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HomeMy WebLinkAboutJ & C Holdings LP 1 oosuFFot�=�oG ELIZABETH A.NEVILLE �� y�; Town Hall,53095 Main Road TOWN CLERK o - P.O. Box 1179 0€ 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• 0 / .. TEST HOLE am ow. Q i grown so. Otter In laWasi 4i, ,.. , , ,, , .,. 4.,:,.,.,,, „ , , ,,, s 6 i ' --., -,-, •r ,{ .4'i, v ,c \- - A. Water i!b oenr E> � o daya. 8 O•'r' 4 ' 04:14 rte Water brown \\ �4� �()Oita 1M`yN fn brown coarse send SW — 54' 4 !p �V.°0, ° k pncr Rrr USE / - C4)4 G9 R V r r ��` � LOT 928 LOT 929 ZO El 1 - �- -�_ ELK Ale vele EL.II 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 (. ,` 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 ii t✓a;e1" '.� O. 49618 D prop.3w eIcvalroi (631) T" �I�r .,{, • I - 1797 R µ1=TeX? sq f 11x00 T :- . ia.: SOUTHOLD, N.-. • f1?_. 07R