HomeMy WebLinkAboutPrzyborowski, JamesELIZABETH 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 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: Carol Hydell, Southold Town Clerk's Office
DATED June 5 2015
�! �!! JUN 2(}15
,
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4323 1 for a Cesspool/Septic Tank Construction
Permit submitted by:
James Pruborowski
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
r
Dated j
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Residential @ $10
OFFICE OF THE TOWN CLERK
. . TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
or Non -Residential @ $25
Town Hall, 63095 Main Roa,
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6146
Telephone (631) 765-1800
s o u th o ld to wn. northfork. net
Application No./ ✓ J
P, rn,; t AT -
peptic i ants . or Uesspool
Brief Description of Proposed Construction or Alteration
Location of ProposPA
Owner of Prope
Owner Mailing
Owner Property Address:
Name and phone number of contact person 5 4C"
Tax Map No: Stion (p Block (� Lot — . —
Cross Street _ � v 2
NOTE: LOCATION MAP MUST ' BE SUBMITT WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH TH DEPARTMENT APPROVAL
Sign e of pplicant ate
Received by:
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SILT FENCE
WOVEN WRE FENCE (MIN. 14
GAUGE W/ MAX. 6' MESH
SPACING)
35' MIN. LENGTH FENCE
POSTS DRIVEN MIN. 16'
e
�o
PERSPECTIVE VIEW
WOVEN WRE IINCE (MN. 14
1/2 GAUGE W/ MAX 6' MESH
SPACING) WITH FILTER CLOTH
3
36' MIN. FENCE POST o
VNDISNRBED `V
FLOW- GROUND
COMPACTED SOIL s €
EMBED FILTER CLOTH o
A MIN. OF 8' IN GROUND ILS
f�
SMON VIEW
CONSTRUCTION SPECIFICATIONS
1. WOVEN WRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS NTH WIRE
TIES OR STAPLES, POSTS SHALL BE STEEL EITHER T OR 'U' TYPE OR
HARDVAOD.
2. FIL70 CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE W17H TIES POLE
SPACED EVERY 24' AT TOP AND MID SECTION. FENCE SHALL BE WOVEN WRE 728
6' MAXIMUM MESH OPENING.
3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY SMALL BE
OVER -LAPPED BY SX INCHES AND FOULED, FILTER ttOTH SHALL BE OTHER
FILTER K MRAFI IODX, STABIWKA T140N, OR APPROVED EQUIVALENT.
4. PREFABRICATED UMTS SHALL BE GEOFAS. ENVIROFENCE OR APPROVED 1
4.=
UIVAIENT.
5, MAINTENANCE SHALL BE PERFORMED AS NEEDED AND ATERIAL REMOVED WHEN
'BULGES' DEVELOP IN THE SILT FENCE
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0 PER NfIDRN510 \
LANDSCAPE PLAN
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0 SINGLE FAMILY RESIDENCE
(MUNICIPAL WATER
6c1 Z Q ON SITE SEPTIC SYSTEM)
0 psi ,� 0 mIn
LD
LD G CA NO
CON nNUoUS HOT
TO WAGE
ASPHALT SEALA1tTE
NAND] d H
PRWOSED WADE
4' SCHEDULE 140 1/I' PVL
PROPOSED CONTE
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^
A,
curler weERr
�
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BATTLE REQUIRED
IF IR2'PPEERR EEDS
/ m
TYPICAL
DIS7IRIBUTT0N BOX
Nor ro scAle
0 psi ,� 0 mIn
UCT10N E1
NOT TO SCALE
41010ud
ILO
1. REMOVE TOPSOIL AN ORGANICS PRIOR TO PLACEMENT OF CRUSHED STONE.
2. ENTRANCE 9ULL BE 12' WIDE MINIMUM.
3. SUB -BASE OF FREE DRAINING BACKFILL MAY BE USED IN UEU OF
GEOTEXTILE FILTER FABRIC
4. MAINTAIN BY TOP DRESSING WITH ADDITIONAL STONE AND REPAIRING RUTS
AS REWIRED. ADDITIONAL LENGTH MAY BE REQUIRED IF SEDIMENT IS
TRACKED ONTO PAVED AREAS. ANY SEDIMENT SPILLED. DROPPED OR
TRACKED ONTO PAVED SURFACES SMALL BE REMOVED IMMEDIATELY.
INLET
LD
LD G CA NO
CON nNUoUS HOT
TO WAGE
ASPHALT SEALA1tTE
NAND] d H
PRWOSED WADE
4' SCHEDULE 140 1/I' PVL
PROPOSED CONTE
uW. a•
' �
z• Mw. ABo1E
^
wtEr
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curler weERr
�
Y MW�
U)
UCT10N E1
NOT TO SCALE
41010ud
ILO
1. REMOVE TOPSOIL AN ORGANICS PRIOR TO PLACEMENT OF CRUSHED STONE.
2. ENTRANCE 9ULL BE 12' WIDE MINIMUM.
3. SUB -BASE OF FREE DRAINING BACKFILL MAY BE USED IN UEU OF
GEOTEXTILE FILTER FABRIC
4. MAINTAIN BY TOP DRESSING WITH ADDITIONAL STONE AND REPAIRING RUTS
AS REWIRED. ADDITIONAL LENGTH MAY BE REQUIRED IF SEDIMENT IS
TRACKED ONTO PAVED AREAS. ANY SEDIMENT SPILLED. DROPPED OR
TRACKED ONTO PAVED SURFACES SMALL BE REMOVED IMMEDIATELY.
INLET
LD
LD G CA NO
CON nNUoUS HOT
TO WAGE
ASPHALT SEALA1tTE
NAND] d H
PRWOSED WADE
4' SCHEDULE 140 1/I' PVL
PROPOSED CONTE
uW. a•
' �
z• Mw. ABo1E
^
wtEr
d
curler weERr
�
Y MW�
,O
BATTLE REQUIRED
IF IR2'PPEERR EEDS
/ m
TYPICAL
DIS7IRIBUTT0N BOX
Nor ro scAle
UCT10N E1
NOT TO SCALE
41010ud
ILO
1. REMOVE TOPSOIL AN ORGANICS PRIOR TO PLACEMENT OF CRUSHED STONE.
2. ENTRANCE 9ULL BE 12' WIDE MINIMUM.
3. SUB -BASE OF FREE DRAINING BACKFILL MAY BE USED IN UEU OF
GEOTEXTILE FILTER FABRIC
4. MAINTAIN BY TOP DRESSING WITH ADDITIONAL STONE AND REPAIRING RUTS
AS REWIRED. ADDITIONAL LENGTH MAY BE REQUIRED IF SEDIMENT IS
TRACKED ONTO PAVED AREAS. ANY SEDIMENT SPILLED. DROPPED OR
TRACKED ONTO PAVED SURFACES SMALL BE REMOVED IMMEDIATELY.
INLET
J' VIINT�9 Y VDRL 0
uoulD LEVELlilt
CON nNUoUS HOT
m
ASPHALT SEALA1tTE
NAND] d H
EXISTING CONTOUR"""S��,
4' SCHEDULE 140 1/I' PVL
PROPOSED CONTE
INLET BAFFLE ESP GAS y
.I D61FC W
STONE WALL /
4'J - i -i I -Y
CROSS SECTION
1000 GALLON
� roMPARTMENT
I'-5-°•�I � 1
'� rH
ELAM
s
LEACHING
XPPOOL DETAIL
HIGHEST EECTED ,GROUND WATER NDT TO SCALE ,
I
O R E N T
6'-6'
� KNOC TOU p INLEI AND
RW INSIDE -44
h Wawa
rm I -
PLAN
1' MM 3
KEY
RADE PROVIDE STRAW BATS BALM
SECTION VITH 9.T FENCE (TV,
20GJ TF WA910UT PIT
NOT TO SCALE
NOTES:
1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL
CONSTRUCTION, LARGER PROJECTS OR PROJECTS REWIRING
PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK.
SO GALLONS/PUMP, PLUS MIN. 1' FREEBOARD).
2 CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM
PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES
75X OF ITS CAPACITY.
3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT
OF WASH WATER.
N/F
JANE CHEMERYNSKI, DIANE BLOMOUIST
& JIMMY PRZYBOROWSK( ----'
SINGLE FAMILY RESIDENCE c--------_--.
MUNICIPAL WATER ��\1
ON SITE SEPTIC SYSTEM
N/F
UNITED STATES OF AMERICA
(NAW SITE)
DRAINAL:< GAI L]A-ARONB
ROOF AREA - 2.989 SF
REWIRED - 2.989 SF X 1.D X 2/12 - 498 CF
498CF / 26.27 CF/VF = 17.62 K
USE THREE(3) - 6'e X 6' DEEP DRY WELLS
YSEST
MAP REFERENCES
1.) PLAN OF PROPERTY TO BE CONVEYED BY WEST END LAND CO. INC. TO
DONALD W. AND ALICE FL SINCLAIR AND ARTHUR J. AND BERNADETTE WALSH;
FISHERS ISLAND. NEW YORK; SCALE: Y - 40 FT.; CHANDLER & PALMER.
ENGR'S; SEPT. 1963
NOTES
1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED
HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO
BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE
ENGAGEMENT.
2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON,
UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO
ALTER AN ITEM IN ANY WAY.
3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S
SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF
THE LAND SURVEYOR.
4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC
SURVEY TRUNGULATION STATION 'PROS'
5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000,
SECTION 010, BLOCK 10, PORTION OF LOT 6.1 (SUBDIVISION PENDING)
6.) TOTAL AREA - 1.933 ACRES.
7.) SITE IS LOCATED IN R-80 ZONE.
B.) BASE FOR LEVELS NGVD 1929.
9.) R OF L07 COVERAGE - DEVELOPED LOT AS PROPOSED- 3.27%
10.) AREA TO BE CLEARED = 280123 S.F.
7FST_HIM IF DATA
BY: R. STROUSE P.E..L.S. - APRIL 17, 2014
TEST HOLE 91
0-0.6• TOPSOIL (SM)
D.8'-5' NED BROWN SILTY SUBSOIL (SM)
5'-7.5' LIGHT BROWN SAND (SP)
7.5'-77' GRAY, STONEY, SAND (SP)
.,1. CYCTFY 11FSIl;N FTIR N11 10 4 ..S (SEE ARCHITECTURAI. PANS)
PROVIDE 1000 GAL SEPTIC TANK
INV. IN = 57.5
INV. OUT - 57.0
PROVIDED -
BOX
INV. IN - 58.67
INV. OUT - 56.5
PROVIDE 2 LEACHING POOLS
INV. IN - 56.0
N/F
NOW OR FORMERLY
SF
SQUARE FEET
- - 60 - -
EXISTING CONTOUR"""S��,
®
PROPOSED CONTE
000000000000
STONE WALL /
RETAINING WALL
FENCE
.IWYYY\.
TREEUNE
30 15 O 30
GRAPHIC SCALE IN FEET
Y
7 Q Y
3 0 40,
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DATE: 02/25/2015
SCALE: 1" = 60'
SHEET
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