HomeMy WebLinkAboutMattina, CharlesFLI?.~J~ETH _4. NEVII.I.F., RMC, CMC
TOW~ CLER~
REGISTRAR OF V~TAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 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
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
November I 0, 2009
NOV 5 2009
BLDG. DEPT.
TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3912 for a Cesspool/Septic Tank Construction
Permit submitted by:
East End Construction Sves Inc. for Charles Mattina
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 Y
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
ELIZABETH A. NEVI~
TOWN
REiHSTRAR OF VITAL STATLSTICS
MARRIAGE
RECORDS MAHAG~B~'NT 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.nor thfork-net
OFFICE OF THE TOWN CLERK
ToWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10/ or Non-Residential ~ $25
Application No. ~0~[ ~
Permit No.
Applicant Name c5 ~ST-- ~'-d.o
Applicant Mailing Address
Septic Tank or Cesspool
Brief Description of Pwposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Owner Property Address:
-.~o~ .¢~c ~ ~y 11¢t'7
Name and phone number of contact person ~'rln c°~
TaxMapNo: ]0OD Section ~'-I Block
Lot Iq
O-ossStr Mo,,o
NOTE: LOCATION ~ ~ST BE S~D ~TH ~PLICATION. NEW
CONSTRU~ON ~Q~S S~Y ~H ~TH DEP~T~ ~PROV~
Received by: ~
N
FLOOD ZONE FROM RRM MAP NUMBER
MA Y 4, 1998
ELEVATIONS REFERENCEO TO N.G, V.D.
RAIN RUNOFF' CALCULA TIONS
HOUSE? 2509 $~fl.
;Z509'~ I~ O J7 ' ~127 CU. FT. '
SCDHS Ref. # R10-09-0013
' I
~rFFICE OF I~, :. ~C S
~ I / ~. I
~ ~s~ ~ ~ ro ~ ~-~ = ~ ~O~A~
[ APPROVED IN ACcorDANcE WiT~ BgA~O OF
I om f~7i~ ~ith the STANDARDS FOR APPROVAL ~ ~ ~
AND CONS~UC~ON OF SUBSURFACE SEWAGE
DI~OSAL S~MS FOR SINGLE FAMILY RESIDENCES ~ ~;.o' ~
ond will obide by the cond[Uons set forth therein ond on the
=~it to construct.
The Iocotion of wells ond cesspools shown hereon ore
frown field observoJio;s ond or from doto obtoined from others.
/ ffECONIC S~
(651l 765 -
P. O, BOX 909
IE$O TRAVELER
SOUTNDLD~ N,Y,
11971
SURVEY OF'PROPERTY
AT BA YVIEW
TOWN OF $OUTHOLD
SUFFOLK COUNTY, N.y.
1000-87-05--14
SEPTEMBER 16. 2007
ocme~ ~e. :,ooe (e.O.H.)
NO~,~BER 6, 200~ (I'OP(X~AP~HC SURVEY)
MARCH 30~ 2009 IBOH
APRIL 2~ 2009 (rev[slon$I
o~ ~ to~ ot HOt,'. ~, ~009 (WA t ~M MATH)
AREA=15,371 SO. FT.
ANY AL TERA170N OR ADOI170N 10 THIS SURVE~ IS A t~OI. A TION
OF' S~C170N 72090F THE NEF~ Y~RK S~'AI~ ~DUCAIlON LA~.
EXCEP F AS PER SEC170N 7209-SUBOI14SION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP ANO COPIES THEREOF' ONL¥ IF
SAID MAP OR COPIES BEAR ~fE IMPRE~r~ S~_AL OF' IHE SURVEYOR
tff-IO,.~E 57GNA 17,JRE APPEARS HEREON.
· =MONUMENT
· =PIPE
· =STAKE
0 7-1,.90