HomeMy WebLinkAboutConlin, Raymond ,���S�FFO(�-�o
ELIZABETH A.NEVILLE �O It Town Hall, 53095 Main Road
TOWN CLERK Z P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Za
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 4 0� �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER "09.1l 4:0
091/
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2049 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SUSAN SCHNEIDER
Address 1 : 1 ALMA LANE
City St Zip EAST NORTHPORT NY 11731
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 #R10-98-13
Name Of Owner CONLIN, RAYMOND
Mailing Address 1 68 RANSOM AVENUE
City St Zip SEA CLIFF 0000
Property Address 1 1495 GIN LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 4 lot 12.000
Cross Street BAYV I EW ROAD
Building Permit Number Cross Reference:
C.G. iday
Issue Date: 3/26/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
070 y
,.,„
ELIZABETH A.NEVILLE ,0 \OOFFO(i-coG,
Town Hall, 53095 Main Road
TOWN CLERK .� P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = ay Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER S y, ,/�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICERog-
�-'�! ) '�T` �N
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 23, 1999
Transmitted herewith is a copy of application No. 2131 for a Cesspool/
Septic Tank Construction Permit submitted by:
Susan M. Schneider for Raymond Conlin
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 re mmendations:
APPROVE
DISAPPROVE
Comments:
Sig ature
S12-(40. tet
Dated
•
MICR Of IIS TOWN CLUB t g R r e a4
TOWN O!'SOVIIICILD Application No. a13 l
P w
EIZASETH A.NEVQ,I$TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Velo
Telephone = ,: $10.00 -Residential
(516) 765--1601
44 1111
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for MAR 2 4 1999
CONSTRUCTION or ALTERATION PERMIT
OIM ammo
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE ,a1.,,,„9.10'
APPLICANT NAME: LS.otSAh
APPLICANT ADDRESS: I Ark L 9r1�
asr i'UOofM/POA{% ) /W//73�
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Sem 6114#c4 cL cG//Ra kit/ b y .Itis** T i e d
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Rgvip (') ji,
OWNER MAILING ADDRESS: ,75mi Ave SPel 1-
c
OWNER PROPERTY ADDRESS: /'fq3
TELEPHONE NUMBER OF CONTACT PERSON: S7` -3 6 E.a/
TAX MAP NO. : Section 8 Block Lot /,
CROSS STREET: M,ff0
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: r a`
ow9 Clerk's Office
DATE: 3/9-Lt (9 Cl
•
y
3
1
GIST LANE
(MARX WATER IN lrrmcr) (,
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LOT a LOT 38
VACMIT LOT®6
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(CESSPOOL LOCATION UNKNOWN)
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BAY HAVEN LANE
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SUFFOLK COUNTY, NEW YUN o � '
S.C. TAX No. 1_4)00-88-01 - 12- t "
SCALE 1:►,=30' (
,kANUARY 6, 1998
,
NOVEM8EA' 5, 1998 REVISED PLOT PLAN
AREA :.--- W 5OO OO. sq. ff. ` r2'
rz F
i. ! ,'
TWEE I N'f or NEW YORK . ;
1 1 . g
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4>'
e
t#„ (l;-R£NCED TO AN ASSUMED DATUM i
.-
" -1,4.* , ,...ARE SHOWN THUS:1 D• ,
•,- SHOWN THUS:----.----
•
t _ SHOWN THUS:89
'9 SHOWN THUS: IS
2., J ;" 'iS LOCOED IN: FLOOD ZONE A4 (EL 5)
., CE RATE MAP COMMUNITY-PANEL No. 300813 0079 O
1.AS OF 100-YEAR FLOOD: SASE FLOOD ELEVATIONS AND
i$DOD'HAZARD FACTORS DETERMINED.
TIC TANK: Ma
r r>.,;;
T%1RY LEACHING POOL: ,
P ;•.'"' ''''',4, EXPANSION P00L:
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
4. IF ' , ,)).' E LEACHING POOL AREA IS FOUND, IT MUST BE � pFORAPPk20VALOFCON517tUtTIONFORA, '
E 0 0 REPLACED 0 WITH CLEAN SAND• &INGLE FAMILY FIRSIDENCS ONLY
5, S.C.6.- S: R N9. RI.O 9S-0013
DATS�OV 1998 4 Hs 10- -l 3
APPROVE
FOR M OP 3
fUHED1200MS
7rgST H •.DASA EXPIRES THREE YEARS FROM DATE OF APPROVAL
(TEST HOLE WO 8Y MCODMMa ON DECEMBER 23 °°'1
O Mie most woo
',,, 01110.1.// —
// rME hf ONMC Mo ��
/ X788,
// EXCAVATION't i� .:
' C IGW P..EQUIRED
.' 1 0 SEPTIC SYSTEM- DETAIL / ' ,--:,s
•, 1 `STEM
("DT TO SCALE) / G Y 1 , ( i t ...1E- ARTMENT f
��
yr • ��ff.. as root POLE court , t), -4\4,,,,, .___/-7 ...
t,, °+` 'sem I.-- 1----;et-•--.. K ^,� 2'
tooct.a --- _ 76BCT. EL ..0' GROUND WATER
e STSTEM EEEV. 2.0• »ma�•�,,,,,,}}" yr -ate .,
yF �� I `' t NG
LEACHING POOLS (S) m ;
sot ,.MMWM L4IDMO MIDI ICPI A I TO 4 BEDROOM ROUSE 8 700.a R IAEIii ARIA " • .,,_..i r • .��SV'yy�{y,RUN
;..."71,7,.
,„,,,,.. A.• a POOIlT:•DEEP.e'A.. ONLY' • TIfE:SURVEY
^°�' 2.ail I Mks APE TO Bose oewil �oii PRECAST"OKRA=CO WIE(OP EOM) + 4, . ' ' 1'TWD
3.ILL COVERS LMLL SE a PRECAST REINFORCED CONCRETE(OR EOIIN)- ','"t'444:71.: k1811-•
' IK,40sli'7 E.A 10'MJn.MANCE SEMEN 6VbEN0 POOLS MO 0ATFR L sWl WIfTREl4 Toy ''
AN e'min.019TA/CE SE7M EN ML VACNMO POOLS AC SEFTC TANK eE MAMNRD. • . .. • TR NSEE MIST
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD WAYS
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. N Ib(?�TEED,
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