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HomeMy WebLinkAboutViets, Richard O~gr<?FFO(,pco ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Telephone (631) 765-1500 ORMATION OFFICER www.Southoldtownny.gov D ECE0W ~ D OFFICE OF THE TOWN CLERK MAR 14 2W TOWN OF SOUTHOLD TO: BLDG. DE ou o To Building Department TOWN OF SOUTHOLD FROM: Carol Hydell, Southold Town Clerk's Office DATED: March 14, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4204 for a Cesspool/Septic Tank Construction Permit submitted by: Richard Viets 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 v D/ Dated - o~suFFOt,~~o ELIZABETH A, CLERK LE 'Town Hall, 63095 Main Roo- TOWN P.O. Box 1179 REGISTRAR OF VITAL STATISTICS nom, Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-6146 RECORDS MANAGEMENT OFFICER y~fo ~O~ Telephone (631) 786-1800 FREEDOM OF INFORMATION OFFICER #f southoldtown.northfork.net G; - LITNOLDOFFICE OF THE TOWN CLERK "RECEIVED TOWN OF SOUTHOLD ~JILOING 99 1SOUTHOLD WASTEWATER DISTRICT MAR 1 2 2013 APPLICAT ION Southold Town Clerk CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10_ or Non-Residential @ $25 _ Application No.-qQr) Permit No. Applicant Name Applicant Mailing Address?-~0 Septic Tank;,, or Cesspool Brief Description of Proposed Construction or Alteration_ Location of Proposed Construction/Alteration: Owner of Property:, ~e~« Seamy g.) rl&-"!7 Owner Mailing Address: , Owner Property Address: Z saes Name and phone number of contact person Tax Map No: Section 7 q~- Block Lot 3 ) Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DDEPPARTMENT APPROVAL Signature of Applicant Date Received liy: L4 av q LOT AREA: 40,000 SOFT. = 0.918 ACRE CERTIFIED TO: ROSEMARY VIETS ' T ELEVATIONS HEREON REFER TO APPROX. NAVD 1988 RICHARD VIETS '9R "9RY :rwr.:es.aF w.'m`.uxr.+c`° W uo rrawrt rxE " w:`wlenmrowurr " a JOB NO.: 2012-211 s MAP NO.: 5599 - - ~ bOO~1~ - FILED: JUNE 4, 1971 wb REVISIONS: LAND PREP. FOR HEALTH PERMIT 1271 012 5~0 SU9L TESTHOLE , OONgG F ` ~a ~~x ro 0 TOP EL. 17.0' REV . TO 5 BEDROOM SYSTEM 2/0-1/2 OtL N LOA pT,ry fm¢n 'I , nsnmv%u y O ~ 9Y DL 521Y LOAM o..au t `f O Jy _r / ~R~o \ ` eROwr sn ML \ s sCp (/1 `Q\~ yh'?~% ~1Y~ OR D'4J + 1.5' t5' 'Y' ~rnJ Q ~[~//N ~A off`'.' R F•.. ~FA~gyo _ /,y ~05U'„o F- (O Q ay0 ~a ~r0, ~FOFNE\N~O t+~, ry~~ o.~rg Q \ ti X35 T FNZ'"\ 20- ``q~OS OQT2i SP RNEEroMED o~~ \ \ \ - \ qN/TO`~~ saRO LICENSE NO.: 050363 ssyo EGWATER HANDS ON SURVEYING 2 26 SILVER BROOK DRIVE P .'0'0 •1 -co WAiERINPALE eQI} ~V SP ro FLANDERS, 190 NEW YORK o \ c 1 TEL: (631)-369-8312 - FAX.•(631)-369-8313 MCDONALDGEOSCIENCE ARTIND.HANDL.S MARCH 10,2005 5e \ \ \ \ ~ 1 \ S~cR X02. \y~ \ App~p\~ n - ----------e ~"9j~c FNO's 1 1 R / I \,Z~ ^4Q \ O ~OJy05 ~q~~ \ ~ ~ ~ ^00' ~QQQ~V(~~V(4 / ~n0 ~vv ~ ~Q SFR` l02~ 4p40 ~ R~ SUFFOLK COU Y © PAR h1EN i OFYHEAL1fI SE?ViCES S RVEY OF %o4,A 4 p Fo 6y'~liO PERMIT FOR APPROVAL OF - IISTRUCTMN FOR A F-23 3 s t3 LOT 22 /JF RF MAP OF wSINGLE FAMILY IZESiOEAC! ONLY P' irr C'{3 W.-ALT, ERVICES q2~c UlE WAVE ER MGT. pTE LEEWARD ACRES AT BAYVIEW R #?s I'=F FF~ SI Bl1ATEwA1" - - - o , ~J ~y~,~pO AP VE !L 7 TOWN OFSOUTHOLD O QOJ\VV E0" 1I °i 10r O ^^O' S ~OO SUFFOLK COUNTY, NEW YORK EX HRHm33 T F REf- 7 A 9 R 2, .C.T.M. DIST EC. 7 BL 7 OT 1 5QJ r % 20 10 0 20 40 60 80 100 120 140 160 180 SCALE: 1"= 40' DATE: OCTOBER 8, 2012 S.C.D.H.S. ENDORSEMENTS