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ELIZABETH A.NEVILLE,MMC may. �y Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
r� = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS %96 Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ��.` g �►� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD D CCCDdC
D
TO: Southold Town Building Department APR 2 5 2017
FROM: Sabrina Born, Southold Town Clerk's Office BUILDING Dom.
DATED: April 25, 2017 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4480 for a Cesspool/Septic Tank Construction
Permit submitted by:
Justin Nunemaker
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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD O 1 {JL�14Q� Application No.
ELIZABETH A NEVILLE,TOWN CLERK O
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alterafion
Telephone �,f%• ®� $10.00 -Residential
(631) 765-1800 J $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. L w
t
Fee $ �^ C)C)
DATE ®q 1A q � dVy
APPLICANT NAME:
APPLICANT ADDRESS:— TURA ! L-L RD
�UT+I 00)
SEPTIC CESSPOOL
DESCRIPTI N OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION ORnt ALTERATION:
OWNER OF PROPERTY: `�U�jl �iV �L�N�MA'K��
OWNER MAILING ADDRESS: U-1 LL RD
OWNER PROPERTY ADDRESS: Q�5 8E ' E- ATTIDa ,N1 1I�5�,
y TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section N Block � Lot
CROSS STREET: Vlo-ul-
BUILDING
PERMIT NUMBER CROSS REFERENCE:
o.
777
Signature of Applicant
RECEIVED BY: L-95
Town erk's Office
DATE:_��1� � 1
SURVEY FOR
JUSTIN J. NUNEMAKEN.
SURVEY OF PROPERTY-
SITUATE r
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-114-06-05
SCALE 1 =30'
JULY 18, 2016
DECEMBER 2, 2016 ADD PROPOSED HOUSE
TOTAL LOT AREA = 21,694 sq. ft.
0.498 ac.
TEST HOLE DATA CERTIFIED TO:
(TEST HOLE DUG BY MCDONALD GEOSCIENCE ON NOVEMBER 7, 2016) FIDELITY NATIONAL TITLE INSURANCE COMPAN
EL 25.5 D. JUSTIN J. NUNEMAKER
DARK BROWN LOAM OL
a 1'
BROWN SILTY SAND SM
3' NOTES:
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
PALE BROWN FINE EXISTING ELEVATIONS ARE SHOWN THUS:.XX,X
TO MEDIUM SAND SP 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 3 BEDROOM HOUSE IS 1,000 GALL01
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
EL B.5' • 17' 3. MINIMUM LEACHING SYSTEM FOR A 3 BEDROOM HOUSE IS 300 sq ft SIDEWALL
1 POOL; 12' DEEP, 8' dla.
/ EL 4.6' 20.9'
HIGHEST EXPECTED GROUND WATER 0
PROPOSED 50Y FUTURE EXPANSION POOL
TEST WELL No. USGS 405924072321501 S 39269 1 -
®PROPOSED B' DIA. X 12' DEEP LEACHING POOL
®PROPOSED 1,000 GALLON SEPTIC TANK
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
STEEL OR WOOD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
EXTRA STRENGTH FILTER FABRIC POST (TYP') 5. PROPOSED LOT COVERAGE = 2,310 sq. ft. OR 10.6% (MAX. 20%)
REQ'D. WITHOUT WIRE MESH SUPPORT
10' MAX. O.C. SPACING
W/ WIRE SUPPORT FENCE
6' MAX. O.C. SPACING
W/O WIRE SUPPORT FENCE
STORMWATER MANACEMENT NOTES:
'•' , FLOW 1. ANY WORK OR DISTURBANCE, AND STORAGE OF CONSTRUCTION
MATERIALS SHALL BE CONFINED TO THE LIMIT OF CLEARING
AND/OR GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS.
2. PRIOR To THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES,
ATTACH FABRIC SECURELY A CONTINUOUS LINE OF SILT SCREEN (MAXIMUM OPENING OF
TO UPSTREAM SIDE OF POST
U.S. SIEVE #20) SHALL BE STAKED AT THE LIMIT OF CLEARING
AND GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS.
vA ///////\//\/ �:t_\�/j//i// THE SCREEN SHALL BE MAINTAINED, REPAIRED AND REPLACED AS
SILT FENCE DETAIL. OFTEN AS NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL
NOT TO SCALE DISTURBED AREAS ARE PERMANENTLY VEGETATED. SEDIMENTS
TRAPPED BY THE SCREEN SHALL BE REMOVED AWAY FROM THE
NOTES: SILT FENCE SHALL BE PLACED PARALLEL TO SLOPE CONTOURS TO SCREEN TO AN APPROVED UPLAND LOCATION BEFORE THE
MAXIMIZE PONDING EFFICIENCY. INSPECT AND REPAIR SILT FENCE AFTER SCREEN IS REMOVED.
EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. REMOVED 3. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES,
SEDIMENT SHALL BE DEPOSITED TO AN AREA THAT WILL NOT ALLOW A CONTINUOUS ROW OF STAKED STRAW OR HAY BALES SHALL
N('E OFF-SITE TRANSPORT. BE STAKED END TO END AT THE BASE OF THE REQUIRED SILT
L✓�G \ONtrN R� SN r-- SCREEN AT THE BASE OF THE REQUIRED SILT SCREEN. THE BALES
20� p�PPOLTOG 36" HIGH POLE (MAX.) SHALL BE MAINTAINED, REPAIRED AND REPLACED AS OFTEN AS IS
STEEL OR WOOD POST NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL DISTURBED
AREAS ARE PERMANENTLY VEGETATED. THE AVERAGE USEFUL LIFE
SLOW OF A BALE 15 3-4 MONTHS. SEDIMENTS TRAPPED BY THE BALES
_'HALL BE REMOVED AWAY FROM THE BALES TO AN APPROVED
UPLAND LOCATION BEFORE THE BALES THEMSELVES ARE REMOVED.
4. STRAW BALES SHALL BE RECESSED TWO TO FOUR INCHES INTO THE GRO
5. SILT SCREEN SHALL BE RECESSED BY TRENCHING SIX INCHES INTO THE
B ONATDE SPAND G
PROPOSED T EMPTY INTO DRYWELLS SHALL BE INSTALLEI
7. ALL PROPOSED SWIMMING POOL DISCHARGES SHALL BE DIRECTED TO DRY
8. PROPOSED DRIVEWAYS MUST BE CONSTRUCTED OF PERMEABLE MATERIALS
OR IF FFROM BEING�DISCHARGIEDBE EONTIOT THERROAD EORUOFF--FFICI SN E TO PREVENT RUN
4W/ COMPACTED 9. ALL AREAS OF SOIL DISTURBANCE RESULTING FROM THIS PROJECT SHALL
BACKFILL SEEDED WITH AN APPROPRIATE PERENNIAL GRASS, AND MULCHED WITH S1
IMMEDIATELY UPON COMPLETION OF THE PROJECT, WITHIN TWO (2) DAYS
FINAL GRADING, OR BY THE EXPIRATION DATE OF THE BUILDING PERMIT,
TRENCH DETi1IL WHICHEVER IS FIRST. MULCH SHALL BE MAINTAINED UNTIL A SUITABLE
(NOT TO SCALE) VEGETATIVE COVER IS ESTABLISHED. IF SEEDING IS IMPRACTICAL DUE TO
TIME OF YEAR, TEMPORARY MULCH SHALL BE APPLIED AND FINAL SEEDIN(
PERFORMED AS SOON AS WEATHER CONDITIONS FAVOR GERMINATION
AND GROWTH.
HAY BALES 10. SUITABLE VEGETATIVE COVER IS DEFINED AS A MINIMUM OF 85X AREA
2"x2" STAKES VEGETATIVE COVER WITH CONTIGUOUS UNVEGETATED AREAS NO LARGER
(TWO EACH BALE) THAN 1 SQUARE FOOT IN SIZE.
FLOW 11. ALL CONSTRUCTION ACCESS WAYS SHALL BE RAISED SUFFICIENTLY AT TH
COMPACTED GRADE SITE ACCESS LOCATIONS WITH THE EXISTING ROADS, TO PREVENT RUNOFF
BACKFILL OF WATER, SILTS AND SEDIMENTS FROM BEING DIRECTED OR DISCHARGED
DRAINAGE THE ROAD. A NON-LOAM BASE MATERIAL, SUCH AS CRUSHED STONE, G1
SL INLET OR RECYCLED CONCRETE BASE, SHALL BE PLACED ACROSS THE DRIVEWAY
\ CONSTRUCTION ACCESS WAY AT THE ACCESS POINT ALONG THE ROAD.
v' BALES TO BE SET
IN 4" TRENCH •� _ - -
ELEVATION -� ,•. _, y:�`E` ^',-='r ii "-r;;��^�• T, I rAEPAF ED IN ACCORDANCE WITH THE MINIMUM
�•.^ f.d"•�•:` ,C •Si V. YeX:.''—>u)'t:i 3;.i�.N LC �
HAYB LE BARRIER ® INLET � vu�t J��•d r. STANDA�DS FOR TITLE SURVEYS AS ESTABLISHED
BY THEI L.I.A.L.S. AND,APPROVED AND ADOPTED
(NOT TO SCALE) pi rr gt�r3:'_ i=i"c=�crt7 e_<-��a`t ,`' _ ? =I ``��; FORR SQCH
SOC USE
BY TE NEW Y 4AND
House trap/cleanout must be installed cY a;;:- sr�-; $�u'_ == :TCL N.
0'� ��,
on the septic tank inlet wasteline.All T�� ;e �� 1AFT L.
utilities require a 5ft minimum 'Vo 2Q - _ ' .�'"` u.
separation to the septic system. _ iL�i�3--; � "�"`e
BEDROOMSTYPICAL STORMWATER UNITf
+ {
rE:,o 'da'�.�,�T�#�:>rSfS�SAFES FR�.i �i�, OF� L�� d>'�p�.c`�.V:�,�
(TOPS TO BE TRAFFIC BEARING)
(NOT TO SCALE) L �L7)/,��,,,�
CAST IRON INLET FRAME & COVER (FLOCKHART #63518 TYPE 6840) LAND Lic. Nc
FINISHED GRADE OR 6'THICK REINFORCED CONC. COVER
RAFFIC BEARING SLAB 1_0. UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 72LA OF THE NEW YORK STATE Nathan Taft Corwin
PIPE FROM ROOF CUTTERS EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED
CRUSHED 3/4' - 1-1/2'STONE TO BE A VALID TRUE COPY.
ALL AROUND
CERTIFICATIONS INDICATED HEREON SHALL RUN
LEACHING RINGS ONLY TO THE PERSON FOR WHOM THE SURVEY
REINFORCED PRECAST CONC. IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
3'-0' 4000 PSI ® 28 DAYS 3.-0. TITLE COMPANY, GOVERNMENTAL AGENCY AND Y
LENDING INSTITUTION LISTED HEREON, AND Joseph A. Ingegno L.S.
4' (min) TO THE ASSIGNEES OF THE LENDING INSTI- +
TUT10N. CERTIFICATIONS ARE NOT TRANSFERABLE. Title Surveys - Subdivisions - Site Plans - Construciion L
PHONE (631)727-2090 Fax (63T)727-1
N+E THE EXISTED, IF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDREL
AND/OR EA�'.:m.`TS OF RECORD, IF 1586 Main Road P.O, Box 16
GROUND WATER ANY. NAT CNf1WN ARG NAT rIIARANTrrn ,. 11 , .....- . ,.• .. .
�G SER
ISED WHERE TOPSOI ECESSARY FOR NOTES:AREA CHOSEN FOR STOCKPILING OPE.. S
qG & VEGETATING C ED AREAS. SHALL BE DRY AND STABLE. S
%RY STOCKPILE STABILIZATION MEASURES INCLUDE 2. MAXIMUM SLOPE OF STOCKPILE SHALL BE 2:1. VSE
IVE COVER, MULCH, NONVEGETATIVE COVER, AND 3. UPON COMPLETION OF SOIL STOCKPILING, EACH
tAL SEDIMENT TRAPPING BARRIERS. THE PILE SHALL BE SURROUNDED WITH EITHER SILT
ATION MEASURE(S) SELECTED SHOULD BE FENCING OR STRAW BALES, THEN STABILIZED WITH
!TATE FOR THE TIME OF YEAR, SITE CONDITIONS, VEGETATION OR COVERED.
IUIRED PERIOD OF USE. 2
SLOPE OR LESS
ENTIRE PILE
TATION OR COVER VSE`' Pvg
N
\V
y 03
c1 Z
9�A
STRAW BALES OR SILT FENCE
SOIL STOCKPILE
(NOT TO SCALE)
•o
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VolCO,06 ctiS USAN D'
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02
50' MIN. ^ O ��
OR TO BE SUFFICIENT TO
KEEP SEDIMENT ON SITE ytl
HAY BALES AND/OR
W! SILT FENCING YY
0
w I
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0 {..______ -- _________ I
I Q
HAY BALES AND/OR
SILT FENCING
DRAINAGE SYSTEM CALCULATIONS:
PLAN VIEW DRIVEWAY AREA: 1,200ft.
1,360 sq. ft. X 0.17 = 231 cu. ft.
204 cu. ft. / 42.2 = 4.8 vertical ft. of 8' dia. leaching pool required
PROVIDE (1) 8' dia. X 6' high STORM DRAIN POOLS
ROOF AREA: 2,310 sq. ft.
ROAD EXISTING GRADE 2,310 sq. ft. X 0.17 = 393 cu. ft.
393 cu. ft. / 42.2 = 9.3 vertical ft. of 8' dia. leaching pool required /
H�BALESAND/ORr PROVIDE (2) 8' dia. X 6' high STORM DRAIN POOLSSILT FENCINGCTION EfITRANCE BASE OF , ,
COMPACTED 3/4 STONE BLEND PROPOSED 8 DIA. X 6 DEEP DRYWELLS WITH GUTTER LEADERSFOR ROOF RUN-OFF (••
OR N.Y.S. D. T.APPROVED R.C.A.
FILL TO 18' MIN.ABOVE EXISTING
GRADE TO ALLOW FOR DRAINAGE
CROSS SECTION PROPOSED 8' DIA. X 6' DEEP DRYWELL WITH OPEN GRATE FOR DRIVEWAY RUN—OFF (:Q
TEMPORARY CONSTRUCTION ENTRANCE
(NOT TO SCALE)