HomeMy WebLinkAboutMcCarthy, Joseph
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
south old town. north fork. net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
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TO:-- Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 7, 2007
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3707 for a Cesspool/Septic Tank Construction
Permit submitted by:
Joseph McCarthv
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.
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
Comments:
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
,Fax (631) 765-6145
Telephone (631) 765'1800
southol~owti.no~hfork.net
.
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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 @$25_
Application No.
Permit No.
370 '/
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Applicant Name !(J/TJr /11cc/1f:-7J!Y
Applicant Mailing Address {I 7 C ,1/ iJ {f.!-!/u!.,-I5II<.D L .AAJ [
_S(;L{11toLO ,<J'1 //9 7 (
Septic Tank ../' or Cesspool_
Brief Description of Proposed Construction or Alteration K r ({){/f1INC.c .lY<<r/#0- ,/;t;qs?<'
1l\ :/[-",: LoT - ~u/Ltl)""1r IN'FIVtSr(LIA.L'Tl{fU
Location of Proposed Construction/Alteration: f~ 50 .1t1IN fc4fJ r)::Ur ft1AfIU/, ," '/
Owner of Property: 36.s1 f Ii (1 f) C Uifl.X't,; '(
Owner Mailing Address: (I 7 u /J'J GC,kI,<..!rl5lfL f) LA.-ve
S'O v.;T(i-u L- \[) /J . Y , /! '1 7/
Owner Property Address: 't &s ,:) /fVI1 AI /<.1). C ' ,/JIA-I:. I U /'
/1/ y.
Name and phone number of contact person
Tax Map No:/:;Cn Section ~.5 /
Cross Street Plitt '-( Av f
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N s-: cr Y/'I'
Block _;; Lot /1. 3 if-
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH'7H~~ H DEPARTMENT APPROVAL
4$~ 3/7.07
i a e of Applic Date
Received by:
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LOT NUMBeRS ARe ReFeReNCeD TO "CLUSTER SETOFF
FOR EAST MARION FIRE DISTRICT" FILED IN THE OFFICe
SOUTHOLD TOWN CLERK.
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The localions 01 ",olls and cesspools
shown hereon are Iro;m field observalions
and or from dolo oblamed from olllers.
ELEVA TlONS ARE REFERENCED TO AN ASSUMED DA TUM.
I om familiar willl Ihe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE F AMIL Y RESfDENCES
and ",ill abide by Ille conditions sel forfh Iherein and on Ihe
permi! 10 conslrucl.
AREA = 30,000 sq. ft.
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"'NY AL iEI/A TION OR ADDtrlON TO THIS SURVEY IS A VIOLA TlON
OF' seCTION 7209 OF' THE N(w YORK STATE EDUCATION LAW.
CXCf:PT AS PCR SECTION 7209 . SUBD/VtsJON 2. ALL CCRTIFICA TIONS
HEREON ARE VALID FOR THIS MAP AND COPJE:S THEReOF' ON/.. Y IF
SAD MAP OR COPICS BEAR THe IMPRE:SSED SEAL OF' THE SURVeYOR
WHOSE SIGNA TURE APPE:ARS HCREON.
ADDlTIONALL Y TO COMPL Y .wiTH SAID LAW TB/M . AL TCR8J BY .
MUST BE USE:/) BY ANY AND ALL SURVEYORS UTILIZINS A COPY
OF' ANOTHE:R SURVEYOR'S MAP. TE:RMS SUCH' INSPE:CTE:D . AND
. BROUGHT - TO . OA TE . ARE NO TIN COMPLJANCE WITH THE LA w.
SURVEY OF
PROPERTY
A T EAST MARION
TOWN OF SO(:JTHOLD
SUFFOLK COUNTY, NY
1000 - 31- 03 - PIO ?l30
Scale: 1" = 40'
Dec. 9, 2003
JUNE 22, 2004 {(€!Vision)
JUL Y27, 2004
DEC. 5, 200
JAN. 3, 200 ~
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CERTIFIED TO
BRIDGEHAMPTON NA TlONAL
BANK
FIDELITY NA TlONAL TITLE
'INSURANCE COMPANY OF
NEW YORK
JOSEPH McCARTHY
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APR 2 7 2004
>;: 03-293