HomeMy WebLinkAboutMartin, JamesELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTlqa~R OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MA2~AGEMENT 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 CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
October 25, 2011
TOW/N OF SOUTHO[D
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
James & Denise Martin
4056 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.
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 Depa~hiient
Signature ( t~ ~.~
]{LIZABETH A. N~VILLE
TO '~I~N CLERK
R~GISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION 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 Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southaldtown.nor thfork.net
Residential ~ $10Y or Non-Residential ~ $25 __
Application No..
Permit No.
Applicant Name ~'~q m~.~
Applicant Mailing Address
Septic Tank ~ or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration: Owner of Property: '~(~gno_3 0 ~J~ ~)O--~l
Owner Mailing Address: ,- /~0~--- ~xc~d/)~t) ~ ~-
~r~,~/~ ,~_~I ilcf~-'~.~.
Name and phone number of contact person '~0g~q
z~x Map No: itr~ Section la%
NOTE: LOCATION ~STBE S~MITTED WITH APPLICATION- NEW
CONSTR~CTION ~Qm~S s~~ ~TH
.~/~/
Si~e of A~plic~t ~ ~/D~/
Received by: ~ ~
CIENCE
r71
7~
· LOCATION MAP
SITE DATA
SCTM#
PROPERTY:
ADDRESS
OWNER:
SITE:
ZONING:
SURVEYOR:
1000-123-04-11
2740 Deep Hole Drive
Mattituck, NY 11952
James and Denise Martin
135 W. 70th St.
New York, NY 10023
92,746 sf = 2.129 acres
RESIDENTIAL 40 (R-40)
Nathan Taft Corwin III
PO Box 16,
Jamesport, NY 11947
LICENSE # 50467
DATED 12/9/10
OH I1~10
DEEP
HOLE
CREEK
I. IN~ AL.OH~
I*IAi'"E~ 1,4AI~, ON
12/O~/IO
REVISIONS:
6/17/11
O,
0 o
< ~. ~o',
D~ BY:
CHECKED BY:
TS
DA~: 3/25111
SCALE:
SHEET TI~E:
SITE
P~N
SHEET NO.:
;¥STEM #1
TEST HOLE DATA
NO SCALE BY MARK McDONALD GEOSCIENCE
SOUTHOLD, NEW YORK 11971
TEST HOLE DATA { 3/17/11) ELEV +6.7'
3FT. MIXED SAND AND LOAM
4 FT. GREYORGANIC CLAY OL
4.1 FT. BROWN BOG Pt
9 FT. WATER IN BROWN BOG Pt
10 FT. WATER IN BROWN SILTY SAND SM
WATER IN PALE BROWN
17 FT FINE TO MEDIUM SAND SP
COMMENTS: WATER ENCOUNTERED 4.1'
BELOW SURFACE, ELEV +2.6'
LOCATION
LTH SERVICES
TION FOR A
e w:th de
Proof, u~t
CON~I/LTIN~ E~VlGtE~ ON 11/2q/lO
.~ZoZr_
4 4 5 6'
8{; :ii t4
· SE'PTIC PROFILE SYSTEM #1
.~/_oZ~.
I.~'I$ ~'.
TEST HOLE Di
NO SCALE BY MARK McDONALD Gt
SOUTHOLD, NEW YORK
TEST HOLE DATA (3/17/11) ELE~
~I=T. MIXED SANDAND LOAM
4 ET. GREY ORGANIC CLAY OL
4,1 FT. BROWN BOG Pt
9 FT. WATER IN BROWN BOG Pt
10 FT. WATER IN BROWN SILTY S,~
WATER IN PALE BROWN
17 F'[ FINE TO MEDIUM SAND SP
COMMENTS: WATER ENCOUNTE
BELOW SURFACE, ELEV +2.6'
~"nzt~r3 sYS'.em ~
require.m-
~s proo~;at Sub.mit
BY J.M.O. ENMIRONHENTAL
¢_~I,I~IJLTIN~ .~:~V'I~ISD ON
5
~
SITE PLAN
~ ~ 2- 5b~-o;