HomeMy WebLinkAboutCregeen, John AI.
1 '
FOU(
A. NEVILLE °.Z. . Town Hall, 53095 Main Road
TOWN CLERK c P.O.P.O. Box 1179
y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICSFax (516; 765-1823
MARRIAGE OFFICER %% 0
RECORDS MANAGEMENT OFFICER P
� Tele hone (516) 765-1800
Ol �� 1
ECZCEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2026 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PETER JOHNSTON
Address 1 : JOHN CREGEEN
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 #R10-99-0013
Name Of Owner CREGEEN, JOHN
Mailing Address 1 125 GROVE DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 BROOK LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 16.005
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/04/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,iiOFFO4Co
ELIZABETH A.NEVILLE hyo 4y� Town Hall, 53095 Main Road
TOWN CLERK c < P.O. Box 1179
REGISTRAR OF VITAL STATISTICS . Southold, New York 11971
MARRIAGE OFFICER `� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER may% �� 111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER •
�'.•
I.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 2, 1999
Transmitted herewith is a copy of application No. 2106 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peter Johnstone for John Creqeen •
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 mendations:
APPROVE
DISAPPROVE
Comments:
gnature
Dated
OFFICE OF THE TOWN CLERK '''��` '•'' - L/0 0
TOWNOFSOUTHOLD /4 �l COG Application No.
ELIZABETH A.NEVE.LF,TOWN CLERK \
P.O.BOX 1179 : ;41 Construction
SOUTHOLD,NEW YORK 11971 '
^_' ; Alteration
Telephone yO,j� �Q�.'� $10.00 - Residential
(516) 765-1801 41 * ,f'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
•
APPLICANT NAME: C(2ECr+E f � v � ,�--
APPLICANT ADDRESS: Y179----422:52f+ - .Q
orIfoL4 //q7 I • PO ' ?
SOL' t-er-ec- -
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /thotc) Ari1i
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J off) 6iLC442VJ
OWNER MAILING ADDRESS: Aar (�pcl ,Qp,
SO M7 4t 1197 f
OWNER PROPERTY ADDRESS: 9v-" 3e.00k< LN A3
S Oce n c;�
TELEPHONE NUMBER OF CONTACT PERSON: 765'.- -3oq
TAX MAP NO. : Section ) (9 Block .5 Lot l ( .5
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
___/4? ,/e4410p
Signat re of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
Ar
_`/
SUFFOLK COU a 1 DEPARTMENT OFHEALTH SERVICES i
`_ AN
PST FOR APPROVAL OF CONSTRUCTION FOR A
AC)/
O j Q�
G ` �A snls FAI�OE.Y R ONLY
ktt, �� Q •
DATE (-26577 H :P. Al. \ • - ,,ali-
6%� � APPROVED / d#
c.
-_,9 9 Q= �
v� FOR MAXIMUM OF L : r• •ODMS
4 .9 et
It*.
EXPIRES THREE YEARS FROM DATE OF APPROVAL
li) I/
N \
\ .
4Y
000
Ez R ge s 604 •
O .0.2 s F
\ F.9.
_� F` LOT 0
_ \., VACANT
N
Is
1
i CP
•
I '' • SroP�csle�, ,�
LOT0 k , k S� 1
i 5.1
DWELLING . 11 I `'.s
(c.. olVMAW 1 Q — , ,o
,0.
� � rd . Z roP� ?
V ')
` V
I l
'J
1 9ek
W / 5 ,
2
• m
LOT
f
2 €_
, ,1
1 a•/r.., ;
R = 285.00' vAcANt C E
SPA
I am familiar with the STANDARDS FOR APPROVAL 0 P
EN
• AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES C'
and wit abide by the conditions set forth therein and on the �+
permit to construct. - SURVEY OF
LOT 5
"MAP OF REYDON COURT"
FLED SEPT, 17, 1987 MAP NO. 8395
' AT BA YVIEW
The location of wells and cesspools TOWN OF SOUTHOLD
shown hereon are from field observations SUFFOLK COUNTY, NY
and or from data obtained from others. 1000 - 79 - 05 - 165
ELEVATIONS ARE REFERENCED SCALE r= 40' '
TO AN ASSUMED DATUM. DEC. 30, 1998 1 t-
JAN. 7, 1999 ( prop. hs:,_F.' c),
AREA = 40,644 sq. ft. Jan /2, /999 (w/sj C.) ,§
A\ 04>NEW yQ. 0- '-, _co
ANY ALTERATION OR ADDITION TO TINS SURVEY IS A VIOLATION i, �,r t..MEN, i Z w 3
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW aFP " 0 Q 0 w
n0
Ex�pT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS � m 8
IEEON ARE VALD FOR THIS MAP AND COPES THEREOF ONLY P / 150
SAD MAP OR COPES BEAR. THE IMPRESSED SEAL OF THE SURVEYOR Ar; F Its j 4 . NO. 4
WHOSE SIGNATURE APPEARS HEREON. AIM w,.. ;'„t;
: ,.
ADDITIONALLY TO COMPLY WITH SAD LAW THE TERM 'ALTERED BY' P= z IC `4 77 -OR v;r C. •
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY f51 • .5A,-° 5!, s Jai,.
OF ANOTHER SURVEYOR'S AMP. TERMS SUCH AS 'INSPECTED'AND P. • : ,+r 's,: \ii.
'BROUGHT-TO-DATE'ARE NOT N COMPLIANCE WITH THE LAW. . 1230 . MIER - REET
SOUTH* • 11971