HomeMy WebLinkAboutBohn, Carol •
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ELIZABFT#3 A.NEVILLE $h`Z oGy�• Town Hall, 53095 Main Road
TOWN CLERK I
y : P.O. Box 1179
• Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • O +1� Fax (516) 765-1823
MARRIAGE OFFICER : �fi 1
RECORDS MANAGEMENT OFFICER - 01 �� Ie1 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER 1111.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1828 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CAROL AND ROBERT BOHN
Address 1 : P. O. BOX 55
City St Zip PECONIC NY 11958
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 #R10-98-0007
Name Of Owner BOHN, CAROL (IN CONTRACT)
Mailing Address 1 P. O. BOX 55
City St Zip PECONIC NY 11958
Property Address 1 NORTH PARISH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 71 .00 block 1 lot 35.000
Cross Street NORTH BAYVIEW
Building Permit Number Cross Reference:
Issue Date: 3/20/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
iii K _
ELIZABETHig/
A.NEVILLE ,�`Z`�� �y� Town Hall, 53095 Main Road
TOWN CLERK % p -'� % P.O. Box 1179
• y = Southold, New York 11971
•
REGISTRAR OF VITAL STATISTICS % Fax*. • Fax (516) 765-1823
MARRIAGE OFFICER �:doaNg ��%'���, Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.5, ���I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 19, 1998
Transmitted herewith is a copy of application No. 1902 for a Cesspool/
Septic Tank Construction Permit submitted by:
Carol and Robert Bohn •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
acv
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE /
DISAPPROVE
Comments:
ugnatu
3/.)...5jg$
Dated
.
OFFICE OF THE TOWN CLERK F€ G
Town of Southold Application Noll
Judith T. Terry, Town Clerk #
Town Hall, 53095 Main Road141
Construction
P. O. Box 1179 ,h ,J Alteration
Southold, New York 11971
Telephone
1 Jig `t " " Residential �—
(516) 765-1801 ' ° Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 3/ /
APPLICANT NAME: C 464 * �d b-e-411" /4 ►.,
APPLICANT ADDRESS: C 0 a x f ���a ,,�► L
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .
01 0,''--L T o Q vs
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: (i,d Co,Jr Ac4
OWNER OF PROPERTY: C A r-d L b a p r✓ s A gar ,—I
OWNER MAILING ADDRESS: PO te)x - Z/ 4-‹) ►� i_I-
OWNER PROPERTY ADDRESS: Avi e ,✓
TELEPHONE NUMBER OF CONTACT PERSON: 7&6--//0.)-r, ���� ///
roo ?
TAX MAP NO. : Section 7 / Block / Lot 3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:..
Signature of Applicant
RECEIVED
RECEIVED BY:
ovA Irk ice
DATE:
Southold Town Clerk
Ii
• SURVEY OFFROFERTY
` SEPIIG DETAIL PROPOSED
not to scale DWELLING SITUATE: SAYV I EN
EL= ^"'ty„=tet t„� VAGArvr
FF_ 12 7. 1sed TOIAIN OF SOUTHOLD
Prjrcies PILE ( --4'•'‘...,,,,,,. SUFFOLK �OUI j 1 1 1 `Y
EL_ 9.5 existing grade max. 2' FOUNDATION A lO ""'^�R.
min. `i''� "max•=m:. 11� ^�.,,,.
max. 2' cover ifiv.� 0.0 ;7 T�
min. i' inv.� 7.8 r.Y,�•_' .._,,,:,,„ ,,,. w "„'-."" ..�
five cover in" 7.3 900 gal. itch O" •
C '" ,.,:._._ ,L` .�,,,,"'�„
leaching 7.1 p "• ° ft /'�
se tic 1/ er AlPools 'o� itch tank ]/q" p • qt Q EL= �" (Asp /Sift/ ��.<„� SURVEYED 10-21-11
P p ., in. P t - 3 . T•
8' dia. °� ,/q Per ` = N75 1g 6.5 �� "�,�,, '� Rp,� '''''''.,,,•,, AMMENDED OI-21-18
soo s.f i 28 •• Wit...=,_, �N.4Y) /\ :..„„ AMMENDED 02-06-18
sidewall ' J” EL..5 `a. aA
•
umin.�2 L= 5' S75 • '�j="mow-�,.:,,,,,�.�...
separation 6L 5 M1,N 4 '5Q ,I E s "�" "_ 7L5 1000 OilSUFFOLK 01NTY 35TAX MAP
ground water EL- 1.2 - 17q ').. ,.._•
/,.
esx
/ , Y
';17... /% co EL- CERTIFIED TO:
ROBERT G. EGOHN
~, o.. 7'7. 1 -�f CAROL ANN BOHN
1' a CC� ,; PROPOSED frl \ TIGOR TITLE GUARANTEE CO.
u� a o
2 S
O HEALTH DEPARTMENT
fi j�`N� /O REF. # RIO-18-0001
TEST HOLE DETAIL a� i O
r
not to scale ( � �+ ,l'A V----- EN=UPE f /l O
SA NOTES:
TOP •
;Y AO' N E--.�. 2
SOIL @@@ `,� N 1------ 50• ,_..,,•%. O O UJ
DNI( 0.1' Z s� D ---
11 ij �} �),ni-_
LOAN a-`1r PaOp'�1 G TE�r NOL, / N. O 2 • ■ DENOTES MONUMENT FOUND
i.i _ O A. *►
Stan - ---._. _ 0 OWE E� c�6 ;)O 444(1)41
0 DENOTES PIPE FOUND
sum 7Y �0N`
LW 3.0 W Q i .. ` i / '�` �Q '�0 AREA = 24,456 S.F. OR 0.56 ACRES
9 ..4. -C
{ IN
N /�..fid ► j J' M f(� ELEVATIONSRED TO M.S.L.EREON ARE
6.V.D '21
i it
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�'� f ( a �UtR rite• alteration or addition to a survey
V,S7). 1,1011'
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F.. t ' `�" , �-0,,..d 07.2j
z O SAX @ 3f0'ee,3� /r' N._�/, 9 .."''''"),"\, v� �•I -., opies from the original of this survey
-.i-=• - I-,-�. kp fVa .. Cjts• ed with an original of the land surveyor's
1 ' �,• . f - e/ anSj I j ® t _ ��_�/ l �' I. stamped seal shall be considered to be valid true
'p•+ , .Y 11 '.��,tt` On .� 1 �,': {�n� l7 copies'
52 P ` V �a� ,_ / ' ��------j `` (�i1��` rSS'' J Certifications indicated hereon signify that this
WA1SIAM �,; w f .� 3 > {} ,E r •' l� r1 t— survey was prepared in accordance with the ex-
IN \� i� f \'_ isting Code of Practice for Land Surveys adopted
SNO 1" f_ L'1 y '�(L:P �_ by the New York State Association of Professional
_ 1 G Land Surveyors. Said certifications shall run only
.i , '^•� �i ��•L L V• to the person for whom the survey is prepared.
OWL a? I.... / and on his behalf to the title company, governmen-
1.4
tal r - _ 1' (`P7?-----4...p �-- �� tal agency and lending institution listed hereon. and
-
�' - ' ; '� a"' 1/
5 LrP `, to the assignees of the lendinginstitution. Certifica-
lEST HIE (;•� ` ;; \ •/lo t `�:� r tions are not transferable to additional institute n3.'
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i hF �� ,A . , N.Y.S. LIC.
GRAPHIC SCALE 1 "= 30 ' �� ;<..2.‘NNN.,,,, ,,... "��, "'" ` y"' 'S LAND SURVEYOR p`F`°
cco, f� •AIN STREET
�� _ �' X 369-8288"IVERHEAUFaxY36918287 REFERENCE # 97-0068
901
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