HomeMy WebLinkAboutScibelli, Gabriel (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3465 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DONALD FEILER
Address 1: P.O.BOX 1692
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-NEW GARAGE/CABANA
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner GABRIEL SCIBELLI
Mailing Address 1 450 CEDAR POINT DRIVE EAST
City St Zip SOUTHOLD NY 11971
Property Address 1 SANE AS ABOVE
City St Zip 0000
Tax Map No. section 90.00 block 2 lot 15.000
Cross Street LAKESIDE DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/18/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE 1% , Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; G ,I Southold, New York 11971
MARRIAGE OFFICER .. . l� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Ole 'O'.O.� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �U southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
,
TO: " ,
FROM: Lynda M Bohn, Southold Town Clerk's Office
DATED: August 9, 2006
Transmitted herewith is a copy of application No. 3620 for a Cesspool/Septic Tank Construction
Permit submitted by:
Donald Feller
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.
Lynda M Bohn
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE v
DISAPPROVE
Comments: w �� :,_ /Aar /III
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Signature
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Dated
I,0.110FOL4, _
ELIZABETH A.NEVILLE
tl �o4 Town Hall, 53095 Main Road
TOWN CLERK ; g dI
P.O. Box 1179
Go ae ; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS W _SiRRIAGE OFFICER
. Q .1C Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER y� � '1� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ':O1 * iao'e' 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 Applic. on No. ''L
Permit l o.:21-1 Cn S
Applicant Name bPt4)N
Applicant Mailing Address Po isost ! Gpcit 2
(Y)FberTVW014
Septic Tank n or Cesspool
Brief Description of Proposed Construction or Alteration Nem G 6 CithitPO4
Location of Proposed Construction/Alteration: Q
Owner of Property: C Q�1 �. I BF+-i.. 1
Owner Mailing Address: 450 CeOPP.. b1 PJ' vs '
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Owner Property Address:
Name and phone number of contact person O. - 2516 :5d16.3
Tax Map No: Section -10 Block d 2. Lot- IG
Cross Street L1E,S1 OM Cipt4
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S ' T WITH HEALT ' D EPARTMEN APPROVAL
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Signature of App :t Date
Received by:
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1/ TEST HOLE DATA
o (TEST HOLE DUG BY McDONALD GEOSCIENCE ON JULY 14, 2005)
;� DARK BROWN SANDY LOAM OL
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Q CV j BROWN SANDY SILT ML
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.N�� ���- �� A.l Q BROWN FINE TO MEDIUM SAND SP
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Su�ater llne� •
Is.o, olk; our mss_#,fie ;�� �• '
I Call g52. � �e��: ®f Pecten ,.
Op 2 ho„ ��Ite _ _
to shedul 4• �� e•p1 et_ �• T WATER IN BROWN FINE TO MEDIUM SAND SP
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?0Nfk SUFFOLK COUNTY DEPARTMENT OF HEALTH
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SERVICES
k* PERMIT FOR APPROVAL>c,'C..O STRU TI eN FOR A
ZONE is
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i �N DATE , 7 os H.S. - a 1 . RIO-0 C-:/l '
co APPROVED
0
TOTAL MAXIMUM a LED RoOry3;S,.._
EXPIRES THREE YEARS FROM DATE OF APPROVAL
PREPARED IN ACCORDANCE H THE MINIMUM
�` STANDARDS FOR TITLE SURV% SAS ESTABLISHED
BY THE L.I.A. . •t'I - "" D AND ADOPTED
hiGN FOR SUC . •: ' STATE LAND
11/••7-6-p TITLE • ••W • - Prilbt
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e`,•_ 490 1
-vs " LAND S
N.Y.S. Lic. No.
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF Joseph A.
Ingegni
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING L cin d Surveyor
THEE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. .
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys — Subdivisions — Site Plans — Construction I
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION USTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 FOX (631)727—
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
OFFICES LOCATED AT MAILING ADDRL
THE EXISTENCE OF RIGHTS OF WAY 7,,1 71,,I 1,,,,,: „r.,,,
,
SURVEY OF
LOT 107 & P/O LOT 108 ;'
MAP OF
CEDAR BEACH PARK
FILE No. 90 FILED DECEMBER 20, 1927
SITUATED AT
BAYVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-90-02- 15
SCALE 1 "=30'
JULY 26, 2004
MARCH 3, 2005 ADDED PROPOSED GARAGE, POOL & DECK
APRIL 13, 2005 REVISED PROPOSED POOL & GARAGE
\ JULY 27, 2005 UPDATE SURVEY & ADDED SEPTIC SYSTEM FOR CABANA
rGs�sO�� AUGUST 16, 2005 ADDED WATER LINE TO CABANA & INCREASED PROP. LEACHING POOL
OCTOBER 27, 2005 REVISED PROPOSED SEPTIC SYSTEM
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AREA = 72,710.82 sq. ft.
1'F,pi 1 .669 ac.
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'44), 1qT� O CERTIFIED TO:
� GABRIEL SCIBELLI
qy41/S 1 PECONIC ABSTRACT INC
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