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Chiarelli
P ®�OSUFFOL�Co� ELIZABETH A.NEVILLE,MMC ��. Town Hall,53095 Main Road TOWN CLERK P.O:Box 1179 � Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS - .� Fax(631)765-6145 MARRIAGE OFFICER y� ®�' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD O V FEB Z 7 217 TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office Tol®l�G Dom'. ®�oj*D DATED: February 27,2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4466 for a Cesspool/Septic Tank Construction Permit submitted by: John Chiarelli for Joseph Herzog 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 43/-07//7 Dated O _ ELIZABETH A. NEVILLE �Z� O� Town Hall,53096 Main Roa, TOWN CLERK q P.O.Box 1179 ti Southold, New York 11971 REGISTRAR OF VITAL STATISTICS x MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��fQl ��d� Telephone (631)765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net 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 ApplicationNo. Permit No. l (�—J�-j -0090 Applicant Name C h /G re,[( � Applicant Mailing Address "� t �- Septic Tank- or Cesspool L/ Brief Description of Proposed Construction or AlterationJ`el,.► Location of Proposed Construction/Alteration: Owner of Property: Ta U Owner Mailing Address: A' 01 �e1-z Inc cgv X010 Owner Property Address: S' Name and phone number of contact person 4, ��yt %qy 2 !T c Tax Map No: tDa v Section Block Lot Cross Street &�Md Mew NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HE H E ARTMENT PROVAL l Signature o Applicant D to Received by: VA00 -0(0 YOU SURVEY OF PART OF LOT 10 AND LOTS I 1 12 N AS SHOWN ON A CERTAIN MAP ENTITLED"MAP OF PECONIC BAY OAKS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON OCTOBER 18, 1 9G I AS MAP NO. 3434 SITUATE: BAYVIEW TOWN : SOUTHOLD PROPERTY ALSO SHOWN AS LOT 2 ON HEALTH DEPARTMENT tl�W � � E SUBDI SUFFOLK COUNTY, NY UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SURVEY I 1-1 7-201 GP ERMIT FOR APPROVAkw Or CONSTRUCTION FOR A SUFFOLK COUNTY TAX# �� SINGLE FAMILY RESIv6 NCE ONLY Q 1000 - 7G - I - 2 I .2 SUFFOLK COUNTY HEALTH DEPT. O ` a DATE r7./'t /1H t (� _. REF FO-14- 0080 °`c' x --�--�---® . c �. f©� 1 �Y CERTIFIED T0: we���� nAR5P/, �R Ax1�9t3M /pcjpBEDROOMS JOHN CHIARELLI ) 4HREE YEARS PIgM DATE OF APPROVAL Revis Plan Approved 1 O P { r • \ O 0 Q\ \ Iz— C" T OJ 00 ra / \ �Ooo �0 NOTES: ALL ADJOINING PROPERTIES WITHIN 150'ARE L7) �� SERVICED BY PUBLIC WATER SOUTHOLD TOWN PROPOEKTY ZONE R 40 SETBACKS REFERENCE TOWN CODE 280-124 O�QO TEST HOLE DATA NONCONFORMING LOTS // McDONALD GEOSCIENCE LOT NUMBERS REFER TO'MAP OF G005E NECK04-19-20 1 1 FILED IN THE SUFFOLK COUNTY CLERKS OFFICE DARK BROWN LOAM OL ON NOV. 22, 1948 AS MAP NO I GG3 0.5' CONTOUR LINE SHOWN THUS ----XY---- BROWN SILTY SAND SM REFERENCE NGVD 1929 DATUM O ;; 4 O' LOT COVERAGE CALCULATIONS Qom° PROPOSED 3 BEDROOM HOUSE- 1,775 SQ. FT. or 10.4% ��` PALE BROWN FINE SAND 5P TOTAL COVERAGE 1,775 SQ. FT. or 10.4% _ MAX ALLOWABLE 20%D 103 WATER EL 18' DRAINAGE SYSTEM CALCULATIONS: DRIVEWAY AREA= 110 15 SQ. FT ;;,f WATER IN PALE BROWN FINE SAND 5P 1,01 5 5Q FT.X O.17= 173 175/42,2= 4 1 VERTICAL FT.OF 8'DIA. LEACHING POOL REQUIRED PROVIDE(1)8'DIA,x 5' STORM DRAIN POOLS "' 17' COMMENTS,WATER ENCOUNTERED DRAINAGE SYSTEM CALCULATIONS' 10.3'BELOW 5URFACE ROOF AREA=1,8GG SQ. FF. 2,695 SQ, FT X 0.17=318 SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL 458/42 2=8 VERTICAL FT. OF 8'DIA. LEACHING POOL REQUIRED PROVIDE(2)B'DIA.x 4' STORM DRAIN POOLS MAIN HOUSE INVERTS NOT TO SCALE 5%SLOPE MAX LOCKING CAST 20'MIN FROM OVER TO GRADE FF ELEVATION 14 5 LEACHING POOLS 5%5L PE AX GRADE EL=13 O GRADE EL= 12 L= 1 2 0 INV=12 0 1'MIN 2'MAXINV=I I.G INV=l0 8 INV=I 1 O 1/8"PER FOOT 5EPTIC TANK ;'I� X 6'DEEP 000 GALLON BLRION POOL O Min---------------- -- ------- ---------------------------------------------- GROUNDWATER ELEVATION 8 NOTES 'Unauthorized alteration or addition to o survey map bearing o licensed land surveyors seal is a El MONUMENT FOUND ^,f•. 1, violation of section 7209, sub—c-s— 2, of the 0 WOOD FENCE JOHN C. E H LE RS LAND SURVEYOR `C f/��� New York Slate Educol ion Low'Onl " ra marked copies from the of the an this survey marked with an anginal of the land surveyor s stomped seal shall be considered to be valid true copies" G EA5T MAIN STREET N.Y.S. LIC. NO. 50202 � "Certifications indicated hereon signify that this f survey was prepared in accordance with the ex— Area = 1 6,995 Sq. Ft RIVERHEAD N.Y. 11901 3G9-8288 Fax 3G9-8287 (sting Code of Practice for Land Surveys adopted Area = 0.39 Acres ' O by the New York Stole Association of Professional C Land Surveyors Said certifications shall run only Ion 9151andland5urveyor.com r 6020 ,� to the person for whom the survey is prepared, GRAPHIC SCALE I"= 301 s`Q cV�� and on his behalf to the Mlle company, governmen— CAND tol agency and lending institution listed hereon, and o the assignees of the lending institution Cerhficc- 14—1 5 1 tions are not transferable to additional institutions FF ELIZABETH A.NEVILLE,MMC � Town Hall,53095 Main Road TOWN CLERK m P.O. Box 1179 co ae Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICERi RECORDS MANAGEMENT OFFICER Telephone(631) 800 www.southoldtowiiny.nny.gov FREEDOM OF INFORMATION OFFICER FFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: January 4, 2017 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4456 for a Cesspool/Septic Tank Construction Permit submitted by: John Chiavelli for Harvey 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: Signature Dated o�QsuFFpt�-�o ELIZABETH A. NEVILLEG�� Town Hall, 513095 Main Roa, TOWN CLERK p _ P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER ��fQ ®� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER '� �' southoldtown.northfork.net 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. b1; Permit No. Applicant Name �eA Applicant Mailing Address o.0 70 Septic Tank. or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Cons truction/Alteration: Owner of Property: a V Owner Mailing Address: r7u� t4z Owner Property Address:_ _ ICS" Name and phone number of contact person U vi yt Tax Map No: Section I ' S Block_ 3 Lot_ Cross Street NOTE: LOCA'T'ION MAP MUSTBE SUBAUTTED WFFII APPLICATION. NEW CONS'T`RUCTION RE'QUIRES SURVEY WITH IIEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received.by: � �( S.C.T.M. NO. DISTRICT: 1000 SECTION: 135 BLOCK: 3 LOT(S): 44 4, e eCG \ r l/C 5 EXCAVA N INSPECTION C'hj sO�rFR FOR SANITARY YST MON.By BY \�q F-*AL g: E 0.0 2�s jFP �i Maw_�,,, 41y LANDO�/F PAUL & JO ANN MARKWARDT '� I? EL 9.6 / \ DWELLINGS vp��'1' NDN 4.00 W/PUBLIIO° (CWATER �I'A PIPE 0 11.0) �Q, EXP MON. � e EX EL 10.5 4AH PROPOSED 4 BEDROOM SANITARY SYSTEM NZ F<(S" COVERED 4,0 1,200 GAL. S.T. ®f0� `p \ WSJ Q RCH (6) 8'DLAx2'DEEP POOLS POOR MATERIAL TO BE REMOVED. 10-MIN S O LEACHING POOLS TO BE BACKFILLED WITH 3' MIN �Sl S7y'�SFp T `ti COLLAR OF CLEAN COARSE SAND. LANDOF/F (11.0) F'I'o�� �l•'1'cR� (11.0) ?g S, MAASTRO RD LLC EL 9.2 F���Ss� o / MON. lSp. �sJ by LAND F IF STEVEN MANIGAULTE WOOD STOOP DWELLINGS (t 1.0) W/PUBLIC WATER 150,— LAND 50 --•®-LAND N/F OF GEORGIA DUMAS 2010 IRREVOCABLE TRUST I SUFFOLK COUNTY DEPART°d?ENT OF HEALTH SERVICES DWELLINGS to W/PUBLIC WATER ;jk. PERh3IT FOR API"IF! ,VAL OF C:ONSTPUCTION FORA -®— 150 c� SINGLE FAMjI!"` ONLY 4 V-1 SAE ® AppRovEr, EL 8.0 FO AXIS UMi O1= BEDROOMS EXPIRES THREE`'E RS FROM DATE OF APPROVAL X9.68' 0 MON. 2h DWELLINGS W/PUBLIC WATER �— 150'— C.I. 50'—C.I. LOCKING COVER TO GRADE ----\ 9.6 FFL(12.5) (1I.0) FINISH GRADE z OL OR BROWN 9'MIN-2'MAX z LOAM —t.0' 1/4"—FT. 6 COVER 0"MI 1/8"—FT.a .o 6 COVER 6 iv 6' SLAB (9.5) CL SANDY CLAY INVERTS INVERT BROWN —3.0' (9.87) (9.66)INVERT INVERT SC CLAYEY (9.16) (9.08) SAND FOUNDATION FLOW 8'0 3' COLLAR —4.V WALL BAFFLE MI POOL CLEAN CH WATER 2.COARSE SAND GREYISH TANK 3'MIN 1•-7. GRAVE BROWN d s . CLAY { SAND USE 4' OIA. APPROVED SEWER PIPE g 1000 GAL. PRECAST S.T, s "D g —41' (7.5) � ; 8 WAFER IN Z s FINE 70 SW COARSE N -:� ' "*n s -, is I SANO HIGHEST GROUND WATER EL 5.5 a t ( a — 47° ., D" APRIL 6, 2007 THE WATER SUPPLY, WELLS ORYI LS-Aj CESSPOOL McDONALD GEOSCIENCE LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 22,539.87 SQ.FT. or 0.52 ACRES ELEVATION DATUM.- NAVD88 ------------------------- 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. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE- THE 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 THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JEC HOMES OF THE HAMPTONS; MAP OF: FILED: SITUATED AT: SOUTHOLD TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE # 1 F 184 SCALE: 1"=30' DATE: OCT. 20, 2016 PHONE (831)298-1588 FAX (631) 298-1588 N.Y-S. Ll. NO. 050882 maintaining the records of Robert J. Hennessy & Kenn 1i. Woychuk