HomeMy WebLinkAboutPolites, Lia 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
southoldtown.northfork.net
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
September 19, 2008
bLDG. DEPT ~
,T~VN OF. $O!J'h'4OLD J
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Pam Hunt for Lia Polites
3828 for a Cesspool/Septic Tank Construction
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 Y
DISAPPROVE
Comments: ~..~'~g
Signature
Dater ~--/
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.~Town Hall, 63095 Main Ros
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-614{~
Telephone (631) 766-1800
so u tholdtown,no~hfork,ne~
OFFICE OF THE TOWN CLERK
TOWN OF $OUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERSIIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 'V/or Non-Residential (~! $25 ___
Applican( Marling Address It 0 ~
Septic Taidc or Cesspool
Application No~.~52~
Pennfl No.
Brief Description of Proposed Construction or Alteralion
Location of Proposed C/nstruc}j,~n/Alteration: Owner of Property:/-.///~
..
Owner Marling Address:
Ox, tqler PropelV Address: ~ ~~
T= Map No: Section
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION, NEW
CONSTRUCTION REQUIIiES SURVEY WITH l~EALTH DEPARTMENT APPROVAL
'gn pplicant Date
Received ~y:
PIPE C, OUPLIN ' [:)ETAIL
POL¥ TO COPPER PIF~
NOT TO E, OALI5
pIPE
INLET
14,ATER ..'.5ERVIOE NOTE5 FOR LOT-G:
I. HATEt~ ~-I:;[VIC, E POf~ (2) EXI~TIN~ DI,,IELLIN~ L~ATEO HEI:~IN ,..ACH ~Y'
HILL BE 2" ~ PROM 5Tf;LEET HAIN 20' OOl,,~l 5NARCO Df~IVP_I,,IA¥ ~
COUPLED' TO 2# POLY PIF:~ (200 P~ I~.ATED HITH NSP DT~"~), POL¥ PIP~ HILL
IN~TALLEE) TO A POINT 20' PIAOH ~. LAST ~' TO BE C,4:)PPER.
2. I,',iATE-~ ~ AT ~ CON',E-GTION.~ TO BE NO LE-~ THAN. 50 f:~,l.
(TA{(.EN PR. OM 5UPPOLK- C, OL,~T~ I,',IATER Ai./THOP'ITY, ApPENI~IX
J~TALLATION Of= 5ERVIC. E5 --
INDTALL PIPIN~ 4- I/2' DEEP r-P. OH THE ~.~-. TO THE EXI~TIN~ 5'11.,~ VAU~LT (TIE IN
AT AUTHOf~I'F~"~ ¢ TAIL)
jNE~TALLATiQN ~ ~EVIGE-'S -- EXISTIN~ STI:~EET x, k,IATEI~ HAIN
L IN~TALL PIPIN~ ON THE PROt'-'L-I<.¢T', 4 I/2 r.-t=~ D'EE.P r-R~;'4 THI~ BUILD'II',E~ TO
THE pf:~PF:E-RTY LINE. A HINIHUH I' ,~cf;~/IE,E LINE ID REGiUIRED.
;2. LEAVE A I' RIE~'~'~'~'~'~'~'~'~R ~ ~ ~ Lb-VEL AT ~ ~ LINE HITH
THE END' C.,RIMPED'.
D. 'c'~cRVIC-~ LINE MEACMENTD FOl,'4 Mt.~T BE C, OI.,IPLE'I'~ID Al, II2 ,GUIDMIlfE. D'
AT TIME OP IN'~°~::OTION. I'~T~ ~ TAI(..EN F~
¢OP THE IDUILPlI'I~ TO ~ ~ OP ¥O1.~ PIPI~ AT THE
LINE. DER'v'IGE LINE t'4EACNT FOl~v~ ARE AVAIJ..AIBLE AT THE ~
4.. THE ENO Of= ~ PIPE AT THE pP. OI:~R'I¥ LINE 5HOtJLD' BE IO r'[..ET AHAY.
FI:~.OH ANY' OID~"¢~L~TION c'"'~-J~N A~, ~E~,, TELEPHOf~ F:~LEG, GAT(.,H BA~IN..G,
¢ pRIVP. HAY''~ AND' c"-'~4OULD' BE AT A LOOATION APl='I~OXIHA~Y.
THE POINT OF ENTI~Y. INTO THE
`5. A VALV~ HIJ~T BE INE~'TALLEP HHEt~E ~ PIPE FII~,DT E~ THE I~JILDIJ't~,
6. ALL OTHEf~ U~ UTILITIES, t,41Je, T HAINTAIN A IO FOOT C4..P_.AI:~ANC. E
FROH HATI~R .Gt~I~VIGE.
J~TALLATION E E~RVI6E~ -- EXIc,c,GTIN~ ~TI~EET
I. IN~TAI..-L PiPE 4. I/2 ~¢~' L.~E~ FI~DI'4 THE ¢ ~O THE .EXI~TII'~G' 5TUID
VAULT (TIE IN AT AUTHO~ITY'~ ¢ TAIL)
2. A VALV~ HU~T BE IN~TAL~ I=O ¢ THE PIPE FIRE:~T EN'flZ-I~L~ THE
I. '"CI'PE "K' .GOFT ¢ 'TU~IN~, HINII"4U~ .GIZE I" IN~II:;~
2. OU~TOt4EI~'G VALVEI
A VALVE I,.1U~T BE II',I~TALLED' ~ TI'~ Pipe FIRDT E~ THE E~IILOIN~.
D. PLAGTIG PIPE DF~-OIFIC, ATION~:
A. PiPE HAI4gI=AG~D AND D'E~IE4''L=~ FOf~ ~ IN POTABLE
.G,Y.~,I'EI4~, GAN BE IN~T. AL! FO F-RO~ THE IDUILD'IN~' TO HITHIN 20' FROH
THE F~OPER. TY LINE. THE LADT 20" TO THE PROP~P, TY LINE I',t~T BE
B. PIPE ~-IOULID BE d,LA~II=IED' TO HITH~TANO HOI~.IN~ I::~¢~ Of=
200 P..~.I. (HITH ~UR~TIN~ ~.,C4.Jt~ I~k'fEl~ AT LEA~,T TINIGE THE
· C.,.PIPIN~ R.EGIUIR. It'~' JOINTS, IN HHIC4-t A C..,HEHIC, AL .GOLVENT I~, UTILIZI=D'
NOT .a~-~.,r=PTAIDL.E. (IlDI~..GG C4X, II=~-I~ ~ REdIUli~.ED)
I~,TI,',IEt'fTY (20') PEET OF ¢ ID I~r:=G~UII~-,E~ ~ INGIID~ THE 0UILPlN~
TO THE ,GTART OF: THE PLADTIE,, PIPE.
c,.~i~['Vl6E LINE INC'J:~GTISN
I. GALL 'THE ~ ¢IC, E [:~mc~AI~'r~NT TO CT AN IN¢C, TION
'Y.,J0UI~ HORI( I,G ¢]I.-¢,. CONE EIU~II',~-GG ~A"/' AIDVANCEP NOTI.GE
2.5OHEONE MUST BE PRESENT ON THE PAY OP INSF~C.,TION.
~. IP f;~INSFT:~TION ID NEEE. g,..%ARY, A e25.OO ~ 1,4UST BE PAlP I°fe. IOf~ TO THE
REINSt:T:GTION.
4. LEAVE THE 'TR, ENGH OF:~:N. ~ NOT t~'AE.,KI=ILL "tHE 'T'RB'~H UNTIL ~
iNSF~C..TOR. ~ ~E) THE E3L=t~'VI(:,E LINE.
,5. IP THE 5E-f:~'VI~E LINE INSPECTION pAS~-'5, THE EHI) DP THE PiPE t~Y'
........ · ,..,.~-=m i=u ~il= il= ~--.~--i:;~v1CE II,,IE~:~C..TION PAILc~, THE ~ OP
Hill 4"e APPROVED
PiE PITGHY4" / PT.
INLET ~
u-.---
Eac~,AIDE~ If-
[2P. OP 'T' 15 I)SED ON INLET
LO(_.,KII'~5 (..,ASE it:~ON (DOVEI~ TO ~P. ADE
· 20"HI
FINISHED C__~,ADE
," ! PT.
PLOH 15APPLE
ELEVATION
X 12 - H2.~ X H2.1 p,G,4.1,"IM
PLAN VIEH
I, 0OORETE TO 'f'E~T 4'000 P.~.I
2, REINPOP. CEHENT I'4EET5 A.D.T.H. A-~)I4D~ A-18,5 ¢~PECIPIGATION5
~. COLLAR EXTEN~IONE' AD I~JII~ED. I,,IAXlI'tJ~
--~ INLET, ~
,EPTIC, TANK.- IOOO .AL.
NOT TO Sd, ALE
4' PlA F'VC PIPE eY~
OF ELIBHITTAL;
I. NEP4 DANITARY ,GY~TEH POP. NOR
2. PUBLIG INATEP- POf:~ i~gTH Pi, qELL
~ If= INGTALLIN~ ~PARATE HOT INATER HEAri;5,r,~, ~-PAI;~ATE EXPANSION
TANK5 5P4XJLD BE INE~TALLED.
~,IITGHIN~ ,T,,~.r·,~VICE TO HOI"IEOt,'~ -- THE BUILDER G/~I BRIN~ IN A
Af='PLIGATION GARD 51~DI',IED BT' THE IDUTEf~ BUT IT I~T BE PILLED
C4D'MPLETEL¥ INGLUDIh~ 5C~.T, Ib¢_ GEC.4~ITT. NUMI~, DI~JVER LIC.,EN~
~NT IvlAILIN,~ API~, AND GONTAGT Df'lONE N~ IT 15 REC,~D
THAT THE BUILI~R E~TAI~IC-~ THE AZSC4XJNT ~ C,ad._L F'Ck~ A DIEx~4DNNECTICTN
5ERVIGE, ALLOHII~ THE BUT.ER ONE ~ TO E"STA~LIE, H ~'~ERVIC, E IN HI~/FER
f=INAL e3N, ADE
-¢A~T IRON FRAHE ~ C~.ATE/COVER
~A~ 11~2 C, O~ APf=t~%,~JD F=G~{JAL.
AT ~,RAIDE
D' MIN.
MIN.
~' DIAPE~
~--C, OiJ. AR MATERIAL
jCPEI~TION~
I~,ATE. ABLE ~IL
SANITARY LEACHIN POOL (LP)
/
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~UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE AND
J!~:'PROV~D ~/~,1 ~ ./ ~'~.
EXP RES ~REE ~ARS FROM DATE 6F APPR0~L
Ab~ofexisting sanlt~-. S ....... I
¢omfo~ce wah deponent ~quk~t Submit
~VAT~N I~E~ION REQUIRED ~
F~ ~ITA~ ~EM J
SCDHS APPOVA
TEST HOLE
01/25/0~
I~' .... -0.0'
(o~..)
(s~)
HATER ENCOI~TEREI~
Ib.l' ~ cJJRFAGE
IHp
~NK. GAPACS. ITIF~ FOP, A I TO 4 E~EE)I;ROOH HEX)SE I~
,NKJ ~' PLA., 5' PE~
~VE A HINI~H ~HP~I~ 5T~ ~ 5~
~L ~ A HINI~ OF D", A T~ ~IGK~ ~ &"
I~ TO ~I~T AN A~LIEg ~E OF ~ ~BF.
- ~E 5~P ~ THAT THE T~ I5 ~TERTI~T.
~ALL ~ I~TALLEO AT L~L IN ~L DIREGTIO~
A~E ~ *V4") ~ A HINI~ ~" THIGL ~ ~
2R ~A ~L.
I. MINIHUM LEAC, HINC5 DT'.STEM FOf;~ A I TO 4 I~EC~P-,OC, M
I~ ~00 ~ fl: ~IpEJ~ALL AI~-A. 2. POOL~ ~' PLA., 6.'
2. LEA~HIN6 POOL~ A~,~ TO BE E~N~TRU~TED OF PRE~A~T
REINFOR, C.,EO C,~i, IC, RETE (OR, E(~UAL,) Lt~IN~
SOLID DoHE'D AN~/O~ DLAIDG.
D. ALL GOVE'P~.G GHALL Bt~ OF I::'P4~6AST P-,EINF:OP-C, ED
CONCRETE (OR
4. A I0' min. I~ISTANCE BFTHEEN LEAC, HIN(5 POOLS AND HATEI~
LINE 5HALL BE IvI~INTAINED.
..5. AN ~.' mM. DISTANCE Bi~T'I,',IEEN ALL LEA~/HJI~ P(~:DLD AI~
5.EPTIC TANK 5NALL E~ HAINTAINED.
HAINTAIN 5~ HAX. 5LOPE Fl~gt'l EDGE OF 5ANITARY J
OUT 20' IN EACH DII;~CTIC~
4.12' ADV HEAN 5¢_.A LEVEL E:C-/2UND
PROPOSEE) 5EPTIO 5"r'STEM E:)ETAIL
.IN¢ @ NOP-.THEP-.N PORTION OF: PROPERTY ONLY'
NOT TO SCALE
',IELLIN~
TYPICAL 5¥STEM:
I - IOOO GALLON SEPTIC TANK.
2 - 8' PlA x ,~' [2E::~P LEAOHIN~ POOL
:D'-O" MIN. ABOVE .~ID MATER.
OC, ATION MAP:
PROPOSEP 51TE PLAN:
51TUATE AT,
NEP, I eUPFOLK N.¥.
TOI',IN OP 'r~DUTHOLI~
c-~Jp~=OLK COUNTY, NEH YORK
~_.TIM NO.~ I000-11-I-i0-02
ZOHII',J~ PlSTRIOT: RESIDENTIAL 40
AREA OF: 51TE: ~)¢,.55'f 5.F. (I.5'IAG,)
(TO TIE LINE)
AI~-:_A OF: EXlSTIN~ BUILDIN¢;:~5,
RESIPENC. E (~::~TH) '"228q 5.F.
PU~P ~ - TO BE REt,lOVED
±108 ~.P.
REE,II~ENCE (NOf~TH) :l:l"/~:l ~,.P.
(PROPOSEP AP-.EA INCLUPE~ PORCHES)
PLAY HOUSE
eArZAC_.~E
~31Tt~. PLAN BA.~ED ON ORJSINAL E~RVEY
PEOONIC, 5~.VEYORS, P.O.
P.O. I~:)X
12DO TRAVELER 5TI~Eb-'T
¢~gU"rHOLD, N.'I'. IIq"fl
IDATE* OC, T. ;25, 2003,
APPLIOANT, LIA POLITE5
C, HIC.,AGO TITLE INSUEANOE
KEVIN F E'PJ~O
5C, ALEI I"=~0"-0"
SUFF.
N.C,
N/G
REMOVED
2'/&l
+140 5.F.
:t~lO
SEP 0 9
OE
L INC~5
~ L~NE TO
q
jl
JNO HELL5 HIlT'lIN 150 FEET J
OF F'~.Of~R'rY LINE
EX.
LIL3-2
6422'/8,
0 18
~'~p / /
JHO NELL5 HI1TIIN 150 Frl'l J
Of: PROPER'P( LINE
" ._~ITE F:)LAN
BO 15 0 90 60 qo 120 I~0
~l~.Al° H lC. ~C, ALF
JEFPf:;~¥ T. E~JTLE~., P.E.
D
F~A®E:
1
oF I