HomeMy WebLinkAboutGrim, Donald oOLk��G
JUDITH T. TERRY z • �C Town Hall, 53095 Main Road
TOWN CLERK Z • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : : Southold, New York 11971
MARRIAGE OFFICER VO
�, Fax (516) 765 1823
�• Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 26 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DONALD JOHN GRIM
Address 1 : P. O. BOX 300
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW OFFICE BUILDING WITH CESSPOOL SYSTEM
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 9/18/90.
Name Of Owner GRIM, DONALD JOHN
Mailing Address 1 P. O. BOX 300
City St Zip CUTCHOGUE NY 11935
Property Address 1 11910 OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 83.00 block 3 lot 4.005
Cross Street COX LANE
Building Permit Number Cross Reference:
Issue Date: 1/28/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,D
• kl J , 81991
•
T(DG• (5.-r . - .J
'MOWN ( ra
Town Hall, 53095 Main Road
P.O. Box 1179
j Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR Oh VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: Janaury 18, 1991
Transmitted herewith is a copy of application No. 697 for a Cesspool/
Septic Tank Construction Permit submitted by:
Donald Grim (Office Building)
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE �C
DISAPPROVE ((��
Comments: a„ o�a,cCti•ir4‘. IA/04i T
stttElAtt$441 J.A• fleate • 1k3&?: 910(r. •
1,--n 9 I 1\°I
\ 064.-Q__
Signature
Dated
f O
OFFICE OF THE TOWN CLERK OC�grazc `,
Town of Southold �;%�'. OG
Judith T. Terry, Town Clerk T 7 .4‹ Application No. 6cl
Town Hall, 53095 Main Road t, < Construction v
P. O. Box 1179 c� F a�o�,� -.-
Southold, New York 11971 �• �, s Alteration
Telephonel ISO Residential
(516) 765-1801 Non-Residential L Z
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /— /g-9 /
APPLICANT NAME:
(-\: 41A/91A11) iC)1i /V g.,2 4%/4
APPLICANT ADDRESS: , 0 env &�O
SEPTIC (CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
3yg/ & f 4-4rC l
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS UCTION OR AJ..IE ATION:
OWNER OF PROPERTY: � /)? Z,� J�
OWNER MAILING ADDRESS: po ( ? , 'oGCJI
// c
OWNER PROPERTY ADDRESS;: I1? iYII7i N/ 1/O 0i / ON 170 Cokpor
TELEPHONE NUMBER OF CONTACT PERSON: 23474- IVY
TAX MAP NO. : Section ,R? Block 613 Lot T
CROSS STREET: IoX W!
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
Signatur f Applicant
RECEIVED BY:
Town CI rk's Office
DATE: 7— /d,. (/
•
T
I
. J i,•.1-1 .�1II111i�1' SITE
\.,1 ir N i„
KEY MAP
IlpSeale 1" = 800'
AAIL\ .11*\,.
PROPOSED SITE PLAN
FOR
DONALD GRIM
SITUATED AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 83 - 03 - 4.5
Scale 1" = 50'
Feb. 1, 1990
•
•
•
BRASS PI TL ESS ADAPTER aaaoBELI FOUND OR EQUAL
w,ALLINLAkl SANTARY WELL -APE E - 09 TO GRADE
SEAL A MN IB'ABOVE
GRADE AND 2' ABOVE FLOOD GRADE
GRADE _l4S1-ED
ii GRADE_
NtET of
'—I
iLATERAL TO BEA 1/
aN Of 0.73'I.A.
54"BELOW FH9 EA
GRADE BLACX PVC
ASTM RATED AT/BO �
60 PSI s NSF APPROVED
l
WATER -
II
1 I 5' STEEL WELL
11/6'STAhLESS
STEEL SCREEN
JEWERSBL.E 10'
TAIL DRAINAGE LEACHING POOLS
(NOT TO SCALE)
CAMPBELL FOUND OR EQUAL( ADECAMPBELL FOUND OR EQUAL
TYPE 10-09 TO� � TYPE/0 - 09 TO GRADE.
GRADE FINISHED GRADE
•
I 6" 2.I Ir MAX A•--20" /i.
v. 24" -.{ 1 P4" "i CONCRETE ; ----fi 1 1 ---1 CHIMNEY 2'MAX.
'-20" - I I I- 20"-,1 .
\L
} 12" a� I OUTLET INLET ,
4"DIA ftTT[ '
PI :NAPPROVED MIN /r !/B""BR. FT.
23 ' II
MAX. 4
P:4
IL 401
a -+
r , • ." '2•En i y
p EFFECT! tµf
a' 4" DEPTH y
MO
6'- 8' o/tO /
poi;
900 GAL SEPTIC TAM( cc i 3 MMY--' II '
MIN S_
NOT TO SCALE) - 4" 11— 4' / PF
'I
�
`c 2'MIN ABOVE GROUNDWATER
BACKFILL MATERIAL TO BE r
CLEAN SAND A GRAVEL L
SANITARY LEACHING POOL
'NOT TO SCALE)
C
NAGE & SANITARY CALCULATIONSB /LD/N
PROP•SED ARA
rARY DESIGN: s 2400 B� ft.
AGE& STORAGE BUILDING ss .g pp
/IDE MIN SYSTEM t ONE(1) 900GALSEPTIC TANK
ONE(1) 8' DIA. (12'DEEP) LEACHING POOL
•
3RASS PIT
w)AL LAMINL
SEAL A A4
GRADE AM
4'GRADE
• a. 1i GRADE
�� STOR L T i
sfc'N'
LATERA
WV OF
54"BEL
iGRADE
A
t r 1 L ASTM F
1144/ I,J —� ;60 PSI
416% GROUND'
ROU WATER
5"STEEL
0
v..r.-- 6'STAIN
STEEL
5 GPAL SLBAIE RSBLE
O� PUIp
TYPICAL WELL DETAIL
(NOT TO SCALE)
C *Q
rb
F
.p� ,y li
. �s
A'Q0�0O T ,1,. I ECC r'NG
p�° 6�Q �`9 11CO _T y. FINISHED 1„_
//�6// 9sr0T 24"
INLET
APPROVED PPE
,/ /
Po/ /6,0.
•••:„.„.„.„...„ / PER FT.
's''
to
v.
G
63.4 1 4"
THIS AREA FOR STOCKP/L/NG ��
('
MA TER/ALS I.E. GRAVEL ETC. ETC. // \ G4, i , J T
s 900 GAL.
,A � (NOT TO S
0k• * `7
/ / ...Ls, 4,
' y��
i $
Q 14-
/ _ /0 *1". //
teY 4,
/
1.
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0
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lc-
NNN
N. ,,,,,,,,, /
`'F� r - DRAINAGE
FZe.. ' . ___-----
G',1,
FOR PROPC
• jr SANITARY DE
o� GARAGE& ST
2400 a ff X
•
440
'V F eo PRO VIBE MIN.
ss� Fti:
'Pe., tr
DRAINAGE DE
IMPERVIOUS
REMAINING A
s• .. t_
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Cep—N
of
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Rso
OR
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2
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5A59a
o p5 as
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NOS 6"2- \\ 0 5 CA
IF ��1 d? £gGA££� `
5p1'g *0.,. 2 ,i.. 6
p�P AS ,� a j� tiEAVr h6 om.
�z 0. ®\ �` GRA VEL J81-6-AD/V T S TOA G �s°4gq°o
Nir
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90.05 ?p.
A'��._._ _aQ c4�4�O�c0• //.." \ �/63_2
,9L. ,e,nes s.,o
;2 _ �s f)A,• tru, .09 4`)- _ ,
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0- a6 NF /
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6_2_,..6_ 0.-8 \ h6,; o`' Ad s2.4
o
.Rol o
'S ` we.,.. SFo / THIS AREA FDR S TOC
+ 1 /
'NA TER/ALS 1.E. GRAVEL
L SOURCES sem• -1'1' o i
't TN/N 130 FEET t o
N 50 FEET ?4, y /
W
0-_ U
/
tO�
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INA GE & SANITARY CALCULATIONS s-
e ' • S • - S i busy
,, /
'TARY DESIGN -4F \
)sq.ft. (0.06) - - = 72gpd. 64,
)sq.
ays Flow (2 x 72) = 144gals 09
OVIDE MIN. SYSTEM ONE(1) 900 gal SEPTIC TANK �..
3SPOOL 72gpd/1.5ga1(sq.ft.) = 108sq.ft _ 25 = 4.3 vert. ft. required ".V ,..44,4,
- 8'dia. x 12' deep pool ,.• . 'ded / ss.- 1.-
F,,
AINAGE DESIGN 'Ps
DING 30' X 40' = 1200sq.ft.
R01
140C11‘-‘
ON0
0PJ60
0
yP
�P
644,
P
0‘4
oe 0:0*. •
X09
501
• / 5'
R g �
��
0 H�1�RE �`°�
49 9 O' \✓
E r
AA � sP+��'1 �\
,,,,_,,, ,--45- 1 liJ It' 61:1
� , / _'
Yp 05
461 .- ,, Ag , 40'see . 'it, . rpV �\ 0 A '3l
ed._ \0, 80 vR550i.Bhp ! '�? ®n 6%l • ;may/
\C I 1
64.o OP ^f,\� r Ni ,�T
,. j ' .2.5 . A6<'-
r
1
4 `�,,4 65
ee ems -
` •
\ _ 4- 150' i_________— 0
6
O co a
EXISTING -4 P 4.,p Jt.oO
SWELL-�- e� N a "4c,J .
ef , 6. ..- S2-
� 5 .-41- s.
o'Ns3o9
yF _ — _sOc •0 t
-31k- G
•
pC
4-
s� 0-E
h,6
le
NOTE , THERE ARE NO POTENTIAL SOURCES S`>o 7'1`
OF SANITARY CONTAMINATION WITHIN /50 FEET
resT OR DRAINAGE STRUCTURES WITHIN 50 FEET .%.
MOLE OF THE PROPOSED WELL.
DATA
TOP SOIL 1.5' 11/O
LOAM 2.8' \%(
SANDY LOAM
Q GRAVEL3.4' \ '174,
SAND 4 GRAVEL 4.6' 0 eN
SAND
17'
DRAINAGE & SANITARY CALCULA
• : : • ' • i • s • .
SANITARY DESIGN
1200sq.ft. (0.06) __ ___ _ 7.
2 Days Flow (2 x 72)
PRO VIDE MIN. SYS TEM tiE(') 900 gai
APPLICANT : CESSPOOL 729Pd/' K.,a lso ' - '08,
DONALD GRIM
475 JERNICK LANE 1 - 8'dia. x 12' es•P Poo' ded
SOUTHOLD, N. Y. 11971
DRAINAGE DESIGN
OWNER : BUILDING 30' .r 40'
nnNAI0 GRIM SIDEWALK _ _
NOT TO SCALEI SI TUA TED AT
CUTCHOGUE v
TOWN OF SOUTHOLD - •
SUFFOLK COUNTY, N Y.
ULA TIONS 1000 - 83 - 03 - 4.5
'ORALE BUILDING.
Scale 1" = 50'
s 2400 sq. ft. Feb. 1, 1990.
GAL.6SEPTIC TANK
)IA. (12'DEEP) LEACHING POOL
SUFFOLK COUNTY DEPARTMENT Of HEALTH SERVICES 1
APPROVED FOR CONSTRUCTION ONL r I ft. X 1.0 X 2/12 = 1133.33 cu. ft. H.S. R£F NO. £/7 - 9e-� -5" FLOW rs-6.44
F ft. X 0.30 X 2/12= 9860 Cu. ft
TOTAL �, �,,5 7-/C-;,%� L
= 10,783 cu ft. Urn ,,,,,r,,,m,,,, r
52 X 16 = = 1,256.64 cu. ft. this approval is granted for the construction n• tho saccttarti
dispasai dna water supply facilities pursuant to Arun:,~;4f.,.r,r:
SLS REQUIRED 7 of the Suffolk County Sanitary Code arci is not an expressed
6' DEEP) nor implied approval to discharge horn o' occupy the
structure(sl crown THIS APPROVAL EXPIRES i W(t - AR
FROM THE UAL,£ BELOW
ary code articles 7 and 12, l SEP 18 -
rtify that there will not be any DATE SIGN 4
waste discharged from the
hazardous materials stored -•-.....
reimptions
• —
remptions are granted
.
;1
E: ';�}54. 90 f
The locations of wells and cesspools shown hereon are from field
observations and or from data obtained from others. r �� LANDS&
LIFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES bra d1.ME7. 9L
FOR APPROVAL OF CONSTRUCTION ONLY The water supply and sewage disposal .' ' ,, %,�4
systems for this residence will conform Prepared in accordance with the minimum "i ' L"t, O }
to the standards of The Suffolk County standards for title surveys as established ,n Y.S.cLIC. NO. 49619
)ATE H.S.REF.NO. Department of Health Services. by the L.I.A.L.S. and approved and adopted - :for such use by The New York State Land �‘' • 'RS, P.C.
,�� Title Association. P`�\ • , ,�!•Q'
VATIONS REFER TO MEAN SEA LEVEL. SOUT • 0, N.Y. 11971
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f•`F9 — —* DRAINAGE & SANITARY CALCULATIONS
''PG.
FOR PROPOSED GARAGE & STORAGE BUILDING.
09 SANITARY DESIGN:
c,..t. GARAGE& STORAGE BUILDING = 2400 sq. ft
t. ft. required 4/ F + so 2400 sq. ft X 0.04 g p d./sq. ft. = 96 g p d.
/ s F PROVIDE MIN. SYSTEM: ONE(1) 900 GAL. SEPTIC TANK
s?/ s' ire- *F ONE(1) 8' DIA. (12'DEEP) LEACH
‘261-- DRAINAGE E DESIGN:
G
IMPERVIOUS SURFACES: 6800 sq. ft. X 1.0 X 2/12 = 1:
s,
REMAINING AREA : 193,200 sq. ft. X 0.30 X 2/12= 9
\� / se
TOTAL = 10
/ LEACHING POOL VOLUME: 3.1416 X 52 X 16 = = 1,,
/
\ \ 10,793/ 1,256 = 8.59 LEACHING POOLS REQUIRED
se / PROVIDED : 9 POOLS ( 10'DIA. X 16' DEEP)
NOTE: Pursuant to Suffolk County Santary Code articles 7 a
L - 1 AREA = 199,999 sq. ft. DONALD J. GRIM ,hereby certify that there will n
BUILDING ZONE DISTRICTO/' 4.5914 acres industrial wastes or other non-sanitary wasts discharged frog
buildings and there will be no toxic or hazardous materials a
at the site nless specific permits or exemptions are granted
SCHOOL DISTRICT 9 pursuant to those articles. r
FIRE DISTRICT 29 ODATE•R A)5/ 04'�`'
H. D.. REF. NO. C10 - 90 - 005
SUFFOLK COUNTY DEPARTbE
FOR APPROVAL OF CONS
DATE H.S.
APPROVED
mi r_*rA r,E Ase PC P Tr) A{
v0 I
17 i ti /
SAND
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I7. 'N, o .at s3 y
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R
DRAINAGE & SANITARY CALCULATIONS '
s.
FOR PROPOSED OFFICF BUILDING 44sy . /
SANITARY DESIGN f't.
94,
1200sq.ft. (0.06) __ = 72gpd. s
2 Days Flow (2 x 72)___._____.___ - 144ga/s
PROVIDE MIN. SYSTEM ONE(1) 900gal SEPTIC TANK /,.
APPLICANT : CESSPOOL 72gpd/1.5gal(sq.ft.) - 108sq.ft = 25 = 4.3 vert. ft. required �ti * <''
DONALD GRIM
475 JERNICK LANE 1 - 8'dia. x 12' deep pool ,,,i. ided / s6+, A,e•
SOUTHOLD, N. Y. 11971 5,,-7
DRAINAGE DESIGN ��� `,
OWNER : BUILDING 30' X 40' = 1200sq.ft. it-
mss,,
DONALD GRIM SIDEWALK = 375sq.ft. s,
45 JERNICK LANE DRIVE WA Y & PARKING AREA = 3232sq.ft.
SOUTHOLD, N. Y. 11971 1200sq.ft. X 0.7 X 2/12 ____________ = 140cu.ft.
3607sq.ft. X 0.65 X 2/12 = 391cu.ft.
TOTAL = 531cu.t.
531cu.ft./(3.1416 X 4.672)____ ._ 7.75 V.F. requied
PROVIDED ONE(1) POOL 10'DIA. X 8'DEEP se
PA RKING
THREE (3) SPACES REQUIRED
FIVE (5) SPACES PROVIDED BUILDING ZONE DIS TRIC T L - 1
NOTE LOT NUMBERS REFER TO MINOR PLANTING
SUBD/VISON FOR LEANDER GOVER DATED 58 JAPANESE YEWS SCHOOL DISTRICT 9 I
SEPT. 25, 1985 BY YOUNG & YOUNG
SURVEYORS . FIRE DISTRICT 29
NOTE: Drainage design and calculatons from
plan -by Sealand Surveying & Engineering P. C.
dated 3/10/86 job # 6 - 1118 1