HomeMy WebLinkAboutIsland Estate Group ELIZABETH A.NEVILLE,MMC 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 _` 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: June 19,2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4763 for a Cesspool/Septic Tank Construction
Permit submitted by:
Island Estate Group LLC.
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 a roti°al re ureci from tl�e Suffolk County li alth Deuarttnent
Signature
Dated
ELIZABETH A.NEVILLE ���� ��t> Town Hall,63096 Main Roa-
TOWNN CLERK aj P.O.Box 1179
REGISTRAR OF VITAL STATISTICS �w m
Southold,New York 11971
MARRIAGE OFFICER . ,� r Fax(631)766-6145
RECORDS MANAGEMENT OFFICER / -1 Telephone(631)765-1800
FREEDOM OF!!FORMAT ION OFFICER south oldto wn.northfork.net
OFFICE OF TIIE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10or Non-Residential @$25 Application No.
Permit No-
Applicant
o_
APPlicantNalnetlrij Lt.,'� i
Applicant Mailing Address t •Y L'a I rY I IC/
Septic Tank or Cesspool h
Brief Description of Proposed Construction or Alteration MLs 4 ¢�
3 t`apt'L& r S' i L,-is i s f t
Location of Proposed Construction/Alteration:
Owner of Property: S t t r
Owner Mailing Address-
Owner
ddress Owner Property Address: d t
Name and phone number of contact person
Tax Map No: /vol} Section 'k2i Block? Lot _
Cross Street ra
NOTE: LOCATION AIAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY�Iyljf HEALTH DEPARTMENT APPROVAL
_ Signature of Applicant hate
Received by: ��`
TEST HOLE BY:
q.
McDONALD GEOSCIENCE
DECEMBER 31, 2013
LBROWN
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1000-12L.90-01.00-003.003 �' L ^+ G iBOU 54.1 —MLEO-003.0i
LAND NON OR FORMERLY -. —�.. 4 v t`` ".+��. ''M'�'d� LAND NUW OR FORMEdidY
GRACE CRAIG1. JAMES T.COI
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ED
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MN 7 EDGE Of NAVEMhtV7 v_v �,__�_v_
_V—�e7�Vt�_._��Ig�—� ��b�a�
SOUND AVENUE
(50ft. WIDE)
SANITARY SYSTEM INFORMATION: �^
(t)900 GALLON SEPTIC TANK. I'n+.' dd ;D ���'-.
(1)0'0"DUMETER X 12'0"DEEP LEACHING POOL.
NOTES
Ia„TVon INwN(40;uTarerEIlaA10 aAsfl'.'>rerr;:ulJ T:I"4 kaHa"ea.4%r^va^,fl°I'oYinwa4 QbuDP:IEaa
•CONTOURS ARE SHOWN IN 2,0tt.INTERVALS. Wm%6 ii Aila'.es I'Mt➢"D�d�uir5 t9LIdiiiII63Y1,8(s9.vmjn':CSI piJM I f�,4 iAv'stj�('Nfy
•EXISTING SANITARY INFORMATION k LDCATIONS AS PER JOHN J.CONDON,PE,DATED:NOVEMBER 17,2015. rIlfl:Vp41MC,:N,
•EXISTING WATER LINE LOCATION PROVIDED BY OTHERS,EXACT LOCATION TO BE VERIFIED,
•SURVEYOR NOT RESPONSIBLE FOR UNDERGROUND UTILITIES OR STRUCTURES, �p�* „N
•EXISTENCE OF ANY BASEMENTS SHOULD BE VERIFIED BY A COMPLETE TITLE SEARCH, M Q hilANPoA"WWthm yjIiu'65:._..... .,•r ,,........ ..._ .,........,
CERTIFIED T0: DRAALEWING4QNFO DR �IONsY:,R.x.H. �
I�a�
FILE No.: Q489-12
DATE: NOVEMBER 30,012
UPDATE+TOPO.: FEBRUARY 11, 2014 -
REVISED: MAY 31, 2016 I Vii
FINAL: FEBRUARY 28, 2019 lu,SURVEY , ^I �
SA C U
P ay
KIN
DESCRIBED PROPERTYA `e + LAND SURVEYING +
1a I
AT MATTITUCK, TOWN OF SOUTHOLD, --
A,
SUFFOLK COUNTY, NEW YORK PROPERTY INFORMATION: 274 EAST MAIN STREET
SCTM: 1000-121.00-01.00-003.004 ID „ I EAST ISL1P, N.Y. 11773030
AREA: 63,403.19 Sq,Ft.=1.4555 ACRES TEL: 831-277-3605
ELEVATIONS IN NAVD88 LEa a,,,,. r'1. y L FAR, 831-277-3906
T
UNAUTNORI2p6 AITNRATION OR AOpfTION TO 111 SI RYeY IS A It—CN DP SECTION 74Op H 1'IlE XAM YORK.-EDUCATION IAV.COPIES pP TNIS s'URVEY YAP NOT UBAXIMG TIIR G
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1'IIR COMPAXT OR AfENCIEi UETY.O IIRIIEUN AND t0 Tt1E ASRICNEPS OP TTIE 18N01NG INS'fITlIT10N.CNNTIPII'ATIONS ANE NOT TWNSFENARIB TO ADNTIONAi.INSTITUTIONS IIR-14-
5375
5375 SOUND AVENUE, MATTITUCK