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HomeMy WebLinkAboutRaynor, Mary ELIZABETH A. NEVILLE ti O : Town Hall, 53095 Main Road TOWN CLERK li ll, P.O. Box 1179 N Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; G ,1 MARRIAGE OFFICER . 11 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER L ,1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = CDU ,� 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. 3292 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool x PERMIT ISSUED TO: Name : RAYNOR, MARY R. Address 1: 275 CARDINAL DRIVE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration UPGRADE SEPTIC SYSTEM. APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED Name Of Owner RAYNOR, MARY R. Mailing Address 1 275 CARDINAL DRIVE City St Zip MATTITUCK NY 11952 Property Address 1 575 BEACHWOOD ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 116.00 block 4 lot 21.000 Cross Street DEAN DRIVE Building Permit Number Cross Reference: Issue Date: 3/28/29 Eli abeth A. Neville Southold Town Clerk (TOWN SEAL) ,�%S�FF04 ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK t y z ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 1‘‘O V$ Southold, New York 11971 MARRIAGE OFFICER ‘ 4* °.,I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �0•� * `�►',., Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •,...,,',s �� southoldtown.northfork.net + FFICE OF THE TOWN CLERK ' ki MAR - I 2005f J , TOWN OF SOUTHOLD . 1, TO: South6I PTown Building Department - . u5 14 1 F POS S ( 6L E FROM: Linda J. Cooper, Southold Town Clerk's Office �f< S DATED: February 28, 2005 J--e , Transmitted herewith is a copy of application No. 3441 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Mary R. Raynor (work being done by Artco Drainage) 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE 1, DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. . ,,,,,,,,/4 Signature d 3 03 es Dated oil' SUFF04;\ ELIZABETH A.NEVILLE 11# 4 Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v, '� Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ----_44;___6•4 0� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �a�'i.�� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10or Non-Residential @ $25 Application No. 3 /71L// Permit No. Applicant Name GZfy (�a Applicant Mailing Address a S Ccs - Septic Tank or Cesspool l Brief Description of Proposed Construction or Alteration N Q� rce S r G C.sce cREx Location of Proposed Construction/Alteration: Owner of Property: rn0.1-1 ft‘ f�0� Owner Mailing Address: 0 r � ` l Owner Property Address: `V) cvc LL,6QcThc! �c-\ , Name and phone number of contact person L. c�9 ' ` S Tax MapNo: 1000 Section Block 1 Lot 2 I I (� Cross Street ecL(\ f-k`.6e_ NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL iq !it (--,2/01e/C Signature of A licant / Date Received by: Albert J. Krupski, President . ,l��o�SUFFO�,� ; Town Hall James King,Vice-President ; ; 53095 Route 25 Artie Foster d - P.O.Box 1179 at Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson Telephone(631) 765-1892 fQ 1 jig os Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6074A Date of Receipt of Application: February 3, 2005 Applicant: Mary Raynor SCTM#: 116-4-21 Project Location: 575 Beachwood Rd., Cutchogue Date of Resolution/Issuance: February. 16, 2005 Date of Expiration: February 16, 2007 Reviewed by: Board of Trustees Project Description: To upgrade the existing septic system. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the survey prepared by William R. Simmons, Jr. dated June 22, 1989 and amended by Henry Raynor on February 3, 2005. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 2 Albert J. Krupski, Jr., President Board of Trustees 1 { Sup r YED FOR:- /e,t✓ -' Y 4 O'L?.4Z9/ #'.Qyr94-licxe, 1 LOCATED AT C""Z.PTC- ,/G 1Gritodii . TOWNeF 4.,. t+ptd77 /©Z.Z? . SUFFOLK COUNTY N.Y. LOT D -ilk » rn -+ fir rte. p--- f:3 I MAP OF .C?�"=yCG'/ ,E 1i� t •E'c�►.�E•�?'�^}'. (7 1 1 SCALE 1" iJo• ::i ly n1 SUFFOLK CO. TAX MAP DATA:- A O C JJ w1 DIST. ,SEC. //(p. 4 \ G 1"=g ! &K. ale' 400 LOT CIG/.1 cp., ".{ h'`LI- r U ('. q N C- 1 so rr: ; (.:---•-=_,D , .) jI I i 1 ""a` as awe s 1// L�- tille _tR,Cf�T C A•14,04-,-.1 ' 0 �� i. ea '- `__ _.`� 1' ..04'-0 t 1 in 1 I(.. t .., . at -- . . 44 4 - .-art3, 01.61 b Ix I I i (IN r4 1 . .,.,. t 44 . 1, .-..„,...,,,,,,..„,„„, it N, a < l,, t } r, y (i �) • +heaver. YI 14 '1 ZE' 14 «- 0 h :11JB/.e4 '3 'Q. �6:e6O t:.4cuplla I) t.,k } 4 fQ a0"IA.,/ e649.dO 'ri0 0 iak � att) 1 4E : .�.e.4,� Ee.c� 7.j..- _,1 sETs FROM STRUCTURES a '-�.reY 4A,eY tee/ TO iBATIYE FOUNDRY LINES. 0• , ti ON SURVEY ARE FOR A SURVEYED ..f./41E ee 198,SY i. 4► 1 spEC1RC us ONLY, AND i p 4MO= NOT 8E USED FOR WILLIAM R. SIMMONS JR. CONSTRUCTION OF:' WOBOX 377 .. ' '` +`` 4427audotey+ OK ems alumna JAMESPORT, L.1., N.Y. 11947 FILE NO./C GJ''d PAGE 2..3 GRID , - 5' DRAWN BY / >^