HomeMy WebLinkAboutO'Clair, Dennis �„,
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ELIZABETH A.NEVILLE �,`; Town Hall, 53095 Main Road
TOWN CLERK o , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1y. , 7 ; Southold, New York 11971
MARRIAGE OFFICER O 1� Fax (516) 765 6145
RECORDS MANAGEMENT OFFICER *������ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER : ' ,..
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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. 2162 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DENNIS O'CLAIR
Address 1 : 109-B SOUTH KETCHAM AVENUE
City St Zip AMITYVILLE NY 11701
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 #R10-99-0160
Name Of Owner DENNIS O'CLAIR
Mailing Address 1 109-B SOUTH KETCHAM AVENUE
City St Zip AMITYVILLE NY 11701
Property Address 1 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 3 lot 11 .003
Cross Street EUGENE'S ROAD
Building Permit Number Cross Reference:
rte" Jetdoz _ if.‘
Issue Date: 10/06/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ��• 'Z Gym; Town Hall, 53095 Main Road
TOWN CLERK i p '� , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 't� Southold, New York 11971
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER ', %O lei Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER �'�I o�����
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 22, 1999
Transmitted herewith is a copy of application No. 2248 for a Cesspool/
Septic Tank Construction Permit submitted by:
Dennis O'Clair
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 recgmmendations:
APPROVE
DISAPPROVE
Comments:
ignatur-
9
Dated
OFFICE OF THE TOWN CLERK �'' M/r
TOWN OF SOUTHOLD ,k`' oCOM/re;
CGy_, Application No.22
ELIZABETH A.NEVILIS,TOWN CLERKis
P.O.BOX 1179 _ _ ` Construction v`
SOUTHOLD,NEW YORK 11971
v� Alteration
ct � .
Tele hone �,�� Qi0 $10.00 - Residential
p
(516) 765-1801 _ l *� �'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE VA 2/?
APPLICANT NAME: ZE,v.v,S OCL,1(,<
APPLICANT ADDRESS: /09-3 covr) kkrcy,i..-, /1vz
V--CESSPOOL A.+,, T'Y l//e. ,V)' //70/
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
7' 3E 46,690,... /E?"d"S'8 cc
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION �O�R ALTERATION:
OWNER OF PROPERTY: b6,,,,,/is OG.-.L,9(A.
OWNER MAILING ADDRESS: /09 -3 Sovi a kenN.�...
/7.•01 7-Yti i c c E 4/k /170/
OWNER PROPERTY ADDRESS: L_,9•v4
.vr-cwocv4 / s 7 5
TELEPHONE NUMBER OF CONTACT PERSON: SW-jS`y(
TAX MAP NO. : Section 7 Block 3 Lot 1/• g
CROSS STREET: Ev6ENE /eo46
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: /j - ��'2
n C rk's Office
DATE: y/z,-2/19--
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PLEASE NOTE r�.-N 3 a
Sanitary system is not to be c :1r- lz
placed tinder driveway area. W '
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I go 11 (-78.34. -' MINOR SUBDIVISION MAP �
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L. .02 I�,� \ L-3& NICO REALTY Corp. III
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N 723620 a — — °,3
FILE No. 9799 FILED JANUARY 25, 1996
N — --J b T.31.e. r SITUATED AT
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N It CUTCHOGUE
Lor '\l 0 447, In o �Q TOWN OF SOUTHOLD
•pltaa,EJ�LIAI 1W011® 5,, 44 oa' yti �n to SUFFOLK COUNTY, NEW YORK
�"'• FRANCIS JO 3KDN — 3 u\ S.C. TAX No. 1000-97-03-11.8
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No r1SIELE sa' ++watnl f QSSPpp11 JULYL 27, 1999 4OP�
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SUFFOLK COUNT 1ZE?ARTMEu!OP 1-7.ALTH SBRvIC£S AREA= /oa+ae-ss.a.ft. QCs
2.443 oa. l:.
PERIM FOR APPROVAL 0:7CONS ROETI( FOR A V
SINGLE FAM71.7 k1ESIDRUCE ONLY CERTIFIED TO �� MnII M YNrr
DENNIS O'CWR STAMON101 TOR L NINCTS AS 6M10m
DADATE_R..---n"L/� I y O.i► o ,9'0) , o ( ,-`, ;l41-S M Nn YORK MIK wo
APPROVED�/�����/�����ij. �w�/,4 A 46. ,_St
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YEARS FROM DATE OF APPROVAL %i�; o
7' .T i 1' Boras •
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1.EIEMAT1016 ARE REFERENCED TO AN ASSAYED POUR 9y'�0.
" '•'. • ... EXISTING ELEVATORS ARE SHOWN Thus:_IDS • 1 o. n.r.s uF-rb a9eeb
7.10
2.REFER TO FILED IMP EOR TEST HOLE DATA. • n ri. 3.IORMYM SEPTIC TANK CAPACITIES FORA 1 TO 1 DEOROOY HOUSE IS 1,000 GALLONS. �F '0'1 TANK;r LOAD..'-3•MIL Y-Y OEEP ��Auovugx OR S �i4.YMINM lLLC111110 STSTFY FORA I TO LEDRpI II0115[6 300 p n SIOEWALL AREA. ro THE 9IANLY O A UOLATIOM Di_. 1 POOL• 12'DEE/.L'd.. FDIIWKTION LW 710•OF M NE1 TOIEL STATE7.N..nc • PROPOSED MAIMS POOL CO S OF IM SMOICIPS m N WANK
SEAOIIJos.:` •. Aia sIe • PROPOSED MOMS TOOL LMLO®TGILL}YIL ROT DE common Land Surveyor
TO Q A MUD TATE COPT..
PLEASE NOTE . PROPOSED SEPTIC TANK . UMW*SRL.M
M LOCATION OF WELLS MO CESSPOOLS SHOW RUMOR ARE FROM FIELD ON,T A PM M TOR NIOr M RUMP . -
Minimum distance between well °�""""°"'AND/OR°"'"WANED F
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M°""SNE _ -y M- Sib Mane - Coluillirertgrort
and cesspool is to be 150 feet. "``°""`R�IUNDO �nI_
iv. ARE NOF nMlerW... , PHONE(510727-]OP FOR(518)`fF� 3
e A G ns T OPNL'ES LO AIED AT lip+IBR
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