HomeMy WebLinkAboutFolts, Douglas & Kathleen ~gUFFO(,rc
ELIZABETH A. IvEVILLE, MMC ,`.Z~ °~y Town Hall, 53095 Main Road
TOWN CLERK C ~ P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O ~ .~C Fax (631) 765-6145
MARRIAGE OFFICER 'y~ 0~ Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER ~l ~ ~a wwwsoutholdtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ~ ~ v
0,3 D
TO: Southold Town Building Department JUL 2 5 2
FROM: Cazol Hydell, Southold Town Clerk's Office BLDG. DEPT.
TOWN OF SDUTHOLD
DATED: July 25, 2013
Transmitted herewith is a copy of application No. 4146 for aCesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for Folts
Please review the application and location map and advise if the project has received Suffolk CounTy
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
* * + * + * * +
I have reviewed the application and location map of the project cited above and make the following
recommendations: /
APPROVE
DISAPPROVE
Comments:
Signature
O~ ~ ~
Dated
' o~g~FFO(,~~o
ELIZABETH A. NEVII.LE ti`l` Gy Town Hall, 53095 Main Road
.row CLERK ~ P.O. Box 1179
~ Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ~ ~ Fax (631) 765-6145
MARRL4GE OFFICER ~
RECORDS MANAGEMENT OFFICER y~ol Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ~ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @ $25 _ Application No.~ ~
/~j~ Permit No.
Applicant Name l - I ~~W ~Q. T Z
Applicant Mailing Address ~Ox °l3~
C~~-r+a c~ . ivy l / 9 3 S''
Septic Tank_or Cesspool ~
Brief Description of Proposed Construction or Alteration ~tlEi.? SEI' T! [ Sy r~'~
Location of Proposed Construction/Alteration:
Owner of Property: ~~(/CLfI',~ ~ /~-/9,~G.E'(6' ~ L%
S
Owner Mailing Address: °JO OiQK .S'T-
~ G t~j,~tfi~ ~ .v 7~~
Owner Pro rty Address: ~ . Iho x U ~ ~ ~ ~ ~..1 i~
Uv ~n~0.5 0 1 II.~ a~0]tl
Name and phone number of contact person T 4 /
Tax Map No: Section 6 .Block Lot
Cross Street M?>1~ G 2 C
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURV`~6~ TH T DEPARTMENT APPROVAL
.Signature of Appl' t Dat
Received by:
! .
REVISIONS,
NELLRI NTIRI~W
A T CREEK MEETS AND BOUNDS BY:
EUGEN ES CREEK PROPOSED:
- ~ ~ PECONIC SURVEYORS
_ ~ _ i _ ~ JOHN METZGER. LIC. 49618
- - ~ - - -~%i ~ w - (631) 765-5020 •
- ' S 43°20'15" W - - - q 1 ~ ~ - eat
- ~--Rlsd=' SU~a~ %/]e(S~~ SURVEYED: ~
• ~ f
• ~ ~ ~ Cal/gOOUnty~Tgal JANUARY4.2010
y x~ : ~°2~$>DO 4At OfynE~OE°ta~g :
. ~ S° ~ y atth g 1' Tha GRADE: EL 7.6' ~
_ haduJe Ms U~S'nAd e't'~~s, (sP~ BROWN SILTY SAND
~ R' -iUN! _ ••_!uc w'~-'' • y-~ AeCt%On~s~Vance" - - 2 (SWl PALE BROWN FINE -
x } - - 5.6' TO COURSE SAND
~ ; ; a
H ~ (SWj WATER IN PALE BROWN a ~ ~ tl
~ FINE TO COARSE SAND ~
v..., ~ 9£
~
- - _ _ mNamua °O'xli°11 - - I3' ^~F, c
Ro,fl,aa ~„°"„n°„f""°"` I WATER AT EL 2.0' _ : ' ~
t . -vuv~A l°AIwlAml ~ ~ ! ~
~
~ ' TEST HOLE BORING BY:
alnanw-s I ,
' r~ ! McDONALD GEOSCIENCE
- /rl I
+wronAwN°r~ ~ U•' IYlN4N]1R r C • I Il~2~t~
umwuxwAwclmO - - T i I
* arwumrmwra = 11 I 7f' fEfBACK ~
I Q
~ ~ , MINIMUM SEPERATION DISTANCE TO SEWAGE DISPOSAL SYSTEM ~a <
i ~ w
/ 6lR/ I O~.~>_ 1 I, T^~ NIWNL Vk11f 11) ~ .J
/ O ~ ~ MIICGiM! V ~ •
I , =N ~ -R iKUMTN! CflIAR SW NWIfAtt WAT9l suNrlL RR11M NlNC /pNATE fUREAtE fWIMWG
' a ~.1 6 ~Il'IlAILI ~iMY NGrEit RAAT O! lrlFS UNCf R, lU0.f plArlf WATlR R) !U0.
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H _ flrrlc rlwo m r v w r m nr n' }s' m
I ~ Q
~ N t V = 0 O ~ 1 y ~ IFACNING IJOII 10 10 s' m P l0 3C0 100'ASO 100 }O ~ d
~ ® ~ I I I M O f
~L\m ~ nCb(e FlDA GARA(l O _ 1 ~ Itl I0 s' 10 r }0 }Op NO ClO3ER T1UN E41iWG S0 rl vl
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y,` fV .I~M°4.IttV ~ ~i
'MAY ; ~NlrN1Nl[~R}~r0! r
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'~~~3°6130 ~o 111.aD' Q $CTlNI# 1000-136-01-54
OAK STREET
(P1IBLIC WATF0.IN fiREETI / D~~
^~..'vA, Ak' l( ~ W
M,.- SUFFOLK CauNTY DEPARTFdENT Or HEALTH SERVICES O ~
~ ' PERMIT FOR APPROVAL OF CONSTRUCTION FORA x <
Ab donment of existing sanitary s}stem most be in ~ Y o
CO OR7lanceWltllde~a ~Iliic(1llL*eC1EritSl:bmit SINGLE FAMILY RESIDENCEOI`dLY w o~~
co leted form WCdlvi-- as Proo~ ~ rF
' ~ DATt?%~~
,M.~!aA,,.~.; bb7l H.S. REF. Na. /~I~ r `(~f~U
® APPP.1 VE _ i
~ '
SITE PLAN F°R ~(ull OF _ BEDROOMS DRAWN: MH/MS
fi.. SCALE: 1'-,0
EXPIRES?i-?1~~.~'FYE.Ar7.5F2vA9u.4sg("+1=ESA' 4SIA1 ,oe.: •
SCALE: 1" = 30'-0' ? E r,.7~1,
eyt_~ ~ ~ EET NUMflER:
(/~l/// F~ ~~I ~P' r r ~i S-1
I ~ •
EAST CREEK >~"SIGNS: '
nEUTH
(E U G E N E S CREEK) PROPOSED SEPTIC SYSTEM DETAIL OEIT
~
_ ' S 43°20'15" _ ~ va...
- - - - - 124.151' ~ -
- _ - _ RIF LiN _ ~ _ _ - _ _ ~ _ - - MEAN HIGH WATER ...rvnow .m~wu ¢ri rrv 1pQ .on ~ cvw
D WETWIq EDGE AN Y ~ FL{.a _ .n.r ra' f.--uw
WFTUNq FUGE Af Dfl1NFATED .
MEAN MICH wATER wsufFOUC ENMRa{Fxru n-'•' d `a'"" ii :i
. ° GONSULTAMf.WGpl V y.v Ar L~
• FEBRUARY U. ]OD,II)xIELAD a{O
• . 01K"~K wnuwnw"n aio n.I
75'NON NRF. ~ ^~Ofm~ Pw,eu.rrn wmnvn
' r BUFFER xawno wm wv.ael
\O • ZONE • • : • ` \ o
r+ ~ AE L 7 • • 3f'NON TURF
~ (E ) KaxruTe BUFFER ,
W \
. xNM9TfIx°U6 . ' • . ' _ ^ SEPTIC TANK ~ a ti
m ' . NOTES: yy
•O - FLAG POLL! • Y' ~ `S 1). MINIMUM SEPM TANK CAPACRIES IS 1300 GLLONS. d y g
20NE ' - - _ _ r _ _ _ _ - ~ ~ S~LS ]l~ CONCRETE SHALL HAVE A MINMUM COMPRESSNE STRENGTH Of 3000 p,l AT ~ ~ ~4
~ ~ 'S IB DAYS. ~ < ~
LIM F C RI c IM OF RING ~ f~f~L 3). WALL THICKNESS SHALL BE A MINIMUM OF 3', A TOP THICKNESS OF 6' ANO A ~ f~`,
J 5
~ ' ~S BCRTOM THICKNESS OF ALL WALLS. BCJfTOM AND TOP SHALL COMNN S
REINFORCING TO RESIST AN MHSED FORCE OF 300 pII.
I ALL 1gNTi SHALL BE fFALED SD THAT THE TANK H WATERTIGHT.
~ NNC~ ~ 57. THE SEPTIC TANK SMALL BE INSTALLED AT IFVEI IN ALL gRECTK)Nf ILTgTfL A
aotWxuro FL MAX. TOlE0.ANCF OF t/-1/1~ ON A MINIMUM 3' THICK BED OF COMPACTED
KEI.1DVk0 SAND O0. PEA GRADD.
apply ~ - ; 6). A to MIN. DISTANCE BETWEEN SERiC TANK AND HWSF SHALL BF MMMAINED. O ~
E- x MDWl1y V WETIANDi EDGE K DELINEATED Q~ W
3 EXISTING SUN ~ Z BY SUFFOISS ENVIROMEMAL FDyI ~
oarrtTU (fO RE1AWO ' ~ CONSULTANTS. INC. ON ~ [Ta U
P FEBRUARY f/. 3013.1UNE R. 3013
n'fETBAGx. GEffPO~ ~ ~ LEACHING POOLS ~ ~ •
FROM MHWM C !Y._.~_ ``Y - EXISTING CESfPOOU TO u NOTES:
~ 2 STY. FRAMED HOUSE \ B~HRE
COQ PERLL O 1). MINMUM TEACHING SYSTEM If 6 POOLE: 3' DEEP. B' DU <
F Ex. FF EL 10.1' ~
• _ _ PARTIALS SITE PLAN
Z :^v..io`~°.umx"~.:w RAISE TO FF EI IIA' ~ KHDS REWIREMFNTS t 3). TEACHING POIXS ARE TO BE CONSS0.UCTFD OF PRECAfE REINFORCED CONCRETE 0.'
s N Ae~~ I.~-------• ~ J SCALE: - 2OE-OL 3).ALLCCNERSSHALLBFOFPRECASEREINFORCEDCONCRETEIOREWAL). O
• i T 1~` •
~ L--I
~ EXISTING HOUSE ~ vI=11L 1). A MINMLUM gSTANCE BETWEEN IfACHINC POCNS AND WATER LINE SMALL BE ~1.".~~ u(
OUTLINE /j - I MAINTAINED. I--~ 6
x
~ : ? ~ 75' SETBACK II S7 BET.UINTAINEDANCFBETWEENALLtFACMINCPOOLSANDSEPMTMIKSHALI ~ 6
PRCgOSCD -
~ - - - ~D ~ ~ _ ~ $CTM# 1000-136-01-54
~ O tos~
F 0. B.BT~
' O D~ ~ BUM GRADE UpP~
~t,}.~ :ONE AE ~
T -.j ASWpCATED PEA \ - _ _
~I.T _ n _
S,y (ELEVATION - 9.a) _
CP .~.m< NEwcRADEArs%suxq ~ ' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
.3 -s _PE0.5CHDS RFWIR _ ~ I'TH
H a ~,,,M,,,, F ; m ~a, ,Q ~ ~y PERMIT FOR APPROVAL OF CONSTRUCTION FOR A /i~•1 p ~ju
~ I sue,. SINGLE FAMILY RESIDENCE ONLY w U
N' m ~ •t ~ J +f
~ . ~ lJ _ -
O • Ex. l srY. m \ En ~ DAT ~ ~ H.S. EF. PJO.
~\ETI ~ PPRE FRM. GARAGE 1ea.ae - EP EP ioyEx ° ~ - APPROVE
AO
V. \ AY - ~Y O ~R DRAWN: MHIMS
4~ UM OF 6EOR001t scA1.E: r-xa
EP foe x:
BVILDGRADEUP ELK:°` Z ~ EMPIRES T!-!R~[ YEAKS EF OBE DATE nF: PFY~1pl faa.,ras.:uu •
NEWTWA RUN Af INDICTED PER DERGN
NEW GRADE AT 5%S1APE
EL IO.B' TOHWSF 3 W PER SCHDS REOUIREMEMS EEO \ ~ SHEET MIKfl)FA
'bN 43°8'30 ~iF2METERO ~H0.EXMYDRANT 111.00' ~ S-2
Ufl~ POLE