HomeMy WebLinkAboutBouboulos r
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ELIZABETH A. NEVILLE,MMC r/y Town Hall,53095 Main Road
TOWN CLERKC P.O.Box 1179
CA 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145
MARRIAGE OFFICER �'� Ot' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �j �►a
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department De j t� AUG 2 8 2014
FROM: Carol Hydell, Southold Town Clerk's OfficeBiPG 11..FPT.
TO`r;'P Or :iOC; OLD
DATED: August 28, 2014
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4257 for a Cesspool/Septic Tank Construction
Permit submitted by:
E. End Construction Svcs for Bouboulos
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
. EfO�,�co
ELIZABETH A.NEVILLE ti� Gy Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,? Southold, New York 11971 I
MARRIAGE OFFICER �, • Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �JJ 'z". Telephone(631) 765-1800
�l
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
1
OFFICE OF THE TOWN CLERK G
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
'Residential @$10 -/—or Non-Residential @ $25 Application No. S
Permit No.
Applicant Name �f. c.S
Applicant Mailing Address /.S6 IJW"iLxV ic-'J Pei S�T1J 0 L-0
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration tw lQ�
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: Cjo
Owner Property Address: gni(, 4JAy
Name and phone number of contact person yrs t4§z—
Tax Map No: Section_�Block S� Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 4
4-7 bYl
Signa of Aa6licant Dat
f
Received by:
`J.L;. I.M. NV. U►JIM19.01: /UUU JGIiIIVIV: LI LVI`J1. r
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#R10-14—0022
�O R0'0 SUFFOLK COUNTY• DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
A.
�.. SINGLE FANiILY RESIDE.NcE ONLY
4�
AN 0 g 2014
\7 '� ►�. DATE
; H. REF. Na. '[
to APPROVED
FOR A9AXt ht F SyOR00m's
EXPIRES TH,RE YE. RS FROM DATE OF APPROVAL
i
i
i
i
` excavation inspection
Required
For Sanity
rY System8y Health Departent
AVERAGE LINE OF BLUFF
AS SHOWN ON MILED MAP
O�JFF 0�J�
° �` Sanitary system to be
°�F installed exactly as
F
shown 0,11 approved survey.
� >w
' E NOTE
ko
!n ,NooD Sanitari ;stem nn".to be i sta:led
M SK 100' SETBACK under wi fast.
Z i d 50.4
i J SETBACK LINE AS SHOWN
�// ON FIILED MAP
36
// �/ i X48
/ 38 / 4416/
MON. / ► 42
/ l
i ! 40
! J ! P&
CREST OF BLUFF AS DELINEATED I 1 t I 1 i 50 n W
BY EN-CONSULTANTS INC.
DEC. 2 2008 x� j
(AS SHOWN ON PREVIOUS SURVEY) ` I 1\p i ` 1 /AREA MAINTAINED
�� i T SY OTHERS.
\ � 1
4 LOT 141
34, \ 1 1 \ ; , \ x2.6'
\iA _ \ 51.6
DWEw►G
' OPEN SPACE "E"
AS SHOWN ON FILED MAP i 1 \\ \� �\ /\ \\ ; 1 DWELLINGS
w/PUB C WATER
BW396S �d� j \ 1 \ \ \ \ \\ i iso' —� •
1 �t \
' 1 \\ \� it rl 2" RAIN FALL EVENT DRAINAGE CALCULATIONS:
I \
/ (A�
wm � 1 A) DWELLING FOOTPRINT W/COVERED PORCHES=3,184 SQ.FT.
i 1 ,tom p 3,184 x 0.166=528.54 < 529cf REQUIRED
STAKES & FLAGGING SET SEPT. 30, 2013 (2) 8'D!A x 6' DEEP DRYWELL=530cf PROVIDED
0 0.� /1 i; 4 TO SHOW APPROXIMATE LOCATIONS
i / I I 'OF PRA TURES
0 N ANDBOUNDARIES.
O I 0.4! 56,-1 1 iV FOROPOSED TIMBER WALLS C.I. LOCKING
!A 0 I I ( •� t�+ T�/ q COVER TO GRADE
BW .O> (40.0) FINISH GRADE
cn 0 1 t1 I I j % W ) GF(40.0)
0 0 1 � y trio)
s y 0 1 1 t W<48�) t'MINy2'►IAX ? �
m CD 0 1 .1 t BWC44 )
4 c. \\ i 1 / 4,p 1/4"—FT. U AR 1
k 40.0) U 7.6 BW<40.p� 6 �.
�.F.( , 1 g ERT N 6` SLAB (36.0)
TOP SOIL ; 1�-+ 7.g' t 37.0 J6 \ 52 I(NVERT'J 36.3)INVERT INVERT
-- T
1 C ) (35.8) (35.7)
0 3 1 t \ -0 FOUNDATION FLow 8,0 3' COLLAR
WALL BAFFLE M! P00! CLEAN
t z \ z
0 1 _____ 5�
VACANT \ \ SE
(A T g o i 16' AND
COMMUNITY \ \ g o c �! _ _ _ 48 TANK 3'MIN GRA L
OPEN SPACE \ \ Y WE s
i _ _
CLAY \\ \ o S{ 0(40) -< � 46 USE 4" DLA. APPROVED SEWER PIPE
& PROPOSED 5 BEDROOM iron \ \Co°fes �= u� 56 5 y44 1,500 GAL. PRECAST S.T. (20.0)
,�o
SANDY 1,500 GAL'L SEPTIC TANK \\ ` `T { , y •
LOAM 8'DIA x 16' DEEP LEACHING POOL (}�O ` —_ _ 7• y 1
\� \ 0, —.t-1...-
�36 ,...........
..- -ONGw�,Y 44.E
15' �.
TILE L REVISED SANITARY 05-15-14
REVISED SANITARY 04-24-14
SAND & REMOVED REAR DECK 04-01-14
GRAVEL DWELLINGS .'� REVISED BUFFER DESC. 03-01-14
w/�Pveuc WATER
l' REVISED FOOTPRINT & LOCATION 12-28-13
TEST HOLE 17 DWELLINGS REVISED TO 40' SETBACK 10-09-13
AS SHOWN ON FILED MAP i WIFu C WATER REVISED 10-02-13
' 150 REVISED 09-03-13
REVISED HOUSE/LOCATION 05-25-13
RE7EE-D REVISE SURVEY 05-14-13
THE WATER SUPPLY, WELLS AND CESSPOOL
LOCA77ONS SHOWN ARE FROM F7ELD OBSERVA77ONS
rn
4 AND OR DATA OBTAINED FROM OTHERSLOT AREA UPLAND OF TOP OF BLUFF: 16,245 S.F. AREA: 33,005.98 S`Q.FT. or 0:76 ACRES ELEVATION DATUM. U.S-C.G. -
5;P 14 gob am lok
LOT AREA UPLAND OF COASTAL EROSION HAZARD LINE: 14,820 S.F. UNAUTHORIZED ALTERA710N OR ADD177ON TO THIS SURVEY IS } " %41;
E NEW YORK STA 7E EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL S ALID TRUE COPY. GUARANTEES INDICATEDHEREON SHALL RUN
14,820 S.F. X 20% = 2,964 S.F. ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
PROPOSED DWELLING FOOTPRINT 2,960 S.F THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUC77JRES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 7HEY ARE
W/FRONT DECK: 3,184 S.F. NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD17IONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE 77ME OF SURVEY
p SURVEY OF: LOT 140 MODULAR HOMES;
J' .00, CERTIFIED T0:
�`�• MAP OF: PEBBLE BEACH FARMS
FILED:JUNE 11, 1975 No.6266
THE STRAND SITUATED AT: EAST MARION
TOWN oF. SOUTHOLD vvihLmTlwmv" if wrt%r TTTTTTI T •'LTT% [\TTT,TTf 1t1T1T/ T,Tr