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HomeMy WebLinkAboutParkside ELIZABETH A.NEVILLE,MMC �5� ( ' � ' � Town Hall,53095 Main Road TOWN CLERKP.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS seg � Fax(631)765-6145 �" �u MARRIAGE OFFICER �� ��w�' 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: Southold Town Clerk's Office DATED: May 15, 2019 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4755 for a Cesspool/Septic Tank Construction Permit submitted by: John Zotos for Parkside Heights Co 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 ELIZABETH A.NEVILLE ' " 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 RECORDS MANAGEMENT OFFICER ', 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 Non-Residential @ $25 Application No. y 7 S 6 Permit No. Applicant Nani ... ' . �.__... Applicant Mailing Address-.,/ �� ......._ _. Septic Tank mor Cesspool Brief Description of Proposed Construction or Alteration .... . .... Location of Proposed Construction/Alteration: Owner of Property: cr9,y:� Owner Mailing Address:_ .._ ..... _. Owner Property Address-.._2_z :.. m 1 Name and phone number of contact person Tax Map No: Section Block © ? Lot 7 Cross Street _ ..��..._. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH I- ALTH DEPARTMENT APPROVAL 5 jSignature o:Applicant Late Received by: LOT CLEARING L Mr E TO 5OX OR 22,002 q.ft. NO WELLS ARE IMIZID 1.50'OF PROPOSED SEPTIC SYSTEM SURVEY OF PROPERT: PROPOSED SEPTIC (4 BED AT EAST MARION SYSTEM MS) 1200 GALLON SEP77C TANK =7) TOWN OF SOUTHOLD (2) LEACHING POOLS-810 x 6'DEEP WITH 3' SAND COLLAR BOTTOM OF POOL TO BE X ABOVE GROUND WATER SUFFOLK COUNTY, N.) INT, RAIN RUNOFF CONTAMEN1000-36-07-9.4 SCALE., 1-40' NO 1,519 Sq.Ft. 1,519�0.17� I =259 C..Ft. SEPTEMBER 26, 2008 259/422-6.14 W DECEMBER 19, 2018 Ay 7W DRA`EW 700 X 0.17X 2� W X I- 119 C..Ft. 119142.2 82 TEST HOLE DATA %;k, 02102106ProVids I DW 8*0,9'Does=9 W p0 Lfp. x. MWONALD GEOSCYENCE Connected by Gutt=&Lood— 9 9. MAN' DARK BROW SILTY I LOAM OL SUFF.CO.HFAL1I-1 SEMACI GROW SILT MLOFFICE OF Vf�,ST)L6��TEpBMg Od/ ST LP PALE BROW RNE TO COARSE SAND SW BROWN FINE M MEDIUM SAND SW NO WATER ENCOUNTERED 17' V \ OIC'. KEY TEST HOLE FROM FILED MAP REBAR KELLf A =STAKE =PIPE HOLE yO • =PIPE aX 501- =MONUMENT o 'A = WETLAND FLAG C—IeSo 0. .0 Oil 10,=U77UI-Y POLE GZ 9A -jam 9� ELEVADONS REFERENCED TO NAW 86 LOT NUMBERS REFER TO"FINAL PLAT FOR THE STANDARD SUBDIVISION OF CLEAVES POINT MANOR'SUFFOLK C OUNTY FILE NO.11624 I an,familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION CTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE UFAMILY RESIDENCES and Will Vida by the conditi.ns set Orth therein rth erein and on the permit to const—t. The location of wells and cesspools shown hereon are from field I'll mv 49 obsemations and or from data obtained from ath.— ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF THE NEW YORK AREA-44=4 SO. FT. - X(631) 765-17.1 STATE EDUCATION LAW.EXCEPT AS PER SECTION 7209-SUBDPASION 2.ALL CERTIFICATIONS HEREON P.O. BOX 909 — ARE VALLI)FOR THISMAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED 1230 TRAVELER STREET SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. -SOUINOLD, N.Y. 11971 [65-14