HomeMy WebLinkAboutHerrmann, Doug �o��g�FFO(,�-�O
ELIZABETH A.NEVILLE, MMC r/y Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
co
cn Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �j �►a
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK nti� -
TOWN OF SOUTHOLD F'--- n
TO: Southold Town Building Department
I AUG 2 6 2014
FROM: Carol Hydell, Southold Town Clerk's Office Bti,G. DEPT.
TOV by nr_SOUTHOLD
DATED: August 22, 2014
RE: Cesspool Construction Application
Transmitted-herewith is-a copy of applicationNo: -42s-mor-a-CosspM/SSSeptic T-&*-Construction— — - ---
Permit submitted by:
Doug & Barbara Herrmann
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
d 912--6 1,
Dated
ELIZABETH A.NEVILLE �`� �f, Town Hall,53096 Main Roa.
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS x Southold, New York 11971
MARRIAGE OFFICER QFax (631) 765-6146
RECORDS MANAGEMENT OFFICER Ifo �� Telephone (631)766-1800
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 @$10or Non-Residential @$25 Application No.
----�� Permit No.
Applicant Name �� 1,- /3, ,g, /�fi,�?Z2/�A�d J�
i
Applicant Mailing Address A-weli fie—
A/
f/
Septic Tank or Cesspool
Brief Des ription of Proposed Construction or Alteration 4/Z4,)-2 5-ZI411-
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: 1
Owner Property Address: S— a�41
Name and phone number of contact peaon
Tax Map No: Section Z/6 Block fVZ- Lot
Cross Street
NOTE: LOCATION MAP MUST WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S Y H H DEPARTMENT APPROVAL
zz , /�
Sign a of Applicant Date
Received by:
N�An'
CsePCO (PveSU��Ql•�f
TIC & WfLOCgNG) CIC wA�R IN S;=
TION UNKNOWN,
LCtNG WIN PU
BCtO Wq�R,
GRADING PLAN
IPE
F.F. EL 13' PIPE PROPOSED SEPTIC SYSTEM
nN p?ADE a- r1 (4 BEDROOMS)
'E
1a2' I.E. �- I.
T [1] 1,000 GALLON SEPTIC TANK
9.7' rAW 92' 9.D• [3] LEACHING POOLS 4' DEEP x 8' DIAMETER
rO aAC#MW
PM 1
ARWNDWATM EL 1.2'
FLOOD ZONE FROM FIRM RATE MAP NUMBER 36103CO501H
SEPTEMBER 25, 2009
ELEVATIONS REFERENCED TO N.A.V.D. TEST f
DkG I am familiar with the STANDARDS FOR APPROVAL McDONAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE 9
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES EL. 10.0'`
and will abide by the conditions set forth therein and on the
permit to construct.
The location of wells, cesspools and public water shown hereon are
from field observations and or from data obtained from others.
ANY ALTERCATION OR ADDITION TO THIS SURVEY IS A WOLAAON EL. 1.2'
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
Q
o -
� 2
225
eDc or a 00
"f441-NT SUFFOLK COUNTY DEPART✓ME,NT OF ht
�Eer) 1�' SI i.h FANiIL„��I�Ff)t fig" aG r. ON!L
I
- f� 9.a• DATE H.S. REE. ;qU.
APPROVED,
FOR MAXIMUM OF Ll EI)RO iMS
EMPIRES THREE YEARS FROM DATE OF APPROVAL
N
(SEP Pi G)
CERTIFIED T0:
DOUG HERRMANN
BARBARA HERRMANN
TOLE DATA FIDELITY NATIONAL TITLE INSURANCE C
GEOSCIENCE
'27/11
DARK MWWN LOAM OL HOUSE AND GARAGE DESIGN BY: � ti
0.Is, MOWN LTY SAND sM STEPHEN ROSSETTI— ARCHITECT !
2 PALE BROWN SILT ML 30 WORFIELD WAY
BROWN SILTY SAND SM SOUTHAMPTON, NY g
4' `
PALE BROWN FINE SAND SPS
NO. 49618
;ATE e.eCON/C S � ,K, "Fl.C.
WATER IN PAIS BROWN FINE SAND SP (631) 765-5020 FAX (631) 765-1797
P.O. BOX 909 r
"' r w AREA=33,750 SQ. F7. SOU J"HOtD, N. STREET 11�. 06
i
U
N m
a
c�
z
a
RAIN RUNOFF CALCULATONS
HOUSE & GARAGE= 3,261 sq. ft. 10.8.
3,261 x 1 x 0.17= 554 cu. ft.
554 / 42.2 = 13 VF �t ,l g,
PROVIDE 2 DRY WELLS 8' DIAMETER x 8' DEEP
68�2p
OR EQUAL.
w
_ _w�
z j
S � I
U
N
X
`� 1
r
PROPOSED DRIV"i%'y o
O �
2
O m DECK
z I�, zo1„C X _ .
SURVEY OF PROPERTY
A T CUTCHOC UE
TO N OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-116-02-14
SCALE• 1'=30'
SEPTEMBER 24 2011
NOVEMBER 4, 2011 (CERTIRCATIONS)
DECEMBER 16, 2011 (REVISION)
MARCH 9, 2012 (REVISED PROPOSED HOUSE)
JUNE JULY 3, 2019, 012 (REVISED SEPTIC 2 LOCATION)
(REVISED SEPTIC LOCATION)
ND
�D�LLING
*Y771 ARGUERi�r GI
PUBLIC 1VA DgWD
DMVtWAY -- �, SLING PUB
LIC
WAT
4 _ EL 11.0•
2.0 -�
co
� ec. 10 9, ' �1
W c�
z
20•
N E� VLu)
SP �7EM b
40
..
aFFtGE
�. 421