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HomeMy WebLinkAboutDill, James Jr I � ���,�O SOF SOoro _ ELIZAB A.NEVILLE i' lQ Town Hall, 53095 Main Road TOWN CLERK * 4; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS t/� Southold, New York 11971 MARRIAGE OFFICER ,, '► i� 1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER '. 0- ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .- CDUNTI,���•�� southoldtown.northfork.net 01 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3327 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JAMES DILL JR Address 1: PO BOX 92 City St Zip NEW SUFFOLK NY 11956 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 #R10-05-0044 Name Of Owner DILL JR, JAMES Mailing Address 1 PO BOX 92 City St Zip NEW SUFFOLK NY 11956 Property Address 1 502 JACKSON STREET City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 1 lot 4.002 Cross Street FIFTH STREET Building Permit Number Cross Reference: Issue Date: 7/08/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,,,•�',pf soUry- 33 a 7 ELIZABETH A. NEVILLE �s A0� �lQ ; Town Hall, 53095 Main Road TOWN CLERK ' 4 4 • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % N yc Southold, New York 11971 MARRIAGE OFFICER `p 0 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �, Telephone (631) 765-1800 \'‘‘1e.°.. FREEDOM OF INFORMATION OFFICER `-aCOU , ,I° , southoldtown.northfork.net '•_... iso i.-- 11 '4! , CIOFFICE OF THE TOWN CLERK , I I: t TOWN OF SOUTHOLD MAY 272005 ; T4 -F`` $Q nd,Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 26, 2005 Transmitted herewith is a copy of application No. 3470 for a Cesspool/Septic Tank Construction Permit submitted by: James Dill Jr 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: ="'�l� e _iltil..e.e el' ,,,,,,,,,4, Signature r rZot7.. /2-7 .7-oos— Dated ELIZABETH A.NEVILLE e 1��1�,r0 �4`` - Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ` A� MARRIAGE OFFICER :* Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ***) a��'�1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =_'� * *oa,' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT • APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK (,/-70 Residential @$10 )( or Non-Residential @$25 Application No,..-)-1 Permit No. Applicant Name J�, G D 1 -i Applicant Mailing Address P. O. q- tie,,,,, 5o4 11L, ti.y, Il f st Septic Tank X or Cesspool Brief Description of Proposed Construction or Alteration K'f ia4.,a+ Location of Proposed Construction/Alteration: Owner of Property: c,Y,r,J C. 1)11 <L' Owner Mailing Address: P. (2. Vol 41/1, �r,1,1 .J1:?Q4 N/ 1l Owner Property Address: Vin—JAcACI 54-. Nifti 5J P I}' jr 1 6sf Name and phone number of contact personJ4 ..r,its C -17.A1 734--4.,go Tax Map No:1 vv p Section Block a I Lot 4. ',- Cross Street h�/IreA- !et,-.,.(„/ is r f NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S Y WITH His TH DEPARTMENT APPROVAL ie of A licant Date Received by: 921:IL-- • t- . • SURVEY OF PROPERTY SITUATE: NEV4SUFFOLKIL existing W �i E O se C TOWN: SOUTNOLD -� �S SUFFOLK COUNTY, NY _Q LuUN 1--- S SURVEYED 05-21-0I, S ��O T' TEST HOLE ADDED 06-26-OI O z? �� PROPOSED ACTIONS 02-10-2005 AMENDED 05-04-2005 w / �' SUFFOLK COUNTY TAX # 0 m Q // ��0 1000-I17-10-4.2 z Q o L W Q q N * o' LAND NO / Q� Z w Pa 2g JAMES 60RMEORMERLY O� / CERTIFIED TO: v FORMERR PU d D R NEiq GRAHOLD `/ i'Ll0 -4 r JAMES DILL __ � B\ilding" �,10 *, •at C --._ ,} _ be-on. __ S83°43'10"E 155.250 // �I ,, ii ' ft Wen a{•; yam' l 0 i v7 0 03 W j „ FE ���) 3 , 1 0 , ,3 1- \ ,s, 1c {) o �� \ ' I w CSi_i • i F. 6 "3 F., az A - H \ , \ /' / , .S ' t*� 'T Q W \ 1— , TEST HOLE — — i i i %} Q ; Building Envelope per Zoning --��'--a ;44 #14 0 re5 '7' 4: Z 1••• I \ ' �/ w 1 t:13 !;', - ..4, — z ,-. n _ ..__ , ,, ,, , .":4 Ln . g wv t 0 Ca to Q Cr) ,' j J Q/ S I n ,-ii 1L-1 . r z> �� v �, ' ',' / ,� Test Hole by 11:', K= _ "; w 0 Mc ono Id 6eosc ience ZI- -- - - - - - -- \ ", I /� ,k. �Q/ 06-22-OI Qo \ \ " ' i yQ. / Q i i-- El 28' i \ I ix ; RI / ' /O�'r SANDY {; LOAM o I - ---_x_75' ' I / fir . �) 2 / / 1p s \1p -o t .� Pow o 4, I' J I \\ I P 4oposed/l _/� � � O 1. use / I / Q 0 20 I 1 / / / w / ter \ I / I Q: PALE I. \• / / I / W BROWN 1- I / / r' FINE I' / I ��/ B a I TO /n�{) MEDIUM / \ \ \ I / I iIis:; r; ,BCI n / r SAND 6 o / / • \ N \ \ ` be�4t / I ' 40' Et I / ' / FE � \ \ \ \ \ — I 11 IQ. N/ 16' I / ON LINE" \ — ` I` g 2 I I / \ \ \ /L / v 12 , \ � �' 11 \ l \ \ \ \ ——�— I FE r \ \ \ T'Qp\aF �—�_ _ I I 0Th \ ` _ _ — \ \ \ — \ \ \ \ = _II __-I - — s - 17' _ -- - \ . \ _ _ r \ .• S — — — \ -- \ \ — I -- _I- _ !� C t-t \ -_ ____ - -- —I` \ -�C C)r,` s. `°ro'g h •P A \ I - . 0 C) \ \ _ _ I /C) N -. I — w f + N - -4- _ I y `_ _ a_ n 0 \ sk NO al 14 r,' Geo RIE LINE o "W L9, Os' 2 — - r`€-^VOI) 0 GREAT DECO N I C L a[or utl alterat on or odd t on to a survey BAY _ 'noPoe�n oo sechoed and surveyors sen s a ‘)s4, 0 . ‘144.1% *,, �,,� Ips on f ton fork sub Et:fix n io of the C tit': '9k Nen York State EWcatlon Lan.' NOTES: t marked with eonrori otwhe of r/he thz zey.gy land surveyor's y stumped a w nz aerea to x m a." • MONUMENT FOUND , - . . 'CertifIcatoons Indocated hereon sognofy that tM1, area n cordance with t e tng G de oP Proctice f nrnLantl s„rvgys opted Fr1 me Nan York 5tpte Assdcia[bn of ProFesslonplo Land 5e.veyors. Said certificationstSashall run only to the person for wham the survey Is prepared, AREA = 47,546 SF OR I.O 9 ACRES ane on his eeM1af mending company,gov - on agency and if to title company, hnreon en- w the assignees or the lending Insertvdaneerelrlca- tions are roe transferable to odditlonal iriztitvtionz ELEVATIONS REF. USGS NGVD '2G DATUM JOHN C. EHLERS LAND SURVEYOR ' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE 1"=40' RIVERHEAD,N.Y. 11901 = Ell Ell INI1=111111.111111111111 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\01-196a.pro 5/4/2005 laiet,54A11 \Nb eores r0FR05'01-Kaaaro 4