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HomeMy WebLinkAboutCappozzoli, Susan ,��• it SUFFOUrel ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 ti Z Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS t MARRIAGE OFFICER \�;4, � ,1�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ., ii• Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ���� Fax OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3225 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : LYNCH HOMES DEVELOPMENT Address 1: 321 COUNTY ROAD 39A City St Zip SOUTHAMPTON NY 11968 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 #R10-04-0027 Name Of Owner CAPOZZOLI, SUSAN & L WENK Mailing Address 1 PO BOX 1887 City St Zip SOUTHOLD NY 11971 Property Address 1 655 WEST SHORE DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 80.00 block 1 lot 44.000 Cross Street OAK DRIVE Building Permit Number Cross Reference: Issue Date: 9/02/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) eor 3a #111p; �s ELIZABETH A.NEVILLE � y� ` Town Hall, 53095 Main Road TOWN CLERK P.O.Z ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER = /fJ / Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 0l * 0. `�►�,.el Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ., .�i" southoldtown.northfork.net OFFICE OF THE TOWN CLERK AUG 19 2034 TOWN OF SOUTHOLD RECEIVED TO: Southold Town Building Department AUG L 1004 FROM: Linda J. Cooper, Southold Town Clerk's Office SottOofr: Muir (-Ica DATED: August 18, 2004 Transmitted herewith is a copy of application No. 3367 for a Cesspool/Septic Tank Construction Permit submitted by: Lynch Homes Development Corp 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: ► - Alwar _ - _ _ . _ _ / Gj Signature efile.2- 3 pyo Dated OFFICE OF THE TOWN CLERK )$$$ Town of Southold ,l'I� f01./(C• .. -/ Judith T. Terry, Town Clerk ,1°4 Ol/ Application No. Town Hail, 53095 Main Road Construction P. O. Box 1179 o rZ*. Southold, New York 11971 • ct� Alteration / Telephone �---__749/A, 41- $10.00 - Residential 1/ (516) 765-1801 �; 'i $25.00 - Non-Residential ,• ,, , m -- TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ ' d f DATE ilULi ? 2Col- APPLICANT NAME: t t fy /J �irO4 4J 1L 7r (1-__011P____L___-IAPPLICANT ADDRESS: 3aI 0,, e 3� A- (±4144-la - ++��" Om a TNr If9 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION. rool L h c C1 g 4ndwell ,n NeJ Ce() _-_-) ,r OA &- It(30 9i,i 531.4t)d-/ /4 P40.rort neuJ ba_ot4r-Lat -(1 -4e-1-1L-- ;'Jec (14-{ek(J1Pc9 .. r.-LA-e FA,6---0 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: J n OWNER OF PROPERTY : SI�.3(t ,1 CapczoI iL. I Ki bA N eAlt_ OWNER MAILING ADDRESS: -Pc , i o )(,,1,t 1-!?3 L.Q k) 'J t l fl 1 OWNER PROPERTY ADDRESS: (0 v '5T 3I-6 E I— .3C-)o.. t-i Dt_C) tLi 1Iii 1 TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section So Block c) 1 Lot 4.4 CROSS STREET: Qflw --,Del \)o BUILDING PERMIT NUMBER CROSS REFERENCE: (7 :ignature of A-.134111 :nt 1___-- RECEIVED BY : Town Clerk's Office DATE: S I IS(CN ....... ,, { SUR BEY OF 1 CERTIFIED T0:STEVEN CAPOZZOLI -- SUSAN CAPOZZOLI LOT 2 & PART OF LOT 3 IN BLOCK C _ _ _ MAP OF JOB NO. 2003-528 MAP NO.631 REYDON SHORES FILED:JULY 2, 1931 �. ` NI k s , o SITUA TE A T ,�' REVISIONS: ,Y '.`'y --4 }t BAYVIEW .. 'c 4 , , TOWN OF SOUTHOLD i :1 SUFFOLK COUNTY, NEW YORK .e 4, S.C.T.M.. DIST. 1000 SEC. 80 BLK. 01 LOT 44 , el.,� `� I15 8 0 '` 15 30 45 60 75 90 105 120 135LICENSE NO. 050363 ,- - 7 SCALE: 1"=40' DATE:DECEMBER 16, 2003 LOT AREA: 11,460 SQ.FT. =0.263 ACRE • HANDS ON SURVEYING • ELEVATIONS REFER TO APPROX. MSL. DATUM 46 NORTH ROAD ■ AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS HAMPTON BAYS, NEW YORK ,1�' E SOUTHOLD BAY WITHIN 300'OF PROPERTY 11946 ,1 PROPERTY LOCATED IN FLOOD ZONE X TEL(631)-723-1954-FAX(631)-723-1329 AS SHOWN ON THE FLOOD INSURANCE RATE MAP • MARTIN D. HAND L.S • MAP NO.36103C0167 G EFFECTIVE DATE:MAYA, 1998 TEST HOLE DATA STRUCTURLTSRECORDED OR vnK,cr- nrrDok, et. raf lege ulPsoRHrEOARE aT NwaRIEEn yw, UNIP)$PHYSICALLY EVOM AT 714E you_ IrPICOT OUFVET DARK BROWN TIEOP¢QMT s, . 14 �FAOMtIHE ronHE // r^ SANDY PR>P9f1Y L EHAIEfDR A1C For wc.s' T Ne is e9r' F�r Rs4,1 ( . LOAM P I.1lCIIONOF RETANNC (OL) AR sAe A wn aNero AMO AMY O1NER CAMlIRII C'iION. -1.0' UIIWOHM�ALTBUTATN OR AMMON roTMS.IRYFY.AYwyCNOF SECTION BROWN 7N WTHI!W E NTOW STAR COPTS OFTNIS.RNEY WP NOT EARNO L0 SANDY THE IATEl SURVEYORSN®ISFA OR MOM iFM SNAIL NOT SE COI.IOBa® roMATALID TRLECCA. CLAY T OPS�INOpI�NyH,..T -3•o SIA TNUONNSISWF1OOI Fd TTOICOWANY INOTORIONOO IaB0N.NO BROWN TO TIE ASOCOSEESOF1TIEORONOMON VTOL CLAYEY SAND W/ IERS 'Y'm"'°`°°°°E°a" 20%GRAVEL -6.0' BROWN 4 FINE TO MEDIUM SAND -17.0' TEST HOLE BORING BY McDONALD GEOSCIENCE 12/31/03 I NOTE: POOR SOIL CONDITIONS TO BE REMOVED s:c TO A MINIMUM OF 3'FROM THE PERIMETER OF_- _ _ �`� THE LEACHING PO IL5 AND TOA INIMU I DEPTH OF �/ �a�A� 3'BEYOND WHERE SUITABLE LEACHING SOIL IS FOUND �, (1 ��c [ JiUIRED 4 4' �'�• V_ �A DEPARTMENT • 8AY 4 a, — 0 nment of existi orMir � Ct. -e'101 ' _ `�s��a \ N why, by He ,thanIta►Y system 41 44 ,f): o z4 0, 2s? tom\ Department I.. (PIP s y /' � V / CC' B rcq '‘i:7- '1 OQ Ov ) .' ' /l Nq`C� s69 v r O �.'41). ?. h 0 'ITMIN. ' NA:;.1 ; '; Q �Q'O O o " / I \ �/ p APPROX, !I "Ry. a ' \ ..` r��?ly,„V VO Pi / SANITARY ?2� 'ya' yF 2�, , o ,. \\Q 0 =ry \ ? A O"OZZ) :a 8 c S� I / 44, „ :,... •: : NDONED k. FR F'kgr_cR '• J / - 1 1 Cb) 4' (PUMP-.'h- - .,• E 1I t' NE1Yp{yv� ' O� �1 W I;-� a Ois BACKFILL W D)6,1?" 23p• , i Qs- `\V / 'V Co / A...."% 4". 1 ` w' Q / .ti F 74.2).,_y a k /1 i ‹) c) .., 4.= 4., ....i , ...') r„ �40 � 9 9 , a \ t �Q F•' (1.:44%9 p• I col a O 3. T S s•\ 1 Q c� 44.C.nr S /MA, '" Mp AS o , '� , I � t LL yqN/T '4o�F0 � 4/ 3 t 10 I 1 V b3 P� 4SyRoNT / _ `'/ O' , T - AIkfOJ '1'):?.:iil '......\ _ > 1' S.C.D.H.S. ENDORSEMENTS