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ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK a P.O.Box 1179
Southold,New York 11971
CA
REGISTRAR OF VITAL STATISTICS 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: March 21, 2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4470 for a Cesspool/Septic Tank Construction
Permit submitted by:
Davis Iszard for Mindvase LLC
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
wl 1-0
1' i �� ^`...rlc2
ELI2 si31.:� . , NZ:VI: ..1_. }} Town. Hall, 63096 Main 1tc>a
P.O. Box 1179
lim,Gi.6S`rRAR OF VITALS'E'ATISTICrS y , ? (1,3011thold, New York 1.1.9 71
MARRIAGE Zllst It, C?FT'TG ,Ii tiJ� �r Pax(631) "166-6145
RECORDS�4�AN AC �1�'.�? ��.NT OPTIC �Lti`i.4 f� �Y ��'elaphone (631}7676-1800 _
FIi.Ij,S+DOM OF INFO RMATION OF P�ICER / X�`�u if)' c3u#,►�olc�tc�� r2.norf,lxfcFc°��.xit;#
OFFICE FICA OFTHE`. TOWN C , K
TOWN OF OU"P IOLD
CONST[UXTiON or ALTERATION PERMIT
Resid6al:ial @ 10-1/./_- or Non-Rosident[.at @$25_ A.pp ioatiorz o. 970
Permit No.
pp lcarit Name Oovv f-s -S Zqs d...
App xcan.t Mailing address 16o2 w�_.o2��`�
Septic Tar :.Vl or cesspool -------
of Description of prop e'd t;orzstructron.or After~atzozr
ate_
:,ocation of Proposed Construction/Alteration:
owner Maifiiig Address:... �ye.,
of
Owner Property Address
___ .......
Nium and promo mcaber of contact person. �°S (-L) a-o/'Z7:�F -4
T'ax Nap No:
Cross of
NOTM LOCWHON MAT MUST BE SUBMITTED WITH APPLICATION. NEW
;C N `.1I .UC:TT N z {° -f.1: ,� ' `' ',AI,T PPkRT RNTAPPROVAL
r rratu rc o f : ato_
5UFVEY OE LOT 7 MPIN HOUSE INVERTS
NOT TO SCALE
N E NSA% FF E��VATICN 38.5
��MMIN F2::M LOCtJNG CAST
AS SHOWN ON A CERTAIN MAP ENTITLED"MAP OF AQUAVIEW PARK" A ImG�O015 `_OVEP TO GRADE
FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JULY 30, 1 37 1 or / GRADE EL=36.5
I��1 INV=34 I
AS MAP NO. 5G21 i -
INV=33.2 INV=33.6.1 14,PER'COT --I
51TUATE: EAST MARION
Ii8'PERFOOT i•i1000 GALLON I
>}I �L; SEPiiC TANK l
TOWN : 5OUT110LD
5UEEOLKUN N
9 LAND NOW OR FORMERLY OF:
SURVEYED 1 1 -20-2013 SETH KINMONT
AND NOW OR FORMERLY OF:
PROPOSED ACTIONS 07-3 1-2014 EDA SOHN
JERRY SOHN GREG PEPE
SUFFOLK COUNTY TAX # AREA CLEARED
1 000 - 22 - I - 1 0 BYADJOINEK
CERTIFIED TO: =a N890571401� .. I 25. 19 1
MINDVASE LLCsTA'KE SET
FIDELITY NATIONAL TITLE INSURANCE COMPANY / \�
CORNER UNDER PILES___/ ��
OF BRUSH CLEARED FROM LOT
OWNED BY KINMONT, Q AQr s � YM3
SOFIN 4 SOHN o o 0
,. ti o _ ��kt�S F 0 p3331,�d0
a�
ZO 589°57'40"W 125. 19'
ZONE R-40 . . _ o
COVERAGE CALCULATIONS — V
_
PROPOSED t10USE= 2,457 Sq0. Ft. or 5.3% W
PROPOSED POOL= 532 Sg. Ft. or 1 . 1% 4� o
PKOP05ED COVERAGE 2,353 Sq. Ft. or G.4% Q 1 —
MAX. ALLOWABLE 9,245 S_q. Ft..or 20% LOT 9
VACANT
DRAINAGE SYSTEM CALCULATIONS: '�
ROOF AREA-2,643 Sq.Ft. 'f'�",>
2,643 Sq.Ft.X 0.17=449
e -
4dFT 9/42.2- ,0.6 VERTICAL OF 8'DIA LEACHING POOL REQUIRED ( PIC.
PROVIDE(2)8'DIA.x 3 STORM DRAIN POOLS WO ED
M CALCULATIWOODED ilv `�L 0
EiA
DRAINAGE SYSTONS:
DRIVEWAY AREA=780 Sq.Ft.
780 So.Ft.X 0.17= 133
133/42.2=3 VERTICAL FT.OF 8'DIA.LEACHING POOL REQUIRED
PROVIDE(2)8'DiA.x 3' STORM DRAIN FOOLS q
.... _.. ._.._ ... .......__ A,,o p x tea.
NOTE:SITIf TOPOGRAPHY IS FLAT DRIVEWAY TO BE C5,
PITCHED TO DRMELLS AND TRENCH DRAIN TO AVOID
DRAINAGE FROM ENTERING TOWN RIGHT OF WAY. -
sy
Z
LOT 7
-' f ! P"/J�f r- PROP.
nl�A P SF
IC x,
f ,�� L.P. °�
l d
OLE
� tG rfl� SEPTIC
I,
FROM �
Test Hole
Surveyor
11-11-2010 27
-PR6�
Dark
I Brown OL D \ N' I j LOT 8
jl
Loam
11' I / �r DWELLING
Brown
PRIVATE WELL
} Sllty ML
i Pale
Brown i '
r
Fin
Toci
e I nR jI'.I1 SOF
/`� i�� •I O ,p
I Coarse 1 -"v 5.C \S
WELL
with 3 D. roo !I f
r�
10% N POP. 8 EMP JRCT rcxcc
Gravel f I � zit r,. rolcc EN5Tf�4NCE.N WELL t r�-�
17' 3 b__ w
COMMENTS: I I 1 15tocgxuP F Ta(
NO WATER ENCOUNTERED -
- i
SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL III / Oa SePrl ! '
�,� HAYBALE AN _ ATN�EDwv�l 51Li FENNCDaNlOGRo EL 37
..7—
0'2G0
D.W) g86°409 "�W
DG DRVEWAY
51iT Fp
i
O ,A/ POLE O r0
586 49'20�' ; p
UTILE
POLE
0 E'\ �—
N E30 EVARD EL-37'
EL=36' roadway
asphalt \/
_ - LOT 12
-- LOT 13
DWELLING
LOT 14 7DWELLING WELL50+ITIC
VACANT I SUBDIVISION MAP�AND WELL LOG FOR LOT 13
G 3 SHOW 40'+OF GROUND WATER WHICH ALLOWS 1
FOR REDUCED SEPARATION DISTANCES
1. SEPTIC
NOTED: J c hor.zed eita-t on or addition to a survey
op bear eq c censea land surveyors seal is a
MONUMENT FOUND v clotor of sect- 7209 sub-d v s on 2, of the
..
J O I—IN C e E I1 LE R5 LAND 5 U NV EYO� �� � & n Nev. York State Educator Law"
EL VATiONS SHOWN RIEF N.G.V.D. 1 929 DATUM, co �N LA n'
LOT VACANT ALL CONSTRUCTION PROPOSED. .,,____ __. _ __..._ \ sta p c sea shall be cons dered to be valid true'Only cop es from the ar g nal:of t ey
—ked w th an or ginal of the land is
F,.00R�INISti ELEVATfONS TO BE V LF _ r? e
._ '� .✓+� a � ' ropes.'
G EAST MAIN STREET N.Y.S. LIC. NO. 50202
Certifications nd ca.ed hereon sign"y that this
survey was prepared n occard°n ce h h
Area = 46,228 Sq. Ft. RIVERt1EAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 `` atrg Cade of Practice far Land Surveys spted
Area = I.OG 12 Acre-5 by,h„ New ark Store erfccAsIal'ator of Professional
. ry
�%� n Land Surveyors Sad cert`act ons s o r n only
Iong151andlandsurve_ or.com > o the person for whop rhe survey i prepared,
y 'J �'' and on n s behalf to the the campcny qa ernmen-
GRAPIIIC SCALE 1 4 .� 'v lal ege—y and lending Institution listed hereon. a
---"' 10 ;he ossigroes of the lending institu,on. CsrtL9co-
10-165 J tions are not transferable to addition i IslitItiell
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