HomeMy WebLinkAboutDavey, Paul (2).a
ELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN (
TOWN OF SOUTHOLD
TO: Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax(631)765-6145
Telephone (631) 765-1800_ _
- -. www. southoldtownny. gov
APR -3 2015
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: April 3, 2015
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4304 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 location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
D ®g
Dated
. ELIZABETH A. NEVIL.LE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OA�C
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
.,Town Hall, 65096 Main Roa-
P.O. Box 1179
Southold, New York 11971
Fax (631) 766-6146
Telephone (681) 766-1800
southoldtown.northfork.nei
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10—z- or Non -Residential @ $25 Application No. "t3�
Permit No.
Applicant Name
Applicant Mailing Address
Septic Tank . roorCesspool
Brief Description of Proposed Construction or Alteration U> �Ao Y�
Location of Proposed
Owner of Property
Owner Mailing Ad
Owner Property Ai
Name and phone number of contact person
Tax Map No: Section_ Block 0%1_ Lot
Cross Street
NOTE: LOCATION MAP MUST 'BE SffflM=D WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVETYA7�1 EPARTMENT APPROVAL
•
Sigaqlre of App cant Date
Received by:
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LANDWARD EDGE OF FRESHWATER WETLANDS �c�•9'op *�
AS DETERMINED BY SUFFOLK
Eh IRONMENTAL N66,O9yo �<
SUFFOLK COUNTY
FERMIT FOR APPROVA1,
® TEST HOLE
SINGLE F"AmILY
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APPROVED
f'0"AXIh4U4;3 OF _y l�'� SE�3?
RES i TREE YEARS Om DATE t
RAIN RUNOFF CONTAINMENT:
DWEWNG: 1,477 Sq. Ft.
1,477 x 0.17 x 1 = 252 Cu.Ft.
Provide 2 DWs. 8'0 x 3' Deep
Connected by Gutters do Leaders
AREA= 22,23' SQ. FT.
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= WETLANDS FLAG
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ANY AL7ERA770N OR ADDITION TO THIS SURVEY IS A WOLA77ON
OF SEC77ON 7209OF 774E NEW YORK STA7E EDUCA71ON LAW.
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2 ALL CER77RCA7701VS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL OF 774E SURVEYOR
WH SIGNATURE APPEARS HEREON,
ELONS REFERENCED TO NAVD 88.
I am familiar with the STANDARDS FOR APPROVAL
AND C0NS77?UC77ON OF SUBSURFACE SEWAGE
DISPOSAL SYS7FMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
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JULY 23, 2014
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= WETLANDS FLAG
• — SPIKE
■ = MONUMENT
ANY AL7ERA770N OR ADDITION TO THIS SURVEY IS A WOLA77ON
OF SEC77ON 7209OF 774E NEW YORK STA7E EDUCA71ON LAW.
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2 ALL CER77RCA7701VS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL OF 774E SURVEYOR
WH SIGNATURE APPEARS HEREON,
ELONS REFERENCED TO NAVD 88.
I am familiar with the STANDARDS FOR APPROVAL
AND C0NS77?UC77ON OF SUBSURFACE SEWAGE
DISPOSAL SYS7FMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
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JULY 23, 2014
SEPT. 16, 2014 (Proposed House)
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--- N. YS. UC. NO. 49618
PECONIC SbRt E1'�RS, P.C.
(631) 765-5020 FAX (631) 765-1797
SURVEY OF PROPERTY
$
A T GREENPORT
TOWN OF SO UTHOLD
U'
SUFFOLK COUNTY, NY
1p.
1000-40-02-11
SCALE.• 1'= 30'
JULY 23, 2014
SEPT. 16, 2014 (Proposed House)
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WA7ER W GROWN FW 7D COARSE SAND
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--- N. YS. UC. NO. 49618
PECONIC SbRt E1'�RS, P.C.
(631) 765-5020 FAX (631) 765-1797