HomeMy WebLinkAboutPitman, John
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ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p .F Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER j
wwwsoutholdtownnY.Bov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK D C E U
D
TOWN OF SOUTHOL
D
AM 19 2M
TO: Southold Town Building Department
BLDG. DEPT.
FROM: Carol Hydell, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: April 18, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4212 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bruce Anderson for John Pitman
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
Signature
Dated
Mot
Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE J~ P.O. Box 1179
TOWN CLERK co
= Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER southoldtown.northfork.net
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 /or Non-Residential @ $25 _ Application No. 1
I
Permit No.
Applicant Nam'e'
Applicant Mailing Address Z w!
N p ( o
Septic Tank_ or Cesspool v 1. ~~;Sh ~C I S}17_
Brief Description of Proposed Construction or Alteration y~
11.r. uMs~.?~+t Mt W d~~J+-llt c+~
6,10
Location of Proposed Construction/Alteration:
Owner of Property: .So h r4 T 1. r 1µ
Owner Mailing Address: Z C ~l
(m
Owner Property Address ~ - y C'
Name and phone number of contact person c.
Tax Map No: SectionpI!r-Z- Block 2 Lot L
Cross Street LX y0
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES Y WI HE DEPARTMENT APPROVAL
lgnature of Applicant ate
Received by:
•
SCDHS Ref.# 810-12-0018
TEST BORING
I/ McDonald Geoselence A qA
7121110
a EL 16.5 T. t'O 0,
Dark Brown The locations of wells and cesspools 4qPC Ss,
Loam oL shown hereon are from //sill observations g O
os' and or from data obtained from others, S i9~9Fc
Brown Slit ML Therefore their locations and or existence ds3' is not guaranteed, sy s
~`rT
Brown Sflfy Sand _ 7Q \00,00 r0
with 10% Gravel a
~ A
+0
B' \ OQ
Brown fine to Coarse O' a Q i ",T
Sand sw
15.8 EL.T ,O,•
Wafer to Brown Flab
17 to Coarse Sand S SW
Q
.5 zOa Op
Aq 1,
R 8)
4t) ~C q
/ Ong 0 y ' JP~re
N 0 R T Wate MUST Be Inspected B Th h
uffolk Coun Dept. Of Hea fthServices. hi
Ca 1852-570 , 8 Hours In A a0,~, T / ti 1'
To Schell inspection(s). hr /i C '
PROPOSED SEPTIC SYSTEM 00
(4 BEDROOMSI C~yo , ~0 P ay0 0
1 - 1600 GAL. PRECAST SEPTIC TANK ~[vP
I- LEACHING POOL 84 , 12' DEEP WITH
3' SAND COLLAR (SWJ BOTTOM TO BE `@y C S ~O• - 0 v ~P
3' ABOVE GROUND WATER
H4,.~,' - S .ir• C2 ta\'(,
PROPOSED DWELIN G TO DISCONNECT
FROM EXISTING SEP7'1C SYSTEM fY a P Q
EXISTI
NG HOUSE NOT SHOWN HEREON .°0°d, ~Orfit R
Zlnli
To BE RF~4f0VED , ~ By He ~ry Sys e9'uir
RAIN RUNOFF,CONTAA#WFNT HOUSE $I th De artm
110 x/ • 0.17 - 195 CO. \0 ii. \nr ~T n`
193&2J - 9 W.
PRDt'W 2 DW, Wo • T deep
,o r
1; HOUSE
z~ 1/1.A, A~' Fe. Fr. W 1e
EL 17.9 Fh G.aM EL 174
0o& 1E Ica sr ~ 03•
0 v 16.0 [ E 15.4 0: ,3f ~ ~ Iss LP IE
ELI p?
. p•~h `~v ' '0 0 ~s+ •C' pA GAVLW WATER EL 0.7 NOW Eq*Wa
TEM CROSSECTION
4j40\\C SEPTIC
SCALE
0 o
OQO
zp"E ` zo°opg~ \c~ ~o OF~Pv~ S(VEY OF PROPER TIES
.r I tes e° AT
a
ARS4AMOMOQUE
TOWN OF SOUTHOLD
FOLK COUNTY, N. Y.
\ wq OLK NTY DEPARTMENT OF HEALTH SERVICEi r 0 - 52 - 02 - 34 ua
PE6MISWOR APPROVAL OF CONSTRUCTION FOR A 00 - 52 -03 - 11 W
U
r SINGLE FAMILY RESIDENCE ONLY Scale: 1"= 30r Q ~,y
S sg MAR 1 9 2013 Au9• 18 2010 W 2
,g •'`30• DATE Au . 32012010 (cesspools) 7 c~+
d' H. EF Sep F.51 l4,, 211(rsvOe H (PROP MQ7
F r I
'y4 APPROVED March 13, 201 (revisions) U
Apr!! 2, 2
'QQF FOP, MAX U F '
_ BEDROOMS May 1526A2 (rawo")
a- L6TH EXPIRES THR YEARS FROM DATE OF APPROVAL ,Jane 21' 2012 (oddKlon)
O LL. 4
v - WETLAr FLAG
LANDWARD ~6E OF TIDAL WETLANDS AS DELINEATED OP
SUFFOLK ENVIRONMENTAL CONSULTING, lNG AUGUST , 01161 11 (1 !1 111 1 , NE
istin qP~~ ft,
COn~ fp $ S801t r,
I am familiar with the STANDARDS FOR AP 0[r~1~ wjth ~
' dept ystem must be in OWN
AND CONSTRUCTION OF SUBSURFACE SEA to "Iree
DISPOSAL SYSTEMS FOR SINGLE FAMILY °w meDt$Ubmi(
and will abide by the conditions set forth therein and on the pr..
permit to construct.
FLOOD ZONES FROM FIRM 4d~
36103CO158H
ANY ALTERATION OR ADDITION TO THIS SURVEY 1S A VIOLATION, 1d0.49618
OF SECTION 7209 OF THE NEW YORK STATE EDUCAT~y LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION p ALL CEMTIFICATIONS PECON/C SURVEYORS P. C.
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY r
IF SAID MAP OR COPIES BVR THE IMPRESSED SEAL OF THE (631) 765-5020 FAX 765-1797
` SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 909
12,30 TRAVELER STREET 0-~ 86
SOUTNOLD
ELEVATIONS ARE REFERENCED TO NA VD 88 , N. Y. 1197/ 10-187