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Home My WebLink AboutHiggins, Patrick & JenniferELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER °�as�FFocx� Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax(631)765-6145 Telephone (631) 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK t; TOWN OF SOUTHOLD �. APR 10 2015 TO: Southold Town Building Department 3 i j FROM: Carol Hydell, Southold Town Clerk's Office DATED: April 16, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4307 for a Cesspool/Septic Tank Construction Permit submitted by: Samuels & Steelman for Higgins 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 Signature w Dated OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown. northfork. net Residential @ $10 / or Non -Residential @ $25 Application No. _�j -3c / Permit No. Applicant Name T;m t�1,WV1. AIJ , &Wveft k We-etw(m A5Ajjf-e( Applicant Mailing Address '!a Au, _i rl &0A C ux� Septic Tank V or Cesspool Brief Description of Proposed Construction or Alteration !,amr S t Ld. 11dL4 0 Location of Proposed Construction/Alteration- Owner of Property: �(. IY'� C1� (,f;{�1 �cnol_kr Rt'441'11's Owner Mailing Address: K/fr1-i ( lal py+ Dt- . Owner Property Address: 41c) &zcksorl 5, . Name and phone number of contact person Tax Map No: Section ( (1 Block 10 Lot Cross Street ;9• S- F. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: e C�_( • �S�FFo��.�, ELIZABETH A. NEVILLE TOWN CLERK p OF H REGISTRAR VITAL STATISTICS MARRIAGE OFFICER • 'F 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 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown. northfork. net Residential @ $10 / or Non -Residential @ $25 Application No. _�j -3c / Permit No. Applicant Name T;m t�1,WV1. AIJ , &Wveft k We-etw(m A5Ajjf-e( Applicant Mailing Address '!a Au, _i rl &0A C ux� Septic Tank V or Cesspool Brief Description of Proposed Construction or Alteration !,amr S t Ld. 11dL4 0 Location of Proposed Construction/Alteration- Owner of Property: �(. IY'� C1� (,f;{�1 �cnol_kr Rt'441'11's Owner Mailing Address: K/fr1-i ( lal py+ Dt- . Owner Property Address: 41c) &zcksorl 5, . Name and phone number of contact person Tax Map No: Section ( (1 Block 10 Lot Cross Street ;9• S- F. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: e C�_( 0 FT. PROPERTY: 484 JACKSON STREET • 2' MAX. ADDRESS NEW SUFFOLK, NY OWNER: L. PATRICK HIGGINS JENNIFER J. HIGGINS TOP OF POOL 21.49 FT 2 KENILWORTH DRIVE SHORT HILLS NJ 07078 8'dia z�12'ht SITE: 106,158.7 SO. FT. = 2.43 ACRES LEACHING POOL BOT OF POOL 9.49 FT SURVEYOR: John C. Ehlers 6 East Main Street Riverhead, New York GROUND WATER DATED June 20, 2012 3' MIN LOCATION MAP id Now or Formerly of: JAMES DILL, JR. PUBUC WATER BY MARK McDONALD GEOSCIEN( NO SCALE SOUTHOLD, NEW YORK 11971 TEST HOLE DATA 9-10-12 ELEV +24' 1 FT. DARK BROWN LOAM OL 2.5 FT. BROWN CLAYEY SANDY SC s o67s 5o•w 17 FT. 1 PALE BROWN FINE SAND SP COMMENTS: NO WATER ENCOUNTERED za 382.88' / TMber a oin C / � 2 d :Gin C3 32 40 Q /h 2 2 J GREAT :n 6J .p.. SCDHS BAj8tgj C� Tr A] n Z Z O W o Q oLL o Z WW WWW1z Q 0? w Z �/ W F- O (� m Z 2 N Q W a 2' Hj S,1p� 0 jkVitr UT TS 5/22/14 1-=50'-O" ITE PLAN L 22 a , 9 ------ -12- 0 -20. -- - _-- - ---------26 V TMber a oin C / � 2 d :Gin C3 32 40 Q /h 2 2 J GREAT :n 6J .p.. SCDHS BAj8tgj C� Tr A] n Z Z O W o Q oLL o Z WW WWW1z Q 0? w Z �/ W F- O (� m Z 2 N Q W a 2' Hj S,1p� 0 jkVitr UT TS 5/22/14 1-=50'-O" ITE PLAN L / GRADE LINE ELEVATIC 1 4"/FT. NEW1 1200 GAL SEPTIC IE. +21.84' TANK IE IE. +21.74' I � I EXI5TIN6 20 WATER METER I 18 / I I �1 ��-- - - _ -+n C) I 5' J I �^ EI SEPTIC PROFILE - Gj NEW I -"""F.7C15TIN6 UNDERbROUND NATER SERVICE (N.T.S.) F- fn cc J W -j 2 _ \ { NEW 5 TARY SYSTEM FOR GARAGE - NEW I 6AL SEPTIC, TANK (ST) / NEN 8 DIA x 12' HIGH LEACHING POOL (LP) Land Now or ormerly of F _ EXPANSION. 8' DIA x 6' HIGH LEACHING POOLL,)�,ENCCE JAMES DILL AND EILEEN DILL PUBLIC WATER EXISTING SANITARY SYSTEM FOR - EXISTING IOOO GAL SEPTIC, TANK (Ex ST) - EXISTING (1) 8' DIA x 12' HIGH LEACH I POOL (EX LP S06'12'S0'1y281.1 281 19' EXISTING UNDE�tGRDUND 6A5 LINE �+ EXISTING UNDERGROUND Q)-' ELECTRIC, LINE rf r. VJ I EX 5T 5 24 h81 r v J P INS N8343'10'W I � I EXI5TIN6 20 WATER METER I 18 / I I �1 ��-- - - _ TEST HOI i WEI WATER LIN \ \p6'' EL +24' �422 `. ` '-26----------------------- -- -24 ROUNV EXISTING—� 24 WATER LINE IRRIGATI \ - - 24- - - - - -YCL-L - - - EXIST ` POOL Y LP STING DRIVFJ'�` \--------- EXI--------------------------- EXI5TN622------------ - PARKINS 20 AREA �` \-` ------2o-- - - - - _ - - - --� '20 --- -- - - -- - - -- NO6'16'50"E Lord! Now or Formerly of. ADELAIDE FENTON Formerly of. CORNELIUS HEARN Dwelling PUBLIC WATER SITE PLAN - SCALE: 1" = 50'-0" EXI5TIN6 SEPTIC, SYSTEM - 1000 GAL SEPTIC TANK (5T) - (1) 8' DIA x 4' HIGH LEACHING POOL (LP) EX15T SCE --2o---- 659.05' -� POOL HOUSE +—NEI&HHORI -+n C) I �^ EI NEW I -"""F.7C15TIN6 UNDERbROUND NATER SERVICE TEST HOI i WEI WATER LIN \ \p6'' EL +24' �422 `. ` '-26----------------------- -- -24 ROUNV EXISTING—� 24 WATER LINE IRRIGATI \ - - 24- - - - - -YCL-L - - - EXIST ` POOL Y LP STING DRIVFJ'�` \--------- EXI--------------------------- EXI5TN622------------ - PARKINS 20 AREA �` \-` ------2o-- - - - - _ - - - --� '20 --- -- - - -- - - -- NO6'16'50"E Lord! Now or Formerly of. ADELAIDE FENTON Formerly of. CORNELIUS HEARN Dwelling PUBLIC WATER SITE PLAN - SCALE: 1" = 50'-0" EXI5TIN6 SEPTIC, SYSTEM - 1000 GAL SEPTIC TANK (5T) - (1) 8' DIA x 4' HIGH LEACHING POOL (LP) EX15T SCE --2o---- 659.05' -� POOL HOUSE +—NEI&HHORI