HomeMy WebLinkAboutDavey, PaulN
ELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN (
TOWN OF SOUTHOLD
TO: Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax(631)765-6145
Telephone (631) 765-1800
�, .. ...,.b,,.
Ji
r�
APR - 3 2015
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: April 3, 2015
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4303 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Davey
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
V
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
Dated
ELIZABETH A. NEVILLE
- TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER.
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
L]
,�gOfFOX;�c
OFFICE OF THE TOWN CLERK
. . TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 J or Non -Residential @ $25
Applicant Name r f1`- (- ` A
Applicant. Mailing dress i �'� t --",A-.4 - A/--JUA,
W3 i
L
Town Hall, 53096 Main Roa.
P.O. Box 1179
Southold, New York 11971
Fax (631) 766-6145
Telephone (681) 765-1800
southoldtown.northfork.net
Application No. 130
Permit No.
r
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property. -
Owner Mailing Address: tOu444 r -Q
Owner Property
Name and phone number of contact person
Tax Map No: Section b Block d sZ Lot
Cross Street
NOTE: LOCATION MAP MUST ' BE SUB D WITH APPLICATION. NEVA
CONSTRUCTION REQUIRES SURVEY HEALTH NT PROVAL
a-3/�
Si of Appli t Date
Received by:
LANDWARD EDGE OF FRESHWATER WETLANDS
AS DETERMINED BY SUFFOLK ENVIRONMENTAL
CONSULTING, INC ON AUG. 28th 2014. 0
TEST HOLE DATA
W&WALD GEDSCAENCE
o4/ot/as
EL &9' r-1
DARK BRONN SILTY LOAM OL
r'
C]
EL. Z3'
BROW SILTY SAND W774
HEAVY GRAVEL sw
B' mom nNE TO COARSE SAND
N17H HEAVY GRAVEL SW
6.6'
WATER IN BROWN nNE 70 COARSE SAND
W 7 HEAVY GRAVEL SW
1 13'
N07E• WATER ENCOUNTERED 6.6' BELOW SURFACE
= WETLANDS FLAG
c� PN1)
S��(vPc
UM/7S OF CLEARING - -,-
AND GROUND DISTURBANCE
N
O�
O
s
= SPIKE
■ = MONUMENT
ANY ALTERA77ON OR ADD17ION TO 774IS SURVEY IS A WOLA7701V
OF SEC7701V 7209OF 774E NEW YORK STATE EDUCA7701V LAW.
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77RCA77ONS
HEREON ARE VALID FOR 774IS MAP AND COPIES 774EREOF ONLY IF
SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL OF 774E SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
EL�TIONS REFERENCED TO NAVD88.
I familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
The location of wells,cesspools & public water shown hereon are
3� 9
LM
app �
EL SNE dF W2;
Nw
o OTE
�o HOLE 41
/
O
1
i
\
3� 9
LM
app �
EL SNE dF W2;
Nw
o OTE
�o HOLE 41
No.
0
Y
I
SURVEY OF PROPERTY
A T GREENPORT
TOWN OF SO UTHOLD
SUFFOLK COUNTY, MY
1000-40-02-12
SCALE 1'= 30'
JULY 23, 2014
JULY 31, 2014 (Proposed House)
SEPT. 16, 2014 (Revisions)
NOV 11, 2014 (Revisions)
JAN. 28, 2015 (Revisions)
MARCH 17, 2015 (Revisions) Fca)
EXCAVATION INSPECTION ftautRED
FOR SANITARY SYSTEM ` s
$Y NEA! TH DEPARTMENT -
GRADING PLAN j
4' APPROWD
F.F. EL 110' PPE
EL 11.0' RAtM GA!ADE EL AO'
10.5' LE 1 serwLE LE aft w •
1 TAW Ar R5' r0i
1
10' AAIK
FRIdIGM sirw 31'SIEEI GROUND WM ]TER EL23'
[1] 1,000 GAUCIV W071C TAW
[J] d FT. MA x 4 FT. MW PRECAST OOM16REW LEACIWX RIMSC0U%�tT�' HAMM w47EMAL COURSE SAW AAD GRAVEL (J' COLLAR)
R Appy,
t' i:V f v a WY4
Oi'ALOp
,rpt .
+s
5. illyi�t* a"yfj�
E�-•�5 3
EOGF
6'pg,1pr`H
56�
KA 1
A, GLEE
1
AREA= 22,192 SQ. FT.
N RUNOFF CONTAINMENT:
DWELLING: 1,477 Sq. Ft.
/ 1,477 x 0.17 x 1 = 252 Cult.
( Provide 2 DWs. 8'0 x 3' Deep
Connected by Gutters do Leaders
pI' N
E�r10
NO. 49618
P CA fV, +. C.
(631) 765---5U20 FAX (631) 765-1797
P.O. BOX 909
1230 TRAVELER STREET
„ 1 1 ' _ nR'
I"1T-1 - . I %, 4 4 /1 I4
1
i
\
l
CPR°P
No.
0
Y
I
SURVEY OF PROPERTY
A T GREENPORT
TOWN OF SO UTHOLD
SUFFOLK COUNTY, MY
1000-40-02-12
SCALE 1'= 30'
JULY 23, 2014
JULY 31, 2014 (Proposed House)
SEPT. 16, 2014 (Revisions)
NOV 11, 2014 (Revisions)
JAN. 28, 2015 (Revisions)
MARCH 17, 2015 (Revisions) Fca)
EXCAVATION INSPECTION ftautRED
FOR SANITARY SYSTEM ` s
$Y NEA! TH DEPARTMENT -
GRADING PLAN j
4' APPROWD
F.F. EL 110' PPE
EL 11.0' RAtM GA!ADE EL AO'
10.5' LE 1 serwLE LE aft w •
1 TAW Ar R5' r0i
1
10' AAIK
FRIdIGM sirw 31'SIEEI GROUND WM ]TER EL23'
[1] 1,000 GAUCIV W071C TAW
[J] d FT. MA x 4 FT. MW PRECAST OOM16REW LEACIWX RIMSC0U%�tT�' HAMM w47EMAL COURSE SAW AAD GRAVEL (J' COLLAR)
R Appy,
t' i:V f v a WY4
Oi'ALOp
,rpt .
+s
5. illyi�t* a"yfj�
E�-•�5 3
EOGF
6'pg,1pr`H
56�
KA 1
A, GLEE
1
AREA= 22,192 SQ. FT.
N RUNOFF CONTAINMENT:
DWELLING: 1,477 Sq. Ft.
/ 1,477 x 0.17 x 1 = 252 Cult.
( Provide 2 DWs. 8'0 x 3' Deep
Connected by Gutters do Leaders
pI' N
E�r10
NO. 49618
P CA fV, +. C.
(631) 765---5U20 FAX (631) 765-1797
P.O. BOX 909
1230 TRAVELER STREET
„ 1 1 ' _ nR'
I"1T-1 - . I %, 4 4 /1 I4