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HomeMy WebLinkAboutDrum ELIZABETH A. NEVILLE,MMC „i� �� Town Hall, 53095 Main Road TOWN CLERK ° 0` P.O.Box 1179 i Southold New York 11971 REGISTRAR OF VITAL STATISTICS s� � Fax(631)765-6145 MARRIAGE OFFICER ,r �� �t Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER t � , y5 www.southoldtownny.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: April 2, 2019 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4742 for a Cesspool/Septic Tank Construction Permit submitted by: Jennifer Leeds 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 OZ4, ELIZABETH A. NEVILLE Town H&H,63095 Mein Roa- TOWN CLERK C�w I P.O. Box 1179 REGISTRAR OF VITAL STATISTICS rSouthold, New York 11971 s� , MARRIAGE OFFICER a " Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER1 Telephone(631)765-1800 FREEDOM OF!N ORMATLION OFFICER southoldtown.northfork.ne.f OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residdntial @$10 or Non-Residential @$25 Application No. Perinit No. Applicant Name Applicant Mailing Address Septic Tank. orCesspoo BriefDoscriptioa ofProposed Con acctionmorAlteration �� . � Location of roposcd C nstruction/Alteration: ® , Owner of Property C_ 'r _. Owner Mailing Address: Owner Property Address: DLO D Name and phone number of contact person ' _ t Tax Map No: Section_j Block Lot Cross Street NOTE: LOCATION MAP MUST'BE SUBMiZ"I`ED WITH APPLICATION. NEW CONSTRUCTION REQUDRES SURVEY WITH HEALTH D PA.RTMENT APPROVAL 7 S' t Ire of A p icwlt Date Received by: - SURVEY OF PROPERTY LOT 2-WOODED VACANT LAND j LOT 7 MAP OF w� ? � N74037'20"E 270.00 SEA-AIRE ESTATES FILED:FEB.5, 1979-MAP#:6780 —� SITUATE I f�_ C°, MATTITUCK IA I-24`M N—J'f TOWN OF SOUTHOLD ;AhK o SUFFOLK COUNTY,N.Y. } U TAX MAP NO.:1000-100-03-01 5.00 1 - 55.0' LOT AREA:40,274.63 S.F.(0.925 ACRES) � I sir��oo DATE SURVEYED:DEC.27,2018 j Y REVISED:JAN.21,2019 g �� - RPL 6 e 1. a rEsrtio�E (LOT 1-wooDED VACANT Lr.?D a ELEVATIONS REFER TO NAVD88 ( eLseso NO WETLANDS WITHIN 300'OF PROPERTY a I n >ast F I g w z ROOF DRAINAGE CALCULATION: \ W � ¢sso ors vEwnv kftAGE z ' \ (2557 S.F.) (3"l NOUR)=640 CUBIC FEET REQUIRED - -. PROVIDE MINIMUM(2)B'DIA..X B'DEEP DRYWELLS OR EQUIVALENT U E ' \ 32'25 �� �qr l� > © A NEST HOLE NOT TO SCALE) LII _,_ lle McDONALD GEOSCIENCE I ( gq� cq DATE:7 2.26-2018 O,GRADE ELEV-58.50' f z BROWN LOAM(OL) MENT S!72/ 9'20"W BROWN SILT(ML) _ 27�2270.25 ,o -25 E DRAINA e _ 0 s ! a. a MSN FN r RESIDENCE-PUBLIC WATER 10, PALE BROWN FINE RESIDENCE-PUBLIC WATER I TO MED.SAND(SP) 7 (17' -. � ! SCALE:1INCH=40 FEET NO WATER ENCOUNTERED i 40 O 20 40 80 X Li 6;1 6J c-�a?'ri;� C�.:c4E E4G.c=5 G'v,:L�H�S .F_.:h,,..Yt_R _SErzvE..�. ••• - �cxr.rNa. z-.:;.z n..3.r s::�•�. s.. =±vim r�s .­­,�;Ty-:e_ v L R SUFfO '<.C0 `: G' PAx1T3,?xs'T €1sAIeT€ SEY:C — OAD PEPIANT FOR APPROVAL OF CONSTRUCTION FORA E .PiE(. A �: Gs.•-r M M n ­c - - - F N ± a � SFNCLE FAIMLY REr.S16ENCE ONLY7. Q r'E c '._� ' FEB DATF. ZF i=O ' lit - _III � rc a_n z OF BEDROOMS o SURVEYINS, �� EXPIRES THREE EATS FR P1 CW=E OF APPROVAL r Aac2 @6F'T(}NL1IeE.FiET ANGEL slEPst OECERE SOHO USE ONLY " PROFESSOKAL LAND SURVEYOR —-----