HomeMy WebLinkAboutMcManus, Michelle & TimELIZABETH 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:
RE:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
October 2, 2012
Cesspool Construction Application
Transmitted herewith is a copy of application No. 4114 for a Cesspool/Septic Tank Construction
Permit submitted by:
Tom Samuels for Michelle & Tim McManus
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: 'k~
APPROVE
DISAPPROVE
Comments:
Final approval required from the Suffolk County Health Department
Signature
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
Fax (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
Received by:
Residential @ $10 ? or Non-Residential @ $25 __ Permit Applicati°n N°'t~ I ]~ No.
Applicant Name ~[~ d)~ P~ {~/~
Applic~t Mailing Ad.ess ~
S~fic T~ /or Cesspool
Bdef~escfipfion of mropos~, Cons~ction or ~teration
O~er Prope~ Ad.ess: 772ff _ ff .
N~e md phon~ nmber of contact p~rson
T~ Map No: Section
NOTE: LOCATION ~ ~ST BE SUB~TTEB ~T~ ~PLICATION.
CONSTRUCTION ~Q~S SURLY ~T~ ~T~ BEP~T~NT ~PROV~
Silage of Applic~t Date
SEPTIC PROFILE r [XC~VA~-" i.S.~C~"
~ -- [ FOR SANITARY SYSTEM
ENGINEER'S CERTIFICATION REQUIRED.
~UBMIT P.E. OR R
F~ FI~ AP~OVAL. US~OR~.~ WWM-073.
I'
~A4,LT
VI~Jt~y
LOCATION
HAIN
~'TE~
IqATE~ LINE
PUt~I~ PIATE~ t~&lN
AT RZ3A~I~' TO
le, ESI~:~--NC, E
HOLE
EL +1'/.5
_SITE PLAN
SCALE: 1" = 40'-0"
.I
OF= EXISTIN~ 5ANITAIe.¥
,G¥~TEH TO E~E
/
/
· /
] Abandonment of existing sanitary systemflf(ust be in J
J comfonnance with depart~em requirement Submit
complcted form WWM- q £, :,~ ~ n£
SI~E DATA
6CTM #
~ROP-= RTy
OWNER:
SITE:
1000-118-04-05
7725 NASSAU POINT ROAD
CUTCHOGUE, NY 11935
MICHELLE & TIM McMANUS
54 SUTTON PLACE
ROCKVILLE CENTRE, NY 11570
39,131 sf = 0.898ac
ZONING: RESIDENTIAL 40 (R-40)
SURVEYOR: NATHAN TAFTCORWlN III
PO BOX 16
JAMESPORT, NY 11947
LICENSE # 49273
DATED 3/27/12
LOCATION MAP
BY MARK McDONALD GEOSCIENCE
NO SCALE $OUTHOLD, NBN YORK 11971
TEST HOLE DATA (4/5/12)
9FT.
16 FT. PALE BROWN FINE SAND SP
COMMENTS: WATER ENCOUNTERED '!6.0'
BELOW SURFACE, ELEV +1.5'
SINGLE FA~TLV RESIDENCE AND
TO *L e o.oo.
~PIRES ~REE Y~RS FRO~ATE OF APPR~
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
6-8.12
SITE PLAN
SHEET NO,:
1