HomeMy WebLinkAboutBruer, Yvonne ll
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ELIZABETH A. NEVILLE ,= OG'f�; Town Hall, 53095 Main Road
TOWN CLERK `% co ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % i Southold, New York 11971
MARRIAGE OFFICER `. 1i l��1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =__7Q1 .ANN"
11� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .3,01',
OFFICE
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. 2807 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : YVONNE BRUER
Address 1 : 116-15 N CONDUIT AVENUE
City St Zip S OZONE PARK NY 11420
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 #R10-02-0026
Name Of Owner BRUER YVONNE
Mailing Address 1 116-15 N. CONDUIT AVENUE
City St Zip S OZONE PARK NY 11420
Property Address 1 50 THREE WATERS LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 6 lot 30.000
Cross Street PLUM ISLAND LANE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ELIZABETH VIIf- i Ie 1... *A; Town Hall, 53095 Main Road
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�� o P.O. Box 1179
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Southold, New York 11971
REGIST OF�?ITAi,.ST-STAT -FI -- O 47
IAGE OF1'i6Ei n
Fax (631) 765-6145
RECORDS MtalAC ME FT OFFICER y_40 �a10. , Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 1, 2002
Transmitted herewith is a copy of application No. 2914 for a Cesspool/Septic Tank Construction
Permit submitted by:
Yvonne Bruer & Robert Augustine
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 1Z
DISAPPROVE _
Comments:
/1-°( 1...1-42.711.611-"1- - e-r-).%-
21(4,g-4,41
Signature
os 6./1/ A---
Dated
OFFICE OF THE TOWN CLERK ',,e IC,'�F 1 0�
TOWN OF SOUTHOLD ,�' � QG • . Application No.a�l(�
/
FT J7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 v T
Alteration
Telephone r0,f� �0"" $10.00 -Residential ✓
(631) 765-1800 = Ol. ,�'� $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
yapuMol ploy}nos
for
ZOOZ 0 E 8dV
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL a3A13D311
Permit No.
Fee $ 10.00
DATE APRIL 26. 2002
APPLICANT NAME: YVONNE BRUER AND ROBERT AUGUSTINE
APPLICANT ADDRESS: 116-15 N. CONDUIT AVE. S. OZONE PARK, NY 11420
SEPTIC CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
INSTALLATION OF NEW CESSPOOL
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER 0 F PROPERTY: YVONNE BRUER AND ROBERT AUGUSTINE
OWNER MAILING ADDRESS: 116-15 N. CONDUIT AVE.
S_ OZONE PARK. NY 11420
OWNER PROPERTY ADDRESS: SO THREF, WATERS_LANE
ORTENT POTNT. NY 11957
TELEPHONE NUMBER OF CONTACT PERSON: 718 746-8004
TAX MAP NO. : Section 15 Block 6 Lot 30
CROSS STREET: PLUM ISLAND LANE
BUILDING PERMIT NUMBER CROSS REFERENCE:
.
v 1 t -„ )
ign-tur- of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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LL
ISTING SURVEY OF
EXISTING
. OZ
CESSPOOLS (—) LOT 5
�., Q w -- .. ./ MAP OF
v
cz >= (� ; ORIENT BY THE SEA
70,
N 0 SECTION ONE
N N ems' LOT O6 (`-1 \A FILE No. 2777 FILED NOVEMBER 21, 1957
`, _ I-_- P N 'so. DWELLING EXISTING �'°� SITUATED AT
l`1� �w�Roxx�arE _,..
^ 0 S 88.57'40 ' E ESSPOOLS
( \I 29.8 ' a ��T \ ORIENT POINT
cesspool LocAlloN oa � FENCE ? TOWN OF SOUTHOLD
0.4'N.
WIRE FENCE Pa °A SUFFOLK COUNTY, NEW YORK
13.2
' FENCE s. OF LA 12.9 - �� S.C. TAX No. 1000-15-06-30
o.a((� '/ P- O F\ SCALE 1"=30'
v 1 �� a,,,� ��, 3 OA,, JANUARY 24, 2002
'02 i� 0 FEBRUARY 26. 2002 ADDED ADDITIONAL WELL & SEPTIC LOCATIONS
7', r ��\ & REVISED PROP. WELL & SEPTIC LOCATIONS
Lr J iZ0 La ,S
y 3 W • ' FOUND • •" . :�:�:�;! U
<s>, o • ° CONC. \ "O 5 AREA = 13,289.98 sq. ft.
. S ^ t 0 305 ac
IA
4+ (EST HO 1• 41 0,121
0
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•� ` _ o � E � � A Wi,i �W�a` NOTES:
4 LO O\,�� /4 Sa z v 1. ELEVATIONS ARE REFERENCED TO 1929 H.G_V.D. DATUM
6 EV c (f TM EXISTING ELEVATIONS ARE SHOWN THUS: to.Q
J o W '-.- r.r.. 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
4 ., O \yh �+W� o 4 3 NO o w W Z o u 1 TANK; 8' LONG, 4'-3' WIDE, 6'-7' DEEP
/ ^ Q p q „� 3. MINIMUM LEACHING SYSTEM FOR A I TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
(`J.`r; �0a r 1 POOL; 12' DEEP, 8' clic.
^ 4. 4 4 O Q O 1 i..::0; PROPOSED EXPANSION POOL
4 N =d
I O5rf,C�tJ1/EWAY ., 4 4"`_ 4 a 0 z PROPOSED LEACHING POOL
a 4 pW
es-4,„, FOUND ' I i` m PROPOSED SEPTIC TANK
CONC. MON. PfX.4205W WELL L1
PARK V I N I CONCF itOON. 4. TBEELOCATITIOTHE ON ANDWOOF FI DA A ND CESSPOOLS
ED SHOWN
HE HEREON ARE FROM FIELD
LAI' 1-'I ,96�� 156.27' 5. THIS PROPERTY IS IN FLOOD ZONE X*
FLOOD INSURANCE RATE MAP No. 3610300088 0
N/O/ji' ZONE X': AREAS OF 500-YEAR FLOOD; AREAS OF 100-YEAR FLOOD WITH AVERAGE
DEPTH OF LESS THAN 1 FOOT OR Yin DRAINAGE AREAS LESS THAN
WOODHOLLOW PROPERTIES INC. 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD.
VACANT
Z s 88• 40" E R=110. r' iINCAVA 'a INSPECTION F'ECTION REQUIRED b
289.79' FOR SANITARY SYSTEM
1 BY . �,? L PAR11 ENT 0 .. .
GO ,/
z .�� F,I n+E www
_� o ST µ' r. As ESTABLISHEDED
rai TEST HOLE DATA 3+ 0 1y.! I` t�t�,����' y `t AND s
Z (TEST HOLE DUG BY McDQNALD GEOSCIENCE ON DECEMBER 28, 2001) ) L ,, A ,,,t, rl ` V.
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►�-c ,�///% eROEEI VAN LOAN a 3 + F�, ,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES '//'• -'j/ � ''►''
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A "� �'
1-4 PALE BROWN SILT '�SINGLE FAMILY RESIDENCE ONLY x I IcJ � i
41,E 4
0-4 N.Y.S. Lic. No. 49668
- 4
UNAUTHORIZED
ALTERATION OR MIOIIION
DATETION OF
S 10)—H. _ rs TO THIS SUIREY sTHE"r W su1E
qf/S Nam SLIT SAND SIA EDIJCATIOM W. Jo- eph Al. Ingegno
. i1 E C7. /`�V Q J — a COPES OF 116 SURVEY MAP NOT WARIMO Ingegno
i ;44.1.144.#34., CR
BROWN FINE TO COARSE SAND SrSURVEYOR'SENDORSED SEAL SHALL INKEDNBE
APPROVED TO BE A,AY1D TRUE COPY. Land Surveyor
INDICATED HEREON SHALL RUN
FO R MAX I M II PMM Or LI t3 D R OO M J �.-_r ONLY�PERSON FOR WHOM THE S1Nh,EY
j - IS PREPARED,AIL ON HIS BEHALF TO THE
_ TOLE COMPANY,GOVERNMENTAL AGENCY MID Title Surveys - Subdirosions - Site Pions - Construction Layout
EXPIRES THREEYEARS FROM fl-'17. l:.iF APPROVAL gm A$�o IF „' °,_
•...„ IUI1ON.GER GTAIOIs ARE NOF 1WIISFB'ABAE. PHONE (631)727-2090 Fax (631)727-1727
��" - 31T14 EXISTENCE OF RIGHT OF WAYS
OFFICES LOCATED AT
alli Is' ANY/NOT SHOWN ARES NMAIUNG ADDRESS
AICEASEMENTSOfO GUARANTEEDCORD. IF . 1380 ROANOKE AVENUE P.O. Box 1931
RIVERHEAD. New Yak 11901 Riverhead, Now York 11901-0965
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