HomeMy WebLinkAboutJohnson, Bart & Pat
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FRlfE~OM OF INFORMATI~~fICER
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[ , "1 'A v 9 0 f' ' : :J : I OFFICE OF THE TOWN CLERK
" L I id ,,,,.,j;.L..,O_J -j I TOWN OF SOUTHOLD
I ,:J't!.',);' SG'JT".)LD
TU:'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:
May 9,2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3591
Construction/Alteration Permit submitted by:
for a Cesspool/Septic Tank
Nancy Steelman
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,
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
/
DISAPPROVE
Comments:
-~~.~~~~
7nc%~~
Signature
pS- ~() /o~
Dated / '
Application ,No. ~qJ
Construction
Alteration
$10.00 -Residential X
$25.00 -Non-Residential
omcs or THIl TOWN CLIlIlX
TOWN OFSOl1l'llOLP
ELlZABETII A, NEVllLE. TOWN CLERK
P.O. BOX 1179
SOllTHOID, NEW YORK 11971
DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee '$
LOCATION MAP: Must be. attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: .I?JA.vf f- ~i<)Dhn~Y'\
OWNER MAILING ADDRESS: PO. f?/)x J 76
S/)ufh c;.1/eJrl / .Alr /06'10
OWNER PROPERTY ADDRESS: :;;~;- ~~~ Rd
TELEPHONE NUMBER OF CONTACT PERSON: 477- 2671
TAX MAP NO.: Section 3 7 Block C) 5 Lot 0 7
CROSS STREET: KhclJ Dr:
.
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED B~-kYD
1il own' ,erk's Office
DATE: t30
. TEST HOLE
NO 8CAU!
,
PROPOSeD N!I'I ~c. 9'l"9'l!!M FOR 4 eeDROOM Re!;1tlelGe,
1000 ~AL ~c. TANK (&T) I'IIlH (2)e' DI~)( e' HleH
leACHlNl5 POOL5 /LP) I'IIlH I'V1Ue LOc;.ATlON FOR roe'
" DIAMElER )( e' HleH U!Ac.HIHiS POOL5 ~)
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BA YVIEW DRIVE
SITE DATA
SCT1I, 1000.37......,
w~ JRQLN:7 a.ec""ltIc;,
CAT'I NO 1'IlLIPttC:ItI! UI'LrTY
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PROPERlY: .. __ Drho
ADRE88 - EBlIIwIon. .... Yort&:
OWNER: Bart and'" Johnaon
P.o. "'171
SouIh u..., NY 1~75
BITE: 18,801.13 SQ. n. .0413 ACRES
LOT
COVEIlAOE:
AU.OWABLECOVERAGE: 20% OR 3,..1 SF
PROPOSED COVERAGE: 13% OR 2,378 SF
ZONING: R-4O
SURVEYOR: JOMph InaIano
322 RoMOki AWl
RIverhud, NY 1191t1
131 m-1727
UCEN8E. 41273
bATED: 0..-.13,....
PALE BROWN FINE SP
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PUBLIC ~"I!!R
WA 1ER IN PALl! BROWN FINE SP
TO MEDIUM SAND
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EXI5T1N6 . PROPO!iED ~
MTER L.1i'E - PROVIDE N!I'I M~ L.1Nt: .
/'ROM EXISTlN6 ~1N6 IN M'I1!R L.IN1l ....;
TO Hc:lU!le..'.,,,
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LOCATION MAP
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Abandonment of existing sanitary syslem must be iii~ .:.
comfonnance with department requirement Submit
completed form WWM- ol?O as proof.
"SUFFOLK COUNTY DEPARTMENT OF HEALTIf SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILy RESIDENCE ONLY
:':o~5;""dL;:Z~1~
FZxTh-IUM OF..!::L BEDROOMS
EXPIRES THREE YEARS FROM 01\ TE OF APPROVAL
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BUILDINe t'lALI- I"F EL /6.66
cSRAI:IE LINE ELEVATION 14.0 FT.
cSRAI:IE LINE ELEVATION tl4.o FT.
" MIN. 2' MAX.
1/4"1FT.
lie "1FT.
SITE PLAN
SCALE: 1" = 40'.0"
--
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28'-61
6' MIN ELEV I...,'
e'-o"
SEPTIC PROFILE RESIDENCE
(N.T.S.)
5UF'F"OLK GOUNTY tEAL. TH IiL. I.
FINAL DRAWING
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SITE PLAN
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