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HomeMy WebLinkAboutAmbrosio y ELIZABETH A.NEVILLE,MMCTown Hall,53095 Main Road TOWN CLERK F.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSFax(631)765-6145 MARRIAGE OFFICER 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: Sabrina Born,Southold Town Clerk's Office DATED: June 26,2019 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4765 for a Cesspool/Septic Tank Construction Permit submitted by: Scott Ambrosio. 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: Final approval required from the Suffolk County Health Department Signature Dated FFOL,r ELIZABETH A.NEVILLE Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER Fax(631)765-6145 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 / or Non-Residential @$25 Application No47�5 Permit NO. Applicant Name Applicant Mailing Address 27_'�4-) L4"_R_ V,-4 1-73 Septic A Tank or Cesspool -TS Brief Description ol'Propos dConstructionorAlteration Location of Proposed Construction/Alteratio Owner of Property: Owner Mailing Address: Owner Property Address: Ift-1 0 Name and phone number of contact person Tax Map No: Section to 4 Block 6 Lot Cross Street � 1, t,1 NOTE: LOCATION MAP MUST BE !9JB!k4ITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: ct � 1 � O F CATS N 10' MIN _ Y c �"a C f I g OF Itz} oR FIDE r-�: _: USE ORM IAMM-07 . 27' ra, 10' MIN I '? '•i c5- / — t" _. UFFOLK COUNTY D€PAgTI,5E%F`OF HEA[. H SERlICF9 FERMI-FOR APPROVAL OF COI;ST RU'-TloH FOR A I / 3 F € YEDrgC ONL . t DATE f -S,RKVfr No,FOR MAXI%UM OF ruPt9-o©04 3 EXPIRES T HREE YEARS F OPS DATE OF APPROVAL,—1 REV. DATE REVISIONS PROPOSED I 1940 MASON DRIVE CUTCHOGUE.NY 11935 SITE PLAN/DETAILS/NOTES DRAWN 13Y'. Esrsc SHEET ptcrxen xr _. NO•: F 2 1 2019 t 0-HEALTft SER1�E _,3TATEi, SURVEY OF PROPERTY SITUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-104-07-16.1 „SE� SCALE 1"=30' AUGUST 10, 2009 DECEMBER 1, 2014 SHOW PROPOSED LOCATION OF SHED OCTOBER 10. 2018 UPDATE SURVEY .5 NOVEMBER 11, 2018 RE14SE SITE PLAN NOVEMBER 25, 2018 REVISE SITE PLAN PER NYSDEC NOTICE 11/14/2018 �� s` DECEMBER 14,. 2018 REVISE SITE PLAN rva "wv" RI TOTAL AREA = 62,613 sq. ft. 1" i q ,,yAc (f0 TIE LINE) 1.437 ac. 90-11,111,IKO UPLAND AREA = 29,943 sq. ft. Ad ovs Imp DO '11Q"'FTINE uEAtcr� — I - ruaa m� ,tN baySIN d K€DD O WR" Do 0 a - f FTry� std? 2n" T '.^'�z I ?Pop- e I ?c - Ot5iUR8 C Rco (015:0 SpA STc- 42 p .55e.. Ass® m of F, ` 'Os a � t zt- tA y� r� tits° C' SEA p4R r ,T} is SPECIAL O ,n o ro PLA svR PLOT PL 0V UT7 OWE F F2RG 3 FM b '�� AWE 1 v wo Q SURVEY OF PRO] SITUATE o CUTCHOGUF 0 TOWN OF SOUTH SUFFOLK COUNTY, NE S.C. TAX No. 1000-104 SCALE 1"=30' - DECEMBER 1,2 014~S OW PROST 19, SED LOCK OCTOBER 10. 201$ UPDATE SUR' ER- SJTE NOVEMBER 25, 2018 RBASE SITE2PL.Nd RPERS ENEI . - -. .. DECEMBER 14.21318 REVISE S[TE 6 Gov TOTAL AREA = 62,613 sq. a a`.. 17.�A (To TIEuwE) 1.437 ac. p,Ecrr-` � UPLAND AREA = 29,943 sl e _t }*. 5S� Uptffi Aj "101 1 NO 0 SEE t♦ co FILL rc)R 4 ' IN s wt E 4�7 MIT or O WPB S c U�lAgpKFQ P" yt 91sff t�rySED a2' 0-42 rn PROP-t ap9 f< /' Nu a57tARB.aayEg Y �-- - t+v 111 � �r�,A..5} >NEW LOCATION l`^ L •1 s ,, t, SHED F.FI.- €h dF ftp i R p y SlflR d, ! � hQ<�w,5 /L Jl ag q �£ S 3! �"-kms�" & ._W C- x yEtT➢t�W r ATTA1 FED PECt I.CONDITION t�•�. -s'�v $� -." +t`L pg,p 3 A ` '�1Ti,1ak FLAG is R& JIG Rm s rUce - ° ctt -1"911 AL F7R4 4 tea`a-� FTK•9 V xz ar s,20j8 � Ti az tlt ? s