HomeMy WebLinkAboutLoiacono, Dennis & PatriciaELIZABETH 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:
DATED:
OFFICE OF THE TOWN CLERK c'-x r~ ~. _
IIDJ
C~ol Hydell, Southold Town Clerk's Office I ~
~ ~ow~ OF SO~T~O~O
S~t~ber 2 ], 2009 -
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Siuy Liu for Dennis & Patricia Loiacono
3901 for a Cesspool/Septic Tank Construction
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
Signature
Datedt~) ~
SOU'I~OLD WASTKWATs:R DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION
CIISSPOOL or SK_PTIC TANK
I~esidenlial @ $I0 orE] Non-Residential ~ $25
Appli~mt Namo: "3 I~ ~
Applicant Mailing Addrc~:
Septic Tank [~ Cesspool ~
Pe.~t No.
Name and Telepho~o No. of Contact Per,on:
Taxi. No.: 10oo Section: Lz~z~r Block: ~ '~- Lot:
Nearest Cross Street
NOTE: LOCAIION MAP MUST BE ~D WITH APPLICATION. NEW
CONSTRUCTION ~RES SURVEY WITH HEALTH DEPARTMENT AP~P~.ROVAL.
[t~/ Siganture of Applicant Date
Received
by:
Min. 4" dia. class 2400
pipe or equivalent First Floor Elev. +14.9'
Pitched 1/4" per ft. min.
\Grade elev. +13'
Mox. grade slope 5 ~ pitch away from house ~.~ b~'-- -- -- -~ ....
Grode elev. +1~.' - ............ ~' ~ u 3
conc. macning nngs , pipe or equivolen[ r
Install (5)-8 d~a. x3 high precos Pitched 1/8 per ft. m~n. Install (1)-1,000 gallon reinforced
prec~st copc. septic t~nk
NOTES:
I. THE WASTE [:iNES F~OM THE SEPTIC TANK SHOULD ENTER THE DISTRIBUTION RINGS AS H]GH AS POSSIBLE
Proposed Sewage Disposal System Profile (NTS)
JAMES CREEK
SUFFOLK COUNTY DEPARTMENT OF HEALT~ SERViC~I '
PERMI~ FOR APPROVAL OF CONSTRUC1'iON lrOR A
/~--IN~LE FAMILY RESIDENCE ONLY
t~3/t~IRES THREE YEARS FROM DATE OF APPROVAL
:andonmcnt ofcxiati~g sanita~-sy~tcm must bo in
fonnanoe with dePra, rt~t r~uirement Submit
plcted form WWM, uo~3 as proof.
Water Line(s) MUST Be Inspected By The
Suffolk County Dept. Of Health Services.
'Call 852-5700, 48 Hours In Advance,
To Schedule Inspection(s).
/I
BAY
SP
Site Plan
Loiacono
RESIDENCE
Siyu Liu Architect
Si?uliu.atchitect~gmail,com
Site Plan
DWG. NO.
A.1