HomeMy WebLinkAboutZehner, HowardELIZABETH 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 CLEI~
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
October 27, 2010
OCT 2 7 2010
BLDG. DEPT.
TOWN OF SOUTHOI. O
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Howard H Zehner
3989 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 /
F.~:.IT. ABETH A. NEVILLE
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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10
Applicant Name
Non-Residential ~ $25 __
Application No. ~ ? ~ 7
Permit No.
Applicant Mailing Address
Septic Tank 5~, or Cesspool ~
Brief Description of Proposed Construction or Alteration
Location of Proposed ConstrUction/Alteration:
Owner of Property: t~ o--~' '~-
Owner Mailing Address: ~"f'~-
Owner Property Address: ~SQ) ~o,:s~¢.~-5' ~ id".
Name and phone number of contact person
Tax Map No: Section _~ ~ Block ~. Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Received by: ~4
Signature of Applicant Date
RECEIVED
2010
BASED ON REFER. TO
"MAP OF EASTERN SHORES"
SECT.3 FILED IN THE
SUFFOLK CO. CLERK5 OFFICE
AS MAP N0.4475
I01
I02
PROPOSED
DRYVv'ISLL
G' DIA. X 3'6" E
51TE
PLAN
..SCALE: I "= 20'-0"
TEST
\ HOLE
\ x,FUTURE
\6'DIA.6'D
LEACHING
\ POOLS
\ ,5o.d '. Z...~ ~o_
PROPOSED
I STORY FRAME
ADDITION
500 GAL
6'DIA.G'D
SEPTIC \
WITH DOME \
/ /
,
103
\
DECr,. \
\ ,30 .d
500 GAL.SEPTIC TANK
.fSEFT'IC ~SYSTI=M DETAIL
\
\
\
IT IS A VIOLATION OF THE
LAW FOR ANY PERSON,
UNLESS ACTING UNDER THE
DIRECTION OF A LICENSED
ARCHITECT, TO ALTER ANY
ITEt~ ON THIS DRAWING IN
ANY WAY. ANY A'JTHORIZED
ALTERATION MUST BE
~'~OTED, SEALED, AND
DESCRIBED IN ACCORDANCE
ZEHNER
09/09/20 1 0
FAI KWEATH ER-DROWN
DESIGN A,5.~OCIATES,I NC.
205 DAY AVENUE
GP-.EENPOP-.T, N.Y. I 1944
G31-477-97.52 (Fax) 631-477-0973