HomeMy WebLinkAboutFischer, Dianna (2) ' W 7
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3312 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DIANNA FISCTER
Address 1: 1695 CHABLIS PATH
City St Zip SOUTHOLD NY 11971
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 #R10-03-0005
Name Of Owner FISCTER, DIANNA
Mailing Address 1 1695 CHABLIS PATH
City St Zip SOUTHOLD NY 11971
Property Address 1 385 NORTH LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 31.00 block 7 lot 10.000
Cross Street WEST LANE
Building Permit Number Cross Reference:
Issue Date: 5/18/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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,1%k SOUjyo 33)
ELIZABETH A. NEVILLE �0 lQ 1 Town Hall, 53095 Main Road
TOWN CLERK � i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS a) air
Southold, New York 11971
MARRIAGE OFFICER �l�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �. A gI' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER CDU ,* ,0r southoldtown.northfork.net
OdliP
iti .: I OFFICE OF THE TOWN CLERK
' 1 TOWN OF SOUTHOLD
—77= old Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 11, 2005
Transmitted herewith is a copy of application No. 3457 for a Cesspool/Septic Tank Construction
Permit submitted by:
Dianna Fischer
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�
G� V
Signature
apt; 0,1 ooS"—
Dated
•
4 ,,.,,
%,hyo
ELIZABETH A.NEVILLE i Town Hall, 53095 Main Road
TOWN CLERK M Z ; P.O.Box 1179
REGISTRAR,OF VITAL STATISTICS ".104,,. +,� Southold, New York 11971
MARRIAGE OFFICER ;'"OM •_Sy
� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = 1 jig 14 ,iii Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ..,,,,��' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No. s7
Permit No.
Owner Name Lr 'k 1 SG vvt
Owner Mailing Address /(o9< C AA bd s P4
S40, lfl ,rl'1 1 19 7/
Owner Property Address 3 ' N ORA A.
Owner Telephone No. 76'S—c 3 b e
Tax Map No: Section 3/ Block 7 Lot /0
Cross Street UJ S+ (�
Please check each that applies: New Construction t/
Alteration to Exi)iting System
Residential INon-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
1J_Ovt--)
Si attire of Applicant ate
Received by:/1 t
' S.C.T.M. NO. DISTRICT: 1000 SECTION: 31 BLOCK: 7 LOT(S): 10 #R 10-03-0051,1
�,� N�:..„) a"- RE LINE ALONG
.x.,..> CO Sao, HIGH WATER
S89'11'191
?;. 1,47 TO 79.59' S73.O 7 j ,r
r � • 4��. � N88'25'S7"E 5T 84' 433j, � S81'30'41•�. L
LI_ zz 76.27' —r- -- \ 33.41' Ss?,
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is.
FIRM ,t '��o - - 2 - FRESHWATER
s80'02 2z " ser
c v WETLANDS as. o
��� 1r N85'42'28 E 34 Sg 1r N8p19'46"E S7
- / - y m N By fN-caNsutr o`+c 35.51' 51.51' 26.38' 26.90' 6.1Li 471-
S).
403.9)zotic Q e/n/02 39.43• ss
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A,,; � - - _ — _ �zoBEx 1y � 'N -� 9'.T6
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4419 ` O \ St
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484574.29"E
ai" > \ /
N90'00'00"W 146.07. N8677.10"W Y h
'0
EL MD 13.MD EL 17.2 /
e.I" .NORTH 390.71' " I `
(30) ° mw N82'
(pawn ) LANE EL MS 31?01s, \ MOW
ROAD171,74' •IP
EL \ Sy��E,1
aEli ,A. KRAND?"
Crl
FINAL SURVEY 03-16-05 �Z N
FIRM ZONE AE(EL 9) �, —�
UPLAND LOT AREA = 98,845 SO.FT. ELEVATION DATUM: N.G.V.D.D. 1929
SUFFOLK�� f I C r`.�'z; i< ,;r4 .,
AREA: 101,940 sq.ft. OR 2.34 ACRES ��
APPROVAL ry Ol a,�Ty;_;C I 'e 6 :..ix"1 p.
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY O.
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN �'# '� rs- 'i_.y° -,,h,,,�F.:• (::ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. ��(�APR 5 ��{y[_. �. i THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE "NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTST e �teew yLz ,'wi 1 n` _AND OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY it i . t '
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: PETER DENICOLA; F _, l,::::'-'''''''l
� t.,'a,.S.
MAP OF: ysabt8
►� Y"FILED: , - -
SITUATED AT: EAST MARION �+ ;al xr I t; ' '-
OTE Wastewater t«*I hFca.ig4�131't1erit
TOWN OF: SOUTHOLD KENNETH M. WOYCHUK LS.
•
SUFFOLK COUNTY, NEW YORK Land Surveying and Design
AA P.O. BOX 3 MATTITUCK, N.Y. 11952
FILE 1 24-103 SCALE: 1"=50' DATE: SEPT. 28, 2004 PRONE (esi) 29e-16e8 FAX (eel) 890-1688
N. y. 5. LIC NO. 50227 maintaining the records of Robert J. Hennessy