HomeMy WebLinkAboutMcCarthy ELIZABETH A. NEVILLE, MMC ��ro""� t � Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS u; Fax(631)765-6145
MARRIAGE OFFICER µ � Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ry 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: February 22, 2018
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4579 for a Cesspool/Septic Tank Construction
Permit submitted by:
MeCarthv Mana ement Inc. for John W. Schuch & Rebecca Orlick.
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 a i, royal re uired„from the %i folk.Count Health Department
Signature
5-
ated
Town Hall,53095 Main Road
ELIZTOEWIHCLERK A.NEVIILE
P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 0.4Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD RECEIVED
SOUTHOLD WASTEWATER DISTRICT FEB 2021
APPLICATION
Southold lr
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 x or Non-Residential @$25 Application No.
Permit No.
Applicant NameMcCarthy Management, Inc.
......._
Applicant Mailing Address 46520 County Road 48, Southold, NY 11971
Septic Tank x or Cesspool.__
Brief Description of Proposed Construction or Alteration New ,in !e family d+kw llM�
Location of Proposed Construction/Alteration:
Owner of Property:_c ch & Rebecca Orlick
y° John W Schu......�. ...�._._...._. - ,,��......
Owner Mailing Address:_.1 John Street,Apt 5C, Brooklyn, NY 11201
.....� _ .�- _...�...�.._....�.�
Owner Property Address:,.._ ... Southold, NY 11971
175 Goosecreek Lane,
Name and phone number of contact person Thomas J. McCarthy 631-765-5815
Tax Map No: 1000 Section 7.......��_ 8 Lot 14
8 Block „Weed_
Cross Street N. Bayview Road Ext
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION ,.EQUIR4UEY WI "I.1 HEALTH fPARTMENT APPROVAL
�..... ..._._.. ...._.�..._. µ....Date
li
Received by: ....... ........ ��. ......... ._
S.C.T.M. NO. DISTRICT: 1000 SECTION: 78 BLOCK: 8 LOT(S): 14 TYPICAL CLEAN OUT
#R10-17-0185
SLATE OR /-STOPPER-STOPPER END
Y SUITABLE COVER OR PLUG
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- WELL
30` ELBOW
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016 WELL
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TO T A M,A X0®aL1Cti4
EXPIRES THREE YEARS
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SANITARY SYSTP
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ELEV. 43.9
OL NDY vLOAM 0.6' ��_� � �' WELL AND LATERAL T �
!FINAL SURVE /_.
I BROWN
SM LOAMY SAND 2.9' I
PALE Water e(s) _ PP, Insoe-c-le ) 'TIw
I BROWN WELL Suffolk County Dept. It f
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WELL l SP MEDIUM ! 852-5-00, 48 H ur In vary I
4277* COARSETO
SAND I
13.5, - --I- - -
I - NORM BAYVIEW
'?OAD
NO WATER ZONED R-40
— 17' NON-CONFORMING THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
04-08-17 FRONT: 35' MIN LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS
K. WOYCHUK LS SIDE: 10' MIN / 25' TOTAL REVISED 12-10-17 AND OR DATA OBTAINED FROM OTHERS
AREA: 19,998.53 SQ.FT. or 0.46 ACRES REAR: 35' MIN REVISED 07-21-17 ELEVATION DATUM: NAVD88
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLAT70N OF SECT70N 7209 OF THE NEW YORK STATE EDUCA77ON 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 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITU77ON
LISTED HEREON, AND TO 7HE ASSIGNEES OF THE LENDING INS77TU770N, 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 77-IE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND 0774ER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE S7RUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MCCARTHY MANAGEMENT;
MAP OF: -
FILED: -
SITUATED AT: SOUTHOLD
TOWN OF: SOUTHOLD KENNETH 1, -WOYC= LAND SURVFFING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
- j 0
P.O. Bog 153 Aquebogue, New York 11931
FILE # 17-36 SCALE: I "=40' DATE:APRIL 10, 2017 PHONE (831)298-1588 FAX (631) 298-1588
N.Y.S LISC. NO. 050882 maiatainiag the reoorde ui Robwt J. He— my & Keaneth M. Woychuk