HomeMy WebLinkAboutSchembri II,,il% FFO`�e
ELIZABETH A.NEVILLE /� •`'®V�• Town Hall, 53095 Main Road
TOWN CLERK ® , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS es* Southold, New York 11971
MARRIAGE OFFICER t ' � ���� Fax(631) 765-6145
41,
RECORDS MANAGEMENT OFFICER � ®i ®iii 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. 2987 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1: 102 SANDPIPER DRIVE
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alterati-on
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0185
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 102 SANDPIPER DRIVE
City St Zip RIVERHEAD NY 11901
Property Address 1 SEAWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 7 lot 3.000
Cross Street NORTH BAYVIEW ROAD
Building Permit Number cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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-ELIZABETH A.NEVILLE ���0 G*� Town Hall, 53095 Main Road
TOWN CLERK % d - P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v'
MARRIAGE OFFICER ;o1iiL ����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � �Q �at)•i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
.,, ,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 26, 2002
Transmitted herewith is a copy of application No. 3108 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: I /
APPROVE
DISAPPROVE
Comments: 14(
2Vh
Signature
Dated
.ti
+`y ■
a OFFICE OFT HE TOWN CLERK ��,,, ,••••• •,,�.
• TOWN OF SOUTHOLD ,";'�c..gfairp,
FTT7ABETHA NEVILLE,TOWN CLERK �� �=. • Application No.
44
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 Construction
cry Alteration
Telephone - �,f •f�ot• $10.00 - Residential
P
(63-1) 765-1800 '_tpi `�e
.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 / >10. ?�
APPLICANT NAME: C ` CA .b7-"'3
r
APPLICANT ADDRESS: d
SEPTIC CESSPOOL
DESCRIPTION OF PR PO-SED CONSTRUCTION OR ALTERATION
P e2
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS RUCTION OR ALTER ',TION:
OWNER OF PROPERTY: Gam 41;
OWNER MAILING ADDRESS: `O49--t.. �l`/4-1.) -/
Ammer
OWNER PROPERTY ADDRESS: 'pah L ^ ,�d t% 49J 3
TELEPHONE NUMBER OF CONTACT��ERSON: 727 '9/17
0-2
TAX MAP NO. : Section `V U(1 Block
Lot
CROSS STREET: VP ° , •
BUILDING PERMIT NUMBER CROYS REFEREN : :
it •
Sign` , re :f Applicant
RECEIVED BY: v)
Town Clerk's Office
DATE: / d..- 02.6,
REV
02
12/06/02
JOB No. 02-39 MOVE SEEPTIC LO 9 WELL TAX I.D.No. 1000-79-07-63
/ y
TEST HOLE 8/30/02 t1,'it;.~ tr1,
[GEOSCIENCE] NOTES: y{ f,-.'A, f :rt.
1]3 LEACHING RINGS 4'IN HEIGHT[12'TOTAL HEIGHT] L IJL2 L`r )
SURFACE ELEV 80.0 BOTTOM POOL 83.5,TOP COVER 96.0'[0.5'COVER] `L - r�
OL n 11111
1, BROWN LOAM GRADE ABOVE POOLS 97.0 . 6 ! )Fr f 2 ,n
BROWN CLAYEY SANG 2]1TOP OF'COLLAR SEPTIC TANKDE 97 96.2 TOP COVER 96.7 f! ) �_), �j u
wrfr12096 GRAVEL Ssc C 2.4 3]UNSUITABLE SOILS SHALL BE REMOVED AND REPLACED /,� I�r PIAS r_7H C, 'rJj'
WATER IN BROWN CLAYEY SAND
WITH 20%GRAVEL Tc I
3' WITH SAND AND GRAVEL ACCEPTABLE TO THE S.C.HEALTH )�t)r s _
DEPT BEFORE BACKFILLING. _.�'
SW
5]PROPOSED ELEVATIONS SHOWN AS [97.0]
+� .f I
WATER IN FINE TO COURSE SAND 6]WATER AT ELEV+/-77.5
LOT 55
. TVA ANT N . CA -ct \,/) i
PLEASE NOTE ROUND 14 f
G J
ppC1(ETS OF w�j05102] iLirx ,
pm--
it app, s p IN TH1S AREAS [ �; 1
°�Z �i�,rr mao:aq ��`,, p�I(���� Fi Is
Maintain` � ..
7 ''C'S \ � �, .
'S:4 .'�Y<ny,�s�,v:G:.tJ iE.:.ti,�3� i�� �
between. all .iw.3..t°z v z,14y1:,-iy '.'.�':x.i cs,'9E-iwA., ;® (, / < f a Q,
disposal facilities. o
.....:_ . , �_,' N 21°33'20"E 104.73 i
1 TEST HOLE
"� r..,X JH
faa
.. .: O
62 W Ca)
, ,.%,
. .: iii g C! ca, 40
CV GI 111 °I
cs�. •
PROPOSED SINGLE Zc.
FA • e A LLING m N t ,, Ate.,
014
n.) li
FF 99.5 fo
l'
al
GAR 98.0
z
O
97.0] [97.0 =
„TAX Lor 64
f PROPO DPU iMill —"61.1111. --____/q'' CO
LIC WAT � � D
ER] ` R/fm ` I , MI
IN
ASP � I <m
TAX LOT 62 C
./ OCC RES WELL• X
•
BA.KETBALL, Im [PROPOSED PUBLIC WAT R] 0
BAIK 11 cool
�, 36°45'30"W \� ss z TIE 887.81' 0 ,
52.4Q,
sss z 1 s 32°04'10'W .94'
I 0
00 I 4
98.6
c '�
- - ,. AWOOpPUBLIC DRI N
I 50' j
EDGE PVPROPOSED WATE-•]
00
N
WELL
•
O LOT9
RES WELL TAX LOT 8
I WELL IN HOUSE NE COR] OCC RES WELL
•
ALL DISTANCES TO WELLS AND CESSPOOLS
ELEVATIONS IN ASSUMED DATUM ARE BY •LOCATIONS FROM HOMEOWNERS,
HELD OBSERVATIONS, AND EXISTING
FLOOD ZONE X
FIRM MAP No.36103C0167G SURVEYS. SINCE MOST ARE NOT VISIBLE
THESE DIMENSIONS ARE NOT CERTIFIED.
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law SURVEY OF:
Certifications indicated hereon shall run only to the person for whom it is prepared DESCRIBED PROPERTY
and on his behalf to the Title Company,Govemmental Agency and Lending
Institutions listed hereon,and to the assignees of the Lending Institution or
subsequent owners SITUATED AT BAYVIEW TOWN OF SOUTHOLD
Copies of this document not bearing the professional's inked seal or embossed
OV NES seal shall not be considered a valid true copy
�Q.� YO The offsets[ or dimensions]shown hereon from structures to the property SUFFOLK COUNTY NEW YORK
' 4 for a specific purpose and use and therefore are not intended to guide the erection of r
y DESTIN G.GRAF fences,retaining walls,pools,patios,planting areas,addition to buildings,or any other
construction
:Ai The wdstence of nght of ways and/or easements of record,if any,not shown are SURVEY DATE: 08/22/02 SCALE: 1'1=30'
r• not guaranteed.
;`''"` CERTIFIED ONLY TO:• a`: _
pE', - SCHEMBRI HOMES DESTIN n r'`'
!� i440 NSE '050067 G. GRAF _t
p� 4° LAND SURVEYOIT, ' .' -;..;�
-_; c--�
SSIOiV' POBOX 704 cny �7t 5
Rocky Point,New York,11
,..„1 "s`r"t
631-821.3442 :r--w —/ a2•-
--iCr) _-. C y ri
• By DESTIN G. GRAF N.Y.S. LIC NO.50067 :) r,� ."-k
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