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HomeMy WebLinkAboutGeorge, Terry „or iii at, \i44 11 00 ELIZABETH A.NEVILLE thy` .y � Town Hall, 53095 Main Road TOWN CLERK t ti -� , P.O. Box 1179 • • Z Southold, New York 11971 • • REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823 MARRIAGE OFFICER �1 RECORDS MANAGEMENT OFFICER : L440-,, X �� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER7'r'',I��1� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1795 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : CAROLYN P. GEORGE Address 1 : 755 MEADOW COURT #22 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 #R10-97-0149 Name Of Owner GEORGE, TERRY W. AND CAROLYN P Mailing Address 1 755 MEADOW COURT #22 City St Zip SOUTHOLD NY 11971 Property Address 1 225 HARPER ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 70.00 block 4 lot 40.000 Cross Street YOUNGS ROAD WEST Building Permit Number Cross Reference: Issue Date: 1/12/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Ilig G L �S , c ELIZABETH A.NEVILLE 11� �l/y` Town Hall, 53095 Main Road TOWN CLERK c _ P.O. Box 1179 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Pr/ Fax (516) 765-1823 MARRIAGE OFFICER "` y or Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER `� '/4 ��0 FREEDOM OF INFORMATION OFFICER C�' ��s.,� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: January 7, 1998 Transmitted herewith is a copy of application No. 1869 for a Cesspool/ Septic Tank Construction Permit submitted by: Carolyn and Terry George 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 re ommendations: APPROVE DISAPPROVE Comments: RECEIVED JAN 1998 :/signatu lig /41 Southold Town Clerk Dated .11„,„‘„,„ ()1:1:1C14 Or .111E 1 PON CLERK 11"tpq1:10-,, • lown southoid huhu, 1 . Terry, Town Clerk k Application 1•10. • -4 [' n owIlaII, 53095 Main Road ; Construction t•-• • P. O. Box 1179 ‘.).- 'il;••',•,)•!' Alteration Southold, New York 11971 .40 r*-- • Telephone 41\a/I • • Residential 1.0""-- (516) 765 - 1001 Non [OWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for CONSTRUCTION or AIJERATION PERMIT / • SEPTIC TANK or CESSPOOL •/ Permit No te4i • • i:04! $ tO° A t 4-APPLICANT NAME:NAME: 0\y33 APPLICAN•1. ADDRESS: Recxo y, // 9 ' / SEPTIC CESSPOOL I • DESCRIPTION OF PROPOSED CONSTRUC1 ION OR ALTERAT ION /rk 0 CY\. . . _ ....... ..... . LOCATION MAP: Must be attached hereto before permit may be Issued. LOCAT ION OF PROPOSED CONST RUC'1. ION OR A LT ERAT ION OWNER OF PROPERTY : e,v.s.,( G OWNER MAILING ADDRESS: SS \-kec („...... , C.-0 -41- 2-2 /V, OWNER PROPERTY ADDRESS: ,••• L•x----C\<‘<=, ..... TELEPHONE NUMBER OF CONTACT PERSON : 1 (c) (oh\ FAX MAP NO. : Section PIO Block .0,.(-1 Lot 1--k _ . . . . c 0 SS STREET : ,• BUILDING PERMIT NUMBER CROSS REFERENCE : _ . . ..... . . S jnahlre of Applicant RECEIVED 1.3Y : row, CEerk's Office -1(1'4--- • ... DATE.: AO- SUFFOLK COUNTY DEPART t NT OF HEALTH SERVIil CES •' x PERMIT FC::k?PROVAt. CON': vC�TON FOR A N 40 IN LC r/,2t i �:..`.I ENCE ONLY ry� ICS—?--q R16 7_°14? u ' se . 'o '�Py DATE 7 EIS REF.NO. �' MI Ory �F<�M'_ < APPROVED Gd :���_. f. _ 1 IIsa ry�° N F / �7tc` FOR MAXIMUM OF*BED �T j ry © y c FARES THREE YEARS FROM DATE OF • OVAL J N ma - u i 5e-t. 1—s-2 OP \-� 1� �� .. AREA = ,1.4 1acres\. ;i- -„o 04 ,((� SURVEY OF .1 s ' � ` `� PROPERTY • �� _ -1ift �. —�, -4'. 4 \ K---... �� //N L`�ti, ��, A T SOUTHOLD �`�\ �tt.� �• � � .�_ 000 TOWN OF SOUTHOLD Q. ,,4 cA __ 4> , '4 SUFFOLK COUNTY, NY = V ,8 _____-./� �, ..f- � '' _1000 - 70 - 04 - 40 Cy PRo P 27', Scale 1" = 40' Es ,b �I NSE 1 3p rao ��• \ 1988 �, i16.4 ore ) erm \ ab JUNEMARCH 28, 31988 (b.o.h.) ' r� r TREE e� r story cove_ ' *-Oo SEPT.251, 1997 (trpd6�ts) foc } r DEC. 4, 1997 (prop hue.) R=3265 B a C i •s\ H.. =64.80' (44; L `) 'y E I . Q,(' `, prop cal"-,k� W eK n, pvt, yo �� pO' No ISI .C! MIS 8138' 00' .i N N 88' 00' 00" V7.•' € I t� • CALVES I e NECK ROAD - L TO'CERTFED CAROL YN P. GEORGE (YOUNGS ROAD WEST; �`--� ►Daae coot N min. (GaEe.vvear w,ertR- moo.) - , F 2c,•/k� ."-F- __ G) S Jffai county TEST DWELL/NGJ ' Q„cAK.� 'e WELD .\‘...\ O..ME �� JAN 0 7 1993 MOLE �...., ,, ✓ �� `, W{' i (DWELLING) 1 S 0 zc ¢ DANK MOWN LOAM (DWELLING) 9' /O<b/ie Water l �e r ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION �� NE fir a:;i.San+rxs ?u 6/i c ws ' OF SECTION 7209 OF THE NEW YORK STATE E'DLICA THIN LAM �=" SKOPK DLTY LOAM EXCEPT AS PER SECTION 7209-SUBDIVISION Z ALL CEETFICA]M / a -•3 r^� Yv .ews:e:MamL' 2.I• ELEVATIONS ARE REFERENCED HEREON ARE VALD FAR THIS AMP AILD CRIES THEREOF ONLY F I. �',�/� N. .S� 1JC N(. 496/6 turnTO AN ASSUMED DATUM. SAD KAP OR CRIES BEAR Thr APRESSED SEAL OF Tia-sueveYOR 40Aa.4..�f ce , I MH osE SIVA TURF APPEARS NSREOK 7:7; y _f _ P ADOVTIQNALLY TO COMPLY MTH SAD LAW THE TERM 'ALTERED BY' e = •1't• .95' "'> vATi11 N rA.F MUST BE USED BY ANY AND ALL SURVEYORS UTuZAVO A COPY ..7..,. , s � ,sate OF ANOTIER SURVEYORS MAP. TERNRS S JCit AS INSPECTED'AAV 1230 . '" - STREET 'BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE WITH TIE LAW. SOUTHOLD, N.Y. 11971