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Home My WebLink AboutFHV LLCELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1.800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 15, 2015 RE: Cesspool Construction Application F�j5 MAY 1.9 2015 "-i..DG. Di -Ti 1. v: ii1 ; Transmitted herewith is a copy of application No. 4316C for a Cesspool/Septic Tank Construction Eermit-submitted-by:-.---.-.-_ Creative Courses Catering for FHV 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 location mapof the pxoject_ cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature Dated ti ELIZABETH A. NP -VM TOWAi LERW Z ',,K�'- REGISTRAR OF,-vITAL STATISTIC& V -MARRIAGW 0 .44 RECORDSIMMAGEMENT:OFFICER -,FRESDOM 0YINF0RNIATIO N OFFICER A OFFICE OF THE TOWN CLERK WN OF SOUTHOLD ',SOUTHOLD=WASTEWATER DISTRICT m Resid6ntial Imtial @ $25 Residential $ 10 n7-Rds Town Hal 53095 Main p Tr9poppId Constcui P.O. Box 1179 Southold, NOW York 11971 Fax (631) 765-6145 -. Owner f Property„ Telephone (681) 765-1800 gs. q southoldtown.northfork.rtit. Owner Mailing Address m Resid6ntial Imtial @ $25 Residential $ 10 n7-Rds Application p Tr9poppId Constcui .No.1 PArinit -. Owner f Property„ No. gs. q xi Owner Mailing Address CONSTRUCTION ti "or. ALTERATION PERMIT W CESSPOOL, or. SEPTIC TANK g Property Address. ,,Own®r -14 Tltt" 41 1 = -Nameand phone, nmnfiWa m Applicant Name qq U dress,.. . . . . . . . . . . 4 z canj. MaJB4 1vWL U k %41 Septiqt r cosspobl 6'6d'Co --BdProposed Description of nstruction.orAlteration 7op Resid6ntial Imtial @ $25 Residential $ 10 n7-Rds Application p Tr9poppId Constcui .No.1 PArinit -. Owner f Property„ No. gs. q xi Owner Mailing Address Applicant Name qq U dress,.. . . . . . . . . . . 4 z canj. MaJB4 1vWL U k %41 Septiqt r cosspobl 6'6d'Co --BdProposed Description of nstruction.orAlteration 7op Block ut L) A 11 JBMMED WITH APPLICATION, NEW LTH HEALTH DEPARTMENT APPROVAL ffl", b EXT --AA, v m in CONST tUCTION UIRIM. Locationf p Tr9poppId Constcui -. Owner f Property„ gs. q xi Owner Mailing Address W g Property Address. ,,Own®r -14 = -Nameand phone, nmnfiWa ax T #P Cr088 Street Y :. �NOTE:h LOCATION MAP Block ut L) A 11 JBMMED WITH APPLICATION, NEW LTH HEALTH DEPARTMENT APPROVAL ffl", b EXT --AA, v m in CONST tUCTION UIRIM. xi Block ut L) A 11 JBMMED WITH APPLICATION, NEW LTH HEALTH DEPARTMENT APPROVAL ffl", b EXT --AA, v m in SEAL:REVISIONS/SUBMISSIONS: DRAWING TITLE: ✓tiV. N Cd�� DATE: DESCRIPTION: �c ��\0 8/8/14 JODNf 9/17/14 JCDNJ COMMUM' Q 11/18/14 JCDNJ C0MMFJ V 4/2oo5 JCDHf DETAIL/' tISTRICT: CAD FILE NAME: P:14-1796\20 - Design\10 - Concept\1796_060214 TITLE: DATE: NSA PROJECTCRLATIVE COUR,./U 08/8/14 14-179641150 COU/lT ROADSCALE: DRAWING NO.: fOUTHOLD, /`IY 11971AJ' NOT�.D SECTION: BLOCK: LOT: DRAWN BY:P-2 00 59 10 4 YE) ..... _ _ ..__ .. __ APPROVAL 57 -AMP SUFFOLK COUNTY DEP .. MI W HIM L-EVIEWEIMNITIALS9 '�NCPISP. .® G F FOR SP L CONT qtr E NHOLE FRAME "LOOK (4/0)LB 22 TO GRADE APPROVAL 57AMP I iD C- 'Z -- Suffolk County Department of Health Services Approval for Construction -Cather Than Single FaWly, reference No. C- I � a l �n- C� b�� Design Flow U) -P, t �i Use(s) �� ;' These plans have been reviewed for general conformance with Suffolk County Department of Health Services standards, relating to water supply and sewage disposal. Regardless of any omissions, inconsistencies or lack of detail, construction is required to be in accordance with the attached permit conditions and applicable standards, unless specifically waived b Department. This approval expires 3 years from the approval te, inless exte e r renewed. MAY 1 1 2015 .�s Approval Date 5evWfer r ISN 9 h l z IGi: 862-57 , 48 ftfq,In"AdvaW 245.1' -4 O 6N DARK BROWN LOAM OL 3' BROWN 51L ML BROWN 5IL TY 5AND 5M 23' PALE BROWN, FINE TO MEDIUM 5AND 5P COMMENT5: NO WATER ENCOUNTERED BY M62ONf1LD 6E0561ENGEI DA TE. 6/24//4 � ,�o HOL5 In A TA • APPROVAL 57AMP t jD - -2- Suffolk County Department of health Services Approval for Construction -tither Than Single Family Reference Na. L 11D - 1 q - 0 b Design Flow Use(s) LIJ4?J. These plans have been reviewed for general conformance with Suffolk County Department of Health Services standards, relating to water supply: and sewage disposal. Regardless of any omissions, inconsistencies or lack of detail, construction is required to be in accordance with the attached permit conditions and applicable standards, unless specifically waived b7,thp Department. This approval expires 3 years from the approval te,Anless exte /or renewed. MAY # 2015 Approval Date We er IST I� 9 h@ FIs O €: C Ce o adhoduis I a n( )o 4 r N 0 in in Wi e I 6" DARK BROWN LOAM OL 3' BROWN 5ILT ML /0' BROWN 5/LTY 5AND 5M 23' PALE BROWN, FINE TO MEDIUM 5AN9 5P GOMMENT5: NO WATER EZOUWERED w pBY MGDONALD GEDSGIENGE � DATE: 6/24//4 l VELL'S x 6 X87C6 ` Hl6H FENGED TRA5H EN6LO5/RE W DBL GATE. OVER GONGRETE 5LAB. FEK JF;LA N c .R5 �. t �y^'w'T 517 i~ E >r Va a t p y k - _ •a'r_. -4• ."g�� a.R�. � ...a. ., of � ,� .� wf. i� � r 44�` Ya- _.aG 1 ,.. �i� k1f�«,i��.. �*+-i, r ra R Y= 4vg REVISIONS/SUBMISSIONS: DRAWING TITLE: `ABED A, DATE DESCRIPTION 8/8/14 fCDF1f 9/17/14 fCDry/ COh1h EAV J cC% fie, 11/18/14 JCDMf COMMEKV 420/15 fCDHf y 5175 fCDVA PLOT PLAA A/YD CALCULATIO/f 0.029096 t�. CAD FILE NAME: O `-' s� P:14=1796\20 - Design\10 - Concept\1796_060214 ECT TITLE: fEj NSA PROJECT: CREATIVE COUR/r/' 14-1796 41150 COU/ITY ROAD fOUTNOLP, AX 11971 DRAWING NO.: 'ICT: SECTION: BLOCK: LOT: BY: 1000 59 10 4 IaCzIv MAY Go -r& -mlsEn Y 5Y5TEM TO BE PUMPED. LVED PER 56. POLLUTION 4NVARD5. VERIFY EXACT LOCATION IN FIELD NEW 6'XI8" CONCRETE CURBING LIGHTING SCHEDULE FULLY SHIELD A 6 SIIEILDED PA B NOTE: ALL LIGIITING T( ACTIVATED. LAND NO W OR FORMERLY OF: KAR OL FILIPKO WSKI cu PROP. CONCRETE 5LAB EXl5TING ELEC. ME7ER5 EXISTING GA5 METER - T.Rkq. Q 13,,0" t/ 5.T j EXPANSION POOL/ L.P.�...- . EX15T. l 5TY. MA50NRY BLDG 2,424 G5F 0-0„ (NO BA5EMENT) FF / 9,_O„ HANDICAP PARKING 5I6N 6O. SAH T IN5TALLED PER TOWN 57ANDAR95 N6 f-IRKIN6 NEM "A 7ERs SERVICE LINE �3 EX15 T1N6O A3FHA a e%W- MAR a ----- - " 7E5T HOLE LOCATION — N, 3430920" W. • EX15T. EDGE OF PAVEMENT LAND NO W OR FORMERL,. BER TA CARRI S Rp JACK WEI SKpTT