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HomeMy WebLinkAboutDeLorenzo ELIZABETH A. NEVILLE, MMC 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 41111 ,P Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERpro 1� 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: October 10, 2019 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4797 for a Cesspool/Septic Tank Construction Permit submitted by: Peter DeLorenzo 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 Flo ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS vht Southold,New York 11971 MARRIAGE OFFICER ip 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 No, "I 7 c Permit No. Applicant Namei � .. N . '_. ... ....:.. � Applicant Mailing address ._ � _... . Septic Tank or Cesspool_ Brief Description of Proposed Construction or A Iter at oi.i Location of Proposed Construction/Alteration: Owner of. Property: m _m . � Lz Owner Mailing Address gg' mw f 3 Owner Property Address, cw Name and phone numberp w` Of contact person Tax Map No Section Bloch�._ �a—.. Lot Cross Street_... NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW NEW CONSTRUCTION REQUIRES SURVEY WITHR:EL'I""II;,DEPARTMENT APPROVAL Signature of.t pplican Date Received by: A T , JTCHOG UE EL 16.7' A SAND AND LOAM TOWN OF S'O UT OLD 1.5' UFFOLK COUNTY, N.Y. � 1000-109-05-14.29 PALE BROWN FINE SAND SPfi SCALE' 1'=30 JUNE 5, 2019 qtr JULY 18, 2019 (SCDHS REVISIONS) EL. 3.3' 134' AUGUST 20, 2019 (SCDHS REVISIONS) WATER IN PALE BROWN FINE SAND SP(HIGHEST EXPECTED GROUND WATER) 17' N07E.• WATER ENCOUNTERED 134'BELOW SURFACE 0 O ELEVATIONS REFERENCED TO NAVD BB E2 DWELLING PUBLIC WATER sure oa oTMEA !SET^ ar+Fa _ CPPEA END PLUG LGLq,3 CA`AYAl i&1• ANSNED f.RADf' �ro DA/DE EL 1&0' � �� 4EFDa ON M.Ef _ B MIM L GT+kTt10 �. S8$59'20"E Iw"�i f CV,Q.ASSiE 5' b" 10 ' ramu.r 1 E TELECOM Lr BOX EFA FDOTIH.D "[- ]a00'N"a R+N S'MIN 'C m -wT MIN °mm-m COLLAR EL 17.1' CMF EL.15.5 uN COL1.+R _ o® 0.4'W s'-D'ouyEreA e - I ®mom m ......_._. � ws eti m u a GIPOUNq ^ 191GNE5f Epk FCRR --I' AM M8Y LFACMNO POOL --80.0- B+CKFlLLNX-A.TD eE Ct£AH SNVD M CRAVFt 0 W W SANG 0 W O PROPOSED WATERSERVCE I 1200 GALLON CYLINpRICAI_ SEPTIC TANK DETAIL EL 3Y _ W to �r ttR GaDUND IW1iER �yJ g DI F- V) Lj �K z > �> [ a OR OTHER STOPPER END DWELLING PQi 'AEIL COVER "4 Q LL PROPOSED OR PLUG PUBLIC WATER SYSTE SYSTEM LP W PST LY_ - m E d . z � a LP :WER PIPE W 30'ELBOW g O Go'WYE CLEAN OYI� D TAi EL.15.8 NTS EL 16.6' CMF NSE DWELLING PUBLIC WATER POSED SEPTIC SYSTEM RAIN RUNOFF CONTAINMENT EDROOMS) HOUSE WITH DECK 7 GAL. 8'0 X 4'DEEP 3441 x i x 0.17- 585 cu.ft. X 6'DEEP LEACHING POOL 565/42.2= 13.86 VF PROVIDE 3 DWS. 80 X 5'DEEP i REBAR WELL 0 STAKE d ' 7E5F HOLE Lo PIPE MONUMENT WETLAND FLAG U77LITY POLE DWELLING PUBLIC WATER NBERS REFER TO 'MAP OF FAIRWAY FILED IN THE SUFFOLK COUNTY CLERK'S ON FEBRUARY 15, 1974 AS FILE N0. 6066. rERA7701V OR ADDI77ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF V YORK STATE EDUCA77ON LAW. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. '77F7CA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE 3 HEREON. 'ATH Wl`v T00 0 LOT 30 DWELLING DWELLING PUBLIC WATER PRIVATE WELL ® WELL LINE OF EVERGREENS 270.52' "PC � � 1c5` � 1 .` 11 'if1�7c. y� a� � � r: {arf,�E j L COMOxA �a a EL.14.3 CMF EL 14.2' ————_ 15 SIDE YARD SETBACK ——— o ©- 1 N 39.0' -- --PROPOSED o CE I O O F" VACANT z /1 W Cui Oa 0^_U` ^COVERED 0 LOT 29 0. DECK y U) lu 39.0' YA V DW I SWAY 20'SIDE YARD { N ___ SETBACK{35'TOTAL)__—— (/} DWELLING PUBLIC WATER EL.1 1.9 269.61' CMF EL 10.3' " r °;'ani to rry System, Lor ze DWELLING .._,,..._._..,._m.._.., PUBLIC WATER _.w,_ Fii .CfJL h:EOUNTC DEPARTMENT OF HEALTH SERVICE; — PERMIT FO$?APPROVAL OF CONSTRUCTION FOR A smcl.,E F,Y 4H.^I'RrSID1 NCE ONLY SEP 1 7 /EYEARS 01 hl DATE'_ Rer.P11D cr pp 1 k FOR M M1CI" � BEDROOM �;XPIRY�S TI-hTFRIt,l"C><' DATE OF APPROVAL Y.S. LIC. NO. 49618 ( 35802 0175, P.C. - � 0 FAX (631) 765-1797 40,510 SQ. FP.D. BOX 909 = T. 1230 TRAVELER SHEET /12p SOUTHOLD, N.Y. 11971 19-0