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Schultz, David
SCUTHCLD VIASTEVIATER DI SPC AL PERM T CCNSTRJDrI CN CR ALTERATI CN PERM T SEPTI C TANK or CESSPCCL Per m t Nb. 4213 R Rosi dent i al X Nbn-Fesi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSIED TO Naas : DANA D & PATRI a A SCHU-TZ Address 1: P 0 BCD( 624 a ty St Zi p MATTI TUCK NY 11952 Descr i pt on of Proposed Const r uct i on or Al t er at i on SAN TARP SYSTEM FCR SI NaE FAM LY WELL! NG APPRDJED AS SWM TIED AND AS APPROJED BY THE SUFFOLK CQNrY DEPARTMENT CF F-EALTH SERVICES Fl NAL APPROVAL RECU RED FROM TI-E SLFFCLK CCINTY F EALTH DEPARTMENT. FEF #R10- 11-0050 Nane a Coiner DAM D & PATRI a A SCF TZ Mlai I i ng Address 1 P O BOC 624 a t y St Zi p MATTI TUCK NY 11952 Property Address 1 2745 W0<I-IAM AVENLE a t y St Zi p MATTI TUCK NY 11952 Tax Map Nb. section 139. 00 bl ock 2 I of 3. 000 Cr oss St r eet VESTM EW DRI VE Bui I di ng Per nit Nunter Cr oss Ref er ence: I ssue Cat e: 4/07/ 14 Elizabeth A Nrvi I I e Sout hold Ton a er k ELIZABETH A.NEVILLE,MMC /S. �l/ /S. * Town Hall,53095 Main Road TOWN CLERK � p d : P.O . Box 1179 i p � H = ; Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ‘`,°O. Fax 0 Fax(631)765-6145 MARRIAGE OFFICER �'y�o a0`* / Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER _ 1 �►• 1 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER .'---•...,,•••• OFFICE OF THE TOWN CLERK Irrl ri-', ` �'� r ! TOWN OF SOUTHOLD I L) r�__ _- ,, , 1 LP! APR 2 3 2013 � i TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: April 22, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4213 for a Cesspool/Septic Tank Construction Permit submitted by: Mark Schwartz for David & Patricia Schultz . 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 Gs./, 2ture / 1 Dated I et Town •: 53095 Main Road ELIZABETH A.NEVILLE ���`Z` y Town Hall, TOWN CLERK p P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS W MARRIAGE OFFICER G R` 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 4's *Doti I'v e Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER '- '( * D 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 Vor Non-Residential @ $25 Application No. Lt 21 3 - Permit No. Applicant Name /(441- r......_ Applicant Mailing Address P ' Q Ox '3 C epcc Ny Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration NE.t,t_) Sfr ✓1 � Location of Proposed Construction/Alteration: Owner of Property: PAV( -" ,e}ri2 ( C( Ref Z-. Owner Mailing Address: Pl 3 O g Z SF- Owner Property Address: 2 74 f t'( 1-1-411� Arr Name and phone number of contact person 774 (S f Tax Map No:/006 Section 13f Block O Z Lot 6.3 Cross Street NOTE: LOCATION MAP MUST BE SUB► ITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY f EPAR ► 'NT APPROVAL i 0,7o¢ Z Signature of Applic Date Received by: 0° 0 ti /o' 4$)' m4 SURVEY OF PROPERTY SITUATE ,.,,it ��lq< _� � MATTITUCK ��A 0 :A TOWN OF SOUTH0 L D o=� �14tk‘* 4.0 0 SUFFOLK COUNTY, NEW YORK 4s `� S.C. TAX No. 1 000- 139 -02-03 11 *IPtt°° SCALE 1 "= 10' 1111111111i , N. MAY 16, 2007 p� // / JANUARY 20, 2010 UPDATE SURVEY .h, 34 �e ' j` S o MARCH 9, 201 1 ADDED PROPOSED ADDITIONS APRIL 12, 2011 REVISED MAP �, OCTOBER 24, 2011 ADDED DISTANCE TO PROPERTY TO THE SOUTH D/ �� ` A r��� 6 /i. APRIL OBER062 ADD1 REVISE OTE FORROPOSEDTSEPTIC O BE RAISED SYSTEM 6" 'I , �k k\ o`f' FooF MAY 10, 2012 REVISE NOTES SEPTEMBER 18, 2012 CORRECTED SEPTIC SYSTEM DETAIL NOTES 4106 ‘17���'' F �� of�� C/R-- .2''' )'/*1 �O $ �+ I �� TOTAL AREA = 7,280 sq. ft. �` ��, Vp �,c0 • c ix (TO TIE LINE) 0.167 pC. UPLAND AREA - 7,141 sq. (, , QP ��•OS ,1 Ci 5.9 G� , ft. P .6'e, NO oyTUo r Ni, k� • 4�rr �otio WETLANDS AREA = 139 sq. ft. o r7 r ro Ro �� rr / T +• 120 A_____LO .7' .,4\ •--9 / , (.) r / ---- --- ,4 4Il / kilt, - f • i<, • 1 S "4 k y M • , \ �k 0 yid ����w EXISTING LOT COVERAGE OVER AA o ,r , °y ' W tid ti/ k , . UPLAND AREA (7, 141 sq. ft. /,‘11, 46' (l lir 's ''ti ::'-'t �/i14 k 0 Ai 90 \rro l S�°° ry" ?:::;:'': ::: .;:. `� z Fe �} Ct DESCRIPTION AREA % LOT COVERAGE / 12 s . O 'PO � N q p \ •, VcV .::::'::::.:..:':::::: o �s F�Os: :::. :.:'. ' ..: .. (9 y' ,�`'� EXIST., \ <o /S .:.:::O T Tj q EXIST, WOOD DECK 228 sq. ft. 3.2% •/ •r �11 ,W / �a * 0. \ �% O } .:. ;5.:...... ! � �� EXIST. GARAGE 373 sq. ft. 5.2% • I s s s 9 ' •�i /� Po ti�d/?olOQ ".:` ' :•;SS.. �i0 N. TOTAL EXIST. 1 ,680 sq. ft. 23.5% ' � A -c) 1.-', Fy ;,. \ x ,1 . ÷0 UPLANDPROPOSED L O T COVERAGE . O j:r: i AREA (7, 141 sq. t )OVER C • • .35-' /.5r0 5 A r' 4 ` +� o o `:: �3`' ' .. . . I G� DESCRIPTION AREA % LOT COVERAGE \:.. S\oo, sr ,/o sF ::::::. \ ,, 1l`I tRF I_PF•"?�::,} P l.! :' Beinspected c� '' \ • �� 'o,• titi/ti�S " }� `11 `�� \ ,,, �lfft39itOlaf1iy f l?¢�t. C;f i"aItri ;vices`" PROP. HOUSE 1,267 sq. ft. 17.8% o � :.:..:.;.. :' .'... o J� �.• \. CII ���-'�t�l�� a��,3 I'Ic�UrS IFIAdV�.t1C@ d':.c 'l'� : : ... : ' : _ ...:' ..:::.' � � � PROP PORCH 60 sq. ft. 0.8/ �� 4 � Ta Scliedu�e Inspectlor;!(sl NOTES: er }��. �t �. \ b S EXIST. GARAGE 373 sq. ft° 5.2% 1 . ELEVATIONS ARE REFERENCED TO 1988 N.A.V.D. DATUM ��ry'.�:?°���:' 1 To�'Sr lb ,. • - lv is \, �50 +' �Po �\R� TOTAL PROPOSED 1 ,700 s ft. 10.4 aF• w°o rti h I C r� tr vrrr u to r .-0- R\' q EXISTING ELEVATIONS ARE SHOWN THUS: RF�ooeFR ' �P" �y \\ \sT o�E w` �'a D 2. FLOOD ZONE INFORMATION TAKEN FROM: - :\ ��T�ps4jO�F oN�i titi °� < FA }� �'z+t - `3't ,. v-��IC > ° I MAP No. 36103C0481 H 5.5x o oC� i 00 / Fs �\ • a we tz•. .. v ° f FLOOD INSURANCE RATE I • / • ::: .'. TESTI OLE.. r.:;: `. C.,• �O?' kis �1 \ 7 ':i ,., " , � v °� Ta , ° 1 ZONE AE: BASE FLOOD ELEVATIONS DETERMINED \ 9 \s,>: ;. ° °,i/„ . a ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. \ �T�<9� ' / �•.` FRs�� ��,� !�' °�fR"eao^R c��1iTc ov /.. . .. .'t'C F ' 0' / C\ ST C� fS tijIN Q ° SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND •- 3° EXISTING �, ,� ti +ice x FAS °ti EXISTING LOT COVERAGE OVLR . �_.. _ .__. _ -.�_. . REMOVED IN ACCORDANCE WITH S°C.D°H.S° STANDARDS. � 7.s ' �_ to.a ,�,� �, � �' 16 i av. ADJACENT AREA 4. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1 ,000 GALLONS. / ° 14.2 I o :' j /� AST° ,a �� s,8 x I o ° • ° ° (AREA BETWEEN LANDWARD WETLANDS LANE 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7” DEEP / i_ �.o ti•\ \\ v�� I / ••.^2 x1.6 I ,5 o w AND 10' CONTOUR LINE - 5, 115 sq. ft.) 5. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. / }��' ^>iN __47r / I N "O' I �2 • ° _° 5 POOLS; 2' DEEP, 8' dia. cV DESCRIPTION AREA % LOT COVERAGE �� f ` °J� ,F+ \ �/� ,S '��, t52 11,(91540.5x:11 v ° GJ� EXIST. HOUSE 1 ,079 sq. ft. 21 .1% S �/ x ?j, ftr o rti �� i o.8 T �y • r I P � i (s,,6F ° .,. 0,Q C OL ° •v° o��z '♦♦♦' 9� 0� F+0,4,ssA k i ' }'F 1 4/op , I c�� EXIST. WOOD DECK 228 sq. ft. 4.5% � I PROPOSED FUTURE 50% EXPANSION POOL �'s Q ' F 0o`Fo°° ,/ p 'Q c\ • ° <�( Fs oiy 'f' N A �� � 9,� ,�qc ° �' G� TOTAL oFr F o• F • - \ EXIST. 1 ,307 sq. ft. 25.6% \ ♦• c " o 7 41, cc, 0 �' STo� a� �o� �, ���� ��. ��' q,�c Co)�� �� ° ��' PROPOSED LOT COVERAGE OVER �' ti, ea �,� ° ADJACENT AREA (7 4,9 ° LSF ° , ° is lP � ° v • 7 \ 4- ti1F �� �o (AREA 707BTLENNLANDWARDWETLANDS LANE ' LEACHING POOL v / �� •PROPOSED 8 DIA. X 2 DEEP �p ��Up� ti0 S / %'�., e<o°��°� ,, �ry°2°P _ . / N� ° •, ° ° �� / AND TOUR LINE - 5, 115 sq. ft.) / U� I^�� \� / Aw'/ � °°ti G?��� / °: "sp • ° �� DESCRIPTION AREA % LOT COVERAGE "�'""'� � / PROP. HOUSE 1 ,267 sq. ft. 24.8% j Q- A _..._ a ��. , �4 ° ° 0,R'` ^ \ ° , //. PROPOSED 1 ,000 GALLON SEPTIC TANK •�'� w� -- ---�`�""" f4b,FSF �j. ° o / Fygy v °° cn - ‹� 0.°{ S �" .f'.�,:R'.sJd. :``Va �'�' 4, titi '` v ° ° °. � ��// PROP. PORCH 60 sq. ft. 1 .2% 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD �.� <<.,,,, 77....",;..,•'' ` / f�/ / 12.7 . �� 00 ,j�� • ° / ‘,.U' �' .Z-----\ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. //u �`' : "}• V / A��� I� coNc. eLCo7c, ^ p ° • . „, `�� _� TOTAL PROPOSED1 ,327 sq. ft. 26.0%VV �� '�„(' ;! uyr ..,. I i PATH IN DIRT �� v ° v • v� °�S° �� S"''�`•''�!Y1�.Il6�!>�•e L'S•. l"�'1�4 ,��,sR .i.�...ii i i / / /, �,�♦•♦��'� ! • / v °.v C\ i / / ♦♦•� V•�,-� 16.0 v ✓ v v \/ e`�,h DRAINAGE SYSTEM CALCULATIONS: -�: PLANTER 1. ,\ / / / •��..�♦ Q \'04, �' �_...__ .._.___•-- N ° ° ° PSUFFOLK COUNTY DEPART31 E r OF HCA>,;1� SEhVIC:E�i HOUSE ROOF AREA: 1 ,327 sq. ft. -------_""_.__ ... . 'a.' ,� • 'T / F c 1 ,327 sq. ft. X 0.17 = 226 cu. ft. •ti <i). .. / o ° ° "CO ••,,,..,-',;t ' /• • c, / C� r� • qPEF bil r FOR APPROVAL OF �'Oi,' Tt�UC t iCEr i'tJR Q • 226 cu. ft. / 42.2 = 6 vertical ft. of 8' dia. leaching pool required " \: \"6 / S1"�WLE :,:Ai '!,;E5! I:"i'•Ci: ONLY PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS / 7 ' w GARAGE ROOF AREA: 373 sq. ft. 3 ,� M / o � r / .O / / / 4�4 v , ;,vJJ, r 373 sq. ft. X 0.17 = 64 cu.. ft. dia. leachingpool required / O' A4tio , / x 165 �3. ate ;' DATE I .�?filL):Xi !-I.: : f',i F ,E:`. 64 Cu. ft. / 42.2 = 2 vertical ft. of 8' q � � As / °°�' / °/ ° � 'CJ�y• A P F�}10V E FJ r�: L..PROVIDE (1) 8' dia. X 2' higlh STORM DRAIN POOL ^ `� �' / ��` / �`�/ `�° ° FOR �Pi[;h9 ); ..... • i?ryDF''00[v4S PROPOSED 8' DIA. X 2' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: : ...... TEST HOLE DATA / • / ° �, EXPIRES THREE,:YEAnc �xOR1 Dix E:C' A'PR011AL . (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 30, 2007) / / r3. -----� •- . . ..__.r .,. __ EL. 5.9' 0, •20' '' 17.6 / ." ° PROPOSED SEPTIC SYSTEM DETAIL 4 0p #',91 j-- o/v x 10 r,p,iv 91 R UNAUTHORIZED ALTERATION OR ADDITION HOUSE (NOT TO SCALE) ° PG �\�O�P�F TO THIS SURVEY IS A VIOLATION OF ` SECTION 7209 OF THE NEW YORK STATE ELEV. 10.5' ° MIXED FINES, LOAM AND SAND L O ---••-•-•--- FINISHED GRADE FINISH GRADE Q� I•i3."1 ''11_ r•,° A � B��G f 4 EDUCATION LAW. d S t {L •' ' '•i'�:=� • ;:-1 COPIES OF THIS SURVEY MAP NOT BEARING ELEV. 10.0' - 14.0' ° ° �SF � :l..i..tj I' 1 * .K # THE LAND SURVEYOR'S INKED SEAL OR i 117 O •S17 :++t= EMBOSSED SEAL SHALL NOT BE CONSIDERED ELEV. 10.0' ``\\ co- n �•i•''�+a 5 "" ;';" `J('fly �• TO BE A VALID TRUE COPY. TOP EL. 8.3'--., 1' MIN. TOP Er 7.7'� -1' MIN. 4' -- -.•--,-......a....... CERTIFICATIONS INDICATED HEREON SHALL RUN - MIN. 4" DIA. _ T'-6 • PALE BROWN FINE SAND SP SEPTIC I LEACHING r T 3' CLEAN EL. 1.2 ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE APPROVED PIPE LEACHING 4 7 TITLE COMPANY, GOVERNMENTAL AGENCY AND INV. EL. APPROVED PIPE TANK _ POOL m �? SAND �� LENDING INSTITUTION LISTED HEREON, AND min. PITCH 1/&1"/1' min. PITCH 1/8"/1' POOL I COLLAR TO THE ASSIGNEES OF THE LENDING INSTI- 7 8' INV. EL. 6.9' l •. TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE, -INV. EL. 7.3' INV. EL. • L_ 11 7.1' a 88' 1> I° I Q 8' I ° .� z w I 8' ED THE EXISTENCE OF RIGHT OF WAYS i j` AND/OR EASEMENTS OF RECORD, IF -N' BIM -\ ANY, NOT SHOWN ARE NOT GUARANTEED. DISTRIBUTION POOL OF BOT. EL. 5.2' `GROUND WATER /. i116 LIA�� BOT. EL. 3.7 5 POOL SYSTEM ELEV. 2.2' WATER IN PALE BROWN FINE SAND SP CA 8C, CoP u. SEPTIC TANK (1 ) PREPARED IN ACCORDANCE WITH THE MINIMUM 14o LI,,131 STANDARDSFOR TITLE ND APPROVED SAS ESTABLISHED a FBY OR SUCH USE BY THE NEW YORK STATE LAND Nathan Taft Corwin III LEAChING POOLS (S) TITLE ASSOCIATION. �--""-`-'�..� 1. MINIMUM 8' 4K CAPACITIES FORA 1 TO 3 BEDROOM HOUSE IS 1,000 GALLONS. __,___--- ©�.,, Land Surveyor 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. 11' ��Q� ���}' 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTHI OF 3,000 psi AT 28 DAYS. 5 POOLS; 2' DEEP, 8' dia. /''' -0..FT(r`., 'P,f 3. WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4". 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) 1-3 ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. ' 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). �� ti� i 1 Successor To: Stanley J. Isaksen, Jr. L.S. OF t 1 4" MAINTAINED. •S I .i'i. '~ `b f ° ' ' Joseph A. Ingegno L.S. 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE / ) 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE INTA tJ.. � lh - ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. ;Leif 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. Title Surveys - Subdivisions - Site Plans - Construction Layout { ti'5046.1. - PHONE (631)727-2090 Fax (631)727-1727 �'C�, j� OFFICES LOCATED AT MAILING ADDRESS - )&hN .Y.S. Lic. No. 50467 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 - ' . . 27-142D