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ELIZABETH A. NEVILLE �I`'1' Gym`.` Town Hall, 53095 Main Road
TOWN CLERK '� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �y Southold, New York 11971
MARRIAGE OFFICER . 1� Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER �a0.1 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. 2075 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GLENN FEAVEL
Address 1 : PO BOX 1162
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 #R10-99-0027
Name Of Owner FEAVEL, GLENN
Mailing Address 1 PO BOX 1162
City St Zip SOUTHOLD NY 11971
Property Address 1 SOUNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 711.00 block 2 lot 7.000
Cross Street HENRY'S LANE
Building Permit Number Cross Reference:
Issue Date: 5/25/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE Gy�► Town Hall, 53095 Main Road
TOWN CLERK .c P.O. Box 1179
(cC2 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rr7Fax (516) 765-1823
MARRIAGE OFFICER 1 y Fax e
RECORDS MANAGEMENT OFFICER Z A, �®• Telephone (516) 765-1800
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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. 2161 for a Cesspool/
Septic Tank Construction Permit submitted by:
Glenn S. Feavel
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:
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OFFICE OF THE TOWN CLERK ,
TOWN OF SOUTHOLD +; 0� �Q Application No.32-'/6•
ELIZABETH A.NEW LF,TOWN CLERK �
P.O.BOX 1179 .; Construction L
SOUTHOLD,NEW YORK 11971
02 fin) Alteration
Telephone O,y Q�i+ $10.00 - Residential
(516) 65-1801 "TilAir� ''e, $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 026 75
Fee $
DATE 50-- Gii
APPLICANT NAME: () eh' S_ Fea,rei r�
APPLICANT ADDRESS: e4Eigox //(a.), . oL ti\o/ /U ( 1147/
SEPTIC �" CESSPOOL •-'
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERA ION
s
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 4---;(6//10 c- /C-4;f60'.61
OWNER MAILING ADDRESS: P.O. 40,r //0. s0,-tL)/1 i(')' // 2/
OWNER PROPERTY ADDRESS: --
TELEPHONE NUMBER OF CONTACT PERSON: W `3
TAX MAP NO. : Section /6-'00 Block Lot c;;,/,-- 6 7
CROSS STREET:
BUILDING PERMIT NUMBS CROSS REFERENCE:
Signature of A plicant
RECEIVED BY:
Town I rk's Office
DATE: SS),--/F7
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Q SCDHS Ref. # RIO - 99 - 0027
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SURVEY OF a c 0 0 cc
Water In Br. Ike . LOT 47 @ ;g .--e43 P a
to Coarse'�' Sand "PECONIC HOMES, SECTION TWO" o v SA. 0 ,t- 12
59. FLED NOV 28, 1967 MAP NO. 5001 oil c z ��
AT PECONIC FA'
� x a ,v¢}w
AREA = 27,044 sq.ft TOWN OF SOUTHOLD I N a o
ELEVA TIONS ARE REFERENCED TO AN SUFFOLK COUNTY, NY 0 tad- z
ASSUMED DAT(W. 1000 - 74 - 02 - 07 g a v
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Scale: 1" = 40' 2 `� 2 Q 2}
The locations of wells and cesspools Feb. 2 1999 a Ln R Q co
shown hereon are from field observations Mar 2, 199 9�revi�io�s) pa 0 Ei C)
and or from data obtained from others. e.
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1 am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES OF NE
and will abide by the conditions set forth therein and on the .\i_‘0., *y
permit to construct. G,, I. MerioFQ.p�,
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ANY AL. = TION OR ADDITION To TINS SURVEY lS A VIOLATION Y• ,, r • c
ar =1, • ' 7209 OF THE PEW YORK STATE EDUCATHON LAW. '
=- 1 7'209 - SUBDIVISION 2. ALL CERTFICATbNS r,; <r '
VALID FOR 77iS MAP AND COPES THEREOF ONLY F k.$ / ,, % N.Y.S. LIC. NO. 496/8
r.BEAR THE IMPRESSED SEAL OF THE SURVEYOR R-.'. o �:h►
1 APPEARS HEREON: 7=%-- • 7.1-..r.',4 t ORS, P.C.
' , °_,• -., Y TO COMPLY WITH SAD LAW THE TERM 'ALTERED or 1 , = - 020
MD ALL SURVEYORS UTLZNG A COPY P. O. =• . 909
• - F -- MAP. TERMS SUCH AS IN ECTED'AND 1230 TRAVELER STREET
- ,• -- • 'ATE"ARE NOT M COMPLIANCE *7TH THE LAW. SOUTHOLD, N.Y. 11971
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