HomeMy WebLinkAboutDavey, Paul (3) 41' OfFOLt`,_
ELIZABETH A.NEVILLE,MMC es��.®� $ Town Hall,53095 Main Road
TOWN CLERK 4 o v-' : P.O.Box 1179
r17 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS °A' z ��
® 'Ty'•. ' :�'�� Fax(631)765-6145
MARRIAGE OFFICER ,Qlole Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER = 0.t `1► ,d www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER ....
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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1; 111
TO: Southold Town Building Department IT1 SEP 2 9 2015 I ,
FROM: Sabrina Born, Southold Town Clerk's Office -
DATED: September 29, 2015
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4342 for a Cesspool/Septic Tank Construction
Permit submitted by:
Paul Davey
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
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
.•
Dated
4fFoL .;
ELIZABETH A. NEVILLE 0��,�4 ,e Gy Town Hall, 53095 Main Road
TOWN CLERKFy .. P.O. Box 1179
t K a �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS err
MARRIAGE OFFICER � , :,-^,'r. .F �� Fax(631) 765-6145
si �
RECORDS MANAGEMENT OFFICER ?f� Y �� ioi1
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =.'l ,0 ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
f/Residential @$10 �J or Non-Residential @ $25 Application No. 9,3Q
Permit No.
Applicant Name � L V
Applicant Mailing Address \ S r3gAUCA LIMA
Septic Tank 1,-;Cesspool
Brief Description of Proposed Construction or Alteration 3 S r (ACL,
c$27,s'i viii
Location of Proposed Construction/Alteration:
Owner of Property: ‘?.I4`, L = U-'2 `-1
Owner Mailing Address: 1 1 '4 S' P / !'4 U-„) L�
5e-r1,.a 1 /`1'�7 11
Owner Property Address: LI U 6 C Q VtC r Qtre42_
,S 11.a 11 N' -c 115-1 )
Name and phone number of contact person ?At-.'l ( 4t-i Sof(o - cdAf
Tax Map No: Section -7v- Block n f Lot ?.
Cross Street l2.0 1
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY". HEAL - ` 'ARTMENT APPROVAL
e. or--
Sign.ure of • ppl. Date
Received by: /40
S.C.T.M. NO. DISTRICT: 1000 SECTION: 78 BLOCK: 4 LOT(S):8
0
L(,
i L
y 5
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"cy�
S)e ' ' .........................................110.25.°9;. . 1
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DWELLINGS
W/PUBUC WATER
150'
LOT 5
VACANT S ;
100'® y O
lV ....
A, 818,20"jr
EL 18.2 la
,3
U
208.801 I x
M
4 -1
DRY WELL 1 MON. 40
r� ^ S-NITBEDR TEM n C7 I cl
N.
VACANT / �\ N EL 18.0 4, w
150 EL(18:6) EL(1g:§)• ' 8 OWx12 5 POOL I e Z
i
Nii
D 0.m ca ®Z I DWELU
v .:;.,--I S.T. au W : 41 W/PUBLIC WATER
\ Ln �I 150'
Z % ...%... , �� Z EL 18.3 '1t i
w
ti. U ,:+?;PROPOSED'•','• , M
0 0 K LOT 6 :;:,::•f OIP
Z 1 '• DWELLING .,:,:•,...,
., Z
5 1 b':: 1.545 $.F'.ir:.: — ' O I ^ U
' 2'::•:•:;:•,FFL(21.0)ti,';':;.i. O : — 1
N 2^ I J
O ";o p v
p :•:.‘"? r U.P. •
[T,
O ,.:."' PROPOSED WATER WUN I ^
'
n
p ;,= .PROPOSED ORIH€WAY • I\. ':'
:{;.;• ..
29.5', 5
E'liU35) ga18.5) ' I
EL 18.8 ��107.3' In i.....,/n
DRY WELL 1 U
EL 18.8 I
z
S88"05'00"E195.81' MON.
IDWELLINGS . . ,
W/PUBUC WATER
i
1 \
ELEV. 18.3
OL BROWN 1 3' LOT 7 •
SANDY LOAM SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
SM LOBROWN
AMY SAND 2.1' PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
—
SWALE FAMILY RESIDENCE ONLY
PALE SEP 2 8 211Th [
BROWN 1 -
2
SP
MEDIUM D 2 $ 015 H.S. REF. No. g10 -1c-0 0Yt
13.6' �j�
APPROVED .--� /
FOR MAXIMUM OF
BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL i ,
NO WATER
— 17' ZONED R-40
07-25-15
K. WOYCHUK LS THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 22,929.24 SQ.FT. or 0.53 ACRES ELEVATION DATUM: NAVD88
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA TION LAW COPIES OF THIS SURVEY
- MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED 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 1
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 6 CERTIFIED TO: SLIGO CONSTRUCTION CORP.;
MAP OF: COREY CREEK ESTATES
FILED: AUGUST 15, 1967 No.4923
SITUATED AT: BAYVIEW
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design •
P.O. Box 153 Aquebogue, New York 11931
FILE y 15-119 SCALE: 1"=30' DATE: JULY 25, 2015 PHONE (631)298-1588 FAX (831) 298-1588 ,
Y.S. L NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M.AWoychul