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ELIZABETH A.NEVILLE i/ '` 4 Town Hall, 53095 Main Road
TOWN CLERK * * P.O. Box 1179
N �r Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ; G Q
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �Ol''C X91 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER vU f 4. , �� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3397 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOHN J CONDON
Address 1: 1755 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-CONVERT GARAGE TP LIVING SPACE
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner KEHLE
Mailing Address 1 N/A
City St Zip 0000
Property Address 1 635 STROHSON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 10 lot 12.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 1/05/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE e i 4 : Town Hall, 53095 Main Road
TOWN CLERK * * % P.O. Box 1179
14, N y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; G1MARRIAGE OFFICER �O ,/ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l ��� Telephone(631) 765-1800
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FREEDOM OF INFORMATION OFFICER '..1. 1 1' Op southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
DEC l 2 2005 TOWN OF SOUTHOLD
t.
TO-; ' Southol4-Town Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: December 9, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3549 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
John J. Condon
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
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Comments: II . ��* a
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27,‘,.......e.9' . ..,
Signature Signature /
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Dated //
�� SOFFOL,�
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ELIZABETH A.NEVILLE 01 4Z� �; Town Hall,53095 Main Road
TOWN CLERK , P.O. Box 1179
1 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS hr
MARRIAGE OFFICER : t1� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER V4A a� 'is Telephone(631) 765-1800
l 4
FREEDOM OF INFORMATION OFFICER = ' •.itsoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 V or Non-Residential @$25 Applicat.• 'o.
moi►
Permit o.3291
Applicant Name g•-60
Applicant Mailing Address ✓?1/4S":.-,— Se er kgg ED
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: �4 .
Owner Mailing Address:
Owner Property Address: 63S- -: 45.51'6-c.) RcgD
Name and phone number of contact person 2 3' — 6
Tax Map No: /do en Section iOBlock iQ Lot /2w-
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S VITH HEALTH DEPARTMENT APPROVAL
e o • pplicant Date
Received by: % ��
..........
8'0 1,200 Gallon
/ Septic Tank
1'min.
/ 2'Max
4"SDR 35 PVC Waste Line i,
J Locking Casting Pitch- Inch per Foot
15.8 _ _ __,......e_ _ _ To Grade
1'min. Existing Grade i
1
/ • 0" Concrete cover 2'Max
S89B'2T00"E 152.79' 13.8 / 6"Min.
/ i
1 T
' 1 _______' Flow Baffle
1 » --r
.i
I4 I I Invert=-1.33-- 6" 7 ,
/
Invert=-1.63�f - nvert=2.13 \nvert=2.23
15/ EXISTING a'0 8'DEEP LEACHING �' 4" g
a
o I 4"WR 35 PVC Waste Line —" � 4 D' 18' co I
POOL(TYP.).FILL IN WITH CLEAN vSAND TO REDUCE EFttOiWE pPitY Inch per Foot I 8'min. 8'DIA.
( PROPOSED 8'0 6'DEEP
DEPTH OF RINGS TOG. 1
LEACHING POOL Cr
ro
/ 8'06'DEEP I O / Si
EXPANSION LEACHING _ v�, _1
IPOOL SOILBORING _�A•� •`�ePROP.1,200 I CO I / 8'DIA. L �� 1JlllLli�
�' PROPOSED 4"FROM BATHROOM TANKGEP71C �= I / Ground Water Elevation EI.-10.9
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c CO 1
. ...
PROPOSED 4" I
FROM KITCHEN _ L___ SANITARY PROFILE FILL EXISTING LEACHING POOL WITH
EXISTING GARAGETO I
' BE CONVERTED TO I / CLEAN SAND TO REDUCE EFFECTIVE
'g STORY RESIDENCE , PROPOSED SCALE:1'' ' DEPTH OF RINGS FROM 8'TO 6'. ('i
'Z WATER SERVICE
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' EMSTING I \ k
� C7
DIRT
I (� . ►>.]
,61 a
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\ ... i xi, ----, - to 2
0 CI
1 / I ty' i
14 122 / I *. ? A zi 1,4 tr
i3. C = 'R` a
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13.8�� ww,, RAPD o �� L
DIA °S \ ) NOTES:/// ` .
SSR \ / Assumed Grade 13.1 f 1. LOT AREA=27,668 S.F.OR 0.64 ACRES. Y ?Q
/ Dark Brown Sandy Loam
OL ® \
--------- \ o/ / 1' 2. ALL ADJACENT PROPERTIES WITHIN 15(7 OF THE SITE 'r! Q t-"
Q� Brown Silty Sand ARE SERVICED BY PUBLIC WATER OR DO NOT HAVE ► cit i
/ G �\ SM WATER SERVICE. `d w4 o �
`GJ t o 2.5' 3. EXISTING TOPOGRAPHIC INFORMATION BASED ON . o7d Z m
\ \�oCi THE SCDPW TOPOGRAPHIC MAPS SHEET BB-36 DATED 0 C ,
/ / / / ��O AO MARCH 12,1974. n
' v,)
SITEPLAN \FLOODZ7R �� Pale Brown Fine Sand
SP
SITE PLAN PREPARED FROM SURVEY BY: \ OF pati wertJ s�
JOHN C.EHLERS LAND SURVEYOR /� / " .'.§:914„,,1,..4.. 10.9'(Water)EL.22* Health Department Approval Stamp
DATED 6/12/2002 _
SCTS AL000-1 D 0-12 I / / J.:,`���. S= c r0,pi
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----- ;��� ��kfr p, Water in Pale Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education Law,Article 145,Section 720!
/ !� f a; Z Brown Fine Sand person mess acting under the 6recbn of a licensed Professional Engineer,Architect,or Land surveyor,to alter any item au
�: r item bearing the seal of an Engineer,Architect,or Land Surveyor is attered,the altering Engineer,Architect,or Land Surveyor sh ,
wN Laliai.�, Ct SP the nem tisfher seal and the notation'Altered by'fobwed by his/her signature and the date of such alterations,and a specific r
��:: r+-win �� 41 of the alteration.
S� f�; 17' SES KEHLE RESIDENCE
F tea. Condon Engineering, P.C. 635STROHsoNROAD
r' , Soil boring data byC635 STR UE,NEW YORK
P McDonald Geoscience, I��fE$$10P - ` Drawn by JJC 1755 slgsbee Road
April 1,2005 Mattituck,**York 11952
Date: 4125/2005 (631) 961986 SANITARY PI AN