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HomeMy WebLinkAboutPitman, John , r SCUTHCLD VIASTEVIATER DI SPCSAL PERM T CCNSTRLICTI CN CR ALTERATI CN PERM T SEPTI C TANK or CESSPCCL Per m t Nb. 4212 R Fesi dent i al X km-Fesi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSIJFD TO Nine : BRUCE ANDERSEN FCR Jo-N PI MAN Addr ess 1: 2 CCPPELL DRI VE o t y St Zip TENAFLY NJ 07670 Descr i pt on of Proposed Const r uct i on or AJ t er at i on SAN TARP SYSTEM FCR SI NCiE FAM LY DVELLI NG APPR3 ED AS SUBM TIED AND AS APPROJED BY THE SLFFCLK CQJNfTY DEPARTMENT CF l- ALTH SERVI CES Fl NAL APPFRO✓AL FEW FED FFR TI-E SIFFCLK CCLNTY HEALTH DEPARTMENT". REF #10- 12-0018 Mane Cf Omer Jo-N PI TMaN I i I i ng Addr ess 1 2 CCPPELL DRI VE o t y St Zip TENAFLY NJ 7670 Property Addr ess 1 1100 RUCH LANE a t y St Zi p SOJTHCLD NY 11971 Tax Map No. sect i on 52. 00 bI ock 2 I of 34. 000 Cr oss Street CCLNfY ROAD 48 Bui I di ng Perm t Minter Cr oss Fbf er ence: Issue Det e: 4/07/ 14 Elizabeth A Novi I I e Sout hold Tow, o er k ,s"c FFO(,1 le N Co ELIZABETH A.NEVILLE,MMC 1eI � Town Hall,53095 Main Road TOWN CLERK ` P.O.Box 1179 t y Z $ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS :u4. " Fax(631)765-6145 MARRIAGE OFFICER 0* lei Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER e.� -►a „•• www.southold1)765- 800 FREEDOM OF INFORMATION OFFICER �'� ,�� J OFFICE OF THE TOWN CLERK D TOWN OF SOUTHOLD APR 192413 1 TO: Southold Town Building Department BLDG. DEPT. FROM: Carol Hydell, Southold Town Clerk's Office T P!D OF So0TNOLD DATED: April 18, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4212 for a Cesspool/Septic Tank Construction Permit submitted by: Bruce Anderson for John Pitman 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 05X..3/, Dated A: ,/�•o��s�FFO�,�c ELIZABETH A.NEVILLE i�`t` vGy Town Hall, 53095 Main Road TOWN CLERK ' p P.O. Box 1179 ti Z i Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS v. Al MARRIAGE OFFICER O •F �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER -\y Ovios1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� '/�•." 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 7 or Non-Residential @ $25 Application No. T PermitiNo. Applicant Name I r IM� Vo H W. &04 /1 4 Applicant Mailing Address Z C.sr r! It illi)a . 'c%... .al.1 ) NS' 07 ` 7 v Septic Tank or Cesspool se Brief Description of Proposed Construction or Alteration tSh Q)` t S� &Alttt. • t 44.4' Int w dvvJitltC s Qr dee_ S t•.' 1 Location of Proposed Construction/Alteration: Owner of Property: 4020 Ii N I) LT- vik treir T Owner Mailing Address: Z 62, ere l 1 1,JrtiA.a. - 74„ Owner Property Address: l t o 0 v CH L-/A'QC Name and phone number of contact person Tax Map No: Section ..5°.-Z Block 2 Lot 3 y Cross Street jZ- 418 NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES ' v Y WIT/i HE DEPARTMENT APPROVAL AI — 4. 1PAIdi /3 ignature of Applicant •ate Received by: SCDHS Ref.# R10-12-0018 TEST BORING / '' byy McDonald Geosclance �, ' '9i� 7/Z!/10 �! 0. - - EL 16.5 �T FO O� Dark Brown The locations of wells and Cesspools gA4k Sh, Loam OL shown hereon are from field observations ` s< O� ,i 0.5' - and or from data obtained from others. •N L t• S+ 9•i FC,Q Brown Silt ML Therefore their locations and or existence `SS. sG� F6 3' is not guaranteed. SO S• '� T Brown Silly Sand - ©4, 4 • ��OO�O. CO with 10% Gravel ; �qo SM Irv/ i �4 'Po B' 41,/ OO ' Ss M �, 61 Brown line to Coarse / e h0* a) Sand SW \ o' . 15.8 ` EL v.7' .o. Wafer In Brown Fine to Coarse Sand SWW 46- C') 17' 17' v I O2Os 06 P °J� 4 4%). �� 4 <s %` �° SOA D R y `` �� ORT - \ ,00 i\yo; 'F 'j. �. �� 0 N Water MUST Be Inspected By Thi° .�h ,' °�0 J\r �, uffolk Coun ` Dept. Of Ilea• - Services. h Call 852-5700, ,8 Hours In Ad = u- �' , �i (, '�' To Sched = Inspection(s). �'ir / ,4)(1/ ' .*' o� w 9` , 0 4 ' a PROPOSED SEPTIC SYSTEM ''cow C6/ o� 4 / ° 4(Z- 0 4' (4 BEDROOMS) .Roc /' \° Q h �� R CP NC• sS. / °p` (b. 0 1 - 1000 GAL. PRECAST SEPTIC TANK 'b oy /Q /3., �` 0�� 3 I- L EA CH1NG POOL 8'0 x 12' DEEP WITH `��i �" `- OD• ° •�P 3' SAND COLLAR (SW) BOTTOM TO BE 4r'q 444, S �, 3' ABOVE GROUND WATER ^i.�'4 j,: , • SS� k AI? y��/VG PROPOSED DWELLING TO DISCONNECT ° 1/1,/,4Zi /`S' 4/" qr.? C,t 4' ' FROM EXISTING SEPTIC SYSTEM` ° Q4 <5'a)4," CY (2�� Vg ./ n in ", fors ion EXISTING HOUSE NOT SHOWN HEREON lift, '7' `ir '' 0I/L a1 s Si. �i TO BE REMOVED 0 ,,h o Go f <4s eel t� Ystem r 15 \ q De RAIN RUNOFF CONTAINMENT a �' /� y.� HOUSE �'= 1145 sq./t. h �. a' " �4b — ~e,`jne��t 1145 :X'I x 0.17 = 195 coat, 0 i. ,W ' ' <* "c'.0.41; ,:� 195/2'2.3 + 9 W. �1 �� 4'-z PROVIDE'P DWI/ 6'e X 5'deep ,�\�p •, % e , '� ,51 : ` i'4 �0 J) / .o / • a • :'//:A• Fin. Fir. a!19.5 (V•P�\o� 7q4` � @' / 44/'‘ \ EL 17.9 Fin. Grade EL 17.4 et,�G , ,4'Z 141k / abs �G/� �-- — 1'AaN'� s[ �•QD oil 4)61: . SS �✓� 16.0 !E IE 15.4 LP 5 v 155 4 0 EL 3.' o tiA r, ,0 co `P 0 ° ,° `�. ��Q � v - 3'MIN. °' 0 ` I.,,1 GROUND WATER EL 0.7 fFMgheni Exp+c/ad! a,)' 46.- 4) c-�- h� 0),:g;''f �N 7' p��`< SEPTIC SYSTEM CROSSECTION ' Q ,0 / .a, �.S JO�V��� NO SCALE 0 v x \°,)% `° o� ``&,43,<?* V�' SURVEY OF PROPERTIES /1( c� 0 AT ,4 otx °F° °p A , �o4.0 ARSHAMO OQUE 42 e-e zo,�,�... �,, TOWN OF SOUTHOLD FFOLK COUNTY N Y. ` •, c°v� ��4' , LK C. NTY DEPARTMENT OF HEALTH SERVICES 1� S Q — 52 - 02 - 34 PERMO FoR APPROVAL OF CONSTRUCTION FOR A 1Poo - 52 -03 - 11 ti '-. SINGLE FAMILY RESIDENCE ONLY Scale: 1„= 30' CI ` °� �T•`3 MAR 1 9 2013 Aug. 18, 2010 , ° -' • � , Aug. 31, 2010 (cesspools) o� ��- O GATE • Se T 14 21/ (PROP FUSE) ::;711:;"::::"C; 40 4�5� •ty H EF. No. . Lo-1 CJGCFeb.l5, 2012 (revisions) s® 1'4,y/ APPROVED _ ---” Marchl3, 24l?r (revisions) e04,E > April2POI (evfslonslAprili , 2O/ vlslgr�rlP q FOR M1AX .F 0� BEDROOMS May 15, 2012'(revlslonsl F� e= LATH EXPIRES R T}�R y .June 21, 2012 (addition) c. . (R v�ARS FROMDATAaF'APPROVAL 7 sWETLAND FAG :Oz" LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED c ' OF N SUFFOLK ENVIRONMENTAL CONSULTING, INC. AUGUST =, *radon p'C' ;qtf;:t:______4, con meat of existing sanitaI am familiar with the STANDARDS FOR AP' 0[r� eewith depart n''YStem must be in t`rAND CONSTRUCTION OF SU5SURFACE SE APleted �V - quirentnbmiitc e .� DISPOSAL SYSTEMS FOR SINGLE FAMILY and will abide by the conditions set forth therein and on the as proof. i� _'° 3 permit to construct. } 1•.,;_' awr ,- e FLOOD ZONES FROM FIRM ' 36/03C0I58H /�' 7 , ' �a' ' ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION « 1 •` . ' '• M • ltf0.496/8 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS PECON/C SURVEYORS, P.C. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE (63/) 765-5020 FAX 765-1797 SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 9Q9 Q—�86 1230 TRAVELER STREET •'' ELEVATIONS ARE REFERENCED TO NA VD 88 SOUTHOLD, N.Y. 11971 / 0—/8 7 a a . ;