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HomeMy WebLinkAboutSpatny ELIZABETH A.NEVILLE, MMC Town Town Hall,53095 Main Road TOWN CLERK a �� P.O.Box 1179 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 OF THE TOWN CLERK TOWN OF SOUTHOLD D -1---- I -. ----1- .1---.---1---- - - - ---- __ -- ----- — -------------------- D.- TO: Southold Town Building Department OCT 1 9 2017 FROM: Sabrina Born, Southold Town Clerk's Office BIlE,DINO DEPT. DATED: October 16, 2017 TOWN OF SOIL®LI9 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4504 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Spatny for Denise Spatny 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 4.0%f FOLIr ELIZABETH II A. 1\TEVILLE, IVIIVIC ®' Town Hall, 53095 Main Road ®Wh1 CLERK P.O.Box 1179 Southold,New York 11971 CA 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 OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: October 16, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4504 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Spatny for Denise Spatny 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. NEVIL.LE � �' Town Hall,63096 Main Roa� TOWN CLERK ,zk P.O. Box 1179 \ Southold, New York 11971 REGISTRAR OF VI'T'AL STATISTICS � r►'t MARRIAGE OFFICER ' 1AR } Fax(631) 765-6146 RECORDS MANAGEMENT OFFICER �f�/ ®� Telephone(631)766-1800 FREEDOM OF INFORMATION OFFICER � southoldtown.northfork.net OFFICE OF TIIE 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. 7 Permit No. 17 Applicant Name R0 ?.V-� Pew Iv j Applicant Mailing Address 15 C buL ke ' 11 -733 Septic Tank. or Cesspool Brief Description of Proposed Construction or Alteration 1'l _ l� r 1c, 44) (7 t�"�l Location of Proposed Construction/Alteration: Owner of Property,_ De vo 5 f c-,Pci,I VI-1 Owner Mailing Address: { "b o k5 4 v1 e' 5el-tip � 103-'4 Owner Property Address: 40LIS Name and phone number of contact person AC O Tax Map No: Section 2 _ Block Lot J 6 Cross NOTE: LOCATION DIST'BE SUBMITTED WITH APPLICA`T'ION, NEW CONSTRUCTION RE ES SURVEY WITH HEALTH DEPARTMENT TAPPROVAL Slgnatllre Ap�lt arlt Date RecBived by; OF: TY LOCATED AT ORIENT _ ," AS SHOWN ON PAGE 1 OF SETTLERS AT OYSTERPONDS 1AY 4. 1964: FILE No. 7729 S O U T H O L D THE NYS REGULATED FRESHWATER WETLAND BOUNDARY < COUNTY. NEW YORK AS DELINEATED BY D LEWIS ON # 1000-27-2-2.4 S 73°56'30"E I/I7/17 POND 11.06 ACRES 12.08' 2.0 EL 1"=100' RAD = 1800.00' IS REFER TO 1988 NAVD NAIL LEN = 197.92' WETLAND FND LINE is cunwt i -rui is ..t+ 50 RIGHT OF WAY "` �.• \� S 6� FOR POSSIBLE P FUTURE HIGHWAY DEDICATION LOT 8 `ti h '0, SL �' RAD = 550. VACANT �O J IS do ��\` LEN = 128.: PROPOSED GARAGE DhO kq, 30.0' X 35.0' 8�s' / O 00' a SLAB EL 10.0 700, \_ 0' CONC. / OP ED MON. a� �I TER WA0 RESIDENCE K 2 LINE DW f DETAILi o�® KEDGE OF 4 / FILL PAIL a•. 4f1ST PROPOSED a0 , NO SEPTIC 1 WITHIN 150' Al E.a a For sk-vI It PR 4 ,a lti''fa!`.,i+1, iota 1-1 El/,1,...11 ',Ix1'tvll:ii-,:5uGs r:o-5 A r LOT 5 PP:-QrnralnP- IAITTI4 l„J�i 1 R .`.. ati`. ..��� EXISTENCE OF RIGHT OF WAYS. SEPTIC AND/OR EASEMENTS OF RECORD IT gHnIAINI ARF_ mnT rl IAP Ani-rr- Pn VACANT r rturuacu •• V� _ �� �ry GARAGE 8S O O �0 /�/\J\GR NCF \% 30.0' X 35.0' S• 0' SLAB EL 10.0 .' 10 O 0, Gy 0 j Q 0) CONC. PROPOSED \` MON. ��? WATER O RESIDENCE 2 LINE DW(SEE DETAIL) )<EDGE OF FILL PAR X oil �P • P-, 421 S� PROPOSED WELL L / NO SEPTIC WITHIN 150' a;� �lyo Ing pection ReqL For 8"a nitary ,,Systern m,...,....... uu....,......,.w,,, .., ealt� � ��pa E.111 ,"'i,•'�I' iM a' (, j �. :, ,�:" `�C,� i.:;�3'.. �.,��.C:!'�'rf � .I�.'u4 .i:: P I�Ii,r�i'I' 'i'",:):. /',Llr,I-,k',,,,,,l„ Oi� P.: tri `t'ltl.,C'4f;3(',I Foil' e . „a.�. .. �..,w,. ._. .... - ,.,.�,M.............. p p(QCT 1 201•� ./) )/pp^j$�,'{ t r p I. p a v-!, S 3'� Y Ie� `.�°.I.w LOT 5 RESTnENICE IAITTI-I iAIFI L Iq SEPTIC NOTE: THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. SLATE OR OTHER STOPPER OR SUITABLE COVER SURVEYED BY: END PLUG HAUL H/\HYL5KI LAND SURVEYINU PATCHOGUE NY 11772 18• 4' X 8 i®' 8' DIA PIPING SEPTIC TANK PIPING L.P. PHONE 631-294-6985 14.0 FAX 631-627-3186 FF, EL. LOCKING TCASTING O GRADE n ( M R Q 1 2 1 t/q�CLEAN-OUT 0� PROP. GROUND SEWER PIPE I• MIN I- MIN AREA OF PR 5-6-2017: REVISIONS q" DIA BS 2• MAX4" DIA 2 MAX FILL MIN. PROPOSED MIN. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION SEPTIC TANK OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. a 0>� m © p ED ED COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED O��J �� a.®' f G�® p p p I=] OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. oEPrM ZyS 41�J GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO o= 13.0 MIN. z 3_0 THE T iTLE CGHFANY, GOVERNMENTAL AGENCY ilND LENDiNG iNSTi T iiTi0N >�nCKFILL j pj LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. a< WITH GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO AODITIONAI_ EAN SAND AND INSTITUTIONS OR SUBSEOUENT OWNERS. GRAVEL MATERIAL GROUND I 2270 SANITARY SYSTEM DETAIL..