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Home My WebLink AboutSilber ELIZABETH A.NEVILLE,MMC �y4 r/y Town Hall,53095 Main Road TOWN CLERKo � P.O. Box 1179 y 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER !!'� ®�' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER Oj �► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department RCRD'VR a FROM: Sabrina Born, Southold Town Clerks Office SEP 8 2017 DATED: September 8, 2017 BUILDING DEPT. RE: Cesspool Construction Application TOWN OF SOUTHOLD Transmitted herewith is a copy of application No. 4518• for a Cesspool/Septic Tank Construction Permit submitted by: JNS Contracting for Randi & Alfred Silber and location ma and advise if this office may issue the permit. Please review the application p y 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: R APPVE O DISAPPROVE Comments: Final approval required from the Suffolk County Health Department 2 A Signature D Z� i7 Dated i l ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 co Southold,New`fork 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: September 8, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4518 for a Cesspool/Septic Tank Construction Permit submitted by: JNS Contracting for Randi & Alfred Silber 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 0 ELI7A-BETH A. NEVILLE e `Z` �� Town Hall, 63095 Main Roa, TOWN CLERK p P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �y. MARRIAGE OFFICER ` ` Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800 FREEDOM OF FNFORMATION OFFICER � �` southoldtown.northfork.nef OFFICE OF TI3E TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 or Non-Residential @$25 Application n / ( Permit No_ 10 - 1-7--oo O -j 17 Applicant Name _ ��c� r.6' � A licant.Mailin Address ! PP g ujy @ Septic Tank- or Cesspoa . Brief Description of Proposed Construction or Alteration Lq Location of Proposed Construction/Alter ion: , Owner of Property: l Liter Owner Mailing Address: as,A 40r, M36 Owner Property Address: C 1 Name and phone number of contact person Tax Map No: Section d Block Q a ` Lot Cross Street NOTE: LOCATION ST BE S T EDW H PLICATION. NEW CONSTRUCTION Q ESS Y II AI,TI3 DEPARTMENT APPROVAL Signature of A plicant Date Received by: SURVEY OF PROPERTY WEL_UNG ITER AT CUTCHOGUE PLJOLIG W TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. Tc 1000-104-07-10 1000 104-07-10WA EL SCALE: 1'= 30' pU130 GL 7° SEPTEMBER 6, 2011 OCT. 20, 2011 (ADD177ONS) APRIL 16, 2012REVISIONS) EL• JUNE 16, 2016 (REVISIONS) G'8, TER IN /w MAY 25, 2017 (PROP. ADDI770IVS) ,M �.� N P Ubu G W P /w I GMF JJNE 29, 2017 (RENSIDIV ),, ,•.. ^~."."""..'., / < couwa r! �eZQ E FE��NEL' c i4 'C , 3Sfd�l'F2L+, it J air. P�� «a��s� �. w N12.2 F'��t'ttat'4 t' NES+ oMl.k �'aiC•?�1..� MF �cr. ��` SSC YS � N S•� G 2 SEP Ao, O A�G x �' aI• ! �.1._�- 0•iE �n �� E �•��k 8Lp 1�. Id mol i o Via• ) {?_.e. ox / ; ��O MSN < D lrl"ir w .w..w -v�•- Z �,a i\Poy /DP D z fel N � � r\' r'i2 s`•rs:ta __�. . ^ .G1C<'=s 150 6 a�vv ,-fig/ �r Gj v `'•• p1I. 0l OPOSEDORGH / So/ FRONT P NOUS gR�GY 1 ` / OUT 7.2 � NEINPS NO WAIKwA 1 11.7, \g o AS 1�ON r- y \ STORY G pDD��ON FR,pWELl1N �i RENAolj FLR EL. 8.7) pO UNIT PROP•1 P. TANK A9C UNITS in m D z N o Z C o A w ON C m >A 1 N o Fpl1 E V-4 v 5 Ao u `z r N rl { " r-- E m 5 D C m 1 •O / m !z 7: x m 1 I/r ✓ NEw REAR S�pS t� v x �• EE °��a gg g J, J@ C 4 ij i B � da m X\SZ P PCO x '�O\` q'lj PERN°US 1 c5 dam'� io � (21CK�N SAND ` vE 1 6'E a a o, arnital' t 0 O ORc S 00.By Hec .e l S1?C0fs SOgOO TO DISH 0 0 STOFp1NGEw N. si ®= MONUMENT O OW A� F��®7 o W00D � ELEVA 77ONS ARE REFERENCED TO N.A.VD. 88 _ P FLOOD ZONES FROM FIRM 361o3co16�hI �Abax,do��ment Off'existing sanitary Sy�SMIW M, 4 conformance vii€.di department requirement Submit g�Ko. I am familiar with the STANDARDS FOR APPRO!/ Lei}TT.pleted fbr a'�.V SNR ®0� Al, AND CONS7RUC770N OF SUBSURFACE SEWAGE �. , � �-b �, 3* 32 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES `J�3, S69e and will abide by the conditions set forth therein and on the A1' ®rmit to construct. A , ,,le location of wells and cesspools shown hereon are poGK from field observations and or from data obtained from others. \NOOO RPSDN� ANY AL7ERA710d 0'R AD0I770N 70 THIS SURVEY IS A WOL97ION QUA FDR OF SECTION 7209OF 7HE NEW YORK STATE EDUCA770N LAS. EXCEPT AS PER SL C77ON 7209-•SUBDI WSION 2. ALL CER71FICAIIONS � `i HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF zr SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WI-FOSE SIC�fAYTJRE APPEARS NERECA�I.