HomeMy WebLinkAboutChirco ,° SigFOLIC
ELIZABETH A.NEVILLE / y ; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
�y, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `®� ��,,� Fax (631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER ;'7®1 ® � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,9' 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. 2846 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CHARLES P BORDSON
Address 1 : PO BOX 236
City St Zip MATTITUCK NY 11952
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 #R10-02-0061
Name Of Owner CH I RCO, ROSEMARY
Mailing Address 1 358 CLUBHOUSE DRIVE
City St Zip PATCHOGUE NY 11772
Property Address 1 800 RUTH ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 5 lot 30.000
Cross Street LUTHERS ROAD
Building Permit Number Cross Reference:
Issue Date: 7/23/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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• ELIZABETH A.NEVILLE ,t�4� 6,4�; Town Hall, 53095 Main Road
•
TOWN CLERK % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �
Southold, New York 11971
11 Fax (631) 765-6145
MARRIAGE OFFICERT O ` �' ®�or Telephone (631) 765 1800
1Q1;:F I
.RECORDS MANAGEMENT
6NF if,MATaON'OFFICER 711' southoldtown.northfork.net
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, JUL - 2 2002: j Li OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Depaitinent
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 2, 2002
Transmitted herewith is a copy of application No. 2951 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Charles P. Bordson Custom Homes Inc for Rosemary Chirco
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.s7z,,,,;(4.(4,27114
0�
Signature
497 ,9 ®�-
Dated
' ILII/IIL.,.y,i
, 'OFFICE OF THE TOWN CLERK ;11 'CAV Writ
TOWN OF SOUTHOLD �6 % ` �l G % Application No.c29Si
ELIZABETH A.NEVI'.I.F,TOWN CLERK 0 t€4.1
P.O.BOX 1179 ; Z .�G• .. Construction 4/
SOUTHOLD,NEW YORK 11971 ; O • T ;
• tri Alteration
Telephone :!�''Dij' Qr..e' $10.00 - Residential X....,_.(516) 765-1801 _ ?1 0� ' $25.00 -Non-Residential
_
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7/2/6��
APPLICANT NAME: _C ,, ‘._g_Q, I6CSQd CICS (Y\ k6LD
APPLICANT ADDRESS: ?c )1Q - a3 Cp 1-re"
‘cvA-LJ,QL • 1-\q Q-,
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:.
• OWNER OF PROPERTY: 9,5 e---,-ZirY CIA-1-51L0
OWNER MAILING ADDRESS: 333 C UA:_t_o_e_
i.t. NV J 079_,
OWNER PROPERTY ADDRESS: f)- 7 G( ?oQ
rn iq 7-7
TELEPHONE NUMBER OF CONTACT PERSON: Com 1 - 1 a - lac\
TAX MAP NO. : Section 10 (0 Block p c Lot 3`�
CROSS GSTREET: t.-`-lc Q- oc=z4 / LL-L`--4-___Q-crS _c,c=A,
BUILDING PERMIT NUMBER CROSS REFERENCE:
QA\92_,a...2,,,
Signature of Applicant
RECEIVED BY: t `� ����'/
T• n Clerk s Office
DATE: 2 ; d`
4' 'L• -......
y, .
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+ �•
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. t SURVEY OF PROPERTY
SITUATED AT
TEST HOLE DATA MATTITUCK
S'U13DIV�SIGN MAP OF (TEST HOLE DUG BY McDONALD GEOSCIENCE ON FEBRUARY 21, 2002) TOWN O F SOUTH O LD
"CAPTAIN IDD ESTATES" SUFFOLK COUNTY, NEW YORK
=LOCK >5 •
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FILED IN THE OFFICE 0 THE CLERK OF SUFFOLK COUNTY S.C. TAX No. 1000-106-05-30
ON JANUARY 1 1949 AS-FILE No. 1672 SCALE 1"=30'
LOT FEBRUARY 28, 2002
DWELLING LOT CD BROWNSILTY AND
/ SANDYANDY SILT < SM & ML
(USES PUBLIC WATER) DW =
(usEs PUBLIC
LI LIC WATER)
/ AREA12,500.00 sq. ft.
FRAME rii WOOD0.287 ac.
•
WOOD FENCE FOUNDPIPE S •87®1 1 '00" E z-,07(//ii////// 00.00' FOUND l .e
_ 34'
v CONC MON
FENCE 107.4 -
0 5'S. 0.2'W 102.6
PALE BROWN FINE
O . `e- TO MEDIUM SAND SP -
O O
I.
CIf)•1 N 40'
CO 1 EXCAVATI1 ' . .,. ,
o : Tim REQUIRED 5
0 0 STAR SYSTEMo cc
'aq Th I - Rile ii W In
O O w o
Q
Aa'Z3 a -
tli0.'...I 60' - a'�, Q ROTES1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
W 2 g - 1:4,� EXISTING ELEVATIONS ARE SHOWN THUS: 1°0.°
0., 3 0 2 a �/-J 2. REFER TO FILED MAP FOR TEST HOLE DATA.
'0.{a h o 20' . J `S, 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
tr, v W h1�0!'t7�17 HOU5E 2f7' III O I TANK; 8' LONG,"4'-3' WIDE, 6'-7' DEEP
E~ ^ LJ D
KV\ 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
� Z Q' 1 POOL 12' DEEP. 8' dla
W y,, 4•i
Q',;'4.1 Lu - - - - '+ IVA
%���i PROPOSED EXPANSION POOL
�i O o .
cn
��ik,) PROPOSED LEACHING POOL
O O 11
` 3 ` J ' PROPOSED SEPTIC TANK
lV W
N '' I��, 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS
PiiiiLl i� N . a„«..v....o�....w,. ..i..,...,,..,e„r..C•v,o,r,.w.w.r..,nwr ,�,
;��pp. a O -f) h
Z {1� N �� It COUNTY DE? F.�N' OF dkh/.:H •3 y,cta, _.
FOUND } ,�j°Q �O (P. EIR4*. �I'6' FOR APPROVAL OF CONSTRUCTION FOR A
PIPE 101.1 ���" ss
97.1 N 87'11'00" W 591.50' SINGLE: FAMILY RESIDENCE ONLY
N 87°11 '00" PREP: r CO '' CE WITH THE MINIMUM
-• "r'+`i .1 SURVEYS AS ESTABDSHED
°1 00.00 CONC. ,,a^`. :�.g Eyyr��ae `4,4.,-PROVED AND ADOPTED
S 87'11'00" W DEED) �TE OLE CONC. MON a^ : y"'EU InC:.id✓%�. EW tYORK STATE LAND
x 98.7
99.80 c d EDGE OF PAVEMENT. e e x9799 a DAT O ) 0 1, RE' O ♦ De)..--0 0 �j� / r 'c,\\A,I i O
A 10°nt d a e a ° t� r•, I+t� - CO
x.9.2.,34 APPROVED
�� ? ��0� a
RUTH ROAD FOR MAXIMUM o BEDROO S z
(PUBLIC WATER IN STREET) EXPIRES THREE YEARS FROM DATE OF APPROVAL r1 0
' �i.(.9-4:../...:::.:1:61):'6.,;e:4(.77/
! o se:4`�
N.Y.S Lic No 49668
- UNAl1THORf2E0 ALTERATION OR ADDfON _
TO THIS SURVEY ISA VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW Jo eph A. Ingegno
--DWELLING COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
(USES PUBLIC WATER) DWELLING EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO 8E A VAUD TRUE COPY.
(USES PUBLIC WATER)
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON MS BEHALF TO THE
-- - -
TITLE COMPANY GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
LENDING INSTITUTION LISTED HERpEON.AND
_ TINSP-
TUTION CERTIFICATIONS THE
NOT TRANSFERABLE PHONE (631)727-2090 Fox (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD IF 1380 ROANOKE AVENUE P 0 Box 1931
ANY,-NOT SHOWN ARE NOT GUARANTEED.
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
22-080