HomeMy WebLinkAboutWoodhull, James SCUfHCLD VIASTEVATER CI SP06AL PERM T
CCNSTRUCTI CN CR ALTERATI CN PERM T
SEPTI C TANC or CESSPCCL
Per ni t No. 4169 R F f si dent i al X Non-Fesi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSIED TO
Nane : JAWS VI:CDI-LLL
Address 1: 340 PI NE PECK RDAD
City St Zip SCUTHCLD NY 11971
Cescri pt on of Proposed Const r uct i on or Al t er at i on
SAN TARP SYSTEM FCR SI FI E FAM LY [WLLI NG
APPROJED AS SWM TTED AND AS APPROJED BY THE SIFFCLK C UNTY DEPARTMENT
CF HEALTH SERVICES Fl NAL APPRO✓AL REC U RED FRICIM THE SIFFCLK CQ.NTY
HEALTH EEPARTIVENT. REF #R10- 13-0001
Mane Cf CArner JANES WOCI1-LLL
Nbi I i ng Address 1 2400 PI PE NECK ROAD
City St Zip SCIITHCLD NY 11971
Property Address 1 2400 PI PE PECK ROAD
Qty St Zip SCUT CLD NY 11971
Tax Map ND. section 7. 00 bl ock 9 I of 8. 000
Cr oss St r eet 04IQAVN AVENUE
Bui I di ng Per ni t Nanber Cr oss Ref er ence:
Issue I t e: 1/02/ 14 EI i zabet h A Nevi I I e
Sout hold Tow, CI er k
.
1,,,,,,,,,,,,,
OFFOUr
ELIZABETH A. NEVILLE,MMC /40 04 Town Hall,53095 Main Road
TOWN CLERK p P.O.Box 1179
H 2 ; Southold,New York 11971
rit
REGISTRAR OF VITAL STATISTICS : ��
O •F � Fax(631)765-6145
MARRIAGE OFFICER y11
RECORDS MANAGEMENT OFFICER .�0,( * 40*• '�� Telephone oldt nny.gov
�� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office T , I
n r 1 2013
DATED: October 16, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4169 for a Cesspool/Septic Tank Construction
Permit submitted by:
James Woodhull
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: _
4
Signature
Dated
t,ELIZABETH A. NEVILLE I�`� G�,�` FTown Hall, 55096 Main Roa,
'TOWN CLERK : y t.....,,- P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t !, Southold, New York 11971
MARRIAGE OFFICER �t Fax (631) 766-6146
RECORDS MANAGEMENT OFFICER %'4's -`0`Ill Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER 'I jig I" southoldtown.northfork.nef
, OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TOWN OF
OAT'I. t.4 0 LD WASTEWATER DISTRICT -
BUILDING
P.O. Box 1179
Southold, N.Y. 11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 / or Non-Residential @$25 Application No.14I 5
\t1mi r Permit No.
V
Applicant Name 5 1---bop►-) c___
Applicant Mailing Add ess 2L-/O 1-- ,t.E AJ 1�0
i t-lcx-r) ( q
Septic Tank or Cesspool
_ Brief Description of Proposed Construction or Alteration
Location of Proposed onstruction/Alteration:
Owner of Property: iofilln v\i'Md NW
Owner Mailing Address: 2-400 ?1RJ W2 L Q-6'
&ttA() of d, P I\ l I
Owner Property Address: 2 4 UD PIS Ne_cLCA
iov-1h01el, IN-F i1g11
Name and phone number of contact person q
Tax Map No: I ()v( Section ) O Block 09 Lot Ol
Cross Street QUCULAIL_
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALT D PARTMENT APPROVAL-
/0/ 613
"gnature of Applicant Date
Received by: t i
I
it
. T
t .
. ,
,/
SURVEY OF PROPERTY
SITUATE
PINE NECK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
pWE1.1.1NG S.C. TAX No. 1000-70-09-08
pUeuc wA ) SCALE 1"=30'
/ (uses NOVEMBER 22, 2002
OCTOBER 13, 2004 ADDED PUBUC WATER do ADDmONAL WELLS
DWEU 1NG MAY 2, 2005 ADDED HOUSE TO THE SOUTH CONNECTED TO PUBUC WATER
pWELL1DNW ) NOVEMBER 16, 2012 REVISED PROPOSED HOUSE
Pue I �g AREA - 12,841 sq. ft.
w�Gti 0.295 ac.
WELL ������01coV�'
-ROAD F
N E C K x �c*C�:G4����v o�``` r
PINEWATER IN STREET) SQA of �t;,�
(PUBLIC ,�y0 OVA' �`Q� i O ,� ,
I '` BOJ Qe� �� ��� �.
117.05' . �'• •ti`s FAQ Itty
xis •. �C E O
N 82• " E „r of caw BAST ` `o. ' 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
31',1 O PAVEME N 0 Q��� 5`�G �E�'l® „31. 0
Q1�@ S:SID
2 MRpMU�N PTN TNG AAIMC CAPACITIES FORTIONS ARE SHOWN A TO 4 BEDROOM HOUSE IS 1,000 GALLONS[ 1 TANK; 8' LONG, 4'-3' WIDE, 8'-7' DEEP
1, e, �� / `� 3. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 sQ ft SIDEWALL AREA.
,/ �� � 1 POOL: 12' DEEP, 8' dia.
FpipE ALB * '..,..FIO
: 10
0
o•
. \ N Il. �,, % PRPIn CO IJ/T.Ti COA` ® PROPOSED SEPTIC TANK
0N £ C) t�Q`[.`• 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
# - I OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
ti al 51.6' TEST35' rn 7
::: $_ XI g 9 TEST HOLE DATA
..........................15' z (TEST HOLE DUG BY ON OCTOBER 10, 2002)
W(�1
EL W 35' ......... '••.'..::i:•:•i-.:-.., •. :. ` Z DARK BROWN SANDY LOAM OL
H
•'�. W ... . _ e . BROWN SILTY SAND SM
'�) •
q ; '. .'' iplii1 JJ 2.5 PREPARED IN ACCORDANCE WITH THE MINIMUM
CV q Q 0 •••:� •a A.
• ., •.; STANDARDS FOR I AS ESTABLISHED
ADOPTED
�I �r TIE L I ATE LAND
21
�,`G .. 1 Q1 1.d. . •' . � FOR ` ',I«,r '.'” 1t �'
•
............... . ........ •• 4X
41(5 40
NI
CD
I b ��.. I'� M ' PALE BRowN -. � a >ge".."?co
N1 9 }. a I �� 322 MEDIUM SAND. ° y re
L",-----------,_, FES "li c• eco4 c.7-1.
'
0,� , f
u F0UNO •
sr 37'1 W u` - fi�1,,, .�0/1/1 fir. .Y.S. Uc. No. 50467
N/U/F NSON � A . . �, Nathan aft Corwin III
•_/ SA TM v p
JEAN THERE NG sEc1TON 7209 of THE NEW YORK STATE
DwEw �"G'n°"COPES OF` Land Surveyor
'rY (Lists PLr WATER) 0-4 A THE LAND DVS
INKED SEALSORANG
..R� EMBOSSED SEAL SHALL NOT BE CONSIDERED
W TO BE A VALID TRUE COPY.
-AA
CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. LS.
rn< ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno LS.
-1 IS PREPARED, AND ON HIS BEHALF TO THE
Omits„, TITLE COMPANY, GOVERNMENTAL AGENCY AND Tithe Surveys - Subdivisions - Site Plans - Construction Layout
Ptt�,--##�1I}"�� TENDING INSTITUTION LISTED HEREON.AND
•
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION.
NSTI- PHONE (631)727-2090 Fax (631)727-1727
�� TU ION. CERTIFICATIONS ARE NOT TRANSFERABLE
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED 11 MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, If AT
1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport New York 11947 Fax
New York 11947
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