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HomeMy WebLinkAboutEdson, Lisa (2) �,,%pf S0!jl�,Q ELIZABETH A.NEVILLE ��� �� lQ ; Town Hall, 53095 Main Road TOWN CLERK ; * * ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N �¢ Southold, New York 11971 MARRIAGE OFFICER Fax�1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �y 0 Telephone (631) 765-1800 1 FREEDOM OF INFORMATION OFFICER �COU�((Y,� I,�i� 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. 3340 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PATRICIA MOORE Address 1: 51020 MAIN ROAD 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 #R10-99-0212 Name Of Owner EDSON, LISA Mailing Address 1 25 KEELER CLOSE City St Zip RIDGEFIELD CT 6877 Property Address 1 9326 MAIN BAYVIEW ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 87.00 block 5 lot 25.000 Cross Street Building Permit Niunber Cross Reference: Issue Date: 7/08/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) MI, SII ".._ ��,,' so ,;o 33(40 ELIZABETH A. NEVILLE is lQ : Town Hall, 53095 Main Road TOWN CLERK 4 *t P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N br Southold, New York 11971 MARRIAGE OFFICES —, �p Fax Fax (631) 765-6145 RECORDS M GEM or `I ER 11 Telephone (631) 765-1800 1 FR I IN IIVIAI Nfik ER Y4' Telephone 1."osoutholdtown.northfork.net I1 •, V '' P'‘ . 2 , \OFFICE OF THE TOWN CLERK ' TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 24, 2005 Transmitted herewith is a copy of application No. 3483 for a Cesspool/Septic Tank Construction Permit submitted by: Lisa Edson 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: 14.,..,, , OA ,„,,.. ,Ail ...id.. "..e ,...2/4..e....".70/ ....... ... Signature ,28 APOS" — 31N ���og11FFO�,�co ' ; ELIZABETH A.NEVILLE e tir h . Town Hall, 53095 Main Road TOWN CLERK at P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �y h� Southold, New York 11971 MARRIAGE OFFICER : '� 1� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =y O� i�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� * *a�0isoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ VOA or Non-Residential @$25 Application No. R)u e$ Permit No. Applicant Name /-14- 5O/ l J "Pi-TV-IC/4 C r o Applicant Mailing Address 3--<02, )7ain R - c ,---C61,01-4-e, G/ Septic Tank n or Cesspool Brief Description of Proposed Construction or Alteration $rn9 k I i cl--cti-:-t€c-�-c Location of Proposed Construction/Alteration: Owner of Property: (.150 50 r Owner Mailing Address:9132(. /14,a« gay✓,c4.A., 0LC, -6lofd ,'W /ill Owner Property Address: OS ()SR— 1 CT Do%-1 7 Name and phone number of contact person Tax Map No: fcc Section '7 Block Lot 25`r Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY: �TTH DEPARTMENT APPROVAL OSS Sign—al-tire re of Applicant Date Received by: II IIII I I 1111 1 1 I I I 1 . a / ✓ //. a 1.9‘.0.,_ I �� ,' / NOTES. .2.1? -k / d. /'/ /// s • Jli\ '75' , � ' vonOr ,`• 1. ELEVATIONS ARE REF / ' / ///Z �w ' (7 , iz > j/' • MR_ .2_2 / / /// if? _22/ (3 PROPOSEI . • �. PROPOSEI ,// 6 a / 4 / / 6. / . PROPOSE! p. Mt / ,//'y/%/ a ' / • 4. THE PROPOSED SEW. / /y , -Ill \ ASIX (6) FOOT STR / //,'y-/ i. a a / a ' GREATER THAN THE / / // / .. // /7. / /. I / S. AREA OF EXCAVATIOI Q / / l 1 �7, / \ ` 6. FLOOD ZONE INCE R , ,',i ,� I ( � .� � , `� � � S S, FLOOD INSURANCE R EN4INEERiB CERTIFICATIOM ;/; /' / N, •�." ,' 44, /y,i'/1,b �' �4 \\ \ I . -�L.. ZONE AF: BASE FLS 4 SUBMIT P.E.OR R.A.CERTlf1W► /, � / a ! 2.71 ,� _1 / F~ I `+ COYNtY QEp�Z1t1ENT OF HRALTH SE*YI & ZONE VE: COASTAL ,/ /,,/ /•• � Z1,I �` I A. • BASE FU • ROR 1 T LA'flON AND CCi1t<�'CTI°N �., /,,ij', , / a / /r SNR' ,A}p>tOYAL OF CONfTRYCTIOM FOl!A ZONE X AREAS 0 A \r Iik 1 0,6 PTH O OF '\ // /' //'a,* ,� a 1 /! a / 42 \�/SJ. g FAMILY Ruins=ONLY ZONE X: AREAS DE O• */i'VR FINAL.APPROVAL- // ._,14, / /// y1 t_.0 I a /I /, (�4�~� 7. S.C.D.H.S REFERENCI S. S A // /, / / A. CFBG• i , O f q . 0.) ' 9. UPLAND 8. EAREA =D FILL 1 78, / /, //,/ 1.0 / / / l9 �� O. \�� OT COVERAGE C BUILDING AREA = //,/ / ilik 10. DRAINAGE PLAN AN /' /! /i'/ I,1 // /' . of POR Manus!Or 3 BEDROOMS '• �• I EXPIRES ;y,± YEARS FROM DATE OF APPROVAL G _ y /,-,4,,/,/ •A. / /' Q /' C �(��( /y/�/y<%y;i.7 /%i;///Stft.; IS `� ��l �{ v /i' ' TEST HOLE DATA /x;15! c' `; /' , TEST HOLE No. 1 TEST HOLE, A .� /',,',,/AL A. -0 ;/i/ // -,,_ : (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MARCH 12, 1999) (TEST HOLE DUG BY McDONALU GEOSCI! / / / A. / .i .h •1 /////// / // is. / // /// +6 J4/ ' -_ 2. EL 10.3' O• EL. 4.0' , / /� . ,'/ 4:t'. 11////1/l �' i/..--:,,,,..- / y'/ '+0ii .► i �i DARK• BROWN SILTY LOAM OL / / BRI / � / ,/ // s + / , ,/'/./// //,/ Q NI111 :1, BROWN LOAMY SILT ML BR( 41 ,�T -att,-(14 / 1 /, _..../ / / ••••••••• 3' EL 1.7' ..L\ ,, ,,„ , ••••••••• / , , _ , , .•••••••• :::::::::::::::::: , ,,„ , / /�/ / 1t J / / /. // // �•••••••••••••••••••••• BROWN SILTY SAND SM / / y ••••••••• ..Z..1 . ,�/ • /� /'//%/ / . ' j/ . / ,/ ,•=•-•-❖s•-•-•. 6' 48, /"�j//,144/ / aa a/ /'/ // // p /'////%� 1 // y/ ,'- PALE BROWN FINE TO COARSE SAND SW ". y y,i/// a , �y / EL. t.9' _ i y y /i, 4. �, / 8.4' -14 i%/ • 4" ay/.4 a ,y 1 1 - INIIIIIII ----- - �"/ ' 'Av WATER IN PALE BROWN FINE TO COARSE SAND SW — ilk /i, 3.7 ' 1 / . / •1 a i ' ' / — �'P.:.A4‘4". ............ a _ .� i/�' ---ss`Y� / / _— — V\\(.9-4 1,_I,, I I 1. \ M N �� .�� .\\\N/ \ I ry \ \ • 114,24• 4, -N� Hce"i COREY CREEK ?p3�'eSt, w 111 III 1i II II 11111 1111 11111 1 II MI III 111111 1 1 II IIIIII II II1 . ..,.., ..... . 44 i SURVEY OF PROPERTY qiil SI TUA TED AT 4� s*°'°,;�. �A� �' o4 s , 04,,,,, .4 SOUTHOLD 4\ yam• w9r �l �� :\cif:" � FRDiy��jj j''TOWN OF SDUTHOLDSr '`SUFFOLK COUNTY, NEW YORK4' • . A R�fT) S.O. TAX No. 1000-87-05-25 �" '` " SCALE 1 "=50' ` • FEBRUARY 18, 2000 MAY 9, 2000 LOCATED WETLANDS "< MAY 25, 2000 REVISED SITE PLAN JUNE 29, 2000 LATH FOR .N.Y.S.D.E.C. INSPECTION 's, SEPTEMBER 16, 2000 ADDED WETLANDS DECEMBER 6, 2000 REVISED PLOT PLAN 's DECEMBER 14, 2000 REVISED BUFFER _ JANUARY 6, 2001. SET LATH FOR N.Y.S.D.E.C. INSPECTION ,, —� APRIL 23, 2001 REVISED MAP JULY 19, 2001 ADDED TEST HOLE No. 2 SEPTEMBER 17, 2001 REVISED SITE PLAN '3 NOVEMBER 6, 2001 ADDED SETBACKS TO R.O.W.'S / ' DECEMBER 6, 2001 REVISED PROPOSED DRAINAGE RINGS i2.3 /' / OCTOBER 5,2004 REVISED PROPOSED POOL & HOUSE It ' ' AREA = 148,418.19 sq. ft. / -77 (TO TIE UNE) 3.407 oc. I - yo . %: N. CERTIFIED T0: 9 `�` � USA EDSON 3, 9 0 .y. 10 3 fils, \ / #e__s -, 41kt, ,s. - -9 „ , _- - I F. ss L� )'727- --- — \ \ s e c`� " I v 16:11t5 I 19,3. . • \ \ \ 2_6 2-.3 ', , ,_47\ .,,,,,, _ , , w.,4, , �� N"/ 2 ��Alp \i 32 I 1 7 A, ce A .,. r o 10\• 2� 1 I/ % •+\4,++y6Y s. .24 �• 2ek eiti /// /' �//,/ ' I/ Y' 41 2. .\i. .21 R4) 2-',/,' //',� `3 / •os •/, �•%.•••••/ 4.3 N G• FU„E ON alit ' ,A /;' / /