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Griffin, Michael (2)
SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3310 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MICHAEL GRIFFIN Address 1: PO BOX 702 City St Zip ROCKY POINT NY 11778 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-04-0202 Name Of Owner GRIFFIN, MICHAEL & GRACE Mailing Address 1 PO BOX 702 City St Zip ROCKY POINT NY 11778 Property Address 1 435 PINE PLACE City St Zip EST MARION NY 11939 Tax Map No. section 37.00 block 4 lot 14.000 Cross Street BEACH COURT Building Permit Number Cross Reference: Issue Date: 5/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ' /III /0°,�\OS�f FO�,�co= 33)D ,� ' ' G ELIZABETH A. NEVILLE 1�� y1 Town Hall, 53095 Main Road TOWN CLERK % P.O.rcia Z t Box 1179 REGISTRAR OF VITAL STATISTICS O iir, $ Southold, New York 11971 MARRIAGE OFFICER go i Fax (631) 765-6145 `-'(.1 `1 a► ����i, Telephone (631) 765-1800 RECOIiDS;MAN?,GEME T OFFICER FREFDOIM OF INFORMATION OFFICER , . ""°� southoldtown.northfork.net 1 OFFICE OF THE TOWN CLERK .---' TOWN OF SOUTHOLD w'.. •-" 0 i ,a TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 8, 2005 Transmitted herewith is a copy of application No. 3455 for a Cesspool/Septic Tank Construction Permit submitted by: Michael & Grace Griffin 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: (gZ;:"Ig.t..est* 4""Z. C.e. ..4-e."4‘ cidge ,,,,,,, .4. _ Signature /3, aoos— Dat d , OF1,10E OF THE TOWN CLERK ''se°��CfO•f ,I���� TOWN OF SOUTHOLD �'iV T (/�4 Application No.3 4 LLIZABETH A.NEVILLE,TOWN CLERK •�'0 P.O.BOX 1179 �� SOUI•HOLD,NEW YORK 11971 t = SG ; Construction • P to �,' Alteration Telephone :0 �����' • $10.00 - Residential ) (516) 765-1801 % 1 ,,,,,,,,��� $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ (C?, DATE Li _ fl 1 - d� APPLICANT NAME: 'AC /1C4 Q J 6,64-4, c7,, ; .p.p, APPLICANT ADDRESS: j�t�• C: 'i". .3,\-- ',Oa SEPTIC -.:.CESSPOOL DESCRIPTIONecks-k‘r(`0 `PROPOSED .CO STRUCTIIO�/N OR;,ALTERATION ,, (3 s,vkcy . , • . . • , . . . LOCATION MAP: Must be attached hereto before 'permit may, be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: AleVAc�e_k_ F Cir;.(7)^ 67 OWNER MAILING ADDRESS:-?,0 3© -70 OWNER PROPERTY ADDRESS: (/ 3S --Pt, r e ' t-' l • 0.r I Co TELEPHONE NUMBER OF CONTACT PERSON: - (U - (7e s TAX MAP NO. : Section Block y Lot I k o- I S.-- CROSS "CROSS STREET: j 3 e., L\ CC3�4,--1- • BUILDING PERMIT NUMBER CROSS REFERENCE: WO -� - - • Signa ure of Appli - • RECEIVED BY : ill own Clerk's Office DATE: i 6 y;X (A \05,/:'' ,1 Vis'.' 5 .*°34 .. I' N-1\°3 2' , -,4 ' ' �6,, E 6 SPRING 1 G POND LOT AREA = 18,5415.04 SOFT. ��� \'S �'' = Ss STs A� / -‹ /› °3 ° FLOOD ZONE = AE 0 'Z� / /a: • ' \ •46,' N 82°43'3Qii" E S 78 6000 E 7 A�RAGE HIGH BASE FLOW ELEVATION = 8.0 ® HOUSE LOCATION 'Z'\' y' 114:1.1.--.. HI6F,LEART R$ 23.61 WATER IA.H.II) BERM r 14. '-4 2r,...... �Tl..,.rf / -i00,� 140; �.,, . _ . — — _ EL.12.3 i oLINE / SYMBOL LE6END V1 .�.:..�. • �. — —/`'� -� 1 µ ODARK BR0144 LOAM(OL) / %���4 ... ��.is �.�J 3 -1 ' I I_- / TI • / SILTY SAND!SM)iiie.44 ' ".•. ... 'W2 0_ St -41) • h � .q ct •NE . (EL`79) I 004"� ` ry \ lC. �C \ Cil � . TEST HOLE ry �/4I �1 Z0 — I �� 5 Li it:' • "'41.2 Q"89 L. b)40 `� c— '` PALE BROWN FINE SAND(SP) � FiAb POLE��\ \ j"' -- PHOTO KEY I 1 z , ( ! ` it" ._ oa1J N ; 1 i.. -••• ��• NOTE: O • ': �0 STEPS 0 •' - \� - .c.:242.-_; � lob' EXCAVATE AND REMOVE 31 o . 11 1 ••,;• ,, = Y 2/�/�,�RADE looms \ \\ 1 APPROXIMATELY 156 CUBIC r I YARDS OF SOIL FOR THE _ / I) '� 18 3 - �; I'+/- HIGH EARTH _!V \ f �` Li WATER IN PALE BROWN FINE SAND SP INSTALLATION OF NEW 0 a a \/ \ ; / a. : 64�is•o PROPOSED 2 �© I �8 BERM AT ELEV. FOUNDATION AND DRIVEWAY. I E;, TORY,DEC 2• d 10.0 (TOP OF Al' OR .� �� n, RELOCATE TO APPROVED 0 T \ ! ( , \ e� :' • i I ` BLUFF) cam'OIL BORIN�S s M s oc+cAOE ■ L:. PR rpOSED;7'STORY N Wk, UPLAND LOCATION. \ (n AFdR�6AE _ l s ? - ELEVATIONS IN N•S V.D. Ici2ci 35'-0" (4 BEDf�00M� 1 1k MCDONALD GEOSGIENGE DATUM U L i . v • HAUS: i.•i/ 6ARA6E UNDER ;�1�, 22'-2 I 3/18/05 _ 1 �s Ve , ;� moi „ 4.t`-'�•=8.t F.F.=17.3 �F a ��. r LINE OF HAYBALES O • y� S.G. TATO. ' _. I v .PORCH iE Tit. -i ALONG LINE OF j000-37-04-I s4 / , EX16,TING 41410HOUSE •a 4R-ATE V. CLEARING LIMIT ,._•.� . \11 r I e • �.e BE DEMOL I SHE ^'I P (TOP OF BLUFF) r £ j j, \ , . �� �� .i? I I 103 N �� • 4 I §i\ 0\ , • -•\ 0 % , -Z / ,9c. T 6 /0 100' WETLANDS DWELLING WITH \ ,? `' • a', .. \, CP ; _Z LaILI •' Uj :.• 4 Hihit .... (:, _ Q ,..4,- i *- . I '-- :- 11' 4 ' \I i'' ' I , .. _ . . .. — . .c-, t ..x7---s.-•-•. "'..:.i,'.;; xi ,11 , QC e \ \ L4" DIA. CROSSOVER f���Ci GONG.HON. ' f i a ` REV=LOGRTio Ce..., _ T 'NI ; r 1"17 — ` m rn STMIO SANT STS = \ // PIPE ,(3 0 \,,,,:-",,,A,„\z 73 9 ` ., GONG. N 8 it 1! I,k� \ N °8E ; Ne `' 0 N °07'42", _ &z ., u� u, s� S. \ is PROPOSED SANITARY SYSTEM: ( ) �`o.:, Si ="�• � _ ice t 4° L�' - TESr. _ 1000 GALLON SEPTIC TANK "�- °35 97 ROW•- mews , `s' 3 LEACHIN6 POOLS, 4' DEEP, 8' DIA. ?/*r7`� N ` \ cn /? i -�„T, - - , S.G.D.H.S. REF NO. M — \. • � Of-mt. of ,;rasl ,' :Slcv RIO 04 0202 7.67 .74• �O EXISTING WATER \ � Q� •:715_ i` 12.b 6,1.2' FILED MAP N.Y.S. D.E.G. PRMI T NO.: MAIN PINE P AVERA6�E SETBACKS N I-4738-02754/00004 PLAGE BASED ON SURVEY BY �/o / -_� -/-2 . NYSDEG ADJACENT AREA = 12,230.2 SG.FT. JOSEPH A. I NGEGNO LAND "r S H F E T I OF 2 AREA OF STRUCTURES WITHIN ADJACENT AREA = 355.4 SG.FT. SURVEYOR, FEBRUARY II, COVERAGE OF STRUCTURES IN ADJACENT AREA= 2.q% 2005. SITE PLAN DWELLING WITH S I T- L A\ P IG HATER PROPOSED TV4O ,STORY RESIDENCE: JEFFREY T. BUTLER,TLER, P.E. PINE PLAGE, c,f.nl P.O. BOX 634 ,11 EAST MARION, NY r' SHOREHAM, NENRK S O YO �- 20 10 0 20 40 60 80 100 S.G.T.M. 1000-37-04—I4$ 15o�h.Z� � ,� - TEL.: 631.208.8850 FAX: 63I.727.&033 w GRAPHIC, SCALE I" = 20'-0° WATER BODY: SPRING POND �. DATE PREPARED: 116/03 COUNTY OF SUFFOLK TOWN OF SOUTHOLD DATE REVISED: 3/10/05 . `i • ISUFFOLK COUNTYDEPARTMENTOFco HEALTH SEkViC� IaSTs' ag �s.f2 a. :-ITT. FOR APPROVAL OF CO(77'7 ' 'T 'T 3 \\11 -/ BERM WITH APPROVED 1 :ANGLE'FAMILY 3" '" t r `a ' ....">- PLANTINGS, 2 ROHS, -�� > + 4'0" O.G. STAGGERED I DATE _�� (, `-a.- (D-C ELC2OR SIDES OF BERM TO BE 1:3 PITCH ? An-WW1;.vim 0 i ' � iIPROVIDE 2' OF LEVEL PLANTING i =i�L ;,�Ilfa, n DATE OF APPROVAT AREA AT TOP MINIMUM 11141.1, :��P�S '41111 EXISTING GRADE ti EXPIRES ° r rom. �;- TOP OF BLUFF EXISTING PLANTING 2'—O" V, ON BLUFF _ EARTH BERM _ NOT TO SCALE HOUSE, FF = 173' FINISH GRADE EL. 14.2' FINISH GRADE MAX. SLOPE 5% EL. 12.6' FROM EDGE OF SANITARY,e', _ 0' TOP EL. 13.2' �-- I' MN. .4‹-f<_ t 3 t-, ,, _ ,-r- MIN. 4" D1�4. TOP EL. II.6' N --I'��MIN. � '�r b , APPROVED PIPE /6 JAPPROVED,PIPE i SP E,TGH / , r,4" /I' TANK /I ' LEACHING _ ► .c POOL O ' ` _ INS. EL. = " �.��:`=�� ,'�r r INV. EL. -INV. EL. 12.1 _ .0 , 12.7' (i OF 3) d- EFFECTIVE '' ` . _ _ 47, ',3: -- �,f/ 13.3' � )NV. EL. 12.4' `�' ' � W L 8�_O�� -I DEPTH ` ` 3' GLEAN 8�_0 SAND COLLAR _ S.G.D.H.S. REF NO.: RIO-04-0202 SANITARY HASTE RISER BOT. EL. 7.0' N GROUND NOT TO SCALE I HATER N.Y.S. D.E.G. PERMIT NO.: EL. 2.0' I-4138-02154/00004 SHEET 2 OF 2 DETAIL SHEET PROPOSED TWO STORY RESIDENCE: JEFFREY T. BUTLER, P.El : PINE PLAGE, P.O. BOX 634 EAST MARION, NY SHOREHAM, NEW YORK S.C.T.M. 1000-37-04-14415 TEL.: 631.208.8850 FAX: 631.12-7.8033 , HATER BODY: SPRING POND DATE PREPARED: I/6/03 ul COUNTY OF SUFFOLK TOWN OF SOUTHOLD DATE REVISED: 3/23/05 4' _. __