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ELIZABETH A. NEVILLE ® Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � x `` °re Southold, New York 11971
MARRIAGE OFFICER � � � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER = `�l/)� $�®�.0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,S" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2745 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BCM BUILDERS CORP
Address 1 : PO BOX 106
City St Zip SHOREHAM NY 11786
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 #R10-01-0222
Name Of Owner ALIPERTI, JOSEPHINE
Mailing Address 1 81 HALLOCK LANE
City St Zip ROCKY POINT NY 11778
Property Address 1 OLE JULE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 12 lot 13.001
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 2/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
V.45
r ELIZABETH A.NEVILLE 0.� le. Town Hall, 53095 Main oad
TOWN CLERK % ® - % P.O.Box 1179
v t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; ®s, ��,,�� Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER =__�®l iiip -0 iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,e'� southoldtown.northfork.net
........II //1i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department "; 11 j
FROM: Linda J. Cooper, Southold Town Clerk's Office
1:f '` FEB ® 5 P aL,
T4
DATED: February 5, 2002 1 _._." -I:: _' :.f.r_t.D
Transmitted herewith is a copy of application No. 2839 for a Cesspool/Septic Tank Construction
Permit submitted by:
BCM Builders Corp. for Josephine Aliperti
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
`/ .��� i/
/
Comments: I
714--Ze,
Signature
®4.2 61® 2—
Dated
OFFICE OF THE TOWN CLERK4014
TOWN OF SOUTHOLD �' � % Application No. 3
l
F1.i7ABETH A.NEVE 7.F,TOWN CLERK i • • • /
P.O.BOXi179 �► t:\ Construction y/
SOUTHOLD,NEW YORK 11971 : p rn Alteration
cr+ yc •
Telephone O ��1• $10.00 -Residential
(631) 765-1800 .-- �s e • $25.00 -Non-Residential
•TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE p?-
APP LI CANT
NAME: A() ; ID CIS 1 OrL,D
APPLICANT ADDRESS: % ) ON /0 b
,N)1/31- 'y. • if l 76
SEPTIC 1 CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
or\i& ,�y T b�e 1
n}a
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION 'OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -J�GS�
OWNER MAILING ADDRESS: 3 /Jio cit,
/Rock)ck) v-., �l, I 1-?') ?
OWNER PROPERTY ADDRESS: Ar
TELEPHONE NUMBER OF CONTACT PERSON: (63) Ya - WO,
TAX MAP NO. : Section f / 4/ Block /A Lot /3
CROSS STREET: V0 i i UC__.
BUILDING PERMIT NUMBER CROSS REFERENCE:
� � l
Signat e of . pp cant
•
RECEIVED BY:
1m- - Town C erk s Office
DATE: 946 •
i
SCDHS Ref. # RIO-99-01 TO UFFOLK ,q VE.
The locations of wells and cesspools NEW S
shown hereon are from field observations
and or from data obtained from others.
ff/r hie N/O/F LAND --�
N/O/F N/O/F --�sJ-���,•
�/ .s OF SU7 ®apt COLi;`l"i.;DEPARTMENT O_- HEA1,H SVa�:vtCCS
et 20 el /9.7 LAND OF ADDY LAND OF COLON
v. PER I'�T 6=O APPROVAL OF COie iTRUCTION FOR A
/ . / -rE / 5 T � DWELLING DNELL/NO PWELL/jy
SINGLE �'/}�•AS�`/ JII�t ��C ONLY
/8.2' 17.9 'E L.P (s, any S, cp owr►00 : 3C° N -
/74 'E l7 2 s Ali 68012.2
,8 nd owr 130's o _ 7 1 a-
i F' \.. s . OVER/P3• h � `� 7 � .� ��• /-411f—•-------1°
>J al
�r water 3'm.� �i G•9' , F>� a X30, \ Md. °VER POO,:i ao
INT " ' %� o� \ '° eels o.•'NN.88'29'00' .! F®�MAXIMUM 0�' BEDROOMS
SEPTIC CROSSECTION // las p 4
a !
•
�,�\ �N ar
\ 60.09' i a �%P1����t a ��'�(� ® ® `� 0 ®lIA�
063
N -\ \
RETAININGo s as t I am familiar with the STANDARDS FOR APPROVAL
141
raLL ! AND CONSTRUCTION OF SUBSURFACE SEWAGE
1 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
V / cd and will abide by the conditions set forth therein and on the
`� / ° M permit to construct.
�`0 - 28/39 330'E. o ' I
\ .
45.65' \ r r
POND o / _. -�� F
0 •:-...:,_-:
_.,�.
\ -11
p�0 / / : I 1 V C 1--r1 mc-,
%tilt \\ o I I -,7:-.--n P+ mm°rzl a
,00 / o t) a :--t,r-
DIY . COT/----
�. ,n9 /oi •N SURVEY OF PROPS 7 4 r -
Il ,
�` , - b61e� Y`G\v ,/ I �3 - AT MA T TI TUCK --
.--- ,,\_
0 �� 26,0. '4- [II
-, I a1401 TOWN OF SOUTHOLD , N Y.
0 1\ / 4-° L''' . SUFFOLK COUNTY, NY.
V
N, 690 �/ __ - ' ac., ST �aP - . J el TEST HOLE 1000 - 114 - 12 - 13.1
X950' / /-�/13 1 '0ti�fix- , — -- l Dark brown SCALE 1" = 50'
CONTOUR LINES ARE REFERENCED TO y' L 6,,e,4-103 (0 > 15\ /4"e',0 F/r , / O sandy IOL 2'
JUNE 4, 1999 •
THE FIVE EASTERN TOWNS 4j q „� , s gip/'-• , p 14�(p survey,
TOPOGRAPHIC MAPS 4frO `ti 5,. \19 �a ity x`st�% Aug. 5, 1999 (B.O.H. info)
ep N Pale brown
AREA OF POND = 0.383 Acre t '"Mfo o M tine lo medium SEPT. 13, 1999 (prop. hse. revision')
AREA OF UPLANDS = 1.4/ Acres + Op ^ sand
/c / L SP OCT. 8, 1999 (Wetlands Flags)
TOTAL AREA = I. T93 Acres F��FiQ / N° �r6 �`� a NOV. 30,1999 ( inter tidal march )
/ e/ JAN. 10, 2000 ( revised I
`�e6 '`" y l o.!' APRIL 24, 2000 (prop. hse.)
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION \,f, 331. �O 1 .28� Ju/y S/ 2aoo(ter/J/0� ) ,•';ctQF N �V
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. 11 `33,1N 31.1 ,cp4�� 1,49,,C1\4) l WOW ,. Jul /!0 Zoo u E
EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIF/CA1I 11i�ti:�S 14.1.1\,3, / �r Water in pale y ' /rev/s�v�s) cS`Q q, A4FT '�0�
HEREON ARE VALID FOR.THIS MAP AND COPIES THEREOF ONLY IF --) (-1 e/ .'A Zc ,�
brown line
r"
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ` ` 10�7) do 22.x' e/ 21.4- 4 77 / N.Y.S. /C, 0. `4,
WHOSE SIGMA TURE APPEARS HEREON. �� 5 �' sand
�•r / ii 3
ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM "ALTERED BY' Q� r1VY,y Si C FRESHWATER WETLAND
sP -ECONIC SUR'-YOBS P.C.' 1' F'" :`,I.A '
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY ° -' '' }'I "-�►�N�ARY AS DELINEATED
rem 765 - 5020 FAX ( 6/ ,) 765�i f
csoc
OF ANOTHER SURVEYOR'S.MAP. TERMS SUCH AS 'INSPECTED'AND 1 t•�1,1� P. O. BOX 909 ° c,----E
[ ROtJGH1TO-OATE' ARE NOT IN COMPLIANCE WITH THE LAW. h133 c.1 S. 4/99NCE -,
ON 8/24/99' D zLbvc s$ e /7' 1230 TRAVELER STREET <`. 4' �$ 'z>
7/30/99 ( test hole 1 we,over ISO' A �P well /so"+ SOUTHOLD, N.Y. 11971 'PFD (AND ��O
- 99 — 235