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HomeMy WebLinkAboutAliperti f • �, ,i of • ts‘ ELIZABETH A.NEVILLE,MMC ��y�� 410 4 Town Hall,53095 Main Road TOWN CLERK ,- ; P.O.Box 1179 e!s • • a Southold,New York 11971 Prr REGISTRAR OF VITAL STATISTICS ; • .� �� Fax(631)765-6145 MARRIAGE OFFICER ;y� #vor° Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER -=dd 41, „ www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER .,, ,,•• • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD -_-- _-- _-- TO: Southold Town Building Department 231 ECEINED FROM: Sabrina, Southold Town Clerk's Office ISAR ` 2 2016 DATED: March 1, 2016 BUILDING DEPT. TOWN OF SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. _4375 for a Cesspool/Septic Tank Construction Permit submitted by: ACMT for Aliperti Family 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 D3 i , Dated ELIZABETH A.NEVILLE ri�. ' : Gam.: Town Hall, 53095 Main Road TOWN CLERK � ® -14' . , ',... d - P.O. Box 1179 1 W =; r aC Southold, New York 11971 REGISTRAR OF VITAL STATISTICS V• . i MARRIAGE OFFICER . O `" :1e-- "' 0Fax(631) 765-6145 L RECORDS MANAGEMENT OFFICER ��f® ' ' - ,�®�rrrl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = '� d southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10or Non-Residential @ $25 Application No. 375 Permit No. Applicant Name 4 -Pr( A licant MailingAddress t 7 �7 2 2 TU / C KW i� NI. , // 776 Septic Tank t or Cesspool of Descriptionpf DescriptionProposed C nstructon or Alteration " ,t3-ted f C7 l / , Location of Proposed Construction/Alteration:��- �s / q /� Owner of Property: 4 L t 1 i G ? 1 `�/ /o/t' i 1'v i TZ 5 c Owner Mailing Address: /7 7 2 I/ >/78/ . fale%'/e /t(1,V2( (1Y-r- /(7,-,6 Owner Property Address: ,i (9' 7>i par-' % ,c' 7Z5 o ��m 1��C�i� 7,o Name and phone number of contact person 19 0. y 44/T), --707-7 Tax Map No: OW Section /0 g Block a. - Lot 7. Cross Street /O re)3t 44. NOTE: LOCATION MAP MUST BE SU: '"-� ED WITH APPLICATION. NEW 0 CONSTRUCTION REQUIRES SURVE f .` N= r , - I EPARTMENT APPROVAL 40. ---,-------- _000011111P - 1 L- / • 0, Signature of Applicant Date Received by: ,' 1 .9 , a \\ �G RAIN RUNOFF CONTAINMENT t. N s �> .� 6 HSE. It GAR. = 1328 sq.!!. ��, L328 x I x 0.17 a 226 cuff. P 2 6!42.2' 5.3" VF ^ �� r' o �� �O PROVIDE 2• DWS, 8' 0 x3' 1 0. deep or EQUAL a SP _ ,n 01 0, `-, 2592 �9��C' 4 P {, =�o • SURVEY OF --axe ` `�� � - `®�, — LOT`24 • y e?r e\\ - `s Oa. SECT 2 do b‘,v �► �LIJAHS LANE ESTATES, PJ lb s� '9j, FILED OCT 9, 1996 FILE NO. 9912 R- 25.00- .CD.--_ �P AT MA .TTI TUCK ,R,-• = 3'8.85• O;Fi' % ` " ,,9,2 e05 w ti ab�`� TOWN OF SOUTHOLD x.62 c��e.P o '�� SUFFOLK COUNTY? NY ,gs no {�en ''' 1000 - 108- 04 - Z29 •0� o� , g° '. Scale: 1"= 40' Feb. 21 2004 i . OCT. 8, 2009 (public wafer) -57 t e e � ....,q.-pc, 7,', as 5 JUNE 21, 2011 (PROPOSED HSE-) a'� so erg ®� Dec. 20, 20/2 (prop. hse.1 _ t*<-96 c• PSG P P• 1-u\ P� <`�F • ,gi .1 t Jan., 2, 2013 (prop. hse.) tom,, , op G 60 cse ge @� P. � y° < % �� UFFOLIC COUNTY DEPARTMENT OF HEALTI•i SERYICESS 14 QO.G © } (� PERMIT FOR APPROVAL OF CONSTRUCTION FOR A 0��1 �- ` SINGLE FAMILY RESIDENCE ONLY - i .-0 ' 6 5 5/ 'c��1 ® ! ti n g�� DATA W�I aEI . No. /O--//-- on:2s- c �. �e11\tia PROPOSED SEPTIC SYSTEM APPROvE�J i — ��� 4,� P �• Jb ( 4 BEDROOMS J� " FOR �;rIA3M tvl . P / 1. I EDRO`3!`:.'.:i `fix = C� % ,20 �Q • /- 1000 gal. PRECAST SEPTIC-TAN •• 4, A9I- LEACHING POOL 810 x 12 DEEP EXPIRES T- Y , FROM DATE OF APFROVAT - �s,,.- ' ® o / g2 WITH 3' SAND COLLAR (SWI 3' The locations of wells and cesspools `sem G o- 39� c,. ABOVE GROUND WATER L3,5 . shown hereon are from field observations I CERTIFIED TO, and or from data obtained from others. e � ----- 39. :—......-:scipi------4A.on ___"... j,T--- , \ L ----id 0 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION VICE I�'l l am familiar with the STANDARDS FOR APPROVAL -0 �-'". ' 00 SUFF. --•GJ•4'' ALTH SE 9 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW J ' 7 '� '' a�/ � "°`'°' "k;�g AND CONSTRUCTION OF SUBSURFACE SEWAGE ;, �.` � ' -�..A�. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS 1..` DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES :2:011 ,• �, 31)1.Y: C °`NO: 49618 and will abide by the conditions set forth therein and on the ,®Y =..�,; W�REON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF J �• IO MAP OR COPIES BEAR THE ANPRESSED SEAL Or THE SURVEYOR permit to construct. 'N/( S&R;!t ; b1 5, '.C;' DOSE SIGNATURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' . c Q- ;`�� O� MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY �� °T LER"��.Q ET OF ANOTHER SURVEYORS MAP TERMS SUCH AS `INSPECTED'AND ELEVATIONS ARE REFERENCED TO AN ASSUMED DATURA SOUTHO r`- WIY.." 1' 971 BROUGHT-TO-DATE"ARE NOT /N COMPLIANCE WITH THE LAW. •--_