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ELIZABETH A.NEVILLE 1= Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
y, Southold, New York 11971
MARRIAGE OFFICER , Fax(631) 765-6145
Telephone (631) 765-1800
RECORDS FREEDOM OMANAGEMENT
I FORMA ION OFFICER RIAlig
�a�,/ii southoldtown.nor hfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2856 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DORIS & ARTHUR AIELLO
Address 1 : 11 PINE TREE ROAD
City St Zip HUNTINGTON STATION NY 11746
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 #R10-02-0085
Name Of Owner AIELLO, DORIS & ARTHUR
Mailing Address 1 11 PINE TREE ROAD
City St Zip HUNTINGTON STATION NY 11746
Property Address 1 615 MARLENE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 143.00 block 3 lot 26.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 7/23/02 Elizabeth A. Neville
Southold Town Clerk
•
(TOWN SEAL)
ELIZABETH A.NEVILLE ������® ®Gy�; Town Hall, 53095 Main Road
TOWN CLERK % '\ >: 2 ; P.O.Box 1179
REGISTRAR OF VITAL STATISTICS wo i Southold, New York 11971
MARRIAGE OFFICER ``®) t ��0 Fax (631) 765-6145
RECORDS MANAGEMENT OFFIC VII 41 ., ,,1. Telephone (631) 765-1800
FREEDOM I • • .r . FIC R _ ��� southoldtown.northfork.net
l5I
',i, JUL 17 2002 ','.:;OFFICE OF THE TOWN CLERK
..1L) TOWN OF SOUTHOLD
L__ ltd ,,� i�
TO: - Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 16, 2002
Transmitted herewith is a copy of application No. 2961 for a Cesspool/Septic Tank Construction
Permit submitted by:
Doris &Arthur Aiello
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:
fi: 40.01,. ....,-.-
7fr.40.1.,,,t1,-/ ,d,,,,e----
Signature
ature
.. ®7/8/6
Dated
�
A.�I.
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OFFICE OF THE TOWN CLERK ..''c��FF OLK�
TOWN OF SOUTHOLD �i. % Ql/y.._ - Application No. 02 9(0/
ELIZABETH A NEVII.I.F,TOWN CLERK
P.O.BOX 1179 iG
✓� Construction •------
SOUTHOLD,
SOUTHOLD,NEW YORK 11971 , v T
$ Alteration
Telephone = ®,y� �tT'i $10.00 - Residential .�—
(516) 765-1801 ---• ®-
' $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 $/0/
DATE /4,64'2,-
,
APPLICANT NAME: /Mr/5 d- 4/4ttr Are/14
APPLICANT ADDRESS: tet, /'e 4/,--e i Pte, ±i V-A
11,
/
SEPTIC CESSPOOL 17 `I-Al. 0
OM
DESCRIPTION OF P,• OPOSED CONSTRUCTION OR ALTERATION 0
,1/ • / ,, ,../ , /7 - 7y
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: `'/ ,(1 -
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: i 6I M �,d
IlAc {, l t cl cz.
TELEPHONE NUMBER OF CONTACT PERSON: 0) 209 Q S21/7
TAX MAP NO. : Section 1 / J Block 0 Lot 0 2
CROSS STREET: /5 2.-..5"
BUILDING PERMIT NUMBER CROSS REFERENCE:
1
Signature of Applicant
RECEIVED BY: -
/lit3t
T wn Clerk's Office
DATE: �- (Q (�-L---
ID
*, �" ,,soSUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
OPERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE 7-4-40-2. HS REF.NO. 10 =00 85
.cZ�� /�
o . APPROVED � �
"N' -s, / FOR MAXIMUM OF,I- 11►ROOMS
P\� 5 v�� / EXPIRES THREE YEARS FROM DATE OF APPROVAL
0
# 4
GJ / 0
TEST HOLE
BY McDONALD GEOSCIENCE Abandonment of existing sanitary system
��p APRIL 8, 2002 (20 nth) to be witnessed by HealthDepartment.
BROWN
LOAMY SAND
•
_3, PALE BROWN S.C.D.H.S. ENDORSEMENTS
FINE TO
MEDIUM SAND
-16.3' (EL. 3.74 O
01 WATER IN PALE ) ERY mc,
BROWN FINE TO R FOR. N 6' (20.0),„---- c_o
.�LA el MEDIUM SAND us NOW OR 1 a,g.of °.I F•� GZ N (fl `\o
cn ? -17' LANDRA1914 FACE 0.5'i cE 0.3 W '• W
StO°�°E �HA�N UNK FEN o
'S0"E 3g Z o
N 69 2 oNF�WE®N °5E0 C1
`° pg „D EPEE --A
��
`� 4) .� ‘., GR°�4.11° �z z
UN
IPE r— rn
Yi\ m \ EXISTING DWELLING, 0
P / \ -- .POSE 5' ' SUNROOM, SHOWER N
MZ.
\___./ ` \1 x SPR' , 51• AA & DECK TO BE E
N /` ),\ \ 43 LINLI J REMOVED.
!APE N.
E:
�O /� / r`
ti
0w14 A `'703
\�/ g'3+ \ \ \ FEN N
LINE - \ .S �_ °
O WP1ER/ /,-
PROV/DE.
(1) 1,000 GALLON - -- 1 ,10
SEPTIC TANK V- pIN • FENGE
(2) 8'0 x 6' DEEP
LEACHING POOL �� ‘ 36 LINK
ROOM FOR 50% EXP. k.......---- (j‘ GH
-s DRI,510-
L-------0 / 0'5°
0IV OR FORM
ER1-Y
R
•
,� E x,9.9) S69 �Np MARTIN GA
AREA: 11,275 S.F. = 0.259 AC. Fes'. S'
N
NO SURFACE WATER EVIDENT WITHIN 00 FEET. DWELLING PROPOSED GRADE 45 o
ADJACENT DWELLINGS SERVED BY PU: IC WATER. AVG. COVER 2'
INV. 17.0 N
ALLOWABLE LOT COVERAGE: Z255 S.F. 20.0% Z
r/Pool 16.5
PROPOSED LOT COVERAGE: 1,995 S.F. - 17.7% N.
EXISTING SANITARY SYSTEM (IN REAR YARD) TO BE SEPTIC TANK CESSPOOL B/POOL 10.0
PUMPED AND FILLED WITH CLEAN SAND, OR REMOVED
IF NECESSARY. GROUND WATER ® 3.7
CERTIFIED TO: SURVEY OP. `F
ARTHUR AIELLO DESCRIBED PROPER W
SITUATE AT.,-.._:71 r'
EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED MAT /TUCK-::',, =- '4':.• '
ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT M-.�I
THE TIME OF THE SURVEY. TOWN OF so UTI D�a��
WHOM THE SURVEY ISGUARANTEES D HEREON SHALL RUN ONLY TO THE PREPARED, AND ON HIS BEHALF TO THE TITLE SUFFOLK COUNTY, Ngl /�J_,RK--
COM-
PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, -!UT
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. - SCALE.' 1"=30' DATE: MARCH 26, 2002
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE-
FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST. 1000 SEC. 143 BLK.03 LOT 026
WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND
ANY OTHER CONSTRUCTION.
ii 10°P.'''
JOB NO. F3740 s��� °�`^a �tT ' .. . T A
IR3
REVISIONS: '. 1A1.0'''''":'.
( ....
ADD PROP. HSE, GAR. SAN. 04/04/2002 /� ' 4... ,r``= �� I:Y. ...• ! • -
REV. PROP. HSE. LOCATION 04/23/2002 "1 ,6 ,. - 107-4 '..•/4.1 .i ... -•.h
PLOT TEST HOLE 04/23/2002 ``� why
SHOW GRADES, REV. SAN. 07/08/2002iii ���x` B f- Har f'% on BO �• N.Y. `x`46
''' ''
,< 20 (631) 7'8-5330
<d D50349 Q-
4? Marc E. Charest, LS
^'D SuR\I ° Successors to
Paul T. Canalizo, L.S. Robert A. Kart, LS.
license no. 050149 Good Ground Surveyors, P.C.