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Home My WebLink AboutSiefert, Fred.~kBETH A. NEVII,I.E TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT O~'FICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CI,ERK TOWN OF SOUTHOLD TO,i_ i: own Building DePartment FROM: Linda J. Cooper, Southold Town Clerk's Office Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtov~.north£ork.net DATED: November 14, 2008 Transmitted herewith is a copy of application No. 3838 Permit submitted by: for a Cesspool/Septic Tank Construction FJ Gerard Holdings (Fred Seifert) Please review the application and location map and advise if thc project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete thc form below and return it to mc. Linda J. Cooper · · · · · · · · · · · · I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ~ DISAPPROVE Comments: Signature Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net 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 N6~.~ 35 Permit No. Applicant Name FJ ~-~-~ ~1~ , Applicant Mailing Address ~3~ 'P4~°~'Oe~ ~e~d Septic T~ ~ or Cesspool Brief Description of Proposed Cons~ction or Alteration Location of Proposed Constmction/Al,teration: Owner of Property: ~,.~ ~c-*~-a~ ,~.O::>~.or,~3 Owner Mailing Address:' o~(~''' t,~O~a ~t-'~c/4 ~.~ Owner Property Address: ~ ['7 ~_.~c~ Name and phone number of contact person TaxMapNo: to,~c~ Section 14 ~ Cross Street t._, ~ c e~ ~z,~ ~(3 Block ~ Lot NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH D~EPARTMENT APPROVAL ~,~ L Sig~la~/e o f Applicant Date Received by: [({1(4{~ PLAN = 20'-0' PARt~.IN~ LOT / 5,1~,9.9 5(2. F'r. .3,1~,5,.~, .5~. FT. (2'1.2%) P~OPO~ED ~TF~UC. TU~E: 31~2 '~1OO% F~UNOFF= 5,$5.1 CU. FT. PF~O¥1DE: (No. 1-4-2 ~,' PlA. X 4' PEEP Dt~¥LUELL.5 CAPACITY: I~,CJ GU. FT. EACh 2~,.~, % MORE ThAN RE~UIREP PA~KIN~: OONTF~AC;TOF~'$ E~JSINE55: I 5PACE PEF~ EMPLO"r'EE + 2 5F='AC. E5 OFFICE: I/1(20 = 8, 5PACE5 TOTAL: II 5PACE5 NOTE: F~A~KIN~ 8,PAC..E5 Nc,. ~,-II: LAND ESANK'-. EPTIC SYSTEM DETAIL N.T. 5. DDE]E LEACHING POOLS E3 E3 [Do NO LUELL OR EXISTING ,~IN~LE F,&I"IILY HOME TO BE DEI'IOLISI-IED EXI,.~TIN~ 8,ANIT,~,R¥ ,~¥,STEI"I TO BE REI~IO~/ED A,~ PER : ~UFFOLK. COUN'FT H~LTW DEPAN~TMENT REQUIREMENT6 SITE ,~,LLOLLI,~,E~LE 6,~,NIt,~,~"r' FLOLU (E)EN,51T"r).- GROUNDttlATER I'IANAGEPIENT: ZONE IV ALLOtgABLE FLOW FOR SfTE ('NO PUBLIC WATER), 3OO ~,']/acte 300 ~pcI/a~re x .2.~4 acre, 1~.2 GALLONE~ ALLOLUABLE · SELUAGE DISPOS,fl, L OALC. UL,4,TIONS= BASEr'lENT: STOF~A~E 9~ S~. FT. · .O4~1¢~:i/t,? 3L$ G~LLON5 ~T~L~ 213.2 ~ECEIVED DRAW'N: MH / MS JOB #: ~eu~eptem~)er 29, 2008 '"S"H~E T ~ER: S-I 2 6T"r'. NOU6E NO DLUELLING5 LUll 15,O' OF _ 2:5.0 _ I HOt. J6E WATER LINE(S) M p c,'r. ~ ~.2. ~.-~',.. P~CTED BY THE K COUNTY D.~ S CALL 852-57] HOURS [N ADVA~CE~ TO f INSPECTION NO FINALAPPR~ALWITHOUT ~ APPROVAL BY WATER QUALITY U~IT I ZONE: L1 I 6T"r'. WELL (LUELL IN TABLE OF CONTENTS PAGE No. DESCRIPTION: S-1 SITE PLAN, LEGEND, SEPTIC DETAILS S-2 SITE CONSTRUCTION DETAILS A-1 NORTH & EAST ELEVATIONS A-2 SOUTH & WEST ELEVATIONS A-3 FOUNDATION PLAN A~4 lS'T. FLOOR PLAN A-5 2ND. FLOOR PLAN A-6 ROOF PLAN A-7 SECTIONS A-A, B-B, C-C FOUNDATION SECTION, CONSTRUCTION DETAILS A-8 PLUMBING SCHEMATIC, DEBRI~PROTECTION A-9 ENERGY COMPLIANCE, FIRE PROTECTION DETAILS A-10 CONSTRUCTION DETAILS A-11 CONSTRUCTION DETAILS A-12 CONSTRUCTION DETAILS A~13 CONSTRUCTION NOTES SIT SCALE: Suflblk County Department of Health Services Approval for Construction-Other Th~m Single Family Reference No, C/'°-'O?- oot'to Desi-- Flow TI,ese plans have ~n ~ew~ for ~ne.l Cowry Dep~ment of He~ ~ s~d~, rela~g ~ water supply and sewage disposal. Regardless of any omissions, inco~stencies or ]a~ of det~l, ~ns~c~on accord~ce with ~e at~ch~ ~it conditions ~d app~cable stand.ds, ~]ess s~lly waived by ~he Dep~ment. ~is approval expires 3 ye~ f~m the approval da~, ~ess ex~nded or renewS. Approval Date Rev/ewer Y NO FINAL APPROVAL WITHOUT [.,APPROVAL BY' WAT£R QUALITY UNIT [ din ac~Trdance with Boa/d of Revie7 [ t~.UlLDINO: 2~.4 50. FT. (TO' UJA~EMOU,~E: 21°Jl ~. FT. 15% FL. DISPL~T ~E~ 2~.q~ COVEf~ED POI~CI,.-I: 22g, LOT COV'EI~AGE: PROPOSED SEPTIC TANK SITE PERSPECTIVE