HomeMy WebLinkAboutWillow Pond Ln LLC t - si i,,
4oL4.; .\ELIZABETH A.NEVILLE,MMC : * Town Hall,53095 Main Road
TOWN CLERK 1` ,y_ . �� : ; PO.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ��� Fax(631)765-6145
MARRIAGE OFFICER �_4 404 is Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ®.( iDg 'i a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER ����,.•'
ECENZ D
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _ JUN 2 8 206
TO: Southold Town Building Department BUILDING DEFT.
TOWN OF SOUTHOLD
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: June 27,2016
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4398 for a Cesspool/Septic Tank Construction
Permit submitted by:
M.Marin Restoration,Inc. for Willow Pond Lane LLC
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
24.,..„7",,
Signature
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Date.'
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� �d'®gyp LC :
ELIZABETH A.NEVILLE t��� .•.�• i• Gy Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ; A7
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \��® �0.� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER -.'` * I, i southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 17 or Non-Residential @$25 Application No. 3 q8
Permit No.
Applicant Name
(14. Cv(a R eC-COCC-l7C11,7 PvLc- l Joctate. J t erme -
Applicant Mailing Address 1689 ROCG ce-Y eV eve &tele
Septic Tank t/ or Cesspool
Brief Description of Proposed Construction or Alteration Ftir - Repa.0 S 6-1+15a7-42-b14
Location of Proposed Construction/Alteration:
Owner of Property: aC®w P8ncL L L C-
Owner Mailing Address: t6Sq gR®Cf`iCawaT 6ve-tu e
V( Ce' c{re v4- ) 6Kty a4-2 f
Owner Property Address: 42a.; abew-
Name and phone number of contact person Ok0 t G�(C�F-C�lC F-T ` Jct" ct J uepai
Tax Map No: Section 13 Block ( Lot g2225-50
Cross Street Qi qT (L ow Lithe
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIA; HEALTH DEPARTMENT APPROVAL
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• ' Signa e of Applicant Date
Received by: /
11/
THE AREA OF THIS PROPERTY IS 40,161 S.F. OR 0.922 ACRES
EaVAl1ON THIS PROPERTY HAS BEEN CLEARED 23,250 S.F. (57.9%)
19.0' ALL ELEVA TIONS SHOWN REFER TO NA VD '88 DA TUM
SILTY SAND M ALL WELLS WITHIN 150' ARE SHOWN AS THUS:® '
PALE
BROWN FINE c SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
SAND
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
CRMO o) SINGLE FAMILY RESIDENCE ONLY
JUN 2 7 201 �1b-/��Df7��j
ELEv. i DATE H.S. REF. NO.
2.0'
TEST HOLE INFORMATION APPROVED /r//Z�-� / -'
MCDONALD GEOSCIENCE FOR MAXIMUM OF1/ BGDRQOAIB
DATED 5/25/2016 /
NO WATER ENCOUNTERED RESID
WATER EXPECTED AT EL 2' EXPIRES--TH YEARS FROM DATE OF APPROVAL
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CERTIFIED TO: <<, 05082c° „<c,
Marc Marinoff and Jeff Friedman AND S
Millennium Abstract Corp. (Title No. MA-29104—S) ADD CONTOURS AND PROPOSED SANITARY SYSTEM 6/1/2016
Fidelity National Title Insurance Company of New York
ADDED SPOT ELEVATIONS 3/9/2016
GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY; "-747,17 ' _0 or . . A_Y AND ARE NOT TRANSFERABLE.
S.C.T.M. NO. 1000 — 78 — 1 — 45
SURVEY OF: DESCRIBED PROPERTY , JUN U 3 2016
GARY BENZ, L.S.
I SUFF. CO. HEALTH SERVICES Surveying and Land Planning
SITUATED IN: SOUTHOLD TOWN OF: SOU 77-4„ .0111.___':`;' =_-..''{_", 't�a=_A!TR g � 24 Shorehaven Blvd.
SUFFOLK COUNTY, NEW YORK Ronkonkoma, N.Y. 11779
DATE: 2/24/2016 JOB NO. G16-1908 SCALE: 1" = 30' GaryBenzLS@Yahoo.com / (631) 648-9348
THE EXISTENCE OF RIGHTS OF WAY AND/OR UNAUTHORIZED ALTERATION OR ADDITION TO THIS COPIES OF THIS SURVEY MAP NOT BEARING THE LAND
' EASEMENTS OF RECORD IF ANY, NOT SHOWN SURVEY IS A VIOLATION OF SECTION 7209 OF THE SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL
"•`-` ARE NOT GUARANTEED. NEW YORK STATE EDUCATION LAW. NOT BE CONSIDERED TO BE A VALID TRUE COPY.