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HomeMy WebLinkAboutGabriel • ELIZABETH A.NEVILLE,MMC ����® vV ..4b,;\,,� Town Hall,53095 Main Road TOWN CLERK t rim "' " P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 1 r. .,&;:i' ,V e Fax(631)765-6145 MARRIAGE OFFICER "`---_V1 4 ` ; r 4St 0 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER -_ ®1 , ` is www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ,,,,,,•f' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ® ggsvg_ D TO: Southold Town Building Department 8 2016 MAY i FROM: Sabrina Born, Southold Town Clerk's Office BU,DTNG/3157r. aD DATED: May 18,2016 TOWN®F SO S RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4388 for a Cesspool/Septic Tank Construction Permit submitted by: Charles J.Brudi for Nicholas Gabriel . 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 c 111,171 .Adilli Ji-td34-- Signature vs 067/2-(3/A7 Dated „ , e.o..,-, ELIZABETH A.NEVILLE 11:Y h.v ;`, --.-;:.” :::1\ Town Hall,53095 Main Road TOWN CLERK „4,,, ,, ; , 4 . t P.O.Box 1179 -,•71 M,A Southold,New York 11971 REGISTRAR OF VITAL STATISTICS A *.k.• '..,.4" • !-,- 'Tv ;- MARRIAGE OFFICER . 0 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER \*),- - " - 01 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,‘ "f4 ifig -*oaf 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 '7-or Non-Residential©$25 Application No. 43 Permit No, Applicant Name 6W1f6 ). " 1/1 Pi ArcHTtfffr Applicant Mailing Address / 111...gidrAi AG 5 li I 4 .' l' II? Septic Tank or Cesspool t „ M. fAyeri tion of Proposed Constructionpr Alter,tion ' ..-:..' 1.4' ' LA* f _ ar e '.., ev hi i ,/ VINIM'MSNIIPMig 4- ,PiCo FOOK• Location of Proposed Construction/Alteration: Owner of Property:_iAle Owner Mailing Address:_1 ViWif - '0/ p catp 1 , _ I. Owner Property Address; I CO f " A 1 rid C ' IA: • 1 iv O' Name and phone number of contact person Tax Map No: Section.......Lcae_Block. 9 7 Lot 0 Cross Street _ , le_q _ __Vow 1 I 0. IlLECV_ _ _r: NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY 0 H II , 1 DEPAMENT APPRVAL 44/ Signature of A.plicant Date Received by: 1 1 OF IN N V.,MED STATE FEMME,ME(2)DEMO.SHOM HEREON NM MOM.MED TO MEM SIMEINNES ME FOR A MEM HAMM AND An NOT TO BE USED 10 ESTABLISH PROPERTy LINEB OR FOP E:R=N 1175,NC.E.1,20,ptIZ:T7g)S,I1,rEgi.r.MS=UIU.Anfr=;==Lpa,FAUON=seEmyetly.r0=4414,,EniZIr °I)NOZVED jAN'STArfl'UNVATINrIXONDWOM'rILITVE°T1=01N0 11415%1EHAV TO THE 11.COWIN,COMMENT.MM.AND IENDINC INSTITUT.,uS IN+ 3+ANO TO ME MEM.DF TM LEMM rbssrlunoH Cf.,ICATONS ME NOT IRANS.I.BLE TO.nOWIONAL Irva,111..mota in,....c IN 400""""toA1'.7=114'.1Z7L'.:5;%11.1= 1 I I olut43 of adndnoyoungongIndorIng.com 'l p'ott-q I I .,14 j'oN 1 1 40 1 I I Howard N.Young,Land SorYdyor Thomas C.Plolport,ProdossIond EngInoor PougIas E.Adams,Prorosslonal Engineer Os-,., ,..41i w ---r—","r„(ez.4;i:::------ E Public Slater) (Dwelling with 1 Public Skater) (Dwelling with 4',..44 4. Public Neuter) I (Dwelling with 94519696L G.Yost,Archtedd 1 .. sr. I I Public,Muter) 1 i \'‘kum„,,,_ .........." S , I. WATER MAN SITE DATA 92299 1 T 1 +57 +57:i:uuct 6X`PA55-902-r '75 ' RUTH ROAl2 '-- - - AREA.20p00 SOL FT. 2'' k, fkakkk-kkVc-c., ..;:,,p.kk,o.,5,kk.,u,k kkkkk:,..kkkTk5k,T,LkkNn k 1.' 57,37 I oL VERTICAL PATON s N.A.Y.DATUM ORM 81 . AMER DI 511°W°°"E'" 104.1:13.o' . ;.1 Nerill'021A1 . GROSS FLOOR AREA s BIAS SO.PT. :.‘,.. HEALTH PEPARTMENT USE ___ 5 .43 2 5.239 j 115.15' 1 . l ).. , TEST HOLE i 1 / . \, 415518.50' IE 13Y M217019,31.5>GEOECIENGIL \ VI ' / 5 62AML MAR.23,30141 L354.54 41EL))55.0 0,0' \ 444 DARK fdROINN LOAM 4 i 8ri" 101 4-, th D ...4.1) row 0 i,.., 710 ,,,,01, LICIIIIII-11,,,r, 555' 63"..6 L 1-. rx"4. to 4 zr-1,,,,, BROWN SILTY 4 6 (1) hy SURVEYOR'S DEf2TIFIGATION WASP -C 0 1 61 g._ r5 ' ' 4 co 41 o x (\1 EJ K HOUTencr=e 2 4 • TT-8 4.1C 0-0.a B 30 t 2 Z 't Al•fPSEDROOM) t........ ...6.WILL,1 Vs- 4 - tll Li) PALE 35020440 0 0 57.29 is d dos, 4 h 0 .g in §158 4430 4-2 C 0 56.65 4 (SF) 0 Z > - , --) ,--", GONG.FON° . 0 4, 0 - sr -' 0 056.58 +5624 t 227. Z • t K E BROPIN SILTY EXISTING+SANITARY SYSTEM TO BE ;-.` 14. q 0 0 bilyyth..4-Ai r .. SAND DI * 4 K c 5_ I 11 , E. too 134 -0 5 wewhituouso IN we-cam:maws ANIL 0 il 0 0 .,•, „.„., 5 TILE 5.019.145.STANDARDS 260' 13 , ...„, U.:450 5,55'58K C'C''''''' irp.0 !PI. ,kl, + 5 BROINN FINE 'ot 0 1 ''' SURVEY rotz \ e SAND (5R) el A Z1 52,r21:: 4 (141 , ,.. r`,,,,.'mV...Y 14,,,, NICHOLAS 6#4451RIEL $ 4 or) ) , _ Z 9 55.24 4 SEOR4SE SARIEL Q I i ,," _. r , ' L,„2-1_..,-.....,- , Southold 1 'Jr'," 1 f., r'i,r.),-,,, r,t,,..,,r.,..G. .....:-...,-- at Mattituak,Tom,of '0 4 4 Suffolk Dount.9,Hs York _, '0 4 SUILDINA PERMIT SURVEY i i "' k"' 'k "' ' k '''5k`k',k'y ' 'ik: l'•"kkkkkk'k'i':,1 1 I t, et,i--939County TON Map 000000001000 gad!.ION MINk 01 sot 25 1 . ' ....L,52..m. N%I'll'00"JA1 104.00' ' '21'— I MELD SURVEY cominoTeo Lot 2 Record of RevlOonts (Dwelling NU I 5w5 RRERARED MAR. Igl: Public lniotbr) Lot I Subdivision - 29.402X9P OP REVISIONS DATE I II SLIP;MOCIIkr C°:UnBCS41t0 KNnoe.151$0'25 Subdivision - __ "Mdp of Sunset Knolls" ..R. _______ ____ Suffolk C.ounty Pilo No.5025 _ -- ---- g (Vacant/ _ _ _ ----- 6/accint) -- fok I P i ,40 0 30 40 ......... .......... ......._ ao i'- Scolek 5 u 40, JOE tkio201 . 4.-002q 25216'.2015_00294_59 1 OF 2 ..." _ .. L7:1 9 MONUMENT 0907 41.MONUMENT§021112 A 9 STAKE 30T A::100430 FOUN0 25I 2 PRAINAGE INLET