HomeMy WebLinkAboutInlet Pond Properties
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ELIZABETH A. NEVILLE, MMC ti~ G.y Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
rA Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: January 28, 2014
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4219 for a Cesspool/Septic Tank Construction
Permit submitted by:
John Travlos for Inlet Pond Properties LLC
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 1 cation map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
03 ,6-3 A
Dated
' ~gOFF01;~~,
FLIZABWM A. NEV11,LE Town Hall, 68096 Main Roa
TOWN CLIM P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax (681) 786-6146
RECORDS MANAGEMENT OFFICER Telephone (681) 785-1800
FREEDOM OF INFORMATION OFFICER "14 southoldtown.northfork.net
OFFICB OF THE TOWN CLEIH a l i
TOWN OF SOUTHOLD - - I
ii
BUI D NQ DE ARTNENTSOUTHOLD WASTEWATER DISTRICT CLJAN 2 9 2014
P.O. Box 1179 I
SouthoK KY. 11971
APPLICATION -J
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$101 or Non-Residential Q $25 _ Application NAQL9
ter- Permit No.
Applicant Name ' J D~ .v ~/4 V Lt~ S
Applicant Mailing Address (a S' C K C7
6-R-f-i"y?6Ar b y ~i 9ye-'e
Septic Tank.lorCesspool
-Brief Description of Proposed Construction or Alteration /t/40'kJ NS%f-vG'Tl c+N
Location of Proposed Construction/Alter 'on: Q
Owner of Property: N o / LL G
Owner Mailing Address: r cc cov c e'7
C~2t ~,v Po,G> i? 4!
Owner Property Address: 2 f /r?Lt N7' ~GN~ 44.* 2-
Name and phone number of contact person
Tax Map No: /Goo Section 3- Block 3- Lot ZO
Crou Street & n C4 rcrJe41 GT
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Si ature of Applicant Date
Received l y: x-11
•
PROPOSED SEP77C SYSTEM (5 BEDROOMS) •
SURVEY OF PROPERTY [1] 8 FT. D/A.x 16 FT. DEEP PRECAST CONCRETE LEACHING RING,
BACKFILL MATERIAL COURSE SAND AND GRAVEL (3' COLLAR)
AT GREENPORT [1]'1,500 GALLON PRECAST SEP77C TANK.
TOWN OF SOUTHOLD CAVE
SUFFOLK COUNTY, N. Y. pCK RT
1000-33-03-19.20 R C01
SCALE 1'=30'
SEPTEMBER 9, 2013
OCTOBER 7, 2013 (REWS/ONS)
D£CEM6IER 20, 2013 (R£WSIONS)
- - 2 - GAG CL. EL -
LOT 0 W~ 32.0'
N rwTM 321
D11FJ+'' 163 5~ ~ `7'
M
DW ?E
0 3928r 6 ~
N 6g / 40o
531 ~ M
o ~G ~ ~ rQ
2 \ p SIT. 6V 312 V
g Z LOT 'MIN
9C rn
> > 1
~2 Ot 50,0' 9 ~o ^O
~G
METAL
COVER b
cIl Z O
9
p WATER METER ~
v N \ VAULT ~b A.
A DW
TeX HYDRANT ,
CL EL
Q 26.6' RAIN RUNOFF CONTAINMENT
O~HOUSE = 3950 sq. ft.
3950 x Ix 0.17= 672 cu. ft.
N 672/42.2= 16 vf.
J;- li0 w PROVIDE 2 - 8'a x 8' deep OWs.
S69-02
PIP Cb
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¦ =MONUMENT N ° m oa to T Wt
Lot numbers refer to. Rockcove Estates" filed in the Suffolk = 3 r 7Y (7
County Clerks Office on June 11, 2001 as File No. 10637. m Z ~n A O~ D N
C ° to 3 c y fll N'
x Vi.
I am familiar with the STANDARDS FOR APPROVAL >
AND CONS7RUCT70N OF SUBSURFACE SEWAGE u~i m o M ~~OFN~
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES a 7 P yt CD ID
and will abide by the conditions set forth therein and on the o m y o 6~ T'~
permit to construct. o z -Q
The location of wells and cesspools shown hereon are ai U3 o , c S
from field observations and or from data obtained from others. mo o r-, o
Elevations referenced to art assumed datum. 3 O o f N4 4%-Ag
ANY AL7ERA71ON OR AD0I71ON 70 77WS SURWY IS A WOLA77ON o m / LAND
OF SECTION 7209 OF 7HE NEW YORK STATE EWCA7701V LAW. t S. LIC. NO. 491
EXCEPT AS PER SEC77ON 7209-SUBaN90N 2. ALL CER77RCA7701VS ECON/C S YOBS, P. C.
HEREON ARE VALID FOR THIS MAP AND COWES THEREOF ONLY IF
SAID MAP OR COPIES BEAR 7H£ MIPRESSED SEAL OF THE SURVEYOR (631) 765-5020 FAX (631) 765-17S
W10SE SIGNATURE APPEARS HEREON. P. 0. BOX 909 .
AREA=31, 057 SQ. FT. SUFF. Co. a'c~I 1230 TRAVELER STREET T
TM SERVICES SOUTHOLD; N. Y. 11971 13 23