HomeMy WebLinkAboutMurray, Nick & JoanELIZABETH 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.northforkmet
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ~ ,~
C~ol Hydell, Southold Tom Clerk's Office ~ ~ _ ~ ~
~ TOWN OF SOUT~O[D
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3996 for a Cesspool/Septic Tank Construction
Permit submitted by:
LeeAnn Romanelli for Nick & Joan Murray
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and retum 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: b~
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department.
Dater'S)"/~//
ELIZABETH A. NEVILLE '; ~
TOWN CLERK
REGISTRAP, OF VITAL STATISTICS
M~M{RIAGE OFFIOER
RECORDS MANAOEMENT OFFICER
FREEDOM OF [NFOthMATIOM OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
..Town Hall, 53095 Main p~
P.O. Box 1179
8outhold, NewYork 11971
Fsx (631) 765-6145
Telephone (681) 765-1800
sou theldtown.northfork.ne~
Residential ~ $10 or Non-Residential ~ $25 __
Applicant Name (.ld~& I")er~iYl~J {; _
Permit No.
Septic Tank ] or Cesspool_~_
Location of Proposed Construction/Alteration:
Owner of Property:
l'
Owner Mailing Address:
TEST BORING
by McDo~E Geoscinnce
7/29/l 0
· EL
N
RAIN RUNOFF Bede. tlr. EL
HOUSE- ,:7,487 x I x 0.17 = 593 cu. fl. 16.9
593/42.2 = IZt VF. =
PROVIDE- 3 drywells 8'e 14' tolel depth "
EXISTIttG WELL IN BASEMENT TO NON-POTABLE
3' SAND ¢SW CiOLLARS
~L 14.4 !
Oork Brown Loom
OL
Brown silly Send
SM
I pele Brown Fine
fo Medium Sdnd
SP
Brown Sandy Clay
Wnler in Brown
Sandy C'ley CL
Wnter In Brown
Clay GH
Water In Pole
Brown F~e Send
.SURVEY OF PROPERTY
A T SOUTHOLD
TO,tN OF $OUTHOLD
SUFFOLK COUNTY, N. ¥.
I O00-~-OB-I O.I
SCALE I'~30'
JULY I.~[ 2002
JULY ~B, 2010
AUG. 31, 2010 (b.o.h.)
water)
DWE:LLIHG (p~ffa
ANY AI.~A~N O~ A~Tt~:TN m.~S ~ ~
S 7£'££'~' V
RO~D
PUBLIC WATER JV ST,
(sm..
~ ~ CERTIFIED TO:
~.. .~ NICHOLAS MURRAY
P.O. BOX 909 I
SINGLE FAMILY RESIDENCE ONLY
FOR MAXIMUM OF ~, ~ BEDROOMS
EXPIRES THREE YEARS FROM OATE OF ~
Excavation In.s. pection Required
For Samtary System o
, By Health DepaAment
P~RMIT ~OR A~ROVAL OF CONSTRUCTION FOR k