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Kimogenor Point Co
o�oSUFFoc,�oo ELIZABETH A.NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Go Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 5 • Fax(631)765-6145 MARRIAGE OFFICER y� � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER J �a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ` ° TO: Southold Town Building Department OCT - 1 2014 ► FROM: Sabrina Born, Southold Town Clerk's Office :PT. TO'.r ,i S0UT',101_D DATED: October 1, 2014 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4268 for a Cesspool/Septic Tank Construction Permit submitted by: Tom Samuels for KimoEenor Point Co. 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 r Signature Dated of F ELIZABETH A.NEVILLE ��O �G.f. Town Hall, 53095 Main Road TOWN CLERK O P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS C* � Southold, New York 11971 MARRIAGE OFFICERj, ♦ !`F Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 4 a� 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 V/ or Non-Residential.@ $25 Application No. Permit No. Applicant Name 142& f it l S' /� Applicant Mailing Address o�9,?,5, Glrlr ,, aa&A- L9 f 9 MJF Septic Tank V or Cesspool Brief Description of Proposed Construction or Alteration 14-&4d0ft*teU ©i wK &ny Location of Proposed Construction/Alteration: Owner of Property: t (9 p rtY� 14&t 00 Owner Mailing Address: o CL /70 Ok Fad &V Owner Property Address: 4a t�Qc�Se�i kae Su iF S4� Name and phone number of contact person baia,(G( /'7°fLana W7 6P e52-S- Tax Map No: ection / Block �p Lot Cross Street NOTE: LOCATIO MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL F&-in—vel , Signature of Applicant Date Al Received by: SUILDING WALL FF EL 10.5 FT SITE DATA 8':51 14 GRADE LINE ELEVATION 1.1 FT.---\\\.4t # . 1000-117-10-1 &RADE LINE ELEVATION '7.1 FT. ADDRESS: 80 JACKSON STREET I' MIN. 2' MAX. NEW SUFFOLK, NEW YORK 11956 I/418/FT. OWNER: KIMOGENOR o BILL ARCHER CO. .I FT. I/8"/F I EAGHINSEPTIC 29 GREEN MEADOW LANE POOL TANK HUNTINGTON,NY 11743 FT. IE. +5.08' IE. +5.74' LEASEE: DONALD AND JESSICA BRENNAN 2' MIN E. +4.-n' IE. +5 58' 21 REMSEN STREET W ELEV +1.1' BROOKLYN, NY 11201 V :LEY +0.7' SITE AREA: 147,348 SF+/- =3.38 AC BUILDINGS: 20,891 SF=14.2%PROPOSED O W z F LE ZONING: R-40 y Cl \ PROPOSED NEW SEPTIC SYSTEM FLOOD ZONE: AE61X 0 U. O \ FOR A 5 BEDROOM RESIDENCE SURVEYOR: Nathan Corwin,LS O U. 1500 GAL SEPTIC TANK (ST) 1586 Main Road F W 5XF 160 ) 8' DIA x 2' HIGH LEACHING POOL (LP) Jamesport,New York 11947 G W LICENSE# 50467 LOCATION FOR (4) & DIA x 2' NOVEMBER 18,2013 Z LP HI LEACHING POOL (EXP) N Q o XP LOCATION MAP o zCL W LP Z LP North j W w 6.� Fork 0 LP XP Country W m 2 LP LP Club W x LP \ TEST HOLE _ \\ F, +&A Case ° ~ EXISTI 0 q �\ OTRr=E \ a ew Suffolk Ave Q \\\ ADOMON TO EX15TIl�q '°z• J 2• 00 AU / \ 0 W• \` EXISTING \ SITE 2 u" \ L NVER6ROUW 4.. [ UTILITY\� PUBLIC WATER TEST HOLE cow. POLE LINE ` I BY MARK McDONALD GEOSCIENCE (� I SOUTHOLD,NEW YORK 11971 NO SCALE \ ` \ TEST HOLE DATA(3119/141 ELEV+6.9' Water ine(s) UST Be InspectVd By The \\ 4.0 FT. BROWN SILT CLAY ML Suffo � cou Rept. Of Health 8\eR?1ceS. � .IN C 1852- r 0 - .8 Hours 1r;Adva'mc`e, 7.8 FT, FINE SAND SP TO du, sEin� i PROJECT NO: 0805 \ WATER IN PALE BROWN NE \ --- ----�- FINE SAND SP Y' UT \ COMMENTS:WATER ENCOUNTERED 7.8' TS \ BELOW SURFACE,ELEV+0.7' \ HIGHEST PREDICTED GROUND WATER 6120174 DRIVEWAY \\ -1 ELEV+1.1'NAVD 1988 MUM V-10'-0- �� SHEET TME: F RIEW YO i WATER , c `�0 SA R� SITE / d�METER UTILITY } '; A�- 4co M�� PLAN POLE ��' c� _r BUND __ , � cuv�U- \ 6F 3 \ M-EVAT1- \ \ \fop \ T c Y 80 ATER W METER H DIGTED6�EST I RESFI ENC.E{ ........: : : \ &ROUT \ ::.::`.plHf fG: \ SE (N.T.f U ILITY CGUNT1 DE OF \ P E \O�iG �F'EFc'1Ii P �;?FT JVA� NSTfR � `GR � _ PIPING FRO \��i CNLY P SEP�551Nv OYER TO HIN6 \ \ \ BE 4 DIA TER LINI= SHALL , 14 \ \; Er ��_ �J 5 18 PVC,, " BRUTE", WITH \ 18" VER SEPARATION \ EXISTING TOP O WATER LINE \ O -- Y }'r•�`1`'u _- --- N>� BOTTOM OF IG LINE. PSK J ":� 4 ? �5 ,--\.—— " (PROVIDE MIN 20 FT PIPE : 7" a✓ D APpt i'r�L CENTERED ON WATER LINE. rl r' i •iii ` � t --^ "- -_ .. \ Ltal� iS / I 6 E ASTIN \ O TREE i UTILITY n POLE ADDITION �O EXISTIIJG / RESIDENGrc LOCATION EXISTING SANITAW 5Y TEM TO BE ; ;:;: ................... /FILIIN AND ,4NDONED > =:=:'<: :.:: .:;> >: ..... >= OR REMOVED REQUIRED \ \:'< >: >>: \ =: .. . \ TING OPEN \ >:'; . PORCH t STAT \ L ,�• n ! all Of �}�� r t` 4t i1f f ��G1 � t�. — e Iltt��Cfiti 4[I O M /