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HomeMy WebLinkAboutJacquet, Philippe & Anne Chu ELIZABETH A.NEVILLE,MMC �,may. y Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 c*: ae ; Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %`p 4." Fax Fax(631)765-6145 MARRIAGE OFFICER i#4, aQ���0 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER t * *4;0/ www southoldtownny.gov FREEDOM OF INFORMATION OFFICER 17—) - - :.;1 OFFICE OF THE TOWN CLERK I i !! { ; a TOWN OF SOUTHOLD LI jI AUG 2 4 2015�f I U' — - _i TO: Southold Town Building Department I FROM: Carol Hydell, Southold Town Clerk's Office DATED: August 17, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4366 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for Philippe Jacquet& Anne Chu . 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 c ,#,,‘,7' p. Signature ®//' —//ô--- Dated i°OFFOUr o� ELIZABETH A. NEVILLE /� y` Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS va Southold New York 11971u► MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER 4 1� Fax (631) 765-6145 �;'f'�Q �0. Telephone (631) 765-1800 a FREEDOM OF INFORMATION OFFICER = :s southoldtown.northfork.net 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. -/ Permit No. Applicant Name /(/( // D�- g64116 Applicant Mailing Address (I e}OJC. ( 3 3 C, l C v,L Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration /( G✓ v/, S� PT7C Location of Proposed Construction/Alteration: Owner of Property: P1-/IL ( f P� �/1-C' v Owner Mailing Address: 3S73 7C7i< .IT (14-cie,T0,41-17- � A J I(J7 z Owner Property Address: 7/ I'NP V O(4, We Oie eT Name and phone number of contact person it,ee., QT 73 Ve.7- Tax Map No: Section 1 `f- Block a Z Lot 3 -3 Cross Street (r7.7 f C/ ( v1 NOTE: LOCATION MAP MUST BE SUB ! ITTED WI H APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY 1 H jl /EPARTMENT APPROVAL Signature . pplicant Wr Date Received by: NO. 7089. AT ORIENT GR. 1G PLAN TOWN OF SO UTHOL,., 4' APPROVED RAIN RUNOFF CONTAINMENT: SUFFOLK CO UNT Y, N. Y. .' PIPE FINISHED GRADE 99' DWELLING: 2,219 Sq. Ft. I -•- n�..... . ... .. .twirl: 2,219 x 0.17 x 1 = 377 Cu.Ft. 1000-14-02-3.34 I.E. 92 !ow ` �. r•E �- T . Provide 3 DWs. 8'0 x 3' Deep SCALE.' 1 —40� 9.9' I.E. — TAw a4 erLFAar c Connected by Gutters 8c Leaders P 1 OCTOBER 10, 2013 3.0'MIN. NOVEMBER 19, 2014 (PROP. HOUSE) SEPnC SYSTEM GROUND WATER EL.I.4' MARCH 13, 2015 (REVISIONS) DIA. x 4 FT HIGH PRECAST CONCRETE LEACHING RINGS May 28,2015 (REVISIONS) L MATERIAL COURSE SAND AND GRAVEL (3' COLLAR) GALLON SEPTIC TANK. = PROPOSED ELEVATION r WELL O r ?� N Water Lne(s) MUST ; = Inspected BS The jy Suffolk County Dept. 0 eaith Services. k I\ Call 852-5700, 48 Hours Advance - __ (13 To Schedule 1 • = I • e L r' co PARK AND PLAYGROUND o k. h`� (VACANT) II WELL AND LATE `7191ittE r7 SHOWN_©N FINAL S ) 8 CL.EL. 240.23' 6 9'3' N87'26'10"E CL.EL. EL_ �s4! (5\ 9.2' 8' EL.8.8' o _ _ _ _ 7 dIrg � I— BUILDING ENVELOPE I ) li LOT 30 ----- , 4 �P. o b N - b�� m �• PROP. i DRIVEWAY ' 50.c I TEST HOLE,'� �J 30.1' : �. l �_ r ' i — 150 ---PROP. .. v;A i E 7.7 4 BEDROOM co HOUSE ;� 3 D i / q F.F. E12.5' s 1 )I i /1 // 781' . ' PROP. . ...b. O -���/1 8'min © SEPTIC _`f41' - 7 to SYSTEM W 1 r 50.0' ---IN_____C) Q I bO ttl 11wy— j y 2o C o ' CAVAE• 'NSP Ttt?N REQUI ``�` i EL•g•5� n O 1 SFAs O , SCA i �� ro By HEAL • 1 EPARTMBNT o c o w, � 2_ 266.67 is X 'z . EL.13.4' ti CL.EL. MON.0.4'5. S8210'40"W 1 A OF SEPTC SUFFOLK COU TY DEPARTMENT OF HE:LTH SER ICES ti Pi ARE LOT 29 PERMIT FOR A'PROVAL OF CONSTRU TION FOR '�� SINGLE ' td1ILY RESIDENCE O -LY H DWELLING p 2 9 2015 H.;. R . No 1 ./O - S-(QUI (o APPROVERS-- • ''' ' FOR MAXIMUM OF BEDROOMS EXPIRES THREE YEARS FRO DATE OF APPROVAL ) ZONE X TEST HOLE DATA tom. 0.n ( � a (t/ LL \ 1 3C0069H SEPT. 25, 2009 McDONALD GEOS3CIENCE rtri-4r coeta- 0.p ro u al IP NO. 36 09/17/20 �A,�. f P 1°140,390 SQA FT� EL.Z> >, DARK BROWN LOAM OIL OF 1,4 BROWN SILT ML P'( P. IONS REFERENCED TO NG VD DATUM. 3' °o�q��rt �`fTc'C, '!` rmiliar with the standards for approval fa ,.• -P lstrcution of subsurface sewage PALE BROWN FINE TO COARSE SAND SW I systems for single family residences ilk - ' abide by the conditions set forth therein and on the to construct. EL•I4' 6.3' "'stw �• WATER IN PALE BROWN FINE ' t 460 �!` 6TO COARSE SAND SW ♦`, I k tion of wells and cesspools shown hereon are X41 i /AI, 4• . rid observations and or from data obtained from others. II/ 'W j1 Y.S. LIC. NO. 49618 TERA770N OR ADDITION TO THIS SURVEY IS A VIOLATION WATER IN PALEBROWN f7NE TO MEDIUM SAND SP ECONIC tEYORS, P.C. 770N 7209 OF THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS 13' P.O. BOX 909 7 ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 4P OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 13-260 SIGNATURE APPEARS HEREON. .F IVF t'") ■ =MONUMENT SOU THOLD, N. Y. 11971 JUN 1 9 2(115 SUFF. CO. HEALTH °;ERVICES