HomeMy WebLinkAboutPawlowski, Paul o��gVFFO�q►`,OG
ELIZABETH A.NEVILLE,MMC may. Town Hall,53095 Main Road
TOWN CLERK 0 P.O.Box 1179
60 Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS • Fax(631)765-6145
MARRIAGE OFFICERy !
RECORDS MANAGEMENT OFFICER a® Telephone(631)765-1g
FREEDOM OF INFORMATION OFFICER ®� �����•southoldtownny.gov
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OFFICE OF THE TOWN CLERK 1
TOWN OF SOUTHOL)
D
AUG 2 9 2016
TO: Southold Town Building Department
BUILDING DEPT.
FROM: Carol Hydell, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: August 29, 2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4419 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Pawlowski
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 County Health Department
i
RECEIVED Signature
DEC 1 9 2016 /2 /2
Dated
'j Southold Town Clerk
�J
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 4419 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PAUL PAWLOWSKI
Address 1: PO BOX 783
City St Zip MATTITUCK NY 11952
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. FINAL
APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT.REF # R10-
16-0069
Name Of Owner PAUL PAWLOWSKI
------ -----------------------
Mailing Address 1 PO BOX 783
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----------------------- ------
city
-----------------------------------------------------------
City St Zip MATTITUCK NY 11952
-------------------- -- ----------
Property Address 1 100 PARK AVE
------------------------------
------------- ----------------
city
------------------------------------------=----------------
City St Zip MATTITUCK NY 11952
-------------------- -- ----------
Tax,Map No. section 123.00 block 7 lot 3.000
------ --- ------
Cross Street MARRATOOKA RD
------------------------------
Building Permit Number Cross Reference:
-lam ,
Issue Date: 12/20/16 E zabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
The offsets or dimensions shown from sU uctures to the property Ines are for a specific purpose and use,and therefore,are not intended to guide in the erection offences,walls,pools,patios,additions to buildings and any other construction.Subsurface and environmental
conditions were not examined or considered as a part of this survey.Easements,Rights-of-Way of record,If any,are not shown.Property corner monuments were not piaced as apart of this survey.Certifications on this survey signify that the survey was prepared in
actor dance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc.The certification is limited to persons for whom the survey Is prepared,to the title company,to the governmental agency,
and to the lending institution listed on this survey.Said certifications Indicated hereon are not transferable. 1-S.01V H310ft '�� � '
e SffE DATA:
TAX LOT `g 8301AU H PROPERTY IS ZONED R-40.
_ 1000-123-01-2.2 ° TAX LOT
N (AIRPORT) 11100-123-01-Os REQUIRED PROPOSED
NO APPARENT WELL/POOLS VACANT gioz, MINIMUM LOT SIZE 40,000 S.F. 67,572 S.F.
0 o ti WITHIN 150' OF SUBJECT PROPERTY y 16�4 MINIMUM LOT WIDTH 150' 119,
a 4 LOT DEPTH 175' 586'
h N U
/ MINIMUM FRONT YARD 50' 312'
MINIMUM SIDE YARD 15'/35' TOTAL 15'/35' TOTAL
A®�Cw'U� MINIMUM REAR YARD 50' 130'
74 ARK AVENUE w +14.78 MAXIMUM LOT COVERAGE 20% (BY BUILDING) 5% (3,350 S.F.)
+7�19 -!-15.24 +14.85 �-1501 --- -
- y° PROPOSED TOTAL LOT COVERAGE
-L 1753j PROPOSED EDG"e OF / CONNECT TO -Cal Ou --
ffi� ,.e-Y•---^ ��'� PAVEMENT / ®e 'PUBLIC WATER �_ __
±150 � BUILDING: 3,350 S.F.
1069.99 POOL: 512 S.F
® \ PATIOS & WALKS: 1,500 S.F.
® PROPOSED 1 PARKING AREA: 1,350 S.F.
MASONRY I�" DRIVEWAY APRON: 302 S.F.
\ APRON
7,014 S.F. OR 10.4% OF LOT AREA
�
14.3 TEST BORING
1 � /
+17.0 4.3 STABILIZED /£ 5 1 8/1 6
t i � _® EL 17.0
GDNSTRUDTION a '� i .�\ TAX LOT 5.3 TOPSOIL
\ E50Rx20'E L� I '�'+ & LOAM
\ o
74 7 RESIDENCE 0 (OL)
+:53 o I 139 , PUBLIC WATER 7. BROWN �4
17.6 +16.8`` o ' I % f ' SAND i
I y (SM)
i�
i 0 d
I { I
16.0
\ +14.4 0 FINE
14.81 I f 151 SAND
+172 ', &w (SP)
4-17.8
95.8 . , .� EL 2.3
�w WATER
I N 1-14:9 +
16.2 14 j TEST BORING PROVIDED
17.6 BY PAWLOWSKI, INC.
g NOTE: DEPTH TO GROUNDWATER IS CONSISTENT
_ +177 WITH USGS MAPS; NO NEARBY WELLS FOUND TO
1 \ 177""
0 DETERMINE HIGHEST EXPECTED GROUNDWATER
(
+16.2 ® LEVEL.
115.0 ,,_
95
TAX LOT 6 NOTES
+1
67 1 � 11 ` il, ;' f z OiS- 1. LOT AREA = 67,569 SQ.FT. TO APPARENT HIGH WATER LINE.
� 1 d 18 t +-1B 1
LO RESIDENCE 2. DEED REFERENCE LIBER 11507 PAGE 589,
ayy d
(TAX LOT 1) / to
' + 0 170_ 509 PUBLIC WATER 3. LANDWARD OF THE TOP OF BLUFF, THE PROPERTY LIES IN FLOOD
EXISTING / ,'� PROPOSED ExP. ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL
WELL -�/ + •6 �'A , IpARKI INRI P ' CHANCE FLOODPLAIN, SEAWARD OF THE BLUFF, THE PROPERTY
O t2P0' RD 3\' O EP M,oIN. LIES IN FLOOD ZONE VE (EL. 8), ACCORDING TO FEMA FLOOD
MAP NUMBER 36103CO482H, REVISED SEPTEMBER 25, 2009.
L.
TAX LOT MNP s NirARr + n 4. EXCEPT AS SHOWN, SUBSURFACE AND ENVIRONMENTAL CONDITIONS4 II L 162 = --17 TEMO ts-s _ _18.0 WERE NOT EXAMINED OR CONSIDERED AS PART OF THIS SUZVEY.
14.6
VACANT +153 ,111 a �\�JA S ?I" ¢ \ 5. ELEVATIONS REFER TO NAVD 1988.
20.0' RD-2 � 6. ALL IMPROVEMENTS TO BE CONSTRUCTED FROM APPROVED
16.6 PLANS AND IN ACCORDANCE WITH THE STANDARDS AND
SPECIFICATIONS OF THE TOWN OF SOUTHOLD, S.C.D.H.S &
15 lam. N.Y.S. D.E.C. AS APPROPRIATE.
-1-14.7 5
e fF=18 5 N 7. PROPOSED i-1/2 STORY DWELLING WITH BASEMENT & 4
14.5 0 GF=' 60' so e �( BEDROOMS.
e e 4T? e 20 W
+18.0
6 m 18.1
INSTALL (1) 1500 GALLON SEPTIC TANK (ST) & (2) 8'
Q DIAMETER/ 8' DEEP LEACHING POOLS (LP). (SYSTEM
+16N atiPRpppSED,� eb 0y ® OVER-DESIGNED BY OWNER).
15 ti 2,0 1-1/2 SM Y W TAX LOT 7.3
N
..L 14.4
= 2�' 20 RESIDENCE
PRO?UtIv
® IN P�p�D MJN. / WOOD ! +18-4
(TAX LOT 1 Q PLATFORM 1S4 PUBIC WATER
EXISTING ) t�5 p,o 17311
0 M
SANITARYI ^ry
SYSTEM / 16.9 POOL 1I0,
WASH
+15.2
\PROPOSED W /
SILT FENCE \
6' a
\ PROPOSED UTILITY
4'X25' WALK BOX W/ +17.1
STAIRWAY1 1 TO BEACH 17.1+ WATER +17 /
<�SPIGOT
DRAINAGE CALCULATIONS j -i6 L- - - �a'�=
I r CUMTY DEPARTMENT OF HEALT H SERViCES
+15.7 TOP OF BLUFF
STORAGE REQUIRED 15.4 lg,? PEPWT FOR F;"l OF CONSTRUCTION FOR
ROOF AREAS WALLS8 A $Tg^
1.3'E
RD-1 2160 SF X = 360 CF - - BLUFF To Be
RD-2 840 SF X �= 140 CIF v VEGETATED WITH NATIVE WALL 611 j UG 2 6 216
BEACH GRA55 12,500 S F 4,4'W
f
RD-3 350 SF X ?2= 58 CF _ __..I �- , - -®
DATE F �
APPARENT
POOL WASH: (20% OF POOL VOLUME) II HIGH wATER�
VOLUME=23,000 GALLONS X 0.2= 4,600 -'---
d ! LINE. APPROVED
GALLONS. -? -- -- -;i FOR M € �3 hf m-
4600 GALLONS= 615 OF - - _I
�- I� �. � BEDROOMS
STORAGE PROVIDED I o _ �7D►_ EXPIRES T YEARS FROM T@ L
RD-1 (1) 10' DIAM. X 6 DEEP. (6) X 68.42 - - _ _4S_8T52 3® z ®^ �'. ^��• .. e
410 OF
RD-2 (1) 8' DIAM. X 4 DEEP. (4) X 42.24 o�
RD-3 (1)166'CDIAM. X 3 DEEP. (3) X 22.34 of �g-wa /�aa BAY
67 OF 3II PEIs® lis
POOL WASH: (1) 10' DIAM. X 9 DEEP. (9) X -----
68.42= 615 CF
Title No.: Date Revision
PREPARED FOR:
ANNE & PAUL PAWLOWSKI PLOT PLAN
950 LUPTONS POINT ROAD 100 PARK AVENUE
MATTITUCK, NY 11952 07/05/2016 TEST BORING
(631)-445-4348 MATTITUCK, NY 11952 06/23/2016 REVISED POOL ORIENTATION
06/02/2016 1 PLOT PLAN FOR SUBMISSION TO SCDHS
Unautiicrized alteration or addition to this survey
is a v.ulatl on of Section 209.sub-division z, New Tax Map:DISTRICT 1000 SECTION 123 BLOCK 7 LOT 3
ucat:on Law.
of NE Situate:Situate:IVIATTITUCK,TOWN OF SOUTNOLD County:SUFFOLK .,ePI
Map of:DESCRIBED PROPERTY LAND SURVEYORS LLP
Map Lot: Map Block:--
42-
File
4File ®ate:-- File No.:--
4 155 VETERANS HIGHWAY, SUITE I I 631 .648.9273
ALScale: 1" = 6Or RONKONKOMA, NEW YORK I 1779 WWW.PLSLI.COM
Copies of this s -map not bearing the land
surveyor's embossed seal and signature shall noYDate: MAY 1� 2®16 Project NO.:160 35 c 2016 PINNACLE LAND SURVEYORS LLP
Ice considered to be a true and valid copy