HomeMy WebLinkAboutFahrmann ELIZABETH A. NEVILLE,MMC �y0 Gy Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
C= a Southold,New York 11971
REGISTRAR OF VITAL STATISTICS � ® . Fax(631)765-6145
MARRIAGE OFFICER � a0e' 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 D
DFROM: Sabrina Born, Southold Town Clerks Office NOV 3 2017
DATED: November 3, 2017
BUILDING G T)F,".
RE: Cesspool Construction Application TOWN OF SOU HOLD
Transmitted herewith is a copy of application No. 4535 for a Cesspool/Septic Tank Construction
Permit submitted by:
Tom Samuels for Marill& Fahrmann
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 to ation 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
ELIZABETH A.NEVILLE �`Z` G� Town Hall, 53095 M�?'n Road
TOWN CLERK p P.O.Box 11791
W Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS w � Fax(631) 765-6145
MARRIAGE OFFICER ®/�i � � Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER ��l �a
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 V/or Non-Residential @ $25 Application No. Sas
Permit No. O —1 U — o °90
Applicant Namegx"
Applicant Mailing Address •
adK4�
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration C2�i A el L r&A
,
11.4 gz.A�bMA
Location of Proposed Construction/Alteration:
Owner of Property:; � lC �
Owner Mailing Address: V1 Q� j
Owner Property Address: Z.00 44kakde
Name and phone number of contact person r dd,
Tax Map No: Section Block Lot 7,3
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signatur .of Applicant Date
r
Received by: V
1 � 1
existing x exist) g existing T SEPTIC REVISIONS:
LAND N/F neighboring `� nelghb ring �� neighboring FOR A 3 BEDROOM RESIDENCE AND POOL HOUSE TEST HOLE 3110116
OF W01I �, W911 ��� sanitary - PUMP STATION(P5) E/ONE DHO71 SERIES BY MARK McDONALD GEOSCIENCE
" E DATA 91,9"'
JOHN M. BREDEMEYER III system GRINDER PUMP WITH E/ONE SENTRY ALARM SOUTHOLD,NEW YORK 11971 SCTM
BEVERLY A. BREDEMEYER LAND N/F OF PANEL ON RESIDENCE BASEMENT WALL TEST HOLE DATA 1115115 ELEV.+108 PROPERTY,
l000•z7C-z3
existln JOHN & JAY McKASEY - 1200 GAL SEPTIC TANK(5T) PROPERTY ORI ORCHARD STREET
9 RESIDENCE WITH ADDRESS ORIENT,NY
RESIDENCE WITH 1 o DARK BROWN AM Lneighboring WELL & SANITARY SYSTEM (4) 8DIA x 4HIGH LEACHING POOL (LP)
OWNER' MARIA MARILL&BRIAN FUHRMANN
sanitary d3 WELL & SANITARY SYSTEM - FUTURE LOCATION FOR(2) V DIA x 4' BROWN SILTY SAND SM 3201 VISTA DR.,MANHATTAN BEACH,CA
B Btpm SITE: 40,547 SF=0.93 AC
14 13 ' HIGH LEACHING POOL (EXP)
/ \ + BROWN FINE TO COARSE ZONING: R80
I N22.56'30 E 1 1 2 PALE BROWN FINED WITH 10% RAVEL SW SURVEYO KEN WOYCHUK
12 264.26' TO COARSE SAND SW P.O.Box 153
\ I PROPOSED NEW i in— -- WATER IN PALE BROWN Aquebogue NY 11931
UNDERGROUND WATER LINE \ FINE TO COARSE SAND SW 631298 1588 V
/ LICENSE# 49273
x FROM WELL TO HOUSE O / LP p LP EXP 12 COMMENTS:WATER ENCOUNTERED 9.8' DATED 10-27-2015
5 1�1 O BELOW SURFACE,ELEV 10- Elevations based upon NAVD(1988), W
!lj
554' I$'1 USC&Gs atum Q }
N SANITARY GLEAN OUT 0) �_ _ Z
150 FEET RAD +118' 56' +11.5' P C' - a., LO ATION MAP
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25' I"roar 25' 45' LINE F OM HOU TO :3 EDROM5 N
exI ting �� °T°� OP05ED E,4.6 F DEEP V
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w� ¢ OUT I GLEAN OUT _ ' PARKINiS 11 JEFFERY WEISS
OLD FARM RD. Q
GLEAN BUILDING STRUCTURE WITH CC
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w� w D- PROPOSED NEJA UNDER& / NEW'G RAGE EXISTING EL + 10.
=w NO BA E Y +11.9' GRAVEL
YYY N pp
D_3 SANITARY Llh (G TY FEED)
FROM G TO RE5IDENCE 1-5 DRY DRIVEWAY N
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To AL 5 5= GRAVEL
22'55'30"E
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11 PROP05EP NEW UNDERGROUND DRYAELL5 PROP05 NEW UNDERGROUND DRYWEL ITH \ 428.10' w•
FOR 5TORMWATER RUNOFF FROM BUILDING METAL IN T GRATE FOR STORMWATE 11 a l-
TRUGTURE5 ' RUNOFF FR M DRIVEWAY SURFACE w N• -
/ existing SITE PLAN ,0%4 &W CLEY k
neighboring ,� „exI In� well x SCALE: 1 30 -0 s &•SAM
neighboring LAND N/F OF
existing CO
!` Q-
JOHN A,&-DIARE-S.-PRI2@MM � _ /
RESIDENCE WITH _ I Y neighboring 0 _ 0 p
WELL & SANITARY SYSTEM — — — �_ �. \ we I * Pi Approved ®��' � 3 = o �
10 existing S / POJ C
neighboring 10 {.� T NO:
1516
ALARM PANEL.YV/ sanitary WN BY:
ELECTRIC LINE TO PUMP system TE E� UT
RESIDENCE FIRST FLR EL+14.0 FT _ -
POOL HOUSE FF EL 12S PT BASEMENT PLR EL+5.0 FT _ C TS
PUMP STATION IN BASEMENT OF RESIDENCEFyrp t ?N�J3�I �d @ ��� i ,61� Hfl�-
EL 12.4 FT I D •
LEAN our &RADE EL 11.8 FT. CLEAN OUT EL ODU r 118 FT. T : q,� b'C'U;�STRUrP-�6��•� � a 2/4/1
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LEAN our _ .�����i`���;��. ��:,�
GRAM LINE ELEVATION±11.8 FT. �a Yz=y 4" �{ roa�� 1"=30'_o"
0 I'MIN.2'MAX. j �'1 " G rf ilvlwl R' c-i�,"N�,p Q'Y SHEET TITLE:
PUMP I/4 180/FT. TOP OF o0 ; - , ECEIVE"p SITE
STATION PLAN
' TA�NIGC LEPA0C0FfLN6 t 4 -�P�-�.�� y<Ki� (B
IE. +11.3' IE. +102"1' E.+qSS' BOT• POO 5.8 FT. 4� �re saga y "=,; -__K SEP 2
IE.+8.4' IE. +10.05' IE. +q.4'7 'O` '' �'' - ���� SHEET NO.
6R0UND KATER I.OFT. HIAL
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3'MIN
SEPTIC PROFILESCDHS SUBMISSIO
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(N.T.S.) - — SCDHS REF # R10-16-0020