HomeMy WebLinkAboutBridge, EdnaELIZABETH 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:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
March 4, 2011
MAB 7 2011
BLDG. DEPI.
TOWN OF SOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Esteves Holding Corp
3999 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 J
DISAPPROVE
Comments: Final approval required bom the Suffolk County Health Department.
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.
Permit No.
Applicant Name ~jl~x/~ $ ~O[alv~,
Applicant Mailing Address ~O ~fi ~ ~'l~ ~
Septic Tank '/ or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ~q,'~ '-~ F ~ G~g~--- ~
Owner Property Address: 5~5q ~7~00-~e ~
Name and phone number of contact person ~'3r ~_~,<~
TaxMapNo: ' ~Seetion~ _Blo~~ Lot ~ (~. ~
Cross
Street
NOTE: LOCATIONxxx "-~MAP MUST B~IITTED WITH APPLICATION. NEW
Signature of Applicant Date
S.C.T.M. NO. DISTRICT: 1000 SECT]ON: St BLOCK: 4 LOT(S):2&9,! R010-06-0093 ~ ~ ':~
'SUBJECT TO COVENANTS & RES~ ~"~"~ "
I T, RICTIONS LIBER~ I ~
EXISTING WATER ~A~. ~S~ ~ PAGE --~ ~ ~L~'BROWN22'5 .......
FMAIN ROAD (S.R. 25) ~~ OL ~.o~[~. 15'
N 8~*Oq~0~" E
~ ~~ SP to~v~o 3.8'
~ m ~ !" M~ER TAP ~ 1 1/2" SUPPLY LINE (P~STIC PIPE)
. ~ H TO
~ [I~o SW
j ~ ~ ~ND N/F OF WAL~C[~
,
~ ) I ~ APPROVED IN ACCOR~Ar~ ~ ~, n ~u~ gF NO WATER 17'
z ~ i REVIEW DETERMINATION DAT~ ~/26~Z00~ m
~ m · ~ 8-19-o6
a 2a ~,~. S 60'36'30" W 2.59' -.~ 41.90'
~ ,~ 24.~ ~ ~.~
~ I ' x 40'
VACANT 2 S.. tR. ~
150' ~ ~ ~ ~e.a N al'~8~i0" E
j rr~ ~r~,.O) ' ~ 17.89' ~,'."~
I S 60036'30" W a,7.7 ~ ,~.0 234.22'
u.P,~ WELL ~NO N/F OF GEORGE BRIDGE
,
; OF HEALTH SERVICES
' , .... ~ ~ ~. ~,~ ~ O~CON~TRUCTIONFORA
............... h. (~[DENCE ONLY
WaterIkLine{s) ~.. .... ~ ..,~LI~ ..~ ~
CouCY neat' Of HeCtt~ Se~ices. 3~"~, ~- ':; :~ ~- ~,' - -
........ o o~ ............ ,o, RIO oo?
Suffo __...o Houm In Advan~
To Schedule inspe¢On(S). , Fo~ ~AX~~ BZOROO~S
~ ~ EXPIRES THREE YEARS FROM DATE OF APPROVAL
R~SED 7-19-10 ~D UT~UW ~EMENT THE WA~R SUPPL~ ~L~S AND CESSPO~
R~SED 6-2-08 LOCA~S SHO~ ARE FR~ FIELD O8SERVA~ONS
R~SED 4-28-08 AND ~ DATA ~TAINED ~ O~ERS.
AREA: 38.062 S.F. OR 0.87 ACRES ELEVAnON DATUM: .... ~E~_ ...............
UNAUTHORIZED AL~RAnON OR ADD/nON TO ~/S SURLY IS A ~OLAT/ON OF SECnON 7209 OF THE NEW YORK STA~ EDUCAnON LA~ COP/ES OF ~/5
~ ~or eE~/N~ ~ ~NO SU~'S ~eOS~O SE~ S~a NOr ag CO~/~gO rO ag ~ V~U~ mU~ COaX CU~NrEgS /N~/C~ ~0~ SH~a ~U~
ONL~ TO ~ P~RSON FO~ ~OM ~ SURLY IS PRg~AR~D AND ON HIS ~gHALF ~0 THE ~E COMPAN~ GO~RNMENTAL AGENCY AND LENDING /NST/~T/ON
LISTED HEREON, AND TO THE ASSIGNEES OF ~E ~END/NG /NSn~ON, CUARAN~E5 ARE NOT TRANSFERABLE.
~E OFFSETS OR DIMENSIONS SHO~ HEREON FROM THE PROPERTY LINES TO ~E S~UC~RES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT ~E PROPERTY LINES ~ TO GU/DE ~g EREC~ON OF FENCES, ADDITIONAL S~UCTURES ~ AND O~ER /MPRO~MENTS. EASEMENTS
AND/OR SUBSURFACE S~U~RES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY E~DENT ON ~E PREMISES AT ~E T/ME OF SURLY
su~Y Ga DESCRIBED PROPERTY CERTIFIED TO: ESTEVES HOLDING CORP.;
MAP OF: ADVOCATES ABSTRACT INC.;
FILED: COMMONWEALTH ~ND TITLE INS. CO.;
SITUATED AT: SOUTHOLD
~o~ o~:SOUTHOLD ~NN~ M. WOYCBU~ [.S.
SUFFOLK COUNTY, NEW YORK ~nd Su~e~g and Desl~
P.O,
~o=
~ew
YogA,
11952
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~0~ (631) l~-lS~ F~ (631) ~8-1588