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ELIZABETH A.NEVILLE �� h* 4 Town Hall, 53095 Main Road
TOWN CLERK o • P.O.Box 1179
ti Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ',� Fax(631) 765-6145
MARRIAGE OFFICER ma,L
RECORDS MANAGEMENT OFFICER �_�Q! , ',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. 3108 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ERNEST SCHNEIDER
Address 1: PO BOX 1850
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
_ APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-03-0117
Name of Owner SHCNEIDER, ERNEST & LILLIAN
Mailing Address 1 PO BOX 1850
City St Zip SOUTHOLD NY 11971
Property Address 1 1015 LAKESIDE DRIVE NORTH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 90.00 block 4 lot 5.000 `
Cross Street OAKWOOD DRIVE
Building Permit Number cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
41111
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ELIZABETH A.NEVILLE �� 0 * Town Hall, 53095 Main Road
TOWN CLERK % o - P.O.Box 1179
H = Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS
MARRIAGE OFFICER `\ 1,iL ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/el . ,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
OCT p 6 2003
TO: ' 'Southold Town Building Department
FROM: .Linda J. Cooper, Southold Town Clerk's Office
DATED: October 16, 2003
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3246 for a Cesspool/Septic Tank Construction
Permit submitted by:
Ernest H. Schneider
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Signature
9;e. s�
Dated
,% SUff04
ELIZABETH A.NEVILLE ���°�° �y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Vt.) ,�� Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER � �f V 11 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = *rr ,,." southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @ $25 Application No. 3c?
Permit No.
Applicant Name FRX&3 i (`ril/ -1 C)E7
Applicant Mailing Address ,?Or 13OX
So t- T�/-6 L D, \S y C c a 7
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration /1/2FW / f. 44 Ly
Location of Proposed Construction/Alteration:
Owner of Prop ertytiV& T -L I L L I (3-NOr
Owner Mailing Ades es:: f$ LCO
,_cocer-bi �� , �i )i ,
Owner Property Address: /U /S L-ThA'ES l , 0%
SO•tct-Ifo L v I j.1.\� 14-7
Name and phone number of contact person ERA/C3 T- Sii,VL=I b A. 73 Y-S 6 S 3
Tax Map No: Section 90 Block Lot •5--
Cross
Cross Street ®Ca[,4 b/1—
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEAL H DEPARTMENT APPROVAL
De
gnature of icant a
Received by: 1 ,�
_.. o r
` J•
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO Tfi-PERSON FOR WHOM THE SURVEY O �� SURVEY OF
i
'IS /%�EPARED, AND ON HIS BEHALF TO THE �/ LOTS P/O 74, 75& P/O 76
♦- TITLE COMPANY; GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, AND t _
TO THE ASSIGNEES OF THE LENDING INSTITUTION. /Nr��� f�/r'14�II
GUARANTEES ARE NOT TRANSFERABLE TO O ��i _tS CFO), , /� ®� �E.�
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS MAP OF CEDAR BEACH PARK to �: i}_r W L��1��'J 1 /�� /-
UNAUTHORIZED ALTERATION OR ADDITION TO THIS ' 4 y r® `,
Sl TU TE �� t`3'9 •
THE NEW YORK SSURVEY IS A TATEN OF SEC7TON EDUCATION LAW.7209 OF / FD ��Q3 �i11 ` q AI l' 3 8 !, • A,; 'A t+
l
A. cM BA YVIE W, % IVI '' 73 to i
COPIES OF THIS SURVEY MAP NOT BEARING %/T\ TOWN OF SOU THOLD %%- "4 = 1
THE LAND SURVEYORS EMBOSSED SEAL SHALL \� ` SUFFOLK COUNTY N. Y •Vy� �/ �I,
NOT COPYBE CONSIDERED TO BE A VALID TRUE \V �(, FD N ` �. X52 •�
o�si�`\ CM �9��E��S10�N��/
O (``�``/ FM # 90
Q� /° FILED DEC. 20, 1927
TEST HOLE DATA e�P�/ ^.'
PERFORMED BY McDONALD GEOSCIENCE �I\. W
24 MAY, 2001 �/ , (\ TEST P/O LOT 74
L
r-EXIST GRADE 7.0 V \ fr HOLE
1. DARK BROWN SANDY LOAM OL O O cV N ;; N •3° 38'' /1„ w ` —9
BROWN LOAMY SAND SM SOP D \`• N\ 1 � I I
4' \• \ Cd 8X45'DECK
BROWN FINE SAND SP ?). - `N \ N SECOND LEVE CO 288.
6''BROWN FINE TO COARSE SAND SW \P JP N A ��\ EA j rc,7 .;cP`/�-�� `=0 9' ea
\
70
41
WATER IN BROWN FINE TO COARSE SAND SW Q �` \ ♦ -.\� 'C\ i� X0,0\ - P/O o �I
° �` \\ • �o4 1\ 2 �Fo o LOT 74 `�
13' /\ ,p ��9j1 \�i `ST0/P0 v,_ BALCONY
//AA ' A O2'�S OPG \\:- \‹.../3
o F r o �9s'���A %_ SECOND LEVEL 132.8' /\ '
FOR SCDHS USE ONLY � P�� �Gs L �_ FBF r �`�'%
o ;--
0„,
ti l
5 �`V
�� 0 �, \. N 0, c'sFo\ ,s = R.R.77E I
2'� \0!�` l�\G \ I- ee- OOF 'ETA77/EN
ING WALL
___ N 6' 0 \;� F '��, DRAINSPROPOSED
I CSL
SEPTIC
[� F �gP�� �, N pR�VEW \ —$- TANK
P-1 / N ���.s\�\G • �1 N L 0 T 7 PROPOSED iE
�� g ol -s' /— Fj 1� G� }, N_— — EXPANSION � i
• T ' 10/0-090-04-05
�, 'L 0 \ u, PROPOSED fC i
' •; ,•., 0° s' F.� O O so- \ U P CESSPOOLS i Pi
eta 4 �, c�caa.<,, 5 , C\ \ G ARTA=_ 4' 59s ; _ 5
- . s 1 ``Y.� 8 taz, 0 56 ov-\GP `� 13:� A 'ES W
BUFFER /
f p J cP\I .\ ''P'61 (PR•'OSEe) / v �(�
ticp 6 \I ZONED R-40
"" ''i -t ) ALL LANDS SHOWN HEREON ARE 0 � lo ul
4 1929ATION SHOWN ARE IN
<, � rz FLOOD ZONE AE (EL. 8 ) AS PER •
/j �'q /i'
} ? FEMA MAP # 36103C0167G NUMBER ycy .0 J EGO
.
f ;;i cc 360813 DATED MAY 4, 1998 // �,
L ;Y'!!k.'a ______-
1_, D USE
-
> j �� SURVEYED 7 MAY 2001
I - ___ �,., GUARANTEED TO BY R
; ' fir: o 2 WATER
ccza , .-11' • y.1 ERNEST SCHNEIDER UPDATED 10 JUNE 2003
eiCOMMONWEALTH LAND TITLE INS. CO. �O
F° SCALE 1"=40'
I ' ,,o'_ ,? co PLEASANT INLET
r SURVEYED BY
a o .' �j FIRST FL EL. 176 STANLEY 294 AKSEN, JR.
I �K �� 111 NEW /FFOLK N Y 11956
L. GRADE EL. 8 I HEREBY CE •AT THE WATER SUPPLY(S) AND/OR SEWAGE DISPOSAL
r < INV. INV INV SYSTEMS FO' THIS P'OJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION 631- -34-5835
0`' - _ 8 0 E'75 6 e� BASED UPO A CARE L • ' THROUGH STUDY OF THE SOIL,SITE AND GROUND j
"- WATER CON, TIONS, AL OTS PROPOSED CONFORM TO THE SUFFOLK COUNTY \'fr j 4%.1//
DEPARTMENT 'F HEAL A SERVICE" CONSTRUCTION STANDARDS IN EFFECT AS OF i..•f� - //SEPTIC 1000 ATANKCESSPOOLS (5) 8'Oro. THIS DATE �— �'
KENS I AND UR • OR
- HIGHEST EXPECTED "' NYS LII NI. 49273.'
GROUND "• o t 'JI R,PE
11 ODART BARY ROAD ,
• 1 OLD,NY 11971
6J7-765-295 01 C 1009R 12