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HomeMy WebLinkAboutKendall, John ,o0 — - g%g�FFOLA, JUDITH T.TERRY ;1 y1 ; Town Hall, 53095 Main Road TOWN CLERK ti Z P.O.Box 1179 rly REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER y� 1- � Fax(516)765-1823 RECORDS MANAGEMENT OFFICER .( 1 't►ea Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER - • ,‘i' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1730 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOHN G. KENDALL Address 1 : 2162 WILLIAM FLOYD PKWY. City St Zip RIDGE NY 11961 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 #R10-97-0113 Name Of Owner KENDALL, JOHN G. Mailing Address 1 2162 WILLIAM FLOYD PKWY. City St Zip RIDGE NY 11961 Property Address 1 150 GOOSE CREEK LANE EXT. City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 8 lot 10.000 Cross Street NORTH BAYVIEW RD. EXT. Building Permit Number Cross Reference: Issue Date: 9/19/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) fFotiow MP/ oma- JUDITH T.TERRY 1,1= y1 Town Hall, 53095 Main Road TOWN CLERK ; y 2 P.O. Box 1179 ,i Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ` y ��11 Fax(516) 765-1823 MARRIAGE OFFICER 0 11 RECORDS MANAGEMENT OFFICER .( `1► 11 Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER ,•��s , OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 16, 1997 Transmitted herewith is a copy of application No. 1 803 for a Cesspool/ Septic Tank Construction Permit submitted by: John G. Kendall 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: 1 / APPROVE DISAPPROVE Comments: RECEIVED SEP 1 1997 3r, , cp P /Signatu Southold Town Vee( 4// /A 7 Dated 1 OFFICE OF THE TOWN CLERK C�VFFI ' Town of SouTown Clerk Application No. ) 'O3 Judith T. Terry, Town Hall, 53095 Main Road Construction P. O. Box 1179 ��J Alteration Southold, New York 11971 „ Telephone 401 * **. Residential t (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 1 16 fq7 APPLICANT NAME: C ® 11 C Q ,1 e APPLICANT ADDRESS: Z / \gi fficLM SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRU ON R AL ERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CON RU TION O' ALTER ' TII►N:i OWNER OF PROPERTY: p I• . r OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: cD 1110 � ►� TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section U 1 .0(1 Block v Lot 0 P . CROSS STREET: X(o r �, _ , .� a BUILDING PERMIT NUMBER ClWrSS REFERENCE: 4 Siena re of Appli ant 1.1.- RECEIVED BY : Town Jerk's Office DATE: 97/ 7f7 GOOSE CREEK O / �v w o t// �y o m„ . _ __ __ - - - _ __ , c � „-- •S. 131., ? o �, - a / KYm -, Eis / / co / / , v / y / .G GrnO r/ 113 Cil LD ,- O WELL `� 0. rLj� rn `� C\-\\ `v 1 Q LJ I BRIID �S \A\ --(1.O PA\ c, \ s8). 0 ,,,..„, -k .: i \\ �2 ���\ Z� �0. 2 p a°�\'ft6.0' PMS �' \ ? •\ 9 °0 SGag216 P�a�L \ �o \ m 99 � pACp PNp I' '. \\ �2\ 0 P PLS A6���ZN 2 6��• V 13 \ ro P a�E p p� EP , 66 - \ s� '0� ZN SPMp Fz0 P Ste• \ \ �� �° P�0 P''. z, \ 2 \ pp \ \ 071 :\ 9 , s \ • � � \ 0T .C • /� \ ` � \ o o �, '°l \ \ 1 00 � 6��56< � Io �, S / ° A ii* \ \ \ \ �E .5'� 0• ,..3 \ S O \ N coc-•2 \ \ ���o \ N Z �Z ..” \ .-\-J.- \ ( 0 !\ ....-- Lo S.-PC) "Pl- -\ \ / \ � �0 c"�-p .4-&''./ / I app\ 7 1,- \0 -(33� \ / ? °i°Z Ort 2?� °. • \ 2 Brown Loamy Sand SM 7/ // // ‘,04 115,-'7-P "Z-•01\-\\ \ cP Jo' ;co.� ,. �P� \ �pG � \ \ 0 y I I 1� e°PZ Ew �� \ \ �� 2 / / 9� ti \� ca l Ts \v \ �j R�O l X94 \ U` y°�� / \ c.,-....- -/ sQ ' fS 0•°0 LP -'5,:q 0�2 0 / • 1r \o 22 co ?� l / O / Gn9T \ ii w O ea 1 / . "�•� �,° ., O • off C) // 0--4(0- .,,,f r\61 / ��RHEAp I A., ° WIRES l / / 4- / 6 ;SLE Pale Brown Fine / ' to Coarse Sand SW // / / /' . / / / 03 .-- �21 ,......C .-§, S / CD �� / -N. 4S;41. / / / \ / / ///\ \ / 13. 1 ' / / / / / \ \ / / \ / / / \ \ . / Water in Pale Brown fine ' / � // ` \ \\ pond S66 25.2° 0-,23 to Coarse Sand SW / / // /I I/ 1 // 1 / / I 1 / I I 17 ' I / ,/ PROPOSED \ Y' Ac41 �,' / CESSPOOLS 11 / 8'DIA eb'DEEP EA. , 4� �a' / s ( 2TEST HOLE - / � 1"� MCDONALD i \ \ / PROPOSED 2 STORY p GEOSCIENCE \I / FRAME HOUSE ,,d ° / / °s T5s . \ 1\ / ' /� 9 \/ \/ / �c /\ / / `., / / \�T / / .----..\."-`‘`' NN. / l� � NOTE: / PROPOSED Pi�RVIOU5 9 �/ DRIVEWAY--REFERENCE _ T�/U. S. G. S. DATA - __ - / PROP. 31' / / WELL 62.. / . • / 'o , i / PROPOSED BARN / GENERAL STORAGE / ' NO WATER OR SEPTIC, / / / / . / / / / / .> ,. • / 5 / I .-/ --//--// L[11 I l Q' / / / U / / Iu / / lr - ��rx J /II iii i.,./ zo 0 0 / , / 0 0 0 / I /l AREA l uOCwmO ti I/ ,' �5 166 ACRES Ill 0� Z 0UQ, / I 1 / 2Z- / / I / / u0 , / / / / / / / / / / , / / / ! / I / / ..., v i__ ...N.,....„......--,.."-- 0 p .....•,.. Q„,. ..... .., S \/fi ' f _....._ 0 p O // / 00. - \ / Fo°t P � � m / � _ _ _ _ _ IA6AVHA - _ _ - , ..... . -------_, 1 / i 0 /\ \ * I_ SQL1THQLp 1c Il /l olpt poa way 1 1 J / I 1 �0 , / I 1 0 51,j 1 1.,_ J / , K 0 LJ \ --r--0 „-- U) I0/' 1 SUFFOLK COUNTY ' X MAP NUM I 1000-07E200-osoo-olooco J // 1 0 / , II 1 II // o I ,' o HEALTH DEFT. INFO . JULY -7 // HEADY— � '=T. INFO . AL) .6 I �c z 1OUA ANT r, T0 : I 1 / co / JOHN O . KEND LL 1 I / FIRST AMERICAN TITLE �`` / , FL` I // �� . NS31 COMPANY OF N AL YORK 15I -e-5-104 ............,......_____15.qp,.W / / / M43s �� /40-85, - - 0 FEET SOL I INCH�s� / — K/ ���, •I8.o0"w // ,� �� t: fd 43A \ / • Y�/�`�, ` SUFFOLKCOUNTYIX?AF.'i,'V;L'NTCI b�AL'I'iiSERVICES i.:, s,.�• E , %� `s - ,,..--:-.--..0----„, -, r \ 2 � ��'� 9a. 5S, PE;?.h'T3 rr; APS=;i��JAI©c CC�i�,``:i�UCiI.7Pd FO:t A �' ? .�Y.dlaL „ t'', '1 * \ C r. LV r.SiEr. ,`,, �y LSI 7 !•' f d'/4i map alteration or additionvyto esu is ///{{{ /y /i), 9� /�� < � nap gearing a licensed land surveyor's seal is a �38 r�.� y �f '!� �0. vv ' �i f viwlYorkn of section 7ion sub-division 2. of the __________________...-38.6 \ Fj A� AIG ( ( '(�� /"':w,�. ,.�i1' s� New York State Education Law.' C"IF , `o ,. �v'v `N 'Only copies from the original of this survey ' APPROVED. . lA .... .4-',)e � marked with an original of the land surveyor's f - stamped seal shall be considered to be valid true nN. Y. S. LIC. NO. 50202 copies- FOiZ 1Vt.AXlNiZ1l"•4 O. EEB:�OOhSS �.. , ��{k.r.�...� ��'39 \ / JQHN C . EHLERS LAND SURVEYOR 'Certifications indicated hereon signify that this 7 6ST MAIN STREET survey was prepared in accorLanddance with the op- 4 CA iRES'i'i-xp.EE YEARS FRO�'i DATE OF APPROVAL istthe Code of Practice for atio Surveys adopted RIVERHEAD, N. Y. 11901 by the New York State Association of Professional Land Surveyors. Said certifications shall run only 369-8288 Fax 369-8287 to the person for whom the survey is prepared. and on his behalf to the title company, governmen- tal agency and lending institution listed hereon. and to the assignees of the lending institution. Certifica- tions are not transferable to additional institutions • - • 9706 D