HomeMy WebLinkAboutPeyton •
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ELIZABETH A.NEVILLE 1�� Town Hall, 53095 Main Road
TOWN CLERK % ® - P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS n
Southold, New York 11971
MARRIAGE OFFICER efo � ���, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � ®1 1+;,...� Fax
(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. 2983 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PHIL RAPPA CONSTRUCTION INC
Address 1: BOX 1264
City St Zip QUOGUE NY 11959
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 #R10-02-0214
Name Of Owner PEYTON, THOMAS
Mailing Address 1 83 ACORN CIRCLE APT 4
City St Zip EAST MORICHES NY 11955
Property Address 1 STRATMORS ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 21.00 block 1 lot 9.000
Cross Street ROCKY POINT ROAD
Building Permit Number cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Y
o
ELIZABETH A. NEVILLE / G*
/ .7 _A; Town Hall, 53095 Main Road
TOWN CLERK o 1 % P.O. Box 1179
_ % Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS t t
MARRIAGE OFFICER ������ Fax(631) 765-6145 "
RECORDS MANAGEMENT OFFICER =,_�®1 ��® 1� Telephone (631) 765-1800
FREEDOM OF I�TFQ'R � r FICER _, �,,r���' southoldtown.northfork.net
V j -JiJWJTT /
i';; _� 0" ?n(j�; i; 1 t)I OFFICE OF THE TOWN CLERK
''-i . �� 20�� TOWN OF SOUTHOLD
-- Tcii-r. _---,--_. , 1
1__".."___TO::+ , •F "S,outhold. own Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No.3104 for a Cesspool/Septic Tank Construction Permit
submitted by:
Gregory Nodaros/Tom Peyton
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: P
APPROVE �`
DISAPPROVE
Comments: _ -4-7-r7-" ,..A,,i....., ' .1-61x`f-(-t-41 .. A, 4440.,
- -71/-7 ‘ .1/ ' '‘fr-L1-, rrZetie&Z
Signature \ Z4
4/2-a/4—
Dated '` '
OFFICE OF THE TOWN CLERK ,'.'
TOWN OF SOUTHOLD ,`,1'.
�cJuFFOLK�Qi Application No. 31641
ELIZABETH A.NEVI LB,TOWN CLERK ' 0 '�1
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 A T
N Alteration
Telephone \y*:" ire,*, . $10.00 -Residential 04--
(631) 765-1800 =y�1 0,0' $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL •
Permit No.
Fee .$
DATE CZ-(240 2
APPLICANT NAME: NIL ?-P 9M- CcASSI l►+VC,
APPLICANT ADDRESS: l26
QLx .L &J-L1 . 119 s59
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
rN`r.)-0 °n�- S P.&1. s c S'S7Lv►l
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTE ATION: -1-6Yn '`c,(771h •
. OWNER OF PROPERTY: CGiLckb' l Pop Pel`.O S lJ pW Gee. +0103
OWNER MAILING ADDRESS: 23 AC W �,,(Le, - 4
E . tEntacyu.t kj..Lj . 1(15c
OWNER PROPERTY ADDRESS: SfliliCt_
TELEPHONE NUMBER OF CONTACT PERSON: 'HlL. meek 4 -V
TAX MAP NO. : Section 21 Block Ol Lot Oct
CROSS STREET: Roc..
BUILDING PERMIT NUMBER CROSS REFERENCE: .
S ature of Applicant
RECEIVED BY:f
T.w Clerk's Office
DATE: •
a 1
SURVEY OF •
LOT 4
MAP OF
aL�% e- FSLSTRATMORS3 ' FEESTATES
SR Aio Eiss
`% 4 1� SITUATED AT
pW u,� 195.10' :aN O EAST MARION
. shy *ELL of Los -�.,�zz , `,;� • �,0. �' SUFFOLK TOWN
COUNTYOF U,U NEW YORK
•
, L y ' ,in 14 44'p0" E - `L u_ S.C. TAX No. 1000-21-01 -09
N i�'N• .f SCALE 1"=40'
' _ -� o
_, - — E- 1 ;a OCTOBER 3, 2002
liknol
p 2 si80. •
3191 -
AREA = 20,588.64 sq. ft.
' - _-___ , 0.473 ac.
--•::•:-11.11._:._. �, N
11111166-
50.
\ 1 111_:_:::;_t ri.1 .
0, ® ;=_.... = ; 1::: a . -
< LOT ::::::::::::::---------7::::::--1-0::::::::::::::::-......_ - -•--y .
O r - - ii '/,/' NO < NOTES:
.�.3 •. i % ELEVATIONS ARE SHOWN THUS:MX
/� �_ O 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
1.1 G 5�1 • -/ v ('1 .- 2. REFER TO EXISTING
ILED SLAP FORTEST HOLE DATA.
(^/ e H . 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS.
DEEP
`� v i E 4. WIMU Y LEACHING 4SYSTEM FOR A 1•TO 4 BEDROOM HOUSE IS 300 sq ft SLDEWALL AREA.
J • 23 I
d-- A 1 POOL; 12' DEEP, 6' Na.
FOUND f . 0 poOL
•n OM DRAM 4 `4 (�y PROPOSm EXPANSION POOL
1 131
53"2 li _ _ - . - • 80.00 •.•. PROPOSED LEACHING Pool
4 .
PROPOSED SEPTIC TANK
FOUND pVERHEAD WIRES „ W traurf P f1 v.,...—- 41111111111111111b" a _ ` . p00L
--UilLiTy S 8D5 a40 _ ' �' •
Yy 11.—DRAIN
_ .3.-...POOL 5. O LOCATION
VATO Ns A�irc/WELLS AND DATA OBTAINEDuFROM OTHERS.SHOWN EON ARE FRON FIELD
a - - O R,S R,O A �,�
• �TRAT SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
1PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
• SINGLE FAMILY RESIDENCE ONLY oo CO
• LOT O m-
Q��^, OWEWNG DATE�2-✓ H.S. REF. No �l4 V� ��/� PREPARED IN •+x ITHE �7
(•- i ... -�•. L s-7 ,{ �r 'STA 1 ....
LOT ( f t.►1•. a
D1pE11�N $ of i APPROVED / r i / 3 �\i.Ji ' ��;—��
( *REAR� A D) -� 1�--� . ,� e et Rk.1 10,,j-F s- mi. C"—
(' I FOR MAXIMUM OF 00MB ,s� �`�
l.f.r 1�1
' f EXPIRES THREE YEARS FR M DATE OF APPROVAL �i :� ,¢
EXCAVATION INSPECTION R
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,ci \ 3� `/ ' '�` `�'
# FOR SANITARY SYSTEM�UI�Ep � 7.611r
/J . ;
BY HEAL tri:.•_ ire;} da,_ }'��LA,,. �� "' NY•N, 1ifl, $,
,�.:_,+
TD TH6 B A -,r ..
sEETICS THE NEW YORK STATE
CARON LOC
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vL EMBOSSED
UEKIT IllE 0016fOERD Ldcarve r TOBA MI o TRUE COPY.
CERTWO.TIONS atDIGLTED HEREON SHALL RUN
ONLY 10 THE PERSON FOR.W►IOI INE SURVEY
- - rS PREPARED.AND Oi, HTWF TOTHE- _ - - TTLREQ-COMPANY.QO > AL AGENCY AND rue Surveys — Subdivisions — Site Plana — Qvmtr+�Uon Layout
TO THEA 0 1HE HERM.NC
LEIPNN D _
MON.CER8t1EATIONS ARE + E PHONE (631)727-2090 Fox (331)727-1727
nit EIgSTlatt;E OF RIGHT OF WAYS IF O LOWED AT WILING ADDRESS
ANY. HOT ARE NOE GGUAARA FEED . 1380 ROANQKE AVENUE - P.O. Box 1931
RIVERHEAD, Nes York 11901 Rlvertleod, Now York 11901-0965