HomeMy WebLinkAboutDeNicolo, Rita & JosephELIZABETH A. NEVIl,l,[, 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
Southald, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
DATED: August 30, 2010
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Rita & Joseph Denieolo
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building D~mhii~t
C~ol Hydell, Sou~old Tom Cl~k's Office
3974 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 from the Suffolk County Health Department
Signature
Dated
TOWN CLERK
RE(~ISTIL~q, OF VITAL STATISTICS
MARRIAGE OFFICER
· RECORDS MANAGEMEN~ OFFICER
FREEDOM OF INFORMATION OFFICER
.~Town Hall, 63095 Main l~
P.O. Box 1179
Southold, NewYOrk l19q
Fax (631) '/6§-6145
Telephone (631) 765-180,
southold~own.nor~hfork,n
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 or Non-Residential ~ $25
Application No. '~ C~ 7 ~f
Permit No.
Appliean~ Mailing Address ~
Septic T~ or Cesspool
Brief Description of Proposed Consmctlon or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Own r Mailing Address:
Owner Property Address:
MARCH 1~,
G 4000
TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEO$CIENCE ON DECEMBER 27, 2007)
~. ~s.l' o'
17'
Abandonment of ex' ' '...... l: I
J co ' . !sting samtary system must be m
mtorrnance with department.requirement Submit
completed form WWM ~9 ~ as proof.
_S BB'
P_L£^S NOT
Sanitary System ~ to be instal/ed
under driveway, f
NOTES:
1. ELEVATIONS ARI
EXISTING EL
EXISTING CC
G. FL -- GARAGI~
2. MINIMUM S£PTi,
1 TANK; 8' DII
5. MINIMUM LEACt
2 POOLS; 8' D
(' '~ PROP(
(~ PROP(
QPROPC
4. THE LOCA'IiON
OBSERVATIONS
5. EXISTING SEPTI(
REMOVED IN AC
6. FLOOD ZONE !~
FLOOD INSURA~
ZONE X*: A)~F_A,
DF_PT
1 SQ
ZONE X: AREA&<
D I~4INA G~S TEM
ROOF AREA: .3;12!
5,121 sq. ff. )
551 cu. ft. /
PROVIDE (2) 8'
PROPOSED 8' DIA.
4
pUBLIC WKrER
17
PROPOSED LOT COVERAGE DATA
ESCRIPTION AREA % LOT COVERAGI
NG HOUSE 1,658 sq. ff. 8.0%
NG DECK 569 ,sq. ff. 2.8%
~C~[D ADDITIONS 1,465 sq. fl. 7.1%
'SED DECK ADDITION lxi ~+ ~ ~o~
12--
S $0'21'30"
79.2Z
jocKEY ' C~EEK
~P
ptUNO