HomeMy WebLinkAboutSinanis • � g�f
ELIZABETH A.NEVILLE,MMC O� COG Town Hall,53095 Main Road
TOWN CLERK y� P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER ,f. Off. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �O,( �`1 www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department K20t8
JUL
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDING DEPF•
DATED: July 12, 2018 T1D-W 1 OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4626 for a Cesspool/Septic Tank Construction
Permit submitted by:
Krzvsztof Zebrowski for Kaity Sinanis.
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: Final approval required from the Suffolk County Health Department
9X4c
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02
Signature
t,9
Dated
t
ELIZABETH A.NEVILLE �� °may Town Hall, 53095 Main Road
TOWN CLERK cz � P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICSFax(631) 765-6145
MARRIAGE OFFICER , •�
RECORDS MANAGEMENT OFFICER �j�� v e � Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER g 3outholdtown.northfork.net
G
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 V or Non-Residential @$25 Application No. (O
Permit 11;o.
Applicant Name
Applicant Mailing Address_ 06 F A(L N'005
Septic Wank \/ or Cesspool _ �� ��
Brief Description of Proposed Construction or Alteration `��S��LI �! 1 a_
'58RIM-AM WIT
Location of Proposed Construction/Alteration:
Owner of Propeity: — IT /OAN�
._nn _
Owner Mailing Address: —t110 V ST ;���(%,
LL!�
P! 1197
Owner Property Address:__ 99" T A ml OND s
Name and phone number of contact person KRU&MOF
Tax Map No: 10 Section 40 � Block _�� Lot
Cross Street NN20 PRIUE
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signa Are of Applicant Date
Received by: _ _ _
1
S.C.T.M. N0. DISTRICT. 1000 SECTION: 106 BLOCK: 7 LOT(S): 4
DWELLINGS
W/PUSLIC WATER I '5COANT
150' 1
ONC. CUR
CL 62.3 RUTH ROAD CL 57.8
EXISTING WATER MAIN
........... .. . . . _
TC 62.3 CONC. CURB 7C 59.6 TC 57.8
u-P-ON 71029 20" 1 100.00' U.P.MON' EL 62.7 M' — 4` Cf4AJNU 0C 58.6 _
195.72'
rn $ 39i fio.s
z i 10'MIN 8'MIN a
� EXP
�= 1,000 GAL s.r. B �-•
00 a ` >1)s'C1A 0 't P R
-LEACHING POO 0 0
N a
O 1 7Eo(62 5)
CLEANOUT1215: £(60.O
O
IO=C '
EL 62.5 54 C 2.0
) � )
- - , EL 6 2.7 ;�D—R `t
IL '� 'DRY
GS
f - W1113L1CDWELLIN6A'rtR ` DWELLINGS
t 150' W/Pt1BL5WATER
EL 58.4
e _ EL 58.6
3
Li jp F—n W
_ z
Y
r
W Z
Cleanout must be installed on the
septic tank inlet waste line. All utilities
require a 5ft minimum separation to Cr„
the septic system. o O
o
0 0
0 0
LOT 11 LOT 10 LOT 9
EL 56.1 EL 55.4 EL 55.4
4' CHAINLINK FENCE
MON. S 71'39'20" WMON. ELEV. 62.7
100.��� OL DR BROWN 0.81
LOT 14 LOT 15 SANDY LOAM
BROWN
DWELLINGS SM LOAMY $AND 1.9
W/PUBLIC WATER & GRAVEL
150'
TYPICAL. CLEAN OUT PALE
BROWN
SLATE OR STOPPER END MEDIUM
SUITABLE COVER SP SAND
OR PLUG &
GRAVEL
[2 1
14.3'
30' ELBOW -_
60' WE
NO WATER
FLOW-'- JAN 2 ' 17'
1 DEC. 15, 2017
GUFF'=NMLTN SERVICES K. WOYCHUK LS
OF THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
ZONED R-40 LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA: 20,000 SQ-FT. or 0.46 ACRES ELEVA77ON DATUM:
UNAUTHORIZED AL7ERARON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO 7HE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TV77ON
LISTED HEREON, AND TO THE ASSIGNEES OF 7HE LENDING INS777ZJ770N, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO 7HE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE 7HE EREC77ON OF FENCES, ADD177ONAL S7RUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 7HE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 10 CERTIFIED TO: KAITY SINANIS;
MAP OF: SUNSET KNOLLS SECTION 2
FILED: APRIL 9, 1970 No.5448
SITUATED AT: MATTITUCK
TOWN OF: SOUTHOLD KENNETH M WOYCH TK 1AND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Boz 153 Aquebogue, New York 11931
FILE # 202 SCALE: I"=30' DATE: DEC. 15, 2017 a + PHONE (831)298-1588 FAX (631) 298-1588
N.YS. NO. 050882 maintaining the records of Robert J. Hennessy do Ker M. Woyohuk