HomeMy WebLinkAboutBrown, James o��gUFFOl,rco
ELIZABETH A.NEVILLE,MMC ��► Gy Town Hall,53095 Main Road
TOWN CLERKO= P.O.Box 1179
H = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • .F Fax(631)765-6145
MARRIAGE OFFICER A fit` Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER '�Oj
FREEDOM OF INFORMATION OFFICER w J
OFFICE OF THE TOWN CLERK
�1 OCT
TOWN OF SOUTHOLD Z 2014
t
Bl!?G GAP;.
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: October 22, 2014
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4271 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for James Brown
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
r
Comments:
Signature
Dated
ELIZABETH A. NEVILLE �y` �Gy� Town Hall, 53095 Main Road
TOWN CLERK p _ P.O. Box 1179
W Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v6 -
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER O't �a 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.4 -j
Permit No.
Applicant NamC Gt/ r-z-
Applicant Mailing Address_ 0 ,�r G C�
�--
Septic Tank V or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Const ction/Alteratio
Owner of Property: A/f-?
Owner Mailing Address: t -76)
Owner Property Address:
Name and phone number of contact person _,�41' ,AWr_ -72 4
Tax Map No: Section 1 Block el Lot
Cross Street
NOTE: LOCATION MAP MUST B MITT WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SU Y TH H DEPARTMENT APPROVAL
Signature of(2,2Appy t Date
� 4 Received by. ty
O Vr,7RarY LOCXM CAST ARON COVERS
SCDPI,; ,' # DWELL!'+16 HOUSE
Ft.ft CL 1,3.'
(PU6UC WATER) a
,,((
SURVEY OF PROPERTY
N EL 13.8 F L 1'C Ctt 11.8
iE I1.2 Sr
IE .---rrRAFF1C
A T CLTTCh�O�LTE
--"�—' 3EA CC.VERS
4" APPROVE s:8a TOWN ' OF SDUTHOLD
= f , ?_ �• '� m
PIPE s•� '�
�` :m--*5441 EL 4. SUFFOLK COUNTY, N. Y.
,. � .
GRgUtd13 W,a-1'Mk s'�r
1000--136--01-53.3
R Els. 0.7' Highest Expactad
CtA SCALE: 1 "=30'
SEPTIC SYSTEM CROSSECTION SEPT. 14, 2000
NOYER4E3ER J, 2000
(R£V)57[30
44� OCr 4Z1,G JJNE' 19, 2001 RENSION
r tU
rOBER Ja 2001 (CER77FICA 77OVS)
a b '� M 24 Tt& " AMOS)
" �, LOT ,XJL YINE `A 2007' ( CIP0, 14£ FLAOSy FLOW ZONE)
_ £ 4 n-BRUAR'Y 6, 20IJ ('UPOA E & 8.0 H)
IQ
61 q ♦ MAR 14 20(3( d !lona)
10'0$1 Om 30'zoo (&OAJ
' MAJ 18, 2014 "vkkMJ
per , 20, 4 Amw"k%v1
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p,j.. J y 14.2014(REVISIONS)
Row county Dept, Of Heo#h So N�4 -A4 . I -/ / v(
TO 0
.v
LOT Co AOE 'a "`
- 1404 s.n.I 7EST HOLE DATA
�t.�► �.,�,5
t •� • aur- 2.� .n'�r.
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SW Ec� 10.5' Cr
PRO 8 OM's 8V • a' a w�+J cC►AM Of
"NS"
PROP. NEW SEPTIC SYSTEU #,�..'
( # -UAXJ 9RO' N WL TY SANT? SN ftm 3 0 2014
1 00eu PRfC $r r� x� ` c^J
E -
3*♦ + Q' ? s � DATE S-i.ti. f7 • ��C
SCDNS C'.SROUV
E�
WA r{7 VV
IXAO**V POO!
,I d $0*17C rAW, TO'HAVE TRAF'FX SEARING FOR MAXIMUM 0:` t3EDFtO0M5 �►
"TH W-4VY DUTY L CAST COVERS TO GRADE` _ PALE BROWN F7NE TO MEDIUM SAND P
EXPIRES THREE YEARS FROM DAT::": OF APPROVAL
A=WETLAND FLAG
0=MONUMENT -
EL. 0.7' 9.s' Area t . as per Filed MQp=11 529 Sq.ft.
LOT NUMBERS REFER TD `MAP OF
Ar ec t .0"ISEPT. 14, 2000=8,102 Sq.ft.
EUGENE HEIGHTS' FILED IN THE WATER IN'PALE BROWN FINE TO MEDIUM SAND SP ,
S(JFFOLK COUNTY CLERK'S OFFICE f7,
ON OCT. 29, 1928 AS FILE NO, 856, � '
NOTE: WATER ENCOUNTERED 9.8' B,10W SURFACE � - ' ' NYS. LIC Na 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION °' L?1�IIC YCS P.C.
OF SECTION 7289 Of 77-C NEV YORK STATE EDUCATION LAV,
i EXCEPT AS PER SECTION 7209-SUBDIVISION i? ALL CERTIFICATIONS ELEVATIONS REFERENCED TO N.A. V.D. 1 X88 ( 31) 765' 50P0 FAk(631> 765-1797
WFCON ARE VALID FOR THIS MAF'ANA CCPONLY IF �`�. � # 0, BOX �09
.WD wp C» t "IES SEAq rte NoWMD Ste. OF rtr SURVEYOR FLOOD ZONE FROM FIRM MAP NUMBER 56103CO16J H � � t �� �1230 TRAVELER STREET
vHOSE SI T A HEREON SEPTEMBER 25, 2009 SOUTI D, NY 11971 00 22