HomeMy WebLinkAboutMunier, LeonELIZABETH A. NEVILLE, MMC
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, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
www. southoldtownny, gov
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLE~
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
January 3, 2013
JAN
- 3 2013
BLDG DEPT.
TO~N OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 4190 for a Cesspool/Septic Tank Construction
Permit submitted by:
Suffolk Environmental for Leon Munier
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,,1,9oation 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
REGISTRAR OF VITAL STATISTICS
MAKRIAGE OFFICER
RECORDS MAN'A(~EMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLEI~K
TOWN OF SOUTHOLD
.~Tewn Hall, 53095 Main Rea,
P.O. Box 1179
SouLhold, New York 11971
Fax (631) 765-6145
Telephone (681) 765-1800
southoldtown.northfork.nel
· .OLDSOUTHOLD WASTEWATER DISTRICT
' C" ~OUTH
BU o n Rex 1179 APPLICATION
CONSTRUCTION or ~T~TION PE~
CESSPOOL or SEPTIC T~K
Residential ~ *10 or Non-Residential ~ *25 Application No. t_} 1 ? O
Permit No.
Septic Tank x/'~r Cesspool
-Brief Description of Proposed Construction or Alteration
O.~S~ ?,a~o S~[~ S?lic J-u~l,a -i-CZ) 6' x ~-c' I-~,..~.~..
Location of Proposed Construction/Alteration:
OwncrofProperty:/..E~rO /14,~dDti~V' ~/o ~c-/c(~.
OwnerPropertyAddress: ~EY-~ 0 c:~f,~c,-~ (~c.~po;~_ ~ c~V D
i/v~ p,.-~ T,,., c.~,- ·
Name and phone number of contact person
Tax Map No: Section ~ '7__~ Block G Lot
NOTE: LOCATION MAP MUST BE SUBMrrTED WITH APPLICATION. NEW
Received I~y:
~ ? SURVB¥ Or PmOPm~r¥~
N
Abandonment of existing sanitmy system must be in
conformance w|~ ~ nXlMnnn~t Submit
Call 852-5700, 48:Hours In Advance,
To Schedule Inspec~on(s).
STORM II~A TE]I Ri~OFF PLAN
®
NE~ SEPTIC.SYSTEM
TEST HOLE DATA
McDONALD GEOSC~ENCE
8/8/~ 1
lAbandonment o,f existing sanitary system must be in
conformance wdh delmm~m~ requimn~nt Submit
Water Line(s) ~ Be ~n~ect~ By The
Suffolk County Del~. Of Health Sewices.
Call 852-5700, 48 Hours In Advance,
To Schedule Inspec~on(s).
STORM WA TER R~NOFF PLAN
TEST HOLE DATA
McDONALD G£OSOENCE
8/8/u
AI~EA--43,494 SO. FT.
~0 TiE LINE
CONTOUR LINES FROM TOPOGRAPHIC MAP FIVE
EASIERN TOWNS
I om fomilibr with the STANDARDS FOR APPROVAL
AND CONSTRUC~ON OF SUBSURFACE SEW,AGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y'RESIDENCES
and will obide by the conditions set forth therefn ond on the
permit to construct.
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The Iocotion of wells ond cesspools shown hereon ore
from Eeld observoUons ond or from doto ob~olned from others.
ANY ALTT. RA~ON OR ADDITION TO THIS SURVEY IS A HOLA~ON
OF SEC~ION 72090F 1HE NEW YORK 51'A~E EDUCAI~ON LA~,,
EXCEPT AS PER SEC~ON 720g-SUBDIVISION Z ALL CER~FICA~ONS
HEREON ARE VALID FOR THIS MAP AND COPIES 1FIEREOF ONLY IF
5/410 MAP OR COPIES BE'AR THE IMPRESSEO S~AL OF THE SURVEYOR
WHOSE S/CNA TURE APPEARS HEREON.
a=MONUMENT
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NO. 4961~
'YORS, P.C.
(631) 765-5020 FAX (631) 765-1797
P.O. BOX 909
~Jo r~A Vr~R
sour~o~o, ~. x ,,~, 198-291
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