HomeMy WebLinkAboutDiefendorf r•kf SOFFO`e
ELIZABETH A.NEVILLE ���4 . %; Town Hall, 53095 Main Road
TOWN CLERK ` ® e P.O. Box 1179
et4REGISTRAR OF VITAL STATISTICS . i Southold, New York 11971
MARRIAGE OFFICER `�®s�s l��1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_�®1 g �®iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �- ,rrrr southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2789 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : MYLES MAHANEY
Address 1: PO BOX 4
City St Zip NEW SUFFOLK NY 11956
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 #R10-01-025
Name Of Owner DIEFENDORF, ELIZABETH
Mailing Address 1 PO BOX 4
City St Zip NEW SUFFOLK NY 11956
Property Address 1 385 GRATHWOHL ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 6 lot 14.001
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/04/02 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �� � '�� Town Hall, 53095 Main Road
TOWN CLERK ` 1 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �__ 441 44„1/ Telephone
(631) 765-6145
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,�44„1/ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
tl'' j n •' 1
TO: Southold Town Building Department =t,' MAR Z 2002 q,'�
FROM: Linda J. Cooper, Southold Town Clerk's Office � '_ -�---
DATED: March 28, 2002
Transmitted herewith is a copy of application No. 2891 for a Cesspool/Septic Tank Construction
Permit submitted by:
Myles Mahoney
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
Comments:
Signature
fiX-2,-
Dated
s
'
6 FILE OF THE TOWN CLERK
TOWN OF SOUTHOLD � O��J �QG Application
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ; Construction
SOUTHOLD,NEW YORK 11971a T
Alteration
TelephoneO,f ,kr ' $10.00 -Residential
(631) 765- 800 1 �;,�' $25.00 -Non-Residential .
( TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for
cCaSTRUCTIO-is)1 r ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE 2 &(AA c,�, ?o- 7
APPLICANT NAME: 1/14/(PS 144 hk
APPLICANT ADDRESS: P. 0 , iS b X, T1
Vl. -w EL) 1 Ftp( (t IA.Y. - l I q
SEPTIC V CESSPOOL'*
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
. OWNER OF PROPERTY: C Io.Q.`(-IA Th e etc(()if
OWNER MAILING ADDRESS: {Q. 0 . 81,/ l(
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OWNER PROPERTY ADDRESS:
3Sc G-IeNcA14A w Oh L 2.d_
TELEPHONE NUMBER OF CONTACT PERSON(C)3 1 ) 76s--- (096s-
TAX MAP NO. : Section /17 Block 06 Lot / tf-/
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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RECEIVED BY: d •
Town Clerk's fice
DATE: ( -cX�
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/ ' 'ito � ',� 4 rv», /44s- t166,4.010.. _ /// �/'/ ,/ PERMIT FOR APPROVAL OF CONSTRUCTION FOR
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'�N s 'E RESIT YEARS ROM DATEOF PP OVi
S GARAGE . _..-. ,, 7 W 6' .'^? t.t1 _�GO, 'iC/" li / / �✓//�C
r 32�W.FrtmE x�l'ifl,+"d�R 1/ `,la.j / // / // Ii ,Z//4, -c C l/Ai�/� /
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/ / // / '.,; N'>�a, •/ Y mp I I I NOTES:
r
/�' // / y i x I I 1. ELEVATIONS ARE REFERENCED TO
I 6'AR lf WM. I 1 I \ EXISTING ELEVATIONS ARE SH
I I I I
\\ l 112..I\ EXISTING CONTOUR LINES ARI
I I I I II 1 \ / I PROPOSED CONTOUR LINES A
I 1 ,12 I I I \ \ / `,,� 2. ZONING USE DISTRICT: AGRICULTI
1 \ I I \ / 3. WETLAND AREA = 61,595 sq. I
\ \ 11 m I I \ \\ \ ! 3 UPLAND AREA = 58,827 sq ff.
\ \ 1 I \ 1 \ I1 PROPOSED LOT COVERAGE IS 1,E
\ w \ 1 I I \ — / I Q 4. MINIMUM SEPTIC TANK CAPACITIE
• \ \ 1 l 1 TANK; 8' LONG, 4'-3” WIDE,
• \ 1 \ co
o 5. MINIMUM LEACHING SYSTEM FOR
Fowl() \ N ."N 5.
2 POOLS; 6' DEEP, 8' dia.
�,
'\\ 1,6 STAKE as'N. \ 1 \ _ 10.E 1p
5\____,.()__..—‘
CI » \ -
b \N 8 G OF N \ \ EDGE OF*AWN 190.22' I \\x qe PROPOSED EXPANSION PC
rr '- ESE v iG �� i
s /
\m DWELLING
PROPOSED LEACHING PO(
o E N/0/F N
(-),--,'''h„..-„, � JOHN F. MCDE MOTT `� i
IR
® PROPOSED SEPTIC TANK
0 & DIANE M. MC RMOTT
CZ I 6. THE LOCATION OF WELLS AND CI
,bt p b ' ii OBSERVATIONS AND/OR DATA OB'
o 7. FILL TO BE OBTAINED FROM EXC,
$ NO ADDITIONAL FILL TO BE BROIL
W
WELL '8
$i
0
NEW Z WELL
SOF
FOLD AV
ENUE
PROPOSED SEPTIC -SYSTEM DETAIL -
(NOT TO SCALE) - -
JRIED
max. FINISHED GRADE
ELEV. RASH ORADE - -
WAiERRGNT h INSECT PROOF �ELhV. 2a•
ll/:(1.4joierKINO,
COVER TO GRADE
i _JE1 40"min.
APPROVED PIPE
.
PITCHED 1/d"/1'
°, °Z INVERT__. _ f m. � w