HomeMy WebLinkAbout868 Broadway Corp ELIZABETH A. NEVILLE,MMC VOL
Town Hall,53095 Main Road
TOWN CLERK �� y� P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
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Fax(631)765-6145
MARRIAGE OFFICER ,!, p`. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �O,( �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town BuildingDepartment
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p MAY 3 1 2018
FROM: Sabrina Born, Southold Town Clerk's Office
ENDING DEFT.
DATED: May 31, 2018 TOWNOFSOUTHOLD
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4611 for a Cesspool/Septic Tank
Construction Permit submitted by:
Nick Zoumas
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 y
DISAPPROVE
Comments:
Signature
49
Dated
1 Q
ELIZABETH A.NEVILLEQ`�` G•y� Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS
Southold,New York 11971
MARRIAGE OFFICER • �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERo Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER 0'� 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.
Permit No.
Applicant Name dj(,4 gG u 4✓1 AS
Alicant Mailing Address d'Vo V•ouTG 0)<A,7A"1X)1-1ItIWL tJ l I a
Septic Tank/ or Cesspool
Brief Description of Proposed Construction or Alteration WEy✓
k�-Ie
Location of Proposed Construction/Alteration:
Owner of Property: �fL�t1'Dr✓A!1 C-07-7`
Owner Mailing Address::/ ,1T(a R.au-t-E aS
li►A to�n'!T Q, ✓�(t. ,vim )111'a
Owner Property Address: 13ii� 'S l'PS DGLI ✓G
So LkOOLQ ,
Name and phone number of contact person ��Z.�C. 103J. �a9� SS"00
Tax Map No: Section -49 Block 03 Lot
Cross Street &, 9 �t� 12Gy4�
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
-S-;qas J8
Si atur of Applicant Date
Received by:
N/F
KATHLEEN LAGSEGO 2014
\ / ��� IRREVOCABLE TRUST SCTM
1000-079-03-19 ZPAR I
• Z,- cou wt Y 1)
FO R A
9. 93.38
N 4-07109' ........... PER511-i FOR APPROVAL 0'
..............
NIF
AND
SCTM: I000-079-03-20
(CONNECTED TO PRIVATE W Q
4
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100
ri
10.19'41, DPTrr 4,S, REF. No.
V)
JOAN I
N/,RE
cu SCTM' 1000-079-03-2.3
_c = C)
4- (VACANT) (fi0
oc 84.2'
(50WIN.) apffiM THREE YEARS FROiyl DATE OF APPROVAL
cj E —73.0 35.01
Olt,
vui
E SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
(SCDHS REF# R10-17-0020)
C u
40,
BUILDINGS:
fu cc +jI
- W QPROPOSED 2 STORY RESIDENCE
4
LEGEND: 4 BEDROOM
Whit
V) 68 4' -bU
O1 0- cr PROPOSED 2 STORY RESIDENCE PROPOSED BUILDING R-443 ESIDENTIAL)
(20-MIN. GARAGE
ai aj -c F.F.E.=26.5' SITE DATA.,
U In S- 41 4 BEDROOMS W/ BASEMENT b
0 F.F.E.=27.75'
PROPOSED ASPHALT DRIVEWAY
SCTMI. I000-79-03-22
PROPERTY LINE
.8 2.8'— SITE ARElL, 0.684 ACRE
PROPOSED CONTOUR 1. NO OWNG SURFACE WATER WITHIN 100'
10'( IN.)
t 2. No PRIVATE WATER WELLS ARE LOCATED WITHIN 150'OF THE PROPOSED SANITARY
---I I o---EXISTING CONTOUR SYSTEM.NO PUBLIC WATER WELLS ARE WITHIN 200*OF THE PROPOSED SANITARY
SYSTEM
0 MIN.)
NIF ___4STo -10'(MIN. 1 O'(MIN.. .5, PROPOSED TREE LINE S. NO DRAINAGE STRUCTURES WITHIN 20'OF SANITARY SYSTEM
SCTM:DON1000AL -079-03-210 JL__-j"FE\
(CONNECTED TO PUBLIC PROPOSED SEPTIC TANK GENERAL NOTES:
WATER) PROPOSED SANITARY LEACHING POOL 1. THERE ARE NO KNOWN WELLS(DEEP OR SHALLOW)WITHIN 150'OF PROPOSED
SANITARY STRUCTURES THERE ARE NO KNOWN STORM DRAINS WITHIN 20'OF
I O'(MIN. PROPOSED SANITARY PIPE PROPOSED CESSPOOLS.
lo.( IN
2 THERE 15 A WATER&IAIN AVAILABLE ON SHIPS DRIVE.
PROPOSED 8'ADS ROOF DRAINAGE PIPE J. PROPOSED SANITARY mim IS DESIGNED FOR A TOTAL OF 4 BEDROOM&
4. TEST HOLE PERFORMED BY MCOOMALD GEOSCIENCE ON 1-9-2017.
PROPOSED 10'0 DRAINAGE STRUCTURE (SOLID COVER'
SURVEY NOTES:
S.
10( IN PROPOSED 10'0 DRAINAGE STRUCTURE (OPEN GRATE)
1 1. MEASUREMENTS ARE IN ACCORDANCE WITH U.S STANDARDS.
0,(1 N,)
LONG ISLAND
2. BEARINGS SHOWN ARE IN NEW YORK STATE PLAN COORDINATE SYSTEM
PROPOSED 1' WATER SERVICE Z
If ONE.
3. ELEVATIONS SHOWN HERE ON REFERENCE NkiD 1988
TEST HOLE LOCATION 4 UNAUTIPMED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED
Ix LAND SURVEYORS SEA.15 A VIOLATION OF SECTION 7209,SU80MSION 2.OF THE
EX.TREE LINE NEW YORK STATE EDUCATION LAW.
S 7'52' 9' V 18?1?�
F
J, S. ONLY COPIES FROM THE ORONAL 0 THIS SURVEY WAKED WITH AN ORIGINAL OF
0-
-I---- -, -" EX. UNDERGROUND WATER THE LAND SURVEYGR'S'10,18OSSED'OR'INKED'SEAL SMALL BE CONSIDERED TO HE
"P, -7-= VALID TRUE COPIES.
N. BA-YVIFW RD 77�_L BAYVIEW RD. B. CE311TIFIrATIONS INOIrATED HERON SIGNIFY THAT THIS BURRY WAS PREPARED IN
WATER SURVEYORS ADOPTED
ACCORDANCE WITH THE ousTiNo CODE OF PRACTICE FOR LAND SURAE
METER PROP. WN FOR WHOM THE SURVEY IS
er THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL tAND SURVEYORS.SAID
(n I"TAP EXISTING FICATIONS SHALL RUN ONLY TO THE PUr
F ARED AND ON MIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND
GRADE VF ,
DEN G iNsmvrioN LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING
LJ EX SCINA MAIN 24.23' CERTIFICATIONS ARE HOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
CAM
DARK BROWN L qL BS
_EX. WELL ")
0 1 23.23 OWNERS
SHIPS DRIVE IGHTS -WAY NOT SHOWN ME NOT CEffnFIED,
,;4L a. .A EAu CLOSES MATHEMATICALLY.
BROWN SILT (ML Q-
0
------ --- 4 20 23'
t
c
..................
SCTM:1N000 ET 079-03-39
E.MARIN --- BROWN SILTY SAN
(CONNECTED TO PRIVATE WELL)
EXISTING WELL NO LONGER
L0 CONNECTED TO PUBLIC IN USE. RESIDENCE
WATER
-f 4e
16.23'
MF UPDATED BUILDING FOOTPRINT&SITE LAYOUT
CFD
(L BROWN FINE TO BY DESCRIPTION APPROV 13Y
CO N/F
DATE
k, DINO MOSHOVA I
SCTM: 1000-079-03-38 COARSE SAND (SW)
_1,11 REVISIONS
7 (CONNECTED TO PUBLIC
7 WATER)
F
N/
I SCTM: 1000-079-03-37 17' 7.23'
ANNE J SWANSON TOWN OF SOUTHAMPTON
EX WETLANDS I SUFFOLK COUNTY, NY
(CONNECTED TO PUBLIC
o�
Z5r. WATER)
N1340 SHIPS DRIVE
0
A
1.50' (HIGHEST EXPECTED
GROUNDWATER-USGS WELL S53328.1)
TEST HOLE BY MCDONALD
WETLANDS PROPOSED SANITARY PLAN
EX.
0 V,
0. ACllrr
7- GEOSCIENCE - JAN 9, 2017
7- (NO WATER ENCOUNTERED)
DO
L. K. Mc
7777� TEST HOLE LEAN ASSOCIATES, P.C.
CMULTING ENCIMIDIRS 4P WM C0WW 0,UDO&VM NEW YM 117,9 A"o-, N.T.S.
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