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HomeMy WebLinkAboutDickerson, Parker ,,,�,O��SUFFO�,�0OG. ELIZABETH A. NEVILLE � y�; Town Hall, 53095 Main Road TOWN CLERK Na $ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 47/� Southold, New York 11971Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER `�. 01 * 1141°,1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICERsoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3247 R Residential x Non-Residential Fee $ 100.00 septic x Cesspool PERMIT ISSUED TO: Name : EAST END CONSTRUCTION SERVICES Address 1: 150 WATERVIEW DRIVE City st Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NOW SINGLE FAMILY HOME FINAL APPROVAL REQUIRED FROM SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner DICKERSON, PARKER & BETSY mailing Address 1 1485 MILL CREEK DRIVE City St Zip SOUTHOLD NY 11971 Property Address 1 JACOBS LANE city st Zip SOUTHOLD NY 11971 —ax Map No. section 880.00 block 1 lot 1.003 Cross Street MAIN BAYVIEW ROAD Building Permit Number Cross Reference: Issue Date: 1/26/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 32-."1:1 • el ‘IFFOLAr • Gy\ ELIZABETH A. NEVILLE �` Town Hall, 53095 Main Road TOWN CLERK ` h 2 P.O. Box 1179 Pr7REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER y ��1�1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 4' * 4t Ii, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,o" southoldtown.northfork.net OFFICE OF THE TOWN CLERK �IQ�4 TOWN OF SOUTHOLD " - TO: -TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 22, 2004 Transmitted herewith is a copy of application No. 3389 for a Cesspool/Septic Tank Construction Permit submitted by: East End Construction Services 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: EA4.8. 55i rkece...44,4- Signature Dated 4:1,1 SUFFOit r ELIZABETH A.NEVILLE /41- Town Hall,53095 Main Road TOWN CLERK ; g1 P.O.Box 1179 REGISTRAR OF VITAL STATISTICS 4 ; Southold,New York 11971 MARRIAGE OFFICER At Fax(631)765-6145 RECORDS MANAGEMENT OFFICER ; 0rrrrTelephone(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 X or Non-Residential @$25 Application No.3;9 Permit No. Applicant Name L As r cm/d cri.JJ i cry Sc;16.ui cc.--3 :TAX_ Applicant Mailing Address /Sb JA764etAcif Dil . s)1 L- 7 //q 7/ Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration ,Uci.J 5,J6 c P (c.cy /44446:– Location of Proposed Construction/Alteration: Owner of Property: c—r Sy PAIt i c,C.crl,ra✓J Owner Mailing Address: /41(4-.5– /t41(i_ Cr-ci i ,�(lttrti� r� /(`l-7 ( Owner Property Address: "-1Ac CI I t SO(t lri-,7 /191/ Name and phone number of contact person Tax Map No: / 000 Section e (t- Block / Lot /O.3 Cross Street M 4,J &ski oc-0 £b . NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL �o �i G y SinQ ? t orf-- Da Received by: /-ARM-) rlLGU !Iv Ir7G JtJ/ FLn t..vvry I r i."4.-L.0 r\ .) yr I rt..L. '\ 3.1 0 t] fJ OF Q�11 AS MAP NO. 110E6 ON 11/19/03 /� �j ,; ''�'' - r... ._- -SUFFOLK COUNTY, N. Y. 1000-88-01-10 �0009,. SCALE- 1'=100' el, JANUARY 7, 2004 004, b/, ,...,,top. CP0 Q‘� o 6 r 4: TICV PARK & AREA CO11 G o ti y0 y W D f% 4170 S 86.9' - 41* a® • 6 '56,2p, E141ea, 8 ke14.,,4;v4IO 1 \ N `® ..0? , 20.80' \ • er�' �9 D 0 � t0 CP / I \ • •r �� ficy* ,.� 44: / \ ���Q 4,t,4, 1.-- b (DWELL" . 7 // 1 \ ` �,i LLIIVIG) \ YY.J/ `� WELL 156'+ / \• ((14(\ S'LEEWARD ACRES AT ► �p7 / FILE NO 5599 FILED JUNE 4, 1971 WELL 20 (NON-POT OL \ dJ O E. ,,, • Z LOT 28 '� o r. / \ k .WELL (DWELLING) •q I/ 43 • WELL 156'+ I / o C.P. (DWELLING) ii P. 1 l __.picf,__.__� S 59`53'18' E5_4450 1 I _ _ _,// 1 S 62'28'40'E/ 1 c4 36.16' 4. 1 / i ( -s W (NON-POTABLE) 2 ,4 WELL EL. 15' 1 ly, i ''s ,,___-� PRESERVED AREA A 3 �i \ AREAS 10. 1482 ACRES -. y i ' RIrTEST� _X15' 1 ( I a �222 iIDLE° / LOT 2 l (,)g i — --,m65' ' W • // ,� 3 WELL UNKNOWN 4: -1 as (DWELLING) $ W / N63'O 1'20"W la 4 . / 140.00' I It it) • S 61'22'00' E�$ / N( E EA1 iu ,'; � 13865' // ARg4=1.5446 AC. ";n P / 1 R ►► �. 1. ,r , 30 g ti �" Z /cu � 3 3 g � N631?t'20'W — — — s0' ;� I o LZ \ 125.14' 1 DG $ COMMON DRIVEWAY FOR LOT 1b3::") / FR.FBLo , , (� '' — _ is' sts c., & LOT 2 Ncnie g/ .4 1 \... _ In L N61 55'2CYWL 402.78' `�' '^ !l i Z _ ' . 8278' DIRT &toNNVEL 0.aI' "' But15.3 RLa s 25' gz RIGHT OF WAY $;yMiil Pi NELL a? .plat K)' FR. BLDG )• t Iv, I (POTABLE) �. / J L y2 . N 2 J L ., LOT 1 WELL 64.H_ 5 -- z 284.68' 1 146,.47' n I (DWELLING) , �� `" 5 N 65'13'58' W "�` 431.15' ` ` -` tel .T O CP.'S O 3 , WO/F DONALD C. SPATES ( (DWELLING) • ©© 1� SCP, WELL 156'+ t N TEST HOLE DATA MAIN ��y�.n� EL. 15' j �Iir Rao BROWN SILTY LOAM OL I am familiar with the STANDARDS FOR APPROVAL - — — -J 2' AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY -J is, cn /BROWN TO COARSE SAND SW �=MONUMENT and will abide by the conditions set forth therein and on the `IPE permit to construct. _ — _ _ 8' •Iz".1. MF. y0P The location of wells and cesspools shown hereon ares o� aFP 'f from field observations and or from data obtained from others. PALE BROWN FINE6 y ''' • TO MEDIUM SAND SP ` ; LIC. NO. 49� ANY AL TERA 77ON OR ADD/TION TO THIS SURVEY IS A VIOLA TION _ �' L NIC ; •- Z��{� YO L, C. OF SECT/ON 7209 OF THE NEW YORK STATE EDUCATION LAW. - — — (03 76vollivas 1 F..,. (631) 765-179 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER 7IFICA1TlNdS WATER IN PALE BROWN P ��SOX •s, �O HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF FINE TO MEDIUM SAND SP ` G = ET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 12 t VLDL' /�� � *NOSE SIGNA TORE APPEARS HEREON. 17' SOU i' IiO `71 tJ t