HomeMy WebLinkAboutNickolaus, Jasmie SCUTHCLD VIASTEVIATER DI SP SAL PERM T
CXNSTRUCTI CN CR ALTERATI CN PERM T
SEPTI C TANK or CESSPOOL
Per m t Nb. 4240 R Resi dent i al X Non-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSLED TO
Naas : LPA ARO-I TECTS, LLP
Addr ess 1: 21 C FEE; EU XENIX
O ty St Zi p SAW! LLE NY 11782
Descr i pt on of Proposed Const r uct i on or Al t er at i on
SAN TARP SYSTEM FCR SI NIGLE E FAM LY EWELLI NG
APPRDiED AS SUBM TIED AND AS APPROJED BY TI-E SUFFOLK OC1NfY DEPARTMENT
CF HEALTH SERA CRS. Fl NAL APPRO✓AL RECD FED FROM THE SLFFCLK OCUNTY
F EALTH DEPARTMENT. REF #R10- 14-0004
Nbne Cl OAner JAM E N C KCIAUS
Mbi I i ng Addr ess 1 30 BUTTCQW(CD DRI VE
Cs t y St Zip DI X H LLS NY 11746
Property Address 1 17555 SO...N: I EWAVE
CS
ty St Zi p SC UTH .. NY 11971
Tax Map Nb. section 51. 00 bl ock 1 I of 2. 000
Cr oss Street Mf. BEULAH AVENLE
Bui I di ng Perm t Nunber Cr oss Ref er ence:
Issue Date: 6/ 10/ 14 Elizabeth A NbvilIe
Sout hold Tows a er k
111
;
,I�i-i, UFFO(,��o
ELIZABETH A.NEVILLE,MMC �� V
Town Hall,53095 Main Road
,��
TOWN CLERK ; C ; P.O.Box 1179
t H Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 4,, v' �1
Q I` 0 Fax(631)765-6145
MARRIAGE OFFICER ` Vs 0.," Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER : Vs,.
* �a/
"I"011� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CI$RK
TOWN OF SOUTHOLD .
TO: Southold Town Building Department t
MAY 2 1 2014 Ji
FROM: Carol Hydell, Southold Town Clerk's Office 1(
DATED: May 20, 2014 �-—
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4240 for a Cesspool/Septic Tank Construction
Permit submitted by:
LPA Architects,LLP for Jamie Nickolaus .
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
941--6?---(7,1
Signature
06A/y
Dated
'/��,�OS�FFO��c
ELIZABETH A.NEVILLE ti t`Z` O4\; Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
H Z ; Southold New York 11971
REGISTRAR OF VITAL STATISTICS k v. �1 '
MARRIAGE OFFICER
O .F � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ".y 0- �� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER 41 jig 1',:001 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 or Non-Residential @ $25 Application No.
Permit No.
Applicant Name' /1' GTS, PP
Applicant Mailing Address -L 663V-el
N.y l(QO2
Septic Tank )( or Cesspool
Brief Description of Proposed Construction or Alteration NtOtekn. "k �INCd E.
FOAM 1450144CF, (AA ?OAS, tfir
Location of Proposed Construction/Alteration:
Owner of Property: JA$4(a MIS
Owner Mailing Address: 30 OtlTtail4aA ULM
OP( OW tkitt 114
Owner Property Address: (7 7,555 5alt/0 )^J Aye.
$Calc.4 ` 1.' E 1'1
Name and phone number of contact person c4 PAdAiikclA — i31' 501. AM
Tax Map No: Section 05 Block 01 Lot '14
Cross Street !�J z_
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
5-.1k.vt
Signa of A plicant Date
Received by: C
PROP05ED 1500 GAL SEPTI(. TANI( /� Ki gg J
W/ S'd' X16' ED LEACHING POOL 6
3 \\ , .
F 5 82°54'50" W 141.08
c EXCAVATION INSPECTION RE.' IRED .p � ,
yy. `�0`
b FOR SANITARY SYSTEM O \
BY HEALTH DEPAR Iv s
SITEPLAN EXISTING ASPHALT DRIVEWAY �-o .
TO REMAIN IN.Io X
� t ED
SCALE: 1"=40' _ s '•
% Water Lin{1;
SITE INFORMATION A5 TAKEN FROM A SURVEY 131' NO WELLS WITHIN 1 Seo Suffolk C ' r
in
NATHAN TAFT GORWIN III, LS., DATED DEC. 18, 2015 j 00� OF PROPERTY r- W all $52-5
CI To
I„I / �
i
PROPOSED -- — —
WELL > /
N/O/F
Peconic Land Trust, Inc I /
(Conservation Easement)
\ /so,
I / FSM
o
Z
. I
1
15°21
-s
W 30 I
<s 5
sv,
J
LONG IS
5g$o LAND
6 1839
z. SOUND
,_ `�►`ft.... _X6603
alum.. 5
=2 6 ---1:-_-__:::::7:-_--_-----_____ "-------_-_-_ _
` _== :.-.--^.----.-------'-._,----------_______,..______--_---7:-_---=:::::::::::-_-_-_—:::----------__-__-____-
__-4 2F' 16 ' 105.75' x 3 1-1
33.84
Awe
6� \ � bp\ ll —__ 4215 `\
�� ( 1 I b9x
COASTAL EROSION HAZARD LINE AS SCALED Top op FF` -_,,,� �1 //^b 1 ' - I -� \ _\
FROM 'COASTAL EROSION HAZARD AREA MAP' / 1 1 �I ---- b` • 2 \ 5g�
PHOTO NO. 55-5-1S-SS, SHEET 10 OF 4c1 ` to x,,t/ 1c),
1- 1 1 L-- b x
J YYY z
L b , q
♦` 6 ` /// 421 11 I i !— 'xb� 1 429. 420. x�,. III __t
/ 11
b 1 1 1 1 r M I
EXISTING POOL HOUSE `��--�' ' �. i —___ 1 I f-+}}--- h\ box ` I�x
b . I r T —fib
TO REMAIN 1 I 1 \
9 `` L—rrTl—rL--J Ibb \ .
EXISTING POOL 4 SURROUNDING b° `‘ b I ��
STONE PATIOS TO BE REMOVED �I bb `�°°9 x42°a \ �\
EXISTING WALKS TO BE REMOVED j� �� \\ \\ \
0
y9g `` 4219 1 i �_ -
LINE OF 100' SETBACK
b FROM TOP OF BLUFF ` �- a 9j31 i I °142 1-".421 ��— b° \
U
//'.-' 429 :91 1 I ,i� ,�((. !_ �.
WQ b�' `�� 84.�
PROPOSED 20'X40' INGROUND POOL ^�\ -j/ r j�j ,p I I b
,r, W/ SURROUNDING HARDSGAPE PATIO ��
`V/ --- PROPOSED ii Ai'
j N�O/F O 25.0% `fie / FF EL:68.0 / �.._ .....
II II
Z Peconic Land Trust, Inc m _ - - //
o / t--___, I ,,
(Conservation Easement) p b 115'VI '� %' g Jr ,9�i';� II
0
f 1 I
FF EL:68.0 LOCKING CAST IRON
FAI COVER TO GRADE
EL:65.0 ' ' GRADE:6O.O
12" < CONCRETE 'CHIMNEY'
I/4" WITHIN I' OF GRADE C _ I
RAP ~ ____„t1/5"IEL:51.5 o a)
INV:58.0 1,500 GAL i-+ = CN 1
SEPTIC TANK C
INV:51.1 C1 13)
...--.•.-..' L. P. 0
SEPTIC PROFILE INV:51.2 DEEP) ^ , Q O
INV:51.0 C)
ANO SCALE N V N
1 SANITARY SYSTEM TO',CONSIST OF (I) 1500 GALLON SEPTIC TANK W/ EL:41.O 0 ' .D a
i (I) 8' DIA X 16' DEEP (16' EFFECTIVE DEPTH) LEACHING POOL FOR A
v 5-6 BEDROOM RESIDENCE = O ? Z
y N r� • to
ca. • r--+ CV Lil 4_1
APPROXIMATE LOCATION OF EXISTING X (0
SEPTIC SYSTEM TO BE ABANDONED,
PUMPED, REMOVED, d FILLED IN W/
CLEAN SAND d GRAVEL
b SITE DATA:
CURRENT LOCATION OF EXISTING MAP: DESCRIBED PROPERTY \CS 2 1/2 STORY BRICK RESIDENCE SECTION: N/A111 LOT: N/A-
O SCTM# 1000-051-01-2.1
to AREA OF SITE: 115,206 SF
r AREA OF PROPOSED BLDG. 2,027 SF
AREA OF PROPOSED COVERAGE. 2,121 SF
((1 % LOT OCCUPANCY: 2.4%
ELEVATIONS AS PER NGVD 112q DATUM
ACTIVE WELLS WITHIN 150'
PROPOSED SITE DRAINAGE POOL z
$ (TYPICAL FOR 4 LOCATIONS) LEGEND: -
ELEVATIONS FROM SURVEY Z u-,- PROPOSED RELOCATION OF EXISTING 1-� z M
2 1/2 STORY BRICK RESIDENCE ►� Q J
a
(-D NEW LEACHING POOL
J
J N
•••VJ a != .6 N. 0
r^
ST SEPTIC TANK +' — —
1 UP, LP LEACHING POOL -I—) r c c Q Z
EXISTING GARAGE iEXPI EXPANSION POOL •p F- b I,.4_
TO REMAIN -- w o N
TC BE ii5RNDG7NED TEST HOLE: U 3 tu v —
- TEST HOLE INFORMATION TAKEN FROM 0 3 `O a
i � MGDONALD GEOSGIENGE � '
r:
DATED: NOVEMBER 08, 2013 t� Q (--,s- H a
i- W LL
(3 `' � �L MUST BE TEST HOLE
A
SHOWNONSURVEY EL:56.1
ALL DRAWINGS,SPECIFICAT10N5 AND COPIES THEREOF
FURNISHED BY THE ARCHITECT ARE AND SHALL REMIAN
DARK BROWN LOAM OL THE PROPERTY OF THE ARCHITECT. THEY ARE TO BF
USED ONLY WITH RESPECT TO THIS PROJECT AND ARE
---- , NOT TO BE USED ON MY OTHER PROJECT. SUBMISSION
`
I (EL:55.'1) OR DISTRIBUTION TO MST OFFICIAL RE6U ARTORY
r REQUIREMENTS OR FOR OTHER PURPOSE-5 IN
BROWN CLAY CH CONNECTION MITI THE PROJECT IS NOT TO BE
�
Be Inspected B�, CONSTRUEN D A5 PUBLICATIONDEROGATION OF THE
i , ,. Of Health Services. t
ARCHITECTS COMMONON LAW COPYRIGHT OR OTHER
_ 3' (EL:53.1) RESERVED RI6HHT5.
---
r o, A - ours In Advance <-_0) CEyf�,
-d Ins�>�ection(s — ����pqG C,t
BROWN CLAYEY SAND SC t., :14,t; 4,
(...., ' 7.; 4( i i 4:0' It,,
5 x I,,,,,�,,..t . b
a, 023cflia
BROWN FINE TOc�
p�, COARSE SAND SW LU
0 ,-4-'5i
UNAUTHORIZED ALTERATION
42' (EL:14.1) W < d OF ANY ITEM ON THIS DOCUMENT
Lu 0 IS A VIOLATION OF
Ce �; NEW YORK STATE LAW.
In
a
g 1 T£tLtSt ?�tri u sue Date:
(n Abo.ndonr IC t of aXr ain StFi`"tIt ) 49 JAN ( q
'b �a+ toit' rt.� t it r 1'Subri.,It Ji�Iy ? lj `� `#
dl ototpitted ARTA WW14.-_,S.D.as Proof-
Project Date:
JUL 2013
Scale:
AS NOTED
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PP V,^ �C T RUCTIOM FOR A Project# Drawn:
PERMIT FOR A . i�.�.��.,� OF=..�i�
JAN
SIrI�. FAMILY RSIOMNC ONLY 13023 EPH
Job: Check:
2 9 2014 . „ NICKOLAUS KMP
s� DATE €�._, . . � � I o- I�(—doo�
APPROVED �,k _„ A,„11,-` Sheet
= FOR MAXIMUM OF ICI BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL c C.2N
0
._
v,
SITF - SEPTIC