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SCUTHCLD VfASTEVWATER DI SPCSAL PERM T
CCNS B..CrI CN CR ALTERATI CN PERM T
SEPTI C TANC or CFSSPCCL
Per ni t ND. 4165 R Ffrsi dent i al X Pbn-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
-
PERM T I SSIED TO
Narre : SAM.ELS & Si bhLNAN Am-I TE-CTS
Address 1: 25235 MSI N MAD
a t y St Zi p CUTCHOG JE NY 11935
Descr i pt on of Pr oposed Const r uct i on or AJ t er at i on
SAN TAR( SYSTEM FCR SI NCiE FAM LY [WLLLI NG
APPRCNED AS SLUM TTED AN) AS APPRO./ED BY T-E StFFC LK CCUN Y DEPARTMENT
CF F EALTH SERA CES. Fl NAL APPRCWAL RECLI FED FROM TI-E SLFFC LK CCtJNTY
I- ALTH DEPARTMENT. REF #R10-13-0018
Mane Cf Canner L. P & J H Oa NS
Mai I i ng Address 1 2 FEN LVIRTH ER VE
Ca t y St Zip SI-KRT H LLS NJ 7078
Property Address 1 484 JACKSON STREET
Ca t y St Zip NEW S(FFC LK NY 11956
Tax Mbp ND. section 117. 00 bl ock 10 I of 3. 005
Cross Street KI MOWER Pa NT ROAD
Bui I di ng Per m t Minter Ca oss Ref er ence:
Issue Dat e: 1/02/ 14 Elizabeth A Nevi I I e
Sout hol d Tow a er k
.J11
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I " FFOL,t
ELIZABETH A.NEVILLE,MMIC 4 Town Hall,53095 Main Road
TOWN CLERK ; p . ; P.O.Box 1179
ti 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS % W T �t
O ** Fax(631)765-6145
MARRIAGE OFFICER �I' ! ��
RECORDS MANAGEMENT OFFICER -M91OFFICER / Telephone(631)765 1800
FREEDOM OF INFORMATION OFFICER
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
p^T 15 2013
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: October 11, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4165 for a Cesspool/Septic Tank Construction
Permit submitted by:
Samuels & Steelman Architects for L & J Higgins
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
ti
Signature
t?4e . / 2 0/3
Dated
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
21 Residential @ $10 or ❑ Non-Residential @ $25 Septic Tank ❑or Cesspool ❑
Application No. Permit No. 14 I
Applicant Name: Samuels and Steelman Architects
Applicant Mailing Address: 25235 Main Road, Cutchogue,NY 11935
Brief description of Propsed Construction or Alteration:
Construction of a new Pool House and Pool,with new driveway additions
Location of Proposed Construction/Alteration: 484 Jackson Street,New Suffolk,NY
Owner of Property: L. PATRICK HIGGINS, JENNIFER T. HIGGINS
Owner Mailing Address: 2 KENILWORTH DRIVE, SHORT HILLS NJ 07078
Property Address: 484 JACKSON STREET,New Suffolk NY
Name and Telephone No. of Contact Person: Tom Samuels, 631 734 6405
Tax Map No.: Section: 117 Block: 10 Lot: 3.5
Nearest Cross Street: Kimogener Point Road
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY ITH HEALTH DEPARTMENT APPROVAL.
111145
VI /AI 10/ (1-3
Sigan re of Applicant DIP ate
Received by: 'alw
smA
PROPOSED DRYWELLS PROPOSED POOL HOUSE SSDS - SEASONAL USE cx SIO aRotno � "`""�
TEST POLE PERFORIED IMAYAY 2008
r.
ANNUPON SLINEY IY. POOL MOUS!ROOF NRA.1.445 SF - TYPICAL OETM.S OR CO16TRIICTON NW ORM
6 NBT MO S LO � POOL PATO PAYEO MRM 2.679 SF I.A WNW OF 4 NOES APPROVED IRPFOIIC[0 POECAST COOKIE BOTTOM NO L a sox 1100 SOUTIQQ NEW YORt 11171 i0 W00Llp '
19VEIIx[A0.NY 1901 AT r ROM P .L.AYOUR(OWLS!667 CWT. 3 001*ACLS t 631.766.3677 RDAD (� a+r Mncr�rAAr
2.AN AFTNIOV(0 RCPi0RCE0 PRECAST cowmen 6 NCM OCR SLAG TOP N LAWN OAR!SWIM*10.2012sil 'S 3/15/2013
RC RNE 20.2012 HOT TI0ARDS
MON QAYE v SAND SC - DEPARTMENT OF
li2E1616 30-0(02.CALCULATE COMPLETE PUMP DOWN S DROP TS LI{bT BE PPIEO OR OtHLRWB(P Y ATTACHED
VOLIM.ISO 131 PT. 1.LIOUA!CPO*mi 6!46 61GE4 CONSTRUCTION 4 •/ \. XEALTX
NOM POOL 5.n0* MILE co one•T•NoumE0 2.Y FENCE , \T., VO
TIC SLIMY II THE we Sad 20.46'•CALCUALTE O•PUMP DOWN '
PEOIMATON WOOING EXISTING Y0.aRC.1100 OJT. IUS S QF CONSoo CTON PILE 950IN FK SKID SP / \
NO PROPOSED m I. use ONE tN 1000 GALLON MOOR=mum CONCR(TE SEPTIC MN COSMO O �/
N TIC POSSESSION OF THE T0TK vOLUME11647 Cu.PT. 2.USE ONE t0 G FT ODOM 4 FT HO PRECAST COIICRETE LI lT ONG DRIVEWAY '� I(�
THE COO NO !.�
J.115E 4 NCM WMETIR APPROY(0 5(9(5 PPE TINOt101CUT k.
VOWS IMTNOR12L0 REPRESENT. MULL SIZE.131 B OIMCTCR 12•TNA STORM ONO POOLS 4. TIE*ASTLK MOM TIE SEPTIC TON GOAD ENTER TIE LLACFRO RPIG AS /�
ATN(s ANNA NO IRSPONseLITY 10 CONTAN POMPOM ROOF NO PATO*96!!. NM AS POSSIBLE /• 'd` '` nL7
FOR TIC COIIII(CTNESS OF TIC POOL NO IDT Tull NNT(R NOP 00*NS. 5.SMIITLL MATERIAL NULL IC COMIC SNO NO MAYO /' '\� A's
SUM,WORwf0ON NO MME TOTAL V0.IME 16011 OP 6.SLAGS NULL K SEMEN 1r AIO 24.SELO* GRADE
7.SOLO CONCIRTE COV(5 NULL K IETVIEEN 6-AND 1r BELOW OR/OE �i
NO RIPIIESENTAc c NORM MOO NCM 1124 SE IL SOTTOM of POOL SHALL SE A 11961 of 2 FL(T ADM NIGH SEA om. /, / `}
TIC script t oDNGITIoNs NOM NKA MAVOLUME RAVEL (R101.O*ATp! 00/ T • 3.5Loa '�
THAT MAY L79ST. AT r RAN FALL.VOLUME tauLN tel CLOT. MVI NM=NRA /•
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sum,mom TAx DRY*LLL 512l.td 5.0141 TER 4•TALL 510*ono . 1120 fr.
s)oo•m-10.3.5 TO COMM PROPOSED POSIT NRA ROM SOIL TEST HOLE .J J ./ , ' i•
0 SCALE'NDT TO'SCALE ../ / /. PROPOSEO.4 /
(LEVATORS RC/d1ENC! 52$11090 ORYMlt 4
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ifK T � � L� O O a �. i k C D L� x15 • / Of_ C� D O .,• POOL I /� u�N S.$ a ° �' / •► ♦ /• /• *A Y LPC v
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33.0 fV� EIOISTNG4�. % �, i ''�/ • s ���
�� BUILONG `� / / / 9•� ,;/vw /�0 Al4�� ARCHITECT
1.000 GALLON PRECAST COICIRTE 9400T 0196TER.4400T TILL p ,� '`. �. TEST sox
SEPTIC TAO PRECAST CONGCTE LCAOSO POOL 4 / � ) /4 ,...
4 `'. / 4°4' PLL C
SSDS DETAIL o��° • •_ �,►� /` •
� i'f .400mum
imLL °��° 1
O SCALE=NOT TO SCALE �p�4 p�� 0�� P >;f/��r ' �p6.
Water Line(s) MUST Be Inspected By The �� °�t�v '•%• ED„...� :. •/ "�Suffolk Gounty Deft. Of Health Services. c° �' 2
Call 852-5700, 48 Hours in Advance, ' ; i/ ` , .'./ !OT pPROMSEO `"••
To Schedule Inspection(s). w
i% ` '\ sat Foc!
LTA
• ;I` /• nom= 4444CT41NI
SUFFOLK COUNTY DEPARTMENT OF XEALTH •' ,` • .�i papaw we
`4 - . `A MULL•1.2.At0•s POOLMONS
` Via , :/•i /• ' '\ [AKTN1 _) 410 JACKSON STET
• ` �� , / i• • .` S NEW 11935 K.NY
SUFFOLK
COUNTY DEPARTMENT OF HEALTH SERVICES �/• ‘;t4." `I`.l • ti, :'4i /•/� :/' RECEIVE-DI ( ~oeo5ol I
PERMIT F•- APPROVAL OF CONSTRUCTION FOR A4 /
' r I
$�.\ ' .` ./• • BU6.OTNNO MAP`a 2 `,�: ef3 AND PROPOSED
,14 °b� , .V1r'l=,CO. HEAL
•
ff.ii>H
. _ ,- Y �Ya� EvAS NOTED
DATE `��',� •• •/ \% fir¢ E F� �= :� ;
•
APPR• • _ 4' �i / cts a'�O Pe SW
� ',oror
/ ..aP4r. SW
TOTAL ,! Muhl BEDROOMS7 ,o (,����\ •/• *' PROPOSED SITE PLAN014100 Pe ,{
EXPIRES THREE YEARS FROM F .. '\ . O SCALE: "�
S Fai A_ 0 1
OI DAT_0. APR AlAL C'
1:1_4%,..., 0 510 20 50 100