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HomeMy WebLinkAboutJohnson, Gregory q,~1FF01,~- ELIZABETH A NEVII L E, MNIC ,ZO~ COGy Town Hall, 53095 Main Road TOWN CLERK C P.O. Box 1179 C42 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Q .F 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 ~ «E ~LF TO: Southold Town Building Department II D APR " 3 2013 FROM: Carol Hydell, Southold Town Clerk's Office L_ BL DEPT. DATED: April 3, 2013 my or saurnolo RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4209 for a Cesspool/Septic Tank Construction Permit submitted by: Keith Radich 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 v/ DISAPPROVE Comments: Final ayyroval required from the Suffolk County Health Department Signature Dated g1?FF04.2 ` EraZAnETH A. NEVU LE r`o 'Yy Town Hall, 68096 Main Roa- TOWN CIAMH $ ai P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ppr Southold, New York 11971 MARRIAGE OFFICER ~,yy F Fax (881) 786-8146 RECORDS MANAGEMENT OFFICER Telephone (681) 786-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK r n 7HOLD TOWN OF SOUTHOLD TOw NG DEPARTME OUTHOLD WASTEWATER DISTRICT BUILD, xj79971 APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential Q $10 or Non-Residential @ $25 _ Application No. 9 a O Permit No. Applicant Name %T~sAkl yl ial~t C V-" Applicant Mailing Address 3C7(9 S ?1 V f rn+~~~~c1ti N~ 1~~ S2 Septic Tank__)L,_or Cesspool _--S,. ` \ Brief Description of Proposed Construction or Alteration ~B. w ST ix {-xe% ocr \-\p~c~JL Location of Proposed Construction/Alteration: Owner of Property: tC x:n Oyu S©~w~So ~n Owner Mailing Address: 300'1 dl~nnE Owner Property Address: O Name and phone number of contact person _ ^ M, p14 - Q~ 6 Tax Map No: /Gap Section s Block Lot Cross Street .env V,. )10=~ o 's NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW X7 CONSTRUCTION REQUIRES SURVEY HEALTH DEPARTMENT APPROVAL' SSignaturi o Applicant _ a Received byT. I x xoPE uxx " SU~ R11EY OF PROPERTY QiAOE EL=2, a M ELEV TTON v. - SITUATE: FEVONIC ql; S rw-zos canoE 2:A EL-2r2 EL-204 es e 2 v-20.2 mw21.1 1 .-S \ C RA oln ROM. EEV 1-9 ' wn x POOL SEPTIC uiorv TOM: SOUTHOLD O • WaOE ew=15.s IERCNING 01srPlD DE sOoo A SUFFOLK RING OR' COUNTY, NY "A" S R.I. a 11 IE I SURVEYED: 06-01-2001 ITa 1 eRaxown R ELEVnnoN iss HD %BM15510N: 12-11-2001 ~t 5 Svloa D200a 4~ 25 2008 06- 4_2 1N0 ETAINHG „ALL E ALL M 1ATERnRwPED ON 1N 10E I d~` \ d CONCRETE TO EE 3000 3 „x SUFFOLK COUNTY TAX BE cousrfdKrfo ON WOisT1.RBE0 $711 TOGO RAC 3. FOOT IN T y"°r \ \ REPORE NSTALLATION C LEACNIND FO 11 AREA ILL B QVV - 14, - 1 - I . `CL `]+IS C yJ ® \ V e E.,AVATEO TO ELEVATION -35.3 TO REnOVE U ITAELE 50115 AND J~ NH PAP,DE A 3LEAN ICOT CDLLAR A,g ,T ALI LEACH NG POOLS AREA CERTUM D TO: OL /tiS GREGORY K JOHNSON ~¢~\CES ~ O~ sEPnG DESIGN S P. E( F~ Test Hole Fti> NO,F°R o T MGDonald ~f0 cC~~~' -P s6o _ 6eoscience PgZ~;~ ~,O;a'l ~~~`J9 ~e ric ~~_,yy~ 02-21-2001 ~yQ OJ~O \OErG /O~~ 0 MiCNAeLJ~ Mn -s-P.e.-u~.-n osoT------ DnwceRaNN `O~~P~ ~c H'4 ~"BALES-DURING GONSTRU6.~jON LLATE, LOM1 (A1 BRLW~LLA PER, 6 \ S 'k~3 g°`' qq4Q ~~~t pp~ , I ON HATH3 IN ChCa u N 48' ~ w(O~~' EEC < . \ i / 1 I" T / y ~J~ ~oA ' ,M `~1-. HATER Ix Q~ 'i< A ~q// I .yx ~DISTURBA l~~~ RO b`,'!:"iN~ • M TO FINE < \ 90.0 $ 'G~ V . F v op ?L A Se p neolu~ CF Wµ1 EL Ono Oi A A I) ORGIES O ~O 54-I O 2O /4 Bon 12' OC. O AA. V ~r® OV 4 CRME AVASION ?NSPECT10 ST 4M y / F \ lkwamy WELL g+(1IEAI-TH DE Gal Foy "rrec s a S \ f N E \ i{ Oov"It O IY O.C. NOTES: Yo v r a g F< wETLANO p~j /4o e ¦ MONUMENT FOUND TYPICAL ^RETAINING WALL a~~a O PIPE FOUND tiff e / apcyD°h p0 CROSS SECTION WETLAND FLAG A5 DELINEATED BY R. FOX n o°o 0) OF SEA LEVEL MAPPING ON FEB. 20, 2001 \p y OP ar ~,ms elr"wl°b TOPOGRAPHIG DATA REFERENCED TO NGVD '2a DATUM 1 h~ D~ pnv pc k * e.ww~i, yan° w b`e: PROPERTY ZONE R 40 oc sEOr:c RETAIN TREES LARGER THAN 8"~IAMETER Ica ry ppc r m '.e' OUTSIDE BUILDING ENVELOPE DRAINAGE CALGULATION5: o~rryvU~ "FyJ` 2 ,~a0 bPo 'P"`b WELL h0 SVfi "m rbrg ~wx~ _ FLOOD ZONE X AS SHOWN ON FIRM 3610360161 G ROOF (DWELLING) Q 'D • -21- - PROPOSED CONTOUR DWELLING ROOF AREA 1620 5.F.< - , AREA = 42,440 5.F. or O.a143 ACRE 1620 X 0.11 X 1.0 = 215 G.F. IT , 215 / 42.24 = 6.51 V.L.F. REQUIRED GRAPHIC SCALE I"= 501 PROVIDE 6 EAST MAIN STREET N.Y.S. 1-1C NO. 50202 2 8'-O" DIA. X 4'-0" DEPTH DRAINAGE POOLS tiU RIVERHEAD, N.Y. 11901 8 V.L.F. PROVIDED Q 11 p -1 JPEG-pro o{;9-8288 Fix 369-8287 REF. -iACom xt sener\ ros\CA07-