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HomeMy WebLinkAboutPrice 1 ,, FO`,f'L, ELIZABETH A.NEVILLE,MMC ���o ,, ,{ '°r, ®may Town Hall,53095 Main Road TOWN CLERK ; P.O.Box 1179 .. ;, ` i� t Southold,New York 11971 %REGISTRAR OF VITAL STATISTICS ; l+,� Fax(631)765-6145 MARRIAGE OFFICER O� l , Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER = ®�{ r ***.• ��� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ,,,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ® 1 ©[ INE TO: Southold Town Building Department r JUN 21 2016 FROM: Carol Hydell, Southold Town Clerk's Office BUILDING DEPT. DATED: June 21,2016 TOWN OF SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4396 for a Cesspool/Septic Tank Construction Permit submitted by: Frank Uellendahl for William Price 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 Aar Dat•i 3"$a ELIZABETH A.NEVILLE Ole l 1. , - 4 Town Hall, 53095 Main Road TOWN CLERK i ® : % P.O. Box 1179 y ` Z $ Southold' New York 11971 REGISTRAR OF VITAL STATISTICS ',.% - I OFFICER 1� Fax(631) 765-6145 MARRIAGE RECORDS MANAGEMENT OFFICER \'4 .' 4'.4. / Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =. ,/* ,s" southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK /or3 %Residential @$10 Non-Residential @$25 Application No. Permit No. Applicant Name 9 1•7_, ..,V (1,- -1,1 -(LDP,(-1-1_, Applicant Mailing Address PO 0 z ( b Septic Tank or Cesspool Air:4-65 peit-i-r( k Y I( 4- Brief Description of Proposed Construction or Alteration e() _LA, -,,z=rzz_EL-i' , --c 4y wuz) veri ta ' - Location of Proposed Construction/Alteration: Owner of Property: 1072/,/PI-( 172i( Owner Mailing Address: r 2-g 4 2.&— �parit, XU Y7 /)/ Owner Property Address: I Co 6AL-K L/1 -,v «lz2 Name and phone number of contact person '31*-- '47-1 -44z# Tax Map No:/000 Section Block 5 Lot /0 Cross Street ,5AAJL ' 0 6/C ht NOTE: LOCATION MAP MUST < S .B ITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SUR Ep I) J HEALTH DEPARTMENT APPROVAL -,g,(,//‘,. Si ature of Applicant Date Received by: .4 ELEVATIONS REFERENCE NAVD "88 DATUM TEST HOLE EL.=6 AREA SUMMARY PROPOSED ' " NEW PROPOSED HOUSE ENTIRELY WITHIN FLOOD ZONE McDONALD GEOSCIENCE LOT AREA to tie line = ca.42,381 SF = DWELLING AE (EL=6) as SHOWN ON F.I°R•M. 36103C01176H 9-20-97 LOT AREA to wetland flags ca.14,506 SF= 100.00% a '=g` IEXCAVATION INSPECTION PROP. BLDG.'COVERAGE = co. 1,800 SF = 12.41% ALL DWELLINGS WITHIN 150 FEET OF SUBJECT BY H SANITARYSYSTEM uarn t) 2' _ _ BROWN LOAMY SAND SM PROP. DECK COVERAGE = ca. 722 SF = 4.98% BROWN FINE TO COARSE SAND SM = ca.2,522 SF = 17.39% PREMISES ARE CONNECTED TO PUBLIC WATER �>M DE�, 't'M 4' - - - MAX- BLDG. COVERAGE �N f' GRAYISH BROWN CLAYEY SAND SC .- - _ .., --__ . ,_., 5.3 - - - e.••••: