HomeMy WebLinkAboutNicolazzi Dominic TOWl~ O!~ ~Or.n'ltOLID
P.O. BOX
SOU'I~OLD, ~ YORI{ 11~?1
Telephone
(63~ 765-1800
Application NoR
Construction
Alterafion
$ ? 0.00 - Residential
$25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
DATE
SEPTIC X CESSPOOL ~
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ,ALTERATION:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: ~%\' (~-~- ~(~
TAX MAP NO.: Section ~-~ Block
CROSS STREET: ~,,~_~'..q-~..Xr'~t.,.~,
BUILDINC PERMIT NUMBER CROSS REFERENCE:
Lot ~
RECEIVED BY:
DATE:
./
1. ELEVATION~ ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: ~
2. PROPOSED ~EPTIC SYs~rEN STRUCTURE SHOWN THUS:
{~ PROPOSED L~CHING POOL
Q PROPOSED SEPTIC TANK
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
O~ERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
A.THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8)
FLOOD INSURe. NCR RATE MAP No. S6105C0166 O
ZONE' AR: BASE FLOOD ELEVATIONS DE'I~RMINED
5. 11-16-90 COASTAL BARRIER
FLOOD INSURANCE NOT AVAILABLE FOR NEW CONSTRUCTION
OR SUBS~ANTIAItY IMPROVED STRUCTURE~ ON OR AFTER
HOVEMI~ER 16, 1990, IN DESIGNATED COASTAL BARRIERS.
6. UPLAND AREA = 74,644 sq. ff.
PROPOSED HOUSE & GARAGE iS 5,191sq. ft. OR 6.95~ OF UPLANC AREA
7, APPROXIMATELY 500 cu. yds. OF FILL WILL BE NEEDED.
8. HOUSE TO BE BUILT ON A CONCRETE FOUNDATION.
SURVEY OF PROPERTY
SITUA T£D A T
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-78-07-09
SCALE 1'=50'
JANUARY 25, 200:?
JULY 18, 2002 ADDED PROPOSED WELL
FEBRUARY 12, 2003 REVISED SITE PLAN
SUFFOLK COUNTY DEPARTMENT OF I~ALTH SERVICES
PERMIT FOR AI~PROVAL OF ~NS~U~ON FOR A
~GLE F~LY ~Sm~N~ ONLY
~I~S ~ ~ ~OM D~ OF
AREA = 235.614.84 sq. ff.
(TO TIE LINE) 5.409 Cc.
CERTIFIED TO:
ESTATE OF JULIUS ZEBROWSKI
F~OUSE
PROPOSED SEPTIC SYSTEM DETAIL
~/' <.L ' "
SEPTIC TANK (1)
r P. OLE
EXCAVATION INSPECTION REQUIRED
FOR SANITARY SYSTEM
BY HEA, LTH DEPART~,,ENT
TEST HOLE DATA
Joseph A. Ingeg
Land Surveyo
~tle Surveys -- Subdivisions -- Site Plons Constr,
PHONE (651)727-2090 Fax (631) ? 2"
OFFICES LOCATED AT ICAILING ADC
1380 ROANOKE AVENUE P.O Bo~ 1