HomeMy WebLinkAboutGibbs/Boschetti ELIZABETH A.NEVILLE,MMC � z� ;„ Town Hall,53095 Main Road
TOWN CLERK — P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS - Fax(631)766-6145
MARRIAGE OFFICER -
_ � Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER cv=` 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: January 17,2020
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4828 for a Cesspool/Septic Tank Construction
Permit submitted by:
Kim Gibbs&Nicole Boschetti.
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 �'� �y Town Hall,53095 Main Road
P.O.Box 1179
TOWN CLERK Southold,New York 11971
REGISTRAR OF VITAL STATISTICS u• ''
MARRIAGE OFFICER . Fax(631)765-6145
RECORDS MANAGEMENT OFFICER _ 4Telephone(631)765-1800
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 cc��
Residential @$10 or Non-Residential @$25 Application No. �D
Permit No.
Applicant Name= )J {,,b65
Applicant Mailing Address�� w� ;�
a \W)
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration_ ` "
i
Location of Proposed Construction/Alte
ffration:
Owner of Property: 1 YYl t t
Owner Mailing Address:
Owner Property Address:_
Name and phone number of contact person
Tax Map No: Section Block j Lot �-
Cross Street
—
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR TH I DEP T ENT APPROVAL
t
n Signature oApplicant Date
Received by:
_« f \ <<_7 Uc 1000-78
s 330,.
Li<
YTY
^' �'' vLN.,s ! �� � v `ff �e++•a�tiy 1?�RsB-41p Em„v ENT
1,414 tf 2`38 3p. � NOTES:
ff ] o e
$At e A.) �p� `w!! � �_ x ) � � � 1.THIS PROPERTY 15 SHOWN AS LC
APPROVED BY THE PLANNING
2. ELEVATIONS ARE REFERENCED TC
��� „�� (; EXISTING ELEVATIONS ARE SF
� 'a { , fi"�Y' ,�...:� ^�”- 'keq 3. MINIMUM SEPTIC TANK CAPACITIE
J'�' t TANK;8' DIA, 4' LIQUID DEEP
F J 'v� f m`•' �" J 1 p A�ffi t 4 MINIMUM LEACHING SYSTEM FOR
Cf 2 POOLS; 6' DEEP,8'dia.
PROPOSED EXPANSION P
4� It
PROPOSED LEACHING PO
e
t,_1 PROPOSED SEPTIC TANK
Sa. 5 THE LOCATION OF WELLS AND C
' 6S.II0O" tj { ! OBSERVATIONS AND/OR DATA OB
o t r 6. PROPOSED LOT COVERAGE= 2,4
- !f }f Gs6 (INCLUDING HOUSE, PORCH, DECI
`gay'y � '' _ TEST
6S. Ji 4 T
�
�- t*{'0 11 00., 'x a I -".-ter es`p 4 J (FEST HOLE DUG BY dA r:Ak'
EL.4,0
"•;yk� '� HIGHEST EX-0GRQUND WATER
WELL No.
( LLE
JNp � `'Frm
E �`"- J {/ 17RAINAGG SYSTEM CALCULATIONS:_
DRIVEWAY AREA: 2,600 sq.ft.
2,800
sqft. X 0 476 cu.
476 cu. ft /42.22 11.3 vertical ft. of 8'
PROVIDE(2)8' da.X 6'high STORM DRAIN
ROOF AREA:2,D15 q N.
2,01 5
ft.X - cu.ft.
' 343 cu.. f ft./42.2.2-8.I verticai ft. of 8'
PROVIDE(2) 8' d'a.X 5'high STORM DRAIN
PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR RO
qx f PROPOSED 8' DIA.X 6' DEEP DRYWELLS FOR OF
SURVEY OF PROPERTY
STTUATED AT
act SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-78-09-26
S.C. TAX No. 1000-78-09-34.2
SCALE 1"=40'
DECEMBER 1, 2017
NOV1,1A.8,1MI,Eg 201�%,A�D%1.1.11 11.131
SURVEY
On DECEMBER 16 2019 REVISE PROPOSED R UNE LOCATION
EVISE SITE
IANUA14Y OUR WATER
J 12, 2020 R PLAN
LOT AREA DATA
S.C. TAX No. 5;558 Sq. ft.
1000-75-09726 0A28 ac
S.C. TAX No. 45,393 Sq. ft.
1000-78—,09-34.2 1.042 do
TOTAL 50.051 Sq. ft.
`1.170 ac.
CERT1.11"IFD TO:
�MM 0130S
EMINENT
FIDELITY NATIO
TITInc.LE INSURANCE COMPANY
BSTRACT,
'3' ta. NOTES
1.THIS PROPERTY IS SHOWN AS LOT I ON"MINOR SUBDIVISION MAP MADE FOR CE
rrrr APPROVED BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD ON OCTOBl
2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:,
X 3. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,250 GALLONS.
1 TANK: 8' DIA. 4' LIQUID DEEP
MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 300 eq ft SIDEWALL ARI
2 POOLS; 6' DEEP,8' did.
01)PROPOSED EXPANSION POOL
PROPOSED LEACHING POOL
PROPOSED SEPTICTANK
5,THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
6. PROPOSED LOT COVERAGE= 2,443 sq.ft. OR 43%OF LOT AREA
J JL (INCLUDING HOUSE, PORCH, DECK&CELLAR ENTRANCE)
s'?'k-
R,
TEST HOLE DATA
C (TEST HOLE DUG BY NATHAN CORWIN L.S. ON NOVEMBER 1, 2019)
D4 I GROWN—1 IL
BROWN SILT ML
25
P%E BROWN FINE
TO MEDIUM SAND SP
-90, 17*
O
EL.4.0
HIGHEST EXPECTED GROUNDWATER
TEST WELL No.
4c"�
DRAINAGE SYSTEM CALCULATIONS:
DRIVEWAY AREA: 2,800 eq.ft.
2,800
sq' ft. X 0.17= 476 cu. fi.
476 A.. ft./42.2= 11.3 vertical ft, of 8' do. leaching pool required
PROVIDE(2)8' di., X 6' high STORM DRAIN POOLS
ROOF AREA:2,015 5 eq. ft.
2,015 eq. it. X 0. 17=343 cu, ft,
343 cu.ft./42,2 = 8.1 vertical ft, of 8' ale. leaching pool required
PROVIDE(2)8' dic. X 5' high STORM DRAIN POOLS
PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS:
PROPOSED 8* DIA. X 6' DEEP DRYWELLS FOR DRIVEWAY RUN—OFF ARE SHOWN THUS:
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L..A.LS.AND APPROVED AND ADOPTED
USE BY THE NEW YORK STATE LAND
FOR SUCH US
TITLE ASSOCIATION.
OF 044
N _Jc. N
UNAUTHORIZED ALTERATION OR ADDITION
,Q) TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
Nathan Taf t Corwilir
COPES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. Land Surveyor
A CERTIFICATIONS INDICATED HEREON SHALL RUN
P
ONLY TO THE EPSON FOR WHOM THE SURVEY
IS PREPARED,AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S,
TITLE COMPANY,GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON,AND Joseph A. Ingegno L.S.THE ASSIGNEES OF THE LENDING I NSTI— 7'HSubdivisions — Site Plans — Construction
TUTION CERTIFICATIONS ARE NOT TRANSFERABLE. e SUeyG —
PHONE (631)727-2090 Fax (631)727—
THE EXIST
631)727—
THFEXIST OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRE
AND/OR E xMENTS OF RECORD, IF 1586 Main Road P.C. Box 1E
71
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