HomeMy WebLinkAboutDunn, Peter fF 01
ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OFT E TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: October 17, 2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4436 for a Cesspool/Septic Tank Construction
Permit submitted by:
Pam Hunt for Peter Dunn
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
Dated
ELIZABETH A. NEVILLE �`�' � Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
CA Q1. Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ®� y�®� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 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 � or Non-Residential @ $25 Application No.
Permit No.
Applicant Name
r VLL 4,4 d f_1\ f,
Applicant Mailing Address e� << D
Septic Tank ✓ or Cesspool
Brief Descr'ption of Propospd Construction or Alteration "(I,V)_ Slc. -�i C Vlti
Location of Proposed Construction/Alteration:
Owner of Property: .t , 1 U_h o
kJ
Owner Mailing Address:
Owner Property Address:
Name and phone number of contact persondo
Tax Map No: ° Section_ Block Lot
Cross Street V V G kryl y-
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURV �'WIT HEALTII DEPARTMENT APPROVAL
� r r
Signature of Applicant Date
Received by: __
L lab OF \
292 WATERVIEW LLC
DWELLLING
W/WELL WELL 1 ELM 15.5
LAND N/F \
OF BROWN
LAND N/F WELLZAFFINO SM LOAMY SAND
OF e ZDWtELLUNGERICSSON & /WELL —3' _... ..
WHITE PALE \
I BROWN
FINE
SP TO
MEDIUM \
ISAND
WATER EL 1,5 WATER
IN —14'
E \
BROWN \
FINE
TO
MEDIUM L
SAND — 17' \
MAY 11, 1999
IMcDONALD GEOSCIENCE
WATER SERVICE DETAIL EASEMENT DETAIL
S39'09'40"E 331.88'
20' X 1" COPPER TUBING o. L�
TYPE "K" SOFT COPPER TUBING 'civ is WIDE UTILITY EASEMENT o 0
Cd
(PROPOSED 322' RUN) `n 4,954.41 S.F. or 0 t t ACRES
M. TO DWELLING—r-- z N39 09 40'W 328,71'
1 1/2- PLASTIC PIPE THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
PROPERTY LINE LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA: 40,284 SQ.FT. or 0.93 ACRES ELEVATION DATUM: -NAVD88 _______________
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: PETER DUNN;
MAP OF:
FILED:
SITUATED AT: SOUTHOLD
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK 4r Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE # 15-194 SCALE: 1"=40' DATE: NOV. 8, 2015 PHONE (831)298-1588 FAX (831) 298-1588
M Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Noychuk