HomeMy WebLinkAboutSpurge, Tom
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D C V W E
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MAY 282013
TO: Southold Town Building Department BLDG. DEPT.
TOWN OF SOUTHOLD
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: May 23, 2013
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4136 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert I Brown for Tom Spurge
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
Signature
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Datdd/
' o~gUFFO(,~co
ELIZABETH A. NEVILLE Town Hall, 53096 Main Roa,
TOWN CLERK p j P.O. Box 1179
REGISTRAR. OF VITAL STATISTICS Southold, Now York 11971
MARRIAGE OFFICER G
Fax
(831) 766-6145
FREE OM OF INFORMATION OFFICER Telephone (831) 766-180
RECORDS southoldtown.northforkfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TpWN OF SOUTHOLD
BU1LE)l P o po pA"TMOOTUTHOLD WASTEWATER DISTRICT
Southold, N.Y. 11971 APPLICATION
CONSTRUCTION or ALTERATION PERMIT
/ CESSPOOL or SEPTIC TANK
Residential @ $10 v or Non-Residential @ $25 _ Application No.
f~ Permit No.
Applicant Name._ T htil~' 4'ueF1T~~
Applicant Mailing Address S t~ *K )WIS
Septic Tank_or Ce1G
Brief Description of Proposed Construction or Alteration A*d- --~z(-ge)4f t/(
- F ^J~~~;JCf
Location of Proposed Construction/Alteration:
Owner of Property:- Z a -
9-ad--4e-Owner Mailing Address:, 3j4Ts 8L<4q 05eT
Owner Property Address: Wi
Name and phone number of contact person RO* 7 631 -'f77-9;71Y
Tax Map No: lvoO Section _ 2 Block Lot 7~ 7
Cross Street AfG26 S 42
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL-
7Ja~/3
Signature of Applicant ate
Received by:
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PROPOSED EPT
S IC SYSTEM DETAIL
< .L 20- 10'
EXISTING ONE STORY FRAME HOUSE TO BE
} a" I z DEMOLISHED, EXCEPT FOR FOUNDATION TO E=5T C:F nAT.A
REMAIN DY McDONAI' GE-OE0F ICF
PROPOSED RECONSTRUCTION OF FIR5T FLOOR MAR: 6,201 3
J I I Z AND NEW SECOND FLOOR ADDITION 5 _ l
PROPOS D t~Fa TORY ADDI1110N C 3A E D ON c I '2u Y C- u ,
- c DES' F = FKOFER' 511 UAT° -----y 3
a NEa`R._R_ENPORT. O. S0
`
1N
. T110 D ° ~ WIN P, T-I
L" C PRpPOSED TWO j I SUF I K, COON-" N Y, I Pe
3anIt8ry,3 00%D As'v19m1 eG 5TORY ADDITION PROP ED t~EW z I ~ TAX MAF NO, 1000-43-0 1 07 ` s
?.s
T / SEPTIC Y5T M 5UK\ YEJ FOR THOMAS 5PURGE 1 31
VV LF
j AREA C?F EXISTING D I z AND NANCY 5PURGE
b : t esest`io
o SEPTIQSYSTEM
LP SURVEY ED AvGJST 30. 20 12 QC`l ~.r'I~a j 14'
TO BE ABANDONED T HOLE I O v AREA = 9.000 51 OR 0.207 A.
APPROX. WATER a ' kqCATION ^ SURVEYED BY PECONIC SURVEYORS, P.C.
SERVICE LOCATION - -
:v ~L
z E ALLOWABLE LOT COVERAGE: 1,800 SF. (20
l Abafldowftmbf .,,,y _
cl I EL 8. l' t,^,
CpmfplYltaFICC Wish '~'~7 ! RK be IR
TOTAL EXISTING: 892 5F mqui[.S{1jNYUt
N58°35'50'\V `Iyv 2 PROPOSED: 8095E OmPl*d fOIfOWWM as P3OOt:
°I
SUFFOLK C6LNTY DEPARTME NTOF.HEALIMSERVICES I TOTAL : I .701 SF (I 8.9%)
er>+.F.,- ELE 'AnT; 0'15 REFERE' ~ ~!C`
D TO N.A.V.D. 1988
1~T"t~i r !~f}$a ."i.ta .ti. E
ANGLE F'AIMLY RESIDENCE ONLY
DATE 0-0 -MI LAW WFOR FOR t' AN LF1'!+•tNOFT:IE ,~EFtEDAgt,
REF. ' I. r`c>wSON, ~j~`~ PT 1. g y~T
;LE:iS A s !G UNDER THE t p~E Rpm ~c
APPROVED ANHANS A ENUE =._rT€C::10i: A ICENSE0 2
EL6.°C 1OALTc. ANY
F l UMOFa- ROOMS rrfst':iN :O IN
EXPIM THREE YEARS FiOM DATE OF APPROVAL
SPURGE RE51DENCE
TIONINSPEaMNRGMX NHAN5ET AVE., GREENPORT, NY
OR SANITARY SYSTEM rep:. 3/5120 3
B EALTH DEPARTMIENT 7(V f--A IN F: K05_Kl I. BROWN AKC. TF`T, ~.C.
s SITE PLAN VVI F-AIR'dvF:A1r~1:_R DESIGN ASSO(-iAT-Fc, ft".
205 BAY AVENUE
vo\ 631-477-9752R(Fax) G311477-0973