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HomeMy WebLinkAboutConlon, Nancy (2) , SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3415 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED T0: Name : NANCY COLON Address l: P 0 BOX 54 City St Zip PECONIC NY 11958 Descripton of Proposed Construction or Alteration -MOVED CESSPOOL -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner NANCY COLON ------------------------------ Mailing Address 1 SAME AS ABOVE ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Property Address 1 310 HUNTINGTON BLVD ------------------------------ ------------------------------ City St Zip PECONIC NY 11958 -------------------- -- ---------- Tax Map No. section 67.00 block 4 lot 8.000 ------ --- ------ Cross Street ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 2/24/06 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) . ' o��pf SOUI�,oI ELIZABETH A.NEVILLE '` O Town Hall,53095 Main Road TOWN CLERK J� J�t P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N �c Southold, New York 11971 MARRIAGE OFFICER � • �O� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l �rrV Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �C�Un 1�,�� southoldtown.northfork.net �-� — __ ` �- � � ' r , �;.� � � ` - --�5 ,{ ^�iOFFICE OF THE TOWN CLERK � � ` �EB I 7 , �';�;�� Towlv oF souTxoLn , TO: - , .Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: February 17, 2006 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3568 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Nancv Conlon 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: Signature o�/,�/� -� Dated , , � � � ��,0$uFFO(,�c ELI7.ABETH A.NEVILLE �`Z` ��fr - ,Town Hall,63095 Main Road - . TOWN CLERK � � P.O. Box 1179 �� Z' � Southold, New York 11971 REGIBTRAR OF VITAL STATISTICS h1 MARR,IA4E OFFICER �y � �'�' Fax(631) 765-6146 RECORDS MANAGEMENT OFFICER �f � Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� � �'a southoldtown,northfork.net OFFICE OF THE TOWN CLERK � T�WN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT ' APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSP�OL or SEPTIC TANK �--� i Residential @$10 i/ or Non-Residential @$25 Application No.���� Permit No. Applicant Name � �"� Applicant Mailing Address C) Ij 61.� 5� p�c�rn� � [,,� G I R��f Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration ��,r{ � Location of Proposed Construction/Alteration: Owner of Property: N Gt�n�1 �Y1 � � Owner Mailing Address: P C� � G� � �"� 3► 0 1-+u r�t�� �,��0�1 "B 1 ✓d �-e c�r��c N u� ►��'s� Owner Property Address: Name and phone number of contact person Taac Map No: Section ��`�� �� �lock�� Lot � G � Cross Street � � �- NOTE: LOCATION MAP MUST BE SUBNIITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPAItTMENT APPROVAL � Grn��v � /s b� Si ture of plicant Date Received by: '` �� � : ...._ n . . �., _ , „ . . ,. , � _ � ._ -------- .. . .. �. _._._...� _. __�.. r �, � . , � TEST HOLE DATA` " �� ��. o�°� �'yF i/ ; �,s`�e��� � � SURVEY OF / y�� �� �`�G EyX�ILLNG LOTS 86 � V� ' (TEST NOLE DUG BY McDONALD GEOSCIENCE ON DECEMBER 6, 2005) O� � ��' �F�'i ,yc OWNER PROVIDED E�. �e.s _o, �SyQ� ���� �nF �h G �o�. > MAP No. 2 OF eRaww curer s�o sc G 3, o��, 4�0� �� PECONIC SHORES E�. �,e BROWN FlNE TO COARSf SAND sc �� S�£ Fo`��• o��y.`' /�— 1 c�SSQp��' FILE No. ssSITUATED EATR 15, 1930 4 � , �� ��� WA,� ,z.,- ��,p o �`., �_'�' � � PECONIC WA1ER NJ BROWN FINE E .j� � �\�\�� To�� �o s� �� �,��� ,��yq� c,� a� � a,,.r- ti .i � TOWN OF SOUTHOLD 6• y ° �� � � SUFFOLK COUNTY NEW YORK WATER IN BROWN CUYEY SAND � O n f �rm swm cur sc e� c� +� q�'y� �� � o -, �� � s� 6�., � � �, /.� , S.C. TAX No. 1000-67-04-08 ,r p-� � � N�, � `�,J ��� WATER W BROWN FlNE ��G � ��'<^ �� O r S� J U N E L 19,�'2 00 TO NEOIUM SAND SP ��V �� �� �� /` � �Q_ �� ��� ��� �$ �y � ��` 'v'" MAY 5. 2003 UPDATE SURVEY 53' \p � �a<� G o � Q 2 �` AUGUST 1, 2005 ADDED ADDITIONkL SURROUNDING WELLS & CESSPOOLS Q� �' �,',p� o,� � C O K J A N U A R Y 2 3 E 2 0 0 B A D D E D W E LL �E5 5 O O L M E A S U R E M E N T S y \�tr' ,yw� �.aa�� � � �� �'7 FEBRUARY 7, 2006 SHOW DISTANCES FROM WELLS TO CESSPOOI ��� �� G� .�. F C� � � �� FEBRUARY 9, 2006 SNOW SEPTIC TANK TO BE RELOCATED �°'� � 0.�� r-� 5�0~�. , �� �o �` �`r` �y'�� AREA = 1 1.886.89 Sq. ft. � `ti G� p�' �5 � s � s- �. 0.273 ac. ;,�e� r � o Gfl�Gp'0 0� �` �e �' � �+v'` �`' U�ERTIFIED T�: 9 `S �r ,F, �, `ti �:/ FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK � �'` O sFFa�F��'oy ��• l�� ko � �^ �� � � �PECONIC ABSTRACT, inc. c � � ya 8 tioy��,y ry ��/ �`y `�r' N�N�'CONLON �' v p 'S �,''�y n,+�„ �,�Jd / nF, � �-`(S'{ y17• ,�Q J��' ti� a`bi°-F�o ��, o � TIs'S� cr•� o7j� '���� �� ���`"_"'�i—ryN� � �� XI ATIN�EVATIONSRAREESHOWN T HUS:�G.V.D. DATUM � � 1� � N 3 � � � � _�+�,2„�j LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD � � , ,� �'"�,.a �' OBSERVATtONS AND/OR DATA OBTAINED FROM OTHERS. o �� �- ,�°`�� �'� 3. OLD SEPTIC SYSTEM TO BE aBANDONED AND EITHfR ROMOVED OR FILLED WITH �a ��• 1� � � �� � o�$ y J�o �� CLEAN SAND AS PER S.C.D.H.S. SPECIFICATIONS. Fo �. 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I � �� ct�nflrw�xarw�o �oa s�uu.� � � -( ONLY TO 7HE PER50N FOR WFpM THE SUHvEY: , ��f�-�. '�\� �S PREPMiEP�M1D ON HIS BQWf TO TIiE X •p u+ \V mtE co►rP�r, oovEt�►rorrK x�.`r�►ro Trtk Surveys - Subdivisiona - Site Plons - ConstrucNon Layout '� O. OS ��Y lEND1NG WSfffUpON LJSfID HEREON,NJD �G � � TO THE ASSICNEES OF il� IENdNc INsn- I �+�yn..Y � nmoN. cErtnric.�Trows� rar�ei.e. PHONE (631)727-2090 Fax (631)727-1727 41��" THE EXISTENCE OF RICHT OF WAYS 9 OFFICES LOCA7ED AT MNlJNG AODRESS C� � AND/OR EASEMENTS OF RECORD. If 9� ANY, NOT SHOWN ARE NOT CUARANTEEO. 322 ROANOKE AVENUE P.O. Box 1931 � RNERHEAD, New Yak 11901 Rivefiead, New York 1i901-0965 I