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HomeMy WebLinkAboutPrizeman, John 064FFO ELIZABETH A.NEVII.LE $�`Z` 0tTown Hall, 53095 Main Road TOWN CLERK t; p 1 P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS %%% Fax (516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER y*491 ***. • Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER �� 09. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1826 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOHN PRIZEMAN Address 1 : 131 HICKS STREET City St Zip BROOKLYN NY 11201 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 #R10-98-0010 Name Of Owner PRIZEMAN, JOHN Mailing Address 1 131 HICKS STRRET City St Zip BROOKLYN NY 11201 Property Address 1 BAY AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 144.00 block 3 lot 40.004 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 3/16/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) . - ,,,,,,.......... . .. , ������SUfFO�,�co', � 6 ; s, . , ELIZABETH A.NEVILLE •,``tom G.. .� e Town Hall, 53095 Main Road TOWN CLERK p r4 P.O. Box 1179% Cl) Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O �11 Fax (516) 765-1823 MARRIAGE OFFICER : y RECORDS MANAGEMENT OFFICER : �Ol ��0 �l0 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER — .. 18.E 4 0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 13, 1998 Transmitted herewith is a copy of application No. 1900 for a Cesspool/ Septic Tank Construction Permit submitted by: John Prizeman 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE t DISAPPROVE Comments: Signat r al I3 /4& Dated '))friirietrrtr� OF1 III I OWN CLERK )01C\\`( U(,�',% Iown of Sonlhold liic.liil� I . ferry, TownClerk � ''f' '? i), Application Ho. town t rH II, 5:1095 Main float! In i`' u�"''"i; Construction. _ I'. U. flux 1179 • ' 114t n fj ... ... .. . . Southold, New York 11971 '`�� Alteration Telephone -"O 44 ��aJlfi • Residential(!i 1 6) 7(i5-_ 1110) ft f• Residential. OWN or sou 11101-_I) smut 1101.1) WAS FI:WA I ER DISPOSAL UISTR ICl' AITI-ICA t ION CONS IZI/(.1. 10/1 ui• ALTERATION PERMIT SEPI IC lAlllK CIE.SSI1O()1. loll ilu, 1.111 HA r iv'pfAize APPE IC:AN-1- NAME': -1.70. UV. ....P.,IR12r nl'I'I.ICAN l AI)1)RESS:... h. 5 r-Er- _..._... ..__.. } ito.oA_z-y AJ .. /v`!..-1-1. Za SEPTIC CI:SSPOOL I)NSCRII' I ION OF PROPOSED CONS-IRNCI ION OR AI_.-I-I=RA rION LOC/\T ION MAP: Must he altacluetl Beret') Imfure pei-iiilt ivay he Issued. I.00:/1'I'ION ON PROPOSED CONSi'RUC: I ION OR AI.'FEUA FION : OWNER O1= PROPERTY : ��'����N OWNER MAIi_IN(.; AI)I)U SS: X31. . Mcdr, . 45T- . OWNER PROPERTY Y ADDRESS :. _.. .B4_ .. AVE. •TTS ! 11 1..1...-._ _..__ TELEPHONE NUMBER 01: CON] AC I. PERSON : 7/. �2.4'._.o 3 .$, ( Ax MAI' NO. : Section10 00 - I4f . _ _.. .40 , Q, lfh Ic Lot' CROSS STREET : iQIUVT 2_ IDOJtl_I)ING; PERMIT Nt1Mr11:R CROSS REITRI:NCI: : } r Signature o Irl cant • RECEIVED NY : Town Clerk's Office I)ATI_ : I SEPTIC DETAIL PROPOSED 1,gE�Y (3' ' � not to scale OMELLING DER L SURVEY O RO FF. 16 SITUATE: MATT I TUCK P7PePesd EL- 12.5 existing grade max �� min. f' av;_ ....e.- min. - TOYAIN OF SOUTHOLI� . max. 2' cover inv.. 10.5 J min. f' inv.. 10.3 EL- 8 of, N 's cover inv.. 9.8 Ki SUFFOLK COUNTY Ni' hing 9,6 900 gal. ©� ��RL>�1� septic min. Dei cft I' Is min. pitc t tank f/A p ', • f . Per , ) Lpa�NA�ES.y 1'N46IINE61-5) �'- k wall `,4"tl°_.........EL- 5.6 ` pUEL1G ET ZU�NE Q SURVEYED Cl / 05 / iS min. 3 NO y AMENDED 01 / 20 / 98 separation I �0 � DIRT DRIVE r ground water EL- 2.0 • •\`: /t ....._.. -_- _._ 1000 144C 5 40 4 MAP EL- SUFFOLK COUNTY TAX \ / /....\; \/`.._\ 8.0 - p 4 / / 3 FRp•� - ` / . 1 0 0 0� • Z �1 Sp,RP` \ „r•,--.•g • .,- Q �- - I CERTIFIED TO. -.•• moi M AZ/ • ` ,co JOHN PRIZEMAN 00 E L, ��-*"--v,"----\1 ,,ter �� o y 106 58 ms'sAz. / o > 0 ,f i0 NOTES: 73 �_ / 0 O/ 5o I I� oU> ; ■ MONUMENT FOUND 11 r 0 ii rT1 D :4 �}1LD/N4 ' �.�._=ice o P N. v, `` >S, 1--__, ! o • • ° • WOODEN FENCE t. V \i ,,5 \ E im" Q k L1N6 0 / ��. j :° rri a a WIRE FENCE r~ �l 42.(:). 0 / �)71\11-i I l C AREA = 58,'1101 S.F. OR 1.55 ACRES �2 k± -��•� i ELEVATIONS SHOWN HEREON ARE a 0`� \ 3 "`�`��"Sd" 0 0 0 0 0 // -'_ `�, � I REFERENCED TO M.S.L. - NGVD'29 W`Y V-1,'„, / S?I -- -- ` ' I 'n pip-N �,, \ \2• / M 00 r EL= J '. \8 i ' fGL=-1 1rn TEST HOLE DETAIL `TQ-n _✓ % \ 1— ` N �---7' — '; NOT TO SCALE : ��- \ - - ` do ° ..yi 373.76;' �.. °;yid i ELEV = 11.0 h tii ` ` ' 6.59 00 _ SOIL IN ' 5 ),�/ /,�1, �(, V LOAN 0.5' ',� \ i`. `"----"--1\,___,\___/ 'unauthorized alteration ar addition to a survey 1.5 tY 9,� • / map bearing a licensed land surveyor's seal is a t.,_,.% y{M6 /• violation of section 7209, sub-division 2. of the 114 BROWN c'.---,1 . \�/ / K' DWELLING I • New York State Education Law." 1N SAND y l 7 /("-V—\ 5 "Only copies from the original of this survey y �_%• ..-1. Of. ---+�^ --. - marked with an original of the land surveyor's 0 0 O ( \(../.....s..),./ fLL'� stamped seal shall be considered to be valid true - SL1FF OLS O •, "'H SE T BROWN 4.3' •2.x-'1.. ,� / liai vy ELEN,- CM it Fa.__. ari?` `i j i 1 RVICES copies- i GRAVEL QrnyO .. 2_' SND N� P V✓ 'Certifications indicated hereon signify that this y yp . / L X15 survey was prepared in accordance with the ex- OF CLAY i Q F pE"'+N" e °"'trOR. A %sting Code of Practice for Land Surveys adopted 6.0' y Q y %� s.!+ L TON'L tl:f M by the New York State Association of Professional - :'.:1- - Land Surveyors. Said certifications shall run only O3 / 1 yr.. ., • . ._ . . . . -. . , c_ ,...,h to the person for whom the survey is prepared. !_� and on his behalf to the title company. gOvernmen- \�y (3-12 tal agency and lending institution listed hereon, and -n /i f•y A ^/ /�Y�y - ssru��® to the ass% kees-'aI� T.72,1..!fitlilintiN2ca- tions SAN -9��� ai .`„ // DA I�•^ `-! v s ,, g �O are-no lra sferahtio 1. ID GRAVEL11, _ pQ� 1 GROOM P r r ,tS, NATER �-' ; _EAN EXPIRES-oo '11-11 r..YEARS i'i.t :x DATL:OF APPROVAL 1.-. j, ;AND 1 12.5' ce ;r I► GRAPHIC SCALE = 50 JOTja_'N '.l.` .OR N.Y.S. LIC. NO. 50202 TEST HOLE JOVE- xFN5 , M q, . W 01IGH TI 369-82:: :}i 869-: : AT HIGH TIDE " 0 50 100 150 REFERENCE # 97-0109 i