HomeMy WebLinkAboutSerling f �
ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK 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
FFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: July 26, 2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4501 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nancy Steelman for Robert Serling
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
ELIZABETH A.NEVILLE Town Hall,53095 Main Road
P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 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 V or Non-Residential @$25 AppficatilokJ501
Permit No
Applicant Narne Nancy Steelman, Samuels and Steelman Architects
Applicant Mailing Address 25235 Main Road, Cutchogue, NY 11935
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration new septic system with new piping
-----------
Location of Proposed Construction/Alteration:
Owner of Property:. Robert 3 eL[jog
Owner Mailing Address: 104 Roxen Road, Rockville Centre, NY 11570
Owner Property Address: 3575 Wells Road, Peconic, NY 11958
Name and phone number of contact person Nancy Steelman 631 734-6405
Tax Map No: Section Block--02— Lot
Cross Street Main Road
NOTE: LOCATION MAP MUST BE SU MITTS " APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY ITH HEALTH DEPARTMENT APPROVAL
0 Si ature of, -p plicant Date
Received by:
LAND N/F OF WILLIAM ESPOSITO LAND N/F OF William WEISSERT & Angela WEISSERT 1000-86-01-12
ESIDENCE W� PUBLRSWATER & SANITARY SYSTEM RESIDENCE W� PUBLIC WIC & SANITARY SYSTEM LAND N F LOtF CATHERINE OTHEN Jan.9,2017
3720 ELLS R PECONtC, NY 11 58 Epi Pq 3440 ELLS RD, P CONIC, NY 11958 RESIDENCE B RD,PEC R & � 58 YSTEM DATA
yeME(yT WELLS
ELLSONIC, NY 1 9
q 1aJ (PUBLIC WATER IN ST E7�-- ROAD 15UIL�INO AALL FF EL 11.0 FT —"�'
SCTM# 1000.86-02-10
LINE ELEVATION$.O FT.
PROPERTY: 3575 Wells Road
6�RADE LINE ELEVATION s8.o FT. Peconic,NY 11958
UTILt 1 MIN. MAX. OWNER: Robert Serling
POLE 104 Roxen Road
PROPOSED NEW '�••-, - SIG '--®� I/4"/FT.
DRYNELL AND �`TE FOR � METER R�256.80' \� 18"/FT. Rockville Center NY 11570
STORMWATER RUNOFF FROM RAVNEX 3_ SITE: 16,419 SO. FT. 0.376 AC.
DRIVEWAY ' 6RAV1w1: - `�,' SEPTIC LEAG141N6 6.49 FT.
�VBgAy +8.2 in L=79.54' g' E. +'1.0' TANK POOL AREA
PROPOSED NEW SEPTIC SYSTEM IE. +6 9' E. +6.3' z®� HOT OF POOL ZONING: R-40 w >_�,
FOR A 4 BEDROOM RESIDENCE �d LP LP MxF, Exp SOT OF IE. +6.IS' m— �6R5 46 FT WATER ALLOWAB E Z
- (1) 1200 SAL SEPTIC, TANK(ST) thr. / I J SEPTIC
$is L/PL� y°{ Lf' Lp LP �� TANK+7� �,$ ELEV -o.8 FT COVERAG : 20%OR 3,283 SF z
^• (�) 8 DIA x 9 F#!6H B / I 10 145' FLOOD:
X
L.EACHINS POOL (LP) I TE5T —� �1 51=PTIG TANK YV Uj 0
LOCATION FOR o .' to6RAVEt �` � SEPTIC PROFILE
- (3) O' DIA x S'Hl&H 8 `� ?� EL +-1. ® Dw MONOLITIG BASE (N.T.S.) SURVEYO Peconic Surveyors coim
LEAGHINS POOL (EXP) 09
s A
Southold, 11971
HOUSE TRAP- CLEANOUT TYT'' STEGT'R CITIES LINE I?O `CHANT`� (s) Lic.No. #49618 W
� la' +$.2 By Suffolk County Department of Health Services DATED: February 11,2014
PROPOSED NEW
! ti WATER MAIN AT ROAD To ELEVATI 4 CONTOURS ARE
1000-86-02-13 I ISO ED TO NAVO 188 A OL
LAND N/F OF + 16.3' '1. :- , �e hi.Ot�D 210 FROM FIRM MAP
PAUL V GROBEN IRREVOCABLE TRUST EXISTING SANITARY SYSTEM TO BE F Fr NU►�R 96IO9COI62H
RESIDENCE WITH AW - {+' " I I `i t LILY /� PUMPED OUT AND REMOVE SUN() �qQ ® w i�LAtrag
PUBLIC WATER & SANITARY SYSTEM `' /V$ �•
3705 Wells Rd Peconic NY 11958 ''r- :-msµ,"'' "r-'; fi�tC+ T�/ No
`>s.;.-; .;,,. SEP�EINT ACCESS DOOR
TEZT L NO SCALE
z O
PIv :crea 1000-86-02-8
d:;ep•.F; LAND N F BY V
LU
1000-86-02-11 „. ...,r-:r..,.. .; Y 'Y" ``, W
OF = " n=' ' / of McDONALD GEOSCIENCE
LAND N/F "':;€h w."'. : -�^:, � !n KO
WALCHUK FAMILY n•
ELIZZABErH & ROBERT SCHUPLER z'.. '_ - `25 2008 IRREVOCABLE TRUST THOLD,NEW YORK 11971
.z 1
RESIDENCE WITH -':` -4{_ - RESIDENCE s„sr.;y ,.,,,.,.•.,.. ::;::.:::.::,...v ENCE WITH T ST HOLE DATA 10-24-16 ELEV+ '
„ I V 7.8
PUBLIC WATER & SANITARY SYSTEM � i— y}u i>=��'+� :>�I�r2 .FT��.• 'r.4' s.�?{ti R'�.
PUBLIC WATER & SANITARY SYSTEM
3'35 Wells Rd Peconic NY 11958 0 -- ` "` ``" a,:F -
v dJ '.;: -° `i` 3375;Well"d,r6t`6iire N 4"`t"1J8
t T` I t !r .s iri I> R �, n M E
\ — .3 I V'. ,s 1 t : t , �,e,,1.� t t'°� le ND L A
�, I(, - �' � t;ilY t`zl .:_i3 Ste''_._. 3�;�,• I�v� w4.cew 1. i:;y 1'i�:. 09 a.
�.:-�, ur:i kDe'-'?;. O ``.'gea,1 h S i�v{C�;S. BROWN AND PALE BROWN y<•
6 + I = + , 1000-86z-02-y-3w .� h g ,� ., r FINE TO MEDIUM SAND SP I' ' J�.
{ I -� LAND N �� tg , 0 91 1 in�}.d',rance, �
� 1
JOSEPH M. & ALBERT C. � �d ll.- scams_ s w�•�"��
`1eea Li,00 I;��O .IOI i� }. w•
ISTI :F{ - "�"" \ R SIDENCE WITH WATER IN PALE BROWN
OLI 6 DW 1 PUBLIC WA 17 FT. FINE TO MEDIUM SAND SP �•
HOUSED � 3475 Wells Rd, Peconic, NY 91958 �
-- A M 8.6 FT BELOW SURFACE-WATER
sa ENCOUNTERED, ELEV-0.81 �•
EXISTINC7 \ PROPOSED NE01 UND
5HEV ASH` DRYM-LS FOR STORMY"Tm ON
TM 8 8M s \ \
under drivetmay.
7,
'P eLi
r„ o
EDGE 7.716T 1612
NDS -- �CTS�?' g dial a O' " GI3�iY OEPARTI9E�tt�r I'4EALT' Eis°J1el UT
jV , DRi ?E3 P11�C`�a'C ,Ag Or E'.I�i�lJTR C'100 Fa P.to � a NS
Y �ALTH ®EPA NT SINE FA
mm m RE cNcE ONLY� SI Dec.�a,207
+ ttt�a
TOP OF BULKHEAD EL. 3.9' T ./ {i.s. REF, No. �/ V 17-0-t/ 0
527 ®22"W WOOD BULKHEAD j �, SITE PLAN
(TIE UNE ALONG 8ULK4IEAfJ) { AI3PegO:;r x I 6 �Q ST
MEAN HIGH WATER ALONG BULKHEAD
F0 Ii a,,IAXI 3CEOIar1 s
. m _ o
CREEK- EX.
a�.r4 t,ep,m 1-•i FREp.VE A R g FR0I•,`l 0AT E 0,I'"A P FR�0 VA'