HomeMy WebLinkAboutGibbs ® ®G,y Town Hall,53095 Main Road
ELIZABETH A.NEVILLE,MMC �Z� .� P.O.Box 1179
TOWN CLERK y Z Southold,New York 11971
Fax(631)765-6145
REGISTRAR OF VITAL STATISTICS �®A �0�� Telephone(631)765-1800
MARRIAGE OFFICER �� �, www.southoldtownny.gov
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE� To EouTOWN
xo�D CLERK D [EC[EUVR
_o-D
---.-
TO: Southold Town Building Department
AUG 2 2 2017
FROM: Sabrina Born, Southold Town Clerk's Office BURMING DEPT.
TOWN OF SOUTHOLD
DATED: August 22,2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4510 for a Cesspool/Septic Tank Construction
Permit submitted by:
Kim Gibbs
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 1 tion map of the project cited above and make the following
recommendations:
i I APPROVE
DISAPPROVE
Comments. Final approval required from the Suffolk County Health De artment
I
I ~
i
i Signature
i
i II Dated
i
i
ELIZABETH A. NEVILLE,ITC Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
CA Southold,New York 11971
REGISTRAR OF VITAE STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE F THE
TOWN CLERK
TOWN
VV 1V OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: August 22, 2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4510 for a Cesspool/Septic Tank Construction
Permit submitted by:
Kim Gibbs
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
�z
ELIZABETH A. NEVILLB �`Z`� ��� Town Hall, 53095 Main Roa,
TOWN CLERK to P.O. Box 1179
Southold New York 11971
REGISTRAR OF VITAL STATISTICS �y.
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ���� ��� Telephone (631) 765-1800
FREEDOM GF'1NE40FIMATION OFFICER � � �` southoldtown.northfork.nef
\ OFFICE OF TIDE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
`o APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10>� or Non-Residential @$25 Application No.11,5/0
Permit No.
P P
i
Applicant Name
Applicant Mailing Address
Septic Tankor Cesspool
Brief Description of Proposed Construction or Alteration &tW �) rl �Y- U,�
Location of Proposed Construction/Alteration:
Owner of Property: �
P fY�
Owner Mailing Address: ``)
Owner Property Address: t
Name and phone number of contact person k'k /
Tax Map No: Section IS
Block ' Lot
Cross Street I cit Ur 1 Q y-
NOTE: LOCATION ST BE SUBARTTED WITH APPLICATION. NEW
CONSTRUCTION REQ +S SURV .YH AI.TH I) P _. PI' NT APPROVAL
Signaturof Applicant Date
Received by: _— __
SURVEY OF PROPERTY
SITUATED AT
s
SOUTHOLD 81,
TOWN OF SOUTHOLD =.3
SUFFOLK COUNTY, NEW YORK
4�
S.C. TAX No. 1000-78-09-34.1 Qtiw :
SCALE 1 "=50' q:' �� ss77' \ �ipxrgR ^/O
QE, v x 00„
SEPTEMBER 4, 1998
JUNE 27, 2017 UPDATE SURVEY AND ADD PROPOSED HOUSE
JULY 30, 2017 REVISE PER S.C.D.H.S. NOTICE DATED 07/25/2017 \ g 3 pJ \
AREA = 50,979 sq. ft.
1.1 70 ac. 44,.1 W 3 \ \
CERTIFIED TO: W ro \
F
KIM GIBBS
o mG 4�Ux2aa /
NOTES: y4 Nkf�01.
�oc� k
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM hi s- .9 0,
EXISTING ELEVATIONS ARE SHOWN THUS:xx.x pocoFpp F ?° / \\
2. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,000 GALLONS. N>Z rr(pow q
6
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP q MesFFrNrNr / 0230�oapRop °P
3. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. y 6 1. 4/ tic Fq�FoosF
2 POOLS; 6' DEEP, 8' dia. \� tie A / ST�ckprT� �I N6�3z�or HN e\
PROPOSED EXPANSION POOL Cleanout must be installed on the
®PROPOSED LEACHING POOL p4 �W poRcN / septic tank inlet waste line. All utilities
®PROPOSED SEPTIC TANKBos ` Fpz'sos // require a 5ft minimum separation to
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD o �� GF�oR�Ra�F. / /r / the septic system.
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 220x p<z2ss p
5. PROPOSED LOT COVERAGE = 2,376 sq. ft. OR 4.7% OF LOT AREA
(INCLUDING HOUSE, PORCHES, DECK & CELLAR ENTRANCE) V x2U 04 - o ce
DRAINAGE SYSTEM CALCULATIONS:
DRIVEWAY AREA: 1,800 sqft. /
1,800 sq. ft. X 0.17 — 306 cu. fi.
306 cu, ft. / 42.2 = 7,2 vertical ft. of 8' dia. leaching pool required F�� "• \ / �� aJ�
PROVIDE (2) 8' dia, X 4' high STORM DRAIN POOLS 14
ROOF AREA: 2,185 sq. ft. 4•Gj0 '�r` ° •._rr °'n."5, / / O'$'4J"
2,185 sq, ft. X 0.17 = 371 cu. ft. 0"
371 cu. ft. / 42.2 = 8.8 vertical ft. of 8' dia, leaching pool required Nor g`9 2W /
PROVIDE (2) 8' dia. X 5' high STORM DRAIN POOLS j++ Q;/
U
PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: r�r
FSCs co ir'/ /vf'+D
y� x24.3
�= PUe TESr HO
PROPOSED 8' DIA. X 4' DEEP DRYWELLS FOR DRIVEWAY RUN—OFF ARE SHOWN THUS: �� c wq,�,R /�o -�-xD i /
TEST HOLE DATA 3
PREPARED IN ACCORDANCE WITH THE MINIMUM 0
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED (TEST HOLE DUG BY NATHAN CORWIN L.S. ON MAY 26, 2017)
BY THE L.I. OV$ AND ADOPTED �1V o �'p� �50� / •0
FORS E-BY THE NEVV K STATE LAND
a EL. 20.3' YY •> /
TIT sotTIOr 0. � _ FpC O�
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#�" 8� ��ye„{� q, DARK BROWN LOAM OL � PMe� e f 0
�rPR' gl2'�y om N�
pp�� pp ��pp j NST F4'r
":✓ �� 1'� k1 C,d BROWN SILT Mt.
—2.s 238
0
PALE BROWN FINE ANT +,D• ,,,,_, - /��
TO MEDIUM. SAND SP o a a,., +^`Q"'""h' ,C•/"'
f
t EL t 4.0/.
HIGHEST EXPECTED GROUND WATER p',ry
f 1 TEST WELL No. USGS 410234072243607 S 53328.1 ',g¢ �"OL141 CID,
t EL-3 4' i6.9 777 Cae
2
GROUND WATER PER TEST HOLT WATER In PALE BROWN -f '�
Lic. 668 MEDIUM SAND SP s+ s x t a
\\ TO
,'tr•, �,.�t: UNAUTHORIZED ALTERATION OR ADDITION
' TO THIS SURVEY IS A VIOLATION OF 1
''�.. SECTION 1209 OF THE NEW YORK STATE
Corwin 111 COPIES F LAW. AUG 5
COPIES OF THIS SURVEY MAP NOT BEARING ,�""""`� � � I �'"'" ar.E
to 4 ?, F
THE IAND SURVEYOR'S INKED SEAL OR - '- `"`+ i t E -
NejN ,
EMBOSSED SEAL SHALL NOT OE CONSIDERED g y F' i
Land Surveyor TO 8E A VALID TRUE COPY e 2 ; �' .` ^+rpt
CERTIFICATIONS INDICATED HEREON SHALL RUN -z�, g / +
JUL
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE t } ' 8
Title Surveys -- — — TITLE COMPANY, GOVERNMENTAL AGENCY AND (E
y Subdivisions Site FIanS Construction Layout LENDING INSTITUTION LISTED HEREON AND
TO THE AS
OF THE LENDING INSTI— 55
TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE (
PHONE (631)727-2090 Fax (631)727-1727 p y gp 4� o' 1
THE EXISTENCE OF RIGHT OF WAYS 6;,'1 F 1T�
Of LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF feF f` (°(., r,'
1586 Main Road ANY, NOT SHOWN ARE NOT GUARANTEED. @ a
P.O. Box 16 ����
Ja mesport, New York 11947 Jamesport, New York 1194)