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ELIZABETH A.NEVILLE ��� Town Hall, 53095 Main Road
TOWN CLERK ; H P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � � Southold, New York 11971
MARRIAGE OFFICER �� / Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_�®, o��®��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - •,s�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC 'TANK or CESSPOOL
Permit No. 2511 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : HOLLY VESCOVI
Address 1 : 920 CHAPEL LANE #6
City St Zip GREENPOTR 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 #R10-98-0016
Name Of Owner MUNDELL, MARIBETH
Mailing Address 1 609 FIRST STREET
City St Zip GREENPORT NY 11944
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 2 lot 24.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 2/21/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
4011'OFFO`i O5
ELIZABETH A. NEVILLE s 0, vo,, Town Hall, 53095 Main Road
TOWN CLERK ti P.O. Box 1179
REGISTRAR OF VITAL STATISTICS t P tSouthold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER %we,,( �®'ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 7, 2001
Transmitted herewith is a copy of application No. 2599 for a Cesspool/Septic Tank Construction
Permit submitted by:
Holly Vescovi
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:
gnature
Dated
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OFFICE OF THE TOWN CLERK '" Of BIZ
TOWN OF SOUTHOLD %.4'QcJ ( . Application No.Z
i',9-'
FT.T7ABETH A NEVILLE,TOWN CLERK 1 2
P.O.BOX 1179 z Construction
SOUTHOLD,NEW YORK 11971 , = '
Alteration
Telephone ®,j� Qom.: $10.00 - Residential O�_T
(631) 765-1800
.........
_jZi � '�, $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE c L( (01
,
APPLICANT NAME: j. aA Ve,s C.0 1
APPLICANT ADDRESS: ' p ��zcel 1 p,
Cre�nTos- 4-- iLic4- I (q 44
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION I
( ( ( \ A Lo e k 1:--i-IA
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: trick c ic,vA.c_\
OWNER MAILING ADDRESS: (,, 09 }--7,s 4 54ree_+
I7 re_e_,,, � CA--
OWNER PROPERTY ADDRESS: // ,. - ,,sj A IP
TELEPHONE NUMBER OF CONTACT PERSON: t ( - 247 7 -,3 Q qh---
TAX MAP NO. : Section 4,46 Block Lot
CROSS STREET:1Zoc 0,,65-,-k RA_
BUILDING PERMIT NUMBER CROSS REFERENCE: '
Signature of Applicant
RECEIVED BY: - ( 'Z / 7%
' To n Clea _s Office
DATE: (3 6 07
:>•!_ •• ' j SURVEY OF PROFER-, I
SEPTIC DETAIL PROPOSED
1 - not to scale DWELLING SITUATE: EAST MAR I ON - 1
prop°sed TOWN OF SOUTHOLD
9
EL= 342 existing grade man j LL114&•pL:( 3 SUFFOLK COUNTY NY
an 1cover inv•= 32.5' DNe p¢-�
mcdver
inv..
1�B 32.3' 1,. W$PyeMeN� eyepti9(--1 my�� e SURVEYED I-20-q8
1nv.= 900 gal �Q�
leaching 30.4' septic min P= -37 —,.4.,0\-6'
CERTIFICATIONS ADDED 4-30-q8
ft
•
AMENDED 3-23-q8
]2pOdeeP iiIih
min tank 1/4 P - GK \ -,desa17 / ����Srn jC1�. UPDATED: 09-20-00
man 3 separation ������O SUFFOLK COUNTY TAX MAP
to groundwater z j O #1000 31 2 24
19C2--\.41)`\A
•0S 'r. o\5 s I W Fes° •��
L�N� �OR ��, \V Q$, oN CERTIFIED TO:
ix ( � to6 ° - / J HOLLY VESGOVI
�j AREA = 908G SF
1 / SEPTIC, SEPARATION REQUIRES
40' OF RATER IN WELL
,� r
Z�, •
\� /F �,\�' ELEVATIONS ARE REFERENCED TO
\ °5A C — i 3�i� w Ci 73 SUFFOLK COUNTY TOPO MAPS
; \ N.\ O �2 O��\0
\\t�� • —
® i F e cc o f V�° -13‘"C) :5_ril 3
�11 e\ o�o yid O O / O -S O TEST HOLE
`,� r Pc i - O Ci MCDONALD
r?l -\ • 1--11 GEOSGIENGE
� � t — 3g' 'O OrnL.. O
CD � K BRONN
,` 3� holeest 3rJ t` \2Q - i ,•
$6 •39
0lsting m 1-1,r--0)7•1 Q 11 SANDY RLOAM OL
. --,......2_
p e yepttc 1 -3,->V073 1
` C� 9 p PUb\1G Water -C lP�r( BROWN
LOAMY
O
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9.
.4011 no,
r� -o - pr .i- 0o
cs�' a 6 .i NOUN --CC)
C.--n ` o\° s6 OHO .' (9 pei---vv\_L -
� � X11
Cf, % -1 0\e,3 9 Fes N 3�� /, • BROWN FINE TO
s�• i11� SUFFOLK COUNTY DEPARTMENT® HEALTH SERVICES COARSE0 96 GRAVEL
klo
PERMITFOR OVAL OF CONSTRUCTION FOR
3 SINGLE FAMIL RESIDENCE ONLY
I0 CO
I DATE ().—.5-9,g^ HS REF.NO. tn=—.8S�F®l-bI 1-r'
0 APPROVED . �'
NOTES.
FOR MAXIMUMDF, l OMS
r 1. ,r,-.7-.'.i 4,4.).„,
REFERENCE DEED. LIBER 2158 PAGE 81
\ EXPIRES THREE YEARS FROM DATE OF APPROVAL c . q
A STAKE FOUND 4 . �..10,1:‘,A C°Ey A '1-F. -. CJ•
y F O c-1 r
.Unauthorized alteration or addition to a survey •� (/ ('.
0 PIPE FOUND map bearing a licensed land surveyor's seal Is a 1 "� �,4,z-71 t Ti .
violation of section 1209,sub-division 2,of the 1' cotlJ -t t Sµf+ _
New York State Education Law" l rz Silt a. `e- �.;i ..D .�•,
o o 0 o • WOODEN FENCE marked d opieonl am the of orlynal
land of this
s survey L®'S®�.�` � -f`-a f 1----
stamped seal shall be considered to be valid true _-
co les" ` ` � ° -::L' . r
X WIRE FENCE °certification Indicated hereon signify that this <`�7, N0. I - �, !(/) t, '.--,...----
\
i1
survey was prepared In accordance with the ex- ♦ u• 3- FT-1m t ':3
!sting Code of Practice for Land Surveys adopted "0 LAND 5` "U-2 .--,.t-,..+
by the New York State Association of Professional "-. „' ^"••
Land Surveyors Said certifications shall run only �,;-' �^•:_>Y
to the person for whom the survey is prepared, -l;"S -L:12, Na. 50202
GRAPHIC SCALE 1 "= 30 ' and on his behalf to the title company,governmen- JOHN C EHLERS LAND SURVEYOR -1
- Ill
tal agency and lending Institution listed hereon,and 6 EAST MAIN STREET i.
to the assignees of the lending Institution Gertlfica-
tiRIVERHEAD,N.Y 11901
ons ore not transferable to additional Institutions 369-8288 Fax 369-8287 REFERENCE # 98-105F
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