HomeMy WebLinkAboutVineyard Custom Homes
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDSMA~~9EMEN~~~ER
F~~'orll'fFO~MATIt>N OFfiCER
\ ~. ' JUN 2. 1 T] 'U i OF>'ICE OF THE TOWN CLERK
. ..' ..... J TOWN OF SOUTH OLD
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TO: Southold Town Building Department
Town Hal!, 53095 Main Road
P,O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown. northfork. net
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
June 21, 2007
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3719 for a Cesspool/Septic Tank Construction
Permit submitted by:
AM PM for Vineyard Custom Homes
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.
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I have reviewed the application and location map of the project cited above and make the following
recommendations: /
APPROVE
Comments:
DISAPPROVE
~~~~4~n--6f
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Signa;r~ ~7 ~ 7
Dated { /
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
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_ or Non-Residential @$25_
Application No. 3 7/9
Permit No.
Applicant Name
Applicant Mailing Address
Septic Tank_or Cesspool
Brief Description of posed Construction 0 Alteration
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Location of Proposed ConstructioW:Alteration: . ~ ~~
Owner of Property: \J \~d--.. V'>\..
Owner Mailing Address: \l.o~ ~
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K3t€./ b G-J:- L P .
C. uTC.H OG-I...L E. .lj't IIF.3T
f{\'l~~ ~oJ- VL.. '6G, f"9.P--D
Block ')-- Lot ;< \.-{
Owner Property Address:
~ .
j:,":': p. ,-- - ~:-
Name and phone number of contact person
Tax Map No: Section RS"
Cross Street
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NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
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Signa~Of App~t -. Date
Received by:
~~
LOT 7
SUFFOLK COUN1Y DEPARThfENTO HEAL m SEltVlCllS
,CTION: 85
LOT(S): 24
VACANT (FARM LAND)
LAND N/F OF DAVIDS
133.00'
BLOCK: 2
LAND N/F OF DAVIDS
S55017'10"g
MON FD
O."S
0.9'E
EL ~,5
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DATE C;
APPROVED
FOR MAXIMUM OF $- EDROOMSLOT 6
EXPIRES THREE YEARS FROM 0 TE OF APPROVAL
2ND FLR.
DECK
lB.5'xB..:r
EL(59.0)
2ND FLR.
DECK
la.s'
- 26.9'
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29.0'
PROPOSEO
2 STY. FflAIAE
wi BASEMENT
FFL EL(6'.O)
2.8'
~GARAG(
"'GF(~.5)
EL(58.0) 22.3'
'O'WIN
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.48.'
'18'40"'ir'- N5500S'20"1I'
2.53'
11.03'
BRIDGE
(50') LANE
TOWN MAINTAINED ROAD
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. -. 'EXiS1iilnvATERIlAiN-" -.. _.. _.. _.. _.. _.. -..-
.98 ACRES
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36.0'
ELEV. 5J.2
DR BROWN
DY LOAM I'
OAMY SAND .L
CLAYEY LOAlof J'
MEDIUM
TO
COARSE
SAND
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NO WATER
17'
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MAR 5, 2007
BY TED SMliH EXCAVATING
DWElliNG
/
/
/
/
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lIEU.
o
NOTE, NO WELL WITHIN 100' TO
SCALE OF SEPTIC
EL 50.6
MON FD
AT CORN.
-'
CL 50.54
REVISED 6-7-07 ADD NOTE
THE WA TER SUPPL Y, HElLS AND CESSPOOL
LOCA TlONS SHOWN ARE FROM FIELD OBSERVA TlONS
AND OR DATA OBTAINED FROM OTHERS.
ELEVA TlON DA TUM: ___~~~.:~________________
IDlnON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
VEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
'GNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.