HomeMy WebLinkAboutGralton, Gerard "-•
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ELIZABETH A.NEVILLE $�y�. OG• . ; Town Hall, 53095 Main Road
TOWN CLERK 1:2 :.c • P.O. Box 1179
Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS O • Fax Fax (516) 765-1823
MARRIAGE OFFICER `4:** Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER Ol ���/
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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. 2208 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GERARD & MARY GRALTON
Address 1 : PO BOX 274
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 #R10-99-0077
Name Of Owner GRALTON, GERARD & MARY
Mailing Address 1 PO BOX 274
City St Zip PECONIC NY 11958
Property Address 1 5765 SKUNK LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 138.00 block 2 lot 11 .000
Cross Street STERLING ROAD
Building Permit Number Cross Reference:
Issue Date: 12/21/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
-- d a08
0004
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ELIZABETH A.NEVILLE i`1` y Town Hall,53095 Main Road
TOWN CLERK p - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % v. Southold, New York 11971
MARRIAGE OFFICER 1% Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER �V* MS"er, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = ' * -*'."
•
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 13, 1999
Cesspool/
Transmitted herewith is a copy of application No. 2296 for a Cess p
Septic Tank Construction Permit submitted by:
Gerard and Mary Gralton •
Please review theapplication location mapand advise if the project
and
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:
ignatu
Dated
„ ,,/////1111,'''
OFFICE OF THE TOWN CLERK ill`O I,`QG f a f�/t
TOWN OF SOUTHOLD ``'QApplication No. ?(;
ELIZABETH A.NEVILLE,TOWN CLERK ,� j
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
rim Alteration
Telephone � , $10.00 - Residential --”,�
(516) 765-1801 '��l4t
•' $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 / Z // / ? 9
APPLICANT NAME:Ge.r`cn.A M ae3 �a l 4 n
APPLICANT ADDRESS:
SEPTIC L_ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION e_,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Gcr •-,dL
OWNER MAILING ADDRESS: Bo )c.
c_ vv 1 "s
OWNER PROPERTY ADDRESS:` S 7 to S S (�� �� l._A_ —e
C, :�'P c�n 0 q t) G
•
TELEPHONE NUMBER OF CONTACT `PERSON: 4 3 y - LI J
TAX MAP NO. : Section t 3 a' Block n P.. Lot I (
CROSS STREET: S- 4,, 1,-, S
`J
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si nature of pplicant
RECEIVED BY: �S
Town Cler 's ffice
DATE:
o
• ANY ALTERATION 0R ADDITION TOSURVEY IS A VIOLATION / am familar with the STANDARDS FOR APPROVAL
OF SECTION 7E09 OF THE NEW YON STATE EDUCATION W AND CONSTRUCTION OF SL6SCA'iFACE SEWAGE
EXCEPT AS PER SECTION neo9 av1 v&ALL DISPOSAL SYSTEMS FOR SN6LE FAAAr Y R SDENCES
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES HEREON AgpEq VALD FOR THIS Arw Abp CGMEs and is*a6/di ¢y the conditions set forth N�entn€and on /he
NAD S16i R COPE "FaRSflE 11 ESS�D AL��E SURVEYOR IOWA permit to construct.
PERMIT FOR LAPPROVAL Y OFBE CONSTRUCTION FOR A ADDITIONALLY TO COAPLY WITH SAD LAW THE TERM'ALTERED Br
SINGLE Bn•+19rtLY c'tESB3r.NCE ONLY IR/ST BE USED BY ANY AM ALL SURVEYORS UTILIZING A COPY
DEC Q 1993 or ANOTHER SURVEYOR'S MAP. TERMS AS IS'ECTEV AM
DATL. 07 YARO(J67IT-TO-DATE'ARE NOT N CONPUANCE WITH TI£LAW. .
° D� lF� w ,1
IAPPROVED ° °
I FOR MAXIMUM OF 3 BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL 1 yo^ NOTE*
—______ vrzl SUBSURFACE SEWAGE DISPOSAL
' SYSTEM DESIGN
Approved in accordance with&; rd of Rev. — Fa X20 BY, JOSEPH FISCHETTI, P.E.
OSP
25p.A5 ✓ co- HOBART ROAD
dete.rmin tion dct:.� firli _ n SOUTHOLD N.Y. 1197/
II � G
The locations of wells and cesspools^� LO pwEUU v, o pE ���N (5/61 765 2954
shown hereon ore from field observalions 0.0.�' °'
1 and or from dola obtained from others. L0' yam`
s L.,,%:..3 1=,- •n. rt-w,., ,a),�n,:,'r+, o,= N 78.3 cure 01101/47 m
9 L',0•/ /Os •
Doric ta " slc.IE ADE
GIWIEL' 34 a E,� c,a., sN4,m R
el 7.;
efe
a P ..,,6 /E i2e .i T
.\\
\PPE � ,co
C T O"' 4.5 �az atT1S4 T. /f 1./trrr t.
( }� *wisql) f �a � 3 'ROLM WATER TAM( ,1.1 /d da. E/NTEST HOLE fy s7 tz • \ 6ks-10. ___ ____=7Ta-'�=« s• a z /[�• , ♦ e o t ' Sg? / ORAOL4 PLAN y.wp+c. cl I.'.
• Brom hamY k Y✓ r1 it e Q e ff G\ 2
sand S
r 1-4 \ V
Polo lino ►°'° �a 1 Q� Ni- Pp "t SURVEY OF PROPERTY
sand SP
�� •
s m �� A T PECONIC
4.T � I '' $k -, TOWN OF SOUTHOLD
m ® e°`' ` .9.48. s,x SUFFOLK COUNTY, NY.
Water brotm;Tp°"' ' \'' $ �4.....i ��NCj► 1000 - 138 - 02 - 11
SORE dman Z , '(�R so
OF new SCALE 1" = 40'
►, ' 9 5� YO NOV. 17, 1998 _
' e FISCyF_ 9,t DEC. 23, /999 (revlslon 1
?, FIN y'� / DEC. 23, /998 (ADDITIONS) 1
II' 1 F ' X5.1 \\ L .
q' OFTp�FLAG ATL MAIM E7 • n ��( !�`
TIDAL SUFFOMETLAWS A TAL T CERTFFIIE'D TO' '"y` -
FLOOD ZONE LANE FROM FIRM. GERARD M. GRAL TON .) �O. O525�� G�2 `�OF NEW p0 I.
i MAP NO. 36103064 G 'MAY 4, 113 o a,!'h MARY M. URAL TAN. oR F}' �Q t.MCTro '�.1
X- NORTH FORK BANK OFfssiotk - t
E CO* M EAL of LAND TITLE '° .'.i°`A.
ten G.�o/s fi//req red INSURANCE COMPANY / asp sb
= � n '\W Y.3. La N0. 496/8
ELEVATIONS ARE REFERENCED 1 1 =Fioposed•Cordo..r ? /; .\
TO N.G.V.D. 4 c -ECO 'F' "�f S, P .
NOTE' LOT NUMBERS REFER TO MAP OF NASSAU FARMS ' 15/61 ��• o2V9b\"J���
FLED MAR. 28, 1935 IV THE OFFICE OF TAE SUFFOLK P. 0. Bo ,/>
AREA = 20,310 ft COUNTY CLERK'S AS MAP NO. 11T9 /230 ET
• SOUTHOLD, . 1/97/
- p'
98 - 346
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