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ELIZABETH A.NEVILLE,MMC may. y Town Hall,53095 Main Road
TOWN CLERKo � P.O.Box 1179
CA Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICERy !�
RECORDS MANAGEMENT OFFICER Q a0 Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER �� www•southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
NOV 1 7 2016 -D
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDING DEPT.
DATED: November 16, 2016 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4446 1 for a Cesspool/Septic Tank Construction
Permit submitted by:
Douglas Mcgahan for Justin &Allison Schwartz
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 ocation map of theproject cited above and make the following
recommendations: -
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
RECE_ii_f_ED
Signature
DEC 2 3 2016 12 )
Dated
Southold Town Clerk
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 4446 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DOUGLAS MCGAHAN
Address 1: PO BOX 602
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING APPROVED AS SUBMITTED AND
AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. FINAL
APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. REF# 810-
16-0037
Name Of Owner JUSTIN & ALLISON SCHWARTZ
------------------------------
Mailing Address 1 2428 COX NECK RD
------------------------------
------------------------------
City St Zip MATTITUCK NY 11952
-------------------- -- ----------
Property Address 1 2428 COX NECK RD
------------------------------
------------------------------
City St Zip MATTITUCK NY 11952
-------------------- -- ----------
Tax Map No. section 113.00 block 8 lot 7.006
Cross Street ROUTE 48
------------------------------
Building Permit Number Cross Reference:
--------A- --- ndJ1a-----
Issue Date: 12/28/16 El zabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
f Fat
ELIZABETH A. NEVILLE,MMC � Town Hall, 53095 Main Road
TOWN CLERK a P.O. Box 1179
co Southold,New York 11971
REGISTRAR OF VITAL STATISTICS I Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: November 16, 2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4446 for a Cesspool/Septic Tank Construction
Permit submitted by:
Douglas Mcgahan for Justin & Allison Schwartz
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
Dated
ELI7ABETH A. N E VILLE � G.yr Town Hall,63095 Main R,oa,
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS y.
MARRIAGE OFFICER r ` Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER ��fo ®� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '� �` southoldtown,northfork.nei
OFFICE OF TIDE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT['
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No.
Permit No.
Applicant Name � A
Applicant Mailing Address C.
Septic Tank. Cesspool -
Brief Description of Proposed Construction or Alteration A s L�_ � +e'„
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address: 2 4 ZNY C c
Owner Property Address:
Name and phone number of contact person t " tt +
Tax Map No: Section -Block-. Lot=�
Cross Street
NOTE: LOCATION MAP MI1ST'BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION RE'QUIRES SURVVY TIS DEPARTMENT APPROVAL
IG ",
Signature of A kali Date
V2f
Received liy:
S.C.T.M.# DISTRICT: 1000 SECTION: 113 BLOCK: 8 LOT: 7. 6 &
FFL EL(21.6)
TYPICAL SILT
FOUNDATION SCREEN SECTION
WALL C.I. LOCKING GEOTEXTILE FABRIC
CELLAR SLAB COVER TO GRADE--\ FINISH GRADE SUPPORT POSTS
WOOD OR METAL
l'MfN-2MAX Q0 FLOW DIRECTION
1/4"--FT.
F 6- COVER 6 COVER EXCAVATED AND
6'- 6' SLAB BACKRID TRENCH
INVERT \L-INVERT (NN (10.0)
(10.45) (a-25)INVERT- INVERT
(9-67)
FLOW 8,0 3' COLLAR
POOL CLEAN
LA — . I"F A, '%")I�4'M
BAFFLE I COARSE
i t
3'-8" 4'SAND & _:T
TANK 3'MIN GRAVEL 2'MINIMUM
USE 4" DIA. APPROVED SEWER PIPE
1,500 GAL. S.T.
HOMST P07RO
WATER SERVICE DETAIL WAnN EXa 2.7 W GM
20' X 1" COPPER TUBING # Abaun
—
TYPE "K" SOFT COPPER TUBING --fay 3f rm!3
1�xr� fb-'--n 117t
v lv. proial,m.
TO DWELLING
2" PLASTIC PIPE
PROPERTY LINE (605' RUN±)
INGRESS & EGRESS
RIGHT OF WAY
LIBER 12310 PG. 357
GEa CIO.>
U.P.
DWELLINGPROPOSED WATER SEROCE
W/WELL WATER 0."34 2529 1. RUN
TAP W/r VA'PLY Lbw
r - 2,' RSG lg4 ���o'�
U-
12.00
mo�. N770
S 'C
LAND N/F EXCAVATION IN -PCE
8.0 OF SANITAP.
FOR
COYOTE PROPERTIES LLC
By HEALTH DE
CE DWELLING
WIPLIBLIC WATER
�A cQ7
TOWN OF SOUTHOLD LOT COVERAGE
(UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY)
(113,192 SQ.F-T. or 2.60 ACRES)
EXISTINGPROPOSED 3
HOUSE. 815 SF 1,869 S.F.
FRONT PORCH: 46 S.F. 68 S.F.
ERICK- STEPS.- 47 S-F (NIA)
R
W
U 5�ZS - 327 S.F. 652 S.F.
P
T T
E%IECK td AY: 1,950 S.F. (NIA) 5,700 S.F. (NIA)
SWIMMING K L: 950 S.F.
POOL PATIO: 1050 S.F. (NIA)
WALK: 277 S.F. (NIA)
1,188 S.F. 3,539 S.F. or 3.17.
AVENUE OR 1.05%
M EDVVAY
NYSDEC LOT COVERAGE
(UPLAND AREA LANDWARD OF TIDAL WETLANDS BOUNDARY TO ELEVATION 10.0)
DRAINAGE CALCULATIONS. (36,050 S.F. or 0.83 ACRES)
EXISTING PROPOSED 0.5FC,
HOUSE: IF
IF q 4 1.869 S.F. (NIA) 0. v
A) PROPOSED DWELLING WICOVERED PORCH: 1,913 S.F. FRONT PORCH., 46 ��7F, WI
�(� A68 S.F.1,913 x 0.166=317.55 < 318cf REQUIRED NI ) (NIA) WON.
(1) B'DIA x 8' DEEP DRYWELL=338cf PROVIDED BRICK =. Z7 TF'-( -AT
REAR DECK W/STEPS: 327 S.F. (-N-IAT 652 S.F. (NIA)
B) UPPER DRIVEWAY=2,200 SQ.FT. PERVIOUS DRIVEWAY: 1,950 S.F. (N/A) 1,180 S.F. (NIA) LOT 66
2,200 x 0.166=365.2 < 366cf
IO'DJA x 6' DEEP= 410cf PROVIDED SWIMMING POOL: (NIA) 950 S.F.
7050 S.F.
:
B) LOWER DRPIEWAY=3,500 SQ-FT. POOL PATIOMASONRY WALK. 277 S.F.
3,500 x 0.166= 581.0< 5810E
'2)10'DIA x 5' DEEP= 684cf PROVIDED
ALL EXISTING STRUCTURES 2,277 S.F. or 6.37. PROPOSED COVERAGE
ARE LANDWARD OF ELEV. 10.0
C) SWIMMING POOLS SHALL BE EQUIPPED WITH A PUMP-OUT EXISTING COVERAGE 0.09'
AND MINIMUM 4' x 4' DRYWELL FOR POOL DISCHARGE.
EXISTING SANITARY LOCATION ZONED
(TO BE ABANDONED AND BACK FILLED
WITH CLEAN COARSE SAND.) FRONT Y
GRAPHIC SCALE POINT,'A" POINT "B" REAR YA
40 0 20 40 so 160 S.T. 20 28SIDE YAF
LP.#1 25' 41'
LP.#2 28' 35.5'
L.P.#3 28' 27.5'
IN FEET
1 inch = 40 ft TOPOGRAPHY,
ELEV. 13.3
SUFFOLK COUNTY DEPAR-MENT OF HEALTH SERI!110ES
SILTY SAND
---4'
PALE
SAND DATF
Sp BROWN FINE 43 H S R Z F. N o.
APPROVED
FOR MAXIMUM OF BEDROOMS
EL£V 2.7 --'70.6^ EXPIRES THREE YEARS FROM DATE OF APPROVAL