HomeMy WebLinkAboutAbelson, Elaine • /0.1)
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ELIZABETH A. NEVILLE yet Cep,
; Town Hall, 53095 Main Road
TOWN CLERKy - ; P.O. Box 1179
�, Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .F � Fax (631) 765-6145
MARRIAGE OFFICER ,L •
RECORDS MANAGEMENT OFFICER -y_"'/Q! �a� �, Telephone (631) 765-1800
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. 2366 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SCOTT DESIMONE
Address 1 : 41780 ROUTE 25
City St Zip PECONIC NY 11958
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 #R10-00-0093
Name Of Owner ABELSON, ELAINE
Mailing Address 1 C/O GARY OLSEN, ESQ
MAIN ROAD
City St Zip CUTCHOCUE NY 11935
Property Address 1 ARROWHEAD LANE
C;ty St Zip PECONIC NY 11958
Tax Map No. section 98.00 block 2 lot 8.001
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 7/17/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �� � t‘'‘ Town Hall, 53095 Main Road
TOWN CLERK o •'� P.O. Box 1179
y Z
v, Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER N. 4
RECORDS MANAGEMENT OFFICER � �Q! Jig �a' ,1
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•,*.9"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 13, 2000
Transmitted herewith is a copy of application No. 2454 for a Cesspool/
Septic Tank Construction Permit submitted by:
Scott DeSimone
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE �
DISAPPROVE /�
Comments: `��—� � '� A P f r o v
)g2natu'r),S
'it ► `{ I eo
Dated
fff FIe�' VO'
OFFICE OF THE TOWN CLERK CA
TOWN OF SOUTHOLD ���' v �Q Application No. e2�'/
ELIZABETH A.NEVILLE,TOWN CLERK
PO.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 Alteration
cc/t.
Telephone O ��' $10.00 - Residential
(516) 765-1801 ;MI 4�,,��� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7. 13 .
APPLICANT NAME: 3(6-77-
APPLICANT
,i APPLICANT ADDRESS: 4//70 46 2-,1
5—
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
4/0ur Ce7)144,e_ceTail � ifee, � �Zp/1.tot�r✓icc rte_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : ,gjewstz ,4e,y7
OWNER MAILING ADDRESS: C/O 6 O/ �, E'Q
NA.4_44 Ed?, &dr-ie nrx •
OWNER PROPERTY ADDRESS: , oz4Jhg,iGQ _J pc..QeCiyL(i�
TELEPHONE NUMBER OF CONTACT PERSON: 5c.76,c—3--.vti 6-5 �� ✓ � �
TAX MAP NO. : Section Block c. Lot 8'
CROSS STREET : -Tvk_c n&'v\ kie d 101/
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig
n•ture .f A plicant
RECEIVED BY : ,/ � ---�'
NY/Town Clerk's Office
DATE: -7/(7(00
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.1c1( gO 'Di 1
IDIAN ., •
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0IDOSTING
L m SURVEY OF
LOTS 33 & 34
MAP OF
" ARROWHEAD COVE
a
LOT 35 U RLENo . 3810 FILED JUNE 20, 1963
•' IC
r'o WT tso� g8 SITUATED AT
rn
F TOWNOFo OUTHOLD
- N 88'42'20" E 135.00' 1 LSUFFOLK COUNTY, NEW YORK
E' S.C. TAX No. 1000-98-0 07
FOUND PrE 1000-98-02.r08
SCALE O =50'
talc o.51. 0
MARCH 8,'2000
Z 'Y
0 PIVIXU`t r
' A y AREA = 41,841.96 aq. ft.
<
f 0.961 ac.
...I O
O m
. S.C. T No. 1 00-98-01-07
CERTIFIED TO:
LO o 34 BRIAN KELLERiiam `*t
j m 0 JEN KELLER <~VL
a • PROPOSCG GOVT WAY e • 7n .. _r r^
III L-11
-0
U1 W
ti 1142i ,_-j
o Cyyt 1.ELEVATIONS ARE REFERENCED TOM ASSURED DATUM �f
A t\ f A �, WIRE) ..0
<b 4 dl �uY eio' f.: :-,.:::,,,, =TRW ELEVATIONS ARE SHOWN THUS:1R0
' O J :.REM m Num NAP TDR TEST HDLE DATA.
P9 3.YXRWY SEPTIC TAN(CAPAGRES FOR A/ TO 4■OR001r NOUSE IS 1,000 GALLONS.
FO�MD 1 Tura R.[DTIC.4.-3•*WE'IP-r DEEP
III 1 ANS. 0.3'W. N (..{ 4.WMIIAI IEiGYNO STSNEAI FOR A 170 4 KNOW HOUSE 6 300 p n SgETIALL MEA.
L 1 POOL;12 DEEP.s'ea.
O � PROPOSED E1PNalpU POOL
TIti _ r f ISI/HJ, PRDram WANING POOL
O E.) ( �/- ' Z =PIPPO=sone TANG
f�11� flfl •.C)�J�7 O L J S.THE LOCATION O MS AND CESSPOOLS SHOWN HEREON ARE FROM FUD
Awit SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DS>fRYATIONS ALIO/DR DATA a,RNNED MON OTHERS.
1 PERMIT FOR APPROVAL OF CONS'T'RICTION FOR A
SINGLE FAMILY flE3IDEDICS ONLY
S.C. TAX No. 1000-98 01-08 .
LOT 33 DATE, 5-1,--00 - ; v r NO. . n0` 00
WPM°IN AOOORONMCE TRH TIE I NWIA
�� - SONDINDS PON IIIA IRMO AS...L.,
APPROVED - .,'lir--in 4i 4 A N O S� ' �°TN TDI ,
FOR MAXIMUM OF �— : ; ► 0 • `co �e ( ' �9
00 0Lf1 til THREE YEARS PROM DATE OF APPROVAL
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TN Q TN. MON. fWN0:it
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Cs8842'20" W 143.93' le imssuw.tyT-=q 1E01011 ISMOP 1K 1[W TOW STATE
19411:10t011 UN. .LOT sz Y SDP T., MP ,Q,D seph A. Ingegno
OWELLI F7 rItr �y{� � Land Surveyor
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Title Sung,-Subdtak ro - STIR Mem - AoARbucOn Lapart
nn,aA., " = . rR[ 7Relrreaat PHONE(631727-2060 Fax(631)/27-1727
WELL 771[ Of I F a rAY� .
QEkZ S MOM AT MEMO ADDRESS
.MOT 9gWN A6E 6TIA�Al11[m ,397 RO NOKE AMENUE P.O.gat 1931
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