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HomeMy WebLinkAboutRomanelli, Heather ,,;oFFOLIr ELIZABETH A. NEVILLE,MMC � Town Hall,53095 Main Road TOWN CLERK m P.O. Box 1179 ca Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OFT E TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: October 4, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4431 for a Cesspool/Septic Tank Construction Permit submitted by: Elisio Lopez for Heather Romanelli 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 Signature Dated 0 ELIZABE'T'H A. NEVILLE �`� G�� Town Hall,63096 Main Roa- TOWN CLERK _ P.O. Box 1179 Southold, New York 1.1971 REGISTRAR OF VITAL STATISTICS �y. MARRIAGE OFFICER Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER ��®1 ��0� Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.nef OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10y or Non-Residential @$25 Application No. Permit No. Applicant Name /1-11 D A roc Applicant Mailing Address Septic Tank. or Cesspool Brief Description of Proposed Construction or Alterationy J—t-t c' 0,t, Location of Proposed Construction/Alteration: Owner of Property: Ai e g i Owner Mailing Address: Jj''' / r- ie&AL L/ 12, r n t'— l! l Owner Property Address: ?_ ,� �t vJ.kLa �0 Name and phone number of contact person��',._1 Tax Map No: Section_ 7 Block Lot Cross Street 'l NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION RE'QUIRE S SURVEY H 'ALTH DEPARTMENT APPROVAL 4 Signature of Applicant Date RoGoiVed by: COUNTY OF SUFFOLK ` b � a � n STEUEW; LLLQNE SUFFOLK GOUNTY EXECUTIVE lIl pEPARTMENT OP tEA�II TH SERVICES JAMES L.TQMARICEN,MD;MPH;MBA, MSW' commissioner . � Health Services Reference# , ,�U- -� C'3U�{ scTlvz# 1 — q-? �1 The atta,,, ,,I'llpial% wh- 11en dul1­1111y signed by a representat�llll�e o the T?epartment in con3unct on with these . condxtioris' constitutes a perm to constzuct a water supply a dlox a sewage disposal crr collection system for the property as 11 I depicted: The applicant should take mote of any condttins of approval,which maybe; 2ndicate'lld oza the plan or enclosed herein Gonstructct�n mustZbe coiformance with applicable standards including"Standards far ApprI'llflval of Plans aril Oanstx'ucfln fflr Sewage Disflsalysteiixs for Single Family Residences" 4m�ssaozxs,inconsistencies or lack afdtail{ori die tan do doteleae the applicant ' he i e' n.i'(,�,li of hay'" the:cos ctco d ne in cic � a" cabe tncrd issuan11 ce ' ruin w�po 1.7i ty J y i.,r .. n. 1, ,r�., ...�?$.�`.. g <' �._ ' j �,u s.,v Ls olf thsppgezxgar(thalt>nc wayeltee aarclutectng�nerureyr ofesppisbalty onc�adecacy of the coinplete design a P k to F L 4 Y r r ` s i } 7.;�.sa ,�s,, b mss i " vr �, '� f The"permit plan) expires three(3)years after the approval dae �' odiicatiori which may�ffect the11 2 4` x a< 42u. � a 7 s proposed sewage disposal or water supply systeixs requresubrission oda revised plan and additioxzal feed phcable far reappro�val prior to construction o ixls eetionI'lls 11 b performed b the T3epart ent if a copy of tllllhe'approved site plan111. lsu"Illrv11 ey loot onsite cuiiag ccnsrutiriri p ifthe permit has eied z t �. r �f:�".s � .`�"v1u'� 3'.'�Y,�uti. ?; sf K sx �,sL if ti '\ '4 ` t �` zjF '� i�-.is' - '��"`' 5-^ 4�-s Y i';6a Permits may be renevec,transferred; or revis'lied in acoranre, ?vt the proce#ures cescbed the Iastruchons to Update:an Existing f'e>hm tt fflr Single ' m� 9 + s clenees flrmt TU j L i SY r�.vl ti l F' k k ,S 1 ,. M? ,� 7 F S ' ,+ t ' It is the applicant's respensibihty to call the T3epanentxiiznc ,torrage inspections of X11 components of the seuvaQe dts oral andlox water sufacilities� rzo �obaczlin cextain cases,ins'cchon of the {? p pp b' r j k;g r Y � x ~soil excavation niay be required to�letermixie the aecepily ofthe soils fob seyage disposalysteiiis The I3epartmient must be nitifiedhy 4�U0 pm ciell"ne business day pri+�r to the`date flf the regciested inspection by calling 852 5'754 Also,excavation inspeCtifl115 ini2St lie +rinfirmed by calling$52 57013 between ,' 3fl am and 9:30 ain on the mflrrizng flf the iif spectionnc�le of the `ufclXcc�utizly erode, "Septic1 -1 , w I 11 Industry Businesses,"requires11 that ill anst 1116s of septac ys ems i?atliar �Sui'folk , oun shall;pass ss a valid lzcIlien e fratn tlae Suffolk Aunty i ce o�llvf Consumer�ff�11cc r ei­((b31) $53 46fl0) 'has office,may a efuse to per fad^ria inspections ar grant�11 nal cz a avczZ far the eanstru111 o��rat ctss'that arq ansta�led liy an uh icensed individual. It as, there'infore, zn your hest anterest to at igt a Bess'6,6' controeto"^'w a valid lI 'll, Iicense to avoid substantial delays iri your, jec2 Final approval issued by the llepartT ent is necessary prier to the Occupancy-''oI�,��� f ii,", 13uilclings, additions to existing buildings;oi•fvr,tW itse of sewage disposal ©r water supply°systems, ;; 1 III 1I 1I SES R E't I2S� l�"4��t �11 1, I�DITION F()J�Z C�]�TAIN N TINA�L 11 A�'PR VAS WWM-058 (Rev. 02/1I2) 1 Paae�1 oft APO PTM.C,,Nl �= ExISTWC, EtovS.E PL-ANS.C• I�k��►t►T H ULPT V E LY A (Nor To SCA LE SUFF.Co. EALTI OFFICE OF V1 � sc�:ac N phi Lv ; Pt_tEFLS Rsr FCtz Tos4Ee T Z To V tE,w PLAN SCwt.E �� s F L t k ?C t E,-JTY r a'c�Tir` i LQ= LiJi,:v Rai*-1 To-TAt, Ltvtm4 S pacE = b 6a s f Vill r"cvaa4a�nN WAts� iravu a ar�n N w�u, try i����_�`.i .,,m.y` _-. .t•�p% `$1•ca �2.$ i�1 t sJ �a j.G.r ,j f i a T• �Q.t(„s t ,1.s,S_ t 4-4 Sz+�`tG fir=.CYC NOT To -r•4 r NO WATSM 'ENCO 14TIER ® RELY{e� qy� 4114® RyfiviS C- PSt st rzAr,�et bE(/PT e t 1EJT �6!'f�n•tm. bQK 1t� 1��� a�A�u c,% of to oo'® l '6 ® 6`1 t 600SKVMV4. LAMC SQVT141*`eT1 N DWr,*t Ea e7.tC, TrTLr_- PAtopnstb LAAtelett %&Pitt I V STS M vE P?.2TP•lrrj T H � oNEVVyQ Robert Barratt PE 4295 Van ston Road Cutchogue NY 11935 s, t� bePTtd �� °� ,p '� Tel 631 875 0275 robertbarratt a)optonline net i r LAY• lis "� FT ,� These plans are an instrument of the service and are the property c'eu_ ` ,e z wow P� r r_ % design professional whose seal is affixed hereto Infringemen be is d, prosecuted to the fullest extent of the law Contractor shall verify a! fell C/o 08. 865, 88 conditions and dimensions and be solely responsible for field fit The -fol -- - IPt� y �t M j !u �. design professional assumes no liability for omissions due to unknow,^ S -- s e = C unforeseen field conditions and or additions based upon comments ncr - - Eevcc)(iNTegErz r> � formally acknowledged as revisions to these plans. f LA040 011F OF N6Ac,TM 7Z6 T A EE ` \ (Pu f UC_ A / ° gip`'°WELLAUG � 9 201 DiEtr WELL ?,S492 Cttrc&Cq Ar t e N ' t4 L W.PIPE Q LANA N/F \ O tJt� c B FF. OF OFFICEO T ATEPa HELEP! ROGGERS � FLAG POLE p © U:P. NOTE CRANGEi I 0 By Stiffalk County DepaAmeat of HMthei vices a � is LOT STONE ORIVEKAY.: rr 4� N x py P V� n � {� 6+ 4•e% � 22,701.59 s .ft. `i`���``'�';'��''�>:-•. - a Ncti0� ` CONC. CUR 0.52acres p _ , cL-- o FE C' ]'OWN 1^ A' i�V t c c� i:'-2 STY FRM..,,"" � - :i r:. STOOP ::. qr .......... A 200::.::::•; . ..... 3' CP T :;i'yn7 ^ ...ti''�i:i:•:v•i:(S:Sr �. O ?ii�ii.}r.::.:::::.:4:::.rS:•r}:•'rr:�i)}?:4::i:�: A MOht. :rs•.:x RA m 4. ... �. ..: OO WALK C < ti t:x W F �� � :t::1::.�::<�•'�;, '' ::. -- n :n)•,i;::ii:•ii:•:•iiri? ' :;r::•:Si: 4.O:r• 7 ' w r�ii :yii};?aa CA ,, v^ WSW WSW .........g2 .:• � °O¢ ( �{. 9�ESERdL p GESSGooc_ -WIM Be Ct .........:... L P _ C ® nA0 SUN* y Dept, O � E O.S'td a MON. ° 5• �a TyFST 6' STOCKADE 209.25 �. "ro,<. °W GL RF ICE Pcat/v+ t tramp s' & FILUM '. WoycKuK L.ANO SV tVE10 ' oI ON. S81-57'507 DAtEb 3 Zs - --- IL o �s J r lei o e t I sari . i --em t sii l J - proof PI ING PLAN AND/OR PLOTLAN LAND N/F OF WILLIAM SAUER b19-11P we'Llt- LAA*04- 0 Zav —7Q(2�}(lto S 1+66•1 Z PLa Q V l G vJ (� SUFFOLK �pm� E " f RIEV (o $ 4•fi6 arzv(s E Mix WS&Vrt4 b9fT COOAr-A 8 Jrs c ff: C '� 4wrrF�.�o C&. r i L \e a :.,�. ""�""`».• --- 'Zoo '.KV x�4C, �J$t� �adiY td�L� tRd SINGLE � � � Mkt°t��': ���6 �`G.�om '��m�4 i� � �' - btat> T-C Ei t 2 aS tmcTL P"Pcssto L AQqAS%et'°rle �1y%ttit � �•- .t..w- Al, p a�A Robert Barratt PE, 4295 Vanston Road Cutcho ue NY 11935SEP 2 9 W . i-E . d ;�w Ntk. t.0 Tel 631 875 0275 robeltbarrattrgoptoniine net o. APPROVEDThese pians are an instrument of the service and are the property c t,;e - design professional whose seal is affixed hereto Infringements IiA,iii' be ' T L `MiUNIF ED)—I K3 � �� prosecuted to the fullest extant of the law Contractor shall verify al f eld EXPIRESTHREE S FROM DATE OF t n ^y � _ k _ ��, �� conditions and dimensions and be solely responsible for field fit. The J E toy design professional assumes no liability for ornissions due to unknov,n Dr unforeseen fieldconditions and or additions based upon comments no° N(y ��,� ��� � •-/-2 formally acknowledged as revisions to these plans