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HomeMy WebLinkAboutHallock ELIZABETH A.NEVILLE Town Hall, 53095 Main Road P 0 Box 1179 TOWN CLERK C4 q Southold' New York 11971 REGISTRAR OF VITAL STATISTICS -6145 MARRIAGE OFFICER Fax(631) 765 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J, Cooper, Southold Town Clerk's Office DATED: January 3, 2003 Transmitted herewith is a copy of application No. 3123 for a Cesspool/Septic Tank Construction Permit submitted by: Jeffrey Hallock Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper WO W—OW—MI41.1p�- and. c n th. r6i t iii4i'i e')i�&,makd-.the�followmg,,,.L..,,iii,i* reviewed.the'4�plication lo �iio "iIia�,of e,,p ed c oi� recommendations: APPROVE DISAPPROVE Comments: IL—#M Slgnature A Dat161-U 0 OFFICE OF THE TOWNCLERHFDLI�I'oG Application NO. TOWN OF SOUTHOLD F1 r7.ABETH A.NEV91Z TOWN CLERK Construction P.O.BOX 1119 = •_ SOUTHOLD,NEW YORK 11911 p rr+ Alteration $10.00 - Residential Telephone '!.�►0 �� (516) 765-1800 l $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. OD Fee $ /o. DATE /,Z - J/- D APPLICANT NAME: APPLICANT ADDRESS: P Bax 30;?- SA uf''l. Tarv►eSPD/T /� SEPTIC /- CESSPOOL y DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION v ri LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 7—ie--Ffz,t-v 4. l ck OWNER MAILING ADDRESS: P D ,B.D X 30 2--) OWNER PROPERTY ADDRESS: �a I b 1 J ad-'u Nled - cLcaV&I Q:rva lYlIrP1 N) � p 1 T6 TELEPHONE NUMBER OF CONTACT PERSON: 7 a '3 'A 1 1 TAX MAP NO. : Section / Block -� Lot / CROSS STREET:— E,gs 7- A F-__/Va• �� D AKGUQDII "�l BUILDING PERMIT NUMBER CROSS REFERENCE:( -Pe.v'ctinA Signatu Ap n RECEIVED BY: �;T4bwnClerkWls LOffice DATE: r 4!410 `�� �� • G? �.`� X e 65.2 A1q ♦°� r •`i A• ,l w .[u1 4•.[a &G.10 d Ip Z'\ [ ` .> 1- I • .siA r \ I • q• �\ �� r � • / d O t •• f .� I ♦ wry 3fA w W ©COUNTY OF SUFFOLK '•Ya SOUTHOLD °CqM Property Tax Service Agency R+m+a a pr r.. a4n C•Y•1y C•YI•I �p i.?1 ,.�i ; RO c+.+..4� a4u G,•[AwA,1.1.,'N•v.Yo,► ."iq — RiY M SURVEY OF PROPERTY sur�oLK cO�r nF��rM/�NT OF .���RVICES �cy a PER,1:�'d'FOR&PFR2�VAL OF Ce'.�1�LaJC'E'I®AI FOR SITUATE: LAUREL SnGLE FAMILY RMID-F,M77.ONLY i TOWN OF S OUTHOLD — s g K COUNTY, 1�1Y DAT' --O S NNG'��. S�J�®LF APPROVED SURVEYED 01 - 08 - 2002 FOR MA`.�'W)-,Vt OF E AMENDED 10-II-02,11-01-02 11-13-02 EXPIRES i'I:I, 2 NEAPS FF-0M DAM,OF A&PROVAL SUFFOLK GOUNTY TAX # 1000 - 121 - 3 - 10 / JBFP�tBY I ;\ v / , \ / /and n 1 \ ; / , ow or for Fm�.rpr�ryripn�o nvsUrnnxcE I \ ,' Je m \.t OOMPF CORK \ \ \\ ;,bqb �` , \ �i ffrey HalloGky of: I 116959'40"E , , \ 6 6r— w, aD o� as 04©, I I 00.3 - - ��J OZ ON w , I :A _ _ — Pyad O U (/�= oLLi O o b Ot~ ,/r (� f1)�j 3 ! i \ y ♦r \♦♦ \♦ ♦/ PIP6 L Q 4 aeopD" ♦ I PROP �`�\``t�''MM -" \ 1'09�' I. 1 1 \ �R _ \♦ o / � � \471,14, 3 o 2 d S9 d. 51.49- \�•nc Test Hole °59a40ffW, ; , 1' —f 10-25-02 ; 12 Noon 1 y , - 1 - - - - - - - -- - -- 60 1.02' - - - - - - -- - --601.02' / 51Ity 5cetd zI rn w ' �Qmd noW or ' Eleanor pirmerly o I I Q(��♦ ,♦ \ ar-hun f I: Pale ` O ♦ Q\ \ '; \V .♦\ ♦ \ VA(;A,yr I Y: Brow \ fl 3 . G ♦ A 1 `\ m \ \ w. \ f+e I \ --- --- -- Match line — - Pole Match line - - - _. __��- iii�� _' _ - _ _ _ ___ _-__ _- _—_ -____ .___. -___ •- _-__ _—_ ._- T__ __.__ _ _ _ w;ti-^' Fine 5crtd t t•a ;w O OIQr,d noW EI or Foryn 14 ;C!J or Dipchun9 pF \p McDonald 1.00 6eoscience '`D - L-t , t t ti Q)-6 O� a -, 01 N i c � 0 O,� Vim' w pF NE I� ro o, Tj ?.e I d. Nr I NOTES: L_ o E a ' Cp'L 0— o � r MONUMENT FOUND E N 0 1 N N a LAND SJ 6 E O_N AREA = 5.20 ACRES `"' L �' L O ° > a rattan or Vaatltan auatnar itea to a sar Yey I°O V N O O mea Deer in°a Cccenaaa lana a rraror a seal to a _ vlalet ton Of a tion sup-tl tv an 2. of In. Nei, York stere Eaacat tan Law.' ELEVATIONS REFERENCE N6VD'2G aa°nla °° anfrom °(°a'le in is reyu e; i= ,tamp,,seal anal)oe can,ttleretl[o oe valla true C L O to Q copies- g2p " N -certiucauona tnatnetee nereon atantfy lnet .Pia W 1^ aurvay kaa :fee eccor°anca k1'.in ev yI —ing Co..of Practice for Lana sarrera adopted Q z 5.59, "1On. ay thea nek York Stata aaaoc le[ton of Prof aaa lanaI Ind Lena Surveyofs. Sal°cart t r icet lona anal) run only to they person for MOO the! , to prepareo. -`C nbn. rl and an nla°enalr to tna tl[le c°opanr. °°vernmen- ,�. It� [al a°encY ana Ien0 tn9 Institut ton Ilstetl..raon• an, CO _ —� - 14 91 25 t°the easl°nnot°I the lent Inatttional Certtrtca- b..7 tion,are not ire in lifpte to nitti — inst[tut tuna E N/C —- 55110.61' 5OULEV ARD BA GRAPHIC SCALE I"= 100' -- JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287 REF:\\Hp savcrWROS\02-305A.pro