HomeMy WebLinkAboutDaSilva, Jack (2) ELIZABETH A.NEVILLE Gy� Town Hall,53095 Main Road
TOWN CLERK y - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER ,f, �� Fax(631) 7651145
RECORDS MANAGEMENT OFFICER �Ol �a� 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. 3198 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : STEVEN CATALDO AIA
Address 1: 14 KARL AVENUE
City St zip SMITHTOWN NY 11787
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 #R10-98-0146
Name Of owner DA SILVA, JACK
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mailing Address 1 8 CAKEWALK TERRACE
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city
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City St zip SMITHTOWN NY 11787
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Property Address 1 470 TARPON DRIVE
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City St zip GREENPORT NY 11944
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Tax Map No. section 57.00 block 1 lot 4.000
Cross Street ROUTE 25
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Building Permit Number Cross Reference:
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Issue Date: 9/02/04 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
a "
ELIZABETH A.NEVILLEJ..� Town Hall, 53095 Main Road
TOWN CLERK y = P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS � � Southold, New York 11971
MARRIAGE OFFICER y O!� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �0,� �a Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: SUN 2 § ld Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 24, 2004
Transmitted herewith is a copy of application No. 3339 for a Cesspool/Septic Tank Construction
Permit submitted by:
Steven Cataldo for Jack DaSilva
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:
AM
r
Signature
Dates •
ELIZABETH A.NEVILLE ,``1` Gy Town Hall, 53095 Main Road
TOWN CLERK O P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �O'� �a 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. -37. /
Permit No.
Applicant Name -,-�c_a�� A I A
Applicant Mailing Address
11 -78 -7
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
I t�f ► 7 2JZs t 4::71- n[C.C-7
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Owner Property Address: 06TAy po,,� j�rz s
G(Lra-a t Po CT, ^^
Name and phone number of contact person Sir-,/g7 1'6 3,) 714-2-1-41
Tax Map No: I ppeo Section Block Lot 4
Cross Street V?_ t 2- S
NOTE: LOCATION.MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
- CD
ignature of Applicant Date
Received by: \
ON Orvx*4ArIm F%*IOVU;w my w
TARPON DRIVE (50') MGM Or MBWW-^U or mliam
AATM 101111-260MCM
PUBLIC WATER 1,200 6AL. "olkincotom POLL ft-dolos,
----------------- ---------------------------------------------------------------------------- sEpTic- TANK Ll&-,^TW ak THE!E"T Swe or
MarOF PAVEMENT (EL.q.149 RAL1410AID PW,SOMMOLD.
(EL.qff) AATW MWEV.Or VO.L*S-&kHS
Z< (rL.-L09
N 6.3 52' 30" W 115.00, OUTLET SLC'_E 110, < < ON ALWIIIAT 91.t"M
4'vb-; x X I Povlatow RLWATON
SLOPE I"
3=Film TO
4
5.6' EL.
ri
110-00 1+/-'v THIMptepow 1=NAS OEM AVOW TO
-----------f INLF 63 E�H-
5.5b'. T I THE MTot a"^Twm or Q'T TAXA
1.0 NLE K�rleUTION LEAC44INf rP4M FLAN Wf H^MNS PMG
9 T5 :5 6 POOL rz-MSE a-roo-lls-m
-1 EL.5-2-l' ON&AID.
5ee \lr-LAY --b. •
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N
HIGH WATER
10 4 4 4"
MIN A7 EL 4.n'
6 D
22
Exf- NATER
CLAY
_fL.O.q
STO -MiN I (4"q'o) PROPOSIM F-L�VA'noN 3'COLLAROf�--SAND'T—
__rr R 4qD EASTINCS,ELE\ATION
Lo lob AND&RAVEL AROUND
14' ----E,,XIS'nN6 Topc 4sp.AFw LEACHIN6,POOLS, EXCAVATION INSPECTION REQUIRED
04 -clf I OPOSPIO TC*064RAPW TYPICAL EXCAVATE AND E3V-KFILL M
qg PRORDSE ---------PFZOf'EFZTY Lll�, Vi/SAND I VEL FOR SAN'ITAQY SYSTEM
"DW LLING BY HEALTH DEPARTMENT 1
HOLE TO�DESECURED WITH
N(4 12.1 7
ii" LOT 41 1---STEEL SHEET PILIW,DURING
0 VACANT i \\-BROWN CLAY EXCAVATION.HOLE TO BE
Q 10 VACANT OPENED AND CLOSED IN ONE
I TARPC"PR DAY WITH SUPIEPV151014 AT ALL
0 225' rmfl!SITE SANITARY CRO33 6ECTION I TIMES.HOLE NOT TO BE LEFT
0� OPEN OVERNIGHT.
12'DIAMETER
z E3RQVV CLAY
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r----------- ----------- -----
+7 WATER IN BROWN FINE TO MED SAND -EL. -58.0
SUFFOLK COUNTY DEPARTMENT OF HHALTH SMVICES
PERMIT FOR APPROVAL OF coNmucnON FOR A
@NGLE r.AMMY RESIDENCE ONLY
DATER0 8 2002 Hs pp.Ito. 1114G
N 6.31 52' 30" W 115.00, APPROVED
ALL SURVEY INFORMATION PROPOSEDCANAL F—OR–m–tamuww_�_ BUIROOMIS
TAKEN FROM SURVEY (NOT CONSTRUCTED) EXISTING laor ODOM*% r
=::--.7
PREPARED BY HAUKINS WEBB CANAL EXpUW Mm yEAlts FROM DATE OF APPROVAL
JAEGER ASSOCC.P.C.
Cc(:
OWE5T HOLE *1' DATA
SCALE: 1/16" 1'-0' os �SEE ATTACHED SPECIAL CONDITION DAM 02�
GENERAL NOTES pi GRADMISP PUN AND/OR PLOT PLAN
L CONTRACTOR SHALL Chl!r=AM VEM'r ALL 60MMMMS AT�SITE T.ALL r0arIMSS SHALL ae^^OH(IMMSAARaW �L KTH A�MJM 14EALTU DEPT. APPlZ0V,&L
f"M TO STAIRTINS OF V40M AND HE SHALL FMILiANIZE NW45ELP VM SM SEA~CAPAcOF 2 TONS F"t SO.�A�SHALL HAVE A MtaK�OF
re
THE 10"Off OF THEW PLA16 AJW KWA MOW A64M KTH SAME. 31-0"or COVERTOWN OF s0ol LD sp 1
2.&M ACTOR OR 00"St SHALL 0SrA1H A&ALDOW FM4T MOM THE e.ALL C-0HC4WM SHALL BE 3000 FSI HK CZWETE 0 26 DAYS. S4C---rM - 1000-5-7-1-4,_.
TOM OF SOUMOLD MDR TO 5TAATM*ANY YWW- '1�MROVIDE PAHMWORMS F4TH TF4"5-ON MASM ON ALL FOLWATION . - - .1. 1 )OF111
SL WWRACTOPt SHALL MrAIK ALL PMZWW4!D ArrFtWALS, P""TS nALLS. Fl L—A,N
catromICATels or O&MrAWY.04OFty-TWH APPROVAUk IMC,FOR MORK
�w Mott Ase
KAVIW jitts"crhom TH� MILL AND SACAULL MATERIAL OSTA#4�FROM OM SIM COMMS ITE
OR ZW�^VATWH OR SOURZES LOCATEW AAAY FROM THE"HSTMZT104
4 ALL VIDW SHALL WWOW TO KY3.CONSMr-TICK C40E AM ALL MLLE WE 1E0KqdVM).SHALL ae CAZAH SMO,6IRAVEI-EA#trK:OR A PROPOSED
AM P45KILATIONS OF THE TOM OF SdUTHOLD. PAXTL#tE Or THESE CZKTIW*"6 NO ORSAW HATTER MTH A KA1040-1
SUE OF IFOM IIRC�ES
5-IF IN THE CIWW OF Ct*A6TIO1Lr4k A C4WPIrkM EASTS 10041-H ON THIt.COWACTED IFILL UNDEFt&-AS CH 6KA0E SHALL Be YELL 5� Tarp�drIva
A OPSAGROSS WH THAT AS NOW-ATED ISSE PLANS. THE C.0KTWWToR gpa
SHALL STCr rIMK AM HOMY THE AW-WTISr-T SHOULD HE FAIL TO OR'BANQUC 6MANIM PROM SITE OR SOURCE AFrPVVM BY THE
roLLD" THIS FRocavote. mv c4w*MVg=IN THE THIS VIOWHE SHALL AVZ"T&'T,AMP A14"OVED A WTAaLE SEAMS MATERIAL FOR S..th.1d.N.Y.
THE FWWOSE Or SM"OP"VO THE SLAIS ON GRADE MMWI"SMAXIM6,
AaSWIC ALL PRESPONSIBUTY AM UAa*JTY A terwom T
CAPACATY TO BE WO TONS PEIR Sa"Z FORT.
EVEN
2" STEVF-N CATAJLDO
0ARA01146 AROUND HM 6DH5TI4X"0N SHALL SLOPE AAAY AM SLEM INTO
�Q*TWA KAMKM*,oM OF A�PEORAOW AM"SALL BE 1,3 AS PM T�� ARCFUTEC-r
THE TOM OF SCUT
FLAMNS DEFT. 0 NEST 140LE '2' DATA