HomeMy WebLinkAboutMurphy, Edward ,II,•1.101f FOLt
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ELIZABETH A. NEVILLE ��� ' : Town Hall, 53095 Main Road
TOWN CLERK ; H - P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS ` y �� Southold, New York 11971
MARRIAGE OFFICER �� �, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER '�0� $ ,1i Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER - ,,ig,.. 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. 3142 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : RICHARD ROMEO
Address 1: PO BOX 1111
City St Zip SOUTHOLD NY 11971
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 #R10-04-0007
Name Of Owner MURPHY, EDWARD
Mailing Address 1 2050 OLD ORCHARD LANE
City St Zip EAST MARION NY 11939
Property Address 1 2050 OLD ORCHARD LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 37.00 block 2 lot 12.004
cross Street
Building Permit Number Cross Reference:
Issue Date: 2/13/04 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ��_e� 4 ; Town Hall, 53095 Main Road
TOWN CLERK o , P.O. Box 1179
2
y Southold New York 11971
REGISTRAR.OF VITAL STATISTICS s rrt t '
MARRIAGE OFFICER `., 4, l���I, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ;_MIag, 40 Ili' Telephone(631) 765-1800
_
FREEDOM OF INFORMATION OFFICER _ ,•, southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
ife as 9 MS
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 6, 2004
Transmitted herewith is a copy of application No. 3279 for a Cesspool/Septic Tank Construction
Permit submitted by:
Richard Romeo for Edward Murphy
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
DISAPPROVE
/ /
Comments: II ..� A// 'j—,g......._
Signature
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Dated
„ o� S�FFOL�-
ELIZABETH A.NEVILLE ���� O4\ Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y Southold New York 11971
REGISTRAR OF VITAL STATISTICS x n� '
• • • MARRIAGE OFFICER •• 'F . . Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ��Iogi Telephone(631) 765-1800
f�
FREEDOM OF INFORMATION OFFICER = 1 * ,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 V or Non-Residential @ $25 Application No. 3'.11
Permit No.
Applicant Name I? lc.(1l,0 ,SL v
Applicant Mailing Address P0. E0, l 11 ( u.,(1,„v L1 /V S' tic 71
Septic Tank or Cesspool •
Brief Description of Proposed Construction or Alteration e. r.. .
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Location of of Proposed Construction/Alteration:
Owner of Property: &Q ,G.js. AA.,plui
Owner Mailing Address: Z4.25 u oI& o--L - .
e e..sf Marta:.- LV
Owner Property Address: Sc.,v,.—
Name and phone number of contact person R,(1, c - )
Tax Map No: Section 3 7 Block 0 Z Lot 1Z• `i
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
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Signature of Applicant Date
Received by: 4P
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' I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE CI N
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DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
TEST HOLE I I/10/03
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SURVEY OF PROPERTY
AT EAST MARION
TOWN OF SOUTHOLD ROYAL
•Ok- SUFFOLK COUNTY, N Y.
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EXISTING C.P.S TO BE REMOVED OR -0 - 0?
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FILLED IN \ o3.,, 1 -
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NEW WATER SERVICE TO HOOK UP TO `\-•,--w - .-A,c , 0'-'. 0 \ . V•i• <., ?6-
EXISTING METER . (.- ,,,10 0 \ 0-50 ?to I 6z, .
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The locations of wells and cesspools BAYVIEW DRIVE
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shown hereon are from field observations
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and or from data obtained from others. , '
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' ANY ALTERATION OR ADDMON TO THIS SURVEY IS A VIOLA 0N
OF SECTION 7209 OF THE NEW YORK STATE EDUCA TION LAW. \
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EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS \
HEREON ARE VALID FOR TNS MAP AND COPIES THEREOF ONLY IF 6iv s C.
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ,,-.\--
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WHOSE SIGNATURE APPEARS HEREON.
. 00.11NO" 618
NOTE, LOT NUMBERS REFER TO "GARDINER'S BAY , vrt , i'itl- N.
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ADDITIONALLY TO COMPLY WITH SAID LAW TERM " AL TERED BY - ESTATES, SECTION TWO" FILED IN THE SUFFOLK . C. '
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY COUNTY CLERK'S OFFICE ON SEPT. 23, 1927 ECON1C SOM/EYORS, P.C.
OF ANOTHERSURVEYOR'S MAP. TERMS SUCH ' INSPECTED " AND AS FILE NO275 (631) 765 - 5020 FAX (63/) 765 - /79 7
' BROUGHT - TO - DATE " ARE NOT IN COMPLIANCE WITH THE LAW. . .
., • P. 0. BOX 909
1230 TRAVELER STREET
• SOUTHOLD, N.Y. 11971
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