HomeMy WebLinkAboutNickart Realty Corp • 1
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ELIZABETH A.NEVILLE,MMC �Q• r/y Town Hall,53095 Main Road
TOWN CLERKO= P.O.Box 1179
C* = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O Fax(631)765-6145
MARRIAGE OFFICER y
� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �� `1►a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: September 26, 2014
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4264 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nickart Realty Cora
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 loc tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
i
l� Signature
SEP 26 2014
Dated
i
i
r
11
ELIZABETH A.NEVILLE �`t` G.y Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
W Southold, New York 11971
REGISTRAR OF VITAL STATISTICS W r*t
MARRIAGE OFFICER Gy �' Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �/�1 �,a�1 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 /or Non-Residential $25 Application No. 1-f
� @
Permit No.
Applicant Name
Applicant Mailing Address 1r? Y- ,7 �'� ! �, �y`� `� 10
(jVlov1tj rl 11 tl�
Septic Tank or Cesspool ,.^
Brief Description of Proposed Construction or Alteration W t-t'm 5
Location of Proposed Constructioi�/Alteratio
Owner of Property: ► ) k � vu-) ��
Owner Mailing Address:
Owner Property Address:
Name and phone number of contact person 1 L L C o s- S '� " `� 2 " 0
Tax Map No: I-poo Section S Z Block Z Lot /c, (2-
)
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUVY W TH HE TH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
i
DWELLING , . <.-s~� ^"'r'. �E��i'.L �.I�R �1.
/h1. t�. el 12 �� ? ? ��CED -f!F ,.� ' e i r OF WALL EL 10.3 science
TEST BORIMG
EL J1
FN167fD SUM ROOF RUNOFFff ,- Cr ,(k'r ta,jlQld _ ` -
_ by McDondd Gpo
rW EL Io3 1792 SOFT. v �-' •I � 36U'vf �y111 -- a EL s
�• 1792x 1 x 0.17 = 305 VbR 11,45 i A y suocm SAND s Law
JE 9.4 1000 eHL 7 03 EAN1M 305/28.3= 11 VF `c Cr i --'- -- _eS AT1q�«; — (•, ALETO i SWW�
IE eE aFrnc rANacr>R t1'• ,• PROVIDE 6 DWS. 6¢ x - 1 •
,E&7 IE es �PRt}VAL. �EOR4�S1�I - - -'�=� - ---` ' r;.T 3.
OR EOUAL FOR1►�lALA sRorN LOAw sAAo
s— 1 1--- -�;_�SREQARATIO(Jert�
Sid
FMO l l
EL 27 CENTER POOL 3 - SANP SP EL 2 7
Poo- CLUSTER NOTE / b , - 4.Q• ATE] l�TO PALE
sz SF
PROPOSED SEWAGE SUBSURFACE SEWAGE DISPOSAL -_ _ __ ' -' _.;- fir
E DISPOSAL SY 6ROt*VWA TV
S
rEM
to SYSTEM DESIGN BY - - - =-� * WATER N BR we
t
4s-xs t C 9'
1000 GAL. PRECAST SEPTIC TANK !CONCRETE) ` tot+6 JOSEPH FISCHETTI , P.E. __ �- i TL WATER N eRON FM
3 LPs. 9.4 • 3' OFPTH WITH 3' SAND COLLAR Paa�Fg. 5 HOBART ROAD ;-: __ , i _ r. ro coARSFSAN� sr
(SWI TO BE 3'ABOVE GROUND WATER ` 4?. _ /� SOOT TOLD, N.Y. 11971 r _ s; �r
REMOVE UNSUITABLE MATERIAL 1 pa►� !6311 765 - 2954
TO SAND (SW) BELOW POOLS WITH ' A- s r —
3' COLLAR AND BACKFILL WITH �[ fy
SANDUW)
Q
�. cow 3• W _ _• : - -
EACH V
PO
.t
S11
r to NOTES G� O \�3,8 11116s '� L �0 `f 1 CONCRETE TO BE 3000 P51
2 STEEL-TO 13E 60 KSi
3 ENGVEER-To CERTIFY THE FINAL C
CONSTRUCT)ON OF RETAINNNEG WALL AS 0 {�!
L �A < REQUIRED BY HEALTHTCPT.
19 TA ENG6�EER TO BE CALLED TO INSPECT THE \SC V
` p0 '� G o• o r� REINFORCOJG BEFORE P ACU4E IT.OF ,`P F
CONCRETE (� .Q j•� 'f
N `_ s rY+ O J PROPOSED SEPTIC SYSTEM00
* pKT
. c�� .� g RETAINING WALL
gu 59 SE° 00
G^' va°w L�� ul
tooG� - w t0 to a
� JVP °a 001, 2 s e x o > a
\5 _ep \2 �, I. � _ w 0
a SURVEY OF PROPERTY
/� AT
_CL %d / , w w U � a0 C3
SOUTHOLD
k2o0 «� z TOWN OF SOUTHOLD
J a°P°' ENS 4 = o .. SUFFOLK COUNTY, N.Y.
.
wo \J P ��OP� � a �=, 1000 - 52 - 02 P/O 13 . >�
� ��u lP w J� wWP z N a a s. P ¢
� Q Scale: 1'
= 30
= 5 z "' _ April 16 2010
O,� � �� �► 0� \ � �G��P � � x � � � W Ir-
MAY 15, 2414 (REVIS101�S) *`� c®
� Ul a a t t W _
0� CO i -t E 6L l L L}
.• �`� LL.ti
(Dc)
The locations of wells and cesspools sr• t << = «.
shown hereon are from field obs rvation
Q}F AREA = 17 438 s .ft. :
rtP and or from data obtained from thers. sq.ft.
ij3yS1jff,0,�C NOT , �� �G Therefore their locations and or existenceA �P is not guaranteed
rY13�pVE(S)
.4 -�
r
Of
eafthF ARE REFERENCED TO N.Y.S."'LIC. NO. 49618
sp�t�ip I am familiar with the STANDARDS FOR APPROVAL LOT NUMBN
es SUBDIVISION FOR NICKART REALTY
ANY ALTERATION OR ADDITION TO THIS S A VIOLATION AND'CONSTRUCTION OF SUBSURFACE SEWAGE CORP. P CONIC S YORS, P.C.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. DISPOSAL SY SOD ZONE AO Depth 2 NAVD 88 TEMS FOR SINGLE FAMILY RESIDENCES FLO (631) 765 - 5020 FAX (631) 765 - 1797
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS and will abide b the conditions set forth therein and on the F LO 3610300158 P P. 0. BOX 909 _
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY permit io construct. RM 1230 TRAVELER STREET
IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SOUTHOLD, N.Y. 11971 ((�]]
SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ELEVATIONS ARE REFERENCED TO N.G.V.D. D 4—O`(//�I'J