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HomeMy WebLinkAboutThompson, Thomas ELIZABETH A.NT T LLE, MC Town Hall,53095 Main Road��* fs�` kr � ,/ TOWN CLERK % . * ,:p:,,,;„, P.O.Box 1179 CA + 4 ' , Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ; 71;.--t :;,- q!,-,..:,-,- 1% Fax(631)765-6145 MARRIAGE OFFICER 1' .. ,y s At / Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER = ®.` 215 .i'd° www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER "- .....•� Frit : 1' ( ;I \Y/ )` 1. OFFICE OF THE TOWN CLERK n� { I TOWN OF SOUTHOLD j j (i NOV 6 2015 D TO: Southold Town Building Department 'i :'`P FROM: Sabrina Born, Southold Town Clerk's Office DATED: November 5, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4354 for a Cesspool/Septic Tank Construction Permit submitted by: Thomas Thompson . 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 �i�- e — . C/7".47 7' , ) Comments: Final approval required from the Suffolk County Health Department a7(//e_c_...y---1- . Signature //Ai 6/3— Dated t‘NIY O ELIZABETH A.NEVILLE �'�I�`Z` G4 • _Town Hall,53096 Main Roe. - • TOWN CLERK . C %•2 P.O. Box 1179 • REGISTRAR OF VITAL STATISTICS ; 0 PA Southold, New York 11971 MARRIAGE OFFICER :;may 11� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 4 ��Iii Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER - 'i NO FREEDOM 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. " (b' S Li' Permit No. • Applicant Namel 140- M [ 7-Kv Se Applicant Mailing Address 1 1 T7 L( Avg PLY-4 11110 Septic Tank. for Cesspool Brief Description of Proposed Construction or Alteration il) --W `,to 1 I,b Location of Proposed Construction/Alteration: Owner of Property: 'T 1-4lrl IFISe5-I1:•3 Owner Mailing Address: { et 7 4 ►2- Prv.6" • Owner Property Address: b 1-f c• Ci DLFV 1L�J G• T. • . �'�I Pi-2 is N , Name and phone number of contact person f 11,'M A=5 1-{owiUS ,.J Tax Map No: Section 3e) Block -2— Lot l "3' i . Cross Street Mkt N- • NOTE: LOCATION MAP MUST'BE SUB v! : WIT: • 'PLICATION. NEW CONSTRUCTION REQUIRES . ' •4 H HEALTH DE ' •. TMENT AP 'R I VAL � store • iplicant D;� _ AI • Received by: / 10 • Survey for: TEST HOLE 96 THOMAS J. THOMPSON McDONALD GEOSCIENCE if ' \ .S. (JULY 24, 2002) 1._ f1�� � -C" \-- ....„-- N N At '1\%) 117'ir' East Marion -. . ' DARK BROWN 0.0' 10. `� �/ \ Town of 1.11 se SILTY)LOAM 0111°14a \ Os I) Southold BROWN LOAMY (W7 pi" • cSNCF \WM 0oXE5 .� a Suffolk County, New York FAQ, SAND WITH 10% GRAVEL �,I� SP`\�°'\\--14‘ p�� Rsl� '.s`\�cE �vE L ._ (SM) .� { 3.0' �, e(\y \Jorel- �kEctR�c M,tie � 0 In vp G O S.C.T.M.: 1000-030.00-02.00-133.000 PAL NE BROWNO 0< {�M\gee\ N_\\10. SjoOk p� 1P ••r-------J..,-"7-1,1SZ F,.�N• .••• \o 0 50 o 50 COARSE \O \ U in 7 SAND WITH \S '(\ �ecl ENc// FSNEo G� \ �-0 SCALE:1"=50' 10% GRAVEL �. VSO s, SNOW/ 6 0 (SW) (1\P' Pub\\C o9Nii \ N \"1 (T I O 17.0' c� `OI4e\\�C�g �\• \ ev N PM �Oy�\ �i o R. TES: �,,...._.._. s-(s FE\ \ m 1. AREA = 83,007 S.F. -__-__.__ __ \ ------ �_, 2{ 6 2. A = STAKE FOUND co • `r`"�1 \ • Si N �� • = SPIKE FOUND, ■ = MONUMENT F UND. ci „co 'Z__,_. 55,80.- �� 2 3. REFERENCE DEED L. 11062 P. 415 :I fs s \\` cp f / PROP 5 N� O/\ o O 4. TO N.A.V.ELEVODATUM (MSL S SHOWN HE1REON ARE REFERS i ` • „ pa�oNo QOPos OVSS. %ei 0 \�Y1� -� o O -11 'r ,s11 �N aP0-h 0— i SED o t �,S•c aoo P OPO � � r� O � ��: ....540° Cr $ gEa R \ � � C��PR\NC fo�V\ \ \ UFPO J N= De 0— L�COUNTY DEPl;Ri6iE��i OF' \M�13�5�� s�1 / o \ \ ” EALI FI 5 pRFORc*` \ �� \ PERMIT FOR APP SERVICES-E.:, Nc�s \=p� \ ROVAi,QF Cflt�aSF LO.°'' X51 ••.. DATE: AUG. 3, 2015 \ o SINGL EtiCTIOtV p=OP./ 9.. E FAlWdLY RESi� `� \ • ""E�,26 0 EtICE ONLY \ °° 1 �N JOB N0:2015-430 ` / i • O DATE/0 �y /0......... n� E�Ec�R \ A` �o a CERTIFIED T0: �..�J. Itis';: + ' 9 �O Z o�� yo �''O \ •• THOMAS J. THOMPSON O APPRfl E • f - 5_ OD h C.\-Os 1 f , INSURANCE CHICAGO TITLE IN O \ SERVICES, LLC \ \?\ . RXRIR `EA::;., FRO- �ORfl Thr . r3e 0 0 =�—�.. QAT ©F A Lo \ O JAr \ \ , _ \ Air ,-, \ ,.. - - IllbN ef\ \\i, .... 0 iff 0. • 1\ S , - _1 {O c v ocr !i N C3� O< Q{ -0 .L "W e C'0 c X1,10 \\ O^ \ 9'Qu �h Pub\` DAVID H. FOX, L.S. P.C. N.Y.S.L.S. #50234 \ z1 5 56$ �,ie\\`�°' O FOX LAND SURVEYING E,, ` ^ 64 SUNSET AVENUE �^ WESTHAMPTON- BEACH, N.Y. 11978 I \ \ ` ' n (631) 288-0022 \ \\ STORMWATER DRAINAGE CACULATIONS: �\� ��P/• !/ L A'.i=R'T A FSEO'ON .2 . r F--. .Is K sr_Y • l.- vie,\TiCN CF4EOT^•N 77Cd Of F--.E NEW `NOPK SL+TE ` \ M .:�A PCN ,.,4•n• ^.PSE;; :.r 7,-VS S.:R•.'CY •.IAF V^T 3`_,R�^ PROPOSED LOT COVERAGE: (HOUSE & PORCHE) `.,E I AND , E Dt.,NR s RED NEA' OR L:1 --sED SE.._ ei+•_ N 6E ;:.NS.Jr 3FD TC, iii P +ALI -F-,, ^R" HOUSE = 972 S.F. 1058 S.F. x 0.167 x 1.0 = 176.7 C.F. I PORCH = 86 S.F. 176.7 C.F.- 42.24 = 4.2 V.r. / cERSON ,y N I-,C, THE EPSON s�AL. RAC cAND o -,S ER SCN 'OP YN�O`F THE SEREE`� IS "'REF .IN NI., ON BE,ALF ^ THE TITLE :ONP✓.N`' GOVERf4VENTAL A:EVC-Y' TOTAL = 1,058 S.F. OR 1.3% USE (2) 8' DIA. x 4' DEEP LEACHING POOLS AN.) LENDING INSTIiLPON LPsN' -IEREON ANU TO P. \ *.--- ASSIGNEES OF E LENDING iNSTITLMON CERTFICATIONS . ARE NOT TRANSFERABLE IC ADDITIONAL INST•T-_TONS„ OR S..ESEOUENT OWNERS I. ` I DWG: 2015-430 . . •, , :': . 17- ..,.- Survey for: TEST HOLE THOMAS J. THOMPSON McDONALD GEOSCIENCE \ (JULY 24, 2002) U1 At 0.0' \ '� East Marion DARK BROWN �;" \ Town of SILTY OL)AAM \ Ot 1) �.7 out Gthold 1.0' BROWN LOAMY (111 \ 5 cll o- Suffolk County, New York 10%SAN (OD LTH LO %Op'(SM) �\t RP\�t�N 5 6. w•5 c-goX�J� c2- \\ L M� o_E i \ (II• S.C.T.M.: 1000-030.00-02.00-133.000 3.0' �e(\`J n\JofeZ c \cApj `EE `+ 22 2 co PALE BROWN {O Ue\ F E '��� •/ s4-°"--It' \° 50 0 50 FINE TO O M\`� ocK o / ME z \ \ COARSE �O`1'1 \ R� sS fENC�j t sNE° • N 0 SA07ND WITH GRAVEL e �\\ �\° °tie( F�'N a.........01.% %t/ __,...C"-.------ �sE/-/ • \ O-� SCALE:1"=50' (SW) c\\ Qub °9./ \ ipROPO RY (FE\ '4'0 N ROn �e��\�9 w i ss s5 5- 9\ NOTES: 17.0' QO (\P1 \ �• Q ,\ Os o `G 1. AREA = 83,007 S.F. o\ ..--- \_op' 2cP�l T`p� %• 2\ 0 • 2. A = STAKE FOUND it / (°i` -�� G sZ~ o P \ • S 'J (0 is • = SPIKE FOUND, • = MONUMENT FOUND. iD� �FORpoo\. \\ �r`o sF55W� ...A.._,...\ 2� 3. REFERENCE DEED L. 11062 P. 415 (ow" \ 'O �+ Vik" SE`ni�� • ' \ m 0 4. ELEVATIONS SHOWN HEREON ARE REFERENCED \ o G1 \ �� 9p(\0 \ �9�a `HTR 0 TO N.A.V. DATUM (MSL 1988). \ Opos LO �v� \ __49 l •• \ o ! 0 PR �. c,i ‘ \ T (r N -5 II i ppSE\) \ ''� \y O al N6$ 6 ` "\ \ z� o \ Ill 65 SSNX \ 3%r i ., OSC o f..‘./1-?' V 289 NyPY / i \�� �`A ?o�\�Wo / 26e o ��� \\ OCT. 13, 2015 AMENDED PROP. STRUCTURES \ %� oo- 44PLK \ \ E� o �� y DATE: AUG. 3, 2015 N ` o \ PROPoSE� i PR\No `\ rnf ct o N y ` JOB NO:2015-430 \ ra Z \ \S o Ego s F \ \ i •2 ' Mt.C.et ��, N o 1..-3: cn.a i X42• --- a s.,--,6 p \ a CERTIFIED TO: \ p \ y?'o ` �1°' � jR 1� �pO'- THOMAS J. THOMPSON \ \ �o�, • \ CHICAGO TITLE INSURANCE No Hca \ SERVICES, LLC \ O= \ �,A \ •..' \ \\)1k (3., \ 0 \ 11011 ' .....V.• 5 a -Al( � � ^ {O civ - o(5' J ���i \ 0 1Lr. �\O\14 of �{ \\ -O Ci O) ew) \ O^ \ g'Qu„ - ��`e pubc`G \ DAVID H. FOX, L.S. P.C. N.Y.S.L.S. ({50234 rr \ EV,215 Se.° `°44e91C/ FOX LAND SURVEYING 64 SUNSET AVENUE \ P. WESTHAMPTON BEACH, N.Y. 11978 \ \ 12- (631) 288-0022 \ \ \ STORMWATER DRAINAGE CACULATIONS: �\ ��I(�P/' UNAUTHORIZEDAITO ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OFSEC TION 7209 OF THE NEW YORK STATE \ \ EDUCATION LAW COPIES OF hRE SURVEY MAP NOT BEARING PROPOSED LOT COVERAGE: (HOUSE & PORCHE) THE LAND S.:RVC YNRS INKED SEAL CRT EMBOSSED SEAL \ •� Ch+ALL NOT B. CONS'DEREC TO PE A VALID TRUE COPY \ HOUSE = 972 S.F. 1058 S.F. x 0.167 x 1.0 = 176.7 C.F. PORCH = 86 S.F. 176.7 C.F.- : 42.24 = 4.2 V,F. / . PEROTON INDICATED THE -'ERE NY SHALL RUNRONLY TTHE PERSON FORO WHOM THE SURVEY IS ALL AND ON HIS BEHALF TO THE IITLL COMPANY GOVERNMENTAL AGENCY j TOTAL = 1,058 S.F. OR 1.3% USE (2) 8' DIA. x 4' DEEP LEACHING POOLS AND LENCING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THELENDING INSTITUTION CERTIFICATIONS` ... _ - - .. .-. _ _.. -- .. - - ." . .. .. -. ..,_.OR SUBSEQUENT OWNERS TO ADDITIONAL INSTITUTIONS ARE NOT TRANSFERABLE ' ' S . c ` . DWG: 2015-430