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Home My WebLink AboutSchuman, Gary ��®gVFFO[,��o ELIZABETH A.NEVILLE,MMC �Z. r/y Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 C* = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ` .'¢ Fax(631)765-6145 MARRIAGE OFFICERy ! RECORDS MANAGEMENT OFFICER ®1 •� Telephone(631)7 www.southoldtownny.go0 nny.gov F FREEDOM OF INFORMATION OFFICER OFFIC_ E OF THE TOWN CLERK TOWN OF SOUTHOLD DLSC L5 D V l5 D TO: Southold Town Building Department SEP 30 2016 FROM: Sabrina Born, Southold Town Clerk's Office BUILDING DST. TOWN OF SOUTHOLD DATED: September 30, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4430 for a Cesspool/Septic Tank Construction Permit submitted by: Frank Uellendahl for Gary& Cori Schuman 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: Final approval required from the Suffolk County Health Department RECEIVED Signature 0 EC 1 9 2016 Dated Southold Town Clerk SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4430 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FRANK i7FT LENDAHL Address 1: PO BOX 316 City St zip GREENPORT NY 11944 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. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. REF #R10- 16-0067 Name Of Owner GARY & CORI SCHUMAN ------------------------------ Mailing Address 1 71A STATE STREET ------------------------------ ------ ----------------------- city ----------------------------------------------------------- City St zip BROOKLYN NY 11201 -------------------- -- ---------- Property Address 1 840 SOUTHERN BLVD ------------------------------ ------------------------------ City St zip EAST MARION NY 11939 -------------------- -- ---------- Tax Map No. section 22.00 block 1 lot 15.000 ------ --- ------ Cross Street ROCKY POINT RD ------------------------------ Building Permit Number Cross Reference: a � Issue Date: 12/20/16 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) 1 ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: September 30, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4430 for a Cesspool/Septic Tank Construction Permit submitted by: Frank Uellendahl for Gary & Cori Schuman 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: Final approval required from the Suffolk County Health Department Signature Dated ELIZABETH A. NEVILLE ��0 G�� Town Hall, 53095 Main Roa, TOWN CLERK q P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �y MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��fo �o� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential $10 /or Non-Residential 2S @@$ Appllcahon No. Permit No. Applicant Name Applicant.Mailing Address fl _. Septic Tank. or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address:—`'-7/ A Owner Property Address: G 2k) ISS UO r Name and phone number of contact person Tax Map No: Section Block / Lot Cross Street °'C_ ( 12 NOTE: LOCATION MAP MUjSiature E TTED WITH APPLICATION. NEW CONSTRUC'T'ION REQ +S SU +ALTH DEPARTMENT APPROVAL of Applicant & Bate Received by: WELL/ �.'. � b ;•...:r'',;; , 1 � 'n :d' CAD PROPOSED o. ` \ 5-6 BEDROOM SYSTEM o::' W/WELL (WATER .-� 1,500 GAL. S.T. / a 8'DIAx I 6'DEEP ' CxJ DWELLIN EL 38.9 L.P./ EL 39.5 E (39.5 W/WELL WAT ( ) ........... .. .. LOT 15 <•o MSN o: o`ti;i::i:;i:i:.`::::'.. EL 39.0 i .............................. ... �/� ' :.... ::`: :: >`.: PROPOSED N 1 LOT 13 N T. ry:: 1 M. FRM. 2260 S.F. .`: \ I 150 41.o':i:::i::: DWELLING ' 42.0' :::::......................... FFL(42.0 C7 ( x p EL �: ; ? :`.�: EL 39.5) y rh WOOD DECK v::::6' *6*;' z \ D 20.0';:^. �'D z QEL(39.5)SEASONAL PATIO "z L.P. POOL HOUSE ;14 / 0 F BATH :::::::•:< 5 W HAL IfJGROUND i;;:r:i;:......::;4: : 1 o PATIO FFL(41.0) : :i::�i PQOL`;s:`.i: :`.:::: ; / 308 S.F. ::::::N 20 x60::i`;::::i:;::::;::;;:•::::c:::;: w MON. EL 40.5 ^ _o _ WATER LINE _ r / Q NO WELL N PROPOSED VISIBLE IN I N88-1620"W WELL MON. THIS AREA \ 6' CHAINLINK FENCE/ 0.2:N EL 39.3 \ 0.8W I WELL \ / 225.83' `--� --.--- o DWELLING DWEL LOT 5 W/WELL WATER NG \ / W/WELLo LIWATER \\ MAP OF HIGHPOINT SECT;W i WELL ELEV. 36.6 \ FILED JAN, 01, 198 \ � 4 iA NO,7680 vAcaNr DR BROWN \ \ J \ OL ANDY LOAM 0.8' LOT 2 �\ LOT 4 BROWN \ \ / SM LOAMY SAND 2.3 \ \ 7 PALE BROWN / SP MEDIUM TO \ \ COARSE SAND \ / 13.9` / DWELLING / WELL \ W/WELL WATER \ \ �--- NO WATER — 17' 05-25-16 K. WOYCHUK LS \ / THE WATER SUPPLY, WELLS, DRYWELLS AND CESS \� l LOCATIONS SHOWN ARE FROM FIELD OBSERVARO0 AND OR DATA OBTAINED FROM OTHERS. ,ZONED R-40 AREA: 33,841.37 SQ.FT. or 0.78 ACRES REVISED 07-06-16 ELEVA7701V DATUM; NAVD88 FRONT YARD: 5d' MIN UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW, COPIES OF THIS SURVE MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUA SIDE YARD: 15' MIIN (35' TOTAL.) ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TUT70N REAR: 50' MIN, LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMEN7 AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 14 CERTIFIED T0: GARY SCHUMAN; MAP OF: AQUAVIEW PARK FILED: JULY 30, 1971 No.5621 SITUATED AT: EAST MARION