HomeMy WebLinkAboutBurrascano ELIZABETH A.NEVILLE,MMC Off. �(j Town Hall,53095 Main Road
TOWN CLERK y� P.O.Box 1179
o Southold,New York 11971
REGISTRAR OF VITAL STATISTICS y � Fax(631)765-6145
�®
MARRIAGE OFFICER AOff. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �O,` �� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD RIEC[EOV[E
n
TO: Southold Town Building Department NOV 1 5 2017
FROM: Sabrina Born, Southold Town Clerk's Office BUELDINODEPT.
TOWN OF SOL-MOLD
DATED: November 13, 2017
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4542 for a Cesspool/Septic Tank
Construction Permit submitted by:
Jasmine Okeefe for D & J Burrascano
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:
Signature
`� �a
Dated
off/ Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE
TOWN CLERK p P.O. Box 1179
CA Southold, New York 11971
REGISTRAR OF VITAL STATISTICS S Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ��01 �aO� Telephone(631) 765-1800
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 /or Non-Residential @ $25 Application No. 4<4;'—
p Permit No.
Applicant Name
Applicant Ma' g Ad !ss
a 9� I I q�o
Septic Tank or Cesspool
i
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Da,
Alteration:
Owner of Property: dC
Owner Mailing Address: kqV& y,(,/
Owner Property Address: v
Name and phone number of contact person
Tax Map No: Section Block 6S Lot
Cross Street WaA
NOTE: LOCATION MAP MUST BE SUBMITTED NITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY T H DEPARTMENT PROVAL
Signatu o pplicant ate
Received by:
SURVEY OF PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, MY PROPOSED RAIN RUNOFF CONTAINMENT
1000-54-05-45.4
HOUSE = 1664 SQ.FT.
SCALE. 1- 50' � GARAGE = 960 SQ.FT.
APRIL 7, 2015 2624 SQ.FT.
MAY 12, 2015 (B.O.H.) LANDWARD EDGE OF FRESHWATER WETLANDS AS DETERMINED BY
2624 x 1 x 0.17 = 446 CU.FT. CA
UFFOLK ENVIRONMENTAL CONSULTING, INC ON MARCH 24, 2015
FEBRUARY 14, 2017 (PROP. HOUSE)
MARCH 1, 2017 (CERAFlCAAOIVS) DRIVWAY PERVIOUS = 1590 SQ.FT.
MARCH 30, 2017 (REVISIONS) 662
x 0.8 x 0.17 = 216 CU.FT.
662 CU.FT 662142.2 = 15.7 VF
PROVIDE[4]DWs 80 x 4' DEEP
SL�ew^` 5•SF rCM1S 8 'BF,u ' 'i KF AREA CF
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PIPE i WELL
5'VADE EASEMENT -
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SUFFOLV, 11,"()UIJ t Y DEPARTMENT OF HEALTH SERVICES
PERfi`i? FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RES[mnICE ONLY � z�
DATE_/1-- r7 . RE iQ1
APPROVED �la�i7' a�33 I �z
22��
ZEST HOLE DATA - T °
9 °°°°" 2�1'E"`C f~OR AXIMUM OF BEDROOMS
EL•4.7' BROW LOAMY SAND SM X P I R E
— oa' F YEARS FROM DAYS OF APPROVAL
PALE BROW FINE SAND SPCy- '-'•"" _ _ _
— 47 �� GERTI7T�D TOS
2,
PALE BROWN FINE TO COARSE SAND SW �'V. 5TEWART TITLE IN5URANGE COMPANY
wTH 1oxrRAVEL TITLE NO. ADA-03089-5
J.
EL 0.4' — 4.3' DO AP 15URRA5C ANOGANO JR.
WATER 1N PALE 8R014N ANE TO COARSE SAND SW EXCA\PA�ON INSPECTION R��
iHiH 10x GRAVEL 1� V�IIJNV
�nFOR aNITAnRY`�"SYSTEM
NOTE WAITER ENCOUNTERED 43'BELOW SURFACE BY HYT L-i H DEP RIVi 7
SEPTIC SYSTEM DETAIL
nor ro srrar
FF. EL 16.0'
FINISHED GRALL
• = PIPE O_ 7..s' Q- 6.8'
■ = MONUMENT L 2,*' •MIN 50WY I
LE. 610N. MA5GWARY GHIAMY
= WETLAND FLAG. 6.0' LE.
12' 2'M,1 Nt
V4' PER FOOT 5.7' 1 B' 1.E. ®®®®M_
® = PROPOSED ELEVATION MINIAILM PITCH 5. !g ®�®� 2.0'■
MIN.4' D1A. PIPS ?vg' 1'ER F I
MINIML>tit PITCHGN 50 ®Cal rz _
FLOOD ZONES FROM FIRM 6103CO154H M ��I
IN4- DIA, PIPE \-
4 - f61 e' P LEACHING POOLS f �` �
or
Map Effective Date: September 25, 2009 min. - 2'min f j Z 1• L
6W GAL PRECA5r
ELEVATIONS ARE REFERENCED TO NAVD '88 DATUM. � IGTANCAT 4' L/QU/D DEPTH WATER EL-04-
- --- .1 t.� '
- FilGFEST EXPECTED• '�4i x'
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES • ` r ' =,;1 G a:
and will abide by the conditions set forth therein and on the i•. "•:
permit to construct. PROPOSED SEPTIC SYSTEM
_ 5 BEDROOM HOUSE = -
The location of wells and cesspools shown hereon are 1-PRECAST 1500 GALLON SEPTIC TANK
from field observations and or from data obtained from others. tom,.' ��•70'`
9-80 LEACHING POOLS 2' DEEP
WITH 3' SAND COLLAR 3' MIN. ABOVE <(�( v LIC. NO. 49618
ANY ALTERATION A4 ADD1170M To THIS SURVEY IS A WOLARON GROUND WATER ____,•P,.[- NIC SUR VE P.C.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SEC710N 7209-SUBDIWSILW Z ALL CERTIFICATIONS 0 n Onv Ono