HomeMy WebLinkAboutBrockhoff, Kurt
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ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
H 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 pp
TOWN OF SOUTHOLD F W
MAR - 3
TO: Southold Town Building Department ~ 2014
FROM: Linda J. Cooper, Southold Town Clerk's Office
Tn,;
DATED: February 28, 2014 i
RE: Cesspool Construction Application
I
Transmitted herewith is a copy of application No. 4223 for a Cesspool/Septic Tank Construction
Permit submitted by:
Kurt Brockhoff 137-24
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
r
Comments: C
Signature
4 7/,-T
Dated
' o~gUf FO(,~co
ELIZABETH A. NEVILLE h`t j own Hall, 53095 Main Roa,
TOWN CLERK O P.O. Box 1179
ti x
I
REGISTRAR OF VITAL STATISTICS Southold New York 11971
W
MARRIAGE OFFICER Fax (631) 766-6145
4A
RECORDS MANAGEMENT OFFICER ~fQl C41 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
TOWN OF 9 UN D
BUILDING DEPARTMENT APPLICATION
P.O. Box 1179
Southold, N.Y. 11971
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 V or Non-Residential @ $25 Application No. Vau
Permit No.
Applicant Name Kt.Xt
Applicant Mailing Address a 7 7
G~40eo fir; /t/7 / l G/ 3S
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: //v/
Owner Mailing Address:-
Owner 7 {
Property Address: ~a l
Name and phone number of contact person A~o-p?e. S/ G -<-p? --C37 o
Tax Map No: Section 137 Block 67,_ Lot
Cross Street -i64 LO S 11-611A1-J1
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH PARTMENT APPROVAL
Signature of cant Da e
Received by: 2:::.
-y
1
TEST HOLE
EL. 17.7s 9 EUGENE CREEK
y
DARK BROWN F
LOAM OL
1 PROJECT
BROWNSILTY LOCATION s
SAND SM .y
\ PALE BROWN y
FIDE TO MEDIUM
SAND
SP
162 GIN EL. 1.5 RgMF FjOAD
WATER IN PALE
BROWN FME TO
MEDIUM SAND
17" BP LOCATION MAP
TEST HOLE PERFORMED DECEMBER 31, 2013 BY SANITARY NOTES: 1'00':
M CDONALD GEOSCIENCE
NO GROUNDWATER ENCOUNTERED 1. 3 BEDROOMS ARE PROPOSED FOR THE RESIDENCE.
2. THERE ARE NO WELLS WITHIN 150' OF THE
PROPOSED SEPTIC SYSTEM.
3. SITE PLAN PREPARED FROM SURVEY BY' PECDNIC
SURVEYORS, P.C. DATED AUGUST D, 2003, SEVATIONS
FROM USGS SOUTHDLD QUADRANGLE MAPANDSrrE
OBSERVATIONS AND MEASIIREM INI S.
t S.C.T.M. DIST. 1000 SEC. 137 BLK 02LOT9
5. SITE AREA 22,351 S.F. OR 0.513 ACRES
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JAN 0 9 2014 N Z a
SUFF. CO. HEALTH SERVICES 0 a
OFFICE OF WASTEWATER MGT. 0
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_ INSTALL DUMMY RINGS AS NECESSARY TO Y F (a
N o z L-
BRING PROPOSED STRUCTURE TO GRADE w m
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ALL LEACHING POOLS SHALL BE PLACED IN ACCEPTABLE LL ¢ IL x
LEACHING SOILS AS APPROVED BY THE SCOHS. IN THE (n ? Q W
EVENT POOR LEACHING MATERIAL IS ENCOUNTERED,
EXCAVATION IS TO BE CONTINUED TO SUITABLE
MATERIAL AND BACKFILLED AS DETAILED. CUTTING
RINGS MAY BE REQUIRED. Health Department Approval Stamp
n _ _ ~ _ _ _e._ _ _ n n QDMI/WACC DCCIfICAN"C
SF RESIDENCE
CONNECTEDTO PUEOJC WATf3i \
The existing sanitary system has been certified ' 4~y
as acceptable by a licensed design professional. % V66
%
This approval makes no representation on the
part of the Department as to integrity of the
ex gigg sanitary system. / ° ~pJO TESTHOLE
'°/°`J~\ 9L~'w('
j Ex stOEOAr LOCATON DEEP IXCHINGPO1.
OL /
~ LEANING
SF RESIDENCE tag ~
CONNECTED TO PUBIICWATEA 'S0 O 90
/Q
R 04 0 a¢ 1
-3'0xsu®m
0 a EXPANSION LEACHWG POOL j
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4t` p5~a v0a 1uvp104
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IN i ,
SF RESIDENCE
I-STORYS14GE ' CONNECTED TO PUSLICWATER /
i FAM9.YRES ; Ex. 900 GALLON SEPTICTANK
PROPOSED WATER SERVICE
COVERED ERIRy
i % SFR 10ENGE
CONNECTED TO Pl9.IC WATHi
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WATERSERVICEGGWffHTHN ? ? `
TO REGOOR0901TEDWRNSw SITE PLAN
,
\ GF /~P~ SCALE: 1W
WATERTIGHT FRAME & COVER W/
MORTAR FROST APPROVED LOCKING DEVICE EX. CONCRE
F.F EL 18.0t EX CONCRETE COVER PROOFING 24'0 PRECAST CONC. RISER BELOW GRAI
BELOW GRADE G E 18.Ot RINGS (12' MAX HEIGHT) GRADE EL
1' olio
z 2 • 1 rr
EX. TOP SLAB PVC WASTE LINE 7 N
4' SANITARY WASTE PIPE PITCH Y INCH PER FOOT
PITCH 114 INCH PER FOOT n INV EL -3.6
IV EL-2.4 INV EL-3.1 zINV. EL-3.7
35 0 V MIN.
VY MIN. a
J
4-
4~ L=2W TO 4W _ I V DIAMETER
PWa ra RePaedW Cordon Enpnaain9, P.C Una
~.w. dm.N9 r""sbbE°K°r°^I"Md°'°s. EX. PRECAST SEPTIC TANK DETAIL
Ss MbayPascoabaadlaa,da9ee1:99A Z
of afcrosed Pldad W Enre. AmWwl, a t.ad EX. LEACHING POOL DETA
Su tw, b dta ay hm b agymy. N ee Mmba<ag to
creel do EnOirs. AnddacL a4nd Savona a dlaed tle m _
d10a0 figlea. Mddsl ar IaM Savgashd dis b tla
HIGHEST EXPECTED GROUNDWATER ELEVATION -16.2 BELOW GRADE (EL1.5)