Loading...
HomeMy WebLinkAboutFHP Enterprises r r• ,/ ,�OSUFF���CO ELIZABETH A.NEVILLE,MMC �i'l.�0 �;, Town Hall,53095 Main Road TOWN CLERK : o P.O. Box 1179 3 1 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS :s.0 $ Fax(631)765-6145 MARRIAGE OFFICERy ! � RECORDS MANAGEMENT OFFICER _•l � 's i�� Telephone(631) nny gov I"""�����.� www.southoldtownny gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERr- -7-,------:--_I TOWN OF SOUTHOLD I; ;-- 'r— - j; j LW L AUG 2 6 2015 /LL /TO: Southold Town Buildg Depament ______ _ 1 FROM: Carol Hydell, Southold Town Clerk's Office i `r I DATED: August 26, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4336 for a Cesspool/Septic Tank Construction Permit submitted by: FHP Enterprises 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 7/44-1--V ' 4.- Signature 6)0-- Dated V'' IIII��Q��FFU(�e Oma; ELIZABETH A. NEVILLE 1oetiO Town Hall, 53095 Main Roa. • TOWN CLERK I A � �. P.O. Box 1179 REGISTRAR OF VITAL STATISTICS j Southold, New York 11971 MARRIAGE OFFICER d�, �`FI�1� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �O �� i Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER - •' 0°." southoldtown.northfork.net --**-•-...,..0° •,ea#..t, / OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 / or Non-Residential @$25 Application No. . 3 3 Permit No. y Applicant Name /0 C/)7 7 gI f • Applicant Mailing Address a/ leg, C� _ • r-tfoLA ivy //V/ Septic Tank/ or Cesspool Brief Description of Proposed Construction or Alteration S./A/1k :A/44\ bt(,/;/j /U ) CO� - j Location of Proposed Construction/Alteration: Owner of Property: Flip 1 fuses - Owner Mailing Address: - 1( iin-bitti A(*'. 001-40 a N /mgt Owner Property Address: 6 by / ('] Sociniouu Al If9'7I Name and phone number of contact person Ag /11-2 9kit al _ Tax Map No: Secti n 71 Block '0 I Lot Zi Cross Street LAK A - NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVE WITH HEALTH DEPARTMENT APPROVAL ct if,t 4-7 I' WO IS-'-- • Si ature ofpht D to Received by: 0 N SURVEY OF PROPERTY IN SOUTHOLD TOWN OF SOUTHOLD \i / SUFFOLK COUNTY, N. Y, 1000-7"7-01 24 SCALE. 1'=30' AUG, 6, 2014 S48' or •ted ?eau\ e5'p d"° ,-ke ' t xxCI 40" ..,,p, EZF'�,Q4 C�Zy, roto' n;;� +a .• (.0 e4� y �• � yotic Fa � Rl'':°\:� Q ` a �. Q, ` � ()r "s' u{ �� ti �P. v� A)(01 broEu W.? osvI. / � / ` 'ow" -‹ -/ / i V- ry.` 1EST HOLE / O 47 .0. :;/ ti \ / \ . .� / X42 N( 2a1' I / EL. / Y S \\,< / snG a j/ T / ir, i `, �/ / ° , N 1 ,c_v p 7 " / dir / �ti / . tisa. � // o NE / hissOS „l ° � Aaq„ ` N * . q / 4) § c �, r x 7 RECEIVED VED a AUG 19 2014 Air ,E OF E.:11‘.. CO.HEALTH SERVICES t �t rte:.. !IW F WASTEWATER MGT. 'AREA OFi s°, �1.�1' 1 SEPflC I * ; ' ,• / 'le \ *1 41►.j, 7!� .�,1„/A,;, Y.S. LIC. NO. 49618 If.;5►;;577-7.7 t'1''' ORS, P.C. (6 6 - 020 FAX (631) 765-1797 P.O. BOX 909 A - 21,827 SO. FT. 1230 TRAVELER STREET 14—�89 SOUTHOLD, N.Y. 11971 .. PROPOSED SEPTIC SYSTEM ( 3.BEDROOMS) [1] 8 FT. D/A. x 12 FT DEEP PRECAST CONCRETE LEACHING RINGS BACKFILL IW 7H 3' SAND (SW) COLLAR, 3' ABOVE GROUND WA TER [1] 1,000 GALLON PRECAST SEPTIC TANK V- a. Iv Y / • \/ i 2.5' ----. maoc 4S �► aa0 REMOVE Daus say 300 S.F. BAO(F11 MPH CLEAN i1, s YBi. 2DE Iv. SAID k CRAM.SW ..�% li: ' aAu AIWA i'4) •.�-f 014 4.Ly-, $. \ 040 ./433, r--- J15. �yo\ • �/�e`/ 'PALE BROMM FINE SAID SP , \oy • p.' 4 N •� RAIN RUNOFF CONTAINMENT: Ai GF DWEWNG: 1.016 Sq. Ft. l`—� �, 1,016 x 0.17 x 1 173 Cu.Ft. y�pn Provide 2 DWs. 6'0 x 4' Deep Connected by Gutters & Leaders �C, • �r 4 >/t TEST HOLE DATA °� ^ / .l' McDONALD GEOSCIENCE `' .,� % °,c 07/25/14 4,+.A / h , GAG • 0 , M' EL. 28.1' DARK BROWN LOAM OL „��1J moves., ©/ 0.5' ar N , tis J4,,O / 1 BROWN SILT ML ?b)ti / &4°3 `�Iy N., / / 9 PALE BROWN SILTY SAND SM �3?: 4>O q� 18' -711/4, PALE BROWN FlNE SAND SP k, . 4 24 -c NOTE: NO WATER ENCOUNTERED I AM FAMIUAR MI7H THE STANDARDS FOR APPROVAL LOT NUMBERS REFER 1D 'MAP OF GOOSE BAY ESTATES' AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL FLED N THE SUFFOLK COUNTY arc's OFFICE ON SYSTEMS FOR SINGE FAMILY RESIDENCES AND MILL ABIDE SEPTEMBER 12, 1534 AS FILE NO. 1176. BY THE CONDITIONS SET FORTH THEREIN AND ON THE - PERMIT 70 CONSTRUCT. ANY ALTERATION OR ADDITION TO mos SURVEY IS A VIOLATION HO LOCATION ARE NULLS AND CESSPOOLS OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. AND OR HEREON FROM FIELD HERS OBSERVATIONS EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS AND DATA OBTAINED FROM 011e HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ELEVATIONS ARE REFERENCED TD 7HE FIVE EASTERN ARE MHOSE SIGNATURE APPEARS HEREON. TOWS TOPOGRAPHIC MAPS REVISED 70 NAZI 88'