Loading...
HomeMy WebLinkAboutLawrence, Robert • /�ii"c FFOL4' ' �' •1� r/ • ELIZABETH A. NEVILLE Q y�` Town Hall, 53095 Main Road TOWN CLERK t this = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS rrt �� Southold, New York 11971 MARRIAGE OFFICERFax (631) 765-6145 RECORDS MANAGEMENT OFFICER =�O( * `1►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. 3256 R Residential x Non-Residential Fee $ 100.00 Septic x Cesspool 2ERMIT ISSUED TO: Name : MICAHAN, DOUGLAS Address 1: P 0 BOX 602 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed construction or Alteration NEW 1500 GALLON TANK FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner LAWRENCE, ROBERT & KATHLEEN mailing Address 1 465 EASTWOOD DRIVE City St Zip CUTHCOGUE NY 11935 Property Address 1 800 WEST CREEK AVE City St Zip CUTCHOGUE NY 11935 ax Map No. section 103.00 block 13 lot 6 Cross Street NORTH CROSS Building Permit Number Cross Reference: Issue Date: 1/27/05 Elizabeth A. Neville Southold Town Clerk (TONIN SEAL) W /ill OFFOUr' 0�0�. COG ELIZABETH A. NEVILLE ��• y� ` Town Hall, 53095 Main Road TOWN CLERK y 2 •, P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �; /y� 4 ��, Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �.( * „0„/ , Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER „ ,,s•" southoldtown.northfork.net ' 6 2004OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 15, 2004 Transmitted herewith is a copy of application No. 3398 for a Cesspool/Septic Tank Construction Permit submitted by: Doug McGahan for Lawrence 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/ �.. - � - • •�Is� OF 21441 .Cil Signature ///9/$9, Dated „i'A,s�FFO[, e� ELIZABETH A.NEVILLE ��h�0 4\; Town Hall, 53095 Main Road TOWN CLERK . , 0 . 1 - P.O. Box 1179 ' Z Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS :t. 41/ Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER y*f0 itTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER = O'�I ��1',.•” southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential@ /or$10 Non-Residential @$25 Application No. 33qj 1 Permit No. Applicant Name J k-A'S I-M C Applicant Mailing Address p . o • ‘6E5)4 G 02_ i C u12,11c6 vC MA t l'135" Septic Tank ✓or Cesspool Brief Description of Proposed Construction or Alteration tL.aAJ `5bo C.' _ ' Mt._ Location of Proposed Construction/Alteration: Owner of Property: p a. yr- X i,.pri h i t-i L Owner Mailing Address: LW" etS't tD DQ.i.tf aL-c-e,. cc - . . itti35 Owner Property Address: IZ o i3 ,e t drcttuaNi t.-Aw,Zct,$r-c c.-00 L -c iA 01.- % , c..-yz c.. +t-i_ 1143,' Name and phone number of contact person Tax Map No: Section .0.3 Block .o-/3 Lot ' CP Cross Street IJ Otili ç ' 5 NOTE: LOCATION MAP MUST BE SUBMITTED TH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HE:I %. i PARTMENT APPROVAL 44..,..A..... AkZ\cs-k Signature of Applicant Date 4 Received by: ia......_,...., 1 1 , y 1`. /� XE WSICAs 9 • -.--" / DOT !i'•SYFJPTJOv I / I 3/9/2004 HEALTH DEPARTMENT _ APPLICATION _- - •- / /- / • / I / / 1 / - I EXISTING STRUCTURE /' / DWELLING UTILIZE WELL WATE- / I / I / Jw / I z / 1 .a (v 1 'p\�1`' \ 1 /i \,/ aD° 0. \ I LAND NOW OR FORMERLY .4, Q ! OF:DEBORAH DOTY \ ! FORMERLY EMERY / \ \ %, .n C.P. ! UTILIZE TOWN WATER /o 4./� / `\'\ ' �1 U I / STRUCTURE MON. n / \ - t,I Art_IN kiln �' FOUND / \ \ / SWTHOLD 264.09' /) / /GRADED / -\ . `\ / TOWN TRUSTEES N 58°11'40"E / - (� / JURISDICTION TINE / ELEV.: `k/ / 11C- • {( +§t�1 t 1 o ECw, r t 1 \ 1 1 / / HIO'FROM WETLANDS w /' /' 17.5'••/- • f•�7Fa7� Vet 1� y��( � ��l!�''t Li -Ax sip ,yg �-yMI rat1#,14 A .OVAL C$a CaCft�N i' 3 A g'� ,�E.\It�r'\;' .._�:: �.LJ Y 1 iiiO�I I Il\%`t*4 �rqn,l ' © � �C i ��p •°. - -- / t7flivi ;INY�� ire ` F �' I. Li l I, , y �iCMo� D. :00...,402:1,,,2,:--7. � %'l���f�;/r�l pea �Sf�Wr r lj.� � . mism\ ocrI / / SLB_jK61pr7 o�fl?i���f�a0 3/a* l/ j� /,](/f 1�. r I l.f•-4-I tIb A _ EET t vO r, 0 Se RZ .NO X/� V y fa S 1 1` U N 56°32'34.W, SIDE lS{E �s1) a11111113.7"-.71",/'-'71?-7_,.'-1.7-4!r7i!‘...:91/44:1'=/'3' ��.� 9T oa - _ _ I r33.12' I /� �1 7 /_ /" i�%I/J% r 44Q �� ELEV.:19.5' / a / .v7.7PROp,1 / / ,I/ rI4, SUBSURFACE #' _O7..y' ' / / / rQt— / /1 / / �i��fJL�/� __ SOL TEST // - ++�' •A'�.�� -/ �:°./�a _i/� _,;�,� [� �.� , 9/.�a"i V) so'wN, 0. A+ I� ^^ / PSP, i / 3„V 1„ _,• �� _J (,Ur r / ( I ��� % r��10.116100. L y / R air � �(�F / l I/ , l l %�lir,, . , - �ry !61 - 2N1/ / 1 // / IIII �' ��� J • /I \i fit., EXISTOAG WATER METUBUC - _M PYta II�:�E~• b 1 n- PRova + REAR, II / ,,W/ / L iii•411 e J A � / 1r PROPOSED L•44 �� „O / YARD/ 11 , / /�.'*: / l i� /%/ / \ PUBLIC WATER �•IL % ��'� � 1� I �/ SUPPLY LINE / O / / V / / /tekXISTING HOUSE 0 mr AA*I / FRONT / Ga r To 6E BEMous o F I // gdi .YARD 7� /' EXISTING C'O / / •d / / / 'I IN ITS'ENTIRE � i/i/ ��I.I 'rOI/� f- 3 a„o' / / 1 / / / /'/ �%/ �i'�. i GROUND MI BER DOCK ��� / / / / /../ / '/ IIID '�O c // / - / STREET DART(BROWN SANDY LOIN OL / o / // / /"7•••7--•• \ y•-- Ape ELEV.:18. w n310,1175612"E i / / ,' / / 'yl PRINCIPAL BUILDIN R' 1 / / DWELLING BROWN SLTY SAND SN 1 f ,/ / SIDE SETBACK 2' PATRICK PALE BROWN FINE TO / / W / 1 I FINISHED UTN-1 MEDLIN SAND SP $ n I / TOWN WATER BRENNAN Zr I I 5/ / ' Ir / / / 9 g U \. I I \ ,� \ GRADE 19.7•/- /, BROWN CLAYEY SMA Sc 4 conlc.eL ` _1 4 ( I / 'C I / \ ` , 5, ARCHITECT STRUCTURE --/ -. ( S 66'07'00”E 2�.R9' \ \ \ Ni MON.FOUND BROWN FINE TO MEDIUM SMA SP _LINE OF WETLANDS _ - - - - / \ 7' AS FLAGGED 1-7-2004 LAND OF _ - -/- - / I n .,._ /, BROWN CLAYEY SMA SC __ gY Rogr_FOX __ Uf�NQWN OWNER_____-__ ___ EXISTING /___________ / _ _ _ _ DRAM INLET / \ MON.FOUND / PALE BROWN WN FINE W TO 9 iLAND NOW OR FORMERLY OF:WIPF \ / / .aaniairi UTILIZE WELL WATER / u 312.1101.233 PALE FM TO MEDA/M SMA SP I © loo. S Ria ECT NYC / 1� ` / to f i 1 , WATER A E BROWNMEDIUAI BROWN TO SP• 16.6' 1 ii / \ FLAWRENCE RESIDENCE r O 1 �� �� V \'\ 800 WEST CREEK AVE. I \ CUTCHOGUE,NY C.P DWELLING \ i 14 / � \ WATER WELL -\ 23' ' AT AOJACENT-PROPERTY `\ ,°IVECT M7 / a n' \ SOIL TEST HOLE DATA 031001 'V R \ 1 // 0 �� 2 SC/LE'. N.T S. TM( L_— / Cf? SITE PLAN — _ / \ S \ % -\ \ / - -____- __ \ �- \ TAX MAP. BASED UPON SURVEY BY our __ / -\ 1000-103-13-06 T'M STREMETDVEYOR JANUARY 2004 -—- \.\ ELEVATIONS REFERENCE 1929 NGVD. RIVERHEAD,NY 11901 • — —_—-�/ / 631.369.8288 SONE E / - -\- 631.369.8287 FAX AS NOTED /' / / \ TEST HOLE DATA FROM SURVEYED 12-17-02 �\ MEET ALD GDATA FROM MENDED 02-05-04 ,4?ICAEe e!'. PB Sw \ TEST HOLE 03-01-04 / / C.P \-\ _ mover. SW \ crs an en P8 NOTE: AOSITE PLAN / / \ \ THE SURVEY IS THE BEST INFORMATION CONCERMNG EXISTING AND PROPOSED niwiMTAo /' / C.P OTWNECRTTHORIZIONS�EoREPRESENTATIVES AASTHE POSSESSION OF SUNE NO RESPONSIBILIOWNER,BUT THE TY FOR�THE SCALE, CORRECTNESS OF THE SURVEY INFORMATION AND MAKE NO REPRESENTATIONS I NM �WW DWELLING 01 5 10 20 50 O UTA.IZ� REGARONG THE ACTUAL SITE CONDITIONS THAT MAY EXIST. - / / TOWN WATER C.P / / ...UAW health dept 2-26-04 A-01,d 3/5/20041:16:05 PM