HomeMy WebLinkAboutMatthew 'O
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ELIZABETH A.NEVILLE,MMC �y� 1y Town Hall,53095 Main Road
TOWN CLERK a P.O.Box 1179
a Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MANAGEMENTIAGE OFFICER ®� Telephone(631)765-1800
RECORDS OFFICER
FREEDOM OF INFORMATION OFFICER www•southoldtownny.gov
OFFICE OF THE TOWN CLERK � ������
TOWN OF SOUTHOLD
D-D-
TO: Southold Town Building Department AUG 1 6 2017
FROM: Sabrina Born, Southold Town Clerk's Office BUILDING Dom.
TOWN®E soumoLD
DATED: August 16, 2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4507 for a Cesspool/Septic Tank Construction
Permit submitted by:
Manzi Homes East, LLC for Richard Matthew
I
I 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�
i location ma of the project cited above and make the following
I have reviewed the application and a p p � g
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
I I
Signature
Dated
ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road
TOWN N CLERK P.O. Box 1179
CA 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 OF THE TOWN CLERK
TOWN OF SOLTTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: August 16, 2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4508 for a Cesspool/Septic Tank Construction
Permit submitted by:
Manzi Homes East, LLC for Richard Matthew
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.NE ISE � gown Hall, 53005 Main Road
O CLEFS, � P.O. fox 1170
Southold, New Fork 11971
REGISTRAR OF VITAL S'TATIS'TICS MARRIAGE OFFICER fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM GE INFORMATION OFFICER southoldtown.northfork.net
OFFICE THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATERDISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential 10 or Non-Residential @$25 Application No.
Permit No. d0'T'®
Applicant Name_ a
Applicant Mailing Address
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration n c LIEF �S c
Location. of Proposed Construction/Alteration-
Owner of Property:
Owner Failing Address:
Owner Property Address:— ` I v 61�
Name and phone number of contact person
fax Map No: Section I i Block I Lot
Gross Street
NOTE: LOCATION AP MUST BE ITTE WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SIT EY H HE TH DEPARTMENT APPROVAL
ature of Applic Date
Receive by:
SURVEY OF: TEST HOLE DATA
PROPERTY LOCATED AT CUTCHOGUE
(NOT TO SCALE) .
L 0 T N o. 3 BY: ROY K. REISSIG. PE ....... a . rge$Grs a) ' 4 �1$sr
AS SHOWN ON ., �/ t 1;::;} ,.
OCTOBER 29, 2016 0 6:00 AM }� �� Eki , e.. ' ,�V*("pE'S<
MAP OF EAST COAST PROPERTIES � ef;��': � 1•."° �' ' •, firw~:�-x'st'' `
FILED: MAY 2Y. 1992: FILE No. 9225 0.0'-0.6' TOP solL PT
a si:.„4.#q� ta1 It`t`6.
BROWN SILTY
TOWN OF S O U T H O L D 0.6'-2.5' SM ,-�-3
SAND & GRAVEL P';';1; 1`4.11 s1 x'iy1
SUFFOLK COUNTY. NEW YORK —
o 2.5'-4.5' BROWN SAND SP
S.C.T.M. # 1000-101-1-16.5 o _ a GRAVEL / __A..4rr <31,
AREA = 94. 13 SF. GREYISH BROWN
SILTY SAND
SCALE: 1"=60' BROWN SANDSM '1� TEST T a
sir
GRAVEL SP ,� a�� � HOLE J1 'Q��
NO WATER �� ✓
NOTE: THE EXISTENCE OF RIGHT OF WAYS, se<�fT �00�� O
WETLANDS AND/OR EASEMENTS OF RECORD
IF ANY. NOT SHOWN ARE NOT GUARANTEED. / tifti / od p,s0;
ELEVATION REFER TO 1988 NAVD
ELEVATION SHOWN THUS +}+ LOT 2
(RES WITH WELL
SEPTIC) �o�I°� ^� pe/ n5�
_
j �a. �\' / �. •r. ps� 1�ti'i1l2ws +slµ*"'i 3; n;.}•tea
O. of01
aY
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'p AN too
IT
FINISHED GRADE �® �.� 'e�s O v Y' "� �-pI-`�-- '•��'Y�' „W�
1'M� ISN—CONCRETE .® Arp® 'O� S.�
2'MAX. CVR \• 17" p�. p S
CONCRETE
CHIMNEY 4'MAX. / �V
26 \ //L ;(,vFnut-tit p^� f'{
INLET I/B'PITCH x
O. ' ' a'' d'`>"`4'MIN 4•DIA0 E3 13
13 ❑ ❑ a PIPE �2} vc
r V�
12.0' o-bRAD = 68.00'
s = 10o O 1 f VC(�
H COLLAR
OIAM£TER ❑ .oc'�t� n
�J LEN = 112.51'
8.0' 2 e�plJO
y �� O, K
K LEACNMG SECTION W LOT 4
s BACKFILL WITH
GROUND WATER
CLEAN SAND AND 3.0'MIN. -� /G [n / (VACANT)
GRAVEL MATERIAL d m �i�f �" of- NClb
S'PENETRATIONV, ti AR S 0
INTO A VIRGIN STRATA /
OF SANG AND GRAVEL G.t f 00 0� PRWWEOSED
!S 0LL
V
TYPICAL LEACHING POOL 0 ����;
9 LOCKING CASTING
(N.T.S.I ) TO GRADE C,� _ '"Y-c) J0,
✓�7if z aa^ r MIN. 24" `�$ X507$2
a MAX.
OF SECTION 7 ALTERATION W ADDITION TO THIS SURVEY IS A VIOLATION O F$- 114•PITCH 20` 20' 6' MIN TOP LANA
OF SECTION 7209 OF THE NEN YORK STATE EDUCATION LAN.
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED <�® 3 4'DdA MlN SLAB
OR EMBOSSED SEAL SHALL NOT CONSIDERED TO BE A VALID TRUE COPY. >- CLASS 2400
GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO Q® pdPE opdTCH
THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO OR EQUIVALENT z ILL
THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION Z (0 4.0 m CLASS 2�0 SURVEYED 8 Y:
LISTED HEREON AND TO T( ASSIGNEES OF THE LENDING%NST%TUTION DEPTH pdpE PAUL ®A R Y L S K I LAND SURVEYING
GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE 70 ADDITIONAL \ O / OR EDU%VALENT' PATCH 0 G U E N Y 11772
INSTITUTIONS OR SUBSEQUENT OWNERS. �
rNG PHONE 631-294-6985
CERTIFIED TO: � LENGTH
RICHARD M. MATTHEW s SEPTIC TANK FAX 631-627-3186
TARDITION TITLE AGENCY. INC. �� ✓ PAUL F3ARYLSKI�YAH( 0�
SUFFOLK COUNTY NATIONALS DANK, N.A. � � TYPICAL 1100 GALLON SEPTIC TANK
2364 OCTOBER 20. 2016
4
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