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Home My WebLink AboutKennedy Ia,LI A. E H.A. VILLE #p � �°,. IC`a�vwru �l:all, cea6�9S�w Main Road TO CILE , P.O.—Box 1179 Southold,New Yozsk 11971- REGISTRAR EGIS`d`RAR OF VITAL STA r1S,rics q MARRIAGE OFFICER Fax 765-6145 IRECORD S t�.f°ANAQ II°,LVdt IL'O1�`�'1�CE Ao Telephone (631) 765.1.866 FREEDOM OF INFORM.N.11TON O:Ih"pa'pQ Ka p soustl)oldtow,yi xiorfahfcf rkS net OFFICE OF THE TOWN CLERK. TOWN OF SOUTHOLD SO "THOLD . TEWXrER IST ur APPLICATION CONSTRUCTION or A.I...,'1'E. ''TION PE .1' i C lK SPO01, or SEPTIC r i 1csidential @ 10 _ or Non....Residential ( 5 ._. ........ A:pplicatimi .No /-go Applicant Nairic, EnkA Bjorneby,R.A Applicant Mailing Add r sS . 4 ,4250 Veterans Memorial Highway Ste 2040W Holbrook NY 1171 . .,.... _........_ ..... rv... Septic Tank .........or Cessp ool p� n. eser t.Mo n of Proposed.Construction.or,Allerati(I6N New Single Family Oweplung on Vacant Properly p..,ocat on of Proposed COnStructpom/Apteratpoo: t Owner of Property:_ MARY F.KENNEDY Owner.wiling AddreSS; 9525 Old Sou11 n11 d Avenue Mattituck NY 11952 i ... - ... .... Owner Property Address: 9525 Sound Avenue,Mattotuck INY 11952 Name and phone number of contact pnerson ... 1047 1319 n borne y Tax :ma No: Section 122 Bloch 01 Lot 2.3 Cross Street North Road (Route 48) NGTE. LOCATION MAP MUST BE S(J.B.MIT'rE.D WITH APPLICAT1110N. NEW CONSTRUCTION ON REQA1C SURVEY DEPARIMENT APPRO A.I.A St Date dI ............... Receivedby: m _. �_ I DRAINAGE CALCULATION LEGEND TEST HOLE FOR PROPOSED ROOF AREAS: WATER VALVE' 3r PREPARED BY: 1,413 SQ.FT X 1 0 X 0.167 = 2360 CU FT MCDONALD GEOSCIENCEUSE 8' DIA. POOL WITH 42,32 CU.FT,/V,F, WATER VALVE APRIL 24, 2017 — FIRE EL IBA 7 3 DEEP F, = 5.6 V F. REQUIRED GUY HYDRANT –. _ �.w . „.,,, rn LEACHING POOLS UTILITY POLE DARLOa1e(o i" 1` TAX LOT 2.4 OWELUNC .I°' � fi�� I W G SOUND AVENUE MONUMENr_..�..�.._ � RESIDENCE Im lu R aA 1 ' ;�. , F �, 1I��;C, 500 PROPOSED ROOF DRYWELL— ao BROWN SILtt •m ,35 D) I-,' E.NCZI ONLY } PROPOSED GRADE EXISTING GRADE ' � EDGE OF PAVEMENT WATER MAIN/ SAND (SM) PUBLIC WATER SYSTCM rk� ,W A a�R'�n. W',X„� AUS SIU 0 I'Sw LINE Bio i ^� l 4 OVERHEAD WIRES— PALE - r W. y FENCE – POST & RAIL— PALE BROWN ,. �.. Wa� m o ». m -. ' u9� " �"",r' �r� _ FINE SAND �m. ," y _ - (SP) _C9 I m . �.� _ Y � °, TT > ry¶�4��W`�� gy �^mp� mom.., T� � ` A,q .... 14,6' .. �.. . ..." .,,.„ i. .�' w,.° 'W. II�k�AaP'm6 ��`LI9a W'"L,�J"A,"o �q 4?w y WATER IN � � �;: ! � p�y�« MONUMENT � � � � 1".°� " ,,,( ..��':��".�;.�. PALE BROWN " 00 FINE SAND MONUMENT 81#50"56" 50 50 E OgL2, !„.,W. ,�^” I =OUND �'""`Y �..��M .�rrr. „ +�h...w�r�..w".w�. �� ;L (SP) 17' / .— — F PREPARED FOR: PA D N.T.S. �� llH)r, " .I W 5 �1 3d MARY E. KENNEDY _ 110 a, W � L 17.30' as _ 4 A i 3 WAKE ROBIN E R E w LAN z Juam 9Y 1 �� 174.02 t0o.0E' 631-779–RIVERHEAD4 11901 n , � 631-779-3444 7 R " ' E NOTES m.,. 1 LOT AREA=39,162 SQUARE FEET. ,�� EXISTING FENCING °' 2, THIS SURVEY REFERENCES DEED LIBER 12399 PAGE 937 do A SURVEY TO BE REMOVED TAX LOT 2.5 ENTITLED "FINAL SURVEY" PREPARED BY PECONIC SURVEYORS, PC., DATED OCTOBER 19, 2004. TAX LOT _,w•„ -- VACANT) 3. PROPERTY KNOWN AS 9525 SOUND AVENUE, MATTITUCK. 100-121-02-04 ”` (TOWN (VACANT) OF SOUTHOLD 4 ELEVATIONS REFER TO NAVD, 1988. RESIDENCE DEVELOPMENT RIGHTS) 5. THERE ARE NO APPARENT WETLANDS OR WATER BODIES WITHIN 300' OF - � °1 THE PROPERTY. (PUBLIC WATER) -. - 6. PUBLIC WATER SERVICE TO ADJACENT PROPERTIES VERIFIED WITH SCWA f t • . .� PROP. 3, 7 WATER ELEVATION ESTIMATED FROM 05/25 17. 1 S 70"10"'J0 � HIGHEST EXPECTED GROUNDWATER " 105,00 USGS WELL S 6560.1 AT EL. 7.98. l RtbGAE" 8. THE APPROXIMATE LOCATION OF THE 8" WATER MAIN ALONG SOUND _PROPOSED ,. 53 C ` 8 AVENUE IS SHOWN ACCORDING TO S.C.W.A. MAP #18–N, LAST REVISED L AOR`? DI Dim a s (32;'� . "3 ._.,a O FEBRUARY 3, 2016. 5 D' i8� Q g 9. NO INVESTIGATIONS WERE UNDERTAKEN DURING THE COURSE OF THE WITHBSE L, ��- SURVEY TO DETERMINE THE EXISTENCE AND/OR LOCATION OF O F a SUBSURFACE UTILITIES AND STRUCTURES. a�. , WW 10. BUILDING DIMENSIONS AND GRADING SHOWN PER ARCHITECTURAL PLANS LCEC " W 4 PREPARED BY EAB ARCHITECTURAL DESIGNS, PLLC, RECEIVED DECEMBER RDI1 28, 2017. 11 PROPSC 11. ALL IMPROVEMENTS TO BE CONSTRUCTED IN ACCORDANCE WITH THE rS w /N STANDARD SPECIFICATIONS AND DETAILS OF THE TOWN OF SOUTHOLD + ^� 0 „ 4 i. taF�a �� " AND SCDHS. 1,000 1_�- 2&W 1�TANK "` k ',2— PROPOSED "" +aMIM! s PROOSj LEACHINGDUUAETER P60,OlSEPRAIL FENCE < � I' S 61'50'50•"" ; lW 414.�'� 1050" M._.. ..... �.__..�... ....._. .. (2T>>' DEED! 76 """'"" "— 4/30/18 REVISED PER SCDHS COMMENTS 4/11/1Bwww .. ... k,XP, PDO' 3/1/16 PLAN REVISED PER ARCHITECT M1 S 81'50'50." W 0 M u u DTr lo R �I� n �ttru�llwn�"k r ii� �8 5 Map DISTRICT 1000 SECTION 122 BLOCK 01 LOT 23 �9 d�a7w � - �, ,;I. ._..... �'�� _ -.4dPINNACLE SOUND- -- — LAN D SURVEYORS LLP W N ,"--- — APPROXIMATE LOCATION OF B WATER MAIN — " T r' '" ' S 3213 _i •_. TAX pT :33 VT4A.VS HIGHWAY 3JfTE I I 31 543 V,.._ ? ....,m 1�"..... ....... y,.. ,...... _ _.., r.w. . .. —... ,"w,- —• �'J ..................µ.,�. _........ o,i vus s.l OM .,. LO 00-122-02-24.3 �KO�SJNq ��. Toa I I��a www TAX 100-122-02-2 100-122-02-3 100-122-02-4 100-122-02-5 RESIDENCE SURVEY / TAX 100-122—Q2-1.1 TAX LOT TAX LOT TAX LOT OT RESIDENCE (PRIVATE WELL) RESIDEN RESIDENCE� rRESIDENCE RESIDENCE (PUBLIC WATER) PLOT PLAN (PUBLIC WATER) (PUBLIC WATER) (PUBLIC WATER) \ (PRIVATE WEL� �' �V,11111 SITUATE NO VISIBLE EVIDENCE OF WELL MATTITUCK WITHIN 150' OF SUBJECT SCDHS REF. NO. R10-18-0040 owE�uaG PROPERTY TOWN OF SOUTHOLD SUFFOLK COUNTY,,NEW YORK NO VISIBLE EVIDENCE OF WELL WITHIN `"`M SANITARY SYSTEM IN REAR OF 8'IatL'" 150' OF SUBJECT PROPERTY DWELLING MAY 15,2017 Scale SANITARY SYSTEM IN REAR OF DWELLING \I Sheet No. 1 \ \ l No ..�.. � Project pwq1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT 360 YAPHANK AVENUE, SUITE 2C YAP K, N.Y. 11980 (631) 852-5700 MARY E. KENNEDY 34 WAKE ROBIN IN RI RHE NY 11901 CASH RECEIPT Date Processed® 05/02/18 Receipt #; 190373-P-138084-18385 RESIDENTIAL PUB WTR & LPIS Hdref No: R10-18-0040 Fee: $465.00 Received From: MARY ELIZABETH KENNEDY T . & MARY E. KENNEDY TTEE Amount Paid® $465.00 Check Numbero 225 Project Name: RESIDENCE @ NIS 9525 SOUND AVE, 12861 E/O MIDDLE RD (NORTH RD) Location: NIS 9525 SOUND AVE, 12861 E/O MIDDLE RD (NORTH RD) GE0145 n�y P, lots, Api- �%?Jxw/, tM./, zk VON 1 J, AQ . ........./�, Too OR/" "'AMS ..... ..... .. . ........... '5............ 0 "AA/ convoy 4�/ 7, T Pon M A�4 mm,, TV FM JIM 6, i1dara"llf, . 410 Amu'' Ah, MMM, J_ ;,"v "n WomQ, Q Of !qin IND, i�,,i% ,., , //j/i i 6/% ��'�� // i� / , ';,� ,i i� r ,,,; ,., i ,�.. i i� 2 ,,, '„ i,. / / 1 I , ,, /1 % ✓ �rv4It, , / , i ^^��++��,,yy q �+�;+ pp 99�C+* 11 11 ' "' W#j�OL A*eS[& � Sr3'� � �.� 5� & �sS i ��ww g* y �+ y�q q� y,� / Mv, , r% '% � Rr i' 'C9 S &e �� d9'8" NAGEMIEN ,,,,,/ ",,,1 a, ,% p, , ,r, tea,`� ' � � � r� z� 11 " coo ��, b3L} 5 44 Cab s tl it Conn y1)y�� ' I'll d ;�� / 9, ;; 1I S�R�.CTIOM 0C�Rt O-B/ �ITd',' '��AL �D�� t��'f�S�C �, U�Y,�F��J�T T�T��T � ��J��T"4 1S /, %, IIVGIv I'lltI Y� I� 5 £ pplrca�t's r spo sabilaty�to erisurei at e epi eat c zr c 11 te p 11 r£aa a cess ry InSpec kc�z s �thc se age d spbsal and/or wu to sup iy rht� s prror ba filltrrg hese iz�clu e inspections' offI'll"s��11, a ge Colle6t ori/'dis osa1 s`sterns and mater111� s� 1 �s ste 11 �coz� c�x�e�,s,�ttd pip�zrg, aiad`fiz��l gr�diI g�as p yp Y pI'll sho*n'111 ora the approved plans, Ire cer/tAin cases itrspe�ti," '�a£the,sorl excawatidhs£or,sew a e dxspc�s l ystezras J,wl" A111A� well as other►zlspcct�oras,/r 'ay b r erred Igo ch dale arr r�spectzc�i� o£the sci i �e disposal"systema,an 'or , /' t tp'l a il�tzes, gall l' 2®5754 before 4 prra Date �r s day"" riot to e des11 ired x spe�tiozi date. / rr, < „ d 1aoaa,exc vation,inspection ust b com ' e call 31 X52-57 0 d eeri U� ',in am,s3 trr;. Ir 11 ,,P11 / - 11 o tI'llhe Y ofi a p nsp c io „/ /i p ea c b dwx d th or re zc xr�g the t gmesie&i0 r ifibri belo r;t1�o e art I'lztt y requare add itipual site ixxspe �r zt �ngli clog l r t, of liamat�d° o e pt�simg addrtao al po t bns o£the, ra�ta�y system w� t r�supply;et <fi r ` , /// tl/ r zrtspectlon p�lowui s tis actory crtinstructzon,axxd hispectiozr o£the se, g asposaZ/sepia'e;cdllectioat md" atetI 'l�upplVl-�,£, " "I�s,Ith o l� i�rt rtes afe required£�r£ir��l�aper gal 1 ;Pl ' se ubrmit'4 ori ixla pr�zats o£. n"As�bu1, Ialt"�l /su...` ,/f the property!co taix�irrg a 1 S licensed I�esigti iofessaoaxals or�gia�staihK`lp d/or sariatur "£'h�t�so�txs�r xtct prritted; T`he abta�lt ply mist %f represent th��fiT'os� �axistr�actaorT"cpsadxtzora o£the sub3ect property, trd�tur"s�laall riot b�labeled asI 11 r/ a/' 11, / „ cU%C3 o ed�''CDC 66$ 11 7ii, e C?o�astruct or�'� Thi es b elt",sate pl' � S L1 comtAl R ollowJlrRg xrdfb at- ' ' " », 11 a dot to tr%o "', M cy to e est cross str t, int d ezisrp /' ete orad , u of I ty f p ,� , , , ,, �I a bar d a 'app,tcA l'e, su dL rsaoza m// e, su di rsrom r r nee raur r, ars lot er. / 1'/1Ir '1�1 11 b Atid allaast�za/stares oxa the ppperty raludrttg bit mit hrr%ated to,dlrrrg/bldiia 'stture, /011�11 „, ,iyewray,sade s rxmrri.rng pc 1, li oxad,patid/docZc/ pre , da a lls, stozir draara ; at h ba ins all dr riag sttLf't '/s� �o erz al 1, rrr� txor� Drell, i”Z tom,ut,,,,, ro d ut�li,,/ etc;. %� '17 //,'P'/ ser b z��stt sane a11 m ystezxr,ill sewage das osa comp aie is r�tYae;property'(septic tank(-) �1 `, choo (s ,lahYr strucires;seder ptpi rdrole, etc,}mast bd clearly deprctoda a /ir o//�/ ' %i,% / r ', /� // ' Zdatr�e ltertatai a teatrr�arrricr�t ystezaa h beep rmstalled,th 'as build plans nnust" >, ,/ ' /,ri �� ' �' ',�' also irrdaoate thei taped l_cacao i o f tlae cor�trdl piriel,electrical rrin ;, d re�11mote went papir/1 fox 11 ,Isy11 sterrt1 suctretast e draI'll to sle, aad must sowrr'iz��,tl�ear esct l�datrrt uvgth / proper"'strr hire orrcrrtAtr� 11 r / i1'd tare /// ,/// be, intrst br, shown£ro , t leapt t corrzdrs o tkte btuldrz g to tlae ezr r o la a c'ess 6pezii gs (r� xhol�s of all sewn e syste coxnpom-ixtsro i, / , rr �� / / , // / /i /// /i r /i / / �' asurexnonts to t ,�s111P,eptr tan ',,treatMen;a %t rrt t b sho rm the c�ri I=mo def # f i SCTM# - ..- n Cos] ITIfJr1VS FOR OBTAINING FINAL APPROVAL.OF CONSTRUCTETI PROJECT A a condzrian of s permit to construct,the followwg items must be completed as a minimum,.prior to ti�tg�ct �o � , S0tftle �age dtsa system or water,supply facilities,%For e info atian orris, refer t ratio Otitalnl �, inai Health Department Appr4va1(3f Constructed SlIft Eor� a iuy,Rsidees b -041). �„ caattott�s 'not tic Oda cue of Wa tewatet age ertprior to,installation of any leaching voA1,146-11` �t�mc aclilty o£sotl (Cali;g5. =5754 to schedule an inspection by 4;40 pm one p; III, �` suto rrtt t the at e. ogte ll�ection and confirm by calling$52-5700 between 8:30 ' cpm and 9:30 a,,,"on,the mornink of the inspeetion. atil� io� spcct �rr ley,0iftce of Wastewater� geotol of thee�age�das system / sewage tcat�erit s� tt� (tall 5 `554 to sl 1 nci10 t a 4:04 i tusis day,prior to the date orf 1�c i egne��rl pecln atisfact6 ; ns p ection by Q£five of,,W astewa ,en.toft he water supply system. (Call 852- 5751416,schedule an inspection by 4:00 pm oue 11(1 rt dayl r ar to the datee of the,req ueste Z�n pp, n El Fin a p roval 6m.the ,Office'of ollutiori Control (q44,854-'2502-for requirements.,)., ❑ Starage tanks ❑ Sanitary Abandorunent © Other; a o 4 is ofAs' ,urlt" lora "Tap letter"frorri;water distract ` ert� cation fro the hce sewn a spos systeminstaller(fo -078) "S 9 form"from Suffollc County Dooartmenf"of Public Works,including field sketch(SCDPW) , w' erlinq insiallati6iiff6fo er 'a `SCP is ts) ell le�s:ce cote ater 'clysis erfo ed one ye Ej, ., Cert fication:;,o£Sewage Disposal System Abandonment(forrrivw =080) esi rofess>onals Ce l cation of ons or (£o 1-073},for: ❑ Sewer lines and sewage callection system ❑ Retaxnutg walls (approved as part of sewage disposal system) ❑,, Sewage pump station/ualve chamber s face sewa e s oral syste e e 't 1a t ewa e a ❑ Water supply system ❑ Abandonment of Preex�stang sewage dasposal system and/or water supply Othex " 'Z i /�/ 7/7-_ i// r i AF i i Copies Of'afl forms are ava�labYe from the beparCrnent or at w� stittallccow�tyr� , vr'hral�U under"Docuctsents and Forms„ z W,M,',M Al 3 p b" MW .................. ........... A siv RP"I" to A OW same 4 .......... 7`'O;�'e'n Rj 1.0/1�/`�', 7/211"': �6_ ''oMPI I SM"040 2- son, Wa/�, '41", yl�i� '174 'TOT;' 'aue,�, A .......... difici 06�rO Ok" Iwo, =It,,-w 's ar 0 W_', M a p 4 0, A U WEN/d 6y"SV blk' T/,///,j/",/�,�`,/1 w1011 LOTS _Wn"WhM WAS CIO '1141111,4e, 0"1, 0-non. VK/, —AW—M ""e Iv, 9T, W ,p/, 0, MY 4 1p , ///' ' 9 1 ww W, OVA, v�p 11W ey gatemeq, J 'x Of> ... ....... ........... V sw IMI, e ............