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HomeMy WebLinkAboutJones, Alexandra (2) I SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3295 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ALEXANDRA JONES Address 1: 36 BLACKSMITH COURT City St Zip HUNTINGTON STATION NY 11746 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWQELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-05-0010 Name Of Owner JONES, ALEXANDRA Mailing Address 1 36 BLACKSMITH COURT City St Zip HUNTINGTON STATION NY 11746 Property Address 1 325 CHOIS LANE City St Zip EAST MARION NY 11939 Tax Map No. section 35.00 block 8 lot 5.023 Cross Street SUMMIT LANE Building Permit Ntmber Cross Reference: Issue Date: 5/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • �p ELIZABETH A. NEVILLE1�� 1 Town Hall, 53095 Main Road TOWN CLERK tris Z ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O 1PPI �, Southold, New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER OFFICER --7 * �►aO���,, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,•i" southoldtown.northfork.net OFFICE OF THE TOWN CLERK ) 6 TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: February 15, 2005 Transmitted herewith is a copy of application No. 3436 for a Cesspool/Septic Tank Construction Permit submitted by: Alexandria Jones 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: 4e. 00,do cr., 24ca•r• . ra+./04.e‘ et"-1 Signature Dated L 'Ii,,o��SOf F0 ,�c ELIZABE'T'H A. NEVILLE ����`t` O4\ Town Hall, 53095 Main Road TOWN CLERK co — , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �y, Southold, New York 11971 MARRIAGE OFFICER : G $ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER WI a0'/ 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. 2/1X Permit No. Applicant Name .41.6)(4/41).I-4 joi.leS Applicant Mailing Address 36 L-a OC.Sol /r Co v x- v .7"/h16 r r S h pi oiJ A0 if //7 Septic Tank or Cesspool A Brief Description of Proposed Construction or Alteration \ .2 fA) C O' Ns--'r oC V "1 v Location of Proposed Construction/ eration: Owner of Property: LGK,rJJ)rC1 Owner Mailing Address: 3 6 ,1 04-Ce'Sro I r A. C /' t`f u, T- 5r4 Ail V//7"/ Owner Property Address: 1_0 T Sb niYf2 t % 1 t1-7�S 2cS Ch G is _ ..,_ A Name and phone number of contact perso5A, Z-0-e,,5 En 7- 37 8-O Tax Map No: firtit Section a S Block 0 t Lot 6—, 23 Cross Street , pvi / '7" Z-4Ai e - Q vs 2r'i v,e_ NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY �/ ' TH EP TMENT APPROVAL ifil Signature of , pplicant Date Received by: j „M -`� �' PLOT PLAN OF SUFZ<OLf,COUNTY DEPARTMENT OF HEALTH SERVICES l t se • LOT 15 .: PER FOR APPROVAL OF CSN 'RUt'TION FOR A • u'c,R,, MAP OF s LL FA amt RESWENCE ONLY `N SUMMIT ESTATES 1 1 II DATE �` � HSREF,No. 0 - 0 - (Do 0 `, `�' �� / FILE No. 10768 I�ILED MAY 21, 2002 APPROVED , N No. 2 � �1C>• e SITUATED AT FOR MAXIMUM OF4,__BEDROOMS EAST MARION mews �, roc, -'r$0, <2,),THREE VAL �\ tb 9j0� KI TOWN OF SOUTHOLD AP >> / ,��Nily� SUFFOLK COUNTY, NEW YORK A o �'J S.C. TAX No. 1000-35-08-5.23 e .��VI, 4/ SCALE 1"=30' 'b. ,% DECEMBER 23, 2004 A '44 4 \ 'V7t y ©� Z�'�� AREA = 30,000.00 sq. ft. � ', �A. b� 4 �� OS 0.689 ac. . . . . 4/441/4 1,6 NOTES; 1 If 1.1• / '• ,. 411/ ` % I; :;i 2• REFER TO FILED MAP FOR TEST HOLE DATA. HOUSE IS 0 GALLONS.• ...,% . MINIMUM SE TIC TANKCAPACITIES ORA 1 TO 4 BEDROOM OSE 1,00 0 3T A 1 TANK; 8' LONG, 4.-3” WIDE, 6'-7" DEEP Cf 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. w 2 POOL; 6' DEEP, 8' dia. ad O Lo .....� PROPOSED EXPANSION POOL .• i Qs "VPROPOSED LEACHING POOL1 if LOT 5 �� �'4� Vl/A PROPOSED SEPTIC TANK 0 \i/ r 1 e A�, ,\�y PREPARED IN ACCORDANCE WITH THE MINIMUI01 II .p ' 2 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED 990Q. BY THE LI.A.L.S. AND APPROVED AND ADOPTED �fO v SUTITLEA5SOCW E B THE NEW YORK STATE D GU S ID-RIVE , , , ,7. . , ; d N.Y.S. Lic. No. 49668 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY ISA VIOLATION OF • ��V 0 SECTION EDUCATION LAW. Joseph ' THE NEW YORK STATE Joseph A. Ingegno cV, -.. COPIES OF THIS SURVEY MAP NOT BEARING �,and Surveyor `P• i. Q, THE LAND SURVEYOR'S INKED SEAL OR `.•T .,0 EMBOSSED SEAL SHALL NOT BE CONSIDERED 'S'� TO BE A VALID TRUE COPY. fN e_J CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY r?.., / IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND V LENDING INSTITUTION LISTED HEREON, AND ,, TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 4