HomeMy WebLinkAboutBrodsky, Jim ELIZABETH A. NEVILLE,MMC �����m ',`�E Town Hall,53095 Main Road
TOWN CLERK �` r° P.O.Box 1179
u' A Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Ow 1 ;1)
4 Fax(631)765-6145
MARRIAGE OFFICER 61"
„ � 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: November 19, 2020
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4917 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jim Brodsky
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 _ m
Comments:
Signature
...._.........._.. ............ _..
Dated
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR.OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER 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
SO OLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No. 7
Permit Na.
Applicant Name
Applicant Mailing Address t 9.. - Q .� �w
Septic
e tic T�ank 4"or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: "'Lj
...w_.........- . �.__�.m.......
Owner Mailing Address.. ( 1
Owner PropertyAddress:
i�
Name and phone number of contact person �.
Tax Map No: MOO Section 103 Block mm " _ Lot %
Crass Street. �,u-_ryk . �.... �
NOTE: LOCATION MAP MUST BE SUBIVIITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
.........................
Sign re of Applicant Date
Received by:
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 11/19/20 Receipt#: 276419
Quantity Transactions Reference Subtotal
1 Septic Permit Construct- Resid 4917 $10.00
Total Paid: $10.00
Notes: 103.-7-15
Payment Type Amount Paid By
CASH $10.00 Brodsky, Jim
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Brodsky, Jim
1270 Skunk Ln
Cutchogue, NY 11935
Clerk ID: JENNIFER internal ID:4917
HOUSEelate or other - Cast Iron
F.F. EL 28.2' /-eu@ale caner Locking Cover
_ �stopper end plug FINISHED GRADE
26.3't,. FINISHEDNISHED GRADE EL 26.3' EL25.3'
E
I.Echimney P 2 `
25.0' 6,mw, p1A%
clean out--J
�. SIE f. 4�. eg� l.E>
24-B 5= ; _24-.3'
t 4ad � 24.1' - c
f 1/4' per foot Hiln. p,t,? mQ / \
min. 4' dla. pipe 2 s '°'do.pipe { m m
A' _ 2400 or e*al [ a
class 2400 pipe or oqual _ £9 - -3` WN
.m9n P.. 3' MIN m ® EM m m mi - COLLAR
-. COLLAR0%m®e9 M C9 91 R
1250 GAL PRECAST =w mm o�®®�m mm
_
f SEPTIC TANK - e�.x - /
4' LIQUID DEPTH m ea®®e a m I... /
Csm .5
- a 202,®®m Mos:
SE PC SY IEM DETAIL No`2,� � 39
-
"[ (1] LEACHING POOL �
(80 ■ 12' DEEP) -
SLATE OR OTHER—\ —STOr`PE'ti END /
SUITABL Et?Ek- \ PUG GROUND WATER /
SEWER P PE� --T i /
30' ELBOW-
60' WYE /
CLEAN CUT DETAIL
NTS /
/
PROPOSED SEP71C SYSTEM
(4 BEDROOMS)
1-1200 GAL. 8'0 X 4' DEEP
1-80 X 12' DEEP LEACHING POOL
® WELL
RAIN RUNOFF CONTAINMENT
HOUSE DECK, PORCH 4512 SQ-FT
GARAGE PA770 960 SO—FT /
SOFT: /
5472 x 1 x 0.17 = 931 cu.ft.
/
931,142 2 = 22 VF /
PRODE 3 DWS. 80 X 8' DEEP= 24 VF
Connected 5y Gutters & Leaders
DWELLING
®WELL WELL
C
/ EL
/
TEST HOLE DA TA
McDONALD GEOSCIENCE /
7/16/2020 '
EL. 26.3'1 BROWN LOAM OL
0.5'
PALE BROWN
SILT MLS
BROWN SILTY SAND SM
4' UFFLCjFOR A
7 -
AMILY R
t kN Ly
A
PALE BROWN FINE SANDik
NOV 2L120
'
SP
6
17' X
T
1 . ATE F ?PRO\
NOTE. NO WATER ENCOUNTERED �
' ' }'
1 �'° I'L�r� I'
ELEVATIONS REFERENCED TO NAVO 88
KEY
{ = REBAR
® = WELL
= STAKE
9 = TEST HOLE
= PIPE
= MONUMENT CERTIFIED TO:
WETLAND FLAG HUCK HIRSCH
JAMES M. BRODSKY
UTILITY POLE FIDELITY NATIONAL TITLE INSURANCE COMPANY
= HYDRANT
LOT NUMBERS REFER TO IMAP OF BIG GREEN ACRES" FILED IN THE SUFFOLK
COUNTY CLERKS OFFICE ON jULY 12, 1972 AS FILE NO. 5757. AREA
ANY AL7ERA77ON OR ADD177ON TO THIS SURVEY IS A VIOLA 77ON OF SECT70N 7209 OF
THE NEW YORK STATE EDUCA 77ON LAW, EXCEPT AS PER SECTION 7209—SUBDIWSION 2.
AIL CERTIFI A77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
0 MAP OR COPIES BEAR THE IMPRESSED SEAL OF 714E SURVEYO KIOSE
,VATURE APPEARS HEREON.
/
/
FlNISHED GRADE /
EL26.S'
1s7 /
t°
KUN
gmo'm em mo-
ammm maraQ
Q m m m m p M F
[1] LEACHING POOL
(Bi x 12'
)
WATER /
/ DWELLING
/
WELL 150+
/
19
ti /
LOT �^
EL 27.4' /
DWELLING + � ,
WELL 150+ FEN lipCOR.
F 0.2'N
® WELL
/ > FEN.COR.
/ 0.2'N
/
/
J
LOT 3
®WELL
DWELLING
oo'n
WELL C�, EL 27.1' x `
CMF C ,_
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^ PROPOSED
GARAGE
/
Oy
EL 26.6' DW
PROPOSE[?
GRAVEL }
WALK
TH � •� �.
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oy �
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A TI,
SUFFOLK COUNTY EPART 'll O ' t oy
FOR APPROVAL 7 OPFSTRI7CtEOPi F0�
0,1
PERMIT
SINGLE FAMILY RESIDENCE ONLY
NOV 1 o 22 a 0.
._ tK
AF'PR�aVt7 __ m sO� CATCH-
�° # t3F GROOM // BASIN `
FOR = EL 26.2'
} 8 �mZ YelttCl a OVAL
��`EA DATE
AF / VACANT
EXPIRE THR 7
/ EL 25.7'
/
/
DWELLING
PUBLIC WATER =0
/
/
NCE COMPANY /
I
00,
DWELLING
PUBLIC WATER
AREA= 40,000 SQ. FT.
/
/
/
SURVEY OF PROPERTY
pel TOWN OF SOUTHOLD
r
N. Y.SUFFOLK COUNTY
1000-103-07-15
SCALE.
3-V=40
AUGUST 12, 2020
AUGUST 20, 2020 (CER77FICA710NS & FENCE)
CED / SEPTEMBER 9, 2020 (PROPOSED HOUSE ADDED)
DWELLING
NG /
WELL 150+
/
19
/
/
/
/
EL 27.4' /
FEENMR, 1
0.2'N
DWELLING
WELL 150+
FEN.COR. /
0.2'N
/
DW /
{ 100
0113 /
_ EL 28.2' L{)T
RAVEL ROPOSED `<`lsNl -% DWELLING
ALK ' PUBLIC WATER
EL=2.3' sLp
r F' ,
_".
� DW
°
°ti LCAT
CATCH ° VACANT
BASIN
EL 26.2'
/ EL 25.7'
l
DWELLING `00
PUBLIC WATER
U F15 -
l -
r 4
a [ _
,®
DWELLING
PUBLIC WATER Y S LIC. NO. 49618'
PECONIC ORS`, P.C.
(631) 765-5020 FAX (631) 765-1797