HomeMy WebLinkAboutPapanicolaou, H 'ow iii
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ELIZABETH A. NEVILLE I 0- of ; Town Hall, 53095 Main Road
TOWN CLERK p :'� P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ;
MARRIAGE OFFICER ` Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER ‘‘AD .a.01Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ' *Poo
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2154 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
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 #R10-99-0149
Name Of Owner PAPANICOLAOU, H.
Mailing Address 1 145 42 17TH AVENUE
City St Zip WHITESTONE NY 11357
Property Address 1 1130 PLUM ISLAND LANE
City St Zip ORIENT NY 11357
Tax Map No. section 15.00 block 6 lot 12.000
Cross Street PLUM ISLAND LANE
Building Permit Number Cross Reference:
Issue Date: 10/01/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE 14° Gym`` Town Hall, 53095 Main Road
TOWN CLERK • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS "-IL'L 9� y Southold, New York 11971
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER 0 11
Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '��' �al
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 20, 1999
Transmitted herewith is a copy of application Na240 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 rec mmendations:
APPROVE
DISAPPROVE
Comments:
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Dated
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• OFFICE OF THE TOWN CLERK �••
TOWN OF SOUTHOLD ,�• O �K�oG . Application No. ,;.p
ELIZABETH A.NEVILLE,TOWN CLERK ,�Q
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 Z
v ^' • Alteration
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Telephone 1>
$10.00 - Residential € S
(51 6) 765-1801 -- l � *,,•• $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 a J 6/ qq
APPLICANT NAME: 3Cherilbc't I- pc'eS_ __--------,------.--------_-----
APPLICANT ADDRESS: 2011 2 014h W"n4' 4
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : 5) TPa C2 •
OWNER MAILING ADDRESS: t(45_—L( 11� �
h1AEA-0 -s- 1\1 11357
OWNER PROPERTY ADDRESS: I l 3U p t Vr - st '-ri d
TELEPHONE NUMBER OF CONTACT PERSON : _lag 59 t
TAX MAP NO. : Section l ., Block ((_C) Lot 'a
CROSS STREET : ______f= C ✓rl S C..14-A Z,,4-)
BUILDING PERMIT NUMBER CROSS REFERENCE :
LOIC -441: I 41
•.ignature ofYApplicant
RECEIVED BY :
ow Clerk' Office
DATE:
T •
WELL+ I
SURVEY OF
1LOT 91
MAP OF
11 ORIENT BY THE SEA
SECTION TWO
FILE No. 3444 FILED OCTOBER 26, 1961
r1111SITUATED AT
+"" � ORIENT
wr® ,gA.1:•1� • 3 ® wELL LOC/LT,APPROXIMpN,
TOWN OF SOUTHOLD
_ pWEu1NG o SUFFOLK COUNTY, NEW YORK
yy ? S.C. TAX No. 1000-15-06-12
3' 8 SCALE 1"=40.
999
N 76 9.10" E AUGUST 11. 1999JREVIS DUNE 9ASIPER S.C.D.H.S. NOTICE
,� • 1. _ _ - ,.g AUGUST 23. 1999 REVISED AS PER S.C.D.H.S. NOTICE
lV WI I UTILITY POLE
Y AREA = 22,267.40 aq. ft.
0.511 ac.
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LE...NCAVATION INSPECTION REQUIRED' € FOA SIWITARY SYSTEM
Z N..4BY HEALTH DEPARTMENT
5 r, Nam:.
Q • ` T a > h i1 9^ W 1.ELEYAtDNS ARE REFERENCED TO AN ASSUMED DATUM
z COSTING MIA,IONa ARE SHOWN TMUS:JCG
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a - W 2.RESEII TO FRED MAP FOR TEST HOLE DATA.
k' U, x 3.MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS.
Z- $;': 0 6 1 TARE B•LONG,4'-3'WIDE.R'-7'DEEP
R
Z r 3 4.2MRwO/Y LEACH/NG DDD SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 p H SIDEWAIl AREA.
U u r-I •4 - W 2 POOLS:R•DEEP.B•No.:AS SHOWN ON MIMED MAP.
> • \--� N N MPOS[0(3041 00 WOOL
j \ O Cl /PROPOSED LEACHING POOL
GC
a.• ••
'� • N ®®AOPOSFD SEPI=TNN
1� W
S.711E LOCATION OF WE113 AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
1•74.1 O L OROEINATDNS AND/0111 DATA ONTApFD FROM MIENS.
- P I ANS. 11 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
N 88.57'40" W
477-Act L . ' 6.24'
Z ,1Dico w s� •
P PER/ATFOR APPROVAL OF CONSTRUCTION FOR A
' s, +9'�0 �(L ANGLE FAMILY RESIDENCE ONLY /y/�
• -.5..-- • • 1` g'3 I-7 l Rs y• NV•R(-O 7_D, I PRWIED N/GT�RGWCE M111 THE WEAN
• OATB
STANDEES FDR TIRE CE W As ENMESHED
L
M M L.IAI.S.MD APPROVED ND ADOPTED
UHL LANE ••'� -APPROVED
��' `,_i-. -�RM��MKa1 -r. TDM THE MEW YORK STATE LNO
1y DWELLING FOR MARA/04 F a.: :7 N •a IY(g /c.f.,-.,0 GnV ACW-C EXPIRES TREE YEARS FROM DATE OF •••• 104-a R �< 1
.ter % L'9Y � A IS
A* WELL
VACANT +,Ir.IAt 9)� �•-�Q` N.Y.S.Lk. No.49006
NA.LI MMDDM2ED ALTOMDON OR 400100N F F/N
TO INS SURREY 0 A WOLMION OF
=ACM 7208 O TIE NEW YORK STATE
EDUOUCORSO OF LN. •oseph A. Ingegno
COPED SWEET ND IDT OR
'SS smearsVVI `°° DR Land Surveyor
_ MOSSO wE EVIL NOT x weoam
PLEASE NOTE AI AWED TIDE COON
COMIC/OW ROMEO MEOW MEAL NN
ONLY A TRE PONCE FOR MRKRR TE SURELY
• Minimum distance between well o PE►wDB ND w:, Rows A THE
,BRE ODIWNII,oDRFDROFRa AOpLT ND INN R7R-SubdDiPRpM - SRA Plerr - Constriction Layout
and cesspool is to be 150 feet. DEA OF LD,EM OM NM-
WOK CONWENTDIi NE NOT TIWsvN NE. PHONE(516)727-2060 Fro (516)722-5093
-- m. THE MEM Of OF WAYS OFFICES LOCATED AT 4MRlIC ADDRESS
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A DADDOA.New YDNt 17931 IEM.PRRa4.Nes York 11001
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