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gUfFO(,f Town of Southold Annex 7/30/2013 P.O.Box 1179 y 54375 Main Road • o�-V Southold,New York 11971 col � ya CERTIFICATE OF OCCUPANCY No: 36422 Date: 7/30/2013 THIS CERTIFIES that the building COMMERCIAL Location of Property: 1240 Village Ln, Orient, SCTM#: 473889 Sec/Block/Lot: 25.-1-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/22/2012 pursuant to which Building Permit No. 37141 dated 4/16/2012 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ramp addition and alteration for handicap bathroom in an existing commercial building as applied for. The certificate is issued to Black,Robert&Black,Leslie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-09-0009 7/18/13 ELECTRICAL CERTIFICATE NO. 37411 4/9/13 & 5/7/13 PLUMBERS CERTIFICATION DATED 4/15/13 Mike Jacobi Plumbing&Heating AuthbrVed Signat re �g�FFU(cG TOWN OF SOUTHOLD ��o y BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE > SOUTHOLD, NY y�011} " BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37141 Date: 4/16/2012 Permission is hereby granted to: Black, Robert & Black, Leslie 113 Kimberbrea Dr Kimberton, PA 19442 To: construct a handicap bath & ramp at an existing building as applied for At premises located at: 1240 Village Ln, Orient SCTM # 473889 Sec/Block/Lot# 25.-1-25 Pursuant to application dated 2/22/2012 and approved by the Building Inspector. To expire on 10/16/2013. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $299.60 CO -COMMERCIAL $50.00 Total: $349.60 Building Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This-application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ar For new building or new-use: 1. Final survey of property with accurate-location of all buildings,property lines,streets,and unusual natural or topographic features. 2, Final Approval-from Health Dept.of water supply and sewerage-disposal(S-9 form): 3.. Approval of electrical installation from Board of Fire Underwriters. 4. "Sworn statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. . 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance-from architect or engineer responsible for the building.. "6. Submit Planning Board Approval of.complewd site plan requirements- B. For existing.buildings(prior to.April 9,,1957)non-conforming uses,or buildings'and G°pre-existing"land uses: 1_ Accurate survey of property showing all property lines,streets,building and.unusual natural or topographic features" 2_ A properly Epmpleted application and consent to inspect signed-by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant" C_ Fees 1. Certificaie of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50:00, Swimming pool $50.00, Accessory building450.00, Additions•to accessory building$50.00,Businesses$50.00: 2• Certificate of Occupancy on Pre-existing Building- $100.00 3_ Copy of Certificate of.Occupancy-$25 4• Updated Certificate of Occupancy- $50.00 5" Temporary Certificate of Occupancy -Residential $1..00,Commercial$15.00 Date. J New Construction: Old or Pre-existing Building:S - (check one) Location of Property: V 1 6MA LAA House No. Street j� Hamlet Owner or Owners of Property: t" t `� �1 �" �,{ r Jkobar //G 6W k Suffolk County Tax Map No 1000,Section Block Lot (� Subdivision Filed Map. Lot: Pennit No. ( ( Hate of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary, Certificate Final Certificate: ( (check one) Fee Submitted_ $ 5-V rV pplicant Signature suFFoc� Town Hall Annex p� COGS Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 P.O. Box 1179 O • Southold, NY 11971-0959 y?�Ol �.a0! roger.richert(a)town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Bob Black Address: 1240 Village Ln City: Orient St: NY Zip: 11957 Building Permit#: 37141 Section: 25 Block: 1 Lot: 25 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Doroski Electric Inc License No: 2941-e SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water 30a GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures TVSS Other Equipment: 1-exhaust fan, water pump feed and switch Notes: Inspector Signature: Date: April 9 2013 Electrical Certificate.xls suEFot�- Town Hall Annex ��0� COGS Telephone(631) 765-1802 54375 Main Road c Fax (631)765-9502 P.O. Box 1179 0 '� Southold, NY 11971-0959 `y�j� ,�.a0 roger.richert(a0own.southold.mus BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Robert Black Address: 1420 Village Lane City: Orient St: NY Zip: 11957 Building Permit#: 37411 Section: 24 Block: 2 Lot: 6.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Ll Other Equipment: 1-recpticle for garage door opener Notes: Inspector Signature: Date: May 7 2013 Electrical Certificate.xls SO&P Town Hall Annex Telephone(631).765-1802 54375 Main Road 41 Fax(611)765,9502 P.O.Box 1179 Southold,New York 1.1971-0959 �Q OUN1Y,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD .CERTIFICATION - Date:' Building Permit No. L Owner: O .keg, Cd (< (Please print) Plumber: /v� Ac G CC) (Please.print) I certify that the solder used in the water supply system contains less.than 2/10 of 1%u. lead. (P mbers Siknature) Sworn to before me this day of OoA 20 3 BONNIEJ:DOROSKI Notary Public,State Of New York No.O1D06095328,Suffolk Co my Term Expires July 7,20 Notary Public, County . - OF SO(/T�olo 371 If ��'y�0UNT1,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION RAMING STRkPPRW [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: F e DATE �� j INSPECTOR ✓�/ r �� �aof sours o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ., [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING/STRAPPING [ FINAL wlw-er� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECT ON . [ ] 1 ) FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMAR 4 ji" 6 Jto C DATE INSPECTOR --PE re ml 1�I� �OF SO(/r�, y U. G � - Q4'0 � . � '�courm,CH ��' ` y DIN TOWN.OF SOUS' "OL I.LDING DEPT. . - — 765-1802 1111p-ECT ON [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS =ATI N . [ ].FRAMING/STRAPPING [ ] INAL FIREPLACE&.CHIMNEY [ ] FIRE'S 0 FETY INSPECTION !] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- - . [ ] ELECTRICAL (ROUGH), [ ] ELECTRICAL (FINAL) IV- REMARKS: C n DATE / �� �� INSPECTOR --- - �o�a0f SO(/lyolo • �O TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] �NLATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE O 3 Z, INSPECTOR 04 SOco (/r�o`o • ao TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 INSPECTION - ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION" [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR Of SOUTy�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR0 COLD�I$PE, CN 3tEP7� DATA COMMENTS. . 'Ot71PA rtioN(ISTY. wMr�N�wT. PrTrwsrr « o.oar .. .. .. FOtTNDATION(2ND) O / PL'CTIVOING • . �to INSULATION PEP,N.Y. y. STATE 3zN=GY CODE. RINAL 2iCo v ADDITIONAL.COTY=NTS . '&,K77M&DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health N -a 4. SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval No X: (631) 765-9502 Survey atholdTown.NorthFork.net PERMIT NO. Check D, o0 Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 01 ,201--- Storm-Water Assessment Form Contact: Approved 201, Mail to: Disapproved a/c Phone: Expiration fo ,2 0 f3 D C E Buil 1 g Inspector 6 2 APPLICATION FOR BUILDING PERMIT ' NOV 009 Date is 0 y — 6 -- , 20 o ct BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLD a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. ' e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing, the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant a rees to cocith all:a ws, ordinances,building code, housing code, and regulations, and to admit authorized ' t(e c(pr ff'14s�0d i ig for necessary inspections. F EB 2 1 2012 (Signature of applicant or name,if a corporation) BLDG. DEPT.' 42q 5 V R os-CON IZ04p , cu'tc�-ko 4 V E UY ii43! TOWN OF SOUTHOLD (Mailing address of applicant) r_Stf whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder AGENT Name of owner of premises M ►J 0 a VT -P,0.3 D (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1 2 40 V l l-- P. ,,;6 I.AN E 021 eko'i" 5"j House Number Street Hamlet County Tax Map No. 100.0 Section Zs Block e I Lot 25 Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy tow Ti m v e S•ro q.t b. Intended use and occup ancy A w-r I =u 4 S-ro a-E � 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work A o e I-4 C H A L.>r g Q^r+1 (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. loo'/o 7. Dimensions of existing structures, if any: Front 16 Rear 140 Depth 40 Height 'L Number of Stories owl! r �......,.i ...�,. ..... . ..:......+.. Dimensions of same structure with alterations or additions: Front I ro; Rear I Depth 4o Height 1-L Number ofSt6hes oNE Dimensions of entire.new construction: Front �3� Rear $� Depth 4 8. Di _.... . Height 8' Number of Stories 0"L9 9. Size of lot: Front Z S Rear 2S Depth 143 10. Date of Purchase Name of Former Owner P.o6< L.ES Li 6 6LACK 11. Zone or use district in which premises are situated (000 Pu SSA en SMvkeC-- C-0 M"` 0, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises? YES NO ✓ 14. Names of Owner of premises many vAN Nma.ANDAddress 14--= v t u,Ns e LW Ph Dne No. OrzI ENT Name of Architect esL Address 4,7�-'jt Ph6ne No -734- w13-n Name of Contractor Mme sAcov-,' - Qlgt&L#4y Address Pot3ex 1s-7 anw4w-tPh ne No. `16s— 1&.43 N .. C,o.+iy -iwc+,ocL-seoh� o�.e.oz, Ny 3Z3— Zr.�-� LIcewcE 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓ * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property line . P►TTA c N E D 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO ✓ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFF 4Z1t15AM2-'r Sacze..A-r'r ra being duly sworn, deposes and says that s)he is the applicant (Name of individual signing contract) above named, (S)He is the Ac4llpv-r cN�►NaerL (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and t make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and.that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Ce day of kt a\r 20 09 Notarlr-Pab�iCKI TM Now..--Notary Public „e10. MAP Signature of Ap licant S��IyA . �o Town Half Annex 1 f Telephone(631)765-1802 54375 Main Road x{631).7 5 P.O.Box 1179 G. roger.dchert ownsoutolhy.us.. Southold,NY 119714959 Q + BUILDING DEPAR`I'MFW TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: yr License No.: Address: f� Phone No.: JOBSITE INFORMATION: (1nd.icates required information) *Name: l3�x�-' *Address: *Cross Street: *Phone No.: 4,/0 Permit No.: Tax-Map District: 1000 Section: Block:` Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) L-'L&cTR 16, cU7-1-e-T '057a x- Gve4 ce oao (Please Circle All That Apply) _ *'Is job ready for inspection: YES 1 NO. Rough In Final *Do-you need a Temp Certificate: YES I NO Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82 Request for Inspection Form ) 1 =ti �low KRIV Town Hall Annex � Telephwe(631 183 'i $4.375 M*in Road P,O.Box 1179 Southold,ICY I i 9716 4Y Sn Bl rUMIIriG DEPAW M>:NT TOWN OF SOUMC031J) &PPINABON E9119LEMBI-06-�JbIM59I) REQUESTED BY: Date: .... ' �.. .�s�...._......._...__...__. Company Name. Name: License No.: -. Address: , � `15 3 P11pr18 NO.: R��.M.-: JOSSITE INFORMATIO14: '"Indicates required information) *Address:'. _iz A 6 *Cross Street: «Phone No.. - Permit No.: Lot Block:ak• Lot — Tax MoP District: ,..n0!? Sectiar�:,_,,,._....,. ^ ---------.�. *BRIEF DESCRIPTION OF WORK(Please NIt Clearly) (Ptesae Circle All That At)PiY? Raugh.l Final *18 job ready for InSPectior-: �! 40 *00 you need a TOMP Certificate: YES 1 NO Temp tnformwion (if r� �► 15G 2%.* 300 3d0 400 Other *Semce size: 1 PhOSS 3Phasm 4Q0 Ova' New $ervtee: Md * Re-connect underground Number at A�!49ter6 Change of Service a)0HlncP WIT i qnf�!matron Ac�ditiotta ids t , f s f B2-R94�e�for�nspeatian dorm �J Ulu � �J �J � a l:- . s TAM TY READ C A►RD OWNER STREET. - VtLLAG I DiST, . SUB. 17-4 FORME OWNER N r E ACR., S W TYPE OF BUILDING Ad :ES. SEAS. VL FARM COMM. CB. MISC. Mkt. Value 542 LAND IMP: TOTAL DATE REMARKS 10 4 -a a-=r-a Av�q - 4 (403 ev 1 . AGE BUILDING CONDITION NEW NORMAL.. . . BELOW• ABOVE FARM Acre Value Per -Value Acre �i I table ] - - - - • "illable 2 'illable 3 Voodland wompland FRONTAGE ON WATER rushiand FRONTAGE ON ROAD louse Plot- DEPTH BULKHEAD 'otal DOCK Robert Barratt PE CEng FIMechE Eur Eng LSA 4295 Vanston Road Cutchogue, NY 11935,USA Tel, 631875 0275 Fax, 631 734 2730 robertbarratt(a-),optonline.net 02/19/12 Southold Building Dept PO Box 1179 Southold, New York 11971 Subject: Building Permit application to install a half bath in the existing antique store, 1240 Village Lane, Orient, NY 11957-1255, SCTM# 1000-25-01-25.00 Gentlemen, It is my pleasure to re-submit the subject building permit application, initially submitted on 11/06/09 and returned on 11/24/09 when the Southold Building Dept advised the following: • They had consulted with the Southold Planning Dept and their determination is that no SEQR action is required since the building use will not change. • My client should apply to the SC Health Dept to seek their approval to construct the associated wastewater disposal system. • Following SC Health dept approval we should re-submit the subject building dept application for approval by the building dept. The SC health dept has now granted their approval as documented on: • DWG#021010 Rev 8 • Permit Conditions C10-09-0009 I now await your further instructions at your earliest convenience, Yours sincerely, Robert Barratt PE Encl • Application for building permit dated Nov 6t',2009 • Health Dept Permit Conditions C10-09-0009 • Dwg #021010 rev 8 (four copies) DECE � � � F E B 2 1 2012 BLDG.DEPT. TOWN OF SOUTHOLD Robert Barratt PE CEng FIN[echE Eur Ing ® C U 4295 Vanston Road, Cutchogue, NY 11935,USA APR - 2 2012 Tel 631-875-0275 robertbarratt(ii,)optonline.net BLDG.DEPT. TOWN OF SOUTHOLD Ms Patricia Conklin April 2nd,2012 Southold Building Dept (Delivered by Hand) Subject: 1240 Village Lane, Orient,NY 11957-1255 Reference: Application for building permit Pat, The owner of the property visited the site on March 30`h,2012 and he now understands that there is insufficient room to successfully construct a handicapped access ramp without adversely affecting the visual impact of the stores circa 1900 facade. Accordingly he will not be seeking a waiver re any of the handicapped access regulations. Instead he will use the rear entrance which he believes, offers the following advantages when used as the handicapped access entrance. • The ramp and landing meet all the requirements and a waiver is not needed • The handicapped access is out of the sight,when observed from Village Lane and the existing Landmark storefront remains as it is at present so a waiver is not required. • There is room to install a generous landing area that if required,provides room for a companion to escort the wheelchair and occupant into the store. • The ramp and landing will be approached from Village Lane by passing over a paved 3ft wide path to be constructed at grade on the north side of the store. The drawing attached shows the plan view of the 3ft wide access path,the ramp and the landing located at the same floor level as the store. We plan to construct the free-standing ramp and landing from seasoned timber finished with an appropriate stain and preservative. The owner looks forward to his approach meeting your approval. If you have any questions,the owner asks that you feel free to call me on 631 875 0275. Yours sincerely, Robert Barratt Enclosure DWG#032812 Rev 1 dated 03/30/12 cc. Daman Rallis(By hand) . Mr. R.Black- Owner(By email) Robert Barratt PE CEng FIMechE Eur Ing 4295 Vanston Road, Cutchogue, NY 11935, USA Tel 631-875-0275 robertbarratt(a,optonline.net Mr.Michael Verity April 12"', 2012 Southold Building Dept (Delivered by Hand) WJ E Subject: 1240 Village Lane, Orient,NY 11957-1255FR Reference: Application for building permit FAPR1 3 2012 Mike, BLDG.DEPT. TOWN OF SOUTHOLD Thank you for your advice which is much appreciated. Please find attached my revised drawing incorporating your comments. If you have any questions,please call me on 631 734 2730 or my cell 631 875 0275. Yours sincerely, Robert Barratt Enclosures: (4 copies) DWG#032812 Rev 4 dated 4/12/12 DWG 3 021010 Rev 9 dated 4/12/12 cc Mr.R. Black- Owner(By email) SO(/jyolo Town Hall Annex Telephone(631)765-1.802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �COUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 7, 2012 _. FM & Peyser ing Trust �6�T 15L-A � r Attn: Ma Va ostrand 25 Evergree ane Underhil . T 489iM3Dn/� T/ TO WHOM IT MAY CONCERN: �9y The Following Items Are Needed To Complete Your Certificate of Occupancy: / Application for Certificate of Occupancy. (Enclosed) /Electrical Underwriters Certificate. (contact your electrician) v11A fee of$50.00. C Final Health Department Approval. roval. p Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Manning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37411 -Addition/Alterations o Accessory Building e-lqse M,4rL. G.o, -v lqrlN Lesh'e 5 LA GA� SO e)A 6;r44:?ff (/j Town Hall Annex ~� l0 v L/ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 �l • �O yCow,�� BUILDING DEPARTMENT f— TOWN OF SOUTHOLD 4'0 March 26 2013 �J Robert Black 113 Kimberbrea Dr '" Kimberton PA 19442 rl� Re: 1240 Village Lane, Orient TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certifica a f, Lua : Application for Certificate of Occupancy. (Enclosed) C"Iectrical Underwriters Certificate. (contact your electrician) A fee of$50.00. ealth >pa6tproval. F%(Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37141 — Handicap Bath & Ramp *pF SO�lyol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA tw Southold,NY 11971-0959 Cow, BUILDING DEPARTMENT TOWN OF SOUTHOLD May 13, 2013 Robert Black PO Box 154 Kimberton, PA 19442 Re: 1240 Village Lane, Orient TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. - Reference #C10-09-0009 dated 2/07/2012 Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning,Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37141 — Handicap Bath and Ramp r h' n �u,�Fry MEN f �'K a� 1W A ?SPRY Fqy f N� 4p ff 14 c;4 °'�"�t„oy,, � ,s7°Ry ',r� — — �•�, 'ro�go � � f� 'oc@ ti 'o• O Pp � ���! � ry '443?• �;Y ry �� V � 1 f � °40�cf FRq� sto 04 r o l•4., Co x 11.1 W N �aN 6 e �o 4oSF w �� SO'� o l,141 �,pqM f �Tti D F,y 13.4 Fp J14'S'soSt0 • ,�., '�pn a�s ' Rr FRq �yC1D /io&s 0f r ` MIS , NF o� 7 o 10," �� > • o� �S" 1 Ld0 / � �yo ppN� �� ss °moo� f2-8 2 F�e stoRr 9y�4 f 3+ •T�,y�0/�, G � � ,� FRq,y f ry 14.2 owZ44 g GeV/Cp/�yG co 30" LEGEND Y ' � CIV P 3ft wide ashfelt path or equivalent at grade R 5ft wide ramp with 0.2ft rise over 5ft R ° H�V °° / L 13ft by 10ft landing deck, EL=14.8ft(same as store) R sf = Guard rail ,N Scale: finch = 10ft 0 00 7 Landing and ramp construction notes 44 32 1240 Village Lane, Orient, NY 11957 New construction 11911, Foundation: 8in dia 4ft Sona-tubes/cement, or equivalent y Client: Mr Robert Black et al - Owners Columns:4in x 4in Doug fir grade 2 or equivalent on 5ft centers 3Vti Girders: 2 x 2in x 8in Doug fir grade 2 or equivalent on 5ft centers Details of handicapped access via rear of store These plans are an instrument of the service and are the property of the design Joists: 2in x Floor boards: in Doug fir grade 2 or equivalent on 2ft centers : 2in x 6in STK Cedar or equivalent on bin centers / professional whose seal is affixed hereto. Infringements will be prosecuted to the Joist to girder joint:Teco's used throughout fullest extent of the law. Contractor shall verify all field conditions and dimensions Column to Girder joint: '/z in bolts and be solely responsible for field fit The design professional assumes no liability Floor fasteners: SS - for omissions due to unknown or unforeseen field conditions and or additions Desiqn Conditions Rev 1 based upon comments not formally acknowledged as revisions to these plans. Live Load 40psf Dw No 032812 Rev 0 Dead load 10psf g This drawing is based upon data derived from the Survey#27-480 prepared by Snow load 20psf Nathan Taft Corwin Ill NYS Lic#604b-t-dated 01/28/08 Engineering design Robert Barratt PE, 4295 Vanston Road, Cutchoque, IVY 11935 . SCTM # 1000-25-01-25 In accordance with current NYS Residential code and accepted engineering practice Tel 631 875 0275 Email: robertbarratt@optonline.net r E . � � Il JUL ?_. 2013 sT e s-r. M M BLDG.DEPT. tip TOWN OF SOUTHOLD a' : T z (- S �4� obl .2��� :. L ot- a►-en 35 Ys S sg -Ft LP A LA 3 r � • - - 0 �- - z s _ - p ST = r, t O `' { 9 40.z � 64 04 .. 5� - Tie-line Length ft AC 35 AD 39.5 �,AE 51.3 AF 68.5 DWG # 042513 Rev 0 4/26/13 BC 36. Rev 1 Revised per health dept comments 5/2/13 BD 40 Rev 2 Revised to show actual cylindrical septic tank 7/9/13. BE 68 Dwg Title: Septic System As-built drawing GI 18 �UFFOLK COUNTY DEPARTMENT OF FfEAI_TH SERVICES Project: Old Orchard Farm Store, SCTM# 1000-25-01-25 - HI 4.5 APPROVAL OF CONSTRUCTED WORKS Health Dept Ref C10-09-0009 DateJUL 1 8 20i3 H.S.Ref.No. 0 J 0 - 9 �O9 1240 Village Lane, Orient, NY 11957 ` The sewage disposal and water supply fac+I ities at this locatian Have been inspected acidlor Client: Robert Black " �+ s � ' ►�L�- rrAi� . z certified by tH.s Clepartment or ot11£r agencies Survey: #27- 480 Nathan Corwin 631-727-2090 �� IVEw �'°b 4 F ,I�I o ' '' s :vund to be satiVactory. cE. ro �—� and " �'�P •( O BSA .f-.- n�(sposalyslem:MpecUon Cornptetefl.0}(io Backttll; �^�� Scale: f inch = 10ft o0 ' ,, �lnspactlon ilof.Comp wahear.I.ciilbert * - . . Office of Wastewater l+Aanagement Robert Barratt PE g� -- -- Z.T atenS p _ P' Tel 631 875 0275s ns ecocnGom let fl.K'toBackllli _. .. .�Pply� QBf86$ � _l]':Irtspection N.ot Compteled. 4295 Vanston Road, Cutchogue, NY 11935 RECEIVED These plans are an instrument of the service and are the property of the design professional whose seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor Date. Inspected:by: AA shall verify all field conditions and dimensions and be solely responsible for field fit The design SUFF04K'coliNTd"ZERAIIT7ME►aTDF`HE'ALTtiSERVICES JUL 16 2lif++ 3 professional assumes no liability for omissions due to unknown or unforeseen field conditions and iNSPEcnoNcoMaLET)oNu©ESNOTcoHSTiruTEnaaaovn�oF(Nsr��u�n E or additions based upon comments not formally acknowledged as revisions to these plans. 1 HEALTH SERVICES ICES AEV(3/E5) TER SUFF.CO.WEALTH SERVICES i lIIIIII IIli IIlIIII(I!IIlII III11 illll IIII!III!!IIII Ills (IIII)(IIII!IIII!Ili ill( SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/02/2012 Number of Pages: 13 At: 02 :46: 03 PM Receipt Number : 12-0012721 LIBER: D00012684 PAGE: 031 District: Section: Block: Lot: 1000 025 . 00 01. 00 025. 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $65 . 00 NO Handling $20 . 00 NO COE $5. 00 NO. NYS SRCHG $15. 00 NO TP-584 $0.00 NO Notation $0. 00 NO Cert.Copies $8.45 NO RPT $50. 00 NO Fees Paid $163 .45 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County DECLARATION OF COVENANTS P ND RESTRICTIONS "PHIS DECLARATION made this Lf r 1" day of (U::t'� � ��` tf 2011, by ROBERT J. BLACK and LESLIE P. BLACK, both residing at�113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to an undivided 50% interest, and FREDERICK M. PEYSI:;R III and JANIS M. PEYSER, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as TRUSTEES OF THE FREDERICK M. PEYSER III AND JANIS M. PEYSER LIVING TRUST DATED August 25, 2009 and any amendments thereto, as to an undivided 50% _. ..:.interQQ t,_,as the owners of the premises described in Schedule A (hereinafter referred to as the PREMISES A); and LESLIE P. BLACK, residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, .as to. an undivided 50% interest-, and FREDERICK M. PEYSER III and JANIS M. PEYSER, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as TRUSTEES OF THE FREDERICK M. PEYSER III AND JANIS M. PEYSER LIVING TRUST DATED August 25, 2009 and any amendments thereto, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as to an undivided 50% interest, as the owners of the premises described in Schedule B (hereinafter referred to as the PREMISES B); all parties hereinbefore mentioned hereinafter collectively referred to as the DECLARANT, desires to restrict the use and enjoyment of said PREMISES A and PREMISES B and has for such purposes determined to impose on said PREMISES A and PREMISES B covenants and restrictions and does hereby declare that said PREMISES A and PREMISES B shall be held and shall be conveyed subject to the following covenants and restrictions: I. DECLARANT has made ,application to the Suffolk County Department of health Services (he-:einafter referred to as the "DEPARTMENT") for a permit to construct, approval of plans, or approval of a subdivision or development on the PREMISES A. 2. The DECLARANT appeared before the Board of Review requesting a variance for the installation of the sewage disposal system which does not conform to the commercial construction standards of the Suffolk County Sanitary Code and the Board of Review of the County of Suffolk Department of Health Services granted a variance by letter dated April 6, 2011, attached hereto as Schedule C and made a part hereof, provided a covenant is filed, the DECLARANT, its successors, heirs or assigns agrees: (a) As a condition of approval by the DEPARTMENT, the DECLARANT covenants that the PREMISES A shall be limited to dry retail space only with the sewage design flow limited to the current flow of 19.3 gpd. (b) As a condition of approval by the DEPARTMENT of the application, the owner, its successors and/or assigns of the parcel known as Suffolk County Tax Map Number 1.000-024.00-02.00-006.001, and further described in Schedule.l3 agrees.to..gra3it. a permanent.and perpetual easement.to allow for the maintenance of the it system serving...the.PRE1VISSLS A,. The easement shall run with the land and be for the purpose of placement, installation, maintenance, repair, inspection and replacement of the sanitary system. The cost of installation, maintenance, and repair of said system, and I to restore the area to its original condition after installation, maintenance, repair, inspection, and replacement of such system shall be born solely by the party, their heirs, successors and/or assigns, which shall be granted the easement. Such easement shall be subject to the approval of the DEPARTMENT. 3. DECLARANT, its successors, heirs or assigns, further agrees to hold harmless, indemnity and defend the County of Suffolk, its employees, offices, or agents harmless from any claim for damages or injuries that may arise out of the installation or use of the sanitary system. 4. The DECLARANT, its successors and/or assigns, shall set forth these covenants, agreements, and declarations in any and all leases to occupants, tenants, and/or lessees of the above described property, and shall, by their terms, subject same to the covenants and restrictions contained herein. failure of the DECLARANT, its successors and/or assigns, to so condition the leases, shall not invalidate their automatic subjugation to the covenants and restrictions. 5. All of the covenants and restrictions contained herein shall be construed to be in addition to, and not in derogation or limitation upon, any provisions of local, state, and federal laws, ordinances, and/or regulations in effect at the time of the execution of this agreement, or at the time such laws, ordinances, and/or regulations may thereafter be revised, amended, or promulgated. 6. ":Chis document is made subject to the provisions of all laws required by law, or by their provisions to be incorporated herein, and they are deemed to be incorporated herein and made a part hereof, as though frilly set forth. 7. The aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of any agencies or departments of the County of Suffolk, the DEPARTMENT or the County of Suffolk, to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. 8. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, her successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked, or amended only with the written consent of the DEPARTMENT. 9. If any section, subsection, paragraph, clause, phrase; or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid, or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part of provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. 10. Local Law##32-1980 .--The DECLARANI' represents and warrants that it has not offered or given any gratuity to any official, employee, or agent of Suffolk 2 County, State of New York, or of any pol.'tieal party, with the purpose or intent of securing favorable treatment with respect to the performance of an agreement, and that such person has read and is familiar with the provisions of Local Law #t32- 1980. ;r A- - ROBERTJ. B ACK `LE LIE'P. BLACK F EDERICK M. PEf? ER III, Trustee J N-IS-NI. PE ER, rustee >t: 3: i' 3 STATE OF PENNSYLVANIA) ) ss.. COUNTY OF CHESTER ) On the _ day of in the year 2011, before me, the undersigned, personally appeared Robert J. Black and Leslie P. Black, personally known to be or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that said individual(s) made such appearance before the undersigned in the City of Kimberton, State of Pennsylvania. / Nota yg Public - ---__ NOTARIAL SEAL RUTH A 6ENGEL Notary Public TREDYFFRIN TWR,CHESTER CNTY i My Commission Expires Apr 24, 2072 4 STATE OF VERMONT } COUNTY OF CHIT" ENDEN ) On the 3L day of ( Z ;Z.,, in the year 2011, before me, the undersigned,personally appeared Frederick M. Peyser III and Janis M. Peyser, personally known to be or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/ re subscribed to the within instrument, and acknowled ed to me that he/she/ iey=executed the same in his/her4t D capacity(ies), and that by his/her/tkii signature(s) on the"instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that said individual(s) made such appearance before the undersigned in the City.. :. of Underhill, State of Vermont. Notary Public 5 Sherri Morin z� k+• 5 SCHEDULE"A" DESCRIPTION Or PROPERTY ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being Orient, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a point on the westerly side of Village Lane distant 95.33 feet southerly from the corner formed by the intersection of the westerly side of Village Lane with the southerly side of State Street, and from said point of beginning; RUNNING THENCE South 26 degrees, 20 minutes, 20 seconds West, along the westerly side of Village Lane, 25.00 feet to a point and land now or formerly of Latha►n; THENCE along last mentioned Iand the following 2 courses and distances: 1) North 64 degrees 4 minutes 50 seconds West, 144.32 feet; and 2) North 29 degrees 56 minutes East, 25.00 feet to a point and Iand now or formerly of Hubert; THENCE South 64 degrees 6 minutes 20 seconds East, along last mentioned land and land now or formerly of Staron, 142.75 feet to the westerly side of Village Lane at the point or place of BEGINNING. 6 SCHEDULE"B" DESCRIPTION OF PROPERTY AL,I. that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Orient, "Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a monument on the westerly line of Village Lane, said monument situate at the intersection of the southerly line of lands now or formerly of McNeill and the westerly line of Village Lane; RUNNING TIIENCE along Village Lane, South 32 degrees 48 minutes West, 16.02 feet to lands now or formerly of Oyster Ponds Historical Society; RUNNING THENCE North 60 degrees 04 minutes West, 277.60 feet; RUNNING THENCE North 29 degrees 56 minutes East, 177.60 feet to a monument and lands now or formerly of Tuthill; RUNNING THENCE along lands now or formerly of Tuthill and lands now or formerly of Aronson, South 64 degrees 45 minutes 40 seconds East, 125.42 feet; RUNNING THENCE along said lands now or formerly of Aronson, South 64 degrees 06 minutes 20 seconds East, 6.01 feet to lands now or formerly of Van Nostrand; RUNING THENCE South 29 degrees 56 minutes West, 25.0 feet to lands now or formerly of McNeill and Caffery,North 64 degrees 04 minutes 50 seconds West, 6.01 feet; RUNNING THENCE South 29 degrees 56 minutes West, 146.87 feet to a monument; RUNNING THENCE. South 60 degrees 04 minutes East, 153.40 feet to the point or place of BEGINNING. 7 COUNTY OF SUFFOLY, STEVE LFvy �'``; i� i 7, j SUFFOLK COUNTY DLCCUTrV-E DEPARTMENT OF HCALTI-I SERVICES JAMES L. ToMARKEN, NID MSW, MPH, MBA, FRCPC, April 6, 201 1 corennlssiorae Robert Barran., P.E. '1295 Vanston Rd. CW610OPe, NY 11935 Subject: Board Of Re-view Hearing—January 20, 2011 C 10-09-0009 — Old Orchard Faun Store — v,'/s Of Village Lane, 95' S/o Skipp'e-1-S, — t/O Southold — SCTM 4: 1000-25-1 -25 Dear Mr. -L3aj-rat[.- Encloscd is a copy Of the findings, recorarriendations and deterninati0-1 of filp -Vconceming the subject application. Based on the information submitted, the Board granted the request for Provision indicated in the determination. variance/waiver witil the The granting of this waiver does not imply that Your application will be automatically approved. It is YOUr responsibility to ensure that your application is complete; otherwise, your approval will be subject to unliecessary delay. Very truly Yours,_. J i-nds W. Meyers, P.E. tz Principal Public Health Engineer Chair, Board of Revim APR Enclosure OF L F1 Or mri C: Board of-Reviem, File— Yapharij< Scoll Stein Craig Knepper— Reviewer Barbara Cervone Eileen Cantone— 'Yaphailkc Katherine Caffery Andrew Freleng— Planning Department Frederick geyser Lauretta Fischer— Planning Department John and Julia Tuthill Heather Lanza—Town of Southold Orient COrnmullity Activities Inc. Mary Arme Nordstrand eDlvislos Of Envifonmentalouaiity# Board Of Review- 360 Yapliank Avenue.Suite 2© o YaphankNY I lq_So, Phone(631)852-5601 fax(631)852-5825 SCHEDULE C C'O UN TY {PIiitl O it .i��.e�Fl LTH I n �� Tf�ilYi;ll �.,�RV1-it;,� DivisioN OF E NV1RO1jVIg1CN'i'AL QUALITY BOARD Or RXi VIE, W r"RTIC1, 2 y SECTION 2209 lyUFFOLK COUNTY SANITY ZY To: Jarrles I.. Torna'rkell, MD, MSW, MPH, Mt3A, FRCPC, I,ACP, Con-l;lli ":16 From: Jaines Meyers, P•C., Chair, Boarcl of Review ,'Sub,ject: Findings and Recommendations of tilt: RP.Viovj 13oartl Regarding: i 1r ;' _.(;;tti9 -- Old Orchard 1�arlll Store w/s of Village Lane, 95 feet s/o Sl;ip;-;;r _.:00 , Orlent.--- t/O Southold —SCTM: #: 1000-25-1-25 Hearing Dato: January 20, 2011 Board Members: Patricia I'lo�'ia,P.C., Chris Lubicicll, P.E. Reviewer: 0-aig., Kneppel'. P.C. � 'Lvpj1L J. IY FYi:6 C0111rno,rcial fionstnictioll Standards ri;Clll" t:flat sal)ltal"V systems be located at jea,,�;t 150 feet from private wells, T11c applicant is proposing to install a sanitary systcl-rl less thal', l J l �.4 T a' .. lli ,. 0:';r' "- .:/n 1 l �- • 1"' '�rv.} Giiiu i1C;i�lliil',iitt� EJ1I4alC: WG113, COminerci.al constitilction standards require that private wells be located at least 150 feet fra111 sallilai:y systems, The; applicant t.s proposing to install a private well t11at is less than 150 facet from their own sanitary systerll and neighboring sanitary systems. Construction standards require 'that private wells be located at.Ieast I 0 feet frol;l btlildillg fo-unclation3. T11e aWlicclnt is p)oposing the installation of a private well less tha11 10 icet from a building foundation. COnstlllct.iorl standards require that: private wells closer be installed with at lea{ji ;J�1 water above the top of the screen, 'xhe applicallt is proposing tO use a private cNc;ll i.i�:-it 1��,;, less than 40 feet of writer above the top or the scl-eerl. Corlstruct.ioil Standards require that Santtal'y leachilig pools be located at lea3t I property boundaries, T•11(, al)plicallt is pl'0p0si119 the.installationl oaf a leac11i1.1g strtact�lrc: lass titan 10 feet from a propelly boundary. ��ilU➢a'!llll1�>-iltVlldY �,1__��i�d;t;� -- I_- The applicant is proposing the installation of a sewage disposal systi l,l ('61- tlrl 1)cisting building and 1.lpdatillg the watel• sul)1)Iy with a newly installed well building has been without a sewage was disposal systerrl since an ollt.holzsc; demolished in the 1930's. 2. The project is located in Clroll�ldwater Management Zone 4. 3. T1-le parcel is 0.054 acres and the yield at density is 25.3 gpd. .However, is r, single and soparate lot on t:he 19S 1 tax maps so the site is alIOwed a 1il<iXi11'lllI'll of 300 gpd of total sewage flow. Current clesigli flow for the site is 19.3 r101. pl'oposecl sewage disl)Osal syste111 consists of a 1,200 gallon septic tank ci:(ld two 8-foot diameter by 4 feet deep Icac;hing pools plus area for "cl siltglc exp<tltsic.;lx t\/Il'H, Iv113A, t. RC,Y-',; FACP, Coal nisSlon(ii Hearing Date: Ja-nuary 20, 201 } Subject: Findings alid Recommendations of the Review Board Regarding: CJ 0-09-000q — Old Orchard Farm Store — w/s of Village )Jane, 95 feeL s/o SI<ipn4)•s Lane_ Orient--- Uo Southold --SCTM rT: 1000-25-1-25 Pool*. The proposed sewage disposal system, is located in rear of the properly. Maintenance of the system will require an access easemellt oil a lletllbGI n+J Ioi. (tax map 1000••24-2-6.1) 5. Soil conditions are good with sand and gravel below 3 feet. 6. T)ep th to water is approximately 1.2.4 :feet-belovv existing grade. 7. 'I'kte dire-:,-tion of gI'oundwater flow is try the southwest toward The e_iiSting Glse of the facility is dry retail (i�tli'iii'tUCe aild antique s+r)r:: , 1 1 building has 642 square feet gross floor area. 9. llic, applicant has i11C11CateC1 that it rlifrirt)It to operate the facilit.; ?.flout restroom for staff or visiting clients. 10. Public -water is not available in the area and a letter provided by the SC'WA indicated that it woY,l1C1 cost appl-oxiniltely $1..5 million to extend Public. vv,,-Iii:,,• to the site. 11. The facility currently has a pre-existing well located in the basement of di.6 budiding which has exhibited elevated manganese concentrations. A new test well was installed in the frof►t of the lot that the applicant would like to use as the I ew o surce of drinking water. Tosts peri�irined by tile on September 21, 2010 e D showed that water quality in the test well met applicable standards. 12. Because of'tlle lirnited parcel size, the new well is located 3 feet froihh the building foundation where the standards call for a minimum setback of 10 feet. 13. The well log for the proposed well shows that the well is 30 feet deep with watea• at 1 I feet below grade and 1.5 feet of water above the top of the screen. ttr�lciards require that wells be installed with at least. ej.0 s feet of water above the top of file creen. 14. Comrnerciai constrtaeii.oll standards require that proposed sanitary syset,h;; 11e located at least 150 feet from pI•ivatc wells. The following clisiallces are proljo;,;cl: a. 85 feet: between the applicant's sanitary system acid the applic<<iat's b. 80 feet: between the applicant's sanitary systCry, (fGltG11'C e}(pailfiio . pool) iI1C1 till neighboring well on lot 1000-25-1-22 to the north. It should be noted t11at clue to the very tow flow, it is quite possible that the future expansion Pool will never the required. c. 91 feet between the applicant's sanitary system (leaching neighboring well on lot: 1000-25•-1•-22 to the north. d. 81 feet between the applicant's sanitary system and the neighboring ,.yell on lot: 1000-25-1-23 to the north. c. 10 feet between the applicant's Saillta)y system and the neighboringv,,e11 oil lot J 000-25-1-24 north. f. 80 feet between the applicant's sa[itary system and the Ilell?hl)Cird�i� �:4� it c,r; lot. 1000-25-1-27.5 to the soilth. 1 . 90 feet between the applicant's sUjitary system (future expallsioil pooi� a�icl the neighboring well on lot 1000-24-2-.6.1 to the west. it shoui<1 b: no'reci Jamc,s L. Torxiai:ken, MD, MS)Ar, MPl'-;', ME A, rRCPC, F'ILCP, COfC1iF11SSICner Hearing Date,: January 20, 201 I Subject; Findings and. Recommendations of tile, Review Board Regarding: C10-0�_Q009 - Old Orchard Farrn Store w/s of Village Lane, 95 feet s/o Skippers Orient -t/o Southold — SCTM 7r; 1000••25-1-25 ' that due to the very low flow, it is quite possible that"the future exl), for pool will never be required, }l. 105 feet between the applicant's sarlitaiy system (leaching pool) anti t1,e neighboring well on lot 1000-24-2-6.1. to the west. 15. Comnnerc.ial construction standards require that proposed private, wells i) ates; : loc at least 150 feet from sanitary systerns. Tile following distances are urolcsc1: a. 85 feet between the applicant's well and the applicant's sanita:ty systerli. b, 128 feet between. the applicant's well and the neighboring sarl.itar, on lot 1000-25-1-22 to the north. c. 70 feet b0twcen the applicant's well. and the, neighboring sanitary lot 1000••25-1-•23 to the north. d, 84 feet between the applicant's well and the neighboring sanitary:>lsi�:.l; :sil lot 1000-25-1•-24 to the north. c:. 95 feet between the applicant's well and the 1169116oring lot 1000-25-2-25.2 to the cast. i. i 28 feet XGiweell l'lle applicant's well and the neighboring sailitc`[i,• sy;;ir;iii on lot: 1000.25-1-27.2 to the south. g. 94 feet between the applicant's well and the neighboring sanitary system oil -lot 1000.25-1-27.5 to tile'.south. 16. Standards require; that leaching pools.be at least 10 feet from property boundaries.due to the small lot size, installation of a sewage disposal system lneeiillg all of tilt required setbacks is not possible. Leaching pools property boundaries. arc proposed to be 4. feet frorrl 17. The applicant indicated that. they would be willing to covenant the properly to restrict ftlture use, to dry retail to prohibit future increases in sewage clesie flow. ;i'1'C'1�Jli"flirt IlBliillCl(l'Y4i It was a. 3 to 0 cleierl-nination of the Board to grant the request for the variances cl the M following conditions are et: l:;ro�ici,^ <' C'Mmanis arts!/or deed:3 shin] be anti filet!, in 1wiguago acceptabit u tile,County Attorney, that: o Limit use of file site to dry retail sl)aee only, and 0 Unlit sow"age design low to file ellt•1•eilt flow of 19.3 gpd. O Indicate that maintenance for the sanitary system is V;-i an adjacent property, tax map nurlll)er 1000-24•-2-6.1. An eas8111e11t 111List. be obtained on lot 1000-24-2-6.1 whit!l, allows for, fo file subicct property for installation, illaintenarice and repair of tale sanitary system;. It is presumed that staff use nearby rest-room facilities i.31 lieu of an on--site systerll flips overall flow will not be irlere asing greatly ill the al-ca. The existing and proposed rise. result in a design flow of 19.3 gpd, which is a fraction of the allowable design flow for flle site of 300 gpcl: Flow from file proposed onsitc, sanitary system will be to tho southwest. not Jarnes :L,. Tomarken, IMD, lv1SW, MPH, ,v3BA, IiR.CPC, FACP, Commissioner Hearing Date: January 20, 2011 Subject: Findings and Recommendations of the Review Board Regarding: C10-09-0009 — Old O►_chard'Farin Store — w/s of Village Lane, 95 feet s/o Skippers Lane, Orient—r/o Southold —SCTM 41: 1000-25-1-25 directly towards any of the neighbor's private wells, Likewise, flow from the neighboring sanitary systems will also be.to the southwest, not directly towards die applicant's well. The grariiin g of tiie requested variances is not a formal approval to'construct tlhe sanitary system or to use the test well as a drinking water source. Rather, it is a determination on the specific variances requested, based upo'n factors noted in §760-609 of the Sufl:olk County Sanitary Code. (Sanitary Code), In compliance with §760-609A(1)(a), the proposed variances, are. in general conformity with the Sanitary Code. The variances should not impair groundwater, surface, water and drinking water supphos, and, as suclh, are consistent v/ith criteria specified in §760-609A(1)(b). The granting of ihi requested variances will not adversely affect the design of an adequate on-site water supply aY).(uor sewage disposal systern. taking into account soil conditions, depth to groundwater, direction of groundwater flow, and as such, are, consistent with criteria specified in §760.- 609A(1)(e). As per §760-609 of the Suffolk County Sanitary Code, the appmval o;' the variances is in harmony with the general pitrpose and intent.of the Sanitary Code to protect groundwater and drinking water supplies., surface water and other nattu•ai resoul,ces, and piibli% iiciiiili, a�i.iGi}� acid weiTare. April 6, 2011 Jam s eyers, P.B Chair—Board of Review f liillll Ilff IIII(IIIII IIII(iflll Ilill lull IIIII IIII III! - I f lllif iilll Ilill llll l!!I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: EASEMENT Recorded: 01/27/2012 Number of Pages: 13 At: 03 :45:40 PM Receipt Number : 12-0010182 TRANSFER TAX NUMBER: 11-12938 LIBER- D00012683 PAGE: 517 District: Section: Block: Lot: 1000 024 .00 02. 00 006.001 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0. 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $65 . 00 NO Handling $20. 00 NO COE $5 .00 NO NYS SRCHG $15 . 00 NO TP-584 $5. 00 NO Notation $0. 00 NO Cert.Copies $8.45 NO RPT $50. 00 NO Transfer tax $0 . 00 NO Comm.Pres $0. 00 NO Fees Paid $168.45 TRANSFER TAX NUMBER: 11-12938 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 5151 Number of pages ' ':L-`0 ;DET, JUDT�E H A. £'��';CALE CLl_i?K. OF This document will be public SUFFF7LE P_R-U1.{T_.:' record. Please remove all L D000126E- , Social Security Numbers P 5177 prior to recording. DT4 11-12938 Deed/Mortgage Instrument Deed /Mortgage Tax Stamp Recording/Filing Stamps 3 F>;>✓S r Mortgage Amt. Page/Tiling Fee J -'- 1. Basic Tax Han 'ng _ 20^ 00 2. Additional Tax I:P-584 Sub Total _ Spec./Assit. Notation or EA-52 17 (County) __ Sub Total Spec./Add. EA-5217 tale TOT.MTG.TAX l Dual Town Dual County R.P.T.S.- X ti -- y� Held for Appointment Comm. of Ed. 5. 00 Transfer Tax $� Mansion Tax `f ar,.a i qy,P Affidavit / The property covered by this mortgage is �Celtified�Copy; or will be improved by a one or two NYS Surcharge 15. 00 , family dwelling only. —� Sub Total YES or NO Other __ Grand Total If NO,see appropriate tax clal set Page# of this inst t. 1000. 024.00 02.00 006.001 i 4 Dist. Section Bloch Lot S community Preservation Fund 1000 1000 02400 0200 006001 ,0 Real Property _� , 1000 0250o 0100 025000 gonsideration Amount Tax Service , p T S� Agency R DTY A I CPF ax Due $ Verification 03-.lANA Improved Satisfactio. RECORD & RETURN TO: Vacant Land William H. Price, Jr. , Esq. '1D P.O. Box 149 Greenport, New York 11944 1'D TD Mail to. Judith A. Pascale, Suffolk County Clerk ::71 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www,suffolkcountyny.gov/clerk 'MA. aF EASEMENT THIS AGREEMENT, made this --I— day of �� �v tr��l�✓�. 2011, between LESLIE P. BLACK, residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to an undivided 50% interest, and FREDERICK M. PEYSER III and JANIS M. PEYSER, TRUSTEES OF THE FREDERICK M. PEYSER III AND JANIS M. PEYSER LIVING TRUST DATED August 25, 2009 and any amendments thereto, both residing at 25 Evergreen Lane, Underhill, Vermont 05490; as to an undivided 50% interest, " all parties hereinbefore mentioned hereinafter collectively referred to as party of the first part," and ROBERT J. BLACK and LESLIE P. BLACK, husband and wife, both residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to an undivided 50% interest, and FREDERICK M. PEYSER III and JANIS M. PEYSER, TRUSTEES OF THE FEDERICK M. PEYSER III AND JANIS M. PEYSER I.,IVING TRUST DATED August 25, 2009 and any amendments thereto, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as to an undivided 50% interest, "all parties hereinbefore mentioned hereinafter collectively referred to as party of the second part," WHEREAS the party of the first part is owner in fee simple of the parcel of land located at 1420 Village Lane, Orient, New York, and designated as Suffolk County Tax Map Number 1000-024.00-02.00-006.001, more fully described in Schedule A attached Hereto (hereinafter referred to as Parcel 1), and WHEREAS, the party of the second part is owner in fee simple of the parcel of land located at 1240 Village Lane, Orient, New York, and designated as Suffolk County Tax Map Number 1000-025.00-01.00-025.000, more fully described in Schedule B attached hereto (hereinafter referred to as Parcel 2), and WHEREAS, the party of the first part intends to grant an easement to the party of the second part for a portion of the parcel-of land described in Schedule A, said easement more frilly described in Schedule C attached hereto, and WHERI3AS, the party of the second part appeared before the Board of Review requesting a variance for the installation of the sewage disposal system which does not conform to the commercial constructions standards of the Suffolk County Sanitary Code and the Board of Review of the County of Suffolk Department of Health Services granted a variance by letter dated April 6, 2011, attached hereto as Schedule D and made a part hereof, provided an easement be filed. WITNESSETH: NOW, INCONSIDERATION OF $10.00 each to the other paid and the receipt of which is hereby acknowledged and other good and valuable consideration, the party of the first part grants and conveys unto the party of the second part, its heirs, successors and/or assigns which shall come into title to said Parcel 2, a permanent and perpetual easement that runs with the land, as set forth more frilly in Schedule C, for the purpose of placement, installation, maintenance, repair, inspection, and replacement of the sewage disposal system, and the party of the second part, its heirs, successors and/or assigns, and shall restore the area to its original condition after 1 installation, maintenance, repair, inspection, and replacement of such sewage disposal system over the premises more particularly described in Schedule A. The cost of installation, maintenance, and repair of said sewage disposal system and to restore the area shall be born solely by the party of the second part, its heirs, successors and/or assigns. The installation of said sewage disposal system with the easement area as described in Schedule C for the benefit of Parcel 2 must be with the consent of the Suffolk County Department of Health Services. The party of the first part, its successors and/or assigns, retain unto itself all rights to fully enjoy its aforedescribed premises except for the purposes herein granted to the party of the second part. The aforementioned easements contained herein shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or law. The failure of any agencies or departments of the County of Suffolk, the DEPARTMENT", or the County of Suffolk, to enforce the same shall not be deemed to affect the validity of this easement nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. This grant of easement shall at all times be deemed a continuing covenant that runs with the land and shall be binding upon and insure to the benefit of heirs, successors and/or assigns of all parties to this agreement. This grant of easement shall not be terminated or extinguished without the prior written approval of the Suffolk County Department of Health Services. IN WITNESS WHEREOF, the parties hereto have set their hands and seals on the day and year first above written. LES yIE P. BLACK ROBERT J. BLACK CK Party of thethe�First Part ��� Party of the Second Part •�1 FREDERICK M. PF,YSRA III, r1 ustee LESLIE P. BLAC Party of the First Part Party of the Second Part JANIS M. PEYSER, Trustee REDEJ.Z1- M. ,YSER 111, Trustee Party of the First Part Part `of the Se and Part JANIS M. Party of the Second Part 2 STATE Or PENNSYLVANIA) ) ss.: COUNTY OP CHESTER } On the 1 day of A%e P'6-Af c:• _, in the year 2011, before me, the undersigned, personally appeared Robert J. Black and Leslie P. Black, personally known to be or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that said individual(s) made such appearance before the undersigned in the City of Kimberton, State of Pennsylvania. NOTARIAL SEAL '� ary Public i RUTH A 4ENGEL Notary Public TREDYFFRIN 1WP,CHESTER CNTj �L1 My Commission Expires Apr 24, . ,Star ail+i f*) 3 STATE OF VERMONT ) } ss.: COUNTY OF CHITTENDEN) On the _�)i day of ��' , in the year 2011, before me, the undersigned, personally appeared Frederick M. Peyser III and Janis M. Peyser, personally known to be or proved to Me on the basis of satisfactory evidence to be the individual(s) whose name(s) isle subscribed to �le within instrument, and acknowledged to me that he/she/they executed the same in his/her/ eir capacity(ics}, and that by his/her/ ei signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed...the . instrument, and that said individual(s) made such appearance before the undersigned in..tl e City .... of Underhill, State of Vermont. Ilk Notary Public Lf.. l` P• 4 SCHEDULE"A" DESCRIPTION Or PROPERTY ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Orient, "Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a monument on the westerly line of Village Lane, said monument situate at the intersection of the southerly line of lands now or formerly of McNeill and the westerly line of Village Lane; RUNNING THENCE along Village Lane, South 32 degrees 48 minutes West, 16.02 feet to lands now or formerly of Oyster Ponds Historical Society; RUNNING THENCE North 60 degrees 04 minutes West, 277.60 feet; RUNNING THENCE North 29 degrees 56 minutes East, 177.60 feet to a monument and lands now or formerly of Tuthill; RUNNING THENCE along lands now or formerly of Tuthill and lands now or formerly of Aronson, South 64 degrees 45 minutes 40 seconds East, 125.42 feet; RUNNING THENCE along said lands now or formerly of Aronson:, South 64 degrees 06 minutes 20 seconds East, 6.01 feet to lands now or formerly of Van Nostrand; RUNING TIIENCE South 29 degrees 56 minutes West, 25.0 feel to lands now or formerly of McNeilI and Caffery,North 64 degrees 04 minutes 50 seconds West, 6.01 feet; RUNNING THENCE South 29 degrees 56 minutes West, 146.87 feet to a monument; RUNNING THENCE South 60 degrees 04 minutes East, 153.40 feet to the point or place of BEGINNING. 5 SCHEDULE "B" DESCRIPTION OF PROPERTY ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being Orient, 'Fown of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a point on the westerly side of Village Lane distant 95.33 feet southerly from the corner formed by the intersection of the westerly side of Village Lane with the southerly side of State Street, and from said point of beginning; RUNNING THENCE South 26 degrees, 20 minutes, 20 seconds West, along the westerly side of Village Lane, 25.00 feet to a point and land now or formerly of Latham; THENCE along last mentioned land the following 2 courses and distances: 1) North 64 degrees 4 minutes 50 seconds West, 144.32 feet; and 2) North 29 degrees 56 minutes Last, 25.00 feet to a point and land now or formerly of Hubert; TI-IENCE South 64 degrees 6 minutes 20 seconds East, along last mentioned land and land now or formerly of Staron, 142.75 feet to the westerly side of Village Lane at the point or place of BEGINNING. 6 SCHEDULE"C" DESCRIPTION OF PROPERTY ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being Orient, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at an iron pipe mentioned in Deed Liber 11483, Page 73, on the westerly line of Main Street/Village Lane; THENCE North 60 degrees 04 minutes West, 153.4 feet; THENCE North 29 degrees 56 minutes East, 146.87 feet; THE South 64 degrees 04 minutes 50 seconds East, 6.01 feet; THENCE North 29 degrees 56 minutes East, 16.02 feet; THENCE North 60 degrees 04 minutes West, 24.03 feet; ' HE—NCE South 29 degrees 56 minutes West, 178.91 feet; THENCE South 60 degrees 04 mim.ites East, 169.42 feet; THENCE North 32 degrees 48 minutes East, 16.02 feet,to the point or place of BEGINNING. 7 COUNTY OF SI(iTFFOLK CDC STEM, Lc,vy SUFFOLK COUNVY EXECUTI'VE IDEPARTMEW-F WEALTH SERVICES JAMES L.TWARKEN, ML) IVISK MPH, IVIBA, FRCPC. . FAC1.1-1 A 1pri) 6, 2011 cor.'misslot"ER Robert Barran, P.E., 4295 Vanston Rd, CUtcl1o9L1eJ\1Y 11935 Subject: Board of Review Hearing January 20, 2011 C]0-09-0009 Old Orchard Farm Store -- w/s .- t/o Southold SCTM #: 1000-25-1-25 of'Vill'age Lane) 95' S/o Skjipp��rs Larle, 01w.,11t Dear M.r. Barratt: Enclosed is a. copy of the, ()n(jinQS, recon-Lmendations arid "ICtermination of ID1.11-111 concernin01 il-tvil"Al g the Sub�ject application. Based on the InfOrillation submitted, the Board granted the request for variance/waiver wit], the provision indicated in the,detei-mination. 'The granting of this waiver does not imply that your application will be automatically approved. j[ Is your responsibility to ensure that your application is collipletc; otherwise, your approval \vill be S1.1bjec-i to uru,iecessary delay. Very truly yours. Nleyers, 1! it Principal Public Health E'rigineer Chair, Bo,,..)rcl of Rev' Enclosure C Board of Review File Y-apliank Scott Stein Craig Knepper--Reviewer Barbara Cervone. J I Eileen Cantone - Yaphaj-d( Katherine Caf Andrew Freleng Planning Department Frederi I yery ck Peyser Lauretta Fischer Planning Department John and Julia Tuthill Heather Lanza "Gown of Southold 01-ient Community ActIvIii-les 111C Mary Anne Nordstrand jl llv*ion Of Qv;,. AlY 0 L100rd Of Review 360 Yj3phani(Avenue.Skji(e 2B a Yaphanit tly I I CI$L).. Phone(63 1)352-5801 Fax(631)552-5825 ...... ....... Qrmrn11T IT ' '?In U_1-'YF0Lr C COUNTY 'DE PARTrym NTOPHEALTH SEf10V'iCEiz, Div-f,sYoi\1 op E NVIRONIVIENTAL QUALITY BOARD OF Rr,,vir,,w A P�,-f icrX, 29 SECTION 2209 SUFYOLK COUNTY BANITAR Y To, James L. Tornarken, MD, MSW, VjpFf.. MB. A, 1,'RCPC, FAC.R Coll, From James Meyers, P.E., Chair, Board of Review- Sul)jeot: Findings ,qiidRecot-nmcjidatiOl'iso-flli.cRevie-vv Board Rogarclinl,,Y: Cl()_0q.,0,,)0o -- Old Orchard Farm Store w/s of Village Lane, 95 -feets/o Skippers,: f_,� Orient--- Yo Southold---SC'-F-M it: 1000-25-1-25 Hearing Date: Jantiary 20, 2011 Board Members: Patricia Floria, p,)�, Craig,, Knepper, P.E. Corrin-jercial ConstrLiction standards reciiiii-c that 9WYita1`Y systems be located at least 150 feet fi-011f) Private wells. The applicant is Proposing to install a sanitary systcyyj less thEll, an"d COMMercial. COnsiRiction standards reqifte that private wells be located at ]cast 150 feet from saniiativ systems. The applicant is PrOPOsifig to install a private well that is less than 150 feet from their own sanitary system and neighboring sanitary systems. CODSU'LiCti011 standards require that Private wells be located at least 10 feet from bt-tilding foundations, The applicant is proposing the installation of a private well less than 10 feet, from a building foundation. Construction standards require that private wells Closer be installed with at least 4-0 (,e et. oc water above the top Of the screen. The applicant is proposing to Is pr iv less than 4.0 feet of water above the top Of the screon. ate well jj-j;,.jj I-,as Construction standards require that sanitary leaching pools be locatecl at least 10 ro(, property boundaries. 'The applicant is proposing the filstatlation of a th an 10 'feet from a property boundary. E k I_el L, ff-S—1"Al LI rK 111 a-IN I- The applicant is proposing the installation of a sewage'disposal systc-'al fbr an existing building and updating the water stipply with a newly installed 011. -pl b-Ldlding ha s been without a sewage disposal systemsince all 011tholSO w-, demolished in the 1.930's. outhouse 2. "Ole,project is located in Grotindwater IN'Lanagernent Zono,4. 3, The parcel is 0.084 acres and the yield at density is 25.3 gpd. However, jile is a single and separate lot on the 1981 tax 'naps so the site is allowed a rnax i of 300 1pd of total sewage, flow. Ctirront design flow for the site is 19.3 gpd. "L The proposed sewage disposal SYStely, consists of a 1'200 gallon septio, tank and two 8-foot diameter by 4 feet deep leaching pools pitisarea for a single. ::je jal_,cs I.,. Tomarlcen, 1AD, IASW, MPH, MBA, F13,CPC, FACP, Commissions r I-Icwring bate: January 20, 2011 Subject: Findings and Recommendations of the Review Board Regarding: CIO-G9..0009 - Old Orchard Farm Store - w/s of Village Lane, 95 feet s/o Skippers L ar1 e, Orient-"t/o Southold -SCTM #: 1000-25-1-25 pool. The proposed sewage disposal system is Iocated in real' of the property. Maintenance of the system, will require an access easement on a neighboring lo-t (tax rnap 1000-2,4-2-6.1) 5. Soil conditions axe good with sand and gravel below 3 feet. 6. Depth to water is approximately 12A feet-below existing grade, 7. Uie direction of groundwater flow is to the SOUthwest toward Orient Har ,or, 8. 'rile existing lase of the facility is (.try I.taji ('jtll'1?.itl'(t'G cailcl ant;<-J: -• \ z building has 642 square feet gross 10oor area. c:'e� s 9. l'lle ar)plicallt has indicated that it iS difficult to Operate ills f cilit''v `vSiJ 1J'li!" restrooln for staff of"visiting clients. 10. Public water is not available in the area and a letter provided by the SCV;A indicated that it would cost approximately $1.5 million to extend public to the;site. 11. "rile:facility currently has a.pr'e-existing Nvell located in th.e basement of tlic building. which has exhibited elevated manganese concentrations. A new test well was installed in tile- froi�it of the lot that the applicant would like to use ).s tlle rl w SOu.rce of driJll(ing water. Tests performed by the Department on September 21, 2010 showed that water quality in the test well met applicable standards. 12. Because of file limited parcel size, the new well is located 3 feet from the building foundation where the standards call for a millimtun setback of I feet. 13. The well lob for the proposed well shows that the well is 30 feet sleep with water at I I feet below grade and 15 feet Of wafter above the top of the sere ell. st�iKjclat'cis require that wells be installed with at least 40 feet o:E water above the toll of Ills screen. 14. Commercial construction standards require that proposed sanitary systi;rns be located at least 150 feet fl'Onl private wells, The following distances are proposed. a. 85 feet between the applicant's sanitary system and the applicant's ll. b. 80 feet between the applicant's sallitayy system (i.'utt)r0 expansion fool) and t11e neighboring well oil lot 1000-25-1-22 t0 the north. It Should be noted that due to tilt very low blow, it is quite possible that the filtUre expansion pool will never be required. c. 91 feet between tile applictult's sanitary system (leaching -;ooi) tilt; n0ighboring well on lot 1000-25-1-22 to the north. d. 81 feet between the wlioa.nt's sanitary system and "tile neighboring well oil lot 1000-25-1-.23 to the north. e. 70 feet between the applicant's sallifilry system and the JieighbOr'it1J%'::v<.I1 oil lot 1000-25-1-24 north. '. 80 feet between the applicant's sanitary system and the neighboring •well ore lot 1000-25- t-27.5 to the south. t. 90 feet between 1:he applicant's sailitat•y system (tiiturc expansion pool) ailil the neighboring well oil: lot 1000-24-2-6.I to tIle west, ft s1l0111cl be �Iotc(l James L. Tornarken, Iv1D, IASW, MPH, MBA, FR.CPC, FACT, Comrnissionc:i. Hearing Date: January 20,2011 Subiect: Findings and Recommendations of the Review Board Regarding: C10-09-0009 — Old Orchard Farm ,Store — w/s of Village Lane, 95 feet s/o Skippers Lane; Orient t/o Southold —SCTM II: 1000-25-1-25 that due to the very low flow, it is quite possible that'the future e'Xpansior, pool will never be required. 11. 105 feet between the applicant's sanitary system (leaching pool) and the neighboring well on lot 1000-24-2-6.1 to the west. 15. C'ornnaorclal construction standards require that proposed private wells bc; located at least 150 feet frorn sanitary systerns. The following distances are proposed: a. 85 feet between the applicant's well and tile,applicant's sanitary system. b. 128 feet between. the applicant's well and the neighboring sanitary system on lot 1000-25-•1-22 to the north, c. 70 feet between the applieanns well and the neighboring sani—rar I Ct/C7411: ,,;-: lot 1000-25-1-23 to the, north. d. 84 feet betweell the applicant's well attd the neighboring rc lot 1000-•25-1-24 to the north. e. 95 feet between the applicant's well and the neighboring sanitary systel;, on. lot 1000-25-2-25.2 to the east. :f. i28 feet: between the appiicallt's well and the neighboring sanitary system on lot 1000:"25-1-27.2 to the south. g. 94 feet between the applicant's well and the neighboring sanitary system oil lot 1000-25-1-27.5 to the south. 16. Standards require that leaching pools.be at least 10 feet from property boundaries. Due to the small lot size, installation of a sewage disposal system meeting all of the required setbacks is not possible. Leaching pools are proposed to be 4 feet ft•onl property boundaries. 17. "Cho applicant indicated that they would be willing to covenant the property to restrict.future Ilse to dry retail to prohibit future increases in sewage design flow. �yCt;�3"tini uYifJti�Gu It: was a• 3 to 01detorminatioil of the Board to grant the request for the va-dances provided the following conditions are inet.: Covenants and/or deeds shall be prepared and filed, in language acceptable to the County Attorney, that: o Limit use of the site to dry retail Space only, and o Linlit sewage design flow to Ile current flow of 19.3 gpcl. o Indicate that maintenance for the sanitary system is via all ra �,llc:ilt oil adjacent property, tax reap number 1000-24-2-6.1. ry An ea8enlent illust be obtained oil lot 1000-24-2-6.1 which allows fot acc, ;s to the subiect property for installation, maintenance and repair of the sanitary systern. It is presulned that staff use nearby restroom facilities ill lieu of an on-site „yste,ri t.j., us overall flow will not be. increasing greatly 111 the area. Tile existing and proposed Ilse 1'i:5t11t in a,design flow of 19.3 gpd,which is a fraction of the allowable design flow for the site of 300 gpd: Plow from the proposed ollsite salitary systen•1 will be to t11e ciolxehwe>t, ilot James I_,. Tonnarkcn, MD, MSW, MPH, MBA., FRCPC, FACP, Commissioner Plearing;Date: January 20, 2011 Subject: Findings and. Recommendations of the Review Board Regarding: C1.0-09-0009 — Old Orchard'Farm Store — w/s of Village Lane, 95 feet s/o Skippers Lane, Orient--t/o Southold— SCTM #: 1000-25-1-25 directly towards any of the neighbor's private wells. Likewise, flow from the neighboring sanitary systems will also be to the southwest, not directly towards the applicant's well. The granting of the requested variances is not a formal approval to'construct the sanitary system or to use the test well as a drinking water source. Rather, it is a determination on the specific variances requested, based upon factors noted in §760-609 of. the Suffolk County Sanitary Code (Sanitary Code), In compliance with §760-609A.(1)(a), the proposed variances axe in general conforrnity with the Sanitary Code. The variances should trot impatir groundwater, surface water and drinking water supplies, and, as sucli, are consistent with criteria specified in §760-609A(l)(b). The granting of the r�.quested variances will not adversely affect the design of an adequate on-site water supply aiid/or sewage disposal systern, taking into account soil conditions, depth to groundwater, direction of groundwater flow, and as such, are consistent with criteria specified in §760- 609A(l)(e). As per §760-609 of the Suffollc County Sanitary Code, the approval of the, variances is in llarniony with the general purpose and intent of the Sanitary Code to ;:protect groundwater and drinking water supplies, surface•water and other natm-al resourcc;; , arld public ttt:aitfl, sarery and welfare. Jain s eyers, P.)✓— Chair—Board of Review ' 4 — — — — STOM G Ov -r L—iniC REACL y Ew �a I Ld�wtaovs ENTRY DnwZ� REF-s�ct� oil 1 I s� 5� I Lo CgSE MtvT IN Ct 3�tt OPEN I CWSEM�..1 16 30' I I CLEAR, , l ii i `R OVER R s3 OOF 3: F i C01iC. STEP W STORY FRAME BUILDING w �o ` F l.o orL L.E V Et. = t q-•g ` �: 33 3 -� 40.2' 3.0' EVr 7• Jt q 3 I L0' ROOF OVER►" 5.2' 6¢,6 S to P E = I _Zo l el- J 4- S„ 0.5, RooF ovERruwc AC p -tr Cw= ��AnE _ SE-r 4' DEfP !N cnvacal—yE FSELow c,e ianE . This drawing is based upon data derived from the Survey# 27 - 480 prepared by aG \ �' - 1 r r Nathan Taft Corwin III NYS Lic# 50467 dated 01/28/08 -- • oeE% z 6 SCTM # 1000-25-01- 25 New construction Foundation: Bin dia Oft Sona-tubes/cement, or equivalent Columns: 4in x 4in Doug fir grade 2 or equivalent Girders: 2 x 2in x 8in Doug fir grade 2 or equivalent Joists: 2in x 6in Doug fir grade 2 or equivalent on 1ft centers Floor boards: 2in x 6in STK Cedar or equivalent on 6in centers ^d zz M1H 2 i Mta Joist to girder joint: Teco's used throughout �OF NEVV Column to Girderjoint: '/2 in bolts xo ko t=i. 32 ct6wcontel: L- cr_Eaaa nucE O. B,q�� r4• Tr Ta Floor fasteners: SS Design Conditions Less T�►;A,a .� " e1sE� ' Live Load 100psf .-Dead load 20psf Snow load 20psf Engineering b o. 0..186a In accordance with the Building Code of the State of New. York 4 �, Rev 4 clotrxd o4�lz�IZ S BD c ummewl-5 D F p 4-1I t(IZ Rev 3 dated 04/07/12 Lateral clearance increased per code pl A. N Rev 2 dated 04/04/12 Building dept comments added Rev 1 dated 03/30/12 Deck removed Dwg # 032812 Rev 0 dated 03/29/12 FDetails illage Lane, Orient, NY 11957 LEGEND : Mr Robert Black et al = Owners of handicapped access via rear of store `P /' 3ft wide ashfelt path or equivalent at rade\ plans are an instrument of the service and are the property of the design "1� 5ft wide ramp wl"t�0nse over Oft ' ional whose seal is affixed hereto. Infringements will be prosecuted to the fullest L" 5ft x 7ft landing at EL= 14.8ft same as store sales floor) extent of the law. Contractor shall verify all field conditions and dimensions and be solely 9 responsible for field fit. The design professional assumes no liability for omissions due to unknown or unforeseen field conditions and or additions based upon comments not o ! z 3 4 5 f J- formally acknowledged as revisions to these plans. 6r ad- sc�►L E ; Robert Barratt PE, 4295 Vanston Road, Cutchoque, NY 11935 Tel 631 734 2730 cell 631 875 0275 Email: robertbarratt@optonline.net - ----- - Off ICI APPROVAL STAMPS Teat Hole QI ELaetalG �+4A6tAt*1trP w Test hob b MCDOn8ld GeOSCkW" On 9. 2000 Suffolk County Department of Health Single Fc:: � Y Approval for Construction-Other Than SinKle Family Aeca tt; -re CA4%.jL. -VWVV tMreft 1\ r►e� � 114.4 Oillrlt Brown Lo>snl Reference No.(-[0--0 9-0 00 9 Design Fl ovo Wu.a. � TOtt,E'T Twwl<Lal•s•fnw•It * MLtA UB@(B) -_.t.�C� -1.--__•- a� me e ti L 1 These plans have been reviewed for ge .al conformance with Suffolk �rtls�l.K w - . Ike` Brown Silt ML ltt�►.tvt f wr�.~i oa•Kti �Vd $�X�. 8� VWoj#*Mle COL0 sa 1 • County Department of Health Services standards, relating to water C«•wt�tY -3' supply and sewage disposal. Regardless of any omissions, *w°fa CweelAtiA.. ,, j DooR.. •: ; L.,►�a.sL•� incor.Bistencies or lack of detail construction is required to be in ELtcn 7n�li rd ur• s r�Lt A 000 t o sKo r•a 6►L. 11. Or ' alpgrrr Te !� a�P�.ArAs+• ias C l�eh FI>Ial '►la1.1V ! tr �Send wfth 20% GM%MA SW S�P.n •r-- accordance with the attached permit conditions and applicable �---}-+ -� L Av standards,unless specifically waived by the Department.This approval years from the approval date,unle s exten ed or renewed. � Brown Fins to Cole same SW 6 0 7 21012 -- To c�a(vwofrR cL.00rC� ;1.4 2.40 C/o o El 2.Oft +1 Nw�ue TA•*�,�►. - Z•a' Approval Date Reviewer / TtILt,7 �, ���I !t.C' .. t'.v.C(�L' . �'.i }� �� --�./ '� t3V!�-T 1 N QcLo26> A N W 1 T ti 'T Hf / '11ts �t>h1s.. 3~ _ _ ` i�ICc e10+_ �in BrOi n Fires to Send SW 1 l 1 �' 13UIt.pt•1 GoO SiA-Tti O F ►JEW OINK - CL6�cJl Cj C{9Ct../, �i J r' JS /i�11r�Ct" i /7i JL�/ /�"7GT _ k�0f r�,n y f2� rjT�- M so f ANs1 A1�`t•1-Zoo3 _5V* tM!z doeRmi lL C46441AM ' 1 NS USER R NovTO �c�„st 1CTIo PAGE -- &RESTR 3a SUBJECT TO COVENANTS STCWL r►CQ D/S P►I:A y within his area Other fixtures of allowed .r 1 i'MAX 'g"N rapeoppoddodd 1 WELL WATEtL SEltVlclt I , wtw..♦„ / 1>ti~ t.`J) -°' •---4�'' r�,N-- t.S" M'M �•�es®t vita.. Dt7ee�t &RESTRICTIONSUSE t UBJECT TO COVENAtM pAGE.s` -- I = 17_19 3.rr =s_ I o SIB fte- aulst /eal4 STefte PLMJ P &aPOtfft ATM ( sM 1^F SCAC-6 1 I Approved in accordance with /Board�lof Review �•t!ly Pt �---- --_---- ®Toy LET Su OPLAXS GOw�OA�t�•r ENT. Determination daW o !' v • 60 min' L Maw. r� L� GLLsAaZsaNcEs Fo 2 "Tel c_4'V tarp Ar.4►+w _ r 14•t� IV 1,•I7L FArV. eswtt M�iO • ~ esruw SKarPi;RS LAN6 kr�� � pp���� ��l�y_� ✓ O R 1 E I s Ar es 11 12l 17c.'l7' IALAPPROV�� YY t 1 40UT If) NOTES i... rs. 'o lo'et' �e.�i e•sz' �rlt� �I.�ra r APMVAL BY WATER G?lJ1�M UNIT Od t E y 19 3 �rw �• 4 .�.1 zr Designed M s e with the current Suffolk County -- EAST A R 1 O N .. Jo etTt 14 4,dr 4•ta.' 4.21' 3 Population Equivalent(PDE) M sa P PS 2s Orient Y.C. Z = y !f 1'llt.oast a x•tt«to ceo�»ow wnR E1_. � G�rpagl� (no 0 084 acres,water)plip 10 wetlands, etc. . ' 1 Q PDE=300 x 0.084 =25.3 gpd t w TIOIr1 . A A N Density Load=0.03 gpdUaf O R 1 E`. N T + _ e F{ow(,DSFI e r , rr r ' t" ! I Building area=642 sf !1JFAN i t t !� 33r N Hydraulic Load=0.03 gpd/sf j OSF 642 x 0.03= 19.26 gpd a , ere S 64• 6r Z� - 142. 1 S I* Septic Tank Fll Time(T) H A R B° 4 R --- T=Capsaty/DSF= 1200i19.26=62days tea'' �°A 4�0� a �41 w a= phi x 0 x Effective h4 x 2 4` �? O a= 3.142x8x4x2 =2'01 sgtt µ 2�' Pre-exiatira well. slop sunk gN drain To be abandoned - � --- 1 li ?o� ?• Proposed Wei i ''� A M 3 Located outside building footprint per standards / 'E W ` \ STOf1R.!'� d o Well casing die=4 in • le _._.�._ • N Well using material, PVC, NSF rated z / 15p Wit 4e w a o Well depth=up to 30tt ind Oft screen Q�e � t �p � 7t r T•o st rl Pump HP=0.33 hp ! N ? 1 9 t t Ti • Output= 5gpm min Drop pipes, high denWtyf plastic NSF rated at 160ps4 N o •I @ °' _"__ !'e sy Lateral,see drop pipes above �n c � CP 2q 4.0'+� A r IR.OVI:D AS .NOTED • -. +' .� a' `•o, \2,0, .�.t. 82gaN storage tank located in building •p21=• 1 N V4• 4 P Sew 1 a>!4• li Pressure switch set for 20psi at 20psi DATE -1 N I B.11 P. # iW / r •p ` None FEE: • d BY / �• ` 4tAe.t 1~ s 101 PL4" PL. wtJ AP P1t•OoSIL0 SQPTIC- fY:TCZ#^ None-OuthousewasEandortedinit6'sFy BUILDING DEPARTMENT AT / / '. /•b5 :31?Z -S A 1%I TO 4''PM FOR 'THE zanim bo' W s�t3 VA71t,0111" R+ACLUCSe•tPo / � • ` R40 t� preoedbr><-Dry Stor� t . :RFD 1 Built circa 19M r L�c4O.a� ' �� •• / C p Renovated 2008 3 I m �sT�>s • j, • A SQP7"'IG TAAItL 1. '�,J►t•m•es4 4. 1✓`iNf4L� '7aC ldTI:aN$ELLC {CC. ' - • Kl , t 11 , ` �KMMit®�1 P LU MB I N, � . I ALL PLUMBING WP•S'�7'E AMLTST tiE COi�1r1�UCTi�JN"c�ELEGY*f<�GAL ALL CONSTRUCTION SHALE VEErTHE r•V7 REQUIREMENTS OF THE CODES Orftw &WATER-LINES NEED �E 90l � � 76� ' �Ati ` 'JRT' TE Tlf1a B'EI:OP:--Cti,v-Rli•,.� ti `♦ !! /� ® � • • / Q"LUt'.�'D CONTENT BEFORETPIFICATION YORI<STATE:' NOT RESPONSIBLE FOR - DESIGN OR CONSTRUCTION ERRORS. ,�'� ' t'I>�/ �► l o�4 r / O` 2 Rw. C : CE6�T1'1, ,TE OF OCCUPANCY ,) � wti f Z P •tp ?l► 1 SOLDER USED IN WATER 1 � I •�. 3 � C,4NNOT OCCUPANCY o SUPPLY S t':: �-�"LL" •� a / cP - (PlAi luew ��. _ ..•. 2' EXCEED v _�.�,o. USE IS UNLAWFUL J. c!VITI�OUT CERTIFICAT1. �. 94 yak .w , � i3 rss To ♦ / O/ ELECT1111CAL a F 11r I V a INSPECTION '�: UI�'F t t pAk: -�^Y � v� �► � �ti1a� � 4 wr t�•?S (� !ct /so= � o,y 4Y �pdp , ,, . 1 ,�-e,,, � 3' �►��y s S o►ND cv��.P, � �n`'�tcr ,1rS�Gs s� .� - - • n► l yv t I vas, �� pido ® ti�tic sY more W% S' Cis► r Ctr► q 4�12112 S8D CoM.nt►.+Z's i�l� � O"1t.10/0 . 7 _ GoaaEcT HA/LF/@�A?1.4 t +,. ; OLD W`L SEPTIC TANK (1) Ls*fOdT ^i^�� sZ, : 1?�!�1 q t 7Y K- Apo ccEst EAtEMSNT METES ft 1 1 o , 9� S 0 ` / / 1. 1ala�ul o� GPI16�S f00R A 1 TO 4 aED11004 MOl1SE IS 1.2D0 CMiD11S. �1� B/Z�t1 Aaov.lus PEts os:6ta * Z ooNalcf• Slwl wwE A ►rlrlltlll pDllPltEssrrE stfr►lcrn of J.000 /d AT 2e aTs f• leeAlal Lr rl+o sn+ttti s t To ac�ooa Mouoc s Soo .L R �cwl ar�L 7 Lc d E IL 1 t 4 g� Pw 4e. 13 I frill 7NXXNESSS SHALL BE A WdMNq OF 3'. A TOP DOCIOAMS OF r'AND A Wr OM 7frctoLEss oP t•. � ar a6 1. ` AALL JONIS $PALL SE ll MALLS. MOT M Alto 7W PMU COWAIN PEWDACM TO RESar AN APPL= PONCE L1► S TAW IS Wplyarnj*ffoo pF. & LOCH" POOLS ARE 70 K oolfs1111A:rM oP NscAsr V43W%QCte CONCp= (at M� Aflotb w au- Oes/Z iaa o N LOT Z•�•5 (� Sd• • � ®+ N`P / I VW 3V`W TAW S!M(LwsrME AUJED A So 7mT TELrAj N All OF&C710/6 & ALL cOMM lm�o o�ollarT[ (� lilt/it ���/ V' ON A MRSWIN S'Do= KD OF WwACTgD SAND OR PEA QIMVEL(w'tN A Mql TOlEJ1Al10E OF !1/♦7 t. A <C rNn OaTAIIC[K1MDD1 (� =�' �A �8186a Lltllplld0 POOIf AND V10= LW Shill t 1Y1r1UrRp� r. A 10' vivo pSTANCE eETwml sEPrac TAN( AND No1rSE 9ftL eE MWZPM M. a AN r wdrk Daum= S[7f1�1 All LL1Cl 04 Pools AND Sttf1C 7A1s( SHALL e[ Wr+fAtfla i S S lo� IMewtPwsA�ra N. O. Cola«�wTt ROF SIONP� 9 s to Qnl � ` ° ♦ * / / 11�10 Itrt�ea,.Pea.l•TLIT V 2 to CoMaaM's 1� 4 1 • t EtsIs P•®li. � o � � s Ted Bit S'f�S ` � \, Those we an of ta series are4 as fA a1 kits W) i M461 o30/) 66CL.�. _LP w. I,Et�CISINR Peet. P.a�.� �-- ,QOsow 3 �,o� P�«+► Ce•ea•Lw►tRsi; -�-Np a1t1alti'ilsi®ar. Mal -- ftw -- ® N�1 6h bO1Lr� w�.%- 1'91 As+® ta►a`•�®tlLals Ati. . ---... Z E f 6t+t�1�� is ®�++ a� tine �• tIIA The 1� It er tads or tt E N zz UVE 16•0 t and or 899211's bond wpm emmoft rest N W N oT W.4TE R H E AT E t= ar i APPROVAL STAMPS Test HOIe eta �^('o BE v P- tD � Suffolk County Department of Health Scrvimc", Test hole dug by McDonald Geoscience on January 9, 2008 Approval for Construction-Other Than Single:Family ��eeNe>f�e(-t _eV"s-wee.`) 2 vteat ACC To El 14.4ft sS Gc.pwl., SPwcE TAT � ® O'Oft RefereneeNo.Gl Q-09-0009_Deaip F)ow . �Dark Brown Loam OL Use(s) x----------- I „ -it twi sewn t Neh Et. 1 S _ These plans have been reviewed for gerF:.l conformance vlith Sufrollt • . County Department of Health Ser�irices standards, relating to water ---- . �w��R. as '. "GLEAtQ. A�Et� b��woPaNnLs r Brown Silt ML FiyllNe.D e;ItcAo� E� Is• O 6>KRs�IMN; w ���» / �, I a supply and sewage disposal. lle;ardleaa of any omissions, q�wa voM AO ffiY '+ 3 I1&% `e• inconsistencies or lacy of detail, construction is required to be in �Ool�.t'fC/ %.0 / ' ' 4•: .• LATLR A�. = �L it. 01 Aww eA���,,,a. wNQr� Z&,r '� : •w�,• Brown SiEty Sand with 20% Gravel SRN S�'.n r--- accordance with the attached permit cor�ditiors aTt�l a�aplica?�lo � s cr• s��� �w+o z � tc � � •�, EtiT g+o a, � standards,unless specifically waived by the Department.Tin apt�raval CLUIS � To Msv®11•. �$s.11 1 S F ••�� •'v• -,I ��� �v expires 3 years from the approval date,unless eaten ed or renc��e . ftnBrown Fines to Coarael Sand SW 'I_�-O'&_ __L_ Nw�t� 'r•wlrL.et_ �- �•o' Approval Date Revie�a'er Ly •�>p s.etr -1 .4 ( ) To P A,olo G I l � L�•} � L 1�,V s E-(,W L/-Z�'�$ {'J�l✓U%�'"�G'!l '� �aA.ttl� �da��ee M!. C��A� RA/1-S ass / � L77 ,ale— ee Water in Brown Fire to Coeme Sand SW ^01 //4 � Cly1��o�•e f�trut j`T� !S �i,�T��, �} %� 1e �®n c. So �ic � �� I fu 5.f/4�arm r.,`rt b p Y tl 3.i . LNG ti«� � �L .. �t� r_ .. .-.,.•.�.>•,•+� Ss aoa• -- ple.�ese� we'+.a► fleT�t�-a �'"t�_ 3 Pl►E- 1god1SZrfDee 5-Tacr- PLAN PQ.c),t�Q19C AT SCALA 1''a 4 06_ aoll _ R—ky t Terry Pt o u y Munn .s F +v. � ..f�-.},t p,,qw sRs'r�s7�:a,�=�Q�d� aTe.�ru•�; � .vow '• � I Iq ' OLw1,E SKIPPERS LANC•s c ,�♦ A �♦.• u s rn Tqv I y fASI A/AR i 8L - l y IZ b 1't•l Z' I-x.IL-1, ' y NOTES 1�1 w,..°gig .n.M_.t: `. �9 ry N�.-...Q• .p *� j' I �•4 .. 'e.. pn"V F M 1 p^y A tl MMr.R 51> 11 s •i o � � � � �F*�N � Glt!lNl � o R I E � 1� � 11.12� 11.9"r� a I ,� 4 o•sz ��{ Water services and sev�ag�disposal system to l o•'ly 1 _ - Barn Pon pec+ `PS- �' �°` $ _fr 1�_' 3 Health Dept Standarsigned in d with the current Suffolk County 1 N1: Population Density Ecauiv�llsnt(PDE) j o a IT a. a 4 n no public water ��. EAST A R I O N •;off «"+.•. NR ovMowwTE2 EL. 94 Orient Y.C. +1 H1�1.►!ST 6xpEctt:o � 300 Lot Area=acre, N1 A P PS 2S :_ °'°`4� Z `p PDEGros= 300 0 084 =0.084 5 3 gPd no wetlands, etc. . y a , i .� +• •� �Tloey : A- A e3 Density Load=0.03 rid/s �• t I !�y ° Building area=642 sf .E Design Seweracae Flow(DSF) Y Hydraulic Load =0.103 gpd/sf = O R I E: M T T �" ! �► 33 N DSF =642 x 0.03= 19.26 gpd y' �• ♦ + I RIM lol �' �, �, , �, 5 6 40 61 4"+�+ E t 42• '1 S�' Seotic Tank Fill Time(T) t0 J;,°; ,� T= Capacity/DSF = 12C0/19.26=82days t \�• ♦. ' ^\`,v I � w Leaching pis e�`ective area(a j� A R B; o R ,. �•o' ��oi L�•O� �, a= phi x D x Effective ht x 2 + \r B•$I* ?.2� Pre-existi<n a well slloo sink and drain To be abandoned Progg"d wel: Located outside building footprint per standards ;.,i 'A p Well casing dia=4 in 1 STOR.�. Well casing material, PVC, NSF rated �•�,s �.® o Puemp HP 0.33 hp epth=up to Oft inG Oft screen '10 7t r T, r .off e® ® - �� SFtTIt 4 t' 114 Output= 5gpm min t Sca ��s •� N •,, T. t_ < prop pipes, high density plastic NSF rued at 160psig E c o g•�r* / �o 0 Lateral, see drop pipes above 82gall storage tank ocated o %�!I® �+ <,• 4•o� `,,o r �2•0, �� p• M Pressure switch set lfor 20psi at 20p building C P �g 2 e' o • W 64 4 '�o ea 14,c 3Z fr► Storm d. in a structure s 1 None •®2k•/ • ® �` ExilLb Sev�ane system-2system-2�� ®�® SCALC 1" s 101 PLOT PL V494 AF oReOoSa,» None-Outhouse was abandoned in 1930's Zonin 24. R40 ,ya, �t '� t # V NLt 4"r-16 e.CCL v WILIr ld V Declared use by precedent-Dry Store Built circa 1900 M Renovated 2008 ®� �. 1 1 �sId�11 G T d�A11L 1.EJ'►e1+r» - L�ae.M l of P'o�t. �� ` t ` 's.�t •y. 1� � ` Q�atMw9�te y -- 41, ` Vr OF NEWCO yO I 1 � � �� . 1 1 �p�' �Y h/�i�14�V ?�►� _ ."a` �A d818* ®' its , cP 94- �o"� �� � �•7fl z I� 0�- ®J �•� / ' ��Milk �f/ E F Me DTI V E � FOL Scbrr:s -Irc ! ♦ - gAY 4r `4% 4---T� 4 3� ��US SANS cv��.A R, 6so' s w N l 0 �� / � e r�► 7 Dt". ; m — S, t->14, _ RIB - / 'TIC TANK, (t) Lem, nt NAY I105 26.00 I. MINIMUM SEPIC TAM CAFE FOR A 1 TO 4 l DROOM HOUSE IS I.M GALLONS• i LEACHING POOLS Cz) Atw wccCss Eas�.MeNT MET�s y V: I- 2 11 bI&OV,foS PEK OE.C�D 1 TANK E• DK S' LIE A DNq TM I. UM LEXHI NO SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 S 6®o / s WALL ten«KrN€ss Sa SHALL �IAuMI �a s ►OF 3.000 e A AT EST a� THICKNESS OF 4•. w n s+oEwA��AID ? L 1 6 E R 1 1 4 4 3 P 4 '13 � 2. LEACHING L POOLS ARE;t p ONSTR CTEAND OF PRECAST REwORCED CONCRETE A�D�b W CUB- Pns 1T Ior-T o N L,o T-Z7.5 ALL MA115. BOTTOM ANo T0� SIV�Ll. COKfA�I RONFORCh+G To RESIST AN MPLIED FORCE OF 300 p.f. (opt EOl1�L� � J / C�g 4. ALL JOINTS SHALL BE SFAS ED 50^THAT THE TMtlC 6 1pATERT>GIiT. R SLABS. 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). �p �I�•I,t1 rmz%PE S3• �� ® /� )\ S. THE SEPTIC TAW SHALL. PC #MAU_ED AT LEVEL IN ALL DFMCT10NS (MRTH A MAX. TOLERANCE OF t1/4-) 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. 6 ON A MINIM 3• THICK EM OF COWAGTEO SAM OR PEA GRAVEL_ S. AN E' min. DISTANCE BETWEEN ALL LEICHINO POOLS AND SEPTIC TANIC SHALL BE MAWAINED.E. A 10' min. DISTANCE BEnt'M SEPTIC TAW AND HOUSE SHALL BE MAINTAINED.O Stfl too 'q.Z e .t .�� Ly ales ♦ re S tol era 29110 my '� . ��'®q` > '+! a- T � 6 0 O / . m an d to ewvko and we IllsPomtY ofgo doftm L�46"j ` a ` �`\. vy 3 b o i�11n1► co-ea oLr1TeT&� K p be r to GP : G 16SE P�et► ` ® ® �� I t d ft 1 an ram cc MW • t+Aj .. JV A eM 1�G P e�A,. �� P.O. 6. `- ® no t !� Theoar urO faM •16P �tcortgm ajo or W49ftm bmd Wm N az 04%% 16• 1 �eN�.•� a arty+++ 1 �1' la+a� ato ft"