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HomeMy WebLinkAboutLandmark Properties f . ~ o~gUFfO(,~co ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 W Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O • Fax (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER 0(# `lla www.southoldtownnygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK W E TOWN OF SOUTHOLD D TO: Southold Town JUL 2 2013 D Building Department FROM: Carol Hydell, Southold Town Clerk's Office BLDG. DEPT. _ T044N Of SOUTHOLD DATED: July 2, 2013 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4141 for a Cesspool/Septic Tank Construction Permit submitted by: Landmark Properties 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. # * • * s : • a s * s I have reviewed the application and -1 ion map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature e714 /3 Dated o~OFFO4co } ELIZABETH A. NEVILLE hQ. TOWN CLERK 5 -Town Hall, 53095 Main Roa. REGISTRAR OF VITAL STATISTICS P.O. Box 1179 W MARRIAGE OFFICER Southold, New York 11971 G 'F RECORDS MANAGEMENT OFFICER Fax (631) 765-6145 FREEDOM OF INFORMATION OFFICER t71 ` Telephone (681) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TOWN OF SOUTHOLD BUILDI NGo BO PA RTMENT Southold, N.Y. 119OUTHOLD WASTEWATER DISTRICT • APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 v or Non-Residential @ $25 Application No. Permit No. Applicant Name Applicant Mailing Address Septic lank V or Cesspool Brief Description of Proposed Construction or Alteration_ Location of Proposed Con truction/ teration: Owner of Property:_ i) fa 1 k 4, - F ~,q Owner Mailing Address: ~J Owner Property Address: Name and phone number of contact person Tax Map No: ection Block X I 1 Lot Cross Street © U NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S UR HE at PAR Si atureofABn ppllcanDate Received by: f EXIS NG WELL EL. 14.7 jQ1/25/13 NOT FOR N E USED BY LONG ISLAND GEOSCIENCE O O i / 441 N N II P~-~~ m °a `d iy DARK BROWN p / W j OL ORGANIC SOIL V -.1 'N U Q UGHT BROWN SM SILTY O CM it I SAND LAND NOW OR FORMERLY OF Y•• O CAMILLE & JOSEPH NOBLE COO PALE BROWN o MEDIUM n SP TO COARSE L6 10 WATER GRADE SAND ASPHALT DRIVE I EL. 1.7' U U ~ a~~~ I wl v PSe~P~ > PVC i 12 d TEST HOLE DATA N 88'18,50n E .9 6' PVC FENCE PVC o;Z 2 o, 1.ON CM Z 0.2W ° 00 < L1J w ROP. DRIVE M W in < ~1R7 PATH a 3 7'0 BE REM 4 O r O LD J O 50.0' (13.8) + F J 41.58' OA. w (13.6) TO BE If) LIL 5 ~3 ~j3J N REMOVED O X ~ w 00 4 N LAND NOW OR FORMERLY OF n tM p KIM ANN & BRADY ULMET 3 PROPOSED WATER o LLJ p PORCH 0 w w w ~o x CK a R.O. D_ ° I,_ O PROP. y= C'i a N m e} LP r n (15.6) N + O PROP. PROP. EXP. S.T. Y! ~y Z PROP. (15.0) No + (15.5) O I'rI G m ° T.H. LP. WR EN V r N FNC , X 1.6 CM .1E X O c~ C4 CM FNC S 88*18~50' W X 154.86 FNC .6W O.6W IDRIVEWAAY 11 LOS 1.65 GRAVEL ASPHALT DRIVE I LAND NOW OR FORMERLY OF w~iieu urncaunTT SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES N ° PERMIT FOR APPROVAL OF CONSTRUCTION FOR A CER0: w SINGLE FAMILY RESIDENCE ONLY LANDMARK PROPERTIES OF SUFFOLK, LTD. JUN 2 0 2013 Q CHICAGO TITLE INSUR ICES, LLC DATE S REF. No. Q~U~13' Oc' ,~p'CF.OF NFyVY ~~t H. QFO 0APPROVED \ FOR MAXI OF BEDROOMS rr * EXPIRES THR E YEARS FROM DATE OF APPROVAL THE EXISTENCE IG AY ^ n AND/OR EASEMf RE~BAD O2 I IJ~\VI I FF. 16.0' FIN. GRADE EL 13.5 ANY, NOT SHOWN TF 170' GUARANTEED. GLAND SUP EL. 14.0 UNAUTHOR/ZED AL7ERA7701V OR ADDIT70N TO THIS SURVEY IS A NOLATION OF MIN. 1 4. SECTION 7209 OF THE NEW YORK STATE 4" MIN. EDUCATION LAW. M 12,5 EL m 1 6. 1• EL. 12.0 COPIES OF THIS SURVEY MAP NOT BEARING 12s EL. 4' EL THE LAND SURVEYOR'S INKED SEAL OR 11,711 6 ? ? EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALID TRUE COPY. ? C~ ? GUARANTEES INDICATED HEREON SHALL RUN EL. 6.0 ONLY TO THE PERSON FOR WHOM THE SURVEY BACKFILL WITH COARSE SAND & GRAVEL IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND GROUND WATER EL 1.7 LENDING INS77TUT70N LISTED HEREON, AND ALL HOUSES WITHIN 150.00' OF PROPOSED SANITARY DETAIL TO THE ASSIGNEES OF THE LENDING INSTI- SEPTIC SYSTEM ARE CONNECTED TO TUTION, GUARANTEES ARE NOT TRANSFERABLE. PUBLIC WATER. SURVEY OF: DESCRIBED PROPERTY KENNETH H. BECKMAN L S SITUATED IN: MATTITUCK Surveying and Land Planning 1814 Middle Country Road TOWN OF: SOUTHOLD Suite D Ridge, N.Y. 11961 SUFFOLK COUNTY, NEW YORK (631) 345-9427 DATE: 112512013 JOB NO. 813-14774 SCALE: 1 ° - 30' FAX (631) 345-9429 DIST. SEC. BLK. LOT S.C.T.M. NO. 1000 126 9 4 iREV. DWELLING 5/16/2013 B13-15036 r