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HomeMy WebLinkAboutPasierv, Marilyn 001 *of pF SOu/4 ELIZABETH A.NEVILLE ,`O l0 . Town Hall, 53095 Main Road TOWN CLERK Z. 4g 4g P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` G � Southold, New York 11971 MARRIAGE OFFICER . ,, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER =�COUN 1,,�IIIi°�� southoldtown.northfork.net �.... 0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3449 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MERYL KRAMER Address 1: P 0 BOX 683 City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration - REMVOING EXISTING SEPTIC SYSTEM -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner MARILYN PASIERV/MATHEW BLOCH Mailing Address 1 675 WATER STREET - APT 19F City St Zip NEW YORK NY 10002 Property Address 1 680 TRUMANS PATH City St Zip EAST MARION NY 11939 Tax Map No. section 31.00 block 12 lot 2.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 7/19/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 111111 3�q q . CCM cCC �'�;of soils, Id,WLPOOk 41 ELIZABETH A.NEVILLE I�I.' °l ;� 4 Town Hall, 53095 MM Road TOWN CLERK ; , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % co Southold, New York 11971 MARRIAGE OFFICER `� ► ��I,, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER-- Ol� iii Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER COUNT`I ��� southoldtown.northfork.net i"l � 9 ` OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: ''Sou ld Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3492 for a Cesspool/Septic Tank Construction Permit submitted by: Meryl Kramer 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: Iv - /s,ia. -- - �.�� lit" " Jy� Signature Dated 1 ,,,,,off/s�FFat,��o , ELIZABETH A.NEVILLE ��i 4.? ,Town Hall, 53095 Main Road TOWN CLERKP.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` 0. M I Southold, New York 11971 MARRIAGE OFFICER "01) t 1Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =y1fQ �OI111 Telephone (681)765-1800 FREEDOM OF INFORMATION OFFICER = '� 4 s„, 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 ► . ,,,l. Permit No. 4. - Applicant Name t%I1' ? 'L- Ic1 A Applicant Mailing Address 170 DOA 60� 6KE N IV Sri M WH-4 Septic Tank x or Cesspool C., Brief Desct{ption of Proposed Construction or Alterationt'. .TiX` SYS Location of Proposed Construction/Alteration: Owner of Property: MisstsvANt IletsRP / fononkew eLoal Owner Mailing Address: oris WP Teg. sr, Arr 1 q 1- INSW YOI X N( l000 Z Owner Property Address: (0 f,5 0 '11c&MArJ PAr� SOO. M/RioN Name and phone number of contact person R'(I. KRAMett. 411--0114 Tax Map No: (006 Section 3( Block \ti Lot 0 Z Cross Street 4Mt' I D. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S VEY WITH 'j ' DEPARTMENT APPROVAL d 'VS E/05 Sign: ire o eplicant Date Received by: Sep 23 04 02:04p merul kramer 631-477-8936 p. l LETTER OF AUTHORIZATION MARILYN PASIERB&MATTHEW BLOCH 675 Water Street Apt. 19F New York, NY 10002 We hereby authorize MERYL KRAMER,ARCHITECT to act as our agent in obtaining all_ - permits required by TOWN.SUFFOLK COUNTY and NEW YORK STATE for the renovation c our residence at 680 TRUMANS PATH,EAST MARION,NY e 101 Owner ate /7741.4(1, g-00-f-(9 Owner Date . 13114.0g31,01 Z.4'''''' toja,VeK I'1)1e.- NANCYD�D;�R `7a' g�pi1� �u & WILLIAM EMERSON Y- S�\ ���� N DWELLING ry / // 0 °44 (vSES vu6UC wA1ER�° 9 �tt tt11 1S in e /%• � �—�i/'-- ///' '''*-..---->.-----:-L"....27..... !,,/'-'19— p 300.65' tet,, N 62'56'20" E �� _� I41k 4444 N �s./ + '� •���--.— .Wa+l' 44.11 ° BOWEL owvcw�• 0 � ! I1t4 /./ �Oi iii �I Wiz: ` � � LI -_� �/' q� �' G w"�`i t lwAit i I .+� • frac"` tss•ccwwccs—PLANTER r**. .r V1 ms'g ',� •AE.,%\ %s� _� +• �� I� TO BE REMOVED., :..7 -- R .. •'.,=i"1•-t�''9 §laird -,----- ..s'r' i I,I/� 1 _roo•i.j -� roa t STORY ra {,' v41- 4114 III,�I(.- .. — �_ _`_:9 -rob6 .. FRAME GARAGE }� itof 1...i 4 i x _ M., Naa . ' •`- �� Y{.4 a fS - Q 0 L' ..w( `op +..._. �, `� fila Rwc . g cL�. a?b"' Ft'. �..-. _.__ __7i • LA'S. �� MFGUIM 'r, PEER FLITCE.ti ..:.. _ _�. Z kr S 64'05'40" 'Q'' '' '• ', 4b j• IRREGULAR HEDGE it �, 0 /°/ ,, 305.48 Y. % 4k ... a' V N/O/F O i EDWARD FORTE 0 A. CATHERINE J. FORTE QU I 4WELLI (uSEsPUBLIC NG WATER) ... to 0 a ALL SURVEY DATA SUPPLIED BY JOSE 'H A. INGEGNO, AND "J i � 3SANITARY SYSTEM PLAN SURVEYOR, RIVERHEAD, NY DATED J LY 14, 2004 o m Z SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1" = 30' ? �x ft tr1 0 WRMIT FOR APPROVAL OF CONSTRUCTION FOR A (TEST HOLE DUG BY McDONALD GEOSCIENCE ON JUNE 4, 2004) R, Pt 15 I 47 Iffilm SINGLE FAMILY RESIDENCE ONLY I EL. 21.9' Terry Pt D DATE 648-0 • 'Fe NO. F`O--/r)(4_ O 1 5-6 , :::::: ILTY LOAM OL _( N +ca c am~s1 4 O R 1 E 1 APP _ I�+1 �. Pr 1' _ MAXIMUNI 3' .�' �. y ,Hs._.•. FOR MAXIMUM Oi' BE E%! i e , S .4 EAST A•II O N M ...itEXPIRES THREE YEARS FROM DATE.OF APPROVAL BROWN FINE TO COARSE SAND R ;€°• © Orient YE. w� WITH HEAVY GRAVEL SW - "1 I � e do , � 1 _' 04 B' c.,,,,,,i!' OR I ENTPLEAS NOTEi / . _ Sanitary System n to be installed ����,� : \ = � r :., i �� H ARBOR B O R : under driveway. ���� V\--��,,*, :• i �I Oi An. 100 PALE BROWN FINE TO COARSE SAND SW �-�,,, CCcves Pt SOUTNOtO, GA :• a •,�,�I �- SHELTER ISLAN�. NC,�- W• s f ,2 /' Hay BeacA Pf N r�` 4:j% r,R.v. /iw� S t%,.#01. F4)_::a, 1 SITE �,; = '#:A4 y V. Long Beach Pt- Er (j1`,fr-i1 TM 10Q0-31-12-020�� s TEST HOLE DATA LOCATION PLAN '-,,. . tr Q4. FOFNO 4 1 OT TO SCALE NOT TO SCALE