HomeMy WebLinkAboutMcCallion, Donald
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ELIZABETH A. NEVILLE, MMC ~•Z Gy Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS We Southold, New York 11971
MARRIAGE OFFICER Fax (601) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER www.southoldtownnygov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office DEC 2 7 2013 J
DATED: December 17, 2013 °`'r
ro,^~a °;ocTNO~o
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4183 for a Cesspool/Septic Tank Construction
Permit submitted by:
Donald McCallion
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.
* ¦ . s s : ~ ~ s * * s
I have reviewed the applicatio7dI 'on map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval reouired from the Suffolk County Health Department
Signature
Dated
o~O%OFFOC,~co
ELIZABETH A. NEVILLE ~f. Town Hall, 68096 Main Roa
TOWN CLERK C7 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER •~C Fax (881) 766-8146
. RECORDS MANAGEMENT OFFICER y~fo ~Q~ Telephone (681) 766-1800
FREEDOM OF INFORMATION OFFICER( southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TOWN OF SOUTHOLD
BUILDING DEPARTMEWuTHOLD WASTEWATER DISTRICT
P.O. Box 1179
Southold, N.Y.11971
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10_ or Non-Residential @ $25 _ Application No.
Permit No.
Applicant Name _L Ilk l l i .r
Applicant Mailing Address 116o Septic Tank ?or Cesspool
-'Brief Description of Proposed Construction or Alteration Gw.c 1%.. p..-~
Location of Proposed Construction/Alteration: .
Owner of Property: ~6--,g %A (l
Owner Mailing Address: t lino
C~kct ~u v t tJ`,
Owner Property Address: aSa
Name and phone number of contact person
Tax Map No: Section j Ito Block S Lot 3
Cross Street I>cw4
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S Y =TH E PARTMENT APPROVAL
(Z 7 !3
Ignature of Applicant Date
Received by:
SCDHS Ref No. RIO - 13-0049
M PUBLIC WATER)
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(D,~LLING R~
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D i woob ROAD) _
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EL. 6.3~
AREA 3(1rLDARLE EET) 'ammo Zm ' m ~ I
IN S~ .0e .
1 _r=*° g "21, o
L.A;4~ - I^,083 sq.1t. WOO WATER a
LGT c:GVEiiAGE B ) ~IxNcl
w °ocn
HOUSE' - 155a sq.n. cton Req ' & z
u +k y y
u£clcs. HOT r:18 d etcaVijpn InsN" stern DQ. 50.00~ 2`4
!.'HIM. 855 6J.R. 4%1 GARAGE 341 sq.il. frOf 0.2'E o
Sa(tita~P N79 2 W 1ER a .g. Z r,r° i
°
Depart ant
2744 m
10 tL w
2744;12083 - 22.7% BY Health a 4
7< I `
'LOT AREA 22,201 sq. 57 o Q. °W N a (A R cmiG1m
N o / 6.5 xN a~On
50.00 E 'p 16.3 O a C P y r
Ng440.OG. °T b1 N FR• p ~ O ° uy"' 'v
~ 'v W GAR• ~ o o`EFm
p r DyV
SURVEY OF PROPERTY hE t° TrE O/L
TIUTY
POLE ~ 2 x
AT CUTCHOGUE
/ 3.4 FE O iu
TOWN OF SO UTHOL ~ L P ° 2'~ AC arerer Ea -
006
SUFFOLK COUNTY, Y.
1000-116-05-13 4~ NOTE,
SCALE: l s=30' I-JE'~ AOC' D ~ . O SUBSURFACE SEWAGE DISPOSAL
APRIL 24, 20(3 516cvJ " o 10 s7 E WE O BY, JOOSSEPPHH FISCHETTI, P.E.
MAY 8, 2013 (LOC. DECK POST) n min. 1725 HOBART ROAD
SOUTHOLD, N.Y. 11971
MAY 21, 2013 (LOC. DECK COLUMNS & ADJ. HOUSES) ? f 0
O Za1E a E/•
JULY 9 2013 (p~~~T gg~~ ~
JULY II 2013 fRCOR11 RECTI
JULY 3~1, 2013 (CORRECTION A REVISION) o `,36 _ T
AUG. 12, 2013 frevlsloD) j O , ~ ~ t
AUG. 27, 20i3 (revisions) C~ 70 129 G~~'1 m
NOV. il, 20I3 (odditfon) Z c~~y, 1f
~ ~ wd53 21.9' £ ~OJSE
NO DUNE EXISTS ON PREMISES AS ix , 13.1'
PER SUFFOLK ENVIRONMENTAL CONSULTING, INC. ~bt!A ,
COVERAGE OF DEVELOPABLE AREA 19.4% oW Vl
INCLUDING AREA TO EDGE OF GRASS tln$S~ $1 C~UI 7'60` E•E C
A~°aonnta ~lt.C~(?1® 6.1
deg an as ' 4.7 ' g
300 cu.yds a REOURE CB ( T D
confo ~,fotm~M "c> ,a.s, m ° .30. 3
RAIN RUNOFF CONTAINM N1'•SE
GARAGE 331 sq.fl. 1 Z -p
331 * I * 0.17 - 56.3 eu.11. ! G, 0 R1
00- PROVIDE I ORYWELL 4Y1-:.. 3. deep N \
HppIISE -
558 sq.fL ~ryo i Vo1 O O
,95118S
1558 . I * 0.17 -26 1 cult. AE C Z y
PROVIDE 2 DRYWELLS 8'0 * 4' deep or
equal Z C g y ~ ~ D r
EL i r_ r
/ / R1 m
TEST HOLE DATA
/ r N
BY McDON SUFFOLK COUNTY DEPARTMENT OF HEA TH SERI(1~IRS
D EOSCIENCE _ - 95 A - p 11 3 PERMIT FOR APPROVAL OF CONSTRJJ 10k Op~
417.1 Alb"'' p 1 Z
EL 5.7' cl v. m
0.5' BROWN LOAM oL SIN6LE FAMILY RESIDENCE 0 ~ F
BROWN SILTY SAND SM
3'
PALE BROWN FINE SAND DEC I 1 Zp / CC
EL. 1.0' WATER 4.7' DATE REF. No. l
APPROVED _ -
WATER IN PALE BROWN FIN SAND SP FOR MAXI OF E^ O:O/
11• EXPIRES TWR' YEARS FROM DAT (APPROVAL Water Lineks~L4 ST B spe e(1 By TWO'
Suffolk ~ounty'Dept• ~fth orv~
90= PROP. ELEVATION 1V it ~Eal185 2-5700, 48 In d
8 PROP. c,1N,rOUR NOTE, ALL PROPERTIES
ToSchedulelnsp 'o
' OF PROPERTY
FIRE DAMAGED HOME TO REMOVED WITHIN 150 LINES ARE HOOKED TO I 1
EXISTING CESSPOOL TO BE REMOVED PUBLIC WATER
i
AREA= 22201 SO. Fr.
TO TIE, LINE
S 10
ckda '
ELEVATIONS REFERENCED TO N. A. V.D. 1988 N
FLOOD ZONE FROM FIRM RATE MAP
MAP NUMBER 36103CO501H SEPTEMBER 25, 2009 Z o 2 `ey A
EN
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I am familiar with the STANDARDS FOR APPROVAL ~Aq 006
v 21i~ ~Q' ®'tT~ C,~LT AND CONSTRUCTION OF SUBSURFACE SEWAGE SSIO ~'t t
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES y56 ~LG
and will abide by the conditions set forth therein and on the X00 t
permit to construct. 4 i(
The location of wells,cesspools & public water shown hereon are Q4~ip'~ Ab.436~$_
from field observations and or from data obtained from others. LAND
ANY AL7ERA7ION OR ADDITION 70 THIS SURVEY IS A VIOLATION l N. Y.S. LIC. NO. 49611
OF SECTION 7209 OF THE NEW YORK STATE EDUCAT70N LAW. ,
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS ° ECONI VEYORS, P. C.
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF (631) 765-5020 FAX (631) 765-1797
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR P. O. BOX 909
WHOSE SIGNATURE APPEARS HEREON. 12,30 TRAVELER STREET F
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