HomeMy WebLinkAboutWarren, Dave
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ELIZABETH A. NEVILLE, MMC pry Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
p
co Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 10 .iC Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1500
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
C - "
TO: Southold Town Building Department D
D
2 4 2014
FROM: Carol Hydell, Southold Town Clerk's Office I JAN
DATED: January 23, 2014 Di pG DEPT.
D>:; QWTHa1D
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4187 for a Cesspool/Septic Tank Construction
Permit submitted by:
Chuck Thomas
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:
Signature
Di io
Dated
~Ff C
ELIZABETH A. IQEVIIi.E Town Hall, 68095 Mein Road
. 1179
TOWN CLERH Boa
New York 11971
a3 Southold,
REGISTRAR OF VITAL STATIUMCS v~ • Fax (881) 765.6145
MARRIA(IE OFFICER Telephone (681) 765.1800
RECORDS MANAGEMENT OFFICER ~Q( eoutholdtown.norlhfork net
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
I
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
/ CESSPOOL or SEPTIC TANK
Residential ®$10 V or Non-Residential @ S25 _ Application No.
Permit No.
Applicant Name C t t k k~
Applicant Maitiag Address
.des
Septic T~k or Cesspool
Brief Description of Proposed Construction or Alteration
L
Location of Proposed Construction/Alteration:
Owner of Property. i c W/a("!2!~j
Owner Mailing Address: _
1.le6ha. 2 C3r40!5
Owner Property Address:
Name and phone number of contact person l--AW XL
Tax Map No: Section _ Black _ Lot
Cross Street 'S ZOW4eC 1.67 -
NOTE: LOCATION MAP MUST BE S WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY TH DEPARTMENT APPROVAL
r z3
gnature of Applicant Date
Received by.
• 9
SURVEY OF PROPERTY TEST HOLE DATA
SITUATED A T ~ (TEST HOLE DUG Bl McDONALD GEOSCIENCE ON JUNE 25. 2006)
D'
DARK BROWN W1DY LD OL
MATTITUCK 0.5'
v,
TOWN O F S O U T H O L D s 850 00 BROWN SILTY WID WITH 10S GRAVEL Su
SUFFOLK COUNTY, NEW YORK I~ '
S.C. TAX No. 1000-139-01-18 OER Q A
j . PALE gtOWN FlNE W!D W
SCALE 1"=40' B lI
DECEMBER 16, 2005 3.•
B.z•
AUGUST 24, 2006 HEALTH DEPARTMENT DATA J.J
JANUARY 8, 2007 ADDED PROPOSED HOUSE Uy
MARCH 2, 2007 REMOVED BUILDING ENV. PER ZONING vl.NO
m WAM IN PNE BRDWN FlNE WID SP
TOTAL AREA = 73,931.32 sq. ft. ZL 6
(TO TIE LINE) 1.697 ac.
WETLANDS AREA = 12,309 sq. ft. UPLAND AREA = 61.622 sq. ft.
ICES o
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CERTIFIED TO: 1O s \ ~y ppa wgrF R
LORRAINE WARREN d2 ~ '
FIRST AMERICAN TITLE INSURANCE COMPANY O~q_•,° 4"0"'
' 4 4 ST
/ • .:..F.\' RFC R=150.00'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES =or gip': L-100.00'
PERMIT FG2 APPROVAL OF CONSTRUCTION FORA EPoF° \ CHORD =--S 61'5724" E 98.15'
SINGLE FAMILY RESIDENCE ONLY
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WA TER
C~ R~U -'UGQ ~y~~~RNFA0 ORES
DATE / O7~•H.s. F. No. c/7 6'~ \ 15.z 1 kk'-~/'
APPROVED A p w 1 1 * 1\ '
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FOR MAXI o (0 BEDROOMS %
~T W
EXPIRES T EARS FROM DATE OF APPROVAL 1i \x 6 ~ : 1 \ o a ~o~
l:
y~P a~ J0 o~O t ~c O 9`
Excavation Inspection Requiredk
For Sanitary System -
< SFT \
By Health Department _ 101`
o \ h ry` \ .17.2
3 \ \
%
17
a ~9\\oozo \\y1,1 i /AV/T tt \ °R 05
4 DbC. DRY
mp~~C4S TEST HOLE \ \ \ \ \ B•gGl`/Y4 {ALL
6
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\ \ \ \ \ _ NE X• 4
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\ \ \ \ \ E (EL. 11~
Ie ~c \ __fL2 X70
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AIL dye __4 N
_TIE LINE -
`-N\82°34' 17" W
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PREPARED IN ACCORDANCE WITH THE MINIMUM
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STANDARDS FOR TITLE SURVEYS AS ESTABDSHED
BY THE L.I. ND APPROVED AN
\ D ADOPTED
FOR t`1 y NEW YORK STATE LAND
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NOTES. C DE' r,'K y'~paZAFrCo~
1. ELEVATIONS ARE REFERENCED TO N. 1929 DATUM 1 L ZP ~
EXISTING ELEVATIONS ARE SHOWN N THUS: 199
2. MINIMUM SEPTIC TANK CAPACITIES FOR 6 BEDROOM HOUSE IS 1,500 GALLONS. * %7(
1 TANK; 5' LIQUID DEPTH, 8' DIA. °s -
3. MINIMUM LEACHING SYSTEM FOR 6 BEDROOM HOUSE IS 400 sq ft SIDEWALL AREA.
2 POOLS; 8' DEEP, 8' d1a. -
PROPOSED EXPANSION POOL 50467 O~
® PROPOSED LEACHING POOL ~ND
O PROPOSED SEPTIC TANK N.Y.S. LiC. NO.
0
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD UNAUTHORIZED ALTERATION OR ADDITION
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. THIS SURVEY IS A VIOLATION OF Nathan Taft Corwir
5. ANY WETLAND BOUNDARIES SHOWN ARE SUBJECT T VERIFICATION SECTION 7209 OF THE NEW YORK STATE
BY NEW YORK STATE AND/OR OTHER REGULATORY AGENCIES. EDUCATION LAW.
6. FLOOD ZONE INFORMATION TAKEN FROM: COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor
FLOOD INSURANCE RATE MAP 3 DETERMINED G THE LAND SURVEYOR'S INKED SEAL OR
ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ED EMBOSSED SEAL SHALL NOT BE CONSIDERED
ZONE X': AREAS OF 500-YEAR FLOOD; AREAS OF 100-YEAR FLOOD WITH AVERAGE TO BE A VALID TRUE COPY.
DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN HEREON SHALL RUN
1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD. CERTIFICATIONS PERSON INDICATED FOR WHOM THE SURVEY
ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. IS PREPARED. AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Co tion .
7. THIS PROPERTY IS IN ZONING USEDISTRICT: R-40 TITLE COMPANY, GOVERNMENTAL AGENCY AND
u LENDING INSTITUTION LISTED HEREON. AND
8. PROPOSED 8' DIA. X 6' DEEP DRYWELL WITH ROOF LEADERS:- TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fox (63R27-l'
rUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
9. PROPOSED LOT COVERAGE OVER UPLAND AREA = 6,940 sq.ft. OR 11.3%. OFFICES LOCATED AT MAILING ADORES
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 1931
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Riverhead, New York 11'.
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