HomeMy WebLinkAboutMott, James
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ELIZABETH A. NEVILLE
TOWN CLERK
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDa OFFICER
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OFFICE OF THE ~OWN CLERK
TOWN OF SOUTH OLD
TO:
Southold Town Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 43160r a Cesspool/Septic Tank Construction or
Alteration Permit submitted by:
James Mott
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and ifthis office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
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Comments: _~#il7li:_~ ~:;~~:~~
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Signature
Dated
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ELIZABEm A. NEVILLE . ~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Application No. ~.; I ~
Permit No.
Name and phone number of contact person
Tax Map No: / DO 0 Section !;;t;CJ Block f) 3
Cross Street
Lot 2S, }
NOTE: LOCATION MAP MUST BE SUB1\UnED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURvEY WITH HEALTH DEPARTMENT APPROVAL
Received b~
SURVEY OF
DEffMif~c:4rTY
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. T.M. DIST. toOO SEC. 059 BLK. 03 LOT 25.1
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25 13 0 25 50 75 100 125 150 175 200 225
SCALE: l' = 50' DA TE: SEPTEMBER 17, 2005
CERTIFIED TO: JAMES C. MOTT
CHARLENE MOTT
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JOB NO. 2005-329
MAP NO.
FILED:
REVISONS:
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LICENSE NO. 050363
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HANDS ON SURVEYING
26 SIL VER BROOK DRIVE '
FLANDERS, NEW YORK .
11901 "
TEL: (631)-723-1954 - FAX:(631)-723-1329
M RTIN N.S
LOT AREA: 31,016 SQ.FT. = 0.712 ACRE (ROAD LINE AS WIDEND - CALC.)
34,138 SQ.FT. = 0.784 ACRE (DEED)
ELEVA TIONS HEREON REFER TO APPROX. MSL DA TUM AND ARE
THE RESUL T OF ACTUAL FIELD MEASUREMENTS
EXISTING WELL & SANITARY SYSTEM TO BE ABANDONED
EXISTING DWELLING & SHED TO BE REMOVED
ALLOWABLE LOT COVERAGE: 6,203 SQ.FT. = 20 %
PROPOSED LOT COVERAGE; 2, 100 SQ.FT. = 6.8 %
TESTHOLEDATA EL:39.0'+/-
TOPSOIL
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S.CD.H.S. ENDORSEMENTS
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