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Home My WebLink AboutThompson 4,e) ELIZABETH ELIZABETH A. NEVILLE,MMC Town Hall�w � � �� , 53095 Main Road TOWN CLERK dl k P.O.Box 1179 �t Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICERTelephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER � �� u��+ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: March 19, 2018 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4589 for a Cesspool/Septic Tank Construction Permit submitted by: Christopher Thompson 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 _IT ._... Comments: ....._ _ _. _....... Signature _ Dated ....ww....� ....__._. ro 4 E LIZABETa A. NEVrLLE , , Town Hall, 63096 Main Roa TOWN CLERK @ P.O. Box 1179 RE,GISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE, OFFICER Fax (631) 766-6146 RECORDS MANAGEMENT OFFICER '/01 , Telephone(631) 765-1800 FREEDOM OF INFO TLION OFFICER 'y ^" 1 so u tholdto wn.northfork.nei 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. Permit No. Applicant Name a S 7 *u y;4 " u Applicant Mailing address Septic,TmikrJ2�_..o'r Cesspool (ion of I ro posccl.Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property:_-... .. Owner Mailing Address: *6 (-"'3* �°. r v° Owner Property Address: sF, Name and phone number of contact person � " s�)IL'A, 77 f Tax Map No:)& Section 06 3,aV Block d t 0-2-7,007— Cross -2-Cross Street NOTE: LOCATION MAP MUST*BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Appi[carytt Date Received b e IL al PHONE: Le�46 STEVEN AFFELT, AIA ITE PLAN WTff2:_ fff,�+50%EXTRA CAPACITY= 1)NO SURFACE WATERS OR HETLANP5 LOCATED WITHIN 501L BORIN6 Pf4ONE. (631) 5537(o333 EMAIL: ,'60'Or LOT PENETR 6 I(P x 6,-o" 150 509'51MAcE AREA 1 1.20 6-PP 0 301 MOWS "'j"y .2)ALL bo r�,`ll oko Y OTHERS WITH 150'OF LOT DEPTH ATION POOL,PER DAY 5TEVEAFFELT@r7MAIL.COM EC LOT �Z�CKATER CLA551FICAT70N OF 501L SAMPLE OF Po F FROM TO SPOON GAP.�-V� Tb PEP P66�5 REOUIFifl '4 ;1� 'I "I � -SPOON bbO6P0 REG ISO GPD PO E30X 162 6REAT RIVER, N( 1173q ol-ol 2'-0" FINE DARK BROWN 5ILTY TOP501L WITH HOH-H-W-1 2"<Y' OR&ANIC5,TRACE FINE 51LTY 501L TRACE EE 2XAMI—F(22E F��P:hLN A _ 1,15D 0_5 _C,FS,ALLI FINE REL SAMPLE#1 @ 0"TO 2' RFIXACATED RCDOF AREA�rim 5a F r CONSULTANT, 2'RAINFALL=.Ibl' 2'-0' 4'-0" FINE To MEDIUM FINE 13ROHN AND L16W 2-2-2-4 2'-0. 07 50 FT X.167'= Ib4 CU FT RAINFALL L3R"SAND,TRACE FEIN TO SMALL GRAVEL 50ME SILT INTO MEDIUM SAW TRACE COARSE GRAVEL SAMPLE#2 a 2'To 4' OhWV�A X L � f66 CU FT fl�r,TAL 1.(1)&0A Xaa'0EEP DRY WJJ_CONNECT W 4' 4'-0' b'-O" MEDIUM TO FINE LINE BROAN5ANP,50HE FONE e-D-e-q SUFF`G'U�,. COUNNIN o'� 11EALTH j.E,'Tbf'lCcS PVC 5OR 35 PIPE TYP OF ALL 6UTrER5 AND To SMALL GRAVEL(5P/54 SAMPLE#3 0 4'TO 21 LEADERS b'5AMPLE#4 a b'TO FoEz A m; -01 MEDIUM To COARSE LIGHT BROWN SAW,501-115 b-&-10-10 21-00] FINE To COARSE GRAVEL(5W)SAMPLE#5 0 b,TO 10, PERGULATION TE5T MR 13 2W 15'-0" 20'-0" COARSE L16HT BROWN SAW,50ME FINE TO Z0" 94ALL rRAVEL(54 SAMPLE#b 0 15'-Ton !'o, T[.._. ....... .. IELAPSEP MEA5UREMENT BELOW 67RAPE ...... .......... .......... TO MEDIUM FINE LIC7HT BROWN SAND, 6-10-12-12 21-0" STREET ADDRESS: 400 E30155EAU AVE ADE 20'-0' 22'-0' COARSE I MINUTE SOME FINE TO SMALL GRAVEL(W SAMPLE#7 TOW 50UTWLD ....... a 20'To 22' 2ND MIN 5TA I . NEW YORK mm I �_I�m 3RD MIN A c t A.-I 7, a0wl. P05TAL COPE..". Will Ou 4TH MIN 17 FAX MAP NUMBER: 1000-&2-01-ILI �RY HOLE TO 22 SITE IDENTIFICATION NUMBER: DEEP I-EACHIN& POOL INLET INVERT FRO_EG T" ELEV+lq'-O" NEW 1,250 GALLON SEPTIC TANK (&V X 4'-O'EFFECTIVE DEPTIV VISCHAR&E WITH LEACHINe POOL INLET B0155EAU AVE INVERT ELEVATION INVERT ELEVATION+22'-b' HOU5E MOVE Nt + 336.80 S7i�;2�00 it w vo,6'DEEP + + LEACHINC7 POOL + + + + INLET INVERT ksj + ps ELEV+Iql-o' 00 0 FRAME 0 (Z PROJECT NUMBER: 2017-0057 + (Aj_ NEW TEST HOLE GARAGE INITIATED DATE: 01-10-0 ME LOCATION EX15TIN19 FRA 00 APRON NEW GRAVEL t1i + 50A N"ll"', OARACE,SLAB ORAHN Blr DRIVEWAY 34.1' ' ELEVATION ELEVATION @+24'-0' lb 53A FRS STRUCTURE NO, OATEDE56RIPTION ol 01-30-15 EX15TINC7 CONDITIONS FELXATEV 2 5TORr/ FIBLIC HATER &PI WATER MAIN WITH FINISWD FIRST K7PE,),jfrH NEA 02 02-12-16 _56 DEPT HEALTH FILINC7 STREET 5WTOFF FLOOR Fvlwff.'�cow.FE-Tv 03 o3-0&-I& _c�c DEPT HEALTH RE-FILINO + ELEVATION FcA94PATJON 22 + + Z —21 PRAHN(5 NUM[3EF1 : 0 A L LINE AS PER L 1239 + — P.744 — 4 Q� C-100.00 I N 71026'00" E+ 304.35 + +Off A' w �',)EAI 4 5k5NAT NEW SOR 35 NEW 4'DEEP ORAINAC-E PIPE co K) PITCHED TO VR(HELL .. ....... STORMWATEP PRYI,,ELL FED FROM 00 6UTTERILEAOER5 0' MAK U 0,370"\ -viL 1000-63-,03--27.2 s'r'l 30'-0" LOT SIZE.- 6 LIEL �`_' OFFIC , r" q,I Opp �'!�6js 32,03b 5a FT(0.13 ACRES) c 502',.-'XRFY i ELIZABETH A. NEVILLE, MMCF � � Town Hall, 53095 Main Road TOWN CLERK a P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS „ �W' Fax(631)765-6145 MARRIAGE OFFICER , �t�� x� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �u 15 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 19, 2018 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4590 for a Cesspool/Septic Tank Construction Permit submitted by: Coastline Cesspool & Drain 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 m . Comments: Signature Dated .. .......a..-. _........�. ....,. F [ Town Hall, 63096 Main Road +" P.O.Box 1179 ELIZABETH A. NEVILLE TOWN CLERK Southold,New York 11971 are Fax(631) 765-6145 REGISTRAR OF VITAL STATISTICS " Telephone(631) 765-1800 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ° southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK 0�or Non-Residential @ $25 Application No. Residential @ $lPermit No. Applicant Name . ^� Applicant Mailing Address w r Cesspool Septic Tarok pr � ~, Brief Dcscrup " proposed Construction or Alteration,,ry tion of P� 6 Location of Proposed Construction/Alteration:m Owner of Property, :��, Owner Mailing Address: Owner Propertyy w Address: z � Name and phone number of contact person Tax Map No:I Section Block Lot--c= Cross Streetw, NOTE. LOCATION MAP MUST BE SUBMITTED WITH APPLYCATION. NEW CONSTRUCTION li.p"�QUII S SURVEY WIT I III A,I:�TY7- TMENT APPROVAL � ' - 7�� ` Signature of Applicant Date Received by: � . 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