HomeMy WebLinkAboutBower ELIZABETH A.NEVILLEo is� _�°� Town Hall, 53095 Main Road
TOWN CLERK ; P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS Southold, New York 11971
(631)Fax
MARRIAGE OFFICER �: �°_� , Telephone (63) 7654800
RECORDS MANAGEMENT OFFICER - �, ®1 p
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
SOUTHOLDITICERrRSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2633 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : KATHLEEN BOWER
Address 1 : 2740 MAIN BAYVIEW
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 #R10-00-0158
Name Of Owner BOWER, KATHLEEN & JOHN
Mailing Address 1 2740 MAIN BAYVIEW
City St Zip SOUTHOLD NY 11971
Property Address 1 12710 SOUNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 7 lot 1 .003
Cross Street HORTON LANE
Building Permit Number Cross Reference:
Issue Date: 8/08/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
®OFFOUr�;\
ELIZABETH A.NEVILLE ,�� Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICERs�s � �1 Fax(631) 765-6145
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RECORDS MANAGEMENT OFFICER ®� „zig too. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ �i��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 6, 2001
Transmitted herewith is a copy of application No. 2722 for a Cesspool/Septic Tank Construction
Permit submitted by:
Kathleen Bower
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 arid make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signator
g121o )
Dated
•
'OFFICE OF THE TOWN CLERK s"CO
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TOWN OF SOUTHOLD ����� C �OG Application No.
F J7ABETH A.NEVILLE,TOWN CLERK ��
P.O.BOX 1179 • Construction
SOUTHOLD,NEW YORK 11971 t •
Alteration
Telephone , %%T.- • $10.00 - Residential
(631•) 765-1800 l ��' $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 03/41/4/
APPLICANT NAME:
APPLICANT ADDRESS: g7/,1OAtregzz)
•
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
• _,.I./= .�/�. � J./1 Jrpp_e4 -/ i //tet
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION•
OWNER OF PROPERTY: 7e , i P-1-vt-•
OWNER MAILING ADDRESS: a-W7(d
.167 / `I // `7/
OWNER PROPERTY ADDRESS: / 02 7 /D J 4.`-(e.oi
`7,Ly //571
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /- Block 7 Lot l e 3
CROSS STREET: /o-,6)--A) Y P
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Applicant
RECEIVED BY: •
Town Clerk's Office
DATE:
—, {y\
RESIDENCE .�_ 1 %� TEST HOLE DATA: 4/27/00
PERFORMED BY: McDONALD GEOSCIENCE SURVEY OF
S°UN� EXISTING GRADE DESCRIBED PROPOERTY •
/ '��\\i,,\n\\�/,:j� DARK BROWN SILTY LOAM SU
V /�� Z• GREYISH BROIW sm. MC
- (ASPHAL \q� AVENUE ** WETLANDS VERIFIED 6'6.5' BROWN SANDY SILT �c
CORRUGA ' \'4DJ BY EN—CONSUL T.4NTS, SOUTHAMPTON, N.Y. WATER IN BROWN SANDY SILT AIL SOUTH SLD,
IP N A�I METALS PIPE POLE
T \ (RON HERRMANN)I ON 12 APRIL, 2000 1.3'
TOWN OF SOU THOLD
—�� , I. ;;' 1SUFFOLK COUNTY, N. Y.
. WATER/N BROWN CLAY CL
90' TO CESSPOOL� I FD '
�/ ) \ S77( (n 25'
�, WATER IN BROWN FINE TO COURSE SAND SW SUR VEYED 'FOR: NORMAN WAMBACK
\ N VA CANT Jr
W ^ CO F. F. EL. 17.0 MIN.
\ cz
\ N J I OC ' Z r— FINISHED GRADE EL. 15
- \ OLLECTED V / Q -,\\.,\\'
I ('AIN WATE9 4i / INV. EL. 12.2 INV. EL. 12.0
INV. EL. 12.9 I,'��
N/F BERE?'YMAN \ . ��- /
~ T INV. EL. 12.7 r:�
RESIc6ICE - ` I c / l • f d .
• 1 1 % m / . 3' MIN. r GROUNDWATER TER EL. 7.5 0 7-1
'"``'
//
\ \ , c / / SEPTIC TANK �'
9
WELLc ' CESSPOOL N
/ �° .•
I' N.T.S.
>s \ / /12 TM 1000-054-0 '01.003:
/ FOR S.C.D.H.S. USE ONLY ZONED R40 ru '--
0
-i
PROPOSED "'_ SURVEYED 20 APRIL, 2000"
II, • � _ / 150'TO THAN
SCALE 1"=40'
m In- a / NO TURF OR AREA= 40,466.758 SF
i� \ GROUND DISTURBANCE WELL. RESIDENCE OR
li . .
it \ s •
• -- 2_ _ .15). TO WELL , 0.929 ACRES
\, )\,.__ HA BAIL GUARANTEED TO
68 i . W _ HYD. 1 i NORMAN WAMBACK
l si-
3-0Sp- 1�// a j I.
* PROPOSED MACHINERY EON SHALL RUN
�o D GPM 1 [u ROUTE/ DRIVEIVA"Y
GUARANTEES INDICATED HER
h RE I P. G O _ > I:� › - ONLY TO THE PERSON FOR WHOM THE SURVEY
30' I Q TE�T al , 0 IS PREPARED, AND ON HIS BEHALF TO THE
L I / Oot E G m 777LE COMPANY, GOVERNMENTAL AGENCY,
1• / CO( �„ �' � LENDING INS71TU77ON, IF LISTED HEREON, AND
IV 38'- _ I•ROPE " D N 0 TOTHEASSIGNEESOFTHELENDINGINS7T7UTION.CA — �-- ( , �A.ESSPOO �J CJ1 �j ® }} GUARANTEESARENOS-TRANSFERABLETO. CII\ �$ 3CC
O' ~ _ +, I / — O 0 likk
i�\ �" ®Era al ADDITIONAL /NS71TUTIUNS OR SUBSEQUENT OWNERS
co0 44 UNAUTHORIZED ALTERA77ON OR ADDI710N TO THIS
CO . ':OPOSED ✓ --��N 41 14 •A, IS OLA ON OF SECTION 7209 F
SE'77C-T• •- \ FD ® d a \' A Ill SURVEYA VI n OF
RESIDENCE THE NEW YORK STATE EDUCA 770N LAW.
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15 al S 40' 44" 30" 6O.O4 s� sf I 0 4 g 0 > COPIES OF THIS SURVEY MAP NOT BEARING
TO 7Sp%QF �' THE LAND SURVEYORS EMBOSSED SEAL SHALL
L l • T U NOT BE CONSIDERED TO BE A VALID TRUE I
WELL N/F HAWKINS �F4 • T° cFsral F..4 Lu CC ® copy.
RESIDENCE J I°O� .41
Cla ~
(per �j Q SURVEYED BY
(�0 '� WELLNo o 4 O 8 STANLEY J. ISAKSEN, JR.
1'v A �, 0} P.O. BOX 294
C) r� �C IL NEW 1 SUFFOLK NY 11956
• ..-44 I
R 631 ' 734-5:
..
NOTE 1. THERE IS NO PROPOSED CHANGEO O U f �I� Air
IN ELEVA T10N OF x
LOT EXCEPT AT HOUSE & DRIVEWAY. 4q !IJ �� � :./"
/ /CESSPOOLS 2. PROPOSED 10' LIMIT OFC ria Q - ICEN. J AND ' 1'I
CLEARING, GROUND DIS TURBANCE NYS LI NO. 4927/
AND FINAL GRADING ON WEST, SOUTH AND EAST'SIDES ONLY
•.� NO DISTURBANCE ON NORTH SIDE. I 3. 13 DECOO REV, WELL LOCATION. 000899