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Home My WebLink About765 Pequash Ave Corp f FOL-4r ELIZABETH A. NEVILLE, MMC O� CQ Town Hall,53095 Main Road TOWN CLERK ~� P.O.Box 1179 99 Southold,New York 11971 GO REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER ,y ��. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �0,( �� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE 00�OF STOWN OUTHOLDCLERK D 1EC[EGW[E D , FEB 222018 TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEPT. TOWN OF SOUTHOLD DATED: February 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4578 for a Cesspool/Septic Tank Construction Permit submitted by: William A. Toth for 765 Pequash Ave Corp. 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 V DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature 03 a Ile Dated ELIZABETH A. NEVILLE' MMC � Town Hall, 53095 Main Road f TOWN CLERK � P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 4 r r� Fax(631)765-6145 . w� MARRIAGE OFFICER Telephone 631 765-1800 RECORDS MANAGEMENT OFFICERS P ( ) ''' � � '° www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER � mW 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. 4578 for a Cesspool/Septic Tank Constructi, Permit submitted by: William A. Toth for 765 PEquash Ave Corp. 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: 1-incl approval_required from the SL1l'1`011( COU11t, 11ealth L�g22,i�tnjenl Signature ........ ......... ........ ....- Dated FFOt ELIZABETH A.NEVILLE �* Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 W Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS 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 @ $10or Non-Residential @ $25 Application No. Permit No. Applicant Name UIA�0,� ........ Applicant Mailing address Septic Tank 4/'or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property:, E' ..... ,tea Owner Mailing Address: 1 ,�>-)S_ p YAddress: Owner Property Address Name and phone number of contact person d 6 Tax Map No: Section #1? Block 7 Lot Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY W TH ALTH DIPARTN ENT PPROVAL 4 �l Signature of Applicant Date Received by. S.C.T.M. N0. DISTRICT: 1000 SECTION: 103 BLOCK: 7 LOT(S):25 LAND N/F OF JOHN REVENTLOW FOLK COUNTY DEPARTMENT OF LTH Rvi CES S45032'20"E 50.00 PERMIT FOR APPROVAL OF CONSTRUCTION FOR MON. to MON. Y _ SINGLE 1=►MIL`a` REBI E�ICE ONLY If ° 7 `PRCTP 1 STS ° '`� AT H.S.115REF. No.11.VNt c.) 13,6`W GARAGE:.. 11 4'W VE EXISTING FOR MAXIMUM OF BEDPt00m9 6' STOCK DE FENCE _ EL 31.8 EL 32.1 TO BE REOOVEXPIRES THREE YEARS FROM DATE OF APPROVAL w7� _ O T� zCn ,Mf0nna-,jce with as U_ i O 3 H W I 0 EXISITNGLOLISHE - - , STY FRU LS )OS U)j 0 & MOBILE �� iB rANDEA SANITARY HOME COUOty D Of Health Services. BANDONED X765852e-5700, 8 Hours Ill Advance, ~ c° KFILLED (TO BED z ° DRYS EAN COURSE SAND TO SOLILI OSpOCtiOO S),WEL'J _ Q r o EL 30.8 0 > _ £� Q ----Z------- tr 9.5 N PRP 'SED 1 k 0 ° cqVE R ED � o: s g , 014 ` { _ E Ir LL 10.0 -� T i11 rk O O LL Z j t 3 U.P. LL_ TYPICAL CLEAN OUT PROPOSED z SLATE OR i -- STOPPER END z O 2 STY ERM. SUITABLE C;VT;R OR PLUG g ° co DWELLING z 3 BEDROOM g ' O FFL(33.0) � e d+ , ; O =1 30' ELBOW 60' WYE . DWELLINGS DWELLINGSW/PUBLIC WATER WIPU LIC WATER , 0 150' FLOW EL 30. x.11 7:.'S x-150 ° 15.0' 23. .6 W CLEANUT PROPOSED W UNDERGROUND UTILITIES (RECOMMEND 5' SEPERATION PROPOSED ry 5.9'N FROM WATER SERVICE) F-+-{ � E� 3-4 BEDROOM .SANITARY �/� PROPOSED COVERED ELEV. 29.7 1000 GAL S.T. PORCH OL DR BROWN 1 2' (1)8'DIAx12'DEEP L.P. SANDY LOAM MI EXISTING OVERHEAD WIRES E4 ,-- ; x C) TO BE REMOVED BROWN EXISTING GRAVEL SM LOAMY SAND 1.5'�: , 9 r7 [ o.t's DRIVEWAY TO is r+ [ - fw.� BE REMOVED (ABANDONED) ROPE ` PALE WELL WATER I,1NE BROWN 215' (AlO MEDIUM EL 29.' s o , EL 29.1 SP SAND & MON. N45 0111 50 0 ' GRAVEL 14.3' W.M. . }Y U.P EDGE OF PAVEMENT -_ CL 29.6 CL 29.2 F NECK (50') ROAD "° WATER . . _ . OCT. 0 _ . . _ . . >- . . _ . . _ . . _ . . _ . . _ . . HUKL (P EQ UAS H AVENUE) EXISTING WATER MAIN K. WOYCUK LS THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL DWELLINGS LOCA7101VS SHOWN ARE FROM FIELD OBSERVATIONS W/PUBLIC WATER AND OR DATA OBTAINED FROM OTHERS AREA: 10,005 S.F. OR 0.23 ACRES --150' ELEVA77ON DATUMA D 88 UNAUTHORIZED ALTERA77ON OR ADDITION TO THIS SURVEY IS A VIOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING 7HE 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 INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7777J770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE 774EREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUffUR£S RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF:DESCRIBED PROPERTY CERTIFIED T0: 765 PEQUASH AVE. CORP; MAP OF: FIRST AMERICAN TITLE INSURANCE COMPANY FILED: OF NEW YORK; SITUATED AT: CUTCHOGUE - TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Bog 153 Aquebogue, New York 11931 FILEPHONE (631)298-1588 FAX (631) 298-1588 # " 29 SCALE:1 =20 DATE:MARCH 18, 2014 N.Y.S. I NO. 050882 maintaining the recorde of Robert J. Hennessy & Iter M. woychuk