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ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
_? Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER , Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
`7 ' wwwsoutholdtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Bom,Southold Town Clerk's Office
DATED: November 26,2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4818 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jasmine O'Keefe for Staeia M.Remne.
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°13ealth Department
Signature
Dated
ELIZABETH A.NE Town Hal,53095 Main Road
TOWN CLERK P.O.Do.1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OF
Fax(631)765-6145
N-
RECORDS MANAGEMENT OFFICER Wephone(631)765-1800
FREEDOM OF INFORM&TIONT OFFICER southoldto—north-forknet
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No.
Permit No.
Applicant a r z1 l/
Applicant Mailing Address
Septic Tank or Cesspool
BriefDescriptiap off'roposed Construction Iter-IL1011
A&I 'Z,K
-7-
Location of Proposed ConsMictian/Alteration
'
Owner ofPropeny: t I t P) t` r
J
Owner Mailing Address
Owner Property Addless:—
Name and phone number of contact perrsou,
31
Tax Map No: 3 -2
ection 3 1. Lt L:"
Cross Street A/ -
NOTE. LOCATION MAP MUST BE S"WItr
WITH APPLICATION. jNEW
CONSTRUCTION REQUIRES SURVEY E., TH DEPARTMENT AYPR?v'jkL
Signatur Va.,p2l, ant Dale
Received by:
NOTE:
All properties within 150 feet of subject property
are connected to public water
RISE?
LOT 26
DWELLJNG DWELLING
PUBLIC WATER______,— PUBLIC WATER 'y FROM ox
� fl
LOT 27 00. ✓
Sao� o
LOT 129 EL to.s' CMF P ;
FLEW.10.9'
\ DWELLING �Z � DWELLING
\, PUBLIC WATER / s yrc Cp PUBLIC WATER
// D 9
(P
n�O
PERCH!
CMF EL io.2' \ N �Al .EL 8.6' cfi 0 WATER
LOT 30 \ 'o.lop \
LOT1
A � F'`�� ,�rao' 00. DWELLING
VACANT �. .�� ® ;�",� G. `~� ti PUBLIC WATER
Qc
O� CJ��
L
EL 8.4' EL 9.2' uwu ".1. C`.Ax. A,lSal��uv�F`1.4.Y 14iTF" aII F3.FjJJ W,
FOR SAISMARYSYS"FEM
�Y HEALTH DJ ARlMt:raT �
\ LOT 131 \
\\\ LECT MAIL
I / LEAN OUT
O�
IYL620 ACTION CONTROL PANEL
'00 / ,qk ON 3'X 2'CONIC PAD
�j►^,�� ��0 d�OO 132
\EL 9.7" LOT
\ VACANT
\ DWELLING
/ PUBLIC WATER
y
LOT 733
1
t
yp r '\ r �nP�'i r �6 t�t" .1
SCALE: 1 ,30 v PCO LOT 33
l �y.
AREA = 12,500 SQ. Ff. L - --
MMI.¢ coves mwn wru rarr rwc�
,.xo eaw�uw !ter/r+rium w.zas.
EXCAVATION NOTES e yy
me so sMm,nnv.... uwe �s
Because of the clay soils and the perched water the contractor "
will need to excavate through the clay to good soil down to
approximately 12 feet. The contractor needs to call for an
excavation inspection from SCDHS. After good soil is reached,
back fill the excavation with clean sand. Install a monitoring SANITARY SEPTIC SYS
pipe with the pipe end 8 feet below grade. Arrange with the N.T.S.
Health Department to check the final depth of water
contained inside the pipe after a period of time.
IIA OWTS GaftN Requh.rnente
1.fie kat terof I/A OWNS moat hold a-t Lkplkl W.I.Lk-pursuant to Chaptw WJ Artkde Ott(Sepik kdusky 8uske)end
Endaftement J;zFethe and AlhrnaNa TTeafmnt Sates lnotaMw)through the SURdk County Dapmdmmt of Loom Lkxnahg and cafte-w M179
21
STOPPER END ARak.,P--,to SURdk Cob ty Coda 9 563-79(b)(J).The Department of Labor.Lkmshg,and Canebmw AMoka mehtehe o flat of
M PLUG lkmreed I/A OWTS Mkt---p Odo- PLL w
2. Met~Mal vide o ewtMeaum If the kata4thh,and cwmbuetlon from a fneolond en hew w toms arohlteet for And x00 4.Df� ..(�$F Ar.T14 .I- c-
Pro pro 9 re4fe Ppro
of Me eyetern
An executed Opwand d Mahtenortce Contract between th
etwee Maktmonm Providr and Prtrpwtwn
y ow moat be wbmitted to the
D
epwiment
4.AA Inetagad 1/A OWTS am r.q fid to haw m h/tl f 3-yaaw wwronty and gowattoml Manan-aw ice-1-t
5.the,on P/A.OWES roquk-a rant,the untf shall be rwnted to 1b,roof of the re,ld.nc."I" ewwd.Lknt 41"M 11 axtond a mkfmum
of 8 tnoho,ebow the
dk nd the top of
the
h Fant Mdi hexa h knum h d tW eparolhn f tl2 X".to lho Nga'.ad parYIob of Cho
I Iry evmas when It 1 f 1-1,d Pa t ll4 yatwn to fh Ad- obf, t PFAI m y b P(Ped to the esfmr,'w old.of th.
PVC PIPE D3034 -id- aad twmhet.a mFntmvm f f8 Melees,bow Breda Th-wnt prase m.ft be!Hosted H min/mum of d f p fi'exu a'aY wMdow x
SDR T5 dowwoy and must twminofe with a ewban Alter deice Ali wet ppm moot how a mkknum dkmetw of 2 hehes.
6. Garboge yrk,dow aWI not be pwmltted ether m I/A OWrS k ut ft of ore mean,of sewage olsooed In eddtlm.water oeftenero oholi not e
TO SEP77C o/echwge foto an I/A OIV7M J
TANK A
7.M.&H I/A OWTS t-ks oxordkg to menu/herw'e recwnmendodma All ARIJI able recommendatkm provided by the menufocturw shdi be 0- Q
kftPfemmted
LY TO PUC S.Ale r/A OMITS tank Marl be hetd/ed at llw h IN dveotkms(.Wh a mm)mum tol-oe h any dkectlon of+/me quor er kch)-a W W Z
IOUSE ADAPTOR mhk,,-J-hch Mldk bed of property/exw'ed and compacted.rand(hes Awn rackq)e,Pea grew
g.The top of the 1/A OWTS tank andt not be located g,-tw than 2.5 feet or lam!hon ane bot bdaw find grade O
\(✓/J� C)
JT DETAIL QZ
Dootrkat R.Wkem-to W
1.
F.S. Wfrkg and equ/pmmt aro to be ketdled by Ore oloeVad emfmcto,k acwutlanm Nth he Natfand E ee a Cods(NEC)and (]
l.celebdm.. CO �n
b, fie award Panty box muN ba pkced ovtNde err o w/a ut Pedmtd near the a ll*g Nat tt eerwa A/temolharA Ne panty bar O V
m Y be mounted on qn-f'W wdi of the,tmatws(proMraDlo a utAtty tawm,antl Hata!lwhg epee J.
Th.a.ntrbl p ol mldf b Pt ad at a f table hdgf t ser
0, be pend moil t N.11-1 E7eatNed Man faefvrMt A !trwr(NEMA)4X epocmeatkn
o. fi sand It d ho'.a aPPtop kfo aaam C pn�wnt somas d mdsfur vertu r.acnkg fA eantrd pond w pnetlon boxos.
f EaNf yy��C andl bn.qufppad with /u tfwrkg wemkg ym,..I"ehkh wkt eello-ola ou.lo and 11 damns Dent con be readay
and bawd by eh pan!' f Mea bukdkg swsesd.
E DATA ,em e'
Th.M-tuna° f/-boar a-*9 eta P IW mater and kat,ma,t ba watwergne w d ra,tad-few.the I/A OWTS tmk ohwnbe,
'OSCIENCE b Th.DAF-tmmt mhdl ab_the Pump"tam goxate through d npemtkrg Via.
'019 o kapeaG r!wakes.of the foe mah Atthg.wgl ba made durhg the pump teat Procedure.
DARK BROWN
LOAM OL
1' General Notes
BROWN CLAYEY SAND I. LOT AREA;25,000 S.F.OR 0.57 ACRES
WITH GRAVEL SC 2, scTMMDoa-sJ-as-BSI
4, J. BOUNDARY AND TOPOGRAPHIC INFORMATION FROM A SURVEY BY Peconle SUrwy LAST DATED 02/21/2019
WATER IN BROWN CLAYEY ELEVATIONS REFERENCED TO THE HAVE)85 DATUM.
SAND WITH GRAVEL SC 4, ALL MATERIALS AND METHODS OF CONSTRUCTION SHALL CONFORM TO THE STANDARDS AND SPECIFICATIONS OF THE TOWN
7' OF SOUTHOLD AND THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AS REWIRED
WA TER IN BROWN 5. TE CONTRACTOR SHALL FIELD VERIFY THE LOCATION AND DEPTH OF ALL UTILITIES PRIOR TO THE COMMENCEMENT OF WORK.
CLAY CL THE CONTRACTOR IS ADVISED ALL SUBSURFACE INFORMATION SHOWN ON THESE PLANS IS CONCEPTUAL AND MUST BE
91 CONFORMED ACCORDINGLY IN THE FIELD.
8. A MINIMUM SEPARATION OF TEN(10 FEET HORIZONTAL AMD EIGHTEEN INCHES VERTICAL IS TO BE MAINTAINED BETWEEN
WATER LINES,STORM DRAINAGE AND OR SANITARY LINES OR STRUCTURES
WATER BROWN FINE
TO COARSE SAND SP 7, THE CONTRACTOR SHALL BE RESPONSIBLE FOR SECURING ALL NECESSARY PERMITS BEFORE COMMENCING WORK.
8. ALL UNSUITABLE MATERIAL AND DEBRIS SHALL BE DISPOSED OF gN ACCORDANCE WITH TOWN.COUNTY,STATE AND FEDERAL
15' IAWS CODES AND ORDINANCES.CONTRACTOR SHALL BE RESPONSIBLE FOR DISPOSING OFF ALL UNSUITABLE MATERIALS OFF
SITE DEBRIS SHALL NOT BE BURIED ON THE SITE.
NATER ENCOUNTERED S. ALL PRECAST STRUCTURES SMALL BE APPROVED BY THE COUNTY AND COMPLY WTH THEIR REGULATIONS.
.OW SURFACE
10. ALL PRECAST STRUCTURES SHALL BE MANUFACTURED MTM 4000 PSI 28 DAY STRENGTH CONCRETE
7EFERENCED TO NAVD 88 11. SANITARY PIPE TO BE SDR-JS-OR AS SPECIFIED G PLANS
12. DURING CONSTRUCTION,EROSION AN SEDIMENT CONTROL MEASURES TO BE UTILIZED AS NECESSARY To PREVENT THE
TRANSPORT OF SEDIMENT TO OFF SITE AREAS PONOS,DRAINAGE INLETS. THE METHODS AND MATERIALS EMPLOYED IN I.(.1 00
FTHE INSTALLA ON OR EROSION AND AND SEDIMMANT INTENANCE OF EROSION CONTROL MEASURES SHALL CONFORM TO THE NEW YORK GUIDELINES W _
13. ALL BACKFILL SHALL BE SELECT GRANULAR MATERIAL COMPACTED TO 95%MAXIMUM DENSITY AT THE OPTIMUM MOISTURE LL_ Z >:CONTENT AS DETERMINED BY STANDARD PROCTOR TEST. r �n Z
�- Z
uj SANITARY DESIGN = � ° N
C)
.w.wa 3 BEDROOM (n z O
I/A SYSTEM = HYDRO-ACTION AN400 LL - tdLED
M
LOT NUMBERS 130 & 131 REFER TO =LEACH (n CO
1-4 BEDROOMS 3010GSF SIDEWALL MAP OF PECONIC BAY ESTATES W LWL m
FILED MAY 13, 1933
� Ma. (4) LEACHING GALLEYS 3 FOOT DEEP MAP #1124 U) O O
(2) LEACHING GALLEYS 3 FOOT DEEPSCTM #1000-53-06-39 0 ly CL
RICRISER DIAGRAM
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AUGUST 29,2019
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r SCALE:AS NOTED
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AN-40a=440 GPD