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Home My WebLink AboutAndreadis O �OgtaffOLArC-o ELIZABETH A.NEVILLE,MMC may® e/ Town Hall,53095 Main Road TOWN CLERK � P.O.Box 1179 C Southold,New York 11971 REGISTRAR OF VI`T'AL STATISTICS p ® g 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 d TOWN OF SOUTHOLD Q TO: Southold Town Building Department SEP 6 2011 FROM: Sabrina Born, Southold Town Clerk's Office HtT ,DJNG DEP°r• DATED: September 6, 2017 TOWN OF SoUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4516 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Higgins for Nick Andreadis 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 SiVDate nature ELIZABETH A. NEVIL,L,E,MMC Town Hall,53095 Main Road TOWN CLERK a P.O.Box 1179 CA at Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %1" Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE T�7 ATHWN CLE TOWN OOFSOVOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: September 6, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4516 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Higgins for Nick Andreadis 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 F FOz 0 ELIZ BETH A. NEVILLE ,`�� G Town Hall, 53095 Main Roa, TOWN CLERK q P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �y rrr MARRIAGE OFFICER r ` Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER ��o� �OTelephone (631) 765-1800 FREEDOM OF INt<ORIvI_ATION OFFICER southoldtown.northfork.nef OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD N} aj:) uPA01 PlOW11S SOUTHOLD WASTEWATER DISTRICT APPLICATION « a co CONSTRUCTION or ALTERATION PERMIT 03A1303"d CESSPOOL or SEPTIC TANK Residential @$l O or Non-Residential @$25 Application No. . Lt. 6 s, Pori-nit No.C/0- f 7 A Applicant N., Applicant.Mailing Address Septic Tank�or Cesspool Brief Description of Proposed Construction or Alteration ] Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: TM� :s I P� Owner Property Address: Mame and phone number of contact person �wg `i� 1� K = M➢ Tax Map No: ( o c' Section c/ Block er Lot Cross Street _ ' NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION +QUME S SURVE Y H +ALTH DEPARTME NT A-PPROVAL Signature of Applicant Date Received by: SURVEY OF: TEST HOLE DATA PROPERTY LOCATED AT NEAR ARSHAMOMOGUE RES W/ PUBLIC WATER: (NOT TO SCALE) SEPTIC BY: ROY K. REISSIG, PE TOWN OF SOUTHOLO APRIL 8. 2017 a9:30 AM SUFFOLK COUNTY, NEW YORK N0'�, �0.0'-0.2' TDP SOIL PT S.C.T.M, # 1000-44-3-1 _ p� A W 0.2'-3.0° BROWN SILTY SAND SM AREA = 112.500.0 S F. = 2.5826 ACRES EDGE Op- p^�e'rENT EWATERG R' 4 8 0� x o < 3.0'-8.0' SADARKBROWN ND a GRAVEL SP SCALE: I"=60' S 76°03,10 SERVICE n w O NOTE: THE EXISTENCE OF RIGHT OF WAYS. E 8.0'-10.5' PALE BROWN SP WETLANDS AND/OR EASEMENTS OF RECORD `�0�•00� WATER GRAVELLY SAND IF ANY, NOT SHOWN ARE NOT GUARANTEED. IdwMETER >> ONO 10.5' 17.0" WET BROWN SP ELEVATIONS REFER TO 1968 NAVD POLE _ SAND M GRAVEL 14 M, c; e' MIN Do • ti 0 TEST HOLE 10' 8 DIA 20' 8' DIA 20' MIN. LAND N/F ® EL 13.0 PIPING SEPTIC TANK PIPING L.P. GRADING� IOAN ISNTS�IMIS OQo�Py 14 1198. CLEANOUT DETAIL 15.50J SLATE OR OTHER Q Q1 FF. EL. RES W/ PUBLIC WATER 127.7, h END PLUG STOPPER OR SUITABLE COVER 76' . W LOCKING CASTING fl SEPTIC 2' 22.2 2 STY .a15 TO GRADEEG FIR RES PROP. GROUND `am GRADE `gym S AREA OF 3 BEORQOMS• 12------- I' •-•-•. - w f� 1' MIN 1' MIN AREA OF PROPOSED 16 �V EXISTING .FF'•EL a SANITARY SEWER PIPE PITCH r 2' MAX 4• DIA 2' MAX FILL \ Q� 15.5 r„ > CH q 45- '.3.r'5 P OPOSED MIN ♦ �LI EXISTING SANITARY TO BE 13.65 4'DIA EPTIC TAN O O D T .e S - •- ELBOWS i/8 0 0 � o Oo w 9_•. �4 ABANDIONED 8 REMOVED NIL 0 0 o C3 = `` (D 2 �iE,j. ''y.•y,.......... -..,.. �J 45 v,� 0 3,0' 0 L/E.IdY"t' �`•`.-�•...-.. ..a.�J,..,,t� COY ELBOWS �< COLLAR m? SOA• COLLAR a 3.52•\ i - ^�lr* ••«...„„ P, HOUSE TRAP/CLEANOUT MUST BE INSTALLED a< BACKFILLM[TH HIGHEST T�'1� JN ! +("?7�, `"�" h° '�•�•._,;,^ '°�'I ON THE SEPTIC TANK INLET WASTELINE. �= CLEAN SAND AND GROUND WATER EXPECT GRAVEL MATERIAL 2 i `' 'i` ''i-'' �•"`-.._.. "`! IF INSTALLED AT EXTERIOR EL 2.5 GRD. WATER .. ' +'I.<rt €` °dJ`o .f?;1'd'`"'iX�t-e_ -.._ 1 5 X1[1 � t �kF� �" IT MUST 8E INSTALLED TO GRADE. ALL fi�9r , ,M T U ; �.i? 1 J ti UTILIES REQUIRE h 5 FT MINIMUM SANITARY SYSTEM DETAIL Z2cn 3 1t t = Gr p r�1,lY U SEPERATION TO THE SEPTIC SYSTE D 4 ti F�=-L; ) =r Ft�^ / ..�,L4 y''L 4U f q'U C7Q Lues 10 64�i LOCKING CASTING Q cl TO GRADE �P? J { 1 '` <.a$rj Y I> �:" L.,,.:. ''=- p c _ .. Elf n le +'d f_ Lu C.•,� "mak: �i .t,; '"' Z If) ((�Q) Lug FINISHED ® ' 24' 1' MIN. 24" 6' MIN 70P GRAbE'� 2' MAX. SLAB 1/4'PITCH 20' 20" y 14 U k I t, i, J, r INLET V MIN. 4. OIA MIN. !�� ,g "'"°`^^. tis �`; ! (� FROM SEP IC TANK ® 2°MAX. ;m, . CLASS 240 ® w �t@ v r -x ti3 cl PIPE 0 "�� w .-I m !/ $�€ws '"'"�..," _ ,.a`1•":r Jn',"AMIN OR EQUIVALENT z��< r 9"PITCH , ClgC X Cr +j1 0 0 Q Cl uj m X96 CLASIA MIN. f�R '� �t L uh 17-1 O ODR PIPE 400 LAND N/F f' G31` 1 `d2 tp5 N p r� —8.0 DIA LEACHING POOL a9 --- EQurvALeNT PENKA L GIBINSKA B.0'DIA � I 1 SISI t,Y en 0 rr>, RES W/ PUBLIC WATER tae €�j f W ROSSOVER PIPES 9 7: BACKFILL WTH SEPTIC TANK 8. SEPTIC ;; \ s CLEAN SANOIANO in� ® Eq 8' DIA yips CONC. ,' I Z tl' h- GRAVEL MATERIAL GROUNO WATER W MON. qLL z 3.5 `h TYPICAL 1500 GALLON SEPTIC TANK U GHEST EXPECTED �a HY TYPICAL SANITARY LEACHING POOL GROUND WATER ctrAt (N.T.S.) HOUSE DETAIL 76 00 U,AllT ALTERATION ADDITION TO THIS SURVEY A VIOLATIONVIOLATIONI• = 40" 0 (3�'.20'°W SURVEYED B Y: OF SECTION 7283 OF THE NEW YORK STATE ED=TION LAW. CVD O>V 0 a CONC. 0 COPIES OF THIS SlBNEY MAP NOT SEARINS THE"NO GmVEYORS INKED I$ALE TRLIE COPY . PORCH MON. PAUL B A R Y L S K I LAND SURVEYING OR GUARANTEES R CERTIFICATIONS SEAL SMALL TEDBE �i�af auLL ONLY � I 2°$ m � tY RA �€ (('''^ /''y 9 9°�°� THE PE.RMN FOR KIM THE SURVEY IS PfEPAREM AM ON HIS BEHALF TO � /2.g� -�.._. @� ea ,� P A TC H O G U E (N'1 Y 1 1 r" I 2 THE TITLE MANY.GOVERNMENTAL ABY AND LENDING INSTiRIrMYd 9.9 2 Sr PHONE 6 3 1-'2 9 4—6 9 8 5 LISTED HEREnma ORN.C E7 TO ATI ASSIGNEES OF THE LERABL.INSTITUTION. -R. ORY W ". FAX 631-627-3186 raleRAHIELs a:CEHTTffri•.ATTWS ARE NOT TTAr1WERnsLE ro aoDrTruMu- � Rrs �-n,u mNS OR SWiSEOLENT Rs IV 2 LAND N/r I's co 11.8 SOUTHOLD VENTURES INC CERTIFIED T0: w s.g i'�raa PAULBARYLSKIaYAH00.00M KATHERINE ANDREADIS m 1�,� m VACANT NIKOLAOS ANDREADIS DECEMBER 1, 2816 HELEN ANDREADISa3� Ba 78Z OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY 239E3-1 ` 4-1D' 2C1 : T0P0 PROP. SANITARY SYSTEM --- tAN 7-117-2017: REVISE SURVEY