HomeMy WebLinkAboutGrathwohl, Jeff r 1, ,,o�Os�f FO�,�06,
ELIZABETH A.NEVILLE �� ydTown Hall, 53095 Main Road
TOWN CLERK ` H Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER , Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__ jig_70l � 1.� Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER rrrr southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2832 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CHARLES THOMAS
Address 1 : PO BOX 877
City St Zip JAMESPORT NY 11941
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. REF #R10-02-0099
Name Of Owner GRATHWOHL, JEFF
Mailing Address 1 MAIN ROAD
City St Zip JAMESPORT NY 11947
Property Address 1 BREAKWATER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 9 lot 2.004
Cross Street NAUGLES ROAD
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
„ '�•• ��� 7F3
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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK % o P.O. Box 1179
I H
REGISTRA�2.OF VITAL STATISTICS Ali Southold, New York 11971
MARRIAGE OFFICER .% ,jiL �����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER = 7�1 #a.°1� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ r��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK I
TOWN OF SOUTHOLD 4 ti.'J
TO: Southold Town Building Department t_
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 31, 2002
Transmitted herewith is a copy of application No. 2931 for a Cesspool/Septic Tank Construction
Permit submitted by:
Charles M. Thompson
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
/9' z eyed, ;4”;•
Comments: /46.1eee
Signature
Q4/0 o 2—
Dated
Dated
T
J , ,
OF 3CE OF THE TOWN CLERIC ,'f,•••••�•••••.•--
TOWN OF SOUTHOLD �.��c�VFF�[I��OG-_ Application No.� 3
ELIZABETH A.NEVJi.1 F,TOWN CLERK O
P.O.BOX 1179 •< Construction ✓
SOUTHOLD,NEW YORK 11971 . �� Z
G •
• to yc Alteration
Telephonei--/-
‘..0.
O%,j� ����� $10.00 - Residential
(631) 765-1800 =�O/ t$ O
„..•/•••. $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 01
✓1 . 71452
APPLICANT NAME: C 44€5€5 6/1• TAC04A5
APPLICANT ADDRESS: ?(0. 65,6 j??
`)A- " OCA &I l t cleft
SEPTIC (../-CESSPOOL C.--
DESCRIPTION
_ -DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /VOA)
5t (f
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: j c 4(7444.1)014(...
OWNER MAILING ADDRESS: J/1141.7 k Av6
rt4A-1;JA 5(? -- ,V I 1194.1
OWNER PROPERTY ADDRESS: F( ,7}.Lw4 z EA 1MATIvivC
TELEPHONE NUMBER OF CONTACT PERSON: 727-79/3
TAX MAP NO. : Section /06 Block 9 Lot 2. 4-
CROSS STREET: O41--.5 f,ot-r\
BUILDING PERMIT NUMBER CROSS REFERENCE:
/iiiigt
igna u r of Applicant
RECEIVED BY: \.4 . WA..1
Town Clerk's Office
DATE: c i / 0—)._
�:'r•t EDA
AC i
U G L E S ROAD DATE: APR. 20, '02 ( ;{.� .� ' ; 1
NA S 80•34' I-,` '° A
5 ,/ A. .v.
245-57'99.7
45 57 9g 7 55 46'o' E I;I` �, !
Y`
•VOLE 6.5 10 I.�k, >�4 -,.
E • POLE 5 5 g8� - 100. 0 •
r •
1 _
'4
5'30' ry 1110-04.-4024-0),,--,/,)*)
FiS Q TEST E :
NI 7 HOLE
9 N o
9� POLE 4 5 1 . ` i m �; a DATE:9/24/01 OW
o`•
o Z 92.a AREA=1.00 ACRES •z a _
.., v o.D' i
Q _ Z 1 O BROWN
OAMY SAND
Z N C4 1 1,0 zz o (�/1 O; O BROWN
lL II-"" SILTY SAND r()
W I �.Q I w 4 W O (SM) V
LP
C O 1 �sj(��,,0 - r. ..t• >•. . PALE
�J 1 �'�/�.�T'y , a 54,
E id a s BROWN CZ
> Lis�rtnce w Q AND BROWN 4�
_—..�roosco w� H -� 's'° -- .17 a if • w FINE SAND
~ "if 1 __—- Q 1 2 w (Sc')
CL Q -0• 1 —_-- iS o z Q T i
_ Y
0 4 a b -- w 15.0' 4I I
Y LOCAnon OF O
,® 7[sT nae LL d 1-- a d BROWN I
�.L.1 Q U! .6.4 co ¢ n x SILTY SAND
O b o ¢ ILI (SM) IC
L3
z
0 0 252.30' ,9.o CL
LieL
COd
W 67 BROWN >-
W
C 82.20 Orr FINE SP)SAND ^) i
V
25.0'
FOR SANITARY cnoN RE 11 ED SITE PLA N •
SYSTEM
gY TH DEPARTMENT ,.
NOTES: SCALE: I" = 40'-0"
1. ELEVATIONS ARE REFERENCED TO N.G.VD. 12q DATUM
EXISTING ELEVATIONS ARE SHORN THUS:
6(3 -
� -:
2. REFER TO•EILE17,f1AP_FOR TEST HOLE DATA. . E
3. MINIMUM SEPTIe.TANK CAPACITIES FOR A I TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 0
I TANK;5' LONG, 4'-3" WIDE, 6'--1" DEEP
4. MINIMUM LEACHING SYSTEM FOR A I TO 4 BEDROOM HOUSE IS 300 scl ft SIDEWALL AREA
I POOL; 12' DEEP, 5' dla.
MAP OF DESCRIBED PROPERTY -4-1
PROPOSED EXPANSION POOL SITUATED AT MATTITUGK ,L •—
TORN OF SOUTHOLD, SUFFOLK COUNTY, 0 _ p
NEW YORK Q-43 1
PROPOSED LEACHING POOL
L x
® PROPOSED SEPTIC, TANK DIST. 1000 SEG. 106 BLK.�i LOT 2.4 Q =
111
5. THE LOCATION OF HELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD V
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.