HomeMy WebLinkAboutSachs �' Wy own Hall 53095 Main Road
ELIZABETH A.NEVILLE,MMC �„ ��� �°� ,�, T >
TOWN CLERK „ ` r P.O.Box 1179
Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS �� ��� Fax(631)765-6145
MARRIAGE OFFICER � �� 4i"` 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: Southold Town Clerk's Office
DATED: September 25, 2020
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4872 for a Cesspool/Septic Tank Construction
Permit submitted by:
AnthonyPortillo AMP Architecture for Richard Sachs
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
ell
Town Hall, 53095 Main Road
P.O.ELIZABETH A.NEVILLE
o 1179
TOWN CLERK
Southold,New York 11971
REGISTRAR OF VITAL STAIIICS T Fax(631) 765®6145
OFFICERMARRIAGE
RECORDS MANAGEMENT OFFICE Telephone (631) 765x1600
FREEDOM OF INFORMATION OF IC R southoldtown.northforkmet
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICTi
APPLICATION
CONSTRUCTION or ALTERATION PERNUT
CESSPOOL or SEPTIC TANK
Residential , 72�
or Non-Residential @$25 Application No.
Pennii
t No.
Applicant C ...._ f :. p� �... � a .�
Applicant Mailing Address
.� w�
Septic Tank_or Cesspool
Brief Description of Proposed Consti-actionor Allcrata,onn
Location of Proposed Construction/Alteration:
Owner o ropeit : .....
Owner Mailing Address:_ da
. ..... �...... w
.zA� .. —.. is .. ........
Owner Property Address:_
Name and phone munber of contact person
Tax leap No: 1®0 0 Section 1� : : _�. Block. C� Lot
Cross Street � .n —L-a—),f-,
NOTA: LOCATION MAP MUST BE SUS rrTED WITHPPLICA I . NEW
CONSTRUCTION RE QUIRES SURVEY VII, HEALTH DEPARTMENT APPROVAL
...........1i
Si m
piidii nt` Date
Received by � �.�. �.�m. ._......w.... . ..��. c
�w I
I'
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 09/25/20 Receipt#: 275278
Quantity Transactions Reference Subtotal
1 Septic Permit-Construct- Resid. 4872 $10.00
Total Paid: $10.00
Notes: 102.-2-22 (Richard Sachs)
Payment Type Amount Paid By
CK#1112 $10.00 AMP, Architecture
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: AMP, Architecture
15400 Main Road
Mattituck, NY 11952
Clerk ID: JENNIFER Internal ID:4872
x\ 3' CUTCI-1000E
0 z' Y3-ROWN SILTY 6AND TOWN OF SOUTNOLI
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1 — .. r4 SUFFOLK COUNTY, NEW
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1.C7�.:Ai'lC..?N �.�}�- E'>GL..YTINC
1 ' 5ANITA`,1Y ST5TEM TO BE" S.C. T No, 1000-102-
y �f RcTN ✓r D p�F: S.C.i .Na.�.
4 �alJ .w F c �aIF FP drS. SCALE 1 30'
E31.11LIDING AND SANITARr TO BE
a �
DE NOLISNED ARE PENDING MARCH I57001
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p" I Nlvl,
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SAND 5F �
Af'KIL ra, 2001 ADDED ROP
Pc� OSvD, JUNE
18, 2001 REVISED PROPOSED BUILT
JULY 9, 2001 REVISED AS PER S,C.D,H.-
t` NOVEMBER 10, 2015 UPDATE SU
!fir J 4 DECEMBER 12, 2018 UPDATE SUl
AREA = 56,163 SQ. FT,
a
T 11 (N0 WATER
(}� ENCOUNTERED) 1,289 AC,
O0 '� �Y
� � ^ AREA--OALOULAI ON _.
FIN.FL.. E..23.2.5 ` "a, ill TEST HOLE DULY BY McDONALD
1 � _ SINGLE FAMILY DWELLING:' G—EOSCIENCE ON FEBRUARY 24, 2020
ACCESSORY STORAGE BUILDING:
EL.-2I �... LE DATA
GROSS FLOOR AREA =
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W
N.T.S. CERTIFIED TO:
RICHARD SACKS
N
O. FIDELITY NATIONAL TITLE INSURANCE S
w C
76,
✓ NOTES:
'' „�__ �� w I. ELEVATIONS ARE REFERENCED TO NAVDBB
^.^ EXISTING ELEVATIONS ARE SHOWN THUS: 50.0
2. GROUNDWATER MANAGEMENT ZONE IV.
s r v, r ,r:✓°"�w,^> ,, .,.E r-y: ,.,r �w'rr. }?�y7
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FAIlndonm-
a NOL / a ti �R -i;C�w+: '���1g ?f"�� 3. PROPOSED SEPTIC SYSTEM STRUCTURES
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f ti as P, PROPOSED EXPANSION POOL
4 �,:,„ ✓- / ) % O °" * )t �. PROP05ED LEACHING POOL
ri
PROPOSED SEPTIC TANK
f ✓ ! )
PROPOSED 4 BEDROOM SANITARY SYSTEM M' 4fk SYSTEM TO BE REMOVED
(I) 1,250 GALLON SEPTIC TANKf �y
N 8� DIAMETER X 12' EFF. DEPTH LEACHING g
cl
POOL. '; �,aa °;C " ` 9 �" 4.THE LOCATION OF WELLS AND CESSPOOLS 5HOWN
wa HEREON ARE FROM FIELD OBSERVATIONS AND/OR L
aI"y �y ( ,� OBTAINED FROM OTHERS.
jP
d r x / 5. NO SURFACE WATERS OR WETLANDS WITHIN 300' C
LOCATION OF EXISTING
d PROPERTY.
SANITARY SYSTEM TO BE ���'' ,� "�
REMOVED BY , �—s �»r y''�'n •^!',,,r .. p �W .,�,
'ABANDONEMENT B7 X^
REMOVAL PER 5.C.D.H.5.
REQUIREMENTS. EL-24.0
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X „ PROPOSED LEACHING POOL
r q PROPOSED SEPTIC TANK
P "
PROPOSED 4 BEDROOM SANITARY
SYSTEM: , `
(I) 1,250 GALLON SEPTIC TANK �i� SYSTEM TO BE REMOVED
(I) 8' DIAMETER X 12' EFF. DEPTH LEACHING
POOL. "' rA � 4.THE LOCATION OF WELLS AND CESSPOOLS SHOU
HEREON ARE FROM FIELD OBSERVATIONS AND/OF
1 Q OBTAINED FROM OTHER5.
5. NO SURFACE WATERS OR WETLANDS WITHIN 300'
SANITARY LOCATION SYSTEM EMM TOBE w �
� � � � � / PROPERTY.
REMOVED SY � � /
QN
ABANDONEMENT BY y,
REMOVAL PER 6.C.D.H.5. � ) '
REQUIREMENTS. ��r� )» 'w � v 7"
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TYPICAL SYSTEM: ��� ��� � ,, �
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(U 1250 GALLON SEPTIC TANKd w, / '' `� '
"� � `�� ' � � � �" — SITE LOCATION
MIN, ABOVE GROUND WATER "" �
3—0 "
(1) 8'0 x 12 EFF. DEPTH LEACHING POOL '
(4 BEDROOMS) yr `� / .° ., f
0635 Main,
Y / 3 NY 11935",Unit d States
a / 9
a �
111
A YARD
SIDE YARDSIDE
DWELLING „
,...,. /
I MGy \ 10'
`MIN
S.T. / LOCATION MAP
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8' MIN
71 N.T.S.
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WATER MAIN
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TYr'--1'1C,,4L PLOT LAYOUT
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TYPICAL SYSTEM: El..22.3
(1) 1250 GALLON SEPTIC TA -"
(1) 8,0 x 12' EFF, DEPTH LEACHING POOL / SITE LOCATION
3'-0" MIN. ABOVE GROUND WATER "' /�� ,,�' �� .�� �`' � �� � � � ,°�
(4 BEDROOMS)
NY 119ain
noted �
30635 Main Rpt„Cutcho ue,
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ROADWAY TYPE C.I. SUFFOLK COUNTY DEPARTFI NT 6F 1iEALTli SERVICES
ROADWAY TYPE C.I. FRAME 4 COVER ROADWAY TYPE C.I.
FRAME 4 COVER (INSECT FINISHED (INSECT FRAME 4 COVER PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
Z 4"0 cast IRON 2: GRADE Rtl (INSECT
Q PROOF) PROOF) 0 min 7RAF k GRADE PROOF) . .. —.. SINGLE FAMILY RESIDENCE l'JNL`l
PIPE • 1/4"/Fr. 4" PVC , 20'3 1
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n_...m FL�M1LO LIhkT- "" .. � .PIPE a � IN) ^' ,;.' m AUG � 5
I/8"/FT (M
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H r No.
10'-O" (min.) 4 8 O (min.) APPROVED
....:m..m. � t C..- C� 11.12
FOR MAYIh1
4 4°'. UM OF BEDROOMS
BACKFILL WITH
..-." "CLEAN SAND < EXPIRES THREE YEARS FROM DATE OF APPROVAL
GRAVEL
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1,250 GALLON
r
SEPTIC TANK m
SCDHS APPROVAL AREA:
d . G o v k. TT
SANARYPLAN
.JUL (I _ �,..,- _ _. �-... ...._1.E_.
��
GROUND WATER
LTF� 30635 MAIN ROAD, GUTGF
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Bahl=.DO- - (1) LEACHING POOL I
"J -T Evj:MGT. �� I �.I 1 �f 1 R P,E,,,A :
S.C. TAX No. 1000-10:
OFFICEI + `, _ _ P.O. BOX 634 COUNTY OF SUFFOLK TOWt
SHOREHAM.NEW YORG
03���C TEL.: 631.200.8850 FAX: 631.
121.8033 F' t � M --� .�—.---
..... 01/15
/:.� �: ATE: .. /10
` ,,.::� +1 .:�..::.. .. . � ......... . .._.� .®JOB NUMBER: 1600013NT.S.
d 1
sGALE: As Indicate .. ...........�.