HomeMy WebLinkAboutPan Brothers managementELIZABETH A. NEV~.I.~., 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
DEC I 0 2009
BLDG. DEPT.
TOWN OF SOLITHOLD
DATED: December 10, 2009
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Pan Brothers Management Inc.
3919 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 J
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department.
Dated
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
~Residential @ $10 or [] Non-Residential @ $25 Septic Tank ~/or Cesspool []
Application No. Permit No.
Applicant Mailin~g Address: c~O~-3- ~-~ ~)-~ ~ ~
Brief description of Propsed Construction or Alteration:
Location of Proposed Construction/~teration:
Owner Mailing Address: ~,5-5~ ,5~-a~ ~/~o~c~-
Property Address: ~ff ~dZ~ ~a/
Name and Telephone No. of Contact Person:~~Z
Tax Map No.: /0~ Section: ~ Block:
Nearest Cross Street:
NOTE: LOCATION MAP MUST BE SUBMITTE~t~j~ITH AjPPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY W~~{~EPARTMENT APPROVAL.
,~f~/ } ,8~e of Ap~cant~ Date
Re~ived by: ~/ ~ ~
SUFFOLK ~ DEPARTMENT OF HEALTH SERV2CE~
FOR APPROVAL O~ CONSTRUCTION
&~/NGLE I~'AMIL¥ RESIDENCE ONLY
lllOI, ~
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7~09 OF THE HEW'YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION ?~09-SUBDIVISION E. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY
IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOS~ SIGN,4 TUR~ APPEARS HEREON.
60'
Tl~e locations ol wefts and cesspools
strewn I~ereon are/rom field ol;$ervalions
and or from dala oblained from ot~r$.
I om familiar wilh the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will ob/de by Ihe condilions sel forlh therein and on Ihe
permil 1o consfrucl.
AREA = 81,605 sq. ft.
0~
TEST BORING
'MAP OF 60LF V~.IF
SloeJ, Loam
PRoPoSED SEPTIC SYSTEM
I- 2000 GAL PRECAST
I0°# x ,~' LIOUID DEPTH
SEPTIC TANK
3 LEACHING POOLS 8'# ~
B' DEPTH OR EOUAL
ELEVA 770N$ ARE REFERENCED
AN A~UMED DA TUM
SURVEY OF PROPERTY
AT
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000-35- 02- 16.4
Scale: Y' = 50'
LOT $ AS SHORNON MINOR
SUBDIVISION OF GOLF VIER'
FII'ED IN THE OFFICE OF THE
SOUTHOLD TORN CLERK
t~ECONIC
(651) 765 ' 5020"~ ~Jf~5 - 1797
P. O. BOX 909
1250 TRAVELER STREET
SOUTNOLD, 11971