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Home My WebLink AboutHowley f ELIZABETH A.NEVILLE,MMC �O`Og11FF®L�-CO Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 Fax(631)765-6145 MARRIAGE OFFICER ,y ��. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER '�Ol �`1 www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D [ECR0'V[E V TO: Southold Town Building Department SEP - 7 2018 FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DEPT. DATED: September 7, 2018 TOWN OF SOUTHOLD RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4652 for a Cesspool/Septic Tank Construction Permit submitted by: Richard Boyd for Christine Howley 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: 4 S Signature Dated s Town Hall, 53095 Main Road ELIZABETH A.NEVILLE TOWN CLERK p P.O.Box 1179 va a Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Oifyi � � Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER -701 �►� 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 V or Non-Residential @ $25 Application No. Permit No. Applicant Name Applicant Mailing Address Septic Tank or Cesspool BriefDescriptionof Proposed Construction or Alteration trt Tai C t4 N,C st-(d,4 S tv--C- CA'0 S VWL Location of Proposed Construction/Alteration: ru P Owner of Property: (.-of f I-'�S Owner Mailing Address: '3o 2 W-r� 0 ReDLO Owner Property Address: Name and phone number of contact persons-r/ 'D � Tax Map No: Section Block ® Lot Cross Street L A-L� D NOTE: LOCATION MAP MUST BE BMITT TH APPLICATION. NEW CONSTRUCTION REQUIRES SURVE TH HE DEPARTMENT APPROVAL r �0 Sign re of A pli t Date Received by: ISSUED REVISED VWXE FAMILY RESIDENTIAL p p n-. tr�5tl',k��r I� it, (q) I 6 1Y fly J ¢ AD.IAGENT PROPERTY:SINSLE FAMILY I \. RESIDENCE WITH MIG WATER p d .r r I"�� ``3 /- SVPPLYAND SEPTIC TANK/LEAGHIN6 cla�� ""12 � SEPfIG SYSTEM POOL 5 l " Tmp� D15TRCT 1000,WKT110N 144,BLOCK 05,LOT 28 &d'JI)I1" 84°41'00 E �" -' WST 1 s IN6 FLOA111 DOCK A M"To BE � rar �� , -- _ _ tib " - `� 6nl►DE 6 �iJFFo }", 1 &L"lTAB d 1 1 CYC I ,L L "1'� SERVICES —y— APPROVAL -0— vA7 PER dor FOR a� ON TRU T10f4 'CbF� n „ EONLY r, ujJ �1 f rTW � 4h"y %two � , � � � ��ins �:��ATER ! " i � s F Ib C G a5 ' � �' 'METEREXPIRE3THR YEARS FROM DATE OF APPROVAL r � P � LS V » V CL Ll ' Lu N 4 le IV DE EXISTIN6I!500 6ALLON�iEPTIG TANK µ °; V�3 �S) '-"umr, � 'M �� " y 4'DIAMETER C4RM OVER PIPE A5%4".SEE DETAILS i r ' r "' °1 " a \ �` ONNER ray&0 x P LEAcwLs EXISTING APPROVED CLUSTER P' L. P '. — !' \ POOi , LLn, -w„... .P. . b b " � 320 SAILOR'S NEEDLE ROAD y ° E MATTITUCK, NEW YORK 11152 , r SINE1 E FAMILY , TITLE DENTVAL �,, NEN HOME GONSTRUGT I ON ADJAGENr TY,51 ILY \ IPA/ \ RESIDENCE WITH RMIC WATER A� Poop Y �"1"1C T A:GH1N6 \ RICHARD SOYD - Architect SEPTIC SYSTEM t PARCELS HTHIN 150 F AFS I SIP�E FAM 0(RE 0EWXr5 \ ALL ADAGFNT P `� No SUPPLY WITHIN 150 FEET.. ALL PUBLIC TER T10�. ` DESIGNERS PLANNERS - RESIDENTIAL - COMMERCIAL ZONE: RE5IDENTIAL R-40 ' � ( . p Vm ` LOT AREA: 2q,482,00 SF -o►F sTarl tel► \ m� ". 20 a HMOND AVE NORTH MA55APEOUA, NY 11758 °na -Two sTn�r,ws. \ 1516 7 r � PLAN - �T. 'ww OT I � � -wmv"mors 1 _ 30'-O" � ` ': i..:�" All� SCALE: A5 NOTED � 6 V Y�rr M1 P PW A { ,�NaPk u Y IN OT PL^N BY DATE: 16 MAY 2018 --2 N. RICHMOND AVE. MA55APEQUA NY 11758 I OF 5 51TE INFORMATION OBTAINED FROM SUR0.SURVEY PREPARED 5Y �� DRAKH BY: RB YOUNG d YOUNG SURVEYORS — LAND 5URVEYOR5 — II JAN. 2001 t 22 JULY 2015 UPDATE o b 1a , . LOT AREA 2q f182 SG2UARE FEET (0.6-16b ACRES) 11 MAP OF SALT LAKE VILLAGE, MATTITUGK LOT 11, P/O 12 . 1 Y °- RA J050: 18-56 fp--E A -LL�"1 ELIZABETH A.NEVILLE MMC °� � n � Town Hall, 53095 Main Road TOWN CLERK � 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 4 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 30, 2018 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No, 4651 for a Cesspool/Septic Tank Construction Permit submitted by: Marianne Ambookan 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 A. NEVILLE Town Hall, 53095 Main Road ELIZABETH CLERK P.O. Box 1179 C4 Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 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 (cry, $10 or Non-Residential (a, $25 Application No.i"l Permit No. Applicant Name_. t 0, _ _ . ........ Applicant Mailing Address A � µ M .......... c Septic Tank � or Cesspool P p Brief Description of:FPr.•op sed ConstrLretion or Alteration Ce 0 Q_ Location of Proposed Construction/Alteration: Owner of Property: ... ( ��k a- . Owner Mailing Address: i � _ D \ l Owner Property Address.. .. ...... ..... ..... 1 "� - Name and phone number of contact person Cma k . ..IT Tax Map No: Section j 0 0 Block Lot ..a Cross Street Q N NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL _... J83,311 � . Sgni ature of Applicant Date Received by: ° a•1�