HomeMy WebLinkAboutNickhart Realty Corp o�oSUFFoc�-�o
ELIZABETH A.NEVILLE,MMC �� r/y Town Hall,53095 Main Road
TOWN CLERKP.O. Box 1179
CA Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS S Fax(631)765-6145
MARRIAGE OFFICERO! �aO� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER 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. 4265 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nickart Realty Corp
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 'on map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
- Signature
SEP
26 2014
s Dated
r'
ELIZABETH A. NEVILLE y� Town Hall, 53095 Main Road
TOWN CLERK C2 P.O. Box 1179
ti 2 Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS .v r►tr
MARRIAGE OFFICER O� �`� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �f 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
ga(05
Residential @$10 or Non-Residential cz $25 Application No.
�l nPermit No.
Applicant Name "" ` G'C 1g�-� I "�R L
Applicant Mailing Address �
Septic Tank_ or Cesspool �-«
Brief Description of Proposed Construction or Alteration P �-C)A S
Location of Proposed Costruc{tion/A terati n:
Owner of Property:
Owner Mailing Address: �� S rL yy
V�o �� �si,J ,
Owner Property Address: Ck h oV-D—
Nance and phone number of contact person
Tax Map No: 11300 Section SZ. Block 2- Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR Y WI H H A TH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by:
DWELLING
ru4 fa. er 12 ROOF RUNOFF — — — TEST BORING
by McDonald Gsosdence
FMIED allX 1792 SOFT. _ INE S CERTIFICATION REOUIRED. EL. 7.2
rw EL. 1792 x 1 x 0.17= 305 cu.ft. SUBMIT . OR R.& CERTIFICATION ° PALE ee FINE 7v
r�In 305/28.5 = 11 VF �� PAL OR.
a4 ��s� ; 0.5• SAND SP.
ETAONG PROVIDE 6 DWS. 6' 0 x 2' DEEP GRAN TiC�I AND CONSTRUCTiCA
9z sanx rAt�CIC e 7 B s CENTER�. ' OR EQUAL () C BROWN LOAw f
- SAM SMWLwATER 3• 1 1' - Fo IIOAL VAL. FORM WWM-073. BROW,FINE TO
EL 2.7 . CENTER POOL 5g3• ►ED SAND SP
Pool rxusTER � \�3 g3 _� -� _ EL
WATER w eR.�zr Nra+Esr
– `' o ro u�u SAND
EXPECTED
PROPOSED SEWAGE DISPOSAL SYSTEM - '_ sesRot*v
3� i-iT!T �5
ATEF
SP
!- 1000 GAL. 1NK_ PRECAST SEPTIC TA (CONCRETE! � - WATER IN eRON FINE
5 LPs. 8'0 i 3' AFPTH WITH 3' SAND COLLAR QRS - '- _ _ 0 ro PARSE snNU siw
/4
(SWI TO BE 3,'ABOVE GROUND WA TERQ G°
REMOVE i ! ;
UWSU/TABLE MA TERlA( ` _ 5 p
TO SAND (S BELOW POOLS WITH
3' COLLAR ANA BACKFILL WITH —
SAIYD`cSW) '( 8 ON ON g UII -= -. NOTE
s� �5 cr93• xCt3v 1 SYST1 _ _ : - �_._
SUBSURFACE SEWAGE DISPOSAL
1S9t 4 NS Powe(Qj(r.With=b)ok.__ I �ia•v.•». SYSTEM DESIGN
PO wp1 AAT --`- BY JOSEPH FISCHETTI - P.E.
af
o qq ! �....� HOBART ROAD
fig,- a\o SOUTHOLD, N.Y. 971
``° ted` w � c� „ N (631) 765 -:2954
SSE EACN WAy�fes- -- �
P�
O S°6E SO: N- NOTES
TO BE 3000 PSI cc
E, `�G 2 STEEL TO BE 60 KSI �►
f 9\°fv wPt� \1 5 3 ENGINEER.TO CERTIFY THE FINAL
���`ppMM CONSTRUCTION OF RETAINING WALL AS
I8• qA & TO HEAD LFDT INSPECT THE
w`•
(0\ 0 f l 1 R �G f3EFOR£PLACEWUNT OF 05
,O
P SFS -
s SSIo ',
/ `° ws _ R PR ''' I g3 6a SURVEY OF PROPERTY
LOQ — � e\?- o�p o c��R I ��E'Fz A T
yakw o � - � 5' °P P��, woo F �• SOUTHOLD
0 0 \� SLE Poi �2° Ngo OF SOUTHOLD
�O 0 �+ OLK COUNTY DEPARTMENT OF HEALTH 5 LK COUNTY, N. Y U
o� O'�� Na, G RM E�.7 rr
o_ V ��J P� P ,G PERMIT FOR APPROVAL OF CONSTRUCTION A1000 _ 52 _ 02 _ P/0 13 S
N �p o GD PR \ SINGLE FAMILY RESIDENCE ONLY S ale= 1" = 30'
0 S z 3 W4 April 16, 2010 , . ..,k.
�o DATE 1�1.:�. R1»F, No.
Ick—�y " � M Y 15,2014 (ADDITIONS)
o �� ��'�� ;,f
!
Z �,
C;a:
� - 1\0 � �l� wP APPROVEDr�' ��. ,, o, _QIN _ . . ,'� Ca�`
�? 6\0g9 N��IG tP�''`� FOR MAX OF— BEDROOMS
S• /Lw 0 �-�'�0 EXPIRES THREE YEARS FROM DATE OF APPROVAL g��`
Theher ons of wells and cesspools Shown
, • �
shown hereon are from raid observations
and or from data obtained from others-
Therefore R EQ — 17,438 S C].f t.
Therefore their locations and or existence
is not guaranteed.
�\I01F
P' PG5� LOT NUMBERS ARE REFERENCED TO �' .S. LIC. NO. 496/8 I am familiar with the STANDARDS FOR APPROVAL SUBDIVISION FOR NICKART REALTY
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION AND CONSTRUCTION OF SUBSURFACE SEWAGE CORP. CONIC RS, P.C.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESIDENCESl63/J 765 - 5020 FAX 1631) 765 - 1797
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS and•will abide by the conditions set forth therein and on the FLOOD ZONE' AO Depth 2 NAVD88 P. 0. BOX 909
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY permit to construct. FIRM 36103CO158 Ht 1230 TRAVELER STREET
I= SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE
SURVEYOR WHOSE SIGNATURE APPEARS HEREON ELEVATIONS ARE t�EFERENCEO TO N.G.V.D.SOUTHOLD, N.Y. 11971