HomeMy WebLinkAboutWebster-Freed o��S�FFO(,�►�oG
ELIZABETH A. NEVILLE,MMC �� y Town Hall,53095 Main Road
TOWN CLERK p P.O.Box 1179
cn 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ro .lC Fax(631)765-6145
MARRIAGE OFFICER y
RECORDS MANAGEMENT OFFICER ��,( .� Telephone
FREEDOM OF INFORMATION OFFICER www•southoldtownny.gov
765-1800
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK iF1 E C U
TOWN OF SOUTHOLD I
'D(� 11 JUL -8 2014
TO: Southold Town.$uilding Department
BLDG
.O PT.
FROM: Carol Hydell, Southold Town Clerk's Office TOWN OF�QUTNOLD
DATED: July 8, 2014
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4246 for a Cesspool/Septic Tank Construction
Permit submitted by:
Edith Webster-Freed & Todd Freed
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 ,s
Comments:
Signature
� 7 /
Dated
ELIZABETH A. NEVILLE �`Z` �G�, Town Hall, 53095 Main Roa.
TOWN CLERK C P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �y `� Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER �Jfo aO�` Telephone (631)765-1800
FREEDOM OF INFORMATION OFFICER '� [ `�` southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10-/Y—\ or Non-Residential @$25 Application No. 2 46
/ Permit No.
Applicant Name
Applicant Mailing Address f00 k"'Ji
Septic Tank. or Cesspool
Brief Description of Proposed Corl4ruction or 41teration
Location of Proposed Constru tion/Alteration:
Owner of Property:
Owner Mailing Address:.
Owner Property Address:
Name and phone number of contact person ""� -��j-�
Tax Map No: Section —Block Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY TH DEPARTMENT APPROVAL
Si e of Applicant Date
Received by:
ViU
STREET ADDRESS: 12400 NEW SUFFOLK AVENUE SURVEY OF PROPS E OF WAST ml
Mf
N A T CUTCHOI}UE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, MY
PUs5cwq Wer IOW-116-06-12.1 & 12.2
A rnent Of existing sani � stem must be in ) SCALE. 1'=30'
cOnfOffnance with depa ent requirement Submit SEP7mmaER O, 2012
l forth � PU9(/C W W)TM JULY 2. 2013 tTOPO & B.O.H)
R) SEPTEMBER 6. 2013 (REVISIONS)
• SEPTEMBER 10, 2013 (LOC. VEGETATION)
NOVEMBER 22, 2013 (SETBACK LINES do LOC. TREES)
DECEMBER 3. 2013 (EDGE OF BEACH FLAGS)
,1y FEBRUARY 5, 2014 (PROPOSED HOUSE)
+�O•
FEBRUARY SSYSTEM)
24, 2014 (REVISIONS)
APRIL
N
GRAD/NG PLAN MAY 6, 2014(REVISIONS)
u�y�n, ,
E SPU@UC WA (VAC
MAY 20,2014(REVISIONS)
F IL PIPEA � ``� EDgE R IN S�FfT) a v -"�� MAY 29,2014(REVISIONS)
EL to• QVAOE EL S' OA � ,��' _ �? "5g'?0 E\mss P�''two,
ALO' I.E. �E
.r I'/tEaarvo � i
i POOL l i -
aEAN s e i r 11 '48 75
PROPOSED SEP77C SYSTEM 1.4' t�' r
N.T.S. ' i Nt� FOLK COUNTY DEPARTMENT OF HEALTH EA
1 / PERMIT FOR APPROVAL OF CONSTRUCTION FOR ACs
[2] (5) POOL CLUSTERS OF 10' DIAMETER x 2' DEEP � '.:'°`�� , q� a°r sir
LEACHING POOLS � � � +,3• S,m � S1NCLt F4MiLY RES►Dl+Nc�
G
f _ iV LY
c,
[1] 2,000 GALLON CYLINDRICAL SEPTIC TANK f �(/N
0 3 2014
10' DIAMETER WITH A 4' LIQUID DEPTH ��j / 1 DATE ;�. PO Alo-lq
APPROVED
TO BE BUILT TO SUFFOLK COUNTY DEPAR TMEN T OF z
HEALTH SER W CES SPECIFI CA TIONS Fon MA
I 5, I I� om �. `y o 1 t3 OF BEIM00r.s
EXISTING SEPTIC SYSTEM TO REMOVED IN ACCORDANCE - e.' ; , Q� N 1~XpIP�" '' �I~ YE" P
4,� �, •� SFr OM DATE G APi�,RpV��I_
WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH SPECIFICATIONS. m / ' Q=' N
n
WELL TO BE ABANDONDED,LOCATION UNKNOWN �° o /
STORMWATER MANAGEMENT CONTROL PLAN
SITE DATA >Fsr/T
TOTAL ACREAGE (000-116-06-12.1 50,510 sq.ff.
1000-116-06-12.2 14,748 sq.ft. (D r � I � I ^ (i �
TOTAL ACREAGE 65,258 sq.ft. PUB�W WIC ' / 1 /; �� cation if3S
r
AREA OF DISTURBANCEi 24,000 s .ft. ) rb. '' it l a Z_ For Sanitar'C�1C?n Required
FREED DRAINAGE CALCULATIONS U rr io Dep c1 e/lt
HOUSE ' ago ® r 3
ROOF AREA 4025 sq.ft. x 2" = 671 cu.ft.
USE= (4) 8'0 x 4' deep = 675 cu.11. / -• "" ,-
(2) 6'0 x 5' deep = 223 cu.ft.
USE 4" PIPE TOTAL = 898 cu,ft. 4 / / ? STY
USE 4" PIPE r
DRIVEWAY 1 O tiO►taj (OWE U
AREA #1 GARAGE DOOR AREA 4
C
�� •�. m_ i' 2 PUBLIC W STH
1805 sq.ft. x 2" = 300.8 CUM. �/ o
IJSE (2)E8'0 x 4' deep = 337.92 cu.ft. x j'-�
AREA #2 TURN AR(JUN(J AN! FAR►CIt*IG 4 y `r �s�
we icy cs w , t veep = )3r.ye cu.it. — %,g /f
f8• 'IPF- , v 5m
2 c, r
AREA #3 DRIVEWAY ENTRY PRgp I 7.4 r �a H 2
1850 sq.tt. x 2• = 308 cu.tt. i AFD a
USE (2) 8'0 x 4' deep = 337.92 cu.tt. ir f SUNG j f
+s.o' �• ' +e. i
USE 4• PIPE FROM TRENCH DRAIN �
I 24 j
• DRAINAGE STRUCTURES ' ° '
(A) = 8'0 4' deep i r
(8) = 6'0 x 5' deep r i
j I )aST IO r TEST HOLE DATA
MUM I
r _-REMOWM _�1 /� 140 Luh ; 2 BY McDONALD GEOSCIENCE
F - _ / Q 6/11/13
Q C - --� !, I L S , 9.
— 1 qY T r AMPLE �. EL 6.5'
3• 7, �4- ___ OPSo �- DARK BROWN LOAM OL
,ems" °E`�ct+JLs• I c � `/i 4� I -- 1'
-_ FLgt DECK BROWN CLAYEY SAND SC
• _ ' C
MFLI
aelt PALE BROWN FINE SANG SP
2 Cfb �b AN 4 ap / EL 1.4' �- &"
2� J
Ori, Ir O 12• WOE 4 JL_V A ttQST WATER IN PALE BROWN FINE SAND SP
CED OAK ro 4: co
Nqy 3� DAR 8 \ ,8 ,)Ia-0 12'
LOCUST
.� Qrw
FtIfOF
` FLOOD ZONE FROM FLOOD INSURANCE RATE MAP
FSTORMWATER ROM STORMWATER MA
�NAANENT CONTROL NT CONTROL �QV� �*14% /rye MAP NUMBER 3610300501 H SEPTEMBER 25, 2009
PLAN BY R ZRT'�S �?pf / ELEVATIONS REFERENCED TO N.A.V.D. 1988
JOSEPH RSCHET77, PE. k
RQBOX 616
SOUTHOLa NY. 11971 �►£
831-765-2954 CERTIFIED TO:
ANY ALTERA77ON OR ADD1776V TO THIS SURVEY IS A WOLA77ON ?' TODD FREED
OF SECTJON 7209OF THE NEJM YORK'
STATE EDUCA7701V LAW. A� EDITH WEBSTER FREED
EXCEPT AS PER SECTION 7209-Sf�b10 W.T N Z ALL CERAFlCA770VS1 ADVOCATES ABSTRACT INC #ADA2455—S
RE
HEREON AVAUD FOR THIS MAA AND CONIES THEREOF ONLY IF �p� aro. STEWART TITLE INSURANCE COMPANY
SAID MAP OR COPIES BEAR MIPRESSE'D SEAL OF THE SURVEYOV? "4!� �qy Of=
WHOSE 9GNATURE APPEARS H&REON. 74
/ am familiar with the qTANDARDS FOR APPROVAL ��` '; c:, G
Sh : wiz .
AND CONSiRUC710N OFSUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
d will abide by the conditions set forth therein and on the
M
to construct. '
The location of wells pnd cesspools shown hereon are / ( '� NO. 49648
from Feld observations and or from. data obtained from others.
CONIC YAKS, P.C.
` (631) 765-5020 FAX (631) 765-1797
TOTAL AREA-66,258 90. FT. TO TE LM P.O. Box 909
1230 TRAVELER STREET 4 _ _�A n