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HomeMy WebLinkAbout18182-z a~osaet xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- x.8182 Z Date ~ 19.9. Permission is hereby granted ..~.s..,~. ' to , , of premises located at ......~.%..il.......... ..f::~r......~~rQ~rl......~~ .........................................~.2.s" County Tox Map No. 1000 Section 7 Block Lot No... pursuant to application doted 19........, and approved by the Building Inspector. ~ ~ ~v ~ ~ ~ ~ ~ ~ 9 Fee 5.~O...2r...~~ '~oPr(ZD c7~ To+..JN -rRvS7~E~ 3 1 S .r.. ..k'e . . I IS ~ ~ ~ B ing nspector V~ Rev. 6/30/80 _::LJ 1;, .1J:i ~~Unic COeYMCNT° ~ ~ -v OQ m ~ _ H n DU1dDATION ~ (1st) - .,p, DUNDATIOt1 (2nd) m 1~ z o q~ ~ ~ ~ OUGH FRAME & PLUMBING y 4 y ~ ~ H IJSULATIOPI PER N. Y. STATE ENERGY CODE a x\\~~ H r FINAL ~ P_ ~ o ADDITIOPIAL COMMEPJTS: x ~i ® - x . ro p, H N ~ \V H O • ~ H ~ ~ r ~ a Gl o O m b H ~ a `v '95-20b.(91851 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION - DEC PERMIT NUMBER ~ EFFECTIVE DATE 10-86-0499 9/12/86 FACILITYIPROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental Conservation Law N/A 12/31/87 ?Article 15, Title 5: ?Article 17, Titles 7, 8: SPDES ?Article 27, Title 7: Protection of Water ?Article 19: Solid Waste Management ?Article 15, 'Title 15: Air Pollution Control ?Article 27, Title 9: Water Supply ?Article 23, Title 27: Hazardous ?Article 15, Title 15: Mined Land Waste Management Water Transport Reclamation ?Article 34: ?Article 15, Title 15: ?Article 24: Coastal Long Island Wells Freshwater Wetlands Erosion Management ' ?Article 15, Title 27: ®Article 25: ?Article 36: Wild, Scenic Tidal Wetlands N Floodptain Management and Recreational Rivers ?Articles 1, 3, 37; 6NYCRR 380: ?6NYCRR 608: N-New, R-Renewal, M-Modification Radiation Control'~~ Water Quality Certification C-Construction, O-Operation, (If Applicable) PERMIT ISSUED TO Leonard Schle al ADDRESS OF PERMITTEE 75 Birch Hill Road, Mt. Sinai, New York 11766 AGENT FOR PERMITTEE CONTACT PERSON TELEPHONE NUMBER - 75 T~t 361, Wading River, N. Y. 11792 NAME AND ADDRESS OF FACILITY {If different Isom Permntee) N/A LOCATION OF PROJECT COUNTY TOWNICITYIVILLAGE UTM COORDINATES Matt' C S So t of DESCRIPTION OF PROIECTIFACILITY Construct a one famil dwellirt witY: deck;__a11_parts of these structures to be a minimum of 75' from tidal wetlands; inetall a septic system in . the northeast corner of the lot. GENERAL CONDITIONS By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations and the conditions specified herein or attached hereto. 1 The permittee shall file in the office of the appropnate regional permit administrator, or other office designated in the special conditions, a nonce of intention to commence work at leas[ 48 hours in advance of the time of commencement and shall also notify himlher promptly in writing of the completion of the work. ] The permitted work shall be sublect [o inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires. 3 The permittee has accepted ezpressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature, and by whomever suffered, arising out of the protect described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and descrip- tion resulting from the said protect 4 The Department reserves the right to modify. suspend or revoke this permit at any nine after due nonce, and, if requested, hold a hearing when: a) the scope of the protect Is exceeded or a violation of any condition of [he permit or Orovisions of the ECL and pertinent regulations are found; or b) the permit was obtained by misrepresentation or failure to disclose relevent facts, or c) newly discovered information or 5~gnificant physical changes are discovered since the permit was issued. 5 The vermrttee is responsible for keeping the permit active by submitting a renewa4 application, including any forms, lees or supplemental Information wh¢h may be required by the Department, no later than 70 days (iB0 days for SPDES or Solid or Hazarduous Waste Management permits) prior to the ezpnation date 6 Thu permit shall not be construed as conveying to the applicant any oght to trespass upon the lands or interfere with the upanan rights of others m order to perform the permitted work or as authorizing the impanment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 7 The permittee ~s resDonsible for obtaining any other permits, approvals, lands, easements and rightsrof wby which may be requred for this protect 8 Issuance of [his permit by the Department does not, unless expressly provided for, modify, supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms, conditions, or requnements contained in such order or determination 9 Any modification O( lhn permit gra ed by t C D2 rtment mutt b in wrhing dnd attached hereto PERMIT ISSUANCE DATE PF IT A MINIST ATOft ADDRESS g• / / oom 9 12 86 T' R N. 11794 AUTHORIZED SIGNATURE X ~7'C C.~r-r9'~ Page 1 of "1 cc: amz on BMi1 P 95-20-6a (1j86)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 75 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608 ( ) 10 That if future operations by [he State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 14 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State, the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused 15 There shall be no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16 If upon the expiration or revocation of this permit, [he protect hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed, the applicant shall, without expense pleted, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require, remove all or Conservation may require, remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site structure or fill and restore to its former condition [he navigable to its former condition. No claim shall be made against the State of and flood capacity of the watercourse. No claim shall be made against New York on account of any such removal or alteration the State of New York on account of any such removal or alteration. 17 If granted under Article 36, this permit does not signify in any way 11 That the State of New York shall in no case be liable for any damage that the project will be free from flooding. or injury to the structure or work herein authorized which may be caused 18 If granted under 6 NYCRR Part 608, the NYS Department of Environ- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or improvement of navigation, or for other purposes, and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of [he Clean Water Act of 1977 12 Granting of this permit does no[ relieve the applicant of the response- (PL 95-217) provided that all of the conditions listed herein are met bility of obtaining any other permission, consent or approval from 19 All activities authorized by this permit must be in strict conformance the U.S. Army Corps of Engineers, U S Coast Guard, New York State with the approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required. of the permit application 13 All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by ThP Lanc] solvents, lubncants, epoxy coatings, paints, concrete, leachate or any USe COm ari dated 8~/19/86 atest submission) SPECIAL CONDITIONS 1. Along landward side of the wetland edge, there is to be a 100' wide buffer on lots"4, 6, ~ 7" and 50' wide buffer on lot 5 shown on referenced plan. Said buffer is to have no disturbance to existing vegetation or topography. 2. Fill is to be limited to the area around the septic system. Supplementary Special Conditions (A) through (J) attached., DEC PERMIT NUMOEft 10-86-0499 PROGRAM~FACILITV NUMBER Page 2 of 3 ' SUPPLEMEF.TARY SPECIAL COATDITIORS The following conditions apply to all permits: ' A. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address and telephone noted below. B. A copy of this permit or approval and supplementary conditions shall be available at the project site whenever authorized work is in progress. C. The permit sign enclosed with the permit oz a copy of letter of approval shall be protected from the weather and posted in a conspiciuus location at the work site until completion of authorized orork. D. At least 48 hours prior to commencement of the project, the permittee shall complete and return the Lop portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. Sdithin one week o£ completion of the permitted work, the bottom portion of that form shall also be completed and returned. E. For projects involving activities to be accomplished over a period er more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours to the commencement of resumption of work each year. F. If project design modifications take place after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require sub- mission of a new application for permit. G. pll necessary precautions shall be taken to preclude contamination of any wetlands or watercaay by suspended solids, sediment, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project work. H. Any failuze to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. I, The permittee is advised to obtain any permits or approvals that may be required from the U.S. Department of Army Corps of Engineers, NY District, 26 Federal Plaza, Dlew York, D]Y 10278, (Attention: Regulatory Functions Branch), prior to commencement of work authorized herein. J, The granting of this permit does nod relieve th_e permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242, which may be required for _ any encroachment upon State-owned lands under water. _ Deputy Regional Permit Administrator NYS Dept. of Environmental Conservation Bldg. 40, SUNY--Room 219 Stony Brook, AIY 11794 (516) 751-7900 DEC ~l 1Q_86-0499 Page 3 of 3 TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No...314..,_,,..,,,, has been granted by the Town Trustees according to information furnished in Application No......388......... filed by Applicant ....Land Use Co. for Leonard Schlegel on March 21 19....86.. A map of the proposed work will be kept on file in the Trustee Office under the application number given. construct a single family dwelling and sanitary Permit granted to do the following work system East Side Ave., Mattituck Location of property on which work to be done Creek, Bay or Harbor fronting property Mattitcuk Creek Size of work: Length Width Height Above High Water Depth Below Low Water Yards to be Excavated Yards to be Filled Manner in which material is to be removed or deposited Intended use of property Residential . Conditions if an That a 50' natural buffer zone between the house and the marsh is y kept. During construction care is to be taken to keep all construction ....mater'ial."ouf...of...fh'e"V7etYan3'..L~'rea Expiration Date July 31, 1987 2 inspections -Notification upon completion of work Number of Inspections Required Inspection Fees Liability Policies in the Amount of The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. the failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon recejpt by the Trustees of written notice from such other governmental or municipal authorities of its refusal or disapproval. i i - The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting' from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations undgr this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the' owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employyees to enter upon the premises where such operations are being conducted to make such inspection$ as the Town may deem necessary to insure that such operations are being con- ducted inconformity with this permit. This operation will no{ substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affecct fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the d~nger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the coy~rse of any channel or the natural movement or flow of any waters. H. Weaken or uncjermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed .r~~"...../..:.....~..~....... President ' Board of So~~u+/+thold Town 'Trustees Date .............a ~ 000 ~~I i ~I ~ . i i BO.Ia OF HE.ILTH 3 S S OF PL.1NS d~.y FORM NO. 1 SU VEY .1/, . TOWN OF SOUTHOLD iECK ...........t~........ . BUILDING DEPARTMENT sEPTIC r•oart TOWN HALL EOUTHOLD, N.Y. 11971 NOTIFY ~~~j., .1 7~ ~ • TEL.: 765.1802 C `7" , , , , , Examined .la~.........., 197. MAIL T0: JIL17. ?`/jt/s9/ , .\pProved ..~,7........., 19~ Permit No.L/J./~l a'IOHlnos 30 NMgl xd~a ~'JO-IFi Disapproved a/c 6$61 ~ E ,t~W i 1. 91955 6 ~G. ~ ~ 11 V (Bui mg Inspector) ~.a~_,.._.. _ „.~~a._ , _ APPLICATION FOR BUILDING PERMIT o~j Date . 15 v / INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets qr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied ar used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and outer applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable Laws, ordinances, building code, housing code, and regulations, and to admit authorized inspector on premises and in building for necessary ins ections. Signature of applicant, or na , if a corporation) • • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...a~~?.~r .C~ ~ . Name of owner of premises . ,~0/'1 !:.`.•..S,L' ~ , , , , , , , , , , , , (as on the tax roll or latest deed) ~J [f applicant is a corporation, signature of duly authorized officer. (A`ame and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Outer Trade's License No . . Location of land on which proposed work wil} be done. . ........./elf.... S~'de..~ve;. ........../.I~~fuc~G }louse Number Street. (,~~j. Hamlet / County Tax Map No. 1000 Section % Bluck , , , , , , , , , , , Lot ~ , , . Subdivision Filed Afap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existmguscand occupancy b. Intended use and occupancy . ~n~ J'QJ°.!~~n l,lQ/I , ~~/~f~A i , 1~ .Utcration ~~tplicable): New 13uiWing Addition . 3. haturc of wort. (chec}, which a • Repair Removal Demolition Other 54ork . (Description) Q. Estimated Cost ............!..v~~~.~ U~ Fee . (to be paid on Cling this application) 5.~ If dwelling, number of dwelling~umt Number of dwelling units an cacti ?oor Ifgara,c,numbcrofcars ~ 6J If business, commerciat or mixed occupancy, specify nature and extent of each type of use . 7: Dimensions of existing structures, if any: Front , , Rear Depth . Hci~ht ...............NurtibcrofStorics........................................................ Dimensions oC same structure vrlith alterations or additions: Front Rear . Depth , y, . Height Number o~' Stories . 8. Dimensions of ~~t~ire new constmtction: Front Rear Depth Height .•ic~'~0..... N trj~terofStorics. 9. Size of lot: Front , Rear . ..~U ~ Dept . o~ r , . 10. Date of Purchase ~~~a Na e of Pormcr Owner ~aS~/Gti.. • . 11. Zone or use district in which promises are situated i~........ . ~r l2. Does proposed consuucti~oj~ viol~rzte any zoning law, ordinance or regulation: ...M.'? . • . 13. 5VU1 ]ot be regraded <2, ~e . lVil1 excel~jfill be remov d from premises: y Ycs O~ 14. Name of Owner of rc }~j~L nQ Address~~°.r I ..Phone No. ~ 7~ Name of Architect I? .~`.T??~S!'\-.,~.. • .Address . • Phone No..~~~:~!?b•~• Name of Contractor .~~G'°.~?'~?7:?^.-:.........Address ..Phone No. IS.Is this property located within X00 feet of a tidal weCland? *YES~.NO.... *If yes, SouChold Town!, Trustees Permit may be required. ~ ! PLOT DIAGRAM Locate clearly and distinctly all ~ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~I i i I I • . I, ~I I I~ I ~i STATE OF AEN YORE, S =OUNTY OF . . ~i 6cing duly sworn, deposes and says that he is the applicant (Name of individual signing~icontract) bove named. i • (c is the ........................t........................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly a~tthorizcd to perform or have performed the said work and to make and Cile this ~plication: that all statements contained in this application arc true to the best of his knowledgu and belief; and that the ork will be perfotmcd in the manner set forth in the application filed therewith. vom to before me this II nary, Public, L•l•`• • • • • County I~~.~ ~ ....:'E~ l-~G ~ . HEtENKDEVOE I (St~tureofapplicant) NDTARY PUDLlC, State of Mew Yor)t No. d707S7S, Suffolk Countyc,• i~ Term Expires PAorcN 3D,19.-•r±~ - 'J L~j, v .~f)' „¢~l,/ Hyi. su' 77 ~~~'d0`' D T /5(^ 1.1 F DN `9T W,,sroF ~ °r .9~~ : '~'a o ,i~ \r OHO pr~4@ ~ ~ < `RYp f e `I tt ~pN~A I D o ~E~~¢Cy\ ~'I{r i tr. tt n~ ; 2 832.6/ AV ei_ per highway record c I't s ~ ~ gat N Ar ti D ea ` 2' 9 t g N i I'i (R ~ 5 LO ~ C 2¢~ t 4 E ~ w ~ 'Pj. L 3' aj ti 1" TAa"aiW .D $ o ro t ~ ~ Wert, r DP b I qCC~ ANQ4 ~ g .o ~ a t 2 l/022 , \ ~ ~ ' ~ 200,00, 20" y~ '1 Matti fuck 1 `~2~1 New York Sto Park , I to Dlsiricf SURVEY FOR MAHIN HASSIBI, FERESHTEH 6HAVIMI B( HELEN LEVOR AT MATTITUCK OATEN JULY 6, 1984 TOWN OF SOUTHOLD SCALE t" = 100' SUFFOLK COUNTY, NEW YORK No. as-sss N uwUTNORI2 ED ALTERATION OR ADDITION ro TNIS GUARANTEED T0= NEWVYORK 3T1T[I•[DUCATI07ECI1~ON T2o3 OF rNE THE TITLE GUARANTEE COMPANY NCO?IES Of THIS SURVEY NOT BEARWG THE LAND SURVEYOR'S INKED SEAL OR EMBO53E0 SEAL SNALL g'"',;, NOT BE CONSIDERED TO BE A VALID TRUE COPT y. 1`~,-- ~ ' NGUARANTEEf INDICATED HEREON SNALL RUN 41LY ro ~ ~ TO CONSTRUCT THE PERSON FOR WHOM THE SUMEY IS PREPARED %4 ~ , „ ~ AND ON NIS OENALF ro THE TITLE COMPANY, GOVEIIN- r-' ( ~ , R~ MIMTE _PUILIC_ MENTAL AGENCY AND LENDING INS TITU iION LISTED a fry / , (~J'_ LOT 16-1 NEI(EON, AND TO 7NE ASSIGNEES OF THE LENDING +r f TWB ?ROPERTY IN5T1 ~U71p1, GUARANTEES ARE NO7-TRANSFERABLE ~ ~ ~n . ~ , , i w D ~ SUFFOLK COUNTY DEPARTMENT OF SERVICES rn FOR APPROVAL OF CONSTRUCTION OF 11 ~4m rv,~C H Single FamiVy Residence Only i ~vA3oF-0 A r! DATE - HS REf. N0. - ~ „ ~FN % , 0~0 4g APPROVED _ _ I'P '~,~5\ ' y ~F~ EXPIRES TWO YEARS FROM DATE OF APPROVAL eL 2 Ab ~ Ohr, I~~ x'. ryb rES7 ~KOPG'6a>:Y7 C2) POOL 5Ev?d,GC ' 5E. NOTE. l,ll NoLE°'~ 'a,- ` ~ t'!~ ©~Ad. ~Y~rEwt Cw17•al PI.~~'P! ,N N- 1~~. k~,,~ ~rurz~ ExPara~l~aha, between', C s ~ ~ ~Prtop .Jso ;,,,~y; TM`'a 2E TIL ~~9~o ~1QL. (~tnll'nurn dlStclflCe ,__.wELL _ ~ p TAe.lK asspool Is to be 150 fc2 ~ ~ 4~2.si-A~~ 1 ~ w.__._ and c DI ' -IDS===~$- - ~ Dr '!3- /V~r~A~ P highway reoord DIVE LLI NO ' ' 6 ' h , _ _ _ ''v ^a_~--,__ -'10 N r'LOPy ~ PROW / - ® ....tyj. 1~ fi hOU'0 , 1 ^ ti ~h~•-14-_~ - T ~7/T~G'e~~l~ ~'r01f'.N'l fR ~ vt / LO R:,s a 3`, 75' 17R=dlIPd.AC,R ;tS BO •`•COP / O.q'2 VF.g OF NOUBE ~ _ L~ ~ 4 '~R^n- _ ENCROACNE80.1' E A~\ y ~ ~t _ ACpE,s LOP ~1 D:XEWNG now or formerly •Y ~utur2e. ~L^.$ Roberi D. Stearns et ol. , ( \ \\TOA( ~GG I~ f I~~ BASEMENT j •9C K.~1b08 t0 i ~ ~I m I N. pe I \ \ vs ! ~ 2U0 00, L ~`1 s%i ~ APeNi / a, Mp~fhfu h 1 y Y®I•k~ Stq 1'° {`I~s 3El r c I r '°DAAr ~ fe 4 ` ~ ~isfrici `•J`'~ ^ ~ ~CA~~T~O~ ~NSPECTlON R~Q~fIRE ~ayc.• (vACanr! ....r+..-..... PLEASE NQ e " ~ 7E'ST NODE O,O' Requires sep •~c tan ~Ir11b1-IE17 G1RAD!~ FF.`_7~'p ER Ln Obi LOAM 2.Z' --~sc'~~ ~~-9 ~'s>~ EI-. 14 EL=(b.5t ~vowN sp ND 11.0' cover to grades - Jry ~ CIAYEY _ BROWN LE.=@$ 1 E•=i2. y' MEDIUM E II~°i 68.•II,E YO CDAR9 159. F. al0 900 GAL I SAND SINGI"~ ~A~41LY I~~NELLINC QNL`~ "`°`L AREA------ ~EPYI~ rAU~~ 1 17.0 F~tR~S TWC7 Y€~A~~S I'"r'i~i~ IyA'~"E GF ACS ~(~1 Poa ~yhTerl) NOTE, 'f©P© f/A7A ~1~ONC ~ 'Cnt?r.I~J ?~P~ ~iF.L•(IOAa"~~~/n~E DI~Po~aL /~'r~~Ti~wl ELEVATIONS ARE REFERENCED TOM.S,L,DATU~9 SURVEY F'+;?R ~r.~Y... L~OAI/-~FTCT C. SCHLFC~L. N'a D()f~tsEA fVi. S~IiL~~~l. MAR.13,1989 .rUFtOIK COUNTY DEPARTMENT Oh 17tALIN SERYtC.R1 IAN.t 1,1939 AT P~AI'i"ITI3CK DATE MAY 7,1986 FOR APPRO Al OF CON3TRUCTtOPd ONLY y~~e~ SC)UTF30L[1 SCALE I~~ = 100' 3 at ~ ~ ~9Spo su~F'~~a cnceN~Y, ~Ew Y~~~ ND. Bs-4~o ogre Hs Rte. N NUPN9UYNORIXED 0.LYERAPIONORADDITION TO T'PP!S GLIdSRANTEED TO= ~ SURVEY B A KIOLATION OF SECTION T20D OP YKE CHlOAOO TT OE COPv1PANY 9W'POnVEO MEW YOFIK STATE EOUCATI ON LAW t N~ NCOPIES 07' THIS SURVEY k07 ~ARMtlG TPOE L1479D BUR VE YOR'S IkNED SEAL OR EMBOSSED SEAL SHALL 4<P w` NOT BE CONSIDERED TU BE A VALID TRUE COPY ByID W Dy RGU0.RANTEES INOICAYEU HEREON SHALL ftUN CNL't TO ~ ~ ¢ HEALTH DEPART4l4ENT-DATA FOY2 APPROVAL TO CCtJSTRUCT THE PERSOttl i'OR WHOM YtiE YVRVEY IS PREPARED ~ ~Q Ob ANO ~ NIS OENALF TO THE TITLE COMPANY, GOVESFR- M NEAREST WATER dAIDI MI. ~ NSOURCE OF WATF.R~ PRISRTE-.pUBUC- MEMTAL AGENCY ANO Lf.NOING INSTIYU YIOK L75YE0 ~ N SVFf CO. TA# MAP YxSTT15?S BECYION 098 BLOCK ,$dl_ LOT IB.I HEREOF!, AND TO T11E ABSIGNEEB OF THE LE N03NG N THERE AiY'r. iU DWELLIMSS WITHIN 100 FE EY Of YYAS PROPERTY INSTIYUTlOR. gUARANYEES ARE NOY IRAN SFERA Df.F. OTHER THAN YNOSE 4110WN HEREON. TO 0.D01 TIONAL INSTITUTIONS OR SUDSEOLlENT r N THE WATER SUPPLY AMD $R.WAOE DISPOSAL SYSTEM PYrFt THIS RESIDENfiE OWNERS - WILL CONFORM TO THE STAN DARD9 OF THE SUFFOLK COUNTY DEPARTMENT * DISTANCES SHOWN HEREON PROM PROPERTY LI$: F.S YO Ex IS41N6 BYRUC TURFS AWE FOR A SPECIFIC B Uif OF HEALTH SERV ICLS. PURPOSE AkD ARE NOT TO BE USED TO EB TAB4ISH APPLICANi~ PROPERTY LI MEB OR FON THE ERECTION Cd FENCES ~„_eonc. r~ Bch l e ~ sully Y~~,a,,.; _ ADDRESS • 7 QI' 2 fi ~ ct~,/r~p spy ~g/®g~®~ qp~ gy~~aq ~ p~TRAtb~E~t avE~9E l ~K /i yG / TEL. ~ ~ GO ~/'~~Ob ~ @ ,i~s ~.J 9 ~D d RllIEP3FWEA®, i'~EIY Y©R@C NOTE' ®=MONUILTENT O=4"x 4° POST _ 'ALDEN W. YOUNG,PROFESSIONAI_ ENGINEER RE• LOT NUA9BERS EAST SIDE AVENUE 8 NORTH LAGOON LANE ARE SHOWN ON SUBDIV ISION MAP OF ° OLD MILL HAVEN 00.° FI LED AND LAND SURVEYOR N.Y S. U CENS E N0.12345 IN THE3UFF.CO.CLERKSOFFICEUNOCT:Z,IS23A3F6LEN0.78J HOwARDW.YOUNG, LANbSURVEYOR #THE LOCATION QF Wd1.L(WD, SEPTIC TAHK(SYIB CES4pO0LSfCp')SltOWN HEREON N.Y. S. LICENSE td0.45dl9~ ARE FROST FIEIA 05iSER~YlUNB ANO OfT DATA OBTMNED F9lC~kI OTHERS - SRANOIS 6 SONS INC. 1046 ~.~rera~~ a'~"'su®m.~a mcvvsvasei~~.v.nn~®m.