HomeMy WebLinkAboutWren, John
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ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
to Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK D C C E ~ W
TOWN OF SOUTHOLD D
APR - 5 2013
TO: Southold Town Building Department
BLDG. DEPT.
FROM: Carol Hydell, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: April 4, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4210 for a Cesspool/Septic Tank Construction
Permit submitted by:
Meryl Kramer for John & Sharon Wren
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 approval required from the Suffolk County Health Department
r
Signature
0513
r /
Dated
• - _ AgpFFO,(,~~
'ELIZABETH A. NEVILLE Town Hall, 53095 Main Roa-
TOWN CLERK P.O. Box 1179
Southold, New York 11971
'
REGISTRAR OF VITAL STATISTICS Fax (831) 786-8145
MARRIAGE OFFICER O
y'Jyot' _.A.~ Telephone(681)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLEAR
TOWN OF SOUTHOLD
LD
~oWly p DEpp~MEN~OUTHOLD WASTEWATER DISTRICT
?NG 79
D j
BUIL P•O 80%,j •11911 APPLICATION
Souk
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK t1
Residential @ $10 t/or Non-Residential @ $25 _ Application No.
Permit No.
Applicant Name "U MA-MOP-
Applicant Mailing Address PO 50)(- C9~)~5r. GPI N?0f--t-
Septic Tank_or Cesspool
Brief Description of Proposed Construction or Alteration KRALIOUlg -01 AU D
smie .r, s-m eY A=in o N)
Location of Proposed Construction/Alteration:
Owner of Property: c)Ut( A /D bh/
Owner Mailing Address: 215 +h?P171)0Z 14ff Q V
~j~(v r,b R!Y t 1°f ~7
Owner Property Address: SA~ns
Name and phone number of contact person LAP, XL l;, d-41- g i 3O
Tax Map No: Section (g Block _ OZ Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL'
liy S~igr~ a ofAp Mail Date
Received ' ` 3
A7 ; SURVEY OF
LOT 2 " A
a'7 BLOCK 7 MAP OF
BEIXEDON ESTATES
`AC~PS~~ FILE No. 147 SITUATE MARCH 16, 1946 13;46 .S
148 s a E E SOUTHOLD
d,o oo~ TOWN OF SOUTHOLD
` edry 55e° SUF OLK COUNTY, NEW YORK
z O~e~p051
n SS .CC
TAX No. 1000-66-02-32
J~Q~~Uco`_' SCALE 1 "=30'
MAY 16, 2
~~`\~c ~PtEa ~Pt6R `~O Y ° '2 \
-`--I=EBRUA Y 24, 0110 ADDED PROPOSED ADDITIONS
sere eog~`c s~* MARL-~i 25, 2010 REVISED PER S.G. D.H.S. NOTICE DATED 03/18/10
~z~- ~~~0 ~~P p5~ t9<w O -'~TL AREA = 10,944 sq. ft.
bo- FXPIt 0.251 ac.
J~
NOTES:
I po' ti BSa 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
I ~Z z y~o a~ ~yG EXISTING ELEVATIONS ARE SHOWN THUS:- 1D.D
P i 1 ° a 2 'P >"G p - 2. MINIMUM SEPTIC TANK CAPACITIES FOR 5-6 BEDROOM HOUSE IS 1,500 GALLONS.
ue \ , a i a O F 'jL.P O. 1 TANK; 8' DIA., 5' HIGH
Ol : f - i O n ° ,FY ~(C 6 3. MINIMUM LEACHING SYSTEM FOR 5-6 BEDROOM HOUSE IS 400 sq ft SIDEWALL AREA.
6 ° a ~A -5'@ 6ti 1 - x o rn OT O 2 POOLS; 8' DEEP, 8' did.
%
LOT O 00 Fk 4 O,NF.O~~G ~P~~ PROPOSED FUTURE 50% EXPANSION POOL
yN' l ~~~000'
T S
X06 y'. fP yo \ ~p~;j O~ J ® PROPOSED 8' DIA. % 8' DEEP LEACHING POOL
PROPOSED 1,500 GALLON SEPTIC TANK
\y'C. OLP~ 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
'fig Qi' rWpy\- 2Stov.+M,,a~sE I `M1 r 'off64311- + I OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
eR.~o 0, Y`I'N Tom. F sV - 5. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND EITHER BE REMOVED
a C zi
s p $ sT OR FILLED WITH. CLEAN SAND IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
~4 a 3 1: e'O S~ cpS~ Car ;P
6. THIS PROPERTY IS IN FLOOD ZONE X
FLOOD ZONE INFORMATION TAKEN FROM:
O GmG~y ~„ra .P" o O E
'm Yec FLOOD INSURANCE RATE MAP No. 36103CO158H
c w
ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN.
so ` eo oao10 ~.p~Q•t?s`~o°~ TEST HOLE DATA
y
V' 1.T.0 S y0'C N pL`,S, (TEST HOLE DUG BY THIS OFFICE ON JANUARY 5, 2010) µ=SR+ Acr + u U u
PSf" (0 EL 14.E 6( TXC LI
O„1Eguc O ° BROWN Y DV LDW aE CERTIFIED T0: sucH wpel~ D
0 JzEZ°° JOHN E. WREN (O
Bwowx um. suoo SM SHARON WREN Z
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TE111M'SH BRJYM PNE TB CW¢E YND SM 0/1.
u.o'
EXISTING BUILDING COVERAGE DATA PROPOSED BUILDING COVERAGE DATA N. . Lim. No. 50467
UHNUBgx® 1ETErtATpN p( IDdBdx
TO TMS sUR+EY ¢ A NOUTION ai
W. OF THE NEw VORK STATE Nathan Ian Taft Corwin III
DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE E~DDrnUON MIN 7LAW720Q
THE LA uRv
EXIST. HOUSE 992 sq. ft. 9.1% EXIST. HOUSE 992 sq. ft. 9.1% w:TEx COMES OF THS s1AMY WP NOT BEARMG
¢ Su C THE SS SEQ. OR's SN OR
dxE TO OOARsE WASE SuN Sw EMBUSSfD LID O RUE C NOT OT BE E 0ON9DERED
Land Surveyor
TO RE A vN TRUE COP(.
EXIST. PORCH 286 sq. ft. 2.6% PROP. ADDITION 1,246 sq. ft. 11.4%
CYIFICATONS PERSON ED HEREON Stall RUN
ONLY To THE XE PERSON FOR WHEN 1 SURVEY
TOTAL 2,238 s ft. 20.5% PREPARED, AND ON HIS xa mEUr To TD THE
EXIST. GARAGE 384 sq. ft. 3.5% q• TIRE cduvurc, GWEUSFEDHE HEREONAGEN~. A AND TYk Surveys - Subdivisions - Site Pans - ConstrOCtfon Layout
TO THE '~IMSGNEESH OF F THE ENDB0GNo
ROPR-
TTUTO+EiRfOIflC~T10N$ NOT TRANSFERABLE PHONE(631)727-2090 Far (631)727-1727
TOTAL 1,662 sq. ft. 15.2%
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT "LING ADDRQS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 1566 Man Road P.O. Box 15
Jamesport, New York 11947 Riverhead, New York 11947