HomeMy WebLinkAboutMcCarvill, Roger 1
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IJUDITH T. TERRY ; Z .0 : Town Hall, 53095 Main Road
TOWN CLERK G T P.O. BOX 1 179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ O1(' � Fax (516) 765-1823
0,Ij) 11D Telephone (516) 765 1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1093 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ROGER AND DONNA MCCARVILL
Address 1 : P. O. BOX 520
City St Zip SOUTHOLD NY 11971
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. SCHD REF. #R10-94-13
Name Of Owner MCCARVILL, ROGER AND DONNA
Mailing Address 1 P. O. BOX 520
City St Zip SOUTHOLD NY 11971
Property Address 1 390 OAK STREET
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 2 lot 14.001
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 2/15/94 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY : ` ; Town Hall, 53095 Main Road
TOWN CLERK : v T P.O. Box 1179
its � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = VO ��� Fax (516) 765 1823
MARRIAGE OFFICER '_ 4' �0 �� Telephone (516) 765-1801
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RECORDS MANAGEMENT OFFICER -W(/,l 4
FREEDOM OF INFORMATION OFFICER �� �,,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD FEB 1 5 ; ,Y1
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TO: Southold Town Building Department �r
.�.••��....,
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 14, 1994
Transmitted herewith is a copy of application No. 1129 for a Cesspool/
Septic Tank Construction Permit submitted by:
Roger and Donna McCarvill •
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.
ce �
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: t ( � /4 97S�--i"7/6-
Signatur
02/SA
Dated
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OFFICE OF THE TOWN CLERK 0c0FUL4 ,
Judith Town of Southold -Q�, r kC4 ; Application No. // 2f
t T. Terry, Town Clerk .0 .
Town Hall, 53095 Main Road Construction
in P. O. Box 1179 {
0 , $ Alteration
Southold, New York 11971 `r�
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Telephone _01 *sa � Residential
(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 $ I q
DATE F�-l�. W I l9 y
APPLICANT NAME: lc1 1)pNNle mCCARVI LL —
APPLICANT ADDRESS: P►o , 0 me SO _
0tA N • . 1I971 _ V
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ___WEL�_
N i /I _ N
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ROGER & DONNA MC CARVILL
OWNER MAILING ADDRESS: PO BOX 520, SOUTHOLD NY 11971
OWNER PROPERTY ADDRESS:OAK T)RTALE__.______
___._,_____
- — SMTTTHOLD___hL�_1197-1____-- ___________
TELEPHONE NUMBER OF CONTACT PERSON: _ _jnNNA MC_1'ABVILT. 765-1128 H
765= I4-97w
TAX MAP NO. : Section ` �j0_ -Block �` ___. Lot f ,1�
CROSS STREET : RE_TbDt\t-hkivE... ____----_.___-----
BUILDING PERMIT NUMBER CROSS REFS N
i
CfrA .;
Signature of Applicant
RECEIVED BY : _
Town Clerk's Office
DATE:
r DWELL,
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F /' BROWN I
CLAYEY
15.C. LOAM
AREA = 19,84 2 S Q.FT.to tie lines aRowN 'o
LOAMY
i CLAY
'/' 25'
SUFFOLK COUNTY DEPARTMENT OF HEALTH.SERVICES BROWN
/ CLAY
FOR APPROVAL.OF CONSTRUCTION ONLY. 5.5
BROWN
DATE -"1°--31 �REf..NO >/• /3 (wQca. COARSE
f / ANO VERY I
COARSE
APPROVED Alffidi ,.. A E •TIONS ARE REFERENCED SANDS I 15.4'
• A ASSUMED DATUM. WATER IN
BROWN
•
The locations of wells and cesspools show ere• ars from meld COARSE i
observollons and or from data obtained from • - s. AND ERr
SAAE
�' SANDS
Prepared In accordance with the minimum
THE WATER SUPPLY AND SEWAGE DISPOSAL standards for Ill/e surveys as established 17.
FACILITIES FOR ALL LOTS IN THIS DEVELOPEMENT by the L.I.A.L.S. and approved and adopted
COMPLY WITH THE STANDARDS 6 REQUIREMENTS for such use by The New York Ski*Land ��'s`S71
OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH. Title Association. r.' 4. .7)
u
CERTIFIED TO, 11
- ROGER McCARVILL
DONNA McCARVILL FEB 4 1994
A SURVEY OF PROPS YRVICES
SINGLE max DWELLHO WILY .
EXPIRES THREE YEARS FROM DATE OF APPROVAL
AT
SOUTHOLD
•
it,9�°�NDTOWN OF SOUTHOLD
ok, SUFFOLK COUNTY, N.Y* 1000 — 080 I - 02 - P/O 14
/�'`'• LIC. NO. 49618 2/2/94 CERT/F/CAT/ONSCALE 1 = 302 / /� hsc• /9t pro
ECO *"i",---11;---"".
yy , P.C. LOT NUMBERS REFER TO • BLOCK ' D Jan. 29, 1993
(5161 76 •--
P. 0. BOX 909 •MAP OF REYDON SHORES, INC. , BAYVIEW,
MAIN ROAD L. I. , N.Y. 'FILED JULY 2, 1931 IN THE OFFICE
SOUTHOLD, N.Y. 11971 OF THE SUFFOLK COUNTY CLERK AS MAP NO. 631
3//''/..., ,-,7,'31.-1 3 .