HomeMy WebLinkAboutFeinberg, Michael SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 4093 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MICHAEL FEINBERG
Address 1: 62445 NORTH RD
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING APPROVED AS SUBMITTED AND
AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. FINAL
APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT.
REF #R10-10-0044
Name Of Owner MICHAEL FEINBERG
Mailing Address 1 62445 NORTH RD
City St Zip GREENPORT NY 11944
Property Address 1 63445 NORTH RD
City St Zip GREENPORT NY 11944
Tax Map No. section 40.00 block 1 lot 6.000
Cross Street CR 48
Building Permit Number Cross Reference:
Issue Date: 1/20/15 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
January 20, 2015
Michael Feinberg
62445 North Rd
Greenport, NY 11944
RE: 40.-1-6
Dear Sir/Madam:
Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic
Tank/Cesspool System for which you applied.
AFTER the system is installed but prior to being used, an OPERATION PERMIT IS
REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is
Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non-
residential system. Your check should be made payable to the "Southold Town Clerk". An
application form is enclosed. Please complete the requested information and return the
application, proper fee, and LOCATION MAP (map must indicate the location of the
cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools
and distances between the pools.
Should you have any questions concerning this matter, please do not hesitate to contact this
office.
Very truly yours,
Sabrina Born
Clerk Typist
Enclosures
l
Born, Sabrina
From: Bunch, Connie
Sent: Friday,January 16, 2015 8:49 AM
To: Born, Sabrina
Subject: the last of the cesspool permits
4093 and 4072 we don't have but they have final health department approval.
4104,4083, 4082, and 4036 we don't have.
I think I covered them all.
Have a good day!
Connie
-41
1
•
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: June 28,2012
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4093 for a Cesspool/Septic Tank Construction
Permit submitted by:
Patricia Moore for Michael Feinberg
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
.
ELIZABETH A.NEVILLE ,�e Gt Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
REGISTRAR OF VITAL STATISTICS yy, Southold, New York 11971
MARRIAGE OFFICER : O •�C �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_ �lTelephone(631) 765-1800
��
FREEDOM OF INFORMATION OFFICER O'� * a". 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 X or Non-Residential @$25 Application No. 10e/5
Permit No.
Applicant Name /tt 1 Ct ad ti(m, r5
Applicant Mailing Address (Z Lie/ S" D/b--v eaud ci
Septic Tank or Cesspool X
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ,1!1 tCJ a
Owner Mailing Address: 4,2' 4f 4427-/-1A (doaci,
Owner Property Address:
Name and phone number of contact person 57 - 3 79 - 8-17 y
Tax Map No: Section 46) Block / Lot 1
Cross Street C(L 1-7L8
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WI - .. • TH DEPARTMENT APPROVAL
�-- fib'''-
Signature of Applicant Date
Received by:
5� y SURVEY OF PROPERTY f
ti�Nry �/' ti. NEAR GREENPORT
1�y� '` , //, TOWN OF SOUTHOLD N. Y. . 1
�/ �o SUFFOLK COUNTY,
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CERTIFY TO:
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MICHAEL FEINBERG �, _`�. --_- �.- --, - �, / 1
ELLEN H. FEINBERG '.�t rr'r.^.:?11;------'t`L.�.y ,TrIE'7 > , .._. , ,
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I am familiar with the STANDARDS FOR APPROVAL
Ge" c�c e "
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE ;AfIL Y RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
AREA=51,942 SF- _
The location of wells and cesspools shown hereon are TO TIE L/
from field observations and or from data obtained from others.
ANY ALTERA770N OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SEC770N 7209 OF THE NEW YORK STATE EDUCATION LAW
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER77FICA7IONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF J
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 77-IE E SURVEYOR N. Y.S LIC NC) i
WHOSE SIGNATURE APPEARS HEREON. ti s_
ECONIC S EY , :P' C" ',. �,
Contour lines are referenced to the, Five Eastern Towns (631) 765-5020 'FAX".(t J1)- 78-17c
Topographic Maps (N.G. V.D.) P.O. BOX 909 `
■ =MONUMENT - , 111,2, SOU THOLD, N. Y. 11971 1230 TRAVELER STREET
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