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HomeMy WebLinkAboutGroeneveld • / �11FF0(� 401A® 0® ELIZABETH A. NEVILLE ��0 �� ; Town Hall, 53095 Main Road TOWN CLERK % P.O. Box 1179 ze REGISTRAR OF VITAL STATISTICS ` /,� Southold, New York 11971 MARRIAGE OFFICER sdiL' Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER "'/®� �®����� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ��,, OFFICE OF THE TOWN CLERK SOUTHOLD T=; SAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2643 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PH I LLI P GROENEVELD Address 1 : 797 MEADOW ROAD City St Zip SMITHTOWN NY 11787 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 #R10-01-0177 Name Of Owner GROENEVELD, DAVID Mailing Address 1 797 MEADOW LANE City St Zip SMITHTOWN NY 11787 Property Address 1 HARBOR LANE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 97.00 block 6 lot 17.001 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 8/28/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) JJ~ ELIZABETH A.NEVILLE �a ; Town Hall, 53095 Main Road TOWN CLERK ® .: P.O. Box 1179 E � w �` Southold, New York 11971 REGISTRAR OF VITAL STATISTICS . ® �,�s^•' � Fax (631) 765-6145 MARRIAGE OFFICER ®,,, ' 1� RECORDS MANAGEMENT OFFICER � %' ��� u� ,,..rr--22,, ���` ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ '7- , OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 20, 2001 Transmitted herewith is a copy of application No. 2731 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Phyllis Graeneveld 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. /(edet Signature deo, .1-7i 2W/ Dated 1 -7. �) OFFICE OF THE TOWN CLERK �,�,',,,,i ,,,,,, ELIZABETH A.NEVILLE,TOWNCLERK ��TOWN OF SOUTHOLD0 kv' ��Fo[K�®�y�` Application No. 2 73/ P.O.BOX 1179 %,i° Construction SOUTHOLD,NEW YORK 11971 zt v " T to $ Alteration Telephone ` 0,��'441--- `air/ - $10.00 - Residential (631) 765-1800 -_1 �,Oe $25.00 -Non-Residential • TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee •$ t it pri DATE goo/ APPLICANT NAME: 1 / // - , ,/,- APPLICANT /,APPLICANT ADDRESS: 797 , , SE Z./ - /7 SEPTIC CESSPOOL , G� DESCRIPTION OF PROPO ED CONSTRUCTION OR ALTERATION /(Lerz-./.,-, ", ,,,--L, Xe'2? -e-- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALT RATION: / • OWNER OF PROPERTY.:-1944/-67)6 &'X, ) A � - ., , OWNER MAILING ADDRES/ : 799 .' //, , yei� ,i / 926e,f - / //7F i OWNER PROPERTY, ADDRESS: ..: Ia%2,c a l /, - , 7V, TELEPHONE NUMBER OF CONTACT PERSON: ...3/ -- ..2_66--e,,6 2A TAX MAP NO. : Section 9 7 Block O . 6 Lot / 2. CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: iplz:0 (7.2_ ey , , _ 4.r • Signa f're of Applicant RECEIVED BY: 0/ e.,0,{ Town Cl rk's Office DATE: !� // , SURVEY OE LOT 1 �y, �, SUBDIVISION MAP OF `y�" o HARBOR = PARK HOMES FILE No. 9602 FILED NOVEMBER 22. 1994 �,� �r L SITUATED AT ��� y°h•'`� 2' ;r 'cCUTCHOGUE �:� TOWN OF SOUTHOLD oe _ - - SUFFOLK COUNTY, NEW YORK v�i 0.w.�� S.C. TAX No. 1000-97-06-17.1 SCALE 1"=50' orcC� ��. FEBRUARY 11, 1999 �.A6 /�4,0 'RS\� �� °0` JULY 30, 2001 ADDED PROPOSED HOUSE '� I IN 0 O '-i AREA = 80,001,76 sq. ft. �6 rY� �� SOi1�,� �'s a � 1.837 ac. VIIIS, Ovx . %.ft c ��, CERTIFIED TO: TOPAZ ABSTRACT Corp. /'/' �� TITLE "No. 25492 /� 4 DAVID GROENEVELD ,� PHYLLIS GROENEVELD 56•11 // 1 \ 1.\ \ \ \ A a� xir • - IQ QV(0 1�\ 1. ELEVATIONS ARE REFERENCED TO MI ASSUMED DATUM _ -� •l EXISTING ELEVATIONS ARE SHOWN THUS:13.Q ALT IN \ �' \ �Is 2. REFER To FILED MAP FOR TEST HOLE DATA. ` \ ' , 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. I, ilk ,• �'''-�`--.,• / • 1 TANK: 6' LONG. 4'-3' WIDE. 6'-7' DEEP ` .' •\ 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. Y 7!� \ �!^'-'' �- \ 1 POOL: 12' DEEP. 6' dia. � �+ �\ �'r© `" 7\ \ PROPOSED DIPAN ON POOL 00� I% �\ \ , PROPOSED LEACHING POOL � \ Z 7\ 6 ` • Q� ®PROPOS®SEPTIC TANK 7') ` , ?� \ '�� L S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD CI L. OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. Y. F t� y 6. PROPOSED WELL LOCATION AS SHOWN ON FILED MAP. �0 \, \` 15.11 \ 7IG vs. ie.___,....----\\ ---.,-vs‘ \ ,..\ ... ,, ,,, ,,„, \-,,..„ k--- ---„,... ot.� \` / I s O'.-- , ::;'':...;*--.7:/(1 :-,i.'-,,,,,,,qD_ 4m_ --..c.-, /, „AI ,FI`1j & x, D = r'i ca \ /,�� .1 Y•rf}r}, 0 K t G'1 ;'rte . ., , . 1/11104!ry&77 — ..-' --; '..:1-'•,.:,7 �.Gjy' f �I /� WN.Y.S. Lia. No. 49668 ' MAO?1tR A ' AL"OP� a, ATO M3ERAA TION+nd,,°AON OF 7 yJ! . , .-t emu SECDON 7209 OF THE NEW YORK STATE �, . EDUCATION LAW. oseph A. Ingegno Await 6��'3° i - --CSI �Co-dr- of 77COPES°�INS - ,EY MAP NOT BMOC II ;1� WOO SEAL OR Land Surveyor �j TO: A VALID TFdIE fAPY- _ - PA / •:•..� 4.A •:I•" . THETOE PERSON O HEREON WHOM L SURVEY a��\7'•,• 6 PREPARED.AND ON HIS BEIBIP 70 THE PLEASE NOTE - " ` sti,.,,- . . c'NPmy, E AL , r - Subdivisions - e - BGG Layout ,,'*;"'' Fax (631)727-1727 LENORE T�U1 LER16'IGATI N A TWIT iiIMME PHONE (631}727-2090 Minimum distance between well YEAR5IIRi�1`DiniOlt PPIO t�„ and cesspool is to be 150 feet. nig OR EASE OF WHY of D. I OFFICES LOCATED AT ADDRESS AND. H SHOWN A OF G1JD, ff 1360 RQANOKE IOIENlJE P 0. Bqz 1931 ALLY. NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD. New Yak 11901 Warhead, New York 11901-0965