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Schembri Homes Inc (50)
iii O��c FFO(,�co ELIZABETH A. NEVILLE1, �` Town Hall, 53095 Main Road TOWN CLERK % p '� P.O. Box 1179 % Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax (516) 765-6145 Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER ‘‘..4* a0'le Tele P FREEDOM OF INFORMATION OFFICER '� * # „sl gil'� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2079 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X 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 #R10-99-0059 Name Of Owner SCHEMBRI HOMES INC Mailing Address 1 City St Zip WADING RIVER NY 11792 Property Address 1 INDIAN NECK LANE City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 1 lot 4.023 Cross Street RICHMOND LANE Building Permit Number Cross Reference: Issue Date: 5/25/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) S FF0( , ELIZABETH A.NEVILLE .Z. y< Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 opSouthold, New York 11971 REGISTRAR OF VITAL STATISTICS iO Fax (516) 765-1823 MARRIAGE OFFICER ,:, O�4Y Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICERli FREEDOM OF INFORMATION OFFICER °1 1 �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 17, 1999 Transmitted herewith is a copy of application No. 2165 for a Cesspool/ Septic Tank Construction Permit submitted by: Schembri Homes Inc. . 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 I re : APPROVE DISAPPROVE Comments: ignat .C13-`f )et 4i Dated r OFFICE OF THE TOWN CLERK �0,,,,,,, Town of Southold �.0 �1FFour° . -liidith T . Terry, Town Clerk ,,,�,0 OGy� Application No.p�J (p s- Town Hall, 53095 Main Road Z Construction De-----„,, %P. O. Box 1179 2 o r'cr, - -- — Southold, New York 11971 01 �,� Alteration Telephone 1y04uro07• •''' $10.00 - Residential g _ ( 516) 765-1801 1 4 $25.00 - Non-Residential • • 1 � TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No._ao.73 - Fee $ DATE / —_------_----------- ---______ APPLICANT NAME: (\l-Li//iPl -Y/ APPLICANT ADDRESS: c2.---0P \id-- IGS/ SEPTIC CESSPOOL DESCRIPTION OF PROPP�wCO STRU 'TIO OR ALTERATION LOCATION MAP: Must be attached hereto before permit may he issued. LOCATION OF PROPOSED CONSTRUCTIO OR ALTERATION : OWNER OF PROPERTY : • - 44'4'2- ' OWNER MAILING ADDRESS: VOL /1.111--Cset.--1----7‘ -- _ - ' l/79 OWNER PROPERTY ADDRESS : �� : � 9Y1ak La--4J.- TELEPHONE NUMBER OF CONTACT PERSON : ,011 ' S / TAX MAP NO. : Sectioi i( Block 0 ( Lot 3 --RCROSS STREET : i4 of BUILDING PERMIT NUMBER CROSS REFERENCE : a/e1444/ Signature of Applicant RECEIVED BY : -1-civ•\. Ck's Office DATE : `� • ^'` loi1" SURVEY OF ss �s -e ��G� LOT 23 '�'f Fct, MAP OF t;" �:, ,;., �Rzzs RICHMOND SHORES AT PECONIC - 3y?�' FILE Ho. BB73 FILED NOVEMBER 20, 1979 SITUATED AT s PECONIC TOWN OF SOUTHOLD $• \ \ SUFFOLK COUNTY, NEW YORK \ "oy S.C. TAX No. 1000-86-01—4.23 \� to SCALE 1"=40' MARCH 11, 1999 Ni \ / AREA = 21,750.00 sq. ft. \ 0.499 oc. \j 00 VO' No'1 o WELL O- 0 o, 1^ O ' NOTES. 0 -� : O0 O 72 NOTES. i.ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM .+ 't 66 N EXISTING ELEVATIONS ARE SHOWN TMA:560 F \ 01 < 2.REFER TO FILED MAP FOR TEST HOLE DATA. . S.IMRIM SEPTIC TAN(CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. C _ GE.1 1 TAN(:B'LON.,4'-3'WIDE.6'-7'DEEP \ T-,'=7 4.MRRYUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM MOUSE S 300.p ft SIDEVALL AREA. IL\ y :" 1 1 POOL 12'DEEP,6'db. 1-2 - /� O2, T PROPOSED EXPANSON POOL \ 0 rt < © m. %PROPOSED LEACHING POOL / / \\ 00. fix. / \ 4 ® SARK PROPOSED TAHR F, 5.THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ?3 \\ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. N �i \ d� N 1 �' °.. . 1 .=ACCOIpVIFE W(M DE 1..RM .4,' LIRE BIwFErs A6 FSTASlSm ROrr `A50d itr" / . * ~7N+ __ ro vl a�o�a1 \ =; �P I -'ti L.:?AR^4 LENT Ci'I EALTi i SEP 4 \ y� \'0 00 0 R NEW Ll O. 6,00 l,OT \ N.Y.S. Lit.NO. 49668 1 ,:� •`�w1E '1'r3 l� ^7<� 6 TO TIRS SURVEY P111:110018* OR ADDITION :ter. � S EDUCATICOr U2104 S..T Joseph A. Ingegno COPIES OF 116 SWIM'110P NW DENIM NE We-, V-5- cl-9 I 1 , 0' Ayr , \ W ID WIVE DOPA.. ,� MIME "E '�'°F °" Land Surveyor f5TTR1GTn16 NXGTm NOM SOIL RIM - ' ONLY 10 TE MOM FOR VIM TE SUINEY hr c.3._ �/,j /I�� � � / 6 PIBf COMMO 1ell0 1 E IOW A TE TILEMODFBON UMW TM.MOM Fon TAMP Surveys-SukaoWriwn - OF.Rom - Construction Layout MOM 6N1111111011 UMW HERRSM tMD T �.� 1V 11.AA��IIRR��OF/1E 1mor T IRill- ral'17�l«'.4.1.709.OF_.B'ED'1% S ,� 1vnaL f�8ah1TIO1N ARE for T1RNNiFIUMIE. PHONE 010727-2090 Fos(516)722-5093 M MUM a BOM Or•AK OFTTCES LOCATED AT MOUND ADDRESS 4 EXPIRES THREE YEARS FROM DATE OF APPROVAL ' AANY/19gPi�0 ,O PF a.LRB.,soM.6 P.O.SRR 1931 Aq..kogln.no York 11931 RMArsd,Ni.Yoh 11901 A 99-2Fe 1