HomeMy WebLinkAboutCook ELIZABETH A. NEVILLE, MMC 7 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 Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtovamy.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: March 13, 2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4707 for a Cesspool/Septic Tank Construction
Permit submitted by:
John Cook
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: _.
Signature
Dated
F OZ 4,
4
ELIZABETH A. NEVILLE ;. ' � Town Hall,63095 Main Roe,
TOWN CLERK P.O.Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rry
MARRIAGE OFFICER r, Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER f Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER so utholdtown.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. I6-
Perinit No tw
ApplicantName - y.�
Applicant Mailing Address _ \
. b
Septic Tank. or Cesspool
Brief D scr ption' of Proposed Construction or AlterationAeAvl
Location of Proposed Cons truction/Alteration:
Owner o,�`I' opert :
Owner Mailing Address:
Owner Property,Address: �-AY' '
Joy'--
Name
'Name and phone number of contact person
Tax Map No: Section Block Lot b
Cross Street
NOTE: LOCATION MAP MUST'BE SUBMIT'T`ED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPAATMENT APPROVAL
-
.
l Ii.ature O pplicaat Date
Received by:
N
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
f
Date: 03/13/19 Receipt#: 252128
Quantity Transactions . Reference Subtotal
1 Septic Permit-Construct- Resid. 4707 $10.00
Total Paid: $10.00
Notes: Steven Muth
y
Payment Type Amount Paid By
CASH $10.00 Cook,--`John
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
d o
Name: Cook, John
20 Sandalwood Lane
Riverhead, NY 11901
Clerk ID: JENNIFER Intemal ID:4707
S.C.T.M. NO. DISTRICT: 1000 BECTON: DWELLINGS
34 BLOCK: 3 LOT(S):10 — `''— WIPUBLIC WATER
A ,
Lyn
119'00 ° c. C, ry e�i G,
o.8'E 73 U 0 eea
t.o's
EL..14.5
L07 53 EL 15.0
OVERHEAD j
UTILITIES
MON
EL 14. L 6. i
� I 5
r Lor 52 EXP
w LOT 5�' L 15
O .LOT 5
(� U, MIN t0' ° I xy n i
Cn
b LP
MIN
p d CONC,
LP 95.6 1 5700P A w
pEL 15.8 MIN 10, 16 5 e
o PROPOSED
LOT 54 4 BEDROOM SYSTEM S.T. ELM16.8 g 3.0' E1P216 O O LOT 39 ro q
z 1250 GAL S.T. = a ^�
n (2)8'0x6'DEEP LP -•' trl .%� ra e�
DWELLINGS m MIN EXISTING SANITARY `C
PUBLIC WATER 36.5' 2 STY FRN TO BE ABANDONED
WIPUBLIC 25.C' DWELLING w AND BACKFILLED WITH
4 BEDROOM'^
CLEAN COARSE SAND.
150' `""-- EL 16.0 a ' X213
225.9' :FFL 20 2
1.3'E STOCKADE FENCE o
ti
EL 16.1 o t 1 t VENT DWELLINGS
LOT 55 v BALCONY WIPUBLIC WATER
m w:
x bio m
� LOT 40
°o CONC
EL T8.7
_ z
EL 19.7
LOT 56 p
EL 19.2 rn
ASPHALT DRIVEWAY
EL 19.6 LOT 41
2.9'
0.7'
HeD> G2 -FRAME
S73-2 ,361 ° HEO: ro GARAGE
ELEV. 14.5 7' , ;F
DR BROWN 0 4'a9I 2.5 170,';1 8.3
OL NDY LOAM 0.4' (Alyk 7EN
3.3'
AGOYVG ClN�-
BROWN I OT-56
MEDIUMaMON. LOT 42
SP j SAND12.6' RE F P^F't OT of , 4"3+.L Y1$L 'W1 'OR Fa
GRAVEL x397 C h9 od_ w 1 81}1`.'1'11 1 tL,,
NO WATER FEB DATE 2 2 2019�a r,"• a s."J.
—HIGHEST EXPECTED
WATER IN GROUND WATER EL 1,
SW MEDIUM 4.0' PPF04ED
SAND 'TOTAL Iw111N,SED-ewoMS
Bc
GRAVEL EXPIRES THREE YEARS FROM DATE Of:APPROVAL
—17.0'
SEPT. 1, 2018 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
K. WOYCHUK LS LOCA71ONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS,
AREA: 14,719.82 SQ.FT. or 0.34 ACRES ELEVA77ON DATUM, NAVD88--T ___--------
UNAUTHORIZED
___ __UNAUTHORIZED ALTERA77ON OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, A00177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF: LOTS 50-52 INCL CERTIFIED TO; STEVEN MUTH;
MAP oF; DIAGRAM OF 60 LOTS OF LAND IN
GREENPORT BELONGING TO JOHN G. CHAMPLIN - --- --
FILED: OCTOBER 23, 1873 No.337
SITUATED AT: GREENPORT
TOWN OF:SOUTHOLD KENNETH ria WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Sox 153 Aquebogue, New York 11931
FILE i¢ 1 100 SCALE:1"=30' DA�SEPT. 1, 2018 PHONE (831)298-1588 FAX (631) 298-1588
N.Y.S. Ll V0. 050882 maintaintnt the records of Robert I.Heemxy k Kenn .Ooyohuk