HomeMy WebLinkAboutCornell, Clifford Jr „ •,
al° •O' �`uFFoc�A
ELIZABETH A. NEVILLE tio Town Hall, 53095 Main Road
TOWN CLERK co P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,,,�$ Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ;y'*OI 4,,.0� Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER is”
• ,•••
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2230 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES E. FITZGERALD, JR.
Address 1 : PO BOX 617
City St Zip CUTCHOGUE NY 11935
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 #R10-99-0127
Name Of Owner CORNELL JR, CLIFFORD
Mailing Address 1 22 WRIGHT ROAD
City St Zip ROCKVILLE CENTRE NY 11570
Property Address 1 10946 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 20.008
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 1/26/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
arb-13
, ,v co ..
ELIZABETH A. NEVILLE I h't` t Town Hall, 53095 Main Road
TOWN CLERK k
CO :t % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ;
_ Southold, New York 11971
MARRIAGE OFFICER 1 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER -.4t ,O.111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1,1i i1,11
. -
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 20, 2000
Transmitted herewith is a copy of application No. 2318 for a Cesspool/
Septic Tank Construction Permit submitted by:
James E. Fitzgerald Jr for Clifford Cornell Jr. .
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:
Signatur
/'Lu )oo
Dated
OFFICE ,OF THE TOWN CLERK „ ,,'"'""'',..,:410.
Town of Southold ,�'� C0f aK _ Application No. a3
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road4. Construction's
P. O. Box 1179 `
Southold, New York 11971 , Alteration
Telephone ��410 's'.
� $10.00 -Residential ”
(516) 765-1801 -; 1
$25.00 -Non-Residential
TOWN OF SOUTHOLD
e E G E i v I DSOUTHOLD WASTEWATER DISPOSAL DISTRICT
JAN 19 all APPLICATION
)uwHNid Town Cis* for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 1/17/00
APPLICANT NAME: James E. Fitzgerald, Jr.
APPLICANT ADDRESS: PO Box 617
Cutchogue, NY 11935
SEPTIC g CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Construct new residence on undeveloped land.
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Clifford Cornell Jr.
OWNER MAILING ADDRESS: 22 Wright Road
Rockville Centre, NY 11570
OWNER PROPERTY ADDRESS: 10946 N. Bayview
Southold, NY 11971
TELEPHONE NUMBER OF CONTACT PERSON: 734-5800
TAX MAP NO. : Section 79 Block 5 Lot 20.8
CROSS STREET: N/A
BUILDING PERMIT NUMBER CROSS REFERENCE:
"� /
li
4P* f'
63-(9(2— /
Signature ,/ Appli--n
RECEIVED BY:
T wn Clerk's Office
DATE: \\
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SURVEY OF LOT #1 N l
HAP OF "PLOGK
SHELLFISHER PRESERVE w --� -- E
FILED. 6-14-415 AS # 41-100 , MMt
SITUATE: BAWIEW
TOWN: SOUTHOLD _-
SUFFOLK COUNTY, NY 5.p:,
SURVEYED IO-I2-qq Lot#2
AMENDED 10-30-qq
Lot�L 3
Dwelling xea c$ -
SUFFOLK COUNTY TAX # `A7rvrT • b `�% _
1000 - 14 - 5 - 2O.8 •
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CERTIFIED TO: ;ry f . • •
X"81°26'11"E
251.94'
• •
CLIFFORD CORNELL, JR. rt_ •• / 1
Mop , •
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Record Test /• I
1 �t _
Hole Data # 1 Ivy
(not to scale) 71 > : .,i 1 I N
,.r'o•-, I I I _ Q FF
dark VI c 0—.crown , bah 1 e
Lot#4 w 'l 41‘
iglj
- 0.5' Dwelling
no visible sign .` ' I, \ QS 1.2', -
of well or septic t
Flood Zone
1
brown ' t \ AE(8)
barfly ` ••••.P \ F
sand tt \ �� Pr'9Posed Flood�Zone
\ OPOsed . .
- _ 12.5' Ivewgy r - Al 1 - /
pale \ t • I 't •
brown • `�5. t \
medlun i. 1 t . , _ I L
:!°7:--
B O c
to t • 1 E jLcocrse .�� 't .' ion g1 I - ��L Z
card \ t: \v 1 `J� �4�• L a N Q
4 1 1/4'-'..)., ,,y..4.,
, �t6I 0 V
Ground 9.7' •
, \ `PI I 0 0
Water , I y •
'1' I_' I
pole
h', I Flood Zone
brown ♦ 1 - ..� 1 -- _ "X"
...
medium `O� , i
(Jk` 00 ' 1 1 - - Flood Zone •
to O P� I I AE as)1'
sand
. 6th $ i. •
l I II f
/,s I
I -
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17' 1. o I ,
6. t
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1
PLEASE NOTE
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1
Minimum distance between well y\\ \ +y
` and cesspool is to be 150 feet. a�f :\t I �°
c,,, .r.
cep. .).,,,,. _ ..\
SEPTIC DETAIL pi„„,„.,,-,-, .\,
not to scale t'Wttt("'. '' \t 01 _
cf)
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(_I ];.'.Fl x]st;11r; q r•..if1P \ 00
111111 ,' .-.ii.o' \ \ vl
fit, 1. inv.. Durr inv.� 11.0' .,\ �` ,
10.2 10.7
10.0 - autl�: n„r, nllil, '.,
11,1I snip It,.Ii ,' I I `
hilt,. t f1 till il. 7/'t 1i�� //1 \.
lin,ilt' - 1/Q- Pur V�
d Heti,
H dia. Ca) n so ,.e 4$''•,
,,1,•,1 rll ifuri n6'13
0.. , 2�
� ‘.< g.
ground water tr. ,���n_ tinSUFFOL�C COUNTY DEPARTMENT OF HEALTH SERVICES i'�i, :p m', .rte• V1Q 36 r�c�cPERMIT FOR APPROVAL OF CONSTRUCTION FORA �' p' i,, ,^;;&NGLE FAMILY RE;IDE CE ONLY a) ,, t, I,t a ,;r �-$ ISO-`��'-oa, g �' ,1';, •
DA'f81HS ' •.NO. o ' ' ao e
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APPROVED L - �+
. r 0 Q f” -QI .,11'l
FOR MAXIMUM OF. :It ODMS (1'' °t a N _`
, WIRES DATE OF APPROVAL ,fnautnnriced a atinn n addit m a veY =_
n bearinp a licensed lana s seal
vaiolation of sertlun ,n9. 5ut,diivisiuo L of the
Nen Yuri State Education Lam.”
Only copies from the original of this survey
/,or, ar4ed with.a original
of the land•a veYr,
NOTES: �� a S,ampere seal shall be considered to be valid true
conies
NUMENT �._ Certifications indicated h nils that th'_
r e urvey was spreuared in accordance with Vie F
yy /� , O' istino Cone of Practice for Land Surveys adopted -
• and the New State ASso[iat ion of Prol e55 longi :
p PIPE ,s^I • Lo .aid certificatlnns,hall run DM.
veyprs.
tothe person for whom the survey 15 Prepared.
and on s behalf to the title company, povernmen- 1
tai auencynand lending institution listed n and
l , Ir. the a sirinee5!.I the lending lost ilut ton, Cerl�licd-
AREA = 2.11 ACRES * *: pn55are not ransferable to andel innal in5t itnl inns ••
•
FLOW ZONE ANNOTATED FROM FEMA ' JOHN C. EHLERS LAND SURVEYOR '
MAP # 38103C0161 6 MAY 4, lggq
.. �y> 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC SCALE 1"= 60' LANA RIVERHEAD,N.Y. 11901
NM 369-8288 Fax 369-8287 REF.-TIGER\PROS\99-260