HomeMy WebLinkAboutSirico ELIZABETH A. NEVILLE, MMC k Town Hall,53095 Main Road
TOWN CLERK �kr' P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �� � m�� Fax(631)765-6145
MARRIAGE OFFICER �� � o� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �n � `OI i www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER d mx
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: October 4, 2018
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4661 for a Cesspool/Septic Tank Construction
Permit submitted by:
Matthew S rico
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
ELIZABETH A. NEVILLE Town Hall, 53095 Mein Roa,
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rrr
MARRIAGE OFFICER .66
Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERS 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
Residdntial @$10 or Non-Residential @$25 Application No. y�D�O
PerinitNowo-1S - OC)G5
Applicant Name rn 0-i-+�10- S i 1`
n� M"
Applicant Mailing ..ddress k" ' .b
Septic Tank-,,<' or
Cesspool "
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner ofProperky: i\(N'L-i4 t' w lz-� J` �c-0
Owner Mailing Address. " �7 r-r-e- R d . N: e
Owner Property Address: 6 vv� o w µ c. >°
Name and phone number of contact person
Tax Map No: Section i co3 v 0 Block 00 Lot
Cross Street L< .' ` '
NOTE: LOCATION MAP MUST-BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH BE ' 'R DEPARTMENT APPROVAL
m '
RECEIVED of NqatSignature Appl �nl
Received by: OCT' 3_
Southold Town Clerk
s
'�3
SURVEY OF PROPERTY IEA
�r r/t �r - TFj
AT Ci Ul CHOII UE LOT NUMBERS ARE RFEREN �PPO SEP17C SYSTEM
� '
'MAP OF Ll TME NECK PROPER
TIES" 1] BEDROOMS)
TO OF SOUTHOLD FlLED IN E SUFFOLK COUNTY CLERKS _
[1] 1000 GALLON PRECAST
SUFFOLK COUNTY, N. Y. OFFICE ON NOV. 30, 1973 AS FILE NO. 6048.
SEP17C TANK
1000-103-04-47 [1] 8 FT. DIA.x 12 FT. DEEP PRECAST
CONCRETE LEACHING POOL
NOK 5, 2015
SCALE.' 1'15 WITH 3' SAND COLLAR, 3' MIN.JAN. 26,2016 (REVISION) ABOVE GROUND WATER
DECEMBER 9, .2016 (CERTIFICATIONS) RAIN RUNOFF CALCULATIONS:
DECEMBER 15, 2016 (CORNERS) HOUSE & GARAGE : 2,211 Sq. Ft.
JANUARY 04, 2016 (REVISIONS) 2,2.11 x 1 X 0.17=329.8 sq.ft.
JANUARY 31, 2018 (CER7IFlCA710NS) LOT ATEg) 375,87/42.2 = 8.9 VF
AUGUST 28, 2018 (PROPOSED BLDG.) LL�O C W � n3 PROVIDE (2) O.W.s 8' DIA X 5' DEEP
DQE DRIVEWAY (PERVIOUS)
14445' 1,230 sq.ft.
1,230 x 0.8 x 0.17 = 168 cu. ft.
168/42.2 = 3.96 VF
o PROVIDE (1) D.W. 8' DIA X 4' DEEP
75 3 T051 g V
t
LA
Z LOT O '
E-
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a
RPROVED .
FOR MA}(1MU117 OF BEDROOMS
F -
EXPIRES THREE YEARS FROM DATE OFAPPROA SIPS
,CP
bsp
Revised Approves OCT 0 2 N DECK f f.0- , OSED - 1 3
- RppY
WATE
3 .
F 4 O
0.
50I.Cr s.
TEST HOLE DA TA H00 0-
McDONALD GEOSC/ENCE
—� 3 92• ', t
10/13/15
DARK LOAM OL o, 23 0 t
BROWN SILT ML 1
4
PALE BROWN FINE SAND SP P1 E�'
t 45,42 23.E
t
17' VkV
NOTE: NO WATER ENCOUNTERED 3� 23.3
C T99}
• = REBAR Ts
• = SPIKE CERTIFIED TO-
= MONUMENT MATTHEW J. 51KICO SOF NEW
ALL15ON J. 51RIC0 1E 0
o = HYDRANT TD 15ANK
Z = TEST HOLE FIDELITY NATIONAL TITLE IN5UKANCE COMPANY
o = UTILITY POLE
ELEVA 77ONS ARE REFERENCED FROM NA VD 88 gig
Y
ANY ALTERAT70N OR ADDITION TO THIS SURVEY IS A VIOLATION
��. - Y.S. LIC. NO. 49618
OF SECTION 7209OF THE NEW YORK STATE- EDUCA 77ON LAW. P C)R i, P.C.
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