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HomeMy WebLinkAboutReeve, Ronald (2) • �,i%pf SOij,- ELIZABETH A.NEVILLE 1�� '`� l0 : Town Hall, 53095 Main Road TOWN CLERK ; l�[ l , P.O. Box 1179 en Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS h Q ,� MARRIAGE OFFICER G . 1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ; ���� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 'l�C. OU , ��� 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. 3375 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : TOM LUDLOW Address 1: 105 OLE JULE LANE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration NEW SEPTIC SYSTEM FOR NEW RESIDENCE -FINAL APPROVAL REQUIRED FRCI THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner RONALD REEVE Mailing Address 1 15214 MCCOMB MANOR COURT City St Zip CHARLOTTE NC 28277 Property Address 1 490 HILLTOP PATH City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 1 lot 21.000 Cross Street HORTON LANE Building Permit Number Cross Reference: Issue Date: 10/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ��,�%pf /Sea ELIZABETH A.NEVILLE � 'O 0 \ Town Hall, 53095 Main Road TOWN CLERK * * % P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER � � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `Kt �A � ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER our + e southoldtown.northfork.net '%... o OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r TO: Southold Town Building Department n Q 2005 FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3522 for a Cesspool/Septic Tank Construction Permit submitted by: Tom Ludlow 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: '^'"r a .___._._�._ %� — �! 6Og/«G ✓ wi J` Signature Dated `t `` _Town Town Hall, 53095 Main Road ELIZABETH A. NEVILLE �,�� ���� TOWN CLERK P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS y. 11� Southold, New York 11971 MARRIAGE OFFICER : G ' $ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =y O��i�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'1 * i4 0. southoldtown.northfork.net OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT • APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$1 or Non-Residential @$25 Applicat : o.•sff,tip Permi o@ k \J Applicant Name " u rI G,_aw Applicant Mailing Address I J5 t�Le 3-\.)LE LN M gin w 1195 Septic Tank ,Xr Cesspool 'SvrBmf Description of Pronosed Construction or Alteration N _L-, c 4 5! . Fjf- N N 0 Location of Proposed Construction/Alteration: Owner of Property: Zr)N .) Lt L 1r C-- Owner Owner Mailing Address: I S 2, 1 4- 11 cC'zpe,..a M, 41.x«.. C-'`', ,1-L4Q Loc Lf N . c ?---1l Owner Property Address: 4 }�1 LA.,--CNJc) ter .vi-A Name and phone number of contact person 1 ew L QT) 2-----30&O Tax Map No:1I v<v Section * 54 Block (� I Lot 4 1 Cross Street NSC�(C., N c L r,,Ne: NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITf/' ALTH DEPAR I �V APPROVAL .d 1 - fir/ .. 0 w2..— Signature of Applicant Date Received by: '' __ GRADING PLAN 4' APPROVED 1111 . F.F. EL. 44' PIPE RN/SHED GRADE EL. 41' __� • A. XX - ••• w •v• ,r �� _ T SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SURVEY OF PROPERTY 43' l.E. TANK 39.GAL I.E. Lf. : 4Q2' TANK J9.T 39.5' ;o J• a'0 LEACHING 1 i PERMIT FOR AI PROV.4 JF+CONSTRUCTION FOR A A T SD UTHOLD POOL aYNcL:;��A,� I` € °~A> nENCONLY PROPOSED SEP11C SYSTEM r--1a 21' DATE t/y/a0 b N,. 4I -00-0/37 TOWN OF SOUTHOLD [J] LEACHING POOL 12' DEEP WITH 3' CLEAN e'DIAMETER APPROVED �,��, / ' SUFFOLK COUNTY, N. Y. SAND COLLAR. REMOVE MATERIAL DOWN SAND //��L►11 TO SAND SW AND BACKFILL WI1N CLEAN SAND. dr CARVE. EL -13' /...,,, FO' MAXIMUM OF BEDROOMS 1000-54-0.1-21 SCALE: 1 —40 0] 1,000 GALLON SEPTIC TANK. EXPIRES THREE YEARS FROM DATE OF APPROVAL AUGUST 8, 2005 TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF _ HEALTH SERVICES SPECIFICATIONS. -� o° ss4so, � .� 4t�,/c� EXCAVATION INSPECTION REQUIRE® X57 HOLE DATA �c? �� `�� O �0 F sox J 7 McOONALD GEOSCIENC£ .ii.,. 4:111 FOR SANITARY SYSTEM 8/17/05 ` JG +41 // © �ji� EL. 33.0' 0 ° BY HEALTH DEPARTMENT PALE BROWN SANDY SILT ML `, ,O iso ,, 42.' ,� 49?S' pro, .' ::: ?ss. BROWN SILTY SAND SM "co' O _ airy e< Q o, o�\��P 4y00 BROWN CLAYEY SAND Sc el 4/6:9.o. 3o a rovq1s�� m �WcA C/y/� `� -,- .�r ,moo (O Ar �o; R ,� *ry , BROWN SILTY SAND SM rAC/64 C`/•y 4$ \ 0 1..9:i s'e R IN PALE BROWN SILTY SAND SM rA(/ - zz, \\1? �° Q. ' WATER C.40 .44...,CJ S�`' h `. 1 .-£L.-13 - 46, �'�J Imo• -kbs�o �'V (° y WATER IN PALE BROWN FINE' TO COARSE SAND SW �, F< /fie. r • r,oC/6�c /tic / o a ;:`r 52 1,q J �y TF�J opo / 0 I am familiar with the STANDARDS FOR APPROVAL o�'��G� �y � r' '� 40 r.,3 AND CONSTRUCTION OF SUBSURFACE SEWAGE SAL SYSTEMS FOR SINGLE FAMILY RESIDENCES o X04 / 'DISPOSAL r 4 and will abide by the conditions set forth therein and on the 1, OF�� NElvyO permit to construct. h'/�T �'�P / �P co a-c.MEW 4P� OR 'z' The location of wells and cesspools shown hereon are p1 '°'9 , a��� �`O �0 'j �� from field observations and or from data obtained from others. 44 $6¢�, (A,Q/1, Q O. * ,' 'g if ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION �F RO �Q ? • - OE.SECTION 7209 OF THE NEW YORK STATE' EDUCATION LAW. '�DJ ...N>f _ vv� 1 O.EXCEPT AS PER-SECT701V�7209-SUBDIVISION 2. ALL CERTIFICATIONS ' .• , - ._'.- . ? `'� o PECONIC i�"''EYOf?` '��' � HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF QNLY IF O� 631) 765-5020 FAX ' 17 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 171E SURVEYOR lb P.O. B76 909 wxrncc clrn/aT(1RE APPEARS HEREON. ?03?-.• ��0 -- — ---