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HomeMy WebLinkAboutNovember, Chuck ELIZABETH A. NEVILLE $�`Z` Ot%; Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER `to Z Southold, New York 11971 O Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER �`yDO� Telephone FREEDOM OF INFORMATION OFFICER ��'� * �a (516) 765-1800 i•• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2194 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CHUCK NOVEMBER Address 1 : 49 JACKSON PLACE City St Zip MASSAPEQUA NY 11758 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 #R10-99-0155 Name Of Owner NOVEMBER, CHUCK Mailing Address 1 49 JACKSON PLACE City St Zip MASSAPEQUA NY 11758 Property Address 1 WUNNEWETA ROAD City St Zip CUTCHOCUE NY 11935 Tax Map No. section 111 .00 block 4 lot 24.000 Cross Street OLD MENHADEN ROAD Building Permit Number Cross Reference: Issue Date: 11/23/99 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) „„, VILf ELIZABETH A.NEVILLE d 0 y Town Hall, 53095 Main Road TOWN CLERK o P.O.Box 1179 REGISTRAR OF VITAL STATISTICS V. �� Southold, New York 11971 MARRIAGE OFFICER O o Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER =ws ' 1� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER = ” * 111:•• a• �e,, fos OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 22, 1999 Transmitted herewith is a copy of application No. 2282 for a Cesspool/ Septic Tank Construction Permit submitted by: Chuck November 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: /Signature 1Cl Dated �t • OFFICE OF THE TOWN CLERK .11' �Ff gl jr TOWN OF SOUTHOLD %'s Application rn1 CQG Application No.0(4-/) ELIZABETH A.NEVILLE,TOWN CLERK : *. P.O.BOX 1179 Construction v SOUTHOLD,NEW YORK 11971 Alteration O :, $10.00 - Residential ci Telephone - �j' se (516) 765-1801 . dI 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-;/ - �J APPLICANT NAME: ( is jib /1//ef-K'/l- APPLI CANT ADDRESS: '/ 9 /.4/ —/ /2z-/Y c 6 /4s5"/V6-0 `v Vb' //75-3 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION J ST,y / LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY : 6-teec i ,47,e6/C- OWNER MAILING ADDRESS: VAft>. _sa// R."( e G11 ss �c°c��� f a/• // 7S OWNER PROPERTY ADDRESS: Go; vo (--"'✓v/t/Aie✓% )44/96 ) / V TELEPHONE NUMBER OF CONTACT PERSON: 7S- 3 - 7 i c5.-,(4) TAX MAP NO. : Section / // Block 6 V Lot CROSS STREET: U� /'YES/ /toc,i/' BUILDING PERMIT NUMBER CROSS REFERENCE: Sig RECEIVED B Y: (Cr� `/E -A/e-- Town G(erk's Office / J DATE: ( Z- 2 C - rFoR A "'°7-C.. r�. ,v j A:v • . N=F[� A APPROVIID TESe/, • _ xS - .No. R1(.ci—_ ©, 5 .rte/ z zz a .,.., .�"""°' E ^rte ny /50/.. s C.P. 1 1 t, \ % ' F f DIEWN18/5: / Oma► \,��.'� 'A oire we 7 stio---- PIrC7‘ 1.4..(/ J wy IN- • ,k_ _ _ \ —'w _ _____- --<- Od — \---" / —.: • 262 N \ / — , X00• . E• Ate• S - --34i.-\, 1 - / �_\ 3� ENHADEN ,,1:77- , A, czs., • Vim'' !'_ f / '4ifit. qt) 4,--/-- '4/**, /41c- ,oma - 5$ J ti "� '00. 5' -- b COU NTOR LINES AND a svA ritim !0 1ARE cED To AN ASSN DIAT U I '/ �r,,,�`y'' eo \% 1 G' SURVEY OF PROPERTY I an familiar with the STANDARDS FOR APPROVAL AT NASSAU POINT AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES TOWN OF SO(�THOLD and will abide by the conditions sol forth therein and on the SUFFOLK COUNTY N. Y. perm// to conslrucl. Well C.P. IOW - m - o4 - 24 SCALE r = 40' ME S0, 1899 _Jay 12, /999 (prop. hs,.) Ji/y q rill reviseQL) The locations of wells and cesspools shown hereon are from field observations and or from data obtained from others. TEST HOLE NOTE' LOT NUMBERS REFER TO -MAP OF SECTION 'D',, Brow loamy NASSAU POINT CLUB PROPERTIES, INC' sand SM FILED IN THE OFFICE OF THE CLERK OF THE Y' SUFFOLK COUNTY ON MAY 7, 1926 AS MAP NO. 806 OF NEW AREA = 26,299 sq. ft. to tie rine Ike toown cD i, z. MEIlea P.1- coarse sand �o e j ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION SW 0s I'' s. `. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ..0( r'.4-• ,,;,,s•s EXCZ T AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS ;e' �I�1 Y..t HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY i •S. LIC. NO. 49618 SW MAP OR COPES BEAR TME IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON _'��� !�►ar. _ ADDI LLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' I, P.C. TW!_ ALLY 15l. .�,r .:. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY p O. _1i •e . OF ANOTHER SURVEYORS MAP TEAVS SUCH As INSPECTED'AND /r /230 TRAVELER STREET 'BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH DE LAW. , • SOUTHOLD, N.Y. 11971 99 - 234