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ELIZABETH A.NEVILLE �� ®�� Town Hall, 53095 Main Road
TOWN CLERK A I CA P.O. Box 1179
REGISTRAR OF VITAL STATISTICS PTV
Southold, New York 11971
MARRIAGE OFFICER ® Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `--�®1 �� •I° 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. 2965 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GRANDPARK HOLDING CORP
Address 1: PO BOX 1431
City St Zip MATTITUCK NY 11952
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 #R10-02-0095
Name Of Owner GRANDPARK HOLDING CORP
Mailing Address 1 PO BOX 1731
City St Zip MATTITUCK NY 11952
Property Address 1 1640 GRANDVIEW DRIVE
City St Zip ORIENT NY 11957
Tax Map No. , section 14.00 block 2 lot 3.014
Cross Street OLD MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE t�h`Z` 'y� Town Hall, 53095 Main Road
TOWN CLERK ® - % P.O. Box 1179
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REGISTRAR,OF VITAL STATISTICS % Southold, New York 11971
MARRIAGE OFFICER `� sfe .����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__�Ql -0 0 Telephone (631) 765-1800
FREEDOM OF INFORMATI.O1 OFFICER r� southoldtown.northfork.net
�` ry �� OFFICE OF THE TOWN CLERK
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4,, 4 S„, ``' TOWN OF SOUTHOLD
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T): _ ,`--S,uth&ld-Fo vn Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 9, 2002
Transmitted herewith is a copy of application No. 3089 for a Cesspool/Septic Tank Construction
Permit submitted by:
GrandPark Holding Corp
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:
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Signature
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OFFICE OF THE TOWN CLERK ,il' q
TOWN OF SOUTHOLD CLERK ����Os�FFil(x�+Ql/ Application No. -1051
I
ELIZABETH A.NEVILLE,TOWN
P.O.BOX 1179 % 0....W • !� Construction
SOUTHOLD,NEW YORK 11971 : o T t .
Alteration j
Telephone •
O,y skirl',, •• ,10.00 -Residential
(63t) 765-1800 0l. �,,''' $25.00 -Non-Residential
....+00'
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE Va ° 2.
APPLICANT, NAME: CP1JOPfI( 14,Diii6r C of P-
APPLICANT ADDRESS: ( 3O.0 iVlieh.ij Ra. p c, Owls 14131
PI4Gx, iv y 11 ?o'a
SEPTIC CESSPOOL K
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATIONi t J I (SRL
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIOffl OR ALTERATION:
OWNER OF PROPERTY: (A0 �C, (. LAI G o
�R � D �P
OWNER MAILING ADDRESS: f 2OD hqt U i O Po, � Ice,m_di ct (-4 ( os,
OWNER PROPERTY ADDRESSC` vfe_44f OA
bJ r6 _eta- 0 I"-
TELEPHONE NUMBER OF CONTACTIPERSON: C31- P3i -5-03Y
TAX MAP NO. : Section Block 4#11.-
- Lot Q 03,
i Lt
CROSS STREET: LJ tvicw, Ro.4
BUILDING PERMIT NUMBER CROSS REFERENCE: .
` Signa ure of Applicant .
RECEIVED BY7051)4V\ .
ITown Clerk's Office
DATE: I e1(01 •
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SURVEY OF
L ON \
LOT ��
G /N -�
SSL ND SUBDIVISION MAP OF
SOUND
GRAND VIEW ESTATES �' ''l`
SI TUA TE `.
H W L N� OR/EN T
THIS TOWN OF SOUTHOLD
6 — DATE
_ SUFFOLK COUNTY, N. Y.
b
t
— — SURVEYED FOR GRANDPARK HOLDING CORP.
sF
:EACH -
S 430 07' '0» E cR4vE_
o 7JO.0'
SURVEYED 27 DECEMBER, 1999
N 12
2 - 0 0 SLOPE SCALE 1"=40'
,-, AREA= 40,650 SF
`- 0.9332 ACRES
3CL --18 O
TOP ` -------24._-______ N
OF 6 -�2�
L \ \
/ ---30 ELEVATIONS ARE IN 1929NVGD
`3 ' BM U325-1943 EL. 8.28
rsTAL ER� ON yAZ -----64---5S PROP / � LINE \ TM 1000-014-02-03.14
CESSPOOL o / ~ FM # 7083
LOT 10 `/ / FILED JUN 8, 1982
ZONED R40
c 5'
PROPOSED LOT 12 GUARANTEED TO
/ PROPOSED \ CESSPOOL
/ EXPANSION i\\ \; \ J_ RESIDENCE GRANDPARK HOLDING CORP
_i _C- \PRil'I►SEO TIDAL WA VES ABSTRACT CO.
PROPOSED (N--\ - CES '/OL CESSPOOL
/ 7 SEPTIC _i\ i,�
TANK \_�
I 31 2'
fPROPOSED \`'� z
4 BEDROOM •
o 73 >
\ d, WOOD FR AME •
W 1I TES I RES. PROP. w
3 CAR PROP.
HOLE \ . GARAGE 3 {--
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25 --- _ DRIVE AY • - z D
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Op ---_ — 34
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__ _ O/ -- i �8PROPOSED24— -_>° O 26
WELL 22--- �_ 24
sETKE 43, 22
O0' w 20
�__-_- / • '150'-1-TO WELL -
CONC CURB (MOUNTAB_E)—�_ 7 :,p'
+- Oil 4. ,0 .........._ . ..,.,
L 1 n / r 5. 1-, ,,,,‘-',p..-
+ / VD ��Cr / T/E 136 4i ( i '� tk
Ilk 73
ENGINEER'S 1200 GAL. SEPTIC TANK & " �='=' $ z
i C CERTIF
CATION REQUIRE®' FIRST a EL 37 TWO 12' DEEP 600SF SIDE WALL POOLS `��pp NO. 052 � 1'.
µERTIFICATION & ONE EXPANSION POOL 9CFFSSlON�1
FOR INSTALLATION AND CONSTRUCTION GRADE EL. 33 0 �ri0i m
C CYST('
f INV INV INV. IINV
OF J W/OS 6•S: f�1 S f�6 r ? t� p.1.��� 29 28 27.5 27 3' COLLAR OF
CD
FOR FIfYRL ApPROVAiq• •1 l -1--- 12. B DI? SAND & GRAVEL
L 1200 GAL. J I TYP
SEPTIC TANK SAND & r.
GRAVEL SAND & 3•
• •• _ GRAVEL GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
EXCAVATIGN tNSPFOTtEs'N FCEQU1RE0' AND & GRAVEL IS PREPARED, AND ON HIS BEHALF TO THE
SYSTEM YS 10 0/A GROUND WATER TITLE COMPANY, GOVERNMENTAL AGENCY,
F--,15RSAS�ITe SANITARY S.rY EL. 12,0 LENDING INSTITUTION, IF LISTED HEREON, AND
BY HEALTH DEPARTMENT EL -300 TO THE ASSIGNEES OF THE LENDING INSTITUTION
GUARANTEES ARE NOT TRANSFERABLE TO
c�
SUFFOLK ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
i 3FF L COUNTY DEP..R714EN i.OF HEALTH SER VIC
•;) O NC TE REMOVE ALL UNSUITABLE MATERIAL TO AN ELEVATION OF 24 UNAUTHORIZED ALTERATION OR ADDITION TO THIS
fliiT �� 3;ie�^� � ���.rr�r5 3 BS
CKF/LL WITH SAND& GRAVEL PROVIDE A 3'-0" COLLAR OF SURVEY IS A VIOLATION OF SECTION 7209 OF
,t •+��rr� �-g'- .i UCT O�T�+�9 Sf NO & GRAVEL AROUND BOTH LEACHING POOLS THE NEW YORK STATE EDUCATION LAW
JUL ; 1`,T,G LE20UA P4 7..1 E'P SEDE.NCE ONLY TEST HOLE DATA
BYNOONALD DEDSCOICEII MAY,2001 Sanitary system designed by COPIES OF THIS SURVEY MAP NOT BEARING
A n d+,�'� �-R I V -0 , SCI (Yj DOSING EL 7x0 Joseph Fischet b, PE, THE LAND SURVEYORS EMBOSSED SEAL SHALL
zQ I K BROM SANDY LOAN AL 1725 Hobart Rd NOT BE CONSIDERED TO BE A VALID TRUE
AY d'i�0 "i� /5..�• , -A ``., -C —2' Southold, NY 11971 COPY
PALE BROWN FINE 631-765-2954
TO COARSE SAND SW
FOR MAXIMUM Ia OF 4 BEDROOMS vvi 7'
BROWN SILT SURVEYED BY
EXPIRES TIME YEARS FROM DATE OF APPROVAY,o AND SANDY SILT ML
—21' WATER IN BROWN SILT STANLEY J. 1SAKSEN, JR.
AND SANDY SILT ML P.O. BOX 294
57' NE SUFFOLK NY 11
WATER IN BROWN FINE 6311-734-5835
TO COARSE SAND SW
63' /
NOTE: 1. 21 JUNE, 2001 REVISE SANITARTY TO 1 CESSPOOL /�X��/‘fi ,11101, i fr
- /
W/ SAND TO EL. -30 BOTTOM. LICE FED LAND .TRVEYOR
4 2. 27 MARCH, 2002 REVISE PROP. FOOTPRINT & LOC. NYS IC. NO. 4' '73
3 23 APRIL, 2002 REVISE WELL & SANITARY LOC. {-
I-
§ 4. 17 JUNE, 2002 REVISE SANITARY •
0
01C11008