HomeMy WebLinkAboutYahalom ELIZABETH A.NEVILLE,MMCTown Hall,53095 Main Road
TOWN CLERK � a P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
FFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: December 14, 2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4386A for a Cesspool/Septic Tank Construction
Permit submitted by:
Patricia C. Moore for Yahalom
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
ELIZABETH A. NEVILLE �•Z• Gyr� Town Hall,53096 Main Roa.
TOWN CLERK q 7. P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��d� Telephone(631)766-1800
I<REEDOM OF INFORMATION OFFICER southoldtown.northfork.riet
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOU HOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK ,
Residential @$10 or Non-Residential @$25 Application No. @
Permit No.
y
Applicant Named
Applicant Mailing Address l �j l 1 G-(
Septic Tank. or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: al i.r� -)
Owner Mailing Address:
Ownor Property Address:-
Name and phone number of contact person
Tax Map Nol DOO Section ' Block Lot 2 jD
Cross Street
NOTE: LOCATION MAP MUST BEftUBMIITTED H APPLICATION. NEW
CONSTRIJCTIONtEQITIRES SURVI<; E�+ALTI DEPARTMENT APPItOOVAi,
Si atApplicant Date
Recoived l;y: __
'6-0030 SURVEY OF PROPER?
T ORIENT
TO WN OF^ SOUTHOLL
d'
SU ®LK COUNTY.Y d Y
�. 1000-18-03-20
SCALE 1'=50'
OCTOBER 15, 2015
FEB. 16. 2016 (B.0.H.)
SEPT. 7. 2016 (PROP. HOUSE)
G) ��� \ `� NOV. 2. 2016 (PROP. HOUSE)
38 NOV. 17. 2016 (SEPTIC REVISIONS)
AY
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PECONIC SURVEYORS, P.C.
TOTAL (631) 765-5020 FAX (631) 765-
AREA-100,845 80. Fr. or
2.3151 Acres P.O. BOX 909
1230 TRAVELER STREET _
SOUTHOLD, N. Y. 11971 [-15
-
SCDHS REF# R1 G
SEPTIC SYSTEM CROSS SECTION
PROPOSED HOUSE
FIN. FLR. FINISH GRADE
EL.39'
` EL.38'
ST
3' SAND Q®0 3' SAND \�10iF
5`�5�
COLLAR N COLLAR G
8'
ellYA-i zo s"O \
i6" SAND 5W
Dig down 8' dia. to sand (SW)-J 1 SAND
Remove material and r-------I EL.1'±
back fill withsand (SW). SAND
SW
,OQ
32
PROPOSED SEF'TI C SYSTEM
(UR TO 6 RED BOON/)
[1] 1500 GALLON PRECAST SEPTIC TANK 8'0
[1] 8'0 x 16 FT. DEEP PRECAST CONCRETE LEACHING POOL
BACKFILL HATH 3' SAND COLLAR, 2' ABOVE GROUND WATER X jo—
/ \N,
/ 'L
RAIN RUNOFF CONTAINMENT \
Jb-
DWELLING = 5500 sq.ft.
5500 x 1 x 0.17 = 935 cu.ft. /
DRI VEWA Y PER MOUS = 3200 sq.ft.
3200 x 0.8 x 0.17 = 435 cu.ft. X y0� \'(�
TOTAL = 1370 cu.ft. GAP 5§ 28
1370/42.2 = 32.5 VF
PROWDE (4) DRYWELLS 8'0 X 8' DEEP
OR EQUAL
�\V
TREE LEGEND - ^
6 = (1) MAPLE / �^
� _ (2) CEDAR
= (3) WILD CHERRY
_ (4) RUSSIAN OLIVE BUSH KEY
® TEST HOLE DATA
® = U77LITY POLE McDONALD GEOSCIENCE
® _ (5) TREE (TYPICAL) ®= WELL 8/14/15
TEST HOLE EL.39.o'
BROW LOAM OL
(6) EVERGREENS = MONUMENT ------- 0.5' ,,yy
PALE BROWN SANDY SILT ML
----- 3' cY
ELEVA77ONS ARE REFRENCED AND CONTOUR LINES TO N.A.V.D. *88
PALE BROWN SILTY SAND SM
I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL @
AND CONS7RUC770N OF SUBSURFACE SEWAGE DISPOSAL ---- 35'
SYS7FMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BROWN FINE TO COARSE SAND SW
BY THE CONDITIONS SET FORTH THEREIN AND ON THE
PERMIT TO CONS7RUCT. t
EL.f' _
WATER IN BROWN FIN£ TO COARSE SAND SW
ANY ALTERA77ON OR ADDITION To THIS SURVEY IS A WOLA77ON I '
OF SECTION 7209OF THE NEW YORK STATE EDUCA77ON LAW. N07r• WA7ER ENCOUNTERED 38' BELOW SURFACE
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CERT7FICAT70NS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
(WHOSE SIGNA 7URE APPEARS HEREON.