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Home My WebLink AboutNickart (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4476-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 13.001 ------ --- ------ Cross Street OLD COVE ROAD ------------------------------ ------------------ --------------- Issue --------------------------------------------------------------- Issue Date: 10/21/14 Elizabeth A. Neville -------- Southold Town Clerk ('DOWN SEAL) - o�OSUFfO�,�cOG ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK CCA Z P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICERy • O�� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER l �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 or Non-Residential @$25 Application No. 'Y y 7� Permit No. b I Owner Name 1 G 'n ft0_ tq[' -T,-j Ck-) IL Owner Mailing Address LDQ% Aj N � X151E�11 Owner Property Address '®O G 4 SO Owner Telephone No. (- y 2- q , ' 0 6 Tax Map No: 0 70 Section r)— Block Z Lot ' '; . Coo Cross Street / Please check each that applies: New Construction tl Alteration to Existi stem 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.) C° ►b i t* Signature of Applicant D to Received by: lDWELL Niz� ROOF RUNOFF SCDHS Rel..-#' R10-14-0045 _ _ TEST BOW Q° ANOM nIx 1792 SO.FT. ► �SvOwdwe T+¢. 1792 *I * 5 cull. o — t�TeN -j —j1 _ 3051AZ2, .2'VF 1 r m 0 A4 1 PROVnE 4 DWS.8' *2'DEEP L r I�O1rr e tr r u!rano Ii' r j OR EQUAL z IOL►A.-- ---J rw RLMIOFF CQNTiII NT W1ThIfN r� s• -- --_..—� — -- —_.. —--- SIL T FENCE: 4460$0. e1 c^ 4460*0.5 047 3B3' T o NNio et tr 376 cull. PROPOSED SEWAGE DIVOSAL SYSTEM 376/42.2-9VF — Tu o �"o I�sAN°�ANo I PROVW DWS 8'0 *2 1-1000 GAL.PIFCAsr SEPTIC TANS NCONCIETEJ T TAL D LPs.G'd•3'D0P7NN WITH 3'SAND cauw ♦Q ��d - ,,._ - - AG V u 3 VE mora WATER rry •_ O �, .+. i REMovE uva�.r'�gLE MArEIaAL l C1, R - To SAND BELOW Pons WITH SAM WAGY6ILL WITH �; p• + 1-' tom. 5 W NOTE- 09�3��/a b .S N r.a y•° .ni� _— SUBSURFACE S E WAGE DISPOSAL N ySYSTEM DESIGNPOjO0 BY:JOSEPH FISCHEY71 P.E. t H06ART ROADRO� 1 'v i k SOUTHOLD,N.Y. 11571 765 2554 `a O ,o<��IMv i O A J J r' \(� dt NOTES C,. E TO se¢0 PSI J ro TO ct*TFY n6 F ,0' J E +°14 caaraucme r A�[TANOW V L AS <J 6,•59 /` Y.E ' S 4}�� - 6 y, ios,O�rCOPKAM m°t*N r�sor Tac I .. 6 QYr/ic ¢ , /y�,a --l— 'o-.000— - r �,,�g3 Be �oER SURVEY OF 4 PROPERT Y $9, ` to 5��° J PR� �f� SOUTHOLD ? rtTOWN OF SOUTHOLD N o �", C` 4! 80 Ro, «P�` SUFFOLK COUNTY, N.Y.10JE ptE 'd 00-52-02-P/O 13 <GZN � pfd - � 0 a G0 � Scale: 1"=30' o L i April 16 2010 O $ \ MA-Y 15,2014 (ADDITIONS) P JULY 17 2014 (EXPANSION POOL) y Fp Nus 4/S� SEPT. 23, 2014 (REVIS)OAw fyra\5 6,•59 / /p1v� �� • Tbo AFcdlanr ON we&aTd a espook sNaan to" an lrom RaM o0nrraeaw and or' as dela 00/ebad ham oMan. TNwrafora Oak/oeoliaw aw or askNnea AREA !7,438 sQ.f!', 01f Ni not PWWI"4t ' JA$ N.Y,& UC. NO. 49618 P pG� l am famlT withCT the STANDARDS FOR APPROVAL SLWIVISION FOR NICKART REALTY ANY ALTERATIONS OR ADDITION To TNS SLRVEY A VIOLATION AND CONSTRUCTION OF LOT WAGERS ARE REFERENCED TO SUBSURFACE SEWAGE CORP T COMC EYORS, P.C. OF SECTION 7209 OF THE NEW'YORK STATE EDUCATION LAM. DISPOSAL SYSTEMS FDR SINGLE FAMILY RESIDENCES (631) 765 - 5020 FAX(631) 765 - 1797 EXCEPT AS PER SECTION 7209-SLOGIVISION 2.ALL CERTFXATIONS and will abide by the condfl(ons set forth therein and on the FLOOD ZONE,AO Depth 2 NAVD88 P. 0. BOX 909 HEREON ARE VALID FOR THS MAP AND COPES THEREOF OILY permit to construct. FIRM 36103C0,58 H, 1230 TRAVELER STREET F SAD MAP OR COPES BEAR THE A R HEREON. L of THE swSOUTHOLD, N.Y. 1197/ 14-048 vEYOR WHOM APPEARSELE'/A)IONS ARE REFERENCED TO N.G•V.O. SCUTHCLD VIASTEVIATER D SIAL PERM T OCNSTRUCTI CN CR ALTEIRATI CN PERM T SEPTI C TAN( or CESSPOCL Per rri t W. 4265 R Resi dent i al X Non-Resi dent i al Fee $ 10. 00 Sept i c X Cesspool PERM T I SSIJFD TO Name : N CKART REALTY OCRP Address 1: 775 BROCKLYN X ENE #100 Ci t y St Zi p BALDN N NY 11510 Descr i pt on of Pr oposed Const r uct i on or AI t er at i on SAN TARY SYSTEM FCR SI NO-E FAM LY DAILI NG APPR XM AS SUBM TTED AND AS APPRI A D BY THE SLFFCLK CCUVTY DEPARTMENT CF HEALTH SEW CES. FI NAL APPROVAL FEW RED FRCM THE SLFFCLK OCUNTY HEALTH DEPARTMENT. REF #R10- 14-0046 Name Of Owner N CKART REALTY CCW ---------- ------------------- Nbi I i ng Addr ess 1 775 BROCI4..YN X EN E #100 ------------------------------ ------------------------------ Ci t y St Zi p BALDN N NY 11510 -------------------- -- ---------- Pr oper t y Address 1 53400 OCUNTY ROOD 48 ------------------------------ ------------------------------ City --------------------- City St Zip SCUTHCLD NY 11971 -------------------- -- ---------- Tax lAp No. sect i on 52. 00 block ock 2 1 of 13. 001 ------ --- ------ Or oss St r eet CLD OM RCAD ------------------------------ Bui I di ng Per ni t Number Cr oss Ref er ence: ---------- ------------- -------------------- I ssue Dat e: 10/ 10/ 14 E i zabet h Q Nevi I I e -------- Sout hol d Town CI erk (TOM SEAL) ELIZABETH A.NEVILLE,MMC '�� l/y Town Hall,53095 Main Road TOWN CLERKC P.O.Box 1179 cn 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 5 • .� Fax(631)765-6145 MARRIAGE OFFICER A Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER �j �►a FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov 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. 4265 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 'on map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature SEP 2 6 2014 Dated �SUFfot,�c ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 V3 = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 19 Ali MARRIAGE OFFICER Oy !� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER Ol �a 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 @ $25 Application No. 14 �l p ! Permit No. Applicant Name `�" G'C 14 rl,� "�, L W r c� ^\ '` �.1 N 0 Applicant Mailing Address 11 i U 1 Septic Tank or Cesspool , Brief Description of Proposed Construction or Alteration �✓ S f��' Location of Proposed Co strucltion/A teratign: Owner of Property: ' G q Owner Mailing Address: 1� 5 n„ I'm V�01_n war'/ , w . I . i s Owner Property Address: 15,.�a I� �- 20 Name and phone number of contact person Iv I Tax Map No: Section SL Block _7— Lot Cross Street 0 I C.,6w— NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURY WTffq�� MENT APPROVAL 1 Signature of Applicant Date Received by: DWELLING _ — TEST BORING fin. fir. e1 12 ROOF RUNOFF } by McDonald G�soscience EL It FNISFED SUM 1792 SOFT. — INE S CERTIFICATION REQUIRED. EL. 7.2 rW E• 1792 x 1 x 0.17= 305 cuff. io �• 305/28.5 MED. SAW SP. 11 VF i 4aU3MIT }R • ERTi11C :TIO PALE BR.FM 'I'D IE s.4 t000 cat_ i o.5 EAMM PROVIDE 6 DWS. 6' 0 x 2' DEEP C1�N TICS AND CONSTRUCTION E. IE 92 SEPTIC raNrcu E B.7 IE s s CENrER tP. OR EQUAL Com, AWP LOAUY r at MATER a•MW FO IOL VAL. FORM WWM-073.'• BROM FwE r0 3 ►wm. SAND Sp EL z7 pp cLl R �9 3 a3 - EL z7 tsr -' vo TO SAM PROPOSED SEWAGE DISPOSAL SYSTEM _ sss,R Ar�a EXPECTED TO 1- 1000 GAL. PRECAST SEPTIC TANK (CONCRETE) 3 WATER IN BRON FwE 5 LPr. 8•� A-3! l F'TH WITH 3' SAID COLLAR - --- Q TO COARSE SAND SW -{ (SWI TO BE 3-ABOVE GROUND WATER c° S1. ' 115 REBAFj AT 10 REMOVE UNSUITABLE MATERIAL ` Q, TO SAND (S BELOW POOLS WITH G�• ` ^? - 3' COLLAR W� l - „ SAND*1 W1 AND BACKFILL WITH �� 9 ION g ;QUIR - '-� -^` m' ' NOTE. S�Kti 93 8 XOAVATION SYSTEM - .- -'- '== SUBSURFACE SEWAGE DISPOSAL 48 rsn0.1� u, k�- - —r _�..a.y.. SYSTEM DESIGN O OB�,G \oto` RTq _ 1 3. _ T , - BY JOSEPH FISCHETT{ . P.E. t HOBART ROAD o�P �< i —` 4' ` S©UTHOLD, N: 971 0 (631) tem765 2954 N0 �t SS�g1. � rsr�a4rt wAYJr+FQOiarG_:... 00 NOTES °9E GG I CONCRETE TO BE 3000 Psi �� o'� st 3 STEEL ro CERT TIC FINAL QM CONSTRUCTION ONS 2 D� OF RETANW WALL AS y HEALTH.TO-r, 6\'�9\ II-0.. ow °w �. Fy Q R CAIG 9EFO BE�PLAC NTT ERCT THE 1�• � `PSsV �QUyS � �� O %° MP w/s PkOfo 801°°¢ P ¢ 8g - SURVEY OF PROPER T Y y0� fir '` �Z o c�'�A F�o� AT ? 5' R°P P , v+\©��F `' SOUTHOLD 0 o L - f o, OF SOUTHOLD _� � �� ,� N �O FZ°P �s $t � OLK CQUNTY DEPARTMENT dF HEALTH S '► LK COUNTY, N.Y. CPQ o V �� Pv L`G PERMIT FOR APPROVAL OF CONSTRUCTION QR Ai000 _ 52 - 02 - P/O 13 GZ o G�� t P�\JP \� SINGLE FAMILY RESIDEFECE ON L'( �� S ale: 1 = 30 0 �A �� ,.. 0\'/ 2 3 14 pril 16, 20 ES 4oloNs� ?\9 E- S. Pl~F, o. -Po Ij Z�A ,\p' W' PR�S'C G ' APPROVED C" �T 6\•59 Nt NG 0 ''' FOR�AAxIMUM OF SEORQOMsa raI �o� €' ' EXPIRES THREE YEARS FROM DATE(}F APPROVAL e E� .y,. I.: co ID The locations of wells and cesspools shown hereon are from field observations 7IC and or from data obtained from others. ' Therefore their locations and or existence AREA = 17,438 s q.f t. is not guaranteed. P• & G�� loose LOT NUMBES' RS ARE REFERENCED TO . • LIG NO. 49618 am familiar with the STANDARDS FOR APPROVAL SUBDIVISION FOR NICKART REALTY ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION AND CONSTf+(E/GT10N OF SUBSURFACE SEWAGE CORP CONIC RS, P.C. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESIDENCES (631) 765 - 5020 FAX (631) 765 - 1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS and will abide by the conditions set forth therein and on the FLOOD ZONE= AO Depth 2 NAVD88 P. 0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY permit to construct. FIRM 36103CO158 H 1230 TRAVELER STREET IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE l SOUTHOLD N.Y. I197I SURVEYOR WHOSE SIGNATURE APPEARS HEREON ELEVATIONS ARE 1 EFERENCED TO N.G.V.D.