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DeCroisset, Nicholas
ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER 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: January 30, 2015 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 www.southoldtownny.gov RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4290 for a Cesspool/Septic Tank Construction Permit submitted by: Michael A. Kimack for Nicholas DeCroisset 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. rr , Signature 02, o /� Dated A ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR, OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 ' or Non -Residential @ $25 Application No.y al 0 Permit No. Applicant Name Applica )Mailing Address 92 Septic Tank X or Cesspool Brief Description of Proposed Construction or Alteration J- j= 16-012 r L S� . Location of Proposed Construction/Alteration: Owner of Property: V2 C17'eL 4 S Owner Mailing Address: / Z �C �? 1Z% XZ9 &Y /1J Owner Property Address: Name and phone number of contact person Tax Map No: Section / l7 _ Block / ZJ _ Lot / Cross Street JAC)Z rz)T NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature f Applicant Date i Received by: L-�-� - -- r JACKSON STREET \\ xL2 x C) A C) rno o r rnrn a � o� �a OD /©P O X N/0/F N THOMAS M. MARTIN FRAME SHOWEI Z d & JAYNE P. MARTIN Nm Tn DWELL ING rn -0 USES PUBLIC WATER N 87'21 100" SET \\ xL2 x � A ` DRMEYtAY -N {lX 1 20 t FRAME �H�E r \ ::% _ min. I /©P H01E X FRAME SHOWEI .n, m D ) 9 x. Jn J3 X10 0 x CAPPED REDAR 14.40' CONC. MON.SE rrULLLPROP 4� �- 1 - x �` _ x x5,• x ............ * so -j X-4-6 x .A9 roI IO 5 7B. 5 WOOD BULKHEAD 5 8. B8. p 3 STEP _ STEPS � o N V O O APPARENT HIGH WATER MARK AS OF 01/20/D8 _zD x T TE UN� # _r FOr Sanita By Health : I t t°` Yv". • r N Ts $ VE1 hG SY N:. EL. 6.3' TOP EL 6.7'- � APPROVED PIPE min. P -CH 1/4'/1' ASS 2400 PIPE TYP BOT EL. 25-� 89.47' 11 T ECONIC BAY POSED SEPTIC SYSTEM DETAIL (NOT TO SCALE) FINISHED GRADE ELEV. 7.7' 24'd'a LOCKING, WATERTIGHT & INSECT PROOF CAST IRON COVER TO GRADE 1' MIN. TOP EL. 5.6' MIN. 4" DIA. STANK C APPROVED PIPE LEPOONG N min. PITCH 1/B"/1' INV. �, INV. EL. 4.8 LI INV. EL. 50' D T' FINISH GRADE ELEV.6 6' Abandonment of existing sanitary system must be in conformance with department requirement Submit completed form WW1M_ as proof. ROOF AREA: 1,220 sq. ft. 1,220 sq. ft. X 0.17 = 207.4 cu. ft. 207.4 cu. ft. / 42.2 = 4.9 vertical ft. of 8' dia. leaching pool required PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS (6 1,ertical ft.) TYPICAL STORMWATER UNIT (TOPS TO BE TRAFFIC BEARING) (NOT TO SCALE) CAST IRON INLET FRAME & COVER (FLOCKHART #63518 TYPE 6840) FINISHED GRADE EL. 6.0' OR 6. THICK REINFORCED CONC. COVER 8' TRAFFIC BEARINGSLAB 1 -O EL. 5.5 (max.) -f--1' MIN. 6" LEACHING r _ SA DLEAN POOL ICOI_LAR ��J 0 DISTRIBUTION POOL OF L BOT. EL 28' �- GROUND WATER 5 POOL SYSTEM ELEV. 0.8' 3'-0" 3•-0' LEACHING RINGS (min.) REINFORCED PRECAST CONO min. 4000 PSI 0 28 DAYS 2.8• � EL 0.8' li GROUND WATER SEPTIC TANK 1. MINIMUM SEPTIC TANK CAPAC ,ES FGR 3 BEDROOM HOUSE IS 1,250 GALLONS, LEACHING POOLS (5) 1 TANK; 10' DIA., 2.5' EFFFCTiVE DEPTH1- MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq H SIDEWALL AREA. 2. CONCRETE SHAG HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3.000 psi AT 28 DAYS. 5 POOLS: 2' DEEP, 8' dla. 3. WALL THICKNESS SHAL'� BE A MINIM:;M OF 3", A TOP 1 1-ICKNESS OF 8" AND A BOTTOM THICKNESS OF 4 2 LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) ALL WALLS. BOTTOM AND TOP 'HAL CONTREINFORCING TO RESIST AN APPLIED FORCE OF 300 Psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. 4. ALL .,CANTS SHALL EE SEALED SG TIHAT THE TANK :S WATERTIGHT. 3. ALL COVERS SHALL RE OF PRECAST REINFORCED CONCRETE (OR ECOAQ PIPE FROM ROOF GUTTERS CRUSHED 3/4" - 1-1/2' STONE ALL AROUND SURVEY OF PROPERTY SITUATE NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK • S.C. TAX No. 1000-117-10-19 SCALE 1"=30' JANUARY 2, 2008 JANUARY 20, 2008 VERIFIED HIGH WATER MARK MAY 9, 2009 STAKE PROPERTY LINES NOVEMBER 19, 2009 UPDATE SURVEY JANUARY 5, 2013 ADDED 1st FLOOR EL. & FLOOD ZONE FEBRUARY 3, 2014 UPDATE SURVEY MARCH 24, 2014 ADD PROPOSED HOUSE JUNE 2, 2014 REVISE SEPTIC SYSTEM JUNE 26, 2014 ADD DRYWELLS DECEMBER 16. 2014 CORRECT SEPTIC TANK SIZE AREA = 11,105 sq. ft. (TO BULKHEAD) 0.255 ac. CERTIFIED TO: NICOLAS DE CROISSET FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK NOTES: 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:sn EXISTING CONTOUR LINES ARE SHOWN THUS:- - - -5- - - - 2. THIS PROPERTY IS IN FLOOD ZONE VE (EL 8) AS SHOWN ON FLOOD INSURANCE RATE MAP No. 36103CO501 H ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); BASE FLOOD ELEVATIONS DETERMINED 3. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1,250 GALLONS. 1 TANK; 10' DIA., 3' DEEP 4. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 300 sq fi SIDEWALL AREA. 5 POOLS; 2' DEEP, 8' dla. E PROPOSED FUTURE 50% EXPANSION POOL PROPOSED 8' DIA. X 2' DEEP LEACHING POOL ;::::, • PROPOSED 1,250 GALLON SEPTIC TANK 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. PREPARED IN ACCORDANCE WITH THE MINIMUM ! STANDARDS FOR TITLE SURVEYS AS ESTABLISHED 1( BY THE L.1-A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. IF iE OF Mew 1 4 N.Y.S. Lic. No. 50 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ---- - - - COPIES.OFjTHIS SURVEY MAP NOT BEARING THE LAND' SURVEYOR'S INKED SEAL OR EMBOSSED+SEAL SHALL NOT BE CONSIDERED TO BE,A`.VAUD TRUE COPY. `` Fj TITLECERTIFICA'TIQNS INDICATED HEREON SHALL RUN 201 J ONLY PREPARE, THE , ANDSON ON H�S BEHOALFTHE TC THESURVEY , COMPjNY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND -TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERtIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY Nathan Taft Corwin Land Surveyor 0 Title Surveys - Subdivisions - Site Plans - Construction Loyou PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS '1586 Main 4nr, o ^ D-.. 11 I GLC 4 tQi�t ) 90.00'FOUND CAPPED REDAR 14.40' CONC. MON.SE �" i -f 1 "1 L }' L FENCE f „_..•rte/�_..y.. `) [.,Sf r^t Ln 5 0 TEST HOLE DATA o _ 1 C (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MARCH 1, 2014) C) b EL. 5.4' O• V b DARK BROWN LOAM OL ISfWG (5) C ` 1 B' DIA, . 2' DEEP LEAcnING POO Is LLn ti -0 BROWN CLAYEY SAND SC ' EL. 08 4.6' Cm aLCS z 0Z �y WATER IN BROWN CLAYEY SAND SC H A S yb 7, X 3' DEEP WPOUoiD. y EXISTING SEPTIG SYSTEM WATER IN BROWN FINE SAND SP TO BE REMOVED E_ i SEE NOTE No. & 4� �- 1 - x �` _ x x5,• x ............ * so -j X-4-6 x .A9 roI IO 5 7B. 5 WOOD BULKHEAD 5 8. B8. p 3 STEP _ STEPS � o N V O O APPARENT HIGH WATER MARK AS OF 01/20/D8 _zD x T TE UN� # _r FOr Sanita By Health : I t t°` Yv". • r N Ts $ VE1 hG SY N:. EL. 6.3' TOP EL 6.7'- � APPROVED PIPE min. P -CH 1/4'/1' ASS 2400 PIPE TYP BOT EL. 25-� 89.47' 11 T ECONIC BAY POSED SEPTIC SYSTEM DETAIL (NOT TO SCALE) FINISHED GRADE ELEV. 7.7' 24'd'a LOCKING, WATERTIGHT & INSECT PROOF CAST IRON COVER TO GRADE 1' MIN. TOP EL. 5.6' MIN. 4" DIA. STANK C APPROVED PIPE LEPOONG N min. PITCH 1/B"/1' INV. �, INV. EL. 4.8 LI INV. EL. 50' D T' FINISH GRADE ELEV.6 6' Abandonment of existing sanitary system must be in conformance with department requirement Submit completed form WW1M_ as proof. ROOF AREA: 1,220 sq. ft. 1,220 sq. ft. X 0.17 = 207.4 cu. ft. 207.4 cu. ft. / 42.2 = 4.9 vertical ft. of 8' dia. leaching pool required PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS (6 1,ertical ft.) TYPICAL STORMWATER UNIT (TOPS TO BE TRAFFIC BEARING) (NOT TO SCALE) CAST IRON INLET FRAME & COVER (FLOCKHART #63518 TYPE 6840) FINISHED GRADE EL. 6.0' OR 6. THICK REINFORCED CONC. COVER 8' TRAFFIC BEARINGSLAB 1 -O EL. 5.5 (max.) -f--1' MIN. 6" LEACHING r _ SA DLEAN POOL ICOI_LAR ��J 0 DISTRIBUTION POOL OF L BOT. EL 28' �- GROUND WATER 5 POOL SYSTEM ELEV. 0.8' 3'-0" 3•-0' LEACHING RINGS (min.) REINFORCED PRECAST CONO min. 4000 PSI 0 28 DAYS 2.8• � EL 0.8' li GROUND WATER SEPTIC TANK 1. MINIMUM SEPTIC TANK CAPAC ,ES FGR 3 BEDROOM HOUSE IS 1,250 GALLONS, LEACHING POOLS (5) 1 TANK; 10' DIA., 2.5' EFFFCTiVE DEPTH1- MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq H SIDEWALL AREA. 2. CONCRETE SHAG HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3.000 psi AT 28 DAYS. 5 POOLS: 2' DEEP, 8' dla. 3. WALL THICKNESS SHAL'� BE A MINIM:;M OF 3", A TOP 1 1-ICKNESS OF 8" AND A BOTTOM THICKNESS OF 4 2 LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) ALL WALLS. BOTTOM AND TOP 'HAL CONTREINFORCING TO RESIST AN APPLIED FORCE OF 300 Psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. 4. ALL .,CANTS SHALL EE SEALED SG TIHAT THE TANK :S WATERTIGHT. 3. ALL COVERS SHALL RE OF PRECAST REINFORCED CONCRETE (OR ECOAQ PIPE FROM ROOF GUTTERS CRUSHED 3/4" - 1-1/2' STONE ALL AROUND SURVEY OF PROPERTY SITUATE NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK • S.C. TAX No. 1000-117-10-19 SCALE 1"=30' JANUARY 2, 2008 JANUARY 20, 2008 VERIFIED HIGH WATER MARK MAY 9, 2009 STAKE PROPERTY LINES NOVEMBER 19, 2009 UPDATE SURVEY JANUARY 5, 2013 ADDED 1st FLOOR EL. & FLOOD ZONE FEBRUARY 3, 2014 UPDATE SURVEY MARCH 24, 2014 ADD PROPOSED HOUSE JUNE 2, 2014 REVISE SEPTIC SYSTEM JUNE 26, 2014 ADD DRYWELLS DECEMBER 16. 2014 CORRECT SEPTIC TANK SIZE AREA = 11,105 sq. ft. (TO BULKHEAD) 0.255 ac. CERTIFIED TO: NICOLAS DE CROISSET FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK NOTES: 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:sn EXISTING CONTOUR LINES ARE SHOWN THUS:- - - -5- - - - 2. THIS PROPERTY IS IN FLOOD ZONE VE (EL 8) AS SHOWN ON FLOOD INSURANCE RATE MAP No. 36103CO501 H ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); BASE FLOOD ELEVATIONS DETERMINED 3. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1,250 GALLONS. 1 TANK; 10' DIA., 3' DEEP 4. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 300 sq fi SIDEWALL AREA. 5 POOLS; 2' DEEP, 8' dla. E PROPOSED FUTURE 50% EXPANSION POOL PROPOSED 8' DIA. X 2' DEEP LEACHING POOL ;::::, • PROPOSED 1,250 GALLON SEPTIC TANK 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. PREPARED IN ACCORDANCE WITH THE MINIMUM ! STANDARDS FOR TITLE SURVEYS AS ESTABLISHED 1( BY THE L.1-A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. IF iE OF Mew 1 4 N.Y.S. Lic. No. 50 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ---- - - - COPIES.OFjTHIS SURVEY MAP NOT BEARING THE LAND' SURVEYOR'S INKED SEAL OR EMBOSSED+SEAL SHALL NOT BE CONSIDERED TO BE,A`.VAUD TRUE COPY. `` Fj TITLECERTIFICA'TIQNS INDICATED HEREON SHALL RUN 201 J ONLY PREPARE, THE , ANDSON ON H�S BEHOALFTHE TC THESURVEY , COMPjNY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND -TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERtIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY Nathan Taft Corwin Land Surveyor 0 Title Surveys - Subdivisions - Site Plans - Construction Loyou PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS '1586 Main 4nr, o ^ D-.. 11