HomeMy WebLinkAboutLester Munkel 0,~'~ C£ OF ~ TOWN
TOWN OF ~HOLD
~ A. NEV~ ~ ~,TOWN
F.O, BOX 1 N~
SOt~O~, NEW YO~X
Telephone
(516) 765-1801
Construction_
Alteration
$~0.00 - ResldentiaJ
$25,00 -Nbn-Resldential
TOWN OF SOUTHQLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONST'RUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No,
Fee $
DATE
APPLICANT NAME:
APPLICANT ADDRESS:
SEPTIC. X CESSPOOL ~
DESCRIPTION OF 15ROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be Issued,
LOCATION OF PROPOSEO CONSTRUCTION OR ALTERATION:'
BUILDING PERMIT NUMBER CROSS~
RSC~VED BY:
I ~ Town Clerlds Office
~ATUM * NG'~D
~OT AREA= 8,26.5 eq. ft.
F.F ELEV. 15.0
(6.7)
8'
11.9'
16'
2.:3'
gl' (n.t.s.)
FO.
TEST HOLE BY McDONALD
8-12-2002
0
1'
· PLeA, SE NOTE
Minimu,,~s~an~ ~,een well
and cess~:.cc,~ is to be 150 feet.
PIPE
1o.o)
z
°~z.z~vc
OF,No7' Co'- '~uet'/e w,,4r~.~
PROP
DR/VEWAY
12.8)
S 84'50'50
BROWN SANDY LC)AM
BROWN LOAMY SAND
PALE BROWN PINE TO
BROWN CLAYEY SAND
0 HOi"Edirt & 30.0'
100.01'
DWELUNG - WELL
well
PIPE
PIPE
SUFFOLK COUNTY DEPARTMENT QF HEALTH
PERI, IT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAI~ILY RESIDENCE ONLY
DATE I[.Z%-~i., H,S. RZF. NO.
APPROVED
~U~ OF
EXPIRES THREE YEARS FROM
WATER IN BROWN CLAYEY' SAND ~ SANITARY SYS'I'EM
BY HEALTH
WATER iN BROWN PINE TO COARSE SAND SW
CERTIFIED ONLY TO:
ZOUMAS CONTRACTING
SUNRISE ABSTRACT
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E
JOB Nc,. 02-34,2 FILE
SURVEYED FOR ZOUMAS CONTRACTIN~,~ ?~
SITUATED AT GREENPORT c..~ .",'
TOWN OF SOUTHOLD - SUFFOLK COUNTY
SCALE 1" = 30' DATE 7-29-2002
F~LED MAP No. DATE
TAX MAP No. (REF ONLY)1000--36-2-17 DISI~ 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING R~ER-MANOR RD. WADING RI~ER,
NEW YORK, 1~92
631-929-¢695