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HomeMy WebLinkAboutStarcic, Carla,~ ~ ~; ;, R~r` ' TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 4, 2008 Transmitted herewith is a copy of application No. 3804 for aCesspool/Septic Tank Construction Permit submitted by: Carla Starcic 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 follmwing recommendations: / APPROVE i// DISAPPROVE Comments: ~G 6~ O~ Dated '~ ~ Y ELIZABET$ A. NEVILLE TOWN CLERK - REGISTRAR OF VITAL STATISTICS MARRL44E OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER ~. p ~l ~v Residential @ $10 o~gUfFO(,~ h~ y ~~l ,14 ~` Town I!r ", 69096 Main Roa (' ?. Box 1179 South~~ i. New York 11977 Fe•: ~.~31) 786-8146 Teleph .ne (891) 786-1800 soulho'-'~:nvn.northfork.ne OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PF,RMI'I' CESSPOOL or SEPTIC TANK or Nou-Residential @ $25 _ Application No. ~~d~ Permit No. Applicant Name (/~ L/'9- S/ ~~ ~/G _- - Applicant Mailing Address _ o2i ~/ 3 / ~ O~~// G~/~L~ L~df Septic Tatilc or Cesspool Brief Description of Proposed Construction or Alterati '` ,~ vSE /B.iJ Location of Proposed Constructiot7/Alteration: Owner of Property: ~/~~/~ STjjt,~ C /~' Owner Mailing Address:_ ,~ 4'3 ~ O ~.t~l~G'S /L1 ~ /f !Yf_ _ ~i~/f~~/1S C` ~i~,~~ /L~ ~ i ~ 70/ 0 Owner Property Address: ? /~~ /~,~ / lii~T' ,~~ .# S©~T~DLL1 /~ ~/ -- .- Name aztd phone number of contact person ~~ F ,~L ~ ~ j /,~,~1' - -° Tax MapNo:~OoO Sectio^ 7D-IIlock_ O ~ Let O % ~_ Cross Street A~r¢,~G~ Gy ~/ /9~%E NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATIO\'. NEW CONSTRUCTION REQUIRES SURVEY,,WI~TH HEALTH~DEPART)lIENT APPROVAL i ~ Signature of Applicant Date Received by: ` L~~EEK ~} I,( ~ ~F~ DOCK ~v ~I, 8• E .~ ,el'"e ~~~ ~ ~ r SUFFtDLX COUNTY DEPARTMENT OF KEALTH SERVICI Q~~.nsr ~oi~ ~PPItoVRL ar ~~s~~ vuCTI®N P'aR ANGLE FAMILY 121=',.9IDEttiCi ~'91vLY ,I.ZU 59 ~ a.o' / ~ ' I DATE 7 ~: Of~ P. 1 ~ - C , - •?2~ ~ 5 29 I ;L ` ~ . PPROVBD ~ ~ ~ ~~ ~pw ~ '_p n~ _' ~ ` FOFZ XIlb1UiL10F~F1ED12C:JCMS ?~4`°~` 2op5 Q ~ pElit~ o/ EXPIRES THREEYEAkSFROMDAVEOFAP~ROVAL ',.~E / ~nrl E. O / M ~ r :,- ~,' / ~- '~~~„,,'~ ~4WA ~~ V ~~~~ ).2'N & ~ ~ X10 `• ~~. 310 ~ ,~ ~ - - ~ ~ ~; ,~ ~ ~ /~ ~ ~ /i ~ ~~b~l t' ~ ~ ", / ~ ~ ptD / ' ~62 J c~ M, 1 s i F i. ~, -ye !y/ ~~,d ~~ - ROVED IN ACCORDANCE WITH B ARD OF REVIEW DETERMINATION DATED ~ Z'1 ~ Lm bq&aeR'~a ~Jrl "119!J I"9 ~l~j~~~~Fr°al~+ail~ L`~~'+QVEfI l .. ~..m ~Y h~~,~~7H ~~~~~I~~L~iT J _ p`~ 3/ 4 Q O I hsc g, 13 -. rc (4~beKtrorne~ w / ell t'' ~` w `~ O _ ~n {Ire/ /3~% ~ 4P ~ / s~ -~-, '~_ ~ 2 'ice 3 ° Co r ~ ~ k ~~ ~ -- ' Cis s r, , -~ Q =,#~ 3145 C) ~. /.r;, ~ # 2~j. v - ~ ~ xl , ~ - K ~ -_ ~J l J N 83°34'40" N 7- ~ - 97.3.7' ~7.. ;.6 ,~. -'b-------- ~ I ~ j uv A ,,~ m Jn'~~Ai-f`~ ROADS ./,E3 `'v ~~ PR i, -- -- - ~ Nr ~ O~ '. __ ~ N ; '~ LY RNa~,~j T #.3325 ~ I /V/O/F Oaklawn ~h ye. N ~ CHARLES 4. >`-sr Bow~~~ SUR Y OF HARDY 0 /O/20/B7eJ /5 :HUMUS PR,QP, T Y PINE NECK ROAD .- DARK BROU~,N t-OAM OL A T SOUT ~OLD,~,I ~I BRO k'N SANDY LOAM SC TO w~ OF SO THOLD i.5' L. AREA = 9,016 sq. fr. w~" ~ d ~~ dROwN FOAMY SANG s~ SUFFOLK COUNTY, N. Y. to tie line ~ ~ ~ ?aC.F .9R0 wN fOa RSE 1000-70-VV-OJ LOT COVERAGE o 14.4• ~w SCALE: 1"-30' 92ti SQ./1{90/6 = ~~.~ /o C.P. 8'n7' 1:.!-9ROMN P/O.m c.~aR iv; ~w MAY 12, 2005 n' by M DON, ~ ~ '.~ .. Feb /3, 2ooG ~rev:Si o~3~ The locolions o/ wells and cesspools aPRrL u,2oo6 (REVISfONI shown hereon ore from field observalion:r `ep~ Z? ~OO6 sf and or from dalo ohlained from others. r/ov. 29, boos r w~i. ! I om Iamilior with /he SiANDAROS rUr A;'PROVAI_ AND CONSTRUCTION OF SUBSURFACE SEWAGE nsE I DISPOSAL SYSTEMS FOR SINGLE FAMILY RFSIDENCFS and w/// abide by the conditions set /or/h /herein and on !hc `""`"" F permp 1o conslrucl. Fpl GRADE ~t ~ ~o.e ~ sr ~ FCooo Zones F2or~ F~'~ ^ 3v/o''~Co/GG G 5/4/9r aSV~ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VI01_ATi,F~ SEPTIC OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERTI~ICA`IL~uS i.~=, HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF -0NL" IG ' SAID MAP OR COPIES BEAR THE IMPRESSED >EAL OF THE SIIRVEYOE WHOSE SIGNATURE APPEARS HEREON. - ADDITIONALLY TO COMPLY WITH SAID~LAW TERM AL i FRED BY ' MUST BE USED BY ANY AND ALL~SURVEYORS UTILIZING A Copy OF ANOTHER SURVEY?R'S MAB: PERMS SUCH 'INSPECTED 'AND BROUGHT - TO -DATE ';A4E NOT IN COMPLIANCE WITH THE LAw, I I Cy I P~bl/~ wG/ew ~ lh~^ ly° no Well s.~'305. 116.56• punG~ . wale' m ~~xtrlm g~ ~"~ b W~-/er c ~II ~~I c.~~ ~~OF NEW Y~ y~P aZ. MET2., ~'F PECONIC SUR - , ~ f63/1 765 - 502 `. P. 0. BOX 909 " 1230 TRAVELER STREET SOUTNOLD, N. Y. 1197/ =1 ~ -o.: IE L.P. 10.0 _. 7v~ - /STEM CRf 496/8 .1 X65 - 1797 87 - 866 D -'