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HomeMy WebLinkAboutSchneider 0 O 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 %SUFFot� -; 3w � C®G 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