HomeMy WebLinkAboutCriscito ��ggFFOL q
ELIZABETH A.NEVILLE,MMC �O Town Hall,53095 Main Road
TOWN CLERK a 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 O,( �`�+ www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF AF TOWN CLERK
OWN OOUD
D
JAN 9 2018
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office BUILDING Dom'
TOWN OF SOUTHOLD
DATED: January 9, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4554 for a Cesspool/Septic Tank
Construction Permit submitted by:
Robert Criscito
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
Ol /8
Dated
ELIZABETH A. NEVILLE Town Hall,53096 Main Roa.
TOWN CLERK o P.O. Box 1179
Southold New York 11971
REGISTRAR OF VITAL STATISTICS �y.
MARRIAGE OFFICER Fax (631) 765-6146
RECORDS MANAGEMENT OFFICER ��� �d� Telephone(631)766-1800
FREEDOM OF INFORMATION OFFICER '� J southoldtown.northfork.ziet
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.l 5 J
lf
Permit No.
Applicant Name (I���� (ASO
Applicant Mailing Address ? ) . Ox.' I N.11
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration N l') Ojojaft ff o o
Location of Proposed Construction/Alteration:
Owner of Property: "
Owner Mailing Address:_ (-�oy QI
ON
Owner Property Address: ,��(� r,('�I-t�
S-1 ' o N
Name and phone number of contact person '* S�I 1 qO5 -7qS 3
Tax Map No: Section Block 06 Lot
Cross Street Q I
NOTE: LOCATION MAP MUS , NIITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S Y H HEALTH DEPARTMENT APPROVAL;
Signature of Aplicant Date
Received by: 3 a
TEST HOLE DATA
P- Wr oowu-0 6E05C10"
BEDROOM HOUSE 0 4/2-VVI
... SURVEY OF LOT 43
1-PKEGA5T 1000 GALLON 5EPT I G TANK AP OF SECTION 2 CLEAVES POINT'
2-LEAGHING POOL5 64 X 6' DEEP DROWN SILTY SAND 5M
WITH 3' SAND COLLAR 3' MIN. A60VE 3' FILED MAR. 13, 1962 FILE NO. 3521
GROUND WATER
PALE DROWN FINE110 T ST MARION
TO MEDIUM SAND 5P GvTO WN OF SD
IQT SII �T 14.4' s CO UTHOLD
Y, N. Y.
PROPOSED HOUSE 1352 SQ.FT. WATER IN 1� /1Q
1352 X 1 X 0.17 230 GU.FT. PALE DROWN FINE 1000-035-0 —04
PKOP05ED DRIVEWAY • 532 5Q.FT. 17 TO MEDIUM 5AND 5P p� f�ti w SCALE. 1� 30�
532 X 1 X 0.17 • 90 GU.FT. '' 1 w� �ll" � JAN. 11, 2008
320 CU.FT. OCTOBER 25, 2017 (PROP. HOUSE)
320/42.2.7.5 V.F. \
PROVIDE (3) DRY WELLS 84 X 3' DEEP ,��✓
OK EQUAL 7 " Hca. ✓`
DRY WELL5 TO HOU5E CONNECT q �0
00
WITH GUTTER5 + LEADERS ,
raA. sr t L
PROP05ED HOU5E • 1352 5Q.FT. r
1352/13500 • 10r ' 1�' r' ` � � elldoWOW�
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PIPEp 9 OO
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OO5• x•10" ��.� .. °.... ` . .. . ..,u.,,.. .m..,.,.".
• MONUMENT
'ZEA = 13,500.00 SO. FT.
r
VAT' -`IS ARE KEFEKNCED TO NAVD 88 ( ."'` pC� 3 u
.M FAMILIAR WITH THE 5TANDAKD5 FOR APPROVAL AND �� *CO. ' S
I45TRUGTION OF 5UD5UKFAGE 5EWAGE D15P05AL SYSTEMS FOR �,, a
CiLE FAMILY RE5IDENCE5 AND WILL AD I DE DY THE GOND I T I ON5 '
FORTH THEREIN AND ON THE PERMIT TO GON5TKUCT. THE LOCATION OF PUDLI(, WATER, WELL5 AND GE55POOL5 SHOWN HEREON ARE FROM
FIELD Of55ERVATION5 AND OK FROM DATA ODTAINED FROM OTHERS. "'ORS, P G
' ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION
)9 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT A5 PER 5EGTION ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM "ALTERED DY" MUST DE (631) 765-5020 FAX (631) 765-1797
)9-Sl1f!50IVISInN 9 Al I (.F2TIFIf.ATI/lNS NF2G(lnl ArrF VAI In ane T4—IIS AAAP USED DY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHEK5 0 n cnv Ono