HomeMy WebLinkAboutAnderson } ,S�FFO�,r
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ELIZABETH A.NEVILLE _ yd Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
ti 2 Southold New York 11971
REGISTRAR OF VITAL STATISTICS v' P '
`F �� Fax(631) 765-6145
MARRIAGE OFFICER ``** aloil Telephone(631) 765-1800
RECORDS MANAGEMENT OFFICER _�1
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. 3107 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD ANDERSON
Address 1: 333 EAST 30TH STREET, APT 19N
City St Zip NEW YORK NY 10016
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0102
Name Of Owner ANDERSON, RICHARD
Mailing Address 1 333 EAST 30TH STREET, APT 19N
City St Zip NEW YORK NY 10016
Property Address 1 4296 WUNNEWETA ROAD
' City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111.00 block 14 lot 28.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OSUFFoc,�e; 3107
ELIZABETH A.NEVILLE �� � 'y Town Hall, 53095 Main Road
TOWN CLERK H I P.O. Box 1179
4 ilk
Southold,
REGISTRAR OF VITAL STATISTICS v'
New York 11971
MARRIAGE OFFICER ``�,�i ��'�I� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �Qjig ��o�i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ��'� southoldtown.northfork.net
fs
OFFICE OF THE TOWN CLERK
6 ?O ' TOWN OF SOUTHOLD
t
TO:'} - Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 15, 2003
Transmitted herewith is a copy of application No. 3245 for a Cesspool/Septic Tank Construction
Permit submitted by:
Richard Anderson (Amy Martin)
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: r =:e7
Signature
/ 1 7-00,3
Dated
y OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ;' SUFFO[K�• =_
ELIZABETH A.NEVII.IE,TOWN CLERK � �Q 0� Application No. 3aIK.
P.O.BOX 1179 ; Construction ✓
SOUTHOLD,NEW YORK 11971 o rn
•Fsyc Alteration
Telephone 04,,47/ $10.00 -Residential
(631) 765-1800 - 1 Jr�,I/' • $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT,
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE /D/./ O,8
• APPLICANT NAME: J '&11/9Cb A,Ua6/30/0 Cri ) )Fi5o,9
APPLICANT ADDRESS: '7` 96 GC)rz•)r,e
SEPTIC /CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
bffe w �6 )r» eA'rJ RC.S:ce.e-n
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �(�l�eR� �No�r��5a�►/
OWNER MAILING ADDRESS: ,3J,Y Jo Jf. /gip f . /9_A/
y /Yy /oo
OWNER PROPERTY ADDRESS: 4410 Gvtrnneeuef Q �L
(77L4 ,
TELEPHONE NUMBER OF CONTACT PERSON: 477- 975
TAX MAP NO. : Section /1/ Block /4/ Lot o//
CROSS STREET:
•
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
"ignature of Applicant
RECEIVED BY:
051)36A1
Town Clerk's Office
DATE: iof 0103
r,
L:-.1-'1:-' ' `--;%t-r%! TIDAL WETLANDS BOUNDARY • v
n 4f; A D AS FLAGGED BY EN-CONSULTANTS,/NC.11/17/
- / v! V
/� IP-2 N 7757' 01" E35.85'
W V N N rL l;I �" ;”A §: 5 g 2-3 N 87' 24' 58" E 26.93'
CHANNEL 3-4 S 83' 02' 53" E 19.73'
L�;�t ES 4-5 N 80' 47' 16" E 22.64'
t'1 �� t(1i-�,,:'. iN ,r . 5-6 S 75' 14' 17" E 31.17'
ajt_.r sir tat,+�a a C:.+T 6— /L' S 71'23' 04" E 43.90'
33' 31 E 4 46C ESS PATH `S 6
N 82 ® 0 p � s9 .
6> '
Awl Te
/4 i rI �l in:4:a N,AR " 7.? 9' 71'''F -
9 O LOT 227
/NON DISTURBANCE ON FERAL/ZATION 3
O
iv
y�•
/� /_ / /^ eR • ® 16'_R/W 2Q ',,
(RAVELED (GIRT ROAD) WAY '^-`_ `� ,RE-BAR /�`- E'ER
lirl
TRANSFORM --_1f—Q,L� -PRO p0 WA -.- - 15' Ri
N• D.TU .,,I i F.i 8 �� rCh, SER g" o
10 _Les , o / PR�POSEIa 77E DATA
4
N/F `- 1r DRYWELL y
ANDERSON c , `. OL I 1. S 74'24' 20" W 358.30
P/O 7
Z. N58' S0' 30" W110.00 _
5' PROPOSED , P/O LOT 246 3. S 76' 41' 40" W 269.47
RESIDENCE LOT 245 SEPTIC PROPQQS 1 ` 55' VACANT PROPOS ' TANK ,� 2.8�ORY N'.PROPOSS ( ) 4. N 08' 28' 30" E 6.9'
CESSP• 0 WELLING&
PROPOSED e . "' ATTACHED DRIVE &
509 EXPANSION ��:�_ GARAVE
9 -• ----G MORE THAN 150'
• �� QO�� TO PROPOSED CESSPOOLS
PR'POSED ..•.. . .... P• N
0- WELL •.. LIMIT OF CL RING
cEsspo,t �i' AND GROU • .
12 10 / ' l
/ �� Nakz DISTURBANCE :cols')
1104:
ZNE AEZ� 8)(EL• 1 � CLEARED
�� 6 4' ACCESS PATH
/�/ FD QP�� \O
AP e
-_ -- - - -- :� --- -,, peg'
-- - -- ------ _ -- -_ -�- - - -- PONS
o TA
1 W NU
IMPERVIOUS COVERAGE OF U
HOUSE = 1
1>Y31>Y3TIDAL WETLANDS BOUNDARY GARAGE =
S
AS FLAGGED BY EN-CONSUL TANTS,/NC.11/17/99' DECK =
1E-2 S 66' 25' 35" W 21.15' TOTAL IMPERVIOUS AREA = .
2-3 S 86' 01' 52" W 22.59' WHICH IS 6.789 OF NON-WEA
3-4 S 79' 04' .35" W 26.50'
4-5 S 77 56' 29" W 22.42'
5-6 S 73' 58' 11" W 30.86'
6-7 S 60' 27' 04" W 21.40'
7-8 S 42' 01' 15" W 25.83'
' 8-FL S 53' 36' 13" W 42.77'
2 STORY DWELLING 10' ST 8' MIN. 5 LP
4"Dia. S0 L PIPE
MIN. F.F. EL. 10.3 Th @ 1/4" PER Ft. (MIN.)—•-. EXIST. & FINIAL GRADE EL. 10±
10r-, r--, /��n�
EL. 4.7
NV. EL. 6.7
t31 GROUNDWATER
INV. EL. Z6 INV EL. 7.4 EL. 1.7
INV. EL. 6.9
0
SYSTEM PROFILE
SCALE 1'----. 10'
LEGEND SEWAGE DISPOSAL SYSTEM tfnf
ike
ST - 1000 GAL. SEPTIC TANK P/O LOT 245, AMENDED MAP NASSAU POINT
LP - 8' DIA. LEACHING POOL CUTCHOGUE, TOWN OF SOUTHOLD, N.Y. 7$��� K S, 4
2' SIDEWATER DEPTH 1000-111-14-28 N .
FOR RICHARD ANDERSO ,::-k:•-,--,4, X gig
.T -, :: a
SANITARY SYSTEM DESIGNED •��
7"
O 0 SAG s HARBOR ENGINEERING '�
381 TOWN LINE ROAD r Si� �
SAG HARBOR, N.Y. 11963 N 'TEF1'27 JUNE, 2000 REV(
0
0
ill2. 11 JULY, 2000 UPDA
3. 05 DECEMBER, 2000
O S ADD PROP. M 0 ,
0 4. 13 DECEMBER, 2000 '
FREDREICK KEITH P.E. LIC. 39959 5. 15 APR►L, 2001.ADD
•
f
r'
•
'9 .
SURVEY OF
P/O IN 245
C AMMENDED MAP A OF NASSAU POINT
C NOTE:: 16' RIGHT OF WAY AND ITS CONNECTION TO A 15' RIGHT OF WAY S/TUA7E
C_ IMMEDIA TEL Y TO THE EAST AND TERMINATING BETWEEN LOTS 226 AND 227
AT WUNNEWETA ROAD IS FOR THE PURPOSE OF INGRESS AND EGRESS CUTCHOGUE,
cM z AND IS A UTILITY EASEMENT FOR ALL ORDINARY UTILITY PURPOSES TOWN OF SOUTHOLD
7 TO INCLUDE WATER SERVICEAS PER USER 9066, PAGE 16-18 SUFFOLK COUNTY, N. Y.
AND LIBER 9550, PAGE 472
V . .
- ,z\____
-----\
rn PROPOSED WATER SERVICE
SURVEYED FOR RICHARD ANDERSON
TM 1000-111-14-28
FM ,# 156
FILED AUG. 16, 1922
0 SURVEYED 20 DECEMBER, 1999
SCALE l''=40'
AREA= 36,426.88 SF
OR
0.836 ACRES
•
GUARANTEES INDICATED HERE ON SHALL RUN GUARANTEED TO
ONLY TO THE PERSON FOR WHOM THE SURVEY • RICHARD ANDERSON
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY, FIDELITY NATIONAL 777LE INS. CO.
LENDING INSTITUTION, IF LISTED HEREON, AND TOWN OF SOUTHOLD
TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ZONED R-40
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF _
THE NEW YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE ,
COPY.
•
LAND AREA
590 SF TEST HOLE DATA ,(2 DEC., 1999
484 SF
182 SF PERFORMED BY : McDONALD GEOSCIENCE
356 SF DEPTHS SHOWN ARE ACTUAL ELEVATIONS
AND AREA EX/S17NG GRADE
\4S \\\\,\\ , DARK BROWN SANDY LOAM OL
558
FOR S.C.D.H.S. USE ONLY
BROWN LOAMY SAND SW
4.3
PALE BROWN FINE TO COARSE SAND SW
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
L7
PERMIT FOR APPROVAL OF CONST UCTYON FOR A
ST1GLE F. SLY RESIDENCE ONLY
DATE 6 O HS F.NO.d O—00 —0702 WATER IN PALE BROWN FINE TO COARSE SAND SW
APPROVED
-
FOR MAXIMUM OF 3 BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL -4,7 ,
EXCAVATION INSPECTION REQUIRED
FOR SANITARY,SYSTEM
Approved in.accordance with Board of Review BY HEALTH DEPARTMENT
determination dated ..-7 �o/
NOTE: WATER TO BE PROVIDED
FROM MUN. SERVICE
WUNNEWETA DR.
ELEVATIONS BASED ON
BM NO. 8-1933 NEW SUFFOLK-
1929 NVGD
WETLANDS LOCATED BY EN SURVEYED BY
CONSULTANTS, SOUTHAMPTON,N.Y.
HOUSE WILL BE SITUATED IN PORlTON STANLEY J. ISAKSEN, JR.
P.O. BOX 294
- OF PROPERTY-LOCATED IN FLOOD NEW/ SUFFOLK NY 11;; •
E SANITARY, ZONE AE (EL 8') AS SHOWN ON 6311 734-58,-5
SHOW EXISTING WELL LOCATION. FLOOD INSURANCE RATE MAP NO. l
EVEG. BUFFER, 4' ACCESS PATH. 36103C0502G MAY, 1998 %i i'o •-.'// i�
UPDATE' VEG. BUFFER, ZONE AE (EL8): BASE FLOOD ✓op/ " ,'/
4 TER SERV., REV DECK. ELEVATIONS DETERMINED LICENS'I LAND ITRVEYOR ,
REVISE PROP. DECK. NYS I C. NO. 4'r 3
?OW NOTE - FILL EXCAVATED FOR FOUNDATION WILL
BE USED FOR REGRADING AS INDICATED. 99C848
11