HomeMy WebLinkAboutMcCarthy ELIZABETH A. �� � Town la 53095 n d
1179
TOWN CLERK
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �
® Fax
1) 765-6146
ALAAU"GETelephone (631) 766-1800
RECORDS MANAGEMENT FREEDOM ASF'INFORMATION C)F°OFFICER
FICER
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OFFICE OF THE TOWN CLERK
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION TE . ..T'I PERMIT
CESSPOOL or SEPTIC TANK
Residential Ori i a Application 0°
Permit
t Applican
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Applicant Mailing Alls_... .mm .: .. . . .. .. `�". ea-
Septic _ .. - _.! .
_. T ...cr Cesspool
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B 'of Denscrrption of Proposeds c °® Or
Location of Proposed Construction/Alteration-
Owner ofPrw pert, N_.._1 Lx- � �...... ��� `� ,�.......... mm....�.
rIler Mailing AddresS,w
Owner Property Address:.
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Narne and phone number 0f contact person ....
Tax Map No. Section .. .. . .._ ._Block ...... m Lot �,
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NOTE-. LOCATION UST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRESSURVEY WITHHEALTH DEPARTMENT APPROVAL
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Received by:
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SUFFOLK COUNTY DEPARTA MENT OF HEALTH R I AT�
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DATE.--7
APPROVED 60
EM RES THREE YEARS FROM D.mb ATE OF APPROVAL �PGP�t
j,OT TEST ✓':,✓,
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r TEST HOLE DATA
X (TEST HOLE DUG BY 7pf�,�,,4akW,Ndy�,,BAPffl' Pq, (N1 ON OCTOBER 16, 2020)
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. FLca.�32............................,�.. 0�
SILT LOAM (ML)
9.7'
MIXED SAND WITH GRAVEL (Sp)
..........................—...., 4.2'
DRAINAGE S YST CALCI'r ULA T10 .3,. SANDY LOAM WITH GRAVEL (SM)
ROOF AREA: 825 sq. ft.
825 sq. ft. X 0.17 = 140 cu. ft. g 4
140 cu. ft. / 42.2 = 3.3 vertical ft. of 8' dia. leaching pool required MIXED SAND WITH GRAVEL (SP)
PROVIDE (1) 8' dia. X 4' high STORM DRAIN POOL
EL c' ............I.7,