HomeMy WebLinkAboutFalabella, JosephELIZABETH 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
Carol Hydell, Southold Town Clerk's Office
SEP 11 ~09
BLDG. D£~'T.
TOWN OF SOUTHOLD
DATED: September 10, 2009
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3899 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jim Naples & Son~ Inc. for Joseph Falabella
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.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department.
ELIZABETH A. NEVILLE ': -~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
REOORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.~Town Hall, 53095 Main Pea
P.O, Box 1179
Southold, NewYork 11971
Fax (631) 765-614§
Telephone (681) 765-1800
sou tholdtown.northfork.ne!
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 / or Non-Resident/al ~$25
ApplicantNane ..~1~ ['"~o~lce_j ~ f"oc~ ~(.
~plicant Maihng Ad.ess [0 ~ ~
Scl)tic Ta~ ~ or Cesspool ~
Brief Description of Proposed Cons~ction or Alteration
~cation of Propos~ Constructio~teration:
OwnerofPrope~y: ~ e~ ~~
O~erMai~gAddress: q~ ~~ ~
O~erPrope~Address: lO~ ~d~ ~
Application No.
Pc,mil No. 3 <~~-
Name m~d phone number of contact person '~*a NoNi}I~ 51~'
T~MapNo: S~tion i 1~ Block [[ ~t ~
Cross S~eet ~ ~B~ ~
NOTE: LOCATION ~ ~ST S~ED W~H ~PLICATION, ~W
CONSTRUCTION ~Q~S S~~ ~TH DEP~T~NT ~PROV~
R~iv~ ~ ~~ of ~plic~t Date
u
Improved Property - Public Water
MEDAY AVENUE
EXIDTING S~I¢ /
1-0 BE ABAI'~oNtEI~ '
AI~I~ITION
DATA.'
~Tl~ IC~0-11S-II-5
NO ~It~A~E PIAi=~ }~ITNIN ~20' OF PLOt
H.~.V. DATUM (M.S.L.
NO A,CtlVE 1,'~1 I S I/fi'D-liN
LEBEN12:
LP
[=1 EVAtlON~ ~ROH ~
~ L~A~HIN~ POOL
~J ~G TANK
LEAGHllq6 pOOi
EXPANSION POOL
TEST t-~LE:
TE~T hOLE INFOt~MATION TAKEN
F~OH ~U~VE~ P~EPA~ BY
HG~oNALD ~EOS~I~-IN~E, DATIVE 5.05.0~
t~T HOLE
EL: 28
DAI~. BP~91~N SANI:>¥ LOAM OL
05'
BI~OPIN DILT~ SAND
PALl= BIi~:~PIN PIIN~ SANI~
IT
NO Ia~ATEt~, ENCOUN i ~
F=F l=L: D,D.18
FqI=AI
U
HOUSl= Tt~AP
INV: .
IINV:2~.O0~ i
LO~.I(-.IN~ ~AST FP, ON
INV:2'7.EO
/
INV:2'7.OO
SEPTIC PROFILE
NO SCALE
5AlqlTA~¥ S¥S'I-L--H OgN~IST~ OP (I) 000 DALLON E~PTIC~ TANt< W
l) b' DIA X 12' D~ (E~EOTI~ DL~IH) ~A~HIN~ POOL~ D~ A
L. Po
Improved Property - Public Water
N
SITE PLAN
SCALE: 1 "-40'
SITE INt=OFRlqATION A5 TAKEN FI~2M SURV'~ BY
Y~e * YOUNe, PO., PA~ ~ ~, 20~
~ A -- with departm_a~t reqUi,~ ·
I ~fformanc~ · ~,~ as .roof.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FA~,llLY RD.~tD~hC-'- ONLY
FOR ~t~l~U~ Or 0
EXPIRES THREE YEARS FROM DATE OF APPROVAL