HomeMy WebLinkAboutDonohoe, Jim eof 00.
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JUDITH T.TERRY ?., y1 Town Hall, 53095 Main Road
TOWN CLERK y i P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS :v� � Southold, New York 11971
MARRIAGE OFFICER � ijJ �,�j1Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER =,,�.1'J .4.,dTelephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1723 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MILLER BLUFFS CONSTRUCTION
Address 1 : P. O. NOX 5240
City St Zip MILLER PLACE NY 11764
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 #R10-97-0092
Name Of Owner DONOHOE, JIM & YOUNG, KRISTEN
Mailing Address 1 15 LEHIGH LANE
City St Zip FARMINGVILLE NY 11758
Property Address 1 WILLIS CREEK DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.009
Cross Street
Building Permit Number Cross Reference:
•
Issue Date: 8/28/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
JUDITH T.TERRY is
TOWN CLERK ; •y P.O. Box 1179
• v. �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O ��
MARRIAGE OFFICER � y �1 Fax (516) 765-1823
41(
RECORDS MANAGEMENT OFFICER `� �,( �a0 � Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 25, 1997
Transmitted herewith is a copy of application No.
Septic Tank Construction Permit submitted by: 1794 for a Cesspool/
u' -r Bluffs Construciton for Jim Donohoe and Kristen Young
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.
Linda J. Cooper
* *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
- D
AUG 2 81997
:ignatu
Southold Town Clerk z I c
Dated
OFI'ICE OF .1111-3 TOWN CLERK C3\\ FULA-
.
&,0 , • ro
Tow" of soothold
No. /
Judith T. Terry, Town Clerk Application
T 8 r c 4
own Hall, 53095 Main Road Construction
• ----------- -- -
P. O. Box 1179 k-le5
Southold, New York 11971 Alteration
Residential V'
Telephone 44 if
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: • MI\‘_tn- ---
APPLICANT ADDRESS: y.
s5--c2L-I0 - fi9(14,en, p/46„..
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
CCrs. .t et_a_ '4_,VNAA , AA/142 tfitt-44tillta/k(i_ 4.4,etttiew,mut
AAA/IAA/Awn .-ptetC _--..A.ktar_
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCKFION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : \) f•f• QZ:10 C)f.0`e, if V<RAS-Mk) %VP
OWNER MAILING ADDRESS: \S- Le.-k!kk Ck‘x Ft!tReWtiV o_ki-ua
OWNER PROPERTY ADDRESS : Sktoive_
TELEPHONE NUMBER OF CONTACT PERSON : a4q15-‘,2
1 15-
-I-A X MAP NO. : Section -1;015U Block RV /7- Lot ;;;;7"- P4•9
CROSS STREET :
HUH Dirk.; I'Ll<M11 NUMBER ( I )SS RLI LRE:NCL :
A I
1011
10• 04-•
wo, Sigr Ito 0 Applican,
RECEIVED BY :
Town C erk's Office -
DATE : 8-7o-5/97
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o NOTES: Young & Young, Land Surveyors �o .
SANITARY DETAIL 1. SUBDIVISION MAP FILED IN THE OFFICE � $
•
400 Ostrander Avenue, Riverhead, New York 11901 s�
."1------- .,---•-----*--‘ OF THE CLERK OF SUFFOLK COUNTY ON '9 516-727-2303 ni9<
goun� HOUSE SEWAGE DISPOSAL
N.T SSYSTEM - 2 POOL AUG. 21, 1987 AS FILE NO. 8377. C . O 6 g
2. ELEVATIONS SHOWN HEREON ARE FROM O FrE<
ACTUAL SURVEY AND ARE REFERENCE x���
�'QQ FF=18.Ot TO N,G.V.D. (M.S.L. 1929). < Alden W. Young, P.E &Land Surveyor994) r,§5
�y nuns FINISHED GRADE -9 Howard W. Young, ��
J 15.3 15.1 14.4 3. THIS PARCEL IS LOCATED IN FIRM ZONE Thomas C. Wolpert, Professional Engineer
S5 ■ _ A4 BASE ELEVATION 8.0 AS INDICATED ON �� Kenneth F. Abruzzo, Land Surveyor 0
FLOOD INSURANCE RATE MAP PANEL NUMBERED John Schnurr, Land Surveyor canning ) IE=13.3 IE=13. 00 •111\ IE=12.6 IE=12.a 360813 0116D LAST DATED AUG. 16, 1993. b �K X 1000 GAL 6' OSEPTIC TANK CESSPOOL 4. ■ = MONUMENT FOUND /h r "` £ngiarrriag V *��1C1F3' MIN. 5' v // 3v(i VL11W� 3�C"f�sil aftwtixjaa1$ureyiag7 GROUNDWATER = t.a _L 5. = STAKEFOUND6. • = LATH SETPERMIT R lI ' ?Y: T_ r• "=:`Q� 1- TR[3CTfONFORA �SIII,y:�' 1 :»�• ,< «° ONLY �
1 Lot 8 N
DATE `S - � �. L.*,8,J,
(Vacant) 11?
il. . 9a'.4iQ. �.� .2<gi
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ROVED I / G
-� (1j APP i_ .� _ X<
KFOO
1 I ` �� �P� POR�OF ',• • Ir < 5,
? ,�$, ec`' 3 62,. ti 44, ry� EXPIRES MBE YEARS FROM DATE OF APPROVAL
N 1 \ 1r T111
�A`� �� \ 45 �� •00, E / �� U c1 c.® SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION �6"_�
\ 6 1Oo•\ \ Lot
9 I a. 0-� "I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE P_
(i7 _ \ \ L (() I fo , SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS �gF
15.
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' 6 Area �_ �.� _c SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT." gr-,
N 8'15'10" E 136.79 �� �� \ 47777 s.f. If<, s Q
�' \A &•E• 0 8 �} d APPLICANTS SIGNATURE: R1IC:5-1::
N CORIPORA7•ION c'. ti
52.59 ��� 84,20,-'"1 �;� \ h .�.:-�. IA
BLUFfS CONT
\\ " \ s.33. PROPOSED i (D �,` APPLICANT: P. Q• BOX2 4 0 OO v 6.1 SANITARY \ d' tv�. \\ toso'$d u.e :' is' S 7. i SYSTEM O '3 �_��..-:-_ti -
sn4 \ ^ l t STREET ADDRESS: MITIer "18I 'w` :3i'< 11764�� I \� zo \ 1 // i �/ la�,,...., 51 ) 4731529 =���
tt I v I > r o _.' :. CITY: STATE: ZIP CODE: ��W L
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FP,m 00 V = `'� " TELEPHONE NUMBER: RBb
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�y/ lc) I J--- L c,, 8.33' tn 'of 6;0 0
5• vC t5.12' \ rca
�G ,�- 68 ----, I - J m 61.0' i - ( w .x= SURVEY FOR: _g_s
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c.20^ PROPOSED W
v' �/ Zrn `-- --6 L\ ' WA\TER SERVICE � , `� KRISTIN YOUNG F
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,� z o z5.68' \ j cn J II
.'��Q� d� 1 _ o 1 ---- O 99.3'--_�-_--- �\ CO o 8
o LOT NO. 9 "HARBOR VIEW AT MATTITUCK"
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w�' oZ 4 01 PROPOSED DRVEWAY - At: MATTITUCK Town of: SOUTHOLD
NCP 1 X D 001 I N ` ii Suffolk County, New York m 2;
3 1 •=o I \
01 I TEST HOLE
90.23' E� �I 63.73' EL=12.4 1125.00' E4-14.2 '� 1 FROM FILED MAP ,_rz
^ ` „ 1000 115 17 17.9 '���
` ' S 8815'10'11W � 278.96' Suff. Co. Tax Map: I I I ��
\ EL=12.5 0' District Section Block Lot <>
/ TOPSOIL �'.'0<
I1 AND LOAM boo
1 in
ve r I 1 I 1 5.0' $�i
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��NQ •▪ 1 1 SAND X.
f11 .1° R.D r I• I t 1 0 12' DRAINAGE EASEMENT I L=q5
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', ,. m �- I LOGROUND WATER 11.1' FyH�
00-� ; EL=1.4 / W ��
Zmo 1 I (Vacant) I I I / FW
0 A WATER IN d�
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1 SAND 4' ` Ai%_. DATE : MAY 1, 1997 Wo„
SI O zmD SCALE :1" = 50' -6
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or !: Liobo297
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