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�� �� � � �i j,��������.j��+�Ig,],�g j���' � Towi1 Hall,53095 Main Road ���� ����� � � P.O. Box 1179 � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �' � Fax(631)765-6145 MARRIAGE OFFICER � Telephoue(631)765-1800 RECORDS MANAGEMENT OFFICER �� � www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ���'��� �F'��� ���� �I.��� TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: August 2, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4413 for a Cesspool/Septic Tank Construction Permit submitted by: Jason Reutter for Jillian Staib 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. � * �x �x * � � � * * � * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final a�roval required from the Suffolk County Health De�artment Signature Dated ����vF�at��, ELIZABETH A. NEVILLE °� �G Town Hall, 53095 Main Road TOWN CLERK � �� P.O. Box 1179 � 2 Southold, New York 11971 REGISTIZAR OF VITAL STATISTICS � � Fa�c (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��fo� ���� Telephone (631) 765-1800 FREEDOM OF INFOIi,MATION OFFICER southoldtown.northfork.net o�Fac� o� �x� Tow� c�E�,x TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 � �,,or Non-Residential @ $25 Application No. � � f� Permit No. A licant Name ��-� i��°` ��-�-�``� �� Applicant Mailing Address �� �`r`�-`�� l � a� �- . ��< � ��,� �����--� �� i � � �- Septic Tank or Cesspool Brief Description of Pro osed Construction or Alteration �����d"� �� , ��,���.��� � ���'�c�c��`�� � � �e��. �... `� �� ,��, Location of Proposed Construction/Alteration: Owner of Property: �,�� � �� ���•''� ����� � Owner Mailing Address: ���� ����`"%�-'��� ���a � �n � �ez�-`��c �� � �` o� � � ��� Owner Property Address: ary�����C`�- �. . , . Name and phone number of contact person �� � ��� ���a�C� � �:'�f � � ��������� �� , � �� Tax Map No: 5ection C � Bloek �«� Lot � �� .� Cross Street � �� ��'��-�"���� �. I��'I'Ee I,OCA'TIOI� IVIAP Il�I1S'I' �3E SI7�1VI�'TTED 'WI'I'I� A.I'PI�IC�"I"�OI�. I�EW COI�tS'TIaiTC'T��I�t I�QLT��tE� SiJI�'�EY VVI��I I-�E�1�.'I'�-� AR'I'IVIEI�tT A P12OV� ,� �,��-`°-�-� �� � ' �� � ,_' ��nature of App icant D��e _� � Received by: ---- -- � SURVEY 0� PROPERTY ' __.. SITUATE w� I � MATTITUCK , ' � TCWN OF SOUTHOLD ' SUF�OLK COUNTY, NEW YORK •�1 ', S.C. TAX No. 1000-115-03-18.5 352�8M " � �WN�ODHULL . �;� :cn� � �� ,�(., I SCALE 1"=30' �uuns�� ,�� i � t FEBRUARY 25 2075 _ � MAY 12.2016 REVISE �� � ���� M � JU�E 23,20:6 REVIS'c PER Vv.S.C.EC.NOTICE C6/S7/2016 ' � � ! �� • JUiY 6,2016 REViSE STORM 7RAIV$ �} .� � �� N � . �.._. _,zo+s sr:ow aaRce���ns i :a��or ' ��t N $Z•20'30" E �' m�E y� a��'' � ��\ e ���"^��: TOTAL AREA = 77.298 sq. ft. Y I� � ��. �o rc uH_: 1.775 ac. � 1 � xx°�°a.�aw�'Tr"da� s<',,:t�i �� $ I ' rtncc .ss�,�nca+eueo wm+nw+s�E� � � �'�/ C '�° � 5 bW�i.,: � � �/ � \ '��"y. �'. . NOTES: z I�i, Ix / v��`9��F %� x� \\ N sss -5 ' � t E�EVATIONS ARE REfERENCED FO N.n.V.D. 1988 DANM r ,)3.4 Fy�.sco��p �. 6g � � E%IS'WG ELEVATIONS ARE SHOWN THUS:ZSP �0 i� y „� ssanc � o/ � .� xzso j� \� � c'ri w`�'ucnoon (�, N? e� I ,I . a5 /av. �h;u �`;�3crefn_�g(`y��� � �,� 4 ��+ � U� ", of40 fe�.�s,m set a minirr,;� I � �� TOTAL LOT COVERICE DATA w -r? i � � _ ���. �� m✓1hsN�,,���` � : � ocscaivrox aacn z;m ccvEaAcc � � � � _ o`�N �y_ • � � \ x� „e 1 I �z a� Q y ��" OtISEW/ROOFOVEF IJO>aG.'f. 2.2% ( __--�—�---�— �"1 z�a �'� S�iE STCOP � � � _ -- ��s� nc � �L` cnaacc saz�a.r�. o.�x L_ •Z5 ',••ao� '� = � a � X� xzi.o 1 J ft�Of OVER HaICK si w.r� I� �+ � .ul ����roc m � � "s � o� ^�� � � � � a wu� � E.,v i t:l �. �; (z)sMEDs �Jsav.k � a.zx I� Np �r I ��,x. � F ]af +� . . 'fo�^'E"" :.JSs I . � �cnzcao ez:a n ', `,` �v� j o�� � '-_.izz�.z,__ �" � --`-. __ ____��-_ �u _� � I s�': O o �:xcaa Ho ac_ sss:a.n. osz ' o, �� Y�1 �"�� .o� �,.wo,�,n ": ?`��1-` -.zu a v_s�:< i , i ,,Q o BFIL:CyPAi10 a 1.669 s9.ff. 22% lti Z ��!���m %� w �+o m � �4'�� '� � ��� I '� :�q �BRICN WPt% ' 2d2 z9.f1 '� � aO ' ANp u�K�xc —J m SFCro � 0.3F . �'� ry x�PZ �n ._...'_ � n�s' ' .. 2.ix � . /7� I ` covc.naaox �sza.ri o.ir. ; 1.�, u�/F3 � _ ___ __ ___________ �# �v i <u #'�V . %,,. I zas cw,�w�lrcnce ,xnz � �8.x / 5 I �.��w ASPHALT DiMEWAY 3.)32 va. f 68% i � 'O �/�'_ . � � I gg� �r� o-�y �s ^„ ��i � i'o"at I s.em a4. . ; i�sx . � N 8�� ! � 'R � . � _' - s+rn���� __. _ .. :.� / = a w^ ��F � � � � s ��,�M �;,s .. . � �I• }�.—�.m� v h � •"3 � € � i „� I K� � tv � >�, �' =a" � �.. 2 i� .� i t:, r �• .. i i r �= j �� 1 � !� ,xA ..�a.s 31 � � $5 / �cc : ,v a.�. / i 1 :�� �„,°,� _ �o.>� . .o ---------- ' . l�.�'"'',,��. .v.a l .� � i ��e p� . v.. acoo.wrtra�'i v��xfsr�s�roxr ��`(��'� / � FiQ�ss' / , �f ffi6 .{� N / Jr-O�� µ/ � f xSdd »e '�d N� w%»�ec sb r� �u � . . wio:,aEua>ow �c �i� ., � :�-;,-�-�.-- �`"'e,E,ec �> . .��� ,z,. � N � ' � �O�� Watcr Line s MUST 8 °�"`"c � �-�-- .m-- ()--_ e Insaecte9 B T_ �""`� `,,., �• �-..-�-- .. StIfiOP(COUf1fY D��C�f}�BdN�,S2it;CRSF EL9/NN/O/p oDY `►,�.`��H.� �I� .. �� t aSC�e a Po�cE�* Cu^�I$52-S70O,4$f{O�rs 1'1/-',pycn.��,, E E'�Cp SJFr'�LK CO'l4Ti OE�hR'tIdGNT OF HFALTH SfRViCES �'��� �� fi�•.•7�''� �T p-.TO°P$iPE"° To Scheduie inspectiort(s). � PER!SIT FOR APFFOVAC OF CC\STRJCTIO;!FOR A 37��88' i � � � , � / SttT ."it\GLC FR:iiLY^�^.IC:�CE O�r'I.Y ' ?y tl2'F3:v�*m+cE sx�u eE Pucfo r�anuEL ro swv[rowmurs5 to � C�J(2 8 Z�16 /,, 3�, .xnisc rcmo�c ernacxr..�sr¢c.•xo�cux s�r.�.vcc Enca A6aud �."'_ �;:re N ,f?e�.hto. ��� _�.._/-� o� ovr-s..-a.rsPORr oiom��:au�ix:::`i�xm�:uow E0 � confc.�,,'�c�nrotexistin�sam'W�-_-- M:^ovc� L1L - SJSN� . `� . . ��` co <wi!h d:. 0'..ys�en�mast / � ��' �Pte[ed fo. F���( UIM �� F�""r•�'•vi�•�• Ci�OR�0:.1G PSfi/SED:rv RCLOPOu�CE wrtH iMf uimMUM 'm 14'SVM� � �rKnt Su --`�-- . m,ms fnx m�wm�c,s.s csoaus�� er�ixc uw�s.�.vo rrvamtn u+o�oorrto � _ '�-��as p�t b�� EY?IRES 7HF.� EARS FRO"A�ATC O��AFPROVAt =ar N.c Hew ma.srnic v.ro voic(arunsr.) � n �wci:uoN._,� ���A'�� 1 TYPICAL STORMWATER UNIT �� SE�`�?w\ I tr— (i0?5 io BE TRAFflC BGRINC) �� (NOT 70 SCaL� ��V�T�. ��}. m°Ta.��`vn XYAP'ecu�e m[mw� ,�'t' � . ¢� ..1T.� z c Y �) /� a,�� �,���g NEW = f�� _� \\ SUFFD � =`�'r:.� ; \ I T T yo DATA LK A VEN U'[� � �� �I '�`� � �W/CMP/.CfEO � +-�li•sim�c (1EST HIN.E�UG BY�'aiHqN CORVAH 5.ON FEBR�0.29.10i6 I ��f�-_ J� C�' N.Y.S.Lic.No.5046] � 8.1<�LL �y� -. paR��lFR4TI0x Oi M�rtpx i0�HIS 5. _ STM NCUI:C��' ��� _ ° "�'� "„°'°` ` `"�`_'"� BVathan Taft Corwin 111 � . woo vs�e xe urz . EWG�CY' (NOT TO SCALE) 'm�� I �m�� I e��m.a�v s�.m m Es c.U6 sum uno rcoT BUrtmc �"�°_°'"""°'_ °p Land Surveyor �u�o�s°rvni rvm'ec�censccam a E CtlPv. �� � iN nEftEOx SMN1 RUn G�E^EGSOu fOR w�.'Ou rvE SUME�' a ornm m 5 * '�+ Successor'o:Ste-ley J,kaksen.Jr,i.5. p1iA1NAC�$}�5'�pf C�iJi&�TIONS: mrt.o c,,�c swo tP[no ro n'vr.wvEaN�utu�i cexei�vo JoseCM1 A InSe9na'�..5. � .115iE0 HEREON.AVD ROOF AREA:2.310 q,ft. i, y �m���npy�q�tio�i�w++s���t'cw.a ifle Surt^/s-SvDeivisians- 9'te Plons- Canslvc!ion Loyuut 2.3t0 s9.R.%0.17=393 cu.ff, e�� � nmoa c[ 393 cu.tf./622=9.3 rertical fl.of 8'tlia,lea<hfng pooi required � � PHONf(631)727-2090 Fax(637)727-1727 PROVIDE(3)8'tlia.X 4'high STORM ORAIN P0015 ��� j iNE E�%RSTEHCE OF RiGNis OF WAr ORICES LOGtED AT VA!(JNG ADORESS � A 0/ EASEMENiS OG RECORO, � 1586 Main ftoatl P.O.Box 16 i PftOPOSED 8'DIA.X 4'�EE?DRYWELLS FOR ROOP RVN-OFF ARE SNOWN THUS: ti.�`' �r.�,jr,,.�,�4°_.P1�,�>` _ _sy, Aur,Nor SHOWN ARE NOi GUARANIEEO. Jemespof.,kew York 1194� Jamespor�New Yark i'95� - 4: