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Home My WebLink AboutZehner O�Og�FfO[,�-�o ELIZABETH A. NEVILLE,MMC may. <fy Town Hall,53095 Main Road TOWN CLERK RO Box 1179 cis = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS • .F Fax(631)765-6145 MARRIAGE OFFICERy� a0! Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j- �► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD `,nl TO: Southold Town Building Department DEC - 6 2017 Q FROM: Sabrina Born, Southold Town Clerk's Office _. DATED: December 5, 2017 TOWIN OF SOU BOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4546 for a Cesspool/Septic Tank Construction Permit submitted by: Howard H. Zehner 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 o#'the project cited above and make the following recommendations: 1 / APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department i Signature Dated ELIZABETH A. NEVILLE ,` G� Town Hall,53095 Main R.oa. TOWN CLERK p P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �y Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER y�� Telephone (631) 766-1800 FREEDOM OF INFORMATION OFFICER '� �' sou tholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10or Non-Residential @$25 Application No. �Q Permit No. Applicant Name -.C''w.JaP' Applicant Mailing Address y U ��s L A ,.J ('o_.!i Septic Tank ✓ or Cesspool ✓ Brief Description of Proposed Construction or Alteration - �, �A c..ar:n�`✓ /oc�� t r✓�v�t� �i�a,:-,:,s-r,-o v �9 c.�Fi� �'�,�,- Location of Proposed Construction/Alteration: Owner of Property: '3 0 'Z-0 ri ;:7-, Z k57_9_& � Owner Mailing Address: Fo "01, '"0i Owner Property Address: Name and phone number of contact person Tax Map No: Section / oc'"r 33 Block O2' Lot `,11-7 Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 1� 4 � . 1114.,,7 Signature of Applicant Date Received by: SURVEY OF SUFFOLK COUNTY DEPARTAIENT OF HEALTH SERVICES LOT 124 PERMIT pT1T,,0-,7A 0', MAP OF 'P C C- D N r,0 IR A EASTERN SHORES -N—A SECTION FIVE DATE -NOV 2 2 20ff FILE No. 5234 FILED DECEMBER 31, 1968 11) 70. ASITUATE II)PIRUVEE-D GREENPORT 21.2 TOWN OFSOUTHOLD NAG SUFFOLK COUNTY, NEW YORK wP A:, Ent J, Ili. sEs I? 12). S.C. TAX No. 1000-33-02-47 C", SCALE 1"=X' ;0-' 7rS\ L; AUGUST 18, 2017 4 ..........EXCAVATION.............................I'0'N I 'EQUIRM) N P. Fon C. I .,Ty CE I YSTEM AREA 19,500 sq ft. '0 0 By TA, CN 0.448 ac. 00 os i6l % I,.-.� X S S. 21127 & r N S" 0 Ay S.nf!fo1j(C0"_.3 NATIONS ARE TO NAND 1988 DATUM DNS ARE SHOWN THUS:AXJ EXISTING AT, INIMUM SEPTIC TANK CAPACITIES FOR A I TO 4 BEDROOM HOUSE IS 1,000 GALLONS. Q < .•' _'JLONG. DEEP MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 aq ft SIDEWALL AREA. C 2 POOLS; 6' DEEP. 8' alto. 0. Vk PROPOSED FUTURE SOX EXPANSION POOL SOv% 1P PROPOSED 8' DIA. X 6' DEEP LEACHING POOL .0 "O-r PROPOSED 1.500 GALLON SEPTIC TANK 3. T H8A TION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD .1, OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. L OS S4. THERE ARE NO WELLS WITHIN 150' OF SUBJECT PROPERTY qt 70 LWJUJ C, TEST HOLE DATA 0 V') ':S� (TEST HOLE DUG BY Mc DONALD GEOSCIENCE ON OCTOBER 76, 2017) ^ Cwt: Uj LP EL, 20.1. C-S (n 0 a' DARK BROWN LOAM OL Y. C 0 W _IJU BROWN & PALE BROWN SILT ML 4' PALE BROWN SILTY SAND 0 up I; WITH 10% GRAVEL SM of ILL:two PREPARED IN ACCORDANCE ATHE PINIMUM LL_M. STANDS FOR ITLE SU EYS S E ABUSHED 10' BY THDEARL.I.A.L.S. AND APPROVEQ.AM5t%VVPM FOR SUCH USE 1Y THEN RK TITLE ASSOCIATION. OPALE BROWN TO MEDIUM SAND SP • 1P'% !, 0 'JAFT 0 HIGHEST EXPECTED GROUND WATER CO O W 11 0. LOTEL 6.5'TEST WELL No. 7' 697 N.Y.S. Lic 0 7 -,a UNAUTHORIZED ALTERATION OR ADDITION To THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Tat EDUCATION LANNathanW. DRAINAGE SYSTEM CALCULATIONS. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED DRIVEWAY AREA: 700 sq. ft. TO BE A VALID TRUE COPY Land Surveyor 700 sq. ft. X 0.17 = 119 Cu. ft. CERTIFICATIONS INDICATED HEREON SHALL RUN 119 cu. ft. / 42.2 = 2.8 vertical ft of 8' dia. leaching pool required ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isoksen, Jr L.S. PROVIDE (l) 8' dia. X 4' high STORM DRAIN POOL TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. LENDING INSTITUTION LISTED HEREON, AND ROOF AREA: 2,300 sq. ft TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout 2,300 sq ft. X 0.17 = 391 cu. ft TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 391 cu. ft. / 42.2 = 9.3 vertical ft! of 8' dia. leaching pool required THE EXISTENCE OF RIGHT OF WAYS PROVIDE (2) 8' dia. X 5' high STOPM DRAIN POOLS AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16 Jonnesport. New York 11947 Jamesporl, New York 11947 ELIZABETH A.NEVILLE,MMC " „ Town Hall,53095 Main Road TOWN CLERK "" P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSa 40Fax(631)765-6145 MARRIAGE OFFICERS U ° Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER W www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: December 5, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4546 for a Cesspool/Septic Tank Construction Permit submitted by: Howard H. Zehner 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 re(tilrcd fmtp the Sttffolk Cotygy l lealth De0aftnieM Signature ............................... Dated f� F*r r ELIZABETH A. PdEVILLE Town Hal, 63095 Main Roa. TOWN CLERKP.O. Box 1179 Southold REGISTRAROF VITAL STATISTICS yy New York 11971 MARRIAGE OFFICER ' , ,"� Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER . ' „ Telephone (631) 765-1800 FREE OF INFORNATION OFFICER " southoldtawn.northforlc.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANI{ Residdntial @$10 or Non-Residential @$25 Application No. . Permit No. Applicant Narne Applicant Mailing Addrer 6r, , Septic Tank. ,/ p ,/ or Cesspool ✓ Brief Description of Proposed Construction or Alteration.- ., ��.i�a®t✓wp' repi ra�.;y� � �.�"rt,.g,lm�,.� a,.m aG d as eis pg.... ,� cd "�� .� '.:..AQ''A..•®�P,• dew ;.. v .. Location of Proposed Construction/Alteration: Owner of Property:_ Owner Mailing Address: �_�� a � " Owner Property Address:, Name and phone number of contact person ® 6 � Tax Map No: Section `'c-'o 'Block 02' t L4 7 Cross Street ` NOTE: LOCATION MAP MUST'BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: _ r r w,.. w � 04. O...w- SURVEY OF ® �� OG �17I I"bE�b Tyr LOT 124 sa MAP OF I � w EASTERN SHORES SECTION FIVE -NOV 2 2 2017 FILE No. 5234 FILED DECEMBER 31, 1968 « II SITUATE GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK c e r S.C. TAX No. 1000-33-02-47 SCALE 1"=X' �0" 6g.p2 ;,,:" �; •µ. �� rF C0 15 � F06 AUGUST 18, 2017 0 VT 0 017'r ry I^'f AG t a r� AREA = 19,500 sq. ft. b'b. 1 0.448 cc. �� aide•«2r�.I1ar' �� 'A 'TMj � r ��.: 0,_ o'4 Pail C* : w^' , . 1, EVA71ONS ARE REFERENCED TO HAND 9988 DATUM .,., ^,.., EXISTING tLE4'ATIONS ARE 'SI.IOWN THUS:AY"N' tJ0' r,.'.. K« i a.1T.:. ". J' „e* ".. F, �,� Y.•... .. T.- .. I -9��' 'If1'YANR; SEPTIC TANIr, CAPACITIES FORA 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. ] -- tw'-1 o �",..�' Aaa Mw« MINIMUS LEACHING "-S" WYFO Fa"�p.� B3EEf' 1 TAhRk B' LONG, A "w„ w� .,,„°y"�" 'r SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. a y- t., r _. B' d1o. rX PROPOSED FUTURE 509 EXPANSION POOL v,w". 4"x "".�'" r7 YM'�'k�.°'".-^'" rv'S" •,� wa h�a«� zz— g E •m""k A.iw'-"'""`A".°;ate' ^«3 .,-."' .C7 ,: �^. " idu ° PROPOSEO D" DPA, X O' OEEP L'EAOHINO POOL 1 'U '�" Tail' `A" ✓' °,,Ire 'i" OT � °i a �r a� � 4I?, i7>y+'�, �".. N'TkOPC7 FG) t"i00 GAU0.0N £P114. 'FANF' ", ,,,".""' y r T A ., �" G5 3, OaSERVATIG7N*�. A� WELLS DATA SHOWN HEREON ARE FROM FIELD A 8 VAI POOL ~ r` .4, 4. THERE ARE NO WELLS WITHIN 150' OF SROM 01HROP A DB6AINED F a"a ", vt „�✓ a""^ „ r, SUBJECT PROPERTY. co f �+ 1 h# � a LU cZ TEST HOLE DATA A ° - ,'' 1" w°)r a`05CLEMCIE ON OCTOBER 16, 2017) r.. W TEST HOLE DUG BY 1d fJ d+J l„f C„, , S o Ei„,,.2 G „0' - co N»OM14�"'' ”�+ • DARK BROWN LOAM OL ® ' .f'u J:J.t1 + BROWN & PALE BROWN SILT ML d " " 1ac7" err Ci Lu ,,,,..-"""° " „+' i.. PAI..F BROWN SILTY SAND (� --.}' .;«,"` °4,Da p� WITH 10% GRAVEL SM LAJ �3p"p 1 tri�� PREPARED IN Au COIdO+^wdl E WlllPll THE PntlMMUM 0 �� A y6 M ,.'E!',Aw,.. ' ��° rA[ ..,�. 1o' Br',m TliEE.Izi"y.Il AA-S, IAND A1I{F4WW. As L rwrr� "tea c',a w. e A FOR SUCH USE B5'THE NL P1'K d l " y,"Gwm- rwTYCy % TITLE ASSOCIATION. PALE BROWN TO MEDIUM SAND SP ... ✓ .;I ;_ ,,,, m , HIG1,1-'.�„T EXPECTED GROUND WA1EG81 O1 IG7H� ��I '✓ ,I O f. ar O. -.- 1aC I C« CV T1 17,5 Tk"aT WFkI frr 9'p2 �� Z a (0 �(' f�yANO � ft M, w CP 1 jo UNAUTHORIZED ALTERATION OR ADDITION EdTO THIS SECTION 209 OFSTHE IOLAT ON OF ORK STATE n7„ i NEW k�AEDUCATION LAW. Nathan Tat . 11 „P,llr"°'VI�k,1'B f..,pl,,,"„�. '«w'';T'.Lr"1� C,ai't 1,�.�IdsP'.„Z'„ UI 7._ COPIES OF THIS SURVEY MAP NOT BEARING LAND SURVEYOR'S v L OR EMBOSSED SEAL INOT®RECONSDERED Land Surveyor DRIVEWAY AREA: 700 sq f{. TO BE A VALID TRUERUE CCOPY. 700 sq. ft. X 0.17 = 119 cu. ft. ""... CERTIFICATIONS INDICATED HEREON SHALL RUN 119 cu. ft. / 42.2 = 2.8 vertical ft. of 8' dia. leaching pool required ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. ONPROVIDE (1) 9 8' dia. X 4' high STORM DRAIN POOL TITLE COMPANY,NGOVERNMIENTAL AGENCYBEHALF TOTAND HE Successor To: Staple J Isoksen,L. L.S. LENDING INSTITUTION LISTED HEREON, AND Joseph A. Ingegna L.S. ROOF AREA: 2,300 Sq" ft. TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout 2,300 Sq. ft. X 0.17 = 391 Cu. ft. TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 391 cu. ft. / 42.2 = 9.3 vertical ft. of 8' dia. leaching pool required THE EXISTENCE OF RIGHT OF WAYS PROVIDE (2) 8' dia. X 5' high STOPM DRAIN POOLS AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS ANY, NOT SHOWN ARE NOT GUARANTEED, 1566 Main Road P.O. Box 16 Jomesport, New York 11947 Jarnesport, New York 11947 ...... ,.. .,_,_ .,,,,___.._._.. ----._ ....... .. _. ...,w... ...... - l