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HomeMy WebLinkAboutMalon, Stanley • gyp, c � �, # OFF00( co ELIZABETH A.NEVILLES .Z Gy� Town Hall, 53095 Main Road TOWN CLERK c -� ;`� P.O. Box 1179 c4x Southold, New York 11971 REGISTRAR OF VITAL STATISTICS • Fax (516) 765-1823 • RECORDS MANAGEMENT OFFICER MARRIAGEOFFICER 1,01 ��0\- Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER jigi"e'Y d OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1962 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ANTHONY IENNA Address 1 : 122 NASSAU BLVD. City St Zip GARDEN CITY NY 11530 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 #R10-97-185 Name Of Owner STANLEY & CHRISTINE MALON Mailing Address 1 264 LINTON AVENUE City St Zip LINDENHURST NY 11757 Property Address 1 2400 GLENN ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 2 lot 41 .000 Cross Street SLEEPY HOLLOW LANE Building Permit Number Cross Reference: Issue Date: 11/02/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • _.w 'i," oFFO(,- ELIZABETH A.NEVILLE ��� co Town Hall, 53095 Main Road TOWN CLERK c P.O. Box 1179 t y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � MARRIAGE OFFICER ' Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER � 0 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER �.91 llif �'� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 28, 1998 Transmitted herewith is a copy of application No. 2039 for a Cesspool/ Septic Tank Construction Permit submitted by: Anthony lenna for Stanley & Christine Malon 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: 2_ gnatu �o ( 3oI4g Dated • OFFICE OF THE TOWN CLERKFIJLk JudithTTW Terrn ofSouTown Clerk k: CDG y, thold Application No. ��- 1, Town Hall, 53095 Main Road tarn : Construction ✓ P. O. Box 1179 Alteration Southold, New York 11971 Oaf 0�� Telephone �l [ ; Residential ✓� (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ II DATE //�� APPLICANT NAME: 1't Ni- OAly rvP'V APPLICANT ADDRESS: 122. t)a S S G U c' rV y S 3 SEPTIC f CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION flew ( Fu��,;� /QrS;dce LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: S 6J i€Gi CI I" e- A410 Ai OWNER MAILING ADDRESS: 26 J. jc ot.j Ave_- 1:c\IckAi ku f,sf, YVy 11757 OWNER PROPERTY ADDRESS: 21-j-OD 6IeNN AGd, SocA o ad , NY TELEPHONE NUMBER OF CONTACT PERSON:1141+"4/ ZeNNCI( /cry 5/6) 7�1 23 -6 TAX MAP NO. : Section nBlock 0 L Lot 4/ CROSS STREET: 5lee py 141(o14, Lwtie BUILDING PERMIT NUMBER CROSS REFERENCE:. i "1 Signat e of Applicant RECEIVED BY: Town Clerk's Office DATE: 1 �a(6\fi ( LL LN 1V 1 e�rii ? - • -ECCE of Pomo - . .1 . . . • 1y • i t N 8730'00" € ECGE Oi WOODS 103U . ,..co _ ___ ZONE B _ I _ – —— r �.e 4/` N 8tr30,0p' w ZONE A4 (EL 8) i ; 1 $ti , �' * i ,ES,NOTE ' e F J , N $ - - D 7 121.88. i • b' GO ai g8' ‘ , • S 1 20' J ¢ €� .ate w✓ a5,. , 1 111. 2,6' /A V. X . .I.e..........".s., , 14 , =► ,.❖114 liYrYirdiiW�.� • ......II.....1 6,„n. St3....F.•./....� 1 g g I s 1x , y 1 24 LOT 1 j au,nNc 6 9' X 8 5 O __ 1 iA , , A 5 ‘ J 1• 1 4.1 miff, ronaew, , 3 I. N _ AL AL_ .J,_. ilk Il I O iYi-- - --ilk- i. - ilk- -5 J _� _ TI[SAL�11ETANDS —1Ik-_ -.jik- - —ilk- - '6-4J __ ilk N 85'02'33" W — ---- �� 1 17.86' \� WEST CREEK LOT COVERAGE DATA )ESCRIPTION AREA % LOT COVERAGE SE & PORCH 2,551 sq. ft. 10.69% D 450 sq. ft. 1.88% L' L' i\ ILO 1HIt. FILED AUGUST 19, 1963 JATED AT JTHOLD �' GT IF SOUTHOLD UNTY, NEW YORK °•• a ' . 1000-78-02-41 LE 1"=20' 'ER 6, 1997 N 873• 197 REVISED PLOT PLAN ADDED LOT COVERAGE DATAcow.MOIL 97 SET LATH FOR D.E.C. ZONE B TING WELL & CESSPOOLS AND REVISED PLOT PLAN °�"N0 rai D PROPOSED WELL LOCATION Z ZONE A4 I REVISED WELL DISTANCES O to. 3,871.21 sq. ft. O .548 ac. O O O • 'D TO s ONY IENNA IONWEALTH LAND TITLE INSURANCE COMPANY 4,.. NOTE cHA.NGF(Si by Dept.of!ieJith Services 20 u. e a»e4,y� C�MirS�nTL� oKr . 4Je6b rill's 4".•"4ik,re I.G.V.D. 1929 DATUM VN THUS:S.. / iHOWN THUS: - - - 5- x 5 j )WN THUS: va UZI =A IS FOUND, IT MUST BE11 O IAN SAND. £ w POOL POOL 1 IK 06 ROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0078 F 4R FLOOD: BASE FLOOD ELEVATIONS AND O O ;TORS DETERMINED. THE 100-YEAR FLOOD AND 500 YEAR FLOOD; - TO 100-YEAR FLOODING WITH AVERAGE DEPTHS I WHERE THE CONTRIBUTING DRAINAGE AREA IS MILE; OR AREAS PROTECTED BY LEVEES FROM RTNTOFHEALTH SERVICES 5 �+ 'AL OP CONSTRUCTION FOR'A LY RLSIDENCE ONLY tJ S 10- ". 8.5 wcx.wt"E roilW / s Q.• . 4 OP a3 ROOMS 3is S PROM DATE OF APPROVAL _ It0ftJ 'ROPOSED SEPTIC SYSTEM DETAIL Nor TD scud NOSHED GRADE .EV.7.2' //'-FINISH OWE ^r w.\ / ELEV.6.6• 4.4k TOP EL eek --+�+.++. I ^M',F;;;.,• /+ roma Lao., / E� 61V.FL M EL t& POOL 4 .", ' —. DESCRIPTIO 67RMIT N tt POOL y BOT.EL 2.6• MOUND WAIEN SYST ELEV.0.6' HOUSE & PORI • NOVEMBER 17, t997 REVISED PLOT PLAN NOVEMBER 24, 1997 ADDED LOT COVERAGE DATA DECEMBER 19, 1997 SET LATH FOR D.E.C. FEBRUARY 3, 1998 LOCATED ADDITIONAL EXISTING WELL & CESSPOOLS AND REVISED PLOT PLAN JULY 15, 1998 REVISED PROPOSED WELL LOCATION SEPTEMBER 16. 1998 REVISED WELL DISTANCES AREA = 23,871.21 sq. ft. (TO TIE LINE)0.548 ac. CERTIFIED TO: ANTHONY IENNA COMMONWEALTH LAND TITLE INSURANCE COMPANY NOTES; 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:3.n EXISTING CONTOUR LINES ARE SHOWN THUS: - -- - - 5 PROPOSED ELEVATIONS ARE SHOWN THUS: 2. IF SILT IN THE LEACHING POOL AREA IS FOUND, IT MUST BE EXCAVATED AND REPLACED WITH CLEAN SAND. PROPOSED EXPANSION POOL % PROPOSED LEACHING POOL ® PROPOSED SEPTIC TANK 4. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PAN 3 ZONE A4 (EL 8): AREAS OF 100—YEAR FLOOD: BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED. ZONE B: AREAS BETWEEN UNITS OF THE 100—YEAR FLOOD AND 500 YEAR FLOOD; OR CERTAIN AREAS SUBJECT TO 100—YEAR FLOODING WITH AVERAGE DEPTHS LESS THAN ONE(1) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS LESS THAN ONE(1) SQUARE MILE; OR AREAS PROTECTED BY LEVEES FROM THE BASE FLOOD. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY RESIDENCE ONLY DAM OCT 2 1998 HS (tto.9 - 195 APPROVEDfi • FORM II)MOF MS EXPIRES THREE YEARS FROM DATE OF APPROVAL !Approved in accordance with rd of�QRepview determination dated. 611'Lili�, 1 PROPOSED SEPTIC SYSTEM DETAIL HOUSE (NOT 1D SCALE) ELEV.idir METED aeME FINISH ORME ELF/.M.0' TOP EL.!.Y I 1' C. TOP 0..s.r --4•MI vv.EL., 4PPROVED PPE , IL RP ♦_—e_� 4.7' I---rr+--I 0� OISTREUTION POOL POOLSYSOP MOT.EL 2.8' PROMO WA1ER .. ELEV.OE SEPTIC TANK (1) 1.MMC QIIC TINS MEF•r-T 0®ro 3 BEDOOOY HOUK 18 1.000 PULPS. 1 1NM0;PSC Y- 1.MMC LUPINO SEMI FOR Al • 3,COME OM.NMS AAMA US OOMPRENTE SIMMS OF 3.000♦fat AT A TT 5 POOLE 2.DEEP.r Ea • 3. M MOOY NC IEIP I !MW CWI TM/Alai WIIC /Zit IT NII FORCE OF NO M 2.IF80010 PONS N[TO RE• 4.ML ACRS MEL BOE SPUD 30 71�10 TIE TEE E 1VA10EMO. LEACHED SMULT REE•IOW DOEM • ME 0414.1.SE TO PROM 011 A MMC S TIIw7I®DF AMIRYCIFD lMD 011'RA EM/RSH A WF.IOLWNCE OF*1/Al {.A IrtiKi OEENRi ME1Mm1 8.A TO'mb.WINCE NI I EPIC TNR(NC HOUSE SELL MC WCTMRED. 5.AN r min.01(08102 METMMI NL F