HomeMy WebLinkAboutO'Shea A
g�FFOL�
ELIZABETH A.NEVILLE, MMC 0� Cpl Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
C* Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER ,j. ��. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ��,` �`� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OOF WN oIF THE
TOWN
DCLE D MC[Eu'vFmD
SEP 1 0 2018
TO: Southold Town Building Department
BUILDING DE".
FROM: Sabrina Born, Southold Town Clerk's Office TOWN OF SOUTHOLD
DATED: September 7, 2018
RE: Cesspool Construction Application
Transmitted herewith is a cop_y of application No. 4653 for a Cesspool/Septic Tank Construction
Permit submitted by:
Ioannis Zoumas for Jeremiah O'Shea.
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: ,OOOOO�
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
Dated
1
1
o�Qg�FF�(�-Co
ELIZABETH A. NEVILLE �`� �� Town Hall,53095 Main Roa,
TOWN CLERK q _ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER y�fQ� v, y�d� Telephone(631) 765-1800
FREEDOMOFINFO RMATiONOFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10or Non-Residential @$25 Application No. .%67-�
Permit Noe p _
Applicant Name a/t
Applicant Mailing Address r90 "Q tV TA _
�1 h O00A r
Septic Tank. or Cesspool
Brief Des t'on of Proposed Construction or Alteration
uv e. 2 ^ -
Aj
Location of Proposed Construction/Alteration: /�
Owner of Pro e ) ( q-r9 4 /tA
P �Y�
Owner Mailing Address: IJA r9 A, AU e
Owner Property Address: LA p�AgJk-
6 (
Name and phone number of contact person J%CO — x03 — 89Cl2 I daym l S
Tax Map No: Section Block 6 j Lot -
Cross Street
NOTE: LOCATION K" MUST-BE SUBMITTED WITH LICATION. NEVA
CONSTRUCTION REQUIRES SURVV H HEALTHTMENT APPRO AL
Signature of D to
Received by:
f
r4
!---• —'_�. 'oI SUFFE�i.'-: .C.t=;UNTY 1 ZPARTIA.I: v_{..-3HEMI f'i Sr"T
�:F � nVICES
I
I I
PE RN'llT FOR APPr—O r^:s 01 C0,11STRUCTior-4 FOR A
I I
iI ; �t y�*��iq�� p1 ^/ f®
LAND N/F I i DY.iL `-' `O lO f'I.S,
OF _
CLAIRE M DOWUNG
( (DEVELOPED/PUBLIC WATER) I APPRovr-D
I N 53'31'35' E 167.48'
-,- -- �( -- -- --_ -- -- --
4 Y - FOR MAXIl4lirfr9 OF BEDROOMS
5'MIN.
~' I I r EXPIRES THREE YEARS FROM DATE OF APPROVAL
I \ �
1 L 2j _-
I
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FE
-7-
c�
RIM ELEV \ \ �.��`r
23 _ °
I l LP r {' ST \ 7IO
i L VMIN A\ ��`�.J MIN \. L
x \CA A, ys, ' BUILDINGS:
• < V I 2372 PROPOSED
I o \' 41 I 2 STORY
�� /LP �� -1 27 j 4 BEDROORMESIDENCE
-1211 I 1 I;wZONING
T- \ LJ I t
r µ,I. r "—" •—a I II( "-T ��o� -
1 / rOOA I
xo R-40 (RESIDENTIAL)SIDE
NTIAL)Z m 7 �S.70
PROPOSED 2 STORY SITE DATA:
hSCTM/
1000-038-0
7-12
SITE AREAo MIN RESIDENCE
4 BEDROOMS W/
BASEMENT 0385 ACRE
TINGF F E.=26 00� 1 NO EXISSURFACE WATER WITHIN 100'
� 2 NO PRIVATE WATER WELLS ARE LOCATED WITHIN 150OF THE PR
OPOSED SANITARY SYSTEM NO PUBLICU.
WATER WELLS ARE WITHIN 200' OF THE PROPOSED SANITARY SYSTEM
10' MI t� °. I O �� 3 NO DRAINAGE STRUCTURES WITHIN 20' OF SANITARY SYSTEM
O oma
GENERAL NOTES:
` ': •= � - �.�:. tib?;ar I / �s
i 1 THERE ARE NO KNOWN WELLS (DEEP OR SHALLOW) WITHIN 150 OF PROPOSED SANITARY STRUCTURES
ai;;p.'��~,�, `.,+'„:. .,r , -” ,. ,•: °
THERE ARE NO KNOWN STORM DRAINS WITHIN 20' OF PROPOSED CESSPOOLS
GARAGE A
''=x '` '^•�__; , i 2 THERE IS A WATER MAIN AVAILABLE ON SHIPYARD LANE
a" s. c ::} �.aw F.F E.=24.0' 1
t I 1 3 PROPOSED SANITARY SYSTEM D DESIGNED FOR A TOTAL 1 4 BEDROOMS
g.�,�•.;�;; � r a�q• 4 PERFORMED BY MC NA 18
�E \., ,� TEST HOLE P RF DO LD GEOSCIENCE ON 7-11-20
a °y - a x .i=quos I SURVEY NOTES'
I 1 1 MEASUREMENTS ARE IN ACCORDANCE WITH U S STANDARDS
_ '•�'°`' �` 2 BEARINGS SHOWN ARE IN NEW YORK STATE PLAN COORDINATE SYSTEM, LONG ISLAND ZONE
3 ELEVATIONS SHOWN HERE ON REFERENCE NAVD 1988
4 UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS
_ I - A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
5 ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S
"EMBOSSED" OR "INKED"SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES
_ I 6 CERTIFICATIONS INDICATED HERON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
CT EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF
s ON' \ \`J, < / PROFESSIONAL LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE
ti \ SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING
- / INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT
C I oN 23 �_ _ __ TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
7 RIGHTS-OF-WAY NOT SHOWN ARE NOT CERTIFIED
S 53'31'35' W 167.50'
d O� 8 THE SURVEY CLOSES MATHEMATICALLY
LAND N/F `
OF
ON/ WALTER SOSNOWSKI&PATRICIA
SOSNOWSKI 1 /
0�
SITE PLAN (DEVELOPED/PUBLIC WATER)
0
ui SCALE:1"= 20' EXISTING 1-
LEGEND- GRADE - q{
=1 33
PROPOSED BUILDING i• - 2223•BROWN LOAM(OL)' AubJ
CL
PROPOSED ASPHALT DRIVEWAY
BROWN SILTY SAND(SM) ,
LL
SUFF.CO.HEALTH SERVICES
----PROPERTY LINE 3• 2023• ®�I�/I.���iASTE�IATER AS PER COMMENTS FROM SCDHS DATED 8/14/18 CFD
�/ A DESCRIPTION APPROV BY
�• Si �-PROPOSED CONTOUR
eay,.e.Or@ --11----EXISTING CONTOUR BROWN FINE TO COARSE REVISIONS
PROPOSED TREE UNE SAND W/ 10%GRAVEL(SM)
� ' ' TOWN OF SOUTHOLD
/ 9 �T`;'•;,>;' PROPOSED SEPTIC TANH -
o PROJECT '�<,;�-.,: e' - 1723' t�"
,.° LOCATION _ PROPOSED SANITARY LEACHING POOL `� SUFFOLK COUNTY NY
o s m (n
2 1 \e:: —s— PROPOSED SANITARY PIPE
I-) Q 1; PALE BROWN SAND(SW) )'W�5 SHIPYARD LANE, EAST MARION
„ O PROPOSED 8'ADS ROOF DRAINAGE PIPE
PROPOSED B 0 DRAINAGE STRUCTURE(SOLID COVER) SANITARY PLAN
PROPOSED 8'e DRAINAGE STRUCTURE(OPEN GRATE) 17' 823• \/ �•J�k�_+-� 'r`•,
PROPOSED 1'WATER SERVICE
n - _ �^- � K. McLEAN ASSOCIATES, P.C.
D••- ° —�—PROPOSED OVERHEAD ELECTRIC SERVICE 280' (HIGHEST EXPECTED GROUNDWATER) j
r )'t °NSULTING ENGINEERS 437 SOUTH COUNTRY RD,BROOKHAVEN,NEW YORK 11719
TEST HOLE LOCATION �jlyT
TEST HOLE BY ENCOUNTERED)
GEOSCIENCE-JULY 11,2018 u.ar n.sr,n:v rmr raramrs
, EX TREE UNE � (NO WATER ENCOUNTERED) � ����� Designed By MF/CFD Scole AS NOTED Sheet No
LOCATION MAP TEST HOLE SA 1
'^• - IX UNDERGROUND WATER Ocoem,.>.mc suw umu,ioxs u¢woE n¢n¢
/ d P _ moo ra Dro"G By MF Dete JULY 2018
SCALE 1"=1,000'd: EX OH ELECTRIC I NTS 01p"PGiVm/OAd�.,� L"5FD''^" Approved By RGD Fle NO 18066 000
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