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HomeMy WebLinkAboutWaldman, Howard (2) r t ��,, *pF SO(/ryol ELIZABETH A.NEVILLE a Town Hall, 53095 Main Road TOWN CLERK z` 4 4 t P.O. Box 1179 Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS ; G @ MARRIAGE OFFICER �` �� �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERli`C iO1ion, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �U + �►� southoldtown.northfork.net '%... o's OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3424 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : HOWARD WALDMAN - PAT MOORE Address 1: 47690 INDIAN NECK LANE City St Zip PECONIC NY 11958 Descripton of Proposed Construction or Alteration - REPLACEMENT OF EXISTING DWELLING WITH NEW DWELLLING -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner HOWARD WALDMAN Mailing Address 1 4760 INDIAN NECK LANE City St Zip PECONIC NY 11958 Property Address 1 SAME AS ABOVE City St Zip 0000 Tax Map No. section 98.00 block 3 lot 1.000 Cross Street Building Permit Number Cross Reference: Issue Date: 4/27/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ��, %pF SOU7, ELIZABETH A.NEVILLE � 'lam 0 Town Hall, 53095 Main Road TOWN CLERK lig * P.O. Box 1179 r > New York 11971 REGISTRAR OF VITAL STATISTICS con b ,� MARRIAGE OFFICER 4O ,� Southold Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERl''C ��V ���� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER UUnl I� ��f� southoldtown.northfork.net 'S OFFICE OF THE TOWN CLERK 0 ' 5 TOWN OF SOUTHOLD Department Southold Town Building �-- FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3579 for a Cesspool/Septic Tank Construction or Alteration Permit submitted by: Howard Waldman—by Pat Moore 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: Signature ,0 Va Dated r , 3 ,IIS/O� p S��TO`��:` ELIZABETH A.NEVILLE 41 0 \ Town Hall, 53095 Main Road TOWN CLERK is A ; P.O. Box 1179 = $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS : tx• 4?Iv MARRIAGE OFFICER : O �0 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `..W, aO�''� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =:_'� jig •' 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 X or Non-Residential @ $25 ApplicatioAy 79 Permit No " . III Applicant Name sz/OuJi4,-c/ 6- 1/a rc r a- i hy // 76"er '-e Applicant Mailing Address L/7 60 --f71C7/1Qn /Lee tie L a /-e e8 AV /( ?,s 8 Septic Tank X or Cesspool Brief Desc 'ption of Proposed Construction or Alteration 4-ccn7e .,01/(.5/1-r,7 4!eitec Location of Proposed Construction/Alteration: Owner of Property: /-6-ti J ax cr e _ (..90_.11 0//77. Owner Mailing Address: 1--/7('O .i,c/,a r, Alec( ` 7- /„e e )-it.c,L ,/ 7(93w Owner Property Address: Name and phone number of contact person Tax Map No: Section 5i Block 3 Lot / $ 2— Cross Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY.WITH HEALTH DEPARTMENT APPROVAL ( - /c) 6, Signature of Applicant Date Received by: / SURVEY OF T) LOTS 1 & 2 NEIN CK ROA MAP OF ARROWHEAD COVE 11'30"�N 13.84' 0" SITUATE S 7$ ` PECONIC, TOWN OF SOUTHOLD MON .,4 \. SUFFOLK COUNTY, N.Y. . 1 .,.-,a RESIDENCE 26.1' No '•.�� o, DNESTORY -.4 1'Z Lor 1 SURVEYED FOR: HOWARD E. WALDMAN 1 7.0 :P 7.8'W000 FRAME 'D 01 O MAP OF INDIAN NECK PARK I' RES. •� , FILE MAP 551, FILED MAY 27, 1913 Q ' PEENED , V O •M ' rn - GUARANTEED TO: O \ • 18.3 • CONC 0 w HOWARD E. WALDMAN Tli EXISTING HOUSE TO BE •C` A /a DEMOLISHED UPON COMPLETION \ \ MON Z 1: eJ/IY/ OF�RESIDENCE ANDALL `• . W CESSPOOLS ARE TO EMPTIED AND O — •_, 1e g ELEVATIONS TAKEN FROM BACKFILLED WITH CLEW MATERIAL. ALSO THE WATER SERVICE/S TO W EAST END TORO MAPS ON i.". BE DISCONNECTED. 1 8 3,�-r rx FILE IN THE SUFFOLK COUNTY t �, DEPT. OF PUBLIC WORKS, - oRED CESSPOOL w IN 1929 NGVD. O GARAGE 0 1.... ... ..4 3.7' LOT 3 z STRUCTURE ON ADJACENT PARCEL > FM# 3810 0.8'OVER PROPERTY UNE RESIDENCE DATE FILED JUNE 20, 1963 j O TM# SEE SURVEY MAP cr co k _. E..1_ w5u. W m TEST HOLE DONE BY (, P, LOT 1 TM, -, J R8 (JV, McDONALD GEOSCIENCE POOL ON 3/18/05 V LOT 2 1M/1000-098-03-002 Q < 0 PROPOSED O Kr W ORIGINAL GROUND DRIVEWAY —40' RESIDENCE i F TEST HOLE PROPOSED EC BROWN SILTY SAND SM DECK 0 , _ 1 8• 32.0' EL20 WELL a0'+4-8E y, 3, --._- PROPOSED E MeASE .. 01 a UENT. PROPON ERVSEDC 2—BEDROOM / LOT 5 w RE• SIDENCE w •,' 32 2—STOo RIES w 5 ©8.0' —40.0' 36.5'--- WDLL Z MON O s 2 150' o cc1� ' o 15'MIN 0 LR� FINE t71 PROPOSED PROPOSED .4 GARAGE cnO WELL a PALE BROWN SANDSP laCal DRIVEWAYi`, N CESSPOOL , iffI (0 'ao I 40.0=—30.0'=— (n ;, LOT < I, cn 'co ch 3 H EL22 no \ ( ALL W N 8 '03'59'E. 117.80' LOT 3 • -- � ,_ _ LOT 9 0 a ig — EL22 0 RESIDENCE 0 . N • o U _ 17' 0z FOR SCDHS USE ONLY -J . _i GUARANTEES INDICATED HERE ON SHALL RUN 3 ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE 77TLE COMPANY,GOVERNMENTAL AGENCY, QI." LENDING INSTITUTION,IF LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INS77TU770N. GUARANTEES ARE NOT TRANSFERABLE TO __ ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ._� Y °Jl 'i > 4 C 1 r UNAUTHORIZED AL TERA T1ON OR ADDITION TO 171/S {` �- x 1 . P* SURVEY ISAVIOLATION OFSECT7ONT209OF G a > i' :D 's- kms. t THE NEW YORK STATE EDUCATION LAW. 3 . COPIES OF THIS SURVEY MAP NOT BEARING K 9 CY THE LAND SURVEYORS EMBOSSED SEAL SHALL '� `' L+ Pa} r, NOT BE CONSIDERED TO BEA VALID TRUE ((a § U1 , 6 W COPY. g ,;). A BKS i t-1 o M 1 CAfl _J` ; 5-.. SURVEYED: 17 MARCH 1999aR ; :