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HomeMy WebLinkAboutKelleher, Jessica 4 '/0101/10., tie ELIZABETH A.NEVILLE,MMC ��0 .` l/.y Town Hall,53095 Main Road TOWN CLERK = PO.Box 1179 4, _ • ; Southold,New York 11971 REGISTRAR OF VITAL STATISTICSp ?-:" **10 Fax(631)765-6145 MARRIAGE OFFICER ;�� �Q�'01° Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �.t „•� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER -------...,..0' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department J) " ; 015 LL),, FROM: Carol Hydell, Southold Town Clerk's Office \L\\ OCTOCT 2 DATED: October 2, 2015 \ .. 1-------1-- - RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4345 for a Cesspool/Septic Tank Construction Permit submitted by: Michael A. Kimack for Jessica L.Kelleher . -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 '71'.64-'1geel --Z--- .., Signature Dated ,,,,,iii,, ogiELIZABETH A. NEVILLE �� �O CSG - . TOWN CLERK i ~ �` : .,,Town Hall, 53096 Main Roe, - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER :�p `� �I� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER \-r' ��ost. ei Telephone (631)765-1800 • FREEDOM OF INFORMATION OFFICER '/T����� southoldtown.northfork.net - • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD - RECEIVED SOUTHOLD WASTEWATER DISTRICT OCT 2 2015 APPLICATION Southold Town Clerk CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 L/--or Non-Residential @$25 Application No. y 3"I 0 • .Permit No. • Applicant Name /Cisi.42, 4. ,e7/4.4 Q'c Applicant Mailing Address 9Z/ ,e/(/Eief/Dz j:� R/1/4414Y-71 .41 ,___N__-_Z /l 9 0/ Septic Tank.!/ -r Cesspool Brief Description of Proposed onstruction Alteration ©/4 c 2O 64L. 14,Prdc 7./Aie ill_cRS___ c?c' ,/. At C, /A/6 PIroLS AWL /Lb eg '/1. /4/o use Location of Proposed Construction/Alteration: Owner of Property: v'�Sff CA2 Z. 4-E LLEJ2E Owner Mailing Address: 5-7 9 ►/ AWR / ,(2-VAE._ Owner Property Address: 4 7 Q 1V4 6 614/ WA6,,,�eZ, My, - Name and phone number of contact person Tax Map No: /Goo Section /01 Block 03 Lot ��. C Cross Street "Vi/l/ ,PD //1�'2f) NOTE: LOCATION MAP MUST.BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 7 ./a44//a/ 40,0, ,,1 P/7//s-- Signature of Applicant Date Received by: *- �,' • - --i \ , , . , ,cpm _ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 2 gA .� c: PERMIT FOR APPROVAL. OF CONSTRUCTION FOR A s'^r �� \ • SINGLE FAtvtilc.'r RESIDENCE ONLY �_.-4 '-- i1_ pry , : `.row ,9 SQA 2 8 2015 H.S. REF, No. ,^/ I'1—�S-C�C�� c���,,, DATE _ SY\�i'. 1WV• \(�/ � (S.,ra APPROVED A.�&-J2` FOR MAXIMUM OF EDROOMS WIRES THREE YEARS FROM DATE OF APPROVAL �s i \ of NEI ,-, Ofti �_,- p I. coo. 7 • IC '4•;:-73.$7,17‘4,1i.l'i:.:15 o _c_; „a”-; �, 60 �� :� �; ..Y.S. UC. NO. 49618 S.E. 25 �" ' ip i YU,'-' ORS, P.C. ��► ROAD (631 "76`5= 020 FAX (631) 765-1797 '� '`A j� P.O. BOX 909 1`a - 1230 SOU7HO��N.LER Y. 1 971 STREET 115-109 �I , ) \ . • b y� t, " ot (3it /N . Or , \ . yam" .-. moo - O .+o, p 11111r Frier 410' CI ie s ,oe \ ?d 6 , 4) 15 \ BOti y!y s9 ,/ \+ POLE \ v i • • 4(1:Yt< le/ \ % \U11LITY V \ y 9°9�'_ S- \ / d `� `•\ • \ \ nn-- ?�� \ \O �\\ �\\ ♦\\ �� �' \ 9 \ � \• \ • gA Oe v. 0 ultutY �. \ •\, ® <\ \ \ EL 13.4' ` • / <> "'• \ ` O �a �,� \ito� `� \ , ��OO \Ire \ , � \ `\ \\�� \\ \\ \\\\ \ C` 1 Abe . \� `• `� �• �• `� • • • • ��1�' • /Y` • ♦ • �\ \ • • / \\ • ` \ \ \ \ Q \ \ \ \ > � SOW NS° �' p�� J > n • \ \ , • • 46 `\ •• �\ •` \ \ \ , \ > \ \' a`, \ fir EL. 24.0' \\<,:ssi \ \ \ . \ \ EL. 9.0' \ \ ' \ �'� \ 4, .5,,s,.., � l S. \ \ JEL&3. 0, u \ \ \ do �� \cs -9,p).. \ >\16. \ 43 13)61 ram L, t q _ \ / MIXED LOAM OL /\ 0.5' y / 0 \ Is,/ BROW, FINE 70 MEDIUM SAND SP / �`G PALE BROWN SILTY SAND SA/ ;;. \ li, . / 6' \ PALE BROWN FlNE SAND SP \fric 1 / �� '� Q / OP� P�,P�WATER /N PAI£BROWN FlNE SAND SP • .y _(\• boy n00ii'"' 1 ATER pyCQUN7ERED7.0' BELOW SURFACE ` . ' / / ' \ EL 22.7'.' 6 `\ 2 GRADING PLAN /\> 4,.® a04. . j RA Apl, sHi ''s 3. 4" 0APPROVED PIPE 5 P EL. 10.0' FINISHED GRADE EL. 9.5' ® 4\</'i g �S®, � � 1'MIN. N��° Yt� \ 1500 GAL 1---, / ••�----6 PRECAST I.E. _ ® � 't ��"� �� I.E. I.E. - CYLINDRICAL p I A '��, 6.8 SEPAC TANK 8'% 6.3' •`� 6.0' B's�LEACHING S 2.0' MIN. } SUFFOLK COUNT f ti C'\ SUFFO K FOR•-- GROUND WATER - - - - - - _ - - �' (HIGHEST EXPECTED) �� \ �tPif�L )F ED SEPTIC SYSTEM ( 6 BEDROOMS) ` sem` �\-�� SEP 2 8 201 1,500 GALLON PRECAST CYLINDRICAL SEPTIC TANK. APpRoo 8 FT. DIA.x 2 FT. HIGH PRECAST CONCRETE LEACHING POOLS EosI;x WITH 3' SAND COLLAR (SM) 2' ABOVE GROUND WATER ,i ''�'' O ' HRi . ,