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HomeMy WebLinkAboutShamoon, DavidELIZABETH A. l~[Vll,l,l~,. RMC: CMC 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: RE: Southold Town Building Department Carol Hydell, Southold Town Clerk's Office September 21, 2009 Cesspool Construction Application OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ~ Transmitted herewith is a copy of application No. Permit submitted by: David Shamoon 3902 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. Carol Hydell I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ~ DISAPPROVE Comments: Final approval required from the Suffolk County Health Depadment Signature Dated TOWN CLERK REGISTItAR OF VITAL STATISTIC8 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT .~Town Hall, 63096 Main l~a P.O. Box 1179 Sou~hold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.ne~ APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential ~ $ l 0_,~('/or Non-Residential ~ $25 Permit No. Septic T~ Application No. '~ or Cesspool BfiefD.esc~iptionofProposedConsmmtionorAlteration...[.),~/._.) ~'~/'7~/~--~/ Location o f Prop osed Con~,yctiotfffdterati~u: Owner of Property: ~././/,~,, 9,~(, ,~/~_ ~. Owner Mailing Address: ,~,O- ,&,.~ ~ZL. phone, um e or o, t t po son Tax Map No: Sectio~ ,/.~.~ Block ~g~ Lot Cro~sgtreet /~d /~/~-C~/ - - NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEy WITH HEALTH DEPARTIVIENT APPROVAL Signature of Applicant Date Reodved by: SUFFOLK COUNTY, NEW YORK S.C. TAX No. '1000-'122-09-7.20 SCALE 1 "=50' JULY 24., 2004. JUNE 5. 2005 ADDED TOPOGRAPHICAL SURVEY SEPTEMBER 21. 2005 ADDED SITE PLAN NOVEMBER 29. 2005 REVISED AS PER N.Y.D.E.C. NOTICE OF INCOMPLETION JANUARy 15. 2006 ADDED PROPOSED WATER UNE MARCH 21 2006 SET LATH FOR SITE INSPECTION MARCH 30. 2006 ~EMOVED RET. WALL ALONG DRIVEWAY & C-~GE APRIL 10. 2006 REVISED PROPOSED DECK & POOL JUNE 7. 2006 REVISED DRYWELLS PER NYSDEC NOTICE DATED 5/25/06 OCTOBER 26. 2006 LOCATE WETLAND FLAGS 1A-4A & 1B-SB JANUARY 15. 2007 SET LA~H FOR SETS INSPEC~ON MARCH 5. 2007 REVISED PROPOSED HOUSE & SET LATH FOR SRE INSPECTION JULY 12. 2007 REVISED AS PER SUFFOLK ENVIRONMENTAL CONSULTING. INC. LETTER 06/14/07 OCTOBER 20. 2007 REVISED PROPOSED DR(WELL LOCATIONS APRIL 15. 2008 REVISE PROPOSED SEPTIC SYSTEM AREA = 40,816.90 sq. ff. 0.957 ac. CERTIFIED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK PROPOSED SEPTIC SYSTEM DETAIL HOUSE (NOT TO SCAI~) 9.6' CROSS-SECTION OF PROPOSED CONC. RETAINING WALL FOR SEPTIC SYSTEM WALL (NOT TO ~ SEPTIC TANK (1) '.4 NOTES: 1. ELEVATIONS ARE REFERENCED TO N,G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: ~ EXISTING CONTOUR LINES ARE SHOWN THUS:- 2. AREA OF WETLANDS = 762 sq. ff. UPLAND ADJACENT AREA = 40,055 sq. ff. SUFFOLK COU]',FFY DEPARTIvII2-'NT OF HEALTH SERVICES pE,]~,'[IT FOR APPROVAL OF CONSTRUCTION FOR A 5. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. 56105C0482 G ZONE AR: BASE FLOOD ELEVATIONS DETERMINED 4. SEPTIC SYSTEM STRUCTURES SHOWN THUS: PROPOSED EXPANSION POOL PROPOSED LEACHING POOL (~ SEPTIC TANK ;PROPOSED / / / ./ / / ~ 0 LOT COVERACE DATA (OVER UPLAND ADJACENT AREA 40,045 sq. ft.) DESCRIPTION AREA % LOT COVERAGI PROPOSED HOUSE 1.210 sq. ff. 5.0% PROPOSED DECK 49o sq. ff. 1.2% TOTAL 1,700 sq, fl, 4.2% TEST HOLE DATA (TEST HOLE DUG BY,~ ON MAY 11, 2005 AT 12: 5. THE'LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD .~'~' OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. APPROXIMATELY 400 cu. yds. OF CLEAN FILL TRUCKED IN FROM AN UPLAND SOURCE SHALL BE NEEDED. ?! ~,~,,: .~?.10.%¥' / / / / / / / / / / / / / / / / / / / / / / BOUNDARY AS soUTHOLD TOWN TRUSTEES / / / / / / / 84'50'50" / ~.E. OR R.A. U~,~FOR~/ W / / 5~j / / / .E I I ~'T HOLEI / / ~ I / I / 1.30.00' / / / / / 23' UN~RIZED ALTERATION OR ADDmON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF ~HE NEW YORK STA~E EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAl_ OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAMD ]~UE COPY. CERTIRCATIONS INDICATED HEREON SHALL RUN ONLY TO THE pERSON FOR WHOM l~lE SURVEY IS PREPARED, AND ON HIS BEHALF TO TH~ THE EXISTENCE OF RIGHT~ OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH N.Y.S. Lie. No. 50467 Nathan Taft Corwin III Land Surveyor ~tle Surveys -- Subdivisions -- Si~e Plans -- Construction Lo)out PHDHF (t~.~1~7~7-~f~ Fax (R.'~1't777--1777