HomeMy WebLinkAboutKelly ELIZABETH A. NEVILLE MMC 9I m Town Hall,53095 Main Road
TOWN CLERK � P.O.Box 1179
Southold,New York 11971
�r'
REGISTRAR OF VITAL STATISTICS �� .f�� Fax(631)765-6145
MARRIAGE OFFICER , ta,c Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER" 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: June 28, 2018
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4624 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nancy Dwyer for Paul Kelly.
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: l inad approval required rrom the Sgal'1'01k COL111ty Tlealth Dc,aartil-tent
Signature
Dated
ELIZABETH A. NEVILLE I Town Hall, 53095 Main Road
TOWN CLERK . P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICSFax(631) 765-6145%to;
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER
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 Name °°
Applicant Mailing Address, _... _... .. �... ...._m
p
_ p.�
Brief Description
Cesspool ,
P of Pro,po od.Co �sctica� or AltcatoI �. . . ..
Location of Proposed Construction/Alteration:
Owner of Prop i. �
a
Owner Mailing Address:,,,,,_._.___,,-,,,,,
Owner Property Address .. "
Name and phone number of contact person ,,.—,,,,,-.
Tax Map No: Section ".. Block
.Lot 1r�.._ ��
Cross Street T20,-A 420ek
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S VES W T HEALD EPAII.`I". ENT APPROVAL
,. .
Signature o1 App�:i a �t Date
n,
Received by: ,.."................................... ................................. ...... ............�� ...........ww_ ...._...............w
Yaccorino }
01-13-2015
N/O/F
i N/0/F DANIEL FINCHr•. 'OMAS MCQUEENEY KATHRYN FINCH
t _ DWELLING
DWELLING
(WE]L. 150+) (WELL 150+)
N86-19'30'E N89'22'00'E
LOT COVERAGE 22.91' cmF 29,40;
HOUSE, PORCH, BREEZWAY & GARAGEX187 -
2106 sq.ft. o
2106122,929 = 990 0 0
0 000
RAIN RUNOFF CON TAI NMEN T Qj C)C)
HOUSE, PORCH, BREEZWAY & GARAGE — 2106 sq.ft. ti f'1 L(
2106 x 1 x 0.17 = 358 cu.ft. Qwp
358/42.2 = 8.5 VF DM
PROVIDE 3 D Ws 80 X 3' DEEP 540.
Qr 41
DRIVEWAY (PERVIOUS) — 1035 , 110-
1035
>1035 x 0.8 x 0.17 = 141 cu.ft. ,' 0
141/42.2 = 3.3VF - ,f
LOT i 12
PROVIDE 1 DW 80 X 4' DEEP
i
(VACANT)
PROP. SEPTIC SYSTEM
(4 BEDROOMS)
1-1000 GAL. PRECAST SEPTIC TANK f
1-80 x 12' DEEP LEACHING POOL ., Axe
WITH 3' SAND (SW) COLLAR 3' MIN. ABOVE '
GROUND WA TER
1Z �e
QI
TEST HOLE DA TA
i
McDONALD GEOSCIENCE
10/15/15
DARK BROWN LOAM OL 9PI,��p K
F
1 , 0
8
N/O/F die.
BROWN SILTY SAND SM I BENTS F SNELLENBURG o. 4
3' JOSEPH J SNE IIENBURG II
I D N
NG 1176 ,56',30,
1 +
I
PALE BROWN FINE SAND SP
f
16.4' r'= L(
WATER IN PALE BROWN FINE SAND SP IWC
D PIIDWE
Ll 17' a
p �d
[E[([E[E NOTE- WA IFR ENCOUN7FRED 16.4' BELOW SURFACE
„ s -
= PIPE ` `
= MONUMENT � XCt�V`x
Fc
LOT Z)s ARE REFERENCED TO
"MAP OF NUNNAKOMA WATERS" `
FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK
ON JULY 9, 1968 AS MAP NO. 5126
ELEVATIONS ARE REFERENCED TO NA VD 88
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION
OF SECTION -,90F THE NEW YORK STATE EDUCA 710N LAW. .
EXCEPT AS ► SEC71ON 7209—SUBDIVISION 2. ALL CER7IFICA710NS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
_ .._ .. ........ --I -, "I, n.noccccn ICC-AI nc TIJ[' 4ZI19)lA<Yf)i? ;
SURVEY OF PROPERTY
A T SOU _- LD
TOWN CSF SOU LD
SUFFOLK COUNTY , MY.
1000-87-02-19
SCALE.- 1'=30
JANUARY 12, 2015
FEB. 4, 2016 (PROP. HOUSE)
t
N/0/lF
DANIEL FINCH
GENE( KATHRYN FINCH
UNG DWELUNG
150+) (WELL 150+)
® N89'22'00'E
22,91' CIAF
29,40'
;8.7 EL19.
0
o�
0 00
o0
m LT[1
DWEUUNG
o (PUBLIC WATER)
4p,
Ti12 .
(VACANT) fthlo
f
r f ![ I 1 f ' 6 POLE
i ' l
1 �' �
f
l r �6 -L�) UW RD.
-Al S
�'`` l 40.0'
MEST
PWAfctp- HOLE
c5l
/ G
at8.4 GNW
SNEUFNBURG �z
J u it o. N7 � I LOT 15
a 6 56�3p z (PUDDWWEWNGER)
90,00, PIPE ir
� LOT 11 '
DWELUNG m l
(PUeUC WATER) -
ft, LOT 1
fF
111 (�TM)
x 4� a.1 i 1 i vPOLE
Sr spedion u
f - f
9618
l
PFOOO� = ORS, P.C.
(631) 765-5020 FAX (E ) 765-179
P.O. BOX 909
1 7 3/) TPA I/r-1 CA CTOCCT