HomeMy WebLinkAboutBeck, Antoinette �11'"
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ELIZABETH A.NEVILLE I = Gy : Town Hall, 53095 Main Road
TOWN CLERK y Z % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �'�$ Southold, New York 11971
-6145
RECORDS MAMANAGEMENT OFFICER RIAGE OFFICER `--- 46t *O...l,' Telephone (63 Fax (631) 65765 1800
FREEDOM OF INFORMATION OFFICER _ 9 ��
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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. 2464 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ANTOINETTE BECK
Address 1 : 37 JONES ROAD
City St Zip HAMPTON BAYS NY 11946
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF # R10-00-0229
Name Of Owner BECK, ANTOINETTE
Mailing Address 1 37 JONES ROAD
City St Zip HAMPTON BAYS NY 11946
Property Address 1 1710 GULL POND LANE
City St Zip GREENPORT NY 11944
Tax Map No. section 35.00 block 3 lot 12.001
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 11/20/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
01 .1F
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ELIZABETH A.NEVILLE 14# OGy�: Town Hall, 53095 ain Road
TOWN CLERKP.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �� y Fax Fax (631) 765-6145
7O �
RECORDS MANAGEMENT OFFICER �__ s *�,'ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •��'0'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 9, 2000
Transmitted herewith is a copy of application No. 2552 for a Cesspool/Septic Tank Construction
Permit submitted by:
Antoinette Beck
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 Zr"
DISAPPROVE
Comments:
Si ature
4176
Dated
Y•
4
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' OFFICE OF THE TOWN CLERK ',1 f(J
TOWN OF SOUTHOLD ,0 J �QG= •
Application No. ASS �.
ELIZABETH A.NEVILLE,TOWN CLERK 4 �►
P.O.BOR 1179 Construction ✓
SOUTHOLD,NEW YORK 11971 a m
Alteration
°
Telephone ,y �Q��' $10.00 -Residential
(631) 765-1800 1 �00 $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
RECEIVED
for
CONSTRUCTION or ALTERATION PERMIT NOV 9 2000
SEPTIC TANK or CESSPOOL 3authold Town Clerk
Permit No.
Fee .$
DATE 1 1 ( cy v
APPLICANT NAME: /44,,�(/) erre— eg„,l�
APPLICANT ADDRESS: '3 7 ZYQ fu's
fferiip/uyu 8#- 3 b i( 7 �l
SEPTIC 1/CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
C.c9/vs7 7cY ti c�-F tea- e eyv2 iP-7
iic ss t Iel/
LOCATION. MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: it Jai / L' 1 � e
OWNER MAILING ADDRESS: 3 7 (Y/Ue S 0--(-1)
?1/4/01>76-A) 5/91 S 49 Y. ) 772-/ '
OWNER PROPERTY ADDRESS: / 7(0 GQ vl( ? 42�
O'K ,�7`, /) itgg
TELEPHONE NUMBER OF CONTACT PERSON:5 fj p 7 - 2 7Sz9
TAX MAP NO. : Section 3 5-
Block 3 Lot / Z `
CROSS STREET: ,ec-i)( Ne_ �
BUILDING PERMIT NUMBER CROSS REFERENC : �/'
j "Ir/
Signa - • Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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EXPIRES THREE YEARS FROM DATE 7F APPROVAL
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EXCAVATION " :.ma c;:t= .� ( ��
FOR SANT A,'-', S`e' . ;.:',:
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SEPTIC DETAIL
not to scale ',,,
PROPOSED NE��
jDWELLING �0,_0'10? Ye/
max 5% slope within 20' of septic ;I 'C's*C, `o
pr0005ed grade max CI)
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max. 2 _ min,_ -:- ,'•J �7f
min. f• ,,j.- coet` t L� w.,l y;
ill cover --_'- 90 gal. � * ��(�i:` c l�
septic men. Deen1
lea[ninp --tCh A' ver K % <����y ' ..,
Paola - iii: er tank f/ i
a deep a' P it 1 < A :'.=,, 0
8' die. �••
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min. •
3' `••._ LAND y,P��
separation
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ground water -
S3s��41:�61131 '',e JOHN +C. EHLERS LAND S UR1
3141 ..1 ;--1,-.14."...„,will .3.J17._�0
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6 EAST MAIN STREET N.Y.S.LI
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a Q �0 010107 RIVERHEAD,N.Y. 11901
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)F LAND SURVEYED FOR
HARGUS
E: G'REENPORT
SOUTHOLD F.
LK COUNTY, NY r{r
' JUNE 25, 2000 �-v' v0� ',
3EPT26, 2000, P-Y\ 0 P
000 � 0 w� '"- •-"'
;OUNTY TAX # 0�,�{h�0p,(��� �,f{,
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TO: 69
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STRAGT, Inc. -
4ATIONAL TITLE
COMPANY OF NEW YORK -
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NUMENT FOUND
'E FOUND
4 168,886 SF OR 3.88 ACRES
4N SHOWN PER SUFFOLK COUNTY
-IORITY MAP 22-S DEC. 20, IGM6
D ZONE AE (ELq)
TED FROM FLOOD INSURANCE
36I03G0176 6
?GALE 1"=50'