HomeMy WebLinkAboutSeverson ELIZABETH A. NEVILLE, MMC O� CQ Town Hall,53095 Main Road
TOWN CLERK �� P.O.Box 1179
C* Southold,New York 11971
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REGISTRAR OF VITAL STATISTICS COGFax(631)765-6145
MARRIAGE OFFICER O`. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER y�,( �� www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK _
TOWN OF SOUTHOLD
TO: Southold Town Building Department X18
A 2 4 2018
FROM: Sabrina Born, Southold Town Clerk's Office
ING pEPT. 7
DATED: January 22, 2018 TOWN OF SOUTHOLD
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4566 for a Cesspool/Septic Tank
Construction Permit submitted by:
Steelman for Patrick and Diane Severson
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 v
DISAPPROVE
Comments:
c
Signature
O
Dated
ELIZABETH A. NEVILLE,MMC �� Town Hall, 53095 Main Road
TOWN CLERKP.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS , �' Fax(631)765-6145
MARRIAGE OFFICER a� � �a�.� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER a 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: January 22, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4566 for a Cesspool/Septic Tank
Construction Permit submitted by:
Steelman for t'atrick and Diane Severson
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
i
VF
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK �' P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS w
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800 1
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 @$10, or Non-Residential @$25 Application No.
Permit No.
Applicant' f ° Nancy Steelman, Samuels and Steelman Architects _ ..._.._
Applicant Mailing Address 25235 Main Road,Cutchogue, NY 11935
Brief Description of Proposed
......... p . .,...,....... __�..�
�..�
Septic Tank or Cesspool
p p sed Construction or A]icratio system with new piping
new septic m_...,.. dm�... �..
--- .. .. ... ......�. __�w ..,.m. _ . .
Location of Proposed Construction/Alteration:
Owner of lropertr:m ..........
Prt .. .rt _ .i �ae..S.�reroo_. _.. .m ..................
Owner Mailing Address:ww,w43s De, Austin, TX 78746
4306 Churchill Downs A
_ ...._�.,. . .n. ..,. ._m.n. _
Owner Property Address: 9202 Bridge Lane, ,CuEchogue, NY 11935.. ww ww ,.
Name and phone number of contact person e Nancyt Steelman 631 734-6405
Tax Map No: Section..........7 Block ..... 02 Lot .. .. �. ..................
Cross Street Main wRoad
NOTE: LOCATION MAP MUST BE Z",
13, I°I"T�' *4 1TH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR EY,, TH 1I�EA�'1 1 DEP RTME NT APPROVAL
s t1t°urc P'cant` lite
Received by: w....
i �
i
as -IRMIDENCol!
2
l•ND 1 0 6ARASE PLRELEV +18S'131.2 -3.1 JULY 21311 APRIL ,2017
2017
0
SRAM LINE ELEVATION 18.41 FT SCTM* 1000-73- AUGUST 31,2017
6 LINE ELEVATION±775 FT. PROPERTY: 8202 Bridge Ln
Is ND II XI5TIN6 „F MIN. �' MAX. LINE ADDRESS Cutcbogua New York 11835
13 T OWNER: Patrick M Severson,Diane S Severson
0 BULKHEAD
�14 p° ISTIN6 "� " MIN 4306 Churchill Downs Dr East
STAIRS R. " MIN
TOP Austin,TX 78746-1109
L OG 13EAGH .6„9 IG I SITE: 59,977,49 sq.ft. =1.377 Acres
TANK IE. +155' POOL ZONING: R-80
L17 IE. +16.416' IE. +-16.0' IE. +75.81” OF POOL FT,
- SURVEYOR: Nathan Taft Corwin III
," E ISTNN6 � WA
P.O.Box 1931
6 1 BULKHEAD 8' MIN 322 Roanoke Avenue
y FY .,x �ETI1IL Riverhead,New York 11901-0965
License#49273
•��"^.,, BEAGHNG (N.T.S.) Dated:September 27, ER Z
TpP OF EXISTING NIG ' IN ELEVATIONS ARE REFERENCED
B � •. STAIRS BLUFF ASHOK ASVANI DATUM
r�0.9 BANSIC VASVANI SANITARY 9YST1:h1 TO N.A.V.D.1888 C
,.'
S MAP
37 SIDNEY PL, BROOKLYN NY D
11201 y p j -., Q LLI Uj
9204 BRIDGE LN �.,r' 08 2
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DWELLING $WrrLLWATER I Z 0 Z
LOGATED 5, PROJECT Q H
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848 LEACHING P
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6 TEST HOi ATION R3 1CM
ti �. E1.EV +"I�k 2 BY McDONALD GEOSCIENCE
• •'k "FESTHOLE DATA 318117 I LM+74.25
TOP Or, - ..
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BLUFF3w, 1. • DARK BROWN LOAM OL
.8 z•
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N/0/F7x BROWN SILT ML ryi f•
THOMAS J KENNEDY J IG AND,,. • �" w J'
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LAURA KENNEDY 'W'
261 DOGWOOD LN, MANHASSEf NY 4, - INS � � NO LLS FOU "1 if BRowN SILTY SAND SM �W.�a
? �" PA K1 ti IN RAD S OF
210 CASTLE HILL RD °� " 1G PALE BROWN FINE y�•
1000-72-1-1.6 I /'� 11� COZg FT,M TO MEDIUM SAND SP
DWELLING WITH WELL WATER 570 8 O NG �II�pNG pINELL� COMMENTS:NO WATER ENCOUNTERED
PROP05ED NEW L WFµLL E1,NWELL
/ N eL.L SG N INSTALLED ORE
e I T WELL
— TOP
74
THAN 40 �in��1"MM O � ����.AT {•LI4�:n'w uW �� �N-A1 N' I
DEPTH
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MORE THA BELOW \ d
NEI&HBORIN6 T R TABLE. 1 "" .. �7 �
RESIDENT-E � 1 #�, 741� ! f T71
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IST UNVeR6FZj0UNV• 1+3TIN, WELL WATER LINE ?�� r`C" Co. � ,�Tij"ITT1Lfr�t�j C NO:
N TO ABANDONED 9
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I'STING�� ELECTRIC AND GAN LINE . - UT
XISTN Of F 14S
INS EXISTI N & ROPERTIEs LP
\ WELL SHED TO BE 1200 N DERAL HW STE 411 March 13 2017
REMOVED BOCK RATON, FL 33432 2803 401-V
�' 8850 BRIDGE LN xHE9TQ,
_Y
•" 1000-73-2-4
N'XI5T1 �- J FIELD CROPS - AGRICULTURE SIT
E PLAN
SANITARY
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-STEM N t
MICHAEL J WIGGINS, BETTY F WIGGINS, , S' IT
PLAN
160E 65th St, New York, NY 10065
1000-72.-1 1. F �' .,`� SCALE: V'=:40'.01'
W � Bridge, Lane LP
°� tREET' HIGHWA 0
� �" Y 1200 N Federal 41
Boca 51051OREGON RDon, FL S
I HwrY She
1000-73.-1-1 SC.DHS SUBMISSION
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