HomeMy WebLinkAboutBeu, Robert]glJZABETH 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
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
May 11, 2010
BLS. DEPI.
TOWN OF SOUTHOtD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3949 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for Robert & Nancy Beu
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 fi.om the Suffolk County Health Department,
Signature
ELIZABETH A, NEVi~E ':-'
TOWN CLERK
REOISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAOEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.~Town Halll 63096 Main 1~
P.O. Box 1171)
Sou~hold, New YOrk ! 19 ~
Fsx (631) 785-8146
Telephone (681) 765-180
southoldtown.nor~hfork.n
OFFICE OF ~ TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTI~CT
.APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Permit No.
App!icant Name ~//~ ,~.~'
ApPlicant Mailing Address ~
Septic Tank I/or Cesspool C~
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner ~f Property: f,a~_~. ,~/
Owner Mailin~ Address: /~'g~',~f" 4 Z7
Owner Property Address: "ZO~
Name and phone number of contact person
Tax Map No:
Cross Street
Section 1 Z ~ Block_
NOTE: LOCATION MAP MUST'BE SUBMITTED WITH APPLICATION. NEW
Received 6~ v · '
EROM 5E.,C I,~M,,~,,,~,..,, I
~o ~ MIN. 10' $EPE~ON ~ O ~ EL. 3g.2'
~ ~ .J
~ FROM
x ~~~..,, '~
S~LE: ~"= 20,_0,
~'"'~" ~ SCTM~ 1000-125-04-24.16
/
FROM SE~IC / ' ~
ME~$ ~D BOUNDS TAKEN FROM $URV~ BY:
PECONIC 'URV~O~,DATED:P.C. (631) 765-1797
SURV~ED: ~TOBER 19, 2009
PROPOSED SEPTIC SYSTEM DETAIL TEST HOLE DATA
N.T.S. : .......
............. ,.~. DATA SUPPLIED BY: McDONALD GEOSCIENCE
......... ~ ~I ,t .:.':;'..~';::11 II:'
- .... '~""- ...... -. ..,.,,.~.-,~:. "~°'~:: ~ ~ ~: .:: .BOX 1000, SOUTHOLD, NY 11791 (631) 765-3677
MINIMUM SEPERATION DISTANCE TO SE~'AGE DISPOSAL SYSTEM
SEPTIC TANK
FINAL GRADING AND BACKFILLING
NOTES:
LEACHING POOLS
DISTRIBUTION BOXES
SEWER LINE REOUIREMENTS
MIXED SAND AND LOA~
17'
NO ',X/ATER ENCOUNTERED