Loading...
HomeMy WebLinkAboutPufahl r fi i SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4413-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner ROBERT PUFAHL ------------------------------ Mailing Address 1 164 EAST SHORE ROAD ------------------------------ Mailing Address 2 ------------------------------ City St Zip HUNTINGTON BAY NY 11743-0000 Property Address 1 700 TEEPEE TRAIL ------------------------------ Property Address 2 ------------------------------ City St Zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Owner Telephone No. 631-271-1767 ------------ Tax Map No. section 87.00 block 2 lot 25.000 ------ --- ------ Cross Street BOW ROAD ------------------------------ ---------------------------------- Issue Date: 4/12/10 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) L 1 - O�OCVFFD�I�'C ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road co TOWN CLERK C4 Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICSO Southold, New York 11971 MARRIAGE OFFICER y • ��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 911 �a. Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK- TOWN LERKTOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT r . CESSPOOL or SEPTIC TANK Residential @$10 K or Non-Residential @$25 Application No. `�y 13 Permit No. 44171 Owner Name Owner Mailing Address 164 —AA5r CiL/OiLE 04w dvu r w euro a� ay, uE w tf'c !1743 Owner Property Address 740, r E pm W 1 L vo-Umy, Ad 4. 1/971 Owner Telephone No. G 31_ 271 - 1767 (9d ME � G3 I- 29!- 5141 Ce�r10 1 l Tax Map No: Section 197 , Block OZ Lot 2`r✓' Cross Street God ft&T 60074 dt ftW &A.(o Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) —Euaosso 112,6� 1 Signature of Applicant Date Received by: Y p April 5, 2010 A4 M Z �' Z r+ Ms. Elizabeth A. Neville, Town Clerk y N Town of Southold �w53095 Main Road P4 �lo P. O. Box 1179 Southold, NY 11971 O " Re: Robert Pufahl (formerly Carol Pufahl) residence ® 700 Teepee Trail M Southold, NY 11971 ZI SCTM #1000-087-02-025 n !n N U � M r- �0 Dear Elizabeth: U Enclosed please find the application for the sanitation system operation permit, r- as well as the approved document for the Suffolk County Health Department. Mr. Robert Pufahl is now the owner of the property. Rob's wife Carol recently passed away and he has assumed ownership of the residence. B I have contacted Elizabeth Cantrell at the Board of Trustees also. All future correspondence and other documents shall refer to Mr. Pufahl as the wowner. Should you require additional documentation for your records, please contact my U Z office. Q Sincerely, N ANDREW J. S HMITZ III & ASSOCIATES AIA .-+ w ~' A S mitz III, AIA � w . F' � W W AP4 zo M N fA=hs Andrew 1.Schmh:m k Assvdatc3 ALA. )b(tR GRA LEVBS The DmdM=4SPIM nom'byeheAffbb rlbrtM3P""lamW.R-wmndtt�ArtLtta:'$Z;n formemeyxxhF"PTC.mb /ITE DATA Nokct tmd the Awh�t shsA W dcmxd ttee Qua=of thew doc�tnis and ihaU tvedn all mro:aa,Lav,snttuvey nwi odri n;ser ed yP 't MUZD LOAM t%bm indudhtg the comitlu.TLe Owac sh�0.iQ pataltl cm to retain�of dm ARmtMs DrOlIDP,Spaiiketbm and CN-x 1 G TJ1' 8 1000-087-02-025 Doctamm�tar 1111a>a�bnaxd�ete:encemmona'dm -:theamer's me nm owupmc7 ftthe projem The Amhhaes0nrwtWcmd �!� TOTALJITE AREA=46,560 sq ft • �+ ' — —.— — .2' SM-MuMans Shad m be used W van owns m Whtsa ou wt�walm ,mrtm>zmmmthk po{ai or for cnmytrtbn or thl+ignWct by T vbm%emm1v-wsmonemw,fdoafrommeArcWtnn.; 3• s� �r , UTILITY ZONER-40 PALE BROVANit fAnDVv1 �� O i0LE#6 nUMbEROFREDROOM! i4 6:4' wietiencou7trelifvWATERIn ` 877 IstPLOOR - 2BEDR00(1! S' - O 2nd FLOOR - 2 BEDROO ., � PALE P�ROWN PI/tC,JA/D(/P) 'O ELEV.21 P8 62' TOTAL 4 BEDROO•V _ ---- - O 8.7 r - WATE.R[AWOWADOG Wn 'gyp ALLOWAP�LE_lAAITARY FLOW onTe•7/2v20W -- ': 82' GROUND WATER MANAGEMENT ZONE Iv :•M ibtm 7HCTT.lf,h"-'6OuT pROvEDon.' 10' Q /tWAGE•DI/VOlAL/Y- TEM DE/1Gh • ' :, ,tjoranwRov®eveY: _ -- — — , ' -]oeN>tfcR_oTts WATER In BsroWnctAYEYjAlVUQ , �1 8.6 CALCULATIOn! MrDOMLD Gto cmict 8'0 JEPTIC TANK QQ ;-- " box toxo — — — — 11' V• REMOVE b REPLACE E)()/TUYG glGq GROUND r iottTMolD,ItW YORt(119]1 TUT FELE 8 7 WATERJYJTEM, DUE TOJIM OFJY. (65i1]0&x77 WATER IA WALE eaoun ME To a 1' N P lierued an.vzv�ato '( MtDna+JAro(1v1 BORING LOCATIONIrIPM -- -- DATE.5✓0/08 1T REQUIRED: TAnK ® - / ,. - A 1\ ` t f � REQUIRED:1000 GALLON./Y•IiEM/ R`M'iee Q''�a�• (6)8'O LCACHING POOL f 92 GARAGE.\\ CO/ RFTE B 6' O ��'a 82T7 ^ 27 sq ft.LIQUIDJJURPACC AREA -- +' 85' / ® 'r+ PROVIDED:NEW 1200 GALLONJY/1EM ZUAt�!!D OLE P�ORf/YG... FUTURE 50% V.8. 1' APPROIf� 8'-0"jO x 5'-0"EFF.DEPTH EXPA/(/10N AREA / \ PlJ81JC B 12' 4224 sq.ft UQUIDJURPACE AREA J QWAJCALE•AT,' - tWATER UNE ' /TER 6 d'BELOW J1J[ZFACe - 8 �,\ LEAC binG Pool! 93 , � � O � \ � W REQUIRED:500 sq ft.MIN.OPJIDE WALL AREA LOT O r \ CI\sJ PROVID :(6)8'-0'O x Z-O"RIACd=5792 CAV. 8- Qr t •• ,. 9 .. �� , � G. ED f \ 0.1' � \ 500.6 sq ft_IDE WALL AREA NOW OR PORMERLY \ ROCX ( �;- OA/C 93 11 88' f0 /1JRROUADInG WELL! LUMP!MARYWELD \ \ \ WA \ ` 49-21'-\10TRE ARE NO OPERATIONAL WEU/ON —--;— REVOCAR)LE TRLL/7 / \ \ ' _ 7.a \ 196 TW-RE PROPERTtf WITHIA 150'OF / 832' \ \. _ W \\GRAVEL Q J PROPQ/1 DJY/T�II. ALLJU[S20UNDING \ PROPERTIVAREJERVICED BY PUBLIC WATER DRIVEWAY 783' / / 6a \ \ - R \ s / LOT ex�lr uR nTESoo!/� TLAnDl \ \ 66'-'•®\ 7e Ba o l �\ \ fj ROCK �M� 96' OR WETLAND)PROPOJEDJYJTEM. \ WALL i Vr-PTIC 255.5',LF-AC IIAG POOL!226.97 ON \ \ RtlOCATFI7 MOT :=DWELLI i \ \ "TUB BUILT ONTO \ 1st.FL ELEV.12 2 ' /URVEY 1AFORMATI0n 3A'—er \\\ \ 9'x 9'DgCK ON GRADE \ i 8 3' 37C .-- THE PROPQ/EDJTTEPLJAN I/Bq/ED ONJURVEY J 91' WELL INFORMATION PROVIDED BY- h50 NEW co/\� \� WOOD ' O� PVC-ONNECTFD) NAT14AA TAFT COIZWIA Ill LANDJURVEYOR O \ /E �J Q f 522 ROANOKE AVENUE 06 J `• 1 • ��\ \\ 68' 6_3' \ 51' �. )TORY ADDITION 61'� PECK �/ O�'• — RNIUMEAD,NEW YORK 11901 d 3 PMON£:651-727-2090 FAX:651-727-1727 / Gg \\ y� \ ®—_64 \ \ 82� 1 8 0 __ JURVEY DATE:(0/27/2007 JOB 1127-444F'b O AOIZTH / 0-41, �� \ Q � `} l< Rc JURVEY OF LOT 8,MAP OP NUNAKOMA WATER) .� 9 I\ '� \ \ \ LOT 8 �t 2° �%\ `� ` \5 �� a SCiy��'�'/J, FILE#5126.FILED JULY 9,1968 O a 6 I S O r l \ ® 6 a IsX `�I�f �5 E 1� — 5_5' HEALTH PEPT. '6 6. ITS. PLA/N -- - �o /GALE: 1" = 50'-0„ co nOW OR F PLY g LOT70 6LACKE)URn 5CWOn E:lPROPQ/ED ADvmoN p Iz 11-01 0 r, Y>• i,""' / / / .vim — �� M) "✓.e 4 �►j I { l �� ,e1_ ISUFFCOtJP�/ /®EEPAF p a C� 9Q� j� 3S'—® I 1 1 t, J �?zljz ®� e7� "��HEAL SEMICES -fit Q TED WORKS FOR O\ � ! Y Psi r L OF o ! e�' Ory t t '`;• .= �.. `" p CtiSTR �. CoA c �i I \ \ , 1� ®� tR 3 � I�I;i �Is — o Ie 2010 H,� 66 J �'P,1' y•H�:�F^A;;"sck, ` _ -'H'aT°M.`s� Ue'Oage d4wa,ad wat2F su� �09<t, G �� ha" cr° ita>�orc-EMfied by �oOyQ � bODaUsfactory FOR A i%M a9 bm to SE®RC0A5,O r� H Ir Hil rk P.E. 3 N - �� d, \ `, >-L 4GA►T 10ati _`�"= ;;., Office of VVI@ ater Managgment o- LOCATl0A MAP � \ )GALE.n t3 - 1 4'0 HA GJVJ 2400 PIPE/W.IROA \•' • OR PV CJ12R 55 (h} 6'-J0 LPAC1frG PI T Ctf-D 1/8'F-R 12•MUt ! v PJOLJYJTEfi -v - -' � - 1st FLOOR UtV.1228' 8-T O TOP OF TAM IAV.7-16' -.- b5s 1nV a6o IAV 6SS' I/1V DKIL.7Q12008 --_-_— 1 \ / Q EI EV 746' 666' +957' +982' JCn L:A�r,utci — ♦ +88,8 8' ItiV 745' EXG HOI�/E M 1 vw GRADE s' <y; ;� WA%TE U/t JOB -TtR 0715 716' •-�' 1! ','' `♦\ i' b•7 •• - 4'0UA/124G7 ©© O O ® Ce © D O O D o •�„'=' - --------- — PIPL/Cliff ROA ',4 po 67 © C7 ©C] ®O O••,,,, r % '� j^\I \1,04a OR PVCJDR55 ----- - t I �'� - ♦_�/ b PITCP9'D 1/4'MR 12'KA 1♦ v `�� ` JeAJOnaLH1GM ReyhcdDI:12/182008 ♦` .i ruTur, �' ^� GROWVWATER — — — — — — — — -— — — — OWAtvrr I 1 t ELEV 2.1' COAR/EfA/47 AAO I ARCA �—,_ / ♦_ter I /VG QZAVELCOLLAR • IAV 7L5 REAR 9C� —~� --♦ ` '\ % -• ”R�fiR TO,/�PTIC MD LLACHI/iG �,-- r POOL DETmv rOR DIMC/V_ oly CRAWL COLLAR ^ WAGE i0 ' 0 CLA/J 2400 PIPUCA/T IROA — OR PV C-/DR 55 CRQ/J OVER PIPe./6'Aeove 1�2ncn -AVE WALLAREA OP I.P.ACHIHG POOL,/'=500 6 sq ft. JCALE:1/8'-T'-0' � -JEPTiCJU1ZFAC-'AREA=42.24 sq N. _ - 415EMZOO1 Rf: VE/7CE -JYJTEM FOR HIGH GROUA17WATLR COAPITIO/V .JtWA(;EJ7YP0f- AL PLA/4 ON -J1DE WALL AfSA Of L-AC IIAG POOL/'-300.6 sq-f1 -J'PRCJUrACC ARCA-42.24 sq.ft. -4 6CDROOM RCJIIXACr �( -JYJTeM FCR HIGH CAMAI2WATCR COMITIOti/' 0'- >• o 06 4.0 MA CLA/J 2400 PlPft/CA/T IRON OR 0 4.0 CSA CLA/./2400 PIPE/CA/T ROM PV CJM 55 PITCH D 1/6'•1'KA TOJCPTIC LOCKCJ1�IROOC OOR P.V CJD.55 CRoff-OVER PSP".•/ 7 6'0.4` „y4 U 9 TAlft LIM./fROMJCPi1CJFtOUIDP./tTERTTIC V CT ! FEETWEtATvf MTAIP RV<1A1V Trr FOUR COAUM-7 CO\TR MPP.P fd/Y,z/Af 1101 A/POJJIUE(IN 6_551 0 ■ nA;/NLD CAAL'E C11JtADM Q�6'AISOVC BOTTOi1 COAUtTC C1sMfCY 2'MA fi D CRACk- t1PV BA 21' 24 MAX �' LOCATE=Pr UNRR ACC - M CRAIA�POR mIA7 mt mm ORCED IA5'MIA '' v v Q. -♦\ avv b I/i..ET OM'710) COLLAR ® 13 S �' S 0 13 0 S O El B ;0 4'0 CLq/J?400 , ALL © ©,0 = S ® ® El 0 � OUTLET 6'fYLCI.r VIYT(I/I'1 066) _ RPUGA/f ROM `� ./rt» ® O ® - ® - � 13 ® S El E) fBA d'f4 CLJi/'/2400 RPU CA/T OR PV C JM 35 \ � ^ , IR0A0RPVCJDR55m'cW-0 tJ o- PITOitVIId'-]'KA B.-ff L ��( �,;A , I/B'-t'"A TO LPAC NAG POC%. . R1:1ffORCEP Y •� - t� PIA OR EIR�v1LY OPEfJ�Kat ♦ ` h .!) _r ATTACM DRC`P Ts REIfPORCtL' n � �e — APPROVED MMf0Q11 6'PRECA/T HC-H./EgtOML C OIJfG12ATER(C-LFV 21) Kot JLA/•JML 19Ct1— _ — — —.— —..� — _—- b COXIMT2 LAWA TCPJLA6 b, O♦ WATER CLCV 21 6-LT 50TTOM OP JernC AFTeROVPD CSIAPO�.LD mc.-Tu MATPAAL 70 F)C CCARfLJAAD Am C-RAVE1 TA'K=V 2'4' d'PZCA/T COACRETC )6'- IY 0 F- ,,� JAA7APJ+DRAIMCL pi/[/ PTIC TA/1K 1200 GALLO/`I w/ b o 3 4 6EDROOI•)/' JULt•3/16'-r-0' °M JURFACE AREA 42.24 sq-ft. 6 LEACHING POOL,/'-HIGJT WATER JYJTEM Jcatr:5/10'-r a MOVE �l - 500.6 sq ff.J UEWALL AREA PROVIOEO - (6)8'-0"x X-0'1211%,f=5792 GAIT- — <,FtED t':yG, `q \� S� �✓ CO/MZACTQJ/IY07tf: _ DUC TO HIGH WATrR COADITIO/V V1 THC AWA,A IVAI TH 011PT.WfrrfC/Jl'0 TUT C-XCAVATIO/i ILI� WILL ISE Pf1QJIVtV UlE THE I-CACIRAG POOL LOCATIO/i J1]0W/L OA-171111 PROPQ/CD•/1TL` 2 Q Z P(AM.AM MUfr HAVE e)AWUM OtiJTTC 10 WN U L WITH. A PPRFC)<lAT1:DeM0/i omc vi l _ }4 WILL HAVE TO MV111-AU-CD TO accK T11C GM1-7 ROUWATCR r1LVATIO/t AA rJ1UM-f RIAG GARAC- W)RVPop r WILL ez ti=CD T OJH01J HOW Tm JYJ IL'M WILL u-V1/TALLYD W uaiT Or T1II,. gj rVIMQfOrTHLLXCAVAT1Ott -9 WIT/Il&ED EXCAVAT1On APPOWTMMT./MUJT M MARC AT LLA/T 24 HR/:Vf AWAkr- Cotrs'rts�c A� N " _p�{tcr f,&t ntrr m&nssocfa4s tit ti fonA ,U' C Kl Tic Oradoas emd spa9kstkem M rise Mbltect for tlY.s Psoitts are Inmt�o ru tGc ARLCarY seMc¢for tae sokD•With msD¢t to ® � � - pm>�m���, RY,/Y,1 -EM,LOC:A►TIO/`!- - righv;iruludtsea thn oofycip2et The Owner sbiY Do pecm4tcsd to mtam mf+fes of rtes AmhtteR's Dermv4a6s.SMrtRcaUoa e>M OtLer Darvemafts forinformaHm�idesenre fa nwia2400 Mlh[he the Owoe,'s ase atcd om4�Y of tLe troj¢t.Ttic Aechltacl'a Dmvv .. WeM ethos b ail em x used d t U Owat or a1Las as ort>zr PtoS'�.far ed4ttbns to thls{xyatt or foevblapddiw of tLtc ptof4't Try - - - rxMrt,c'aci>s by�t m wdtlttt tram the ArtNteat - - JCALE:i'a 10'-0' ---