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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown.northfork. net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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FROM:
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_:''>"'Southold Town Building Department
Michelle L. Martocchia, Southold Town Clerk's Office
DATED:
September 14, 2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3627 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Steve Fontana-CBD Group
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.
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
~
DISAPPROVE
Comments:
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Signature
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Dated / '
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
. . Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown .northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $IO~ N Non-Residential @$2sL
Application No~Iod-1
Pennit No.
Applicant Name Steve Fontana - CBD Group
Applicant Mailing Address 29 Central Avenue
Hauppauge, NY 11788
Septic Tank~or Cesspool_
Brief Description of Proposed Construction or Alteration
Construct new 2,940 s.f. medical building
Location of Proposed Construction/Alteration:
Owner of Property: ONR , LLC
Owner Mailing Address: 1333' East Main Street
Riverhead, NY 11901
Owner Property Address: 46850 Count V Road 48
Southold, NY 11971
Name and phone number of contact person
Tax Map No: Section 55
Cross Street Boisseau Avenue
Block
05
Lot 10
Received by:
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H APPLICATION. NEW
EP ARTMENT APPROVAL
NOTE: LOCATION MAP MUST BE SUBMITTED
CONSTRUCTION REQUIRES SURVEY WITH HEAL
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PREPARED BY.
CBD Group
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Architecture . Engineering
Planning, P.C.
29 Central Avenue
Hauppauge, ~ 11788
Phone (631) 234-8877
Fax (631) 234-8903
emaiI: office@cbdgroup.net
. .
Stephen S. Fontana,RA
Salvatore Capitano, PE
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~'SION5
:2 6/15/06 &eparatlon between water/$c:lnltary IIne&
I 5/e/06 AS PER. A.1"t.6. COMMENTS 5/4/06
NO. DATE DESCI"tIPTION
I DATE, 4/26/06 j I $CALE, AS NOTED I
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NOTE, ELEVATIONS ARE REFERENCED TO AN
A55UMED DAWM. EXI5TlNe ELEVATIONS
ARE SHOHt-llWS 50.0
ALL SURVEY RELATED INFORMATION TAKEN
SURVEY PREPARED BY JOSEPH A. INeEeNO
LAND SURVEYOR DATED. FEBlWAAY :2e, '2006
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fE PLAN
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HEAL TH DEPARTMENT SEAL
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Sutid1> County Dcpartmmlt nl' Ht:;~\lth Services
ApPl"./d '.<n' ConstJuctlO~,.Ot1w,.Th:m Single Family
. "e:\'e~ccfh. CJ 0 - 0'- -().:)oA . O'esign Flow .j1'1 d p.J.
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Th""se plans have. been revIewed for general conformance with Suffolk
Cuunty Dfoparlnumt of Hcalt1:t Sefvio~s standards, relating to water
supply e.nrJ sewage dispesa\. Regal'lIless of any omissions,
inconsistencies or lack of detail, construction is required to b" in
accordance with the attuched permit conditions and applicable
standards, unless specifically waived by the Department. This approval
expires 3 years from the approval date, unless extended or renewed.
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Approval ate Reviewer
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SiTE DATA:
lOT AREA,
PRoPOSED aJlLDINe AREA.
PAVED AREA.
LAl-VscAPED AREA.
f'ERCEHrAiSE OF LAl-VscAPINe.
PARKING CALCULATION:
CRITERIA.
IISE. I-1:DICAL 5 SPACE5A'Ifr51ClAN
NMIlER OF PHYSICIAN!;. 3
PARKINe REGlJfRaJ. 15 SPACEs
PARKINe PRoVIDED. 20 SPAcEs
SANITARY SYSTEM DESIGN DATA
DESIGN CRITERIA,
ZONE IV.
LOT AREA.
MEDICAL SPACE.
.4<l OR 21.616.4& SGl.FT.
2,"140 SG. FT.
lOP32 SF.
~.644 SF.
3<1%
600 6PD/AcRE
21.616.4& OR .4<l ACREs
.I 6PD/5.F.
All OHABI F DfNsllY,
600 6PD x .4"1 = 2"l4 6PD PERMITTED
2"l4 6PD + .I 6PD/5F. = 2,"140 SF. FERMITTED
AclVAL,
MEDICAL SPACE. .I 6PD/5.F. x 2,"140 SF. = 2"l4 6PD
TOTAL AclVAL flUILDIHe FLoH. 2"l46PD
2"l46PD AclVAL (2"l4 6PD AI.LoHAeLE:. OK
~C TANK.
2"l4 6PD x 2 DArs = 5~ 6AU.ONS REGlJfRaJ 1,200
IISE MIN. ~. . x 4' LIGMD DEPTH SEPTIC TANK (1,200 GAL.
CAPAciTY HI SHAI..l.oH DOME f SOLID C.I. COVERS)
LEAcHINe {~'-o'f fC SANITARY ttRAlNA5E RiNes _ 25 SF NI' J,
MAxIHM ~IC lEAcHlNe; RATE, 15 GIoUDAY/5!'.
2"l4 6PD · 15 GN.5IDAY/5F. . I'l6 SF. 11.76 VF. REGMRED
IISE (2) ~'-o' . X ~'-o' DEEP PooLs tllTH TRAffiC 5LAB f
SOLID C.I. COVER
,
DRAINAGE CALCUl
DESIGN CRITERIA,
RUN-oFF COEFFICIENTS,
10' - DIAMETER DRYl'ELL
DRAItw;E AREA I,
PAVED AREA.
RoOF AREA.
lANDscAPED AREA,
~2.0~ C.F. f 6~.42 CF N
IISE (3) POOlS EAcH tllTH (
COVER HlTH A TOTAL OF Il
DRA/I'IA6E AREA 2.
PAVED AREA.
lANDscAPED AREA,
RoOF AREA.
CONeRETE I'W.KI'lA Y
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4-
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IISE (2) POOLS EAcH HlTH (2)
tllTH A SOLID COVER HlTH A
EfFECTIVE DEPTH
DRAINAGE AREA 3.
PAYED AREA, 3,4
LANDscAPED AREA, 2,"1.
RoOF AREA. 76~
CONcRElE HALKI'lAY 701
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W. ElUSlllESs .
'ORAGE (.161 Fr)
0FfD AAEAs
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JoSEPH SANTORA
4 JoANN RIZZO SANTORA
BIIILDING
uses F'lIeLlc HATER
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51}1.I6 C.F.
2:35.41 C.F.
25.45 C.F.
t>42.o1} C.F.
TEST HOLE DATA -$-
N.TS.
~
INfORMATION REGARDING lEST HoLE DATA
HAS OBTAINED ON FEeRlIARY 10, 2006 FRoM
McDONAlD GEosclEtt:e, SOlITHOLD,
t&f YORK (631) 165-3611
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540.41 C.F.
1}5.11 C.F.
'21.14 C.F.
12.64 C./:.
8''1'''16 C.F.
bt
TO THE BEST Of' OIIR IQioIi..EDGE, THERE ARE No
NEIGH30RING /'IUS OR 561A6E SYSTEMs HITHIN
150' Of' PRoPERTY.
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DARK IlROffi SILTY LOAM - Ol
6RO~ SILTY SAND - SM
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001,
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=l
IlROffi FINE TO
COARsE SAND - 5H
, = 5~2.32 C.F.
.1 = "73.2</ C.F.
1215~ C.F.
111.06 C.F.
'100.25 C.F.
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