HomeMy WebLinkAboutSchulman, Jennifer & ScottELIZABETH A. NEVILLE, 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:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
July 20, 2010
OFFICE OF THE TOWN CLF, RK
TOWN OF SOUTHOLD ~¢
JUL 21 2010
BLDG. DEPT.
lOVtN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3965 for a Cesspool/Septic Tank Construction
Permit submitted by:
Samuels & Steelman for Jennifer & Scott Sehulman
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 J
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department,
Signature
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDO OF m_ om rroN OFFICER ·
,n ~~ ~) ~'~ OFFICE OF THE TOWN CLERK
~J~ - APPLICAT~I. ON__
4J CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
Residential ~ $10 ~g. or Non-Residential~$25__ Application No.
Permit No.
Applicant Mailing Address ~-~ ~,~ ~ ~_./~/~
S~tic T~ '~r Ccsspool~
Brief Description of Proposed Cons~ction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner M~ling Ad.ess:
0mcr Prope~ Address:
Nme ~d phone nmber of contact pe~n
T~ Map No:/~ Section
NOTE: LOCATION ~ ~ST BE SUBDUED ~ ~PLICATION. NEW
CONSTRUCTION ~Qm~S SUR H. DEP~T~NT APPROV~
F.
D"~ Si~e of A~lic~t Date
Received
by:
"tAX I.D. No. 1000-70-05-4-1
JOB No. 98-55
REV O1/25/2010 ADD DETAIL DISTRIBUTION CHAMBER
w
J
J
· r JOCKEY CREEK
S 88055'54'' E 100.23'
ZONE AE
Tidal Wetland B<mnda~ ..... ' ............
En-Consult~z, Inc.. 07/25/200S ZOI~E X
dry b/oak lawn area
tw 9.2
top of elope
odjocent
dwelling
E0,5
X
proposed
21,2
×
existin¢
to be
LOT COVERAGE ~1
EXISTING PROPOSED ~/ ~
TOTAL 501~ SQ FT 5806 SQ FT ~
',9
28.7
17.3 PROPOSED
iDWELLING
o
~ 's 16.8
SEPTIC o ~
TANK
/
broken
parking area 15.7
17.4
x FRAME
GARAGE
& PATIO
tw 8.0
tw 9.5
9.2
14.3
x
14.1
×
· . FLOOD ZONE AS SCALED FROM
FIRM # 36103C0166 G
dock
/ ~t high wat~
, block
limiting fence
& ho)beles
proposed 5'
turf buFFer
adjacent
dwelling
100' from
wetland
Unauthorized alteration or addition fo this document is o violation of Section 7209
of the New York EducoHon Low.
Certifications indicated hereon shall run only lo the person for whom it is prepared
and on his behalf to the TiDe Company. Covernmentol Agency and Lending
Institutions listed hereon. Certifications ore not transferable to additional institutions
or subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed
seo~ shall not be considered o votid true copy.
The offsets [ or dimensions ] shown hereon from structures to the property lines are
for o specific purpose and use and therefore are not intended to guide the erection of
fences, retaining wail. pools, patios, planting areas, additions to buildings, or any other
construction.
The existence of right of ways and/or easements of record, if any, not shown ore
not guaranteed.
SURVEY PURPOSE: BLDG PERMIT
CERTIFIP20 ONLY TO: SCOTt & JEJqNIE'ER SCHULMAN
DEPT. OF ENVIRONMETAL CONSERVATION
SUP~OLK COUNTY DEPT. OF HEALTH SERVICES
SOUTHOLD TRUS 11/BS
TYPICAL DISTRIBUTION CHAMBER DETAIL
[ NTS ]
adjustable locking type =p. cost
iron flame and cover [ to be
water tight and insect proof ]
FINISHED GRADE
stops are to be copol3*mer
polypropylene coated 1/2"
steel bors at 12"oc /
concrete invert formed to at least
three -- quarters of the diameter
of the pipe
traffic bearing to meet
AASHTO--H20
provide ncn-shrinking
mast joint sealant
cast in place flexable rubber
sleeve with stainless steel
joint sealant to be 1' butyl
rubber for oil joints
1. ALL MANHOLE SECTIONS SHALL CONFORM TU ASTM C-478, LATEST REVISION STANDARD
SPECIFICATIONS FOR PREEAST REINFORCED CONCRETE MH SECTIONS,
~. MANHOLE RISER SECTION TD DE FURNISHED 12,3, DR 4' HEIGHTS, AS REQUIRED.
3, LOADING TD CONFORM TD AASH? H-~O LOADING.
4. ALL CONCRETE IS TQ MEET 4000 PSI AT 28 DAY SET
5. ALL OUTLETS ARE TO BE SET AT THE SAME ELEVATION, 0.1 MINIMUM DELB~ INLET[S],
SITE PLAN NOT~:
EXISTING HOUSE; MINIMUM SETBACKS - 21,4' FROM THE NW
CORNER TO THE WEST PROP LINEi 33,4' FROM THE gE
CGRNER TO THE EAST PROP LINE; AND 50' FROM THE ~ETLAND
TEST HOLE
McDONALD GEOSCIENCE
03/31/2009
surFoce e[ev +/- 21.0
SP
brown silty
pate brown fine
to medium sand
DISTRIBUTION
CHAHB£
N/F JA.,M~8 F. & MAL~N A. WlLL/8
18.2
FIRM MAP NUMBER 36103C0166 O
SUBJECT PROPERTY IN ZONE X
N 85030,00" W
23.2
23,9 x
DESTIN GRAF PL.S., P.C
P.O. BOX 704
ROCKY POINT, NEW YORK 11778
PHONE [651]-821-5442
100.00'
edge of pavement
X 22.9
pole
SEPTIC NO'IZ8 '
ti 2000 GAL SEPTIC TANK IO'D[A X 4' DEPTH
~)] DISTRIBUTION CHANBER 4' D[A X 3,0 DEPTH
PROVIDE DUMMY RINGS AS REQUIRED
3] 2 - LEACHING POOLS 8'DIA X 6' DEPTH
4] EXPANSION POOL [50%] 8' ])IA X 6' DEPTH
19.2'
26'
SW
SW
pale brown fine
elevation 1.8'
water in pole brown
to course sand
SEPTIC PROFILE
distribution
chamber
pool #1 10.4
JOH]~ p. DIETZEL LIVING TRUb'I'
AGREEMENT
't:ie 799'
[ 1:ax map ] A
r 1 ........ ~L ,, ,,' "~"~ 1
.......... r'-~---- ~
[~FFOL~; COUN'¥Y D£PARTMEIqT OF HEALTH SER~ groundwater at etevG~ion 1.8
~IN~L~ ~A~LY RESIDENCE ONLY
~~~ ~Y 2009"
....... ,~o¢~''~ ,,,,~M-~"
SO~Y o~: LOT 6
PL~ OF LOTS
BY ~. G. ~LLS P~
AT P~ ~CK~ TO~ OF SO--OLD
S~FOLK CO~Y~ ~W YO~
so~x DA~: 09/03/2008 SCA~: 1"=30'
BY Destin G. Graf NY.State License No. 5 ' '~