HomeMy WebLinkAboutMcIlvain, Joseph 11 100 Wile;
JUDITH T. TERRY z ` . Town Hall, 53095 Main Road
TOWN CLERK p rZ •
P.O. Box 1179
tl� � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘%°104, �� Fax (516) 765-1823
MARRIAGE OFFICER .O ,t' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ' Fax
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. 1236 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC PROPERTIES MANAGEMENT
Address 1 : P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
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. #R10-94-0087
Name Of Owner MCILVAIN, JOSEPH
Mailing Address 1
City St Zip 0000
Property Address 1 ORIOLE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.012
Cross Street TITHILL LANE EXT.
Building Permit Number Cross Reference:
Issue Date: 10/27/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUDITH T. TERRY � L Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1179
cls �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = BYO �. ,'
° Fax (516) 765-1823
MARRIAGE OFFICER ``^^ � Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER `' �'U Ii�•'
FREEDOM OF INFORMATION OFFICER ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
994
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: Ocotber 21, 1994
Transmitted herewith is a copy of application No. 1281 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Properties Management for Joseph Mcilvain
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.
> t
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: /`' .� CIO , O —f�..� r
7
Signat re
Dated
•
OFFICE OF THE TOWN CLERK c.0
Judith TTo. Terry,
of Southold
Town Clerk �O��, COG _
F Application No.
Town Hall, 53095 Main Road Construction
P. O. Box 1179 u� ' ��� Alteration
Southold, New York 11971 �.y� 0�-
�.�1 `�� '. Residential
Telephone _
(516) 765-1801 "' Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT C E V ED
SEPTIC TANK or CESSPOOL OCT 2 ,` 1994
Ot:th°1CI TO wt.) Clerk
Permit No.
Fee $
6,ATE /o / 9V
APPLICANT NAME: / i / 1 dtia"ki„,,,,,,,,d--dr.
APPLICANT ADDRESS: , 0 / // I s ' /935-'
dr
SEPTIC ' CESSPOOL
/ /DESCRIPTION OF PROPOS CONSTRUCTION OR ALTERATION
fi____AAAAJL
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO . .
OWNER OF PROPERTY: Grey I /
OWNER MAILING ADDRES
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 5'.'7 ' &FYO
TAX MAP NO. : Section 5S—Block (j ‘ Lot /5 /a'
CROSS STREET: `./., al,..t.
BUILDING PERMIT NUMBER CROSS REF RENCE:
/ • 1 k t
P �‘A. .l1 _ al , .
Signature of Applicant
RECEIVED BY: 1
own Clerk's 'Office
•
DATE: ( D ' (2 1, / •
I
I am familiar with the STANDARDS
• SUBDIVISION- "MAP OF YENNECOTT PARK " AND CONSTRUCTION OF SUBSURFACE SEWAGE r �
SUFFOLK COUNTY FILE NO. 5187 N DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ✓e� /L^% 2P`'""^ r
and will abide by the conditions set forth therein and on the
I permil to construct.
N. 88'57'30- E. 101.39' „. ea
.
- I/V
-- .i 8 7 j,p e ANY AL TERA TION OR ADDITION TO THIS SURVEY/S A VIOLA TION
>'-k OF SECT/ON 7209 OF THE NEW YORK STATE EDUCATION LAW,
•,-4 HEREOT AS PER FOR
aS7209-SUBDIVISIONMAP
2. ALL CERTIFICATIONS q //13,S-
..n
/a 7�s 4 HEREON ARE VALID FOR ThVS MAP AND COPIES THEREOF ONLY/F /J
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
N ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY-
LOT ? LOT LOT 1O MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 7VSPECTED'AND
O BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE WITH THE LAW.
m .
in m
S.
0
SURVEY OF
LOT 9
"H/GHPOINT MEADOWS"
SECTION TWO
FLED MAR 19, 1990 MAP NO.8911
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
my 1000- 55- 06- 15.12
k C Scale: 1"_ 30'
m= Aug. 31,1994k210 4� '
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3 i� ''� J2o _ -5. ,f�,� ^' O NiS.C. DEPT. OF
,'e' ,S W iY.�yb a.
ro u, +R,..,_ ir_o��p w t c� "" p" HEALTH SERVICES
N yra 1�1Y> CL:/�+ii7 tl"Prliw�CM.;1+f •
w A: C,�• O L)w..nir 4� DS09
1p 0 P \p O 0 S.MET L�
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n • �:i 290. 1._____.,___/ f_1:1 '1 ?', A
3i-6 _fit— ELEVATIONS ARE REFERENCED * i -a
/" TO AN ASSUMED DATUM. �\ •k-
3- �•a9s;e ypP
92.42' SOF NEVI
S 82'34'20' W.‘-'° .-- _----
_ 29 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
R = 350.00 — FOR APPROVAL OF CONSTRUCTION ONLY
f = 5.09' DRIVE '
•
Y L. �,• w• g� N.Y.S. LIC. NC. 496/8
q c DATE V HS. REF.,NO. )'
ORIOLE '',„i" PECONIC SURVEYORS, P.C.
- , ol/ (5/6) 765 - $020
' 3 } '` `y P. 0. BOX 909
�e �rt� AREA = 21,632 sq.ft APPROVE _•.•t %.-- - l
.,'" 4
�`�( ���, MAIN ROAD
[ SOUTHOLD, N.Y. 1/971
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