HomeMy WebLinkAboutBelica, PaulI~I,IZABETH 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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
RE:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
March 26, 2010
Cesspool Construction Application
MAR 2 9 2010
BLDG. OEP[
TOWN OF SOUIHOLD
Transmitted herewith is a copy of application No.
Permit submitted by:
Mark Schwartz for Paul & Deb Belica
3938 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 ! r
ELIZABETH A. NEVILLE "~
ToWN CLERK
RE(tISTtlAR OF VITAL STATISTIC8
MARH/AGE OFFIOER
RECOP~DS MANA6~ENIENT OFFICER
FREEDOM OF INFOB,MATIOIq OFFICER
oFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
.~Town Hall, 53095 Main p~
P.O. Box 1179
8outhold, New York 119 7
Fsx (831) 765-6146
Telephone (681) 765-180~
sou tholdtown.nortlffork.n~
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~or Non-Residential ~ $25
Application No. 3 q 3~~//
Permit No.
Applicant Name ~/~, .,Z~__
Appliemt Mai~ng Ad&ess
Septic T~ or Cesspool
B fief D~cdption of Propos~ Consmctlon or Alteration
~cation of Propos~ Cons~ctioWMt~ration:
O~er Prope~ Ad~s:
Nme ~d phone nmber of ~n~t person~
T~ Map No: 8~tion
Cross S~t
NOTE: LOCATION MAP MUST'BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE/Y~)J~H HE~pART~MENT APPROVAL
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REVISIONS:
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T~T ~/~BATA~ PROPOiED CONC - ' ' ~ ~
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Or APP~O~N O R T H S E A D R I
~TTE ~1 AKI o= ~--- 7 :~ ~ EXPIRES THREE Y~R ~u,~,o
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MINIMUM SEPERATION DISTANCE TO SEAX/AGE DISPOSAL SYSTEM
.u~u~ '~us m ~TE~:
SEPTIC TANK L~CHING POOLS SEWER LINE REQUIREMENTS
28 DA~. [OR EQUAL),
6)* A 1' MiN. DI"~E '~EN 'E"C T~K ~D HOU" '"A~ 'E ~Ai"ED. DISTRIBUTION BOXES
FINAL G~DING AND BACKFILLING*~°"~"u~ o,~.~..,~o.~,~ ~o.~..,,.,.~,. o..~..~,..~ ,. ~.~.~. ~ ~.~.~..~ ,...~,o., ,.
'RO"R~ UN"' 'HA= BE ~ IN ORD" TO ~ERTAIN ~AT ~E ~EM 3). 'O MINIMIZE FRO" A~ION ~D RED~E THE ~'"'1~ OF MOVEM~ ONCE UNA~IDAB~
IS L~D ON ~E ~O~ iN ACCO~ANCE ~ THE~ ~D~D$, IN~AL~D, DI~tBUTION FOXES MU~ BE ~ ON A B~ ~ S~D OR P~ FOUNDATI~, THE
G~VEL AT ~ 12 tNCH~ ~lC~
~L ~E G~D~ ~O ~ TO MIN~ZE ~U~E D~INAGE I~O THE ~, A PIPE FROM ~E ~E~C TANK TO THE BOX ~CEED$ ONE-H~F INCH PER F~. BE IN~A~D.
~UM F~ PERC~ $~ ~ BE ~NED FOR A M~N~UM OF ~N~
OR E~E OF THE SL~E. ~ G~ FUR~a TH~ ~ ~0) FE~ FROM THE 6). DIgreSSION gOX~ W~H B~OMS MO~ ~N FOUR FE~ IN D~H F~M ~ THE COUPUN~ S~ BE SECURELY INn~ AND WATER~.
DI~ONAL CH~ ~R~GH ~E USE OF ~PURT~C~ ~Y gE PE~H. tu'~ *~
~HI~ ~ S~ BE .~IUZED PU~U~ TO C~. FINISH~ O~ ~ N~ PE~ED. IF Aa~L~Y NEC~S~Y.
,: ~'~ ~ ~ ~_~ .........
PROPOSED SEPTIC SYSTEM DETAIL """" """