HomeMy WebLinkAboutTalierio, Christina
` i o~gUFFO(,f co
Town Hall, 53095 Main Road
ELIZABETH A. NEVILLE, MMC Irk"
TOWN CLERK p P.O. Box 1179
H 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p • y! Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLE E C
TOWN OF SOUTHOLD D
APR 2 2014
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office BLDG. DEPT.
TOWN 0, SOUTHOLD
DATED: April 2, 2014
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4228 for a Cesspool/Septic Tank Construction
Permit submitted by:
Christina Talierio
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:C
Signature
0 03 /
Dated
~gUFFO(,~C
ELIZABETH A. NEVII.LE Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
: Southold, New York 11971
REGISTRAR OF VITAL STATISTICS y. qy
MARRIAGE OFFICER • Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER O'( ~a southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
/ CESSPOOL or SEPTIC TANK ~c
Residential @ $10 or Non-Residential @ $25 Application No. 4 o
Permit No.
Applicant Name/2! S7/YGq % Q Ll ~~2_ c 2~
Applicant Mailing Address 3Zy9 f !ht/pi /y /--a" (uTLj{ p~, y~ nJy
Septic Tank_or Cesspool
Brief Description of Proposed Construction or Alteration 4t-'k) Owe B eet l
. 1145uc t NlA ~t_ c to ,-t 0~--
Location of Proposed Construction/Alteration:
Owner of Property:-C(1ieCJ>)N1l r!9'LIcf.Z4.O C/ .Pwlo e.>"rN CSR'
Owner Mailing Address: 32`lcc, - NtiJ'rw /L-0'7.-n
6v fLw lrv /J'-(
Owner Property Address: ~Yo o ~ZvTI t tZ-o N-.-o
Name and phone number of contact person r--4 U_S t'1J
Tax Map No: Section I C) Cc Block I Lot 4-
Cross Street 64, c/ /
u'~o ~-i~ n ,.k-- c-,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES 7ign Y WIiH H TH DEPARTMENT APPROVAL
ture ~f Applicant Date
Received by:
N
SURVEY OF PROP PROPERTY
AT MATTITUCj TTITUCK
TOWN OF SOUTH SOUTHOLD
SUFFOLK COUNTY, `OUNTY, N. Y.
1000-106-01-04 06-01-04
SCALE.• 1'=50' ,NNE 30, 2010 30, 2010
DECEMBER 12, 2013 ( B.O 2013 ( B.O.H./ PROPOSED)
JAN. 17, 2014 (PROP. ATE (PROP. ATER ERVICEI
JAN. 31, 2014(CQiU Call-)
FEB. 11, 2014 (ADDITIONS) (ADDITIONS)
L0o0 222 ~
o~
9~ N
m
90
Fi
94
N o
le+ U
f 100 /~J
CT N \
o
\ \ 20
-"G
G \ _n
o
7 T
a
120
NG O -vx 9 x
4L O~ + ` `i sy6~/ aMC
n ry. 'y 5m8a p
p A ti~ tP fo voe. ~0 ~tl 1A
T t5
o ~ 3 ca m
9GAg \
Nw a ~ `w
s
cY \
N \ ~
PROPOSED SEPTIC SYSTEM ( 6 BEDROOM HOUSE) JEZ<O~ \ \
(1] 8 FT VIA.x 16 FT. DEEP PRECAST CONCRETE LEACHING POOL C, \
BACKFlLL MATERIAL COURSE SAND AND CRAY£L (3' COLLAR) > /YO 0 e
A [111,500 CALLDV SEPTIC TANK. PRECAST B' D/A W77H 5' LIWID DEPTH / ~ Oy~.O 20 20 Y
EP.= (i] EXPANSION POOL 8' DIA. X 16' DEEP G \
DRIVEWAY o
e
TEST HOLE DATA Mrl)LW 1JO/2GEOSCI
013 ENCE P / 654.37.
EL. 116 MIXED SAND AND LOAM 25 \ \ 0~/ I/ / \
J
PALE BROWN FlNE SAND SP o.
5' ^^i
BROWN SILTY SAND SW ZOO' 200. od, RoA i
R~~D
14' S'~,3g~2d~pWx ~ VP~PNt
PALE BROWN FlNE SAND SP
M
2J' w ~R D WNC
UBVI
I u Uc oko
20 +
Y~
~~pF NE?yY
pQ~F1Be
y 6
Y DEPARTMENT OF HEALTH SERVICES
06 PPROVAL OF CONSTRUCTION FOR A
BIO E FAMILY RESIDENCE ONLY
Ii.S. REF. N0n. 210'1
SANITARY SYSTEM DESC44 BY., SIP 1/~rl nyg
=APPROVEDa JOSEPH FISCHET17, PE. 1725 HOBART RD. IMUM OF l SOUTHOLD. NY. 11971 ~.Q~~OF NEW Y MET C,
0 BEDROOMS 2C ~'.f
631-765-2954 E YEARS FROM DATE OF APPROVAL
AREA=4.8618 ACRES "S Na.4'10 N. Y. L/C. NO. 4961
TO TIE LINE SURVEYORS, P. C.
(631) 765-5020 FAX (631) 765-1797
ANY AL7ERA77ON OR ADD17701V TO THIS SURVEY IS A WOLA77ON CONTOUR LINES ARE REFERENCED TO NAVD'88' OF SEC71ON 72090E 7HE NEW YORK STATE EDUCA77ON LAW. P.O. BOX 909
EXCEPT AS PER 5EC77ON 7209-SUBDIVISION 2. ALL CERRf7CAT70NS COASTAL EROSION HAZARD LINE FROM COASTAL HEREMAPRE VAUD F BEARI THE P AND SEOIEAm~ THE ONLY IF Phofa 58-583 EROSION HAZARD AREA MAP 1230 7RAVELER MONUMENT SOUTHD, N.Y. 11971 STREET
¦=MONUMENT SURVEYOR SAID OR COPIES 10-156
WHOSE SIGNATURE APPEARS HEREON.