HomeMy WebLinkAboutSamaan, Selim
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION <,lFFICER
-. ,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765.6145
Telephone (631) 765.1800
sou tholdtown.northfork.net
- 6'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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SoutholdTown Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
November 3,2006
Transmitted herewith is a copy of application No. 3644 for a Cesspool/Septic Tank Construction
Pernlit submitted by:
Fred Milner for Selim Samaan
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
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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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Comments:
DISAPPROVE
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Signatu~
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Dated /
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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 MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@$IO (or Non-Residential@$25_
Application No. 3104,.,\
Permit No.
Applicant Name FRi3) Mr' [ f10'(.
Applicant Mailing Address q SS- \r.J f\ i k. Ee.1l-e....
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Septic Tank_or Cesspool~ "
Brief. ription of,Prqposed co,stru,Gtion ilr Alteration ew
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Location of Proposed Construction/Alteration:
Owner of Property: 3~ 5 C ~~ <:l0
Owner Mailing Address: ~ 4
Owner Property Address:
Block
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Name and phone number of contact person
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NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE~ HE;HQ::ARTMENT APPROVAL
~.n Signature of Applicant Date
Received by: ~e:sw lr- .
Tax Map No:
Cross Street
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SURVEY OF
LOTS 30 & 31
AMENDED MAP A OF
NASSAU POINT
FILE No. 156 FILED AUGUST 16. 1922
SITUA TED AT
NASSAU POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-111-09-10
SCALE 1 "=30'
JUNE 21, 2006
OCTOBER 13, 2006 REVISED EXISTING CESSPOOL LOCATION
.
AREA;;;; 67.190.70 sq. ft.
(TO TIE UNE) 1.542 ce.
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATU lot
EXISTING ELEVATIONS ARE SHOWN THUS:,""
F.ll - FRST FlOOR
G FL - GARAGE FLOOR
r B - TOP OF BULKHEAD
H B - BOlTOM OF" BULKHEAD
2. PROPOSED SEPTIC SYSTEM STRUCTURES,
@ PROPOSED FUTURE SO" EXPANSION POOL
~ PROPOSED 8' DIAMETER X 12' DEEP lEACHING POOL
~ PROPOSED 1.000 GALlON SEPTIC TANK
3. THE lOCATION OF WEllS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
TEST HOLE DATA
(TEST HOLE DUG BY MeOONAI n GFOSCIENCF ON JULY 6. 2006)
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0'
DARK BROWN LOAtol OL
0.5'
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BROWN CLAYEY SltrND SC
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PALE BROWN FINE TO MEDIUM SANa SP
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8uFFouc COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FORA
S1lfEll:E fAMILY RESIO!I~C! ANa
,~~;::~..,
DATElo-'2.L{-D(o H.S. REF. No.
APPROVED
TOTAL MAxIMUM BeDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
UNAUTHORIZED AliERAnON OR AOomON
TO THIS SUR\IEY IS A VK>LATtON Of
SECTION 7209 or THE NEW YORK STA IT
EDUCATION LAW,
COPIES OF THIS SURVEY WAP NOT BEARING
THE lAND SURVEYOR'S INKED SEAl OR
EMBOSSED SEAL SHAll NOT BE CONSIDERED
TO BE A VAlJD TRUE COPY.
CERTIFlCATlONS INDICATED HEREON SHAll RUN
ONlY TO THE PERSON FOR WHOIl THE SUfMY
IS PREP.\IlED. AND ON lIS IIEIWF TO THE
TIllE CXM>_. ClOVf:RHIoIENTAl .lGfNCY AND
LDIDING INSTI1IITION usml HEREON. AND
Tn-n..r&~I'W"""'",__,,_
NY,S. Lie. Nc
Joseph A. Ingegl
Land Surveyol
Title Surveys - Subdivisions
Site Plans - Constructi
",,'^UP' I,.",..'....... ..........
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