HomeMy WebLinkAboutDell Development LLC ',.0
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ELIZABETH A. NEVILLE �� y ; Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
y = ; Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS
MARRIAGE OFFICER 1 ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �Ql Jig *��'
�0 iii Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3180 R Residential x Non-Residential
Fee $ 10.00 septic x cesspool
PERMIT ISSUED TO:
Name : CHRISTINE NICHOLL
Address 1: 405 SOUTH COUNTRY ROAD
City St Zip BROOKHAVEN NY 11719
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-01-0120
Name of Owner DELL DEVELOPMENT LLC
Mailing Address 1 PO BOX 600
City St Zip WADING RIVER NY 11792
Property Address 1 DELL DEVELOPMENT LLC
215 TARPON DRIVE
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 5 lot 3.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/01/04 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ` Town Hall, 53095 Main Road
TOWN CLERK H $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS `. Oy� ����/ Fax (631) 765-6145
',, Southold, New York 11971
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER : O! is $ .' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,,,,.����,, southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 18, 2004
30
Transmitted herewith is a copy of application No. 424-= for a Cesspool/Septic Tank Construction
Permit submitted by:
Christine Nicholl
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Or .tAi....4 / -•.41/ �t".aem
:�T�
41
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Signature
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Dated
ELIZABETH A.NEVILLE /A.° 4\ Town Hall, 53095 Main Road
TOWN CLERK Io P.O. Box 1179
VA Z ; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘`1644,
�!
O Fax Fax(631) 765-6145
MARRIAGE OFFICER :=.fi O�o° Telephone Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER = �'�" ,,�a���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 or Non-Residential @$25 Application No. .-7)--C
No ��,//,�,,, // Permit No.
Applicant Name {CSV`r
Appiant Mailing Address 5,• C00 A
,l(JJt/ t "1l
Septic Tank or Cesspool S' -fZ
Brief Descri tion of Proposed Construckon or Alteration _ci/1,g I fe f tn4(C c./
6 <VW �Jt, I(G[ J / /
Location of Proposed Construction/Alteration: 1 IQeG a F-J' ' So vitt di-ed
Owner of Property: 1/144421.5( LL_C
Owner Mailing Address: Po 66)1._ (QUO
L2 [Ul3 IL,
Owner Property Addressa‘5 T ox-4.p644 p 1
'Oi) c4 . G3/
Name and phone number of contact person 44ø( STIIILi- Nl ei ptf 346 0-3
Tax Map No: Secti Block 5j Lot 3
Cross Street anbt< •
NOTE: LOCATION MAP MUST BE SUBMITTE j WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR I° ' H HE.(TH 0 EPART ENT APPROVAL
fif0 Ai 'I 'of Applicant Date
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Received by: -) -,
LOT N/F SAGE
VACANT
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Q (105) + 21.''~va LEGENDOQ MJ> + (10.5) 00_ 0 1,200 GALLON RI
21.1 , DWELLING
FFL EL. 13.5
g THREE GARAGE R o
Nco'MIMI
N 0 2 FT. HIGH REIN'
N GFL EL. 11.0 12.5 12.8 cy
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-21.7 22.0 R/O PORCH
~TP 1o.sJ (P 10 9) 42.5 (cr.1 FUTURE EXPANSI'
(11.8) ` / LEACHING RING
PROPOSED 0 Zv
DRIVEWAY .9 8) + 9.5 EXISTING SPOT E
W - (10.8) + (9.5) PROPOSED SPOT
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ROSED CONT
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Io'MIN /� ' SED PAVEI
L_._(10)P L____ L.F. -(w)- PROPOSED WATEI
CO2 "V a O
150.00'-_ N .. CD -w - EXISTING WATER
L r +9.5 I
s.5+ s.2+ $ TEST BORING LO(
N63'52'30''W - • - �� PERCOLATION TE:
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}� i POL , y. W/Rt5'
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W w w W-- W w w
+8.9' +9.1' +9.2' +9.2'
+
TARPON DRIVE (50')
SUFFOLK COUNTY DEPARTMENT OF HEALTH S
Sanitary system must be installed exactly as prof .
Invert elevations must match proposal on gradinc
System is Da to be Installed lower due to seasonal
groundwater. Elevations to be certified by engin(
LOCKING GAST IRON Surveyor. Certification to be submitted with final paI
COVER TO GRADE
GRADE
Iz z
EL. 9.3 i N SOLID CONCRETE
COVER (TYP)
EL. 8.6 t f r__ .---,1 EL
I 00 GALLON 25 ® 1.051; MIN El
PRECAST CONCRETE _ I
SEPTIC TANK OUTLET 4 � INLET MIDDLE OUTLET INLET OUTSIDE 0
INV. EL O PRECAST CONCRETE INV. EL. INV. EL. PRECAST CONCRETE
- _N6V. EL. 13 ?Ni LEACHING RING 6.1 r---1 6.1 LEACHING
F 4 N
RING
BOTTOM EL. 5.1 I I EL.
i
- 3' - S' VATION - - • REOthREI?
TYP. FOR SANITARY SYSTEM Q Z
- BY HEALTHDEPARTMENT I
R''r CROSS SECTION 1 WATER IN FINE TO COARSE SAND AT EL. 1.5 HIGH SEAS01
12' DIAMETER GROUNDWATI
(NOT TO SCALE) EXCAVATE TO APPROVABLE MATERIAL
AND BACKFILL WITH COARSE SAND 4 GRAVEL AT EL. 15
65. SUFFOLK.COUNTY DEPARTMEN ''OF MA SERVICES I
PEEMIT FOR OR APPROVAL OF CON tUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE 37°kV H RBF.NO. jf o--a/-p/2O
APPROVED /1�-.
FOR MAXIMUM 01%4° ROOMS
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