HomeMy WebLinkAboutBeebe, Sid ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OFT E TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: February 1, 2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4370 for a Cesspool/Septic Tank Construction
Permit submitted by:
Sidney D. Beebe,Jr.
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
Signature
Dated
�®��e�VFFOt�cO
ELIZABETH A. NEVILLE G Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
W Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; Fax (631) 765-6145
MARRIAGE OFFICER ega ®�� Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER ®d �
FREEDOM OF INFORMATION OFFICER 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. 14
Permit No.
Applicant Name i 6-4 e
Applicant Mailing Address � v;`�L'
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ► K n_ 4 t L)
Owner Mailing Address: - H a �C,6 C/
MaLe L2 C.o - 0
Owner Property Address:
Name and phone number of contact persons
Tax Map No: /00 0 Section 4� 3 Block Lot
Cross Street A✓ 5v�-�e '4v _'z 2 2,4 i///
e
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
f.�
Signatur f Applicant Date
Received by: (—l J/
S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: I LOT(S):33 New
8upFOL
k 4Vk
NW
68'e8 120,,E„E LANDFN/F
EL 23.4
BETH WINTER a /PUBLIC WATER
t5001 '
EL 23.7
c 352.82, u
2 a^Y UURY 1 EL.24,9 �"".---- DOUBLE CL 23.4
Q EL 25
DOUBLE 12"MAPLE / N OSED WATER LINE _ +
EL 25.4
12.2'
4U tid =
2 UO S.T. 'MIN a N
6'MIN k 0 i y..l
s 'Yt4/r'l�'�1
C,9 PRO"
q /SrySE'0 1.7
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m � a e ow£LLrkc 14a
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16*MAPLE 36. FL(28.0) h PROPOSED
ty4/REYLU S'l ~ . +7 'BEDROOM
SYSTEM M
PROPOSED 4' CAL S.T. I Pr„
HI
p POL FENCE E(25.5) L.P.
20"MAPLE ST
ATt
Y ICL 22.9
�T FUTVRE PSTOA'E R EL(25:5 DWELLING
jy p 51wMMrNO ATAG 227 ' i IO.SWfPUBLIC WATER
7g�jis.
NO SAM-,ARY P9WAC[p U.F. I 150,
',..
EL 22.9
o To-, 475 SF �• I�
p p N GARAGED
J72 SA CF(26.0) r EL(25:5) . I >
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40"MAPLE Io EL(25 5) �5) TS'0 OSED 7 '
EL 24,5 N 4SRY(� SOON£DRryEWAY 275'7
S68-28'20„ q Y(E� DEEP HOLE CREEK
DRAINAGE CALCULATIONS: w
14'�MwwAPPLE
A)DWELLING FOOTPRPJT=2,357 SOFT.
2.357 x 0,166®3906<391.1 REQUIRED �'LLll.,ii'' LAND NIF J•1 K W,y.
(2)8'09x 5'DEEP ORYWELL=422.1 PROVIDED OF -..,�
B)GARAGE FOOTPRINTS®847 SO.Fi. ANNA AUDIOUN EL 24,3 W V
847 x 0.166=140.6< 141cf RICHARD P. AUDIOUN ELEV..25.4 FRM.
(1)B'DW x 4'DEEP ORYWELL= 169ct PROVIDED 0L OR BROWN 08' STORAGE `3b'91 *Fl, ,CL T30
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL DY LOAM DWELLINGS
a� 1 e7 PIP '
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS DROWN e W/PUBLIC WATER
AND OR DATA OBTAINED FROM OTHERS. SM DAMP SAND 2.3' 150'
NAVD88 —
AREA:44,732,28 SQ.FT. or 1.03 ACRES £LEVA RON DATUM:------------------------- PALE
UNAUTHORIZED ALT'ERARON OR ADDIRON TO THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY BROWN I j
MEOIUM
MAP NOT SEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CIN57DERED TO BE A VALID TRUE COPY, GUARANTEES INDICATED HEREON SHALL RUN SP TO
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE HOLE COMPANY,GOVERNMENTAL AC£NCY AND LENDING fNSD7UDGN COARSE �--� -
LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION,GUARANTEES ARE NOT TRANSFERABLE SAND I SUFFOLK COUNTY DEPARTMENTOFHEALTH S£RVICFS
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND US '
E THEREFORE THEY ARE /3. j
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDIRONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS 1
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE DME OF SURVEY I'TI 1Zn1fJT F€.;'R APPROVAL O'T'i'9:.6.'$NMZUC'T"ION FOR A i
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: SID BEEBE; 201
SiNGLr�"t1(ky/'3TILYRESIDENCE d�NLY'
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MAP OF: 1 00rto J 6 c r
NOWATER i I.1ATT?,..�.,.....� •.�..»..®.
FILED: i A-"
runrED AT,MATTITUCK JUNE 23.2015 :-> .... _,.._
K.WOYCHUK LS S
TOWN OF;SOUTHOLD !UK LAND SURVEYING, PLLC FOR IvA`i4UVCF ;LiPO0/S
i fl !t?k $A ffiP
SUFFOLK COUNTY, NEW YORK , alnPPtn.rinoinffdessional Land Sureying and Design 1;X' flT,,S TIPME FROM DATE^rAPPRO
AL
NE 23
O. Box 153 Aquebogue, New York 11931
PHONE(831)298-1588 FAX(631)298-15881 AUG 2 2915
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