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HomeMy WebLinkAboutCollions, Richard � , � SOUTHOLD V�STEtn�TER DISPOSAL PERMZT CQNSTRUCTIQN OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3307 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Pdam�e : DCX�LD FEILER Address l: PO BOX 1692 City St Zip MATTITUCK NY 11952 Descripton of Proposed. Construction or Alteration �' TARY SYSTFM FOR SINGLE FANSILY DWELLING. APPROVED AS SUF4iITTED AND AS APPROVED BY 'I'HE SUFFOLK COL�IV'PY DEPARTMENT OF HEPiLTH SERVICES. REF #R10-05-0013 Pdame Of Owner COLLINS, RICHARD ------------------------------ Mailing Address 1 6015 GREAT PECOTTIC BAY BLUD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 6015 GREAT PECOI�IC BAY BLUD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- �ax Map No. section 128.00 block 1 lot 1.000 ------ --- ------ Cross Street BRAY AVENUE ------------------------------ Building Pe�nit N�nber Cross Reference: ---------------------------------- Issue Date: 5/18/05 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) f 1 � = �,oF so�ry �3 6`7 ELIZABETH A. NEVILLE ��� OlQ Town Hall, 53095 Main Road TOWN CLERK � � P.O. Box 1179 REGISTR,AR OF VITAL STATISTICS u� � Southold, New York 11971 MARRIAGE OFFICER � � �p F�(631) 76�-614� REC'ORDS MANAGEMENT OFFICER � Telephone (631) 765-1800 FREE:DOM OF INFORMATION OFF�,�ER I�C�U�,�� southoldtown.northfork.net ...--^„".�"��� '"..1� ._�.�----"'- d,S--i% , '�I , ' � ��,1 FFICE OF THE TOWN CLERK . �r� � 4 2� �,,.1 TOWN OF SOUTHOLD ' �����__ - =i 1t� r TO: '� oi��pi � ding Department ,�`N� " FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 14, 2005 Transmitted herewith is a copy of application No. 3451 for a Cesspool/Septic Tank Construction Permit submitted by: Donald Feiler 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 V DISAPPROVE 1 r Comments: Signature ^ /� o�Jd S— Dated ' • , o�oS�FFo�,��, ELIZABETH A.NEVILLE h`t` �Gy Town Hall, 53095 Main Road TOWN CLERK p � P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �. � MARRIAGE OFFICER ��, • !'F F�(631) 765-6145 RECORDS MANAGEMENT OFFICER � � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 0'� � �a 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 @ $25 Application No.��� ' Permit No. Applicant Name �N(f�r-V1�,� �� l�� Applicant Mailing Address �1�C, �� 2 m/�Tr'l�1UGbL Septic Tank�or Cesspool Brief Description of Proposed Construction or Alteration �ptf�l� � �P�1'1�t� �Ub"u{� Location of Proposed Construction/Alteration: Owner of Property: ���—i.fia-MO C'6 �.1...� N '� Owner Mailing Address: �OC'S � �^('2�'� �0N l�� �LV� M � -I-t�t� Owner Property Address: t�v�p �S C�" �c�vC �A� `!W�0 (�'►P`'Z7Z 71.�1r1L_ Name and phone number of contact person �o��^p �-G'� �� Tax Map No: Section �� Block � Lot � Cross Street �'�� �� NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SUR WIT E H DEPARTMEN APPROVAL � �f- �5 Signature of Applicant Date Received by: ���� .�,: �:,�.��: ..� ��.. .V_.�. _r� � . . , .,�., ,..,�. � ..�..�, � m . N� �.:� • ., ... , � ��:��. o� ,. .., ..ii.,uun,.i.� �.• :�m�„L �_i....i.:�.� i. .i_�:uuria�].wt...i m I ii ii�ini i,_�f �.mni i n a iie i u iue��iii I. L.. 11�PiM��YNM �� _ kI�W�YY�uyWu■i�iVd�1�8u�Yuuq�al � . .+s� ..'�."rv�'�Jim�trtlma�:�i"�swm�+s4ro ��.n �+�a���..+'.��'I�ueilil�Yii+�+.rs+��+ � � 1��. u —. _ ,�� ���� , ��,�� �.. �� �� � .�,._._��......�...,...... . ..-a�Y ��� 'I�I �llR�r�Y O� �RO��RTY °� �"� � �ITU�T�: M�cTTIIUG�G ���'c Q �`.' ogw � � � , N � TO1NN: SOUT�-IOL� �°��� , SU#�OL.�G �iOUKN� l�l`I' ����� .�p'`�� � ,�,��`0a W E o�' � ���� '�.� �,°,�,�. � � � SURVEYED 06-23-2004 �`�� o°�ca o �, `�o PROPOSED AGTIONS 12-28-2004 ��.��� O� mhhv�a�� OL���y q 1� ,,.p' o`'��r �o���� e��° � SUFFOLK GOUNTY TAX # d� 1000-128-I-I Q� � ��" '� �! � /On R1Cb81$�.'0111D6 �F" � �� e . a �i.e .ptp;y f �c �q ar�',\� �Pj� ,o,� c� � � �v, e���i o�e�� a B M ��/ Q�(��"�� r�� 1 � \ v� �9 � � O 0.�, ��c � t� 9i• ,� �Q Test Hole oJ��'`ya '� � �e 9 �„ Ee r � Uj � � ��,� � McDonaid ������ � o�� �s. ��o' �.�� Geoscience +`�w`��t�c� �` gy yo 12/3/04 � w� a 6. �. ,� e l = 18' 4k � °�°�Q� oay , 'yo � w � �,Q �,6, e� °L � � V � 1. � d,` , � � \ � A LO� ML a-ara� � �' � o �A 3. �a�� �. � � `%� � . ,, , o� '�q ��� �� Q� �Q/ b°'�`\ \�� � sP a-o� �,� 'l't' Q`�°J ,,� ��, �,, d.,,L � . � �� /� � �L C'h�i Y /' � �(� `\ \ ^ �. � ` , S� i5• . �:7 , � , woCer @ �b�' � ` i� . � ` ' v � � C�iij \��, � SP va�e � _� � o�,�G q� �,c S�' � ��,/`��`� ecf�`o `��\ Q.e,� a-� �� o .A , • , ,o� � �i'�tl' \ \� \� \� �i� �� e � 17 ��a t:L. 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(�. � 0� � � ,�p�� : � �ry code or e�anv,s ra i.md s�,..-ay,mopw ELEVATIONS REFERENGE SUFFOLK GOUNTY TOPO MAPS �� � ^ 0 � � ���r�����d��r� n w�'��`w"�uo�.,�i,,.�w�y A � �o�� � � �Q��'° d Zi �v�r ���� . ��,�b�������b��.b�,.��d 9s o^ � ��,�,����r�,��,���'� w u,�m,yws o�n»��ag n.twea�.c.rwee- �wa<..�o�o-a,rraae'o m�.nw�oi reumtwu �Lp �J o D�� ; ��� o`c� J�J{ . AREA = 25A� 5f or 0.5� acres '�e"/ �..� N m� �� JO�IN �� �.�;r LAND SURVEYOR m � �'`� " 6 EAST MAIN S ��.�� � N.Y.S.LIC.NO.50202 Qs GRAPHIG SGALE I"= 30' � `� RNERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—\�Hp server�d�PROS\04-210.pro � . . i