HomeMy WebLinkAboutWhite, William „
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ELIZABETH A. NEVILLE ,$ `Z� �y `,, Town Hall, 53095 Main Road
TOWN CLERK o :4
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER : 1 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER "`#4) �►aO�11, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER - 11
oos
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2074 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROMEO BUILDERS
Address 1 : PO BOX 1111
City St Zip SOUTHOLD NY 11971
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 #R10-99-00110
Name Of Owner WHITE, WILLIAM
Mailing Address 1 PO BOX 250
City St Zip SOUTHOLD NY 11971
Property Address 1 752 JENNINGS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 511.00 block 6 lot 19.000
Cross Street BOOTH ROAD
Building Permit Number Cross Reference:
Issue Date: 5/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,_#Aro
• poli OFFO(,j-�®
ELIZABETH A.NEVILLE Gym Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
y 7), Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Z Fax (516) 765-1823
Tele hone(516) 765-1800
RECORDS MANAGEMENT OFFICER �JO .aP
FREEDOM OF INFORMATION OFFICER -. ./ + 1`,,,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 12, 1999
Transmitted herewith is a copy of application No. 2160 for a Cesspool/
Septic Tank Construction Permit submitted by:
Romeo Builders for William and Elaine White
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.
E6u>
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following rec mmendations:
APPROVE
DISAPPROVE
Comments:
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81999 J' 5-1241 q
Dated
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&TICE OF THE TOWN CLERK _,`�FO�/r �1
TOWN OF SOUTHOLD 1,' 1 �1(3j.- Application No. o//(y0
ELIZABETH A.NEVI LE,TOWN CLERK ` ` ►
P.O.BOX 1179 Construction tY
SOUTHOLD,NEW YORK 11971 "Z
Alteration
Telephone
$10.00 - Residential
_
(516) 765-1801 _
NA $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. aO']q
Fee $
DATE /1iV�� \ l 9 5
APPLICANT NAME: eDyv�e-a E..,..t.U.-e.-S
APPLICANT ADDRESS: l" _or11 it I
5D,,, UAc. itT71
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
- 1 -�,,..� �(2.3
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c..3 �1�0., -A- E��.,V.er
OWNER MAILING ADDRESS: 17 0, 'ox- 2S0
OWNER PROPERTY ADDRESS: 1 s ofD..e.A.4t.Lt.ati<, I
TELEPHONE NUMBER OF CONTACT PERSON: -) S Z6 ?5
TAX MAP NO. : Section 5 y Block O 6 Lot 17
CROSS STREET: GOO-44, (4)0,-d\
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
T. er 's Office
DATE:
7 I'D
cm N 46.26'20`E N/F STRICKLAND
`-,..._,...,,, .., N 171'8
N/F KRAUS
11, 42 b
44 N
Ai
48 46
52 50 ••
54
N/F
56
BARKLEY
'
VACANT
58
N/F KELLER
VACANT
h
58 PROPOSED
WELL
/ LOT 1
MAP OF -�_
g OAK RIDGE :` .
g HILLS
w
TIONIN HR SAIVIT. .Y P $I REQUIRED AT
sov rHor.O
56 HEA-L-4%,.EPAR Ely FMS 3555
"e_k FILED APR. 30, 1962
150'
WELL TO 54
SEPTIC 60'4 AW
23' 2 50
' PROP'SED
•
3 B 'ROOM GARAGE { )
35' • 52 RES. 25' so' ,
50
\ 50 ''OP. �s — ,c(SSPooZ sr
0
51
It PROPOSE., 48 y
SEPTIC
O 2
TEST
i
PR40'05 0 50X LTI
CE•SPO�., EXPANSI AS 'D O ~
2 01' 46 00
ad fa
AN c} --_ •
PVC 48 25' 00• w 155. " TIE= 150.00' a 1040_44,11754.6 \�
50.69 �s �P��v." '�` •`..
2 JENNINGS . ROAD $�.o• �' ��'"
ASPHALT RD. (PRIVATE)
1 swats COUNTY rosmT '
rRtatr ea ow ` '.
VACANT z . •
DA
APPROVED
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TEST HOLE DA `rA
SUPPLIED BY,: :MCDONALO GEOSCIENCfQO
FR `-3
EXISTING GRADE
\. „ \ ,\\\ 4!• SURVEY OF
• _, /BONY/ LOAMY SAND SM •
LOT# 3
IN ,
MINOR SUBDIVISION MADE FOR
DR. H£R000TUS DAMIANOS .
SITUATE
9ROWN CLAYEY SAND SC
SOUTHOLD
I' TOWNLO CSOUTHONLD. Y.
FROWN FINE SAND SP
ISURVEYED FOR WILLIAM WHITE
'� ELAINE WRITE
COMMENTS: WARNING- II NS IS AN ARG OF*APO,CNINOINO SURVEYED
. "SURFACE CONDIrteNS. 29 JAN., 1999
SCALE 1-.30'
r FINISHED GRADE AREA- 51,838 SF ..
Asa\r\ OR
a 1'M!N. 1.190 ACRES
IAF”/I, s 2'MAX
%S SID SW.F. l '''. ..
I
SIDE WALL ZONED R-80
AREA
LEACHING I I - .
POOL TM 1000-054-06-19 .x
J frIUTER j^
.
GUARANTEED TO 't-
TYPICAL CESSPOOL SYSTEM
WILLIAM SMITE
' ELAINE IMW TE
N. T. S. . FIDELITY NATIONAL TIKE INS CG! "'
TOWN OF soUTHOLD
NOTE: ELEVATIONS:SNOW HEREON
ARE ASSUMED DA RVAf
•
r FINISHED GRADE • ,,
I' MIN
2' MAX-'"1
_ _ '
ISA./ I, —2� -� `-_ I/I-/I.' % - ,
0 • i
8'MIN, TO CESSPOOL f•
1000 GAL. SEPTIC TANK -' ,
f P/CAL SEPTIC TANK
Guarantees indicated hero on shall M►
only to the person for whom the sus** i3"t
is prepared, and on his behalf to the G`
title ccmpcny, Covermental Agency,
'end;na I, t tution, if listed hereon, and
SUFFOLK CO HEALTH DEPT. APPROVAL to lila c:ssi noes of the lending institution.:
H.$. NO. 1 Guarantees are not transferable to
n additional institutions or subsequent overs
t�`" STATEMENT OF INTENT Unauthorized alteration or addition to this
•
scrvey is a violation of Section 7209 of .r
THE WA TER SIMPLY AND SEWAGE DISPOSAL SYSTEMS
FOR THIS RESIDENCE 1,LL CONFORM To THE SrANDARos the New York State Education Laws
OF THE SUFFOLK CO. DEPT OF HEATH SERVICES
• � J Copies of this survey mop not beaing
S A2 ' the land Surveyors embossed seal Shah a
"' ` 'tk// /QJ...taty' • - not be considered to.be a valid tree- „
Tt
TOWN OF 'SOUTHOLD copy. .
FOR APPROVAL OF CONSTRUCTION ONLY '
rIJAL7SAIRVICES DATE
['RUCflONVOMA APPROVAL '.
!Q
1114C1 ONLY •SUFFOLK CO. TAX MAP O£S!GlNATION SURVEYED BY •
i�l 4 T.D DIST. SECBLOCK PCL. STANLEY J. I C,SE)4 i e
1000 054 06 19 P.O. BOX 294' ;
NE SUFE • Y 179 `
- OWNER : 51 4'
WILLIAM WHITE & ELAINE WHITE \LICEg Cid F
3hitOlt7rPPROVAL NYS T ,� •
.
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