HomeMy WebLinkAboutSands ELIZABETH A. NEVILLE,MMC � � Town Hall,53095 Main Road
TOWN CLERK � P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICSFax(631)765-6145
MARRIAGE OFFICER Telephone 631 765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: October 9, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4664 for a Cesspool/Septic Tank
Construction Permit submitted by:
K. Zebrowski for David and Sarah Sands
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
DISAPPROVEmr_
Comments: .
Signature
Dated
Tow'n Hall, 53095 Mimi Road
u
Southold9�"��
GfiT "M° � 0 Fax � " v
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
one(631) '766 1800
N OFFICER
C :111 "':111(",1111 ° . , � w 11 v':11 owl C :J'1111:I E".
TOWN OF S 'UT'111L1
SOUTHOLD WASITMIAITIR1V IS"1111CUr
CONSTRUC'11.10N oir ALTYRAIION PERMIT
CESSJ?00L or SEPTIC TANK
l�mu� ial @$111.. ..... or 1'�ori-1 ..es1�.e-retial @2 .....__ ^.1 j.,)fic ol':l.on No. .
1' .. ��
Peunit No.
Applicant Naln.e_ K1�A
Applicant Mailing Address—,,
w.. ���.�.��� G ®,
Septic
LEAC41-1 1,".6,-. CL
Locatiorl of Proposed Cotisi.ri,�,cl-,ioiii/Ailleral,ioii:-w.!�
u.ml k�'w �mu,a� ..... .wG, .......,,. �— ... ..
Owner Mailing /%du"1m e W
-N-6T, Cp 1f5TER E P
Owner,Property Address.-,
�.. . . .. �1 ®... �e
.I 11 9�77
�Ikme and,phon.e nurnber of contact person 44 0",N
'rax Map No: Section Block 'I'ot
Cross sixed,
NOTE- .,0C.... .11C11CC1N 1 : 1161 1C .usi, 1z sC1m1_rn.1 ,m W11111 1G:1 A.C'PC.,CC. T1Q,q. 114E
;Or,114^w°"1:`1Rucrimi ]REQUIRES Se ' r � ? 1' �'.C111a1111"., .�.C:"11°11u 1Gu.1'CCIC." 11 P1�.0VAL
. '11C 1 1G: .0 a I1II
Date
C
S.C.T.M. NO. DISTRICT: 1000 SECTION: 15 BLOCK: 7 LOT(S): 9
ELEV. 18.4
OL DR BROWN 1 0'
SANDY LOAM
BROWN
WELL SM SILTY SAND 1.8'
0 � _
BROWN
DWELUNG' MEDIUM
WRN WEU. WATER SP TO
COARSE
SAND
Co
i GRAVEL 14.2'
DWauNc I LP
w1TH waL WATER I
' NO WATER
0 — 17'
AUG. 20, 2017
.�h K. WOYCHUK LS
f
770' CCL 17- � 8.3
R'OND
1F 154. 4 u.r.
CL -KIN EL 19.3 �
M E 0 C-4
a O
'SO/ P 1 EL 18.4IN /WATE®R
WELL
w w
E 17.5 it o
s DWEWN
PROPOSMO 0 WRN WELL
� DRY � U
I -
I ', (17. ) (17.0) O WELL o y
84.8
UJ PROPC$ED
w DRaAr
� LP
Z LOT 146
MW Z
160 0
+
EL 16.7 OC
U- 40
0 '
2s
(17.0) (17,0J ` r 150'
PROP. 3-e OMPMU N DC0'
_ 000 15LR
gAM (1)8'DIAx12'DEEP LP. P
16.6 EL 17.9 E 17.
t� — '
- � . 50.00
_ . UA S f185LJ" E
DWELLING
a i / o
LP. S
ZONED R-40 0-
NON—CONFORMING LOT f
FRONT: 40'MIN LOT 147 --
SIDE: 15'MIN 35' TOTAL DWEWNG
F R: 50'MI1
I
SUFFOLK COUNTY DEPARTMENT ALT F SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTIONRA 'G
W"i WUML WATER
SINGLEI LY RESfD9NCE ONLY ML WELL
I
DATE.- 10 040
F
APPROVED
;;O"iAXIMUM OF
EXPIPS.S74RFE
APPROVAL
. TYPICAL CLEAN OUT
WITH SUISLATE OR STOPPER END
APPROVEDNACCORDANCETABLE COVER OR PLUG
REVIEWDETERMINATION
��� �t l
30' ELBOW
E--
60* WYE
1
FLOW
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
REVISED 12=15-17 LOCA77ONS SHOWN ARE FROM FIELD OBSERVARONS
AND OR DATA OBTAINED FROM OTHERS.
20,549.24 SQ.FT. or 0.47 ACRES ELEVA77ON DATUM. NAVD88 _
AREA: ----------
UNAUTHORIZED AL TERA 770N OR ADDIT70N TO THIS SURVEY IS A VIOLA77ON OF SECT70N 7209 OF THE NEW YORK STATE EDUCA 77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF 7HE LENDING INS777UT70N, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDIT70NAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE TIME OF SURVEY
....................
SURVEY OF: LOT 146 I CERTIFIED TO: SARAH SANDS;
MAP OF: ORIENT BY THE SEA SECTION TWO
FILED: OCT. 26, 1961 No.3444
SITUATED AT: ORIENT
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SIR `EYINC., PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
r P.O. Bog 153 Aquebogue, New York 11931
FILE # 17 73 SCALE: 1"=50' DATE: AUG. 30, 2017 PHONE (831)298-1588 FAX (631) 298-1°Q8
N.Y.S LI V0. 050882 maintaining the records of Robert J. Henneaey h Kenn Woychuk
ELIZABETH A. NEVILLE,MMC � � �' Town Hall,53095 Main Road
TOWN CLERK �� P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax 631)765-6145
MARRIAGE OFFICER '` Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER , www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER , . :
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: October 9, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4665 for a Cesspool/Septic Tank
Construction Permit submitted by:
Robert Brown for Janes and Karen Seer
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: .... ...............
Signature
Dated
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TP.O. Box 1179
OWN CLERK
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 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 Al or Non-Residential @ $25 Application No. ��J
@ Permit No.
' ✓°'��
Applicant Name
Applicant MailingAddress
I est .... _ _.....__.._ -.....
.... .
Septic Tank or Cesspool
Brief Description of Proposed
d
csmtracta.onor .lta.raIJ0114?1'11 �.._
rp
Location of Piro osed onstructlo � tera ion
Owner of 1 1e y,...w_....��.
Owner Mailing Address:,,.,,,,/,. " . .� . w...
.
M.
Owner Property Address:��
Name and phone number of contact person �.. �, _.
Tax Map No: �" Sectionlack " Lot
j
' .� �..
Cross Street � �--� z ... '�� ..
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH TH DEPARTMENT APPROVAL
Signafilre of ate
Received by: �wa... . .m ._ . ,. ._ ... _w—...w.___
JACKSON STREET
TEST MOLE 2,'1 2120 17
---- _. __--. --(PUBLIC WATER IN STREET) {�-.0F PA�'EYE7R
IS 85'22'00" E }
l
120.21' hrtu !00 GAE_`;'PTiG TANK
F� i i
l '
--- 202.21' TO THIRD STREET
1.2'1
❑ a
❑ R � P �C)L)5.F
H, N
V
- [ 1
E
C D5
Y ,
_•r a v y PRGuS�D vGd _EAC7 NG
;' N
- - Gn _eY SEPTI[5y5TE POS:
I �
RGNOVATEE)GAkAGr ONLY
EXISTING 2 STORY FRAME HOUSE
jI
Iz
WAiTfd
WATER
10 71
II
9 Exi5TiNG 5EPTiC 5Y5TERA Iy
OR
rvf?
= e=
R 0 05-9205) SII
ti i t mrrARY Sys-mm
_ s 5 i'
3 r I
R i
Cleanout must be instaffed on the " 3
septic tank inlet waste line. All utilities
require a 5ft minimum separation to 10 5YTEC1 CROSB SEC T ON
the septic system. i u _ s =u u : yes ._
FECH S
I -
/ I
-
/ _, y �
j ] a�5 r a _ate.
a e -
I i _ L
- - s _ m
SEAWARD EDGE OF IVT�d Lama g
1 € - m
2&1r
JJ
{ I P 1AIL
BABLD ON SURVEY BY
w ! ei^NN T H M. WOYCt'u<,, LAND
4— ; SURVEY NO F'LLC.,
18, 08
o f i 8C I M N0, I COO- I t- 0- 1 ,5, 1'
o EL `J eTION DATUM: NAVD88
('
I'1
LOT 18 1 : 43,227 5F
5 89'33'32" W
I
GREAT PECONIC' BAY
SPEYER RESIDENCE
2100 JACKSON STREET, NEW SUFFOLK, NY
[ -
JUNE 14, 2018
_ S!RE0 ARS
E RSO
SCALE: 1' = 30'
, 4
� :T� U N T=AE
Robert I . Brown - � = q
'� ANN
r 3
Architect, P.C. T 4
205 Bay Ave. Greenport NY
f. 0o
in o@rl rown l-chitect.com _ L
631-477-9752