HomeMy WebLinkAboutSchembri (4) /11
OFFOUr
049
•
ELIZABETH A.NEVILLE ��� 5k k�`, '� Town Hall, 53095 Main Road
TOWN CLERK % r P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ®# ,_,• ' � ll', Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � ®d Ls j`f�� ell
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��� 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. 2736 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1 : 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
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 #R10-00-0144
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 2042 NORTH COUNTRY ROAD
City St Zip WADING RIVER NY 11792
Property Address 1 RICHMOND LANE
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 1 lot 4.003
Cross Street SHORE LANE
Building Permit Number Cross Reference:
Issue Date: 2/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
el woo. --.... 7 4_3
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ELIZABETH A.NEVILLE �� a .4\
Town Hall, 53095 Main Road
TOWN CLERK rCZ . % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
�„ Southold, New York 11971
MARRIAGE OFFICER `. �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__�®� y� $,iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ----•-...,..00"�" ��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD T rtUala
TO: Southold Town Building Department JAN
FROM: Linda J. Cooper, Southold Town Clerk's Office Bt. . . 9
` Tom G- v
DATED: January 23, 2002
Transmitted herewith is a copy of application No. 2831 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schembri Homes
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 V
DISAPPROVE gs-:...-,
Comments: 27,.,/../.-:
i ��
e�r
Signature //
.4a/2__
Dated
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•
OFFICE OF THE TOWN CLERK .,"� Inu`
TOWN OF SOUTHOLD ,,��OQS ` �l�•y; . Application No. o
FJ.T7ABETH A.NEVJLT F,TOWN CLERK �.
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 ; • T ; Alteration
01/
Telephone O,f�o �Q�0' $10.00 -ResidentialV
(631) 765-1800 - 1 $25.00 -Non-Residential
' % ..�,s,,-
TOWN OF SOUTHOLD •
e ,
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION .
war i . • . .�`'
for f��J 6j 2002
2 u 200
2
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL ate . .`'` Tem Clefit
•
Permit No. •
Fee .$ 1/43/D
DATE ?/
•
APPLICANT NAME: > E-1 0,4 g/.,Z%-:-.5
APPLICANT ADDRESS”�y ,j../ â/I //t7 ' / i
SEPTIC CESSPOOL '
DESCRIPTION OF PROPOS CONSTRUCTION OR ALTERATION
11\\ :IV)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTAUCTION OR TERATION:
OWNER OF PROPERTY: -7764/ G
OWNER MAILING ADDRESS: 8,4/ !/(/ t ,i/A £ ��•0 .6661 ''//7''
OWNER PROPERTY ADDRESS: -- A ''
-e c cAki,c_.
TELEPHONE NUMBER OF CONTACT PERSON: 9X)-(5— ')
TAX MAP NO. : Section 4 Block . ') Lot r,
CROSS STREET: ' A5
BUILDING PERMIT NUMBER CROSS REFE ENCE:
Sig ture of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
•
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PLOT PLANOF . ,. _.,3,.. 4 . ;,,,�.
LOT 3 : }<<
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RICHMOND SHORES AT PECONI"C ", - =•'
FILE No, 6873 F ,, ,,, Y' ��
E FILED NOVEMBER 20, 1979 - ""
a.}1
SITUATED AT } i
Sis'<s =j
":
PECONIC
TOWN OF �ti' 3Q_ E �Ar
SOUTHOLD =
SUFFOLK O� • . - - ` ---,-,,,,s-;',!,..,.',....,�e~ „e
COUNTY, NEW YORK .,,
S.O. TAX No. 1000-86-01 -4.3' �Q� \ 145'. - I - `;, ;K
SCALE
' •- to; 4, ^*7 :;.;.,;`e ,`.,6, ,,
MAY 24, 2000 44 ��. '
JULY 24, 2000 REVISED WATER SERVICE _ n Y j
AREA, = 23,877.56 's ft. �O "� '''AD- L'=37r 40 �• .• ...-'''..-;*,=.,:y.27-,
9 O
0.548 ac. D dC
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'I'j`° - " ' -47"1 -
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 13.43 ,' ` 4:
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�' h� \ 13.0 � x.
• PE ,''FOR APPROVAL OF CONSTRUCTION FOR '�' � o �! rF • �`'�
SINGLE FAMILY RESIDENCE ONLY Q� �� • _
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I ATE QHS REF.SIO.. . �/ .
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EXPIRES THREE YEARS FROM DATE OF APPROVAL \,5::,,,,,,c � ��� <
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P.4{EaARED IN ACCf,1JI014NCE,W/l7'FI;'THE;tiPC�1MUM=,=_ - - :,9 1
A RP',S'`$"TITLE SU l fsrI591." ?: •-c -1
i \ --- a- L •AND AP /pOp' D. - ;;
^.' SUCH�5E'BYETH�'NEW iYdIi iL4ND..
I I 1 :ASSOCIATION. =.•a_. _ ,_;`,, <•' .'�.,
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NOTES , �nl y�} '-:. : ,, - - - '�-.
1 ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM \---1,-'"\,„5, Oi�I • _ = :• - '�'
EXISTING ELEVATIONS ARE SHOWN THUS. 150 -7), -.l�i� �'` l
ib, ...
2. REFER TO FILED MAP FOR TEST HOLE DATA ��
.. -S '',,, ,
(\�Y - PA-A,
F 11100'
- _ .. •
3 MINIMUM SEPTIC TANK CAPACITIES FOR A I TO 4 BEDROOM HOUSE IS 1,000 GALLONS �5'i3 `,i ` /`L'E`A IIS - - .r .:'T1:Y�S.] iL�;.:Ndt, fi$<5'`a„I r
,UNr1lYSHORIZW ALTERATION OR AQOIFK)N ^ ,., ,.r - ^ ,`-”r m ��.: « ."•�:';°`,s"'-•; :
1 TANK; 8' LONG, 4'-3" WIDE, 6'-T DEEP �1
4, MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 sq ft StDEWALL AREA TQ 7}11S SU[hYEYiS A-VIOLATIONOF ; y,--„ _ -,7 �,, ,,�.`,I,-3 ..�.�\* L..,t +t'
2 POOLS; 6' DEEP, 8' dia. Op -SECITON 7209 OF'`tF1E NEW YORK STATE h �-,:-,-„;�,'�-'} ,J'�;'t F` es"-,
EDUCATION IAAse' z`T'
F.�S'.PROPOSED EXPANSION POOLl'A ry� ry �� - - - n�I ■h■r A. •� i�'7y _
�,. // Oi COPIES•OF.THIS SURVEY MAP_NOT BEARING • - "",. ..,,,,,,,,7.1.I"-,1::,„,„1-,f,', .: }-,;'..y'
Q-�� �^ THE'LAND SURVEYOR'S.;MKED Sal-OR - '2?• e ;`'•;dt '�',`:
®PROPOSED -_ yp� ,6 EMBOSSED,SEAL TB SHALL NOT BE CONSIDERED ' e nd ��\`'' :� - _
E LEACHRIG POOL A VALID - - - '',I--`''''''''''--;.-;;;"
v • .,,;
0p • CERTIFICATIONS INDICATED HEREON SHALL RUN ;xy g
����PROPOSED SEPTIC TANK --.,_.?:4
1.( ONLY TOrtHE PERSON;FOR WHOM TRE SURVEY - - -' I�, ..... ., -•' 1' ^` ,
1 �',.. IS.PREPARE4, DON-HI$ BEHALF TO THE<-_ _ 'ta-,-t-t"c�''.'' ',PC,”I
5 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD t� �J TIRE FOMPANY,GOVERNMENTAL AGENCY`AND Title Sureeys =.,Su'btltVisiogs.` Sfte.PIOr}s' 1�C 7.0,CSi.712. OUt.1`,
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS \ 1'A ^�/ - L$NbMG1tJSTtTUT10N'GST]iDCNEREON.-MJD; - - `,r ^i . „;, -;"`,';';yx_;v->• :}
G `�/ TO-{'HE-ASSIGNEESOF THE 1ENDRF I
.TUTION. CERTIFICATIONS ARE NOT 1T XN9f'EItABL'E. PHONE 631,- 7= U9_d'-' }
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