HomeMy WebLinkAboutSterling Harbor IncELIZABETH 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:
Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor th fork.net
APR 17 2012
BLDG. OEPT.
TOWN OF SOUTHOL~)
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: April 17, 2012
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Sterling Harbor Inc
4080 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 Department
Signature / /
EI.I~.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
Talephone (631) 765-1800
southoldtown.n6rthfork.net
OFFICE OF THE TOWN CLERK
TOWN OE SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 //'/or
Non-Residential ~ $25 .--
Application No. ~'[ (D~(~
Permit No.
Septic Tank ',/, or Cesspool ?
Brief Description of Proposed Construction or Alteration ~ I ~[ ~
Name and phone number of contact person
TaxMapNo:. Section ~-~'f Block C~c~ Lot
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Received by:
Signature of Applicant
Date
N/°/~' NORTH
'~Ssoc/,~ re~
PROP SEPTIC SYSTEM
U9 BEDROOMS)
I ' I000 GAL. PRECAST SEPTI
TANK
I ' LEACHING POOL 8'~ ~'12'
DEEP ~/ITH 3' SAND cOLL~
(SV¢) 3' ABOVE GROUND W~
B/A TER
NO WELLS WITHIN 150' OF SEf
SYSTEM
RAIN RUNOFF CALCULATIONS
HOUSE - 2457 5q. fl. ~ARN 912 s~.fl.
'$3C9'~ I ~ Od7" 573 cu. IL
, 5731~2 ~ 14'VF.
PROVIDE 3 DWe 8'¢ ~ 5' DEEP OR EOU/
POOL HOUSE 140 sq.(.
140 ~ I · 0.17 = 2'9 ce. il.
PROVIDE I DP/ 8'¢ 8' DEEP ~ POOL HS£
POOL,
AREA = 9.2311 Acres
The Iocellon$ of welle anti cesspoole
and or from 4olo ol~lolned from of/sets.
I~ nol gu~r~nlee~
I om fomilfor w/Ih (he STANDARD8 FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE 8EIFAGE
DISPOSAL 'SYSTEMS FOR SINGLE FAMILY RESIDENCES
ond will ob/de by /he conditions set forlh /herein eh# on Ihe
perm/I 1o coflsfruct.
ANY ALTERATION OR ADDITION TO TYt~ ~J~VEY I$ A tfOLA TION
OF SECTION ?209 OF THE NEW YORK 8TAT~ EDUCATION
FLooD ZONE, X
SURVEY OF ~'-* ow
PROPERTY
A T BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 88 - 02 - 15.5
Scale: 1"= 100'
Feb. 19, 2010
OCT. ~6, (HEALTH DEPT INFO)
FEB. 29, 20 2 [REVISIONS) ' '
M,4RCH 5,. 201~ (PROP. HSE & IMPROV
MARCH ,,~8,,
APRIL I0~ ~ ~revislon~)
LOT NUMBERS ARE REFERENCED TO
'FINAL PlA T STANDARD SUBDIVISION
FOR STERLING HARBOR INC.
RS, P.C.