HomeMy WebLinkAboutMarill & Fuhrmann .L
ELIZABETH A.NEVILLE,MMC �� � _`�" �°�� Town Hall,53095 Main Road
TOWN CLERK t`� �; PO.Box 1179
t414. Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Vt3 Fax(631)765-6145
MARRIAGE OFFICER ®�s° �� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER . . "r�,gi www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER ,,,°r
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
2ECEIVE D
TO: Southold Town Building Department
5 2016
FROM: , Sabrina Born, Southold Town Clerk's Office MAY
DATED: May 5, 2016
BUILDING DEM
TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4383 for a Cesspool/Septic Tank Construction
Permit submitted by:
Tom Samuels of Samuels & Steelman for Maria Marill&Brian Fuhrmann.
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
e7S—/(2-4/#14
Dated
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
gl Residential @ $10 or 0 Non-Residential @ $25 Septic Tank X or Cesspool S.
Application No. i•./3<53 Permit No.
Applicant Name: Tom Samuels, Samuels and Steelman Architects
Applicant Mailing Address: 25235 Main Road Cutchogue NY, 11935
Brief description of Propsed Construction or Alteration: New septic system with new piping
Location of Proposed Construction/Alteration:
Owner of Property: Maria Marill & Brian Fuhrmann
Owner Mailing Address: 3201 Vista Drive, Manhattan Beach, CA 90266
Property Address: 2620 Orchard Street, Orient NY 11957
Name and Telephone No. of Contact Person: Tom Samules, 631 734 6405
Tax Map No.: Section: 27 Block: 03 Lot: 2.3
Nearest Cross Street: Old Farm Road
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL.
% i
!St
41 ure of Applicant Date
Received by: b or
ND N/F OF TEST HOLE SITE DATA 1,2EVISIONS:
3/10/16
8e JAY McKASEY SCALE BY MARK McDONALD GEOSCIENCE SCTM# 1000.273-2.3
IIDENCE WITH SOUTHOLD,NEW YORK 11971 PROPERTY: 2620 ORCHARD STREET
SANITARY SYSTEM TEST HOLE DATA 11/5/15 ELEV.+10.8 ADDRESS ORIENT,NY
OWNER: MARIA MARILL&BRIAN FUHRMANN
1,0 FT. PARK BROWN LOAM OL 3201 VISTA DR.,MANHATTAN BEACH,CA
SITE: 40,547 SF=0.93 AC
33,0 FT. BROWN SILTY SAND SMb ZONING: R-80
12 264.26' BROWN FINE TO COARSE SURVEYOR: KEN WOYCHUK
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®® _0,0 FT, SAND WITH 10%GRAVEL SW P.O.Box 153
PALE BROWN FINE Aquebogue NY 11931 0
_9,8 FT, TO COARSE SAND SW 631 2981588 v
12 LICENSE#49273
WATER IN PALE BROWN DATED 10-27-2015
17 FT, FINE TO COARSE SAND SW \ Elevations based upon NAVD(1988), 11 I
COMMENTS WATER ENCOUNTERED 9.8' USC&GS Datum i®ii
(n BELOW SURFACE,ELEV 1.0'
}t 44 55SailaYy n t( MAP w
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/ UNDERGROUND EXISTI 12
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boring I ERR• E I 24' 24' (I
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RESIDENCE WITH
i
SWELL & SANITARY SYSTEM
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CSARAGE ��.- a
FF EL
T 2 13.1 PT RESIDENCE FF EL 14.0 FT
GRADE LINE ELEVATION 11.8 FT.
Q® EL 13.0 PT k..-6 E LINE ELEVATION ¢11.5 FT.
I' MIN. 2' MAX.
1/4"/FT. I/4° T• I/41I�T �'
F I/S"1i=1'. TOS'' OF POOL d1.8 FT.
. SEPTIC i ,EACHINS
TANK ®®L
lIE. +12.0' - IE. +10.23' - - IE. +x.55' SOT OF POOL 3.5 FT.
IE. +11.45' IE. +10.05' IE. +.1.41'