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O'Hagan, James (2)
/# soli pf ELIZABETH A. NEVILLE t '`p' l0 Town Hall, 53095 Main Road TOWN CLERK * * z P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Gn @ MARRIAGE OFFICER iC` �O � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l 'ii• Telephone (631) 765-1800 'rN � FREEDOM OF INFORMATION OFFICER ---�CU(J %,+����� southoldtown.northfork.net ti OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3427 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JAMES O'HAGAN Address 1: 47-27 LITTLE NECK PKWY-UNIT 5A City St Zip LITTLE NECK NY 11362 Descripton of Proposed Construction or Alteration - NEW 2-STORY SINGLE FAMILY RESIDENTIAL. 300 SQ. FT. ON 1 ACRE PARCEL -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner JAMES O'HAGAN Mailing Address 1 SAME AS ABOVE City St Zip 0000 Property Address 1 1125 WINDWARD ROAD City St Zip ORIENT NY 11957 Tax Map No. section 14.00 block 2 lot 30.100 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 4/27/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ��s#' ELIZABETH A. NEVILLE ��� '`� ' Town Hall, 53095 Main Road TOWN CLERK 4 4, P.O. Box 1179 %REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER . ��i$ Fax(631) 765-6145 -RECORDS MANAGEMENT OFFICER I�� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER C'UI 1,rN,+� .��� southoldtown.northfork.net APR " 6 r OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD a , TO: Sotitllo1d Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3582 for a Cesspool/Septic Tank Construction or Alteration Permit submitted by: James O'Hagan 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 N Comments: r►�- '< --jam 711"4 1.17‘4. Signature olo Date / f� _ 4 ,,I/iii, 11'/ht����SUrFQ��AG ` ELIZABETH A.NEVILLE iV. ; Town Hall, 53095 Main Road TOWN CLERK 1 Is d t P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS �,1� sSouthold, New York 11971 MARRIAGE OFFICER :.P I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER \-. A0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ---____1 ;Ii��ol 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 Applic ion No.�. G�^n Permit o. ,� Applicant Name Thivt 0 01 Applicant Mailing Address '1/7-- 2 7 (,,(7714. / / L k1 P fr J).J t 4'V1TJ Z-l7ThC /V6 , /U"5 /(36 2- Septic Tank '� or Cesspool Brif Description of Proposed Construction or Alteration .2 - 7D' -t' S"'"( 4-717-1/O./ 1Jl vl/.. -g©vv SO . Fr or✓ / c - 7/ OC.C.. !y o Pc r-_ Location of Proposed Construction/Alteration: Owner of Property: CY/if 0t446-44} Owner Mailing Address: Owner Property Address: //2r coh-iini-Li*yv, #2.10 Di.e.4 1 ^04 7/3 3s1-2e13 8q Name and phone number of contact person 0/144(40`H4�� C 9/7 tile- l e-- n 3 9 Tax Map No: /0°0 Section !4 Block ©2 Lot 3°. / Cross Street ^' /C4 9/3 j ©/C! ' NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEH HE• H DEPARTME • 'PROVAL r.e,___ Signature f Applicant 6 Date Received by: WELL EXISTING LOT 4 SURVEY OF PROPERTY SITUATED AT I (CESSPOOL INDETERMINABLE a DATE OF SURVEY) x ORIENT 275.39' ' rn CE 0.3•N, 0-7'W. TOWN OF SOUTHOLD FENCE CHAIN NK FENCE N 8,.'•29'40” E O.'- 514 FOUND SUFFOLK COUNTY, NEW YORK TSE S.C. TAX No. 1000-14-02-30.1 FOUND s - PIPE _ I SCALE 1"=40' �� ttaw OF %NE TREES O APRIL 30,' 2003 1 L ' Z I U ;1 �****** 0 4' 4 W W = �� O AREA = 40,194.01 sq. ft. 0 f a i \\ \ _ � O 0.923 ac. • O1.3 z ' '=?v .__ _. Q %1/. _____--. '.-..,..,--4-....-e �� Q x< CERTIFIED TO: I bn I iii!! �w���,.Jw- ��� JAMES O'HAGAN .- ' /' d 1.�----'50.0' VACANT � a " tn'NO -r. `Zi II -- t:).4" tn �. t� I O .-,Alt' PROF' DRIVEWAY .... TEST 5010.22 « • 1 130.0, 4. NRT .P 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS:,50.0 ,�+ �h x.11 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. -' 1 XXCAVAT1ON INSP 'C1 ION�p��cn"'iCUIRED FRoposED , TANK: 9 LONG. 4-3- WIDE. a•-7• DEEP W I FOR SANITARY SYSTEM EM 'S' 51.0 FOUND 3.2 MIPOOLS, E' DEEP.NIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. -� BOX BY HEALTH DEPARTMENT PSE *PROPOSED EXPANSION POOL I N"NHOLE 286.76 PIPE FOUND 30.0 %PROPOSED LEACHING POOL - VACANT E; . S 'i .•29'40 W LOT❑z ®PROPOSED SEPTIC TANK Z - I N - 4. THE LOCATION OF WEU.S AND CESSPOOLS SHOWN HEREON ARE FROM FIELD • OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 0 i I W 5. LOT NUMBERS SHOWN THUS LOT 0 REFER TO MAP OF MINOR L': - ' SUBDIVISION MADE FOR FRANK S TLLO IN •a I LA LH O E. LOT NUMBERS SHOWN THUS LOT® REFER TO MAP OF MINOR O I N N No i I S OLID COUNTY DEPARTMENT OF HEALTH SERVICES rn TEST HOLE DATA PERMIT FOR APPROVAL OF CONSTRUCTION FOR A x w (TEST HOLE DUG BY McDONALD GEOSCIENCE ON NOVEMBER 2, 1999) l,, GLE FAMILY RESIDENCE E/y ONLY �,�/ O 0' `4)�` `\O� MD •os• Ups"' g,ThEoms rxis ,waEsrAaus`IED Illi I V Duac BROWN SOY Law OL DATE ` S REF.N FOR „..,..0,0_.„,;;....-....., sr, ° tv - `.` GROWN LOAMY srr NIL APPROVED \\(A.v•N l \(tA'nfn k Qa A INe O c-P `* . ‹, :. . ; ' FOR MAXIMUM OF BEDROOMS -q c , ,,,N `7 I '' • BROWN SILTY SAND NFIF1 20% GRAVEL SW K 'l Ar + w O I N : : EXPIRES THREE YEARS FROM DATE OF APPROVAL .r �'R I LOT w N a �`�.:4 e' iI .I�;,��! BROWN FINE TO GORSE SAND W .I 20%GRAVEL SW . s''---7tkli _ .\� .4.44� ,,1n S. LiC. No. 49668 4, vA�.e4.A. g, UNAUTHORIZED ALTERATION OR ADDITION 10,HIS SURVEY 6 A VIOLATION OF A' „',^: SECTION 7200 OF THE NEW YOLK(STATE .-L_a,`t EDUCATION L/MQ. LSA Jose h A. Ingegno .COO 3 • -•.;;-1.,'"........:gy , tA�pES DF�INKED SEAL IV _ •�'�, •c: BROWN ELLE,n COHSE SAND WITH 10%GRAVEL SW N>,Ia D SEAL SHALL NOT aE OOIISIDERED Land Surveyor j ED HEREON SHALL RUN __- 2 �,o r•:-'(•:• ONLY 10 THE PERSON FOR WNOM THE SURVEY ��/' 4• `'' II PHP •NRI ON HIS 9F3tiYF TO THE j k / f�/ E 14.6, TIREM.LISIED HEREOAGENCYN. AND Title Surveys - Subdivisions - Site Pone - Construction Layout �s�I s',,, / ti WATER N BROWN FINE TO TO NE OF ,sx N` `�. PHONE (631)727-2090 Fax (631)727-1727 1xa,OSE SAND WITH 10%GRAVEL SW . r.'4 I . / ' 17' THE EXISTENCE OF RIONT OF WAYS OFFICES LOCATED AT MIAXMAG ADDRESS OCORD. IF .NNOT SHOWNME TO EMEWENTS OF O* PMITEED. 1380 ROANOKE AVENUE P.O. Box 1931 RMFRFIEM. New Yak 11901 Riverheod, New York 11901-0965 —. -