HomeMy WebLinkAboutPage, David
gUFFO[,rc
ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK C2 J'! P.O. Box 1179
H ~Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O Fax (631) 765-6145
MARRIAGE OFFICER Qt Telephone (631) 765-1800
RECORDS OF MANAGEMENT OFFICER southoldtown.northfork.net
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLE D pp
TOWN OF SOUTHOLD U D
TO: Southold Town Building Department 12
FROM: Carol Hydell, Southold Town Clerk's Office UP. DEPT.
TOWN OF SOUTH00
DATED: March 11, 2013
Transmitted herewith is a copy of application No. 4202 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jason Thomas Architect - David Page
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
Dated
Q~gUFFO(,~co
ELIZABETH A. NEVILLE G
¢ ,Town Hall, 53095 Main Ros'
TOWN CLERK q P.O. Box 1179
REGISTRAR OF VITAL STATISTICS x Southold, New York 11971
MARRIAGE OFFICER fir
'F Fax (631) 785-8146
RECORDS
MANAGEMENT OFFICER Q
~Ol •~1. Telephone (8(631) 766-1800
FREEDOM OF INFORMATION OFFICER T~ southoutholdtown.northforfork. net
OFFICE OF THE TOWN CLEAR K
TOWN OF SOUTHOLD
TOLD
u1`V`NU )EpA C-14'rSOUTHOLD WASTEWATER DISTRICT
V,0.80%,( ' 11971
Southold. N• APPLICATION
I
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
y
Residential @ $10--~'/- or Non-Residential @ $25 _ Application No~
Permit No.
Applicant Name_ A-~ _ YY1wvk~ 1~~
Applicant Mailing Address L
~i9(N'A1~F'fDN 1 N`~ ll~tb~
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration jJ ~it.1(n k TrAMtL-
Location of Proposed Construction/Alteration:
Owner of Property: -L2N i 17 EYST'i~
Owner Mailing Address: 'Z gFj~
-ryc~~t,1Y it~1SZ
Owner Property Address:
4~1~ ll~[03
Name and phone number of contact person
Tax Map No: Section 10 Block 1Z Lot ZI{(. _z;'
Cross Street ~A~Ritl {~,sQddtGN ~D ~ie~
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL-
Siguaturkof Ap i icant Date
Received by:
SEPT. 5, 2006 2005 (REVISIONS)
OCT. 13 SURVEY OF PROPERTY o
, ( > a
DEC. 1, 2006 FRENCH RENCH DRAIN, CONTOUR, FILL CALC.)
OCT. 177, 2007 REPLOT HSE.) AT BA YYIEW
OCT. 30, 2007 (DRYWELLS) t~ c
TOWN OF SOUTHOLD
SEPT. , 11, 2008 (SPOT EL S) SUFFOLK COUNTY, N. Y. u
OCT. 8, 20DO 08 (REVISIONS)
APRIL 20, 2010 (CERTIFICATIONS)
t~
OCT. 7, 2011 (REPLOT HSE.) 10~0,0+~-701000-?0-12-39.3
JUNE 1, 2012 (NEW SANITARY SYSTEM DESIGN) ATiALS 1s=50+
JUNE 15, 2012 (SANITARY REVISION)
`ALTH SERVICES JULY 14, 2012 (NEW SANITARY SYSTEM DESIGN) FIM MARY 20, 2W4
AUGUST 17, 2012 (REVISED BUFFER DESCRIPTION) JANUARY 6, 2005 (RwWWons)
tUCTIC N FM A SEPTEMBER 9. ~00 SI(NBci weNonds Ilogs, revise prop. house)
ONLY FEB. 2, 2008 (ADDITIONAL LATH)
MARCH 22, 2006 (ADDITIONS)
MAY 18, 2006 (REVISIONS)
TYI^,
•R00MS
OFAPPAOVAL
PROPOSED GRADING PLAN xwrwemwam~,o
aNn! vu9 n.n
rem mw eeer
9Vl11.
TOPd•NNOlee- mmlSmlmlmlm 090®~~® fl.e!
~ NIL!
mmlml0llGlc9mm imlllm161!! e,m9
3' SAND mmosenm® m®®ellossi au 6eA
COLLAR mmae•we•~e® em~~~eNOm~ 8' A710N »9uuexeRrfl.u
corn 1.o. ,.aeoa110e 8
row,eiee u •a`m^" eesneru,a
rorKae,uciwroa+ i '
N N
oxnee
------------------------------1------
mamaNina meu e»e .ea„ee.,.,.,m9«,.et,mnnroflmN+®Mne9!
eru,r or eo a.eenen eau ren nsr saam .
:4F
n ~FN PROPOSED SEWAGE DISPOSAL SYSTEM 62 BEDROOMS)
5 3' DEEP LEACHING POOLS WITH 3' SAND COLLAR
00 (ieDvNEUpA).1 (13, 1,000 GALLON SEPTIC TANK
BOTTOM OF LEACHING POOLS TO BE31ABOI/E GROUND WATER
ec ee.
APPROXIMATELY 152 cu. ft. OF FILL REQUIRED.
to SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIGN BY:
EDWARD ARMUS ENGINEERING
36 DEER RUN
WATERMILL, NY 11976
so' ~
re,
r.
A
N r
V. 2 #
iU~AR
-55W
141.11' .
0~~OF NE11 Y
O
c
A'o.496~6
Y. S. LIC. NO. 496
ECONIC YORS, P.C.
(631) 765-5020 FAX (631) 765-179
P. 0. BOX 909
1230 TRAVELER SOUT HOLD,, N. X STREET
04-iO(
N 0 DRIVE
` V047j_
7J9 rs~ a ~4~ - -
SUF'F'OLK COUNTY 0EPAR1%WN1
1X
Q r rs~++ FOR AP9Mt(n+f. A aC',rF
o3w n NGLA."rAmng,Y RIn
c o DATE 14 Z3
1 I a Z APPROVED_
4r l O $ O Fop x:".'vLU,'v1 OF
2 I r a EXPIRES niREE YEARS FROM
a I I MON
Harr
raE y EXCAt~A7'if31A4 INS
SWTARY R
a I LTH aYgy
fl -
FRENCH DRAIN DETAIL II N3 Z N,
= I rv \
j; COARSE I I m \
..GRAVEL i I r'1 \
sra~e ; aN y N~0 \
Is"
-PROPOSED -CROSS-SECTION
FRENCH DRAIN Ss D Dy
(~(360xcu. ft.)) of 3wi \ b 00 UNfuNP ~~NC ~n ~0o'S'fl
\ UB</c
AREA OF WETLANDS=3„362 SQ. FT. b EL 6.0
63,302 SQ. FT. - 3,362 SQ. FT. =59,940 SQ. FT. /a°DSta~
s; ~ \ o yut?. ovr ~ tz a
LOT COVERAGE 3,228 SQ. FT. ;
PERCENT LOT COVERAGE 3,228 / 59,940=5.4% `
pp0S f0
TEST HOL£ DATA %0A
~aea ~
LOAMY SANDS
to*
NEDAA/ 110 COARM SANO SR 0~ C~
SA
CIA YFY NDY t~~ORADMD M f~ SO'
NM 7M M a.A YEY SAND SC v~q~y0 /
e• ~ ~ FBU~
NM FM N MGM SW at
1 R j
6100
FN MR M OWY CLAYEY SAND SC - - - - 13' ?>>e,
NA IER M NE" M COARSE SAND V - NB
roe
90 ZONE LINES FROM FIRM 36103CO166 G MAY 4, 1998
/A T70NS REFERENCED TO N. G. V.6.
17 familiar with the STANDARDS 'FOR APPROVAL CERTIFIED TO:
CONSTRUCTION OF SUBSURFACE SEWAGE DAVID C. PAGE
'OSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES BARBARA SHINN
will abide by the conditions set forth therein and on the STEWART TITLE INSURANCE COMPANY
nit to construct.
location of wells and cesspools shown hereon ore
7 field observations and or from data obtained from others.
ALTERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION
:EC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW.
PT AS PER SECTION 7209-SUBDIOSION 2 ALL CER77FICA77ONS
ON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
SE SIGNATURE APPEARS HEREON. ® =DRY WELL
A=63,302 SO. FT. 1 =LATH SET ,o --------=PROPOSED CONTOUR
TO TIE LINES ? = WF_ TI.AND FLAG