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HomeMy WebLinkAboutSalmon • ELIZABETH A. NEVILLE '_� Town Hall, 53095 Main Road TOWN CLERK ; y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER `� w �1�, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � �el *t®of Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ���� OFFICE OF THE TOWN CLERK SOUTHOLD lelifAURYMETTIRrWSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2682 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GLENN F HEIDTMANN JR Address 1 : 155 SMITH DRIVE NORTH 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 #R10-01-0174 Name Of Owner SALMON, GERALD & JUDITH Mailing Address 1 149 MONT ROSE DRIVE City St Zip PT JEFFERSON STATION NY 11776 Property Address 1 600 ALBACORE DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 57.00 block 1 lot 21 .000 Cross Street DOLPHIN DRIVE Building Permit Number Cross Reference: Issue Date: 11/01/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Yy UV,,,IEiFiOi`_ 0",losU 'ro; ELIZABETH A. NEVILLE �� � Town Hall, 53095 Main Road TOWN CLERK ` P.O. Box 1179 fts REGISTRAR OF VITAL STATISTICS ,� Southold, New York 11971 MARRIAGE OFFICER W. Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'�®l Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - 601.i0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 22, 2001 Transmitted herewith is a copy of application No. 2774 for a Cesspool/Septic Tank Construction Penuit submitted by: Glenn F. Heidtmann, Jr. 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 ' r Comments: Signature /0/1-3/0/ Dated • OFFICE OF THE TOWN CLERK �'' cc n • TOWN OF SOUTHOLD '' ,�\FD QI/ Application Nog ELIZABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 : } Construction t SOUTHOLD,NEW YORK 11971 : p T ' Alteration to ,, • ✓ Telephone 1.1- '2 ';04 " �Q��' ' $10.00 -Residential (63i) 765-1800 „, • $25.00 -Non-Residential TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL • Permit No. Fee .$ DATE 1622tp APPLICANT NAME: eeino F [1.2-41444-8141_ JrL APPLICANT ADDRESS: 'A 5 Evittn 'r tJ. SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION c4ti b..4.1(0,1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: . OWNER OF PROPERTY: CiefrAki 714.4/4-m £a l,IDP1_ OWNER MAILING ADDRESS: 1,11 Melt "Dr)v�� /7-77 (® OWNER PROPERTY ADDRESS: d P44,c Ail.,fr ) �7®f,/ TELEPHONE NUMBER OF CONTACT PERSON: 5-72 / TAX MAP NO. : Section Block ®I Lot CROSS STREET: `),,ceL V 'bdwe. BUILDING PERMIT NUMBER CROSS REFERENCE: . • 6.119110 Signatu a of Applicant RECEIVED BY: • Town Clerk's Office DATE: �. Y . 1 am familiar with the STANDARDS FOR APPROVAL ' AND CONSTRUCTION OF SUBSURFACE SEWAGE �q� DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES - �T and will abide by the condlllons set forth therein and on the �e.e 9 SUFFOLK COUNTY DEPARTMENT OF AQ T! SERVICES -� permit /o construct. w � �� � 69� \ PERMIT�'®62�4C�PR01lAb. ®I'' CONSTRUCTION FOR A �� _. i , SINGLE FAMILY RESIDENCE ONLY / (/ DED o :: ' •OVED H '1'1 DEP ':i-,� �; itic, i _ _ , ems/ FOR MAXIMUM ®F�-�BE®RO®E�S Odrkt Q • u EXPIRES THREE YEARS FROM DATE OF APPROVAL4. J hr m �4T /' ar et, , fir s/ k Cflir 'E s e c T�Op. SURVEY OF ®� 5 ,0 0400. '�85t y LOT 21 �� 9. 0 ��y 8 6 ---- "MAP OF SOUTHOLD SHORES " ° • ' o - ! FILED AUG. 29, 1963 FILE NO. 3853 �4o' • �1 • -ate- / a , AT ARSHAMOMA QUE ,4� ��Q� its. het 29489. TOWN OF SOUTHOLD 33. ''2 '2 • ,o SUFFOLK COUNTY, NY. +< `e.,_ , 1000 - 57 - 0.1 - 21 SCALE: 1" = 30' ,�^� MARLIN JUL Y 6, 2001 �° �,�m ,�'G�� DRIVE hs e 1 T! .\V . 'cc,. ,o NOTE' • SUBSURFACE SEWAGE DISPOSAL Fira'.z K� 'li A�� SYSTEM DESIGN e//OS Pr�Poseor. 9,-csor-e e/io' C' 'F BY' JOSEPH FISCHETTI, P.E. C/7 3 HOBART ROAD ¢. r ,. ¢"ppr.`"`s °,P, i--i, / Ft ON — SOUTHOLD, N.Y. 11971 IE 9 /E S5 /Zoo ? - r�$ 8'8,02' 3 I N. 86'/5'30' W. • Pie/ - (63/1 765 - 2954 SaPfic Ter /f so i I cesspaej s'or, 1 9r wc.Yer 2'a/ea/712' San I 183.85' e/2 center poo/of six pao/ c/r.3/'er LOT L A� F PROPOSED SEWAGE DISPOSAL SYSTEM PRECAST 6 POOLS WITH 3' TANK BOTTOM OF LEACHING 00 POOLS TO L. IX wP//'�I` (/).,b/i4. water) ! LOT covae..,//c. BE 2' ABOVE GROUNDWATER 04we //,, Wc`-ler') r:; r.,� GRADING PLAN AREA =23,800 sq. ft ''`'` �— �-ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION The locations of wells and cesspools ;' GJ :c,,,z,T1•1\1:EVril2G) \-11°4: 0r \ , —may c;; r- +'r �9 r.`� r� r^ - C 3 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. shown hereon are from field observations r '4 ' rp EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS �','% 5' »> ; and or from data obtained from others. k, ; 6, 1' Y S�L/ .:.„,v. 4961 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF j�.f 1 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR r,•,s o - -- �.t WHOSE SIGNATURE APPEARS HEREON. ' CO NC. OR " - ` c; , '' :--; ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' ELEVA TIONS ARE REFERENCE© TO N.G.V.D. (6311 7? `'�`r20 9s' " l) - 97-; MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY = • P. O. BO -",tel ANS OF ANOTHER SURVEYOR'S MAP.'TERMS SUCH AS INSPECTED'AND F= PROPOSED CONTOUR 1230 TRA ►° _ -EET 'BROUGHT - TO - DATE" ARE NOT IN COMPLIANCE WITH THE LAW. /230SOUTLD, N.Y. 1197/ - • / 01 — 171