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Windsong Cove LLC
ELIZABETH A.NEVILLE,MMC ,`y� r/y Town Hall,53095 Main Road TOWN CLERK C* P.O.Box 1179 COD Z Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICERy� �► � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j '�►a FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ---- (� L To: Southold Town Building Department NOV 12 2014 i_-) FROM: Sabrina Born, Southold Town Clerk's Office DATED: November 12, 2014 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4283 for a Cesspool/Septic Tank Construction Permit submitted by: Windsone Cove,LLC 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 /7 / Dated j ELIZABETH A.NEVILLE o � Town Hall,53095 Main Road j TOWN CLERK H P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 l MARRIAGE OFFICER 'yifJ p�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �! `1►a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net ,C/ OFFICE OF THE TOWN CLERK e TOWN OF SOUTHOLD I SOUTHOLD WASTEWATER DISTRICT i APPLICATION i OPERATION PERMIT i CESSPOOL or SEPTIC TANK Residential @$101 or Non-Residential @$25 Application No. �� Permit No. Owner Name "IND506G C>A- , U.G Owner Mailing Address ['�72715 MAN P4AQ r MA-MTUC Nr{ 11952 Owner Property Address �,-1"10 P114VA k (SAD 4:"') kA3"S>' I"fA14CN , Wv Il�la Owner Telephone No. _ ��� 2-ctf/- 0065 i Tax Map No: Sectio L2 Block�_ Lot Cross Street XV ejah '5 Ct Please check each that applies: New Construction 0< Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) 11. I�I Signatu of A hcant Date Received by: 51TE DATA: LEGEND: EN FROM MAP= DESCRIBED PROPERTY SECTION= WA ELEVATIONS FROM SURVEY LOT= WA OO NEW LEACHING POOL SGTM# ................................................ 1000-022-03-04 O AREA OF 51TE=••••............... ...............464,221 Sr- AREA F AREA OF PROPOSED BLD&=•••.••••••.•••••.1,145 SF ST SEPTIC, TANK OL AREA OF PROPOSED COVERAGE= 0 5F LP LEAGHIN& POOL M AS LOT OCCUPANCY= ....:.......................4SSK ELEVATIONS IN TOWN DATUM (NAVD) %EXP) EXPANSION POOL NO ACTIVE WELLS WITHIN 150' 0 SM PF EL:101.0 LOCKING CAST IRON O FAI COVER TO GRADE (- EL=100.0 GRADE y II_TY SAND 5M 12" CONCRETE 'CHIMNEY' C 1/4" 12" WITHIN I OF GRADE HOUSE TRAP 1,000 GAL EL=g8.5 a •vi INV/111.0 SEPTIC, TANK Vf � r� 114E TO INV=88.75 0 SEPTIC PROFILE INV:g8.2s (12 LDEEP) C L. w INV=q8.0 NO SCALE SANITARY SYSTEM TO CONSIST OF (1). 1000 GALLON SEPTIC, TANK.W/ EL:86.0 (1) 5' DIA X 12' DEEP (12' EFFECTIVE. DEPTH) LEACHING POOL FOR THE MINIMUM REG2UIREMENT OF A PROPOSED POOL HOUSE — m WATER=6q.0 'pN NinN. EXISTING WELL LOCATION — — < TO BE ABANDONED i — i IN, z / — — Z til PROPOSED SCREEN ROOM z m ----------- ------ i ►.1 -------------- PROPOSED BLUESTONE 100' TERRACE 4 POOL PATIO PROPOSED 40'X20' INGROUND V Ui Q C r, SWIMMING POOL . 43.4' ►- — a T tA j, i g' sPROPOSED 1000 GAL 5EPTIG TANK 6 N W/ (1) 8'41X12' ED LEACHING POOLSQ� F o 5 M E � U 3 0 - M w _w PROP05ED POOL HOUSE E `O a W/ OUTDOOR SHOWER P i 3 Eu -- 100, loo' FF EL: 101.0 • - ❑ PROPOSED WATER LINE TO NEW POOL HOUSE OF WAY _ roRHI�e"r'T EAaIrci`nTAcTcr�ARE AND SHALL REHM THE PROPERTY OF THE ARCHITECT, THEY ARE TO BE _ MED ONLY VI RESPECT TO THIS PROJECT NO ARE PROPOSED ATTACHED 6ARA(SE OR viSTweTiON T HEFT M CIALL REMRTORRY°N \ 6F E1-:100.6 7 a REWRDENTS OR THE PI OnERECT Is�Ho°r r�o IIN CONSTRUED AS PUBLICATION IN DEROSATION Or THE PROPOSED GENERATOR ARCHITECTS AW COMMON LCOPYRISHT OR OTHER (GARAGE) RESERVED weHrs. PROPOSED WELL' �• PROPOSED GAS TANK , 'Ilk H 1000 GALLON, BURIED 0 PROPOSED WELL a, (IR C.. —__ w WATER LINEST S) MUBE INSPECTED BY THESUFFOLK s COUNTY DEPT. OF HEALTH SERVICES. .- lt'1 - UNAUTHORIZED ALTERATION CALL 852 o S7Sf, 48 HOURS IN ADVANCE, OF ANY ITEM ON THIS DOCUMENT TO SCHEDULE INSPECTION(S), 15 A VIOLATION OF NEW YORK STATE LAW. Issue Date: FROP05EP LOCATION OF ° FUTURE TENNIS COURT t Project Date: \ SEP 2012 Scale: SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AS NOTED 15 ' t PERMIT FOR APPROVAL OF CONSTRUCTION FORA Project# Drawn: P© 12039 EPH ©( /�Il�S Job: Check: DATE 0 �/ H.S. REF. No. to_ C SINCLAIR/SCHIFF KMP T APPRO1 ED Sheet ED SITE PLAN IOTA`I'i�A,(III"13EDROOiViS _ F EXPIRES THREE YEARS FROM DATE OF APP VAL C C�,20 1EXCAVATION INSPECTION REOUIi�ED N FOR SANITARY SYSTEM SITE - SEPTIC ,�,,SYHEAI-TH DEPARTME14T SGDHS SOLD D TEST HOLE: LANG q, TEST HOLE INFORMATION ■ �r�.b MODONAL17 6E05CIENCE „ DATED OCTOBER 04, 201- N 8004q23° E cj°9501 'TIDAL NETLAND BOUNDARY' ALONG i "18.18' N APPARENT HIGH WATER MARK ON 5.13.13 TEST HOLE _ —— BOTTOM OF BANK EL=102.0 DARK BROWN Lc NATURAL EARTH TOP OF BANK ---- 1' (ELs(01.0) PATH TO BEACH \ COASTAL EROSION HAZARD LINE AS SCALED 1- FROM 'COASTAL EROSION HAZARD AREA MAP' LIMIT OF EXISTIN6 TOWN OF SOUTHOLD PHOTO NO. 50-611-83 BROWN SILTY 5" VEGETATION -- - -- LINE OF 100' SETBACK FROM TOP OF BANK LIMIT OF EXISTING 33' (ELs6�1.O ( \ VEGETATION r \ :$'a:' ; WATER IN BROWi 38 (EL:64.0) �, WATER IN BROWI ,` " PROPOSED WELL �''---_—.--� �� COARSE SAND• (MAIN DWELLING) — - -- - f. 44' (EL,98.0) bSA' 48x4' SEE ENL/1R6ED SITE PLAN _ _ _ WAY IIOA' OF RIGH? LIMIT OF EXISTING a VEGETATION 2 I PROPOSED WELL O Boa (FIRE) m I I PROPOSED WELL ' mmmmmm (IRRIGATION) I � I •. � PROPOSED VeLL DWELLING) - - -=- oj � ------------- Wim: ®® EXISTING PERVIOUS DRIVEWAY , w TO BE REMOVED I I I w I I r� I I i 65.0' PROPOSED GENERATOR 1 c (MAIN DWELLIN(S) E N I PROPOSED ELECTRIC METER PAN EXI5TIN6 I STORY DWELLINGS /T � --_---ITO BE REMOVED, TYP EOR 2 OLE 1 1 EL:102.0 2 I PROPOSED CELLAR ENTRY 1 I I ! I 1 I I i I I I I I I PROPOSED MAIN DWELLING 1 FF EL-104.0 = I 1 I EXI5TIN6 OUTLYING SHEDS TO BE REMOVED, TYP FOR 5 I 1 1 I I I i I I 1 I I I I 1 I I I I I i ur I I W I 1 1 I I = i � I 1 ``TfCTT-1-TTTTTTTT1111 Pl I 1 I t I I I EXI5TIN6 PERVIOUS DRIVEWAY TO BE REMOVED zl I I PROPOSED PERVIOUS DRIVEWAY I I I I 60 YW W S �5°12'501 ° pp q 1 I 5 6 gO:16' I N I I I I I I SITE PLANENLA SCALE: V=100' SCALE: 1"_ SITE INFORMATION AS TAKEN FROM A SURVEY BY NATHAN TAFT CORWIN III, LS., DATED MAY 13, 2019