HomeMy WebLinkAboutFetzko, JohnFJJZABETH 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: Southold Town Building Depat hnent
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: February 17, 2010
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3933 for a Cesspool/Septic Tank Construction
Permit submitted by:
John & Mary Fetzko
APR 1 2 2010
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: j
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department,
Signature /
ELIZABETH A, NEVi~E ': ~
TOWN CLERK
REGISTRA~ OF VITAL STATISTICS
MAKKIAGE OFFICER
RECORDS MANAOEMENT OFFICER
FREEDOM OF INFOHMATION OFFICER
...Town Hall, 68095 Main Pos
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (681) 766-1800
sou tholdtown.northfork.nel
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Location of Proposed Construction/Alteration:
Owner of Property: ~.'~/v ,-,/ ~P
Owner Mailing Address: 7 ~__ot_~/~c
OwnerPropen'yAddmss: //20 ,~'/,,..x' ~'~'- ~'~
Name and phone number of contact person
Tax Map No: Section /yt~Z~ Block / Lot
Cross Strict /,/~,. ,,/
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION.
CONSTRUCTION REQUIRES
Received I~y: ~
NEW
~~.~.~PARTI~I~NT APPROVAL
,
TEST HOLE DATA
SURVEY OF
LOTS 23 & 24
MAP OF PROPERTY AT
MATTITUCK PARK PROPERTIES,
FIIF No. 81 FILE/) JANUARY 12, 1926
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-144-01-0.3
SCALE 1 "=50'
OCTOBER 10, 2009
DECEMBER 1, 2009 ADDED PROPOSED HOUSE
AREA = 14,272 :sq. ff. 0.528 ac.
INC.
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM ID(ISTINO ELEVATIONS ARE SHOWN THUS: 5o.0
2. MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1,000 GALLONS.
1 TANK; 8' LONG, 4'-$' WIDE, 6'-7' DEEP
3. MINIMUM LEACHING SYS3EM FOR A 4 BEDROOM HOUSE IS 500 sq ff SIDEWALL AREA.
2 POOLS; 6" DEEP, 8' dia.
PROPOSED EXPANSION POOl.
PROPOSED LEACHING POOL
PROPOSED SEPTIC TANK
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
S. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND
REMOVED IN ACCORDARCE WITH S,C.D.H.S. STANDARDS.
bO,r (~)
DI~4fNAGE S~T~M ~CU~TIONS:
O~;~AY ~: ~,OOZ sq. ~.
~70 cu. ~. / 4Z.Z = 4 vs~cu~ ff. o~ 8' ~. ~ch~n9 ~
~g O) 8' dia. X 4' ~ ~0~ 0~ ~
~DE (2) 8' dia. X 5' high ~OR~ DRAIN ~
PROPOSED 8' DIA. X 5' DEEP ~[L~ FOR R~F RUN-OFF ARE ~OWN THUS:
PRO~SED 8' OIA. X 4' DE~ D~ FOR DRI~Ay RUN-O~ ~E SHO~ ~US:
Nat Taft
Land Surveyor
PHOR~ (651)727-Z(~0 F~ (631)727-1727