEY OF PROPERTY ' • IN ORIENT TOWN OF SOUTHOLD ISLAND '�-�` - SUFFOLK COUNTY, N.Y. �—�—LoNG �/� ; I000-14—o2-1.s ��/ SQUND ,,. � SFEBL 10 20160' - r MARCH 10, 2016 (REl?SIONS) i� 194B1'__- � c _- • � N81'41'20_�.--�n�� � I __---- "� �� _ ��� Zo�'�,n �E ' �u�N -oe-zois �I E� ����� ry�a]� �i B TIW a�� � 10 \ �,ey1rt �o��. onaa y��� -isjy,���f ws) �� y n_om zp�_�'a�,'-'�t � _ S�e�y�i, .'' �w�����ny�����y`n�u+uu+) . �e � m°E°'_��°'i.ss o S��Z w1 —� s^vs x �'_"_" �� s a w,mm ���T J�� ��� � 1.00-i5-1K� l Z m m �«.zx.an w+ '� �A A ��P R 'I R �,u-� y �� � Cl/I x -�:�" �( ZONE T '' ^~ ` i1D, -0M`6d+ O _i1J-�Gp"�BW� "--�='^�OEio m �f�'"'.3� ���jp(M �1�plR_. � C�iSTxC 5 ���� � v uo uu' ��m� � I .mo oca �`1 �2 y `1 y� p� S N SiWY�BmR00Y � ry�J x�s a ouss.vr n w \\ ``�1r � "+s 1\ � � � rty � scanc �Z 111`��OPrn R'��-=_ W Y �� � r � `� �_ �...�;,'�a o� 1,,� % ��NE � ` a;� .�� •� :� TCN �o �•� - MA ` �� �`; tx �v�rio�tr..,i,_=��i.��,.,�.� \ �LL�CP 150, +� \1 .1 FORSANITAR 5157 u' ( 11` a1 �i,icx,c�� ilYn 'TxD , RTN't�T \� 1 ~ � • .a n . cx,sn ous i 1� ' \ - _ ��� 1 's \ o�+ � � x � � z� �\ ;,� i � _G--i- � � a � � Walf�f LInoI�I 1��laT DA Inspecl:�d B�'i�w \ r- -a�g�'�` � ' "R� , r5� o£ I � `_---'�w ' Suf(ul!<County Un,d Of I lual!h Scw�cc', _ 1 wo; , u Ec *�� F o 2 0� m 0 � C�ll 852-:;00,48 HoursJnAd.�,� � E�"� g,� � � o MJnA_ .� 7oScF-:�-�..�T?.,:I:'�'-"' � �.��s�wMrna �\ � �9�" -��' A y N - -Rr-,�-�.--�_""�...,, �� —�` ; �` '�0 2 c+� �c �` unim+c l ` �i A� � � ���\ �` � � ^ �aasco 1 0- A � aZ NI��F 4� L oarow� \ J p u; p�H REALT'(CORP � ` ` ` GZ Z � Z� m 1 'c. 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FJ(PIRESTHREEI'EA�S F'nOSI DATE OFAPPROVAL � 1` �\ p� w�oos \ —_�-�— i . � l T 1 \ � 0 � �'R�RD�E�1 \ � ` `n,, ` �NOEE�i,�IL�E.� � ' � EL SERN � � ` � � ` - � ` 1 , - e �v , PR�POSROUND _ " _ � � a` � UN�E�tGP� ` \ 'F�'s mZ SERNGE `m \ �'` a � �o�� � ` , �.� �W � ` I O � �_J' �', RAIN RUN OFF CONTAINMENT �= `� � � ' - PROPOSED HOUSE \1 ` p w�oos\� N U 991 x 0 17 x I=168.5 sq l.t � 169/1�2 m 44F ` � "� ` � p • PRONOE(2J OWS BO X d�DEEP Z OR EOUAL ,1 �1 � \` —_�- � O y0 7EST HOLE DATA 1 � o � AIcDON)%21/ISC/ENCE \ w000 , ➢ \ j N EL Y71' O� 1 S \ 0 1� � A BROwN SILTY SAND 9J y x 1 � ➢ N p 0 <' .-!mZ `1 � � 11 �, o D� ➢ � BRONN 9LT ML �� ` � \ A 8 O� � 1, \ w�oOS \\ A > O � � BROWN S/L7Y SAND SM � �: ` � , 79' 1 ` ` �C:� y A � WAIfR IN BRONN SILIY SAND SM \ 1 ` sT o�, JO' 11 l `` � O WA7ER/N PALf BROWN f7NE SAND SP 1 � \ N d m 3a' �1 , - `� � � N0� WA1ER£NCOUNTERED 19'BFCOW SURFACE \ \\ �1 � \\\ � '�/ I � � Fei ao o' GRADING PLAN g 1\ j „%. \` o �' N T 5 ,� 1 zo�"F' 9 � � � `` b t2100' ` CMF ��I��L�1�P--7IIff-�7� F�NISHED GRAUE EL 27• � 1 0 I 1 ��; � -WI�uTiAlll�l�!III 1 �i L I - � � A _""_"'_"____1_`_� -u,rz N>3jC T0, 9 W � , . � / y . ���� \ 1000 GnL ���� o`^' � SB 5' SIAPNKC 5�DOCI 6 y���I �� bo P�GESS R �`9IN h' 000 o e � i ' �SR ,2 AD N ��' �J Sa 3'SAND o �/ 1 e�N�•^ E I 2l9 OS 4' APPROVED 3'SAND � PIPE COLLAR LEACHINC1 COLLAR o � � �` POOL 1 � �N79�3g•30�E 579'38�30�W l,��40WC1 Of PROPOSED SEP7)C SYS7EM � ��F �� '2 �R3j�o0• SOUTME cONS���PN�Y (4 BEDROOMS) - E�7' 2 p 9• NpSUR u; � 1-I000 GAL SEP11C 7ANK a A � � ` snrao � ]-Bm LEACH/NG POOL Ip'DfEP & p 0 ; IN1H J'CLfAN SAND COLLAR GRAVEL 4. REMOVE MA7ER/AL DOWN — EL-3� TO SAND SP ANO BACK FfIL �SAND 5�'J �1�� INTH CGEAN SAND M ATCN TO BE BUILT TO SUFFOLK COUNTY I DEPAR7MENT OF HEAL7H SERVlCE SPEClRCA710N5 � =N£LL F1000 ZONES fRpM RRM t Gt f•";,. J670JC0068N 9/15/2009 �` `C C =MONUNENi � `� ``` � '��v y .��� � �TESi NOLE CONTOUR L/NES ANE REFERENCED Rl NA4D B8 � � a. : �-` ', ANY AL7ERATION OR ADDITION 70 THlS Sl1RL£Y IS A NOLAPON •�\ � YS UC NO 49618 OF SECnON 72090F TNE NEW YORK STATE EOUCA7IQN fAW ECON/C YORS,PC EXCEPT AS PfR SECiION 7209-SUBDIVISION?ALL CERPF7CAAONS TOTAL �(B3)f�i6_,54�'FAX(631�765-)797 NERfON ARE VALIO FOR lHfS NAP ANO COPIES TNEREOF ONCY!F SA/D//AP OR COPlES BEAR)Nf 1MPRESSfO SEAL OF ME SUFYEYOA p o�OX sos NHOSE S/CNANRE APPEARS H£REON AREA�Z.S�,933 S�.FT.or 578 Acrea 1230 TR/NELER 57REET soun�or�,,+r »9�, j5-246