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Home My WebLink AboutDaniels, Elizabeth ELIZABETH A.NEVILLE so Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER r �� Telephone(631) 7651800 FREEDOM OF INFORMATION OFFICER �liJ'COU '� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3653 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : NIELSEN, ERIC Address 1: PO BOX 93 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-07-0128 Name Of Owner DANIELS, ELIZABETH ------- ---------------------- Mailing Address 1 41 PARK AVENUE ------------------------------ ------------------------------ City St Zip RYE NY 10580 -------------------- -- ---------- Property Address 1 1910 LEETON DRIVE ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 58.00 block 2 lot 12.000 ------ --- ------ Cross Street KENNY'S ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 9/08/08 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) *pF SO(/T�, ELIZABETH A.NEVILLE �l0 Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �' �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER Olif'COU southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: July 11, 2008 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3815 for a Cesspool/Septic Tank Construction Permit submitted by: Eric Nielsen for Christopher&Elizabeth Graseek 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: y ° APPROVE Y DISAPPROVE Comments: 2 q,�e Signature ® /7 Dated SOF SO(/Ty ELIZABETH A.NEVEME �� Ol0 Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER y�'OUNTY,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: July 11,2008 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3815 for a Cesspool/Septic Tank Construction Permit submitted by: Eric Nielsen for Christopher& Elizabeth Graseek 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: Signature Dated . .e ELIZABETH A.NEVILLE �`� �, FTown Hall, 53096 Main TOWN CLERK p - , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS W Southold, New York 11 MARRIAGE OFFICER Gy �`�' Fax(631) 766-6145 RECORDS MANAGEMENT OFFICER �fQ1 �� Telephone(631) 765-11 FREEDOM OF INFORMATION OFFICER southoldtown.northforls OFFICE OF THE TOWN CLERK �- TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 >-P or Non-Residential @$25 Application No. 39/ Permit No. Applicant Name EQ1 C. 0:31 1L Applicant Mailing AddressiR,0. �>< `,� V4_pr-TTj-��_,CIL 0 Septic Tank / or Cesspool Brief Description of Proposed Construction or Alteration ,p -� X36--rm LY 9 1 SSC , P ''PQ"��'P:p Location of Proposed Construction/Alteration: -DAr�eAS Owner of Property:_ { p��ipP ` Fla ZR-R>E7PH CIRMCE( v— Owner Mailing Address: 11 al J%e Owner Property Address: 1 q 1 n t.Esm Name and phone number of contact person S"(2G ►_�t•� ,2 c��- J Tax Map No: JCCO Section 5R Block o2 Lot 1 Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: oaf 0 � �r�system most he a� SCDHS Ref. #' Rl 0-07-128 tiQ'vwEcuvG comfmrnaaicc with depart .reqbs mcr�t submit �P Flnr. • compictcd Form t�JV� as proof oC EL I2.5 ••``� ` "` Q SURVEY OF PROPERTY OV � X02 APV - . � .�n,� �,,� as- s 5 CO .-SEP ; -� A T SOUTHOL D �.� I � X11" -�1 ��:9 2' TOWN OF SOUTH LD ly w�4? ,ky . '# �;z 4- r:.�c O l\,h� sQ� - SUFFOLK COUNTY , N. Y. 00 e / PRS' AGE-015PDW SY¢Tw 6 POOLS �, 9% wt> ��.c�Lc;4p ov GAL PREcasr 1000-58-02-12 .0� b�'' �F 56? Ta QOM,=QF i�4 POOLS rO BE ii i 1 �n s - 0� �� ' , �� o. � _ �-�:..�''_��4;��w,�raR SCA2E oo,T 20 �' F OCT. l7 2007 (prop. hse./ -' �' ' do Qa p' O CROSSE ,` DN'SEPTIC SYSTEM P 60 iDEC 19, 2007 fodWons) z C JAN. 91 2008 frevislons! r �J NOTE= SUBSURFACE SEWAGE DISPOSAL SYSTEM DESIW pC ' ,' 1' r ��• r �`oi BY= JOSEPH F/SCHETTI, P. HOSAR T ROAD o� ��y s� �y e� SOUTHOLD, N.Y. 11 �' (631) 765 - 295 - Q. OQ. .��c® .��., ;--- - • OQ-_� RAIN RUNOFF , EXISTING .HOUSE WITH IMPROVEMENTS ��a k< e` ey�� Q ®� Q�`�� 1780 sq./l. TO BE REMOVED ?i �� - � �Q' �d c�, ' 1780x0.17,,1=302,6 �9 �' \ ��. - ,_•, �4�p�16 �� oo�� ®� PROVlDE83 DrywepsV6`�x4' deep EXISTING CESSPOOLS TO BE REMOVED OR 2 �, F/LLED IN � e� ®� -` NY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION Oji *j C �(� "x• OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. �'' =o_ "'�'•� qd / ti AREA FROM BULKHEAD TO MHWM. EXCEPT, AS PER SECTION 7209 - SUBONISION 2. ALL CERTIFICATIONS Q' Q` 0r HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF '�G • Y 1`' ® �C^ 4 593 sq.ft. SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIG1 ",� < �� '`� AREA FROM STREET TO BULKHEAD7411 .11. = NATURE APPEARS HEREON. TOTALq AREA - 8004 sq.11. I am familiar with the STANDARDS FOR APPROVAL g�4� AND CONSTRUCTION OF SUBSURFACE SEWAGEA S� �ti�0 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES q „� t O / AREA COVERED BY NEW HOUSE and will abide by the conditions set forth therein and on the / �P g r 1780 sq.ft. permit tq construct. TEST HOLE '60 '4,,4`• a 0� �, i(ee 8/15/07 e�q •�_ , LOT COVERAGE - AREA LEETON DRIVE 6 The locations of wells and cesspools el 7.5e zip `� TO BULKHEAD = 741/-sq.ft. shown hereon are from field observations Mrxm Salvo AAV LOAM oxe( l 1780/7411 = 24% and or from data obtained from others. _ _ z , �No PALE BROWN FINE TO MEDIUM N�� SAND SP N,r. EXCAVATION INSPECTION R��B��B� �i 2.� �c e�b a`p ; �h� � �0. � c 4�1SCfrF�O'Q �Q� FOR SANITARY SYSTEM WA TO?pr PALE BROWN r To Mmx�u sAw sp HEALTH DEPARTMENT r5 O J\11p' r BYCIO wA TFJt N PALE BROWN FW TO COARSE' sAno �m rox QUVEz COASTAL EROS/ON HAZARD LINE FROM COASTAL • og2�10 �Ce N p4b4 6/8 EROSION HAZARD MAP PHOTO # 56-566-83 ECONIC YO 5� FLOOD ZONES FROM FIRM 36103CO154 G 5/04/98 it P. 0 765 - 5020 FA 3/1 - 1797 P. 0. BOX 909 , BYMcDONALD._GEOSCOYCE /230 TRAVELER STREET ELEVA TIONS ARE REFERENCED TO N.G.V,D. • SOUTHOLD, N.Y. 1197/ 117 - 171