HomeMy WebLinkAboutKonior ELIZABETH A.NEVILLE,MMC '� w Town Hall,53095 Main Road
TOWN CLERK (° �� �;e P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS � �� � Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
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RECORDS MANAGEMENT OFFICER o 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: January 25, 2021
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4937 for a Cesspool/Septic Tank Construction
Permit submitted by:
Adrian Konior
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:
.... .. ...�....
...
Sig.nature
..........
Dated
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 01/25/21 Receipt#: 277607
Quantity Transactions Reference Subtotal
1 Septic Permit-Construct Resld. 4937 $10.00
Total Paid: $10.00
Notes: 113.-7-10
Payment Type Amount Paid By
CK#230 $10.00 Konior, Adrian
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Konior, Adrian
87 Sandy Ct
Riverhead, NY 11901
Clerk ID: JENNIFER Internal ID:4937
ELIZABETH A.NEVILLE a 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 * ° p southoldtown.northfork.net
i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential $10 1' or Non-Residential $25 Application No.
@ G PP
Permit No.
Applicant Name___ ,/ h1 _ !l�/ ...._... ._ ._... ......w
Applicant Mailing Addresswa, _.. � ..
---------
Septic Tank oCesspool
Bri Con truct�oor All ntti(xi ption of Pro
,
Location of Proposed Construction/Alteration: f
Owner of Property:
Owner Mailing Address' .,.,... ._u. .w . w N
..._... S
Owner Property Address
Name and phone number of contact person
Tax Map No: Oaection BlocksLot ...
Cross Street_ 1AP
NOTE: LOCATION MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant ate
Received by:
i
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:,K&g
EXISTING CONTOUR LINES ARE SHOWN THUS:———�———
2. MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1,250 GALLONS. SURVEY OF PROPERTY
1 TANK; 8' DIA. 4' LIQUID DEPTH
3. MINIMUM LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. SITUATE
3 POOLS; 6' DIA. X 4' DEEP MATTITUCK
PROPOSED SOX FUTURE EXPANSION POOL
RGA
V` PROPOSED B' DIA. % 4' DEEP LEACHING POOL TOWN OF SOUTHOLD
R V•
Y
SUFFOLK COUNTY
NEW YORK
ut�� PROPOSED 1,250 GALLON SEPTIC TANK S.C. TAX No. 1000-113-07-10
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4. T
HE LOCATION OF WELLS AND CESSPOOLS SHOWN ,.
C) PQO HEREON ARE FROM �
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M FIELD
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��PP � � 13 / 15.5 c m OBSERVATIONS AND/OR DATA OBTAINED� FROM OTHERS. SCALE 1 —4O
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UA 1 X51 i DRHNAGE srsTEM CALLCULATION SEPTEMBER 17, 2020
'" E5 /'. N y PAN vNew"0*
DRIVEWAY AREA: 700 sq. ff.
vy,S E✓ 700 sq. ft. X 0.17 = 119 cu. H.
119 cu. ft. / 42.2 = 2.8 vertical ft. of 8' dia. leaching pool required
✓'' PROVIDE (1) e' dia. X 3' high STORM DRAIN POOLS
ROOF AREA: 1,950 sq.4 ft— 332 cu. ft. AREA = 19,328 sq. ft.
1,950 s it. X 0.17 —332 cu.q0. / 42.2 = 7.9 vertical ft. of e' dia. leaching 0.444 ac.
9 Pool required
'' %° -'� .
PROVIDE 2
", ..^" ,r ( ) 8' dia
. X 4' high STORM DRAIN POOLS
23.0 4 V """ ,�,�� RIGHT 'F PROPOSED 8' DIA. X 4' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS i
25 PROPOSED 8 DIA. X 3 DEEP DRYWELLS FOR DRIVEWAY RUN—OFF ARE SHOWN THUS i
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j()fIN o1A FOTTA TEST HOLE DATA
0 0 (TEST HOLE DUG BY _�LN2„ COfyR1 PSC. L.S. ON SEPTEMBER 20, 2020)
0, 1 ..�
_ BROWN SILTY SAND (SM)
PROPOSED SEPTIC SYSTEM D E T A I PREPARED IN CCORtM WITH TME MINIMUM
NOT TO SCALE L c 1 u jTv*°r AS L IAUU +S .
G ' IHE L"IAL 5, AND F
HOUSE TOP BURIED B 4° AND ADOPTED
F FL 19.0 ,�9 C'w��„PATE`4aW O
4' DEEP max. FINISHED GRADE TITLE AS .ATI Y
FOR SU
16.0,
PRECAST REINFORCED CONCRETE COVER ELEV. FINISH GRADE
24"dia. LOCKING, WATERTIGHT & INSECT PROOF ELEV. 14.0'
BURIED 1' DEEP min,, 2° DEEP max. CAST IRON COVER TO GRADE PALE BROWN FINE TO MEDIUM SAND (SP)
LEANOUT 20'nm6n 2O"mTn�" ....MIN. 4" dia, A
1
Pyr 1 APPROVED NNB�E � �
APPROVED, _ r PITCHED 1/8"/1x F1" EL. 4,7'
7.5"
TOP 3 CLEAN
MIN. 4" dia. " HIGHEST EXPECTED GROUND WATER
INV. EL PIPE d SAND TEST WELL No. USGS 405 407 1 01 6 1
12.4' PITCHED 'N/4'/1' INVERT aro a4 INVERT a CROSSOVER COLLAR
4" dia
ELEV. 12.1
a° ELEV. 11.6 PLPE 4 m EL" 1.7' 10.5'
5 TEST HOLE GROUND WATER WATER IN PALE —
FLOW - ,4
TO MEDIUM SAND (SP) �� �� s
BAF . � .�
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uNAurHORlzm ALTERATION OR AODmoNROWN � z LIQ. No. 50467I
TO THIS SURVEY IS A VIOLATION DI Nathan III,,..
3- L SECTION 7209 OF THE NEW YORK STATE Q
BOO11 CHEST EXPECTED GROUND WATER EDUCTION LAW. Gl Surveyor
EV.4
SEPTIC TANK (1) ELEV.�. COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
1. MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 4 BEDROOM HOUSE IS 1,250 GALLONS. EMBOSSED SEAL SHALL NOT BE CONSIDERED
1 TANK; 8' DIA., 4' LIQUID DEPTH U �......._—.. TO BE A VAUD TRUE COPY.
2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. MINIMUM LEACHINGNG OR PA LD — CE;MFlCATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isoksen, Jr. L.S.
3. WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4', ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S.
ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 Pat. 1• BEDROOM Hi USE IS 300 sq ft SIDEWALL AREA. IS PREPARED,AND ON HIS BEHALF TO THE
4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3 POOLS; 4' DEEP, 8' dia. TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
EQUAL)E
REINFORCED CONCRETE. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAS, QLENDING INSTITUTION LISTED HEREON,AND
5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF f1/4") 2 ( ) TO THE ASSIGNEES OF THE LENDING INST1—
LEACH NG STRUCTURES, SOLID DOMES AND/OR SLABS. PHONE (631)727-2090 Fax (631)727-1727
ON A MINIMUM 3"THICK BED OF COMPACTED SAND OR PFA GRAVEL 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCR=fE (OR EQUAL). TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE
6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND W kTER LINE SHALL BE MAINTAINED. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
5" AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS Sii.ALL BE MAINTAINED. AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
6. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS Al%D SEPTIC TANK SHALL BE MAINTAINED. ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947