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Home My WebLink AboutSzczotka, NancyELIZABETH A. NEVILLE,1l MC 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 11971 Fax(631)765-6145 Telephone (631) 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 8, 2015 RE: Cesspool Construction/Alteration Application I cr-�, - Ll MAY 1 1 2015lIJ I Transmitted herewith is a copy of application No. 4313 for a Cesspool/Septic Tank Construction Permit submitted by: Nancy Szczotka 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: Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER southoldtown.northfork.rnet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT . CESSPOOL or SEPTIC TANK Residential @ $10 1"/ or Non -Residential @ $25 Application No.7 / Permit No. Applicant Name Sz C Applicant Mailing Address -Po P p,o jj q Q,Q / C/ . Septic Tank . -or Cesspool Brief Description of Proposed Construction or Alteration CAn S+f U Location of Proposed Construction/Alteration: Owner of Property:_ Owner Mailing Address:__foG Owner Property Address: 5o nbl Nn. a: k nn J Name and phone number of contact person Tax Map No: 100.0 Section Le 9 Block � Lot /3 Cross Street-�a� &l ca NOTE: LOCATION MAP MUST ]BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of pis Date Received by: �� :• o��S0FF0�,;�coG Town Hall, 53095 Main Roo. 0. 01 P.O. Box 1179 O • Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.rnet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT . CESSPOOL or SEPTIC TANK Residential @ $10 1"/ or Non -Residential @ $25 Application No.7 / Permit No. Applicant Name Sz C Applicant Mailing Address -Po P p,o jj q Q,Q / C/ . Septic Tank . -or Cesspool Brief Description of Proposed Construction or Alteration CAn S+f U Location of Proposed Construction/Alteration: Owner of Property:_ Owner Mailing Address:__foG Owner Property Address: 5o nbl Nn. a: k nn J Name and phone number of contact person Tax Map No: 100.0 Section Le 9 Block � Lot /3 Cross Street-�a� &l ca NOTE: LOCATION MAP MUST ]BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of pis Date Received by: �� QOJP�� 9�1 GGA G�Sr�Q. V 00V yyp GF' �'d� q„ SITE PLAN FOR NANCY SZCZOTKA PAGE 1 OF 2 SURVEY OF PROPERTY SITUATE PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-69-04.•1 SCALE 1"=50' L JANUARY 23, 2015' AREA = 61,540 sq. ft. 1.413 aa. �Y.6 TEST HOLE DATA y (TEST HOLE DUG BY NATHAN CORWIN L.S. ON JANUARY 23, 2015) DARK BROWN LOAM OL 0.5' QGSnG2c �J12�G-f2O BROWN SILTY SAND SM �9TFP 20�� 4. . 2, DRAINAGE SYSTEM CALCULATIONS: �P�c.� ROOF AREA: 1,900 sq. ft. Il 1,900 sq. ff. X 0.17 = 323 cu. ft. 323 cU. ft. / 42.2 = 7.7 vertical f1. 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: DRIVEWAY AREA: 2,100 sq. ft. ' 2,100 sq. ft. X 0.17 =357 cu. ft. 357 cu. ft. / 42.2 = 8.5 vertical ft. of 8' dia. leaching pool required PROVIDE (1) 8' dia. X 10' high STORM DRAIN POOL WITH OPEN GRATE PROPOSED 8' DIA. X 12' DEEP DRYWELL FOR DRIVEWAY RUN—OFF ARE SHHw+O''WB7N ty /'E g�yyNTY Drmwrmm OF lie. A�i'j SF,RVICI a7SiiFi�� !'iiid e'u ¢ 1 fl PERUIT FOR APPROVAL OF CO t5iC ONLYCTION SINGLE'�'Ai�mv REg{DENC EF. NO. APPRO E' PALE BROWN FINE TO COARSE SAND SW to' ILE BROWN FINE 1 MEDIUM SAND SP 17' pA NOTES: ! N .4 '. h pS� �p �ypy�+ ��"L �TaIp �Q/ �t�� fVi DATE Or THREE i EXISTING CONTOUR LINES ARE SHOWN THUS: ----40 —-- OFFICES LOCATED AT 1586 Main Road 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOU S 00 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP Jamesport, New York 1";947 " /+VOA 43.9 D. x Z O 7 Awe > .S�Q Fsry 2. / Ao PROPOSED EXPANSION POOL 70 SECTION 7209 OF THE NEW YORK STATE I PROPOSED LEACHING POOL EDUCATION LAW. ® PROPOSED SEPTIC TANK COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD EMBOSSED SEAL SHALL NOT BE CONSIDERED OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. " D . CERTIFICATIONS INDICATED HEREON SHALL RUN \ Pel 0e� tiq�Ck�� 00�C tG45 J 06060 �o� 415 x O��U O O�•c� %0 O QOJP�� 9�1 GGA G�Sr�Q. V 00V yyp GF' �'d� q„ SITE PLAN FOR NANCY SZCZOTKA PAGE 1 OF 2 SURVEY OF PROPERTY SITUATE PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-69-04.•1 SCALE 1"=50' L JANUARY 23, 2015' AREA = 61,540 sq. ft. 1.413 aa. �Y.6 TEST HOLE DATA y (TEST HOLE DUG BY NATHAN CORWIN L.S. ON JANUARY 23, 2015) DARK BROWN LOAM OL 0.5' QGSnG2c �J12�G-f2O BROWN SILTY SAND SM �9TFP 20�� 4. . 2, DRAINAGE SYSTEM CALCULATIONS: �P�c.� ROOF AREA: 1,900 sq. ft. Il 1,900 sq. ff. X 0.17 = 323 cu. ft. 323 cU. ft. / 42.2 = 7.7 vertical f1. 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: DRIVEWAY AREA: 2,100 sq. ft. ' 2,100 sq. ft. X 0.17 =357 cu. ft. 357 cu. ft. / 42.2 = 8.5 vertical ft. of 8' dia. leaching pool required PROVIDE (1) 8' dia. X 10' high STORM DRAIN POOL WITH OPEN GRATE PROPOSED 8' DIA. X 12' DEEP DRYWELL FOR DRIVEWAY RUN—OFF ARE SHHw+O''WB7N ty /'E g�yyNTY Drmwrmm OF lie. A�i'j SF,RVICI a7SiiFi�� !'iiid e'u ¢ 1 fl PERUIT FOR APPROVAL OF CO t5iC ONLYCTION SINGLE'�'Ai�mv REg{DENC EF. NO. APPRO E' PALE BROWN FINE TO COARSE SAND SW to' ILE BROWN FINE 1 MEDIUM SAND SP 17' FC MUNI OF NOTES: ! APPROVAL 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 40.0 �p �ypy�+ ��"L �TaIp �Q/ �t�� fVi DATE Or THREE i EXISTING CONTOUR LINES ARE SHOWN THUS: ----40 —-- OFFICES LOCATED AT 1586 Main Road 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOU S 00 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP Jamesport, New York 1";947 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq f1 SIDEWALL AREA. 1 POOL; 12' DEEP, 8' dia. PROPOSED EXPANSION POOL UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS -A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE I PROPOSED LEACHING POOL EDUCATION LAW. ® PROPOSED SEPTIC TANK COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD EMBOSSED SEAL SHALL NOT BE CONSIDERED OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 1 Em. THE MINIMUM AS ESTABLISHES r�4ND ADOPTED RTH.STATE LAND Nathan-Ta'ft .Corwin III Land Surveyor TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF -RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. OFFICES LOCATED AT 1586 Main Road ',10 MAILING ADDRESS P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 1";947