HomeMy WebLinkAboutTaylor, Robert Shaw Town Hall, 63095 Main Road
ELIZABETH A.NEVILLE 4=
P.O. Box 1179
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TOWN CLhRK
Southold,New York 11971
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REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER
Telephone(631) 765-1800
0
RECORDS MANAGEMENT OFFICER
FREEDOM OFINFORAIATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
1.
11v
APPLICATION
0 TR
A I PEIV
XtO_NP IIIT -
CESSPOOL or SEPTIC TANK
Non-Residential cation No.
bsidential $25
Residential or
00 15
Permit No 10
OwnerNanae".
owner"Mdi
b(Z
CL) %cRoGuE N%4
Owner Property
:5'
Cu-rr_tjD�� Z f-"-4 3
Owner Telephone No. 3 -7�3' 8®t 8
0C)o
[q-
Is
0
Please check each that applies: New Construction
Alteration to Existing System
Residential_*,-ZNon-Residential
-
NOTE: LOCATION MAP MUST BE SUBr&TTED,WITH APPLICATION. (Locate
building and system; give north arrow and approximdt&distance in feet from system to building
and closest road., New construction may submit copy of survey with SCHD approyal.)
Signature-Of Applicant Date
Received by
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4498-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner ROBERT S. TAYLOR
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Mailing Address 1 1045 DEAN DR
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Mailing Address 2
------------------------------
City St Zip CUTCHOGUE NY 11935-0000
-------------------- -- ----------
Property Address 1 1010 DEAN DR
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Property Address 2
------------------------------
City St Zip CUTCHOGUE NY 11935-0000
-------------------- -- ----------
Owner Telephone No. 631-734-8018
Tax Map No. section 116.00 block 5 lot 11.000
Cross Street NEW SUFFOLK AVE
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------ - --- lat-1 j--------
Issue Date: 2/14/17 Elidbeth A. Neville
------ Southold Town Clerk
(TOWN SEAL)
HYDRMIT b
RVEY OF PROPERTY
DEAN DRIVE AT CUTCHOGUE
_ _ "PUBLIC WATER IP! STREET" COUNTY
�N ATOWN OF SOUTHOLD
SPFIALT .
g�dR�+ .w
IyyAtN , m Y
c0`�GR_,.�- 1000
VAULT SCALE. --30�
__ 14,74 AY 26, 2015�'z. wA --' �r9
JULY 16
{ o VAULT o 2®15 (REWSIONS)
AUG. 2®, 20'5 (REWSIONS)
AUG. 26, 2015 (REWSIONS)
d TOCT 29, 2015 (REWSIONS)
.4FtAGE SUPPLY-,
NO�
Tc.s 17, 2'01.5 (REWSIONS) _
DEC. 23, 2085 (REWSIONS) ;
JAIV. 15, 2016 (REWSIONS)
.. •°
r I AVATION ONOPE 'ION REQUIRED
FOR SANITARY SYSTEM
L Yaccari
M/
W/1015 o
Y HEALTH DEPARTMENT
YW' 1
SUFFOLK COUNTY DEPASITMENTL HalbavlCES
S7 �� PeRmrr P'0e. APPROVAL.OF CONSTRUCTION FOR A
SINGLE 4�AmlLY Rs59DEP,CE ONLY
�ZL3 po`� or ►Q A� �\ DA`I`E .x. REV. No. V�t/ �/ 0/1 r
11Lo ,,•0wi �p ORl APOt�G�6B
5.2' i N gyp`
FoR'MAXIAlu`m_oF BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
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Engineer's Cerlifection Re
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73W Submit P. Or.R.A. Cedi c
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j `° '� :For Insi�Ilat or And Cans ru �i�n
� g�E
For ir�aI�ppr�� "`Use Finn M-073.
BEACH
GRASS ban n eNt f existing,sanitary system gnusfbe in
30 pA H ce E 'th depart ant irequireniont Submit
41qlctcd f WM- as proof.
cfi
77E LINE 0 2►
BEACH ALONG MHWM
45-59 to~ �-�---
�fat'tib�t;. s.
PEG
BAY
OM FORD!
0 4.9616
Co6�?�lURS LINES PECO NIC SURVEYORS, P C.
NA VD 1988 (631) 7765-®-5020 FAX (631) 765--17,97
'aRE REFERENCE® 7"0 "MAp OF REACWOOD COLOfNY pROAERTY- o. ®X 309
M E NO. 727 12.30 TRA VELER STREET
' SoUTwl n N Y 91 o79
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EDGE O I7DAL M l Li'I ND As B
DETERMINE® BY FV
10
CONSULTAN77NG, INC. NOV, 2015
o.e
_
Water 'ne(s) T Be tris •'"J• M ��RR enc.
TEST 1�1ULE DATA all of �oU1i����pg. Health ,� �� r _ �tJ
McDONALD GEOSCIENCE Q®, � ®urs fit A an ��.
C4/GI/1S �edu#e Inspection(s). s
il
EL. 5.7 O
M•
.
MIXED SAND & LOAD
.. _ _ . —. �•. 1' .sem� T
PALE ,9ROKW FINE T'C COARSE SAND (SW)
- WTH 1OX GRAVEL
COARSE SAND
f-,qqn5lom pjlje95
PALE BROWN RNE TOC Vp
WA7ER IN DALE BROMV FINE
17'0 COARSE SAND (SPS)
NOTE CHANGE(S)-
[BySuffolk County Depa teat of Health Services
687A TE!? ENCOUN7EREl7 �:1' DE'LOW SURF
0
r S'E"P p C S YS.TEM RETAINING WALL PROPOSED SE'P77C SYS7 AW �
1401' TO SCALE (4 BEDROOMS)
TOP WALL 6'
1„ic�$4
(t)04,i rite --,--� �s ROAR 0 os' at «j�CHING GcAU PO sq.ft LEACHING t care )
' Q����G��T �
(WTAL R) USS
= is 5RMAR ®v8"oC. � �R
'' :0 EMS77NO CESW!OM 70 BE RMOM OR RUED l PVRUC WA �/�
exrsnnrc GRADELOT COVERAGE ,
t AREA BUILDAW t.AND--9316 aq.ff.
r Spucr i PROPaTr WE 9316 sq.ft
s REDAR # HOUSE &DECK 1427-sq.fG
0 12'a.c.- EW t WATER GARAGE
LEI 331 sq.ft.
$ 1758 sq°ft•
J. 0 1750/9316PROPOSM
t o o....._ Ctlf9G 36G0 psi HOU &DECK 1532.8q.ft.
Sim36" com 3500 P61GARAGE 33'9 sq.ft.
1863 sq.ft.
1p s ROM 0 to'EACH war 1663/9316 26,OX
NYSGEC LLT COVERAGE
UPLMD AREA s 11163 Sq.&
NOTE- 1063/11103 � 16.6
SUBSURFACE A Uf a�sA�
SYSXV�DESIGN BY JDH'nSCHEM, P. RAIN RuNOFF CONTAINMENT:
�Ot
SOUTHOLD, fd.v 11971 HOUSE MW PORCH 1369 Sq.ft.
(631) 765-2954 1369 x 1 017 ® 236 cu.ft.
236142.2 5.6 W
PROWDE 3 Dam° Dil X 2' DEEP
4
SEPTIC SYSTEM DETAIL �
— NOT TO SCALE
FF. EL 11.0' EL 19'
CAST ,W FRAAlES
AND COtMS 70 C,,1rAV F1N15rfl�/6.91 ?w 6.9'
k� 69°
24• UASMARY CHfd4fJE't'S' ROaSWARY,CiHWAVY -
INN.dZ f2 '6 67UIN. 2• .
7°5' INIlEL 6
1/4, PER Fwr 6 5' 40 INV �to 10�� �]2
mrl�rnaum PI� �° I/ PER Fool .INV. to 20 ME
AMON.4m DIA. PIPE Aitmimum mmi 5 6' 10 ma 19
UIN.4'DIA. PIPE
,Q' (3)2 9"CeQ deep gdrToo
-
low VAL 2° wAIgR Q.-t.6'PRErASr
� --""
SEP11CTANC- t
n
I AM FAMILIAR W TH 7HE STANDARDS FOR APPROVAL � .- HYDRANT
AND CONSTRUC77ON OF SUBSURFACE SEWAGE DISPOSAL 14/ONUI�9ENT
SYS7rMS FOR SINGLE' FAMILY RESIDENCES AND MLL ABIDE
DY THE COND177ONS SET FOR774 THEREIN AND ON THE TEST HOLE FLOOD Z01l1,
PERMIT TO CONS7RUCT p METER VAULT 36103CO50:
ANY AL7ERA710N OR ADD177ON TO THIS SURVEY IS A V0LA77ON 0 = WATER VALVE ELEVATION!
OF SECTION 7209OF THE NEW YORK STATE EDUCA770M LA IV - U77LITY POLE REFERENCE
EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CER77nCA7IONS 4
1-Y IFHEREON ARE VALILp FOR R/ THE PRESSED COPIES
SEAL�O EOF THEOAl S SUR �13,6�2 . L01" �UMB�
SAID MAP OR COPIES BEA Tr)- T1!7- 1 F SUFFOLK Cl