HomeMy WebLinkAboutSchembri Homes ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF ~,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED: October 21, 2005
Transmitted herewith is a copy of application No.
Permit submitted by:
Shoreline Development Corp.
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
3533 for a Cesspool/Septic Tank Construction
Please review the application and location map and advise if the project has received Suffolk County
Health Department 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 following
recommendations: ~
APPROVE
DISAPPROVE
Comments:
Signature
Dated
ELIZABETH A. l~Vn~t,E
TOWN CLERK
REGISTRAR OF VITAL STATISTIC8
MARRIAGE OFFICER
RECORDS MANAOEMENT OFFICER
FREEDOM OF INFOI~J. ATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
..~Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.ne[
Residential ~ $10
Applicant Name
Applicant MailingAdchiess ~ ~' ~
Septic Tank or Cessl3odl
Brief Description of Proposed Construction or Alteration
__ or Non-Residential ~ $25 __ Application No.
Permit No.
Location of Proposed Constructi~on/P4.teration: . D
Owner Property Address: ~-q_
Name and phone number of contact person
Tax Map No: SectioncTLf~
Cross Street
Block 3 Lot &
NOTE: LOCATION MAP MUST BE S~ED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY W1T/H ~I'E~LT.,H DEPARTMENT APPROVAL
/
~-~--~ Fx~ ~ A Stgnature of Applicant Date
Received I~y: ~~ ~ '
TEST HOLE DATA
(TEST HOLE, DU6 BY McDONALD OEO$CIENCE ON MAY 7, 2005)
12,2'
17'
SURVEY OF
LOT 5
MAP OF
GREENPORT DRIVING PARK
FILE No. $69 FILED DECEMBER 1~ 1909
SITUATED AT
GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-48-05-2
SCALE 1"=20'
MAY 21, 2005
AREA = 5,494 sq. ft.
0.126 ac.
NOTES:
1, THE HOUSE AREA IS 1,020 sq. ft. OR 18.6% OF TOTAL LOT AREA.
2. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:
$. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS,
1 TANK; 8' LONG, 4'-5" WIDE, 6'-7" DEEP
4, MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 500 sq ff SIDEWALL AREA.
2 POOLS; 6' DEEP. 8' dia.
O PROPOSED LEACHING POOL
~ PROPOSED SEPTIC TANK
S. IF THE SEPTIC SYSTEM HAS TO BE REPLACED IF THE FUTURE. IT IS TO BE
REPLACED IN-KIND AND IN-PLACE,
6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
Nathan Taft Corwin III
Land Surveyor
992 Roanoke Avenue
Riverhead, New York 11901
PHONE ac FAX (651)569-5473
LINNET 'STREET
S 82°45'40"
E
DWELLING
(USES PUBLIC WATER)
£OT ~
95.0
£02' (~
N 82'45'10' W
£o~ ~ ~ oo.so' ~
DWELLIN~
(USES PUBLIC WATEF0