HomeMy WebLinkAboutSterling Harbor Inc (2)ELIZABETH A. NEVII,I.E, 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
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
December 2, 2009
BLDG. O[PI.
TOWN OF $ODT}tOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Sterlin~ Harbor Inc.
3915 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.
TOWN CLERK
REGISTRAR OF VITAL/~TATISTICS
MAR,RIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOKMATIO!q OFFICER
..Town Hall168095 Main
P.O. Box 1179
Southold, NewYOrk 11971
Fax (631) 78§-614§
Telephone (681) 765-1800
sou tholdtown.northfork.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Penuit No.
App!icantName '~'~-~'~- '~"r~I::--M~'~ (..-~.~_~-~.,~.~ ~,~x7 ~
Septic T~ ~ or Cesspool
BfiefD~cdption of Proposed Cons~ction or Alteration ~ ~ ~ ~[~¢ (
Location of Proposed Construction/Alteration:
Owner of Property: 7'0/90 k.~li~' '~9 el, -'¥~.,x,/
Owner Mailing Ad.ess: ~ ~ ~
Name and phone number of contact person
Tax Map No: Section ~
Cross Street ¢&.~io '"-~ ~,ouO --~l
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
' Signatu/eofApp'l%ant~-'''~ --~ "Date
PROPOSED ELEVATION
= PROPOSED CONTOUR
PROPOSED SEPTIC SYSTEM
( 4 BEDROOMS)
1,1000 9ol. PRECAST SEPTIC TANK
$-B'O x 4' DEPTH LEACHING POOLS -3'
ABOVE GROUND WA TER, FilTH 3' SAND
COLLAR (SE)
~ om familiar with the STANDARDS FOR APPROVAL
4ND CONSTRUCTION OF SUBSURFACE SEWAGE
91SPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
~nd will abide by the conditions set forth therein and on the
~ermit to construct.
The location of wells and cesspools shown hereon are
from field observations and or from data obtained from others.
~NY ALTERA770N OR ADDllTON TO THIS SURVEY IS A VIOLAiTON
~=' SEC770N 7209 OF THE NEW YORK STATE EDUCA770N LAW.
7XCEPT AS PER SEC?70N 7209-SUBDIVISION 2. ALL CERTIFTCA770NS
4EREON ARE VALID FOR THIS MAP AND COPIES THEREOIc ONLY IF
~AID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
~HOSE SIONA TURE APPEARS HEREON.
;r:FOLK COUNTY DEPARTMENT OF HEALTM SERVICES
PERMIT I~OR APPROVAL OF CONffI'RUCI'ION
,~INGLE FArVIILY RESIDENCE ONLY
-~OR~" ,~o=~,6~o~ U~D~OOUS 'SUt
~x~r~s u-r~n v~^Rs ~o~ ~,~ o~ ~mov~
, /
'VEY OF PROPERTY
A T BA YVIE~r
~¢N OF SOUTHOLD
'FOLK COUNTY, N. K
1000-88-0P-P/O 15
SCALE: 1~-40' MA Y 8, 2009
NOV. 5, 2009 IB.O.H.I
ALL JO' WIDE BUFFERS SHOWN ON THE APPROVED FINAL
PLAT SHALL REMAIN IN THEIR NATURAL STATE. THERE
SHALL BE NO CLEARING OR GRADING WITHIN SAID JO'
WIDE BUFFERS.
LOT NUMBERS REFER TO 'FINAL PLAT STANDARD
SUBDIVISION FOR STERLING HARBOR INC"
ELffVA TIOI~ ARE REFERENCED TO N6VD.
P.O. BOX 909
12J0 TRAVELER S
SOUTHOLD, N.Y. 11971