HomeMy WebLinkAboutCove Realty Group LLCNEV~ J~, MMC
CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE O~'ICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor tlafork.net
TO:
FROM:
DATED:
Southold Town Bu,ldmg Dcpa~h,,~t
S~t~b~ 18, 2012
8LDG DEPT.
TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. ~
Permit submitted by:
Cove Realty Group
4109 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
Dated
R~GI~FRAR OF VITAI- ~TATISTICS
RECORD~ MANA~IF2~ OFFICER
F~.~.r~OM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631)
southoldtown.northfor~c'net
OFFICE OF THE TOWN CLERK
TOWN OF sOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
R~idential I~ $10~ or Non-Residential ~ $25 _
Application No./~l~)~
Permit No. _
SePtic T~,nk or Cesspool._~
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner Mailing Address:
Owner Property Address:_
Name and phone number of contact person /.d-
Tax Map No: Section ~ Block
Lot
CONSTRUCTION REQUIRES SURVJ~Y
~' S ~:'~ of Applicant Date
FlAP OF: COVE I~AC, H E'~TATE-~' I=II_F~ JULY I~, 2.004
It=1~ MAP NUMBEE~ II1~1
1 51"FUATE, EAST HARK
TOINN: Ex~UTHOLD
su oL.K COUN'r'c
E::,URVEYED, DEC. 2, 2OIO
HEALTH DEPT. HAR. ~, 2011
REVIS, ED OGT. II, 2011, OC, T.
~. 24, 2012
5UPPOLK OOUNTY TAX #
I000 - 22 - ~ - h5.14
Cl~TU"JU, D TO:
COMPANY OF ~ YORK
TEST HOLE
EL:: I$'
~EOSC. IEN(.,E
11-4.-IO
OL I' LOAH
BROhN 51L'rY
5AND
I,,IATER ......
5P
;'",lATER IN BROI,~
.~llt'f .SAND
20'
I'IATER IN BROPIN
FINE TO HEDIUH 5AND
RETAINI[' HALL DETAIL
Excavatic uired
For Sa~
By Hea it
Jl
5TEEM EPOXI /
NOTE5,
w~c,~vr
· MOI~JHIENT F.(2UN~
· 5TAK. E. FOUND
FEMA FLOOD ZONE A5 5HOI',E,I ON PEHA FIt~,'I
MAP NO. i~l~&4H I;~-VISED ~E'F~. 25,
ELEVATION5 REF. NAVE~ '¢8 DATUH
AP. EA = IIq,78D 5. F. OR 2.74q'4
SITBDAT~
LOt ~ l&~ s.f te.,~s
//
/
JOSEPH mSOHETT, P.E.N~S LIC, EN~[:j~II
il ,, ^ N.Y.$. UC. NO. 5021}2 II
~'(~P. APHIC, E-~;,ALE I = 60' L,~ Rt%,"~iUi~IAD, N.Y. 11901 ~=8~SFax~9=8~87 II