HomeMy WebLinkAboutMcArthur, John o��gUFFO(,��0
ELIZABETH A.NEVILLE � Town Hall, 53095 Main Road
TOWN CLERK ca P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS �y . �� Southold, New York 11971
MARRIAGE OFFICER O Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �o,� .�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit NO. 3128 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : JOHN E. MCARTHUR
Address 1: PO Box 420
City St zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF *R10-03-0099
Name Of Owner MCARTHUR, JOHN
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mailing Address 1 PO Box 420
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City St zip ORIENT NY 11957
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Property Address 1 223 TABOR ROAD
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City St zip ORIENT NY 11957
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Tax Map No. section 18.00 block 5 lot 13.007
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Cross Street TABOR ROAD
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Building Permit Number Cross Reference:
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Issue Date: 1/29/04 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
�-
ELIZABETH A.NEVILLE �� � Town Hall, 53095 Main Road
TOWN CLERK ti = P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS �y • !� Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��,( .��� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town)wilding Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 9, 2003
Transmitted herewith is a copy of application No. 3263 for a Cesspool/Septic Tank Construction
Permit submitted by:
John McArthur
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations: /
APPROVE
V
DISAPPROVE
Comments:
F goo-
Signature
Cpz--
Dated
o��S�fFO(,�co
ELIZABETH A. NEVILLE ,``1` G.y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
co Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS v.
MARRIAGE OFFICER • '� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Tele hone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �O'� �a southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 t/ or Non-Residential @ $25 Application No.
Permit No.
Applicant Name J0 h�
Applicant Mailing Address Pa &x z/zo 225" KING 77T:
(0.e ie.v r-
Septic Tank — or Cesspool
Brief Description of Proposed Construction or Alteration _ Z
New 6za,;t!i S�i�oCC Ahtr',1y be Sr4e.ace +T �7rba� /lvrli�`PC�u�Y •3(le�iFS s270o�f
Location of Proposed Construction/Alteration:
Owner of Property: -40h"" z-. /Lle,Qi- wv f�� �� ifs e- , ,E-
Owner Mailing Address: Pd QoX <12o o'vi*e� ti y
2
Owner Property Address: 2 7alor �d
11�fir 'c,•r� �t/� //��7
Name and phone number of contact person
Tax Map No: Section /000 Block-/? -yS Lot I F. -2
Cross Street 7-aLk,r Aid &`�e
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Received by: 'gnature of Applicant Date
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ti SUFFOLK COUNTY NY
1000 - 18 W. 05 ig.7
SCALE: 1" - 50'
OD � erTr form Al Y 8, 2003
ti o f Y ,G.¢
50'
Right
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Right of way 164.81, �,
50' a4 •48'2.0" W. 164.93' (Map
° ° S. 82 e ` �
el �.. 1
328.88 _o l ° 190.22
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1 t.s• S 83'03'50" w CXWTERy ASSOC � i)4 N E W y -2 Fes,
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VACANT I. MEORIETI �,
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ANY AL TOU TION OR ADDITION TO THIS SURVEY IS A VIOLA TION V A� $ ' .�s'° �,
Of SECTION ?P09 OF THE 11
AAEW YORK STATE EDUCATM LAW. "
EXCEPT AS PER SECTION ?809 - 3LW1V9W Z CER�e 7�OIN.S NOTE' r '
MWQV ARE vAW F AW 1wT Y F , AREA = 97,404 sq: ft.
SAC MV qt S JWAL OF THE "VEYOR LOT NUMBERS ARE REFERENCED TO S e ��, .S LIC. NO. 496/8
MMSE s1�6Wi rW A RB MINOR SUBDYVISION MADE ON LAND , =�
The loco/ions o/ wells and cesspools OF BARBARA D. SCHRIEVER " FILE /N E �Y S
ADOIT 'LY TO CaWEY Nl W,SAV LAW TERM 'AL TERED BY ' shown hereon are from field observations , P.C.
MUST� BY ANY ANC ALL SURVEYgRS UTL/ZW6 A COIPY and or /rom da/a obtvined from o/hers. THE OFFICE OF THE SOUTHOLD (631) 0 FAX (631) 765 - 1797
OCI / TO V QYOR'S ARE NOR S C IA E CTED 'AAV
W TOWN CLERK. P. 0. BOX 909
1230 TRAVELER STREET
SOUTHOLD, N.Y. 11977
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