HomeMy WebLinkAboutMeyer, JohnELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OE 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
TO:
FROM:
DATED:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
November 2, 2012
OFFICE OF THE TOWN CLERK-
TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
John Meyer
4121 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 Y
DISAPPROVE
Comments:
Final approval required from the Suflblk County Health Department
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOR~ATION OFFICER
..Tcwo Hall, 53095 Main Rca,
P.O, Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor~hfork
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTItOI.D WASTEWATER DISTIUCT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ol
Non-Residential ~) $25 _
Septic Tmrk oi Cesspool__
Application No. /~ [7~ [
Permit No
Brief Description of Proposed Construction or Alteration&o.j ~7~ ¢,~__~C~ ~ r~
Location of Proposed ConstmctioWAlleration:
Owner of Property:_
Owner Mailing Address:
Owner Property Address: .2~,~> "~-I,4P_IA.~ MI2-.-.~/-- I_,a,
Name and phone number of contact person
Tax Map No: /.l~ Section g& Block ~_ Lot /a,~
Cross Stree~ /.-F~ ~
NOTE: LOCATION h~L4P MUST BE SUBMITTED WITIt APPLICATION. NEW
CONSTRUCTION REQUIILES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Received I~y: TT~/ Sight'lie ° f~Pl}'i¢~' ~ate
SUF~VE¥ OF LOT #~
h4AP OF INIL:[2 OATS
FILED HAt~C,H q, IqqD, FILE NO. qDDI
SITUATE, PEOONIO
TOINN, 5OUTHOLP
E.~FFOLK CTY, NY
SURVEYED O4-18-2oi2
5UFF:OLK. COUNTY TAX #
Te~ Hole
From Flle¢ h'lop
6
DP..AINA~E CALCULATIONS,
PP. OPOSED ID~IVEP4A¥
2,200 X O.1-~ X 0.8' = 22D O.D.
22D/ 42.24 = D.D V.L.D. ~UI~D
P~OVIPE I ¢' PlA. X 6' DEEP P~I~ ¢~
' --RECEIVED
P~POSE~ LOT CO~ I~.~ ~
AF~EA =40,000 DF O~. O.C~2 ACt:2-ES
ZONE = AC
®t~PHIO %ALE 1"=40'
'," ~ u0.1;E>.--'" hERV, CES
F~.OPOSED 54~PTIO S¥$TEt~ FOf~ 8, E
IDOO ~AJ-LON E;4EPTIC TANK-- AI'O 2 ~
}F CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE AND
DATE H.S. REF.
EXPIRES THREE YEARS FROM DATE OF APPROV/I~.
ROOI'd HOUSE
EEP 6' [2~A. LEEC.,HiN® POOL9
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287
REF.-C:\Users~John~DropboxX2000 PROS~2000 pros~20-254 updated for John Meyer.plo _