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HomeMy WebLinkAboutFlood ELIZABETH A.NEVILLE,MMC �� /,� Town Hall,53095 Main Road � P.O.Box 1179 TOWN CLERK C C* Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p " Fax(631)765-6145 MARRIAGE OFFICER �' aQTelephone(631)765-1800 RECORDS MANAGEMENT OFFICER Ol �` www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE �TOFEOUOTHOIiD CLERK D _ AUG 2 2 2017 TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEPT- TOWN OF SOUTHOLID DATED: August 22, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy application of a lication No. 4509 for a Cesspool/Septic Tank Construction J Permit submitted by: Richard J. Flood 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 I have reviewed the application and location map 'of the project cited above and make the following recommendations: APPROVE DISAPPROVE �G%y I '• Comments: Final qpproval required from the Suffolk County Health Department °I Signature Dated I ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK a 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 SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4509 for a Cesspool/Septic Tank Construction Permit submitted by: Richard J. Flood 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 `Z` ®� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 W Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 1_� Fax (631) 765-6145 MARRIAGE OFFICER 00 RECORDS MANAGEMENT OFFICER ��� ��®� Telephone (631) 765-18 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 @ $104or Non-Residential @ $25 Application No. Permit No. 6::-(µ@_00[ j Applicant Name " Applicant Mailing Address FO 1F7011-/ i Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration ®°' Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: Owner Property Address: \ 1 l v , f . Name and phone number of contact person Tax Map No: I OW Section ` Block Lot _ Cross Street 'Ji Ie'y n ;y-o NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY ITH H T DEPARTMENT APPROVAL Si ature of App I nt Date ._..� Received by: _ — CERTIFIED TO: OPH CONSTRUCTION SURVEY OFRICHARD FLOOD LOT 92 MAP OF EASTWOOD ESTATES JOB NO.:2016-285 MAP NO.:3683 c'T FILED:NOVEMBER 16, 1962 V i/ U �+ �+J REVISIONS: CV TI�H®�7 l>E PREP. FOR HEALTH PERMIT 1/18/20 7 TOWN OF SOUTHOLD ` SUFFOLK COUNTY, NEW YORK S.C.T.M. DIST. 1000 SEC. 110 BLK. 3 LOT 21 - d_" 0 10 0 20 40 60 80 100 120 140 160 180 SCALE: IN=40' DATE:NOVEMBER 23, 2016 COtUN7f 0EP R'I'rszZ:'--, Off- HEALTH SERVICES LICENSE N0. 050363 i� ' IC'iiv'm E OFA Ii .+:; s` Y tis 7t:.e L° 40 N LY HANDS ON SURVEYING 26 SiLVER BROOK DRiVE N �� x f-' t �eqo-6 00 FLANDERS, NEW YORK OA7 3 I r R . 3 11901 w e TEL: (631)-369-8312—FAX:(631)-369-8313 -- MARTIN D. HAND L"S 3'o R, . I I v i3 f4 t=— BEDROOMS COPIES OF THiS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING EXP REAS T H REE YEARS FROM Dry 9 E 0 F AP P ROVAL THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE ONSIDERED TO BEA VALID COPY AND SHALL NOT BE USED FOR ANY PURPOSE. LOT AREA:20,250 SQ.FT. =0.465 ACRE ELEVATIONS SHOWN HEREON REFER TO NAVD 1988 S.C.D.H.S. ENDORSEMENTS AND ARE THE RESULTS OF ACTUAL FIELD MEASUREMENTS NO SURFACE WATER EVIDENT WITHIN 300' ALL PROPERTIES WITHIN 150'ARE IMPROVED AND TEST HOLE DATA SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SERVICED BY PUBLIC WATER UNLESS NOTED AS VACANT OFFICEOF WASTEWATER MANAGEMENT NO VISIBLE WELLS EVIDENT WITHIN 150'OF SUBJECT BOUNDARY AL SANDARDS-FIGURE EL.-33.0'+I— RALTERNATE A-CLEANOUT DETAIL6 TOPSOIL STOPPER OR SLATE OR OTHER ENDPLUG S(TABLE COVER (OL) -0.5' COARSE h SAND SEWER PIPE (S -2.5' 45'ELBOWS P E BROWN E TO C RSE 45'ELBOW VVV TEST HOLE BO G BY P 0 HANDS ON SUR V PiNG 11123116 A\GJ�p�2 cj i \V pRO�� G� ��o �•\�'O V J cS G e0R _ 0 �0 1A L v �2G� PROP ` lk\ L c.sE vicE OSLO_ o Q o° 7z GONG 0,0 — p pC� j -34,1- �o — ij �(j) F \ jos - �ye0o°G��OR OG 1�° 2L6 \ ? ' Z ' cP E SEMENTANOAiRSUHSURFACE \ O/ STRUC TURES RECORDEDOR G UNRECORDED aRE NOTGUARANTEEO u PHYSICAL!YEVIOENT ai THE 11-1 SURVEv I THE OFFSET(OROIMENSIONSf SHOWN HEREONFROM THE STRUCTURES TO THE PRRPOSE AOUD USE--THEREEO EC ERECTION OF FENCES, RET.vT G V .us.POOLS.PA TIGE PUNTING AE45,ADOf TIONS TO BUILDINGS �IWDANYOTHERGONSTFucwN ^ O� TNAUTHORII£D ALTERATIONOR 0 THIS SURVEv15 AVIOLATIO. SECTIONT}O90FTHENEW KSTATE ED-,N Low. CDFES OF THIS MAP NOT BEARING THE 1ANpS YORS S'INKED SEAL OR EMBQSS EAL SHALL NOT RECONSIDERED TO AUp TITLE COPv, RiIFICATIONE INp0a IE O HERON SHALL RUN ONLY TO THE PERSONS)FOR WHOM THE SURVEY IS PREPARED AN0 ON HIS BEHALF TO THE PTLECOMPPNY.GOVERNMENTALAGENCY ANO LENDING INSTITUTION USIE D HEREON,aN0 TO THE ASSIGNEES OF THE LENpING INSTI" TUTION.CERTIFICATIONS ARE NOT iRANSFERAELE TO ADDITIONAL 1-TUTIONS OR SUESEOUENT OWNERS.