HomeMy WebLinkAboutEsteves /���,�oAs% SO0ryol _`
ELIZABETH A. NEVILLE �1 is O Town Hall, 53095 Main Road
TOWN CLERK 1 • P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER �O �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER : l e& Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER CDU + , southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3407 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERTS CUSTOM HOMES INC
Address 1: 50 DIANA COURT
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
-NEW CONSTRUCTION OF SINGLE FAMILY DWELLING
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner ESTEVES
Mailing Address 1 11 SUNSET AVE
City St Zip FARMINGVILLE NY 11738
Property Address 1 RYDER FARM LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.310
Cross Street
Building Permit Number Cross Reference:
Issue Date: 2/01/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
��,�o°NOF S0045/-
ELIZABETH A.NEVILLE 1�� , 4 Town Hall,53095 Main Road
TOWN CLERK i ' � i P.O. Box 1179
�e Southold, New York 11971
co
REGISTRAR OF VITAL STATISTICS ,gi Q 1MARRIAGE OFFICER 'tit` ..1, a e Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERlij'`+ 0 �log Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER OUNTI 0� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department JAN 2 7
FROM: Michelle L. Martocchia, Southold Town Clerk's Office ,
DATED: January 26, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3560 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Robert's Custom Homes
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: -�-f �.-4?
7fr(40''‘'-'el -.Z4 .
Signature
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•0° OFF04
ELIZABETH A. NEVILLE 14 4 Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
CO) = : Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `� �� aV'0 Telephone (631) 765-1800
* �.
FREEDOM OF INFORMATION OFFICER .' "0 • 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 I or Non-Residential @ $25Applicat . No. b
Permit o. No]
Applicant Name CU s +Z i)1 [11)131
Applicant Mailing Address4; 0 Ct vl '‘ C-t
1.‘J,A d, no) tO. c r'L A) -1 / /74-0-
Septic
/7 '0--
Septic Tank X or Cesspool
Brief Description of Proposed Construction or Alteration .ye VAI C yl
tYll) C •te el, t' �tC0 -f'
Location of Proposed Coln truction/Alteration:
Owner of Property: C -' k s.'(S
Owner Mailing Address:�1 �i t-r1st. 6 I kJ__
__
t—ckrrnhil) t 1-t. /L) �� 7:3Y
Owner Property Address: (Z. "fit r✓!'1 Lr
Cir-/ ell f- /U \/
Name and phone number of contact person VI (. K I 0114 23 J ;1 /i
Tax Map No: /C1`-
SC) Section 5 Block 5 Lot 02'7'-5/
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
1-\ 112&, loco,
Signature of Applicant Date
Received by: 1 mpAtag-k.
SCDHS Re f.# RIO-05-O/07 1RVEY OF PROPERTY
N Mf
a,y
A T ORIENT
SUFFOLK COUNTY DEPARTMENT OF HEALTH ' L,it`JICES J F SOUTHOLD
TOWN OF
PERMIT FOR APPROVAL OF CONSTRUCTIONONLY FOR A SUFFOLK COUNTY, N. Y.
SINGLE FAMILY RESIDENCE
1000-15-05 24.31
'\ 0 .S. FIEF € O. �0—05— SCALE: 1'=40'
gMAY 31, 2005
EXPIRES THREEiEARca^�FROM
DATE OF APPROVAL
O GQ.
TO "MAP OF ORIENT B Y THE SEA .� cep,\\cr�•\ b \-2,5 `�' \''
UMBERS REFER �Q
)N THREE" FILED IN THE SUFFOLK COUNTY CLERK'S `� -
ON OCTOBER 16, 1974 AS FILE NO. 6160. Txr � - '`7-�,
C'� OL 1�aGI
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EL. 14.3'
BEDROOMS MAX.)
I00 GALLON SEPTIC TANK Zai 3cE
DEEP ,x 8' DIAMETER LEACHING POOLS L8 ' o
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EL. 13 PROPOSED GRADE e!!2•G c N)
' I I /6„„,a5 o2N ' / 2 I 0 \
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LE 1000 gal. LE y,0 ILE LEACHING 45,I �b�� 4...
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10/26/05
FLOOD ZONE X
FIRM MAP NUMBER 36103C0069 G
MAY 4, 1998 '
I am familiar with the STANDARDS FOR APPROVAL
r AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and
NEM/yo
and will abide by the conditions set forth therein and on the 5 P��,� rib`
permit to construct. 1-‘5 ' � 'A
At'.
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The location of wells and cesspools shown hereon are ,
from field observations and or from data obtained from others. �. i/ 1 _'! �S. LI". NO.
Elevations referenced to N.G.V.D. - -- fi� -++'�
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A, VIOLATION trel,y;�,:�?r )
(631) 7: Z'�•, - 1. ••1 765-
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. h,O, BOX ''` -
EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS 1230 TRA►/FLER�STRE�T
tANO
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ®s 'proeo3ed� elovo:.f,vn SOUTHOLD, N.Y. 11971 04—r
WI-I0 SIGNATURE APPEARS HEREON. ,...•=1.