HomeMy WebLinkAboutMcGahan, Douglas /le �iii
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JUDITH T.TERRY �I A& y •� Town Hall, 53095 Main Road
TOWN CLERK o .1" P.O. Box 1179
= Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O �� Fax (516) 765-1823
MARRIAGE OFFICER - t* %�
RECORDS MANAGEMENT OFFICER 4,i .�`� 1.6 Telephone (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. 1736 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DOUGLAS MCGAHAN
Address 1 : P. O. BOX 602
City St Zip CUTCHOGUE NY 11935
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 #R10-97-0131
Name Of Owner MCGAHAN, DOUGLAS
Mailing Address 1 P. O. BOX 602
City St Zip CUTCHOGUE NY 11935
Property Address 1 STILLWATER AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 7 lot 11 .000
Cross Street TRACK AVENUE
Building Permit Number Cross Reference:
Issue Date: 9/25/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,„ / ,3
too-OS�FFO�,�co
JUDITH T.TERRY `tt iS `tt: Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS •
MARRIAGE OFFICER �
ifi Fax(516) 765-1823
� � �1
RECORDS MANAGEMENT OFFICER 0.( `�a 11 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 24, 1997
Transmitted herewith is a copy of application No. 1809 for a Cesspool/
Septic Tank Construction Permit submitted by:
Douglas W. McGahan
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 4.
DISAPPROVE
Comments:
RECEIVED
SEP 2 5 1997 ignatur
Southold Town Clerk Dated
. �
. '
`u!F|[E V[' lIIF |0YYN CLERK
["wo o[ sooU `|d
Judith l . [u/y. Town Clerk
/\|�|JicaUv/` Uo / �,Oc�
["w/� Hall, 53095 Main Road
` ��y /
Construction
Y. U. |lox 1179
Southold, New York 11971 Alteration
Telephone �� �/ / • |�esi'|en(ia( -'
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( 5 }6) 765- |80| -'z*/ ^''
Non Residential
TOWN OF SOU [|K)LD
SOUTHOLD WASTEWATER/\TER |>|S|/0SAL U|5Tk 1 C
A|1`|'([N ION
k"
CONSTRUCT ION or ALTERATION PERMIT
SEP T |C lTANK o. CESSPOOL
Permit No.
----- --'
[e, $ ___
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--='~`-'---��/'(_ 1 /_---__-
APPLICANT NAME: kJW*U�
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N11]C/\N[ ADDRESS: F-l} Bc�<. (�Q,2
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SEP T|[. L/ _CESSPOUL {/ _
NE3[|<1|qK)N OF PROPOSED C0NST|(U[lk)N OR /\| TE|�/\l |nN
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L(}[NION MAI': Must he attached hereto before punoi( way be |ssved.
LOCATION ON PROPOSED CONS T/(V(: [ ION OR /\LTEH/\T ION :
OWNER OF P|tUPERTY c
0k
OWNER MAILING ADDRESS : �p `,D .6202__
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OWNER PROPERTY ADDRESS : 7
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lEl. E|'|0NE NUMBER ON C0NlT/\C| PERSON : �7�� 4
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[/\X MAP NO'NO. : Section ( � � - |U»' l
Lot___\
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CROSS STREET � '
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|}U|( |/)N(| PERMIT NUMBER CROSS REFERENCE : „ ^
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'y - Applicant
RECEIVED
Clerk's Office
DATE : ^7 / ���
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9_17- _-
S.C.T.y. NO. DISTRICT: 1000 SECTON: 10J BLOCK: 7 LOT(S):11
• SUFfIXII comp OBNl1Nl A* JN sow= The water apply and sewage disponi
•
C Received
FOR ORM Of OPM1111ON011 ONLY system for this residence will conform to \ Suffolk County
the standard d the Suffolk County / AUG 2 0 1997
Department d Seaith Service. \
DATE • Its REF.NO. , 4 Dept.01 Health Services
Of Wastewater M.mst.
APPROVEDvv&Lt S L w /gitiv T1
C ar orFi6P5 // •
STILLWATER (50') AVENUE
5. (24'1 STONE AND OIL PAVMT. TOWN MAINTAINED)
NVr
• MAq 371 oe
193.00' "'• ",.,7
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006.640... 4.ASS o 1 STY. FRAME 3
L T N 3 w DWELL. W/CELLAR
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LOT 6 b C52 C) n LOT 8
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SUFFOLK COUNTY DBPARTrff^ ))_�HEAiTH SERVICES I �w
—
PREMITFOR AP@IeaVALOF17NOTIRUCfIONWli#2820" W 192.97' gPPRPr.�+�✓t
ENNti LR F,'ll�R RRENDENCE ONLY ,
DATE ITV H3ttr /D -9�U/ / on TH.
APPROVED J,c .>l4 I: *' LOT 3 / V A C A N T
LOT 4 0
POR MAXIMUM OP..BEDROOMS `o
\
EXPIRES TIRES YEARS FROM DATE OP APPROVAL
4i
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w 6'-t-
AREA: 39,957.5 S.F. OR 0.92 ACRES
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OA' THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SUR VTI
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TEl BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALT RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
PUBLIC WATER AVAILABLE U WELL WATER 0 INDIVIDUAL SANITARY SYSTEM 0 ELEVATION DATUM: A SS,.^,.a
SURVEY OF: LOT 7 CERTIFIED TO: 0003LA5 vv. McGANAN"
MAP OF: BIG GREEN ACRES
FILED: JULY 12, 1972 AS 05757
SITUATED AT: CUTCHOGUE
TOWN OF:SOUTHOLD KENNETH M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK �� Land Surveying and Design
4 _le` lr�— ,1 Calverton, New York 11933
FILE 97-45 SCALE: 1"=30" DATE:AUG. 14,1997 (516) 7E7-6127
N. Y. S. UC NO. 50227 mdntaWns the meaty.K Robert J. aauawT