HomeMy WebLinkAboutTaggart, JasonELIZABETH 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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
RE:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
January 3,2013
Cesspool Construction Application
Transmitted herewith is a copy of application No. 4191
Permit subm. itted by:
Darren Hightower for Jason Tao~art
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
B[!}G DEP[.
l~3/~/r'i OF SOIITHfll D
Dated
ELIZABETH A, NEVILLE .- TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
REOQI:~DS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLEl~K
TOWN OF SOUTHOLD
P.O. Box 1179
Southold, N.Y. 11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
.~Town Hall, 53095 Main Roa,
P.O. Box 1179
Southold, New York 11971
Fsx (631) 765-6145
Telephone (681) 765-1800
so u tholdtown.northfork.net
Residential ~ $10 or Non-Residential ~ $25 __ Application No. 14 [ c~ I
Permit No.
.. ' -LJJ f ,
Septic Tank or Cessl:[ool~_ ~ ^ ~ -- /,
- Brief Description of Proposed ~onstmction or Alteration_ ~eV~ ~' Co ~--o4~f&'C-D ~
Location of Proposed Construction/Alteration: Ownor of Propexly:. q ~6~r~/
Owner Property Address: ~[~ ~t )OtJDO~ $O ~L~ra~._~
Name and phone number of contact person
Tax Map No:, Sl~ction V® Block ~) 3 Lot
Cross Street ~( ~VXJa'~ .D
NOTE: LOCATION MAP MUSTIBE SUBMITTED WITlt APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITit I~ALTlt DEpARTME~ APPROVAL'
~tgnatur~ o f A~ant
OR ADDITION TO THIS SURVEY IS A VIOLA TION
X'ZOB OF THE NEW YORK STATE ED{JCA TION LAW.
PER SECTION ?SO9 - S~ 2. ALL CER~FICA
ARE VAL~O FOR ~ MAP AND COf~ES THEREOF ONLY
.S..AID MAP OR CO~S ~R THE
MUST 8E USED BY ANY AND f4LL SURVEYORS_UT~_I~N~ A C~Y
~ ANOT~R S~YG~S
" ~UGHT - ~ DATE ' ~RE ~T ~ COMPLIAN~E
VACANT .
N/O/F LAND OF
N. 84°Z1'00' E.
row
SCDHS. Ref.# R/O-12 - o027
I10.00' "
The /ocetions of wefts end cesspoo/s
shown hereon ere from fie/d o~$ervetions
end or from dele obleined from o/hers.
AREA = 13,750 sq. ft.
PERMIT FOR APPR,.,VAL OF CONSTRUCT/ON SINGLE FA,'-4~LY RESiDeNCE ONLY
I om femlSor with Ihe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
end will eblde by lhe coneTtlon
z' [ EXCAVATION INSI~CTION RF-~UIRED..... 1
FOR SANITA~ ~STE~
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
ee~ ' PRopOSED SEPTIC SYSTEM
~ . no. oO ~- e'¢ . 4~, .DEEP L~¢~ ~OOLS
ELEVATIONS ARE ~
TO AN A~UI~ DATUm&
SUFFOLK COUNTY, N Y.
~ooo - 78. o~ - 2~
SCALE.. 17'' = 2O
'~' FEB. 20, 2002
MAY22, 2002 ( prop. hse. )
Jf~ I0, ~.002 (cross secIIo~ sepllc s%slem
JULY 24, 2002 ¢ rev/sion J
' PECON/C SURVEYORS, P.C
(631) 765 - 5020 FAX (631) 765 - /797
P. 0. BOX 909
1230 TRAVELER STREET
SOUTHOLD~ N. Y. /1971