HomeMy WebLinkAboutMalter, Michael
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ELIZABETH A. NEVH LE, MMC C
TOWN CLERK =~0 OGy Town Hall, 53095 Main Road
ro P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ~ Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER www.southoldtownnygov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD I
TO: Southold Town Building Department R7 2 310913
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: April 22, 2013 to
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4214 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for Machael Maltm
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 s * * * #
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
S' loe
3
Dated
. o~gUFFO(,~~o
ELIZABETH A. NEVILLE ti`t` Gy Town Hall, 53095 Main Road
TOWN CLERK o= '.Z P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ~Q a0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 ? or Non-Residential @ $25 _ Application No. 7
Permit No.
Applicant Name u/ T_ Z_
Applicant Mailing Address ~Gi
6 60t
G
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration /149? f ray
Location of Proposed Construction/Alteration:
Owner of Property: 2%r- ezn-= Aq~IZ
Owner Mailing Address: 4:4-To /V. C&47,& -C
Owner Property Address: SAS C -
Name and phone number of contact person ~U7" 4 ~O J
Tax Map No:16'60 Section 161 Block 09 Lot 7
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR H HEALT E NT APPROVAL
~ 7/' D¢ /Z z e- _//12
Signature of Applicant D to r/
Received by:
III MORONI ilimililini~l I III 111 11 MINN IN i~l
N GARAGE SANITARY SYSTEM (0.5 BATH) SURVEY OF PROPERTY
AT NASSAU POINT
1 1,000 GALLON SEPTIC TANK
1~ 8' DIA. x 12' DEEP LEACHING POOL TOWN OF SOUTHOLD
WITH 3' SAND COLLAR 3' ABOVE GROUND WATEF' SUFFOLK COUNTY, N.Y
EXISTING WELL TO BE ABANDONED 1000-111-09-07
SCALE. 1=30'
FEBRUARY 2. 2012
APRIL 11, 2012 (PROP. GAR.)
APRIL 16, 2012 (REVISIONS)
AUGUST 28, 2012 (REWS10NS)
OCTOBER 9, 2012 (FOUNDATION LOC. do REN
MARCH 20, 201$ (revision)
DF
'50"E ONS
N78~' -7 x,x~x v
t ° ^ry -_~2 _ Ito
CE '
Z 1 GRAVEL
TEST HOLE DATA i e~.e. -a Q \
BY MDD 2~ ~20E2 SCIENCE 00.
2 BROWN SILTY SAND SM N
+TS.s
W~ \EL
PALE BROWN FINE SAND SP O Q \ \ 'd
O \ \ N
A5
~g( Pax 72- - -
UJOV OVERFIEAD W/
UPOT ~x_ was \ _ ~c ~SB 365""W
ti
o
Elevations referenced to N.A.V.D. '88 °
o
l am familiar with the STANDARDS FOR APPROVAL G °
AND CONSTRU ON OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct. S, TO ROAD We'
CANS Su
The location of public water, wells and cesspools-shown hereon ore C
from field observations and or from data obtained from others.
ANY ALTERA77ON OR AL017701V TO THIS SURVEY IS A 14OLA77ON
OF S£C71ON 7209 OF THE NEW YORK STATE EDUCA71ON LAW.
EXCEPT AS PER SECRON 7209-SUBDIWSION 2. ALL CERRnCAnCNS A oC A~QQw'7GA + F7. ~y
HEREON) ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY lF AREA V.7
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF WE SURVEYOR TO 11E LINE
WHOSE SIGNATURE APPEARS HEREON.
I .
SCDHS Ref# RIO-12-0029
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381
Fool P
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LO-T 28
(OVI&LDOG) 0*" PERNT FOR APPROII COt-,tsTPUG~ric~,I FOR A
SEPTIC LOCA notI UtAKH
DATE 10.
S OF NEIV
APPIWIM
IT'I WA 1350ROOMS
S THREE Y~:PFZ FRO!~,, IDI, E OP AP OVAL
~er Line(s) MUST Be Inspected By The tztk
ffolk Counti-D-ept. Of Health Services.
'311852 Ii4U ~J? i
-5700, 48 Hours In Advance,
To Schedule Inspection(s). .496it
N. YS LIC. NO. 49618
LOT NUMBERS REFER TO "AMENDED MAP A OF NASSAU C YORS, P.C.
POINT CLU13 PROPERTY INC" FILED IN THE SUFFOLK -5 0 F-AX (631) 765-179
909
COUNTY CLERK'S OFFICE ON ALG-UST 16, 1922 AS MAP NO. 156. 1 J*O 7RAVELER STTEEr
SOUTHOLD, N. Y 11971 12-110