HomeMy WebLinkAboutMoriarty, RobertELIZABETH 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, NewYork 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 Deparhnent
Carol Hydell, Southold Town Clerk's Office
May 4, 2012
NAY - 7 2012
8[DG DEPT.
TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 4084 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Consiglio for Robert Moriarty
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
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTHAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Tow o souTHoLD
SOUTHOLD WASTEWATER D!ST~CT
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
southoldtown.northfork.net
Residential ~ $10 ~' or Non-Residential ~ $25 __
Applicant Name T,~-,I-, ~o ~ I~l~*'
Applicant Mailing Address Tc~ ~o~ '~% 2.
Application No. L~
Permit No.
Septic Tank ~ or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: L'v~.
Owner Mailing Address:
Owner Property Address:
Nme ~d phone number ofcomact pemon
T~ Map No:tooo Section [ [ ~ Block
Cross S~eet ~oo~
q
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEA~TH DEPARTMENT APPROVAL
Sigfiature of Applicant Date
Received by: I~JJ-"-'- t'
:.
E~O$1ON CONTROL FENC. e~
NEW CoNsTRUcT]ON~ .,~
S~LT FENC~/~ ~/
RAIN RUNOFF CONTA
HOUSE, TERRACE & POOL
5949 Sq~Ft.
5949 ~ I ~ 0.17 ' I011 Co. FL
IOII/4g.~ = E4 VF.
1314 S~.FI.'- '
156/~E.E = ~ VF
PROVIDE 7 LPs. 8'~ ~ ~' deep
UPLAND AREA= 40760
WETLANDS.. BEA=CN ~
1~t942 sC. fi. :
LOT COVERAGE
EXtS TING
HOUSE, PORCHES
& STOOPS -- 2866
2866/40760= 7%
PROPOSED · ' ·
comt'oms, c
SUFFOLK COl,
pER,tiT Fort A~=
$1N6L~ FAi4tL¥ RESll
H.S, REF, NO.
HOUSE~ POOL' & TERRACE =
59~9 Gq. fl. ,' .. -
,594,9/40760 = t~1:6% '
EXPIf
EX/STING IMPERVIOUSE COVERAGE WIT 1'04-Jg
75' OF WETLANDS BOUNDARY = ~85B sq. ff
RROPOSED IMPERVIOUS COVEPu4~E E/THIN 75'
OF 1-04-12 H/ETLANDS BOUNDARY ,, 1540
AREA ff57,954 SO. FT.
TO TIE LINE
ANY ALTER~DON OR ADDITION ~'0 ~i15 .gURVEY ($ A VIOLATION
OF SECnO~ ?2O9 I~- Tile NEW YORK STATE EDVCATION LAW.
EXCEPT ASIPER SEC770N 7209-SUBDIIS~ION 2. AL/. CER~FICA~ONS
HEREON AI~ VALID FOR THIS MAP AND C'OPIE'~ THEREO~ ONLY IF
SAID MAP ~ COPIES BEAR ~ IMPRESE~D 5~_AL OF THE
WHOSE SIG4tA TORE APPEARS NET~.ON.
DATE OF APPROVAL
ELEVA 170',NSJ REFERENCED TO N.A. V,D.
FLOOD ZON~ FROM FIRM MAP NUMBER $6105C0501H
SEPTEMBER '25, 2009
I am fo~i/ior with the STANDARDS FOR APPROVAL
AND COAfiSiT~UClTON OF SUBSURFACE SEWAGE
DISPOSAL. SYSTEMS FOR SINGLE FAM/LY RESIDENCES
ond Will ~blde by the conditions set forth therein ond on th~
permit td c~nstruct
The Ioco of Wells, cesspools ond public woter shown hereon ore
from. tTel~f observotions ond or from dora obtoined from others.
/.
2012
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SECT/ON "A'-
CER I1FIED TO:-~ .~ .
ROBERT F. MORIARTY
LISA A. GRA TTAN
CHICAGO 77TLE
TEST HOLE DA TA
McDONALD GEOSClENCE
17/3/~o ~2: OD
~_ ,,, :o,~o,o
~' DARK ~OW%' LOAM
PECTIC'
8~ fF,F.. CO. H~.LTH SERVICES
'EYORS, P.b. C~
7~. eROeOSg~ £LEVAnON (63~) 765--5020 FAX (651) 765-;
~=~AND FLAG P.O. BOX 909
"=MONUMENT 12Z0 TRA~LER S~EEF
'=PIPE SOU~OLD. N. X 11971 10--2