HomeMy WebLinkAboutKelly ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK <, P.O.Box 1179
Southold,New York 11971
REGIS"1RAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: November 7,2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4811 for a Cesspool/Septic Tank
Construction Permit submitted by:
Daniel and Kathleen Kelly
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
Dated
ELIZABETH A.NEVILLE Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER cp Fax(631)765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
I TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No.101
Permit NO.
ApplicantName f 4 X4AIC1- lfe//Y
Applicant Mailing Addres- S'o R f3,;,�fo^
Septic Tank.' or Cesspool
Brief Description of Proposed Construction or Alteration
V f
Location of Proposed Construction/Alteration:
Owner offroperty:_
Owner Mailing Address: yo,9 f3f;l len r,'t r le-
Owner Property Address:
.Sou' IVY //97/
Name and phone number of contact person 3C?0 // 3-16 79 7
Tax Map No:/600 Section ..76 Block Lot 13
Cross Street kefee� OX)y1dwl e CAIV�s Ale"Z `l
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION, NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
`7 of-App-I ant Date
Received by:
AJb 4
S.C.T.M. NO. DISTRICT. 1000 SECTION:70 BLOCK: 4 LOT(S):13
6 —SGamin 31
MIN.
FFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Kvaryrad A
APPROVAL OF CONSTRUCTION FOR A SEN.ENT ON SITE 'S %
HAY BAIL AND/OR t C4
PERMIT FOR SILT FENCING P/O LOT 146 t`
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lu
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Ly RESIDENCF ONLY Erg He I I
M-11 31 —MIK111"P
Q-145
AUG 2 E 2019 lay CC w 171ak WETLANDS BOUNEARY
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DATE_ OFF OF BULKNE4D
I AS IDEN77FIED By EN-CONSULTANTS—
/'e PROPOSED 1W, EL I I SEPT. 18,2015
ke ES7ATr FENCE Ski 11 Z-4
APPROVED 4' + I M4W LINE 2.7
FOR MAXIMUM OF BEDROOMS CONSTT?UCDON ENTRANCE-FOUNDATION OF COMPACTED EL 15
APPROVED R.CA +
,-3/4'STONEBLEND OR N.Y.STATE D.O.T. ';'I
EXPIRES THREE YEARS FRO D EOFAPPROVA FTU-TO 18 (Mn,)ABOVEmsnNG GRADE MR DRAINAGE Pa t
9 10 07RM FM
if ��OJTA� PU TMST WATO?T
V'-�- 176 co�s E,ED, M—Y
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BROWN 71'
SANDY LOAM 7-7'
W.M. 101.0, +
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it
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IN 230
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BROWN R/
PRGp LINE,- �t COARIUNK FENCE ALONG UNF NON-CONFORMING LOT
MEDIUM 5.1' Abandorun I ti
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N77'30'00"W 'VWATER cmnfcTnnw-nccvvih dzpn:-n�-cn-, Submit SIDE 15'MIN, 35' TOTAL
P/O LOT 12 COMPI S�D as Dr)-of REAR: 50'MIN
PALE — I r U.P. TYPICAL CLEAN OUT f=i W WM-- THE WATER SUPPLY WELLS, DRYWELLS AND CESSPOOL
BROWN ffSUTTA
SL.ATE OR STOPPER END LOCATIONS SHOWN ARE FROM F7ELD OBSERVATIONS
MEDIUM 9.1, LE COVER OR PLUG AND OR DATA OBTAINED FROM 07HERS.
TO REVISED 07-11-19
SP COARSE UPLAND AREA: 25,378 S.F. or 0.58 ACRES
REVISED 06-13-19 ELEVA77ON DATUM, NAVD88
SAND AREA:26,869.87 SQ.FT. or 0.62 ACRES
GRAVEL
17' TypIcAL DRyWELL GROSS SECTION O30' ELBOW UNAUTHORIZED ALTERATION OR ADD17ION TO THIS SURVEY IS A WOLA7701V OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
DEC 10, 2018 (GONG.PRECAST COMPONENTS) 60' WYE MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN
K. WOYCHUK LS ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY GOVERNMENTAL AGENCY AND LENDING INS77711770N
LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE
FLOW— THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LIVES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
cNmNOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC7701V OF FENCES.ADD17IONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED ON UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
®E-1 EJ EJ 0 OAIGAWN AVE
=000 SURVEY OR PART OF LOT 12, LOT 13 AND PART OF LO- 14 CERTIFIED TO:DANIEL KELLY, KATHLEEN KELLY;
DRAINAGE CALCULATIONS: MAP CIE.PLAN OF LOTS BY GEORGE WELLS FIDELITY NATIONAL TITLE INSURANCE COMPANY;
A)PROP. DWELUNG FOOTPRINT-2.5,tO SO.Fr, FILED: NOVEMBER 28, 1927 AS #859
Z5,IO.0.156-294C4 1 29-W REQUIRED
(2?
�801,,CT'DEEP DRYINELLS=35�f PROVIDED SITUATED AT.SOUTHOLD
ST- FOR SWIMMNC POOL WASTE WATER)
El)ORNSWAY=1.650 SOFT. TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
1650 6�166�272LI?<274.f NEW YORK Professional Land Surveying and Design
IT -EP DRYWELL-310.f PROVIDED SUFFOLK COUNTY, 41
0904�/ P.O. Box 153 Aquebogue, New York 119$1
8' a DIA.7'DE
BACK FILE C)SWIMMING POOLS SHALL BE EQUIPPED WITH A PUMP-OUT PHONE(631)298-1588 FAX(631)298-1588
CUA,I�O mo MINIMUM 4'OLA x 4'DEEP DRYWELL-39d FOR POOL DISCHARGE FILE 11115-159 SCALE: 1"=30' DATE:SEPT. 18::2101 4Z�—#—1
.Y.S. USC NO. 050882 -.1atalat.,th.-w f Hubert L H-T&X—th K.lr..ha¢