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HomeMy WebLinkAboutNickart SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4475-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner NICKART REALTY CORP ------------ ----------------- Mailing Address 1 775 BROOKLYN AVE #100 ------------------------------ Mailing Address 2 ----- ------------------------ city St Zip BALDWIN NY 11510-0000 -------------------- -- ---------- Property Address 1 53400 COUNTY ROAD 48 ------------------------------ Property Address 2 ------------------------------ City St Zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Owner Telephone No. 516-429-1065 ------------ Tax Map No. section 52.00 block 2 lot 13.002 ------ --- ------ Cross Street BEVERLY ROAD ------------------------------ ------------------ --------------- Issue Date: 10/21/14 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) o�oSUFFot�.�oG ELIZABETH A. NEVILLE 2 y� Town Hall, 53095 Main Road TOWN CLERK t�i� = P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICERy ' � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �Ol �a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 `mor Non-Residential @$25 Application No. 45 - Permit No. �I 2 y Owner Name A)q C P-jp Owner Mailing Address Yl- b� I aJ J d �� N lSijo Owner Property Address 3 C b U^i T rL 6 r9 a 5 Oar (-D rN 11 I Owner Telephone No. 5 ©� r Tax Map No:'Q 00 Section j�- Block Z Lot b�-- Cross Street � J r' Please check each that applies: New Construction Alteration to Exist' ystem Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of surve with SCHD approval.) 96 / y Signature of Applicant ate Received by: DWELLING SCDHS Relfim W. . # RIO-14-0045 rar ar TALL EL miT TEST 90AM -- rz a nae,m c+4ar ROOF RUNOFFF4-T—., #r.. EL. 7.6 ` rr a Ras 1792 SO.FT. o _ _ T-7 1 1792■1 • 0.17-305 cull. t i�E •a®Two"L0.0 c 114- 7era� 305/42.2 7.2VF �n�.r y owe. - c —r— ear ■ea i I I PROVIDE 4 DWS.8't r " 2•DEEP r t' t T? OR EOUAL DreaW sAr o VAS _ --_.1 1 i #JNOFF CONTANAENr WITHIN �pp� Yy FENCE-3477. /t. { 1 .. .' ", I-i " •a'�" ar AL L7 rallpG lr/rO1 // ■0.5- OJ7•196 —ft. L' 4r /OOL NOTE, 1 r " 296(422 ' 7VF �9 SURFACE SEWAGE DISPOSAL t w PrroPosEo SEWAGE DISP06AL araTEAR s OVpE 7 DMS,8'14 °r.SYSTEM DESIGN BY 1 ♦ +wRwrq eo+ �a TOTAL w no.-+ora.m�a amrmu rw 5 1000 SAL.PRECAST WITH 3 TAN[COLLAR RETE) Ap+ JOSEPH FlSCHETTI, P.E. ti „.fit d� 7 LP4.8Y J'OFPTH WITH 3 SATO COLLAR Ate" / HOBART ROAD +r ISn TO BE 3 ABOVE SMOLW MATER ! SOUTHOLD, N.Y.11971 { REMOVE LNSIATABLE MATEI9AL 1 (6311 765 - 2954 t .-.- sAND r%Afi"nom�oPOOLS rrw+THQ A$ �Cj.• s�rprpd \ 6.20 Nlo p� -0 OPO N 5 °'• O �'! \ (�L `'o Y oT, 7AUCTICN rl[i IA LL s '9 A RAN Raw o >rd ¢ �$ ,o NNECi,,E NO \10 ro•R M R O 7 PROPOSED$Epi SYSTEM RETAAVVG 59.\O E, 8��t 0.' � � �' yO•rco D ZE e4 `� "'� SURVEY OF PROPERTY AT" 61d " a SOUTHOLD °" J �� TOWN OF SOUTHOLD w .J J ` ► ' 110°0' Ec+S SUFFOLK COUNTY, N.Y. 0? 1000-52-02-P/O 13 \J�0�� ,.W► Scale: 1// N R April 16 2010 1 �L O �EEP• MAY 15, 2f14 (REVISIONS) 0 IZJ (EXPASN POOL)IOJONS)SEPT. 2a4IREN CL SL 6/ ,' F rn.bcoKeru er..e.e,d cete�oor i /Wm e.rw we from,wa.esrva 0" AREA = 17,438 sq.It. - �Nl�,,w Thrrae Ine)r teceRlvns and or.rileace .� it eoI+wmbsd LOT MAbOQRS ARE REFERENCED TO N.Y,S."LIC. NO. 496)8 I am /omllior with the STANDARDS FOR APPROVAL SUBDfVWN FOR NICKART REALTY ANY ALTERATION OR ADDITION To THIS SURVEY E A wDD.,ATION AND CONSTRUCTION OF SUBSURFACE SEWAGE CORP COMC YOBS, P.C. OF SECTION 7209 OF THE NEW YORK STATE EORxATION LAW. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES FLOOD ZONE AD DOPM 2 NAVD 88 (631) 765 - 5020 FAX(631) 765 - 1797 O(CEPT AS PER SECTION 7209-SLODIMPON 2.ALL CERTFXATIONS and WN abide by/be con lions set forth )herein and on the FIRM 36103CO158 P P. 0. BOX 909 HEREON ARE VALID FOR 77R5 MAP AHD COWES TRFJREDF ors r yerm)I to conslia 1. 1230 TRAVELER STREET - SURVEYOR SI&VATt�AAPPPEAsARS�£OPL ELEVA-TIOV5 ARE REFERENCED TO N.G,V.DSOUTHOLD, N.Y. 11977 04_049 ., SaJTHCLD VIASTEVIATER D SPOSAL PERM T OCNSTRLJCTI ON OR ALTERATI CN PERM T SEPTI C TALK or CESSPOCL Per M t No. 4264 R Resi dent i al X Non-Resi dent i al Fee $ 10. 00 Sept i c X Cesspool PERM T I SSLIED TO Name : N CKART REALTY OCRP Address 1: 775 BFKMYN AVE , #100 0 t y St Zi p BALUIV N W 11510 Descr i pt on of Pr oposed Const r uct i on or Al t er at i on SAN TARP SYSTEM FCR SI N IE FAM LY DJELLI NG APPRDJED AS SLBM TTED AND AS APPIRD ED BY THE SLFFCLK OCUNTY DEPARTMENT OF HEALTH SERM CES. FI NAL APPRDJAL RECD RED FRCM THE SLIFFCLK OCMVTY FEALTH DEPARTMENT. REF #R10- 14-0046 Narre Cf Owner N CKART REALTY OCRP ------------------------------ Mai I i ng Address 1 775 BROCK LYN AVE #100 ------------------------------ ------------------------------ a t y St Zi p BAI-DN N W 11510 -------------------- -- ---------- Property --------- Property Address 1 53400 OCUNTY RD 48 ------------------------------ ------- ---------------------- 0 t y St Zi p SCUTHCLD W 11971 -------------------- -- ---------- Tax Map No. sect i on 52. 00 block 2 1 of 13. 002 ------ --- ------ Gross St r eet CLD CM RCWD ------------------------------ Bui I di ng Per ni t Number Or oss Ref er ence: ---------- -------------- ------------------- I ssue Dat e: 10/ 10/ 14 B i zabet h A %vi I I e -------- Sout hol d Tomn a erk (TC1/W SEAL) • ��g�FFO�,��, ELIZABETH A. NEVILLE,MMC ��� �l/y Town Hall,53095 Main Road TOWN CLERKC P.O. Box 1179 W 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O •� Fax(631)765-6145 MARRIAGE OFFICER A Ot' 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: September 26, 2014 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4264 for a Cesspool/Septic Tank Construction Permit submitted by: Nickart Realty 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 loc tion map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature X�z 2 , ;4 f Dated '• o��g�FFOI,�c ELIZABETH A. NEVILLE �`Z` �G.y Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 to = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS v.G MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �O� ��� 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 or Non-Residential a $25 Application No. �� @ � Permit No. ' `" Applicant Name I � n k--j �'e L-''� (v Applicant Mailing Address T? (Jo LW1 fjFJ ' � ) Septic Tank Yor Cesspool Brief Description of Proposed Construction or Alteration jvew Le�l S fulc '> Location of Proposed Construction/Alteratio is Owner of Property: ' ) � �1'k-1 ev�-i w Owner Mailing Address: S J C ' 4 Owner Property Address: 5.�j (``} � Uk �f , S cZk f, ', Nance and phone number of contact person I c LCD , - S ' ��2 q' i o , Tax Map No: 110to Section L Block Z Lot/C 2-) Cross Street o-ve Kj NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SUI�VKY W TH HEfH DEPARTMENT APPROVAL , J Signature of Applicant Date Received by: f DWELLING t T �trMr , '�; ,U f'I"T,Fj:'J1 i �� `," �'�� ORING TOP WALL EL toa TEST ondd GpGposdence lk !b•. at 12 ROOF R I„. �»+rv� �^ �r-r�4� �a� - �i _ � ati.._�� rEL. 1 RUNOFF 4»+ EL a Fsr'E°rwAnE Tw EL. 10.5 1792 SO.FT 305 w4�w�fi,Ii� kpW ,F vF4ili3rt7(ulkt�i �11� --- -; ; _. ? wwxEo sArto t LOAD x x 0.17 = �� ” ' ,B p„VlJ t 1'ISL L c�-yd S- T - - To lw" SAw SP RETAMNG 305/28.3= 11 VF �Id c�`�^- -- -- --__ _. .. �'y ++�� _ --as�e�nr i ?k, PALE BROWN FINE 9.4 T- 0.5 WALL x 07 J• 3.== - - 4- IE 3. + PROVIDE 6• DWS. 6 0 SEFO dug BROWN LOA SAND ! JE 9.2 sEP°T°°r w(c &7 E e s OR EQUAL FOR 1�+lAL A.Ppa0VAL. - .. :_ - - - --— l �. 6R WATER I 3'► I _ --_ f i._.. _ '-�5 ftEeA{{AT 10(Jertj ( 4� FMS To MEF114�M T -[-i- -� — SACC SP EL Z.7 EL 2.7 oOLUSTER NOTE= -j __b" - 4.9' A PALE -� - _ �' ro,u�v. ►CHEST SUBSURFACE SEWAGE DISPOSAL _ ._-_ _ter. .=- s' WATER N soe 61WLMWATO PROPOSED SEWAGE DISPOSAL SYSTEM SYSTEM DESIGN BY. - - - , s' I- 1000 GAL. PRECAST SEPTIC TANK (CONCRETE) Oso ter °s *soffit®aa . y— - _-_ JOSEPH FISCHETTf , P.E. WATER r+BRON FW H08ART ROAD - - To COARSE SAM.) SW 5 LPs. 8'0 J, 3' DFPTH WITH 3' SAND COLLAR PR�f� s - ._t.. - ISW) TO BE 3;ABOVE GROUND WATER �► / SOUTHOLD, N.Y. 11971 REMOVE UNSUITABLE MATERIAL V 1 pR (631) 765 - 2954 TO SAND (SWI BELOW POOLS WITH A 3' COLLAR AND BACKFILL WITH K p,g6 - — SAND'(SW) 0. th 'W- O � .� 3" NOTES lS �O ! fOrXJ2ETlr TO 8E 3000 PSI S G � f Z O �,, Q 2 STEEi.'TO BE SO KSI p, O�► 'C�'R \ i `r 'L ` y� �� �- 3 COONNSTRURUCVEER TM o TTRREETA#g4GG THE WALL AS IV WP 1 'T� r.� REQLM� _D BY HEALTH DEPT. a t?� ENGMFR TO BE CALLEn 8�� ,n noty�°, S G �'o oc�`.L G�� RE RORECING TE 6Ef ORE PLA=V THE -w r Go 0 & aO� PROPOSED SEPTIC SYSTEM Ca ��¢ 74/ 0 0 �� F�nl�o RETAINING WALL S1011 . g9" \0 EO ow IOU °w �` p'C �`�, �` �- a �o'I° PI o 0 ow �5E LZ `t O�ESS1 w a&° SURVEY OF PROPERTY AT - st o SOUTHOLD TOWN OF SOUTHOLD aw0P°NE �N o SUFFOLK COUNTY, N.Y 02 O13 W. � --:r 1000 — — = 610 s wP ,. O. cale: 1//- {�30S z � W "' _ 6► 01� ' \ Pa� � 8LLJ �t�' ' 0 't'" � �'' w � N MAY 15, 2014 (REVISIOOS) �► lao w C5 a. O. u) 'd Cl- 110v oilm C-7 �O z` p� % n��A�• c t� s �� -tA The locations of wells and cesspools I w shown hereon are from fleld obsgrvationf AREA = 17,438 q 438 S .ff. �' }0}� P� and or from data obtained from !hers. N©zk c Therefore Their locations and or existence Jk L` is not guaranteed. '# a a•' oLot Y.D Part! f' 1 N,YS.`UC. NO. 49618 �S SUBDIVISION FOR NIKARTRS ARE R REALTY E 0 P CONIC S YORS, P.C. S, LOT I am familiar with The STANDgRDS FOR APPROVAL ANY ALTERATION OR ADDITION TO THIS S S.A 'A TION AND•CONSTRUCTION OF SUBSURFACE SEWAGE CORP. (631) 765 - 5020 FAX (631) 765 - 1797 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES FLOOD ZONE AO Depth 2 NAVD 88 P. 0. BOX 909 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS and will abide by the conditions set forth therein and on the FIRM 36103CO158 - HEREON ARE VALID FOR THIS -MAP AND COPIES THEREOF, ONLY permit to construct. 1230 TRAVELER STREET IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SOUTHOLD, N.Y. 11971 14 9 SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ELEVATIONS ARE REFERENCED T O N.G.V.D. -O I ; !I