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HomeMy WebLinkAboutO'Brien r ELIZABETH A.NEVILLE,MMC yQ �(y Town Hall,53095 Main Road TOWN CLERK ti P.O. Box 1179 �y �Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER .� '�►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D [ECIEU'v[a n V TO: Southold Town Building Department FEB 1 2018 FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEPT. TOWN OF SOUTHOLD DATED: February 1, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4560 for a Cesspool/Septic Tank Construction Permit submitted by: Krzvsztof Zebrowski for Amy V. O'Brien 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 V . DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature Dated �StlFF01�' CSG Town Hall,63095 Main Road ELIZABETH A.NEVILLE TOWN CLERK P.O. Box 1179 CO* Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0-0, Rf MARRIAGE OFFICER ® Fax(631) 765-6146 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� �a 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 X or Non-Residential @$25 Application No. ,! Permit No. Applicant Name K PA45QU F pvC� b�.�1�/W SXk' Applicant Mailing Address A96 �L A N��'R S IL V D, RANOMS , 0 , M,01 Septic Tank( or Cesspool Brief Description of Proposed Construction or Alteration lMt,Ai1 0l 0E 09 C-P 1.1 M 10-FIC TftN V ANQ Location of Proposed Construction/Alteration: �I Owner of Property:_ Owner Mailing Address: W5I L F l&}'' CT. I r n Owner Property Address: d1)0 N 6- LAN F, Name and phone number of contact person �t q wu F °'A uwa) Y/�I U��- J ©I;i l Tax Map No: Section Block Lot 9 Cross Street M h N � A S5e`r RV C NOTE: LOCATION MAP MUST BE SUBMITTED WITH. APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL 19 §i-gr-lafure of Applicant Date Received by: S.C.T.M. NO. DISTRICT: 1000 SECTION: 43 BLOCK: 4 LOT(S):8 #R10-16-0075 SUFFOLK COUNTY DEPARTMENT OF HEALTH S "; E -� PERMIT FOR APPROVAL OF CONSTRUCTION:FOR SINGLE i'AMILY RESIDENcE ONLY c f ; t� �f t c Ar I� .S. REF. o. t6 (f - �,/ €� _ PROVE - DRAINAGE CALCULATIONS: �—� k— OR FOR A11IP T � LEXPIRES YEAR A) DWELLING W/cO PTH-1.513 SQFr. 1.513 x 0.165-251.15 < 252tf REQUIRED S F .M DATAEODL IA PS OA AB) DRAY-»o .> 770 x 0.186 127.82 < 128d REQUIRED TOTAL: 380 d (2) 8'DIA x 5' DEEP - 442cf PROVIDED D &-vised PlanA I`7 7 I _g W/PUBLI WATER �� _ TYPICAL DRYWELL CROSS SECTION (CONC. PRECAST COMPONENTS) CS' � e•sue FOR NDN-n►,tflc eavaa r sue FW TWM ewwe ICAff 9 _ FOR SANITARY SYSTEM VACANT rrmm�/e%rWL 4'OIL TO GRAM ffM*D t,a%1' 100' 0 «. 13Y HEA�TH DEPARTMENT ® aa ❑❑ Z a ❑ 0 S87*05'00"E X 25 00' PIPE 1 tzCL 7.2 0.7'E EL 5.2 SILT FENCE — P 11T SIAL co — 3 O O Z PROPOSED UMR DRQ' WELLS � I Z OF DISNRBANCE t i B'DIAx5'DEEP 5 LOT 4 3' WN. $' DWELLING ' (7.0) ° / 0RM'1+ � � w � BACK FILL MATERIAL TO BE W/PUBLIC WATER WOOD DECK /(75) IE [ F-� CLEAN SAND AND GRAVEL 1 7 0, VACANT LOT 10 7,1 150' YPICAL SILT 4�C •PROPOSED PROPOSED GRAVEL j 5QREEN sEQIM #XaY tTY {{ DRIVEWAY EL 7.4 OWE I ING_. CONCK E Wm our AEi1 t GETa-ntE FAERIC BEDROO r N 00 OF MPagD dxaax0 � � suFPox roan 35.0' FfT I9 0} Int YKkiD OR MEW. w I 10.0 k A FLOW DIRECTION 1-� 2 (7.0) (8 }101AAW S.T. EXCAVATED BACKPHIMTRRENCH 4 O _ EXP �Z w _ EXISTING ,t LND LP Q IV PROPOSED sox o LP LIQ 1 � I I Ill [ I�I� k STOCK PILE AREA "� I LP LP 51 O o , . , ' ` F ;' EX LP EXP IN W I •' ' r EL CL 7.1 1.0'E ua= 7.8 U.P. MON. N87-05'00"W 125.00' P POSED PIPE I 4 BEDROOM SAN177-ARY SYSTEM DWELLING PUBLIC WATER LOT 9 LOT 5 (18�sGA1'IL � L.P. W/ VACANT VACANT 150, 150' TYPICAL CLEAN OUT SLATE OR L I_°A "N i SUITABLE CO STOPPER Idt� l � CO LOCKING OR PLUG �I °� t � � COVER TO GRADE EL(8.o) FINISH GRADE U Cl�fl� FFL(s.o) _ I — z _717/7j: t'MIN-2.� L i 30' ELBOW 1�4 FT. "—FT. m cOvEp F Er COVER 5 60' WYE E t�lVERT � 5' ;�LA,H INVERT—/ >a(6.)FLOW; EL(7.o) INVERT— -INVERT ELEV 74 FOUNDATION OW 8'0 3' COLLAR' WALL had POOL CLEAN BROWN CRAW SPAS_ „ 2,COARSE OL (1.5` 1 —7 SAND & DY LOAM TANK GRAVEL 0 50'MIN. 3'MIN BUT SUFFICIENT TO KEEP SEDIMENT ON SITE USE 4" DIA. APPROVED SEWER PIPE SM FINE SAND 6.5' 7'O' SAY BAIL AND/OR 1200 GAL. PRECAST S.T.do GRAVEL =T FENCING EL(4.5) ° HIGHEST EXPECTED GROUND WATER EL 1.0 WATER ELEV 0.4 SP MEDI M ZONED R-40 FLOOD ZONE AE—EL 6 TO g,p' COARSE NON—CONFORMING LOT SAND CONSTRUCT ON ENTRANCE - FOUNDATION OF COMPACTED FRONT: 35' MIN 3,t4'STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.CA SIDE. 10' MIN (25' TOTAL) SILL To 18' (Min.) ABOVE EXISTING GRADE FOR DRAINAGE REAR: 35' MIN - — 13.0' THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL os-25—ts LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS K. WOYCHUK LS REVISED 11-20-17 AND OR DATA OBTAINED FROM OTHERS AREA: 12,500 SQ-FT. or 0.29 ACRES REVISED 10-10-16 ELEVATION DATUM. NAVD88 UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE 774E EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARAN7FED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 4 CERTIFIED TO: THE FRANK A.L. UHLENDORF MAP OF: STRELING HOMES AND EDITH UHLENDORF TRUST; FILED:AU G. 25, 1966 No.4709 REGAL TITLE AGENCY; SITUATED AT: GREENPORT WESTCOR LAND TITLE INSURANCE COMPANY; TOWN OF: SOUTHOLD KENNETH M 1 OYCHUK 1AND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design + P.O. Bog 153 Aquebogue, New York 11931 FILE #16-120 SCALE:1"=30' DATE- JUNE 25, 2016 PHONE (831)298-1588 FAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Roychuk