HomeMy WebLinkAboutKiernan, Bernard
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.Q, 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
TO:
Southold Town Building Department
FROM:
Carol Hydell, Southold Town Clerk's Office
DATED:
February 8, 2008
Transmitted herewith is a copy of application No, 3778
Permit submitted by:
for a Cesspool/Septic Tank AL TERA nON
McCarthv Management for Bernard Kiernan
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,
Carol Hydell
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I have reviewed the application and location map of the project citedabove and make the following
recommendations:
APPROVE
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DISAPPROVE
Comments: Maintain required setbacks from adjacent wells. buildings, properlv lines and water
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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) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
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S~:)uTHOLD WASTEWATER DISTRICT
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OFFICE OF THE TOWN CLERK
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!.: ' TOWN OF SOUTHOLD
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. APPLICATION
CJSTRUCTlON or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$1O J or
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Non-Residential @ $25 _
3 7 '} 00
Application No.
Permit No.
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Applicant Name I') ~Vl Love
Applicant Mailing Address l{ Cd) ~. C ~ '(
"S\7\) ola ~CV11
Septic Tank_or Cesspool_ '
Brief Description of Proposed C<JBS.!!:uction, 0 Al~eration \() (10 rOn'\...
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Location of Proposed Construction! Alteration: .
Owner ofProperty~E' 1 no,.d K " e r n-O..~
Owner Mailing Addres~: ;:2. ~- k)[) U ()fl P I ~ r \ V P
~(Cl'lh\f~~p N~'~
Owner Property Address: \ I 00<)"' . ~I""s" C)ll'Vf'
':sD0tnO lrl N'-J U g I (
,
Name and phone number of contact person 'l( I:: - 5<6" ")
Tax Map No: Section ~ Block (
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Lot l~
Cross Street
NOTE: LOCATION MAPl\fUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRESS~WITH~ALT~ARTMEN~OVAL
,f<~ ch c9-~ ~ .
Signature of Applicant Date
Received by:
JOfN1S SHAlL BE SEAl.ED SO-THAT THE TANK IS WATERllGtfT.
SEPTJe TANK SHALl BE INSTAU..ED AT LEVEL IN All DIRECTlONS (WITH A IAAX.
, MINIMUM 3" THtCK BED OF COMPACTED SAND OR PEA GRAVEl.
)' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHA1..1. BE MAINTAINED.
-"-''7
TOlERANCE OF *1/4)
1. l.EACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL)
lEACHING STRUCTURES, SooD DOhotES AND/OR SLABS.
2. AU. COVERS SHAlL BE Of PRECAST REINFORCED CONCRffi (OR EQUAl).
3. A 10' min. DISTANCE BElWEEN lEACHING POOLS AND WATER UNE SHALL BE t.4A1NTAlNED
4. AN B' min. DISTANCE BETWEEN AU. LEACHING POOLS SHAll.. BE MAINTAINED. .
5. AN 8' min. DISTANCE BETWEEN All. l.EACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED.
TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 6. 2007)
EL 19.8'
Abandonment of existing S3Eitary s~5tcm mu~n
fi ce "'II'n d~"o.rtm3.t rcqmrement S
com onnan ~ '"i'~' x',
completed fonn WWM- \j I as proof.
EL 18.8'
EL 16.8'
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Lie. No, 50467
athan Taft Corwin III
Land Surveyor
'/e Surveys - Subdivisions
Site Plans - Construction Layout
NE (631 )727 - 2090
Fox (631)727-1727
MAlUNG ADDRESS
P,O. Box 1931
R;verheod. New York 11901-0965
FleES LOCATrD AT
~ ROANOKE AVENUE
lEAD, New York 11901
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EL 9.8'
EL 2.8'
0'
DARK BROWN LON.l OL
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BROWN SILT l.lL
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GREYISH BROWN SILTY SN-lO St.l
10'
PALE BROWN ANE
'7'
UNAUTHORIZED ALTERATION OR ADDmON
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 Of THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE lAND SURVEYOR'S INKED SEAl. OR
EMBOSSED SEAL SHAlL NOT BE CONSIDERED
TO BE A VAlID l'RUE COPY.
CERTIFlCATIONS INDICATED HEREON SHAll RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPAAED. AND ON HIS BEH.AJ..F TO THE
TITLE COMPANY. GO'VERNMENTAl... AGENCY ~D
lENDING INST1TlIT1ON USTEO HEREON. ~D
TO mE ASSIGNEES OF THE lENDING INSTI-
TUTION. CER11f1CAT1ONS ARE NOT TRANSFERABLE_
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEIIENTS OF RECORD. IF
ANY. NOT SHOWN ARE NOT GUARANTEED.
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. 0 T OF HEALTH SERVIC
SU~~~~ ~~~;~V~T~~~ONSTRUCTlON FORA
SINGLE FAMILY RESiDENCE AND .
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DATE G
APPRO EO
TOTAL MAXI M BEDROOMS
OM DATE OF APPR Al
EXPIRES THREE YEP.RS ~R'..::_ ..__..___ _ .,. - .
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