HomeMy WebLinkAboutZupa, Mary SELIZABETH A. NEVILLE, RMC, CMC
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
TO:
FROM:
DATED:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
July 26, 2010
OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD ~C ~ ~ ~ ~
[~[J~JU[ 2 7 20~0
BLDG. DEPT.
__ TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Mary, S Zupa .
3966 for a Cesspool/Septic Tank Construction
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.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Depathnent,
Signature
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 ~ $25 __
Application No. ~ 9 ~,-~
Permit No.
Applicant Name /~
Applicant Mailing Address
Septic T~ or Cesspool
Brief Description of Proposed Construction or Alteration
Received by:
Location of Proposed Construction/Alteration: OwnerofProperty: fi'lfr ~¥ .~. 2-U
Owner Mailing Address: ~_'F~ C- l~ ~ ~/~t I) 15 ~' Pd[A.r'f ?.x~A 1>
Owner Property Address: o~'"~'D ~'fl, glg;
Nameandphonenumberofcomactperson ffl,~"/ 2. tJl>,,4 7~'''~ ~[]~1..~
TaxMapNo: Section ~:l Block ~'/ Lot /d,'7
Cross Street p/[l~,fibl~ff P~/.,VT
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
~'~'_?~ Si,~ Sign 'e~l~plicant Date
S 89'23'08" E
21.63'
E EASEMENT AWARDED BY --
ORDER DATED OCTO~I~R 27, 2004
SURVEY OF PROPERTY
SITUATED AT
BAYVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No, 1000-81-01-16.7
SCALE 1 "=40'
JANUARY 7, 2002
JANUARY 29, 2002 REVISED LOT AREA NOTATION
FEBRUARY 14, 2002 REVISED DRIVEWAY LABELS
MAY 15, 2002 LOCATED WETLANDS & ADDED TOPOORAPHICAL SURVEY
JUNE 1, 2002 ADDED SITE PLAN
AUGUST 5, 2002 REVISED WETLANDS LINE, SITE PLAN ~ ADDED TEST HOLE No. 2
AUGUST 26, 2002 ADDED PROPOSED SEPTIC SYSTEM
JANUARY 23, 2003 ADDED DRYWELLS & HAY BALES
NOVEMBER 12, 2003 REVISED PROPOSED HOUSE
JUNE 6, 2007 REVISED TO SHOW PROPOSED LOT LINE CHANGE AT BASIN ROAD & UPDATED SURVEY F-OR LOCATIONS OF NEW STRUCTURES
JULY 23. 2008 ADDED PRESCRIPTIVE EASEMENT
LOT AREA INCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 75,687.~'6 sq. ft.
THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) 1.758 ac.
LOT AREA EXCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF -- 72,747.55 sq. ft.
THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) 1.670 ac.
CHICAGO TITLE INSURANCE COMPANY
MARY S. ZUPA
SOUTHOLD BAY
(~o~#
N 88'45'16' E
N5 -&~, N5
197.56'
N5
BOAT
BASIN
I. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM. EXIS1]NO ELEVATIONS ARE SHOWN THUS:
2. FLOOD ZONE INFORMATION TAKEN FROM:
3. I~INII~.$EPTIC T~ c,~PAcmts...r-e~ A I TO 4 ~ HOUSE.,tS~[~O0 GALLONS
TEST HOLES DATA
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANy, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH *THE MINIMUM
Nathan Taft Corwi
Land Surveyor
Title Sun, eys -- Subdivisions -- Site Plans -- ConstrucUon
PHONE (631)727-2090 Fax (631)727-1
OFFICES LOCATED AT · MAIUN~ A~DR~
322 ROANOKE AVENUE P.O. Bbx 193
RIVERHEAD, New York 11901 Riverhead.'New York 11