HomeMy WebLinkAboutSidens ELIZABETH A. NEVILLE, MMC ��° Town Hall,53095 Main Road
TOWN CLERK ° P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS , � �1� Fax(631)765-6145
MARRIAGE OFFICER ��� � � � (' Telephone(631)765-1800
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RECORDS MANAGEMENT OFFICEt ��
., , � www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER �m �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: August 2, 2019
RE Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4772 for a Cesspool/Septic Tank Construction
Permit submitted by:
Manzi Homes East LLC
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. Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
CIA Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICE
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWNOF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPL1C-X "1DN
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL r SEPTIC TANK
Z4 -7WL
Residential 10 or Non-Residential @$25 Application No.
Permit No.
Applicant Name—j-,t
Applicant Mailing Address P O.—t" � m
Septic Tank—or ��sspoop..._.._.�..��.._.. _n_�.�
. . �,.��.....�.....��� —.�
Brief Description of Proposed Coilstructioii or Al I
. r
Location of Proposed Construction/Alteration:
Owner of Property:,,.. ��r. ..... . � �.��- . ........,�a.. ..._._�,
14 �
Owner Mailing Addles -e_... ...i�° _�� ... L.�..�
.. .
Owner Property Address: .-
L �. w -.
Name and phone number of contact person � : - �. .. ....' '
Tax Map No: Section BlockW. n.n._... .. ........_- lot.._ .
Cross Street
NOTE: LOCAT ST BE S A NMHI ED1T11APPLICATION. NEW
.
C NST CTION REQUIRES SURVEY 1 7111 EALTiDEPARTMENT APPROVAL
CA
�,.....
Wre f p ficaht �' ate
Received y: .._--- _ . . ... ,. �...�W�.,.
TYPICAL SYSTEM:
VACANT I -1000 GALLON 5EPTIG TANK
x , EFF.DEPTH LEAGHIN6 POOL
3'-O"MIN.ABOVE&ROUND WATER
(4 BEDROOMS)
E
51N6LE FAMILY
RE51DENCE 00 G m
PUBLIC,HATER l � ' _ �'MIN. DWELLINS °Nut In
44
{ O
WATER MAIN t It p
Tib PROPOSED 4 " 13 ' TYPICAL PLOT LAYC�lT 2g ry
< 51NOLE FAMILY NO SCALE m
RE5IDENGE 14.5'
PUBLIC,HATER VACANT
F.F.=345��• � �_e e
#s Z. - SUFFOLK COUNTY DEPARTMENT of HEALTH SERVICES 'T
ti
PERMIT FOR APPROVAL OF CONSTRucvioN FOR A 'd
SINGLE FAMILY RESIDENCE ONLY
�•. u
R I�' ty1 !! �[ No. RID DATE T ZV I H.S.REF. I -0 1J6$
3 APPROVED ` t'.� -� J ` 973A `'
T ul� m FOR MAXIMUM OF '7 ERS Ns OU F
;+
EXPIRES THREE YEARS FROM DATE Of APPROVAL -'
TEST HOLE DATA o � ILm
LPLEASE NOTE
L w
e l stalled O' g
U R E L l w 2 .4 Sanitan{System n
R Ian er driveway.
LOAM W Y ry
d
PROP05ED 4.0' Ca 4- c
4 BEDROOM 5ANITARY 5Y5TEM
1-1000 6AL 5EPTIG TANK O
I-& 11
51N6LE FAMILY SAND a m
RE51DENGE S a" u-
..
PUBLIC HATER GRAVEL
w
VACANT Q
T PLAN °G PACE:
18.0'
517E PLAN 13LL& ?N ORIGINAL A
5LR)t'BY: --I COMMENTS:
RRTON,BEHRENDT$SMITH,P.G. T' $ - R ENCOUNTERED