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HomeMy WebLinkAboutCummings, Robert OeS�FFO�,�c ELIZABETH A.NEVILLE �I/_ y� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 y REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971 MARRIAGE OFFICER :44 s 1����, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER '/Ql �‘O'i� Telephone (631) 765 1800 FREEDOM OF INFORMATION OFFICER o��se��� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2296 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1 : PO BOX 728 City St Zip AQUEBOGUE NY 11931 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 #R10-99-0089 Name Of Owner CUMMINGS, ROBERT Mailing Address 1 18 ARLEIGH ROAD City St Zip GREAT NECK NY 11021 Property Address 1 325 INDIAN NECK ROAD City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 1 lot 4.022 Cross Street RICHMOND LANE Building Permit Number Cross Reference: Issue Date: 4/14/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 3.9,9 ) ELIZABETH A. NEVILLE ���_ y�; Town Hall, 53095 Main Road TOWN CLERK C P.O. Box 1179 y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �1 MARRIAGE OFFICER 1i �`.•I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER -a6:1 �i ,• Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 11 , 2000 Transmitted herewith is a copy of application No. 2384 for a Cesspool/ Septic Tank Construction Permit submitted by: Schembri Homes 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 recommendations: APPROVE DISAPPROVE Comments: Signat f 4'/ IIB Dated !! (( i w. OFFICE OF THE TOWN CLERK 1• `I U,K TOWN OF SOUTHOLD ��.�� CSG Application No..� '� ELIZABETH A.NEVILLE,TOWN CLERK Q v_ P.O.BOX 1179 . t` Construction SOUTHOLD,NEW YORK 11971 c _' Alteration Telephone ,jy,�, �Qri $10.00 •- Residential (516) 765-1801 -- l �,,�'0 $25.00 -Non-Residential ,..,,,'' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE lkh APPLICANT NAME: [,f18k/ AzD1&S APPLICANT ADDRESS: I.Q _f3t ) 74-Y ti7nacCaud P_- //9)./ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,UGw A ) ' LOCATION MAP: Must be attached hereto before permit may be iss d. � • LOCATION OF PROPOSED CONST CT)On,N, O ALj ATION : +4 OWNER OF PROPERTY: C; < OWNER MAILING ADDRESS: dot � �' /G 1°1)--\ (.71_,44 AL /1/K/7 79,1 1 OWNER PROPERTY ADDRES S `J k.6_ TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /000 Block Sp 0/ Lot c)'01 CROSS STREET: /4C4(AM OL) BUILDING PERMIT NUMBER CROSS REFERENCE: ///,' , ` / Signature of Applicant RECEIVED BY: ;�'b� To n Clerk's Office DATE: // G'd i r • RECEIVED € ' SUFFOLK COU TTY. . LSURVEY OF LOT 22 1499 APR 29 PMI I i MAP OF ALTS SERVICES RICHMOND SHORES AT PIagaTEWATER MGM - FILE No. 61373 FILED NOVEMBER 20, 1979 t SITUATED AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-01-4.22 p SCALE 1"=40' t WELL � v`' APRIL 22, 1999 t�+A1 1'O AREA = 21,750.00 sq. N. 3\ AREA 0.499 ac. sNfal R, F J� z o* t�a�0D ERS "` ; ti RES o. gg. 00s p," Y \\ �'$, 66'00 A 06. ik E ELEVATIONS ARE REFERENCED TO AN ASSUMED OHM �� ERBTRID ELEVATIONS ADE SHOW TMIS:1 O \'�,p ; •per Z 2.REFER TO FILED MAP FOR TEST NOSE DATA. S J� 3.MEW SEPTIC TAM(CAPACITIES FORA 1 TO 4 EEDROON HONE IS 1.000 NELONS. SSS3 TH , TAWS;9•LONG.4'-3'REDS.6•-7'DEEP\ I •///7' 73 4.MOM LEACHING SYSTEM FORA 1 m 4 MEOW HOUSE 6 300 p 113 N.M.' MEA 3 Z , POOL;12 xEP.r aRa \,,..3 a • 'd FROM=WAHINE POOL I S.; a .3, v��. A1 j LEACHING POOL f .:144 ., \ 1. Lys ®POOPORo SEPTIC TAME • \ ,3 S.THE LOCATION OF WELLS AND CESSPOOLS SHORN HEREON ARE MON FEL.. \ C; ODSDNATpNS AND/OR O11 DATA WANED FROM ERL 7 o� 4- 00. PRF9/IiD M AOCOIp11Q MM 1113 ROME • r^ • ., •-FOR TORR SIw(YS AS E ROME PROP I, �/` ,� , � 1A500 � ��S�pHA./NC G • 405 H. F'/�� k REAM SERVICES �F•7� S'J OIt CviJ:1? F)i:IIT. 11 OF E� WELL N �:�,;i '.1-2, N , \.0 0. OOO� yDT© �,` •./ ',LYS Lie.No. EWE r� / oi .4. 6� RRWmD1®ALTLTaTEM CR ADMEN T' ['•�'V• •�jZ \ IASL 5 2\O TO NW SINN&6 A MADOO OF SECTION 720I DATs....12-.:10-5,,/- di ���=�► \ 6 \ MUER LAIL 1113 NEM WOK STATE Joseph A. o S�p/��y 9e9ni �� THE L OF NS SURVEY ED NOT RH AppRovsD�..._— \ ,x13 LAIo E1wLnaRs MED SEAL a �. �s °EG®>. °° - Land Surveyor PCS.:t.,a+:1,'-r'J r 1.t.• v i m E A MED TME oOPT. FJFroS THREEV^ ?31-10. �DAT` OF e PRLV.4L ' e GIRCUaWnM Y m WE ROGED R®N TOIOY 1I9n R TI MD HIS IL TE TIRE=PA9aO41ERIRnTIL ADiL1 1 0 LEMING FEDNTHON am HEREON AND nth,SumyF-Sd4rNIOIU- Se Plow - aNbrRie Layout c m THE ASSIGNEES OF TE LELERM MD- , CHROMATIN'S ME NOT TIWNFEMOLE. PHONE(510727-2020 Fit(516)712-5093 I - .. O A q EASEMENTS ODOSIEIK:E OF F TREWIp. OFFICES tk LOCATED,Square EIIl/Ri AIERHE Of WAYS $_ ANT/NOT SHOWN ARE NOT OUARANTEED. DIN U1io0 o.tP.O.Dm 1931 OM/MON"Ni.Tort 11931 RNi9RME Wm York 11901 II , 99-3 i