HomeMy WebLinkAboutPrahlow, Ted
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 I179
Southold, New York I1971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO:
Southold Town Building Department
DEG I 7 C J
FROM:
Carol Hydell, Southold Town Clerk's Office
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DATED:
December 13, 2007
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3769 for a Cesspool/Septic Tank Construction
Permit submitted by:
E. End Construction Svcs. Inc. for Ted Prahlow
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
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Dated / /
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) 765-61(5
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
Residential@$lO rf- or Non-Residential@$25_
Application No. ~ ?
Permit No.
ApplicantName 6Efl/O CtJN~C~) .,Jifu {Ale - Acl<::>-ul'
Applicant Mailing Address /JO wI> ~VI<-W 011- ~v r.Jllvn jl/'1 ({q -, I
Septic Tank_or Cesspool~
Brief Description of Proposed Construction or Alteration ,{/(.,-W ..[;'I1(.U;' ~ 1'-'-1
[) t..x:U.-/AJ (.,
Location of Proposed Construction! Alteration:
Owner of Property: ~ f?~A OJ.wJ
Owner Mailing Address: /vo[ (JLO J'H-tIVA~ Ild
.(,;J1\-ll>L-'C> ,.;y //'1'7/
Owner Property Address: ..rAw.: AS Move
Name and phone number of contact person
Tax Map No: 1M]) Section (j c..f
Cross Street ./h /YJPr 4vif
NOTE: LOCATION MAP MUST BE SUBMnTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY HEALTH DEPARTMENT APPROVAL
Col..LL.-.:.-~ If~MC:V<- ~ 3~ -,;J.(; 7'"
Block:> Lot J "0
Received by:
/2 ' "'.]-0
Date
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LOT NUMBERS REFER TO "SUBDIVISION MAP OF FOUNDERS
ESTA TES" FILED IN TW SUFFOLK COUNTY CLERK'S OFFICE
ON MA Y 10, 1927 AS FILE NO. 834.
Hse,
Fin fir
01,12
Unished grade
0110.7
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. =PIPE
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E U .'000 gaf,
I SopllcTank
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I 0.5'
3'
SURVEY OF PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y
1000-64-05-30
SCALE: 1"-20'
AUGUST 29, 2006
.MA r II, 2007 (HEAL TH DEPT, INFO)
MA Y 15, 2007 (TEST HOLEl
TESfHOLE
6/14/07
CLIO
lIIXm SND AMJ LOAM
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CENTER
POOL
ground wafer 81 2.6
J'mIn.
BROWN $I- T ML
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SEPTIC SYSTEM CROSS SECTION
1-./200. GAL, PRECAST SEPTIC TANK 8# 4'LIC, DEPTH
5 LEACHING POOLS 8' _ x 3' DEEP
WITH 3' SAND COLLAR rSWJ 3' ABOVE
GROUND WA TER
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SUBSURFACE SEWAGE DISPOSAL
SYSTEM DESIGN
BY' JOSEPH FISCHETTI, P.E.
HOBART ROAD
SOUTHOLD, N. Y. 1/97/
(63/J 765 - 2954
..
WA 7I7t N PALE BROWN FWE TO
lIEDUI SAND SP
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---'-"-o-r?ARTMENT OF HEALIIi Si:RVICE5
UFFOLK COUNTY - _
PERMIT FOR APPROVAl. OF CONSTRUCTION t-OR A
. SINGLE fAMILY I<ESIDENCE ONLY
3'
PALE BROWN FIE ro AE:DIlIM SA/ID SF'
G~2.3
7.7'
I.'
BY McDONALD GEOSCIENCE
EXISTING HOUSE TO REMOVED NOT
SHOWN HEREON
EXISTING CESSPOOLS TO BE
REMO VED OR FILLED IN
EXISTING WELL TO BE ABANDONED
FLOOD ZONES X 8 AE (111. 8J
FIRM, 36103COl66 G 5/4/913
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I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will abide by the conditions set forth therein and an
permit to construct.
the
The locotian of wells and cesspools shawn hereon are
from field observations and or from data obta;ned from others.
ANY AL Tf:RA nON OR AoomON TO THIS SURVEY IS A VIOLA nON
OF SEcnoN 7209 OF THE NEW YORK STA TE EOUCA nON LA w.
EXCEPT AS PER SEcnON 7209-SUBOIVlSION 2. ALL CERnFICA nONS
HEREON ARE VALlO FOR THIS MAP ANO COPIES THEREOF ONL Y IF
SAIO MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
ELEVA TlONS ARE REFERENCED TO N.G. V.D.
AREA-7,700 SO. FT.
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06-209