HomeMy WebLinkAboutHulbert, Raymond e . „,•/iii,
,,,,,o�oSUfFO�,�.0 •
ELIZABETH A. NEVILLE �/ G'y�\ Town Hall, 53095 Main Road
TOWN CLERK ;
a asp
��.„,i------------------------
.
f%SUfFO-�co.;
� O
ELIZABETH A. NEVILLE �e GZd •
Town Hall, 53095 Main Road
TOWN CLERK t 0 P.O. Box 1179
% y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS $
Fax (631) 765-6145
`
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER __WO./ ilig ` �1�,, Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER _ rrr
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 24, 2000
Transmitted herewith is a copy of application No. 2369 for a Cesspool/
Septic Tank Construction Permit submitted by:
Fred Milner for Ray and Beth Hulbert •
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following reco endations:
APPROVE
DISAPPROVE
Comments:
�
�gnature
Dated
7..1)-4 (yf)
/////Ili, .
COOFFICE OF THE TOWN CLERK � 0Ur,,,�
TOWN OF SOUTHOLD �
`��• CQ :` Application No. &ip
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
v *' ; Alteration
crs
Telephone 0,�� �Q�i' $10.00 - Residential
(516) 765-1801 =�l 7 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 2
DATE J D) U 0
APPLICANT NAME:
APPLICANT ADDRESS: I �J 4 -Xk C6 U2--
SEPTIC CESSPOOL N
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
K) //C%(,),5 —
LOCATION
MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CO STRUCTION OR ALTERATION:
OWNER OF PROPERTY: Vete:\ C:�'"\ ��je
OWNER MAILING ADDRESS: `1 61/ , 1-)V
/ 7fl
OWNER PROPERTY ADDRESS: CCS e S ��v
Cv�C 06,e
TELEPHONE NUMBER OF CONTACT PERSON: `) Cf - l
TAX MAP NO. : Section ,o (J Block J Lot
CROSS STREET: Ci d
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ji
Si natuFe of Applicant
�,/ / 9 PP
RECEIVED BY : IV'A64- --1---1-((:)
��
/ --//16
Town Clerk's Office
DATE:
and cesspool is to be 150 feet. FINISHED GRADE
-T.-ham 13
I. _. Z MAX. •
rtTEST HOLE DATA 300 s F - � li 1-
SIDE 441L Ij
PERFORMED BY : McDONALD GEOSCIENCE • ARCA - 1 1 ' •
I F.CHIy. •
�+` v
FINISHED GRADE -y`('�F11.7)
s\!..\''', "'"',„ .� BROM SANDY LOAM OL l►}� rjt6eS 1'3£MIN. - V•...
NOTE `/� Ts• t� `off NpyO$% f _ r•°UNOWA TER
14 DEC 98 REVISE SANITARY �08Q � � = TH
PICAL CESSPOOL SYSTEM !lOAAI!!RtlYALdI�r 1
—— SON(irs PA WII, , ' ..YN PIPE'H
PALE BROWN FINE TO COARSE S41C sW t7ATE -o23-O� _ D +�'ooa� 12
APPROVED t % , ,
R
FOR MA aMVM OF :a,1...
R TREE YEARS PROM DA 'OF APPROVAL
112.3. - FINISHED GRADE •'OND
•
WAFER IN PALL BROWN FINE TO COARSE SAM SW
l MIN T--� -
2 MAI.- ' 4
�I I Guarantees indicated here on shall run
only to the person for whom the survey
• • .j 1_ -'8' MIN TO CESSPOOL is pr,pered,and on his behalf to the
' --' -.--
• 1000 GAL. SEPTIC TANK tin:ccm^cm,Coverv.ental Agency,
lending i,spit tics,if listed hereon,and
1 to the cssi£nees of the lending institution,
TAX MAP NO. SURVEY OF Guarantees are not transferable to
1000-109-05-28 TYPICAL SEPTIC TANK .5 11
additional institutions or subsequent owner*.
DESCRIBED PROPERTY
- —
SITUATE ---- —-_-- ---- Unauthorized alteration or addition to this
i• violation of Section 7209 of
surveys •a
ZONING : R40 CUTCHOGUE, TOWN OF SOUTHOLD — — _ • 1h•New York State Education Law.
SUFFOLK CO. HEALTH DEPT. APPROVAL i
SUFFOLK COUNTY, N.Y.
H.S. NO. Copies of this survey map not bearing
I
--- - ------ ------------ — ---- -- - _ th- Land Scrvoyors embossed seal shag
STATEMENT OF INTENT not ba Lonsioa:_d to be a- truealid true
i T/IE WATEF¢SUPPLY AND SEWAGE DISPOSAL SYSTEMS _I y /E
FOR THIS RSSID£NC£ WILL CONFORM TO THE STANDARDS i
OF THE SUFFOLK CO. DEPT OF HEATH SERVICES
SURVEYED 27 OCT., '98 S
SCALE 1'=20' �___._ _.__- _ _APPLICANT ____ ___
AREA= 26,316.87 SF SURVEYED FOR : RAYMOND HULBERT TOWN OF SOUTHOLD SURVEYED BY
OR ELIZABETH HULBERT
0.604 ACRES FOR APPROVAL OF CONSTRUCTION ONLY I
DATE :
APPROVAL STANLEY J. ISAKSEN, JR. 9
— - - P.O. BOX 294 8
SUFFOLK CO. TAX MAP DESIGINATION NEW SUFFOLK, NY 11956
GUARANTEED TO DIST. SECT. BLOCK PCL. 516•-734-58
1000 109 OS 28 •/ /
,RAYM.LO�ND��HULBERT
£UZABETH HULBERT ELEVATIONS ARE TO AN ASSUMED DATUM OWNER . �, /•�
' FIDELTY NATIONAL LAND TITLE INS. CO. POND WETLANDS DETERMINED RAYMOND HULBERT & ELIZABETH HULBERT -
TOWN OF SOUTHOLD LICEN D LAND S -V£YOR
BY THE LAND USE CO., BAITING HOLLOW. N.Y. I _.
NYS UC. NO. 49273 98C755
i r
[ W J
I 3 AD
.5° SQp�` R5 R0 5' 44.•,
o N P �P� GK'S C ED A 4 c"
01
PATH WAY 4; i c) 48.87
4. 0 48.52 40" E
5Q 1 EDGE OP ASPHALT PAVEMENT 0, N
ID •Po ETrS Sg• 20,
po �.
. S 74. 57' 30' E 00' Q1 "'- EXF Ns N
/ / \1 46 N/F
\� ) \ 48 CABERON PROP. INC.
`r •ROFOSED 44
O 0 /, CE
\% \.... ,---/
I 2� N _ TEST HOLE: LI \
\...
POND WETLAND DEL/NIA TION
m - o 4 \(/ /PR�'OSED
�� �Q•
1SEPT TANK :12 : 16' 01' 38" W 26.75'
10' 40' 26" W63.83'J40' mo 70, 19' 07' 04" W22.75'= 44' 50' 41" W 37.08'
H �' 'p O1' 40' 11" W 16.05'
Q PROPOS£ ONE STORY 26' S1' 07" E 27.11'
Jo 3 BEDROO RES. 01' 39' 34" E 39.25'
48 30' Q 89' S8' 12" E 20.76'
�. 40' 52' 56" E 36.35'
o , ct 1 19' 06' 00" E 38.57'
ti 13' 10' 00" f 57.70'
♦ 0 12-13 N 07' 34' 58" E 50.90'
Q 46 p� 13-14 N 04' 25' 00" W 34.56'
�u1 W �0 p �•
14-15 N 55' 41' 55" W 37.61'
d co p5 6 PROPOSED 51.1 GARAGE P4 5, g 52 50 4i 44 v 15-1 S 1 T 51' 43" W 1 1.14'
< '4 M DRIVEWAY /I W 48
N 24I. W \
40'
h
POLE• _-
18' 15
/14 2 PROPOSED _ 223.54'
p WELL (WELL — 1
100' _ 14
150'+ TO*Alva:
5 .5 1.5
50.9 50.3
N 80' 05' 30" W
N/F HORN
i PLEASE NOTE
t 2
- I Minimum distance between well
and cesspool is to be 150 feet. !WISHED GRADE
..<•--7`• 1 T MIN. I_
J' z' MAX
< TEST HOLE DATA Inn ..11`T '' 1