HomeMy WebLinkAboutKimogenor Point Company • %44osoFFoc�:�0 •G
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ELIZABETH A.NEVILLE �'�Z' y �� Town Hall,53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER ����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �Ol 4.
$0. 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. 3211 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BILL ARCHER
Address 1: 29 GREEN MEADOW LANE
City St Zip HUNTINGTON NY 11743
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 #R10-03-0120
Name of Owner KIMOGENOR POINT COMPANY
Mailing Address 1 C/0 BOB FOX
226 WEST LANE
City St Zip RIDGEFIELD CT 0000
Property Address 1 KIMOGENOR POINT
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 116.00 block 6 lot 24.001
Cross Street JACKSON STREET
Building Permit Number Cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
10
of
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ELIZABETH A. NEVILLE , �
Town Hall, 53095 Main Road
TOWN CLERK ; vs Z P.O. Box 1179
fly
REGISTRAR OF VITAL STATISTICS 1� Southold, New York 11971
MARRIAGE OFFICER 1 (631) 765-6145
RECORDS MANAGEMENT OFFICER -�71 * `lt►a06.1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .,, .08° southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
J�j ? 2_ 2004 TOWN OF SOUTHOLD RECDYED
TO: Southold Town puilding Department AUG 2 r
FROM: Linda J. Cooper, Southold Town Clerk's Office
Southold, Town Clerk
DATED: July 21, 2004
Transmitted herewith is a copy of application No. 3352 for a Cesspool/Septic Tank Construction
Permit submitted by:
Bill & Barbara Archer
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: `i• _ ___—
271'fir•"<-71;€
Signature
A047 V
Dated
ati.earitv.?°01-19,
• i
4.
OFFICE OF THE TOWN CLERK ��FFQL
Town of Southold Q • ,• C '
Judith T. Terry,
Off
Town Clerk . OG Application No.
Town Hall, 53095 Main Road ` $10.00 - Residential
P. O. Box 1179 4,'
$29.00 - Non-Residential
Southold, New York 11971 Q
Telephone ,i[,*
(516) 765-1801 '�`
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE 7/2-0/C4 -
OWNER NAME: a(,(, 4 &e13A
OWNER MAILING ADDRESS: 401 Get-EA) /n649dko L ift/6
tfoutl t/?7-o 1 Aft(- ll 74f3
OWNER PROPERTY ADDRESS: /V(illbGENO/L ?O JT 03111ReU'y
•IC 4-4rvv; PabPt--REzO
OWNER TELEPHONE NUMBER: 6'3 ( ' ?2 735-2-
TAX MAP NO. : Section j(l0 Block 06 Lot lq, /
CROSS STREET: Qb,K$O/U ST2
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
/
Residential V Non-Residential
LOCATION MAP: Must be attached hereto before permit May be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
War,
• it iA4
' 'gnature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: 1' \43k
PROPERTY: KIIVIOGLNOK euird I, int...
50 JACKSON STREET
6RADe LINE ELEVATION TO PT NEW SUFFOLK, NY
6RAOE LINE El-EVAT1ON 11,9 FT. irmireirm
1/— '.—
-,--.......„*. —
TOP OF POOL 5.5 FT. OWNER: c/o ROBERT FOX
226 WEST LANE
RIDGEFIELD, CT 06877
-1E+6 12' - \-,1E +5.44 '...- '' SOT OP POOL SS PT.
i SITE: 257,004.00 SQ. FT.+I- =5.90 A' . 2
IE +540' 1E +55'
.1 _5"--01,11N. fV-0" FAN &ROUND INAT VR 1.3 FT
AREA
ZONING:
R-40
in
/
SEPTIC PROFILE ARCHER RESIDENCE
(NTS) FLOOD:
ZONE AE (Elevation 8)
SURVEYOR: JOSEPH A. INGEGNO
T
i PO BOX 1931
RIVERHEAD, NY 11901 C1
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LICENCE NO. 49668 zc
DATED: MAY 16, 2003 0
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NOTES: q- 3 C.
*442.2 .t' 4r 0
SITE PLAt4
SCALE:1"=50%0" .r,
\-: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS d CONTOUR LINES ARE SHOWN THUS:
F FL - FIRST FLOOR , .) 0 0
•
i ". 1
- mom
SHEE
\ 2. THERE ARE NO PRIVATE WELLS ON THIS SITE, OR
WITHIN 150 FEET OF PROPOSED SANITARY SYSTEM. , IT5, .., ,1 6— ,
4,10)te; 1101°,1%
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