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HomeMy WebLinkAboutEstate of Adams 4 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTF2ATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3319 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JLH ASSOCIATES LLC Address 1: PO BOX 1925 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-05-0048 Name Of Owner ADAMS, ESTATE OF Mailing Address 1 C/O GAIL WICKHAM ESQ City St Zip MATTITUCK NY 11952 Property Address 1 1690 THE STRAND City St Zip EAST MARION NY 11939 Tax Map No. section 30.00 block 2 lot 61.000 Cross Street THE LONG WAY Building Permit Ntmiber Cross Reference: Issue Date: 5/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,... ��,' c SOo,,j , 3 3I ELIZABETH A. NEVILLE I iO lQ Town Hall, 53095 Main Road TOWN CLERK * Allg 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % N Southold, New York 11971 MARRIAGE OFFICER `` COQ?1, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER . 0I Telephone (631) 765-1800 FREEDOM OF INFORMA N OFFICER "COUNU,� .1 , southoldtown.northfork.net ••... 0° `, C _.,e''''"di,, , ,...'-.7 9fs OFFICE OF THE TOWN CLERK , `� TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 3, 2005 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3464 for a Cesspool/Septic Tank Construction Permit submitted by: JLH Associates LLC for Estate of Adams Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: / APPROVE v DISAPPROVE Comments: -�'�•f� c1'� J?<t N e-,-,-;-4..4.1.45.?e;Z; Signature 3 ego os— Dated r •. ELIZABETH A.NEVILLE ,ill0 00 4\ Town Hall, 53095 Main Road TOWN CLERK g P.O. Box 1179 Z ; Southold New York 11971 REGISTRAR OF VITAL STATISTICS v. �1 ' MARRIAGE OFFICER : O � Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %=yae_ 0��.°� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER RI �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 @ $10 or Non-Residential @ $25 Application No. 3W' Permit No. Applicant Name J L-r( A s 5 0 C (ATS s LL C Applicant Mailing Address P.0 e O, / ? 2_,5- svure6,6 IJY. jfg7/ Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration /'e1w b iAf /A/'1 4-7' Location of Proposed Construction/Alteration: Owner of Property: r fcf 6/1- AD Am S Owner Mailing Address: 7o G fk(I- W(C-K HAcw , LAS C2 ilitk-7( r o-c (, a). X Owner Property Address: /6?0 / ` 6l A '� e,4s7 MA4 / 0j P. Y Name and phone number of contact person . Tax Map No: Section 30 Block G Lot 6 Cross Street MI6( L,(,)/)G UJA y NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH ',ALTH DEPARTMENT APPROVAL aur o Applicant ate Received by: ,9 Young & Young \ ells �� N 400 Ostrander Avenue, Riverhead, New York 11901 t ; 631-727-2303 l"il �"/ Howard W. Young, Land Surveyor b `\ Thomas C. Wolpert, Professional Engineer g• 4 4.1 V� `� \ Robert C. Tast, Architect O <(� Ronald E. Pfuhl, Landscape Architect �� \ _O O�Jj ��� / - a° (J ` Douglas E. Adams, Professional Engineer Y oro ^/ o• ,� , / (� 7� W E o �' / ,g y,, G 71Li(f HEALTH DEPARTMENT USE -/A 5� /� _—.._.._._. ---- 4 , 1, S omr��� / s p ;y 'J " Ct. ' ; ��f 'ySUFFOLK COUNTY DLP/ R.`D/. ' 'O� ALTH SERVICES I. 1 Oy S =`h�O� S Y 1 !fid ry`0 \, //m`� �� g� + rA o � i j% (1 PERMIT FORAPPROVAL OF COd .:' UECTION OR A / / cf • 1'*) 1, AI sG < I / if GLE FAMILY RESIDENCE anyI Xi o / /�'<Co�' Q/ `'' � �',� 0 6.Oe, V' V s 6 �. // V DATE �� HS REF.AIC. % o 5-aa zl FS oil: i / �'/. 'e Qi '0 --k((V / / 1;4,9 6 '� APPROVED �� .._ 0s• ' 'PO °45 42 i �'� QC /fly 1 R=20.00' FOR MAXIMUM OF. BEDROOMS 0 - �� > Lot 1171 / ' , .� ) h L=31.42' � � moi, / ♦� 9„ 2 `� W EXPIRES THREE YEARS FROM DATE OF„APPROVAL fit v it( E `I S' .c0 9�/40P• •65.b, \ �O� ill 'N ill v'\�. , � _ _ EA 71. ••".4 `,. SURVEYOR'S CERTIFICATION �' 0 fY • WE HEREBY CERTIFY TO J LH ASSOCIATES, LLC 1 9•12 . ` eJ � �,�..64 6,44 \\I� 'h pnl� THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH_THE'1 o '� ..z;‘,,,„ � e/ 6 - q�e , b CODE OF PRACTICE FOR LAND SURVEYS ADO ' • = T 1 I b . 9, b�/ r , o� \ NEV YORK STATE ASSOCIATION OF PROFE ''� •y `'(,,,c,6 O' \S bcd / / ti/� \ 40, 1�Tt \' • SURVEYORS. cism O. 'S' 66' 1-7 //6 SSS \054.-36^9 S'\ �. ���' \�1�� �-�^ $ ll 1 TEST HOLE 6c 9c • �, •,, ,:, \ l. \fr.'"'e).41 p bli ,,, BY McDONALD 6E050IENOE .0 '` > ���7 A DATE: 03/01/05 � T t�'��j,� w3-21 �,�� ' 'e=� ; �qy \�\ HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 `. ' G s DARK �� �����;� �Q%i / O BROWN LOAM 1, ,% ♦ \. ;�, c' ,__; ` (oU ' 7 eb ` +„, SURVEY FOR , =� i \ G '� \ \61.9807•�,� I I.� s - 4E BROYW ��� �` ' �R ,� •� Qv �►�- , ,+ awl JLH ASSOCIATES, L. ► -i SILTY SAND — t , �••O ©``: /^\I Q� Pi \,�U �� ; (SM) `'' e • 'C�' LOT II "MAP OF PEBBLE BEACH._FARMI,S �'� � o'r �`. 5, • i`\+ ° �Y� r At East Marion, Town of Southold-- , 49.0' --'- e' /4) , 4-• i Suffolk Count New York t WATER IN C3-' A g °•tel\ ,.', �. 1 r +JBROWAN515ILTY . Wr Q ��� �� Gounty Tax Map District 1000 Section 30 Block 02 Lot 61 l (SM) 53A `�` %r 'Cv,�, .�Re /i \\.�0) �,°strP NOTES BUILDING PERMIT SURVEY g de �q�p�``' AREA = 26,230 SQ. FT. C WATER IN FINE / SUBDIVISION - "MAP OF PEBBLE BEACH FARM” FILED c , 5: m • TO MEDIUM' P SAND / ` IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON li ( ) c, \ JUNE II, Ig75 A5 FILE NO. 6266. MAP PREPARED FEB. 25, 2005 0 VU 1 i ,i a 59.0' ,U • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) 50 li p MOfu 1ENT SET ■ =HONUMENT FOUND Q. _STAKE SET A=STAKE FOUND RD=ROOF DRAIN ` W• AVERAGE NATURAL GRADE = 58.0 JOB NO.12,=005-0042 ' DG. 2005_0042-bp-r1 E3P I