HomeMy WebLinkAboutFriedman, JoelELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF 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:
Carol Hydell, Southold Town Clerk's Office
October 28, 2011
Cesspool Construction Application
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department ~ ~----'--~ ~
~ OC~ 3 1 ?Oil
Transmitted herewith is a copy of application No. 4057
Permit submitted by:
Jeffery Butler for Joel Friedman
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.
I have reviewed the application and loc~ion map of the project cited above and make the following
recommendations: ~
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk Count~ Health Depathnent
Signature
.... · ...i. ELIZABETH A. NEVILLE
... TOWN CLERK
REGISTRA~ OF VITAL STATISTICS
MARltlAGE OFFICER
RECORDS MANAGEMENT OFFICEE
FREEDOM OF INFOHiVIATION OFFICER
OFFICE OF THE TOWN CL~,RK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
.~Town Hall,. 68095 ldmln
P,O. Box 1179
Southold, New York 11971
Fax (631) 76§-6145
Tolephone ((581) 76§-1800
southoldtown,northfork.ne!
Residential ~$10 /or' Non-Residential ~$25__
App!icam Nmne '~7~.~z~
Appl~)nt Maihng Ad~s~-~ ~ ~ ~
Septic T~ or Cessp~ol~
Brief Description of Proposed Consmction or Alteration
~mtion of Propos~ ConstmctioW~teration:
Owner qferope~: V~ ~~ 4
Omer M~g Ad&ess: ~ ~~~'
O~erPmpe~Ad~ess: ~ ~d~2g~
Application No. t.~ O~ ~
Permit No,
Name and phone number of contact person
TaxMapNo: ~/O,~oSection ,,'~,Block ~ X3 /t:::~ t/(~' ~
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION, NEW
CONSTRUCTION REQUIR. ES SURVEY WITH HEALTH DEPARTMENT APPROVAL
t Date
I - IOOO 6,ALLON ?.Cr'"n¢ TAhK
D, - ~,' DIA x 4' D:':';'" I_EACHIN~ POOL
D'-O" HIE AEgrV~ ~:nc~OUNI2 HATL:R
(J,41NIl,'tiJ~l
AC. GE.GGO~¥
15' MIN. .GTI~4JC, TUR~ MIN.
Y
ZONIN~ .GET~AGK5
T PIGA PLOT LAYOUT
l? aNet
' WYOl dff
www. dJgnethycli.com
or
www. cal1811.com
(for other states)
By law, excavators and con'a'actors wofldng in the five boroughs of New York
Oity and Nassau and Suffolk Counties on Long Ilraand mum oontact DigNat,
1-800-272-4480 or 811, at least, 48 hours but no more than 10 working days
(excluding weekends and legal holidays) prior to beginning any mechanized
digging or excavation work to ensure underground lines are marked. Excavators
and contractors can also submit locate mqnast~ online, through ITIC. If you do
not curmn~ uso ITIC, please call 1-800-524-?605 for more information.
For ~afety reasons, homsownare are strongly encouraged to call as well when
planning any t,~ca of digging on their property. Homeowners can oontact us
dJmct~j at 1-800-272-4480 or by calling 811, the national call before you dig
number. For excavation work completed on personal property, it is t~e
contractoCs responsibility--NOT the homeowner's-to conta~ DigNet. Having
utility lines marked prior to digging is free of charge.
U~: I-I000 ~AL. CL.i-'iiC T~
!~-&'¢'x4' ~F. DPTH LP.
~ C:da, ADE HITHIN 20'
OF
N/F
5H~LE~¥ 5. E~LEIFrL~ ~
I
SITt PLAN
UST i
Dept, Of Heelth Services,
48 Hou n,e, dvm ,
DO ID 0 ~ 60 qO
POOL
120
/
/
I" = DO'-O"
NOTES
I. DR/~IINS~ A~E NOT TO
~TOR ~L ~ ~TIFIED ~ ~ D~P~I~.
2. ~1~ C~ ~L ~ T~ TO A~ MIN~ Pl~l~ ~ ~L ~1~
P~HI~, ~ISTI~ IM~ ~ ~ILITI~.
D. ~ ~T~
E~TI~ ~ RE~IREP
~TI~.
4. ~ ~ ~TI~I~ ~L
E~INEER. ~IT ~TI~ HA~IAL ~GIEI~ATI~ AND
~, IN ~ITI~ TO T~
~. ~ ~T~ ~LL ~l~ HI5 ~ HI~ ~ ~ ~ ~L
~. ~ ~T~I~5 ~LL ~ I~T~ A~ ~L DEFECT5 ~ I~TI~ IN
~RI~ ~ ~ ~TCH~ ~ OTHER ~CI~ 51~AT~ ~ ~1~
~PlTI~L ~IOE~TION ~L
~O~T ~I~T~ ~ ~ ~ TO I~T~TI~.
b. ALL ~R'5 I~TI~ ~L ~ POLLO~D ~LY.
q. ~ ~L ~ AT E~ ~ ~CH ~ gAY IN ~R TO ~ A CLE~
~ ~ ~ ~I~NT.
I0. ~1~ ~P E~IC~ ~T~T~
~ILPI~ ~P~
IL ~ ~K ~L ~ ~EE~ FOR A
O~E~ ~. ~ ~T~T~ ~L ~IT ~1~ ~E IN ~ITI~
HI~ ~T F~ FI~ PAINT.
12. ~L ~RI~ ~g ~ ~ ~ PI~ RETA~NT ~1~.
I~. 6~, ELEC~IC, ~
DI~C~g, ~EO OR ~EO IN ~F~I~ HITH ~ ~LI~E
~TI~ ~ ~ ~IC ~iLl~ ~ ~ ~ICIP~ ~T HAVI~
~I~T~N ~1~
~I~ON ~A~.
14. F~L~ ~IC~
F~L~I~ ~IATI~ ~ ~1~: ~TI~ FI~ ~CTION
A~ON ~FP~, ~RI~5 L~T~, I~. ~), ~TI~
EL~TR~ ~5 A~IATION ~, ~ERIC~ ~TIO~L
~TA~ I~Tl~ (~).
LINE / SYMBOL LE®END
PROPER'Cf LINE
c-'_~TBAC K LINE
STORM DRAIN PIPIN®
FENCE
PHOTO KEY
TEST HOLE
LEACHIN~ POOL ~4/OPEN C.~RATE
I 5[2 --
EXISTIN® CONTOUR
EXISTIN® ®RADE x
EL. q.q' O'
EL. &,4'
EL. -I,4'
~L.I.&D'
OL TOPSOIL
C~VEL
TEST HOLE DAT.,
I~,¥, RC:;C;;~GK. VAN 'n,/TL P.G.
I~ATE: q ..~OJ o.D'/
FINAL
MIN.
I
,HITH FILTER
~PERL¥IN~ 5ANP ANP $nC~.AYEL STRATA
MIN.
I. COLLAR DEF~TH 15 NOT R. E6~IIF~JED P, IHEN RATEAE~LE MATERIAL EXIST5 FOR FULL DEPTH.
2. COLLAR MATERIAL ~rlALL E~E GLIE~N ~F;~kVEL Of~ E~ANK RUN.
.~. ALL DRAINACwE 5TI;~JCTURE5 Ht,~T E~E ~t-1~l~ WITH FILTEI~ F.AEN~IC.
TYPICAL 5TORh'I k, IATER
-- . O0
.K COUN?Y D~NT~,~I,~-TH SERVICES
,Iff FOR APPROVAL OF CONSTRUCTION FOR A
iS THREE YEARS FROM DATE OF
STORM ,IDI - AINA E tALC..
(PROV'IPED ~ PROP~D 2~,D25' ~ C, AI~
VOLUME = AREA x R,~.INFALL x COE'I=PICIENT
RAIh~ALL = 2"/H~. -- O.1~'/'
C. Ot:t-I-iC, IENT OF I~001= = 1.0
D~ANT
'"14~ E,.I=. × 0.16"1' x 1.0 = 124.q2 C.,U.FT.
VOLUME REGUII;~JED = 124.q2 d,U.FT.
(I) ~'exD' E:~EI=' LEAC, HIN~ POOL5
VOLUHE F'I~;)VlrS~E.~ = 12~.-12 C.,,U.FT.
ASSOClATES~
INI~'F
PIPE ~TC~)~* / PT.
20'NIN
-COVER TO ~ IF
~ T' 15 b'SEI3 ON INLET
20'MIN
OR___CHA R D LANE
ELEVATION
-
EXIST ~' HI6H
DEER FENCE
GEPI'IE. TANK ~'X~I~TRJ~TIDN CRITERIA.
L I~E CUTLET II,~ERT C~IALL DE 5IX tNC4~5 BELON TI~ INLET INVERT. 1]-IE Ih'Yi~T i,,I)gr DE A Gt, l
BOTrOH, !.JNLES~ THE T,N~ 15 OVE-RHtS~ DE~,Eh',ED IN ACCORDANCE Hl"~'-I IONYCI;~., ~ 35-
2. THERE 51..IALL ~E A HINIHtH ONE FOOT AI~ 5PACE ~ FROH TI~ GIATET INVERT TO
D, THERE ~ BE ONE 20-INCH DIA~'~I~¢: COVEERED OF~IIN~ LOCATED OVE~ 11.E INLET
COVER AT FIHAL
4. ~DEN A DEPTIC TANK 15 APPROVE~ TO I~E ItE, T/U I m IN A [)PJVEHA¥ OR PARKIN~ AREA, TRAi
5. C4~NCRE'FE 5H. NJ_ HAV~ A HINl,',t~ CO~ 5~J~TN OF 4~:~0 LB5 PER .~ ~NCH ~f
&. HALL 1HICKNE55 ~AF~.L BE A HINII,t.H OF T~ INCHES I,~.E.C~5 THE I~--~l~?~l EA~ ~ C~llFI[
~lt~ A5 (~¥Ik~ I~ITH ALL AFPP, OF~JA1E I~-G[III;~T~ FOR I~IIN-I,{AU_
C~qTAIN I~It.,F-CR~N~ TO RESIS? AN AI:~LEI~ FORCE OP ~20 ~ PER 5~UARE F'Go'r ~). REll
3. ALL JOINTS, 5HALL ~ .~ED c~ THAT ~ TAI~. 15 HA'fl~:~TIEH.IT ~ CERTIFIED ^5 TO HAT~
THAT AI~ CASTIN IN PLACE HI~T DE ~ERTIPIED' DT A LICENDE~ FROf=E-5510NAL EN~IFEE~ AND,
HOtI~ITHrNCALL¥
~,. AN ADI21TION.N_ ~ ~,N.J..ON~ Of: ¢/~ACITI' AND ~VEfl .~UAF~ FF:J]T OF ~RE.~f,E ~
J:~./k,c(7~Al~¥ DE EXI:~C-CTEP AT THE TII"~ OF C, ON~TF~CTION. A e~ gl]=l FCTION J~,~c:LE OR OTH
ANP A DUAL COHPARTHENT TAJ~ Of= ~ T,~J~ IN ~JE'~ .~"I/~L ALamO J~
~. LflLECj50TF~R~IeE ~TATE[2, TN,~ .e~LALL DE PE'~JC.~,i]~ J~ABEJ~ b'~ON JO NTGRR, ~°PEN[;)JX l%;
I0. ~ COVER~, P.J'IEN NOT REGUIREI) TO DE I~lJ~'lT TO ,C:=RAD~, .~ffALL DE (gl= PREGA~T
OVER ~' plA. AI~ HOT J:~RMJTT~)
IL ALL CAST IRON ~ ~ DE c"~T AT FIlL ~ _DE LO6KIk~, .N~.TEIRTIF~IT, INSC-C~'-RRD(
~,l=:t:~'rl/'". T.~.klL," _ I,-'~,,~,,,~ cA