HomeMy WebLinkAboutPugliese, PeterELIZABETH 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
sour holdtown.northfork.net
TO:
FROM:
DATED:
RE:
orricr, Or TI~ TOWS CLE][ ~
TOWN OF SOUTHOLD ]/ L~ ~
///.
Sou~old To~ Building D~ent ~P~
, 122010 ~
Ap~l 12, 2010 ~
Cesspool Cons~cfion Applica~un
Transmitted herewith is a copy of application No.
Permit submitted by:
Peter Pugliese
3943 , 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 fi.om the Suffolk County Health Department,
ELIZABETH A, NEVILLE '~ ~
TOWl~I CLERK
REitISTItAR OF VITAL STATISTIC8
~RIAi]E OFFICER
REC~ORD$ MANAG{EMEN[~ OFFICER
FREEDOM OF INFOKMATION OFFICER
..Town Hall, 63096 Main .Ro~
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 78§-6145
Telephone (631) 71t5-1800
so u tholdtown.nor~hfork.ne
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 v/~ or Non-Residential ~ $25 __
Applican~ Mailing Address .~5.~'~'/'~ Fq ~-~---~
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Permit No.
Location of Proposed Construction/Alteration:
. ?
Owner Mailing Address: 'lOC> /~o)/ qff? ~q.¢c/~oq~O /~ ~
1173 q
t t~t.35
Owner Property Address: 2, .')o ~
Name and phone number of contact person
Tax Map No: Section c} t~
Block / Lot l ~., I ~.
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUlltE8 SURVEY WITH I~ALTH DEPARTMENT APPROVAL
· ~/~ / /, 81gnatum of ~q~pl(cant 't Datel )' ~'O{~
G
0 ,j,
PLOT PLAN
LOT 3
MINOR SUBDIVISION FOR
RALPH & PATRICIA PUGLIESE
FILE No. 11086 FILED APRIL 14, 2004
SITUATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-97-01-12.12
SCALE 1"=60'
DECEMBER .30, 2009
AREA = 124,557 sq. ft.
2.859 ac.
,~,, ioi~ Co. Dept. of Health Services
Oi~ce of Wastewater Mgtrr(
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE5
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FA!~'LY J~ES~D~NCE ONLY
EXPIRES THREE YEARS FROM DATE OF APPROVAL
CERTIFIED TO:
PETER PUGLIESE
PREPARED IN ACCORD M
STANDARDS FOR TIT D
BY THE L.I.A.L.S.
FOR SUCH USE~
TITLE ASSOClATI
N.Y.S. Lic. No. 5046/
athan Taft Corwin III
Land Surveyor
Surveys -- Subdivisions -- Site Plons -- Construction Loyout
(631)727-2090 Fox (631)727-1727
7CE\ LOCATED AT MAILING ADDRESS
~86 Main Road
P.O. Box 16
)ri, New York 11947 Jemesport, New York 11947
30
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY,
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO 7HE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION, CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT I~.IIA~&MT~'~'i~
I
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NO TE$;
1. CONTOURS ARE SCALED FROM ~OPOGRApH C~AL M~ F!¥[~N TOWNS
EXISTING ELEVATIONS ARE SHOWN THUS J0, O "
EXISTING CONTOUR LINES ARE SHOWN THUS: J;O-- -- -- _
PROPOSED CONTOUR LINES ARE SHOWN THUS:
2. REFER TO FILED MAP FOR TEST HOLE DATA.
S. MINIMUM SEPTIC TANK CAPACITIES FOR A 5 TO 6 BEDROOM HOUSE IS 1,500 GALLONS.
I TANK; 8' DIA. X 5' DEEP
4. MINIMUM LEACHING SYSTEM FOR A 5 TO 6 BEDROOM HOUSE IS 400 sq ff SIDEWALL AREA.
I POOL; 8' DIA., 16' DEEP
(~ PROPOSED 50 % FUTURE EXPANSION POOL
C) PROPOSED 8' DIA. X 16' DEEP LEACHING POOL
G PROPOSED 1,500 GALLON SEPTIC TANK
5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.