HomeMy WebLinkAboutVincent, Brian N �N iii•
0/11,OFFOL�CCG=
ELIZABETH A.NEVILLE �.Z. y = Town Hall, 53095 Main Road
TOWN CLERK o= r P.O. Box 1179
• y • Southold, New York 11971
R:LGISTRAR OF VITAL STATISTICSPry
%,O # Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `414, �� ••� Telephone (516) 765-1.800
F EEDOM OF INFORMATION OFFICER - �! * ,,•a'
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2025 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : BOX 6, SUITE 203
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 #R10-98-0178
Name Of Owner VINCENT, BRIAN & PAMELA
Mailing Address 1 17 MIDDLE ROAD
City St Zip PATCHOGUE NY 11772
Property Address 1 BRIGANTINE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 4 lot 44.000
Cross Street HARBOR LIGHTS DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/04/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
oaS
N....�-
ELIZABETH A. NEVILLE y. y % 'Town Hall, 53095 Main Road
TOWN CLERK :c r P.O. Box 1179
k ti 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (516) 765-1823
• Oy � �� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER `� 0 P
FREEDOM OF INFORMATION OFFICER �0/ *
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 1 , 1999
Transmitted herewith is a copy of application No. 2104 for a Cesspool/
Septic Tank Construction Permit submitted by:
Schembri Homes for Brian Vincent property
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:
'gnature
31316i1
Dated
-4
' OFFICE OF THE TOWN CLERK '.'' ��F��K
TON OF s,' �J �W=
W • Application No. CV a`1
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 : Construction
SOUTHOLD,NEW YORK 11971 Z
1:ill �1 Alteration
Telephone •_V,O,j� �Q�..' $10.00 - Residential
(516) 765-1801 -- .4 1 ,,0' $25. 00 -Non-Residential
' ..�,,,,
TOWN OF SOUTHOLD
�> i SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RErrni
esm
for MAR 1 1999
CONSTRUCTION or ALTERATION PERMIT
Town Clerk Southold
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE R66'
APPLICANT NAME: 54. ,v4-1/4:
APPLICANT ADDRESS: D X7 Co S; , 01-0 3
Lt.L ,„ i2A ,-, KAY k.k. i ci,c)—
SEPTIC CESSPOOL
DESCRIPTION OF OF1160LOSED CONSTRU TION OR fiefTERATION
, ,IA'75C . 1`-}A--<-1214,3
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIQN:
OWNER OF PROPERTY: ‘ nsa.4-, UAAC ct ,
OWNER MAILING ADDRESS: an-U (A--) V
ill 7i-/WbL lad payte,41,,,
OWNER PROPERTY ADDRESS: r 1
0 of
TELEPHONE NUMBER OF CONTACT PERSON: A a 9 -- SClq
(p 1
TAX MAP NO. : Section lq Block 6 q Lot q~-
CROSS STREET: oLd ,Q LALA___.
BUILDING PERMIT NUMBER CROSS REF ' i CE:
•
..J , ,
Aburatora>
op' ‘ •ig 7 ture of Applicant
, ,r-- ,,,o_i_____
RECEIVED BY:
own Clerk's Office
DATE: 3101
JOB No. 98-54 REV 1/3/99 - TAX I.D. No. 1000-79-04-44 _
THE WATER SUPPLY a SEWAGE
WELLS TYPICAL NEAR ROADLINE(WINDJAMMER DRIVE I
DISPOSAL FOR THIS RESIDENCE
LOT 29 LOT 30 I LOT 18 WILL CONFROM TO THE STAND-
ARDS OF THE SUFFOLK COUNTII
N 25°54'50"E 100.00' 1 DEPT.OF HEALTH SERVICES.
19.4 3 LEACING POOLS 4'IN DEPTH 18.5 ....-- 200' -----.—
EQUALIZATION PIPE TO ROADLINE
TYPICAL
__ ..� BOTTOM POOL 13.4
nv 17.0 T,OP POOL 17.7(4'cover J
GRADE 18.7
z /�
2 EXP POOLS groundwater at test hole
cn
SEPTIC AREA Inv 17.5 Mery 10.4 C7
3'INDE_PTH
ii41‘
� _ o r ' 4, X64.1"
) o 150'RADIUS Inv 17.9 SEPTIC"TANK — .::.�;�: ,yry' I
C _TOP TANK 18.9
-` \ GRADE 19.9 . , t'd�4 ,v
O / -- Inv 18.3 - p�� v p�Y 1
N GRADE 20.3
150'RADIUS bo o / PROPOSED SINGLE FAMILY SEPTIC • o�� ' i I4d!/
FF22.5 (31
GAR21.0 is
ni
4,' 0 .,,,
•
LOT 22 / o GO 4 ' $ �',4
me s GG� AA
0
oirp, .dt„.#. ,I -•1 . .0,.., r—
/ k<k) <1,,9 43.1-, 1 0
,00.
WELL \ .- v m
Ci)
\ PROPOSED WELL ra
49.
\ / N
/ .... - TI 200.00'
20.9 X \X ► 22.2 /\/ m
TEST HOLE S 25°54'50"W 100.00'
ELEV 20.9
21.8 20.5 BRIGANTINE DRIVE [ 50' ]
ELEV USCGS DATUM
L
LOT 33 1 LOT 32 LOT 31 vv" A \4-1 4
X WELL AREA
WELL / V ii
ALL DISTANCES TO WELLS AND CESSPOOLS 7/� (-7 ,,,idq......0 r Q v
ARE BY LOCATIONS FROM HOMEOWNERS, `(�
FIELD OBSERVATIONS, AND EXISTING r
SURVEYS. SINCE MOST ARE NOT VISIBLE �0 � D1 -�� FILE MAP NO.4362 6/08/65
THESE DIMENSIONS ARE NOT ; q
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law. SURVEY OF: LOT 21
Certifications indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending _ MAP OF HARBOR LIGHTS ESTATES
Institution listed hereon,and to the assignees of the lending institutions or
Copiessubsequent owners. f of this document not bearing the professional's inked seal or embossed) Rer tvetj �� SECTION 1
Tee shall not r dimensions
a svalidtreeonfr a S'' `'` O11nt13A 1EW, TOWN OF SOUTHOLD
The offsets[or dimensions J shown hereon from structures to the property li are
for a specific purpose and use and therefore are not intended to guide the a an of JAN p 1999 S U FOLK COUNTY, NEW YORK
fences,retaining walls,pools,planting areas,addition to buildings or any othe
construction.
The existence of right of ways and/or easements of record,if any,not shown a>'e Dept. of meal _ RVE DATE: 1-1\16\98 SCALE: 1"= 40'
not guaranteed
CERTIFIED ONLY T0: „pp.- - .41,
SCHEMBRI HOMES INC. DE:TIN G.GRAF 1. DESTIN G.GRAF
,�„4:4„ .LAND SURVEYOR
NICHOLAS CORDON 417 6 0
L ! i''.;::1'''.-.10:74 3 Woodlawn Road
A. •• AVE,5 c; rocky Point, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 '-%�! 1113/ ��� *16-821-3442
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