HomeMy WebLinkAboutDoorhy, Joseph JUDITH T.TERRY �I y� Town Hall,53095 Main Road
TOWN CLERK P.O.tri3 Z Box 1179
Prt 0 ,�t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS y �1 Fax(516)765-1823
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MARRIAGE OFFICER 4-* ���l (516)765-1800
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RECORDS MANAGEMENT OFFICER : I * o f Telephone
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1269 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JOSEPH M. DOORHY
Address 1 : 152C WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner DOORHY, JOSEPH M.
Mailing Address 1 152C WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 OLE JULE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 122.00 block 10 lot 2.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/19/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
, , oil° ...0„ . 4262 9/
JUDITH T. TERRY % < ; Town Hall, 53095 Main Road
TOWN CLERK :p IT P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y W � Southold, New York 11971
MARRIAGE OFFICER 0` aO�"', Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER =T�1 4. 1���1, Fax
(516) 765 1801
FREEDOM OF INFORMATION OFFICER .........,,,,001°
�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 27, 1994
Transmitted herewith is a copy of application No. 1316 for a Cesspool/
Septic Tank Construction Permit submitted by:
Joseph M. Doorhy .
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.
Thank you.
irb V. . .
i.
NC 2 T P394
Linda J. Cooper ...V. 1,
fiL, OL`
* * * * * * * * * * t TOWN 0*
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE l.,
DISAPPROVE
Comments: pelf)� s
7)7 ?
/1()/o- Q7 ted /
-/---;::-P.. 1, - /44
Sighatur
/l/-/Dated
V
OFFICE OF THE TOWN CLERK cjVFFQC/`''��
Town of SouTown Clerk Cly Application No. / / -,
Judith T. Terry,
Town Hall, 53095 Main Road r. Construction
P. O. Box 1179 to
Southold, New York 11971 �, Alteration
'* Residential
Telephone ���
(516) 765-1801 "'
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: \ktSPvitki /44 0,p.N1/4/
APPLICANT ADDRESS: /sem i7-v,•6-44/ ,oma
/•/ //9
SEPTIC ✓''CESSPOOL L'
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 7ye
t 'a ' -:5-"OSc. .0--)45 .y,. C.�P,,e1%.c. 71~.t e1 u a r - 5-0,0n0/
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 3";Sepr.! . c.+c
OWNER MAILING ADDRESS: Ave_
/h, 4 /c, r✓/ /'
OWNER PROPERTY ADDRESS: O/d ]✓k /fa,,c;4 k.ck`
/<9,1)—
TELEPHONE NUMBER OF CONTACT PERSON: (.57 ) .2.9' /, y7
TAX MAP NO. : Section /6Z?_vc Block /. oo Lot 0001-, pop
CROSS STREET: 4/n4j
BUILDING PERMIT NUMBER CROSS REFERENCE:
9e/tair4
ignature of Applicant
RECEIVED BYRECIIVED
Town Clerk's Office
DATE: DEC 2 719
Down Uedt Wald
NEW SUFFOLK AVE
OVER/50'to WELL 1 - -
and CESSPOOL
N/F •
KOWALSK/ I
78' 'TFST VACANT
I
Q ~ h LOT 6
N82°27'50"W • i 30000'
-be PROPOSED DRIVEWAY-� - WELL 4v O
:SS LS ---_,-7- SLEEVE 1� O
SER/30' `M'L.0A. ' c - --------- m
• --- :1
f •1
li _
CESSPOO 'y y _
�1 7FRRA/N V
12- SEPric TANK GARAGE i� OE-NEPALI' j Q
kJ 4J
LEVEL -
N/F STAR �� J p I CAPE Qi COD V Q
V 7S' ! x PROPOSED a J
N '" RES/DEAC' p i 3 h 0
�.: EL EV 23C'' • W
M fro. Q Z
//'� 0 60' r- BS•
WELL. / Z SETBACK f_ - __._-, _ ___—� SETBACK M
YY B3 7o e
o
J CONC MAK �'ce y /250:.
O . FD 17 RPR ti 1
W
1 S 81°07'40" �f " �y //974/
� i 300.08' r—"40
^' N/F�KALOVS(RESIDENCE) N/F SMITH(RESIDENCE) \,t`\
era*" /so'#a r
1 CESSPOOLS I2O'/o
CESSPOa
/50'- /o
WELL
A F/[E NO 9327 SURVEY OF SL'At FrFP 2' .N:TOBER.,994
r----
F/L FP PEP,i.'9°4 / ()77- 7 ... �..
I. L J) ..,n. HvOAL LEACNIV
.1 ,, SEPTIC TANK i
1.
t'M/N. GROUND WATER •
TYPICAL •SEWAGE DISPOSAL SSVST M
NTS
•
•
SUFFOLK CO. HEALTH DEPT +APPROVAL
H.S. NO
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS
PLEASE NOTE FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS
OF THE SUFFOLK CV. DEPT. of HEALTH SERVICES.
Minimum distance between well
and cesspool is to be 150 feet. •
S APPLICATION
4
SUFFOLK COUNTY-Gip OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
DATE: 1,
H.S. REF. NO. . ME • 13
APPROVED : �lai>* �i`�.,���.-
SUFFOLK CO. TAX 'Iii'P ' S/GNAT/ON
DIST. SECT BOCK XL.
. 1000 /22 /0 02
OWNER: .
JOSEPH M. DOORHY.
and
DARLA A. DOORHY _
. TEST HOLE DATA
TEST HOLE NUMBER/
AS FOUND ON LOT 6
/N THIS SUBDIVISION
MAP BY MING 8 )V(/NG
SURVEYORS, RIVERHEAD,
Caples of this survey map not beating NEW YORK.
the Land Surveyors embossed seal shah
TEST HOLE NO./
not be considered to be a valid trite
**Y• o.o
r�'' -<'TOPso/L 0.5'
,i,
Unauthorized alteration or addition to this LOAM ••
survey is a violation of Section 7209 of
0'
the New York State Education Law% 4.0
Ili HARD PACKED
SAND a &RAVEL
4.O'
Guarantees indicated here on shall tun
only to the person for whom the survey SAND
is prepared, and on his behal.'• to the f a
title company, Cover„.ental Agency, GRAVEL
lending institution, if listed hereon, and
to the assignees of Io.,.linn s....;►..,:.,,,