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HomeMy WebLinkAboutFrancisco, A L R oo„ a 0 SO j1, ELIZABETH A.NEVILLE e$ o Town Hall, 53095 Main Road TOWN CLERK 4g ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • co Southold, New York 11971 MARRIAGE OFFICER �. ► O � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER i Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER . COU�Y,� ,I 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. 3322 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JLC MANAGEMENT INC Address 1: 7 BRADLEY LANE City St Zip EAST MORICHES NY 11940 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 #R10-05-0032 Name Of Owner FRANCISCO, A L R Mailing Address 1 7 BRADLEY LANE City St Zip EAST MORICHES NY 11940 Property Address 1 NORTH ROAD City St Zip GREENPORT NY 11944 Tax Map No. section 40.00 block 3 lot 3.002 Cross Street QUEENS STREET Building Permit Number Cross Reference: Issue Date: 7/08/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) /o,"''� I,,,o-OF sOOth- .33A ELIZABETH A. NEVILLE 1 ti Q Town Hall, 53095 Main Road TOWN CLERK 4 IF% P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v, y Southold, New York 11971� MARRIAGE OFFICER ``30 �O@ 11� Fax(631) 765 6145 RECORDS MANAGEMENT OFFICER ......a_ A 0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ' COUMY 1 southoldtown.northfork.net 1 ,,rte •viii. IIII, 1 ,'-,' 2��� FICIKyOF THE TOWN CLERK .,', MPS 1 \TOWN OF SOUTHOLD TO: S'iputholdjfkowri.Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 18, 2005 Transmitted herewith is a copy of application No. 3454 for a Cesspool/Septic Tank Construction Permit submitted by: JLC Management Inc. 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: C j4- t/t4.#6( _, A 7x6...e.....),' ,..ete . Signature Dated . c/4 '��o��gOFFO(,�c.. ELIZABETH A.NEVILLE ���0 "` Town Hall, 53095 Main Road TOWN CLERK g P.O. Box 1179 REGISTRAR OF VITAL STATISTICS vim,, j* Southold, New York 11971 MARRIAGE OFFICER . O t/ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER \-:## 10.0 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 0l iii i'a.10 southoldtown,northfork.net •-...,.",, OFFICE OF THE TOWN CLERK Y TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 or Non-Residential @$25 Application No.a64 Permit No. Applicant Name TZ-6 i4i4.0 /i yfor ev4 in c , Applicant Mailing Address 7 AQB c'lel 7,9-7.‹ e� ,/ ` -O'a;c1.44 , ",,. -7- 1/9 -P Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration j9e k/ kw SC Location of Proposed Construction/Alteration: Owner of Property: 4_L-g. fe., C,r5C J- Owner Mailing Address: 7 litoicr Ls-,‹ 1,gy.1 te,o�l/c .ili. i , 77,4(/' Owner Property Address: Ae,c-14 i°' I / ?i4<<i foro - Name and phone number of contact person boli^v C470"; 6 3/- V 7$- 7')7 7 Tax Map No: 4P Section Block Lot ,' 2_ Cross Street Qv e f 4 C 5.-4,4'7/ NOTE: LOCATION MAP MUST BE • 1 :MUTED T' APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY 0)/ H :I S. H D r 'ARTMENT APPROVAL II r` 4 L ;I ature of A, cant -' Da e V Received by: S.C. TAX MAP N0.• DIST. 1000 SECT. 40 BLOCK 3 . LOT 3.2 FILE NO. PROJECT NO. 04-0590 , f 1,,. u N .- ; r, -�,t* , ,-` w Z„, . 24A / ca Z. S 1 +24.4 l/� �(J�'l V zz,z24.2 D 4.. 243 •*�QO�G) 151 At pd- , is, r-- 4,.. , • - Z l Z 44 . • . ,,,'‘ . 0 Pli...e".":6.• '11'• • /21Z2 04 1, tA O -th II +21.1 ' e • S OP(COUNT'DEPARTMENT OF AL TH'SERVICE ` n e a • 210 ` \I\ P rl'e `1�i FrO' a�'t"r",r..,VA OF 'O h `.Rr " ION F A a E RZ ID ;p ONLY._ I , 'eN � � � a"7 �L ws l..s$;r Pl".tt6,1'fy:•al.s i` !i'13=�5:tYL:,e�i>sr.�'.'�Osii.r�" Ae „, i :, Tit, II 4, ; \1,?'" -c., 0 ,4 Zr" .1-qi—- dlo Aff , 4 ,e-- • \ \ 0 roe ° o° a. 0�1 r NiAXINU:3; OEDtC7O3S �o�'�v*.. a Z /7 C,:a `; P.EE YEARS FROM DATE OF APPROVAL j` ii i, i +24.4 , 'oo O I •2a 3 • (s. / 73 id'kY..,, c r..\/ \ CA 11\ . � .4113.4, iZ, NOTE: SANITARY SYSTEM TO BE GOMPRISED 3• OF TWO CESSPOOLS S' IN DIAMETER TEST HOLE WITH AN EFFECTIVE DEPTH OF 8' EACH AND .1 1las �g A SEPTIC TANK OF 1000 GALLONS 1§11 >< 1;.. \ \ -13 Aoci o ' -7�}� 56.0' it\ I, \ TaI % t.11\ \ zz/V7.7 . :P fix` 0 0d 0 / '*: 0 I i►�� t[� \ -105.5'0 5e \ Q ry ZESTmovoHU_# 1 x7�' DARK ELV.285 x / 56.0' p'o Z. BRONBI � SILTY 2' " Q LOAM i (OL) O &REY 1' 'n 0� "C1 SILT 0 (ML) 4 lS 11 26.9 A 7 S 0 Ly Z 43 ,Y Q tt ,. ‘ A / \ 4,.. in .DAL y .N,, 0 0 • ' O PALE Go �A;�c! c;: . W 0 K 1 ::� �� $ Q W FINE TO PAND-., 235 T:3 MEDIUM ] IaIIa;; . i i'`- ' / \ 2- , d. l ( h m 20t p,G�p` ' A il 4. �'� Ivo:eco �' / :f ,2��n� 7.._ , �D'���) ,... t8 , �i 71 S La r„r''r ' 24.9 ryp� NG1 O , \ S��D��/1510N FOR1N 142' 24.4 #1.MINOR .v.1:21.1, RI-Y oF GO HATER NOTES: F,pd2G1;L NOW OR FOSE 1E}� 1 WN I) DWELLINGS WITHIN 150' UTILIZE PUBLIC WATER. Lp�ND gLIG 14#' FINE To 2) PROPOSED ELEVATIONS ARE UNDERLINED. �DLLINGiMEDIUM SAND _1 (5F') 1 © H.W.J. ALL RIGHTS RESERVED. n I Unauthorized alteration or addition to this document Is a violation of Section 7209 of the New York State PROJECT: Education Low. PARCEL #2. ON THE MINOR SUBDIVISION ACertifications Indicated hereon shall run only to the person for whom it is prepared and on his behalf to 1 the Title Company, Governmental Agency and Lending institution listed hereon, and to the assignees of the OR A.L.R. �G� O 1 lending Institution. Certifications ore not transferable to additional institutions or subsequent owners. 1 Copies of this document not bearing the professional's inked seal or embossed seal shall not be considered a valid true copy. SITUATE AT: SOUTHOLD NEW YORK The offsets (or dimensions) shown hereon from structures to the property lines are for a specific purpose a .: and use and therefore are not intended to guide the erection of fences, retaining walls, pools, patios, planting r� areas, addition to buildings or any other construction. DATE: JANUARY 2005 SCALE: 1 =50 CERTIFIED ONLY TO: SURVEY DATE:1/4/2005 AREA 1.71 ACRES FILED MAP NO. DATE FILED in FIELD BOOKS bk.478 p.56 DATA DISC 04-0590 4 FND. UND. CONST. .. FINAL By # HAWKINS WEBB J AEGER PLLC iM MATTHEW D. CRANE N.Y.S. LIC. NO. 050065 L.S. I ” ENGINEERS—ARCHITECTS—SURVEYORS—PLANNERS DESIGNED DRAWN C.W.J. CKD. M.C. ESTAa.11572 3239 ROUTE 112,BUILDING 8-SUITE 1, D,NEW YORK 11763 (631) PHONE(631)732-7777,FACSIMILE(631)732-7760 A J