HomeMy WebLinkAboutCollins/Rengifo ELIZABETH A.NEVILLE,MMCF Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER _ Telephone(631)765-1800
RECORDS MANAGEMENT OFFICERwww.SoutholdtownnYB. ov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: June 17,2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4760 for a Cesspool/Septic Tank Construction
Permit submitted by:
John Berg for Sara Collins&Robert Rengifo.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
Dated
ELIZABETH A.NEVILLE Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATIST Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10jor Non-Residential @$25 Applicationj
Permit No,
Applicant Name
Applicant Mailing Addrcss_cld t
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner ofPrope-,ty:_5A-_ L-L-+
Owner Mailing Address:-- ���
Owner Property Address:
Name and phone number of contact person IW
x-
Tax Map No:jc-�� Section
Block CIA, Lot A
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED 3411TH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR VE DEPARTMENT APPROVAL
lixhl
Si Date'
Received by:
SHOWN HI REI-ER TO NACD 19",
_�,�ND SURVEYING MAY o 6 2019
CNtri7!et �km� SUFF.CO
3M
M toville@aol.com
in
JOHN M1NT0, L�S, III� 4tl NERvirD,
WArCk
YORK S1111 1G.W 11W3 !�\,Y SHOII�RD n-11
PHONE� (6311) 724--48.0? FAX: (61�31) 724 5 SHEL TER 151 D 50
90 SMjTjjTX)WN BOUL-ETTAI?D
SAAj7'j,j'j'OWN, N.Y: 11787 F N
X11
Survey of Lot 37 &the S44 W201 .56'
southery 1/2 of Lot 36
AMENDED VAP A OF NOOND DAY ESIMIS
0
JIL[D IMY 19,1933 FIE NO.1124
,K,xt,nt � 3.Ia to
ArshamomaqueQs (/
1-1 I '
Town of Southold
Suffolk County, New York ?z
Tax Map #1000-53-04-14 FE'D II)a BAR BY BAY K.RLISSIG,`1
October 24, 2017 Scale 1"= 30' OCTOBER 1201Y X36
fXISING GRAD[ ZO 3X4 3
TIT 'D
X -
UNALITHORZEF) ALIERYTON OR ADDITJO,N A
ROWN
0 Hl"� SIjP1V DrTjS,,,A VIOLATION OF 1-7
SEC,'T0,1J 7?OR 0 1E NEW YORK SIATE SIR SAND SM Vati6q Ins
EDUCATION LAW. 1-. , — For S,r nita tio eq,L
OF THis D(jFVEY MAP N(.)r r3EAFING E�1� - -D S
SLAI. �IIILL NOT W 4,0'-62'BROWN SAND I t
Tri_ �XqI SUYI/Eyt)R S INKILL) SEAL C)IR AND GRAND. SP
F� B�.� CONSJDLRFD 241 %, Yliealt e
EIGISSFD U ALL art
TO BE A VALID TRUE COPY, 5.2'-100'WEST SAND z rnenfIX
"7-,,1-L EU I AND CRAVE �W'
HEPEONJ
FIVEi'
O'IL T 0 So�j FOP V�PQM THF
�s PREFARLD, AND ON inS eEHALF Al THL
I - 1,IPW-mEN7AL ACENCY AND rE
IT,.E COMPAN� 6 TGO
Eh UI U, NNULICTED�HEJALON, AI'L) 71,
T,- F THE ENUING iNS11-
,1� IHE ASS4i. E
GU,% ,VNIEFS ARE 1401 IRANSFErAOLE LANDWARD EDGE OF TIDAL WETLANDS
DETERMINED
SUEE
NoALL FUDSURFACf- STRUCTURES; DETERMINED BY=SUFFOLk ENVIRONMENTAL ?Jj
AS ED B WETLAND
CONSULT, ,0, Y 0", FLAGS W94AND WETLAND
WATER SUPPLY, SANITARY SYSTEMS, CONSULTING INC.ON MAY 7,2OaT
-SI FLAG 2 TLA( �d
D AINAGE, DRYWELLS AND UTILITIL ,
S'H; OR)WN ARE FROM FIDD OBSERVATIONS
AND DATA OBTAINED FO
ROM THER227S, MW44GE CALCULAIM Ah —2� I4J
4J
77
TIE EXISTI-NCE- OF RIGHfS OF 'NAY PROPOSED ROOF AREA �zf
ANO/OR EASD4II7-S oi- RCCOR,E, IF I
2279 SFX 2112 X 100,%=379.83 CF ";40
ANY, NOT SHi-,")W ARE NDr GUZHANTFED. I
379.83166.5 CF PER VF=5.54 VERTICAL FEET 6 /1
REQUIRED
AREA = 23,020 50-IFT. PROME(2)W 10-VIA X Y EFFECTIVE OEPIH 512 1 K610
LEACHING POOLS
20
0.53 ACRES Notes: 5
6.72
1.All down spouts to be piped into roof drywell
ri
FF 18.0
2,Wrap al,leaching pools with filter fabric.
535 Iq,
US
— \
W,COVER RIDING
i COVER TO 2 STORY
TO GRADE COX/FR TO =,-u TO 1 DD)ENSF
GRADE I- SO, la las IRAii N
Pq &2 A"`Inv 7 �RAI A Tff"KING
'��X'4
A 8.4 7 CIO S1 ow',wl,�vir
"PADE
7.8 TO Df REAPKI'D
C'X
SE", ANA PROPOSEDfi4t -,"k WI u 0,
'At,'d
1250 GALLON
HOUSE xff�IROSSOVER
Y7
'WO X 4' ) —i", `� '5 y
TRAP C�O. EPTIC TANK V (M��) LEAC LEAitil'R(5 z
6.8 GAA DAILEY
bottom 3.8 I
2 STORY
7M
713 RESIDENCE 11
6o
Lm=&o 'J,N
Sanitary System Gross Section FF=190
0,8 7,11
NIS 79
HIMEST EXPECTED GROUNDWATER 554 propraed
Ab-and , 1 1714
n1en 1",, III'driU,eMv�
C co.f. ST X"
ancue With depalTnIent req
onfornn slIng san'taly system-ust be il,
a
ME
..r.pji I
,01nple We ent subn2it
ted form 70 4—."'1
PROPOSED SANITARY SYSTE WW.M- U asp m
roof. aur
pmpovj
0
TIC TANK 4�, V
r4,
P.
ljffoL
ter rY,
l,�
It.C 8,51"
Call te ct-
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,Of
7-0
&tj/�3 It SeIv, he *,ol 01,
1qd 1%, ( ", I
/I 1--�A--
IDI Vance
'n
(8).
K
*irtf SERVICES
0 d er,kU,Cn ON FOR A
DtNCE ONLY
A"A-,
untw
A0, 9 lo-1 11 70
GRAPHIC SCALE
FQR MAX M OF SEDR00148 50 70
EXPIRES rHRE YEARS F OM DATE Of APPROVAL 5 so
IN FEET
Heofth Depcirfrrenk Approval Stamp Area I inch = 30 ft.