Loading...
HomeMy WebLinkAboutPerry ELIZABETH A.NEVILLE d a �0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 t REGISTRAR OF VITAL STATISTICS �' Southold, New York 11971 MARRIAGE OFFICER � \ ��, Fax(631) 765-6145 � RECORDS MANAGEMENT OFFICER -_ � ,,.ssem�, i� Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER _� `z %FFICE OF THE TOWN CLERK SOUTHOLD IVAIEFIEVATIERT% 131PDSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2575 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DONALD & SANDRA PERRY Address 1 : PO BOX 1824 City St Zip SOUTHOLD NY 11971 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 #R10-00-0283 Name Of Owner PERRY, DONALD & SANDRA Mailing Address 1 PO BOX 1824 City St Zip SOUTHOLD NY 11971 Property Address 1 NEW SUFFOLK ROAD City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 2 lot 18.001 Cross Street GEORGE ROAD Building Permit Number Cross Reference: Issue Date: 5/17/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,/ .4F Fatir,---. 5 7 2,5 . • .„.* ,•••,?,), - , -,. -`"_ELIZABETH A. NEVILLE �� '�, ®SIA: Town Hall, 53095 Main Road TOWN CLERK I = -4_' ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS t Southold, New York 11971 MARRIAGE OFFICER �� ���1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �__�®� ''li Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER //g1 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, 2001 Transmitted herewith is a copy of application No. 2663 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Donald and Saundra Perry 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: Z APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. . ignatu/6)1 re 'C1 -1 o Dated • • 0, a, OFFICE OF THE TOWN CLERK €,C31 FULK CQ Application ELIZABETH A.NEVILLE,TOWN CLERK �OLD � �� $ C 10.00 - Residential \r P.O.BOX 1179 • Y ,�. • $25.00 - Non-Residential SOUTHOLD,NEW YORK 11971 • Telephone4p $ , (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for Cvs rewtt r•/®.& SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 10:00 DATE • OWNER NAME: DONALD & SAUNDRA PERRY OWNER MAILING ADDRESS: PO BOX 1824 SOUTHOLD NY 11971 OWNER PROPERTY ADDRESS: NEW SUFFOLK ROAD NEW SUFFOLK NY 11956 OWNER TELEPHONE NUMBER: 765-1453 TAX MAP NO. : Section 117 Block 2 Lot 18.1 CROSS STREET: GEORGE ROAD TYPE OF SYSTEM: Septic Tank % New % Existing Cesspool X New X Existing Residential X Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) SIA► ,0?)///// " 11. - Signature o Asp A•plr • t RECEIVED BY: Town Clerk's Office DATE: ,-577/07 • SURVEY EY OF PROPERTY LAND NOW OR FORMERLY OF `v NEN Y ��O�T STAN GRODSKI If ALEXIS GRODSKI Si WATh: rr. f-e TOIAIN: SOUTHOLD 72056'40"E --, SUFFOLK COUNTY, NI' el 2 9' 430.83' a - W SURVEYED 08-16-00 el s 4' 1S PROP.HSE I 1-13-00, POND1 LY OF T1 ^ M :40ER:LAmNE)coNo_________,oppuE,:orIRIE:LFLN,501AANR;m:ERARRLA, A ANN COOPER GERTS 2-06-01, PO ©0.- 0 , i ! tenAMENDED 4-23-OI1 --r- IP 1 O M 'SUFFOLK COUNTY TAX # 1 ' OC147.32` 11 G1GB55ppL�pp+_• (cp) 1000-117-2-18.1 I i' i S79el. 14 4' -- CERTIFIED TO: ``�2n,, I r1' GA, Frame garage 6� � ,�," �6Jies-me 1 �'' P 1 . shed s�'H _ sir ***ilio*r�11F1�FflFfIFfIFtlFiilPnlrsrts�rxr>Rr '"` el. 13.5' 'SEL 8 ' . I 9r . _ - - _•r_. HEDGE DONALD G PERRY _ 2OW x I- - SED SHED FE REMAI°t5 OF Woos,FENCE Q SAUNDRA J PERRY , el 86'. ON 35 45 9'S 0 1 41NE O rn FIRST AMERICAN TITLE INSURANCE CO. #550-5-14422 ttj 'I I ____-- (� P� V3 y BRIDGEHAMPTON NATIONAL BANK N — —— ' 11 Q 121 C+ ' • Test Hole lJ ,I,�r ® � J` \ •- • = 16 u_ come.0 rrfl 1, '� (L PY / N WELL 1567‘-'- Elev. Top Soil I 1 I, ...// N CA 7 �..1. 9 ' Q III y ® ® 0'rn I 2 D 1 50O Q 73 3 nO��� II A� �N V1� C3 II VV ' � 0c 1 0 I C(' 1 14.8' Z U"I I '0 TEST �� Z , rnrn 1-(T _ _________ , a. HOLE —{ f �0 11 (' — CQ i-- II �er CD \ 931 -,eo4d,.„ = z— 50 O' I = d ' ri C1 Orn i I eraveti i-_,_z„} Z I `J3 d I of Frame 1 V f L J 11 building _ — - 11 (V - cC Existing I r ti Frame O 1 �'-' ` ,*.A., Barn I �� xJ `�^ � 23.0 PROPOSED 11 DRIVEWAY PROPOSED O BARN II mwmd 15 SEPTIC, DETAIL DWELLING - � . I � TO BE , / V, c� not to stole W -. REMOVED 'I .p/ ropos to Pg I • EL= 150 existing grade max 2' 'd I / min I I building envelope / max 2' cover inv.e 139' I / I min I' kw.. Iib' z. `,Ip.( cover Im: 132' 1000 al O pR�� O loathing 13.0' septic me pit`ht, 111 �—' D(p't eels min pitch tank 1/4"per F I pools ap- I/4"per Ft SUFFOLK COUNTY DE• e " •` �'- ' — - d —0— 0Pencd d5°'clear ° --O 3oosFSO�T'30" - _ el 155' �\ el I6 O' sidewall EL=10' 275.33' separation PERMIT FOTRtEAPP�RO'? 1 :)� •'-. 4•Tt'TvRUCrION FOR A I • ground water SINGLE FAY t,• ' s=-NCE ONLY PUBLIC NATER 1 DWELLING `0 DATE 4 - -3oo 1 REF No R 1O-f9C'—O, 0 j O LAND NOW OR FORMERLY OF p 4 i ' ,r KEITH L PIAGENTE a GI-fRISTIN PIAGENTE t„°r':E'°'t.r oraddltIonw°s^'ey APPROVED vbbtion of iseccticn 72.1,sW<iMslon 2,of the mop m9 yo NOTES: ©��t1 7� �1 � �/� New tor' State Education • FOR M .XJMU O(` , •_ +`� .00MS Road 'Only copies from t original of this sun/ ketl r m Ve,:l ',Z,'.1.sure ycr's MONUMENT FOUND et�petl seal=heli Ee ten, �ei�tn,e George copies' 0 PIPE FOUND EXPIRES THREE YEARS FROM DATE OF APPROVAL _ •"• F N GertiFlcaHcre 4Mlwtetl hereon s y lfy that this A STAKE FOUND o 1 0 '`�(' G. i-:%._ . ey was preparetl In accandance with the ex_ I, isllny caae of Practice icr Loi Savers eoSar tl !!!��� the NON York state Assoclotion of Professional ,,�y+O� , ® Lona Surveyors Sold's eot�cns shall run any ` to the person For whom the survey is prep d. AREA = 45, 20 5F OR 1.05 ACRES COUNTY HEALTH DEPT. REF. ernmen- x`03 > `7.j �' anhisbehalfha he itieccmpoy RIO -SUFFOLK - 0283 , ai agora y ending ble tan listen mean, C.I.. ` �tcns we not t onCtereblel towotlCieiowl Institutions TOWN ZONE R 40 `%* �;,`:sA '11 *` JOHNC. EHLERS S SURVEYOR WELL LOCATIONS A5 PROVIDED BY OTHERS ` 0 "�''': O.li `� 4. 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC, SCALE 1" 30' . 0 N p'L �� Ell MI — =?'-F©0.502��Nck l RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\20-291.pro .,e,eoni la,a,,e200, \5a 5ere.*d --o--,CFPro •