HomeMy WebLinkAboutStepnoski, Anne MELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 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: August 3, 2010
Transmitted herewith is a copy of application No.
Permit submitted by:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
3968
for a Cesspool/Septic Tank ALTERATION
Anne M. Stepnoski
Please review the application and location map and advise if the project has received Suffolk County
Health Depa~hnent approval and 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:
Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCA~VATIONINSPECTIONREOUIRED. ~~~-~
Dated
ELIZABETH A. NEVILLE - ~
TOWN CLERK
REGISTttAt~ OF VITAL STATISTIC~
MARRIAGE OFFICEI~.
I~EC~ORDS MA~A(~EMEN~ OFFICER
~REEDOM OF INFOILMATIO!q OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
.~Town HallI 53095 Mairl ~
P.O. Box 1179
Southold, New York 119 ~
Fax (631) 765-/1146
Telephone (681) 765-180
sou ~holdtown.northfork.n
Residential ~ $10./~V or Non-Residential ~ $25 __
Applicant Mailing Address 10 2.~ C1,_(~¢ T'fr,
Septic Tank. ,(? or Cesspool
BfiefDesoripti~of Proposed Construction or Alteration
Application No3c}{a~
Permit No.
Location of Proposed Construction/Alteration:
OwnerofProperty d~-(l14~ W'[ ,~"COr~K~'
Owner Maiiing Address: ~0~k~ ~ ~1.~
OwnerPropertyAddress: ~rlrr,~ ecg ckbov'-~
Name and phone number of contact person
Tax Map No: Section ~ff(5
Cro,s Street [A.J 6 4orta'ex~ ~-
NOTE: LOCATION MAP MUST 'BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applieaa{ ' Dar,
aox iooo
DESCRIBED PROPERTY
SOUTHOLD TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
TM# 1000-078-07-035
SCALE I"= 20'
AREA = 10,000 S.F.
OR
0.229 ACRES
INFORMATION TAKEN FROM
SURVEYED DONE BY:
STANLEY J. ISAKSEN, JR.
LICENSED LAND SURVEYOR
N¥S Lic. No. 49273 06R1544
SURVEYED: ~7 NOVEMBER 2006
WATEVIEW
~'-2 L/~) 66'20'00"E
C)
N/F PANDOLFI
{DWELLING WITH
PUBLIC WATER)
lOT COVERAGE,
~r 'rD SC.~LE
DRIVE
100.00'
47'.6*
BLUESTONE DRIVEWAY
41~-ii~
~(
0
O~
O~
<(
NELL5 I
ADJ.~E
r_~NEC
HATER
~JFFOLI
DEPAR1
OUTLINE
RINKING
O FEET OF
'ARY. ALL
ERTI£.5 ARE
=UGLIC
:lED NITH
( WATER
TTPICAL LEACI-IING POOL
NO ~ALE
INLET I-
miN.]
IN A VIRGIN STRATA
ALL PRECAST C(~NCRETE TO
flEET TNE FOLL.G~ING .GPECIFICATIONS~
C. Ot4CRETE*
frowN.)
(TYPICAL)
/ SEPTIC TAN~
IR SUFFOLK OOUN'IY DEPNTr~ENT OF HEAL]H
SUFFOLK COUNTY DEPARTMENT OF HEAI~ SERVICES
PERMI'r FOR APPROVAL OF CONSTRUCTION FOR A
~INGLE FAMII.Y RESIDENCE ONLY
FOE MAXIMUM OF ~ ,, BEDROOMS
EXPIRES T.REE YEARS FRO~ .ATE OF A,pROVAL
A.RC}g*i~CTS pI.~JqI~BRS, P.C.
Proposed Site Plan of the
Alteration For:
and Mrs.
Kevin Binkis
1025 Cedar Dr
Southold, NY 11971
SEAL
TrtLE
SITE PLAN
SP-1