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HomeMy WebLinkAboutHead, Graham (2) 1,0 SOO •' ff oypl ELIZABETH A.NEVILLE • '` O : Town Hall, 53095 Main Road TOWN CLERK * , P.O. Box 1179 N REGISTRAR,OF VITAL STATISTICS ; G Q • Southold, New York 11971 MARRIAGE OFFICER . . ,� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICEROI C ' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OUn 1�, �66°�Osoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3450 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MATT D IVANS - SUFF ENV. CONS. Address 1: P 0 BOX 2003 City St Zip BRIDGEHAMPTON NY 11932 Descripton of Proposed Construction or Alteration -PROPSED WIMMING POOL & PATIO; RELOCATE SANITARY SYSTEM (UPRGRADE) -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner GRAHAM HEAD Mailing Address 1 55 WALKER STREET - APT 5A City St Zip NEW YORK NY 10013 Property Address 1 1160 GOOSE CREEK LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 8 lot 5.100 Cross Street NORTH BAYVIEW ROAD Building Permit Number Cross Reference: Issue Date: 7/19/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 1111 j j,w p,4„ �0„,,,,.*.pF 50!/ry� 4� ELIZABETH A. NEVILLE ��� '`� 4 \ Town Hall, 53095 Mgn Road TOWN CLERK i * * P.O. Box 1179 u> >r % G Southold,New York 11971 REGISTRAR OF VITAL STATISTICS c • MARRIAGE OFFICER ; .�` P 0 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `_ill, ' ��°. Telephone (631) 765-1800 _ FREEDOM OF INFORMATION OFFICER _ I/UN j 1���t�'. southoldtown.northfork.net OFFICE OF THE TOWN CLERK rt 9 ^ 1 TOWN OF SOUTHOLD TO: 'Sodthol}dT own Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3548 for a Cesspool/Septic Tank Construction Permit submitted by: Matt D. Ivan 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: �/ i� _ - AWAJP. 7,11.1111.dfilirilliVII _ _ gi0 ,0S' - o03-2. __ .,Gi ,...!....t.„ Signature #Vie-7/46 Dated Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 • Bruce Anderson,M.S.,President Hand Delivered December 8, 2005 Damon Rallis, Plans Examiner Southold Town Building Department P.O. Box 1179 Southold,NY 11971 Re: HEAD Application Situate: 1160 Goose Creek Town of Southold,NY SCTM#: 1000—078—08—005.001 Dear Mr. Rallis, As per our telephone conversation this afternoon regarding the above referenced property, please find attached: (1) Town of Southold Wastewater District Application; (2) Location Map of subject property; and (3) Check made payable to the Town of Southold. By way of this correspondence,and on behalf of Mr. Head,kindly issue the requested permit at your earliest opportunity. Should you have any questions concerning this matter,please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, "Ill Matt D. Ivans attachment cc: G. Head ELIZABETH A.NEVILLE — , Dom',„,�""'--- TOWN CLERK ‘,��/ 0"(44.44-4;\ ` REGISTRAR OF VITAL STATISTICS 1+'+ �: ^'Gown Hall,63095 Main Road MARRIAGE OFFICER ; 1 P.O.Box 1179 RECORDS MANAGEMENT OFFICER , Southold,New York 11971 • FREEDOM OF INFORMATION OFFICER ‘111. t L. °° Fax(631)765-6145 \ALI *.0 Telephone(631)765-1800 ,! southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential© $10or Non-Residential @$25 Application ► . - .o S PeamitN� Applicant D. I v4,lf vFfot ic.filV Ii�o "Ot.6 fucraci, iv( Applicant Mailing Address0. oX 2-003/1311103F-144i0/4/1 i1w /Mr-- //t Z- Septic Tankor Cesspool Brief Description of Proposed Construction or Alteration liamseD, .Swr i foot- isTro i fet 0402erE 540 rriti fjjit & (urcizADE) Location of Proposed Construction/Alteration: Owner of Property: G2Q6 4 i. ,lb Owner Mailing Address_55 Ater_s =14Pr. Sal /1lope �Il foo,,• OwnerPrc�tyAddress:, /1 Goof£ 1L.s 1 .60(nttocDiy // 7I Name and phone number of contact person /k't D D. Iv4AIf @ 6.3 S3 7-S7o Tax Map No: l 41 Section 7g Block OS Lot 405:/ Cross Street SI V EW goAb NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY/ HEALTH DEPARTMENT APPROVAL ;le - ofApplicant Signature APP Dobe Received by: -- . . • HEAD Property - Situate: 1160 Goose Creek Lane;Bayview;Town of Southold,NY SCTM#: 1000-078-08-005.1 .r.pAikpoiclom4LF ck� a PROPOSED `�$ g � ��_ ?r CONSTRUCTION P. ° ACCESS ROUTE G4e 1 ck 13**fit, N Parish la o W,y 4y I� y : 4 - � /ti a a y �tict �r � c9° a '; m N Bayyfe Rd Ba� wlew Rd SITE x N ••••••••••• NE, 14 I 0 2005 htapQuest,com,Inc,;0 2005 NAVTEQ 1 eeward QP • r` ;i- t4 ' R t � '8M2 . f .. i 3 :•., _ '..;•-!'-'.7...-."''''.p- I J ��-4 9..'^,gj .7 'Founders ;..•,�r c,. ,...„din, SHELTER .. 1, U < C ' d HarpEvn ' ,.. :' .�' Cr'Pt Southotd 9F �. 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