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Meyerholz, Richard
' Q~~g11PF0(,~-co ELIZABETH A. NEVILLE, AMC tiQ ~y Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 y T Southold, New York 11971 REGISTRAR. OF VITAL STATISTICS p .LC Fax (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1500 RECORDS MANAGEMENT OFFICER ~Ol ~Q www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: July 26, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4148 for a Cesspool/Septic Tank Construction Permit submitted by: Richard Meverholz 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 lam/ DISAPPROVE Comments: Final approval required from the Suffolk County Health Department D Signature R D JUL 2 9 206 D 3a /3 Dated BLDG. DEPT. TOWN 0; SOLTHOLD • ~ . o~g~FFO(,~co ELIZABETH A. NEVILLE ti`Z` Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 Z REGISTRAR OF VITAL STATISTICS H Southold, New York 11971 W ~f MARRIAGE OFFICER Oy Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O•~ ~a southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD i SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK r~ Residential @ $10_ or Non-Residential @ $25 _ Application No. l 1 U Permit No. Applicant Name Applicant Mailing Address CnrV ~G 1 r 1 V f n by 2-- 1 bo n ri c, i v / 0u -,VA. (3 c, I4 NV 7-) Septic T n c or Cesspool Brief Description of Proposed Construction `or Alteration o e k-; r ~ r Location of Proposed Construction/Alteration: Owner of Property:_ YY-) f LI -tn 1 61-L_ Owner Mailing Address: CGS C' 41 H Owner Property Address: Ll Z4) Gt. U s~ Name and phone number of contact person 91~ (I(nr~_ f , tV't^ 11a)Z- Tax Map No: I QM Section 5- Block Lot 3 Cross Street L_' . NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S Y WITH HEALTH DEPARTMENT APPROVAL Q SSigna e of Applic Date Received by: `//11T 'V ~l ~~o ll LIDS I INDU11:35YUUL IU BE PUMPED DRY AND ABANDONED IN ACCORDANCE WITH as itk \ 9 \ THE SCHDS STANDARDS PROPOSED ADDITION PROPOSED DRYWELL TO EXIST 1 N rn PROPOSED WATER SERVICE TIN 6.1 TMN LOT s n A A CONTINUOUS NO.5 REBAR 12.OC (SLEEVE 1• SERVICE W A 2' POPE BW 6.1 1 / AE NOTES: ZONF T MIN. FROM DRYWELL) (EL. G) O / THE CONTRACTOR IS TO VERIFY PROPOSED CONCRETE 1 STORY ALL MEASUREMENTS IN THE Rr1 PROPOSED FIELD AND ANY DISCREPANCIES RETAINING WALL (SEE DETAILS) 41 - FRAME HOUSE 0 b~ \ p NOT 7U6 / ARE TO BE BROUGHT TO OF THE ENGINEER THE 1 \ N t (PROPOSED ~ G ATTENTION OF THE ENGINEER PROPOSED DRIVEWAY 2ND FLOOR) Q PRIOR TO CONSTRUCTION. m\ o 5 ; FF.60 ,a9 a WALL CORNER REINFORCEMENT DETAIL CONCRETE RETAINING WALLS N PROJECT 2-Ir4XTDEEP 50 ,p - 2 D rgCONCRETE MINIMUM. 4,aoB P51 AFTER OCATION EXPANSION LEACHING POOLS y LP I 46.2I' FINAL GRADE rn \ " (5%MAX) 6- ' ALL REBAR ASTM A-615 GRADE L70 \ PROPOSED 60. _ 5-6'9X?DEEP z \ n aw ovw EXTENSION TO • FOOTINGS ARE BE LEACHING POOLS \ DI 1 \ \ sMN W BW BJLk ~~NG LAG) BALCONYOVER EXISTING DECK INNAL S $ TW6J1 ON UNDLS"NRBED \ g' R PROPOSED 1,818 EXISTING DECK THE BOTTOMS OF ALL FOOTINGS 43 GALLON SEPTIC TANK OARE TO BE INSTALLED A F 3' BELOW GRADE UNLESS ing OTHERWISE. IS WaW Rod Caa INDICATED Nom, LOCATION MAf \ LAND VIEW LANE SOIL SIDE OF WALLS AND FOOTINGS ARE TO BE E COATED 1•=6Odt TEST HOLE SITE PLAN WITH BITUMINOUS FOUNDATION COATING. SITE PLAN PREPARED FROM SURVEY BY. No.4 RaAer @ 24.OC • WALLS TO B BE POURED M ONE EL.4.9t PECONIC SURVEYORS DATED MARCH 3, 2010 CONTINUOUS O POUR WITH O S.C.T.M. DIST. 1000 SEC. 53 BLK. 06 L 1, DARK BROWN LOAM OL 0T 23 CONTROLJOIITS. SCALE: 1 mW 2' BROWM CLAYEY SAND SO - BROWN SANDY CLAY CL _ 4' Abandonment of existing sanitary system must be in rao• (3) Rdlar BROWN CLAYEY SAND W/ 2D% GRAVEL SC s' comfoanance with departm_ requirement Submit Retaining Wall Section n EL -1.1' WATER IN ROWN CLAYEY SAND W/ 20% GRAVEL SC completed form W W- - ©D as proof Not w sl~le 6' WATER IN PALE BROWN ~VATM MOPECTM OF (1J~ FINE H 2TO COARSE D%G LSSW FOR S~IIWITARY aY$fi J• C01, {O ppfY c`Ti TH ~a~ 002 9~ C*W1 13' * * r- o Water Line(s) MUST Be Inspected By The ' TEST HOLE PERFORMED FEBRUARY BEL 2,2010 ' Suffolk County Dept. Of Health Servim, a GROUNDWATER ENCOUNTERED D 6 6 A 'BELOW GRADE Cali 852-5700, 48 Hours In Advance, F > 0 r To Schedule Inspection(s). SANITARY NOTES: fESS(GbP~' MORTAR FROST PROOFING 1. 3 BEDROOMS ARE PROPOSED FOR THE RESIDENCE- ALL LEACHING POOLS SHALL BE PLACED M ACCEPTABLE LEACHING ~ (9 TRAFFIC BEARING SLAB WATERTIGHT FRAME COYII2 W/ 2. THERE ARE NO WELLS WITHIN 150 OF THE > C3 a SOILS AS APPROVED BY THE SCDHS. I3THEEVENTPOOR 4- SOR 35 PVC WASTE LINE APPROVED LOCKING DEVICE PROPOSED AND EXISTING SEPTIC SYSTEM. A LEACHING MATERIAL IS ENCOUNTERED, EXCAVATIDN IS TO BE O ~1 n coNnNDEOTOSUITABLE MATERIAL ANDBaC0LLEDASDETAILED. PITCH- 4 XNCHPFRFOOT I'MN. 3. TOTAL LOT AREA AREA= 7,526 S.F. (0.173 ACRES) ~T1 S07 TRAFFIC BEARING SLAB 1'MN. 7MAX 4-SOR 35 PVC TOP OF LEACHING POOL=8.3i 2 MAX COVER 6- MIN. 2D' 9 RIM 7.3 FF.8.0 4. THE PROPERTY IS IN AN AE-6 FLOOD ZONE LQ .4 Y NCH PER FOOT S' MIN. ACCORDING TO FEMA36103CO159H DATED T- I r-1--I I SEPTEMBER 25, 2009, r I I_- L fire CROSS OVER PRE INVERT=4.77 FLOW BAFFLE r glwk 9 INVERTS BOTTOM OF LEACHING POOL=3.1 INVERT=4 _ NyER1=rte i a 4' - GROUNDWATER ELEVATION EL 1.1 ° Health Department AWovaWknp 8'0 X 4' DEEP LEACHING POOLS (TYP. OF 3) 1 ON SEPTIC TANK Condon Engineering P.C. MEYERHOLZ RESIDENCE PIm PePawby Cwww En*w i®.P.C. NBa NONbnafr New Yakst*F& fim Law,Arb* 145. SCALE A99gPM a seclon 7209, bralyU>BI>nn wiebs acbg w dwte dkeekmeka k wow Pn ie . l Bg.. A.h*.L mLrt1 BAYSHORE ROAD SANITARY SEPTIC SYSTEOPROFILE a b N~~ L~ SOME 'Anh OfLaWOMwB Mei7w ow=Pxw 11962 GREENPORT,NY *VE"Fe -AC318aatwLNdS wyws taRtbNa &,wmw a wtw VWM.'AkMd NOT TO SCALE ak blfDb by Ns4WS026" and Bedabdauch akemsM and a geCdi:devykmateallnakm o,~pi~rmlP (631) 288-1986(831) 298-2851 Fax 'amIsmgm., 'a"'a wvln SANITARY PLANT