HomeMy WebLinkAboutCapozzoli ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAi~ OF VITAL STATISTICS
M_~.RRL~GE OFFICEP~
RECORDS MANAGE~ENT OFFICER
FREEDOM OF iNFOP~LI. TION OFFICER
,;OFFICE OF THE TOWN CLERK
AtJ¢ I 9 ~0~ ' .i:! TOWN OFSOUTHOLD
TO: i *c'~ ~;6~ut~oiii:Toy~ Building Department
Tovra Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (6~i) 765-6145
Telephone (631) 765-1800
southoldtovrn.northfork.~et
FROM: Linda J_ Cooper, Southoid Toxwn Clerk's Office
DATED: August 18, 2004
Transmitted herewith is a copy of application No. 3367 for a Cesspool/Septic Tank Construction
Permit submitted by:
Lynch ttomes Development Corp
Please review the application and location map and advise if the project has received Suffolk County
Health Depamnent .approval and if this office may issue the permit_
Please complete the form below and return it to me.
Linda J. Cooper
I have reviewed the application and location map of the project cited above and make the follox~dng
recommendations:
.
APPROVE
DISAPPROVE
Coitll~lcnts:
Dated
OFFICE OF T,HE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main' Road
P. O. Box 1179
Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
Application No,~-
Construction
A!teration
$10.00 -Residential V
$25.00 - Non-Residential
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
APPLICANT .ADDRESS
'I
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR AL~ERATION~~
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION
PROPERTY; n
OWNER MAILING ADDRESS: ~O ~
OWNER PROPERTY ADDRESS: ~ ~
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO.: Section ~)O Block O J Lot
CROSS STREET: ~'
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED BY:
DATE:
Town Clerk's Office
/ig natur~4~
,'/i iLOT 2"~ :PART OF LOT 3
'",/!~: IN BLOCK C
MAP OF
.,..~ REYDON SHORES
" Air
,,,.,~ · BA YVIEW
TOWN OF S00THOLO
SUFFOLK COUNTY, NEW YORK
DJST...!O0~. .SEC. 80 BLK. 01 LOT 44
46 60
75 90 '120
DATE: DECEMBER 16, 2003
DATUM
=.MAP
CERTIFIED TO: STEVEN CAPOZZOLI
SUSAN CAPOZZOLI
135
JOB ~10. 2003-528
MAP NO. 631
FILED: JULY2, 1931
REVISIONS:
LICENSE NO. O50363
TEST
HANDS ON SURVEYING
46 NORTH ROAD '.
HAMPTON BAYS, NEw YORK
1 '1946
TEl.: (631)-723;.1954 - FAX:(631)-723-'1329
MARTIN D. HAND
rOLE DATA
DARK BROWN
SANDY
LOAM
(OL) .1.0'
BROWN
SANDY
CLAY
BROWN
CLAYEY SAND WI
20 % GRAVEL .6_0'
BROWN
FINE TO
MEDIUM SAND
17.0'
TEST HOLE BORING BY McDONALD GEOSCIENCE
12/31/03
NOTE:
POOR SOIL CONDITIONS TO BE REMOVED
~.,,~_ TO A'MINIMUM OF Y FROM T, ~ PERIME~fER OF ....
' r/~.,.,.,~. ' THE LF_A~ING'POC~L,.~AND TO'A-MINI~O~ DEPTH OF'
~-'~_-'0.~, 3' BEYOND WHERE SUITABLE LEACHING SOIL IS FOUND
/
/
S.C.D.H.S. ENDORSEMENTS