HomeMy WebLinkAboutConte, Alyssa ELIZABETH A.NEVILLE,MMC �� l/y Town Hall,53095 Main Road
TOWN CLERK C P.O. Box 1179
CO3 = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • .'F 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 E
I � I
TOWN OF SOUTHOLD t. I
OCT 2 9 2014
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: October 29, 2014
RE: Cesspool Construction Application a
Transmitted herewith is a copy of application No. for a Cesspool/Septic Tank Construction
Permit submitted by:
Alyssa Conte
Please review the application and location ma and advise if this offic may issue the permit.
p
p p � Y
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: Finals approval required from the Suffolk County Health Department,
Signature
Dated
o�suFFoc,��,
ELIZABETH A. NEVILLE �`Z` �y Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
MARRIAGE
Southold, New York 11971
MARRIAGE OFFICER • �`� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERTeleP hone(631) 765-1800
FREEDOM OF INFORMATION OFFICER O'� �a 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 7
Permit No.
Applicant NameLYSS -
Applicant Mailing Address fes/.S'_t y¢,�Ti¢/� WAY
Z
Septic Tank or Cesspool ' I
Brief Description of Proposed Construction or Alteration e—W
Location of Proposed Construction/Alteration:
Owner of Property:_&' "Eve "E' ic"Z4&"aA
Owner Mailing Address:
Owner Property Address: z4:
,2D tJ7�-,AQ 6-b
Name and phone number of contact person
Tax Map No: Section 7`7 Block Z Lot
Crosse Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
�°lam
Sign ure of Applicant Date
Received by:
DRAINAGE CALCULATIONS:
S.C.T.M. NO. DISTRICT: 1000 SECTION: 77 BLOCK: 2 LOT(S): II ,
A) FOOTPRINT W/COVERED PORCH-1,720 SOFT.
cf
#R 10- 14-0063 Tj (1)28'DIAOx1 76 DEEPSDRYWEL86=295cffUIRED PROVIDED
CREE jl 8) DRIVEWAY-510 SOFT.
510 x 0.166-85 cf
(1) 8'OIA x 2' DEEP ORYWELL- 85cf PROVIDED
TH SERVICES C) EXISTING GARAGE-586 SO.FT.
�► TIJIEN l OF 586 x 0.166-97.27 < 98cf REQUIRED
FFOV COUNN HEPAR FFL(22.5) (1) 8'DIA x 3' DEEP DRYWELL-126cf PROVIDED
ONSTRUCTtON F0� .
PE�h'FOR APPROVAL OF� ENCE�fl C.I. LoaclNc
���p� COVER i0 GRADE
�+1N�11 {S���r' i,..EL(17.0 EL(15.7) FINISH GRADE
J� 0(' �(l (14' RUN) t'MIN-2'wx 2
1/4"-FT. 6 COVER 0 MI -FT. io 6 CovER
6" SLAB
(/ 1 N•`S•RE�•�O• ' INVERT- 6 NVERT N EL(14.
DA'T'E 14.86)NVERT INVERT
1J (15.14) 114.36) (14.28)
APPRO
FOUNDATION FLOW 8,0
MI . POOL 'CLEAN
AR
IMUM + + a SANDCOARS&
APpROVAt TANK 7'-7" GRAVEL
THREE YEA YMIN
XPIRE ND. DWELLINGS USE 4" DIA. APPROVED SEWER PIPE
t W/PUBLIC WATER 1,500 GAL. PRECAST S.T. Z EL(6.7
f 150' -i tn 5
U,P.# U.P. GROUND WATER EL 1.0
CL 14.5 OAK (20') AVENUE CL 13.7
EXISTING W.M.
BE RELOCATED N68" 0'50"E EDGE OF PAVEMENT 120•��
120.00' 1.3'E�5' EL 15.0 MIN U I PROPOSED EL 14.8
MIN 5;: W.M.
W ,N LP 8' MIN EXP 15.7 c;Wi'I
z o Z � 030 3� 3
W o Q: o� M o! DWELLINGS
LP ���� cc W
N °p8'DIAx8'DEEP a o o! o W/PUBLIC WATER
i- -3' HIGH TIMBER _j 150 -�
-. ��"
5' WALLS
p; IN S.T. 1,500 GAL.
s. 0 10-M 11j
Q'
1.VE �� --� I D Y� Cp
W oC EL(1 a 14.0' � EL(17. 0 \ ; �.. ELEV. 15.7
U p 16.3' 8.0 o o ►�i 24.24.1' / 17.
/'17. ' LOAMYBROSAND1'
CQ
LL X
EXISTINGf
PALE
PROP:- WO FRM. BROWN
DWELLINGS , o , o z ATER LINE ,
W/PUBLIC WATER EL 18.9 I a I o A FL 7 8 , MEDIUM
-�- 150' p o PROPOSED I �* o - W/PROPO i COARSE
Nei-___2 STY FRM
ft- -I BATHROOM � SAND
W 61�ELtIIVG`-- PROP. ,
oFFL(22.5 �\) EPTIC LINE f
1' CONC. WALL u EL 20.2 19.7
8.0 35.0' ��� FOUNDATION OF 13_7'
- FIRE DAMAGE E�WATER
WATER
EL(20.0)fPgAPo5Eo E (20.0
IN
WOOD TO BE DEMOLISHED MEDIUM
C\1i DRY\ _ ___ `i TO
WELD"-- EGRESS COARSE
162 CQ' WINDOWS SAND
17'
12.1' I.o'W I ol �t I I -
K.WOYCHUK LS
FRM 161 EL J3.5 06 15 7 0 05-01-14
SHED cd
(V I I FRM. 1 5 6
159 158 SroRA <>GE
155 it►
WATER LINES BY THE EL 21.2 al��Syyte��S�bmtt
SUFFOLK COUNTY-AP
ND. s s 0'50"W ert of exts meat requirzm
CALL 852 f7,ff,48 H URS IN ADVANCE, pban ° WithdeFa Q �5p;°°f
135 I 1 ef°tee ,V�IV2
To SCHEDi74LE !H PECTiQg(S). 13 136 WELLINGSamp�et d fob
ZONED R-40 I W/PLU13IC WATEf _,...- REVISED 09-25-14
150 -► REVISED 08-25-14
NON-CONFORMING LOT REVISED 07-28-14
FRONT SET BACK 35' (�� /' ADD PROPOSED HOUSE 04-30-14
REAR SET BACK 35' "' '���� ANEL 0166H THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL
MAX 20% LOT COVERAGE SIDE SET BACK (25' �� i�t� ONE X LOCATIONS SHOWN ARE FROM RELD 06SERVAAO/VS
�c•
O4ftELE�ATION DAOR ATOBTA/NEDIAFROMOTHERS.-----------
AREA: 14,400 SQ.FT. r 0.33
UNAUTHORIZED ALTERATION OR DDI tW SURVEY /S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND S BOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM RVEY /S PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASS/ S OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOTS 156- 161 INCL. CERTIFIED TO: GEORGE LOHR; ALYSSA CONTE;
MAP OF: GOOSE BAY ESTATES ULSTER SAVINGS BANK; ISAOA
FILED: NOV. 13, 1934 No. 1176 FIDELITY NATIONAL TITLE INSURANCE CO
SITUATED AT: SOUTHOLD
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK � r Of Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
PHONE (631)298-1588 FAX (631) 298-1588
FILE # 12-438 SCALE: 1 "=20' DATE:APRIL 71, 2012
N.Y.S. LLSC. NO. 050882 maintaining the records of Robert J. Hennessy do Kea=th M. Voychuk.