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'Y aNul f t� ELIZABETH A.NEVILLE,MMC �1� � "n 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 51Telephone(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: Southold Town Clerk's Office DATED: February 10, 2020 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4838 for a Cesspool/Septic Tank Construction Permit submitted by: Scott McKay 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 F01,t 4419, ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAOF VITAL STATISTICS " Southold, New York 11971 R, MARRIAGE OFFICER i:p Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ' Telephone (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 Residential @ $10 or Non-Residential @ $25 Application No. Permit No. 1 0l Applicant Name mm .............. .._._....� Applicant Mailing AddressC-A tJ C- � bSeptic or Cesspool v-" Brief Description of Proposed Construction or Alteration cet ................. __ . ... __. . Location of Proposed Construction/Alteration:,� n Owner of Property: <15 , off- �C� g Owner Mallin Address: o l-Owner Property Address: A WA — Name and phone number of contact person Tax Map No: Section _Block....,,-..-3,-- Lot '3 Cross Street7,ASc.yt...t�•1 �:? CONSTRUCOT CATION ON REQUIRES SURVEY �AP MUST BE LSUBMITTEDSWD -��'"PICTION. NEW EPARTNI APPROVAL Sigiare o�x ��rt., 1 o C� na Date, Received by: KCc.aIVED JUL 0 12019 HEALVCE Aa I SER MG HOUSE dC. ate or other t hon . SCDHS REF# R10 19-0058 SURVEY OF PROPERTY F.F. EL 23.0' Kdole cover L.."C k—, s0topper and plug FINISHED GRADE AT SOUTHOLD 1. ' FINISHED GRADE EI-21.0' EI-2 21.0' chimney �,., ._.... TO OF SOUTHOLD ,0ou __ SUFFOLK COUNTY, N.Y. clean out � 1. mw,orru 170"-. 1/4'per foot min. pi 1^L-• 17.3'1/8 ' la ",A nia 17.2' _ m mu 1000—V9—VJ1� In. 4'dia. pipe pdd'nr�4'd'a.ppe N w io clam 2400 pipe or equal 4 �,,., ,,�,.�m cim 2100 pipe a equal �. war 3° A1BFp SIi�LGr• 1 50� We min. ........ ... 3' MIN i00 ea: e m COLLAR DECWBER 5, 2012 10' DLA. 2000 GAL PRECAST COLLAR am to r"e m am.ur SEPTIC TANK pa m o m mr m m m R , 2019 MAY 16 4' L10UID DEPTH W m H0 m m M d m XNE 27, 2019 (WATER EASEMENT) Wm0MQmmmCa y Win OMdMmae ny 0000 0 O e9 MM I'm, a a1 O M M Mel mm"M N ML N ax LEACHING POOL SLATE OR OTHER STOPPER END SUFFOLK COUNTY DEPARTMENT OF HE SUITAeLOV CER OR PLUG ALT}( SERVICES � l PERMIT FOR APP96VAL OF CONSTRUCTION FOR SINGLE FAm.'Y RESIDENCE ONLY SEWER PIPE C1 JUL 2 4 2019 W ELBOW DATE H , . €gym too, , APPPO'VE WYE /.EAN OUE ELIA& PL - FOR AXI OF BEDROOMS ,10-e O ,-, NTS F1IP C { YFA FROM DAT APPROVAL RAIN RUNOFF CONTAINMENT �-- PROPOSED HOUSE PRS OSED)SEPTIC SYSTEM ` 1�� PIPE 73a. Z �. 1294 SQ.FT. x 1 x 0.17= 220 CU-fL 1-2000 GAL 101/ X 4'DEEP S O 220/42.2 5.2 VF 2-6/ X B'DEEP LEACHING POOL o CMF PR 01RDE 2 DW 8/ X 3'DEEP 6 / 'Ea 23-W TO MAP TITLED 4i HILL BLDNG. CORP.WATER EASEMENT LusTERED CONSERVATION CER77RED TO. A l , �.". S8172; SUBDIVISION OF BEACH PLUM HOMES'. RO9MT L SCOTT.R ALL PROIPER7IES N/71HIN 150' ON PUBLIC WATER MARGARET M. SCOTT / O wELz�.6 S7EWART 717LE INSURANCE COMPANY CMP FENCELot W R TO '"MAP OF SOUTHOLD VILLAS' FILED IN THE `— °�1 fp EEL 20.6- SUFFOLK COUNTY ICS OFFICE JUNE 25, 1992, a' w w SERVICE w 7 0 ia z AS FILE No. 9237. Oft / PROPOSED/WAITER ro " FFA Lot © REFER TO MAP TITLED 'FLOWER HILL BLONG. 2,3,W S j CORP. CLUSTERED CONSERVATION SUBDIVISION OFO O '` /T / BEACH PLUM HOMES'. � � �// � �. � / � Lot O TEST HOILE DATA / Lo;t A1' : VAGUNT 1Es'T HC:E DATE FLOIIER HUL CORP. / RZC 00" m I„IIIS7ERE"D CoIse7twA110N ISDrw1OI1I WACH KEY PLUM MUM TEST HOLE#2 / N EL 19O' I �• 60 Q = REBAR LOAM OIL / �`� .�k 7 � EEL. 191 WELL A - STAKE - SACT F 8......23.3 Rw,R. `'-..-.�...�.�... zO � J ,� 9 = O ST HOLE 7E GRAVEL SW -.. SAND � �177 �, �� T o O E °`,, = PIPE LIF11L, C EEL 19.4• PAN in MONUMENT �T = UTILITY POLE NOTE NO WATER ENCOLWIERED 179.15. Lot 3 a.21.1 ELEVATIONS REFERENoW 70 NAVD 86 DNE URVG EHEC.METER-' FMO, H2O METER I aM farnfikr With the STANDARDS IM APPROVAL AND COVS7T UC`77ON Or and FA the wxTG 7E3(5 FCR � B�FAC'E SEWAGE DPL �`�' SINGLE FAMILY RESIDEIVCES and wfil abide b the Conatt1ons set fowm therein Permit to Construct, The location or Nv3Id'e and cosepools shown hanroon aro arlrw 6e1d obsorwtiens and or from data obtained flan others ,�, � C Na 49616 TDD SHOWV EX1HEREON7 " I E N OaSWVA770NS AND OR FROW DATA aeTAxvm FROM OTFHERS BH TH71ONs AN ( "� " 1) 765-1797 ANY AL7ERA7a v OR Aw110N TO THIS SUR IS A WOLATION =ROI 7 7W NEW T EVUCARON LA W. T AS PER'' AREA= 31,000 SQ FT. P.0. R . ' C17ON 7209-SUBMI4 2 ALL C9?)7F1C477OMS`HERVOIN.ARE VAUD FOR 7WS MAP AND COPfES EDF ONLY IF SAID MAP OR CORES BFR 1230 TRAILER SMEEFT 7IIE IM SEAL. or THE I'swwmR IOSE SIc 1rAT w S SOUTHOLD, N.Y. 11971 12-283 S.C.T.M. N0. DISTRICT: 1000 SECTION: 69 BLOCK: 3 LOT(S): 10.3 (#R10—19-0056) � MAP OF Sp ` S 75-4310" UrHpCD k1 AS #9237 DWELLINGS is, E W/PUBLIC WATER T` NON WIDENOIV_ � 150' TO h' AI,I r � R � EL 25.0 , „. ' 138.00, UAC STATE ' w ' �20 MON. „O O gD.2� I O O O _Z O -Sk", EL 23.5 o q PROPOSED SOIL ° ti I STOCK PILE AREALx 0. VACANT`150 TYPICAL SLLAN OUT q 434^, 72.0 EL(24.0) MONS SLATE OR3TOPPER END ROOM q EL(24 0) FOUR SEASONS - O �r SUITABLE COOR PLUG OJ EL 22.1 0 J " 22'° 26 7 PROPOEO WA7FR SERVICE `..�..�. R30' OWOUTWYE DB. CLEAN 3 10 r B AaN LOT 2 O N = FLOW o O s.P. TYPICAL DRYWELL CROSS SECTION 4 BEDROOM (OONC. PRECAST COMPONENTS) I PROPOSED AREA OF 0 � SANITARY SYSTEM CLE4REN0/DISTUREIANCE 8:0• 1.250 GAL S.T: 'y r nM FOR NON-MEM WAIM 0� 20"000 S.F EXP (1) 8'D41z12"DEEP L P. Coo i r SLMarea TWHVSOMA CIV cs Ca I TYPICAL SILT APAIOIED ME!PPE WAW My 0.497' uwAND Appomm rruas.E.a PPE'. 1-4EL( SCREEN SEcnad ra 4•a`L " +� J 24.0) PRom iAr/+' rtw ar s �r / CJR A I fEOlEX1YE FABRIC.-...mow ®�ED I3❑ "yxy °^^$IPPOfiF PO5T5 w WJ00 OR NEFAL �� 1:10❑ •. {� I�DRY} 4.'h FLOW DIRECTIONV I FARE EzcAVATEo ANDEL(24.0)�.., y� W flkCiff74E0 TPoFNCfI,........... EASTM GROUND if °II � 3, PROM PIN - b+ PROPOS CONSTRUCTION ENTRANCE WITNESSED c�FAN sNlo AND ° 4 Nr 58. I TEST HOLE #2 "^ o ® A\SHO"WN ON FILED MAP ° & STAGING AREA I TO BE I EL 23.D . - o �`` � A SUPPLY N£LL DR AND CESSPOOL 10' WIDE WATER LINE �p^ �� CONCRETE WASH OUT AREA ELEV.. 19.0 TETE W TER I U%MENT AS sHowN ON �� LOCAAONS 57/OWN ARE FROM FIELD OBSERVA77ANS I MAP N IN BED OF PROPOSED DRIVEWAY. LOAM OL OBTAINED FROM OTHERS E L 23.0 • ` AND OR DATA NAVD88 � . C AREA. 0,99.57 SQ.FT. or 0.71 ACRES av DATUM. - _-_ c'ED AL7EtRA tl R ADDIMN TO THIS SURREY Is A NLYA7TAN OF SECTION 7202 OF 771E NEW YORK S ' ' OS,S£D SEAL SHALL NOT BE CONSID TED TO BE A VALID TRUE COPY TE E RU 1TON LA COPIES - THOS 5T.d w DWELLINGS IRON PIN F1EVAn UNAU - .,... IN0f0A TED HEREON SHALL RUN 150' EL 22.5 W.V. SAND MA1.P,MOT BEARIPVG 77�"LAND,. Mo "'TT�i"'a£ T�`ES ONLY 70 THE POISON FAR NfIOM 171E SURVEY IS PREPARED AND ON HIS BEHALF FTA THE TP TIE CO�dPANY G0£RNMENTA'L AGENCY AND LENDING PNS77TUTTON W/PUBLIC WATER . US7ED HEREON. AND TO 771E ASSIGNEES OF THE LDVDING INS71TU770N, GUARANTEES ARE NOT 7RANSFFRABL£ 7HE OFFSETS OR DIMENSIONS SHOIIN HEREON FROM 7HE PROPERTY LINES TO THE S7RUC7URES ARE FOR A SPEaRC PURPOSE AND USE THEREFORE 7HEY ARE LOT 3 / GRAVEL SW NOT INTENDED 70 MONUMENT THE PROPERTY LINES OR TO GUIDE INE EREC77ON OF FENCE$ ADD177CWAL S7RUC7UPES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE SIRUC7URES RECaWED OR UNRL"'CaM D ARE NOT GUARANTEED UNLESS PHY9CALLY ENDENT ON THE PREWISES AT THE 77M£OF SURVEY \ / SURVEY FLOWER HILL I UILDINC CORP. CLUST"'RED OT 2 CERTIFIED To: SCOTT I A e DRAINAGE CALCULATIONS: \ MAP OF.CONSERVATION SUBDIVISION OF BEACM PLUM HOMES „Eo-NOVEMBER 1, 2006 No.1 1458 - / IATED Ar SOUTHOLD __� A) 120INx 0,166- 3 2c POR UIRE1D o so.Fr. B (2) 8*0Y=2010 SOP DELL=354cf PROVIDED NO WATER 2 8"DPA x 4" DF..L ILC DRI SUFTomFOLK OF:SO COUNTY, KE g®on() 11 Surveying S G" p FT —n' SUFFOLK COUNTY, NEW YORK p.0 Hoz ) � e1e'd Design2010 x 0.166 334cf + 159 Aquebogue, New York 11931 (1) 8'DIA z 8' DEEP DRYWELL= 354cf PROVIDED EVISED 02-01-20 FILE 019-181 SCALE 1"=30' DATE.DEC. 2, 2019 N rs LISC. No. 050882 PHONE (e91)M-15W FAX(est) P98-Asea R