HomeMy WebLinkAboutNorth Fork Investors LLC SQlrHCLD VIASTEVWTER DI SPCGAL PERM T
CPERATI CN PERM T
SEPTI C TANK or CESSPOCL
Oiler at i on Per rri t W. 4492-R Resi dent i al X %n-Pesi dent i al
Fee $ 10. 00 New X Exi st i ng
Name Cf Owner NORTH FCW I NVESTCRS LLC
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Nbi I i ng Address 1 200 EAST 61ST STREET. A-T 11 FG
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Nbi I i ng Addr ess 2
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Q t y St Zi p N NYCW W 10065-0000
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Pr oper t y Addr ess 1 3475 V'IMIEMA, RC AD
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Property
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Property Address 2
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a t y St Zi p CUTCHCGLE W 11935-0000
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Owner Tel ephone W. 917-572-5318
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Tax Nbp W. sect i on 111. 00 block 8 1 of 17. 000
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Or oss St r eet LITTLE PEON C BAY ROAD
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I ssue Date: 7/ 12/ 16 B i zabet h A Nevi I I e
-------- Sout hol d Tom Q erk
(TOIN SEAL)
��oSUFFO��►coG
ELIZABETH A. NEVILLE j� y� Town Hall, 53095 Main Road
TOWN CLERK C* = P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICERy • O�� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER l `;►a Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Res idential@S10 / or Non-Residential @ �25 Application No.'/W__
n
Permit No. �' Lf
Owner Name / � A0 #%j I/ 1 `�'`� L-4— C_
Owner Mailing Address es O C7
Owner Property Address 3 L�7r VVJ/�ifJ E
Owner Telephone No.
Tax Map No: Section r Block 8 Lot « '
Cross Street L �� Q� t �
Please check each that applies: New Construction
Alteration to Existing System
Residential j,��`Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit co y of survey with SCHD approval.)
Signature of Applicant Date
Received by:
r
F# R10-14-0079 SURVEY OF PROPERTY
L 0 T NUMBERS REFER TO "AMENDED MAP A OF NASSAU
SCDHS RE WELL AT NASSAU POINT
POINT, OWNED BY NASSAU POINT CLUB PROPER AREA-45,428 SQ. FT. or 1.043 ACRES ^ OWES 150+ TQ 1�N OF SO UTHOLD
UCOUNTY CLERKS OFF ES 1 EP?I
INC FILED /N THE SUFFOLKTOME LIN 5
ON AUGUST 16, 1922 AS FILE NO. 156. E`�9.�' SUFFOLK CSO/UNp T./ s N.Y.
p 5 N 1 111—0 1
SEP nC SYSTEM o c.�.. , N
5 BEDROOM � N SCALA 1 —�0
[2] 8 FT. DIA.x 8 FT. HIGH PRECAST CONCRETE LEACHING RING 151 0 ,Q' FE5's. \ JUNE 4, 2013
BACKFILL MATERIAL COURSE SAND AND GRAVEL (3 COLLAR) LOT UBUO Wq?ERCl 26� 0/L,E-W\. W OCT. 1, 2014 (PROP. & BOH.INFO)
[1] 1,500 GALLON SEPTIC TANK. NG �(}� P \ t OCT. 30, 2014 (REVISED SEPTIC)
"'° Y�'�'� �\ ' AUGUST 3, 2015 (UNDER CONSTRUCTION)
G \ JUNE 6, 2016 (FINAL)
cNP�N�NK FENCE y\ o JUNE 15, 2016 (REVISIONS)
X920"E �\ o
ENi) FE. N78 6.8' \
r
3-/ 4 0�W N.5 SUFFOLK CG: ,+x' 1;DZPARTMENT OF HEALTH SERVICES �sN�° sHED \\ N P/� LOT
'N G '1f ER
WORKS FOR \ \ � .M JUC WA *10"
p 7 W• x^r `R ft r' S \ 3.8' SEP
\ 0.35 •� ��..G. ���:L RE .tDENCE
c�.E�• \ C1atE
JUN 3 .,. , _ $ C ° ? POR ROP
a; o. Rto- � ofERn�
�...._,.
\ Tnr sE w,.s?dISOM li And-easter sup;1vaaa�itics��t• ,CK,.cn rave nen 145
\ inset-c 4 arc ►c r�al�; sv. a �' ,tsta°w c r.:" ;�:�1 Bund to /O LOT PIPE \\ FE.COR.
0.3'W. 0.2'W. y
RAIN RUNOFF CONTAINMENT: \ r sat2sldGtGry F{� M�xtht ,� ►i�i+filJ ;MiS 0.3'S.
DWELLING: 1,185 Sq. Ft. \ (pW
1,185 x 0.17 x 1 = 201 Cu.Ft. \ ! '' " __
».��.,...s___ 11.9'
Provide 2 DWs. 8'0 x 3' Deep :" /
2nd. EVErRYR
\ '. A~ r•:• - CANTELEVER 6.3
Connected by Gutters & Leaders „;'.h+ J�ek+rayBtn@t1t - _------�- __
- 26.9 ro
// b4 W
121UNhS_,0 rn 2 STORY HOUSE
TEST HOLE DATA �► -
McDONALD GEOSCIENCE l�ts• N 33.5' – � t�
09/13/2014 ' Ci
�� ' ' 0 18.3' 1' CANT. 1
EL.32.9 _ P/0 LOT 1� 1 V
BROWN SILTY SAND SM _'
?N PUB
E40.' PAVERS '° *LuO P/0LOT 144
3, AGS 9� �R SVPQ/c i,ST G 15p,
11
PALE BROWN RNE / ' �?
i,1, � 'J � /
.1, UNDERGROUND
TO MEDIUM SAND SP S PROPANE TANK
o,(, op O y �F
TEST HOLE DATA A� sFA ,d F�F� �iy TEST HOLE- ) 1n tr
EL. 32.9 �z 0�
O,o� 1�
17' 04, .50_ ..
p ANDS
=PIPE
=MONUMENT
■ o1P, =,
• >
ARE REFERENCED TO AN AS
DA TUM. \ �`
NS
ELEVA TIO c�
nC LOCA nONS \ � S ,� LL + = o
R APPROVAL SEP o
STANDARDS FOR \ M 1O6• _ �•�• ?
KITH
THE �
I AM FAMILIAR W/ 57e-
� w
AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL A B \ TIE LINE 5'8'36$2 ��
EL. Y �,,A.• .,44..
SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE — ,� - L LIC. NO. 49618
BY THE CONDITIONS SET FORTH THEREIN AND ON THE ST 17' S2' POLE RPVE` ”-ROP
PERMIT TO CONSTRUCT. LP1 29.6' S8.' N86�'�50~w G p� PECONIC S P.C.
D/noN TO THIS SURVEY IS A VIOLATION 31.57' �' �U,ING (631) 765-5020 FAX (631) 765-1797
ANY ALTERATION OR AD LP2 P.O. BOX 909
OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. 1230 TRAVELER STREET 1 ?_179
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS CL.EL.17.5' cJ
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY /F SOUTHOLD, N. Y. 1197
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.