HomeMy WebLinkAbout1625 Indian Neck Holding Corp (3) r
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 4325 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : 1625 INDIAN NECK HOLDING CORP
Address 1: 166 HIGBIE LANE
City St Zip WEST ISLIP NY 11795
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. FINAL
APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT!'.
REF NO. RIO-13-0031
Name Of Owner 1625 INDIAN NECK HOLDING CORP
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Mailing Address 1 166 HIGBIE LANE
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City St Zip WEST ISLIP NY 11795
-------------------- -- ----------
Property Address 1 1625 INDIAN NECK LANE
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City St Zip PECONIC NY 11958
-------------------- -- ----------
Tax Map No. section 86.00 block 5 lot 8.001
------ --- ------
Cross Street SPRING LANE
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Building Permit Number Cross Reference:
----------------------------------
Issue Date: 6/24/15Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
i
.. �Og�FFO�,�oo
ELIZABETH A. NEVILLE,MMC �y� <lf, Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �ol �a� Telephone(631) 00
www.southoldtownny.gov
nny.ggov
FREEDOM OF INFORMATION OFFICER
OFFICEOF
HE TOWN CLERK
O OO
JUN 15 2015
TO: Southold Town Building Department -- ----_
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: June 12, 2015
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4325 for a Cesspool/Septic Tank Construction
Permit submitted by:
1625 Indian Neck Holding Cora
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
V
DISAPPROVE
Comments: Final a proval required from the Suffolk County Health Department
2 16
Signature
Dated
ELIZABETH A.NEVILLE,MMC �y� Gy Town Hall,53095 Main Road
1 TOWN CLERK P.O.Box 1179
Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
S
MARRIAGE
OFFICER RNAy� 01 �a�! Telephone(631)765-1800
RECORD
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
i
June 24,2015
}
1625 Indian Neck Holding Corp
166 Higbie Lane
West Islip,NY 11795
RE: 86.-5-8.1
I
Dear Sir/Madam:
i
I '
Enclosed herewith is the Construction,Alteration or Modification Permit for a Septic
Tank/Cesspool System for which you applied.
4
AFTER the system is installed but prior to being used, an OPERATION PERMIT IS
REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is
Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non-
residential system. Your check should be made payable to the "Southold Town Clerk". An
application form. is enclosed. Please complete the requested information and return the
application, proper fee, and LOCATION MAP (map must indicate the location of the
cesspools)/septic tank(s), giving approximate distances in feet from any buildings to the pools
i and distances between the pools.
i Should you have any questions concerning this matter, please do not hesitate to contact this
office.
Very truly yours,
i
;
Sabrina Born
Clerk Typist
i
Enclosures
i
ELIZABETH A. NEVILLE �`Z` �� Town Hall,53095 Main Roa,
TOWN CLERK q P.O.Box 1179
y x Southold, New York 11971
REGISTRAR OF VITAL STATISTICS W
MARRIAGE OFFICER Oy Fax(631) 766-6145
RECORDS MANAGEMENT OFFICER Telephone (631)765-1800
FREEDOM OF INFORMATION OFFICER '1 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. �
Permit No.
t `
Applicant Name
Applicant Mailing Address
Septic Tank or Cesspool i f
Brief Description of Proposed Construction or Alteration
.Ile r
Location of Proposed Construction/Alteration`: A/J,.J
Owner of Property: a d r�� �J
Owner Mailing Address:
Owner Property Address:
Name and phone number of contact person i /ick dj all od
Tax Map No: 1000 Section D Block Lot �
a
Cross Stream df ser"JA
-
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WI DEPARTMENT APPROVAL
Signature of ic4 Date
Received by:
SURVEY OF PROPERTY
SITUATE'
s
o.
PECONIC
\ TOWN OF SOUTHOLD
\
SUFFOLK COUNTY , NEW YORK
S . C . TAX No . 1000- 86 -05- 8. 1
SCALE 1 "=40'
MARCH� 1 1 , 2013, j
\ AREA = 57,222 sq. ft.
1 .314 ac.
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o t' \ .NOTES: [
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM i2
\ \ \a. �\FE^^rte"✓
Sc \°s EXISTING ELEVATIONS ARE SHOWN THUS: 100
3.2 \ \ NEF��P� ."-�" cp ( EXISTING CONTOURS ARE SHOWN THUS: ————10————
X
1ft
PROPOSED CONTOURS ARE SHOWN THUS:
44W OF �REEs 1 2. MINIMUM SEPTIC TANK CAPACITY FOR AN 8 BEDROOM HOUSE IS 2,000 GAL
\��^��.�`'✓ 1 TANK; 10' DIA. X 4' LIQUID DEPTH «
ADJACENT 3. MINIMUM LEACHING SYSTEM FOR AN 8 BEDROOM HOUSE IS 600 sq ft SIDE
HOUSE 2 POOLS; 12' DEEP, 8' dia.
PROPOSED FUTURE 50Y EXPANSION POOL I
ES r
G�ERNGPo \F PROPOSED 8' DIA. X 12' DEEP LEACHING POOL
O PROPOSED 2,000 GALLON SEPTIC TANK
� I
\\ TEST HOLE DATA 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELE
A wAxLER (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MARCH 7, 2013) 5. OBOOD V ZONE NFORMATOiR DATATAKOBTAINED FROM OTHERS.
o/F tAs IAS EL. 11.5' 0• FLOOD INSURANCE RATE MAP No. 3610300162 H
s
N/ ELES BROWN SILTY SAND SM 1
IOL IG ZONE AE: BASE FLOOD ELEVATIONS DETERMINEDi
NIARIRAIDE ENG R 2' ZONE X*: WI HAAVEERAREAS OF OGE DE THANNUAL
OF LESSCHANCE
THANO1 FOOT DRAREAS OWITH DRAINAGE AREASCHANCE
LESS 1
,ER? pNE \C VJP�E 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHAN(
pu8� ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. III
USES 6. ZONING USE DISTRICT: R-40
PALE BROWN FINE TO MEDIUM SAND SP PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE ASSOCIATION,
EL. 1 1 10.4'
` or- N"
DETAIL WATER IN PALE BROWN
�d. FINE TO MEDIUM SAND SP
17' ED
p
FINISH GRADE FINISH GRADE �+� t
ELEV. 12a. - ELEV. 12.0' ga� 3 ,r
10.9' B, IN. 4' da. TDP EL. 10.6' B,
PROVED PIPE
{GES Y.S. Lic. N
AP
6,� 8 PITCHED 1/8"/1' 6' 9 �+{� G4.
N 3' CLEAN i�341�'��•
3' CLEAN 4 dna' SAND UNAUTHORIZED ALTERATION OR ADDITIO T "W
rr-'z SAND CROSSOVER COLLAR TO THIS SURVEY IS A VIOLATION OF
<A a �' COLLAR mZ PIPE a , SECTION 7209 OF THE NEW YORK STA •
<A ° EDUCATION LAW'. Nathan Taft Corwin
Iia �
TRIBUTION ° m W COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
POOL EMBOSSED SEAL SHALL NOT BE CONSIDERED
W u TO BE A VALID TRUE COPY.
BOTTOM3 GROUND WATER I BOTTD� B GROUND WATER
ELEV, 4_4'
ELEV. ,_i' ELEv. a_7' ELEV. CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
LEACHING POOLS (41 TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
LENDING INSTITUTION LISTED HEREON, AND
INIMUM LEACHING SYSTEM FOR AN 8 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. TO THE ASSIGNEES OF THE LENDING INSTI– Title Surveys — Subdivisions — Site Plans — Construction I "
POOLS; 4' DEEP, 8' dla. TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE.
:ACHING POOLS ARE TO BF '-`)STRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) 11
PHONE (631)727-2090 Fax (631)727-1 -.
ACHING STRUCTURES, SO' 'ES AND/OR SLABS.
.L COVERS SHALL BE OF F REINFORCED CONCRETE (OR EQUAL). OFFICES LOCATED AT MAILING ADORE ".
10' min. DISTANCE BETWEC. _CACHING POOLS AND WATER LINE SHALL BE MAINTAINED. THE EXISTErv�E OF RIGHTS OF WAY
J 8' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAINTAINED. 1 S86 Main Road P.O. Box 16
v R' n nICT4KIrp acTWccni ci 1 1 ccrNrnir. PRn)c -
chin q 'r TA— cw— ❑r „ A�T�
Ai1— AND/OR EASEMENTS OF RECORD. IF
N
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REB
& P1`
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR AO�F $1ANCO T�
SINGLE FAMILY RESIDENCE ONLY AgD/C�p`Np PjER ��T
SCF s) 6 2013 EDw p Pie G zn
TE r-F. N0. `GG I
N 6g
'2-—
.1 FENCE O��—
FOR MAXI M F � SZOOKPOE FENGE
---* S>;;OFiOOin9
125
EXPIRES THREE YEARS FRWO 1 DATE OF APPROVAL.
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PROPOSED SEPTIC SYST
x
(NOT TO SCALE)
G 6g•2�
2 5 HOUSE TOP BURIED
F FL 13 5, 4' DEEP maz. FINISHED GRADE
1 ELEV. 1
PRECAST REINFORCED CONCRETE COVER 24"dio. LOCKING. WATERTIGHT & INSECT PROOF ,
' y r `n9P / CAST IRON COVER TO GRADE
BURIED 1' DEEP min. 2' DEEP maz. e
MIN. 4" dia. TI
MIN, 4" dia. 20"min. --I �— 20"min.
APPROVED PIPE f J APPROVED PIPE
J� •O O / PITCHED 1/4711 1' TOP ELEV. 11.7' PITCHED 1/8"/1
INV. EL. ,
10 9' INVERT U,m _ INVERT
ELEV. 10.7' ELEV. 10.2'
3 FLOW a
BAFFLE �
a
SEPTIC TANK (1)
E SYSTEM CALCULATIONS: 1. MINIMUM SEPTIC TANK CAPACITIES FOR AN 8 BEDROOM HOUSE IS 2,000 GALLONS.
1 TANK; 10' DIA. X 4' LIQUID DEPTH
ROOF AREA: 1,063 sq. ft. 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS.
1,063 Sq. it. X 0.17 = 181 CU. ff. 3. WALL THICKNESS SHALL BE A MINIMUM OF 3 A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4".
181 Cu. ft. / 42.2 = 4.3 Vertical ft. of 8' die. leaching pool required ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf.
4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT.
PROVIDE (1) 8' dia. X 5' high STORM DRAIN POOLS 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF t1/4")
ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL.
PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN—
-1 N SEPTIC TANK AND HOUSE SHALL BE MAINTAINED.
OFF ARE SHOWN THUS: 6. A 10' min. DISTANCE BETWEE