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HomeMy WebLinkAboutHeffernan Richard ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ~/~~/"/ F" SOUTHOLD WASTEWATER DISTRICT APPLICATION Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential ~ $10__ or Non-Residential ~ $25 __ Application No~5~ Permit No. Applicant Name Q. gt~ e~ Applicant Mailing Address Septic Tank I or Cesspool Brief Description of Proposed Construction or Alteration r~, Location of Proposed Cons~ctio~Alteration: Owner ofPrope~y: ~, ~ ¢ Owner M~ling Ad,ess: ~ ~ ~ ~v. K . O~erPrope~Ad~ess: 7~o ~t~ ~ N~e ~dphone nmber ofcomact person ~a~ - ~ T~mapNo: ~oo~ Section ~0 Block Cross S~eet ~ NOTE: LOCATION ~P ~ST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION ~QUI~S S~Y WITH HE~TH DEP~TMENT ~PROV~ Si~amre of Applic~t / Date Received by: FROM-~ C M~SIAND INC ~.~ FAX NO. : ~1-~?8-8951 ~ York State Department of Environmental Conservation ~ding 40 -~UNY, Stony Brook, New York 11750-2356 ,phone (516) 444~65 =Simile (515) ,,.,.x. ~$0 OCt. 29 2003 09:45AM P1 3o~a ~. C~Jll LETTER OF NON JURISDICTION-TIDAL W'I~TLANDS February 23, 1999 $0 Roydon Ddve Bast Merrick, NY 11566 Re: 1-4738-02181/00001 Heffernan ~roperty 73/) West Shore Dr., Southold SCTM~ ]000-$0-1-48 Dear Mr. H=ffernan; Based on the L, fformation you have submitted, the New York State Department of Environmental Conservation has determined th=t: Tho portion of the property landward of thc eXis~8 bulkhead conmucted prior to $~0/77 as shown on NYSDEC Tidal Wetla~i ~ 718-,~46'and the ~trv~y prepared-by.Roflefick VmaTuyl dated 11/8/76 is beyond the Article 25 Tidal Wetlands jurisdiction. Therefore, in accordance with the current Tidal Wetlands ]~tu~ Use l~e~flatJons (6NYC~ Part 661) no permit is required under the Tidal Wetl~ds Act. Please be advise, however, that no construct/or~ sedknentatlon, or disturbance of may kind may take place seaward of the tidal wetlands jurisdictional bounds~, as indicated above, without a permit. It is your responsibility to ensure that all necessa~ precautions are taken to prevent any sedimentation or other alteration or disturbance to the ~round surface or vegetation within Tidal Wetlands jurisdiction which may reset fi.om your project. Such precautions may include maintalni~ adequate work area betweea the tidal wetland jurisdictional boundary and your proicct (i.e. a 15' to 20' wide construefion'.area) Or' e~ecting a temporary l~nce;'ba~'ier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsib~ity of obtaining any necessary permits or approvals fi.om other agencies. Very truly yours, · R°g E~V~,Permll .Ad~stla[~lor SURVEY OF LOTS 4, 5 a P/O 3' BLOCK B ,trAP OF RE~0N SHORES, INC. FILE No. 631 FILED JULY 2, 1931 $ITUA TED A T BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. t000-80-01-48.1 $CAIF 1 "=50' FEBRUARY 27, 2002 MAY lg, 2eO~ AI~ I~ AI~S JULY 2,. 2003 .N3DE~ 8.O.H. DATA ,.v~ AI~ = 12,531.13 ~q. ff. t;o 'n[ u~ 0.283 ac. TEST HOLE DATA CrEsT HOLE DUG BY OiV 3cetE 2~, 2003) PRQPOSED SEPTIC SYSTEM DETAIL EXCAVATION INSPECTION REQUIRED FOR SANITARY SYSTEM BY HEALTH DEPA~ , yFURTHEST LEACHING POOL OF' A $ POOL SYSTEM