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Home My WebLink AboutRerisi, VictorELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York Fa311) 765-6145 + Telep f b6ey _S09 -,- www.' batth� ldtownny.gov MAR 10 2015 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: March 9, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4292 for a Cesspool/Septic Tank Construction Permit submitted by: Victor Rerisi 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. Sabrina M. Born 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 Signature 0j/////S- Dated 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 CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Resi/or_ i1 Residential@$10 $10 Non Resldential @ $25 Application No. "l 21 v Permit No. r Applicant Name.0 �/�/ S'/ Applicant Mailing Address rOQ .� //ie�/L %� p Septic Tank_,X,_or Cesspool Brief Description of Proposed Construction or Alteration e4U 0J,'e Location of Proposed Construc�tyVAlteration: Owner of Property:___. f'/G IZE4/S/ Owner Mailing Address: $D0 eQ 7p Owner Property Address: Name and phone number of contact person _ (/I G44 /Y X1/ 1 S-/4- 37S-,6-942 Tax Map No:/opo Section 9-3 Block 03 Lot Cross Street 0 Souk 0l' ;50,4&j* -IM, i NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 12 3 / U11j- Signature of Applicant Date Received by: o��S�FFO(,,�coG ,Town Hall, 63096 Main Rog. y - - P.O. Box 1179 Southold, New York 11971 • �`� Fax (631) 766-6145 Telephone (631) 765-1800 southoldtown.northfork. tnet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Resi/or_ i1 Residential@$10 $10 Non Resldential @ $25 Application No. "l 21 v Permit No. r Applicant Name.0 �/�/ S'/ Applicant Mailing Address rOQ .� //ie�/L %� p Septic Tank_,X,_or Cesspool Brief Description of Proposed Construction or Alteration e4U 0J,'e Location of Proposed Construc�tyVAlteration: Owner of Property:___. f'/G IZE4/S/ Owner Mailing Address: $D0 eQ 7p Owner Property Address: Name and phone number of contact person _ (/I G44 /Y X1/ 1 S-/4- 37S-,6-942 Tax Map No:/opo Section 9-3 Block 03 Lot Cross Street 0 Souk 0l' ;50,4&j* -IM, i NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 12 3 / U11j- Signature of Applicant Date Received by: ' L.STEM CALCULATIONS AREA: 2,105 sq. ft. 2,102 sq. ft. X 0.17 = 358 cu. ft. 358 cu. ft. / 42.2 = 8.5 vertical ft. of 8' dia. leaching pool required PROVIDE (2) 8' dia. X 5' high STORM DRAIN POOLS PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: F '` DRIVEWAY AREA: 1,263 sq. ft. 1,263 sq. ft. X 0.17 = 215 cu. ft. 215 cu. ft. / 42.2 = 5.0 vertical ft. of 8' dia. leaching pool required PROVIDE (1) 8' dia. X 5' high STORM DRAIN POOLS—, PROPOSED 8' DIA. X 6' DEEP DRYWELL WITH OPEN GRATE FOR DRIVEWAY RUN—OFF ARE SHOWN THUS: ' ..® y v -7 e NOTES: PHONE (631)727-2090 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM OFFICES LOCATED AT EXISTING ELEVATIONS ARE SHOWN THUS: 35.0 / 2. REFER TO FILED MAP FOR TEST HOLE DATA. O Oz 3. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP Tn 4. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 1 POOL; 12' DEEP, 8' dia. O 1� PROPOSED EXPANSION POOL FOVNO SON LA � t11 a PROPOSED LEACHING POOL GONG Cp Z V///a PROPOSED SEPTIC TANK ENG N -,4 _7A 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OSE' �% O�O Z 6. ADDITIONAL STRUCTURES IF ANY ARE NOT SHOWN n? 0 J ^, rno O z O O LOT 15 oWE�-�\"�wp,-cER 155 a2 USES PVg�\C N 'u+ SSOGKPOE FENGE ] LOT 14 SUFFOLK COUNTY DEPARTMENT OF HEALTH SEPViCCS PERrt11! FvR APPROVAL OF CONSTRUC7!ON F=OR A Si ii oil. w F;;,1iLY REs!iEiviCE ON LY DR D 9 2015!-,i,3. RE:F, N^. (Z - 001S APPROVED � FOR MAXIMUM OF _ EOROOMS EXPIRES THREE YEARS FROM DAVE OF APPROVAL N rn I? £ LP. x � L 35.0 > \/ 1 7n voutA REgpR O 5 W � £ ro Q% p . PROP ..........A0 -o s ..vw�rn, q hjO-p:: w :: qp ; N::: y 1✓" FENGE� N �� SjOCKPDE EXCAVATION INSPECTION REQUIRED FOR SANITARY SYSTEM BY HEALIR S 1 � 04 LOT 13 \15E5 ?OBUCGWPjER PAGE 1 OF 2 SURVEY OF LOT 14 MAP OF EASTERN SHORES FILE No. 4021 FILED APRIL 27, 1964 SITUATE GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-33-03-40.3 SCALE 1 "=30' FEBRUARY 3, 2015 AREA = 17,370 sq. ft. 0.399 ac. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED VA TO BE A LID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDINGINSTITUTIONLISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. WITH THE MINIMUM 'EYS AS ESTABLISHED D AND ADOPTED W K STATE LAND / 4a v36 AFT 601 y� .S. Nathakr=-� Corwin III Land Surveyor Title Surveys — Subdivisions — NOTES: PHONE (631)727-2090 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM OFFICES LOCATED AT EXISTING ELEVATIONS ARE SHOWN THUS: 35.0 / 2. REFER TO FILED MAP FOR TEST HOLE DATA. Imesport, New York 11947 3. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 4. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 1 POOL; 12' DEEP, 8' dia. PROPOSED EXPANSION POOL LGP O� PROPOSED LEACHING POOL Cp Z V///a PROPOSED SEPTIC TANK GT -,4 _7A 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD S OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. ADDITIONAL STRUCTURES IF ANY ARE NOT SHOWN DUE TO SNOW COVER ON DATE OF SURVEY. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED VA TO BE A LID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDINGINSTITUTIONLISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. WITH THE MINIMUM 'EYS AS ESTABLISHED D AND ADOPTED W K STATE LAND / 4a v36 AFT 601 y� .S. Nathakr=-� Corwin III Land Surveyor Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 Imesport, New York 11947 Jamesport, New York 11947