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Home My WebLink AboutChristina C ELIZABETH A. NEVILLE, MMC `� Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 CA REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER EPP Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: March 30, 2017 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4471 for a Cesspool/Septic Tank Construction Permit submitted by: Naoum Christina 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: Signature Dated %ijFFO(/� ®� ELIZABETH A. NEVILLE Town Hall, 53095 Main Road � �� TOWN CLERK W P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �® ® Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 _or Non-Residential @ $25 Application No. � Permit No. 6, Owner Name lVLK0 C.4 OA (",(A PLll 4 Owner Mailing Address tfS—3 S? 2,20` Owner Property Address k>-3 V G a suiG A E N -/ k B 6 � u�ll.ccyc Owner Telephone No. 17 —6 91 C) "Z Tax Map No: Section 10 ock_ Lot Cross Street ri ol'e 'L- Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST DE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) Signat re of Applicant Date Received by: SURVEY SO�A PROPERTY TE CUTCHOGUE gl TOWN OF SOUTHOLD - 4 SUFFOLK COUNTY, NEW YORK �g iZuX �x�� S.C. TAX No. 1000-104-02-7.4 r r SCALE 1"=50' ry N JULY 25, 1998 , APRIL 14, 2005 ADDED PUBLIC WATER �o FEBRUARY 6, 2007 REVISED MAP a3 CJ FEBRUARY 12, 2015 ADD NEW HOUSE v MARCH 9, 2015 REVISE PLAN " JUNE 13, 2015 FOUNDATION LOCATION e o FEBRUARY 7, 2017 FINAL SURVEYZg0 as c1\ \ MARCH 16, 2017 REVISED AS PER SCDOHS 66 2 AREA = 57,686 sq. ft. s N 1.324 ac. Sk®� .� NOTES: 1. ELEVATIONS ARE REFERENCED TO NAVD 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 7>� 2. THIS PROPERTY IS COMPRISED OF P/O LOTS 51, 52 k 53 HON%ON MAP OF NASSAU FARMS 1.®T- I ` FILED THE OFFICE OF THE CLERK OF SUFFOLK COUNTY Ito ! P ON MARCH 28, 1935 AS FILE No. 1179 i 3. LOT NUMBERS SHOWN THUS: LOT S REFER TO r tT C SUBDIVISION MAP FOR MABELLE DEMPEWOLF LAST DATE REVISED DECEMBER S. 2005. P�'P cid SOO #i a O SEPTIC SYSTEM TIE MEASUREMENTS W HOUSE HOUSE CORNER QA CORNER CESSPOOL�p04 O SEPTIC TANKmn 655P O COVER 24' 46' LEACHING POOL COVER 1 38.5' 54.5' LEACHING POOL 5 COVER 2 4' 66' LEACHING POOL COVER 3 42.5' 65.5' LEACH COVERT 4 POOL 55' 73' TEST HOLE DATA Zti y0. (TEST HOLE DUG BY Mc DONALD GEO5C19NL ON JULY 22, 1998) N 66�o QO ELEV.20.2' O. DARK BROWN SANDY LOW OL 1' BROWN LOAMY SAND SM ,. LOT d PREPARED EV ACCOWUNCE WDN THE MUM M STNIDIW$-FDR'TIR'E'�AS ESTABLISHED WELL BY 11ffi�'LJAL4 Alp Mp ADOPTED PALE BROWN FINE SP 150' (-- tTxP SUCTI U .@Y TIIEj tA.ffi YOR11 7 Wp TO MEDIUM SAND ,;tntE.w�SN716N. ;9 L'•,+F,+ Z ELIEV l' .3.8' +� GROUND WATER P t� x i� WATER IN PALE BROWN FINE 70 MEDIUM SAND SP � fY �ti 3r a N.Y.S. Lic. No. 49668 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF _.......- SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Nathan Taft (.%.Porwin III COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR CESSPOOL EMBOSSED SEAL SHALL NOT BE CONSIDERED Land Surveyor TO BE A VALID TRUE COPY. CESSPOOL CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY DWELLING IS PREPARED,AND ON HIS BEHALF TO THE rifle Surveys — Subdivisions — Site Plans — Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND WELL OVER 150' LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727m-2090 Fox (631)727-1727 TUITION. CERTInCATiONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jomesport, New York 11947