HomeMy WebLinkAboutSchiff, David
~~g11FFOL't D
ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK co P.O. Box 1179
01 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Q • .Zr Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department L JAN 2 9 2014 D
FROM: Carol Hydell, Southold Town Clerk's Office , ,,i
o,~-•.; 30~1q[o
DATED: January 28, 2014
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4188 for a Cesspool/Septic Tank Construction
Permit submitted by:
Eric Hetherington for David Schiff
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 to ation map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
03 e3
Dated
E1I7AA1a1M A. NEVII.LE ,Town Hall, 69096 Main Rost,
TOWN CLERH P.O. Box 1179
=019 RAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ~j Fax (891) 766-8146
RECORDS MANAGEMENT OFFICER ~JJo1 .~1~ TelePhone(681)765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT TOWN OF SOUTHOLD
BW"J.NG DEPARTMENT
APPLICATION ggWwld N.Y.1 1971
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK Q
Residential @ Sl((C=:L or Non-Residential @ $25 _ Application No. IAN
Pot it No.
Applicant Name LP UAnx 'L
Applicant Mailing Address 21 A46 °)/iNlFlZt ~1 sit-
Septic Tank ?'~'or Cesspool•~_
- Brief Description of Proposed Construction or Alterations ?acll,~
Location of Proposed Constraction/Alteration: - -
Owner of Property: hN !ra2h g - ~In~Jfd~4~a ~ -
Owner Mailing Address: Fc
Owner Property Address: 15770
=
IIMPRI, Ny ?115R
Name and phone number of contact person
Tax Map No: Section 0M Block OS Lot 0-1-
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S HEALTH DEPARTMENT APPROVAL
of t Date
Roceiyed by:
U u ~I Y PROPOSED WELL
wr*S,,snuFicnW%AWCavlesr aF
(FIRE) GF WAY L~ AtL51®
FLRI Br THE WHTEOT AM x0 %[&L Fa4m
_ 110.0' R1G11T C2 Ow,,Tr Lf TIE rnwrTCCr. nEr A1E ro ee
LJ C2 u d war mx PESPEGT TO Txs F O Ecr N0 A
N noto n5® On ANY One PROEOT. 4EAr550N
PROPOSED ATTACHED 6ARA&E ;oRblsTwanwl ro FOR aRM R-05 IN
GF EL:100.6'7 ~~`i nm THE MO°XT 155 NOT IN
Y.+ 1~ M MICATkM N DOWM" OF THE
ca*m Lm cop
- PROPOSED GENERATOR I 1 rxn RESERVW MM. n an Doe
{ (GARAGE) W
V J
PROPOSED GAS TANK
/ 1000 GALLON, BURIED
h~~D
i
afoonn?ent o
com f existing sanitary, s tarn ~r
mtance with depa ent must be in
compl Pedos~~M~, mquirementSubmit
n
l1RRas pm or
yr
w io
EErl
Y R^ y UNAUTHORIZED ALTERATION
ON TH15 LATION OF
a EXCAVATION'N E`.'. OF ANY 15 IA VIO
$ N REQUIRED NEW YORK STATE LAW.
_ FOR SANITARY
t
a By HEALTH Issue Date:
DEPARTMENT
PROPOSED LOCATION OF
FUTURE TENNIS COURT
Project Date:
SEP 2012
Scale:
AS NOTED
\ SUFFOLK COUNTY CiEr FTSA=NT OF HEALTH SERVICES Project #
I PERMff FOR APPROVAL OF CONS Drawn:
0 SINGLEF .StLYFiES3DENCEQPtpONFORA 12039 EPH
job: Check:
I J-- / a SINCLAIWSCHIFF KMP
DATE
Ed~IRRCM1IE~) H.S. REF. ?dc?. Sheet
h
ED SITE PLAN N TCOMAL tdUMSEDROOMS
THREE YEARS FRO.• ? F c 2
, DATE OF APPROVAL 0
i L
SITE - SEPTIC
5GDH3
51TE DATA: LEGEND:
KEN FROM . MAP: DESCRIBED PROPERTY ELEVATIONS FROM SURVEY
SECTION. WA
LOT: WA OO NEW LEACHING POOL 4
5CTM* 1000-022-05-04 O '
AREA OF 51TE .....................................464=1 SF
AREA OF FROP05ED 151-06: 1,145 ......SF ST SEPTIC TANK 011.
AREA OF PROPOSED ..OVERAGE: 4 5F LP LEAGHIN6 POOL ) M
M OL % LOT OCCUPANCY: .......................-...45%
CF%
ELEVATIONS IN TOWN DATUM (NAND) . EXPI EXPANSION POOL -
NO ACTIVE WELLS WITHIN 150' - J^ n
L
5M
FF EL:104.0 LOCKING CAST IRON O~^
FAI COVER TO GRADE V J
EL: 100.0 GRADE Z
CONCRETE 'CHIMNEY' (mod C
_ I I/4pl WITHIN I' OF GRADE 0 0
SILTY SAND SM :j~ ll:e 12"
RAP I/8" Ba88.4 (1-d
INV:6g.5 5,000 GAL Vl •
INE TO SEPTIC TANK O
INV:6g.0 a
SEPTIC PROFILE INN-665 (14' DEEP) a a w
NO SCALE 1Nv'~'4
SANITARY SYSTEM TO CONSIST OF (1) 5000 GALLON SEPTIC TANK W/ Ma-MA
(2) IO' DIA X I4' DEEP (26' EFFECTIVE DEPTH) LEAGHIN& POOL FOR A Z os
TWELVE (12) BEDROOM RESIDENCE _ f y~AT:bg.0 _ C
~M I1N"f
PI FAQ NIM
Wd screen mud be ad a trdrdmum
of AO feet below the water table,.
EXISTING WELL LOCATION
TO BE ABANDONED
r ~
Z
~ z
PROPOSED SCREEN ROOM Z :n
a .moo
EXISTING WILLOW TREE N m
TO REMAIN a a
` PROP05EP BLUE5TONE d-+
TERRACE $ POOL PATIO r
-417-j c
ISLAM 1' - TEST HOLE: .
LANG TEST HOLE INFOWATION T
1S~'bq MCDONALD 6EOSCIENCE
N 80°4q'23-- E N 56°350° TIDAL WETLAND BOUNDARY' ALONG DATED OCTOBER 04, 2015
76.18' APPARENT H16H WATER MARK ON 5.15.15 TEST HOLE
_ - _ _ _ _ BOTTOM OF BANK EL=102.0
/ DARK BROWN LO
NATURAL 0 EARTH TOP OF BANK I' (EL. 101.0)
COASTAL EROSION HAZARD LINE AS SCALED
FROM 'COASTAL EROSION HAZARD AREA MAP'
LIMIT OF EXISTIN6 . TOWN OF SOUTHOLD PHOTO NO. 50-617-83 BROWN SILTY 5A
VEGETATION _ - -
i i LINE OF 100' 5ETBACK
FROM TOP OF BANK
LIMIT OF EXI5TING 33' (EL:(2q.O)
VEGETATION r K•
ry i \ \ $ $ e0~ •'t: WATER IN BROWN
WATER IN BROWN'
PROP05ED WELL , s COARSE SAND
(MAIN DWELLIN6) I O o
as o a ` > 44'(M:55.0)
os.a' SEE ENLAR,6ED
I I ~ SITE PLAN
I ^g '
R1GNC of WAY
110.01
LIMIT OF EXI5TIN6
VE6ETATION
V - I
v
m 'o PROPOSED WELL ~
w ''s (FIRE) ~I
O
PROPOSED WELL ~
o i (IRRI6ATION) ; 1J
1114.0'
PROPOSED WELL
w (MAIN DWELLIN(9) i
oil .8 I
(go 00 EXISTING PERVIOUS DRIVEWAY - f w
i TO BE REMOVED % w
so 00
LX 1/ _ 6
PROPOSED GENERATOR /5.0'
I (MAIN DWELLING) E
N
a ~I PROPOSED CELLAR ENTRY I I »-wl
r APPROXIMATE LOCATION OF EXISTING ; `a Eb
-o SEPTIC SYSTEM TO BE ABANDONED,
F PUMPED, REMOVED, d FILLED IN NV
GLEAN SAND d GRAVEL - TYP FOR 2
PROPOSED MAIN DNELLIN6
FF EL: 104.0
1 I
100'
EXISTING OUTLYING SHEDS
TO BE REMOVED, TYP FOR 5
I
PROPOSED 3000 GAL SEPTIC TANK I ' 10
'OX PROVI E 4"I C' ED ROSSOVER NP PE00L3
lu v I
Q I ,
0 I
n I I ~
3 - I I
EXISTING PERVIOUS DRIVEWAY ' -
TO BE REMOVED I '
I
Z I
i
PROPOSED PERVIOUS
DRIVEWAY
~o 0
I
I
. \ 0 I a i .z
Z I
.12 50 W 23~ 51'
5 T5
~1i o00
S 6Qg0• b0" VA
~ I
IN
SITE PLAN ! ENLA
c . SCALE: P=100'
SCALE: 1 "=5
SITE INFORMATION AS TAKEN FROM A SURVEY BY
NATHAN TAFT COIN III, LS., DATED MAY 13, 2013
I
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