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White, David
ELIZABETH A.NEVILLE,MMC �� „ e ;.' .> .y , Town Hall,53095 Main Road TOWN CLERK , = t.; v`;',''., I P.O.Box 1179 t coo c*c3 7 ..,% Southold,New York 11971 PP7 he REGISTRAR OF VITAL STATISTICSl. , >..,r. e•Iv Fax(631)765-6145 MARRIAGE OFFICER ;4. •-,5 '���_to Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER :_Qi13Ng ,a'swww.southoldtownny.gov FREEDOM OF INFORMATION OFFICER -- ,,,,,s OFFICE OF THE TOWN CLE 13) .4-'C'-')i----, ! /•//i '7)RIKL TOWN OF SOUTHOLD [j\� MAY - 4 2016 _"/ TO: Southold Town Building Department BUILDING DEPT. FROM: Sabrina Born, Southold Town Clerk's Office TOWN OF S'UTHOLD DATED: May 4, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4383 for a Cesspool/Septic Tank Construction Permit submitted by: Daniel Finne for David White . 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 Comments: Final approval required from the Suffolk County Health Department Signature 4J'2'''- 125--/(2.46/4, Dated oil OFF04� ELIZABETH A.NEVILLE ���� oGy` Town Hall, 53095 Main Road TOWN CLERK • '.� P.O. Box 1179 t _ Z i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; i MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER #�f a ��e°/ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = ' 11 Fax 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. 4/3 83 Permit No. Applicant Name h/9/1//14.--4 Applicant Mailing Address /� S 6�r�'!l a✓�z "/y i9Y Septic Tank )X or Cesspool Brief Description of Proposed Construction or Alteration //c".i /V0 vSC Location of Proposed Construction/Alteration: Owner of Property: ,d%/) /V,4/r7Z Owner Mailing Address: /7t Bek `T' 8 L uui! IL, I L 33 33c Owner Property Address: g 94 t i y Y/4-it/ 11/ -1L,vL _CDfe-4( //9 Name and phone number of contact person Tax Map No: 400 Section 5-Z Block Lot .36a / Cross Street L DJo ✓,Y �a, NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WI HE H DF ARTMENT APP OV ..rte 5/3//� Signature of Applicant Date 0 Received by: I ! 4 lt 50KVEY OF LOTS G8-7 I N ,.I . nS 311bWN ON A CERTAIN MAP ENTITLED MAP SHOWING SUBDIVISION OF PROPERTY KNOWN AS SUMMER HAVEN BELONGING TO WILLIAM G. HERX FILED JULY 5, 1933 FILE NO. 1 133 • SITUATE: NEAR SOUThOLD, AT AKSNAMOMAQUE 4}byya} o�� n�rn} } —p- TOWN : SOUT1OLD 1 / con, ` 1- With s Saj: t SU>=FOLK COUNTY NY NO ��° con, ` �.n`��tLn1 Lt2 Crj r tis- l �Y ISO S o.-„ r Vl �' '� --e-nt, b SURVEYED 11 -28-2015 COLO © O O as Pre®a` rnrt `� REVISED 02-I I -201 6 ,1\ --\ `�'_� - <O . �O / �t.—J., 90 AO O,P SUFFOLK COUNTY TAX # \ / / ON. 9� 2a�� 1000 - 52 - 5 - 36. I ) .12 ' / >, /ti'P ,, " s\G /• ••x / 40 O'S ` 0 SQUARE FOOTAGE INFORMATION CERTIFIED TO: �� QJ� ' \ / TAX MAP @ 1070-52-536 I G /,,r-- \y,/\O/ Ap• \'s / / N� EXIST LOT AREA 15,000 5 7 DAVID WHITE ____ \` \`' ��P/ /S00e�° /1,••`5'' / Cl...,`\ MAX BUILTABLE AREA 2O% 3,0005F - G Ve h/ / 0 9l•9P / �J 0, OO -& / ems•9/ `CO EXISTING \O� _ / ��Ox•�O �O / OO EXISTING SHED I005F 0� \�"/ ' & / / tiQ'5' C ' PROPOSED � `(^�/ / �O / tizfi90� � PROPOSED HOUSE 1,861005E �� \ ./ Q` 0' / t', f- PROPOSED COVERED PORCHES 455 40 5 7 �� ••�` A / �\• 'CC TOTAL PROPOSED COVERAGE 2.3154057 �Q J��\G O�7 /• - —dMillr \O 4 / / O t \e S6 LOT COVERAGE CALCULATION V91 17 . Anew d.,----.0� '.\1 _ / Qy • t> LOT COVERAGE RATIO 15 44% j• 7 O'0 0'7 O / • �'<� •/ 1'tl\�s / °At •%I' 0,���S,A O Q -,��' `i/�1 / / / ���iseire,P,� Sr �� � ,..0_,-.1 \RQ / d G\9�O��u�s.` d=� / i/ O ,�� i� P � m� i� `���k:� P �- y= � -, - /� �� (3 BDRM) HOUSE INVERTS �' 4 �� E� yr oe°oQ', `SAitt, -s o� /SPG,l�t�V\C.EyL �e°�". v �A� ] e\�5 / •_,j r-.- - \l NOT TO SCALE °"i O 'Cr_jjJ',, g 1 �.,+ \r Q �O '�� O�j•C� I�� \A. PP ELEVATIX,13' {' 40 i i-r QAi .111` / © 0..��-.\ /(` PA.EL=7 I' G GRADE EL=6.5'p, JL. \ � RADE=70 Soo ,�r�.� f v / l O/ �\I_% / ••\•``�_ - 3 d „14..cgs MIN I. MAX 2' COVER EL<60 y ♦ �i844`br ♦ ;/ `— EL=53' r—� ffftll • * iy P'S• y'1 %��`1i` \a\\�— ,--\-, fI INV=54' INV=ST \ fi'�Jygyyi ,I 11`� INV=43' INVa4S ILII ,, �If ;'{w.1 O \ ,(qr,_ \d '\. /' LEACHING FOUS I-0'DIA X ODEEP SEPTIC TANr. lll{{t Y[. ,ty k /\�� /� ��[pv1,FC_ / /% LEACHINGPOOLa 1OISTRIBIlnON P001. IOOOGALLON oi.��`/�DL r s.\�'' j� Qe ' • •v OG�O OO �0���� GROUNDWATE�y ELEVATION 05'510555T EXPECTED GROUNDWATER LAN* Vr►T /9'j �/\ ��® o� G err si,@rr�r�� �P,,-. o/�\ O /Q�Q () .0\P\\ / (/ SEFTIC CROSS SECTION UNSUITABLE MATERIAL TO BE REMOVED AT SEPTIC SYSTEM O © `7\' C/1 REPLACED WITH CLEAN FILL IN ACCORDANCE%MTH HEALTH DEPARTMENT Q J��\G 9,�����JJJ\ .0,,...\ y y �i�-J HOUSE DRAINAGE SYSTEM CALCULATIONS: \ Oi , / SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL ROOF AREA=Ft1,O 7= 1 / 1,861 Srq Ft X O 17=317 rV' 317/42.2=8 VERTICAL FT.OF 8'DIA LEACHING POOL REQUIRED ^ .•. e6 \` ........,®.,,�..,s:�...,.e...�..b.P...,.�,e,.n,,.,,,k.....:o....,,..,,gym-..,>�,�,..=�..v=.,.�_.._....._.......-..� .. �.._..._....... PROVIDE(2)8'DIA.x 4' STORM DRAIN POOLS ,- Fy TEST HOLE DATA 12.4.15 SUFFOLK COUNTY DEPARTIv1ENT OF HEALTH SERVICES !'' McDONALD GEO5CIENCE EL=7' PERMIT FOR APPROVAL OF CONSTRUCTION FOR A • DARK BROWN .• \ �,.,>...^'"'•"r'.p —I' LOAM OL P'('R �".6 - 45.". SINGLE.,:' FAMILY RESIDENCEONLY SILT ML 3' � .4\\0 ,-- E 7 t,,,,,,"n-iC,90,,,,,i I DATE Fl lcZEF. NO. 4610—g_c_gcz QJ di MAR 0 2 2016 f BROWN FINE TO COARSE SAND SW , 11,1 .,:- . , system .......... . p rt•.:•-0 WATER IN BROWN !�^ V O c i s $t r a.dine, n, I FINE TO COARSE SAND SW q ' ' 'ELEVATIONS BASED UPON NAVD 1988 I , B r . s aJ.. Fon Srllt�>�S:�f.� F y:i ;�i�.t+•.;1'.�.i __ 14, EXISTING SANITARY SYSTEM 6 WATER CONNECTION t�°O' "1•f r / V,., Z. H `3 (,.. r. �.T r TO BE REMOVED A5 PER 5C.DHS STANDARDS EXPIRE:.?: f NR 7u. E:A S FROM LATE ..a:' APPROVAL COMMENTS WATER ENCOUNTERED 7 2'BELOW SURFAGE'PROPERTY IS LOCATED IN FEMAZONEX I -- •= Unauthorized alteration or addition to o survey NOTES JOHN bearing a Incensed land surveyor's seal is a ® MONUMENT FOUND I O H N C. E h LE RS LAND SURVEYOR _� violation of section 7209, sub-division 2. of the J 1 11 v New York State Education Law” \-1i;"�_ "Only copies from the original of this survey _ % EXISTING TREE marked with an original of the land surveyor's IV stamped seal shall be considered to be valid true copies" 6 EAST MAIN STREET N.Y.S. UC. NO. 50202 "Certifications indicated hereon signify that tills \\22—\ survey was prepared in accordance with the ex- 369-8288 Fax 369-8287 � '� ,sting Code of Practice for Land Surveys adopted Area = 15,000 Set. Ft. RIVERHEAD, N.Y. 1 1 90 I Vl P by the New York State Association of Professional Area = 0.3444 Acres Cj Land Surveyors Said certifications shall run only Ionglslandlandsurveyor.COr .0' to the person for whom the survey is prepared, GRAPHIC SCALE 111= 30' \) and on his behalf to the title company, governmen- Q tel agency and lending institution listed hereon, and — to the assignees of the lending Institution Certifica- - 1.0 1 - 1 5-2 1 I tions are not transferable to additional institutions