HomeMy WebLinkAboutMeyerholz, Richard r
SCUTHCLD WISTEVATER DI SPO6AL PERM T
CCNSTR ETI CTI CR ALTERATI CTI PERM T
SEPTI C TANG or CESSPCCL
Per rri t No. 4148 R Fiesi dent i al X Non-Resi dent i al
Fee $ 10. 00 Sept i c X Cesspool
PERM T I SSIED TO
Name : R CHARD IVEYERHCLZ
Addr ess 1: 692 DCNVA DRI VE
a t y St Zi p CASTER BAY NY 11771
Descr i pt on of Pr oposed Const r uct i on or AI t er at i on
SAN TARP SYSTEM FCR SI N LE FAM LY DIELLI NG
APPROVED AS SL BM TTED AND AS APPROJED BY TIE SLFFCLK CCLNTY DEPARTMENT
CF HEALTH SERVI CES. Fl NAL APPRO✓AL FEW FED FROM THE SLFFCLK CQNTY
FEALTH DEPARTMENT. REF #R10- 10-0056
Nacre a Gooier R a-IARD nen-az
Mbi I i ng Addr ess 1 692 DCNVA DRI VE
Q t y St Zi p CASTER BAY NY 11771
Pr oper t y Addr ess 1 4245 BAYSHCI E RD
City St Zip CFEENPCRT NY 11944
Tax K013 No. section 53. 00 bl ock 6 I of 23. 000
Cr oss Street ISLAND \A EW LANE
Bui I di ng Per nit Nunber Cr oss Ref er ence:
I ssue Dat e: 4/04/ 14 El i zabet h A Nevi I I e
Sout hold Town a er k
11111
,moi
OgUFFOUr
.09°0
c� -
ELIZABETH A.NEVILLE,MMC 44‘.
y► y Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
y Z Southold,New York 11971
rft
REGISTRAR OF VITAL STATISTICS
� � Fax(631)765-6145
MARRIAGE OFFICER
`►/ Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER _- qt
.i' •'
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
DATED: July 26, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4148 for a Cesspool/Septic Tank Construction
Permit submitted by:
Richard Meyerholz
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
34/644- 4-0
j; f i Signature
JUL 2 9 20U D y7:36/3
Dated
BLD,"a.DEPT.
-OUTHOLD
ELIZABETH A.NEVILLE ��� �`Z` 4\; Town Hall, 53095 Main Road
TOWN CLERK , co - ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS :W Southold, New York 11971
MARRIAGE OFFICER `O‘&, Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 0��el Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER -_'4
-------,-.*0'••*,0" 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. `1 k"S
Permit No.
Or)
1Applicant Name , \CAetnr t •-(A e 12.-,
Applicant Mailing Address Co 9 ? o r,n c% -(N1 v.-(„,
0y S k-t-,1 6If // 7 /
Septic Tank or Cesspool� 1,
Brief Description of Proposed Construction or Alteration Qom-•o mac. , , •Ik Lr- how.L)-___
O
NCR.p IC.cc_ W ►41\ ) -e.,-) --1\::.‘-• . ho J s_../.---
Location of Proposed Construction/Alteration:
Owner of Property: -F.l l -tn l d)Z_
Owner Mailing Address: — — I.,
C.^1-v •1/4_ CA C 0 p.-t. i s o..
Owner Property Address: H Z� G� SI,vut_ R 1 & ,,,'
Name and phone number of contact person '\(11(^(-- - ► ► t ty 4„1.143)--L___
Tax Map No:C c OO Section .S 3 Block (0 Lot D.3
Cross Street 1 lc,..... U1 a.,,;,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUEY WITH HEALTH DEPARTMENT APPROVAL
p_. ...0
_R fiL4. 7lzG /i3
Signa a of ApplicDate
Received by: \P/P" ..---- I L(t) (3
tAIS1!NU GESSPWL 10 BE PUMPED DRY �?
1
AND ABANDONED IN ACCORDANCE WITH 6.5 5c i
f -,. 96G'G
THE SCHDS STANDARDS PROPOSED ADDITION w ' 5` � � ��
PROPOSED DRYWELL TO EXISTING \ \ 1 ca 73 CONTINUOUS NO.5 REBAR 12'OC :1-7/7
<� \ LOT#77(SLEEVE1"SERVICEINA2PE ' \ THRISTOVERIFY
��i� ,9 '° O ALL MEASUREMENTS IN THE i 'PROPOSED CONCRETE mit !" \� 1 STORY PROPOSED 0 / FIELD AND ANY DISCREPANCIES
\L� \� • FRAME HOUSE o ARE TO BE BROUGHT TO THERETAINING WALL(SEE DETAILS) Ilk\ 1 `` . ''C PROPOSED "" HOT-TUB OC / ATTENTION OF THE ENGINEER �� $
PROPOSED DRNEWAY - ` r+ 2ND FLOOR) -Z.
PRIOR TO CONSTRUCTION.
llh ,
�\ F F.8 0 "' CONCRETE RETAINING WALLS y
TW 61 -7 �� . 1 \\ ` •�� �� /26
WALL CORNER REINFORCEMENT DETAIL o
-6\ 5•I �i 1, j n_ NTS *ALL CONCRETE 4,000 PSI AFTER
OP *f, i 28 DAYS MINIMUM. PROJECT
2-8'0X2'DEEP 50% �' •= 2 ! 1° � �/�
EXPANSION LEACHING POOLS A \\ •~� -!..111 .1 '�+ r Q �,� _-_a.- I`6.21' FINAL(5 r 'ALL REBAR ASTM A-615 GRADE LOCATION
7e �ropok:� PROPOSED c���,� c wv; ;>,,N, .. .v ISLA—jD
5-8'0 X 2'DEEP . \ 01 1.pgw ax PROPOSED EXTENSION TO 'FOOTINGS ARE TO BE
Tyr g,0* LOT#78�t1/G) BALCONY OVER EXISTING DECK INSTALLED ON UNDISTURBED
LEACHING POOLS \ € VIRGIN SOIL
\ s kw PROPOSED 1,000 07L EXISTING DECK THE BOTTOMS OF ALL FOOTINGS
g\ § g TW 6.0ARE TO BE INSTALLED A MINIMUM /
d,\ %� GALLON SEPTIC TANK w�
OF 3'BELOW GRADE UNLESS
4 BW 4.7 PIAVE� Water Proof Coating INDICATED OTHERWISE. LOCATION MAF
* ISLAND VIEW(ANE Note 1 *SOIL SIDE OF WALLS AND 1'400't
\ FOOTINGS ARE TO BE COATED
` SITE PLAN WITH H BITUMINOUS FOUN ATION
TEST HOLE .vvyy> yy� ' COATING.
No.4 Rebar @ 24'OC
SITE PLAN PREPARED FROM SURVEY BY: *WALLS TO BE POURED IN ONE
EL.4.9t PECONIC SURVEYORS DATED MARCH 3,2010 CONTINUOUS POUR WITH NO
DARK BROWN LOAM OL S.C.T.M.DIST.1000 SEC.53 BLK.06 LOT 23 CONTROL JOINTS.
1' SCALE:1'=30'
r BROWM CLAYEY SAND SO Ail ,
_ 11114111
BROWN SANDY CLAY CL
4 2-10" 1
Aban on ment Of existin sanitary system must be it
(3)No.5 Rebar
w
BROWN CLAYEY SAND W/20%GRAVEL SC
5' cornferrna�iceit1 dePartm require Submit Retaining Wall Section __..
EL.-1.1' WATER IN ROWN CLAYEY SAND W/20%GRAVEL SC com leted form W WM- ® as Proo£
6 l? Not to Scale A p
icy A
WATER IN PALE BROWN EXCAVATiON INSPECTION-RAMS) G OF NE� .�
FINE TO COARSE SAND FOR SANITARY SYSTEM P� a 3'CON 'Q - r
WITH 20%GRAVEL SW R, } CO ,O'j' Ns/
Co•ke) 9� CA , 1 00 t, 3.
i NI& tip i
13' >• 1��• ,,
Water Line(s)MUST Be Inspected By The I. i
TEST HOLE PERFORMED FEBRUARY 2,2010I� �II� County Dept. ��Health Services,
�� � _.�� g R�� ,. A
GROUNDWATER ENCOUNTERED 6'BELOW GRADE «v '. -,
Cali 862-5700, 48 Hours In Advance, ..'FESS+qc�P�� s '�. 0 04 "'
To Schedule Inspection(s). SANITARY NOTES: / ., ►` 3
MORTAR FROST PROOFING 1. 3 BEDROOMS ARE PROPOSED FOR THE RESIDENCE. 2 lJJ t6
TRAFFIC BEARING SLAB WATERTIGHT FRAME&COVER W/ 2. THERE ARE NO WELLS WITHIN 150 OF THE
ALL LEACHING POOLS SHALL BE PLACED IN ACCEPTABLE LEACHINGPROPOSED AND EXISTING SEPTIC SYSTEM. i
SOILS AS APPROVED BY THE SCDHS.IN THE EVENT POOR 4'SDR 35 PVC WASTE LINE APPROVED LOCKING DEVICE f
LEACHING MATERIAL IS ENCOUNTERED,EXCAVATION IS TO BE PITCH-)j INCH PER FOOT V MIN. 3. TOTAL LOT AREA AREA=7,526 S.F. 01 `Q�1 - � yl
CONTINUED TO SUITABLE MATERIAL AND BACKFILLED AS DETAILED. 2 MAX 4•SDR PVC ( . 73 ACRES) t.
1'MIN. ASTE LINE PITCH-
TRAFFIC BEARING SLAB 2'MAX -CONCRETE COVER 6'MIN. Y INCH PER FOOT F.F.8.0 4. THE PROPERTY IS IN AN AE-6 FLOOD ZONE '"�
TOP OF LEACHING POOL=6.3t RIM EL.7.3 ACCORDING TO FEMA36103C0159H DATED
1 6 6'MIN. SEPTEMBER 25I ,2009.
• 6'0 CROSS-OVERIIPPE , 11 I 1 1 L-" FLOW BAFFLE
II-1 INVERT=4.77-�_ __ 8 MIN. ' 4' r
E. 1 8' S� m i` 1 . 5MIN. INVERT=5.5
LL
INVERT-4.r. o INVERT=5.38
BOTTOM OF LEACHING POOL=3.1 4• 4• Health Department Approval t"�mp
c. GROUND WATER ELEVATION EL 1.1 ��
a�'e1� w MEYERHOLZ RESIDENCE
8'0 X 4'DEEP LEACHING POOLS(TYP.OF 3) 1, LON SEPTIC TANK AsI Condon Engineering, P.C.
Pion are prepared by Condon Engineering,P.C. It is a violation of the New Yak State Education Law,Artide 145, BAYSHORE ROAD
Section 7209,for any person unless acting under tie direction of a kcensed Professional End,Archaic!,or Land 1755 Sigsbee Road
SANITARY SEPTIC SYSTE M P ROs=I t E surveyor,b alter any item any tray.If an item bearing the seal of an Engineer,Arddrxt,o Land Surveyor is Drawn WIC IC YorkGREENPORT,NY
Mal[A19 New RI)298-2651
-2652
altered,the altering Engineer,Architect,a Land Surveyor shat albc b the item tnisRner sal and the rnWatiorn'AMered (631)29B-1986(631)2982651 Fax
NOT TO SCALE
by followed by Ilslher signalise and the date of such all tions,and a specific desaiption of the aeration. Dales 8/31/2010w""N00"d0"e"�"�"'g�01"
o SANITARY PLAN
10/5/11wr scoHsca
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