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Katona
1 "t o�og�FFOLI-�oG ELIZABETH A.NEVILLE,MMC �.Z. y Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 tai = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .F Fax(631)765-6145 MARRIAGE OFFICER y� aQ� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D 1FC[E0'V[E Southold Town Building De D TO: Sout g artment p DEC - 1 2017 FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEW. DATED: November 30, 2017 TOWN OFSOUTgOLD RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4545 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Barratt for J. J. Katona 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: t Signature Dated 100, 0 ELIZABETH A.NEVILLE �`Z` Gy Town Hall, 53095 Main Road TOWN CLERK p P.O.Box 1179 W g Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER oej�.L ��� Telephone (631) 765-1800 -®!�d �� 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 @$25 Application No. Lf(q J Permit No. Applicant Name P-C>SEi?T Applicant Mailing Address 42-a S N Septic Tank or Cesspool ✓ Brief Description of Proposed Construction or Alteration Pr$F1.1`DOn1 r`ff55 POOLS AN D C.oNSTTZ-v G-r ►J F-W SE'PTf G $ Sr GTS . Location of Proposed Construction/Alteration: Owner of Property: J , , . V-o.T p N A Owner Mailing Address: PL, -TEN N A�Ly 0 j 0-1 6r'( Owner Property Address: 1 bo i N LF.T L.A N 15 G me-wov Po ti-I- Ny (st7"M # lc�o©a- 43•- S S� Name and phone number of contact person gAeMV-A-t T 1-31 -'7 43 --"30 Tax Map No:loon Section 83 Block S Lot S Cross Street M P.N H 'A S n' N'j G NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: -Y ArpaojAL. STF%M P'S Abatid!ot u t 03 exislill-9-Ra11211a, Ystclfl M fo rcqpu; ie t Sub.-Alit completed fori-ai WW1M_'&CL_as P-10-Of OCT b 20117 Fr (;0 HEALTH SERONAGES I SCALE I inch =40ft. f)j WAST EW H SERVICES 4&;Oft to Manhas_-ot Ave Pre-existing septic system SINGLE FAMiLV HOME OFFICE L SUFFOLK COUNTY DEPARTME,"4T OF H EALT t. I% KKWIAUR?r-iY Ic CA;RP-06- PERN11T FOR APMZIO�IAL OF CO-S-1 RI.ICTION FOR A (to be abandoned) LV S AT- Sjt4v 1: FAMW!RES'1:,NF_N'V_ DATE H.S. REF N FUOOD ZONE BFI AE-7 5:5 -Y APPROVED EDR001,19 For, MOKEAMTil OF 7�_ L5. 11 E_ Ell 5- VII 14P o eFvFu_y .F A I E OF APPROVAL _ SCTMS-1000-43-05-05 TO LOT 9 1000--43-0&-19 to IN . 1( i_ - — NICWF SUBURBAN RENEWAL LLII) - I r G TWs approval is renewed/6,xd until DO anded A.:' --W Iq Te-.T I'Q VACANT- &T 2 5� 2017 �P' 4 Found, 7-J- 7N _ T El 5-Ift- MacDonald Geoscience SINGLE FAMILY HOME Ell 5-M VACANT LOT ID Test Hole Data Sheet P-0 E Location Greenport 41-5-87 N10iF R H 113AX-EY S G 7 Fj GO, ,svFF1 L - ,ICA rE FLOOR PLANS Lot SCTM# 1000-43-05-05 Et- Date 1/27114 Time 1515hr3 4 E ZTOR 5 ITE 6 1 GRADE. ScIf Z M%ej a9 zoe Mixed sand, loam and gravel Brown clayey sand SC -7 ELEVATION VIEW-SEPTIC SYSTEM--NOT TO SCALE Septiasystern --w Water in brown clayey sand SC In accordance with SC Health Standards(fig 10) < Septic tank capa pcity=1200 galls.8ft dia a ICK Proposed Pcogra— SeWater in brown fine to medium sand Piee3ldstirig houseAvaste system to be demolished Leaching pool face area=6 x8ft dia pools x 2ft high Build sitn"le,fatmaj home with up to 4 bedrooms Required Fill and Topsoil Quantities .g FIRST FLOOR-EL8 --F Water encountered at jb jc,�4SM-Wou".at W--ii-saime A— Build h6vvs60Gr_4ystem To be acquired at approved upland she 4.5ft below grade at Will boldit tom....Gll�� Pf" To be of compatible grain size and/or soil type Topsoil 60 cu yards "wang lot ti of NEW R40 Hda-Con isting system 60 cu yards C-I- St Se�Obit front and 50ft rear,sides 1 5tt and 20 Filt to replace ey FL -J 0 10 lot 5 only Fill for new system 80cu yards ReV 5 101,121,17.Rii'n�e"w"�a��ng'!T7nsfer to J Katona new sole owner Co �L 60(area 26.113 sq ft Suffolk County Water Authority R6V 4 65129114 M"o-rieAeWfli d6pt tot"aienis incorporated 0 etlands -2.040 sq It •See local map focnumberled tots Rev 3 05io&14 He-alth d6pt comments incorporated 60'ands 24.073 sq it •No private wells are in service R6V-2 04119114 L6t'19 detailsrbinovdd,'local map'reVited Eiisting struictut-es improved lots are connected to SCwA_ Rev I 64A9114 Wetlands-delineation added 14pervious txxise -und-garage 2240 sq ft 93% •vacaTA lots am II connected. 0 . I411 ffilixuVious concrete path 790 sq R 3.3% LJEGEND Rev 0,01129/14 Drawing#:012814 Initial submission Oervioiss�'driveway 1476 sq It 6_11% Local Map Legend_ Prpjqct: 160 Inlet Lane, Southold,,NY 0818 Pervious patio 510 sq R 2.1% SS Existing sanitary systems is Job site SCTM#1000-43-0 1 5-05 Proposed strictures To he abandoned SECOND FLOOR - EL i7 4_ Client: Suburban Renewal LLC,Sole member: Mr C. M. Ryan S1 Leadhirvg pool or dist pool I Improved irnpeiviotLs.house and garage 3300 sq ft 13-7% Reference Survey: Nathan Taff'Corwin LS dated 01110/14 Impervious concrete path 578 sq It 2.4'/. V Vacant no Veen __V__ V Title: Permit Application Site Plan Pervious driveway 1100 sq it 4.6% Septic T-;w* Pervious Patio 510 sq if 2-1% .-if Robert Barratt PE, 4295 Va Inston Road, C utchog ue, NY 11935 Pioposed Storm water run-oft control Reserve teaching pool LEGEND-Floor Plan C_#X^Wt_ -ratt@optooline.net Impervious structures 16.1 0 Tel 631 73.4 2730 email robertbar Pervious '/.0 1-0 =0-161 G G-wage C-C -- -�, i Pervious structures 6_7% g 0-6 =0-040 DR Dk*iq Room These* plans are an instrument of the service and are the property of the de, _'��InOe o(uptands T7_2% @?0-0-5 =0.039 - 8 professional whose seal is affixed hereto- Infringements will be prosecuted to the fu., xan runoff coefficient 0-240 _,�j_SGWA vrater service HO Ham II E 4•-S' extent of the law- Contractor shall verity all field conditions and dimensions ani De t-egk r III intensity---2kV-24hfs =0-17ft/24hi-s L Laming P ain K."off 2_4.073 x 0-240 x 0-17=982cuftf24hcs ---Elevation contour K Kitchen solely responsible for field fit The design professional assumes no liability for capacity 31 Scuft/drywell x4= 1260 cu; ft _T boundary as delineatedFOUNDATION A�-Tidal wetlands boundomissions due to unknown or unforeseen field conditions and or additions based upon GR Gre3it room % N by EN-Consultants 4-17-14 Bedi000ijen su'Ae (NO LIVING SPACE) comments not formally acknowledged as revisions to these plans- -,_Ynjstee non-turf buffer boundary I