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Home My WebLink AboutHaack 1 �O�FFD��C ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 ria = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .jc Fax(631)765-6145 MARRIAGE OFFICER �' a��' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D 7"17-, V[�� DD TO: Southold Town Building Department ` `•� FROM: Sabrina Born, Southold Town Clerk's Office NOV - 92017 DATED: November 9, 2017 TOWN OF SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4541 for a Cesspool/Septic Tank Construction Permit submitted by: W. Peter Haack 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 /,�- 11Y Y7 Dated ELIZABETH A. NEVILLE �`t` �Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 W a Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS • Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER y�IfOl �aO� 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_X or Non-Residential @ $25 Application No. 5y Permit No.P-1 Applicant Name NAA Applicant Mailing Address l Q L( L A Lf 33 Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration Nz� � P-EVT A L Cor'�•`;TQucrlo P Location of Proposed Construction/Alteration: Owner of Property: OI" , (JJ Owner Mailing Mailing Address: \O�{ tZrGoP `� w�a ti c A- i_veyZ ,N y i 133 Owner Property Address: 7 Oct _0��-Y r"L-� +� Name and phone number of contact person (03 l 929 I L19 Tax Map No: Section �S Block 12 Lot I'D Cross Street I Yw Jkf%(k NOTE: LOCATION MAP MUST BE SUB, TTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY HEALTH DEPARTMENT APPROVAL Q/j wo,✓ /-7 Signa e of Applicant Date Received by: ' NEW SUFFOLK �= AVENUE now or formerly �' VICES I H�fA��NSER GT John L. Braun & Evelyn R. Braun c� -Of.*PST pTER�' ( (Dwelling With Public Water) a � Tax Lot 7 & 8, Dwellings a n SS 9 W/Public Wafer) 40 3 l y LANDWARD LIMIT OF I (V A o TIDAL WETLANDS 3 E 1 u W000 I ^ D_ I � 1 BOAT FRAME 3 0 3 S S87'18E20�[' I I RACK SHED ' C I 111 I RACK C,, _ EL=2.2 .. 2.9'N SHED I 205.42' 61$ W o .3 m 3 1 D.J'S ^ O ' EL=12.0 1 I _ ____ ___ W .. Z 1 f---I-=---------- 75.0' ,n � 1 I 1 00 SETBACK ------� cli 7 � I DW 1 w I 0 11 m I I A ST f----I z f —--ILP I f �m I Imo - L o a �I = O O -- Q --- l------60.0'------ moo wS ' >7- v Lo) 1N 78.9'---------------------L I 1 r 1 O W 3 --_6__— I r it LP —J In w I PROPOSED 2 STORY I I LP. I L I W b HOUSE do GARAGE L _!J _ _ m m t I��— CY (4-BEDROOMS) s) 1 FE I 3 � Ti III j (GF=13.0) I \ \ ��.FE I I r 0 PROP Cr 11 I I 1111 DECK I PROPOSED O a u 'rO I II I I I I �± / PERVIOUS DRIVEWAY I O o' i D , 1 LLIy� _ — — _ — — — — O L o\ 1 _ T LAWN 3 11 I 6.2'N I / �� S TE a, o ca' 1 EL=2.3/ ors I EDGE OF LAWN N DW j i Q�"fLy�x _ _ HOLE 0 N `1 I - o' II PROPOSE1i•1NA.T[R A LAWN 32 31 wooD SER 3.2'N Z BULKHEAD N8T1820WLAWN < <^ X 0.1 "o o ■�■i / = I o Z EL=11.8 W w l Z 193.54' I. NOV. 07, 2016 s.C.D.H.S. AMENDMENTS N-- N SEPT 26, 2016 AMENDED PROPOSED STRUCTURES I now or formerly W SEPT. 22, 2016ADDED PROP STEPS Survey for: James �/. DATE: AUG. 15, 2016 Egin ton SUFF L OU TY DEPART dT OF HEALTH ERVICES (Dwelling With Public Water PE MIT Fon APPROVAL ONSTRUCTIO FOR A JOB NO:2016-446 ) j W. PETE HAA CK (Tax Lot 12 & 13, Dwellings W/Public Water) CERTIFIED TO: SINGLE: FAMILY RESSID!`NCE ONLY I r W. PETE HAACK & BRENDA J. HAA CK BRENDA J. HAACK At TEST HOLE DATA DATE ��H. ;. REQ. No. - /0 Mattituck LOT COVERAGE: McDONALD GEOSCIENCE APPROVED HOUSE & GARAGE = 1,369 S.F. SEPT. 9, 2016 Town of DECK = 94 S.F. FOR MAXIMUM OF BEDROOMS Southold TOTAL = 1,463 S.F. OR 14.7% EL=11 9 DARK BROWN 0.0 RES THREE YEARS FROM DATE OF APPROVAL Suffolk Count New York (DAM Y� (OL) C.I. COVER S.C.T.M.: 1000-115.00-12.00-010.000 STORMWATER DRAINAGE CALCULATIONS: 0.5 TO GRADE HOUSE (HOUSE & GARAGE) PALE BROWN FF=14,4 2G 0 20 SILTY SAND FINISHED GRADE I i I 1369 S.F x 0.167 x 1 0 = 229 C F ($M) EL-12.0 EL'4 n.B 229 C.F _ 42.24 = 5 4 V,F EL-11.2 SCALE:1"=20' USE (2) 8' DIA, x 4' DEEP LEACHING POOLS 2.s CRAWL SPACE .0'MIN 2.0'MAX DAVID H. FOX, L.S. PC. N Y.S.L.S. #50234 PALE BROWN E=10.0 _ NOTES FINE SAND E 9.8 E-9.3 E-9.2 Io FOX LAND SURVEYING - (SP) _ 64 SUNSET AVENUE I _� 9.7 i 1 AREA = 9,974 S F GR. WATER -------- WESTHAMPTON BEACH, N Y 11978 2 0 = MONUMENT FOUND, A = STAKE FOUND EL=z.z � WATER IN (631) 288-0022 PALE BROWN 3.0,MIN. 3 REFERENCE DEED L. 12854 CP 691 FINE SAND ; ____-- LINAUTHURIZF0 AL1ERA L)' OR ACDITION TO --H!S SJR"--.• 4 SHOWN HEREON ARE REFERENCED (�P) GROUND WATER -- -- --— -- EL=2.2 _ ELEVATIONS 17 D 15 .. ,q O;.n tt^.N' OFSEC 71[`N 72:- CF �-� NEW YqR)( ST Eou:::.ac:N :. caPl:s OE ^Is'=.•.;.R.r:'� •t A- N,^"T S-ARING TO N AN DATUM (1988). SEPTIC TANK CESSPOOL T?=e LNC. s�iR�c YoxS m<:_c s�>_ a� .c,".:+csSE:: sE.=..- ( ) 1000 GAL. i S::J,LL NC: aE �r".`SIcF-:_. TC e.: �. �AL:n -:;.:E •-c••� 5 THIS PARCEL IS LOCATED WITHIN THE AE EL 6 LCE�R11FICAT:,N LIC:nATEC -FR EC:, S.i:LL RUN .NI-Y ;.I r1I; FIRM ZONE AS SHOWN ON FIRM PANEL NOc:escN =aF v:E ' IS �R`_PARF AX:) 3610300762 H LAST DATED SEPT 25, 2009 ' DEHALF PO T'HE TfiLE �;QW.PAN', COVERNY.Eid A; !�'>=iJ::�.\NC LENCINa 1`:>Tllli'riCi`• LIS"'EC HEREON 1P: 'I",ASA;�NN ST ;F' \'S'Ei2AOLE TOSnaU A``iaFIC111cy s 6. WETLAND LINE TAKEN FROM SURVEY BY �1 OR suaSEruEN- Ot•MERS. JOHN EHLERS LAST DATED AUG 24, 2006. i DWG 2016-446 F L ELIZABETH A. NEVILLE,MAIC Town Hall,53095 Main Road TOWN CLERK 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 TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: November 9, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4541 for a Cesspool/Septic Tank Construction Permit submitted by: W. Peter Haack 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 Detaartment Signature Dated '� F01 Town ELIZABETH A. NEVILLE �`�° ®Gym Town Hall, 53095 Main Road TOWN CLERK :� P.O. Box 1179 W Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��d �v�®� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net M OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $1 0A or Non-Residential @ $25 Application No. y � Permit No.�@ f(®-On I Applicant Name AA C Applicant Mailing Address 104 ML 6dLAI A L Septic Tank ,or Cesspool _ Brief Description of Proposed Construction or Alteration C,�r\J-s—C C U(�V10 0 Location of Proposed Construction/Alteration: Owner of Property: �JAAc,(( , W, Owner Mailing Address: y @i o@ (9 3 Owner Property Address: -7 O0 Du`�� ( 0- Name and phone number of contact person Uo l q 2,� Tax Map No: Section Section t �� Block 12- Lot 1 I Cross Street (k NOTE. LOCATION MAP MUST DE SUB ITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY' W' T HEALTH DEPARTMENT APPROVAL Signat re of Applicant Date Received by: _ __. 'I r NEW SUFFOLK AVENUE now or formerly John L. Braun & Evel n y R. Braun _ } ' (Dwelling With Public Water) w` o Ln (Tax Lot 7 & 8, Dwellings W/Public Water) 3 a r o LANDWARD LIMIT OF CV a i� TIDAL WETLANDS d- N a o WOOD FRAME off 3 oo a- p �q g n BOAT SHED S S87 1 8-20 �•-E I I I RACK �_ RACK �- ze'N EL=2.2 SHED 11 I3.4 N W co 205.42` i o EL=12.0 1 75.0' ----------- ----------------- y 1- I I SETBACK I DW -- 1 � \ a ST , o l L__ J -- I LP I a 38.9'- - 1--- J x m I I O ,� cr ® 1 - 60.0' ----- ------- T a -- " - Ws1 �o l �N----- ---"--78.9'-- -- ------ --------- 1 L ' td) 1 m� 0 1 ' I LP I O �I �g PROPOSED 2 STORY I I L� L ___J w 1 v 75.2' ____ I HOUSE & GARAGE (4-BEDROOMS) _ F --_.__Tco 11 F v ,' ''(p�;-1 N (FF=14.5) - - \ I FE I / l 3o r_n o 1 v, I 11I I I (Gf=13.0) I / L-=-=1 R.-- u 13 1 I, IIII pE�K PROPOSED O g l I j II I I I �i / PERVIOUS DRIVEWAY I a n W 1 / LLI ' Q o n- ---�" o I e.z'N � I / � �S TEST � c°, 1 O c — �� N; DW o�KyF �F `_ _ _ HOLE x v 1 EL-2.3 etxD l �—EDGE OF (.AWN — 0 3 o.rs PROPOSES '.NATER — IAVM 3 "0 Ix N87°18 20 W r , SER:. s.z'N z WOOD y LAWN e BULKHEAD w l I °.1'N i i co NOV. 07, 2016 S.C.D.H.S. AMENDMENTS 0�w I 0 / 193.54' EL=11.8 r o SEPT 26, 2016 AMENDED PROPOSED STRUCTURES I now or formerly W LL - SEPT. 22, 2016 ADDED PROP. STEPS Survey for. ,„yUrF—LI OU f CE9 °t Tv I��.F-,�:t�?i1 ) 0� ��:., t fEf I�Lgc..�,.a DATE: AUG. 15, 2016 James W. Egin ton JOB N0:2016-446 �'1. 11I >t' P'E'C15F:x? 0;`dS'i RtrC f€ Pi ti (Dwelling With Public Water) $ . PETE HAA CK (Tax Lot 12 & 1.3, Dwellings W/Public Water) fJt�v i:; l ' tt .'s Xt l CERTIFIED T0: oma, ]�j' / y' ,g �r / 61 W. PETE HAACK �L BRENDA �l . �A l� LZ BRENDA J. HAACK At J {i TEST HOLE DATA DATE LOT COVERAGE: McDONALD GEOSCIENCEAPPROVEDI VatGZtZck HOUSE & GARAGE 1,369 S.F. .�� SEPT. 9, 2016 r € i BEDROOM Town O� DECK = 94 S.F. Fop, i��fi„�[�a113r'1 OF� Southold TOTAL = 1,463 S.F. OR 14.7% EL=11.9 -- 0.0 lR 'VEARS FRO111 ..ki iµ OFF tCE'Rf1'A{ DARK BROWN LOAM C.I. COVER Suffolk County, New Park (OL) _ r 0.5 TO GRADE � STORMWATER DRAINAGE CALCULATIONS: S.C.T.M.: 1000-115.00-12.00-010.000 HOuSE (HOUSE & GARAGE) PALE BROWN FF=14.4 C 20 SIL SAND -FINISHED GRADE 3 1369 S.F. x 0.167 x 1.0 = 229 C.F. (SM) I Et-11.0 E-118 _:. 229 C.F. - 42.24 = 5.4 V.F. 2.5 SCALE. 1"=20' CRAWL SPACE d tA'.d" USE (2) 8' DIA, x 4' DEEP LEACHING POOLS -- z. +Ax ALE BROWN DAVID H. FOX, L.S. P.C. N.Y.S.L.S. J}5D234 PALE SAND uxe� QX LANDSURVEYINGNOTES: (SP) 64 SUNSET AVENUE 1. AREA = 9,974 S.F. GR. WA1ER WESTHAMPTON BEACH, N.Y. 11978 FL-2.2 WATER IN � (631) ? 2. IN = MONUMENT FOUND >:. = STAKE:. FOUND. PAI'- BROWN 88-0022 :5. REFERENCE DEED L. 12854 CP 691 N._ SAND c> GUN,D W Ir; EL.(:VA""PIONS SHOWN I;ERE01 ARE RCI=EREINCED (SF' - -- 17.0 TO N.A. V. DATUM 1988 SE.,flIC'.` TANK CESSPOOL F-IIS PAPC iS LOCAIED WITHIN 7HF_ AE (E (:j lO00 GAL. FIRM ZONE AS SHOWN ON FIRM PANEL NO. 3610300762 H LAST DATED SEPT. 25, 2000. 6_ WETLAND LINE TAKEN FROM SURVEY BY 101IN E.iiLERS LAS] DATED AUG. 24, 7006_ DWG: 2016 -4-46