HomeMy WebLinkAboutWard, RoyELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
TO:
FROM:
DATED:
RE:
OFFICE OF THE TOWN CLE~'
TOWN OF SOUTHOLD
Transmitted herewith is a copy of application No. 4013
Permit submitted by:
Chuck Thomas for Roy R Ward III
Town Hall, 63095 Ma~n Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
May 6, 2011
Cesspool Construction Application
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: j
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
ELIZABETH A. NEVILLE
TOWN CLEHK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOB24IATION 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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $I0 X// or Non-Residential @ $25 __
Application No. ~
Permit No.
Applicant Name ~2 ~ C.[c '~F~---Cfi
Applicant Mailing Address ? O '~'~ ~ 7 '~
Septic Tank',~ or Cesspool {
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ~ ~Zo7 b~d~~
Owner Mailing Address: ~. ~
Owner Property Address: ~[-O-'/~-- S-'/-I ~.L~ ~ a~-_
Name and phone number ofcontact person ~ ~1~ q~
T~ Map No:/~ Section l~ Block ~ ~t ~ [
Cross S~eet ~,_~ ~ff
NOTE: LOCATION ~ MUST BE S~TED/~TH ~PLICATION. NEW
Si~]mre of AppJic~t I baJe'
Received by:
18.25'
IE = 1~..75'
NO WELL EXISTS WITHIN 150' OF'
ANY PROPOSED SEPTIC SYSTEM COMPONENT
PE~T~'I'T [':'OR Ar'PEOVAL OF CONSTRUCTION FOR A [
APR 0 4 201'1
~iRES THP~Z~FRON DAT~ eF APPROVAL j
~ - , ---TOWN
SUFFOLK ~
S.C. TAX r
ARI
GRADE EL = 16.25'
10--0" MIN
,,.,.-r,*. IE = 14.55'
I H ii
NOTES:
1. COfiCRETE TO TEST 4000 P.$.l 0 28 DAY'S
8-0" MIN
= 14.05'
GRADE EL = 16.00'
I I~ band°nment of ex~st~ng samtary.~ys~em must be:in
iII ~fo,~.~
w:th depart~e~t:reZluirement Submit
= ,3.96' IH°rapleted r°rm WWM -~-~ as pr°°f' ,,
PROPC 2000
GA ;ANITARY
SYSTEM
GRADE EL
EL = 00.6'
PROPERTY
T£
)GUE
3UTHOLD
(, NEW YORK
~0-157-1-8.1 '
4- sq, ff. ~\.~.4,".1./~..'
?..9_, Fs'-~.--' '"
REMOVE EXISTING -"
PRECAST CONC
RINGS AND FILL /'
WITH CLEAN SAND,.'"
'HOLE DATA
,ONALD OEOSCIENCE
/ 17 / 2010
iLEVATION 15'
BROWN LOAM ( OL )
N SILTY SAND ( SM )
F
,.0
.-' 15.5,,
NOTES:
1. MINIMUM
1 ROUND
2. MINIMUM
,3 POOLS;
BROWN FINE SAND ( SP )
R IN
B~OWN FINE SAND ( SP
SEPTIC TANK CAPACITIES FOR AN 8 BEDROOM HOUSE IS
TANK; 10' DIA., 4 LIQUID DEPTH
LEACHING SYSTEM FOR A 8 BEDROOM HOUSE IS
8' DIA. X 8' DEEP
2,000
GAL
PROPOSED 50% FUTURE EXPANSION POOL
PROPOSED SANITARY LEACHINO POOL(S)
PROPOSED 2,000 GALLON SEPTIC TANK 10' x 4'
THE LOCATION
OBSERVATIONS AND/OR
OF WELLS AND CESSPOOLS SHOWN
DATA OBTAINED FROM
SITE PLAN
SCALE: ~ : 20
OTHERS.
MAR 3 ~] 2011
8UFR CO. HEALTH 8ER¥1OE8
OFFICE OF WASTEWATER MGT,~
SCTM# 1000 - 137 - 1 - 8.1