HomeMy WebLinkAboutD'Addario, JELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF 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.north fork.net
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
January 19, 2012
IOWN OF SOUTHOLD 3
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Mark Schwartz for J D'Addario
4065 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 remru 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 fi.om the Suffolk County Health Department
Signature
DatefSb-/~> ¢
ELIZABETH 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
F~x (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 __ Application No.
Appficant Name/~.~g/fi._~ ~~ .~..._ Permit No.
Applicant Mailing Address ~ ~.~ ~e~
Septic Tank.~__or Cesspool
Brief Description of Proposed Construction or Alteration
~cation of Proposed
O~er of Prope~y:
Omer M~ling Ad.ess:
Owner Property Address:
Name and phone number of contact person
TaxMapNo:~°°O Section (~ ~
Block O~L Lot ! 7. ~'
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION QUI S SUB, JpJ, H E y H PA TME APPROW
$i~at~e o£ App~
Received by:
N
LOT COVERAGE
EX/STING - 3 COTTAGES~ HOUSE & SHED
3.994 sq. ff. 3994/49637 = $%
WITH PROP. ADD/T/ON - 4,284 sq. ff.
4~$4/49657 = $.6%
(,~)
\ ov
~ ~ x
F~TLANDS
SURVEY OF PROPERTY
A T LA UREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-126-04-1Z2
' SCALE: 1'---30'
DECEMBER 14, 2010
'M~r.' I?~ 2011 f prop. odd/lion /
.~EDPT. 12, 2011 (SE?TIC,~SYSTEM,:
e~ 14, ,2011 (od~#onk; V
Dec. ~ 2011 (hole)
S87'04'I0'E
OF WA Y ~/o Lot Io
147.96'
\
\
OrCA
i
PR~ ~ ~P~ SYSTEM COTTAGE *A' ] 3 B~ROOMS
- I000 GAL~ P~ ~B~C. TANK
- 8'e ~ ~ DE~ LEA~NG BOOLE WITH
A 3 ' SA~ [S~ COLLAR 3' M~. ABOVE
GROU~ WA TER
REMOVED OR FILL IN OLD SEPTIC SYSTEM
ALL 8LOCK C~E~SPOOLS WiU- BE REPAIRED WITH PRECAST
AT THE TIME OF CONSTRUCTION
FLOOD ZONE FROM FIRM MAP NUMBER 36103C0481H
SEPTEMBER 25, 2009
ELEVATIONS REFERENCED TO N.A. V.D. '88
LOT NUMBERS REFER TO "MAP OF A.L. DOWNS" FILED
IN THE SUFFOLK COUNTY CLERK'S OFFICE ON
AUGUST 14, 1929 AS MAP NUMBER 21.
~UFFOLK (~0Ifi,',~TY D~PARTfZ,~NT 07 H~,LTH SE~ES
PERMIT FOR APPROVAL O~ CO:,,'~TRU~T~ON FOR A
~PtRES THRE~ Y~?.R~ FROM DAT~ GF APPROV~
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCEON OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
The location of public water shown hereon ore
from field observations and or from data obtained from others.
AREA=49,637 SO. FT.
ANY AL1ERA170N OR ADDI770N TO THIS SUR~.Y IS A WOLA170N
OF SECTION 72090F THE NEW YORK STATE EDUCA170N LAW.
EXCEPT AS PER SEClTON 7209--SUBDIW~lON 2. ALL CER17F1CA~70NS
HERE(~I ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
I=MONUMENT SAID MAP OR COPIES 8EAR THE IMPRESSED SEAL OF THE SURVEYOR
=WETLAND FLAG WHOSE SW. NATURE APPEARS HEREON.
~---'~$1) 765-5020 FA~ (631) 765-1797
P.O. BOX 909
1230 TRAVELER STREETI
SOUTHOLD, N.Y. 11971
10-235