HomeMy WebLinkAboutWatson, Diane �o��g�FFO(�-co
ELIZABETH A.NEVILLE,MMC r/y Town Hall,53095 Main Road
TOWN CLERKO= P.O.Box 1179
CA Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145
MARRIAGE OFFICER y�
RECORDS MANAGEMENT OFFICER �,� �a� Telephone
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
765-1800
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
JUN 2 0 2014 ILJ
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: June 19, 2014
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4245 for a Cesspool/Septic Tank Construction
Permit submitted by:
Scott McKay for Vance and Diane Watson
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
DISAPPROVEOL
_
Comments:
Signature
Dated
�0FFQJ*
BLIZABETS A.NEVILLE `�� Town Hall,59096 Main Roo,
TOWN CLERK , P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
br R AGE OFFICER Fax(891)786-8145
RECORDS MANAGEMENT OFFICER y�fn Off` Telephone(e81)786-1800
FREEDOM OF INFORMATION 0I,V1 c{',:t southoldtown.northfork.ne!
OFFICE OF THE, TOWN CLERK
TOWN OF SOUTHOLD
LO
�Vll.al P o ao pA 9TMSOUTHOLD WASTEWATER DISTRICT
Southold,N.Y• 11971
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No.
Permit No. t t
Applicant Name \/&A&\/&A&�-d- �h dt�1�lA l.C�o oy, S do fit- 1{/�� LAol
Applicant Mailing Address L,
n
Septic Tank. or Cesspool •
- Brief Description of Proposed Construction or Alteration MAL
!SLI12M LO
Location of Proposed Construction/Alteration:
Owner of Property: o� oZ O O SA;
Owner Mailing Address: 7 7
9/760
Owner Property Address: �. C c AO_LO•A:
Name and phone number of contact person
Tax Map No: Section r 0 O Block 115 Lot 3
Cross Street
NOTE: LOCATION MAP MUST*BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY HE PARTMENT APPROVAL'
Si tur f Applican Date
Received by:
LOT AREA 40.093 $0. FT. "---
0.9m acm 'low 11�1.11M31S110 3'1An0
` GAR FL - 51.0
S301A2l3.S Hl'11�3H.0�'��(1S
".£FL - 53.0
ht07 6 Z ASW
LOCATION OF.WELL and LOCATION OF SANITARY SYSTEM UNKNOWN
SANITARY SYSTEM UNKNOWN
DWELLJNG WELL DWELLING PUBLIC WATER
STILLWATER AVENUE
p (47.2) (48.2)
1A S 4624'40"E 188.00'
wow rncdn
FD
MON1n N prop- d6"
h
NI14,0' S3'
00
$
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d:
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prop
d
23.9' xy 3
Z 2L?' 52' �..�
2.%V tat'
W LP _ ._ �. d-
0 ix
O ; _ V)
CESSPOOL 'd' I
Z �I50'
x
teeer
i: -NJ (51.2) (50.7)
(50.0)
SAt SET
STK
N 45'28'20"W 187.97'
SUFFOLK COUNTY DEPARTMENT OF EAl�H SERVICES LOT NUMBER 1
PERMIT FOR APPROVAL.OF CONSTRUCTION FOR A VACANT
SINGLE FAMILY RESIDENCE ONLY
JUN 1 2 ZU14
DATE H . REF. N0. ' —J`( :227
APPROVED
FOR MAfEYEARS
BEDROOMS NOTE:
EXPIRES THR FROM DATE OF APPROVAL _._ Location of water mains
do odjoiners water supply
by others and are not
guaranteed.
5-27-2014 REVISED PROPOSED DWELLING
1-28•-2014 ADDED BUILDING PERMIT INFORMATION ASSUMED DATUM
tMW:A*RR''A FOOM AM VK SAMttdl .AW,OW JOB No. 13-266 FILE No. BIG GREEN ACRES
1a 1lrt�,or r�+illx,ael9r l, rnakls
FLAIRIMr9 ACa11NRY TO OR ANY 0118 SURVEYED FOR VANCE & DIANE WATSON
UMONOR xm AUOWM ON AGOWAN 1n*0 WOW w A Nouse+of IWWN LOT NUMBER 9
7=OF RIE NMR VOW aft SUbWM U0.
MAP OF BIG GREEN ACRES
94R1lANT6lS HWA N swu My aNLY TO im,IMMlON FIM NNW?W
we TI
r�t no am to omp 10- RE g01iMMtl,r 92MIlw SITUATED AT CUTCHOGUE
am CL ARD tflll M frIfwww M AND TO 1W A0000 W 1W
uaNCRw R IpK awftow lltlE NGT'IlflilMfREItlM C To A00MO i L TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y.
aR's1AleMo09 OO MIRE
oo a of IM SWAY wr NOT OMM nuc LAW $MtMn 99=SM'cert SCALE 1" = 40' DATE 10-17-2013
FILED MAP No. 5757 DATE 7-12-1972
CERTIFIED ONLY TO: TAX MAP No. (RTF ONLY) 1000-103-7-13 DISK 2013
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX 616
I~ 1666 WADING RIVER—MANOR RD. WADING RIVER,
4y. LIC. No. 048"2
NEW YORK, 11792
HAROLD F. TRA'NCHON JR. PENN. LIC. No. 221115—E 631-929-4695