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Glover, Jane
s'� fF®L•1 ELIZABETH A.NEVILLE,MMC �'•-%•• r� .:®�� Town Hall 53095 Main Road TOWN CLERK t�� 1 P.O.Box 1179 etss rt ; , � Southold,New York 11971 rpt REGISTRAR OF VITAL STATISTICS ; k' ��� Fax(631)765-6145 MARRIAGE OFFICER r ®c it Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER $.44;016 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER �- ��,,,.•• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 1- : - 1 '' 7 TO: Southold Town Building Department t` FEB 1 9 2016 FROM: Carol Hydell, Southold Town Clerk's Office f I_ _ ___ DATED: February 19, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4374 for a Cesspool/Septic Tank Construction Permit submitted by: Scott McKay for Jane Glover. 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 / Dated • 4/0 :"• C'® ELIZABETH A. NEVILLE ���`Z` �t`` Town Hall, 53095 Main Road TOWN CLERK ; p . P.O. Box 1179 Southold, New York 11971 _ REGISTRAR OF VITAL STATISTICS V+ ;' �'9 i MARRIAGE OFFICER . ® /� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER °� Q�'�1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =O,( I d I 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 Yor Non-Residential @$25 Application No. q 37 '"I Permit No. Applicant Name 4 ' _ 67l��/t'/I — S L'©� V v`��'moi"p'alti O1 4d 9 Applicant Mailing Address as- to S S DYVL" Septic Tank or Cesspool 1/' Brief Description of Proposed Construction or Alteration _ fl'&tw Location of Proposed Construction/Alteration: l Owner of Property: . 4A 1&� 6 1 711 Owner Mailing Address: -7 D (AY, "G )1 Vl (.til Q t w_d ci o 4 t'1 6 tA.a� I LA-; Owner Property Address:' �- Ceft usw( f) L1 Name and phone number of contact person S dd-TF' floc lv 31 2 g? -7610 Tax Map No: MOO Section /1 0 Block Lot .5—) Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WI H HEALTH DEPARTMENT APPROVAL SSI. far Applicant Date Received by: r L ' '. ' • S.C.T.M. NO. DISTRICT: 1000 SECTION: 110 BLOCK: 5 LOT(S):51 TYPICAL SILT DRAINAGE CALCULATIONS: SCREEN SECTION MON. !, j,; GEOTEXTILE FABRIC A) DWELLING W/COVERED PORCH=1,664 SOFT. 1 i SUPPORT POSTS 1664 x 0.166=276.22 < 277cf REQUIRED WOOD OR METAL (2) 8'DIA x 4' DEEP DRYWELL=337cf PROVIDED ��p �� LAND N/F , 6) DRNEWAY=1144 SOFT , . . A o FILIPKOWSKI FLOW DIRECTOR - � DECK tS 1,144 x 0.166=189.90< 190cf REQUIRED LAND N/F FRM, 6• J7 EXCAVATED AND • (1) 8'DIA x 5' DEEP DRYWELL= 211c! PROVIDED OF 0 S'-If0 ;., CP. BACKFILLED TRENCH ,` EL 61.1 } l' �O FILIPKOWSKI 1Go 0 EL 61.0 I6 CsO�j / y", EXISTING GROUND J �.r4T,,?, DWELLINGS 1 IST / W/PUBLIC WATER �� p= - - 1 - - - - - - 4o DWELLINGS • DRY • 1�, FII 1a I L_1 111-111 I I- ,1 B 11- 1 E11 E11I-11 E111=11 W/PUBLIC WATER ' --'0". WELL • LAND N/F .I 11-11 H I I=1 I I E-11a I 111E11 =1 I L=11 11-111=1 I E '9 150' EXISTING STRUCTURES TO OF li) p—1 EI Lg I1::-r, I I 1 I J 1=i1 ,11_ 111=7-111--,1.11., ..,11_!Ii ______CONCRETE__WASH_OUT AREA__ _ F��O %s- r BE DEMOLISHED RICCI %I •• ,1 r MINIMUM IN BED OF PROPOSED DRIVEWAY. S\�t EL-(6 ^ / \ 60.0 y'L \�o. ./ \ / • \\ ✓ • l O'' -' - -_fei ace"-----?---- /> •I o.n - i TYPICAL DRYWELL CROSS SECTION �o Qs' EL .0 0•C-; .< _ l --., </ 6�' (CONC. PRECAST COMPONENTS) 4� %'‘3• ,,(�SPA p� ' )`/:r° S oso \\ PROPOSED SOIL C�o .• , ;Zol so ti P ) EL 60.0 • _3 MON. •- 1•••••.••••••==-.................- ..,-. -_ , _- - 6'SLAB FOR NON-TRAFFIC BEARING Opp Ri 57.7 ‘O ^ •6' Y . <�Pp�'G` / - B•SLAB FOR TRAFFIC BEARING • �/+ ,,p c, 'O..I O APPROVED INLET PIPE HEAVY FRAME ANO APPROVED OUTLET PIPE DUTY \• ••�• tP0\ wE 0` /// \\� • -cc r. kr - - ;. / " Water Line(s) MUST Be Inspected Bb Thht2 7 ' : COVER TO GRADE TO EXPANSION RINGS /.......4..< 1 ? s _ / /` Mitt DMEWM XPANSION DIA. \ EXIS /SEPTIC \ 6� ,J''^\ '"' /" ' ti+ + Dept. �� ^ Health PITCHED I/WI' 1 I. PrrCHEO LIB'/t' • EXIS TO :C.,ABANDONED\-S•s 9 \,---0 q. EL(60.0) J Suffolk 1 oun Dep . Of Healt i Services. 1-^ \ I D/BACK FILLED WITH • `'Fi, . ..% Ca I —� ' C EAN SAND. \ o -� :- / 1 9 Call 852-5700, 48 Advance Hours In ® � ❑ ❑ \ \ G JfTER DRAIN y�f�jQ „6.46 4_ �y \...0. o. FaG/�1 I" To Schedule Inspection(0). \ ♦ �`�P\����`� /I /) EL(59.0) W `'��/ =4, 7--m✓-',....27' �c-ma .*---n. - ova.+. _� \ �j 1r/G'/ \yDWELLINGS ...406•11111 ¢ �efl. \ Q�G' �� , EL 58.,-// W/PUBLIC WATER PROPOSED CONSTRUCTION ENTRANCE \Zc No 1.20, ������ // 8•MIN �� 150' & STAGING AREA :�yj ,• `�1'�`\ /i Z LAND N/F Fp ri \�/ 0 SHEEHAN •L •EXISTINn'• J`, w EL 55.0 it s 4,-_--(,,—§ \?. W.M,. �!• p, /�o Qe�' rti H • ,€ice.., —04:::::g s.+,�1�..{sem \ \/ / SCP •�F2c I ��IAS• `�/ S i 3' MIN. 8' DWELLINGS \ ��� rte. •F PROPOSED A�4q� COLLAR W/PUB 5C0 WATER • 5 J ,/ 3-4 BEDROOM SYSTEM 9 3 BACK FILL MATERIAL TO BE 1,000 GAL TANK CLEAN SAND AND GRAVEL • f�� IL , \ C/ ►' BRK. (1) 8'DIAX12'DEEP POOL I�rF. O.HI:AL'9 +SERVICE) \ MON. i r,- ti-.^el .I q a-,-t:%3:'e r^` f \ yy • r.. - _.. ----- ..,_��yy. pp . �'T n'+'i'`i �1 a,(.�t�r'i3 a:��3'oL 41w��i� \ >` Abandonment of eX1SLn,.-g ssan `J J •.\ ^n with .tT 2Ci.I ate,:,Ittc- yr i uT.Si�:ly:I6 THE WA TER SUPPLY, WELLS, DRYWELLS AND CESSPOOL CO'1ifa> ' `�T'�.J t*j GL, ^":. ZONED R-40 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS T (} as -fir NON CONFORMING LOT AND OR DATA OBTAINED FROM OTHERS completed f'o �W�iji vg••r______„� pt^ FRONT YARD: 35 WIN REAR YARD: 35' MIN ELEV. 59.0 AREA: 14,557.76 SQ.FT. or 0.33 ACRES SIDE YARD: 1O'MIN (25'TOTAL) ELEVATION DATUM: NAVD88 OL DR BROWN 1.0' SANDY LOAM UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY — MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN SUFFOLK COUNTY DEPARTMENT©F HEALTH SE VICSS SM BROWN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION CONSTRUCTION ''+ LOAMY SAND 2.O LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. PERMIT POR f L P OVA OF LsL�14�f RUti1;0i') `4"C)E — THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE I'£- .n h. 1 NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS ,�s; C:�: :',..'7;;'....-% I•�)- •t C " BROWN AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY MEDIUM 1 0 2016 SP SAND SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JANE GLOVER; DATEi E'• O_ 10'd(n. —�.•4200�5_ MAP OF: v -•-•- 14.0' 1 A.PP RO�'E=% 4twt.4.Q_ .1i.'' 4')- FILED: FOR MAXIMUM. I:J 7 OF , BEDROOM ` SITUATED AT CUTC OGUE EXPIRES THREE YEARS FROM DATE OF APPROVAL TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC NO WATER SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design — 17' /�� P.O. Box 153 Aquebogue, New York 11931 r,�sy� DEC. 01, 2015 ,{- f PHONE (631)298-1588 FAX (831) 298-1588 K. WOYCHUK LS FILE i 15-199 SCALE: 1"=30' DATE. DEC. 01, 2015 N.Y.S LISC NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk • • 4 Y S.C.T.M. NO. DISTRICT: 1000 SECTION: 110 BLOCK: 5 LOT(S):51 TYPICAL SILT DRAINAGE CALCULATIONS: SCREEN SECTION MON. ., `" GEOTEXTILE FABRIC ,� A) DWELLING W/COVERED PORCH=1,664 SOFT. .r Nl SUPPORT POSTS 1664 x 0.166=276.22 < 277c1 REQUIRED / WOOD OR YETAL (2) 8'DIA x 4' DEEP DRYWELL=337cf PROVIDED 01F. �O LANOFN F (IN os FILIPKOWSKIFLOW DIRECTION B) DRIVEWAY=1,144 SQ.FT. 6 A o 1,144 x 0.166=189.90< 190c( REQUIRED LAND N/F , ERM. 3? • € EXCAVATED AND (1) 8'DW x 5' DEEP DRYWELL= 211cf PROVIDED OF SHfo 'ty CJS. BACKFILLED TRENCH f1O ty EL 61.1 f"4,• N �9 FILIPKOWSKI GO 0 EL 61.0 16•?, CsO�j ..../ yU EXISTING GROUND g,0 1 .r DWELLINGS �. 1 _ — — — Q p oi � '•• / W/PUBLSICO WATER • -E_I 1�1 I-1 EI 1I=1 I I1- ,11=1 I I- I EI —I 11 I 1—I I I-1 I( 1 ATE WELL LANG N/Fh =11Ia I I-111-111-111-11 Iai I I I I-I I -1 I L-111-111-111-1 I F_ DICE Ls EXISTING STRUCTURES To F DWELLINGS W/PUBLIC WATER En�1-�I Enn1la n- 11.In- lnl cul-lu-nl-n t50' • • =i1=11.7._.-11- 1 —111=11=11=1A III-IIIIIl__111=111=11-111=111= - CONCRETE-WASH-OUT-AREA- ---- - c��0� BE DEMOLISHED R CCI 4• �1 r MINn+w IN BED OF PROPOSED DRIVEWAY. • 'S EL(6 • ^ I i 60.0 y7 -- ♦�o, i ♦ ,' ♦♦ \?.°:\>°. EL •0.0): ..0yO q. . ♦V' ♦TYPICALDRYWELL CROSS SECTION mAT�' EL `.0 0- - o�: 6�CONC. PRECAST COMPONENTS ÷ �� 0. Py SF• O`sd .0'? <♦ PROPOSED SOIL • • ( ) �0 C� �" `""��B4��`re ♦♦ STOCK PILE AREA ►'.• p 0 -.`'Z<,<Oti•P°--=- ) EL . MON. .- -- - .....�. .,.....•. = .: 6'SLAB FOR NON-TRAFFIC BEMING O •o••{ •P�_-+i-_= _ . __ 8'sus FOR TRAFFIC BEARING . �, E�i\57.7 o5i'p rs 0.�r4 !‹\ Q -- _ APPROVED INLET PIPE r sir DUTY N FRA AND APPROVED OU7LEr PPE •�• t�\ w0,RY 0� _�64'3-1,p� - ti Water Line(s) MUST Be Inspected �� The _ COVER To GRADE TOE%PANSON RINGS . 0' 7�� d c--_ �= ` , PITCHED 1 011 T' ,, � ti Mlv. 4'D� \ EXIS ASEPTIC ♦♦ / 6• - s•.e.,-�_:::.--• ' Dept. n y, �% /ITCHEDI/8%1• • it :E,4ABANDONED ��'♦ 9 = EL(60.0) / 3 Suffolk County L/ i" O Health Services. I I I \ C EAN SAND.LLED WITH ♦ o'_-�s --`tt�y �1 9 CO 552-5.00, 48 Hours In Adnan ® 0000 \ c`'>� �, �1 D 0 ❑ ❑ I \ G�fTER DRAIN ; y�Ets�Q�pc�C 4.,,„ DRY FE�`V To Schedule Inspection(s). \ t . y EL(59.0) WELL \\` U.P. • •400 - ♦ yl�• .� \ DWELLINGS ♦ �G• EL4' y , EL 58` / w/PUBLIC WATERPROPOSED CONSTRUCTION ENTRNC \.1e,�� �0,., <P.'ft �::0 / �� 8•M1N d� �/ LAND N F 150' & STAGING AREA ting �� 4,. :111 /1/4, ,,. �� Z t3`. #00.00:04 ,ii� OF / \ , .., .e:.?„, ^� vim 0 SHEEHAN 1;rr- _ s \I:0 qty, EXIS11Ne' SST co EL 55�o�r�� d_¢ k (t� i:-.:T iV ED ) \j. W.M.. 0, s \ c9� •.FZ0 �v�,ys. % 55r1 3' MIN. a 8' Dw LLINGS \ �k rte. .' PROPOSED $A +1 16 COLLAR W/PUBLIC WATER •\ • 53 •� 3-4 BEDROOM SYSTEM b}; 9 BACK FILL MATERIAL TO BE 150' 1 000 GAL. TANK ` CLEAN SAND AND GRAVEL \ /�f_ ) \�_ f BRK. �1) S'DIAx12'DEEP POOL 'I"F ¢ CO.C +. i��4 e � iEr) g '\ f� MCN. i /l_4""- ,-r:: y+ ..._._,. •M Ia r-,` _ } r,!�„ ng.-,?r ,� R ,�l,�i��ii1�,1aL JCI \ .Abandcill iclt o3 Eixl•itn.i3.S as `,Y S C' 4 t r. �r L?€i:tsia • THE WA TER SUPPLY, WELLS, DRYWELLS AND CESSPOOL wil"13-`��,�"1."3�,,- ..1tz1�-,.e..,.••-,•tr.:1 u1 a Ysi1�„_ s v ZONED R-40 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS eS a:of NON CONFORMING LOT AND OR DATA OBTAINED FROM OTHERS completed lOi1 �r�,�I'�!��"_____--�- -" FRONT YARD: 35'MIN . REAR t: SIDE YARD:• OSMININ25'T07AL) NAVD88 ELEV. 59.0 AREA: 14,557.76 SQ.FT. or 0.33 ACRES ( ELEVATION DATUM: DR BROWN OL SANDY LOAM i'0� UNAUTHORIZED ALTERATION OR'ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED HEREON SHALL RUN SUFFOLK OAK C()1�i�I 4'Y!) '?t�F'i'e it11t,�Y OF HEALTH e'EI V1Clm� SM BROWN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LOAMY SAND 2.0� LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. — t'Er)'$9 7DTZ. f.D':'`-OI.AL OF CO a i RUCTION Fog — THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR ASPEC/FIC PURPOSE AND USE THEREFORE THEY ARE �*,,; -t ..,; - ,Fn..;i,n?•�sn {z NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS I-. ,.,.. - ` �,...•I :,.��,- +•.=•.�.�: 'w'�~=Ir BROWN AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY MEDIUM j 0 2016 SP SAND SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JANE GLOVER; i DATE _._ ,... No 1Z+10'" yC7O Cl_— MAP OF: 14.0' APPECT- dett...A.15�. Vit` /011.4.4,0____ FILED: .1• tr. , �0 1Yi14:-cc BEDROOMS , SITUATED AT: CUTCHOGUE E" ''R 'S THREE YEARS FROM DATE OF APPROVAL I TOWN OF: SOU1HOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC �- -- -- - ---- NO WATER SUFFOLK COUNTY, NEW YORK d Y• g g Professional Land Surveying and Design — 17' 4:0-..",41 '6-.1 P.O. Box 153 Aquebogue, New York 11931 DEC. 01, 2015 '71'��r •! .., PHONE (631)298-1588 FAX (831) 298-1588 K. WOYCHUK LS FILE # 15-199 SCALE: 1 =30DATE DEC. 07, 2015 N.Y S. LISC NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk