HomeMy WebLinkAboutThermos I,••,iii����
� ,Io4 SOUj,7e
ELIZABETH A. NEVILLE '` 4 Town Hall, 53095 Main Road
TOWN CLERK %%4 4 z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Q ,i Southold, New York 11971
MARRIAGE OFFICER �O 11 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l SII Telephone (631) 765-1800
,rrV 1
FREEDOM OF INFORMATION OFFICER '�C�U�`�',+����� southoldtown.northfork.net
'•••.. 0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3444 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BARBARA & KIMIOS THERMOS
Address 1: 355 SOUND BEACH DRIVE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-INSTALLATION OF NEW SYSTEM
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner THERMOS
Mailing Address 1 300 SOUND BEACH DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 SAME AS ABOVE
City St Zip 0000
Tax Map No. section 99.00 block 1 lot 19.000
Cross Street INLET DRIVE
Building Permit Number Cross Reference:
Issue Date: 6/08/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
'I,0`�%``p` SOU4,
ELIZABETH A. NEVILLE 4° ' l0 Town Hall, 53095 Main Road
TOWN CLERK : 4 4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N
G Ct � Southold, New York 11971
MARRIAGE OFFICER �� /� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `__/it 'rtV i��, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER DUFH 1+ southoldtown.northfork.net
_••,.. •'S �►a�
OFFICE OF THE TOWN CLERK C_=__91 '6
MAY 7 TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: May 16, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3597 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Barbara & Kimon Thermos .
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 f�
DISAPPROVE
Comments:
--Ii ( ,41‘ &,ird.o.r../.e.e=..44--egy416....40,-
"'6,
z)ex:...._
Signature
�/
01/2—AC
Dated
,,,,o suFFot, eo
ELIZABETH A.NEVILLE ��i 4 Town Hall, 53095 Main Road
TOWN CLERK 4 A P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS `ow � Southold, New York 11971
MARRIAGE OFFICER : O Fax Fax (631) 765-6145
-.
RECORDS MANAGEMENT OFFICER yWM. NN`0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER KI 'lig *a,0� southoldtown.northfork.net
,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD c 3- i L-(
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 /or Non-Residential @ $25 Application NoDD q?
ri Permit No.
Applicant Name c4,L.1wt k_ s • d w. G s
Applicant Mailing Address 16 'i v u 1:-.1 S../24, ,. S.' e� '-�\r ,
Septic Tank r Cesspool
Brief Description of Proposcd Construction or Alteration
I ..S-ki( i, I,.. yti.N SCI 6 S
Location of Proposed Construcfon/Alteration:
Owner of Property: -1 ti r Z r^o S - cc.c,1 eu,.i- 1--`. 14, <<c tol
Owner Mailing Address: 1(Ct S'Z
Owner Property Address: 300 So ~£ Ve....„,CDA -
p'ut4A-vck )1 ,
Name and phone number of contact per o OVA.. .--k.i o alb 3 g 4 - q2-2 c
Tax Map No: Section Block Lot 1 .1, - t cr
Cross Street ,n. A-A-- f �v't -
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITylEALTH DEP MENT APPROVAL
Z-1.f. , s./,/off,
Signature of Applican Date
Received by:
• TEST HOLE DATA SURVEY OF
Gs,,f.,�l (TEST HOLE DUG BY McDONALD GEOSCIENCE ON FEBRUARY 2, 2005) LOT 21I.
• O4 0\>C' EL. 7.6 0.
SUFFOLK COUNTY DEPARTMENT OF HEALTH J SL �i o;; BLOCK 1
`J545 .,
PELT CII► �'O s PPROVAL OP COlNSTRUCTION FORA MAP OF
PALE BROWN MEDIUM SP CAPTAIN KIDD ESTATES
f/J, TO COURSE SAND
�' ;, 'x+�.�9; L @�. IID1rNCE ONLY
\''
•
. / \titi °° ° FILE No. 1672 FILED JANUARY 19, 1949
DATE ?-0�� SITUATED AT •
L �Lp�P ,�611 EL 1.8
5.6' MATTITUCK
APP1t0 f✓` /, ' 1 Imo_ \ V GROUND WATER ^^^�
,101 0
\ TOWN OF SOUTHOLD
1''i)lt VIl�lr,.��r'z Y�AI '� t ... /'
�'/� �� ^-,,- , SUFFOLK COUNTY, NEW YORK
G IOP ^ PALE RBROWN MEDIUM SP
L ' t�HREBYEARS FROM • APPROV .1 si � � \\ TO COURSE SAND S.C. TAX No. 1000-99-01 -19
w •c / • \ \ SCALE 1"=30'
rL�,'J 1'" �`�,��`a °o FEBRUARY 2, 2005
az LT Y P� / . • o° \ JULY 20, 2005 ADDED PROPOSED HOUSE
AREA = 7,500.00 sq. ft.
CI
W �c J .1,,s, _,L,c�:+�. JY \
esl]C� `e •i o° 0.172 ac,
IiJ �� xy9\\ • / •00 O \ 9 00 sq4.
NOTES:
. Mt.r..<L '""� , g`. �\ / 00, ,T,P� Gs�"!!�y 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
4
?c, P +•d* %'� c� °oaf �>�` C EXISTING ELEVATIONS ARE SHOWN THUS:lw.o
� • G •0 0 e ' ? '� EXISTING CONTOURS ARE SHOWN THUS: - -10- - -
'2 •tA1..1,4 •4 4*.\* �• * KO 2. FLOOD ZONE INFORMATION TAKEN FROM:
54,5 4�,A,. • �I��.I j�7 '.",40-'•r;•:" ry-i, FLOOD INSURANCE RATE MAP No. 36103C0143 G
O oe,°: .' �••'e � // r,�5�, a� ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
54. :�► Gs ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION);
•
,' "• °. •�� oP ` �' Fs o . • i�. EAS_ NOT
BASE FLOOD ELEVATIONS DETERMINED
4Y \�1 ti R •� �te •,,,,,,,,,,,„
•1 Y 0;0 off � W I�1�71i�lEiiM ZONE X": AREAS OF 500 YEAR FLOOD; AREAS OF 100 YEAR FLOOD WITH AVERAGE
Jot, (t\. 'Pj� •f . ./ -• Gam! '',,f-44` V' t „.. ..1_ DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
p�` P O �,,"O. 4 4 , O �� C r IMeer :- • 1 SQUARE MILE;••AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD.
�Eo��` O, 96/$y E Qe IP v. �` eq. `' 11, ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN.
00,, �d3'S BR J 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1,200 GALLONS.
A '4,04. g, L' 8' DR. X 4' EFFECTIVE DEPTH.
a
y.cts;9 \ F_ r- 6 �° / "• of 4. MINIMUM LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
�r°F `.N 1°A�,i °' , ti o. 6 POOLS; 2' DIA. X 2' DEEP.
354 9/�' >� o�' T" m� •e? $O' PROPOSED EXPANSION POOL
` \. N°\\ ate ` ,, 6,a
It
0 0� b. l'X \ 1% o I PROPOSED LEACHING POOL
t.-
!oa \ \ 1 6 topE \\ �,1 T �yo S Gs�s o o
CERTIFIED TO: 90 / +'•\ � -12 -C O- qhs ) PROPOSED SEPTIC TANK
1 \ 0 I G !
'I 1 V2 \ '0i*.' °C. !,
BARBAKI#10NRA THERMOSOS E A%+i \ J1i+a _ +,� ��0 0 5. EXISTING SEPTIC SYSTEM TO BE PUMPED CLEAN AND REMOVED
CHICAGO TITLE INSURANCE COMPANY 1°N �o�%+ \te e / j / "\ �e,; 9,�� AS PER S.C.D.H.S. SPECIFICATIONS. �j �1i��-® g
1.o y
•
PREPARED w ..:.. i SF � \ i - S._ _ _. _' 1�18 0't
8Y DIE U G�!!!,y �� ���� ,1g PROPOSED SEPTIC SYSTEM DETAIL
TITLE . 1 ,Iw, �t C / - \ \ HOUSE (NOT TO SCALE)
�p►. G�/< 1A _ �\ i -- 4 ELEV. 13.Q
y' y(`Q { w 91� JS 1 1 .- i - --20 es.' \ FINISHED GRADE ELEV. 8.3'
GRADEFINISH
-Y ELEV. 9.1' /
1 1 i
'Ps .. f, _O * 0 16--i i DO Qui
* ^t' 11 0'19 ���O. ((\/6Jl TOP EL. 8.1'�� Err-1' MIN. TOP EL. 7.3' •---1'_MIN.
tili 1I 20-44, BLS S OT - �G P�'�1 �- _1 f MIN. 4" DIA. LEACHING T 6 3' CLEAN
SEPTIC
''11..1 .'w....' -`�.1 V \\ 1----
APPROVED PIPE TANK _ APPROVED PIPE LEACHING N `SgryD
_..`` I6 A,3�'•
o�J0,\G INV.7E�, min. PITCH 1/4"/1' \min. PITCH 1/871' INV.�OL6.5' POOL to
' \ Q INV. EL. 7.1' COLLAR
/�� ��5 INV. EL. I II
�,".•
ic. No. 49668 SOT \ «J 1-'---8.______,,,...1 ° 8��I °8' y{ Z u
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
Joseph A. Ingegno EDUCATION LAW. DISTRIBUTION
POOL SYSTEMELEV.BOT EL 4.8' GROUND WATER i
• (i7�e COPIES OF THIS SURVEY MAP NOT BEARING ELEV. 1.8
THE Lid Surveyor E LAND SURVEYORS INKED SEAL SI SEPTIC TANK (1)
EMBOSSED SEAL SHALLNOT BE CONSIDERED LEACHING POOLS (6)
TO BE A VALID TRUE COPY.
1. MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE 15 1,200 GALLONS.
CERTIFICATIONS INDICATED HEREON SHALL RUN rG I TANK, 8' DIA., 5' HIGH. -iiNVIONMEN61. MINIMUM LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 ft SIDEWALL AREA.
ONLY TO THE PERSON FOR WHOM THE SURVEY ssq
• IS PREPARED,AND ON HIS BEHALF TO THE ''.'Is O 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi Al 28 DAYS. 6 POOLS; 2' DEEP. 8' dia.
Title Surveys - Subdivisions - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND 4 3 WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6"AND A BOTTOM THICKNESS OF 4"
Y o,! 2 LEACHING POOLS ARE CONSTRUCTEDOF PRECAST REINFORCED CONCRETE (OR EQUAL)
LENDING INSTITUTION LISTED HEREON. AND C, (a)er ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 pet LEACHING STRUCTURES. SOLID DOMES AND/ORU
SBS. ,
TO THE ASSIGNEES OF THE LENDING INSD- i, ,t, 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3 ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL).
• PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE C 0 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF *1/4"1 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MNNTMNED.
, ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED.
OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS ''''P. 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED.
AND/OR EASEMENTS OF RECORD, IF
322 ROANOKE AVENUE P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED.
•
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 •
- --------------- --- ----- ----
- - - -
- z5 1ziA
I