HomeMy WebLinkAboutSilleck ,/i/ilii
ELIZABETH A.NEVILLE t'/�4 ���: Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS '$ Southold, New York 11971
MARRIAGE OFFICER � afo •1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER .. 'F/. 'tool Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER i�t
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2494 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CHARLES W SILLECK
Address 1 : PO BOX 922
City St Zip RIVERHEAD NY 11901
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 # R10-00-0083
Name Of Owner SILLECK, CHARLES W
Mailing Address 1 PO BOX 922
City St Zip RIVERHEAD NY 11901
Property Address 1 650 EAGLES NEST COURT
City St Zip LAUREL NY 11948
Tax Map No. section 127.00 block 9 lot 6.000
Cross Street WHITE EAGLE DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/10/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,‘ ® c
ELIZABETH A. NEVILLE xf eff), Town Hall, 53095 Main Road
TOWN CLERK ` H • P.O. Box 1179
ns Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p $MARRIAGE OFFICER Fax�* �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -O` #000 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: January 5, 2001
Transmitted herewith is a copy of application No. 2582 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Charles W. Silleck
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: Maintain required setbacks from adjacent wells, buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
S'i atur�
e-'6
, 1q � � a
Dated
4
•
OFFICE OF THE TOWN CLERK ���' /�'•••••••,�'��
_ti ��FfotKco: Application No.2533
TOWN OF SOUTHOLD '� �0` G
A F1.I7ABETH A.NEVILLE,TOWN CLERK I �J1
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 Z t
Alteration
'Telephone
‘,....‘0e,_0/ fir '1, . $10.00 -Residential �_
(63t) 765-1800 -= ,00' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL,DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
. SEPTIC TANK or CESSPOOL
Permit No. •
" Fee .$
DATE 9,0,vt bi-f) ,
APPLICANT NAME: DAN2L6-5 (,gip. N•LLEK
APPLICANT ADDRESS: o 'Box) qaa
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
y 4360 eothrn a si-oey S1N6,16 f-lot-,nnAk -\- &Jel•11YD 61 .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: a L6-5 63. S 1L\-C-CK
OWNER MAILING ADDRESS: 'Pp 'QoX qua
R\\36—R1 , 0-Le. 1\ck01
OWNER PROPERTY ADDRESS: (,5o 6A-G le 1,36-6-7" CT,
LPrvRC--L, 1.3G—w `ZoWK
TELEPHONE NUMBER OF CONTACT PERSON: ((03� ?65- 389?
TAX MAP NO. : Section al Block 9 Lot '06
CROSS STREET: L TI t PrG,16- X2\\1;
BUILDING PERMIT NUMBER CROSS REFERENCE:
. viltais
r e?,0 _..._ iy-- i —
. s Signature of Applicant
g___ <.-
RECEIVED BY:
TJerk's Office
DATE: // -/Q /
1 --4. �� ..
'� \\ SURVEY OF
�1 LOT 6
LOT�J J .
: . MAP OF
ow1a��°' "� �` 4.
GOLDEN VIEW ESTATES
�wE�t ^s'10� d !'vr
•
o��.. ry fF .. FILE No. 7770 FILED AUGUST 30,1984
���$��G °`�°� SITUATED AT
15.E ' �� y �� LAUREL
•
// �\ I\,�� \\, ' ��s °s TOWN OF SOUTHOLD
r� \ \ \ \ \ \ s\ •° - SUFFOLK COUNTY, NEW YORK
Lo�O8 %� ��� 1 ;�?' t. 21�� \\\\`\ \\ \� ... `°6 LS.C. TAX No. 1000-127-09-06
�� B " 1 \ \ \ I ! �� SCALE 1":---.40'
vPGP _ y C - Tc S 10'34 1� OG ,, i I \\\ II ! �� MARCH 13, 2000
// O MARCH 2 & REVISED SURVEY
�. 8i;;* 00 ` I 11 1 r
k.....-.192.7 �\,: 7'1 1J1 G MAY 10, 2000 ADDED ADDITIONAL WELL & CESSPOOL DATA & REVISED PROP HOUSE
a‘ \� Be / I 1''9• I _LID r AUGUST 2, 2000 ADDED WATER SERVICE & REVISED PROP HOUSE
L6NGtYOa •• I_ S E I \ r� 6�ix•`' 1 \ 1 r; \ „1..0 �j i�
,�1y79>g• ��b0 p0 wo1 I o II Ill,, X9.25,4 "��E \ 1)N oo \c.\
141 •,y°s� 9 �0, AREA = 1.098 6.8 9 sq. ft.
' e G30„ -, R' - �\ I I IN 11 z \\ I\ �I \ \ \ \ �,^°.pp _M .pr :��j 0 NOT&S,
Z_c2 .k-)
`1` F°��St d - I ` V�� STAKE/ \ \ \\\ \ \ (P'IT / des O, '�`� <`'O ''',.t.,
� 1. ELEVATIONS ARE REFERENCED TO N.0 V.O. 1929'DATUM
VI I SRT \ ( \\\\\" !� c,e ,�O �y EXISTING ELEVATIONS ARE SHOWN THUS:10Q
\ -- - PATH ,\ \( \\ \\\ - .4 1(C� .,y .,.� O 1, O EXISTING CONTOUR UNE ARE SHOWN THUS:———20—_——
I 101, _ I - \ \ \\\\ �� , , 9y� �� yon,0��'n 2 REFER TO FILED MAP FOR TEST HOLE DATA
\ \ \ 1 \ \ .O •
j e,0,,� �l' 3. MINIMUM SEPTIC TANK CAPACITIES FOR A I TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
,f� V c^ lJ� Cr•n •.. 1 TANK, 8' LONG, 4'-3" WIDE, 6'-7' DEEP
I'\� 3 „ \ Q • \ \ i \ \ \ 4 c �+L,0 'Y 4 MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
\ LOT() \ \ f \\\\\ \ N. •Z m� "y l� 'O 1 POOL, 12' DEEP, 8' dto.
_ \ �/� �a,.'`•'. \ . 4247• \ \\ \\ \ • \ o �, r o
• VI / \ \ \ 7'/.4 \ `,.a \\\\\\\
\\\\\\ \ �' f,+,�i - ♦ PROPOSED EXPANSION POOL
�0� Irl. \ - ' \ \ \ \ \\ , ys�'F�� ®' PROPOSED LEACHING POOL
i �' \
•C- \ '4 1� ,, \ Fm� \\\ \\\ Y '° ,p c v4.1 PROPOSED SEPTIC TANK
T • i�*•0., • 1 - - - \ /.••YY`��` \ ;`� 9j.\ �0?0,. \\\ \1 - yJG�
'Si" ,\ �- • `` -•y,, y \ q 0\- \\ ,n.SJ 5 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
(_lr@1�' 'O; \ /�7� O ,C' ,� OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. •
••�r� ? "° ' ' i °. ! O ��et 6. THIS PROPERTY IS w FLOOD LONE X
FLOOD INSURANCE RATE MAP No. 36T03C0483 G
\ • 142 n 0 O \ o°e \\ \ \ 4
6 .° �y A
ZONE X AREAS DETERMINED TO BE OUTSIDE 500-YEARS FLOODPLAIN
°y < e r �Y ^(a • ` �•� I _ \ \ \\\\\ \ p0 `I" O� 0 �1- O"f 7. S C D.H.S REFERENCE No. R10-00-0083
11
1,...-z-37.78,25.00. a f15-, ` \ \\ II \ \\\�\\ \ 2�� G���O _
\\ \ „19.5 ` •' �'_� ;:` . ` 1 W \\\\\ \\\9f\O n9C, `� (\}y/\
•1r -- �• I „13'3 \ O •�`\\\ I fO 0�p s
o s I I %� 9e I \ w \ \ \ - ) spy
ooc a \ _ —— t sly\ \ `\�\ �W -r r° °(
——— Q<11 s -CERTIFIED TO:
I`y� // /\� •I6.! __ v Q'.,1Zf / \\ \ \�W '61 '9c,
F OSc� a'
/ / '_ _ \ \\\�,•-• 4,v�4 °mG<<�O COMMONWEALTH LAND TITLE INSURANCE COMPANY
,.. o
f SUFFOLK COUNTY DEPARTMENT OF HEALTH`i ,E ES / — ° s,,__—- / \ G�^�� ��c+ CHARLES W. 'ILLECK
�„ i / „..--e-‘- -
,...-43‘...--- `` 9,� MARY SILLEC /
PERMIT FOR APPROVAL OF CONSTRUCTION • A Il • / —--77-----:::—
_,` t c_ , _ / �� s�
PARED PN ACCORpINCE wrtH THE IYFAMUM
I / \ �-` I -.\` — „.i/ ;1 fO)1/ ° f'LO•,94P eA"TNE�i.ALS AIHI'wPRovED�AND6A D
�� SINGLE FAMILY RESIDENCE ONLY ! I / /——_ _\ x --—` `` ,\�J / $� O FOR SUCH USE BY THE NEW YORK STATE IABD
\` _ ——— .�6 la.;,,,,
4 �,' $ TIRE ASSOCMTK)N
19.1 ' , a�� ��s
I - t /
/ / 1 �yc �<?
.‘..4,
bre Lit�114
P RO ED i � I I ,,. I\ \ \ ''a F�°a _——__,s ,� 1�� RV, �•a��;5-1.0 HS - I • •• Kk. - c't)-
o' ' a: 4'
Yllit�� • FOR MAILMEN 0E I I 1 s. tip,#\°t 6 ■as, 17,'j 22
' PIRE�THREE TUNS PRON DAT* • APP 'A \\ \ ` c" q 741/�*JI
F ''`f+. r 4,(..c.;
,! N Y.S. Lc. No. 49668
\ T' ,y'� T1� TO SURYLYIS A DDI'lVXXARON ,
�� \\ \\ ,,� ` ��` Kr►F oF��•\*C' SECTION72EDUCAnON WVOF THE NEW YORK STATE ' ..1..i. eph A. leig�g�o
\ \ 1k� �1` �•��JfE°�y COPIES OF THIS SURVEY MAP NOT BEARING •
\es ) \, t0 SIN` • d' Ott '�'i�✓oi 4242 THE LAND SURVEYOR'S INKED SEAL OR
�1 V v� EMBOSSED SEN.SHALL NOT BE CONSIDERED
4�( ZO - F �61\\ ��11 00� ..5.. • TO BEA VpA)TRUE COPY and Surveyor
�1 CERT IWMI NS INDICATED HEREON SMALL RUN
. t •1°° ' \, f\y - Ss' 1)\�c % ONLY TO THE PERSON FOR WHOM THE sumer
L. ' V E '9 IS PREPARED.AND ON HIS BEHALF TO RIE
v�, 0 -i• TITLE COMPANY; GOVERNMENTAL AGENCY AND Tine Surveys - Subdivisions - Site Bans - Construction Layout
N\\ yO,C,--- • `` ,...:0*
60 ,1/4-i• TOTHE
ASSIGNEES S OF�THLE HEREAM ON.
i.
, 'p O 0' TUTION CERTIFICATIONS ARE Nor_TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727
171x A �5 - 059 THE EXISTENCE OF RIGHT OF WAYS -- OFFICES LOCATE0;AT MAILING ADDRESS
EXISTING Gf• , . AND/OR EASEMENTS OF RECORD, IF -
ANY, NOT SHOWN ARE NOT GUARANTEED.- . 1380 ROANOKE AVENUE P.O. Box 1931'
- •WELL :: • RNERHEAD, New York 11901 Riverheod, New York 11901-0'565
`ae. - -
- _ �, ,--20-16§