HomeMy WebLinkAboutTechet, Steven
/
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown. northfork. net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS Mj\NAGcE;MEN.T OFFICER
FI\.EEDOM OF INFO~'fiQ!'1 OFFICER
. '\
,,'-0
:'\'_\
\\;,~~
--
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
\...-".~ '
\iO~~:
. ----rtl:
Southold Town Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
September 8, 2006
Transmitted herewith is a copy of application No. 3625 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for Techet
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:
~~~:5~~'~~~
~&~~
Signature
t)7~,;;~
Dated ;' /
"
EUZABETH A. NEVILLE ... ~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 63096 Main Roi
~
P.O. Box 1179
Southold, New York 1197:
Fax (631) 766-6146
Telephone (631) 765-1800
southoldtown.northfork.nE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 ---L or Non-Residential @ $25 _
Application No. Sb ;}S-
Permit No.
Applicant Name !V\Q.t-\(. \<. ~c:..."',,-,uh. I ~t't.~, \:ec.t.
Applicant Mailing Address V.og,I'\')< <333 I ~u I::.cih"~\IQ : N'f \\93~
Septic TankLor Cesspool_
Brief Description of Proposed Construction or Alteration
, , .
'1. b .
Location of Proposed Construction! Alteration:
Owner of Property: c:.-+t.....~ c-, 0.. ^ ~ .l t>Q.^ "1 et~ \:..
Owner Mailing Address: ~. 0 . ~~~ \ q f i ~
2Q.\\"~\""\1'\~ ,'\=:\.... '2..i",q
Owner Property Address: +OCl 0 \J ~\ '=:: ~<'\...c\.
t'\o. \- .\-\ \-uc K.. I t-J ~ 1\ q 5 ~
Name and phone nwnber of contact person
Tax Map No: 1000 Section~Block OS Lot \ '?
Cross Street \to~\..~\\"!. Y'\Q.("t..
NOTE: LOCATION MAP MUST BE SUBl\urn;D WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH EPARTMENT AP ROV AL
. . ~l. SignatureofAppli
Recetved by: \J\A
,
..
.
I
SUFFOLK COUNTY DEPARTMENT OF HEAL TIl SERVICES
PERMIT FOR APPROVAl OF CONSTRUCTION FOR A
~GLEF~~ILYRESIDENCEONLY
. DATE y(,? 106 ~;:F1' (210-0~-o()l'5
APPROVED ~ ~ ~
FOfuxu.lUM OF.!:L BEDROOMS
EXPIRES TIIREE YEARS FROM DATE OF APPROVAL
EXCAVATION INSPECTION REQUIRED
FOR SANITARY SYSTEM
By HEALTH DEPARTMENT
NO WATER OR WET1.ANDS
WITHIN 300' OF PLOT
NOTI!,
1). ST: SEPTIC TANK
(1200 GAL)
2). DP: DISTRIBUTION POOl
( 2'DEEP,a'OlA.)
2). LP: LEACHING POOlS
(r DEEP, ~ OIA.)
5). f.R.: EXPANSION RING
51208'40" E 140.03'
eeeeeeeeeee~eeeeeee~eeeeeeeeeeee~~~~
I / . /
. I / / . 1.01 1
/ . .-I
1 / / 28.00' 1 1
f / 1
/
II ./....------, I 1
I ..... \ I I
~--( \ I ~. EXJ5'TING 1
rri' '\ I 0 '~, I
11')1 I q I
I 1 ,
" '16.00
I' r--
I I
I '
1 I
1
\
\
\
\
,
I
I
I
/
'12.0'
I
I
I
/
r-.
II')
00
II')
.-I
W
'=>
rn
o
~ -----
z
"
31.
<~~~~)
Q
~
/'
/' I
I
/
24.2'
.
/
REVISIONS:
H.1lS'T. 2/17/06
Ii
.. ..
-
~
~ ~ m ~
@
I ~ a~ .!
:P~ ~
'- 0 f ~
'5"
"'~
! @
l
w
(J)
::>
0
:I:
0 ~
w &
(J)
2
~
a..
QJ
Ul
:J h
0
:I: !~
~
~
~ Oil:
~
DRA1NN: P4i MS
SCALE: 1-. 'lII
XII#:
........-
SHeET_
S-l
2U
I
,
16.5' SCREENED-IN ) 6.,S
PATIO
,
,
,
\ ,
\ ,
\ 2 STY, ,"", ~
\ ,
\ ,
\ I
6,5';' "
I ,
,
,
CO'IIJlEO POROi \
S4.J
,
37.4' \
\
\
\
Ell \
T!5THOl1! \
r
,
,
/
/
Vl
'-J
1.0
1.
vi
~
:E
-
-
/
/
IIIT\JMINOUS DrWFNAY
/
/
44 t.'
_____of:.1____
I
"
"
"
"
\
\
\
\
\
\
\
\
\
\
..... ,8.0'
...
.....
~
.....
.
U1
':!
'f '\
,
2';4'
-
~
-
26.S
3.?-
I
I
I
I
I
/ 11 0'
t .
I
t
J
,
,10.0'
t
I
/
/
/
I
I
I
I
I TQlMI. \U
(METER R1N
I L
N 10055'0" W 140.030'
1
I
,
r
1
01
q,
N,
V
,
,
1
,
I
,9..:01
...
.
.
~
~
~
s+.
E
/
/
~
10.0'
.r-..
@~@) @B~ U ~@B@)
SITE PLAN
SCALE: 1" = 20'-0'