HomeMy WebLinkAboutOak ELIZABETH A.NEVILLE,MMC OSA g\1ffOl/r CQ Town Hall,53095 Main Road
TOWN CLERK3 P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS CA Fax(631)765-6145
MARRIAGE OFFICER ,y ��. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ��,� �`1 www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD �n�
o � V D
TO: Southold Town Building Department JAN 2 2018
FROM: Sabrina Born, Southold Town Clerk's Office
BUII,DING DEpT•
DATED: December 28, 2017 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4553 for Cesspool/Septic Tank Construction
Permit submitted by:
Robert I. Brown Architect for Jeff& Carol Oak
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
G Town Hall, 53095 Main Road
ELIZABETH A. NEVII.LE i�,'Z` . `y-{ ,
TOWN CLERK -p '. ` P.O. Box 1179
C4 '':�C:.' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS !•V%':J �-
MARRIAGE OFFICER
Fax (631) 765-6145
Q�''` Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER e;!1JOha ;
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF S.OUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10_)L or Non-Residential @$25 Application.No. qStJ*±� )
Permit No.
Applicant Name 0 - '
Applicant Mailing Ad ss_ .
Septic Tank or Cesspool
Brief Description of Propose Construction orlteirafiori:
Location of Proposed Construction/Alteration:
l
Owner of Property:, LDr�ti-Y �I�^(AA jJ(X
Owner,Mailing Address: ` l?,liU --- _ y - -
DIL
Owner Property Addxe$s;
Name and phone number of contact person _ �!"J�1- 'q�5�
Tax Map No: Section Block Lot
Cross Street_
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR Y WITH HEALTH DEPARTMENT APPROVAL
01912
Si a e of Applicant D. e
Received by: _.
4
OAK 1xESIDENCE �'3 2 ,-��,
1 Lake Drive Southold NY TEST MOLE °°y2U J N o
55 APPROx.CL.5.6' F ��°} CD
REV. Sept. 6, 2017 I DARK BROWN LOAM OL
SCALE: 120'
�P��ooO
II = 20, BROWN CLAYEY$AND 5C
3.6•
WATER IN BROWN EFf r/NC RgMpTN, P� e
Robert I. Brown CLAYEY$AND 5C / NCE- C �yC-P
Architect, P.C.
WATER C BROWN
FINE TO COARSC SANG SC
aoBax Ave. Greenport NY h =�,� y
2r
in?o@rlbrownarchitect.com A,) + �"�
631-477-97 pL 0
•le�W adM j0 �'�(�: 0 K COUNTY DEPAdP� HEALTHSERVICES ^7 v� STONE W LLS TOoe
S3�V1213S H11d3H-0�•j jn$-P `R IT FOR APPROVAL OF CONS T RUCTIO FORA �2`P BE REM ED
1lOZ l - /IONSINGLE iDE VCE f- + 0
TP + m 3
/� J NOV 2 9 2017 ` y0
GB
/\I��� DAIOVED
REF. ASO. R.tO-1-7-aa1t) +
FLAG
FOR MkXIMUhl OF OMS
POLE
pryg �ONCRETE W�LLm3
FIN.FL.EL.ID.B' XXPP1[Rf'�'�SC THREEI�( �. �5,.. L^ TF oE PPROV m / TOE REMOVED 3:0
TOP Of FOUND 9.6' LOCKIN CASTIN TO GRADE QATgALRYS
MAKE D
GRADE EL. 8.9• FORMAINTENZkY GRADE I!L. 9.0M `�^ ABOV�6R DE Z
EBI, °•'� �y _ B.DTOP O RJN 51LT FENct FOR o x
I.E.7.99:�7
• 7.5 TOPROOfI�WNG ROvfU Pln UTLET pTnCitPGAIiEYS CROSS-OV[R PIn9 ONSTRUCTION0 MIN.F EL.5.5'
4 1 Q DOT Of 1ANK _ ----
ft. -' - 1
�•CL 2.O GROUND WATER A ----
I EA. 1200 GAL.SEPTIC TANK 4 CONCRETE + + m; a
PROPOSED SEPTIC 5Y5TEM DETAIL WALL TO BE A
REMOVED
A+
�' yFi 3 3:
EXISTING ARBO <o s
7 3
S I T E P L A N BUILDING
155 LAKE DRIVE, 50UThOLD, NY 1.1971 NOTE: NEIGHBORING ENVELOPE ��
PROPOERTIE5 ARE _- DRAI�A&E
BASED ON SURVEY BY NATHAN TAFT CORWIN III A \F 1
158E MAIN ROAD, JAME5PORT, NY 1 1947 CONNECTED TO 0 + /rOy � r �/
SCTM No 1000-80-03-14 PUBLIC WATER +
DATED 08-04-201 G
AREA = 22,032 5F = 0 50G ACRE5 BUILDING // // _�
ELEVATIONS ARE NORTH AMERICAN VERTICAL DATUM 1988
TOWN OF 50UTHOLD ZONE R-40
DRAINAGE CALCULATIONS
ZONE 1: 1 159 5F x 0 17 = 197 0 CF READ i
PROVIDE (2) 1 O'DIA x 2'D DRYWELLS = 273 G CF CONCRETE
WALL TO BE
a,
ZONE 2 2 1 78 5F x 0.17 = 370 3 CF REQD REMOVED \ 2.9' N
PROVIDE (3) 1O'DIA x 2'D DRYWELL = 410.5 CF ,� 1 In
m
O
LOT COVERAGE: N
�o 5 EW / II yg+ o
PROPOSED HOU5E (INCLUDING NV
GARAGE AND SCREENED PORCH) 2,5 10 5F / �` CL
d
DRIVEWAY % I
DECK 449 5F / / I M
TOTAL 2,959 5F +
2,959/ 22,032 5F = 13 4%
_ -
EXISTING ELEVATION / / 1 C ACh / W
/ I Y
CONTOUR / / I / 2� RE z0,4
PROPOS
- — PROPOSED ELEV2�� NEW A ER 1 R (NAGE [ 1- + cj
CONTOUR f WETEK 1� AZO 2
EXISTING 03 LOCATI APPROX. LOCATION
OVERHEAD ( °`� + �P�tE EXISTIN TEM
WIRES TO � ,:. Q c `0' E J/2 ._ ® : t�1EW TRl` G...' IN �'� E RE11 D° D B 0 +
BE RUNWCE
UNDERGROUND
Q' j
CD +
.� _ �� " � iT IS A VIOLATION OF THE
_
F— CL CO � �� � ° D W FOR ANY PERSON,
U) N V` i AVAT10 D °ECT10N REQUIRED W LESS ACTING UNDER T E
�v _ �o 79 < / D R SANITARY SYSTEM D RECTION OF A LICE^ISE
: . - � / °D EALTh DEPARTMENT Al101 ON TH TO ALTER AN
� "' Ni ON THIS D?.'-�Wii•iG I
,� +tV D 7 ANY WAY.ANY A-THORIZE
(0 /� CU to ° ° ALTERATION MUST BE
,^Q x cE NOTED,SEALED,AND
yL5-04G �FEN B }� ESCWFED IIN ACCORDAN51
�EMEto n ent of existing sanitary system must be in iTH THE LAW.
5 T of Of PP Oformance with department requirement Submit
completed form WWM�_as proof. aT I.eV� J e r
`
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