HomeMy WebLinkAboutSmyth, Richard
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ELIZABETH A. NEVII.LE, MNIC h~0 D Town Hall, 53095 Main Road
TOWN CLERK C2 P.O. Box 1179
w ; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145
MARRIAGE OFFICER 'f~O a0t Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER 1 www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK ~p
TOWN OF SOUTHOLD r::
TO: Southold Town Bui
ldin Department g 3 2013
FROM: Carol Hydell, Southold Town Clerk's Office
DEPT.
SOUTHOLD
DATED: May 3, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4217 for a Cesspool/Septic Tank Construction
Permit submitted by:
W A Sclight Architect P.C. for Richard Smyth
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
Date -
ELIZABETH A. NEVILLE Town Hall, 63095 Main Roa.
TOWN CLERK p j P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER ~fol O Telephone (631) 786-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.rtet
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD TOWN OF SOUTHOLD
BUILDING DEPARTMENT
P.O. Box 1179 SOUTHOLD WASTEWATER DISTRICT
-
Southold, N.Y. 11971
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 u or Non-Residential @ $25 _ Application No. L f 2 7
Permit No.
Applicant Name W. A. Su-+4wr Aulf/rECr, /0 C
Applicant Mailing Address 11O. BOX y6
wstpc ,+s/~c ,?Y
Septic Tank<_or Cesspool
Brief Description of Proposed Construction or Alteration
AlEW 2 - Sr4%X SINEL! F4N1,ty Ow GG/N j
Location of Proposed Construction/Alteration: .
Owner of Property: 121t#41ZR Sr+yry
Owner Mailing Address:_ A0. Aft 1/6
y4TEfz M/LL ,~Y //yi G
Owner Property Address: 41 S 4061A~ -#W A 4.v6
Name and phone number of contact person ?AW NICffoUe,-/
Tax Map No: /000 Section 9f Block 05 Lot 12-
Cross Stmet _ /Np/9l? -1ec& /Rdgp
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH IIVALTII DEPARTMENT APPROVAL
e of Applicant Date
Received by:
AREA= 24043 S, F: SURVEY OF PROPERTY
N RAIN RUNOFF CALCULATONS AT PECONIC
2,446 HOUSE x 1 x GARAGE= 0 17= 416 2,446 cu. s ft ft. TOWN OF SO UTHOLD
416 42.2 = 10 VF SUFFOLK COUNTY, N. Y.
PROVIDE 2 DRY WELLS 8' DIAMETER x 5' DEEP
OR EQUAL 1000_88-05_12
.
S'C'ALE 1'=30'
MAY pp1
TER) JULY ~13IF
PU~C W
~n\ AUGUST 30, 2012 (B.O.H)
~p~pElumr-s OCTOBER 25, 2012 PROPOSED HSE.)
MARCH 22, ?013 (RtWSED HSE. LOCATION
El- 12.6
(pUBUC VYP.'[ER 1N STREoAD
PaE cs• ~~X~
DOAN
OF PA 06 a„ 14. ~1h IAON*
4.SE
3f3FPt3LIt.COIR~TY D AR AF F ERVi
P1 ~
PERMrr F4R APPROV >T3tUC'fI~N Ft Hr
&1NGLR F lD NCE ONLY $ NOj0
D I t f a 6~~ Z x. Ill O~lz-00Z 7 o y
AP OVED _ 5d c^ , O
MAXIM DRO O \.,V- °N
THREE IF DATE O APPROVL l- 4 R ~~S
Z \ 9 J
th $
Revised~anApp W 65 L? '~kd ~ 9 ~ N ~ ~ ~
y%,1
y4r.yCtn$ . ~ Y~f.l G \ o Q ~ \
U
19.0'
Y
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~ ~ • U%qvw 3,~.p G YIL~ PUg11C wA~RI
g~3 4 p,~yN
O m o 14.6 Vol
-n
rn n N
VIP-
°o ?z M z 61 PROPOSED SEPTIC SYSTEM
i :1U 0 (4 BEDROOMS)
x c §a \ 1 1,000 GALLON SEPTIC "TANK
LEACHING POOLS 6' DEEP x DIAMETER
W v
--0 m w ? P'I c
s ;ri O 1 TEST HOLE DATA
M f \ BY McDOJALD GECSCIENCE
7/27/12
Aj EL 11.2'
DARK BROWN LOAM OL
I am familiar with the STANDARDS FOR APPROVAL 1'
AND CONS7RUCT70N OF SUBSURFACE SEWAGE BROWN SILT ML
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES a'
and will abide by the conditions set forth therein and on the PALE BROWN FINE iD MEDIUM Sum SP
permit to construct.
ELEVATIONS REFERENCED TO N.A. V.D. OF SIV
The location of wells, cesspools & public water shown hereon are 5 O~
from field observations and or from data obtaened from others. 7 WA IN PALE BROWN FIRE TO MEDIUM SAND SP
LOT NUMBERS REFER TO "MAP OF PECONIC BAY OAKS" 1
FLED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON
OCTOBER 18, 1961 AS FILE NO. 3434. N.Y.S. LIC. NO. 49618
ANY AL 7ERA 70V OR AD017M 70 77*S SURIE'Y 1S A WMA 770N CONIC ISMVEYORS, P. C.
OF SEC77ON 72000F 776E NEW YORK STA7E EDUCAWN LAW. ~ (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SEC7 1 72~S w J 2. ALL WWrATKWS P.O. BOX 909
HEREON ARE VALV FOR 77AS MAP AND CQP#ES NOW f1WY F
SAAR MAP OR COPIES NEAR 7751E A V'RESSED SEAL OF 7HL SL#?WYOR 12,30 TRAVELER STREET 12-225
WOSE SIGNATURE APPEARS h0WON. ¦=MONUMENT SOUTHOLD, MY 11971