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SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3313 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : LISO CONSRTUCTION CORP
Address 1: PO BOX 439
City St Zip JAMESPORT NY 11947
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 #R10-04-0115
Name Of Owner UUDELSON, BRUCE & PAT
Mailing Address 1 20 STILLWATER ROAD
City St Zip ST JAMES NY 11947
Property Address 1 NORTH SEA DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 6 lot 2.000
Cross Street THREE WATERS LANE
Building Permit Number Cross Reference:
Issue Date: 5/18/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
t Mr
,,,,,��w,�,oF so�ro 33 )3
ELIZABETH A. NEVILLE $ �0 'it Town Hall, 53095 Main Road
TOWN CLERK %4 *% P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N : Southold, New York 11971
MARRIAGE OFFICER ,„, Fax Fax (631) 765-6145
RECORDS OFFICER `- �,�, �� Telephone (631) 765-1800
FREEDC�lU�O II OrhMAT14$N�FFICER `= CM .�i•
southoldtown.northfork.net
Jul APR 14 2006 „"_i FFICE OF THE TOWN CLERK
1 TOWN OF SOUTHOLD
F,1r.,. I)IP;
TOWN _u `.;,” ;1,o1.p
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 14, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3458 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bruse and Patti Yudelson by Liso Construction
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVEi .
DISAPPROVE
v /
Comments: ,
/- / •
77/(x.#.47.01, FCe...l
Signature
Ari 47-006—
Dated
006"Dated
d11 0N. O
ELIZABETH A.NEVILLE los.• 4 \ Town Hall, 53095 Main Road
TOWN CLERK co P.O. Box 1179
t CA 2 Southold, New York 11971
ftEGISTRAR OF VITAL STATISTICS v. h1 i
O Fax Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER :=�fi �� Telephone (631) 765-1800
,_
FREEDOM OF INFORMATION OFFICER -0'' * *91 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 7or Non-Residential @$25 Application No. -- L�
Permit No.
Applicant Name_-- S v G"N S LL C S R t�
Applicant Mailing Address-Po 3 '1 ci S "' '"' S 13 ft- IVY l/9'47
Septic Tarix or Cesspool
Brief Description of Proposed Construction or Alteration
aid& r#4.1-1, We LI., K
Location of Proposed Construction/Alteration:
Owner of Property: 1,(2 c-L ?o:"Ct • `L t) 4=G v
Owner Mailing Address: 5
S i .J � �s N .Y. 1 / 7 ?4!)
Owner Property Address: 'lel p- L.`A n 0 1 t-LE. S A
Ida - ?5 I - d
Name and phone number of contact person NI,
L.' P -14g54 -c�
Tax Map No: /Pad Section /5-- Block 0 L Lot 0 a
Cross Street / A-1/4(IIr'` ` 0-711- t-(
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
17/// 1/4
Signature of Applicant Date
Received by: _
_ SURVEY OF
LOT 89
I ,j;` VACANT APPROVED 1N ACCORDANCE WITH BOARD OF MAP OF
SI IFF`` COOT' ' REVIEW DETERMINATION DATED 3-28—D�
HEALTH ;;CE_ ORIENT BY THE SEA
OWEw SECTION TWO
SUFFOLKCOUN YDEPARTMENTOP HEALTHSPItVI FILE No. 3444 FILED OCTOBER 26, 1961
701 I - L SITUATED AT
_ PERMIT FOR APPROVAL OF CONSTRUCd'ION ORIENT POINT
AGILE FAMILY RESIDENCE ONLY TOWN OF S O U T H O L D
NORTH SDRIVE
DATE '-1-1 ^O RBF, , s,Rlo—Oy-011 SUFFOLK COUNTY, NEW YORK
49_74 E �l
' 1 1 5e;yD R I V E '.� APPROVED ,Lj,j S.C. TAX No. 1000-15-06-02
,° _ - SCALE 1"=30'
° JULY 21, 2004
EDGE OF PAVEMENT FOR MAXIMUM OF.�B lit IMS OCTOBER 18, 2004 REVISED SEPTIC SYSTEM
4
• 4'da •' ' < e , EXPIRES TRREE YEARS FROM DATE OF APPROVAL tt.
x S 83°52'40" E 85' 7'40" E EXCAVATION INS 'IO REQUIRED
- � PROPOSED 126.34' n2.77' FOR SANITARY °'YSTEM
weLLSET WOOD
STAKE BY HEALTH DEPARTMENT
sa wooD
STAKE C- _ OUND
CONC.F MON. NOTES: II�I
.. ° WELL N 855`7'40" W 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
O LOT a 260.18' H EXISTING ELEVATIONS ARE SHOWN THUS: 50_x.
x` 89 ' 1 p I 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
-
il
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7 DEEP
3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq f1 SIDEWALL AREA.
p .1 POOL; 12' DEEP, 8' dia.
X00••`
O R �- y�.�:�� PROPOSED EXPANSION POOL
41.4' O N
,� f � � � O '_' � PROPOSED LEACHING POOL
�` Ti'- AVL �� v / PROPOSED SEPTIC TANK
rte- `6.0' ///
42.4'
4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
. �E �m �� ° e OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
GAR AsE m ° 5. REFER TO FILED MAP FOR TEST HOLE DATA.
C) t"--.
��]
�►,` / ° y
64.0' —�
zco — CERTIFIED TO:
"�
BRUCE YUDELSON
`
,�M� PATTI YUDELSON
sT ❖••••' A
' •;44 ED
/ PIaEPWED 111 . WI1H 111E IYMIM
BY TR(LL FOR AS ESADOPT ED
W 111E L • APPROVED K S ATE LAN
FOR Sllpl • BY NEW YORK SPATE LAND
4�ti ' WIRES UTILITY ! I ,e,v...0, I'� .bb d"
�L POLE ja `OO . f3
_ ,..,..--OVERHEAD WIRES T �r. �. "
_ ter.
'30" W 79.77' cpGo �(1
Nr
78 , 49_� .. 4K I '1 4 T{ �'` 1i.
„ E
VACANT •20 3Q w , �r
82 , SET W �g`�
` LOT 94 4 srAKE 000 ^�"eo •ii. r ' N.Y.S. L c. No. 49668
DWELLING UNAUT ORIZED ALTERATION OR ADDniON \N , .,A
r TO THIS SURVEY IS A VIOLATION OF 'vs",--_1.-:,I11.)
.. SECTION 7209 OF THE NEW YORK STATE
03 -LOT CD EDUCATION LAW. ` oseph A. Ingegno
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL Land Surveyor
EMBOSSED SEAL SEAL SHANOT BE CONSIDERED
TO BEA VALID TRUE COPY.
CERTIFICATIONS INOICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY,GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
LENDING INSTITUTION USIED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INS11—
TUDOR. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
WELL ELL THE EXISTENCE OF RIGHT OF WAYS
AND OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS
ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 I
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