HomeMy WebLinkAboutLampl, Mark
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: May 22, 2008
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631)765-614b
Telephone (631) 765-1800
southoldtown.northfork.net
13
Transmitted herewith is a copy of application No. 3801 for aCesspool/Septic Tank ALTERATION
Permit submitted by:
Eric Nielsen for Mark and Patricia Lamnl
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE {~/
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
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Dated
OFFICE OF 173E TO WN CLERK
TOWN OF SOVfHOLD
ELIZABETH A. NEVILLE,TOWN CLERK
P.O. BOX 1179
SOUTHOLD, NBW YORK 11971
Telephone
(G31) 765-1800
Application No. 3~~
Construction
Alteration
$10.00 -Residential ~
$25.00 -Non-Residential_
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for 1 3
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ I~~.
.:~
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DATE Slac~'b
APPLICANT NAME: ERIC IJIELb~-1J •
APPLICANT ADDRESS: P.Q. f~jX q~
~~1T1)CK, tJ y. IIRSa.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
W1~OP0bE1l i~-I~~fZ~TlDA7 OF (=XI£~TI `)l' ,Q tL~ Rt~t7~R
~,IgI~N't~P-'P9~-ice 6.~1-t) fI~VJ(~u I~~,A- -
LOCATION MAP: Must be attached hereto before permit may be issued>
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: QI,{p-~~ p~~ .p-}TRIGF~ L.f}MPL
OWNER MAILING ADDRESS: ~{ ~i _ 5D1..Pr.'1,S PLFFC~
An~2T Ix9K}£~t-111.`Y9T~~I 1~.~1 11(7507
OWNER PROPERTY ADDRESS:_gI~ T}1E ST'Ri~t~D
~K•1rnT ~.lia-~tf~A7 ~ t~~d .
TELEPHONE NUMBER OF CONTACT PERSON: (p~~-,`~q - ~~~~ ~r?1~ ~IF~s~~ti
TAX MAP NO.: Section~Block /~~Lot
CROSS STREET: ~r/ LU1.7C~ ~(}y
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED - ~-~"~`~~-`
Signature of Applicant
RECEIVED BY:JfAY 22
Town Clerk's Office
DATE:
er
TOWN OF SOUTHOLD
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SURVEY OF
__ LOT 127
MAP OF
PEBBLE BEACH FARMS
FILE No. 6266 FILED JUNE 11, 1975
SITUATED AT
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-30-02-81
SCALE 1 "=20'
OCTOBER 8, 1999
NOVEMBER 2, 1999 ADDED TOPOGRAPHICAL SURVEY
`~~~ ~-- ,-m AUGUST 30, 2001 FINAL SURVEY ON POOL
' . _1 r•} gr ",~t~'~ 20~ULYDD2D 2 ODITIADDEDTPROPOSEDYADDITION TE
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`~~ ~ =''° .__ AREA = 23,375.16 sq. ft.
-- ._...."..~.'_. -- (TO TIE LINE) 0.537 ac.
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BY TIE LIA.LS. AND APf
FOR SUCH USE BY THE ~
uNwnaRaEO aTERaraN oR ADDmoN
TO THIS SURVEY IS A VIOLATKNI OF
SECliON 7209 OF THE NEW YORK STATE
EDUCATKIN LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S NKED SEAL OR
EMBOSSED SEAL SHALL NO7 BE CONSIDERED
TO fE A VALID TRUE COPY.
CERTIFICATIONS NDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM 7HE SURVE'
IS PREPARED. ANO oN HIS BEHAtF 10 THE
1RLE COMPANY. GP/ERNMENTAL AGENCY AND
LENDING NSTm/TpN LISTED HEREON. AND
TO THE ASSIGNEES Of THE LENDING N5T1-
TUTKN. CETlI1FICAT10N5 ARE NOT TRANSFERABI;
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD. IF
ANY, NOT SHOWN ARE NOT GUARANTEED
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THE MINIMUM
N.Y.S.
Nathan Taft Corwin
Land Surveyor
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Title Surve un6divisions - Ssi a ConstYUCtion
PHONE (631727-20~~Z'Na 9G~~~~ (631)727-T~z
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PALE BROWN AND KNOWN SLLtt SMlD SM
15'
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BROWN FlNE TO NmIUM SANp SP
55'
- WATEN IN BROWN FlNE TO NmIUN SAND SP
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:LEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: +o.o
EXISTING CONTOUR LINES ARE SHOWN THUS: - - -+o - - -
MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
MINIMUM LEACHING SYSTEM FORA t TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
I POOL; 12' DEEP, 8' dia.
PROPOSED EXPANSION POOL
PROPOSED LEACHING POOL -
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® PROPOSED SEPTIC TANK
'HE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
)BSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
:XISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND
tEMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS.
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