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ELIZABETH A. NEVILLE ; ®4 ` Town Hall, 53095 Main Road
TOWN CLERK ® % P.O. Box 1179
Southold,tea
REGISTRAR,OF VITAL STATISTICS °�
New York 11971
MARRIAGE OFFICER � Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �®� ��®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. 3000 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 Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0205
Name Of Owner SCHEMBRI HOMES INC
Mailing Address 1 102 SANDPIPER DRIVE
City St Zip RIVERHEAD NY 11901
Property Address 1 RICHMOND LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 86.00 block 1 lot 4.006
Cross Street INDIAN NECK LANE
Building Permit Number cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
11 3026
07
$OFF®`, =; I ; ' ,1
ELIZABETH A.NEVILLE _ t 1 Town Ha11,-5d995 Main Road
TOWN CLERK o P_O. B 1179
REGISTRAR OF VITAL STATISTICS ► - !.. 1!-%
cSbold, Ne York 11971
MARRIAGE OFFICER I �' LD
RECORDS MANAGEMENT OFFICER
`= Q1 'Os',,•' Telephone x(63) 1 765-1800
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: January 2, 2003
Transmitted herewith is a copy of application No. 3121 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schembri Homes,Inc.
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:
Signature r
/ 4 O ora
Dated
•
OFFICE OFT E TOWN CLERK �,,�,•••••••,•
TOWN OF SOUTHOLD ••.'05���0(k�o _
Fr.17nBEl A.rrEvrr.r.F TOWN CLERK +.`�
et",_
-- • Application No.312r
P.O.BOX 1179
ti
SOUTHOLD,NEW YORK 11971 • Construction
• O =Y7i
Alteration
0
Telephone _,f� �� ��• $10.00 - Residential
(631) 765-1800 ��
$25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
A I
?/3)
DATE
APPLICANT NAME: - '
APPLICANT ADDRESS: Da 9M) _ I, , Iia
9a � C)
SEPTIC ✓CESSPOOL L/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
�O
OWNER OF PROPERTY: W h: t4/ /iJC_e
OWNER MAILING ADDRESS: /��
, °'°'vatlio i Ad, y. /190/
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: Perg- S66641142
TAX MAP NO. : Section Wr6 Block L 1 Lot (f
CROSS STREET: /b\)fJ)R'i'.J Aitc4—
BUILDING PERMIT NUMBER CROSS REFERENCE:
4147:,
Signature of Applicant
RECEIVED BY: 1760311.4tA
Town Clerk's Office
DATE: �a..\#110'
it•
i Y..• �i /w -+`M --A-F.- .',^s'.'3,k }xr'V .,r- .. , • _ « - - -, - -- , - .
:3 �g N1 js , , :.. \ NOTES:,( ''" ' ` ''P \ ' 1, ELEVMT1bNS ARE REFERENCED TO AN-ASSUMED DATUM
,. ,•. ;s;;",'.'• 61tISi1NG ELEVATIONS-ARE'SHOWN'TH115: a':
:�▪ ; .r. „r,L, !� -1•A. T OF \\ 2. REFER TO-BLED MAP FOR TEST HOLE DATA.
4'r 'aa t 3 MINBNM SEPTIC TANK CAPACITIES FORA 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
,,,,,,,----F4,y i,',7,-,,,,,r6 \ 1 'TANK: 8' LONG: 4'-3' WIDE, 6'-7""DEEP
. - _ci " L; : " . \ 4. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA
:cr' '...e,;-,. - 't -A 2 POOLS; 6' DEEP. 8' dta
_ , 'RIC
RICHMOND SHORES
j'[�Ij`j"�'RE S AT PECO-[STI C `\ 'PROPOSED EXPANSION POOL
" ;•�•�;_ - - -FILE•Ho:' &873-�f FI,/LEf) `tfN,j01YE4I4BER j20, �979 j� \\ PROPOSED LEACHING POOL
'' ~ , SITUATED AP-
,; - \ �/� PROPOSED SEPTIC TANK
., _L r _ P, �C L
- 5 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
'. I TO YYfN - OUTHO D \ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS,
:z - SUFFOLK 1'`1COUNTY-, fNEWL YORK \
•
: ` S.C. TAX No. 1'000-86-01-4.6 ,s \
Jc , SOALE 1"=40' h� .as sr, N o.,d
'MAY 244 200 •
�D�' <�,
' _ „JULY 24, 2000 RE'VIS1'ED WATER SERVICE 'N 00,, \ i1'�
-=0 F N ��d
AREA 24,766.!#5 sq. ft: �C,
=• i• �' 0,568 0c. ` \
Sr
\ Q rte.]
_ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 0N SO \ \ r-^,i'---- c.) ,;rt
PERMIT FAR APPROVAL OF CONSTRUCTION FOR A �'!/✓/4, \ --I.'..f7 _ -J rri
a.e '� r. F 4 is
SINGLE FAMILY RESIDENCE ONLY J1e "'�'
�* e/- M \ (t % LOT ® � ..
\ 'r �` \ L C] Com,
14.4�� 3 O \ -:=-I:T Cid
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- APPROVED / �, �.
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FOR MAXIMUM OF = LSM$ 3 "�
EXPIRES THREt`.'.YEARS FROM DATE OF APPROVAL 141 a?
Y:. ,• „,„<,..--.:\
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,{ c.� N 79 .� '�1 P !PARED IN ACCORDANCE WITH THE MINIMUM
Q J 'I4 P7 V rAT DARDS FOR TOLE SURVEYS AS ESTABLISHED
L * ,`I� 'oo r. Vy ” Q :�•T E LI SUCH USE AND
Y DAPPROOVED AND
K DT�PTE LAND
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i, - N Y.S. Li F No 45,668
_ UNAUTHORIZED ALTERATION OR ADDITION
_ TO THIS'SURVEY IS A V101ATION OF `
• SECTION 7209 OF THE NEW YORK STATE Q yy ■may'
COPIES
TAW Joseph A'. Ingegno
R=20•00'' COPIES ppF THIS SURVEY MAP NOT BEARING •IM► VV
EMBOSSED EAC SHALL INO,iDBECONS�IDEREO
L��ss7' Surveyor-
j, TO BE A VALID TRUE COPY
Land
- - I - �ry , CODIFICATIONS INDICATED HEREON SHALL RUN
- V ONLY TO ME PMSON FOR WHOM THE SURVEY
IS PREPARED;AND ON.HIS BEHALF TO THE I
` - TIRE COMPANY. GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout 1
_ _ LENDING INSTITUTION LISTED HEE�jREON, AND
` ,�•.j _• - - ��O�.Cj TO
E CERER1T1''IECATIO CERTIFICATIONS TRANSFERABLE1N�IPHONE (631)727-2090 Fox (631)727-1727 j
A 'X THE EXISTENC£,OF RIGHT OF WAYS OOFFICESCES LOCATED AT MAILING ADDRESS
, Fiy AND/OR EASEMENTS OF RECORD,,IF
• `
ANY. NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P 0 Box 1931
RIVERHEAD, New York 11901 Ibverheod, New York 11901-0965
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