HomeMy WebLinkAboutTurner, David
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ELIZABETH A. NEVILLE, MMC ti~ Dy Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
C43 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `gyp • .1F Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER Ol ~a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLE D IS Q `1(~
TOWN OF SOUTHOLD U D
NOV 15 2013
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office T010101 1o11 [Ho1o
DATED: November 15, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4177 for a Cesspool/Septic Tank Construction
Permit submitted by:
David Turner
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.
s * r r * * * * * s ~
I have reviewed the application and to lion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
/Y ~D X-3
Dated
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Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE P.O. Box 1179 j
TOWN CLERK Z Southold, New York 11971
REGISTRAR. OF VITAL STATISTICS Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800 j
RECORDS MANAGEMENT OFFICER ~~l •1a southoldtown.northfork.net
FREEDOM OF INFORMATION OFFICER j
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
I
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
-7
Residential @ $10_ or Non-Residential @ $25 _ Application No.
Permit No.
Applicant Name lti / Ate/ I p I ~J 2 t-a I
Applicant Mailing Address 4 S 6 Rti c- (f15- v i 'i tE
O~Z
Septic Tank or Cesspool L-'
B . f Description of Proposed onstruction or Alteration tD ~ h~ ~ Lr6 7
'~ov~-tn~~~oH vL t-1~
Location of Proposed Construction/Alteration:
Owner of Property: i
Owner Mailing Address: u
N L I L
Owner Property Address:
- c5 4 U
Name and phone number of contact person v H z )t 2 S9 +
Tax Map No: 0 00 Section Block Lot . 7,
Cross Street O ~ ~ Ry
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT TH DEPARTMENT PPROVAL
Signature Applicant ate
Received by: - `l
a
NOTE: RECEIVP 7 S
E. J
hf NEIGHBORING BUILDING5 HAVE PUBLIC WATER
i For$an!~gon A NON HAVE WATER SUPPLY WELL5 I -
y H"Olth it pe SYstom
k. TV pa>n,~
NEW ``.+1~,` nt
DRYWELL OPEN CELLAR I p EG TY DEPARTMENT OF HEALTH
i I
EALTH
ppROyAL OF CONSTRU SERV(t't'.,: 1
`9On11'entOfeXLgting E FAMILY RESIDENCE ONLYN FOR ti '
lance with system 13 EXISTING w co le 7[dep,~must be in uirentent SubmitF' N0. G° j 7
H.S. ~3 _ WATER METER form _ ""a 11 CONCRETE SLAB HOUSE
Proof 60.15'
TRAP f F
BEDR
YEARS FROM OOtA3
r
_ DAT
P?ROV
E. TREC~~ II 1 I , r
I I EXI5G SANITARY FACILITIES
TO BE ABANDONED J
j o 0 0 0 0 0 0 0 1 I
XISTING PUBLIC 1 °o°o°o°°oo°oo°o°p° 1 k
Y'IATER LINE oo0°ooo0o00 0 CONCRETE SLAB I CAST-IN-PIPE
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omo i c ~l %.a~~ /:K DAVID TURNER ARCHITECT, P.C.
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0 o 1 1 I 450 SEVENTH AVENUE, SUITE 1907, NEW YORK, N.Y. 10123
• 1 oosooooo oho I (212) 594-0840 FAX (212) 5941530
E. TRE~~ I o00ooo0 obo 0 0 0
o° °o°o°obo 1 0 PROJECT
o0 00000 b , 6 } 0
ogoo SEPTIC TANK Q 640 WEST SHORE DRIVE
°q-4^ ° NEW I -
SE
WAGE DISPOSAL SYSTEMS I SOUTHOLD, N.Y.
o°o°oPo SEE SHEET A-101.0 FOR DETAILS
1 °0°odoe v °?Fib f
J j o°o°o44r • i I ;i<e? e'p?ii SHEET
oo°o°oZ TREE?i I :•?.v...:
NEW SEWAGE DISPOSAL SY
STEMS
o0 ooo I LEACHING POOLS
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L-1,V1 0000 9000 00otlb°o f °°}Y I1
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t SEAL t-
°O DATE:
e-4 07-08-13
GRAVEL ONI o0oooa
DRIVEWAY 0
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j 0000000 POSSIBLE FUTURE SITE PLAN 60.04' DRAWING BY
- EXPANSION IF REQUIRED M.A.I.
NOT T05CALE
TEST BORING LOT LINE "1=5T SHORE DRIVE * CHK BY
_ - ~
•
INSTALLATION PLAN DWGNo:
00. 00
SCALE Inb^ = r-o° TAX MAP 1000-080.00-01-00-04.001
PLOTS b,"1 4 THE EASTERLY 10' OF PLOT 6 IN BLOCK B, OFNAF~1'1
ENT 1
THEITOWN "MAP
:
OF SOUTHOLD, 5U FOLKEGOUNTY, N.Y" AS MAP 6311N CAD FILE No
1 0F2