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ELIZABETH A.NEVILLE,MMC
`g- Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179 �!
i Southold,New York 11971CW
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 3
MARRIAGE OFFICER L ' ` .,, ' :' Telephone(631)765-1800 ?;
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD #�#
1;
TO::: Southold Town Building Department
D
FROM: Sabrina Born, Southold Town Clerk's Office JUN ' 7 2018
S
DATED: June 7, 2018 Bttt{e1 - .. GI p
RR . Cesspool Construction Application TOWN QsF0UI`$®LD
Transmitted herewith is a copy of application No. 4613 for a Cesspool/Septic Tank Construction
Permit submitted by: Y
David,Hazard..
Y
Please review the application and location map and advise if this office may issue the permit. r
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:
M
APPROVE
DISAPPROVE
Comments: Final OWOV lLyo,iir d 66ill-&-Su lk Goun Hea1ih-1)e�pat
i�
i.
Signature
Dated
� J
ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 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 / or Non-Residential @ $25 Application No.
Permit No.
Applicant Nati-e ( ^ W".
Applicant Mailing Address ° kL ) -w°_
Septic Tailk--lLor Cesspool
pConstruction oor Alteration ,r'1 , µ
BnefDescr Description of Proposed � : :�; a: � � , .���.. .. � ...�_...... .......,
Location of Proposed Construction/Alteration:
Owner of 1'r°o perly:_. �a : ,.� .. &_ �
Owner Mailing Address:.... - ._ _ ...... ......... ..........
Owner Property Address.
! __................ .._.._
Name and phone number of contact person _. ....
Tax Map No: Section /o Block , Lot_L, .2. lVft� p,�AA a, )' p ry
"p
Cross Street .......--
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
. Signature of Applicant Date
Received by
SOLVENT WELD
CONNECTION
I , aI` - t CASTING PICK-UP
l_ GROOVE.TYPICAL
T- " 211/2- 2' 4'-6' 4-B'` 4"DIAMETER
I
EFFLUENT LINE
D°
SINGULAIR®BIO-KINETIC
SYSTEM DISCHARGE
t (SEE DETAIL)
PRETREATMENT CHAMBER BIO KINETICm SYSTEM
SUBMERGED TRANSFER PORT y CAST-IN-PLACE AERATION -
CHAMBER TRANSFER PORT
EXTENDED AERATION CHAMBER FINAL CLARIFICATION CHAMBER
G� SECTION A-A BIO-STATIC"SLUDGE RETURN
C
ZZ-'
PAVEMOENT
I
QN
ZZ- `
vl
TAX MAP#100-103-02-0
51TE DATA EL.
TOTAL AREA 116,316 SQ. FT. i ' �3,
WETL.ANDS AREA 4,269 SQ. FT.
HOUSE
p
BASEMENT 2,050
FIRST FLOOR 1,896
SEGOND FLOOR 1,726
PORTIGO 308 _
COVERED REAR DECK(1st FLOOR) 102
COVERED REAR DECK (2nd FLOOR) 98 '
TOTAL HOUSE Sq Ft 6,180 PLOT PLAN
Scale: 1 30'-0„ F
HOUSE FOOTPRINT 2,306
FAP,.
% OF LOT OCCUPANCY 1.90%
•r )LVGYI i-r1Vr rvvrvv3 '-LeANL)UI
tEVENT UNAUTHORIZED
-HE LOCAL, LICENSEE
•
9DISTRiBUTOR FOR INv. 4•dla. PVC adia. PVC
, •Prrcta
EL: 14.6
REQUIREMENTS. EL ts.o @ 1/4•PITCH INv. —_ —�
� �
NV. +
120 VOLT-10-60 Hz-2 ANIP S,1RVICE EL t4.3
#PE_AERMR,PUW AND I HTESPAYED 5Y3. CONTROL yy PA},EL t'4V•
� r
NORWECO TNT
® ® �
500/600
I €
LEAN
SAND COLLA @
o—
,
R LEAs
TOTAL LEA
' 2dfl
GROUND WATER
-96
' I _
---
S T L _
I
TC
l I III � I �
HEALTH DEPT. STAMP
TIDAL I =` AL WETLAND LINE AS
,
DELINEATED BY G. JUST OF
W0 JMO ENVIRONMENTAL
= 1 � CONSULTING ON 11/15/2015
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C
3 AY. PA CStD9E E?Je.
EDA DRAINAGE AREA1
ESY° A '1—WD TiO
DRAINAGE AREA 2
TEST-HO-L
LOCATION OF PROPOSED - HAY B --
SANITARY SYSTEM
1 1O0
20' MIN WITH 596 — SAMPLING BOX /
�....A GRADE SL OPE /•
E
f
z--F
�s?
-ORT
PROPOSED 2-- 0,--Y
51NGLE FA`^1LY Z%v=r
—E— � ��
WITH 4 BEDROOMS
PROPOSED
SOL AREA i DECK'-
GONG W'.41\5' . /
`fBACK LINE OUT AREA tl'� 8°0 X 6°DEEP
--- `�� FOR ROOF RUNOFF
N.
—��
RESP A€ 4f N[ %; a— — — a _
PIPE WITH 80 X 6 DEE 120 V S/P
. FILTER DR EI S 20 AMP
FOR ROOF ® \ DEDICATED
PERVIOUS DRIVEWAY INTORPETT_1117, _
�S. ,�
f
SOIL STOCK C �. -ONG
WAL
PILE:ARa EXIST WEE
PROPOSED'� ATE" T NEW '
€ `r UNDERGROUND `
31'2-
' AREA 1
vJ - U
DRAINAGE AREA
® FI
WOOD
DECK
St
MIXED SAND AND LOAM
EREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR
1,UAr'F f")Ic,onc.o� cvc-,zn.nrr_� r_�r-� T, ��.- .-,.•,.-. ._,-_ �°�-
.', TOTAL LOT AREA: 110.310 Sf
a (Per Nathan TaftCorwin III Land Survey) NAVE) (1. 88)
£, DRAINAGE GALGULATIONS AREA 1
AREA (S.F.) AREA(SF) GALGULATION TOTAL G.F.
TOTAL AREA 1: 35.070 Sq Ft
— - Z e
BUILDING S.F. 1,440.06 AREA(.167)X 1.0 240.49 Q
E+ �
PAVEMENT S.F. 0.00 AREA(.167)X 1.0 0.00 Ilk
TOTAL 240.49
REQUIRED TOTAL/42.24 5.69 Z ro
O �
U O
USE (1)8'0 X 0-0' DEEP DRYWELLS 0
TOTAL DEPTH 6,00
PROVIDED
TOTAL LOT AREA: 110.310 Sf
(Per Nathan Taft Corwin III Land Survey) NAVE) (1-988)
DRAINAGE CALCULATIONS AREA 2
AREA (S.F.) AREA(SF) CALCULATION TOTAL G.F.
TOTAL AREA 2: 81,246 Sq Ft
BUILDING S.F 1,5.32.41 AREA (.167)X 1.0 255.91
TOTAL 255.91
TOTAL/42.24
03TOTAL DEPTH REQUIRED Z�T�6.06 I�-�-�1
USE(1)80 X 0 DEEP DRYWELL o3
TOTAL DEPTH - 6.00 U
PROVIDED
8" HIGH _
TRAFFIC
BEARING SLAB O O
GRAD � N � •� �
c
_ 1 WRAP LEACHING a Q
- RING WITH FILTER O
FABRIC
s
s � 0 00
s
= o
oW
CLEAN ONus
GRAVEL B 'FILL W C-4
ALL AROUN® BASIN LL X
FOR FULL DEPTH -- - w w° � n o
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O 0 Q o oo
Q °L3 .5 � 3
(5W .2.U m � rn
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PROPOSED 8'0 X ®$ DEEP STORM DRAIN
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GRADE
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VERTICAL � ,C)
CE
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PERSPECTIVE VIEW
36" MINIMUM 2 xU
- -_ � FENCE POST
WOVEN WIRE FENCE
(6 x 6 — 10 10 WWF)
FILTER CLOTH t
EMBED FILTER CLO