HomeMy WebLinkAboutCardinale ELIZABETH A.NEVILLE,MMC '" Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS V MARRIAGE OFFICER Fax(631)765-6145
Telephone(631)765-1500
RECORDS MANAGEMENT OFFICER wwwsoutholdtownnygov
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: December 2,2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4819 for a Cesspool/Septic Tank
Construction Permit submitted by:
Annette Schumacher
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
REGISTRAR OF VITAL STATISTICS Rt
Southold,New York 11971
MARRIAGE OFFICER Q Fax(631)765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER j southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10/or Non-Residential @$25 Application No.
Permit No.
i
Applicant Name =. _
f4 g
Applicant Mailing Address t �
Septic Tank_or Cesspool ,
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: '
Owner Property Address. a L
,. i�
Name and phone number of contact person _
Tax Map No: Section Block Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTHDEPARTMENT APPROVAL
i ature4 pIicant Date t
Received by: ��\ i J'':
i
To
m � n
} 'm, �„� s '� 2 v
DWELLING --L�.2�__ � ROY K. REISSIG, P.E. \
(PUBLIC WATER) „�..�" 542 LOT AREA o 1 m rr,.1 AUGUST 17, 2019
l ELE. Sfi.D_ ,4,
„�I'^'I• 5 0 0 29974 SE r 1 ' I ''-0.5' TOP SOIL AND
_ ,..��,,• F__a.`--_— _,I 0.658 AC. g, SANDY LOAM (PT) `-
�2.0' PALE BROWN `
[ SILTY SAND (SM}
7B, 6'20 E_J' I I ' 1 3.0' BROWN SAND AND
SOME GRAVEL (SP)
OSED •Gf..r-� 3.0' BROWN SAND AND
S 322 WPRO? W �_ROOF j 1 ' (r'.�� AND GRAVEL (SP)
1 � GARAGE SOIL BORING DRAIN ! t k t 1 W
1,032 SF ELEV. 46.4 J �-- � 17-0'T
1
�c G.F. 36.4 " TWO STORY DWELLING] DEMO..E91STING II '
(5 BEE II FRgNo RESIDEGARAGECE ! w t+� +. 8.5 LIGHT BROWN SAND
F.F. 48.5 1 GRAVEL (SP)
LIi i o o GROSS FLOOR AREA 4,128 LSF r -ECFV. \ LE
F.F.= 1,511 SF 51.4
c+ ' M EX. S.F. = 2:617 SF - i "34 j
1 C.O. TO ` ELEV. �'�'` a TEST HOLE DATA
( � WJ BASEMENT
2 -•_ABANODON EXISTING 52.3
8 0 x 8' GRADE- N.T.S.
1 5 EFF. DEPTH �. SANITARY/�,.
NO WATER FOUND
I141 ID,
- ROOF
F� 8, DRAIN_J
a ' MIN DP s __/" -PROPOSED DWELLING
1�K y 1 �, -�• - ELECTRIC (PUBLIC WATER}
SSS y'? Q ® ELEV. Z b"' FOR TREATMENT UNIT
REVISED 10-22-19 PER SCDHS COMMENTS 10-11
-a-{ 34.1 i J
T°f n 24 \-HYDRO ACTION AN600 i ------ �jf
TREATMENT UNIT Wj INTEGRAL G ®' 211-€l _L ,. Gu1l-S
V VENT & CONTROL PANEL 1 ,��,� 1 ,� 1 I
' —PROPOSED ELECTRIC I G � 3 ," D, ' �� =T' ,kF -,'�` !lEAL -- v
( 4" SERVICE -
0 1 ye R t7M AL
r
Ur
DATE 11
APPRCran—LL
3�
I I t
z
NO WELLS WITHIN 150' ' L
LOT 42 OF PROPERTY
AMENDED MAP A OF ELEVATIONS - NAVD88 _
NASSAU POINT
m§ ¢m W-v is'
SITUATE
NASSAU POINT SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
TOWN OF SOUTHOLD, SUFFOLK COUNTY
NEW YORK r�F
SCTM# 1000-111-13 7 }R,Fq, °? �� NIFL R. FALASCO, P.FI ., P.C.
FILED: AUGUST 16, 1922 — MAP No. 156 is CONSULTING ENGINEER
! o �
1 f1 94 STEUBEN BLVD., NESCONSET, NY 11767
(516) 317-7209
Q5a �' DATE SCALEDRAWING 110.
r FEye'`{ Q 9 19 1"=30'