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ELIZABETH A.NEVILLE, MMC Off' OG Town Hall,53095 Main Road
TOWN CLERK �� y� P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
Go*
Fax(631)765-6145
MARRIAGE OFFICER ,y Off. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ��l �� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
D IECC%�W[E
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TO: Southold Town Building Department AUG 2 2018
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDING DEPT.
DATED: July 31, 2018 TOWN OF SOUTHOLD
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4633 for a Cesspool/Septic Tank
Construction Permit submitted by:
Jeff Hallock for Diane & Ed Daley
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:
Signature
topS
Dated
o _
`-,, BLIZABETR A. NEVILLE �y� �¢r Town Hall,53096 Main Roa,
TOWN CLERK 4 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �y.
MARRIAGE OFFICER o • `� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��o� y�O� 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 ApplicationNo.
Permit No.
Applicant Name
Applicant Mailing Address .M- Six 319 z � Q ` 770 f
Septic Tankor Cesspool
Brief DescAption of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
y�Owner of Property: -
Owner Mailing Address: j
'4&
Owner Property Address:
����Name and phone number of contact person (D ! YO//
Tax Map No: /000 Section (ql —Block Lot
Cross Street
NOTE: LOCATION MAP MUST*BE SUBNHTTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEYH HE TH D AR MENT APPROVAL.
713) /1
Sie- 4'cant Date
Received by: �/33l�
TEST HOLE DATA
(TEST HOLE DUG BY NATHAN CORWlN L.S. ON MARCH 24, 2018) �,� T�V�! ' ®� PROPERTY®��1 q�, V
EL. 21.5' 0l S U RWE / LRT 1
BROWN LOAM OL
11 SI T UA TE
. PALE BROWN SILT ML B L 1YVI E T-'
4' ,IYIn1Y/�
TOWN OF SOUTHOLD
EL 9 1' PALE BROWN FINE SUFFOLK COUNTY, NEW YORK
BOTTOM OF PROPOSEDTO COARSE SAND SW
SANITARY LEACHING POOLS S.C. TAX a ��p
U O. 1000-81 -0�-2 3
EL 3 0' 18 5'HIGHEST EXPECTED GROUND WATER
EL. 2,0'
TEST WELL No. USGS 405906072110102 S 8843 2 SCALE 1 "=3 0'
GROUND WATER 19'5' APRIL 6, 2010
DECEMBER 21, 2010 SET ADDITIONAL STAKES ON PROPERTY LINES
FEBRUARY 2, 2013 UPDATE SURVEY
WATER IN PALE BROWN
FINE TO COARSE SAND SW NOVEMBER 3, 2016 UPDATE SURVEY
MARCH 22, 2017 UPDATE SURVEY
JUNE 7, 2017 ADD PROPOSED ADDITIONS
JANUARY 24, 2018 ADD TOPO AT BLUFF
MARCH 15, 2018 REVISE SITE PLAN
QV) v __,_. .� __ APRIL 26, 2018 REVISE REVISE PER S.C.D.H.S. NOTICE 04/19/2018
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III��'rr,r Li) (s) � ST Be Inspected By Thi LOT AREA = 71 ,553 sq. ft.
C11l�1,01k 4"..OLII-,:y Dept. 01 Health Services. (TO TIE LINE) 1 .643 ac.
�% Caii 852-6700, 48 Flours In Advance,
aQ°�� A To Schedule Inspection(s), CERTIFIED T0:
OE! 4 � EDWARD L. DALEY III
° �� DIANE L. DALEY
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� \ ��sF�H,E SIG���, �` STEWART TITLE INSURANCE COMPANY
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BEDROOM HOUSE IS 2,500 GALLONS. S�, 61)
•98,
?OOM HOUSE IS 700 sq ft SIDEWALL AREA. /�
ICAL FEET TOTAL) 4
ON POOL
LEACHING POOL
TANK DRAINAGE SYSTEM CALCULATIONS-
POOL HOUSE IS 1,000 GALLONS. PR05,060Dsq ft HOUSE 0.17 = 860.2Ecu.BREEZEWAY AND GARAGE: 5,060 sq. ft.
DEEP 860.2 cu, ft. / 42.2 = 20.4 vertical ft. of 8' dia. leaching pool required
HOUSE IS 300 sq ft SIDEWALL AREA. PROVIDE (4) 8' dia. X 6' high STORM DRAIN POOLS
PROPOSED 8' DIA. X 6' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: O
)N POOL PROPOSED POOL HOUSE: 612 sq, ft.
612 sq. ft. X 0.17 = 104 cu. ft.
EAEHING PO0,L 104 cu. ft. / 42.2 = 2.5 vertical ft. of 8' dia. leaching pool required
• • PROVIDE (1) 8' dia. high STORM DRAIN POOLS
TANK PROPOSED 8' DIA. X P DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS:
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WATERLINES SHOWN HEREON ARE FROM FIELD CONCRETE DRIVEWAY_ 612 sq. ft.
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TORY&COG CONC w o
N�/NC
PROPOSED BUILDING COVERAGE
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION of DESCRIPTION AREA % LOT COVERAGE
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING EXIST. HOUSE 2,603 sq. ft. 3.6%
THE LAND SURVEYOR'S INKED SEAL OR EXIST. GARAGE 630 s ft. 0.9%
EMBOSSED SEAL SHALL NOT BE CONSIDERED q
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN EXIST. CONC. BUILDING 188 sq. ft. 0.3%
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE PROP. 2 STORY ADDITION 335 sq. ft. 0.4%
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI- PROP. (2) PORCHES 1,054 sq. ft. 1.5%
TUTION CERTIFICATIONS ARE NOT TRANSFERABLE.
PROP. BREEZEWAY 293 sq. ft. 0.4%
THE EXISTENCE OF RIGHTS OF WAY PROP. GARAGE _ 780 sq. ft. 1.1% NOTES:
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. PROP. POOL HOUSE 612 sq. ft. 0.9% 1. ELEVATIONS ARE I
EXISTING ELEV
PROP. POOL & HOT TUB 1,072 sq. ft. 1.5% EXISTING CONI
PREPARED IN ACCORDANCE WITH THE MINIMUM FFL. - FIRST FLOC
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED TOTAL EXIST. & PROP. 7,567 sq. ff. 10.6% GFL. - GARAGE FU
BY THE L.I.A.L.S. AND APPROVED AND ADOPTED TB - TOP OF BU
FOR SUCH USE BY THE NEW YORK STATE LAND BB - BOTTOM OF
TITLE ASSOCIATION PROPOSED TOTAL LOT COVERAGE BW — BOTTOM OF
-ISO
� DESCRIPTION AREA % LOT COVERAGE 2. MINIMUM SEPTIC
lb iT Off° 1 TANK; 6 DEEP
EXIST. HOUSE 2,603 sq. ft. 3.6% 3. MINIMUM LEACHIN
'l `• 2 POOLS; 11' DE
EXIST. GARAGE 630 sq. ft. 0.9% PROPOSI
EXIST. CONC. BUILDING 188 sq. ft. 0.3%
®PROP. 2 STORY ADDITION335 sq. ft. 0.4% PROPOSI
• 50467 0
A.
o. 50467 PROP. (2) PORCHES 1,054 sq. ft. 1.5% PROPOSI
PROP. BREEZEWAY 293 sq. ft. 0.4% 4. MINIMUM SEPTIC
Nathan T of t Corwin III LEAC PROP. GARAGE 780 sq. ft. 1.1% 1 TANK; N
5. MINIMUM HI
Land Surveyor PROP. POOL HOUSE 612 sq. ft. 0.9% 1 POOL; 12' DE
PROP. POOL & HOT TUB 1,072 sq. ft. 1.5% PROPOSI
EXIST. WOOD DECKS, 311 sq. ft. 0.4% ® PROPOSI
lessor To- Stanley J. Isaksen, Jr. L.S. STEP- '_ANDING
Joseph A. Ingegno L.S. PROF )L PATIO 2,068 sq. ft. 2.9% ® PROPOSI
Title Surveys — Subdivisions — Site Plans — Construction Layout OF
THE LOCAION
ASPHALT DRIVEWAY 5,264 sq. ft. 7.4% 6. LOCATION
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