HomeMy WebLinkAboutAnderson ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 0 • Fax(631)765-6145
MARRIAGE OFFICER ,!. 0�. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �O,( �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
D Rc�D'V[E
TO: Southold Town Building Department DD
FROM: Sabrina Born, Southold Town Clerk's Office SAAR _ 5 2018
DATED: March 5, 2018 BUILDING DEPT.
TOWN OF SOUTHOLD
RE: Cesspool Construction Application,2_
Transmitted herewith is a copy of application No. -4576' for a Cesspool/Septic Tank Construction
Permit submitted by:
Bruce Anderson of Suffolk Env. Cons. Inc. for the Estate of Fred Adler.
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 required from the Suffolk County Health Department
Signature
iso /8
Dated
ELIZABETH A.NEVILLE, MMC Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICERTelephone(631)765-1800
RECORDS MANAGEMENT OFFICER "�* m o� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: March 5, 2018
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4576 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bruce Anderson of Suffolk Env. Cons. Inc. for the Estate of Fred Adler.
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: menl
..........�
Signature
Dated
) � F
( '
ELIZABETH.A. NEVILLC p ` Town Hall, 53096 Main Roo.
TOWN CLERK P.O. Box 1179
ldh
Souto
REGISTRAR OF VITAL STATISTICS + New York 11971
MARRIAGE OFFICER Fax (631) 766-6145
RECORDS MANAGEMENT OFFICER ' Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICERAlsoutholdtown•northfork.rnef
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANI{
Residdntial @$10.X or Non-Residential @$25 Application No. 53 a
���. ,9 x tNo.
� � Perrot
Applicant Name
Applicant Mailing AddresstEG4
Septic Tank.V or Cesspool
Brief Description of Proposed Con (i-uction or Alteration I
Location of Proposed Construction/Alteration:
Owner of Property: 0
4
Owner Mailing Address
Owner Properly Address __41'S-
SL
Name and phone number of contact person
Tax Map No: Section-._ aii -30 Block ` .
W
Cross Street ck
4 ^Mi
NOTE: LOCATION MAP MUST'BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
ignature of Applicant D ate
Received by: 4 -.,. ,,.
i
SCOHS Rel.# RIO-14-0035
S LIR VE Y FOR THE ES TA TE OF FRED A DLER RED&E
N
X79 s2 E #8 71.17- C/,
AT BA YVIE
9 - #7
TO N OF SO UTHOLD #9
EL. 5. vti I TEST BORWG
SUFFOLK COUNTY, N. Y. by3ondd GeosrJance
1000-90-03-13 "
.� P .OD F�r X/0 #5 90
SCALE: 1'= 30, _ . (0 �._ � ? ; '�� EL e,4 0
N llp 'I"�` iS " Dark Brown Loam
AUGUST 20, 2012 r OL
1.
SEPT. 10
2012 (bldg. envelope) C 4
:r
FEB. 4, 2014 (PROP. HOUSE) / Brown Spl ML 4'
MARCH 31, 2014 IAHEA TO WETLANDS) � X SPOT EL. �""�✓ � � PaN Brown Sandy
.L'L Y 26, 2014 (addillons) �� 8.2 3 SHI ML
DEC. 10, 2014 (BUFFER ADDED) NOTE,
IdA Y 7, 2015 (REVISIONS) SUBSURFACE SEWAGE DISPOSAL o, o # s>10.
s•
SYSTEM DESIGN L 0 T(60)
1 ,p BY' JOSEPH FISCHETTE, P.E.
X $POT ELX �1z Brown Fkm /o
l HOBART ROAD 6 0'.,,r, \ `� Coers. sand
With 10% Graveove
l
" 2 ) SPOT EL.
1 ,wl SOUTHOLD, N.Y. 11971 a q ��� sW
w, k
b
a 001' (6311 765 - 2954 ,0 0' '!�w Y 7.0 X B,4
IFIN
�"
e " < `\, µ „„ Woler In B arso
#2 Fyne to Coarse
1�3 .. ,oc" `,.. Sand With 10%
.�' � n gP Gravel
„.
3 BEDROOMS " �� 15.
PROPOSED SEPTIC SYSTEM
HOUSE lr X00
FLR. EL I LOT (61) z
CER I7FIED TO : 10,.5
YEL 9 FN. eVNAE EL 7 tuA 0 ., .- ..
ESTATE OF FRED ADLER �� ovF� 1 � $ SUFFOLK COlJNTY DCPAi2TMEN " F HEALTH �JfCGB
ovEo
IrE 2• �C T.B. 'OVER q D PERMIT OR E4F'P W4OVAL O" CONSTRUCTION FOR
/E 6.6 f E 1E 6.3 T L,P 2 ,y 1, - F SID [ F.- O��LY
L�'
,
IE 3.9 IE 3.6 6�q y -
1'GLlAI �: ,C
(P ILP
E
wat. EL 0 2. grOT Q
GROUND WATU—
(LOT) 1 - 1000 E� �. 0. �
LOT #'S REFER TO "SUBDIVISION
CLERKS OFFICE DEC.20 PARK"
S - 910 2. D"� 2'" Dee�r EAG P� ��•5 W � � �`�
AL, PRECAST SEPTIC TAW
a .. ......__ _.__w�...-... ....�,
"�• CII s 9 C s
FILED /N THE SUFFOLK COON " SAND COLLAR( r) ABOVEWITH OD K C ix01f1i;C3
AS MAP NO. 90.
GROUND WATER u Ln POLE -- --�- F ° PSI k [�e Xj
L.P.s TO HAVE TRAFFIC ' .• 91 ' 1 °& ""`
BEARING COVERS
CL.EL -� v-* 41
LLA '- - k-
EET - PN
EXPANSION POOL. B TALL AT LSC �0 � �� 01"�
TIS" OF THE M TALLA TIG ! OF THE
SEPTIC ,6YSTEM° (Tr bE CAPM) 0 f eq !f d OTAL LOT AREA _ 16,878 sy.11.
INSTALLED ( � r sae ' ETLANDS AREA 230 sq.91.
ALL LEACtdNG POOLS f
THE DRIVEWAY TO HA'V • HEAVY � HeUPLAND AREA = 16,648 SS
.1
■ = MONUMENT CAST COVERS
�O �,- .-- IMPER'VIOU ACEo - 1260 s�.�l.
4= WETLAND FLAG .° LOT C � �t
� 6
LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY �S?i RAAV RL#WF CAL CULATMS
SUFFOLK ENVIRONMENTAL CONSULTING, INC. ON JULY 17, 2012 HOUSE - 960 SO. FT. . P060C WA R ,, , ,
960 , l x, CL/7 • 163.2 CU.FT,
FLOOD ZONES FROM FEMA RATE MAP NO's 36103CO167H & 36103CO169H 16321=..4 - 7.3 V.F. w �r
PROVVE 2- DWs 6'I it 4 FT. DEEP �
E TIONS ARE REFERENCED TO NAVD AREA TO WETLANDS (wetlands flags) = 16,878 sq.ft.
`T w
I am familiar with the STANDARDS FOR APPROVAL AREA= 16,648 SQ.FT. +�'
AND CONSTRUCTION OF SUBSURFACE SEWAGE (TO TIE LINES)
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES _ N. Y.S LIC. NO. 49618
and will abide by the conditions set forth therein and on the ANY ALTERATION OR ADDIT70N TO THIS SURVEY IS A VIOLATION E-ONIC S VEYORS, P.C.
norm f fn r nncfr r f OF SECT/0N 7209 OF 1'NE NEW YORK STATE EDUCATION LAW.