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ELIZABETH A. NEVILLE _'�` O 10. • Town Hall, 53095 Main Road
TOWN CLERK p - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,,� Southold, New York 11971
MARRIAGE OFFICER . Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER ,t* a '/1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '�����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2076 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RED MAPLE BUILDERS
Address 1 : 1652 WANTAGH AVENUE
City St Zip WANTAGH NY 11793
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 #R10-99-0075
Name Of Owner RED MAPLE BUILDERS
Mailing Address 1 1652 WANTAGH AVENUE
City St Zip WANTAGH NY 11793
Property Address 1 MARINE PLACE
City St Zip GREENPORT NY 11944
Tax Map No. section 35.00 block 6 lot 11 .000
Cross Street SNUG HARBOR ROAD
Building Permit Number Cross Reference:
Issue Date: 5/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
IiK09 skooth-,
ELIZABT A.NEVILLE O G � Town Hall, 53095 Main Road
TDWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v- rri
Fax (516) 765-1823
MARRIAGE OFFICER
O
RECORDS MANAGEMENT OFFICERy ( �aO� i Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 13, 1999
Transmitted herewith is a copy of application No. 2162 for a Cesspool/
Septic Tank Construction Permit submitted by:
Red Maple Builders
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:
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Dated
OFFICE OF THE TOWN CLERK ''' COUt
TOWN OF SOUTHOLD �i' K�0 Application No.—/4 L
ELIZABETH A.NEVII.1.F,TOWN CLERK ' Com+
P.O.BOX 1179 : =ZT Construction
SOUTHOLD,NEW YORK 11971 ` Q `
x Alteration
Telephone Dij, Qr
� ..0 . $10.00 - Residential (-
(516) 765-1801 ------.:410 0 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 0076
Fee $
DATE 5-10-
Q
APPLICANT NAME: Ci) fç (A. ' 'O(L-D ZS
APPLICANT ADDRESS: l((5 2 Vv s\-* lk <P\Ne
tAlt<NkTAtatrkl Nl `( ( (--7i3
SEPTIC " CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: k7s) 1 1 kk 'jovI�C�eSLS
OWNER MAILING ADDRESS: I(o/2 V/P1Qrei k
v A1J'CAclA, r Y 0"193
OWNER PROPERTY ADDRESS: iY1NE PL
\(1,C&1 nail- NY “14-14
TELEPHONE NUMBER OF CONTACT PERSON: 5(‘,":703-077
Co
TAX MAP NO. : Section ---27::: Block Lot LR 8
CROSS STREET: S,jtj VcPRjOQ_ (2
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ail/
gnature of Applicant
RECEIVED BY : RFe' llIten
Town Clerk's Office
t.lAY1j1999
DATE:
►own ClerK Suutnola
THE WATER SUPPLY&SEWAGE
•
- DISPOSAL FOR THIS RESIDENCE
• WILL CONFROM TO THE STAND-
.
•••• OF THE SUFFOLK cuUNTIr TAX ID. No. 1000-35-06-11
JOB No. 99-15 DEPT.OF HEALTI i SERVICES.
LOT 45 LOT 44
LP 4'IN DEPTH [BOTTOM ELEV 3.0] OCC RES OCC RES
EX POOLS 3'IN DEPTH PW PW
GROUNDWATER ELEV -0.20 / ;'
/ i //,
A
/,'/
/ v
7.8 MARINE PLACE [ 50' ] 85 ;/,
Z
C � N 56°37'10"E 100.00'
APPTEST HOE
D 8.4
EXO 5'MIN \'1/40+ 8.6
70 TIE 100.00' I
W OEX > 1
O 5'MIN [8.4 1 BOTTOM LP 93
70 TYP ii1
O LP I
LOT 46 INV 6.66 LP LP m' LOT 12
D OCC RES TYP J VACANT
O PW INV 6.83 / A
SEPTIC
[9.8] 8.5
[9.8] INV 7.33 <
Z
INV 7.53 ..../ / CO Q
a 1
^j Vie`"64 `1
N lik;
TEST HOLE O 6 't ` 0
I
9/16/96 r2'- PROPOSED SINGLE t �I 1
FAMILY �� , I 8 •
ELEV AT SURFACE 8.5 0
FF 11.4 • P6'� '� �.
0.5' DB LOAM O ,?y * - Ra !-,
2.5' OL BR SILTY LOAM 0 10' GAR 9.9 26' »'1 aa U
..; -ilk
BR FINE TO ;Xi :'ti O
COARSE SAND ,-b Ga 111 4.,
SW °I %':a Cr.': 1
8.T ELEV-0.20 [10.4] [10.4] �, ;t V.. -11 P
0.WATER IN BR FINE '�;�
TO COURSE SAND p E :�
1 0
SW _ W
ll15' '
11.3
12.8 8n g p
2 w
Oiri,v4t
S 56°37'10"W 100.00' a a
a
LOT 53 LOT 52 y 4:OT.54'4 a"
OCC RES VACANT ' "OCC.R ,
PW 3(
ELEV IN USCGS DATUM FILE MAP No. 3521 3/13/62 . '
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY OF: LOT 47
Certifications indicated hereon shall run only to the person for whom it is prepared
and of his steahtothe TitleeCompany,si Gneesrnthe Agency and LendingnoMAP OF CLEAVES POINT SEC 2
Institution listed hereon,and to the assignees of the lending institutions or
subsequent owners.
Copies of this document not bearing the professional's inked seal or embossed EAST MARION, TOWN O F SOUTH O L D
seal shall not be Considered a valid true copy.
The offsets(or dimensions]shown hereon from structures to the property lines are
for a specific purpose,and o use an nareas,
are not intended to guide the then of SUFFOLK COUNTY, NEW YORK
fences,retaining walls,pools,planting areas,addition to buildings or any other
construction.
The existence of right of ways and/or easements of record,if any,not shown are SURVEY DATE: 3/1/99 SCALE: 1"=30'
not guaranteed
CERTIFIED ONLY TO: 4k. 'F NEyy),p
� ' 9'f- DESTIN G.GRAF J
RED MAPLE BUILDE'li D - • c <RAF
AU 4's, LAND SURVEYOR
rr x '
r' 73 Woodlawn Road
`) Uc -: t+67 co' "ocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 .4 4b„ ��C 16-821-3442
SIONALS.