HomeMy WebLinkAboutGerrity, Dan
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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
sou tholdtown. northfork.net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
TO:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD t--::-:--; ,-..-
Southold Town Building Department I JUN J 9 7
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FROM:
Linda J. Cooper, Southold Town Clerk's Office
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DATED:
June 19,2007
Transmitted herewith is a copy of application No. 3715
Pem1it submitted by;
for a Cesspool/Septic Tank Construction
Courtney Gallal!:her for Dan Gerrity
Please reyiew 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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06~~7
Dated ( I
ELIZABETH 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
soutpolcltown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
. CESSPOOL or SEPTIC TANK
Residential @ $IOL or Non-Residential@ $25_
Application No. ~ l \ 5
Permit No.
Applicant Name r l!( A r t--i:;P\( GO I \~he I
Apphcant MaJlmg AddressJ () 60;< Y 7
("eeflp:n NY \ 1C14L/
Septic TankLor Cesspool_
Brief Description of Proposed Construction or Alteration
~\E\.AJ S\f)~<" I=ZArnl"L"'j D"RJ)"yjf'1
Location of Proposed Construction! Alteration:
Owner ofProperty:'ili (\ G p \,, h. J
Owner Mailing Address::fF ~ ~
8 Sun&:.+ A--re lynhrrok- J0C( ) Iw3
Owner Property Address: G IQ nrj '{ I ~ W D,..,'lX
Or! en}-
Name and phone number of contact person
Tax Map No: 1000 Section } LI
Cross Street (:! ld "-'lQ'1 n 'Rood
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
v?!)JaPfti..u. ..> (p /;pt() l
Signature of Ap' t Dlfte
,
Block
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Received by: \ /'v
AREA-4Q,OOO so. FT.
. =MON(JMENT
ELEVA nONS REFERENCED TO AN ASSUMED DA ruM.
,
I am faf(1iliar with the STANDARDS FOR APPROVAL
AND COi!JSTRUCnON OF SUBSURFACE SEWAGE
DISPOSA~ SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will :obide by the canditions set forth therein and
permit to construct.
The location of wells and cesspools shown hereon are
from fie1d observations and or from data obtained from others. -
ANY AL TERA nON OR ADDmON TO THIS SURVf:Y IS A IIIOLA nON
OF SEcnON 7209 OF THE NEW YORK STATE EDUCAnON LAW
EXCEPT AS PER SEcnON 7209-SUBDIIIISION 2. ALL CfRnnCA nONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF" ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
~OSE SIGNA TURE APPEARS HEREON
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SHOWN DN FU,TA1, SDItV0 ~ <0
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'TANK '7.2' I, 17.0' 5,~oi + '.
13 8',~NC
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PROPOSED SEPnC SYSTEM
(FOUR BEDROOMS)
[3J 8' DIAMETER x 4 HIGH PRECAST CONCR
[1J 1,000 GALLON SEPnC TANK.
TEST HOLE DATA
McDONALD GEOSCIENCE
9/1/06
2' BROKN SIt TY LOAJJ a
8RO~ SlL TY SAND AND SANDY 51.
S' pALE BROVrN FINE 10 ",mUM SAN
9.6
on the
WATER IN PALE BROtm FINE TO Jof,
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WA TER IN BROWN CLA ~y SAND A
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w... TER IN BROWN a..A Y AND
SANDY aAY a .. CH
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WA TER IN BROWN FINE SAND SP
52'
PR()POSEO
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LOT NUMBERS REFER TO "GRANDVlEW ESTATES. FILED
IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JUNE 8, 1982
AS FILE NO, 7089.
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SURVEY OF PROPERTY
A T ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-14-02-3.32
SCALE: 1.-40'
SEPTEMBER 5, 2006
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