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ofFour ®G* ELIZABETH A.NEVILLE ��',,j*® ; Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 y Z Southold New York 11971 REGISTRAR,OF VITAL STATISTICS ' MARRIAGE OFFICER � ,fi � ot, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = "'/Q V S,,. 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. 3024 R Residential x Non-Residential Fee $ 10.00 Septic x cesspool PERMIT ISSUED T0: Name : MICHAEL & DEINSE CHUISANO Address 1: 1009 BARRIE AVENUE City St Zip WANTAGH NY 11793 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 #R10-00-0038 Name Of Owner JARRELL, MARK & DARLENE Mailing Address 1 2 SOUND BAY DRIVE City St Zip LLOYD NECK NY 11743 Property Address 1 1525 SOUNDVIEW ROAD City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 3 lot 17.000 Cross Street RYDER LANDING Building Permit Number Cross Reference: Issue Date: 5/14/03 Elizabeth A. Neville southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE ��i 4y%, Town Hall, 53095 Main Road TOWN CLERK %, P.O. Box 1179 k H Z $ Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS W i MARRIAGE OFFICER o V $ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 44, 40/ Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER = I * i�' southoldtown.northfork.net .' OFFICE OF THE TOWN CLERK ------., �`" TOWN OF SOUTHOLD !-"'` y), , I:, ' '\ • `S, !,; APR 2 O TO: Southold Town Building Department t - , FROM: Linda J. Cooper, Southold Town Clerk's Office sem':''_. __ DATED: April 18, 2003 Transmitted herewith is a copy of application No. 3148 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Michael&Denise Chuisano (contract vendee) /Jarrell(owner) 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ✓/ DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. -4.-"11-4-14,...r.t.s.09--e "r1W,4401-4 /.-• . -e- //et . 7x...417/‘/43 Signature e22 003 Dg,,,,,,,...e ti ' L OFFICE OF THE TOWN CLERK Ot I�/� TOWN OF SOUTHOLD 1��'�Q� �I`pGy Application No. 311 ELIZABETHA NEVIL.LE,TOWN CLERK Construction P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 ` v •• 1,1/; tr) Alteration Telephone ,�� �Q���!� $10.00 - Residential 0/ (516) 765-1801 : �./ •Ir $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 APPLICANT NAME: MIC046„-Z L( APPLICANT ADDRESS: .00A/ '?) ,0-e---k1 L A V_14^)-T61-1 A 117 5.3 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION PDU1 -�`'� 10-1= i��1 e- 1'A»l t , cue ((t L j S Cer-1 c S S LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTER ,TION: OWNER OF PROPERTY: / (� �Q . J ,�..,� t( e6( 019-9t.e",L� JOR4eII OWNER MAILING ADDRESSs: Seo,,JJ re / / cc<<. A • //NS OWNER PROPERTY ADDRESS: / ,2 Svc) j/ Zy Oewhi /57_ TELEPHONE NUMBER OF CONTACT PERSON: ( 6J7 `3_ 701 TAX MAP NO. : Section /S Block 3 Lot I CROSS STREET: Pt On. Liz ti )'" ('f BUILDING PERMIT NUMBER CROSS REFERENCE: r� lb Signature of Applicant RECEIVED BY: ��� Town Cler s Office • RECEIVED DATE: APR 1 8 2003 Southold Town Clerk d t L EXCAVATION INSPECTION REQUIRED T NORTH FACE OF SHALLOW DESIGN \---------_______S ��" 1 /Li- T PROPOSED HOUSE LEACHING SYSTEM 'OR SANITARY SYSTEM ` S8„ F 1 L /j A (3 POOLS, 4' DEEP, 8' DIA.) A� g\ \`\ CI /p T T AS PROPOSED IN OUR BY HEALTH DEPAI TME1�T 1-/ �/G/JJ TECHNICAL RAIN 4 C� �--/VD 30 DATED 5/18/00 TOP OF SANK I GO `�p4Rt-A,7.yam`\\\ j 0 4'48' !�O `^ 20 _ SEPTIC TANK APPROXIMATE MAT BLUFF 6- Q1 " *47.617.„_ `>` > 15 _ (8' LONG, 4'-3" WIDE, } 60' N 29P€VE(EL 13) Rk u 6'-7" DEEP 53•_r ---- - t= —` �\ ¢ 10 .=.- -GROUND WATER 104' WATEREMARKNT IGH ' ZONE 6 0 5 0 — J --� —— _ '6 M 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 �o s z__ BO `t _\ ;� .1:-__-_-=,-=_ = 1TOM OF BANK — N DISTANCE FROM SOUND MEW ROAD PROPERTY LINE (FT) / --_ _-- EXISTING 1a 17^. = N 1 / SEPTIC SYSTEM 1 20- — = _a ___ — — — - . _.. _... . \_ c E� ——'' , ——` ___——__ 2:-_-:-..-_ p proved in accordance with •oard of Review —�L �•� RE.-BARao s OR OF BANK \ O determination dated .2-6 I 2r—.e \ \ a SURVEY OF \ OASTAL ERO»TION H\ZZ�� RE�� NOTES PART 0 LOT 18 1�STAL EROSION HA7�RD LINE TAKEMFROM 1, ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM I TO p 4S_ 0-83�,,,AREp MAP \ \ • EXISTING ELEVATIONS ARE SHOWN THUS-2SLQ MAP OF 22, \ _` EET 21 OF 4q, \ EXISTING CONTOUR LINES ARE SHOWN THUS -——-20— — — lYlli l- ` ORIENT BY THE SEA N . .e \ 1 , 2 MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS ` N. ` ' \ \ 'ry 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP lO o \\ N\�Q�a k \ \ a 16.92 3 MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA SECTION NO 1 C7 \ .y-\'. \ 1 POOL: 12' DEEP. 8' dia.N \ Fit FILE No 2777 FILED NOVEMBER 21, 1957 w W \ 'MET• GUARD Er $ 23— P/0 L0Z >8 \ % �^'L '•� SITUATED AT O I N W — `\ \ \\ \\ .�`` ?\ - - a O k •�w'.�PROPOSED EXPANSION POOL a I O o \\ N\ \ \\ ., . wy \ \\ \\ \ f/lI. \ .\ �'O F PROPOSED LEACHING POOL ORIENT P O I N T 5. C' 24� _ \ Willi ', '�� \ ` a U }; PROPOSED SEPTIC TANK TOWN O r S 0 U T H 0 LD • \ � aL SUFFOLK COUNTY, NEW YORK \ \ > 4, THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD 24.s \-* -0 �\ \ \ \ -18.3 " 41 a, OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. ~i I \ ;��? \ \ I Fxt 0, 5 FLOOD ZONE INFORMATION TAKEN FROM: S.C. TAX No. 1000-15-03-17 • F� S 25— \ A \ c '. ! aim FLOOD INSURANCE RATE MAP'No, 36103C0066 0 I _ 4.4 1 }¢ . 0. I ZONE AE BASE FLOOD ELEVATIONS DETERMINED SCALE 1"=40' —— \ SEF\ \ \ " [.I 1 ZONE VE COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION). SET� �+ BASE FLOOD ELEVATIONS DETERMINED DECEMBER 29, L �6�\ LATH,\� \ `� o ZONE x' AREAS OF 500-YEAR FLOOD, AREAS OF 100-YEAR FLOOD WITH AVERAGE FEBRUARY 1, 2000 LATH OUT PROP H(3U Wk ; & CESSPOOL I -` \ \ o,4w DEPTH OF LESS THAN 1 FOOT OR WITH ORAJNAGE AREAS LESS THAN �Z�,, \ \ \ 2 1 SQUARE MILE,AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD MAY 1, 2000 ADDED ADDITIONAL E }S, WE & S€#fIC \ ,- ZONE X AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN NOVEMBER 13, 2000 ADDED ADDITIGTTA WEALS &,`' PTIC BPDP nHa 1\ \ `" JANUARY 15, 2001 REVISED PROPXSED SE;#?IIC $.'S7TEM I266 2:2 \cr \ g \ \\ \ a E.....................................m........a....rows. O.OCO .�ENAMTS&RE . �OaTIONS.USER./D E7OO/p/¢p JANUARY 10, 2002 REVISED AS PERG)L^E1'ERNTED QT//O2 • F� I " \ _ \• \ 0 PAGE ©Z AREA = 23,674 sq - ('fit O \ 24.3\ . ..".oma 0,543 ac, ... >w r 7i EXISTING N ( \ , ......,._..,..."........+- ..®..� ,(21 - -'{ •-�-. .. WELL I Ni ( 'TM` 60' "SET''�\ J CAVATIREQUIRED �y SIJPI�OL'ic COTINTY'DEPARTMENT OF HEALTH SERVICES �;; Li , ' / >,- .....<1 LATH \ ®N INSPECTION R ORED 'CERTIFIED TO yx I o o \ I FOR SANITARY SYSTEIdI _. -1 i N- PERI 'I�, + : .'"try !;SIAL OP'OO1VS'IRUC CION FORA `r c.�'336.77' z / g . t ak,, 0 ' 'T�� it Tj'.'. „3 : 1 ' COMPANY -tv +1,� TEST HOLE 0. n $15.9 Fo I1 V) DATE ry�� �p j� p� /�/ g� y}� •`��i < N DA1 E.3 - - H- REF.NO. ,I.G o * l5/ti '-W-3 PREPARED IN I, .di I: MINIM P) EDGE OF LAWN / ��wy, „ .. ...-r STANDARDS 33 $ ; D 24,8 ,-�•"`I.NAIN BY THE ,,,,,f, T. c?Ir �v",.:4,. p _ - FOVpfD y ,�� J. FOR S .�, -k E _N 8777".1.1"......"Ty 40W � _ '� {`=-!� .. Trill f •;;� AVERHEAO WIRES �� 1 OO. Q 1 S TEST t. - A.//V�, ✓ ' x Zg �E%' ~Gpr WIRE FSR RAID (;ESI HOLE DUG BY Mc NALD GEOSCIENC��++��yy gg�1�. t� 41`�r ',„ y FENCE TV[� VL'��Ei��O®MS i4 " �f�� . ,R` IY ED �e PAVEMENT EL ?5 8 \\? ` ' • .��- l. NEARSt®M I)ATJE OF APPROVAL A :�3 ' � 5 j S0LT - d' ....... a x24�4/O 2t S �:1�.���.���! f1ROWN LOAMY SILT NL 1 t "3Y 1 LOT ND 0/ �t V C/ R• .: tjr��� u VAC 3 _ ,e •4. y St51i.+ 1 ��-7f r ANT OLAP a �vs , �/' ok,>,. LOT 37 � isO, - BROWN SILTY SAND WITH HEAW GRAVEL SM A,.- - Q VACANT W�1 L 'I UNAUTHORIZED ALTERATION OR ADDITION /j! '� �-r 00' �' Y S. LIC No 49668 T TO THIS SURVEY 15 A VIOLATION OF . ./.-. LOT32 SECTION 7209 f THE NEV YORK STATE LOT 33-- EDUCATION LAW Joseph A. Ingegno 8 VACANT a DWELLING COPIES OF TTryl{11SS SURVEY MAP NOT BEARING �+ �°°M/• S C D.H S REFERENCE No. R10- i6' EME SSE SEAL YOR'S NOT BE CONSIDERED L �`J BROWN FINE TO COARSE SAND SW TO BE A VALID TRUE COPY O EL 5,8 •'Y�~`,' CERTIFICATIONS INDICATED HEREON SHALL RUN , 1 / EXISTING — 20 ONLY TO THE PERSON FOR WHOM THE SURVEY _ IS PREPARED AND ON HIS-BEHALF TO THE ( \ WELL WATER IN BROWN FINE TITLE COMPANY.GOVERNMENTAL AGENCY AND Title Surveys - Subdivisiops - Site Plans - Construction Layout / \ 'EXISTING �• TO COARSE SAND SW LENDING WTI-UPON LISTED HERENN, AND ��-pgop05Ev - t SEPTIC SYSTEM TO THE AssIGNEEs OF THE LENDING INSTI- TUTOOL ION. CERTIFICATIONS ARE NOT TRANSFERABLE, PHONE (631)727-2090 Fax (631)727-1727 • 26' THE EXISTENCE OF RIGHT OF WAYS t\— �PiZO,pO5et7 - OFFICES LOCATED AT MAILING ADDRESS AND/OR'EASEMENTS_OF RECORD, IF 1 5T;Y11G 5Y5tF.M ANY, NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P 0 Box 1931 „' RIVERHEAD, New York 11901 Riverhead, New York 11901,-0965 99-77•