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Home My WebLink AboutMarcy, DonaldELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER o�o$�FFotx 0 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: March 31, 2015 i` MAR 3 1 2015 !' RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4299 for a Cesspool/Septic Tank Construction Permit submitted by: Nancy Dwyer for Donald Marcy 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. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE Comments: Final approval required from the Suffolk County Health Department Signature Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown. northfork. net CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $104 or Non -Residential @ $25 Application No. / Permit No. Applicant Name Applicant Mailu Septic Tank or Cesspool Q Brief Description of Proposed Construction or AlteratiIf 0 Po � � 5 � ✓lam ( � UTre S) 4I�C�-, Location of Proposed Construction/Alteration: Owner of Property: a r!M Owner Mailing Address: Owner Property Address: v 2-!5- A -Y r o w h c I(, - Name and phone number of contact person 066 tA y(z4r Tax Map No: I "D Section � Block 3 Lot `- Cross Street I n ti k Xti U e- Pik_ 'V__6jk . NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURV Y W HEALTH DEPARTMENT APPROVAL Signature of ppli t Date Received by: (__�q ' I S.C.T.M. NO. DISTRICT: 1000 SECTION: 98 BLOCK: 3 V Ei DWELLINGS W/PUBLIC WATER 150' 17' ZONED R-40 CL 35.2 r �M l J IN -DI A -N 3 O o � O r. 6 O U-) Ln O th z O � v � tri O '— MON. Z 1.5N REMAINS OF 0.2'E RAIL FENCE MON. 0.2'S EL 34.9 1.7'W Q LOT(S): 5 NECK ROAD I w LOT 4 �p 0 It Tn ELEV. 35.0 SUN cv OR BROWN �I LIL#6 ANDY LOAM 1' Z ;a BROWN I _ .OAMY SAND V1 2.5 Ln� PALE N BROWN a0 MEDIUM o TO z _. 's! 0 COARSE SAND 17' ZONED R-40 CL 35.2 r �M l J IN -DI A -N 3 O o � O r. 6 O U-) Ln O th z O � v � tri O '— MON. Z 1.5N REMAINS OF 0.2'E RAIL FENCE MON. 0.2'S EL 34.9 1.7'W Q LOT(S): 5 NECK ROAD I w LOT 4 �p 0 It Tn SUN cv rn �I W T� co to p C —1 Z ;a %825 I _ ;0 V1 06 I Ln� O N a0 o � m z _. 's! 0 -p 3 G "a U) n DWELLINGS r� W/PUBLIC WATER ✓' 150' N84'09'5000E N w tP PROPOSED DRIVEWAY j 35.0 oa 00 3� CL 35.0 —..—. MON. 1.7'N 0.3'E 135.83' N PRINCIPLE BLDG. ENVEL OPE _ _ 50' \ I I LOT 5 I 30.1' 35.0) I 0 e N CAPACE 6.0' GD(35.5) I Q MON. MON. 1.5'W L1.6'N n n 0.2'E EL 35.3 50.0' — Q 0 O MON. 0.3'E Q 60.5' J EL(35.0) (35.0) EL 34.7 I� .. PROPOSED WATER SERVICE EL 35.1 148.57' ATKCORNER STK. FND. s84.09'50"W 1 AT CORNER DWELLINGS I W/PUBLIC WATER LOT 6 150' 1 DWELLINGS W/PUBLIC WATER 150' 1 L- C; ._ LU R NON—CONFORMING LOT THE WATER SUPPLY, WELLS, ORYVVELLS AND CESSPOOL REAR YARD SETBACK - 500'' FRONT YARD SETBACK - LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS SIDE YARD SETBACK -15' (35' TOTAL) AND OR DATA OBTAINED FROM OTHERS. AREA: 22,754.45 SQ.FT. or 0.52 ACRES ELEVATION DATUM. ASSUMED ------------------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 5 MAP OF: ARROWHEAD COVE FILED: JUNE 20, 1963 AS #3810 SITUATED AT: PECONIC TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK FILE #14-67 SCALE: 1"=30' DATE:APRIL 18, 2014 CERTIFIED TO: DONALD R MARCY; ALBERTA S. MARCY; KENNETH M WOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S. L/SC. NO. 050882 maintaining the records of Robert J. Hennessy k Kenneth M. Woychuk SUN cv Ln PROPOSED ROOM ao 1 STY MM. 18.0' DWELLING %825 I (FFL 37.5) V1 06 I N MON. MON. 1.5'W L1.6'N n n 0.2'E EL 35.3 50.0' — Q 0 O MON. 0.3'E Q 60.5' J EL(35.0) (35.0) EL 34.7 I� .. PROPOSED WATER SERVICE EL 35.1 148.57' ATKCORNER STK. FND. s84.09'50"W 1 AT CORNER DWELLINGS I W/PUBLIC WATER LOT 6 150' 1 DWELLINGS W/PUBLIC WATER 150' 1 L- C; ._ LU R NON—CONFORMING LOT THE WATER SUPPLY, WELLS, ORYVVELLS AND CESSPOOL REAR YARD SETBACK - 500'' FRONT YARD SETBACK - LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS SIDE YARD SETBACK -15' (35' TOTAL) AND OR DATA OBTAINED FROM OTHERS. AREA: 22,754.45 SQ.FT. or 0.52 ACRES ELEVATION DATUM. ASSUMED ------------------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 5 MAP OF: ARROWHEAD COVE FILED: JUNE 20, 1963 AS #3810 SITUATED AT: PECONIC TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK FILE #14-67 SCALE: 1"=30' DATE:APRIL 18, 2014 CERTIFIED TO: DONALD R MARCY; ALBERTA S. MARCY; KENNETH M WOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S. L/SC. NO. 050882 maintaining the records of Robert J. Hennessy k Kenneth M. Woychuk