HomeMy WebLinkAboutJ & C Holdings LP 1
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ELIZABETH A.NEVILLE �� y�; Town Hall,53095 Main Road
TOWN CLERK o - P.O. Box 1179
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y Southold,New York 11971
REGISTRAR OF VITAL STATISTICS t
MARRIAGE OFFICER y ����,, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ';�QAgg �a�,,• 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. 3213 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : 3 & C HOLDINGS LP
Address 1: PO BOX 1925
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 #R10-02-0021
Name of Owner J & C HOLDINGS LP
Mailing Address 1 PO BOX 1925
City St Zip SOUTHOLD NY 11971
Property Address 1 535 ALBACORE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 57.00 block 1 lot 20.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/02/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
ELIZABETH A. NEVILLE d h.7 # Town Hall, 53095 Main Road
TOWN CLERK , : P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971
MARRIAGE OFFICER y 0.oil Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER \,749, ili ilb ,ii Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER - ��,���� southoldtown.northfork.net
JUL 2 6 210 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 26, 2004
3354
Transmitted herewith is a copy of application No. 3354 for a Cesspool/Septic Tank Construction
Permit submitted by:
J & C Holdings LP
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 loc tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE .‘
Comments: 1 •1'8"'S ' ✓ _ / A�s�.
//J «fes f- / .
7'X.6.-'4eTlie ,• .:4,..
Signature
' AovjG
Dated
,
o���i�uFFO��►co.:
E1� ZABETH A.NEVILLE i# Gy Town Hall, 53095 Main Road
TOWN CLERK p , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ) Southold, New York 11971
MARRIAGE OFFICER
O t � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER .y�fQ #91 southoldtown.northfork.net Telephone (631) 765-1800
'
FREEDOM OF INFORMATION OFFICER = ' * .' 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 @ $25 Application No.
`/!' Permit No.
Applicant Name ,4(_ -J '� C `- /4'6- S
Applicant Mailing Address c C) ° .66?‹ /? 2 5
sdu rgoLO j .tJ > /(F7/
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration ,QCw /Cc-5 /C(.9✓a!
Location of Proposed Construction/Alteration:
Owner of Property: .] .r C f(c)L p/ 'C S
Owner Mailing Address: P 0 60?< /Y 2$
Yo u7 &off �r // 77/
Owner Property Address: 5 3 c J (C L
Name and phone number of contact person C 6 2-2 - 173/, (CC��
Tax Map No: /p d 0 Section 6-7 Block G / Lot o2a
Cross Street /K,A( A itoh n ( sft S)
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT• ALTH DEPARTMENT APPROVAL
,Att 7/20
•
i ". e of Applicant Date
Received by : ./�
Ii/
i
• SCQf1S Ref. #'RI0-02-0021 cr,
AtP . OR rem.:- To rt#s? IS, T £Artom r
�/ s„ � c
y r, `�l..r. nos_ : ;• 14.7 AIS io V iF . s
R*, c7
T1 - : SUFFOLK COUNTY DEPARTMENT OF HEALT $ t U
111108E PSS ,D —
r T° wnx sou°i.Aw rHE rt r AL raps r Sanitary system must be fastened a ::: c�
�r A7i+ly t noon w AS laRECTEO
A c A I... emVadOns must M3tct� r �DpO '
. - * Nor M COMPUMCE Km T LAW proposal duet on grad' R
System is�j to be irlsta(ted tower due to seasonally ��
The locations of wells and cesspools
groundwater. Elevations to be certified byy "="'''' C'
shown hereon are from field observations Certi icaaion to be Submitted with final Ra
and or from data obtained from others. \
am familiar with the STANDARDS FOR APPROVAL EXCAVATION INSPECTION REQJIR
AND CONSTRUCT/ON OF SUBSURFACE SEWAGE FOR SANITARY SYSTEM
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES BY HEALTH DEPARTMENT
and will abide by the conditions set forth therein and on the
permit to construct. 11116'T•17Y9 ONSY2/q iC N YPR4 UL lc, L'oNr'l i* i/l4''t,
f3fisl�i2ch �L i L'40 Cr. z0r
r 1?�
NOTES S 63'S \, `O' �
LOT NUMBERS ARE REFERENCED TO �0 ?3
'A7itP OF SOUTHOLD SHORES "FILED l O % . `3.40. ,N
IN TME SUFFOLK COUNTY CLERK'S OFFICE '?� P� • \
ON AUG. 29, 1963 AS MAP NO. 3858 '- �v- A."....
e r.} -�
FFOLK COUNTY DEPARTMENT�� ` TH SERVICES v,o�s^ /OQ
C.
t� [RNIT FOR APPROVAL OF Coifs UCr,oN FOR A �\ �.
•'' SINGLE FAMILY RESIDE CE ONLY fpr
v. JUL 16 2O0µ 7
APPROVED 1 ...!/ :��.
�Le t UM OF x/1'
/ L BEDROOMS •
/ TH `, YEA: FROM DATE OF APPROVAL I I 1p",
` , \ x•
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CERTIFIED TO' `4,,,.
JEC HOLDINGS, L.P. a I' w S 4r PROPOSED SEl1Al>E pISPOSAL
COMMONWEALTH LAND TITLE 4 k10 r G' SYS C t'AEEP
.1 = INSURANCE COMPANY S a�OM' MFN MR
�� TO CLEAN SAND 4•44 s�i T rfnOWILEA
(0p CRASS SECT,e *10.°P. : •�/ Eiy ySURVEY OF' PROP��RTY 0EPTIC SEs P T-�•F,�SAT ARSHAMOMAQUE R'n 1 .;. ''!' "�
TOWN��/�A� OF SOUTHOLD NOTE t}T{I• t ' t ' W•.
SOUT OLD SUBSURFACE SEWAGE DISPOSAL r,. � <+ t I
,SW
FVi , COUNTY N.Y. SYSTEM DESIGN
BY, JOSEPH
T77, P.E. °
• Os2S (.
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57T Ra
4D
MY. 11971 `� �SCA r a. 30'
(63/1 765 - 2954
NOV.24 2001 �,0 NEN go
MAY •
29, 2002 ( cress section , TN.) ++•.wrio,�
AUG,-9, 2002(certification)
SE'PY. 30, 2002 (rsvIsIe I ,.' .
Aug. 13, 2003 (revisions) / erg
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SOUTHOLD, N.-.
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