HomeMy WebLinkAboutWood, TimE~ETH A. NEVILLE, RMC, CMC
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
TO:
FROM:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
}dAR ~ 8 2OO9
BLDG. D£PI.
TOWN OF SOUTHOLD
DATED: March 17, 2009
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3860 for a Cesspool/Septic Tank Construction
Permit submitted by:
Tim Wood
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.
I have reviewed the aPplication and loc~tion map of the
recommendations: ~ project cited above and make the following
APPROVE
DISAPPROVE
Comments:
Dated
TOWN CLRRK
RE(tlSTRAR OF VITAL STATISTICS
MARKIA(~E OFFICER
REOORDS MAHAi~EMENT OFFICER
FREEDOM OF INFOILMATIOiR OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
..Town Halll 63095 Main Ros
P.O. Box 1179
8outhold, NewY0rk 11971
Fax (631) 78§-6145
Telephone (631) 785-1800
southoldtown.northfork.ne~
'Residential ~ $10 or Non-Residential (~ $25 __
Application No. -~ ~ ~
Permit No.
Applicant Mailing Address ~tJ~O
Septic Tank. or Cesspool
Brief'Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
OwnerofPrope y:
Owner Mailing Address: ~t'lt0
Owner Property Address:
Name and phone number of contact person ($XI ~5 ' b~.~{.o
VaxM~pNo: Section _t~4w, _~ Block 3 Loto~:,
Cross Street ,~Olt-vx,
NOTE: LOCATION.MAP MIJST BE SUBMITTED WITH APPLICATION, NEW
CONSTRUCTION REQUIRES SURVEY WITIt ItEALT~t DEPARTMENT APPROVAL
S~gnatur~f Applicant Date
Reoo~ved b~.
N
I om fqmlllor wllh lbo STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE ,
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
one w/ti aMde by the con~lion~ sol forlh lherein end on
permJl lo con~lrucl.
ROOF DRAINAGE CAL CULA TIONS
ROOF AREA = 1170 $O. FT.
2' RAINFALL
1170 ~, 0.17 , I = 19G. 9 CU. FT.
195.9/4~.~ = 4.7 vF
PROVIDE I DRYWELL 8'~ x 5' DEEP
OR EQUAL
~o~n hereon ere from £MId o~servo~n~.
and or from data ~lalned from ollmra.
NEW SEPTIC SYSTEM
4 BEDROOMS MAX.
FILLED WITH .~ANO
~o~ *~
- 1000 CAL. PREC,4ET
SF-,~TIC TANK
LEAC-J41NG POOLS S'~ ~ '~
I~'o DEEP BOTTOM OF '
,POOLS TO BE 3' ABOVE
GROUND WA TEA
REMOVE EX/STING DECK, ENCL~
PORCH & W,4LKWA Y.
EXISTING SEPTIC SYSTEM TO
BE CERTFIED OR PROVIDE
NEW APPROVED SYSTEM
LOT COVERAGE
EX/STING 15~/ sqJI
1587/10067 15~BY&
PROPOSED 1~66 sq. ll.
1~66 '!10067 "IE. 6~
AFEA-'I0,D67 ,,~D. I=T.
t
96-
TEST BORING
O' Dm'kSrown Loom l
,. SURVEY O~ PROPERTY
~"' ~' ~ A T SOUTHOLD
TO ~N OF SOUTHOLD
~.,0 .~°"".~' SUFFOLK COUNT~ ~ Y.
~ i000-6~-03-~6
.,mo~oe SCAL~' 1 ~0'
AUGUST 28, 2~8
OCT. 30~ ZOO8 IPROPO~ED ADDITIONal
NOV. ~ ZOO8 IREVISIONS)
NOV. Z4, ~008 ~.O.H. info)
NOV. ~ ~ (TEST
.'t.l ~ ~ ~ LOT NUMBERScocHRAN,REFER TO "DIAGRAM OF LOT BELONGINGF/LED IN
oc o a
AS MAP NO. J99~
KS. LIC. NO. 49618
~ ~Nr ~R~n~ ~ ~oom~ ro ~s SURer/S ~ ~,~ ~~~S, P.C.
~~~x (~) ~5-~
EX.PT AS P~ ~CB~ 7209-~i~ Z ~L ~R~RCA~S
=MONUMENT ' HERE~ ARE V4LIO F~ ~IS MAP%AND ~IES ~ERE~ ~LY IF P.~ '
=PIP~ ~o MAP ~ ~IES BEAR mE IMPRE~D ~ ~ ~E ~R~Y~ 12J0 ~A~LER STREET
~o~ m~.~ ~.s ,m~. SOOTHOLO, N. X 11971 08-191