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Home My WebLink AboutCrary, Kinga r - f o��Of SOUTyoI ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TOWN CLERK lw 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold, New York 11971 MARRIAGE OFFICER • �O Fax (631) 765-6145 RECORDS Telephone (631) 765-1800 FREEDOM OMANAGEMENT ORMATION OFFICER Ol 0ou 1 ,� southo dtown northfo k net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD pp TO: Southold Town Building Department D E C U FROM. Carol Hydell, Southold Town Clerk's Office JAN 12 2 010 D DATED: January 7, 2010 BLDG.DEPT. TOWN OF SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3924 for a Cesspool/Septic Tank Construction Permit submitted by: Kinga Crary 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. Carol Hydell * * • s * s * * * * r 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 Off- /a /o Dated ELIZABETH A.NEVILLE TOWN CLERK b � Town Hell,59096 Main ' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER, Fax (691) 765-6145 RECORDS MANAGEMENT OFFICERfold Telephone (691) 766-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.ne+ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$1z or Non-Residential @$25 _ Application No. J��T /` Permit No. Applicant Name � I CA Applicant Mailing Address Q Septic Tank or Cesspool Brief Description of Promo sed opstructiotkior Alteration ` Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: _ Owner Property Address: (tY UcN ,� r Name and phone number of contact person q( t �Ll Tax Map No: Section � _Block Loi Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITHI�rT DEPARTMENT AP RO AL � J atur fApp,i/ D to Received 1 y_ �J (� 5K1 �' �' LK 5 LAIVL y$o�� ,/pip P S 63'59'40"E 87' �` TIE=32081 °€LL M 11•7 a5 1 well IgR NU.0 Y d SLIFFOLKCOUNTY DEPARTMENT OF HEALTH SERVICES a ° N Do w PERMIT FOR APPROVAL OF CONST RUCTION FORA 0) z w 0) WOOD w i �Iltt1)b � 3.9 z.°• w'000 srsys —1 DATE IZ 7 Q Z > FRAME J APPROVE? P g .o' = TOTA0. .:4i�iYl i.vi•.,iv'r7ii_ F— EXPIRES THREE YEARS FRO5,DATE OF APPROVAL ' µ'LL 53'TO wni 3.4' °' RESIDENCE _..__ sroov IM' TO Wn w2%Wu w ° / APPROVED IN ACCORDANCE WITH BOA D OF m°- °°" s.o O REVIE4V DETERMINATION DATED 1tq d' m a wm / waOD sans 4.3' ss'Io CES L SiPIF iMIK-Y9 - y� \ 101.0' !Epic WIKA� Iv' \� �a\\ ART STUDIOCNN p rn Z � � y'� m a a mtt UNDER ' CRSGWL ` j / Y 1 -IPA • W b cn° [RS°00l CONSTRUCTION I50'+ro CESPo m 4 a Ili 2—RAIL FENCE < M a ^a N 64!75!40"W 81 °moo iso'.ro wtLLs avo cRsvoas I' N/F �%'rSTER PONDS HISTORICAL SOCIETY SURVEY OF DESCRIBED P( OPERTY SITUATE 1 ORIENT, TOWN Or SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: KINGA P. CRARY � e TM# 1000-024}k-004 . SURVEYED: 19 NOVEMBER 2007 SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4416-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner KINGA CRARY ------------------------------ Mailing Address 1 P 0 BOX 141 ------------------------------ Mailing Address 2 ------------------------------ City St Zip ORIENT NY 11957-0000 -------------------- -- ---------- Property Address 1 355 SKIPPER'S LANE I_ - - ------------------------------ Property Address 2 ------------------------------ City St Zip ORIENT NY 11957-0000 -------------------- -- ---------- Owner Telephone No. 631-323-3113 ------------ Tax Map No. section 24.00 block 2 lot 4.000 ------ --- ------ Cross Street OYSTER POND LANE ------------------------------ ---------------------------------- Issue Date: 6/02/10 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) o�oSUFFo��-�, y� �G ELIZABETH A.NEVILLE Cz Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER A • �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Ol �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 Residential @$10�_( or Non-Residential @$25 Application No. .—UL 1s Permit No. � K� Owner Name C Owner Mailing Address Owner Property Address Owner Telephone No. 3 oZ 3 l l �l ► � 0 Tax Map No: Section j D o O Block Lot p T- Q Cross Street Please check each that applies: New Construction Alteration to Existing System Residential 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 copy of survey with SCHD approval.) Signa eApplicnt Date Received by: o��pF SO(/T�OI ELIZABETH A.NEVILLE,RMC,CMC h O Town Hall, 53095 Main Road TOWN CLERK 1 l P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICEROIyTelephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER OUNTi southoldtown.northfork.net May 20, 2010 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Ms. Kinga Crary P O Box 141 Orient,NY 11957 Dear Ms. Crary: I need the enclosed form filled out and returned with the$10.00 fee. You may have the form already in your file filled out; when you were here I if forgot to ask for them. Once I receive both items, I will issue you the Cesspool Operation Permit. Sincerely, Carol Hydell Account Clerk i 1[�-J7-{I iT0 h i 8 co, f xso.roc�ss� m�NN SKIP PER ' S LANE o .��y ° S 63°59'40"E 87' a 11.1 "' TIE=320 81` well PIPE EL 11 7 FOUNDr721'TOL f ICK WALKWAY N O Q IrICK Z Q O 284— < 8 4' J I m oLu JJ M 3.9' 120' WOOD 0 ! LL n r W000 STEPS _Z� FRAME a o I Q J 3.4' _eour000R182 L_JRESIDENCE ~ I 53'TO WELL SHOWER WOOD I STOOP a \ 6' 272- 144' 2 144'70 WELL w nuuua WOOD BALCONY \� 2ND LEVEL 'If 1 Access,urs w o o' W RAILINGS MOL1�DECK TO — 30 f Q sEonc rAeK WOOD DECK V� I d G INV EL INN WOOD STEPS 16 D' 4 3' 53'to CESSPOOL j \ SEPTIC TANK-D.2 p 2010' ` N 260 GROUND EL AT sEPnc TANK- 11.4wK ,® ART STUDIO p N X90 Z INV EL AT BLDG UNDER CESSPOOLS(2) -99 ' 50'TO CESSPOOL IN53'to \.L N CONSTRUCTION N 1 150'+TO CESSPOOL 34 EL 11.3 2—RAIL FENCE_ `° 1 EL 105 PIPE N 64°45 40 W 81 FOUND "Z14 T67 Esso { 150'+TO WELLS AND CESSPOOLS OOH I CJs. N/F OYSTER PONDS HISTORICAL SOCIETY i q SURVEY OF DESCRIBED PROPERTY SITUATE ORIENT, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. a SURVEYED FOR: KINCA P. CRARY I TM# 1000-024-02-004 I 1 SURVEYED. 19 NOVEMBER 2007 GUARANTEED TO• I KINGA P CRARY SCALE I"= 20' 9 ON—SITE SANITARY LOCATION AND INFORMATION PROVIDED AREA = 8,285 S.F BY COASTLINE CESSPOOL & DRAINAGE SERVICE OR 4225 BRIDGE LANE, CUTCHOGUE, N Y ON 11/15/07 0.190 ACRES ON—SITE WELL LOCATION PROVIDED BY KREIGER WELL CO AND OTHERS i I GUARANTEES INDICATED HERE ON SHALL RUN SURVEYED BY ONLY TO THE PERSON FOR WHOM THE SURVEY lIS PREPARED, AND ON HIS BEHALF TO THE STANLEY J. ISAKSEN, JR. [ LENDINGOMPANYINSTITUTION, IFNISTEDLHEREON, AND P.O. BOX 294 TO THE ASSIEES OF THE LENDING IN f GUARANTEES ARE NOT TRANSFERABLE TOTU7lON N*FK FOLK. 1 195 Of I ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS 6 I i UNAUTHORIZED ALTERA77ON OR ADDITION TO THIS SURVEY 7S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW COPIES OF THIS SURVEY MAP NOT BEARING 30 MAR 09 LOCATE WELLS AND CESSPOOLS RVEYORNOT BE CCONSIDERED TO BE ATHE LAND SURVEYORS SED VALIDATRUEALL O6 NOV 08 LOCATE CONC FOUNDATION N3 07R 1 641 COPY 16 JULY 08 SHOW PROPOSED WATER AND SANITARY TO WORKSHOP i 25 JUNE 08 SHOW PROPOSED WORKSHOP