HomeMy WebLinkAboutSchulz ELIZABETH A.NEVIILLE �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS rte^
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
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CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential (a),$10 x or Non-Residential @$25 Application No.
bs�
Permit No.
Applicant Nme....mm Joseph Turner..„. .......... .. ................... _... ..............ww......................
Applicant Mailing Address 4576 Middle Countryµ Road
Calverton, NY 11933
... _ ——- ..-..........
Septic Tank
p or Cesspool
Brief Description of Proposed Construction or Alteration
construction of septic system for new new two story residence
Location of Proposed Construction/Alteration:
Owner of Property:- Gregg & Kellie Schulz
Owner Mailing Address:.,,,,_,,,,,,w,
180 Pine Street
Rockville Centre, NY 11570
Owner Property AtkltvssGregg & Kellie Schulz
1040 Oak Drive, Cutchogue, NY
Name and phone numb -..._o
Jose h Turner (443) 865-3108
er of contact person _ pw
Tax Map No: Section 104 Block 06 Lot 16
. ..........._.................�.
Cross Street Hickory Drive
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY I E DEPARTMENT APPROVAL
S as�to ofla " n1: Date
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Received by
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GRAD/NG PLAN
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€ Y OF PROPERTYLEE _
71 L � hr T
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r`� TO _N OF SO UTHOLD
PROPOSED SEPTIC SYSTEM (3 BEDROOM MAX) a- a,
SUFFOLK COUNTY, N. Y.
[5]LEACHING POOLS 2'PEEP X 8'DIAMETER 1000-104-05-14
[111,000 GALLON SEPTIC TANK. SCALE.• 1' 30'
TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF AUGUST 27, 2013
HEALTH SERNCES SPECIFICA710NS. FEBRUARY 7, 2014 (PROP. HOUSE & GARAGE)
WEN`NOS
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RAIN RUNOFFN T'A N T � (EL 5) Z
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GARAGE �- #fl
4996 Il. St OZONE U �
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849142.2 20 'VF. ZONE X
PROVIDE DINs 8'O deep ST, \
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approved survey.
N/O/F SON
TEST HOLE DATA pu oc SUFFOLKod DEPARTMENT OF HEALTH SERVICES �
BY MCDONALD GEOSCIENE PERMIT FOR APPROVAL OF CONSTRUCTION,FOR A T
LE FAMILY RESIDENCE ONLY rn Q j
8/12/13 7:40AM
SING
EL 8.6' '
BROWN SANDY LOAM OL O m
_ 0.5' APR 0 8 2014 _ .
PALE BROWN SILITY SAND SM DATE �. E F O. -N—_Gc)
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4' PALE BROWN FINE SAND SP APPROVE{? O
CA �
EL 0.e' �B• FOR MAXH <11
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WATER BEDROOMS
WATER I; PALE BROWN FINE SAND SP EXPIRES THREE YEARS FROM DATE OF APPROVAL M n
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I am familiar with- the STANDARDS FOR APPRO P co
AND CONSTRUCTION OF SUBSURFACE SEWAGE
12' DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
FLOOD ZONES 'FROM FLOOD INSURANCE RATE MAP
MAP NUMBER 36103CO164H SEPTEMBER 25, 2009 The location of wells cesspools & public water shown hereon are
from field obser r from data obtained from others.
ELEVATIONS REFERENED TO N.A.V.D. 1988 �E �
AREA-14,443 SQ. FT.
N. Y.S. LIC. NO. 49618
AN Y AL TERA 710N OR ADDI TION TO THIS SURVEY IS A VIOLA TION H j }`OS S, P.C.
OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER77FICAT70NS 5-5020 FAX (631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES ]HEREOF ONLY IF ' 4961a OX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON. IND OUTHOLD, N. Y. 11971 07—f9w�4