HomeMy WebLinkAboutBednoski ,,,,iii,
4/11 0004
ELIZABETH A.NEVILLE �� � 'y ; Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
CAtxREGISTRAR,OF VITAL STATISTICS
'Fr
Southold, New York 11971
MARRIAGE OFFICER `-0 �*. Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER __ 1 x $Su�t,0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2754 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CORINNE BEDNOSKI
Address 1 : 2195 HENRY'S LANE
City St Zip PECONIC NY 11958
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 #R10-00-0240
Name Of Owner BEDNOSKI, CORINNE & JOHN
Mailing Address 1 2195 HENRY'S LANE
City St Zip PECONIC NY 11958
Property Address 1 2080 HENRY'S LANE
City St Zip PECONIC NY 11958
Tax Map No. section 74.00 block 2 lot 1 .000
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/11/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,II#/� SUFF®`�
G
Co
r' ELIZABETH A.NEVILLE ��ma 'y ; Town Hall, 53095 Main Road
TOWN CLERK k ® - • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
r � Southold, New York 11971
MARRIAGE OFFICER `� �iL ).'W�1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -'/®� jag lbs"/i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ , southoldtown.northfork.net
OFFICE OF THE TOWN CLERK ;;`; ! isw, %F rr ,
TOWN OF SOUTHOLD 1. n;;-- ,
•
U% FEB 2 8 ET911
TO: Southold Town Building Department
TO,.,:, r�
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 27, 2002
Transmitted herewith is a copy of application No. 2850 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Corinne Bednoski
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .v�•,.%
(-14(A*44eg 1 ?-"•%- #/ ele& #14-Or
Signature
Dated
,,,,,,,,/III,,'' r�
OFFICE OF THE TOWN CLERK Ili If 0[K�•� ,�.
TOWN OF SOUTHOLD V ��. ���IJJJJ
ELIZABETH A.NEVIIZE,TOWN CLERK ;��OO •D�/.(i-� Application No.
P.O.BOX 1179 �/.
Construction
SOUTHOLD,NEW YORK 11971 ; v • •rn ;
Alteration
Telephone 0f. Q�;i�, ' $10.00 -Residential r�
(G3 k) 765-1800 -490/ ��
'' $25.00 -Non-Res idential
•
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee '$
DATE FEBRUARY 5, 2002
APPLICANT NAME: CORTNNF BFI)NOSKT
APPLICANT ADDRESS: 2195 HENRY'S LANE PECONIC, NY , •
SEPTIC x CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
CONSTRTICTTON OF NFW SEPTTC SYSTEM
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION':
OWNER OF PROPERTY: JOHN AND CORINNE BEDNOSKI
OWNER MAILING ADDRESS: 2195 HENRY'S LANE PECONIC, NY 11958
OWNER PROPERTY ADDRESS: 2080 HENRY'S LANE PECONIC, NY
TELEPHONE NUMBER OF CONTACT PERSON: (631) 765-2727
TAX MAP NO. : Section 74 Block 02 Lot 01
•
CROSS STREET: N/0 SOUNDVIEW AVE, PECONIC
BUILDING PERMIT NUMBER CROSS REFERENCE:
-/
y •
„/ZAVA/V/LA.(i--4.
•
Signator- of Applicant
RECEIVED BY.:
Town Jerk's Office -
DATE: 2./Z0 6 L
r s
P
a8, 'SUFFOLK COUNTY DEPARTMENT'OF I-IEALT'H SERVICES
41, c..11.
J��•
F °„� dr SURVEY OF
PERMITFOR APPROVAL OF CONSTRUCTION FOR A 4, tP���o� , LOT 40
SINGLE FAMILY RESIDEtNCE ONLY ',A�`%
O 8 ? MAP OF
—�� xs P. , RlC�—� --6\c‘ -‘7f-Ci
?°� ��o � ° �d PECONIC HOMES
DA �' ,� % �''��0'4 - `' 0 6�' °� SECTION TWO
FILE No. 5001 FILED NOVEMBER 28, 1967
itFOR MAXIMUM OF � .E; ' '10M5 a '°mo o°G �o�� 75 R S SITUATED AT
(AIRES THREE YEARS FROM DATE OF APPROVAL •
+� •
,�� �'� ��� PEC 0 N I C
0.. Q, TOWN OF SOUTHOLD
�"'"'' gyp,, 1�� SUFFOLK COUNTY, NEW YORK
�•.k 4-' S.C. TAX No. 1000-74-02-01
c, SCALE 1"=40'
4 ....\>G ,,,,, <>c, �',�, SEPTEMBER 18, 2000
�Q, ly y�a �G C� OCTOBER 10, 2000 REVISED PROP. WELL & SEPTIC SYSTEM
T4 p4 �'t, J C� OCTOBER 10. 2000 REVISED PROP. WELL, SEPTIC SYSTEM & PROP. HOUSE LOCATION
p ��' . 1'a�4' �� �R Op 9�G� AREA = 19,739.13 sq. ft.
(`���G,2�9 P� •1�, p/y 21.0 0.453 ac.
O o49` y E` o .n
$ �'G�,- �y0�'``' CERTIFIED TO:
Q 4, • meg.• `)g, Ao CHICAGO TITLE INSURANCE COMPANY
4, y , e . *. BRIDGEHAMPTON NATIONAL BANK
�.5o��°`� ' mss' , r�o �`l. A cis JOHN BEDNOSKI
c.
Ix
�o �0�. • -y a q` __--__ --_ 10/ � NOTES.
0 -- if"..- -----_` :
J ,, i/ l,� 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
,('-'6,‘'' �•----=-_---=_-_`- / EXISTING ELEVATIONS ARE SHOWN THUS:..24.12 _ -
G -_-- ``_-' // 2. REFER TO FILED MAP FOR TEST HOLE DATA.
2-
P° -_____- �%U 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.-
'1• /, 1 TANK; 8' LONC, 4'-3' WIDE, 6'-7' DEEP ;
/' TEST HOLE DATA
q 40+0 O6 ��/ �� 4. MINIMUM LEACHING SYSTEM FOR HOUSE IS 300 sq ft SIDEYYALL AREA.
N h "Y I POOL 12' DEEP, 8' dia.
-
. ti A vP ,/ ?ate• /. (TEST HOLE DUG BY McDONALD GEOSCIENCE ON SEPTEMBER 12, 2000)
•• I. r V% - TE BOLE • i ' V yl,�� L. 30 0• PROPosEn EXPANSION POOL - •-,
6'• -44
J \� GROWN SANDY Lau OL -
e .�, N ///, 2
,5+, �p,� �\ . BROWN SILTY SAND SM PROPOSED LEACHING POOL
-° ` e G,t, ,{1 Q� , • �\ •\• �\ 8� PROPOSED SEPTIC TANK _
\\
��
seS).'
O,i, • '. ,� -- \\‘*,‘\ „ �` BROWN SANDY SILT ML 5. THE PROPOSED SEWAGE DISPOSAL SYSTEM SHALL BE EFFECTIVELY DUG OUT, DOWN TO
.9� -; �/ ••1' Q'+_ >. >�- �. 12' A SIX (6) FOOT STRATA OF ACCEPTABLE SAND AND GRAVEL FOR A DIAMETER SIX (6) FEET
O �� - •
, "a-{O ,:_s;;r.t...i GREATER THAN THE LEACHING POOL.
�G 1 l 1/ t F • . J •t0 P :cQ 1.—. 6. AREA OF EXCAVATION TO BE BACKFlU ED WITH ACCEPTABLE SAND & GRAVEL
0Ic YY /T� qb `_,,,,,,,,t7;,___,.. BROWN CLAY AND SANDY CLAY CL 7. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
\) 1, \�� •• O`er ,'}�G� * ( EL 8 0' " OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
QOF r • •°O� 29.e ?,�C 1�1 F ;....'t.,4:,;•:',, ' , ..^ S 22' 8. S.C.D.H.S. REFERENCE No. R10-00-0240
c(.01' (jam�^ c,i. • Gj —
,�{{��,, 1y(.•.01'
, ` L • AN' G ,PREPARED IN ACCORDANCE f WRHTHE IAPIIMUM
- AS ESTABLISH D
�Q'' �F �Tv YORK SFA LAND
° '1' - +11RE'ASTIIX_T.�
*t.' <1
•`• ,j _q �� SS WATER IN MOWN CLAY AND -,21,,!..>"
0,::::-7.•.':::-...0K. :�•
' ' .'� ~"77i ,��+ - SANDY CLAY Cl of �i�• �,.
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F __ tt / •, PL
.. 41i `�O� I
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`t(� L''� • PQ'
7;;A-
fS 96 8
WATER IN BROWN FINE .,�:r
TO COARSE SAND SWIL.
82' N.Y.S. LIC. No. 49668
, UNAUIFED ALTERATION OR ADDITION
TO DNS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION UW.
��� Joseph A. Ingegno
COPES DUCA OF nes SURVEY MAP NOT BEARING
r pr,� ��� ' INKEDSLand Surveyor
'''' TO BE VALID TRUE COPY
-VS CERTIFICATIONS
�4 �� pp tIONLYT PERSONINDICATED
ICTEOR SURVEY
V 1 {(JE IS PREPARED,AND ON HIS BEHALF TO THE
�J `�� A0 TTD-E COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
LENDING INSTITUTION LISTED HEREON.AND
TOLENDING INSTI-
ok3 Sil nJUOONN. CERTIASSIGNEES FICATIONS�NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF FIGHT OF WAYS OFFICES LOCATED AT
'- AND/OR EASEMENTSA OF RECORD, IF 1380 ROANOKE AVENUE MAILING ADDRESS
`-'CESSPOOL ANY. SHOWN ARE NOT GUARANTEED. RNERHEAD. New York 11901 Riverhead,PNew Box 1 93 901-0965
2U-506