HomeMy WebLinkAboutFreed, Todd SCUTHCLD VIASTEVIATER El SPCSAL PERM T
CCIVSTRUCTI CN CR ALTERATI CN PERM T
SEPTI C TANK or CESSP(X1
Pier m t Pb. 4246 R Fbsi dent i al X Nbn-Resi dent i al
Fee $ 10. 00 Septic X Cesspool
PERM T I SSIED TO
Nam : TCDD FREED & E VEBSTER:FREED
Address 1: 12400 NEW SUFFCLK AVFJNE
a t y st Zip C UTa-03.E NY 11935
Descr i pt on of Pr oposed Const r uct i on or Al t er at i on
APPRD,ED AS SWM TTED AND AS APPROIED BY TIE SIFFCLK CCLIVTY DEPARTMENT
CF HEALTH SERA CES Fl NAL APPRI)/AL RECD RED FRONT TIE SIFFCLK COUNTY
I-EALTH DEPARTMENT. REF #R10- 14-0019
Pbrre a Omer TCDD FREED & E V'EBSTER:FREED
Mbi I i ng Address 1 12400 NEW SUFFOLK AVENUE
a t y St Zip CUTQ-D E NY 11935
Pr oper t y Address 1 12400 NEW SIFFCLK AVENUE
a t y St Zi p CUTa-IOQE NY 11935
Tax Mbp No. section 116. 00 bl ock 6 I of 12. 000
Coss Street
Bui I di ng Per m t Nanber Cr oss Ief er ence:
I ssue Gat e: 7/22/ 14 El i zabet h A Nevi I I e
Sout hold Tow, a er k
(TO/ I SEAL)
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,II,,,"cg F014' ;
ELIZABETH A. NEVILLE,MMC ���� �4 Town Hall, 53095 Main Road
TOWN CLERK i o P.O. Box 1179
t ca Z Southold New York 11971
REGISTRAR OF VITAL STATISTICS �0t,
O *. Fax(631)765-6145
MARRIAGE OFFICER `�led ' ,” Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER = 0.( `�►so. www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER •.,.,,,.••
OFFICE OF THE TOWN CLERK it 1 � � �.---_ _ __ !H +;
TOWN OF SOUTHOLD ! �- )f ! ! ;I !!
li JUL - 8 2014 1 !..))
1
' '
TO: Southold Town Building Department I
FROM: Carol Hydell, Southold Town Clerk's Office r _ !»
DATED: July 8, 2014
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4246 for a Cesspool/Septic Tank Construction
Permit submitted by:
Edith Webster-Freed & Todd Freed
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: -4-z-:,' - - /_,/
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„2,u.„...c-_...4.7siz4
Signature
d 7 /y i7
Dated
•/ A
A
ELIZABETH A.NEVILLE /4.• • ,,Town Hall,63096 Main Roa.
TOW :
N CLERK . .,,. P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; %y i Southold, New York 11971
MARRIAGE OFFICER . O 1t Fax (631) 766-6146
RECORDS MANAGEMENT OFFICER `4#* a40% II% 10 Telephone (631)766-1800
FREEDOM OF INFORMATION OFFICER 41 ,a 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 X _ or Non-Residential @$25 Application No. 42'6
Permit No.
Applicant Name Ei- i k/25*-(/— / 16. ,Th°_,e_e,i,
Applicant Mailing Address // 0Q /tai Sc /k_, ,4
CAC Ci_,?__
Septic Tank or Cesspool
Brief Description of Proposed Cos ction GT • Iteration
`7.(-r1 �6 t3, , P'c-L-h(7---jd
Location of Proposed Constru tion/Alteration:
Owner of Property: 104e -73 /
Owner Mailing Address._ 1
Owner Property Address:
Name and phone number of contact person _ L3
b
Tax Map No: Section 6 f(p Block 6 Lot j2--
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY I' : • TH DEPARTMENT APPROVAL
Si:' ;il
I1 e of Applicant Date
Received by:l/``:> i L Ib'l(L(
STREET ADDRESS: 12400 NEW SUFFOLK AVENUE SURVEY OF PROPER�E OF WASTEWAT��(
N AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
PVC Wq WITjy 1000-118-06�12.1 & 122
Abandonment of existingSant c SCALE: 1 =3
Y ystern mast be n SEPTEMBER 6, 2012
:: u '
pVsijCtNG Cyt f �_--- Df. wArR) SEPTEMBER 6. 2013 (REVISIONS)
4• . SEPTEMBER 10, 2013 (LOC. VEGETATION)
NOVEMBER 22. 2013 (SETBACK LINES & LOC. TREES)
DECEMBER 3. 2013 (EDGE OF BEACH FLAGS)
A*. FEBRUARY 5, 2014 (PROPOSED HOUSE)
1.7 FEBRUARY 11. 2014 2014 (REVfSEPTIC SIONS) SYSTEM)
APRIL 24,
N MAY 6, 2014(REVISIONS)
GRADING PLAN u> ,,,, St
PqE (PUQUC t t (VAC._ MAY 20,2014(REVISIONS)
4 APwr�►ev `GRADE � _ , Vitir
�`R py SS7 fT) a v � MAY 29,2014(REVISIONS)
F.F. a. 11.28'
EDOE 4, -. 0 �P
EL 10' FINISHED GRADE EL s• OA �)?' �P , S A4 1
•. - .. "58.60;__ _ +e,•
1.E - stTil �-`
so hE. RE L E. , E
Z25 TANK 1.75' 1 6.5' I ME;Ejq Ut�Ty Poll
J I'/LEACHING h i I '
' I li
j (LEAN SAND 1 r' 1 48.75e ``
PROPOSED SEPTIC SYSTEM ! _ "N� a 1"' I o3 �" �''
N.T.S. ' . / r M
371:::::-----
t: FOLK COUNTY DEPARTMENT OF HEALTH SERVI
ES
2' r' �y a , I PERrliti' F032,APPROVAL O CONSTRUC ION FOR ICA
[2] (5) POOL CLUSTERS OF 10' DIAMETER x DEEP A *q7(
LEACHING POOLS I +7.3• aim UNCLE FAMILY RESIDENCE ONLY
1 N / I
[1] 2,000 GALLON CYLINDRICAL SEPTIC TANK / 41 JUN
10' DIAMETERWITHI a W - �` DATE _3 201 F �. N
TE A 4' LIQUID DEPTH � z � ma � / I r�. A/o-,q_
flu 1 / APPFIGa'CD
TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF 2 "FF \
z R Fc ^9A. !� '
HEALTH SERWCES SPECIFICA TIONS i 4 ''1 /
/ ` Ot B cr 110.:-t.:
1 1 °� tv / I EXPIR w '7" I F g'vt�,^� Fr=.O43 DAA
'"E ®r P_
EXISTING SEPTIC SYSTEM TO REMOVED IN ACCORDANCE r �� `" "ROV, L
WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH SPECIFICATIONS. m r Qo H o / /
WELL TO BE ABANDONDED,LOCATION UNKNOWN N
STORMWATER MANAGEMENT CONTROL PLAN i
y • _ 20• r
SITE DATA II r� eat �., `o \
TOTAL ACREAGE 1000-116-06-12.1 50,510 sq.ft. ( ��' I r'
1000-116-06-12.2 14,748 sq.ft. (G1%41 j f ` i ^
TOTAL ACREAGE 65,258 sq.ft. P(J6( NG NI'ny r 1� �'.� l r
N a' CaVabbn Insp 'jo
I -I*X By// , ,qegt, , t43 Newt rY SYsiern
n
AREA OF DISTURBANCEi 24,000 sq.ft. ,o. 0r
FREED DRAINAGE CALCULATION.; V r� 1c � 41'1%6 �� N �a rnent
HOUSE ! r ASV 4!• �%7% f�/I 1/ 1 m a
ROOF AREA= 4025 sq.ft. x 2" = 671 ).' ` /A. ��/ /r . '4 ko
USE: (4) 8'0 x 4' deep = 675 cu.ff. /cu.ft. / hpr, 1 �' /�i _,,`
(2) 6'0 x 5' deep = 223 cu.ft. 4 1 i �h� o
" - 4 11 2 STY r i
USE 4w PIPE TOTAL - 898 cuff. ��-,. I 1 / ti • tv
USE 4 PIPE ;,� 1To
DRIVEWAY ti •' oO 1 I *oleo) /r o (D►,E�AREA #I GARAGE DOOR AREA .� �;� Y,, r P UNG1805 sq.ft. x 2" = 300.8 cuff. .t / 0 r ��� or ? g USCwA 1FRUSE (2) 8'0 x 4' deep = 337.92 cu.ft. Q / r.e; 4
18" PIPE W I l� / ���` r . o
AREA #2 TURN AROUND AND PARKING 4 H -1 R /,'a• �„�� f `QI J I I
I7Kfl .... it ., -,• - -gni -7 _. .. .. .t� . ( �4, fN L
rz
IS- c x P S
$� ,� r
AREA #3 DRIVEWAY ENTRY PRop " L_____ v,
is/41i -.*7 r t f;
1850 sq.ft. x 2" = 308 cu.ft. r D p
IN I , W� I
USE (2) 8'0 x 4' deep = 337.92 cu.f t. i+e.r t.' ' G +e a• �7
USE 4" PIPE FROM TRENCH DRAIN 2� ,
DRAINAGE STRUCTURES �I "� ++ii 401 4, O 1/
(B) = 6'0 x 5' deep h ' I
i 4 ' _�►� i
..._.s a. Li
I Houst 1 O /- � '' TEST HOLE DATA
/
_ (TD 1E
_ 1 AG L �� 2 BY McDONALD GEOSCIENCE
F —- � 1 / t +: Q 6/11/13
__ 1 \ / s" 1r e"
{ 6.3'
0 `` __ \�'� TOPS 1 l 4 Atoll. • DARK BROWN LOAM OL
fa' f1R Dem ? I ` �� BROWN CLAYEY SAND SC
7.1.______ .
__...... s '
. a. / r t� +=� -T /il 81''
PALE BROWN FINE SAND SP
Z CEDAR�, . �A'��AR �2 ``� p 3* EL 1.4' (AtATEN 31'
O& tup
r W J. h U �,,,,6 / WATER IN PALE BROWN FINE SAND SP
��„,N,0,. if .., b ,.. Q�O� coo
'yM,a it �A It 8 �8 ,• t e• -12'
QST
QV 4/Pi.0 DE qk Cs- �� /� \ 1 a.
tea' �, V. '''�+ t�3•`-- rt-- ,_1 \. 'r •
Mom 11
\ 1 I .I\ soctisilrl :
u+qc itert
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: 44
\�� -- =-1___ feLive NqN-p
may' /4/
FLOOD ZONE FROM FLOOD INSURANCE RATE MAP
STORMWATER MANAGEMENT CONTROLy Cle-
MAP NUMBER 36103C0501H SEPTEMBER 25, 2009
FROM STORMWATER MANAGMENT CONTROL
NE'
PLAN BYgT���4?� / ELEVATIONS REFERENCED TO N.A.V.D. 1988
JOSEPH FISCHErn, PE. .0 ly
P.O.BOX 616
SOUTHOLD, NY. 11971 k I
631-765-2954 Q CERTIFIED TO:
ANY ALTERATION OR ADDITICW TO THIS SURVEY IS A WOLATION p TODD FREED
OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. A EDITH WEBSTER FREED
EXCEPT AS PER SEC17ON 7209-SW0/VISION 2. ALL CERTFICATIONS .1L, f ADVOCATES ABSTRACT INC #ADA2455-S
HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF ,per , STEWART TITLE INSURANCE COMPANY
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR i14t j► •1 May C) ► c I
ItHOSE SIGNATURE APPEARS HEREON �1 c�` T Ev TM'�`�`
I am familiar with theTANOAROS FOR APPROVAL -
E
AND CONS i RUCTION OF/SUBSURFACE SEWAGE 4 ' '
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES * °” _ 1V r�``' * I
and will abide by the conditions set forth therein and on the ii. ` ' 1
permit to construct. C-'4 7,24 f` -
The location of wells and cesspools shown hereon are 1, / ; ��
from field observations and or from data obtained from others. ,r ,. MAW r. . NO. 496W
CONIC re - YORS, P.C.
765-
TOTAL AREA-66,258 90. F TO TIEP O.�BOX 90920 FAX (631) 765-1797
.
- •--- • ••�••� 1230 TRAVELER STREET I 19_p4n