HomeMy WebLinkAboutDeveau, John ti
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ELIZABETH A.NEVILLE '�`Z` N Town Hall, 53095 Main Road
TOWN CLERK ; p :4 , P.O. Box 1179
% Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS t O s Fax (516) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `S*P NO1 Telephone (516) 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. 2131 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN & MARILYN DEVEAU
Address 1 : 37 GLENWOOD ROAD
City St Zip GLENHEAD NY 11545
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 #R10-99-0011
Name Of Owner DEVEAU, JOHN & MARILYN
Mailing Address 1 37 GLENWOOD ROAD
City St Zip GLENHEAD NY 11545
Property Address 1 1240 GLENN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 2 lot 30.000
Cross Street SHEPARD DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/02/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE �, yam►`�` Town Hall, 53095 Main Road
TOWN CLERK o :'� P.O. Box 1179
N Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ivy;
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER �-me a0��1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER - 41 ���/
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 29, 1999
Transmitted herewith is a copy of application No. 2217 for a Cesspool/
Septic Tank Construction Permit submitted by:
John and Marilyn Deveau
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 rec mendations:
APPROVE
DISAPPROVE
Comments:
Sig ature
1/ 3- WY /
Dated
OFFICE OF THE TOWN CLERIC a"
TOWN OF SOUTHOLD J G Application No.o'?a 17
ELIZABETH A.NEVW.E,TOWN CLERK `
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
N Alteration
Telephone °,j $10.00 - Residential
(516) 765-1801 '=y�1 ,,��' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION Rgart
rIlferm
for JUL 2 9 1999
CONSTRUCTION or ALTERATION PERMIT
town Clerk Soutnoid
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7/02 9/it
APPLICANT NAME: ._/01//V )71-/V/902/2 ,t/'
APPLICANT ADDRESS: 7 -'L.i,/t,e) p l.' (D /CD
671 N
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:_j U ,%"v Y I11/9,e/.4 ', /
OWNER MAILING ADDRESS: Sj� e -c--s CZ 6a v
OWNER PROPERTY ADDRESS:'•CT /•c,yam /CSD
(7 4-(27/7/o/D N Y
TELEPHONE NUMBER OF CONTACT PERSON: S/‘ - 7 /a ?,
TAX MAP NO. : Section 76 Block Lot .
CROSS STREET: &i }4rd br-ioe
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si ature of Applicant
RECEIVED BY:
own Clerk's Office
DATE:
SURVIY OF LOT 4* 14
MAP OF "WEST GREEK ESTATES"
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SITUATE: BAYVIEIN eV
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TQINNOLK QF SOUTHOLDNY „ ,reD_
SUFFGOUNrr, .q.'>° ,,,
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SURVEYED I I-18-98 (N) (-7- irvott s
AMENDED 02-04-99 -
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SUFFOLK couNry•TAX* 1) S
1000-lt)-2 -SO *00 ,
lean „..., .
CERTIFIED TO:
ro
JOHN F.DEVEAU
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150'from proposed well
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Test, Hole ,r--4
obtained 1,8,5
Wt=149) .C7N
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
..— PERMIT FOR APPROVAL OF CONSTRUCTION FOR A ,
lk,
— SINGLE FAMILY R2SIDENCE ONLY . pool*
II —. 054'Of
DATE q-72,"'-i9 'es REF..• tr. ---c'Cii.I 516
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14
APPROVE:. .. , __ ______It__ .......:.-0..__L. , 406'
POI:.mAXit.I.jm OF.4.1113DR,IS 4,4.47
EXPIRES THREE YEARS FROM DATE 07 APPROVAL
NOTES: e),(0 a.(;)•
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MONUMENT FOUND C.11).t 1.
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0 PIPE FOUND ' r.
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AREA= Ic1,611 SF OR 0.46 ACRES
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ELEVATIONS REFER TO NGVD '29 : TI•‘.\!...7.') cc i L...r.:,::,.'"'•:1:`:.:T=.':.:17':::.':',V
r. .---•,--' ,c,• ...:g A;':=77:74.17:17:::.:g"'V=
1150202
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GRAPHIG SCALE I".= 30' N V.S. LIC NO 50202
JOHN C EHLERS LAND SURVEYOR
6 EAST MAIN STREET
RIVERHEAD.NY 11901 ,
369-8288 Fax 369-8287 REFERENCE # 96-277D
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