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SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3517 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JACK CIPRIANO
Address 1: 19 HAWTHORNE AVE
City St Zip CENTRAL ISLIP NY 11722
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING.
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPAR'I'NIENT.
Name Of Owner JACK CIPRIANO
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Mailing Address 1 19 HAWTHORNE AVE
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City St Zip CENTRAL ISLIP NY 11722
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Property Address 1 8150 MAIN BAYVIEW ROAD
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City St Zip SOUTHOLD NY 11971
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Tax Map No. section 87.00 block 5 lot 2.360
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Cross Street COREY CREEK ROAD
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Building Permit Number Cross Reference:
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Issue Date: 4/09/07 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
, r
�OF SO(/j�,
ELIZABETH A. NEVILLE ,`O� �l� Town Hall, 53095 Main Road
TOWN CLER,K � � P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER G � � Fax (631) 766-6145
RECORDS MANAGEMENT OFFICER ����, ``,`�a� Telephone (631) 765-1800
FREEDOM OF INFOR,�T8T�9�`�'FICER CQU��P�'� southoldtown.northfork.net
- }�; � `� ,
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.,� OFFICE OF THE TOWN CLERK
�.1"� � TOWN OF SOUTHOLD
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�,��I Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: Apri13, 2007
Transmitted herewith is a copy of application No. 3675 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jack Cipriano
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
V
DISAPPROVE
Comments: ` �
�
' �r
Signature
d�nv
Da ed
' , ` �
• E `rO�$VFF�[�►CO
LIZABETH A.NEVILLE h � Town Hall, 53095 Main Road
` TOWN CLERK p � P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v. �
MARRIAGE OFFICER �y � �'� Fax(631) 765-6145
RECOR,DS MANAGEMENT OFFICER � Tele hone(631) 765-1800
P
FREEDOM OF INFORMATION OFFICER �'� � �a 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 V or Non-Residential @ $25 Application o.'3
Permit No. �
Applicant Name ��}-C��- �v'ri c�,�CU
Applicant Mailing Address l� %�C(c.�J-�!�o�'✓� C /� �/�
•e 1/l�Ya ( -�' /ll // 7���
Septic Tank or Cesspool � '
Bri�f Descri�tion of Proposed Construction or Alteration S y1�� �
r .u� � i � �G
Location of Proposed Construction/Alteration: �0.i(> �.�,Y` Ur P�.t,- �C.� SQ�t��1 e��
Owner of Property: ),�-� k � � ,p r �a n o
Owner Mailing Address: l� ��q w ~��r�� v�2 ,���-
Cj-e v�-hra � .��r'l," �� l �7�a -a�rd�
Owner Property Addres I���� ���/ V i��� ��
SlS �,1,� �z 0 /C�
Name and phone number of contact person ��C f�( � /U�`� ��J ����
Ta�c Map No: Section � � Block 5 Lot �3�(�
Cross Street � � � t�' `t2�
NOTE: LOCATION AP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
��e��_�;�;� � /� �o -?
Signature of Applicant Date
Received by: ���'-''�
.�--- DWELLINGS S.C.T.M.# DIST:1000 SEC:87 BLK:S LOT:23.6
W/PUBLIC WATER �
, EDGE OF PAVEMENT #R10-05-0198
1VIAIN BA YVI.�yV RQAD (66��
�' 18'� CL 17.94 2¢�t '4,'PHALT PAVEMENT - TOWN MAlN7AlNED
` CL 17.57 CL 16.73
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o STAKES SET 16.5' S' WIDE WOOD LAND N/F
p 04-02-06 STEPS
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LIMITS OF CLEARING fl0
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WATER 14.4' / /'
EL 2.2 wATER IN /� \ \ \ \ � � �� � ,� N64�07'00"fl� � � � 125.00'(DEED)� �� � �
PALE � � , � � 115.00 (ACTII.AZ,)
MEDtUM .� \ \ \ \ \� \ .- ` ` \ ` \ \ \ \ ` ` \
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� DWELLINGS � � � � � \�� � � �� � � � � � � � � � � �
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\ ` \ ` \ \ ` \ —'" 8 CovER
Subject Property: Jack Cipriano � �Z � ���,j� e ��B�►�V�RT ►nn��
Moin Bcryview Road CONDOMIN(UM\ � � � � � o T��.es� � � �,z.sey
Southold, NY 11971 COMMON AREA 2 F0�"�rlON �� POOL 3cr�a°`�
LAND N/F �' �9 � 6, `s�nr►n�
� 3'MIN
�� OF �� O USE 4" D1A. PROVED SEWER PIPE
7HE COVE A7 SOU7HOLD �'� ioov PRECAST S.r.
TOTAL LOT AREA: 40,500 SQ.FT. OR 0.93 ACRES � Z �(�
UPLAND LOT AREA: 38,610 SQ.FT. OR 0.89 ACRES j � N
ALLOWABLE IMPERVIOUS SURFACE 5,791 S.F. OR 15� NOTE: GROUND WATER EL 2.2 GROUND WATER EL 2.2
SILT SCREENING WITH HAY BALES ARE REQUIRED ALONG APPROVED L1MfTS OF CLEARING
LOT COVERAGE: AS PER NEW YORK GUIDEUNES FOR URBAN EROStON AND SEDtMENT CONTROL. NVGD 1929
PROPOSED HOUSE 2,400 S.F. OR 62� ELEVA7TON DAiUM:
PROPOSED DECK & STEPS 210 S.F. OR 0.590 + UMAU7NOR/ZED AL7ERATlON OR ADD/7ION TO TN/S SURVE'Y/S A VJOLA7/0N OF SECAON 7209 OF THE NEW YORK STATE ED!/CAAON LAW. COP/ES OF TH/S St/RVEY
TOTAL PROPOSED LOT COVERAGE = 2,610 S.F OR 6.7% MAP NOT BEARING 7HE LAND SURVEYA4'S£MBOSSED SEAL SNALL NOT BE CONSIDER£D TO 8E A VAUD Ti�UE COPY. 6llARANTFES INDICATEU ffEREON SHALL RUN
ONLY TO Ii1E PERSON FOR WHOM 7f/E SURVEY!S PREPARED AND ON Hl5 BEHALF TO IHE fl7tE COMPANY, COVFRNMENTAL AGENCY AND LENOING 1NS17TtlIlON
USTED HEREON, AND TD INE ASSlGNEES OF THE LENDING 1NSANTION, C�l/ARANTEES ARE NOT TRANSFERABLE.
D RA I NA G E CA L C U LA TJ 0 N S. 1F!£ OFFSETS OR DIMENSlONS SHOWN HEREON FROM TNE PROPERTY UNES TO THE S7RUCNRES ARE FOR A SPECIF1'C PURPOSE AND USE 7ilEREFORE THEY ARE
NOT INTENDED TO MONUMfNT A!E PROPERTY UNES OR TO GUIDE 7HE EREC770N OF FENCES, AD0/110NAL STRUCTURES OR AND 07NER 1MPROVEMENTS EASEIUENTS
AND/OR SUBSURFACE SIRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEE73 UNLESS PHYSICALLY EVJDENT ON THE PREMISES AT THE flME OF SURVFY
suRVEY oF: DESCRIBED PROPERTY CERTIFIED T0: JACK Cf PRIANO;
BLDG. FOOTPRINT = 2,400 SQ.FT. M� �:
2,400 x 0. 166=398.4 < 399ct REQUIRED �
(2) 8'DfA x 5' DEEP DRYWELL=441 cf PROVIDED F���
. . s��ruA�D AT: BAY VIEW
� � � row� oF: SOUTHOLD
KENNETH M. 1f0YCHUK L.S.
C�ASTAL BARRIER BOUNDARY \ \ \ SUFFOLK COUNTY, NEW YORK Laud Surveyin� and Desi�n
IDENTIFIED I1-16-90 P.O. Boz 9, l[attituck, New York 11952
REV{DED 1 1-28-05 � \ � Fi� �25-g2 scA�: �"-20' �A�:AUG. 12, 2005 ��� �� Phone (681) 298-1588 Faz (8S1) 298-1588
N. Y. S. UC N0. 50227 ny,��(� � �o� �gpD��t J ge�es�� I
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