HomeMy WebLinkAboutMuniz, Carlos I0,�%gUFFO�,�c
ELIZABETH A. NEVILLE
11/#. y%; Town Hall, 53095 Main Road
TOWN CLERK % co • P.O. Box 1179
$
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 1
MARRIAGE OFFICER Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER =y11 p1 0'Os
Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER r�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2795 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CARLOS MUNIZ
Address 1 : 408 WEST STREET
City St Zip GREENPORT NY 11944
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 #R10-00-0217
Name Of Owner MUNIZ, CARLOS
Mailing Address 1 408 WEST STREET
City St Zip GREENPORT NY 11944
Property Address 1 1080 PARKVIEW
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 5 lot 24.021
Cross Street RYDER FARM LANE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
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ELIZABETH A. NEVILLE 10 Gy Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER :.6'I � �1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_4'Ol �a�0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER lI�� southoldtown.northfork.net
,.1
OFFICE OF THE TOWN CLERK
SDR 52002TOWN OF SOUTHOLD
i
TO: Southold To n.B ilding Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 5, 2002
Transmitted herewith is a copy of application No. 2898 for a Cesspool/Septic Tank Construction
Permit submitted by:
Carlos M. Muniz
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: /"�',tte ?!
Signature
GC
06/2_
Dated
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bFFICE OF THE TOWN CLERK ,1. clt It I�n - _
• TOWN OF SOUTHOLD �e l �16cv Application No:� �
ELIZABETH A.NEVILLE,TOWN CLERK O t .
P.O.BOX 1179 L Construction
SOUTHOLD,NEW YORK 11971 O T
s LSI * Alteration
Telephone �,�� �Q��,' $10.00 - Residential ✓
(516) 765-1801 "l 4�,,' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE y. s--- Q 2-
APPLICANT
APPLICANT NAME: 6,/Os' M /11";''
APPLICANT ADDRESS: .9®y Guest St/,e-el-
/CESSPOOL 6r{='/oocti AJ / j/95‘54
SEPTIC
DESCRIPTION OF PROPOSED/ pCONSTRUCTION OR ALTERATION
LctvI (� 6//,y ,2B / X TO 1) 3 .btdrao... .2 u.11 ZAYA,o..-�-i
l G 4 -e11/w� CI- z1,4. Gid ,
�/�/Ma.r✓ /'moi � 11-4.1 �' �+ - / � -�
,S'Lc) x .2ii '2- SZ.1 .,ciopo.#4i'-ny.i.z 1-_ +rix.“ ,',poreik o, e;Z✓s
LOCATION MAP: Must . f. attached hereto before permit may be issued.
LOCATION OF PROPOS;. ::- CONSTRUCTION OR ALTERATION:
OWNER OF PROPER i Y : gips /4" /47/..e.
OWNER MAILING Ai:DDDRESS: 41.08 Gde,s7L r, r f
..r•-et.r-rioo"*f AV J/ 9 V Y
OWNER PROPERTY >.DDRESS: /ps 'c'&t y -L i0c-0 P i--
- - o
TELEPHONE NUMBER OF CONTACT PERSON:. 3/. 977. 33.6a. 63/- 784 -V3-2 t CCFIG)
TAX MAP NO. : Se( a±on 1/S". QO Block OS-400 Lot 021.2 /
CROSS STREET: A Fa.",,,, /-"F,,e--
BUILDING PERMIT tU_.'"MER CROSS REFERENCE:
41.
Air
Alli Liri __,No--...ftime...._
Qtle a of plicant
RECEIVED BY: /4\t ALig-
Town Clerk's Office
DATE: /tJ'/Q-'-e-__
Ie tF
SURVEY ()DEPT O r :_
LOT 1 '71EEE
MAP OF
ORIENT BY THE1§E fi 10 PI :19
SECTION THREE
FILE No. 6160 FILED OCTOBER 16, 1974
LOT 23a 25 SITUATED AT
"C"" - ORIENT
_ TOWN OF SOUTHOLD
L0.ELL ..�, L� RE61 SUFFOLK COUNTY, NEW YORK
�,FR«�I o EXCAVATION INS 'ECTION REQUIRED
c«� 1,4 /8 5510" E a FOR SANITARY SYSTEM S.C. TAX No. 1000-15-05-24.21
BY HEALTH DEPARTMENT SCALE 1"=50'
NT JULY 28, 2000
0B4936T 3, 2000 REVISED PROP. WELL dr SEPTIC SYSTEM LOCATIONS
Z "' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
j ;
PERMIT FOR APPROVAL OF CONSTRUCTION'I�IY FORA AREA = 42,802 sq. ft.
0.983 ac,
p LOT ® SINGLE FAMILY RESIDENCE ONLY
o 'Dii.(/ ;y DATE I c -12-c U HS REF.?.f0. i'l‘�- C3 VI
o
AIL! > (-."---- CERTIFIED T0:
F.® APPROVED 41 Ai-4a-.....6...44 ..I111 cARLOS MUNIZ
A
fa FOR NIAXIMU;M OFL-- Bt"OOMS
y ,Holme -e0' EXPIRES THREE YEARS FROM DATE OF APPROVAL
0Ft 0 '40bo' MerBs:
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
A EXISTING ELEVATIONS ARE SHOWN THUS: t4.➢
I �' , PLEASE NOTE 2. REFER TO FILED MAP FOR TEST HOLE DATA.
4 o 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS.
a 01
Illr/f3 T, Minimumdistance betweenwell T TANK: 8' LONG, 4'-3' WIDE, e'-7 DEEP
o 4. MINIMUM LEACHING bTJItU FOR A 1 TO 4 BEDROOM HOUSE IS 300 eq ft SIDEWALL AREA.
.- I $ ' c� and C@S51�ool is tobe �� fc. eet. 2 POOLS: 6' DEEP, 6' dia.
ryO •PROPOSED EXPANSION POOL
_(P PROPOSED LEACHING POOL
PRtJP V: mE
10.1. 177A PROPOSED SEPTIC TANK
W '581 v u eTocK cum
2 1 0.63' S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
45.2 S ST09'40" W ASPHALT PAVEMENT OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
6. S.C.D.H.S. REFERENCE No. R10-00-0217
rryy
" VIEW LANE
PARK RFACCORDANCE OR SURVEYS THE MINIMUMAS ESTABLISHED
/�'b0 N 89 0- 1 30 _.----- FOR THE LI LS.AND APPROVED MADADH USE BY THE Nee YORK E PTED
Sul 79 / �PV4A.
LOT �U o5 <
DWELLI v l
LOT (78 ( �rwo)
DWELUNO ` mi
( eoo..PFM YARD)
4-44
LO WEAN 100 \\ ) ,,,),®�
�,�o `
to 5 N.Y.S. LNC. No. 49668
UNAUTHORIZED ALTERATION OR ADDITION ■
TO THS SURVEY TS A VIOLATION OF
• SECTION 7209 OF THE NEW YORK STATE
EDUCATOR LAW. Jo, eph A: Ingegno
COPIES OF THIS SURVEY MAP NOT BEAFNC
THE INKEDOTOR
- nd Surveyor
OEMBOSSED SEAL SHALL NOT BE CONSIDERED ---
+j TO BE A VAL1D TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
S PREPARED.AND ON MS BEHALF TO THE
TIR
E COMPANY. GOVERNMENTAL AGOICY AND Title Surveys - Subdivisions - Site Pons - Construction Layout -
-
TENDING INSTITUTION LISTED HEREON. MID
THE LENDING IKST1-
MONN.cER TIOE ASSIGNEES N�ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS
OFFICES LOCATED AT MAILING ADDRESS
N
AND/OR EASEMENTS OF RECORD, IF
ANY. NOT SHOWN ARE NOT GUARANTEED. 1380 ROAINOKE AVENUE P.O. Box 1931
RIVERHEAD. New York 11901 Riverhead, New York 11901-0965
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