HomeMy WebLinkAboutSchuman o�®��FfOL,�c -
ELIZABETH A.NEVILLE,MMC ��,. o�� Town Hall,53095 Main Road
TOWN CLERK ® P.O.Box 1179
s� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER � • Telephone(631)765-1800
r
FREEDOM OF INFORMATION OFFICER 1 www•southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD D IEQMV5
DD
TO: Southold Town Building Department SEP 3 0 2016
FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEPT.
TOWN OF SOUTHOLD
DATED: September 30, 2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4430 for a Cesspool/Septic Tank Construction
Permit submitted by:
Frank Uellendahl for Gary& Cori Schuman
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
\Y\ O
ELIZABETIi A. NEVILLE Town Hall,53095 Main Roa,
TOWN CLERK p P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��f0 �o� Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER '1 �` southoldtown.northfork.riet
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER]DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No. _30
Permit No.
Applicant Name �1�
Applicant Mailing Address ��� `�l
�k-,) �!
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:_
Owner Mailing Address: -7/ A
Owner Property Address:
Name and phone number of contact person 7,44 "if!?09
Tax Map No: Section :22 Block f Lot l
Cross Street ��(� (
*� ALTH
NOTE: LOCATION MAP MUSTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR DEPARTMENT APPROVAL
ej3t) 1 &
Si afore of Applicant Date
Received by:
S.C.T.M.# DISTRICT 1000 SECTION 22 BLOCK 1 LOT- 15
SUFFOLK COUNTY DEPART44ENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
Ss,l-LE►E;:StLY RESIDENCE Alil�
FWater Line(s) MUST Be inspected By The i
Suffolk County Dept. Of Health Services. �6v i LFLI S �
Call 852-5700, 48 Hours In Advance,
To Schedule Inspection(s). LATE 2—y --H.S. REF. Nol0 b `U 0�
! APPROVED
TOTAL CliAXIMUM BEDROOMS
EXPIRE;T.HR E YEARS FRC-`i5 DATE 1A.PPRI0VJ?1L
L.P. EXCAVATION INSPECTION REQUIRED
L.P L P FOR SANITARY SYSTEM
BY HEAL i Fr DEPA TMENT
C WELL
WELL
DWELLING
DWELLINGDWELLING
W/WELL WATER / / ' W/WELL WATER I \ -,,W/WELL WATER G I IW/WELL WATER
VACANT DWELLING
LOT 4 WELL
LOT 5 I LOT 6 I LOT 7 I LOT 8
CL 37.9
SOUTHERN BOULEVARD \\
�
/ CL,37.0 CL 36.2 \ CL 36.1
N86049'20"E
OF PAVEMENT
225.00' _o.Z,E
WELLI tL 00.0
14 % _, 1 W d
' O PROPOSED
DWELLING 5-6 BEDROOM SYSTEM
W/WELL WATER 1,500 GAL S.T.
8'DIAx16 DEEP LP. CrJ DWEWN
EL 38.9 / EL(39.5) E (39;5 I W/WELL WA
I 8 F1 43.5' 0 0 21.5':
' LOT 15C o MSN o o,. I EL 39.0
1.3'E
-T N 'PROPO§ D a _ LOT 13
1 STY. FRM. 2260 S.F..,.• p
150' 41.0'. DWELLING i9.0'.`, 42.0'
I o EL(39.5, (42.0) .,EL(39.5) n
d' / WOOD DECK
O 20.0'.'•'• IIS z \
\ C� EL(39.5) PATIO z Z
OPOOL HOUSE _
L.P. SEASONAL :14.0' = :. .: = Im / m
\ , W/HALF BATH :- o PATIO
-INGROUND.'-
FFL(41.0) -'of PQOL:. :: ::---•
\ 308 S.F. 20 x60:•• •,
EL(39.5, II p 1
\ —.—X MON. EL 40.5 _� _ WATER LINE
\ NO WELL N PROPOSED `
\ VISIBLE IN 11V88*16'20 u)y WELL �' MON.
THIS AREA \ 8' CHAINLINK FENCE/ 0.2 N EL 39.3
\ 0.8,w EL
I WELL
\ \ / 225.83' o
\EL W%WWELING /
LOT 5 \
\ o
W/WElWATER \ MAP OF HIGHPDINT SEC ( 1 WELL
FILED JAN. 01, 1984 No,76 \ ELEV. 36.6
80 VACANT OL DR BROWN 0.8'
ANDY LOAM —LDT 4 LOT 2
\ \ / BROWN
SM —
LOAMY SAND 2.3'
PALE
\ BROWN
MEDIUM
\ / SP TO
COARSE
SAND
13.9'
\ \ / DWELLING / WELL \
W/WELL WATER
\ / o
NO WATER
- 17'
e� CENED 05-25-16 K. WOYCHUK LS
THE WATER SUPPLY, WELLS, DRYWELLS AND CESS
LOCA71ONS SHOWN ARE FROM FIELD OBSERVA770A
�y s:"1- (':T- i?=rLT�I� t�VhG AND OR DATA OBTAINED FROM OTHERS
REVISED 07-06-16 ELEVA77ON DATUM
AREA: 33,841.37 SQ.FT. or 0.78 ACRES - :
ZONED R-40 —
FRONT YARD: 50' MIN UNAUTHORIZED ALTERATTON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STAT£EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING 77-IE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUA
SIDE YARD: 15' MIIN (35' TOTAL) ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS7777JT70N
REAR: 50' MIN. LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7777J770N, GUARANTEES ARE NOT TRANSFERABLE.
7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT 77-IE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND 077-IER IMPROVEMENTS EASEMENT.'
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF: LOT 14 CERTIFIED TO: GARY SCHUMAN;
MAP OF: AQUAVIEW PARK
FILED: JULY 30, 1971 No.5621
SITUATED AT: EAST MARION