HomeMy WebLinkAboutFatimi, ZafarELIZABETH 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:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
August 28, 2012
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Zafar H. Fatimi
4106 for a Cesspool/Septic Tank Construction
Please review thc application and location map and advise if this office may issue thc permit.
Please complete thc 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
Dated
REGISTRAR OF VITAL STATISTICS
MARRLAGE 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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10d or Non-Residential ~ $25 __
Application No. /~/0~°
Permit No.
Applicant Name Z./qp-~'/~- [~-~1-/'~/~(
Appliqant Mailing,,Address ~ ~,~)UT"~I
Septic Tank or Cesspool.
Bri Desc: tio~ 0fPr osed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: %'~ 3,
Owner Property Address: "70 ()
Name and phone nmnber of contact person
TaxMapNo: 1~ Section
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR~/EY ~VITH ItEAL~I~FAI~MENT APPROVAL
Signature of Applicant / Date
Received by:
/
/
/
/
x74
x~
PROPOSED GARAGE SEPTIC SYSTEM DETAIL
[] I, I~ll[ MIN. 4" DIA, I
~. ~.Sl~,.~, ~,.
SEPTIC TANK
LEACHING POOLS (5')
MIXED SAND AND LOAM
SURVEY OF PROPERTY
SITUA T£
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-59-01-06
CERTIFIED TO:
ZAFAR U. H. FATIMI
KHEM P. FATIMI
SCALE 1"=20'
APRIL 4, 2012
AREA = 31,263 sq. ff.
(TO CONC. BULKHEAD) 0.718 ac.
NOTES:
1, ELEVATIONS ARE REFERENCED TO N,A.V.D, 1988 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:5-0
EXISTING CONTOUR LINES ARE SHOWN THUS: 8
PROPOSED CONTOUR LINES ARE SHOWN THUS: (8)
F. FL- FIRST FLOOR
O, FL,- CARAGE FLOOR
TB - TOP OF BULKHEAD
BB - BOTTOM OF BULKHEAD
TW - TOP OF WALL
8W - BOTTOM or WALL
TC - TOP OF CURB
2, FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 3610`3C0154H
ZONE AR: SASE FLOOD ELEVATIONS DETERMINED
ZONE VE: COASTAL FLOOD WITH VELOCI~ HAZARD (WAVE ACTION);
SASE FLOOD ELEVATIONS DETERMINED
.3. MINIMUM SEPTIC TANK CAPACITIES FOR `3 BEDROOMS IS 1,000 GALLONS.
1 TANK; 8' LONG, 4'-5" WIDE, 6'-7" DEEP
4. MINIMUM LEACHING SYSTEM FOR `3 BEDROOMS 15 250 sq ff SIDEWALL AREA.
5 POOLS; 2' DEEP, 8' dia.
5. MINIMUM SEPTIC TANK CAPACITIES FOR 2 BEDROOMS IS 1,000 GALLONS.
1 TANK; 8' LONG, 4'-`3" WIDE, 6'-7" DEEP
6. MINIMUM LEACHING SYSTEM FOR 2 BEDROOMS IS 250 sq fi SIDEWALL AREA.
5 POOLS; 2' DEEP, 8' dia.
PROPOSED FUTURE 50% EXPANSION POOL
QPROPOSED S' DIA, X 2' DEEP LEACHING POOL
F~ PROPOSED 1.000 GALLON SEPTIC TANK
7, THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
8. EX~STING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND
REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SING~ FAMILY RESIDENCE ONLY
2 ~) FOR MAXII'4Ut, t OF ~-~ '~ BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INNED SEAL DR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE DOPY.
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 LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD, If
EL. O.D
PALE BROWN FiNE /Abandonment o£¢xlstino sardtan, ¢,,st- o '
TO COARSE SAND S~ ~ o ,.~ oj.,,.m mtbt be ul
s,7' [ c0mfo, rmance w:th d~pa~ment requirement Submit
-- -- WATER ,, [ Comp. toted £orm WWM-._~ as proof.
PALE BROWN FINE
TO COARSE SAND SW
12'
SYSTEM
'.OPOSED MAIN HOUSE SEPTIC DETAIL
(NOT TO SCALE)
FINISHED GRADE / FINISH GRADE
ELEV 80' ELEV. 7.1'
SEPTIC i T 3' CLEAN
TANK APPROVED PIPE LEACHING (S~ LN Dt~R
in. PITCH ,/D"/,' [ [ ~
ELEV 0.6'
5 POOL SYSTEM
LEACHING POOLS (6~
MINIMUM LE~,CHIND SYSTEM FOR 3 DEDRDOM ID 250 sq ft SIDEWALL AR~.
] psi AT 25 DAYS
6# Ai~D A DoTrDM THICKNESS OF 4".
;T AN APPLIED FORCE OF 300 psf.
ANY, NOT SHOWN ARE NOT GUARANTEED.
RECEIVED
JUL252012
BUFF. CO. HEALTH SERVICES
OFFICE OF WAS'FEWATER MGT.
I PREPARED
IN ACCORDANCE WITH THE MINIMUM
STATE LAND
~Y.S, Lic, No. 50467
Nathan Taft Corwin III
Land Surveyor
Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S.
Title Surveys -- Subdivisions -- Site Plons -- Construction Loyout
PHONE (631)727-2090 Fox (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
1586 MDin Rood P.O. Box 16
JDmesport, New York 11947 JomesporL New York 11947