HomeMy WebLinkAboutDavey, Paul M
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ELIZABETH A.NEVILLE,MMC r/y Town Hall,53095 Main Road
TOWN CLERK0 P.O.Box 1179
Go 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145
MARRIAGE OFFICERy� 0� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �j ��
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
11J
TO: Southold Town Building Department �t !
OCT 2 7 2014
FROM: Sabrina Born, Southold Town Clerk's Office
iG. }EPT.
DATED: October 27, 2014
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4273 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Davey
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 tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature /
/0 1114e-
Dated
1 '
• o�s�f f0�,��o
ELIZABETH A.NEV LLE `�Z` Gy Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS �.
MARRIAGE OFFICEROy �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �f 4 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER O'� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
I
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
i CESSPOOL or SEPTIC TANK
i
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Residential @$10 y or Non-Residential @ $25 Application No. ��17
Permit No.
Applicant Name Vt ve
Applicant Mailing Address 4 gti L/ci L YA h,Q
i Septic Tank ✓ or Cesspool
Brief Description of Proposed Construction or Alteration A.14 lJ Coo S1—r LA'L
j Br/ Bi1, 2Av.c+� 1, baa
Location of Proposed Construc ion/Alteration:
Owner of Property �L V-e
Owner Mailing Address:
�5 u 9 DI
Owner Property Address:
Name and phone number of contact person C�'-%L
j Tax Map No: Section Block ( Lot"-,�_
{'
Cross Street ill C N'1"P-kS%'`^t
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY TH HE DEPARTMENT APPROVAL
Si ature o plicant Date
I
Received by:
PLOT PLAN FOR
THOMAS J. McCARTHY SUFFOLK COUNWDEPA ENTOFHFALYHSgRVICES
SITUATE
SITUA T W ftRU rr Fort APPROVJkL OI= sTRucnoN FoR A
BAYVTOWN OF SOUTHOLD SINGLEFa��1.�R1~s11�Et1r �-
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-79-02-09 DAM
SCALE 1"=40'
APRIL 23, 2013 APPROVED
7�Zw.�
JUNE 18, 2013 REVISE PER S.C.D.H.S. NOTICE OF 06/10/2013
AREA — 17,857 sq. ft. FOR MAXIMUM OF BEDROOMS
0.410 oc. EXPIRES THREE YEARS FROM DATE APP
CESSPOOLS
VACANT WITHIN 150
TY
WELL
N/0/F
EDGAR R. AMLIN
& ELLEEN HAMLIN p
h
e--CESSPOOL
DWELLING cEssPOQL
�2 0
�ti4o S 87'33'2 E 133.22' /
o y 225
44 O
~o M 0 Q fV
�ti o N p 34i 7So Q?
ELL
150,
0
42.5
Ilya
40.0' �1
co
4 h STOOP ::O
O G H
N
1.40,
o
° a DRI�/EWAY r
-
WEL 28.5 d- �2
L VIP O PROP05ED
WELL
6904 40
" w U)
- o
TEST HOLE O
9�,1S, 220 2@,0
�we�clnc 87'3 '20" W 79.28'
Sao z
sHov LATE
DWELLING MUST13E
cEsspoo< N �UR
�'^ N 'Ei
JOh. fVj0 WELL C
Line( j Be Inspected The
u, N/0/F Suffolk Cou Dept. of Health Ste,
WILLIAM PRATT Cali 852-, .00, 48 Hours In Advanm
& MIRIAM PRATT To Sv ule I
0 s '
U
Ll 0
WELL
TEST HOLE DATA
0' SEPTIC O --
BROWN LOAMY SANDA TANK �O�
2.5' 1\V/O�r� "C� 0
LEACHING
"Nl T POOL O
A �,VT
PALE BROWN FINE d TA T
`'`/ PR E j]yITH MINIMUM
TO COURSE SAND
D t95 AB
D OPTED PTSD
F TA LAND
AD rm
r
tJ7
17'
R
NOTES: 4AAn Y.S. Lic. No. 50467
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM C= UNAUTHORIZED ALTERATION OR ADDITION
EXISTING ELEVATIONS ARE SHOWN THUS:IU I"�" TO THIS SURVEY IS A VIOLATION OF
2. MINIMUM SEPTIC TANK CAPACITIES FORA 8 BEDROOM HOUSE IS 2,000 GALLONS. '" SECTION 7209 OF THE NEW YORK STATE yT yT •
1 TANK: 10' DIA. 4' LIQUID DEPT ,..a P•(•11 EDUCATION LAW. Nathan Taft Corwin III
3. MINIMUM LEACHING SYSTEM FOR A 8 BEDROOM HOUSE IS 600 aq ft SIDEWALL ,7 rm{rw�.' COPIES OF THIS
SURVEY
INKED NOT SEAL ERRING
2 POOLS; 12' DEEP, 8' dia. Land Surveyor
.'S EMBOSSED SEAL SHALL NOT BE CONSIDERED
PROPOSED 50% FUTURE EXPANSION POOL 1;.; i TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
PROPOSED 8; DIA. X 12' DEEP LEACHING POOL ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
< TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
O0
I,� LENDING INSTITUTION LISTED HEREON,AND
O6 PROPOSED 2,000 GALLON SEPTIC TANK "j TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
5. MAP COMPOSED FROM OFFICES RECORDS. AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16
Jamesport, New York 11947 Jamesport, New York 11947