HomeMy WebLinkAboutSGDP, LLCELIZABETH A. NEVILLE, iVIMC
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, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor th fork.net
TO:
FROM:
DATED:
Carol Hydell, Southold Town Clerk's Office
December 14, 2011
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department t~t/
DEC ] 5 "'?
BLDG DEPT,
TO?~N OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
SGDP~ LLC
4062 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 location map of the project cited above and make the following
recommendations: ,/
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature/
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL ~TATISTICS
MAKRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOI:IJ~,~TION OFFICER
OFFICE OF THE TOWN CLERE
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 / or Non-Residential ~$25
..,Town Hall, 63095 Main
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 766-6146
Telephone (631) 7615-1800
sou tholdtown.nort, hfork.ne!
Application No. DI~)(o ~'
Permit No.
Applicant Name
Applican( Mailing
Septic Tmtk I/'or Cesspool
Brief Description of Proposed Construction or Alteration~O0t~X/T'~~
~cation of Propos~ Const~ctio~Mteration:
O~erMai~gAd&ess: 3~67S Main gd. Or, e~t~ Mff I195-7
OwnerrropertyAddress: ~00 M~I.;~I P,.~. iOt-l~_,~,l:~t ~V I tqJ'"l _
Name m~d phone number of contact person & 31 - 3.0 3 - gO ~ c~
T~ Map No: S~tion / ~ Block_ ] ~t / 2. ~ _
CrossS~t Taff~ ~
NOTE: LOCATION ~ ~ST BE S~ED W~H ~PLICATION. NEW
Silage of~plic~t ~
R~iv~ ~ ~ Date
TJ~T,~IL OF PROPERTY
PROPERTY LOCATED AT ORIENT (RES N/NELL)
TOWN OF SOUTHOLD
SUFFOLK COUNTY. NEW YORK
S.C.T.M. # 1000-019-01-10.3
AREA = 3,347A32 SF. = ~6.e396 ACRES M A I N ~ 0
SCALE: 1'=5~' " ~ IN. Y.S. RTE
NOTE: THE EXISTENCE OF RIGHT OF NAYS. ~ ll~~~~ ~
WETLANDS AND/OR E~SEMENTS OF RECORD '~
IF ANY. NOT SHOWN ARE NOT GUARANTEED. ~ / ~ ~
NOTE: SPOT ELEVATIONS RESULT FROM /
AN ACTUAL FIELD SURVEY AND REFER TO
APPROX U.S.C.~ G.S. DATUM (M.S.L.]. / [[~ ~ ~0~
REFER TO S.C.O.H.S. STANDARDS DATED NOVEMBER 13. 1995. /
FOR SEPTIC TANK AND LEACHING POOL REQUIREMENTS AND
/
COMPONENT DETAILS.
EXISTING SEPTIC TO BE REMOVED /y 12.?+
PROPOSED DWELLING TO HAVE FOUR (4' BEDROOMS MAXI"UM. /~
SEPTIC TANK TO BE 12B~ GALLON TYPICAL.
USE THREE ,3) 8' DIAMETER. 4' HIGH PRECAST CONCRETE
LEACHING RINGS. WITH ROOM FOR 5~ EXP~NSION. / 11.3+
BACKFILL MATERIAL SHALL BE COARSE SAND AND GRAVEL.
SEASONAL HIGH GROUNDWATE~s~~ ~P~R~ r oF ~b~ sE~ APPROX AR~A OF ~ -- NO WELL
TEST HOLE DATA ~R~ROVAI'3FJ~NS'i'kU~O~A TO BE REMOVED
,-- ,,.' /
1.~' TOPSOIL D . PROPOSED
GRO. WATER [ Ab~doment ofefisfing~t~ s~t~m~t~in ~ %[&~'.~[I r[~T HOLE
-- ~c~v.- e.o comfom~ce with d~ament requir~Sub~t ,o ~ .[.ovid ~
WATER [N completed fo~ W~- ¢ as p~f. ~
SANITARY SYSTE~ DETAIL
SUFF. CO. H~TH SERVers
JNO SCALE) OFFICE OF WAST~A~R MGT,
IRES W/NELL)
[VACANT)
SURVEYED BY:
STEVEN BARYLSKI
N.Y.S. Lie. No. 050453
41 MEETING HOUSE LANE
SOUTHAMPTON. N.Y. 11968
APRIL 17. 2008
6-9-200B: ADD SITE PLAN
9-?-2010: REVISED WELL LOCATION