HomeMy WebLinkAboutSmyth, Richard t •
SCUTHCLD VIASTEVIATER DI SPC6<1L PERM T
OCNSTRUCTI CN CR ALTERATI CN PERM T
SEPTI C TANK or CESSPOOL
Per m t Isb. 4217 R Fesi dent i al X Nin-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSLED TO
Nane : WA SCI-LI GIT ARCI-ETECT, P C
Address 1: POBO( 46
City St Zip MATER M LL N' 11976
Descr i pt on of Proposed Const r uct i on or Al t er at i on
SAN TAR' SYSTEM FCR SI N13E FAM LY DI'ELLI NG
APPROED AS SWM TIED AND AS APPROJED BY THE SIFFCLK OCU TY DEPARTMENT
CF FEALTH SERA CES. Fl NAL APPRO✓AL RECD FED FRCAA TIE SIFFCLK OCLNTY
FEALTH DEPARTMENT. FEF #R10- 12-0067
Mane a Owner R a-IARD MYTH
Mai Ii ng Address 1 P 0 BO( 46
City St Zip VIATER M LL N' 11976
Property Address 1 125 Ft81 NSCN LANE
Qty St Zip PECCN C N' 11958
Tax Map No. section 98. 00 bl ock 5 I of 12. 000
0 oss St r eet I NEI AN NECK ROAD
Bui I di ng Per m t Number Q oss Ref er ence:
Issue Dat e: 4/07/ 14 B i zabet h A Nevi I I e
Sout hold Tow a er k
ilk . .
- -----
-__
,��,%�gufFO[,1-C'
ELIZABETH A.NEVILLE,MMC ?�� _,
,�*0 OV Town Hall,53095 Main Road
TOWN CLERK % C qk P.O. Box 1179
y 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS /Pt t
"%t/ 0 Fax(631)765-6145
MARRIAGE OFFICER #4 `► ��
RECORDS MANAGEMENT OFFICER 49l -0„ .i� Telephone oldt 765-1800
FREEDOM OF INFORMATION OFFICER ...,..,����� www.southoldtownny.gov
OFFICE OF THE TOWN CLERK _ -----
TOWN OF SOUTHOLD "
\ ( F- 11 �\� 1
TO: Southold Town BuildingDepartment ( t-})
p LI LI MAY - 3 2013 1L.
FROM: Carol Hydell, Southold Town Clerk's OfficeS
Bl r G ['LPL
DATED: May 3,2013 __—Tp`"��" ``' �:Tr'o�o
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4217 for a Cesspool/Septic Tank Construction
Permit submitted by:
W. A. Scli2ht Architect, P.C. for Richard Smyth .
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
7/4-4-c- -.-rg. .1..f...
Signature
r
-2-1:)/3Dated
r a^ A . 1111/I`'OSOF04 ,
ELIZABETH A. NEVILLE ; h`t`� G# ; Town Hall,53096 Main Roe.
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t co' 1� Southold,New York 11971
MARRIAGE OFFICER ,` Fax
e
11� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER tit ell Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER 04 * `$,"1 southoldtown.northfork.net
, OFFICE OF THE TOWN CLERK .,
TOWN OF SOUTHOLD
TOWN OF SOUTHOLD
BUILDING
o BEPARTMENT SOUTHOLD WASTEWATER DISTRICT -
ox 1179
Southold,N.Y. 11971
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 X or Non-Residential @$25 Application No. Li 2( 7
Permit No.
Applicant Name W.A . Sou y yr' ,4,z.c#/y'ECq/ / C .
Applicant Mailing Address A 0, BOX 'r6
wat1c- Al/yl, ,,✓Y
Septic Tank or Cesspool
_. Brief Description of Proposed Construction or Alteration
de-ii/ 2-S rrh y S/A' t t ,/,day/L Y Dwe Uc/,v y
Location of Proposed Construction/Alteration:
Owner of Property: /2/(//4/4D $044Yfil
Owner Mailing Address: P0, I0X Yw
1.'4rat /►.liid,1,.) //f7- 4
Owner Property Address: /15 €arbvier/ A4 A/0"
tie-/Y/c ,/✓,'
Name and phone number of contact person Jody NICs eLfeia
Tax Map No: /O0' Section 91 Block 0 5 Lot /L
Cross Street MI 0/4041 /✓«k , 4J2
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH . .ALTH DEPARTMENT APPROVAL-
tS4e of Applicant , • 5701
Date
Received by:
J
AREA= 25,043 Sa FT: SURVEY OF PROPERTY
N RAIN RUNOFF CALCULATONS AT PECONIC
HOUSE & GARAGE= 2,446 sq. ft. TOWN OF SOUTHOLD
2,446x1 x0.17= 416 cu. ft.
, - 416 / 42.2 = 10 VF SUFFOLK COUNTY, N. Y.
PROVIDE 2 DRY WELLS 8' DIAMETER x 5' DEEP 1000-98-05-12
OR EQUAL.
SCALE: 1'=30'
JULY 1Y, 20121
S SIV 12\-n31-1 AUGUST*A�R, AUGUST 30, 2012 (B.O.H)
pvL1-\NG OCTOBER 25, 2012 (PROPOSED HSE.
MARCH 22, 2013 (REVISED HSE. LOCATION)
EL- 12.6
P�gL1C WATER
\N sEE1) ROAD
pott •
INDIAN
S
"eµa . o sTE"I°14.153. 6t',.
, w $
4.6E
SUFFOLK.COUNTY D• •AR • Y OF IliEliartfERVI«
N78 N
1 Is
PERMIT FOR APPRO'4• * ,;g '' TRUCTIeN FO ,. 2 No
3NGI,E PA . # NCE ONLY o O
p.1E I i/2-6/1-2—2_/ �,;(,N l C`").2:-.133�7 Z
AP OVED ,/./I,4.A II /t —\ 50 -•_
w MAXIM O :EDROO . O N
•�: . � c APPROVAL � � c:-v-
1
:*, ' '•: THREE YEA F DATE O g `p� 14 �o
% ,
.„, 1,2
" \ � �y \ Z6 ir0 Tom`
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16`' 573.43'3a'�w `uNG `M C°3
i.
1
i 01 cn EL 14- ` . 5
o
,. T Q W�
� RI 3 S\ PROPOSED SEPTIC SYSTEM
�, M 1,\
(4 BEDROOMS)
` c 0
'' c . - m 1 1,000 GALLON SEPTIC 'TANK
11.E _ [2] LEACHING POOLS 6' DEEP x 8' DIAMETER
cn "°
rrt 73 r TEST HOLE DATA
�. O \
A \ BY McDONALD GEOSCIENCE
n 7/27/12
_ ,_A. M� ✓ EL 11.2'
DARK BROWN LOAM OL
l am familiar with the STANDARDS FOR APPROVAL •1'
AND CONSTRUCTION OF SUBSURFACE SEWAGE BROWN SILT ML
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES •s'
and will abide by the conditions set forth therein and on the PALE BROWN FINE TO MEDIUM SAND SP
permit to construct.
4q ELEVA TIONS REFERENCED TO N.A.V.D. .OF NES"}.
•
; • 7t g ''' .°
' The location of wells, cesspools & public water shown hereon are � `$
from field observations and or from data obtained from others. :X • WA R IN PALE BROWN FINE TO MEDIUM SAND SP
.. ,.N, *
f LOT NUMBERS REFER TO "MAP OF PECONIC BAY OAKS" 1
FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON .tt.
OCTOBER 18, 1961 AS FILE NO. 3434. (-t% 11/
`.'
' ,y0 490 N.Y.S. LIC. NO. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A V?OLAIPON `'� "ECONIC 'LY ,' TORS, P.C.
OF SECTION 72090F THE NEW STATE EDUCATION LAW. CAIS (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SEC77ON 7209—WWI W SON 2. ALL CATIONS _ P.O. BOX 909
HEREON ARE VALID FOR THIS MAP AND COPIES Mailigir ONLY IF
SAID MAP OR COPIES BEAR 1 ESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 12-225
'' WHOSE SIGNATURE APPEARS HEREON. ■=MONUMENT SOU THOLD, N. Y. 11971
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