HomeMy WebLinkAboutNesin, Arthur •
ELIZABETH A.NEVILLE d�� 4% 4 Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
H
REGISTRAR OF VITAL STATISTICS
Southold,New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `_`Kt � 1.1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - •
OUry',+ ,�0' southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4314-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner NESIN, ARTHUR
Mailing Address 1 875 GULL POND LANE
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 875 GULL POND LANE
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 631-477-6104
Tax Map No. section 35.00 block 4 lot 28.042
Cross Street COUNTY ROAD 48
Issue Date: 6/13/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
�gOFFO�,�"-
ELIZABETH A. NEVILLE ��� ��`� �C �; Town Hall,53095 Main Road
TOWN CLERK O P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Cl) Z ; Southold, New York 11971
W
MARRIAGE OFFICER : `� 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �;y"AlpAL aO,'.0� • Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER :'� Air
�,.o southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @ $25 Application No. /3 I /
Permit No. /2)15 $ IL.
Owner Name A ("44ILLA 1V )2. 11
Owner Mailing Address S?'_5 C u. -P(pr-KA
Crôr4 p. I 19 yL/
Owner Property Address
Owner Telephone No. Lp 3 \ - 7 7 - tQ 1 o LI
Tax Map No: Section 3S Block LA Lot 22 . 01-4 -2._
Cross Street CV..-' 4 3 2. CI L.11 ?}o rct Lc
Please check each that applies: New Construction X
Alteration to Existing System
Residential )( Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
Aid /A
" '97ture of ';Plic- t Date
ylvtice...kitcxcecz
Received by.
•
• SCDHS Re% • R10-03-39 NYSDEC Application # 1-4738-03158/0000/
EXCAVATE TO CLEAN SAM) (SW) INSTALL METAL
SH1EA TNPVG AS RE IRED TO PROTECT ADJACENT hse•
PROPERTY DURING SANITARY IVSTALLAnotfm.fir. el 4,1
el 4.7..:4. I am familiar with the STANDARDS FOR APPROVAL
N L'"'"'I '` F 7.1DISPOSALAND S S�S TEMS FOR UCTION OF SINGLE FAM!SEWAGEBSURFACE RESIDENCES SUR VE Y OF PROPER T Y
°`r ,•P A°48
byAT GREENPORT
� �,,,,.a� �Fi.d �«,s ,�o„< and will abide the conditions set forth therein and on the
_1,1
•
—tet-- 3' '12.m;", 13' IP permit to construct.
I. el i.c., TOWN OF SOUTHOLD
PROPOSED SEWAGE DISPOSAL SYSTEM SUFFOLK COUNTY, N. Y.
6 POOLS 2' DEEP WITH 3' SAND COLLAr:777.,-;-_,-.7,-,::7-1777-
1-
The locations of wells and cesspools
1000 GAL. PRECAST SEPTIC TANK BOTTOM shown hereon are from field observations 1000-35-04-7.4 28.22
OF L.P.S TO BE 2' ABOVE GROUND WATER. and or from data obtained from others.
SCALE: 1'=40'
_ r" W_- DEC. 3, 2002
JF N =/� Tr'�P CRVdC $ Dom. /0, 2002(reviy,„mss )
i ' `"'•LL��`w`'`' Dec. l7, 2002 (test boring
Test Boring j' b � _ Jo-a e3, tae 3 //rev;000
°' et 5.2 SUBSURFACENOT . Y 2 .D QQ ?)o�3_o0__,a_ July ll, 2003 (fev/slonsl'
Mixed Sand
SEWAGE DIS QSAL Ocl. 8, 2003 (revisions)
and Loam SYSTEM DESIGN ` E 2° *rt„4h x;11 OCT. 16, 2003 ! revision 1
66• .1 - BY. JOSEPH F/SCHET TI , ss.
' `�`` u� :, •• 3 �.,<:<:rta. its SEP. 14, 2004 (foundation)
• Wafer In Mixed HOBART ROAD TIDAL WETLAND VEGETATION BOUNDARY DETERMINED 4- 20 4_0 (
T . .)
Sand 8 Loam SOUTHOLD, N.Y. 119 I ;.�' �- BY DEC. ,TECHNICAL STAFF 9/17/03 July l5`, 2005( tial)
Water In Grey (63/) 765 - 2954 y"�= = °:'� -Jan.3/ good• (iiia,/)
Clayey Sand SCe,,'' fi '>:;§, °:e rE
12' Water In Brown Ob9��C .r'',c-C,,,.,,�titer�� zoragernent .. N/D/F
BogaPT -.._.�.___....,..(.Q.,,� Q VERA(it ,0
/s• 1000-35-04-7.4--�-� • 80.64'„,, R4PO
Water In Grey 2265/16772 = l4% ,.� S'6>
Organic Cloy OL t', 1+2„sof.. �0,
1e' EXISTING DRIVEWAY TO BE REMOVED EXCEPT SSS 6b O
Wafer In Grey WHEN UNDER NEW DRIVEWAY `MN6 F
Clayey Sand9
Sr • CERTIFIED TO, N IO Ov��NvJe;') y”`y'�� �� d B ,
26' ELAINE NESIN (.11,11 (OEEO� -��� "qb °oo`$q� �S
Wifer in Br.
Fine to Coarse ( P 00 .S6 a 3s` CI
Sand SW
.32' NORTH RD. (S.H 25) 1? M �,v 19�O 0��04.
?8 qL
12/05/02 9 AM. M N. `• moo`-9U F / ?? fps
(10
- 01'20 ,7 4 roe . .,v_ B ,'4!' ti� B�Nfv ,,,v4.00:::
� X36 0
• •
O
1000-35-04-7.4 . sem. c166. kliv e�. . ' !� 5,04�9•� n� �• ,h�0
AREA-16,772 S.F. TO TIE LINE .5%-. ', F� 5 . 4p°' s" 0�3 0 �, 7
• 2 •
1000-35—04-28.22 s.-�`` Q
0.2.,ft. 16 t �. _ ,r '�.'`'��� z �i' coq \/ • 5A90°
W L - 711
AREA=7,005 S.F. TO TIE LINE �J���= 71
C to _ tip' 4a;ry9 F.s'4.�' 12 i c%°��' et- "`y•am `r=
-.Ls/`` o s o ' ,,� .� o -ie rub
^dq �0 Y� n o .�� N of (r1
,c-�8 0 /,/68 Oc
p_ 2qo, 8 03 `° 1\. ��Q ,�
-/ ik, ....,
l am familiar with the STANDARDS FOR APPROVAL EV 79p0". yes �` ,e t�►.N�1d•p�106 `0 U
AND CONSTRUCTION OF SUBSURFACE SEWAGE F" ,�N / \� Ir•• ,'�cru, �fl�r e`\7,----
;;�s 5 3� `�O 168• o
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ¢ /�,�� / / xl byi � 15
; '11t: s
conditions set forth therein and on thewq � 1-7truct. • A(� y`„` :• '20 R�
_ r` 566b1 N/0� �� Ga�Lr)
The location of wells and cesspools shown hereon are q4” - (0✓bit KcoF New}
from field observations and or from data obtained from others. r Bi.
; ,kt, �_ �d
ANY AL TERA TION OR ADDI TION TO THIS SURVEY IS A VIOLA TION / /E••4). (Ii Ak
�► C
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. gc.ROOLq�Pipe '4CO
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTOCATIONS 'Q ,y ss T° 4ty,, / / '
SAID MAP OR COPIES BEAR HEREON ARE VALID FOR I THE IMPRESSED SEAL S MAP AND COPIES OFETHE SURVEYOR 3OF ONLY IF /2�°'�sy q o ,94-4.. ,7. Tz N.
6�~''' '' �L� * S u'..,.,'Y:111� 6i 9°
.S: so '440 \� PECONIC 'U` 6 Ye ' P. f;��
WHOSE SIGNATURE APPEARS HEREON. <0,5,4...,qs F A �,-� =��•• ,
C I'F,Qj�,c;> �, (631) 765-5020 • -
ELEVA TIONS REFERENCED TO N• .G. V. DATUM F°N �F<<�ye�FR�\�c o{6 P.O. BOX 909 ' '
-,, 1230 TRAVELER STR - 4 �h;,, =` '177
ALOOo ZONE s rx0,41 f'1�M a 3b/o5 C 0/76. G 5/It/9 6 SOUTHOLD, N. Y. 11971 s
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