HomeMy WebLinkAboutRomeo, StevenELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
August 12, 2011
Town Hall, 53095 Main Road
EO. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
Transmitted herewith is a copy of application No. 4034
Permit submitted by:
for a Cesspool/Septic Tank ALTERATION
Steven Romeo
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me. Thank you
I have reviewed the application and loc~.ation map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION, INSPECTION REQUIRED. ~:~~~
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRA~ OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOHaM~TION 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 N///or Non-Residential ~ $25 __
Applicant Name ~.~ 3DC~ ¥"Cx(h
Application No. /~03 t~
Permit No.
Applicant Mailing Address
S~tic T~ or Cesspool
Brief Descd~tio¢ of Propos~ Cons~ction or Alteration
~cation of Proposed Cons~ctio~Alteration:
O~er of Prope~:
Owner Mailing Ad.ess:
Owner erope~y Ad&ess:
Nme and phone nmber of contact person
NOTE: LOCATION ~P MUST BE S~MITTED WITH ~PLICATION. NEW
/
CONSTRUCTION ~QUI~S SURVEY WIT~E~TH DEP~TMENT ~PROV~
Si~e of Applic~t Date
Received by:
NOTES:
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: ~
2. REFER TO FILED MAP FOR TEST HOLE DATA.
5. M~NIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE
1 POOL; 12' DEEP, 8' diD.
{~ PROPOSED EXPANSION
POOL
PROPOSED LEACHING POOL
PROPOSED SEPTIC TANK
5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON A
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS,
TEST HOLE DATA
(TEST HOLE DUG E~Y McOONALD GEO$CIENCE ON MAY 9, 201 ~)
P~LE BROWN FINE TO COARSE SAND SW
/
/
)NS.
.L AREA.
SURVEY OF PROPERT'~
,~ITUA T£
PECONIC
TOWN OF SOUTHOLD,,
SUFFOLK COUNTY, NEW YOI
S.C. TAX No. 1000-69-04-10
SCALE 1"=40'
FEBRUARY 6, 2008
SEPTEMBER 30, 2009 ADDED PROPOSED UTILITY EA
MARCH 50, 2011 ADDED PROPOSED HOUSE
AREA = 91.779 sq. ft.
2.107 ac.
~ SEt'ON 720g OF THE NEW YORK ST~
AND/OR EASEMENTS OF RECORD,
Rathan Taft orwi
Land Surveyor
Successor To; S~enley J. Iseksen, Jr.
Joseph A. Ingegno L.5.
Title ~u~eys -- 5u~dMsions ~ ~it~ P/ohs - Cons~rud~
PHONE {651}727-2090 Fox (631)72;