HomeMy WebLinkAboutKraebel ELI7.ABETH A.NEVILLE,MMC m Town.Hall,53095 Main Road
TOWN CLERKP.O.Box 1179
Z"" Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
� �� 'Ir",� F"ax(631)785-8146
RIAGE OFFICER
RECORDS MANAGEMENT OFFICER 'p 7" „✓"6"�{ www.sTelephono oldt wnny..Sov
FREEDOM OF INFORMATION OFFICER wwwsoutholdtowruiygov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: January 6,2020
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4823 for a Cesspool/Septic Tank Construction.
Permit submitted by:
Nicholas Mazzaferro for Karen Kraebel(Dinizio).
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 wI?pygytl.iq, iirvd fiorn 1 e.;quilor➢k Counh v Iiea9th Deparjgj°oul .........
Signature
Dated
Town Hall,53095 Main Road
ELIZABETH A.NEVILLE
TOWN CLERK P.O.Box 1179
Southold,New York 1.1971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER a
RECORDS MANAGEMENT OFFICER ,ry Telephone(631.)765-1800
FREEDOM OF INFORMATION OFFICER a 2, southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK '1
Residential @$10)( or Non-Residential(cD,$25 _ Application No.
Permit No. _
Applicant Name ;
Applicant Mailing ldedaess 'P „p .. > )-l-1-1--11-11-11_..... ..
ck n of Pro osed �
_ _..
p r Cesspool
Se tic Tank o
Brief Des p 7nstruCti011 or Alteration
Location of Proposed Construction/Alterat
ion:
OwnerofProperty: �r � 't ' tt'
Owner Mailing Address:, rqP
"
Owner Property Address: '
h
.
..., i .............
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Name and phone number of contact person ,„
Tax Map No Section 0-'(0 Block Lot 71
Cross Streett ......
NOTE: LOCATION MAP MUST BE SI II IIT" A) WITH APPLICATION, NEW
CONSTRUCTION REQUIRES SUR "Y F III ALTI'I DEPARTMENT A'PII )VAL
Sig t pit re o pscant 1 i1u
Received by: _ �
SUFFOLK COUNTY DEPARTMENT OF HEALTH
ELEW.25.5
� SERVICES 5ANDY
OL LOAM
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PERMIT C'aR APPROVAL"`IF{"C�.a-'�€F x,L4 COCl A 0.9-
,
Abandonment ofexisting sanitary system must be in "�
cornfarmancewith deparupm.trequirement Submit SM LOAM
completed farm WWM G�s'D as proof. DATE 1 2019 ( wr �c. iwtl` "c7,J SAND 0.6'
--...
PALE
OCT
BRO
{ APPROVED .., r.w SP USAND M
�. -...._DWELLINGS W/ FOR h1A%IMU61 e' F BmDRODMS GRAVEL.
3RAY�AVF 11a. _-s PUBLIC WATER M DATE OF APPROVAL
15D' EXPIRES THREE YEARS FROM 11.
U)
C4 EXISTING SANITARY PROPOSED 3 BEDROOM
SYSTEM TO BE SANITARY SYSTEM. NO
ABANDONED AND 1250 FGAL ST. WATER
BACKFILLED WITH (1)94. LP.
S.20'46"50 E CLEAN COARSE SAND 5'STOCKADE FENCE /Z.Deep 150.00' JAN.10,2019
LC WOYCHUCK LS
--
z a 4 CHAINLINK FENCE
C7 EXIST GAS LINE _,... „_.. .-_1 ca '"� "'� e3
— EXIST WATER LINE _ " 6
_ EXP
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322,0' LP. \'�F✓
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FRAME
DWELLING " ...._..—...22.8'_. u
!A7'3B 24.0'.
3- u, VERED
PO
FRORCH
DWELLINGS W/-_
liMOERC�atYUPdTD.iMIFtS _.. ..—.
EXIST 15 STY PUBLIC WATER
11 ¢ GARAGE OF
-- 25.7' N M
rn t„
ASPHALT DRIVEWAY "� 24.0' tit)
PIPE N.1952'20"W. —�. 150:02'
EXISTING GARAGE
-_-__—VACANT GOLF w .a.''^'�u"� �.,,,'. �,.._,ti0 5 2�:e"�r..Z,
LAND N/F OF LAUREL LINKS LTD. �rt L �-�
COURSE150' "„'
50 A
sczm 10 Or, New
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2
NOTE. ` r.7 NJ. .P.E. wu ,�
PRENOINEai
INFORMATION BASED ON SURVEY
SR `�
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PEPARED BY KENNETH M WOYCHUK
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LAND SURVE n G,PLLC.DATED JAN -
05.2019 °°CYg. (Tr m.� .- ..._ _ ____..,... FLOOR PLANS exEEr xo:
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