HomeMy WebLinkAboutKelly, Patrick & DianeELIZABETH 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.nor th fork.net
TO:
FROM:
DATED:
RE:
Carol Hydell, Southold Town Clerk's Office
July 30, 2012
Cesspool Construction Application
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ~
Southold Town Building Department
0
Transmitted herewith is a copy of application No. 4097 for a Cesspool/Septic Tank Construction
Permit submitted by:
Frederick Weber for Patrick & Diane Kelly
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
Dated~//~¢d''-
-" ~' "'TOWN CLERK .]?. '~P.O. Box 1179
I~J~(HI~TtL~ OF VITAL STATISTICS Southoldl Now York
~ ~GE OFFICE~ F~ (631) ~65-01~
Telephone (6~1) ~65-1800
~S ~A~NT ~FFICE~
~EDOM OF ~T~OFFIOER . southold~o~.no~ork.net
~ _.~ ~ j~ . ~ ir oFFICE OF THE ~ CLER~
~ - ~' ~PLICATION
~~~ ~ '~ CESSPOOL or SEPTIC T~K
~~ $10 or Non-Residential ~ $25 Application No.
Pe~it No.
~pli~ M~hng Ad.ess ~ ~ ~
Septic T~ or Cesspool
Brief Description of Propospd Cons~ction or Alteration
Location of Proposed Construction/Alteration:
Owner Mailing Address: ~0 ~
Owner Property Address: l~ ~"~g~_~:~ ~-~..,~7~ ~24k~
Nm, ne and phone number of contact person - ~ ~ ~
Tax Map No: Section "'~ ~ Block ~ Lot
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUt~Yfi ,W~ HEALTH DEPARTMENT APPROVAL
.
i ltur of Applicant
Received I~y:
El +12.~'
~. P~t. ch) C.I. COVER
~.~O GRADE , I',MIN.
El
/'~- I-'er fit ~ H ~ . ~ El ~.4 2 MAX. El +fl.9'
DISTRIBUTION , ,
p , · POOL fid
OOL (IO e~ ) .
................... 1 ,o. I ,' _ ...............
SANITARY SYSTEM
DIE, CONNECT EXISTING SANITARY SYSTEM
PROVIDE NEW SANITARY SYSTEM "1~" :
FOR A MAXIMUM OF (&) BEDROOMS
E;OO GAL. SEPTIC TANK (TRAFFIC E~EARING)
W/ C.I. COVER TO GRADE
(S) IO'~' x E,' DEEP LEACHING POOLS
W/ TRAFFIC BEARING COVERS
TEST HOLE DATA
FREDERICK UJEBER. ARCHITECT
41 EAST MAPLE ROAD
GREENLALUN. NY 11"[40
PROPERTy OIUNER:
PATRICK t DIANE KELLY
E~AYVIEIU/ SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEll[ YORK
SURVEY INFORMATION:
PAT T. SECCAFICO. SURVEYOR
CENTER MORICHES. NY
SURVEYED: MAY 21. 2008
ELEVATIONS ARE N.G.V_D. Iq2'~ DATUM
SURVEY OF LOT 44
MAP OF HARBOR LIGHTS ESTATES
SECTION 2, SITUATED AT BAYVIE[U
FILED O1/2&/Ifl/M. MAP No. 4~81
SCTM# IOOO-'11-2-4
LOT AREA: 20,000
JANUARY I"1, 2OI2
REVISED: APRIL 2. 2OI2
REVISED: MAY Il, 2OI2
REVISED: JUNE 13, 2OI2
SITE PLAN ,,~)
I" = 30'-0"
CANAL
DOCK
EXISTING
S~lllMMING POOL
EXISTING
PATIO ~ TING
! DIS~NNECT, -'-~ ~ ~--. ,
3y~ -~,-~ ........ ~ .-~-= .......... ~ ......
~ ..... __ .... , ----~
EXISTING 2-STORY
~IN~LE FAHILY
D~ELLIN~
= ~.:: ..?~ ',, ..~~
P~o~o~ ~- '-..: -~,~----:o~'~ =~.,, /
SANITARY , : ..... - ' ·
2 I/2'* ~) ~ STING
HARBOR LIGHT~ DRIVE
EXISTING
SINGLE FAMILY
DIJJELLiNG
(PUE~LIC
200.00'
EXISTING
SINGLE FAMILY
DUJELLING
(PLIBLIC t0ATER)
Water Line(s) MUST Be Inspected By The
Suffolk County Dept. Of Health Services.
Calt 852-5700, 48 Hours in Advance,
To Schedule Inspection(s).