HomeMy WebLinkAboutBuglion, Eileen l' OFFOL/i► =
•
��
OW' CG•.
ELIZABETH A. NEVILLE � ?�: Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS n► Southold, New York 11971
MARRIAGE OFFICER �� y ��so�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;'O,j jig ,�4*,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 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. 3139 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : EILEEN BUGLION
Address 1: 7 PENNY LANE
City St Zip ST JAMES NY 11780
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-01-0154
Name Of Owner BUGLION, EILEEN
Mailing Address 1 7 PENNY LANE
City St Zip ST. JAMES NY 11780
Property Address 1 2520 CLEARVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 10 lot 29.001
Cross Street GAGENS LANDING ROAD
Building Permit Number Cross Reference:
Issue Date: 2/13/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN cr.)
f
,1$ N,0• s�FFot,�:�o 3137
•
ELIZABETH A. NEVILLE _ y%: Town Hall, 53095 Main Road
TOWN CLERK
y
P.O. Box 1179
REGISTRAR OF VITAL STATISTICSPri Southold, New York 11971
MARRIAGE OFFICER '. y# 4. l'oes Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_ �! .1,��.i�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
JAN 2 9 2004 TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3276 for a Cesspool/Septic Tank
Construction Permit submitted by:
Eileen Buglion
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: �C�c
- pr
.� �
Signatur
ed
off OFFOUr
ELIZABETH A.NEVILLE 11'j 0
4: 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 OFFICERy�J� a0.ill Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER -.." Alp 40,00 southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 / or Non-Residential @ $25 Application No. 3?7 Co
Permit No.
Applicant Name ( (q€rJ aD076/ A)
Applicant Mailing Address '7 P L h
& ' -VviviqS
Septic Tank t or Cesspool ✓
Brief Description of Proposed Construction or Alteration tI't 3 S ituyfrf ,Cr R sriE,.ticc
Location of Proposed Construction/Alteration: g90 C cc °C") fldc c uiI-0Z g
Owner of Property: C(f'gni KLy&70n)
Owner Mailing Address: '7 PENNY /A
ST .acs Ny / /7ga
Owner Property Address: ,g5.a
Name and phone number of contact person
Yi3d8 9 g
Tax Map No: 1000 Section 770 , Block ( Cl Lot p� (s, /
Cross Street 9J3S
4 9/
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
&P‘)//11 I---c) 9
Signature of Applic. Date
Received by: ,yJ
9SURVEY OF PROPERTY
O APPINALLIE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SITUATED AT
z PINE NECK •
•ELLw"'G �p PERMIT FOR APPROVAL OF CONStItUCTi:N.F.0011/A
SINGLE FANIILYRESIDENCEONLTOWN OF SOUTHOLDrA/o/t
s SUFFOLK COUNTY, NEW YORK
our."•,,: 3 Z �sst�ve DATE/a//D HSRBF.NO. oto g
S.C. TAX No. 1000-70-10-29.1
(P"1O1ED nate IROp(« 1) '�+• Z APPROVED. . 7:�2 g �....C•-- SCALE 1"=50'
FEBRUARY 21, 2001
OR MAXIMUM OF 3 BEDROOMS MARCH 2O,220T01 REVISED PROPOSED
�pHOUSE
ERp
r.:...-n-
-' MAY 15, 2001,1121r?2001���LOCATION P. GRADING
Lonny MSE CLE EXPIRES THREE VEARS FROM DATE OF APPROVAL AUGUST zo, z i 41E1L TO THE w.
N JULY 12. 2002 13, 2001 REVISED PROPOSED WELL 6/20/0
. v ? �� R j j j j1'T._ -- - MARCH 13,2003 REVISED PROPOSED SEPTIC SYYSTEM02
.f X81.06'30 v J.i�(NO�IT�I AV�;NUE
1a�t'7,fdLL'l5AI 'y-� MAY 5. 2003 REVISED PROPOSED FENCE
Cyt E OPEN T T�l (PEST rote HO sr Alr�oltl10_Btn9 AM JNTMRY 22.Zaor) OCTOBER 2.2003 REVISED PROPOSED SEPTIC SYSTEM LOCATION
walw(pOMD AMD j.:�+ Y90.00' ) N v L,t , /01,
r NOVEMBER 11, 2003 REVISED PUBLIC WATER NOTATION
ro 6 '30' /// tMwt WW1 am 4
RIO( EOTO E wilt WATER ... ' -'\ 8"6 '�i
W �, ., P
isl�.�
'Am CG.r_Q E3g5N loan OM a AREA = 29,142.49 sq. H.
‘.,;;;;.7,,,,,s ■1.• \ r (To TIE UNE) 0.669 ac.
M1. 0 NMI NW:,r
-ii° i% �nga I „-: ,,-a-47.f.:7?...:iMll MOM MIL,o MMMM 3Mo s
A 3c °Y
r\ A Cts
4.: illi _..,
IA 3
>� iti $ _______t__.._
1.1€ ` �R . µby+ (fo
I ..i �, f� >;.t,� 1Z ELEVATIONS ARE s6UMNQD TO xA.1{�D.1940 DATIM
• / _ I • o f F.k- COSMOScameo ELEVATIONS ME SHOWN TIM U"OaM i
O®POOL s7 PROPOSED
CONIODR LIEF AE SHOW 1998 - 6(A)71---)
�'�
O _; q PMSDPOSED COMM ERRS ARE SHOWN TIME: �Y 1^'v
®p PROPOSED EXPANSION POE V �Y
R ��i _ PROPOSED MOON POOL --
• :- T. MN PROPOSED SOLE TANK
•F 0 i .` �t LMT Cr DD' TION RIPPER LRE L INE IDG710N OF MILLS AND CE711'OOIS 94006 HEREON ARE IRON PEER
r,i .f` ,l TO O`_RTV P604IMT MLS J 9LT T9Y2 DIANIRr GOIBTRIAGTk71t OBSERVATIONS MID/OR DATA IOTAIRED EROM OMENS.
1T1 TO BE PLM(B)MIH A ROT OT N4flVE,MINIMUMS D�Eia T,
C L J - ,T NEM WON C AFTER 3.016 PIIOPERTY IS IN ROOD ZONE AE(EL 8)AS maws ON
1/4t1.7. ' s PROPOSED SEPTIC SYSTEM DETAIL FLOOD INSURANCE RATE MAP COMIUMT-PANEL Na.31TOSC0116O
Z : / ,`
(NOT TO SOLE) 4.COASTAL 9ARIR EMEND
- j/ ',/(.4
/7 g _ -. 411E C1EN� MOUSE SEPTIC SYSTEM OFSIGN BY JOSEPH FISCIIEITI.PE. 11-16-90 COSTAL MINER
,-/ PATI TN OLIMI RUPPM EMEND 1wISN CIMnE affi1MODi1Y BLROOD IESURNCE 16T E FOR PB aPM�
�TD•- r-o 11EV 02' MT9ER M 7910,N OESIMWED OOCAL RSEIBLS
U) -
//// �•/ .: // ///��� \ BSN, (7 ` s.APPRO%RW,ELY 50 w.,A..or nu. E IMMIX
j/11/1 7 / yp A ELEV.Am
NP FL 60'-�-aE TT—1•MN. , ,OP EI,s2• —1 M.
Roc ft/
^r - j�E/d/;p'./',/
/,,IL/.- llE Mv.s/ 1//"e/1'�`M r:IK s'• "".mur, +• - .00 'HING { �OOi1.W
.11/44)111(4011.r9/:///1'41%/1/./.
� // 1--e'--I14 's': i „r2•-i srMT°E�'uus a4.5' ' PREPARED IN 'R`iD }ii
(,,ft /a,-/////-
.j j///j j/ 1YE p1A� — -- T,IE 95000N,KMi I,{
7 , / // DISTROMON BO(.EL Li. DLV.0.M� 1Y 1 d1 y.0
r--;1I 1 // / Or
ALA G: 1Y '1\ 1
/—+ 1%/COASTAL BARRIER / SEPTIC TANK (I) CO O - .>61 T.`\�:}
0 's IDENTIFIED 11-16-90 / 1.rMIM�1M 1Mit A 1 A 3 eme1M mat 6 Imo rtua6. LEACHING POOLS(5) '' ` I
// /i.' TTNr:CiaNS,a-r E°M"c�r- o® I xF
/ :=7.E1.72 Ea A 1103* Mom mix Is 250 so,R Wm.Mu
././- 2//. .,-://;-2.Z
/ / / / / // 1 T9N1A�NLL E A 1NRPM�P�rrMS M6TgpM�OI�iOW Irk M MP3. a 1.S POA;7 56P'r 0 0 ♦1�� ' ��I'_ AQ
t,...1 71./////-%1./
/�k./ // // 141111 x7440 444 44 R 10 OfR'Mt.0,s 111 A Ors L L.A..ram sac.SCIED DOWB�'q��1Q�f_UAE. Ipcowco maim(OK RAMU 0�L 1
'' / // // // ..ARIL J1 11 MYLOE OWL S 101N:T TIE MN N MMNEIL MME Al P1.•. x�0t W.fl15 YWl E a IIN10f ttHPAF>m WIMI[lE to BOW). \,P. 6e'' ;
.•',w ////// /// 'P IMIRIN r 11 Etc VIo a 'O 1fa as P01 �M A—14SO1rF OE XI/P) 4 4,1r"In O6WrE E15E81 1fAORD MOTS MM TROD t5E!11 E IPKRNI®. -/L.94"."
Pl�._,496
O / / /// ITL L A IT r.fEW11 ETWSN EPMC TNM MM wsE 9IY1 E RMIIPNCD. S M r w.MUM 9011611 rEL UMENT Ports NO EPIC TNN 4MLL E WN066. V
'� V it/// /// / _•t I S N.Y.S.Lic.No.48668
/ J'7/�1j�'/ W ~HOMED ATI 1704 OR AD1IO11
r..' N_/...19......:-/V-,--' �' // _-_3 V 7 OE6A[MEM 9601 AXE
/ /�"`° '.~ P5 / • W106611011 USE
%PI ",�5�MIMIC
Joseph A. Ingegno
SEPTIC SYSTEM DESIGN BY: ° win"!E D N ea- Land Surveyor
r1� VI JOSEPH FlSCHETTI, P.E.
N
2A �1• HOBART LANE1 �MR M 31161 N1
69 5362 Sq 5.53M SOUTHOLD. NEW YORK 11971 No TO T1W ram M MIN MME11 Y
S A2 13• WeF`Mac�LS D. Sunsys
-Subdivisions - SR.Mons - Construction Title t,vcl Layout
TO/NEGOOSE CREEK Tv114x. AXE NDP-TRYMR111a2 PHONE(631)727-2090 Fax(831)727-1727
MC MISMIES
[ASFlF ROUT OT WAYS
MID/ORM OFFERS LOCATED AT WRAC ADDRESS
OF RECOOD,
AMY.NOT MODS SAE NOT 1MRAMIEYO. 322 ROANOKE AVDME P.9.Boo 1931
RNERHEAD.Nw York 11901 NverNod,136 York 115101-0085
J
Z1-I Lts_