HomeMy WebLinkAboutGeiger, Kevin
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ELIZABETH A. NEVILLE, MMC may. Town Hall, 53095 Main Road
TOWN CLERK P.O. Boa 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER .f. Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER www.southoldtownnygov
OFFICE OF THE TOWN CLERIB.
FBTOWN OF SOUTHOLD TO: Southold Town Building Department OFROM: Carol Hydell, Southold Town Clerk's Office pG.FBE .
Toji of - T LD
DATED: March 26, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4207 for a Cesspool/Septic Tank Construction
Permit submitted by:
Charles Thomas for Kevin Geiger
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: Final annroval required from the Suffolk County Health Department
Signature
O3 Z~ /3
Dated
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
W Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. Af
MARRIAGE OFFICER O .F Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
/ CESSPOOL or SEPTIC TANK
Residential @ $10 y or Non-Residential @ $25 Application No. 9-'at 147
Permit No.
Applicant Name G J91 "WtA -S
Applicant Mailing Address 0 l` V x 3 7 7
Septic Tank_~&Lor Cesspool_X,_
Brief Description of Proposed Construction or Alteration ovE 4. (A~f t~
5,1--Q,1%7- SA56-VV-,
Location of Proposed Construction/Alteration:
Owner of Property: KEVwJ 40VAL\~
Owner Mailing Address: S C- t, ~P AN en V e
~1 elham 1 I`f I D ~03
Owner Property Address: /2' 3 ri 0 gE~T3E ty~
GV Az kk-OL^UE ~
Name and phone number of contact person 4,i L 136 04kS 7 Z- ~ 9c13
Tax Map No: Section J(9 22 Block VV_
Cross Street I•Gl Z Ljfi' rl gVr4- pF e wt t-¢sq 1~m W e-,+ 9 f Qt
NOTE: LOCATION MAP MUST BE SUB D WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY AL DEPARTMENT APPROVAL
42 lgnature of Applicant Date
Received by:
VIA (
SURVEY OF
k+r H 4iLi?i
,,cT c.a Fo., A
LOT 56 ;
MAP OF U. u
MOOSE COVE Arta 2 2 2010
Jo. 3230 FILED AUGUST 30, 1960'
SITUATE
~ Y--
AST CUTCHOGUE
I? , ._w_": ' LnraFtt; <O L
-OWN OF SOUTHOLD I P T
ELK COUNTY; NEW YORK
TAX No. 1000-103-03-10 55
SCALE 1"=20' LOT A '40
JUNE 28, 2012 N101F SMUSSEN
,;,i be tp N •Lktw
2 5, 2012 ADDED PROPOSED SEPTIC SYSTEM E
A 1
11, 2013 REVISE PROPOSED SEPTIC SYSTEM I r S„pitt3.E}' 2I81 Ow
p3 O,dir'.T1f: "Of eyISjn, \ ~
ITAL LOT AREA = 33,547 sq. ft. 01 m depar2meptse lalrem£rt p ~1~ s\
(TO TIE LINE) 0.770 ac. n, > III eO,fonnan - WWIvI- as prao. \ \ \
mJ 1p 01,1pleted force \ \ \
CERTIFIED TD: / F J \ \ \
KEVIN
DEBRA GEGEIGER
GER AL J cow \ \ \ \ yA \
AL Water U e(s) MUST Be Inspected By The ~
~ 1' \I
SuffoA,52-570C), lkC unty Dept. Of Health Services.
7~, 4 ' 30 E , A (,48 Hours In Advance,
N To Sghedule Inspec on(s).
~ \ 1 z
AL AIL
AL _U JIL AL AL
2.2 AL I LOT 56 I
\ APPAREM HIOH WATER MMtK ON 06'28/2012 ~9 I I I I
ilk 1 o I I
1
AL \AL 2-2 I
syL 1.~ $ x~ \ I x.te
JIL imp
L~~ 4 L 914_
914 N10/ I AL w '1V` DpARGARE'
5 16.181 o~~yF LOT
TEST HOLE DATA y~~ SUHDIY~
(TEST HOLE DUG BY NATHAN CORWIN L.S. NOVEMBER 24, 2012) Of
ELEV. 11.5 0• FI~0 IIA ON GIST 3p'
7' BROWN LOAMY SAND SM
0.5' NOTES: -
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DA
EXISTING ELEVATIONS ARE SHOWN THUS: 10
.
EXISTING CONTOUR LINES ARE SHOWN THUS:-
, .<x i• n ;
Esc
PREPARED IN ACCORDANCE WITH THE MINIMUM FFL. - FIRST FLOOR
G.FL - GARAGE FLOOR
STANDARDS FLS.OR TIRE SURVEYS AS ESTABLISHED
BY THE LI.A AND APPROVED AND ADOPTED e.+.•',^.',~ PALE BROWN FINE TO MEDIUM SAND SP 2. FLOOD ZONE INFORMATION TAKEN FROM:
•,-I FOR sucH usE RK STATE LAND =0^`''^ FLOOD INSURANCE RATE MAP No. 36103C0164H
t•v.
TITLE AS~CIA
{,f. P1Et•T+ ELEV. 2.0 ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
. . t r~~':=c•.s.
9.5' ZONE AREAS OF 0.2% ANNUAL CHANCE FLOOD; A
.:4J eA CHANCE FLOOD WITH AVERAGE DEPTHS OF
AN WITH DRAINAGE AREAS LESS THAN 1 SI
AND AREAS S PROTECTED BY LEVEES FROM '
" • =s ytr I t - I, ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2
i 1 t ' S 3. MINIMUM SEPTIC TANK CAPACITIES FOR 5 BEDROOA
WATER IN PALE BROWN 1 TANK; 8' DIA. 5' LIQUID DEPTH
_7 . 4,. FINE TO MEINUM SAND SP 4. MINIMUM LEACHING SYSTEM FOR 5 BEDROOM HODS
4 GALLEYS; 8.5' LONG X 4.75' WIDE X 4' HIGH
"fir, p,744SA
`-`A Tay, • N.Y.S. Lic. No. 50467 7C)SXX75 PROPOSED FUTURE SOY. EXPANSION POOL
~~2XSJJSS22CC3399
_ is'
LHAUTHORLZED ALTERATION OR ADDITION ® PROPOSED 8.5' 4.75' X 4' DEEP LEACHII
Nathan Taft Corwin III SE THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE 0
EDlMw7K>N LA PROPOSED 1,500 GAL SEPTIC TANK
Land Surveyor COPIES OF THIS SURVEY IMP NOT BEARING \1 0
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN
TO BE A VALID TRUE COPY. OBSERVATIONS AND/OR DATA OBTAINED FROM OTHI
Successor To: Stanley J. Isaksen, Jr. L.S. CERDFICATKINS INOKATED HEREON SHALL RUN 6. EXISTING SEPTIC SYSTEM TO BE PUMPED CLEAN At
Joseph A. Ingegno L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY OR FILLED WITH CLEAN SAND.
IS PREPARED. AND ON HIS BEHALF TO THE
Title Surveys -Subdivisions - Site Plans - Construction Layout ~aNG INSTITUTION FISTED HEREL AGEI= AND
LENDING INSTITUTION LISTED HEREON. AND
PHONE (631)727-2090 Fax (631)727-1727 TTUTIIOON.. cIFIFIC~ATIONNS BARE NOTITTRRANS~FERABLE
OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS
1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF
Jamesport, New York 11947 Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED.
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