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ELIZABETH A. NEVILLE I `1� Otk.N Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823
MARRIAGE OFFICER ` 1i
RECORDS MANAGEMENT OFFICER : 01 •Ossel� Telephone (516) 765 1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1907 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CRAIG ARM
Address 1 : P. O. BOX 1675
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-97-0182
Name Of Owner CORNELL, CLIFFORD & RUTH
Mailing Address 1 35650 COUNTY ROAD 48
City St Zip PECONIC NY 11792
Property Address 1 PLOCK SHELLFISHER PRESERVE
LOT 2
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 20.009
Cross Street NORTH BAYVIEW
Building Permit Number Cross Reference:
Issue Date: 1$/30/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �$,``Z�� �Gy��` Town Hall, 53095 Main Road
TOWN CLERK 1 p -' ik P.O. Box 1179
% C/3 2 % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �'�t Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER y�O! .00.0Os ,, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 27, 1998
Transmitted herewith is a copy of application No. 1982 for a Cesspool/
Septic Tank Construction Permit submitted by:
Craig Arm for Clifford and Ruth Cornell •
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.
Thank you.
4-6-1(_a_c.,-
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE /
DISAPPROVE
Comments:
S. natur
5 ____
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Dated
11,
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OFFICE OF THE TOWN CLERK C FOL •�
Town of Southold ;4#4-' �; CSG 1 9 1
Judith T. Terry, Town Clerk . 1 Application No.
Town Hall, 53095 Main Road Construction (/
P. O. Box 1179 to
`�' � Alteration
Southold, New York 11971 4e1 u44 �,aQ�. Residential +�
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION REICEAMN
for JUL 2 7 1998
CONSTRUCTION or ALTERATION PERMIT town Clerk Southold
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE o7 12.--ihe
APPLICANT NAME: - -' -
APPLICANT ADDRESS: PC) lam- CiT.0
. tQ•C L lcn l
SEPTIC CESSPOOL '
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c..LAr=E-02,0 5 ti-t c .e-'--
OWNER MAILING ADDRESS: 3S(oS0 C tY c c .fes %-tB
P4Ic 4 Y tI`t5e.5
OWNER PROPERTY ADDRESS: Lc,-t *Z 1 - St-IFr�r-ice P�ltsec
TELEPHONE NUMBER OF CONTACT PERSON: 7(05 - 662_ (CRAIL.2 Awn)
TAX MAP NO. : Section _ice Block ' I Lot 9_.c). `>
CROSS STREET: Raw /1‘.-1012-11-1 c?A-6/t -/
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
O
*40(2
%" Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: 1 /2:7J r ?l
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Alden W. Young, P.E & L.S. (1908-1994) " s-gs
Howard W. Young, Land Surveyor I
Thomas C. Wolpert, Professional Engineer
Kenneth F. AAruzzo, Land Surveyor
TEST HOLE #2 John Schnurr, Land Surveyor
AS INDICATED ON FILED MAP
(5/13/92)
EL=8.1 0.0'
BROWN o
LOAMY
SAND
2.0'
PALE BROWN
FINE TO
COARSE
SAND
EL=0.5 7.6' GROUND WATER
PALE BROWN
FINE TO 0.1
COARSE 111
SAND
14.0' Ns
N
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SANITARY DETAIL 111 1
SEWAGE DISPOSAL SYSTEM - 3 POOL
N.T.S.
i.--FINISHED GRADE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
10.2 9.5 8.5 PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY a '
—Li I T DATE 1P 0/gf ?id—S REF.NO. 97--ol�L
'- IE=7.7 IE-=7.5 I /
1000 GAL 4' '` 20 '` APPROVED
SEPTIC TANK CESSPOOL
--‘ FOR MAXIMUM OF 3 BEDROOMS
GROUND WATER = 0.5 3' MIN.
,L EXPIRES THREE YEARS FROM DATE OF APPROVAL
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PERCENT OF LOT COVERAGE i"1
HOUSE = 3353 S.F NI
DECK = 1142 S.F. k9I
DRIVEWAY = 3636 S.F.
TOTAL = 8131 S.F.
8131 S.F. _ 79295 S.F. x 100 = 10.25%
0
,
NOTES:
1. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON JUNE 14, 1995 AS ALE NO. 9700.
. 2. ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY e
AND ARE REFERENCED TO N.G.V.D. (MSL 1929). /5
3. THIS PARCEL IS LOCATED IN FIRM ZONE A4 BASE ELEVATION 8.0 �g§>
AS INDICATED ON FLOOD INSURANCE RATE MAP PANEL NUMBERED 2@s>3
360813-0079D LAST DATED AUG. 16, 1993.
4. ■ = MONUMENT FOUND a4s
b��Q
iia '
to Jamesor,f B"'etly 0 SURVEY FOR:
Patricia a 44e & Q CLIFFORD C. CORNELL & RUTH A. CORNELL
—109115, It LOT NO. 2 "PLOCK SHELLFISHER PRESERVE"
At: BAYVIEW Town of: SOUTHOLD
DRIVEWAY At:
Suffolk County, New York
0
~ > Su ff. Co. Tax Map: 1 1000 79 5 20.9
,9 5.g6,da Q — p 4 y District Section Block Lot
WM I'
lerly 94 58, 3 _ �Q ;cc\F A_kr,
CERTIFIED TO:
k Others = N CO ` G CLIFFORD C. CORNELL.
o I-- * •, y " ; `.1 * RUTH A. CORNELL
'co `n Cr • pp; '.r=t O NORTH FORK BANK
�-. t�1 ; iia CHICAGO TITLE INSURANCE COMPANY —( 1