HomeMy WebLinkAboutDeMilt, James (3) „ ..�.
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ELIZABETH A.NEVILLE % 4O Town Hall,53095 Main Road
TOWN CLERK * *; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G Southold, New York 11971
MARRIAGE OFFICER �► O Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER •�
1Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �COM,� -01. southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3324 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES DEMILT
Address 1: 72 NASSAU STREET
City St Zip ISLIP TERRACE NY 11752
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 #R10-04-0141
Name Of Owner DEMLIT, JAMES
Mailing Address 1 72 NASSAU STREET
City St Zip ISLIP TERRACE NY 11752
Property Address 1 2575 GLENN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 1 lot 33.000
Cross Street STRPPY HOLLOW LANE
Building Permit Number Cross Reference:
Issue Date: 7/08/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE • ti0 lQ Town Hall, 53095 Main Road
TOWN CLERK AP *, P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % c.02 Southold, New York 11971
%MARRIAGE OFFICER 't 4 Fax�1�� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER L �• Telephone (631) 765-1800
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FREEDOM_OF INFORMATION OFFICER ---�COUNTl,t1 southoldtown.northfork.net
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,�. MRV \ OFFICE OF THE TOWN CLERK
156
TOWN OF SOUTHOLD
TO: - Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 16, 2005
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3467 for a Cesspool/Septic Tank Construction
Permit submitted by:
James DeMilt at Glenn Rd
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
DISAPPROVE
Comments: 440.....–w,
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Signature
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Dated r e t
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ELIZABETH A.NEVILLE e `1` Town Hall, 53095 Main Road
TOWN CLERK ' P.O. Box 1179
REGISTRAR OF VITAL STATISTICS yr M
Southold, New York 11971
MARRIAGE OFFICER : O t � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \ 0* 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. 3 LA,7
Permit No.
Applicant Name Yv76"5 171"
Applicant Mailing Address t7or 4.s K) cJ sTt�c'�7L
Tr-K-✓,G A.� . /
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration: 6/en n RI. Sve,7A&/0/
Owner of Property: 5 r9 KY)5 %,
Owner Mailing Address: -7.). A_Atx<s 74-
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Owner Property Addre s''r G L 4,U,U RO
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Name and phone number of contact person
Tax Map No: /000 Section 7,6 Block O/ Lot 33
Cross Street S(4&PY l-fac l-acc) -A}
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
S'rigc44
a/a4c---
a of Applicant Date
Received by: ItAA14fr
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THE EXISII:7VCE OF RIGHTS OF WAY UNAUTHORLZED ALTERATION OR ADOIIION 1
AND/OR EASEMENTS OF RECORD TV THIS SURY£Y ISA HOCA LION OF f
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o ANY, NOT SHOW ARE NOT r flQ' � 9 DF THE NEW 1K STA TE
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L �' EDUCA710N LAW
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CLX+pES a�nRs SURVEY MAP NOT BEARING
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THE LAND SUP.WYOP S INKED SEAL OR
LOT 8 L EMBOSSED SEAL SHALL NOT BE CONSIDERED
�Q(!/_ TO BE A YALIO TRUE COPY.
EL 105.6Tr
GUARANTEES KJO/CAIED HEREON SHALL RUN
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ONLY TO THE PERSON FOR MNOM TUE SURVEY
>> 42J? DWELL �( 15 PREPARED ANo ON HIS BEHALF TO THE ;
Oj1J CSW DTLf COMPANY,GOVERNMENTAL AGENCY AND �,
LENDING INSTITUTION LISTED HEREON. AND 1
LOT 27 7 DWELL
VACANT & `. C/WI TO THE ASSIGNEES OF THE LENDING IMSA- 1
WOODED ,p Loc KIP4G. CASTING � ' GUARANTEES ARE NOT TRANSFERABLE..
LOT AREA 25,804.298 SO. 1� 1 , "To GRADE
OR 0.592 ACRES �OJ v FI�.LIs►IED GRADE
\\ 0 MIN. EL: 1091,9
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VACANT tos �) M \ CO -j SA--WT : 1 Sys-Tel-1 PrzoFat i
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LOT 28
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p�o� �4. �,�5.�� 1. CERTIFIED TO:
Li EL 104.8 M E's, 5 \
M 6F('es.z� EL 104.6 P2o 1=� I°z'Z �O SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
O 0 ' DWELL
QO NI (1D5 0) PF(toco.5� C''42 "� 1�\LI-/ CSW PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
`;.9 cow„tz, SiNOL'.; FAMILY taL i.OL'i^fCE ONLY
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T +T.N. FOR MAXIMUM M 'r BEDROOMS
v/ !. I a PRoP. SAN IT.. 1 le o4
EXPIRES THREE YEARS FRR'C,i�•'1 tATL OF APPROVA�.
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METAL
EL 102.5 S 87'30'00"W 84.1 .i EL 102.3 w GUARD �,
DARK BROWN
q� 230'1 POLE J V O.H. WIRES POLE N Qo f RAIL p o- SANDY EL 102.5 SANDY LOAM (OL)
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••••‘,•3 40.. w
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- EP 101.3 w P 100.7 "�- ,p qj- 0 BROWN SILTY
W W W -_` 152.
' o SAND (SM)
L�xI 52'72 0� o EL 99.5
CL 101.4 GLENN ROAD •L 100.8 (� /w_, 5 T- �' ,- ` .0 PALE BROWN
CL 101.8 (`(�`�7{ ; _,.I wATLrR �_. FINE TO MEDIUM
P 100.2 Mq �/. �''�. DWELL SAND (SP)
�, POLE C/W EL 94.9
EP 100.8 C �'�ly WATER IN PALE
BROWN FINE TO
MEDIUM SAND (SP)
, EL 88,0
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LOT 24
\\ LOT25
/ TEST BORING
ELDWEP t
Nu E L(L 2 6
wATER wEL� DWELL 99, 99 08-04-04
SURVEY OF LOT 27 OF MAP OF �, a F �,
WEST CREEK ESTATES AT SOLI-THOLP � OF NEiv W +1WF
FILE-0 : ..]AP.I. 2✓g, 154,3 IJo. 3848 �Ao ANG. . 0 ' o 01-
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TOWN OF: SOUTHOLD ,��`
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LISA MC UILKIN
QSUFFOLK COUNTY, NEW YORK * 3 I z'1,�' OL t w E o-rE' SurVe in and Land PIaiDATE: 08-10-04 JOB NO. 0449-04 SCALE: 1 = 30 {1� ` Q HAVE. BEEN EI I_S Surveying -}
,ISI r�!/ 21 _ DtSCO1•f 4ECTED FROM 274 EAST MAINS EE
DIST. SEC. BLK. LOT i� ,ia,,gi0*C1 P,,: 0 To$1wATER MA Kir. EAST ISLIP, N.Y. I17 1
S.C.T.M. NO. 1000 078.00 001.00 033.00 �� ;;qNo No L_OP46ER. USED FoR (631) 27 3
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