HomeMy WebLinkAboutWright ELIZABETH A.NEVILLE, MMC Town Hall, 53095 Main Road
TOWN CLERK � �� P.O.Box 1179
,s
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER dry �`� � Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER (� www.southoldtownn ov
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: September 20, 2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4786 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Dave
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 (/ or Non-Residential @ $25 Application No.
Permit No.
Applicant Name..... -,�.�'��..._....... _..�..._ ........_.. _......_�
Applicant Mailing Address-
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration \.,
Location of Proposed Construction/Alteration:
Owner of Property: m` 3 ' C. ....
Owner Mailing Address•, .. il �.1 � ) � �"""`
Owner Property Address:,
Name and phone number of contact person ,, _.
Tax Map No: '1600 Section d Block Lot
Cross Street ) . •,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
-IE, APPROVAL
CONSTRUCTION REQUIRES SURVEY WJ
LTH DEPARTMENT
Sid.a Ure of Applicant Date
Received by:
S.C.T.M. NO, DISTRICT: 1000 SECTION:70 BLOCK: 8 LOT(S):30 VJ
LE I a."Y
WELL W FYI
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K. N 78'22,301,RT \ P 1594'
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LAND N/F OF DWELLINGS LAND N/F OFKEEfr—
TYPICAL DRYWELL CROSS SECTION GERARD WORYSZWfPUBLIC WATER HOWARD SAWICKI LED{MENT ON SITE
(CONIC. PRECAST COMPONENTS) PU150 I ✓FIAY RAIL AND/OR
SILT FENCING
e.S,Ae roR,�_, eEARuar DRAINAGE CALCULATIONS:
e•stns ECR tRAtNc BEArarRc �;'
u»w m rxn twEsY1-,orirRory�E AN, A�ormsr warA)
y,
1-4'o0. cAVn1 ro a4➢E Tp E+MUSn�as DNNELUNG FlIOTPR N7®I.004 SD.Ff, p �JCw \'3� Z
�1�J1, v BOQ x O.i66.S89.&b[2VOcf FE4UIRED
?TAdaEO vjo'/I" 12)B DIA x 4'DEEP W WEEL.-3.1&F PROVIDED —
B)ORNEWAY�BiS SOFT. °E' N
O❑❑❑ (1)BDtA x 4'DEEP 1694 PROVIDED O'
�. .00NSTRUOTI-ENTRANCE—FOUNDATIDN OF
OOMPACTED
M1"STONE BLEND OR N.Y.STATE D.O.T.APPROVED R,C .
FILL TO 18"(Mtn.)ABOVE EXISi1NC GRADE FOR DRAINAGE.
ZONED R-40
NON-CONFORMING LOT
FRONT YARD: 40'MIN
REAR YARD: 50'MIN
co MIN.
""--""'— $ "'•"'•'•'•"`' SIDE YARD: 15'MIN 35'TOTAL
LAR
RACK FILL MATERIAL TO BE THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
CLEAN SAND AND GRAVEL LOCA7701VS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:20,277.85 SQ.FT. or 0.47 ACRES REVISED 08-25-19 ELEVA77ON DATUM: NAVD88------------------
UNAUTHORIZED
- ----
UNAUTHORIZED ALTERA77ON OR ADDIT70N TO THIS SURVEY IS A WOLAT701V OF SECTION 7208 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 INSTITUTION
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, ADDIT701VAL STRUCTURES OR AND 07HER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARAA17EED UNLESS PHYSICALLY EWDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:LOT 8 CERTIFIED T0: SLIGO CONSTRUCTION;
MAP OF:FAIRVIEW PARK
FILED:AUGEST 9, 1961: No. 3388
SITUATED AT:PICK NECK
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
° P.O. Bos 153 Aquebogue, New York 11931
PHONE (831)298-1588 FAX(831) 298-1588
FILE
#1° 107 SCALE:1"=30' DATE:AUG. 5, 2019 N.Y.S. 1 NO. 050882 maintaining the re—de of Hubert J.Hennery k Ken, M.Woychuk