HomeMy WebLinkAboutE R Yankee Homes, Inc ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
FROM:
Michelle L. Martocchia, Southold Town Clerk's Office
DATED: December 2, 2005
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3548
Construction Permit submitted by:
for a Cesspool/Septic Tank
E.R. Yanke Homes Inc.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Comments:
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARPAAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 )~ or Non-Residential ~ $25 __
Application No.~5' t.] ~
Permit No. 3/~ 5'-' /~
Owner Mailing Address
Owner Property Address
No.
Tax Map No: Section
Cross Street ~r-,0*c_,-0 ,/~
Please check each that applies:
Ti/ Block g Lot
New Construction ~
Alteration to Existing System
Residential
Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distanc~ in feet from system to building
and closest road, New construction may submit copy of survey with SCHD approval.)
Received b~
Signature of Appli~
N
.+
1 2
A 22' 17'
B 2J' 29'
C 57' 54'
AT BAYVIEII
TO,tN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000--79--06--3~
SCALE' 1'=50'
MARCH 29, 2004
SEPTEMBER 9, 2004 (FMDTN.
LOC.)
-<
SEPTIC SYSTEM:
(1) 1000 GALLON SEPTIC TANK
(2) 6' DEEP 8' DIAMETER LEACHING POOLS
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions sef forfh therein and on the ~
permit to construct.
The location of wells and cesspools shown hereon ore
from field observations and or from data obtained from others.
Elevations referenced to on assumed do~um.
ANY ALTERAITON OR ADDI~70N TO THIS SURVEY IS A VIOLATION
OF SEC~70N 7209 OF THE NEW YORK STATE EDUCAiTON LAW.
EXCEPT AS PER SEC170N 7209-SUBDIt4SION 2. ALL CERliF1CA17ONS
HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
LOT NUMBERS FROM "MINOR SUBDIVISION FOR MICHAEL F/EINSTEIN"
· =MONUMENT
AREA=6$,902 SQ. FT.
~1 u~ ~ter supply ~5~ et ~i~ I~on ha~ baen
~a~FORA~MUM~ y BEDROOMS.
Walter J.
TEST HOLE DATA
FROM "MINOR SUBDIVISION FOR
MICHAEL WEINSTEIN"