HomeMy WebLinkAboutHelf ELIZABETH A.NEVILLE, MMC �p�OgVFFO[��QG Town Hall, 53095 Main Road
TOWN CLERK a y� P.O.Box 1179
CO2 S Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 9 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
TO: Southold Town Building Department
JUL 2 3 2018
FROM: Sabrina Born, Southold Town Clerk's Office
WELDING DEPT.
DATED: July 23, 2018 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4632 for a Cesspool/Septic Tank Construction
Permit submitted by:
John & Laura Helf.
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.
j
I have reviewed the application and cation map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department t
Signature
Dated
ELIZABETH A. NEVILLE, MMC � �� a`0 �F + Town Hall, 53095 Main Road
P.O.Box 1179
TOWN CLERK
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 4 �� Fax(631)765-6145
MARRIAGE OFFICER � �, �. 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: July 23, 2018
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4632 for a Cesspool/Septic Tank Construction
Permit submitted by:
John & Laura HeIL
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 rcclw.111•ed :fl-0171 the StIft.olk County l;lealth.Lac parlri�ent
Signature
Dated
L®re, ^p
ELIZABETH A. NEVILLE �" '; Town Hall, 63096 Main Itoa,
TOWN CLERK „ ';� P.O. Box 1179
REGISTRAR OF VI'PAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER � z Fax (631) 765-6146
RECORDS AGEMENT OFFICER �kj ' Telephone (631) 766-1800
FREEDOM OF INFORMATION OFFICER " southoldtown.northfork.not
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @a). $1 0or Non-Residential @$25 Application No. .LI
Permit No.
Applicant 1IastrLeA1&5 t
.�
Applicant Mailing Address
Septic -"'or
Brief Descriptionor Ceool ./
of Proposed Construction or Alteratio11 X i"q(-"' p '1 "':571
Location of Proposed Constmction/Alteration:
Owner of Property: �' ' � .
p rh''
m .
` Owner Marling AdcGress.
w
Owner Property Address:_
Name and phone number of contact person °� �3 . m
Tax Map No: Section Block Lot _
Cross Street
NOTE: LOCATION MAP MUST'BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT - HEALTH DEPARTMENT APPROVAL
L
I . ture of A�, piicMrt Date
Receivedby: . .._.. _ ._...._..._..........__
PROPOSED SEPTIC SYSTEM DETAIL
ELF .....
N
4� HOL15E SURVEY OF
0 111 N JIALA Or In SCALE) NISH GRA.E
I,E GRAIN:
/,,, '.5' FrJW
LOTS 12 & 13 & P/O 14
,�,�G tsO, 1'4
x
TOP ET13 ................ MN
......I , ,
MAP OF
�
A ic
pvcii I/ I
L C
la
TIPROVI D P
RILMI 1, COLLAR
1�9 El EL. I BLOCK H
-3 REYD ON SHORES
x ........... I 6q
FILE No. 631 FILED JULY 1, 1931
..........................
....... .............
Via,
SITUATE
7�,XEFIFEI 1.111.1,"A.11.1.1 11,111,
Ci 94,`--,� "
EFLEV� 3.5'
I g"", o, sF
BAYVIEW
51
va&�HtRrLf IPAILE Y-S-D)
i mmmum sunic FmK cAPAcrPES FOR A i To 4 EFEITRoom ncusi-�is I.Goa GALLONS TOWN 0 F S O U T H O L D
3 CAU C�ti 1,DEEP,ai 75')
2�$ I rANZ a, mar 0....:8'wFIXE,s, 7,F)LEP I VITAIMISIA rAAFJfING Fr',11.M FOR I TO 4 BEDROOM FKKISE 15 N. 6 iq A SWENALL AREk
V IT OF 3JM�Iii AY 2R OWS 2. VAJ.R�5 ARE 10 RE OF PRECAV gr�11fli$WS0 CONCRETE(OR COS.)
SUFFOLK COUNTY, NEW YORK
0 CnNC _'SHAU. HAVE A MINIMUM COMPRESSIVE SYTEKTH
0, WALL nOCKNESS SHAUL BE A MINIMUM Of 3%A ITT rHICKNESS OF mo A soriom ritic mCss or o' FIDIII411 WFILICIURES,ESNA!VINE,;ANP,1A, "AM)"
ALL WALL%,EMTOM AND TOP SIMLL.CLOWAIN REINFORCING TO RESISY AN APPLIED FORCE OF�I&M P0 'L� '01410IRCE CMIO�OL(M
5 rXKAI 5LIAII FLE 01'PRF�A,'11 V D EF.Aw
'Aji7M1 "t V• r 06
`A L.1 N 1, 4,A 0 ,i,, DISTANCE BETWEEN LEM,'HING CALI.ErS AND WATER UME EIIAILL HE MAINDINEM —80-04-21
lyv imok r�, �r ALL•JONIiF SMALL BF SEALE13 SO PIAT DIE TANK TEE WXIERraiff
�,•�v , S.C. TAX No. 1000 1
THE S Mif �ANK SHALL BE INSTPA.".0 AT LVAL III ALL FRFMOLTI11113(MTH A MAX TOLERANCE OF�!11/4') M
ON A' COU"AF"' 5'a'O OR r"A 2141E I 8� A,DtSrANa.REIFNEEN ALL LEACHINC oAH.ErS AND SEP11C FMK SHALL W.MANTAINED. SCALE 1"=40'
011 Yu"b A I(V M"ln'yUrJ4M�'r"A"'NC"E""R'Fr'W'EEN"%EFYII:�TA,4KONM HQUSE'r�ALL RE MAINMWED
GO. f/ H FEBRUARY 22, 201
A
T,K A,
TESTHOLE D.A TA TOTAL LOT AREA 20,913 sq. ft.
A,
S (FES� HOLE DUG BY ON FEBRUARY 22, 2o l S.) 0.480 cc.
tJfILI P �j�
N",
5
, 'NIJ FWZK BROWN Lo"O OIL
( Cleanout must be installed on the 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
4 NOTES;
q
EXISTING ELEVATIONS ARE SHOWN THUS: ALX
W' septic tank inlet waste line.All utilities EXISTING CONTOUR LINES ARE SHOWN THUS:-———-XX-———-
LZ,Jrn. - FIRST FLOO
require a 5ft R
minimum separation to G.RL.- GARAGE FLOOR
2. MINIMUM SEPTIC TANK CAPACITIES FOR I TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
the septic system. 1 TANK; 8' LONG, 4'-3" WIDE, V-7" DEEP
3. MINIMUM LEACHING SYSTEM FOR 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
3 LEACHING GALLEYS 4' DEEP (4.75'x 8.5')
To mEn iC
10 PROPOSED SOX FUTURE EXPANSION GALLEY
BROWN FIRE: ium sAND sp
C
,j 0"
FT, is
,1, 1111,11111 1�1111'111 1AI1 PROPOSED 2.75' X 0.5' X 4' DEEP LEACHING GALLEY
G 17 YEsr WELL N.,
Ir. CL aq�_ PROPOSED 1,000 GALLON SEPTIC TANK
x 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
.12,
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
5. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND
EXISTING BUILDING COVERAGE REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
..........................................................................................................
U,
,,o crY HOUSE 950 DESCRIPTION AREA X LOT COVERAGE
qft4 5X>
DIM 17�EYTIIINLI (XI,(7.Y.M.7.."Lo
. .
ROOF AREA: 2,126 sq. ft.
.............................................................................. 1
!-1-11.
GARAGE 970 sq. ft. 4.6X
2.126 sq. ft. X 0.17 = 361 cu. ft.
912 7)e,".
361 cu. ft. / 42.2 = 8.6 vertical ft. of 8' dia. leeching pool required
L, TOTAL 1,920 sq. ft. 9.1% PROVIDE (2) 8' d1a. X S' high STORM DRAIN POOLS
Vj
k PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS:
W7, PROPOSED BUILDING COVERAGE
A,
/x "I
............... ...........................
Q�,4.k k, DESCRIPTION AREA X LOT COVERAGE
lima A� o)
0, HOUSE 2.115 sq. ft. 10.IX
GARAGE 970 sq. It. 4.6X
6 LZ
GC C"o
, k V 4 TOTAL 3,085 sq. ft. 14.7%
.....
1,, �
---------------------------------------------------- ..........
OF HEALTH SERVICE
SUFFOLK COUNTY DEPARTMENT I
PREPARED IN ACCORDANCE WHIT THE MINIMUM
('!JA0Lr,,FI0
SVANDAIU�S FOR
A NLL,AP041 I ED
FOR A
BY THE L I . 0,
'Nji�j, AI' LAND
PERMIT FOR APPROVAL OF CONSTRUCTION
FOR
TITLE A',X
ONU?
SINGLE FAMILY RESIDEN'
L.2 / ,,
APPROVED
0)
BEOROOMS Lo 'L
IIIA n,
FOR MAXHAUld �ry C� fPoN
�� �1� '4��7r L` No. 5 467
PPROVAL _e ........ ...
UNAUTHORIZED ALTERATION OF?ADDITION
IRESTHREEYEA S FROM DATE OF A N, C, 41� TO ITIIS SURVEY IS A VIOLATION OF'
EDUCATION LAW 101
CP �15 SECDON 7209 OF Y14E NEW YCAK STATE
S ty
Q., Nathan T
:11 COPIES OFSTHIS SURVEY MAP NOY SEARING
THE LAND URVEYOR'S INKED SEAL OR
twin
EMBOSSED S�AL. SHALL. NOT BE CONSIDERED
jiCi / 1, Land Surveyor
'j, 0 TO A IA1.1D TRUE COPY.
..... ................. ........... ..................... .............................................
CERTII CATIONS INDCATED HERE.ON SIMLL RUN ............... ----------—------
ONLY TO THE PERSON FOR WHOM YHE SURVFY
I
17"
of e""Islings"anitary s�,rsbcr�
S PREPARED,, AND ON HIS BEHALF TO THE Successou To: Sionley J. soksen, Jr. (....6..
TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno 1.S,
LENDING INSTITUTION LISTED HEREON, AND
r YHE ASSI,INEELE OF THE LENDING PN n- Otis Surveys SubdiyI�Fiorys Siiie Plans - ConOns,:Non L(yout
as prool. OT I
TOTION. CER FICATIONS ARE NOT YRANSFERArhE
compleled fbrv! '" PHONE (631)727 2090 Fox (631)727 .1727
THE XISTENCE OF RiMiT OF WAYS
AND/OR EASEMENTS OF RECORD, IFL OFFLICLES LOCATED AT M/YLING ADDRESS
ANY, NOT SHOWN ARE NOII GUARANTEEED, 586 Main Road P 0 Box 16
JoinrsIIIort, New York 1i947 hmnespori, New Vork 8994"T
............................... .............. ...... —----------- ---------- ....................................... ... ............. .................. .............. 28 0,21
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