HomeMy WebLinkAboutSoper, John • �0CoSUFFO��-
ELIZABETH A.NEVILLE t,``1 �Gy Town Hal], 53095 Main Road
TOWN CLERK P.O. Box 1179
y Z % Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V'
MARRIAGE OFFICER Vet � � Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER *, a%��I$, Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER * *010
••.•_ pis'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1829 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN MAXWELL SOPER
Address 1 : 1074 HARBOR ROAD
City St Zip SOUTHPORT CT 06490
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 #R10-98-0031
Name Of Owner SOPER, JOHN AND BERKELEY
Mailing Address 1 1074 HARBOR ROAD
City St Zip SOUTHPORT CT 6490
Property Address 1 PRIVATE ROAD
City St Zip FISHERS ISLAND NY 6390
Tax Map No. section 3.00 block 5 lot 5.005
Cross Street
Building Permit Number Cross Reference:
4/Actiaan
Issue Date: 3/25/98 izabeth A. 1=e
Southold Town Clerk
(TOWN SEAL)
ow/I/Z /G1?
110'OSUFF04
ELIZABETH A. NEVILLE 01 � ot; Town Hall, 53095 Main Road
TOWN CLERK c - P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS '�� Fax (516) 765-1823
MARRIAGE OFFICER •
y
RECORDS MANAGEMENT OFFICER a,�1111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER i os�1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD J
P. BLDG.DEPT •4
TO: Southold Town Building Department TOWN OF SOUTHOLD
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 23, 1998
Transmitted herewith is a copy of application No. 1904 for a Cesspool/
Septic Tank Construction Permit submitted by:
John Soper
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 mendations:
APPROVE
DISAPPROVE
Comments:
gnature
161
Dated
•
r .
OFFICE OF THE TOWN CLERK 4 .s\TFfl(A'
Town of Southold C!icf
Judith T. Terry, Town Clerk , Application No. /S 0
Town Hall, 53095 Main Road Construction 4---------
P. O. Box 1179
Southold, New York 11971 d •
O��` Alteration
Telephone 40 * % Residential
(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 3 - 023 - 98
APPLICANT NAME: .73f1/•/ ArX" -e/ �d/ X
APPLICANT ADDRESS: /6 �V 711AieA 02 /PO,e-c
3ocv7/1 p� 1- 1 & ®'G ef9/d --
SEPTIC
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
l&-P-'i--,- )"?'-7(---A-- l.,:r----je--0 c--1-1-,,•--e-'2-e-L-3
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -<-1_()4+T1 -t 7 ecce Ke 1.27 6 a p-e4...__
OWNER MAILING ADDRESS: O 7- L 1 hi ia,e 3.ak. �<,P,
500T4j p1- C_i 0441 /4 •
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 0763 -¢2S'}- DO22_ -
TAX MAP NO. : Section Block 2.--k Lot ----71----- -'-
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: .
/ 4"____‘_,
SOnature of Applicant
RECEIVED BY: own ii
TClerk's Office
DATE: 3/a 9F
/
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PROPOSED _ / • • rn
PROPOSED o
RESERVE ---, 8' DIA. --> '
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PROPOSED _ ,
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SEPTIC TANK ile" SHAD t
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416
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES,
BENCH
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95� p����INGI E I'RAMU.Y�IDENC:E ON�I.YN FOR A ELEV.
403• " ,_ , DATUM
N'I 0.59'30 W KNOCKOUT INLET AND 1 DATE MAR 1.9 1998 REF . woo dp :1,x!4 l
,r OUTLET OPENINGS .�/,��'+ ,� .
APPROVED
RIBS INSI
FOR MAXIMUM OF SED'ti
0 407 p f1., EXPIRES THREE YEARS FROM DATE OF APPROVAL
BLOCK 26 — LOT 7
1GLE FAMILY RESIDENCE [..
UNICIPAL WATER & CONCRETE COVER TEST HOLE DATA
ON SITE SEPTIC)
PLAN BY CHANDLER, PALMER & KING
COVER LOCKING CASTING RICHARD H. STROUSE, L.S., P.E.
TO GRADE TO GRADE
IF
USED
FINISHED GRADE O"-7" TOPSOIL
i C x 4 126/!2.6E MESH 71-30'� SANDY SUBSOIL
►� � 6 x 6 6/6 MESH 30"-8' SAND
M , 6' 8'-17' SANDY TILL
�� rsosi I E 3' Y . �r .y._. Ijp; !OUTLET NO WATER
r,
T.a o 0 a • a 0 a ai ,S Limn LE' � •, S
El
a 0 0 0 0 0 0 040 4' DIA. KNOCKOUTS o i'' CONTINUOUS HOT 4lFFi[DUfl ET �:
u0 .a a 0 0 0 0 0 011.4 b i s ASPHALT Lp� v1TM t
1 4' SCHEDULE :S/f' MC i+
g e a 0 0 0 o a a a? ij INLET y,TL up. Get �� 4.
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