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Home My WebLink AboutDascoli, Greg f �o��QF SO(/Tyo! ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 N �r , REGISTRAR OF VITAL STATISTICS G SoutholdNew York 11971 MARRIAGE OFFICER �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER yCOUNNI 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. 3404 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FRED MILNER Address 1: 985 WHITE EAGEL DRIVE City St Zip LAUREL NY 11948 Descripton of Proposed Construction or Alteration -RESIDENTIAL HOME, NEW HOUSE -FINAL APPPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner GREG DASCOLI ------------------------------ Mailing Address 1 ------------------------------ ------------------------------ City St Zip TARRYTOWN NY 0000 -------------------- -- ---------- Property Address 1 105 ORCHARD STREET ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 89.00 block 1 lot 27.000 ------ --- ------ Cross Street BAYVIEW AVE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 2/01/06Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) o��pF SOUjyol ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road TOWN CLERK l 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Southold, New York 11971 MARRIAGE OFFICER COQ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �C�UI1►�,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD --_- TO: Southold Town Building Department {AN ' 3 FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: January 12, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3557 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Fred Milner 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: APPROVE DISAPPROVE Comments: e. or V Signature Dated ` o�g�FFO(,�co ELIZABETH A. NEVILLE h`1` Town Hall, 63096 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS W Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER Telephone(631) 766-1800 FREEDOM OF INFORMATION OFFICER O'� �'� 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 Applicatio o. ` Permit N . Applicant Name F9(,_0 Applicant Mailing Address j Y1 r c CC c Lu o Septic Tank_)�' or CesspooP X Brief Description of Proposed Construction or Alteration �PS N Ne UJ /-poi 5fe, Location of Proposed Construction/Alteration: Owner of Property: ('a ) " Owner Mailing Address: iZ -1-o' ) 1zj S6k 3 '2 Owner Property Address: /0 O c G Name and phone number of contact person..--FR En tLyvg.�.1 Tax Map No: Section 91—1—Block 0 j-0-?).1 Lot _ Cross Street q 1 t U e-, .NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: _i� 0C)C'A7 ECC i i NOTE.- LANDWARD LIMITS Of AS DELINEATED ON 5 BY C. W. BOWMAN/L ECOLOGICAL SERVICE. j c I t w 4 k I� k t WETLAND \ E E h i k k E LOCA TION MAP TEST HOLE DATA PERFORMED BY McDONALD GEOSCIENCE 27 AUGUST, 2001 EXIS77NG GRADE VACANT BROWN SILTY LOAM OL 1 L 0 T 26 PALE BROWN LOAMY SILT ML RESIDENCE 3' BROWN FINE TO COARSE SANG SW SER VED BY MUNICIPAL W 8'W4 TER WATER IN BROWN FINE TO COARSE SAND SW O I S 60* 00' E 14' 8 i 10 i CL O ss' 0` r C3 PROPOSED PUBLIC WATER VICE r \ TEST ----- GARAGE I y FOR S.C.D.H.S. USE ONLY �J I HOLE Ft U +Q W Q / � a m I SM Lj Fu Qc lv" yPROPOSED �RIVEH f r ! P VIOUS MA TERIAL FD . cM t... OR CHI RD q \ �' ` ' '! RESIDENCE o �/ DIRT ROAD f U4 ri r`g 1h j- (L l z < RESER VED L 0 T `a CEDAR BEACH INN to „�YCL 41 on L ! PUBLIC WA TER _ 150'+ TO SANITARY R (2� F. F. EL. 14.5 MIN. I; GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE FM# 90 777LE COMPANY, GOVERNMENTAL AGENCY, INV. EL. 10.5 LENDING INS77TUT70N, IF LISTED HEREON, AND FILED DEC. 20, 1927 TO THE ASSIGNEES OF THE LENDING INSTITUTION. INV GUARANTEES ARE NOT TRANSFERABLE TO TM 1000-089-02-05.002 ADDITIONAL INS717U77ONS OR SUBSEQUENT OWNERS i UNAUTHORIZED AL7PRA77ON OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SEC7101V 7209 OF THE NEW YORK STATE EDUCATION LAW. i I r I i I � DAL WETLANDS CEMBER, 2001 ) USE /C. j APoROX. H.W.L. I BOUNDAR I t �i t N i Iz t.� SURVEY OF LOT 27 IN E-R SUBDIVISION MAP OF CEDAR BEACH PARK SI TUA TE 200' BAYV/IEW, TOWN OF SOUTHOLD 'P SUFFOLK COUNTY, N. Y fz SURVEYED FOR GREGORY D'A SCOL I so' ^ DENISE D'ASCOLI )POSE-0 'EDR00M L 0 T 28 IDENCE SE C EDI RESIDENCE �a TANK I Q SER VED BY MUNICIPAL WATER may- SURVEYED 27 SEPT., 2001 LP ' it EP � Q) SCALE 1"=30' LP LP b � awE - ,� I x AREA= 20,000 SF PROPOSED o OR CESSPOOLS(3) EP I /14 0.459ACRES 200' ZONED R-40 LANE / SCDHS #R-10-01-0227 DIRT ROAD ELEVATIONS TAKEN FROM EAST END TOPOGRAPHICAL MAPS AS FILED IN SUFF. CO. DEPT. OF VN PUBLIC WORKS THIS PARCEL FALLS ENTIRELY IN THE X' ZONE AS PER FEMA FIRM NUMBER 36103C0167G. DATED MAY 4, 1998. SEPTIC TANK, LP=LEACHING POOL, EP=EXPANSION POOL SURVEYED BY FINISHED GRADE EL. 12 INV. EL. 9.2 INV EL. 9 STANLEY J. ISAKSEN, JR. P.O. BpX 294 LEACHING NEW kFFOLK, NY 1 95 9.7 POOL 631:'734- 83 SEPTIC TANK 3' MIN. ROSS 0 VER �- GROUNDWATER ,� N.T.S. EL 2 f/- 'LICENS L ND SU VEYOR ono�u cr�oc NYS LI . NO. 49273