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HomeMy WebLinkAboutHenchy, BarbaraIt ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR, OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 Permit No. 2105 R Residential X Non -Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : RICHARD C. WRIGHT Address 1: AIA/NCARB ARCHITECT City St Zip HUNTINGTON NY 11743 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 #1110-98-158 Name Of Owner HENCHY, BARBARA E MICHAEL - ---------------------------- Mailing Address 1 119 TULLAMORE ROAD ------------------------------ ------------------------------ City St Zip GARDEN CITY NY 11530 -------------------- -- ---------- Property Address 1 2040 CALVES NECK ROAD ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- ------------ Tax Map No. section 70.00 block 4 lot 41.000 Cross Street YOUNG'S ROAD ------------------------------ Building Permit Number Cross Reference: Issue Date: 7/06/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 24, 1999 a \ G -S Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 Transmitted herewith is a copy of application No. 2193 for a Cesspool/ Septic Tank Construction Permit submitted by: Richard Wright for Barbara and Michael Henchy 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: Signa e Dated I Zqq 21 June 1999 0 OFFICE of the TOWN CLERK Town Of Southold Elizabeth A. Neville, Town Clerk P.O. Box 1179 Southold, New York 11971 Re: APPLICATION for CONSTRUCTION of a SEPTIC SYSTEM Proposed Residence for Mr. A Mrs. Henchy 2040 Calves Neck Road Southold, New York Ms. Neville: On behalf of the owners Mr. and Mrs. Henchy I hereby make application to the Southold Wastewater Disposal District for the construction of a septic system. 1. Signed APPLICATION for the construction of a septic system. 2. Copy of property survey and proposed sanitary system design stamped with the Suffolk County Department of Health Services approval of a septic system (Ref. No. R10 -98 -158). 3. One copy of our property survey dated revised 17 June 1999. 4. Mr. Henchy's check No. 325 in the amount of $ 10.00 made out to the Southold Town Clerk for the payment of FILLING FEES pertaining to this application. Please process our APPLICATION as quickly as possible. Do not hesitate contacting me if there are any questions regarding this submission. CARB CC: Mike and Barbara Henchy RICHARD C WRIGHT AIA / NCARB A R C H I T E C T 9 EAST CARVER STREET HUNTINGTON VILLAGE NEW YORK 11743 TEL 549 1700 • FAX 549 1914 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ELIZABETH A. NEVILLE, TOWN CLERK P.O. BOX 1179 SOUTHOLD, NEW YORK 11971 Telephone (516) 765-1801 TOWN OF SOUTHOLD Application NoC2/ 93 Construction / Alteration $10.00 Residential $25. 0 -Non-Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT Permit No. Fee $ APPLICANT NAME: APPLICANT ADDRESS: SEPTIC TANK or CESSPOOL DATE 21 JUP6 , SEPT I CK -CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR A++En"T 0-1S OWNER OF PROPERTY: $A'RMA A-kv 00*6L OWNER MAILING ADDR OWNER PROPERTY AD[ TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO.: Section /U Block 4- Lot 41 CROSS STREET: " v K S D_ BUILDING PERMIT NUMBER CROSS REFERENCE: W. P! R 110 - 58 Signaturt of Ap lica t RECEIVED BY: Mm_Ne 3 Town Clerk's Office DATE: v U ►1 2 4" IM3 11530 Suffolk County Department of Health Services Office of Wastewater Management Suffolk County Center Riverhead, New York 11901 RE: Proposed Residence Mr. and Mrs. Henchy Calves Neck Road Southold, New York HS REF. NO. R10-98-158 Gentlepersons: 14 June 1999 We would like to have our Suffolk County Department of health Services Permit for a Single family - 4 bedroom residence updated pursuant with the actual proposed building footprint. The location and design of the proposed septic system have not changed from that which was originally submitted and approved. We are requesting this in order to obtain Building Permits from the Town of Southold. Enclosed for the Department's use in this regard are the following: 1. One copy of the originally approved survey. 2. Three copies of the updated survey which have been signed and sealed by our surveyor. Please do not hesitate contacting me if you have any questions regarding this submission. ours ®rg fhN#A 1IN C A R B CC: Henchy RICHAR C C WRIGHT 9 EAST CARVER STREET AIA / N CAR B HUNTINGTON VILLAGE NEW YORK 11743 A R C H I T E C T TEL S49 1700 FAX 549 1914 SURVEY OF PROPERTY 51 TUATE : SOUTHOLD TOWN OF SOUTHOLD SUFFOLK GOUNTY, NY SURVEYED Oct-11-qb SUFFOLK COUNTY TAX # 1000-10-4-41 CERTIFIED TO: MICHAEL HENGHY COMMONWEALTH LAND TITLE INSURANCE COMPANY EL' 17..2 vel\( 101 0^%outoo ovx �v¢vlG �J 1'y � Iz1%1/ 4 TS o IDP YUP ..�i"11 .3\ EL =1-2.2 Sg3 0 X01 .27 0 70, o NOTES: ■ MONUMENT FOUND 0 PIPE FOUND AREA = 38,43q 5F OR 0.88 ACRES REFERENCE DEED: L11202 P 500 eL _ 16,6 E-09 SEPTIG DETAIL � not to scale EL' 17.? F'NUFIIIIE U UMELL I NG Test Hole (not to scale) 0.0 0.e• 5.8' E ev_ Wo EL' 15-.2 0 Yr 1I' !^ (1, 1. 1 a ,;. 00 65 O O EL a 1f.? exlsting V,Oter malln VI i ,1111 • �' k � 1 • et JOHN C. EHLERS LAND SUF GRAPHIC, SCALE 1°= 30' 6 EAST MAIN STREET - RTVFRHFAn, N Y 111101 tom.. t�'Ov.l .d Cjround water 'W81trdr$I40 elter011on or .eeltlen to . $W,@, •.f eurin, . Unrdee b -e ....... L, .tela len al ..ellen f. & 4u0-01•le lar L el trd W. York Slat. eeut.11en 'Onlr [eelo fro• trd OrglMl of the. euro, •.roe .Ito an sr//Inti el trd I4n0 owoor'e u.w.e feel eoll be cord l0.r.a to ee •.116 true ewee e.rt111tatl0no Inelc.tta 11-11) 61011111 thattole eWo .as ereo6ro0 W bc—ams 11th the ex- ist lne I.00e el 0r.ctlte IN lord 1W'ofe o00oloe er the W1 ror. /tete .ejoclll l" at -0t...I-al We Sur•e,ere. Sale t.. tlllt.tlone 6-411 1- -11 U tM fereen for one• tI, eurve .816 4,01 oM on ole 01 -all o tM tet le [before• e.•ernYn- tol epnc, Me IoM In Irdtllul len Illt.b hereon. .rd to the ao leM4e of tM �ehe lne 1. tllul len. c.rtiflce- tleno .r. net t-0.1.01. to .felt$. -.1 1h.lnutl M. I .Y.S. LIC.,NO. 50202 ma.. 2 m l n . ......._'—'-'-dnv ..e non 1 Inv.- cover ln, 13.0 [over Inv.- 12. 13.3-, leacnln9 12.9_ __- =- 900 oat. - Plli'It 0001. V111 I'll SaOt IC idlll ;,n. 4 l"'1• f)ePll 8' (L) a. mill. 1/4 0 300 S . F S 111 f'1M.1I I 1'IIJI'.11 .. 1111 -. - 71'n�11111 wall Pf -- EL' 17.? F'NUFIIIIE U UMELL I NG Test Hole (not to scale) 0.0 0.e• 5.8' E ev_ Wo EL' 15-.2 0 Yr 1I' !^ (1, 1. 1 a ,;. 00 65 O O EL a 1f.? exlsting V,Oter malln VI i ,1111 • �' k � 1 • et JOHN C. EHLERS LAND SUF GRAPHIC, SCALE 1°= 30' 6 EAST MAIN STREET - RTVFRHFAn, N Y 111101 tom.. t�'Ov.l .d Cjround water 'W81trdr$I40 elter011on or .eeltlen to . $W,@, •.f eurin, . Unrdee b -e ....... L, .tela len al ..ellen f. & 4u0-01•le lar L el trd W. York Slat. eeut.11en 'Onlr [eelo fro• trd OrglMl of the. euro, •.roe .Ito an sr//Inti el trd I4n0 owoor'e u.w.e feel eoll be cord l0.r.a to ee •.116 true ewee e.rt111tatl0no Inelc.tta 11-11) 61011111 thattole eWo .as ereo6ro0 W bc—ams 11th the ex- ist lne I.00e el 0r.ctlte IN lord 1W'ofe o00oloe er the W1 ror. /tete .ejoclll l" at -0t...I-al We Sur•e,ere. Sale t.. tlllt.tlone 6-411 1- -11 U tM fereen for one• tI, eurve .816 4,01 oM on ole 01 -all o tM tet le [before• e.•ernYn- tol epnc, Me IoM In Irdtllul len Illt.b hereon. .rd to the ao leM4e of tM �ehe lne 1. tllul len. c.rtiflce- tleno .r. net t-0.1.01. to .felt$. -.1 1h.lnutl M. I .Y.S. LIC.,NO. 50202 SURVEY EY OF PROPERTY SEPTIC, DETAIL_ SITUATE: SOUTHOLD not to sale TOWN OF SOUTHOLD SUFFOLK GOUNTY NY SURVEYED O9-II-qB 112. 113.3 f3.7 AMENDED 10-22-98 112.'e ��,,,,,'�'';' AMENDED 06-1-1-qq SUFFOLK GOUNTY TAX # a 1000--70-4-41 CERTIFIED TO: MIGHAEL HENGHY Test Hole GOMMONWEALTH LAND TITLE INSURANGE COMPANY snot to sale) 0.0 l�np o.e — .. Loan Of f co f OVA \ \\ coax �_OI ��of d � °VAO 5.8 6� VA ��� ��=16. VAO\\'�0� O' e va•\ p 0n2'� \ d N —d ground J,J ' \ water I � O Q 15' _ 3? -- EL 17. ?--EL=17. 9�O 0 , gyp, \ O r V, IL - pp X4.0, \ gyp' •9y V ¢ m0 v ! \ ry 0) A (7R\) \ 0 \ Test Elev= 6 le moi, 9 >;0 S. T �) EL =15,? tr- a d 9 o 95 \ (::) i �O aO 4.O txo G (0 51 0� n EL =1.2_2 �i0 830001 3.27. Co##PV761 EL =11..2 m e�15t1ng / NOTES: ■ MONUMENT FOUND O PIPE FOUND AREA = 38,439 SF OR Obb ACRES REFERENCE DEED: L11202 P 500 ORAPHIG SGALE 1 "= 30' 0 •' 1 Y � o", l r. "uneuthorlysd eller au on a sddlllon to a survey neo peer lop a llcenee0 lendrsurveyor a eel is e v lolet ion of se[t ion ygp5, au0-....alone 2, of the Ne„ yore Stele Edvicet ion tev.- "pnly copies from the orlglnal of this survey staZperked vltn an original of the land euryeror a ed $asl $hell be considered to of valla true co0lee" "Ctr[IIICat lana lnolcated here," eI,nll, ]net tole survey vee pre0ered In a ordence mien the tv- Isting Code of Practice fore Land Surveys ado0tea d, the New ydre Stale eseoclatlen of Profess )one] Land Surveyor$. Seld Gerd' ],:Ilona enol] run only e, the parson for vnoa Ina survey Is prepared, end on his pahalf to the title <,apenr. gvvtrnmen- lel agency and landing the hated hereon, no t0 ane seslpnsea of the lending Inatltutl,n. Carllllca- tlons era not trans fers0Im to additional Institutions N.Y.S. LIC. NO. 50202 JOHN_C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD,N.Y. 11901 REFERENCE # 98-0226 369-8288 Fax 369-8287