HomeMy WebLinkAboutBrown, ChristaTO:
FROM:
DATED:
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Offic~ ~/
December 3, 2009
BtDG DEPI.
TOWNOFSOUIHOLD
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3916 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bill Kelly for Crista Brown
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and retum it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Comments:
Signature
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOHaMATION OFFICER
..~Town Hall, 63095 Main l:tos
P.O, Box 1179
Southold, NewYork 11971
Fax (631) 785-614§
Telephone (681) 765-1800
southoldtown,northfork.ne~
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10_ /¥ or Non-Residential ~ $25__
Application No. 3 q/6
Permit No.
Applicant Name~~~4
Applicant Mailing Address .~. t~.
Septic Tank or Cesspool__
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ~__.~
Owner Mailing Address:
Owner Property Address:
Name and phone number of contact person
Tax Map No:
Cross Street
NOTE: LOCATION MAP MUST BE SUBM/TTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURV~C~IT~[ HEALTH DEPARTMENT APPROVAL
g t 'Al pl[cant Date
, .
l[eeOlved by:
SURVEY OF PROPERTY
SITUATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NF'W YORK
S.C. TAX No. 1000-109-05-01
SCALE 1"=30'
JUNE 9, 2009
OCTOBER 2, 2009 ADDED PROPOSED SEPTIC SYSTEM
NOVEMBER 17, 2009 ADDED SPOT ELEVATIONS
AREA = 50,225 sq. ff.
1.155 ac.
BUILDING LOT COVERAGE DATA
(OVER LOT AREA LESS RIGHT OF' WAY)
(LOT AREA LESS RIGHT OF WAY = 44,100 sq. ft.)
DESCRIPTION AREA % LOT COVERAGE
HOUSE 3,338 sq. ff. 7.6%
INGROUND POOL 814 sq. ff. 1.8%
(LESS PARTION
DECK TO BE REMOVED) 1,527 sq. ff. 3.5%
I TOTAL EXISTING 5,679 sq. ff. 12.9'/.
PROPOSED ADDITION 554 sq. ff. 1.3%
TOTAL EXIST. & PROP. 6,253 sq. ff. J 14.2%
I
NOTES:
1. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,000 GALLONS.
1 TANK; 8' LONG. 4'-5" WIDE, 6'-7" DEEP
2. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 500 sq ff SIDEWALL AREA.
2 POOLS; 6' DEEP, 8' dia.
PROPOSED EXPANSION POOL
QPROPOSED LEACHING POOL
~ PROPOSED SEPTIC TANK
$. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
4. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND
REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
5. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FO~ APPROVAL OF CON-~TRUCTION FOR A
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SEC3]ON 7209 OF THE NEW YORK STATE
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 VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HiS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDtNG INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY. NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
S--B^RBSFORT LESURV SASE ^BL,SREO Nathan Taft Corwin III
BY THE L.I.A.L.S. AND APPROVEO AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE ASSOCIATION. ~5 Land Surveyor
Title Surveys -- Subdivisions -- Site Plons -- Construction Loyou!
PHONE (631)727-2090 Fox (651)727-1727
OFFICES LOCATED AT MAILING ADDRESS
1586 Main Rood P.O. Box 1931
0467 Jomesport, New York 11947 Riverhead, New York 11901-0965
29-128.~
TEST HOLE DATA
'TEST HOLE DUG BY PROVIDED BY CONTRACTOR)
SAND
S 75.16,$0,'
/
/
20
b
39.1
N
16 '50"
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USEs OW~LLiNG
PUBLIC WATER
tN Us~
POST
37.6