HomeMy WebLinkAboutWren, John SCUTHCLD VIASTEVAATER D SPCEAL PERM T
OCNST IC TI CN CR ALTERATI CN PERM T
SEPTI C TAN( or CESSPOOL
Per m t No. 4210 R Resi dent i al X Non-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSIED TO
Name : MERYL KRANER
Address 1: P O BCD( 683
O t y St Zip CFE ND(RT NY 11944
Descr i pt on of Proposed Const r uct i on or AI t er at i on
SAN TARP SYSTEM FCR SI NGLE FAM LY DVELLI NG
APPROJED PS STEM TTED AND AS APPROJED BY TFE S1FFC1K OCINTY DEPARTMENT
CF HEALTH SERUI CIS. Fl NAL APPRDIAL RECD FED FROM 11-E SlFFC1K CX1.NTY
I- ALTH DEPARTMENT. FEF #R10- 10-0011
Name G Ckner J J-N & SHARCN WI EN
Miti I i ng Address 1 225 Fl PPCCRCAE DRI VE
O t y St Zip SOJTHCLD NY 11971
Property Address 1 225 H PPCCROVE DRI VE
a ty St Zi p SCUTI-$CLD NY 11971
Tax Map No. section 66. 00 bl ock 2 I of 32. 000
Cx oss St r eet ROCS ROAD
Bui I di ng Per Tri t Number Cr oss Ref er ence:
I ssue Qat e: 4/07/ 14 El i zabet h A Nevi I I e
Sout hold Tow, der k
r
ill StiFOLit —.
ELIZABETH A.NEVILLE,MMC lop V Town Hall, 53095 Main Road
TOWN CLERK t P.O.Box 1179
t Cl) 2 1 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p ��Prt �, Fax(631)765-6145
MARRIAGE OFFICER y� 0`'.' Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER 491 4 `e—ialI° www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER •.�....,,,//
OFFICE OF THE TOWN CLERK ;i,.„))1-1'2--------2----'----1-----2---2-1 ' '
TOWN OI I! j 1
F SOUTHOLD ,, rel
Li 3{i APR - 5 2013 _,J
I
TO: Southold Town Building Department I
T.
FROM: Carol Hydell, Southold Town Clerk's Office TO,, �� �� �����
DATED: April 4, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4210 for a Cesspool/Septic Tank Construction
Permit submitted by:
Meryl Kramer for John & Sharon Wren .
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
7/te_ex.7\f/
F
Signature
03 3 /K
Dated
ii
r ♦ ILII OsOFFOL j- :
10 0.4 " a
ELIZABETH A.NEVILLE i,A .� \
`Z` Town Hall,63096 Main R,oa.
TOWN CLERK 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER .0 ►� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `�y�� ,`O�'!ll Telephone (631)766-1800
FREEDOM OF INFORMATION OFFICER * `1`V,a' southoldtown.northfork.nef
OFFICE OF THE TOWN CLERK ..
TOWN OF SOUTHOLD
LD
- o' OFpEpAR MEtOUTHOLD WASTEWATER DISTRICT
gVILDI P�jg 1 Y1 7997I APPLICATION
Seo
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 '.-r/ or Non-Residential @$25 Application No. 4210
�/� Permit No.
Applicant Name ti" 'E AMo
Applicant Mailing Address \O . CO �� 6 E N PO t-
Septic Tank -"or Cesspool
- Brief Description of Proposed Construction or Alteration K-AJd V/'lls/UJD
sro$Y ADID1 n o ry
Location of Proposed Construction/Alteration:
Owner of Property: c)041-N AKIZ) St br\/ 14 2d%, J
Owner Mailing Address: 225 4-0 polyge/4 112
j07 L,a " /j ( lt°1f1
Owner Property Address: SAi4/
Name and phone number of contact person k4 .R i - M 1:12- 4 —0/-50
Tax Map No: Section 46 Block QZ Lot 7-72
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
ti %L
Sigfatufeof Ap. i . t Date
Received lq ((3
.t
SURVEY OF
/`- - LOT 2
/...,„ , cam`' BLOCK 7
�' "� O MAP OF
I
d p .® IABEIXEDON ESTATES
ty
♦ CY' F FILE No. 1472 FILED MARCH 16, 1946
SITUATE
\34-5°4:-''''\
S 14.8 � �*P. ^.\ SOUTHOLD
�s � .. .
TOWN OF SOUTHOLD
v \ ,9T?: \\ 15.0 f` 6°tio ��0 � _ .. -
�• �.00 a�No p- ) ''''-'"SUFFOLK COUNTY, NEW YORK
E� \ f\- ti S.0 TAX No. 1000-66-02-32
E� •E�P� • ,, O� ,lgG� s� a 6 ( 1"R1O'1 L SCALE 1"=30'
o�,EeGG.40- G�PSR\� O . \o'` r'o. m*� MAY 1 6, 2007
�\ 1 -\ �� .1.. . ESRUA Y 24, 2010 ADDED PROPOSED ADDITIONS
JSrLs P Q�e O� 4 .� I .i `\ O off\ <^ a MARCH 25, 2010 REVISED PER S.C.D.H.S. NOTICE DATED 03/18/10
�Q 1 Qp� O i '!:;:,:•. a \\.o, �'�� \ °1 0 `•P € e:ALAREA = 10,944 sq. ft.
1 e�o� 1 , a os �o bow 4_LE: : 0.251 ac.
st to a S .'* ' y- , NOTES: i
I 1�',/ �,�k B�\-C\-.P t. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
/ z O -pG EXISTING ELEVATIONS ARE SHOWN THUS:. 10.0
i i ��i P� ' - '�`G .t. 2. MINIMUM SEPTIC TANK CAPACITIES FOR 5-6 BEDROOM HOUSE IS 1,500 GALLONS.
LIB \ s •• \ ” . a • �'OL.�. O. 1 TANK; 8' DIA., 5' HIGH
6CS .� ae _,-0„ ,t,. �! °." - 0/.. I^ 3. MINIMUM LEACHING SYSTEM FOR 5-6 BEDROOM HOUSE IS 400 sq ft SIDEWALL AREA.
__� - i...„,a��.r 0fG 1 OT 2 POOLS; 8' DEEP, 8' dia.
gd/ I i' 11111'. :h a LOT 0 �y; L E\Y\`G�P�' ;.:•:%•- PROPOSED FUTURE 50% EXPANSION POOL
es „40,
roe �, FP iP. �'�;1° E �'� JS
PROPOSED 8' DIA. X 8' DEEP LEACHING POOL
.to .I,er�`� u' '1.4 \ y' � O PROPOSED 1,500 GALLON SEPTIC TANK
�g �\ . .'0�'� moo: °' fRa R� y •'\ � ;s ti 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
Asa �' q_\' r 0041.5(05 I4
E I OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
£ 0.9 5
cs ro LLL£ .,T0-„„'C 1 0 �fe� �� za t 'V��ts‘�R 5. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND EITHER BE REMOVED
FJ o a .• ® F ar' SOS vt \�� OR FILLED WITH CLEAN SAND IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
0 '1 .\' ,.' �m� cormo.. i,,..o. .E31t 6. THIS PROPERTY IS IN FLOOD ZONE X
Gm- O � ��� ° ! ,ss.•6E ti0�G SC-
FLOOD� ZONE INFORMATION TAKEN FROM:
00 °�' ` ,.� om" 50 c O-Y0c FLOOD INSURANCE RATE MAP No. 36103C0158H
..
�� ,,Si, °� 4,44ersso,IrA+ ti 10 ZONE X: AREAS DEItRMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN.
0
I to IP �`•' O`er
o- ,,,,w I? 6o ti° �D �o °� TEST HOLE DATA
v.- '1� " 1.5.Q '• yO' ''S•"Cs (TEST HOLE DUG BY THIS OFFICE ON JANUARY 5, 2010) PREPARED IN AC • A , .t �E • RI
\;�G�P, C� EL 14.4• BY TriE LI • 4,,
1 �• `D��\G OelA DORIC BROWN SANDY LOAM OL CERTIFIED TO: 7FIT°RiES C , *'�.... `yO 0SESPJ�\ pPrivJOHN E. WREN ,
‘7,......0\ �I�,OI BROWN LOAMY SAND SM SHARON WREN `+y'/
iir
YELLOWISH BROWN FlNE TO COARSE SAND SW /L
EL 1.4' 111k. - / , V r �O
EXISTING BUILDING COVERAGE DATA PROPOSED BUILDING COVERAGE DATA
13.0' %0)LAND CJ N.YJS L C. No. 50467
10UNAUTHORIZEDSURVEY ALTERATION 11 ADDIiTON
TO THIS IS A NOLATION OF }{.� } r
DESCRIPTION AREA % LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE SEC.TTON OF THE NEW YORK STATE Nathan Ian Tafl Corwin HI
EDUCATION LAW.
a o COPIES OF THIS SURVEY MAP NOT BEARING
EXIST. HOUSE 992 sq. ft. 9.1/ EXIST. HOUSE 992 sq. ft. 9.1/ wnTER IN YELLOWISH BROWN THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
FlNE TO COARSE SAND SW EMBOSSED SEAL SHALL NOT BE CONSIDERED
EXIST. PORCH 286 sq. ft. 2.6% PROP. ADDITION 1,246 sq. ft. 11.4% TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
EXIST. GARAGE 384 sq. ft. TOTAL Ti,238 s ft. 20.5% IS PREPARED.AND ON HIS BEHALF TO THE
3.5% q TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON,AND Title Surveys — Subdivisions — Site Plans — Construction Layout
THE ASSIGNEES OF THE
TOTAL 1,662 sq. ft. 15.2% " TTI/nO .. CERTIFICATIONS ARE NOT NTRANSFERABLE.
PHONE (631)727-2090 Fax (631)727-1727 ii
THE EXISTENCE OF RICHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF
ANY. NOT SHOWN ARE NOT GUARANTEED. 1586 Main Rood P.O. Box 16
Jamesport. New York 11947 Riverhead, New York 11947
77-1 q7A