HomeMy WebLinkAboutMcGrath, Elizabeth (2) ,•ic,owFotir
o'oxQG;
,,
,0,%OSUFFOL,�c
.306/
' °VELIZABETH A. NEVILLE ��� Town Hall, 53095 Main Road
TOWN CLERK eei) Z $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O �� Southold, New York 11971
MARRIAGE OFFICER �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \..' 1 * `t►'�,,, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,.•s� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
JUL 1 9 LuU4 TOWN OF SOUTHOLD RECEIVED
TO: Southold-T6wn Building Department /,U( 2 l; /u04
FROM: Linda J. Cooper, Southold Town Clerk's Office
Southold Town Clerk
DATED: July 16, 2004
Transmitted herewith is a copy of application No. 3349 for a Cesspool/Septic Tank Construction
Permit submitted by:
Elizabeth Mc Grath
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: d� /v4
7740,2741i: ‘g4
Signature
ae0.(4%°14°'2°/ AoV.
Dated
•
,,ate...
,,�,o�,g�FFOL�►co�\
ELIZABETH A.NEVILLE 11 04\ Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
t a Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .y.
MARRIAGE OFFICER : O .� I Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = �0 a��i��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '� Jgg
�•'� 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 or Non-Residential @$25 Application Nos—M1
Permit No.
Applicant Name � 1 �-'�C. q -
Applicant Mailing Address IN e 5 U -Co\\-4,
�oa ct
Septic Tank or Cesspool V. l�
Brief Description of Proposed Construction or Alteration W iLk '(\ova
Location of Proposed Construction/Alteration:
Owner of Property: 3 eA YM C
Owner Mailing Address: S A ren E
Owner Property Address: SV- r F
Name and phone number of contact person `✓/ 3 y 1-Lo
Tax Map No: Section ? () c? Block r) Lot S
Cross Streetv. 4�
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date 3-004
Received by:
t ,
''
, .
va
MARK •�'
N/01F ,
N., ,
a
N go"06'40" E
. (0) CMG
il ______----
Gd
Q N
ts
CI
P`_
�` BA�GH ..
1410/FY�NE L. RiCKA �___ ._---__
�„,ie II, 9 >°r. P
t ro -------------S S �p6 W 1
O P,p4 N
Z.
0'
2p0,0 , X5.00 ,
Iw CP
tit it w
25.00 tit No
80•p6'40" E _ _ 2 w `
'
_,__ \CI 9 \
C, RA TH \; \
T I E1-17A MCG v.:-.41 z 23/04 ST HOLE
fC/F EI. W
r,:r O w I DARK BROWN SANDY LOAM OL
S•
c.
620 60, — — —
BROWN stL i Y SAND SAI
`T 1 .' /
�'U PALE BROWN FWE 1'0 AECl:.7A SAND
0
\
X02
-----i
--ft------
------- lk
N /00
�] `� �� 5.56. — —— — — r
Z PSP` `— /�\6 DROWN CLAYEY SARI) SC
7.00' �s 5 25.00' — — — — B'
w N 80'06'40' E 30. 6.°.W. 175.00'
Ni tA
' Ot SA
1 PALE BROWN Ft To MEDIUM ND
�` S 8!'!1'10' W
200.OU'
\CMf W. M. BEEBE
rr
1
1
CERTIFIED TO*
DONALD DAL Y McGRA TH it
ELIZABETH McGRATH
COMMONWEALTH LAND TITLE INSURANCE COMPANY AREA = 14003 Acres
t
i
t
I
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA i F
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAI
EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CER TIF E
I am familiar with the STANDARDS FOR APPROVAL HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF OM '-
AND
AND CONSTRUCTION OF SUBSURFACE SEWAGE SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SL
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES WHOSE SIGNATURE APPEARS HEREON.
and will abide by the conditions set forth therein and on the t
I ermit to construct. ADDITIONALLY TO COMPLY WITH SAID LAW TERM " AL TERED
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A C; I
The locations of wells and cesspools OF ANOTHER SURVEYOR'S MAP. TERMS SUCH " INSPECTED "
shown herear, are from field observations " BROUGHT - TO - DATE " ARE NOT IN COMPLIANCE WITH TH
and or from data obtained from others.
0
i
- -,
.
I ,,, .
7
1
I
i
3
RECEIVED
SUFFOLK COUNTY
MAR 25 PH tz: 1 6
I
\
CM N
'
�
Z
x'
0
va-GGLn-t %O_
AUQ
c
N
o_o
K V. RICKAB541.19' z
MAR .
WC°
E ......-------------- \ . .
4
O oP. ; � A6
fseP°4 Pi „ r.P O ^:.
��a ' P Z
sYs l et" _ Wia 64 _ ----._ ._• vie II N c;, lb
o
® �. be 7s• _
( ma. )
rn
y
5-.7— 5a �
0
ce--
"------- 498.g6
7.H•
458. '
80.06'40 W 86TERESKO
TER
N
'OLE
1
DARK BROWN SANDY LOAM OL SURVEY OF PROPERTY
BROWN ',IL SAND A T CUTCHOGUE
- - J' TOWN OF SOUTHOLD
`, PALE BROWN FINE rO MECOM SAND SF
{ SUFFOLK COUNTY, N. Y
r
1000 - 109 - 07 - 5.2
K 1 BROWN CLAYEY SAND SC Scale: 1"
= 40'
- - 8. Feb. 17, 2004
PALE BROWN PIE TO MEDIIAN SAND SP 9 '0
/ 41OP
' / go -'''s
. its 8 i
it 4\ft
tt %. ti c a
•
. r „fir
r
t-j
g' O y ',..aay..,, , .
.\...c.
, ,.., to ,, z ti ,z,
)0' 4
05 - of
\� ^� ,' S�'o��t. McTtc� ,per
0 "O'er'' 1'
r0 THIS SURVEY IS A VIOLA TION G 0` *i ::, 'a -+r
YORK STATE EDUCATION LAW. �'+` N'. If
- SUBDIVISION 2. ALL CER TIFICA TIONS
IMPRESSED SEALHOFETHE SURVEYOR OF �z/z, J, H 496,9 Ak.
FO v% •
?EON. N. . 1 �V1;*.. - 8
SAID LAW TERM " AL TERED BY "
L SURVEYORS UTILIZING A COPY ECONIC VEYORS, P.C.
TERMS SUCH " INSPEC TED " AND 1.311 0. BOX 95020 FAX 163/1 765 - 1797
NOT IN COMPLIANCE WI TH THE L A W.
1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971
n4 ncrt