HomeMy WebLinkAboutFalcone ELIZABETH A. NEVILLE MMC �'`� Town Hall 53095 Main Road
TOWN CLERK rix P.O.Box 1179
1� Y Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �i�`� pllllllllll���� ' Fax(631)765-6145
MARRIAGE OFFICER gri
RECORDS MANAGEMENT OFFICER F" Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER A www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: March 30, 2021
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4952 for a Cesspool/Septic Tank Construction
Permit submitted by:
Chuck Thomas
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:
APPROVEm ......
DISAPPROVE
Comments:
Signature
Dated
71
1w
ELIZABETH A. NEVILLE , 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
RECORDS MANAGEMENT OFFICER , Telephone
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
765-1800
n.no
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.
Applicant Named �-... � ., �....._...� - _ -.....
Applicant Mailing Address PQ :BOX 8-1 J
. :- _.._ ........
Septic Tanky' o...C. o
p r Cesspool
Brief Description of Proposed Construction or Alteration ! 't,� .._.. a ..
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: & T ;L fo f 10
Owner Property Address
eq± oL
Name and phone number of contact person
It N �7w0� � ��
Tax Map No: Section" _Block D „m_ Lot
Cross Street
NOTE: LOCATION MAPS SUBMITTED WITH APPLICATION.
CONSTRUCTIONS SURVEY Nyfffl HEALTH DEPARTMENT APPROVAL
Si, 11 calf Applicant Date
Received by:
HOUSE mato or other
F.F. ELY 1.0, sultole cover
WPI)Qr and Cast Iran
URVEY OF PROPERTY
plug 5 Locking Cover PRE-18-0794 S
EL ' FINISHED GRADE I t.5.� "-
i I.E. s
- r; dt AT _
2
YVIEW
4 UN
cleanc�?—t
12 TOWN OF SO UTOLD
I.E.
E 8• I � x I.E.
1/4" per foot min. pltc 10'0 1/8' per foot mki 3, _ f SUFFOLK p N. °
4'
min, 4" dlo, pipe � � pitch min, 4' dia, pipe
class 2400 pipe or equal Fnis �. CIosa 2400 Alpe �pquq{ �' SAND COLLAR 1000-78-05-17�
t '2 0 CAL PR CA; 2irrla. [618#0 ° � SCALE:
2 I � R1TC TANK LEACHING POOLS
EL
.t�1CUl Dep€H GROUND WATER L_. ----------------------- EL.0.7' DECEMBER 09, 2005
HIGHEST RECORDED GROUNDWATER L JANUARY 19, 2006
BACKFILL MATERIAL TO 6E CLEAN SAND & GRAVEL ARCH 3, 2006 (ADD177ONS)
1 1L ' REMOVE IVATERIAL '0 TO JUI Y J O (PROP. HOUSE)
ND I r
she S' ( C OCTOBER
E O
c CRC SPE END r SAND NOVEMBER Q, 2018 (HD RE S O S
COLLARS 4' 1 —OR M?LiG / (SP)
f
R: R � - ;
5
FIBER JOINT ' , -
PACKING -
CI SEWER PIPE
'OU DWELLING
ra sEPnc
011. BO° PVC WYE CI TO PVG TANK f
HOUSE ADAPTOR
1
Q P (3) DEDKOOM5
�' L,� (1) 1� OALLON GYLINDRIC.AL 5EPTIC, TANK
Yui C Ib) 0 LEACHIN& POOL.5
` V,
a �� (3) 8' $ EX5PAN5ION POOLS
'- HOU5E,&ARAGEp 1360 5Q-FT.
` I �'` 1360 a 1 o 0.17 = 231.2 GF
DRIVEWAY (PERVIOU5)
- 4? 231.2 CF / 42.24 ° 5.47 VF
4ZONE AE6
t' TF-5T USE (3) 8' DRYWELLS AT 2' DEEP
ST SOLE ATA � aLS
DRY WELL CONNECT TO HOU5E
ACC)ONAI-D E05CIENCE Lex
Ex WITH GUTTEK5 + LEADEK5
LF [Ld
EL 5 6' 0'
s CLARK DR04VN LOAM OL 1 #
DROWN CLAYEY 5AND 56 ` C--)` _ 5TOA
I{
L. 0.7' =- a m ffia1' I / f
5ANDWATER5GIN DROWN CLAYEY
g
ffi ( ,0`
I l
WATER IN BROWN CLAY GH - 1
WATER IN DROWN CLAYEY 7
5AND SG 1 E
Ji
Fzow X '
10.0'
- t
WATER IN PALE DKOWN FINIEE SAS 5® '
` 44or 11 ( 'J
3 �
44KEI -
IX
b�
REEBA
„ � /t ONE AEb
SMKE
H r
4'
I
, - - -
,. �
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F
10 OTHER UNDERGROUND GROUND UTILITIES PROPOSED
LOOD ZONES (AE EL. 6 & X)
ROM FIRM 361G3CO166 H 5/25/09US
XEVATIONS ARE REFERENCED TO NAVD 1ST - M_ '
he location of public water, wells and cesspools 4 o rs here(i�Iii r m t �oe vats n om data
ibtalned from others.
DDiTIONA€A-Y TO C.0. �( WITH 5AIP LAW THe `1-ERM "At-T KE !—DY" , •5`1 t5K (56D DY ANY AN �
:LL 51,1KVF-Y 5 UTILIZIN'a A COF'Y OF ANOTHER5 SURVEY 5 MAP;TERM5 5UCH A5 "IN5PF-(,TED' ;AND
>-P - IT TO® AT ' ARS NOT IN CCJ I�IANC E V IT THE LAW,
LIC. NO. 4961
,,NY ALTERATION OR ADDITION TO TH 15 SURVEY 15 A VIOLATION
7F 5ECTION 7209OF THE NEW YORK 5TATE EDUCATION LAW. �
=XGEPT A5 PER SECTION 7209-5UDDIVI510N 2. ALL CEKTIFICATION5 � _ AY 0631, 765-1797
1EREON ARE VALID FOR TH15 MAP AND COPIE5 THEREOF ONLY IF 14,44 . R.
)AID MAP OR C.OPIE5 DEAR THE IMPRE55ED 5EAL OF TIME 5URVEYOR 1230 TRAVELER STREET