HomeMy WebLinkAboutJohnson, Gregory SCUTHCLD VIASTEVIATER DI SP06AL PERM T
CONSTR JCTI CN CR ALTERATI CN PERM T
SEPTI C TANK or CESSPOOL
Per rri t ND. 4209 R Fesi dent i al X WI-Fesi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSLED TO
Mane : KEI TH RADI CH
Addr ess 1: 3005 CLE J ULE LAME
Q t y St Zi p MATTI TUX NY 11952
Cescr i pt on of Proposed Const r uct i on or Al t er at i on
SAN TARP SYSTEM FCR SI N LE FAM LY DV'ELLI NG
APPR)JED AS SUBM TIED AN) AS APPROvED BY THE SUFFCLK CQ.fIY DEPARTMENT
CF HEALTH SERA CES. Fl NAL APPRCWAL WC1.11 FED FROM THE SUFFOLK CCLNTY
FEALTH DEPARTMENT. REF #R10-08-0003
Name Cf Owner CFECCRY JC-NSCN
lv i I i ng Addr ess 1 3007 AVENUE Fl
Q t y St Zi p HCLIVES a Ti FL 34217
Property Addr ess 1 2870 FENRY' S LANE
Ci
ty St Zi p PEOCN C NY 11958
Tax Map Nb. section 74. 00 bl ock 1 I of 1. 000
Cross Street SCJ\D AVEN.E
Bui I di ng Per rri t Nunber Cr oss Ref er ence:
I ssue Cat e: 4/07/ 14 El i zabet h A Nevi I I e
Sout hold Town der k
pp
le
ELIZABETH A. NEVILLE,MMC ��may► V Town Hall,53095 Main Road
TOWN CLERK C 1 P.O.Box 1179
t H 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ‘`.‘ /. 147$
Fax(631) 765-6145
MARRIAGE OFFICER �'t4 0. 01 Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER 01 • ,.. www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER .....,,.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD -
-711
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office i
APR - 3 2013 J.:,-/
FROM:
DATED: April 3, 2013 i
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4209 for a Cesspool/Septic Tank Construction
Permit submitted by:
Keith Radich .
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
(-)41-'(-'15// ./c•
Signature//
Dated
04 %$ �
100 e;
ELIZABETH A. NEVILLE ���`Z` L - _Town Hall,53095 Main Roa.
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER : O `L` 1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER %".y40� ���� Telephone (631)765-1800
FREEDOM OF INFORMATION OFFICER : ,II* 1,. ' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
�s v�THOLp
TOWN OF SOUTHOLD
TOv`1 p" RTMENT
BUtLD�NG Box 1179 SOUTHOLD WASTEWATER DISTRICT
P.O. _1 11971
th6da . APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 !` or Non-Residential @$25 Application No. 9 ).02
Permit No.
R
Applicant Name G.1k\--, l C�
Applicant Mailing Address 300.S 0 \ r
rWPAvai... V� \\S2
Septic Tank X or Cesspool
-. Brief Description of Proposed Construction or Alteration r'aw C.cwE:,\v_uc\-Ac t .,,
fou s�
Location of Proposed Constniction/Alteration:
Owner of Property:
Owner Mailing Address: ZCO"1 'Ivo F c'
V\0`w. SL .3L-P\'
Owner Property Address: %�� u c." v ,� LOANA
Name and phone number of contact person ti \- /kAd‘C� g "' ,QO`1
Tax Map No: /41
((Oa Section 14= ?' Block \ Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY H HEALTH DEPARTMENT APPROVAL-
. 1
44 A • ✓A '
Signature. o Applicant Da:e
Received by:
II
SURVEY OF PROPER ��i/ SR SLOPE MAX GRADE EL=21.9 FF ELEVATION 23+ ,i
V LL GRADE 21.0 EL=21.2
TW=20.5 INV=21.1
SIS IA i GOt IG S�pr O INV=197 SEPnC TANK NV=20.2
' v EL=20.6 INV=195
TOWN: SOUTHOLD a-6'DIA X 3'DEEP 6'DIA X y'DEEP L 1RING DEEP
\ LEACHING POOL II DISTRIBUTION POOL
\ GRADE BW=16.5 SOLID RING
•
SUFFOLK COUNTY, NY z I
_
'i \s EL=16.4
EL=16.9
,. .
o. �, I 1
SURVEYED: 06-0'T-200-1 13 GROUNDWATER ELEVATION 13.9
HD SUBMISSION: 12-I1-200-1 ` ` J°- ) \�i
REVISED: 2-2°1-2008, 04-Oq-2008 g -4it% r f) NOTES
nn nn p \ I. RETAINING WALL SHALL BE WATERPROOFED ON INSIDE
OV-08-2008 11-25-2008, 0.5-04-200,9, 40).' \` \ `/_ / 2. CONCRETE TO BE 3000 PSI MIX
veT� W\:m 3. FOOTING TO BE CONSTRUCTED ON UNDISTURBED SOIL 4000 P.S F.
SUFFOLK COUNTY TAX # Fr L (! 4. BEFORE INSTALLATION OF LEACHING POOLS THE AREA SHALL BE
„c A� y8 \ `� EXCAVATED TO ELEVATION-35.3 TO REMOVE UNSUITABLE SOILS AND
-}A ‘51"'
T J.41e"�' '° oP"" b BACKFILLED WITH CLEAN SAND AND GRAVEL. THE EXCAVATION AREA
1000 - 14 - 1 - I • i «-„,\I Tj \ /�{ SHALL PROVIDE A 3 FOOT COLLAR AROUND ALL LEACHING POOLS
CERTIFIED TO: \S'j""� "
vtja IY/�®' SEPTIC- DESIGN
11f
GREGORY K.JOHNSON �G�S j1/<'
Test Hole �t� � ���� �' s ��
McDonald %'C Ck �9i ,, �°\ �° /L:_ __�_
��
r� ��"� > � �4 O MICHAEL D. MA� �N.Y.S.P.E. LIG. # 0501
�7e05GIenGe e"r.."0‘ i e Q
1
02-21 2007 -ii:) .?. p,LC' Z0S � �••.• ,.��.
�� jQ�,C) 4�SFA IC
{F,/yy�n� O' ),;,�r ...n.�.r. rJ..�"'r�ON��Ku`'•"i ��� 'x��
DARK BROWN 4.0 !- ��y�y /�/ ALEo If Ut'�II`ty gQn{ tilts O 6 �,.
01- CLAYEY LOAM - 01_4� .,,,:or.,� F r'" ' 1 />//1.1,. •-`- -' \ V! t �\.i' ,n 1
9• � LJ_£ �+ 'a - O. r� �J \ `� \ �/ •q �Y,Ssr S- :�-F.7r �`+. ' 1.
GH BROWN GLA i ` • J \ '/ 'i
WATER 1.8' �- ���• ���• ��/S �/ c� �' * � � �t;l
GH WATER IN + r / /1 ��`�' �L ! '/ 1 ` \ O / 1'/ r-
_ `yll ,��t1 �f Ml
u DROWNLAY - P��g � 11 ��1C a.`�'i" S.A /,��..� \ r �\ l �° gP
SANDY CLAY 4O , /"AY' y�0� /".1 ---
_ `'
CaCC cz� / � _. ►-��' �� �00 07050A
TQC ` ; , ./ 3 :,. ; I I�T; `3 �'°�y\.�
CJIV1 w \ 4 i,• A , I�I 11 N/p15TUR8A •
WATER IN '90,0 / ,..,,,++,000 4. r .S �� /�9
BROWN FINE \�� - N V - ,� LL� I, I ♦ �(� < \
TO O F /Y0 06,
S�� a �/,P�V�0� % tg4 '�� rP OF WALL EL NOTED
NP MEDIUM SAND
',,•< , SF 4`? b.,'c° /� 9 I GRADE
3. +i• ��Y•�jQl/ i1
It-
54' f��/(� 1 `�
\ 1 O / i /4 Ban 72"O.C.
�e eGRADE
t■ `�q1p �Q�P It:14 I t1�.
O SFpT 1 � '"1��9 QQ'O / ,yri^,O y. t I \'�-
fc"VW XI'
1$SPECIIa, r ,,,� ,P, - ►:
ri rtR gM N
it ' p^
�d►�`
VOR 5A f `-' . SI " T.- /V� y \iI ��'` • #4 Bars 5`O.C.LW mum.
WELL g1(H ►L S'Dl "� �s ,♦♦ �� r•4-,�
•hS QL 1 10 j ♦ \ r� £ N4 Do.el:a 12"o.c.
a1 Fey ' ♦� + CI
NOTES: G *.0 •♦ 1 ND`s °
• MONUMENT FOUND -.4/1/, .
q� Fsr ♦\ I1 wET�A ' ►. ySig-',0'),e) TYPICAL RETAINING WALL i
<�s>o<c� \.* "� • r3�.pak`')aQ.f7'o CROSS SECTION I
o PIPE FOUND `j 0� a (` o` o
w WETLAND FLAG AS DEL INEATED BY R. FOX /.,- .w 1 a °'°�°���
/ ��, �6 Jt ° Yp 'Ihwtharized alteration or addition to a survey
OF SEA LEVEL MAPPING ON FEB. 20, 200 www .0. 0 o �a °� Q p Ma 9 a licensed surveyor's a
violatton of lectIon 120e,svb-division] f the
TOPOGRAPHIC DATA REFERENCED TO NGVD '2Q DATUM / ode vca�c New Yak State Eof this Lam'
// ��=tJ°. 0 �� y /0:
, m�keaanon'oigxnl or tgl,e�m,et^ i
// (�/\ `, -p. * starred seal Mal be considered to be valid true
PROPERTY ZONE R 40 // ��oJ\p\vc�a ,.` ,pk,.
'Certification*indicated hereon signify that this
SEPTIC / ter°�.,JO�r 0.ca 1 - survey Has prepared M occadonce Kith the e.
RETAIN TREES LARGER THAN 8" 7I AMETER 0 / o�y\ ^ 0 �� et of Practice for Lad Surveys adapted
n by the Mer.York State Afor Land of eys odopted
�\ �O' `' �O Lard ervYork Sad certesocicotionf shall ss only
OUTSIDE BUILDING ENVELOPE ° o o IF 0� F-v �,�."ZC., (` the behalf ft he lite ma �9prepared.epermene-
DRAINAGE GALGULATIONS: �o � .` S J and«his beblf °k tl°lea°
WELL \y Ni vr0 tot D s,`C" tai Jeno erdino Inti on nsted hereon.and
V to the des f the lending tt tl GertfIca-
FLOODZONE X AS SHOWN ON FIRM 3610360161 G 0• `dne a `transferable to additonai nstitunons
ROOF (DWELLING)
- 21 - PROPOSED CONTOUR DWELLING ROOF AREA 1620 S.F. �F<� , .`
1620 X 0.1-1 X 1.0 = 215 C.F. {'
AREA = 42,440 5.F. or O.g143 ACRE /,g
2/5 / 42.24 = 6.51 V.L.F. REQUIRED 6 EASTMAIN STREET N.Y.S. LIC. NO. 50202
GRAPHIC SCALE I"= 50' PROVIDE t RIVERHEAD, N.Y. 11901
2 8'-0" DIA. X 4'-0" DEPTH DRAINAGE POOLS i
8 V.L.F. PROVIDED �� 0 At 9.--8288 Fax 36()-8287RE--'.-\\Cornpayse.rv�er\pros\07\07---12I JPEG pro