HomeMy WebLinkAboutMillman, Charles ogii OFFOc
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ELIZABETH A. NEVILLE ��_ 4":4: Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
v. �'►� i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ��
MARRIAGE OFFICER � y � �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ; O1 Jgg aw � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .'''e�i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2454 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PETER DENICOLA
Address 1 : 1695 CHABLIS PATH
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF # R10-00-0207
Name Of Owner MILLMAN, CHARLES & MARSHA
Mailing Address 1 11427 SUTTON PLACE DRIVE EAST
City St Zip CARMEL IN 46032
Property Address 1 2670 DEEP HOLE DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block 4 lot 10.000
Cross Street NEW SUFFOLK ROAD
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.... „le ofFour --_,,, (9(15 ,
ELIZABETH A. NEVILLE of Town G?� Town Hall, 53095 Main Road
TOWN CLERK % y Z % P. O. Box 1179
REGISTRAR OF VITAL STATISTICS PP,'�� Southold, New York 11971
MARRIAGE OFFICER `.. y �1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -N."49! 4,101 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ed0,11
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 1, 2000
Transmitted herewith is a copy of application No. 2542 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
DeNicola for Millman
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: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
Signature
I l 1 t /0 0
Dated
0I1 OF THE TOWN CLERK ,.''�`�`CcCIJI,--
'VN e!SOUTHOLD ••' C,�`I D�K
• ��!/� Application No. 2i5 �2_.
• ELIZAB A.NEVILLE,TOWN CLERK 1�•
P.O.BOX 1179 Construction DL
SOUTHOLD,NEW YORK 11971 v m
Alteration
Telephone �Q�'�'' $10.00 - Residential p(
><'
•
(516) 765-1801 0l �,•" $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /F^ — J / - Q O
APPLICANT NAME: e�t�� .11e(l; en i
APPLICANT ADDRESS: u,°1 c CkotA ( Z S (,
SEPTIC V CESSPOOL „/
{
DESCRIPTION OF PROPOSED
PROPO SErD�.C•CONSTRUCTION OR
ALTERATION
Va{M0LL X{ 111iy, Vai lt; ✓ GO sex Ss 4-re-L-%--�C
ei Ul9eL.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: agA-0eS cL- Metit5kek ( 1} Uma, i
OWNER MAILING ADDRESS: 'tt 427 S c! {-Oyu ?Laec )cue j2Sf—
C,t eJ �N�ianGtfjoO Z.
OWNER PROPERTY ADDRESS: , (2..-7c;) oe 7 HoCe DC( 1 .e_
VY‘ca.4-44ALL C iC ,rF 11 1
TELEPHONE NUMBER OF CONTACT PERSON: .71".5.--c3 e
TAX MAP NO. : Section 123 Block `/ Lot JD
CROSS STREET: 'Neu() SullfoU4
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY : 2/Z_ S49/7,60
' T wn Clerk's Office
DATE: / 0/3 6 0
S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
EXCAVATION INSPECTION REQUIRED
' PERMIT FOR APPROVAL OF CONSTRUCTION IUCTION FOR A FOR SANITARY SYSTEM
0
SINGLE FAM1LV RESDEP CE ONLY IN HEALTH DEP�IVT
A DATE 10k0/7-0 HS REF.NOR to-a'-o
APPROVED .A&4 AL.!. ��..,.'tli
''7,. DWELL FOR MAXIMUM OF.? 4 OOMS
icAmi4ligai>_,iiir_ EXPIRES THREE YEARS FROM DATE OF APPROVAL
WELL OVER 100'FROM CESSPOOL /(' i„ /
Ar
O/EXISTING CESSPOOL w 0 g4 LAND N/F OF BARR PIPE
CAD( ...1.)% Pe' M 467.00' FD0
/ di
o4SpNG POOLS 1D BE ABANDONED S 00'50'00 E EL 7.8 c
0 ' EL 5.5
v RAIL MICE 0.15T - - - - _ _ �'
td
g . 0 a : / (7.7) E\ EDGEL OF �. /Q
��yy (+ /�TP .,a.
LAWN 1\ SANITARY 1 w �,
'�I NNW. NYslefsa . a tri' W 7 ,0' O (8.„^ 121' �5 • /
/113.
•
/ EL 7.1
-- - - _ j o I. �� �'t1R.' I�1 ,'_+ 23e' 1s0 ��a�t_',1 Q
E1057NG O I I EL :,j -,,:,...,„,1 '< O Ji : ' Q �tr,;� �+ ..k.‘7
.tC•
i 0 . .ren 110 _. •�,,JGMCB _.pie,
rli Li `s ( 1� 1Ci.rAN t(ANYDD EL'C5.6 Q �: t�3
{<i. 9.j pRQpD�QI' / L� FlLL REOURED �O -�(�'# o
L' 2 FIOIJSE if-1
c �l +i.0 to
to i -I , -�.�� tax,VR ' O% En C=, .T1
nv A d 8 n $ d (7.7) / soI 4a -C,f-` `r' C' 'T#�,}
'"�1. Al EL • difr iw EL 7.1 EL 7.4 EL 6.8 EL 6.1 W /��� 2�� (n= (V (-'CD m
2 RAIL FENCE 0.5W �P C� ` _._, -
q� N 01'45'00" E 412.00' � V >- omPROPOSED 3 BEDROOM DWELL/ / ..
FITT pi
DOCK �� '�"O
EXISTING CESSPOOL 0� 3~ • -"I
O LAND N/F OF GEOFROY L. PENNY o4Q =cin "C
rn -..s
44/
DWELL Q�
WELL OVER 100' FROM CESSPOOL ELEV. 8.2
CI. LOCKING REVISE 10-23-20 ADD WATER SUPPLY
COVER TO GRADE 0DRBROWN REVISE 8-22-00 ADO WET LAND BOUNDARY
(8.7)MIN FINISH GRADE LOAM 1' REVISE 8-4-00 ADD SANITARY SYS.
IIz
10'=2 1/2'
16'=2" z S BROWN
CLAYEY 37 078.1 S.F. OR 0.85 ACRES FIRM ZONE AE (EL 8) USGS
1/4"-FT. �. 1 SAREA: ELEVATION DATUM:
. /8"-FT. (8.1) SAND 3.5'
• COVER
1111��m um111111eg, ' it ' 6" SLAB (7.1) BROWN UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY
INVERT-/ , NVERT �� �' MED TO MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
(7.56) (7'35)INVERT i r I(ERT COARSE ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
(6�) SAND LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
FOUNDATION TANK 8'I .3' COLLAR 5.1 THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
WALL pv MI POOL CLEAN WATER IN NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
,,COARSE k MILDER 3.1 AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
.-� CRAY
/3.MIN BROWSURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MILLMAN;
USE 4" DIA. APPROVED SEWER PIPE SSE MAP OF:
1000 GAL. PRECAST S.T. (5.1) SAND FILED:
z
IN I SITUATED AT: MATTITUCK
WATER EL 31 11.
- - TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S.
8-2-00 SUFFOLK COUNTY, NEW YORK GvOLand Surveying and Design
THE WATER SUPPLY, WELLS AND CESSPOOLii....41/ fri,
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS EXISTING ELEVATIONS SHOWN AS EL 50.0,(50.(), i 'G1�.� Calverton. New York 11933
AND OR DATA OBTAINED FROM OTHERS. PROPOSE ELEVATIONS SHOWN AS (50.0) FILE 0-86 SCALE: 1"=40' DATE: �f PHONE (516) 727-5127 FAX (516) 727-5127
2JUNE 9,2000 N. Y. S. L1C N0. 50227 maintaining the records of Robert.I. Hennessy
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