HomeMy WebLinkAboutKeenan, John & EllenELIZABETH A. NEV~J~, RMC, CMC
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
southoldtown.nor~hfork, net
TO:
FROM:
DATED:
Carol Hydell, Southold Town Clerk's Office
June 8, 2009
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Depar~nent
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
3879 for a Cesspool/Septic Tank Construction
George Paulson for John & Ellen Keenan
Please review the application and location map and advise if this office may issue the permit.
Pleasd 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:
Signature
.'2'
TOWN CLERK
REOISTB.AR OF VITAL STATISTICS
MARRIAGE OFFICER
P~ECORDS ld--A~AGEMEI'~ OFFICER
FREEDOM OF RqFOR, MATIOI~ OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
.~Town Hall, 63095 Main Ko~
P.O. Box 1179
8outhold, NewYork 11971
Fsx (631) 785-6145
Telephone (681) 765-1800
sou tholdtown,northfork.ne~
Residential ~ $10
__ or Non-Residential ~ $25 __
Application
Permit No.
Applicant Name & ~,~G ~
Applicant Mailing Address
Septic T~ ~r CesSpool
Brief Description of Proposed Cons~ction or Alteration
~cation of Propos~ Constmctiotff~teration:
Owner of Propeay: ~oA~
Owner Property Address:
Name and phone number of contact person ~---o.,~qW_- TaxMapNo: Section. ~'r'7~ Block
NOTE: LOCATION ~ ~ST BE S~ED
CONSTRU~ION ~Q~S S~Y ~H ~TH DEP~T~ ~PROV~
S. CTM NO '~*-.plSTRICT: 1000 SECTION: 79 BLOCK: 2 LOT(S):3,19
~ 12.21' X 150'
D. e~ow~ 0~' ~ ~~ ~"
~W~o J S' ~ ~ ~ 13~ ~ 16.71 , ~ ~ 21.70
: -'- BA IEW (so')i ROAD
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LiBER 7298 PAGE 152
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.~ ~g WA~R ~PPL~ ~LLS AND ~S~
L~A~S ~0~ ARE FR~ FIELD ~RVA~S
~NO ~ o~r~ ~T~N~O FR~ O~RS.
AREA: 48,653 S.F. OR 1.12 ACRES ELEW,ON 0~: _~.~.~ ..................
UNAUTHORIZED AL~RATION OR ADDISON m THIS SURLY IS A HOLA~ON OF SEC~ON 7209 OF ~E NEW Y~K STA~ EDUCATION LA~ COPIES OF ~IS SURLY
MAP NOT BEARING ~E LAND SUR~YOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COP~ GUARANTEES INOICA~O HEREON SHALL RUN
ONLY TO THE PERSON FOR ~OM ~E SURLY IS PREPARED AND ON HIS BEHALF TO ~E ~TLE COMPAN~ GO~RNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO ~E ASSIGNEES OF ~E LENDING INS~ON, GUARAN~ES ARE NOT TRANSFERABLE,
THE OFFSETS OR DIMENSIONS SHO~ HEREON FROM ~E PROPERTY LINES m ~E SmUC~RES ARE FO~ A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT IN~NOEO TO MONUMENT ~E PR~ERTY LINES ~ TO GUIDE ~E EREC~ON ~ FENCES, ADDITIONAL S~UCTURES OR AND O~ER IMPRO~MENTS. EASEMENTS
ANO/OR SUBSURFACE S~U~RES RECOROEO ~ UNRECOROEO ARE NOT GUARAN~EO UNLESS PH~ICALL Y E~OENT ~ ~E PREMISES AT ~E ~ME OF SURLY
SURLY OF: LOT 7 CERTIFIED TO: JOHN KEENHAN;
MAP OF: JAMES W DAWSON
~LEO: OCTOMBER 16, 1983 AS ~7987
SITUATED AT: SOUTHOLD
TO~ Or: SOUTHOLD ~ ~. ~O~C~U[ [.S.
SUFFOLK COUNTY, NEW YORK ~d ~e~ ~d
FILE ~29--11 SCALE: 1"=30' DATE:APRIL 17, 2009 ~0~