HomeMy WebLinkAboutHands ®�®��FFO(�
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK . P.O. Box 1179
REGISTRAR,OF VITAL STATISTICSVC\
Southold, New York 11971
MARRIAGE OFFICER � ��, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = ®0,1 ��®,.'�,,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. 2952 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : WILLIAM A. HANDS III
Address 1: PO BOX 624
City St Zip ORIENT NY 11957
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 #R10-02-0215
Name Of Owner HANDS, WILLIAM
Mailing Address 1 PO BOX 624
City St Zip ORIENT NY 11957
Property Address 1 1025 HILLCREST DRIVE
City St Zip ORIENT NY 11957
Tax Map No. section 13.00 block 2 lot 8.008
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
, c 5 2,,
,�•,,o\oSUFFot,�=eo \
ELIZABETH A.NEVILLE �$ A. G'y�; Town Hall, 53095 Main Road
TOWN CLERK o - % P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 0
MARRIAGE OFFICER `` 1i �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__W19./ �a®ail Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,osoutholdtown.northfork.net
11
OFFICE OF THE TOWN CLERK
4 EC 5 2002 ` ` ''; TOWN OF SOUTHOLD
f''LF'('.South ld Towp Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 2, 2002
Transmitted herewith is a copy of application No. 3073 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schembri Homes,Inc '
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: v► --6.--f-..—& A. -.. ' t -
.1' ,,,_ .fi '
,..27.4.,‘,..:42:/‘.
Signature
/4')-- 22 Vf7 .2....
7
Dated
t
OFFICE OF THE TOWN CLERK ,
TOWN OF SOUTHOLD �0 %�J��FD Application No. 7.3
ELIZABETH A.NEVILLE,TOWN CLERK 41. �,
P.O. � ; Construction /
.O.BOX 1179
SOUTHOLD,NEW YORK 11971 t o • ri7
Alteration
•
Telephone ���14 Q��' $10.00 -Residential
(637:) 765-1800 =-� . *,'' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for •
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ , /
DATE Aiev'�/)-215e j,i✓ . .7, .z®Ot/
APPLICANT NAME: /i ///M'7 /914,103-i/ 1 T
APPLICANT ADDRESS: '0- /9Dx' �
J7- A` V. //9c7
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
ieul (9.e�/.Si'i/e j / 01/q4. tr , ?/ %/ovJ1)iv
JP
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: / //4/7/9/- f4//4 -."er &/-1 4s
OWNER MAILING ADDRESS: ,e0- Ax
/ .Jy- A/ , /19 7
OWNER PROPERTY ADDRESS: / a25-. /4/'k '5.&'/,Jfo
0/Z161/ A/ y // 96 7
TELEPHONE NUMBER OF CONTACT PERSON:01 323- 3?o/ / aD303.07f..53--
TAX MAP NO. : Section / Block Lot i Y
CROSS STREET: j{ d7-e
BUILDING PERMIT NUMBER CROSS REFERENCE:
--. .,. /A/.
"i.na ure o Appli 'antes
RECEIVED BY: `'
CI rk
Town Office
DATE: /f- . 7 - (7 )�-- .
SURVEY OF LOT 6Ap 44
MAP OF HILL CREST ESTATES Lot --N
— SECTION ONE .1
FILED MU e. IS, 1g83 vacant •
A5 MAP No. 1218
SITUATE: ORIENT 267A0' • <
TOM: SOUTHOLD N47°22'10'°E el 3� 0 el 35' o
SUFFOLK COUNTY, NY 0
o ,
SUFFOLK COUNTY TAX LOT el 35' No •
# IOOO - 13 - 2 - 8.8 /
SURVEYED 'P
10-25-02 r I tsa
I v
(CER'll71-ThD TO:
WILLIAM HANDS I \PIROPOSED DRIVEWAY �
Test Hole t 4 N I � 1
tli
I I , _
From+Filed Mop 4 , J 1 \\ (EP) n
I
TopSoil
1 0 ® I -0 sr \ I' ° Q
s A� 1 u, Ni
Y• i Loom3 fl fl I a ' I t / 9 CO
9 w N COC)
m J Ant 1 ]t o —1
a0 0,' a 60' I 5 CO
/Z1d - { t - 60' 6 fl —
iii Lot A= 1 2 \ -) 3
6 rnp I e 9�
Ul c 1 N o
Fina —— �1 6)C'}
son° I _- —_ ffl _ — 1 1.d' 6
with ®" 150, ———— I
,.
___
, .
Of /� ---- W 46' 1
Goy 1— I W ,
® PROPOSED 1 I
WELL I
r � building envelope
N) e1. 31' r., co.
el 31'
f
f Q ,: ~
el 21' 267.00'
• S47°22'10"W; RE
VAT% -=,
Y
Heik
.UFFOLIC COUNTY DEPARTMENT OF HEAD� ERdIICE PAS r
vacant 'Y -
PERMIT ®R APPROVAL OF CONSTRUCTION FOR �i-� ow.".:.
NOTES:
SINGLE FAMILY RESIDENCE ONLY ���,•••I _ o--)'-�> Grp
.;
Lot °, OF NF yj- s
`'10 tr. .A4 � \ 'unagtnorazee alteration o addatton to a Bey
■ MONUMENT :;:±'
® .S. veF R/a—Da- /5 ,co - •,„ s „, mapbearing a licenfolatfon of sectio1 ,� F ,; * 1 �i• �. �a ; army cepawath anfrom the°riga.oof9 tnal of Chassurveya `k marked with a ort ] of the lana sur s
FOR
MAXIMUM
�y tt��ppp - stamped seal shall be considered to be valid true
®R {Y°AXIfiY UM Or s �'®®m,� w� C.;
'. �-% ' t Q -Certtficatians tndacated hereon cop fess
AREA = 40,050 50 FT OR O.G2 ACRES i % r`""i / O ianeec deaorP actace"for`Land Surveyshadopted
EXPIRES THREE YEARS . J ' b astang
New York State Assocaataon of Professional
ELEVATIONS REFERENCE SUFFOLK COUNTY TOPO MA' R FROM DATE Of APPROVAL \\ S12i2 PJ`pi° aha Surveyors ceramf thetsury shall
is 1preparetlrun Y
r t es w v
and on his behalf to the tads company governmen-
:•, `AND S �/` Cal agency and lending anstltutaon lasted hereon and
IF CLAY IS FOUND IN THE LEACHING POOL AREA IT MUST BE to the asp agneas Institution Sertafapa-
���...•//0 - tions are not transferable
the lending transferable to adeatuonal an tatutaons
EXCAVATED AND REPLACED WITH GLEAN SAND TO PROVIDE �
� r ,
A MINIMUM 6' PENETRATION INTO NATURAL SAND. Jar •, w. C. EhLE S L ,, '' i,) SUR ',�1 1 ;,'*.,
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC. SCALE I 1.
= 30
-== RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.-HP SERVER/D/PROS/02-311