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ELIZABETH A.NEVILLE ��`Z`o Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �y �, Southold, New York 11971
MARRIAGE OFFICER �
O Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER `� �f 401 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER * *;,10.
"..,• ,00
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2165 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JAMES & KAREN HOEG
Address 1 : 243 FAIRVIEW CIRCLE
City St Zip MIDDLE ISLAND NY 11953
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 # R10-99-0113
Name Of Owner JAMES & KAREN HOEG
Mailing Address 1 243 FAIRVIEW CIRCLE
City St Zip MIDDLE ISLAND NY 11953
Property Address 1 WILLIS CREEK DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.010
Cross Street MEADOW BEACH LANE
Building Permit Number Cross Reference:
Issue Date: 10/05/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
err
ELIZABETH A.NEVILLE
?�''^( own Hall, 53095 Main Road
r et,„, � 'l,� � �
TOWN CLERK ; o '4 P.O. Box 1179
Squthold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER , • L«L itiuU) Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER 44Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER '� ma- r"r�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 24, 1999
Transmitted herewith is a copy of application No. 2251 for a Cesspool/
Septic Tank Construction Permit submitted by:
James and Karen Hoeg
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 reco endations:
APPROVE
DISAPPROVE
Comments:
ignature
Dated
,- OFFiCE OF THE TOWN CLERK ,1'' e`{DlK
TOWN OF SOUTHOLD ���'O� •1 CQG Application No. 22j
FT VABETH A.NEVILLE,TOWN CLERK " 14/
'�1
P.O.BOX 1179 ; Z Construction (>4--
SOUfHOLD,NEW YORK 11971 ; v T
tr) Alteration
Telephone
:..Vet
---- i>
(516)
$10.00 - Residential
(516) 765-1801 t1 �,o'e $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 , ' _ 2-14-t I G(Q l9
APPLICANT NAME: \-1�XYleS & 4 t eta -
APPLICANT ADDRESS! 243 f trvi Guy Cray
1410 Ie Tslcavi \INI 1 v953
SEPTIC L----CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
r1(Lo Covns-kv-u---h-cm - s ( c -Pdtliki cel ue h n G--
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -Q1mes + Kc reV, UL(s
OWNER MAILING ADDRESS: c4"3 i r-V\1Lk Grzle
1-4,', e_ akar NN l IRS_
OWNER PROPERTY ADDRESS: til IC) Ecor \AeiA) c 1a ( t( '
- a -uc1.N .
TELEPHONE NUMBER OF CONTACT PERSON: 3115 ,c 5
TAX MAP NO. : Section 115-
Block 19 Lot L], 1,
CROSS STREET: IePk6,0adi t rte
BUILDING PERMIT NUMBER CROSS REFERENCE:
*Ak ‘ di
‘1. , r
'Signa re of Applicant
RECEIVED BY: ES To CI k's Office
DATE: 1/4-5L 1'
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o • TEST HOLE
SANITARY DETAIL EL.,2.5 0.
��0
V.Q1t11e SEWAGE DISPOSAL SYSTEM - 2 POOL
SI' HOUSE N.T.S AND LOAN �j
S.0'
K"fe.Of (
_•Ia � FINISHED GRADE R
/1 - Ia8 la.2 141 SAND Las9 e0• ��(\
-. -- - NIA. GROUND WATER 1,.1' \
IE"12.8 IE-12.E IE"12.4 IE EL"i.4
�.�.y 000 CAL 'fj�
iY�IpeelR� P T
WATER IN k�.
�Re9 "� NO�RN SAND vry
15.0'
me
4)
W.
W.
N
Lot 9 75.16 Er SI15.24
I o
(Dwelling With Public Water) o
co
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2.58 I +
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} I I 12.0' 11
` 1 �7■9 + jS : 14.24 • 14.70
. \ ( N
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1
4' 1 \ 1 (i•. 1 �I 1 14. 8 II i C
t � \ 1 a. a
YD 2.48 11 \ \ \ { •Nil It'1 I 1 .08 r
' �s r'o �' a X01. 13.28 r
ADZ A• \ ;Ni I . Q N 8
TfQ 3.04I\ 1 I /•�41 C j \i 11 \
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I 73
it'���'N I ° \ "
•12.50
3.0 4■e'
• i li- IV)4 \ I fTl
\ xi er ..
1I I 1-_, •t y 4oa''�y • 14.44 . 13.87 •
• 3128\ I; I 1 51 MIN. i I " i\ ;
!!t 'l 59.0' 1
.11 .S SE1B ; 1 uar .r ,j \7..00
2.13• \ If I I IS 4 ^2 I ' \ II7(c4...I, $4,47p 4'I"6_�I ,- I, PROPOSED __`,. I I I I I teat WATER SERVICE 1 /
$m' �Z 1 lRi I 1 1 1 I .-1Y V COVERED PORCH \1 I m
csID II 1 I I I1 // 1 1 /' l.1
z O c'/f O 1 • / t, O b • / II CENTER It\
U�1 Z D r• I' 10.27 g ��I / II14 HEDG I \
m 'O; / • I 1 I I I c 1 I / 10 0.414. 1 \
3.09 0 13,
a mi 0 :I I I I I I �Ip� I / V0005 •9 1 .52, 12.89
IC,Z T1 / : 1 / 1 N OF -
Naz�/ II( 111.. I _ l�� EOG1150.00'I 12.5 %i ?s�
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I"-
O r •l 0 1 a Imo_ 5 T 49 UNE ICR�I I
4
72.2 ► III .ter. el
•• OW OF �REENS H9 / I � 1
30 N 3 N /
Lot 11 \''N 12
R OF UPLAND COVERAGE (Dwelling y11tt Public
water) NO'E:SUBDIVISION=MONUMENT
FOUND
D IS=STAKE SET N THE OFFICE OF HEBAR CLERKFOUND
OF
HOUSE WITH SUFFOLK COUNTY ON AUG. 21, 1987 AS FILE NO. 8377.
COV. PORCH = 3418 S.F.
DRIVEWAY = 2757 S.F. 2. ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY
POOL = 800 S.F. AND ARE REFERENCED TO N.G.V.D. (M.S.L. 1929). •
CONC. PATIO = 712 S.F. Qo - LATH SET 3. THIS PARCEL IS LOCATED IN FIRM ZONE AE BASE
TOTAL = 7687 S.F. ,4__- EXISTING CONTOURS ELEVATION 8.0 AS INDICATED ON FLOOD.INSURANCE
14.48 " EXISTING SPOT ELEVATION RATE MAP PANEL NUMBER 360813 0482G D LAST DATED
UPLANDg� ROP(SED SPOT ELEVATION MAY 4, 1998 ZONE A4 IS CONTIGUOUS WITH THE 8
7687 S. .� Z�Tr�HSEtLTHY( CONTOUR SHOWN HEREON.
1fgininiT MIR AF VALOPC011STRZFCTIONFORA FOR:
R- I r ,EMMY CE ONLY SURVEY VE
•
aft 'M 7i/e-99-0iC JAMES E. HOEG Sc KAREN A. HOEG .
1,.
AP OVBD .�t.,i•Afel LOT 10 "HARBOR VIEW AT MATTITUCK"
I FOR MAXIMUM OP_tBEDROOMS At: MATTITUCK Town of: SOUTHOLD
' RS PROM DATE OFAFFIt. ,L Suffolk County, New York
'6,15a Sa/!r4 47 51y/�(
�"
l '4"5 Suff. Co. Tax Map: 11000 115 17 17.10
District Seetfon Block Lot
CERTIFIED TO:
Young & Young, Land Surveyors JAMES E. HOEG
KAREN A. HOEG
400 Ostrander Avenue, Riverhead, New York 11901 F■_-- IOMAL TITLE INSURANCE COMPANY OF NEW YORK
516-727-2303 �oN,AND
• ' / MOVED PROPOSED HOUSE :AUG. 27, 1999
y • / 4, STAKE FOR D.E.C. INSPECTION :JULY 6, 1999
I�✓ :MAY 20, 1999
• Alden A. Young, P.E & L.S. (1908-1994) *C��'{ /� DATE :NOV, 15, 1996 '
• Howard W. Young, Land Surveyor �` "`�
Thomas C. Wolpert, Professional Engineer / fk.„,,
1ti SCALE :1"=40'
John Schnurr, Land Surveyor ,y 3',/,II, SHEETJHB T0. :1 - 0961
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